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Germ cells vs somatic cells
Germ = responsible for reproduction
Somatic = responsible for maintaining the functions of the human body
Mutation
Alteration in the genetic material of a cell
Differentiate direct vs indirect paths of destruction
Direct = radiation interactions directly with the atom in the DNA and the molecular structure of the DNA double helix is broken when the atoms are ionized.
Indirect = Radiation interacts with a water molecule, forms free radicals, and then the free radicals interact with atoms in the DNA causing breaks in the strands
Free radical
A fragment of a molecule that has an unpaired electron. Highly reactive and can break the molecular structure of DNA
Single DNA breaks are more commonly associated with ...
Indirect action
Double DNA strand breaks are more commonly associated with ...
Direct action
A cell can repair itself before replication, but if it fails to do so, this can cause
a mutation
Some mutations can cause oncogenesis. What is this?
Oncogenesis is the biological process through which normal, healthy cells transform into cancer cells.
A little sunburn on the nose is a _______ strand break while a 2nd degree sunburn is like a ________ strand break.
Single, Double
Who discovered/characterized that certain cells are more radiosensitive?
1906, Bergonie and Tribondeau
What are the 3 laws of Bergonie and Tribondeau?
1. Relatively undifferentiated (primitive) like stem cells
2. Rapidly dividing at the time of exposure like fetus cells
3. Dividing for extended periods of time like cells of the GI tract
The LET of a charged particle or photon is ...
and what is it measured in?
the amount of energy it transfers to a medium per distance traveled in a medium.
measured in keV/um
Define RBE?
Relative Biological Effectiveness is the amount of radiation of a certain type required to reach a biological endpoint.
Higher LET radiation typically has a _________ RBE.
higher
What is a radiosensitizer?
A substance that increases biological damage from ionizing radiation
How do radiosensitizers increase radiation damage?
They bind with free radicals to create more toxic forms
How can radiosensitizers affect DNA?
They bind to damaged DNA, making it harder to repair.
What is the most common radiosensitizer?
Oxygen
What are other examples of radiosensitizers?
Nitroxoides, siRNAs, and oligonucleotides.
What is a radioprotector?
A substance that decreases a cell's sensitivity to radiation
How do radioprotectors decrease radiation damage?
Many of these "scavenge" free radicals by suppressing their formation or detoxifying them by reducing the oxygen content of the cells
What is an example of an FDA approved radioprotector?
Amifostine
Which portion of the cell cycle is the most sensitive time to be impacted by radiation?
Mitosis
Acute radiation exposure
Exposure over a short period of time
Chronic radiation exposure
Exposure over a longer period of time
Deterministic vs Stochastic Effects of radiation
Deterministic effects are quick onset symptoms that are generally observed soon after exposure and have a defined threshold.
Stochastic effects are probabilistic, meaning they may or may not occur in any given individual and a threshold might not be observed. Usually manifest after many years of the exposure.
*Deterministic can also be said that it is no doubt caused by radiation, while the same cannot be said for stochastic
Somatic vs Genetic
Somatic = physical effects of the person exposed themselves
Genetic = the children of those exposed
Teratogenic Effects
Effects observed when a fetus in utero is exposed to an acute high dose of radiation causing cancer or congenital malformation
What is external beam radiation
A common cancer treatment that uses high energy radiation beams to target and destroy cancer cells while minimizing damage to surrounding healthy tissue
What are theranostics
A newer treatment option for cancer involving radiopharmaceuticals that have a high LET and specific affinity to cancer cells to allow for direct targeted treatment to a tumor.