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division delay
disturbance to cell cycle activity
what are the two types of lethal damage to a cell through irradiation?
apoptotic and mitotic death
what are the two types of non-lethal damage?
reparable and non-reparable
cell cycle time
the time required to complete one cell cycle
how long does it take to complete mitosis?
about one hour
how long does it take to complete S phase of interphase?
about fifteen hours
mitotic index
fraction of cells in mitosis
what are the main difference between in vitro and in vivo cells?
in vitro cells can be produced to be synchonous, where in vivo cells are normally asynchronous and is in all cell cycles
what happens to a mitotic cell post-irradiation?
there is a mitotic delay, in which mitosis freezes, and then there is a mitotic overshoot which functions to compensate for the delay
where are the two points at which division delays occur in the cell?
G2 and early S phase
G2 checkpoint
checks cells which are about to enter mitosis
S checkpoint
checks cells which are about to enter DNA synthesis
what checkpoint is the MAIN contributor to division delay?
G2
when is the cell MOST radiosensitive?
M phase
why does mitotic overshoot occur?
due to synchronizing effect of radiation
what does dose effect in terms of division delay?
magnitude of decrease of mitotic index, length of the delay and the size of the overshoot
what happens to the mitotic index post irradiation at low doses?
mitotic index returns to normal
what happens to mitotic index post irradiation at high doses?
delay occurs but there is lethal damage
what are the two methods of obtaining synchronized cell populations?
mitotic harvest and drug-induced G1 hold with hydroxyurea
what does the cell survival curve look like for cells irradiated at M, later G2?
no shoulder, steep slope & repair is unlikely
what does the cell survival curve look like for cells irradiated at early S?
noticeable shoulder, less steep slope and repair of sublethal damage will occur
when is the least sensitive phase of the cell cycle?
late S, due to homologous recombination
There is a sharp ______ in sensitivity from the start to the end of G2.
increase
what two phases does the sensitivity change over the duration of its events?
G1 and G2
what is the effect of different types of radiation on the various radiosensitive phases of the cell cycle?
there is no effect on the timing of sensitivity, rather the magnitude of difference in sensitivity
what is the difference between high LET and low LET radiation in terms of their variation of radiosensitivity across the cell cycle?
high LET there is less variation, low LET there is more SSBs than DSBs, and as a result is more easily repaired
According to Bergonie-Tribondeau's hypothesis, radiosensitivity is highest in cells that:
are actively dividing, are undifferentiated and have a long future of dividing
"the response of the ____ is more clinically significant than response of the ____ alone."
A. cell, tissue
B. tissue, cell
C. organ, tissue
D. tissue, organ
B
what are the three factors that mainly effect tissue response to radiation?
inherent sensitivity, structural organization and tissue kinetics
what are the five categories in Casarett's Classification of Cell Radiosensitivity?
From most radiosensitive, to most radioresistant:
1. Vegetative Intermitotic Cells (VIM)
2. Differentiating Intermitotic Cells (DIM)
3. Multipotent Connective Tissue Cells (MCT)
4. Reverting Post-Mitotic Cells (RPM)
5. Fixed Post-Mitotic Cells (FPM)
what is an example of a VIM cell?
stem cell
what is an example of a DIM cell?
spermatogonium
what is an example of a FPM cell?
muscle cell
what type of cell is an exception to Casarett's Classification?
lymphocytes, structurally they are RPM, but they die from apoptosis and are the most sensitive cells