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Radiation interacts at what level of organization?
Atomic
Molecules
Atoms bonded together
Atomic Composition
Hydrogen, oxygen, carbon, nitrogen, phosphorus, sulfur and trace elements
Molecular Composition
Water, proteins, lipids-fats, carbohydrates, nucleic acids
What is the only inorganic molecular compound?
Water
Water
Simplest and most abundant inorganic compound in the body; provides form/shape, dissolves materials, functions as transport, maintains body temp, cushion organs and lubricate digestive systems
Proteins
Formed when a sequence of amino acids connected by peptide bonds combine into long, chainlike molecular complexes (macromolecules); essential for growth, construction of new body tissues and repair injured/weakened tissues
Structure of Proteins
C H O N T
Lipids
Composed of glycerol and fatty acids, structural part of the cell membrane; long-term storage of energy, insulate and protect, support organs, assist with growth/development, lubricant joints and assist in digestion
Structure of Lipids and Carbohydrates
C H O
Carbohydrates
Starches and various sugars; short-term storage, cell shape and stability
What are nucleic acids?
DNA and RNA
DNA (Deoxyribonucleic Acid)
Located in nucleus, double stranded macromolecule that contains all hereditary information representing a cell
What is the most critical target molecule for radiation?
DNA
RNA (Ribonucleic Acid)
Cytoplasm of cell, long, single-stranded chain of cells that help DNA translate information (mRNA and tRNA)
Chromosomes
Tiny rod-shapes bodies; only visible during mitosis (cell division)
How many chromosomes do somatic cells have?
46
How many chromosomes do “germ” cells have?
23
DNA Bases
Adenine → thymine
Cytosine → guanine
Cells
Highly specialized to maintain homeostasis, provide energy, oxygen to break down food and water to transport substances
Cytoplasm
Bulk of cell; structure, mass and support
Nucleus
Center of cell; contains DNA
What is the most abundant molecule in the body?
Water
What area of a cell is most critical to proper function and survival?
Nucleus
What type of molecule makes up cell membranes, and provides fuel and insulation?
Lipids
What is the most abundant atom in the body?
Hydrogen
Somatic Cells
All of the cells of the body except sperm and ova; undergoes mitosis
Genetic (germ) Cells
Sperm and ova cells; undergoes meiosis
Cell Proliferation
The act of a single cell or group of cells reproducing and multiplying in number
Mitosis
Two new identical daughter cells that contain exact genetic material Â
G1 Phase
Cell growth; longest phase of interphase
S Phase
DNA synthesis; replication to create two daughter cells
G2 Phase
Proteins and RNA molecules created for mitosis
Prophase
Nucleus enlarges, DNA more prominent and begins structural form & centrioles migrate to opposite side of cell and begin to form mitotic spindle Â
Metaphase
Mitotic spindle forms between centrioles, chromosomes appear and line along the equator of the nucleus (critical time for damage)
Karotype
Map of chromosomes
Anaphase
Each chromosome split at center, the halves of the chromosomes migrate towards spindles Â
Telophase
Chromosomes disappear into a mass of DNA; cytokinesis
Cytokinesis
Nuclear membrane and cytoplasm both divide into two
Meiosis
Reduction in the number of chromosomes from 46 to 23, begins at the end of telophase; ensures zygotes have normal number of chromosomes
Instant death dose
1,000 Gy
Instant death
Massive influx of energy = gross disruption of cell form and structure and DNA; DNA breaks up and cell proteins coagulate Â
Reproductive death dose
1-10 Gy
Reproductive death
Permanent loss of ability to reproduce, cell continues to synthesize proteins; damage not able to be transmitted to future generations
Apoptosis (interphase death) dose
1 - several hundred Gy
Apoptosis (interphase death)
Cell dies during interphase without attempting division
Example of apoptosis
Tadpole losing tail
Mitotic (genetic) death dose
1-10 Gy
Mitotic delay (division delay) dose
As little as 0.01 Gy
Mitotic delay (division delay) Â
Cell doesn’t divide on time, disrupts ratio of those normally dividing and those note; cells recover from delay and proceed
Interference function
Occurs from various doses, normal cell function can be impaired; repair enzymes can fix damage and cell continues to function
T/F: Molecular damage is reversible.
True
What does molecular repair depend on?
Dose, dose rate, cell sensitivity, cell age and mitosis
Stem Cells
Immature cells
T/F: Mature cells are more radiosensitive.
False
Law of Bergonie and Tribondeau
Age and metabolic rate of tissue being irradiated determines the radiosensitivity of the tissue Â
Most sensitive cells
Immature, undifferentiated and rapidly dividing
Blast-
Immature cells
Cyte-
Mature cells
High radiosensitivity (2 – 10 Gy) Â
Lymphocytes, erythroblasts and intestinal epithelial (villi) cells
Intermediate (10 – 50 Gy) Â
Spermatogonia, epithelial cells, osteoblasts and fibroblasts
Low radiosensitivity
Muscle cells and adult nerve cells
Linear Energy Transfer (LET) Â
A measure of the rate at which energy is transferred from ionizing radiation to soft tissue
What is LET measured in?
kEv/µm
High LET
Alpha radiation; less penetrating, heavy, has a charge, lower energy giving up energy quicker causing a large amount of ionizations and more damage
Low LET
X-rays and gamma rays; very penetrating, no mass or charge, higher energy giving a whole body dose, low number of ionizations with fewer damage
Relative Biological Effectiveness (RBE)
Test radiation refers to test radiation used in specific experiments with specific cells and animal tissues to produce a certain effect
How do you find RBE?
Dose of standard radiation (200-250 kVp) necessary to produce a given effect/dose of test radiation necessary to produce the same effect
RBE for diagnostic x-rays
1
RBE for alpha particles?
20
Low LET = ______ RBE
Low
High LET = ______ RBE
High
Protraction
Dose is delivered constantly but at a lower rate
Fractionation
Dose is delievered in small fractions or increments; lessens radiation effects because cells can undergo repair and recovery between doses
Oxygenation
Tissue is more sensitive to radiation when irradiated in the oxygenated or aerobic state; makes damage more likely to occur and less likely to be repaired
Anoxic
Without oxygen
Hypoxic
Low oxygen
Aerobic
With oxygen
Oxygen Enhancement Ratio
Used to describe the impact of oxygen on radiation effects
How do you find OER?
Dose required to cause biological response without O2/dose required to cause a biological response with O2Â
High LET = ______ OER
Low
Low LET = ________ OER
High
At what age are humans more radiosensitive?
Fetus and old age
Radiosensitizers
Increase sensitivity to radiation; ex. vitamin K
Radioprotectors
Compounds that will decrease sensitivity to radiation; must be administered at toxic levels
Radiation Weighting Factor (Wr) Â
“Quality factor;” accounts for different types of radiation causing varying biological damage
What does Wr calculate?
Equivalent dose
What is the equation for EqD?
D x Wr
Tissue Weighting Factor (Wt) Â
Accounts for different sensitivity of tissues and organs; best measure for stochastic risk/harm
What does Wt calculate?
Effective dose
What is the equation for EfD?
EqD x Wt
Dose Rate
The rate at which energy is delievered to cells is directly related to its effect
Radiation Hormesis
Theory that suggests that small amounts of radiation is actually good for you because it stimulates hormonal and immune responses to other toxic environments
Increase charge = ______ LET
Increase
Increase penetrability = ________ LET
Decrease
Increase energy = _______ LET
Decrease
Increase ionizations = ______ LET
Increase
Increase LET = _________ damage
Increase
Increase oxygen = _______ sensitivity
Increase
Increase proliferation rate = _________ sensitivity
Increase