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Chapter 31 Penguins
At nearly every stage in the sequence, it is possible to repair ________ and to _______
radiation damage; recover
Radiobiology is the study of the
effects of ionizing radiation on biologic tissue
Macromolecules are very large
molecules that sometimes consist of hundreds of thousands of atoms.
The chief function of carbohydrates in the human body is to
provide fuel for cell metabolism.
What is the radiation-sensitive target molecule?
DNA
What type of base bonding is possible in DNA?
adenine–thymine and cytosine–guanine
Cellular membranes provide
structure and form for the human cell and its components.
A series of 3 base pairs, called a ________, identifies
codon; 1 of the 22 human amino acids available for protein synthesis
Cell proliferation is the act of a single cell or group of cells
reproducing and multiplying in number
Radiation-induced chromosome damage is analyzed during
metaphase
Meiosis is the process whereby
genetic cells undergo reduction division.
Organ Systems =
Nervous, Reproductive, Digestive, Respiratory, and Endocrine.
Stem cells are more sensitive to radiation
than mature cells.
Ch. 31 Outline
What are the two main structures of a human cell?
Nucleus and cytoplasm
What is the function of the nucleus?
Control center of the cell; contains DNA
What is the most radiation-sensitive target in the cell?
DNA in the nucleus
What structure inside the nucleus contains most of the cell’s RNA?
Nucleolus
What does the cytoplasm contain?
All molecular components except DNA
What is the function of the endoplasmic reticulum?
Allows communication between nucleus and cytoplasm, manufactures protein/lipids
What are mitochondria responsible for?
Producing energy by digesting macromolecules
What is the function of ribosomes?
Protein synthesis
What do lysosomes do?
Digest cellular debris and contaminants
What is the role of the cell membrane?
Provides structure and allows selective diffusion
What determines a cell’s radiosensitivity?
Its maturity and function
Which is more sensitive to radiation: nucleus or cytoplasm?
Nucleus
Are immature or mature cells more radiosensitive?
Immature (stem) cells
Name four highly radiosensitive cells.
Lymphocytes, spermatogonia, erythroblasts, intestinal crypt cells
What tissues are highly radiosensitive?
Lymphoid tissue, bone marrow, gonads
What dose range affects highly radiosensitive tissues?
2–10 Gy
Name two effects of radiation on highly sensitive tissues.
Atrophy (shrinkage of cell), hypoplasia (underdevelopment)
Name four cells with intermediate radiosensitivity.
Endothelial cells, osteoblasts, spermatids, fibroblasts
What are seven tissues have intermediate radiosensitivity?
Skin, GI tract, cornea, bone, kidney, liver, thyroid
What dose range affects intermediate tissues?
10–50 Gy
Name three effects on intermediate tissues.
Erythema, ulcers, cataracts
Which cells have low radiosensitivity?
Muscle and nerve cells
What tissues are least radiosensitive?
Muscle, brain, spinal cord
What dose is required to damage low-sensitivity tissues?
Greater than 50 Gy
Name two severe effects on low-sensitivity tissues.
Fibrosis, necrosis
Chapter 32 Penguins
The LET of diagnostic x-rays is approximately
3 keV/um
RBE is the ratio of a standard radiation dose to produce the
same response as that following a test radiation dose
The RBE of diagnostic x-rays is
1
Dose protracted and fractionated cause less effect because the longer irradiation time
allows for intracellular repair and tissue recovery.
OER is the ratio of radiation doses under anoxic conditions to produce
the same response as that following irradiation under oxygenated condtions
Diagnostic digital imaging is performed under
conditions of full oxygenation.
INterphase death occurs when the cell
dies before replicating
The combined processes of intracellular repair and repopulation contribute to
recovery from radiation damage.
Human responses to radiation exposure fall into two types:
deterministic or stochastic.
Radiation-induced cancer, leukemia and genetic effects follow a
linear, nonthreshold dose-response relationship
Skin effects resulting from high-dose fluoroscopy follow a
sigmoid-type dose-response relationship
No human radiation responses have been observed after radiation doses less than
100 mGyt
Ch 32 Questions
What is Linear Energy Transfer (LET)?
Measure of energy transferred from ionizing radiation to tissue per distance (keV/μm).
What happens as LET increases?
Biologic damage increases.
Why does higher LET cause more damage?
More frequent ionizations → higher chance of hitting target molecules.
What is Relative Biologic Effectiveness (RBE)?
Ratio of dose of standard radiation to test radiation needed to produce the same effect.
What is the RBE of diagnostic x-rays?
1
What happens to RBE when LET is lower than x-rays?
RBE < 1, RBE has a direct relationship to LET
What happens to RBE when LET is higher?
RBE increases.
What happens to RBE at very high LET (overkill)?
RBE decreases
What law governs cellular radiosensitivity?
Law of Bergonie and Tribondeau.
According to this law, what determines radiosensitivity?
Maturation and metabolism.
Which cells are most radiosensitive: stem or mature?
Stem Cells
What type of cells are radioresistant?
Mature Cells
How does proliferation rate affect radiosensitivity?
Higher proliferation → more radiosensitive
How does metabolic activity affect radiosensitivity?
Higher metabolism → more radiosensitive
When are humans most radiosensitive in life?
In utero (before birth)
When are humans most radiioresistant?
At maturity
What happens to radiosensitivity in old age?
Increases slightly
What is the oxygen effect?
Oxygenated tissues are more sensitive to radiation.
How does hypoxic/anoxic conditions affect sensitivity?
Decrease radiosensitivity
What is a dose-response relationship?
Relationship between radiation dose and biological effect.
What is a linear dose-response
Response directly proportional to dose
Give examples of linaer responses
Cancer, leukemia, genetic effects
What is a nonlinear dose-response?
Responses not proportional to dose
What shape can nonlinear curves have?
Sigmoid (S-shaped)
What is a threshold-dose response?
No effect until a certain dose is reached.
Example of threshold response?
Skin burns
What is a nonthreshold dose-response?
Any dose can cause an effect.
What does nonthreshold imply about safety?
No commpletely safe dose
What can occur even at zero dose?
Natural incidence of effects (e.g, cancer)
Ch. 33 Penguiins
In vitro is irradiation that occurs
outside the cell or body
In vivo is irridation that occurs
within the cell
Point lesions can result in the ____________ radiation effects observed at the __________ level
stochastic; whole-body
Metabolism consists of
catabolism and anabolism
DNA is the most
radiosensitive molecule in the human body
Half as much DNA is present in
G1 as in G2
What happens during a Main-chain scission (single strand)
A break in one DNA strand (backbone is cut on one side)
What happens during a Main-chain scission (double strand)
A break in both DNA strands (complete DNA break)
What happens during a Main-chain scission + cross-linking
Broken DNA strands become stuck together abnormally, preventing normal separation
What happens during a Rung breakage
Base pairs are disrupted and separate from each other
What happens during a Base damage (change or loss)
A DNA base is altered, damaged, or completely removed (can cause mutation)
What are results from irradiation of DNA?
Cell death, malignant disease, and genetic effects
A free radical is an uncharged molecule that contains
a single unpaired electron in the outer shell
The effect of radiation is direct when
the ionizing event occurs on the target molecule
The principal effect of radiation on humans is
indirect
Ch.33 Questions