Biological Effects of Ionizing Radiation at Molecular And1

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    BIOLOGICAL EFFECTS OF IONIZING

    RADIATION AT MOLECULAR AND

    CELLULAR LEVELS

    BIOLOGICAL EFFECTS OF IONIZING

    RADIATION AT MOLECULAR AND

    CELLULAR LEVELS

    Module VIII-a

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    Historical backgro!"

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    Wilhelm Conrad Roentgen

    Disco#$r% o& ' ra%s

    ()*+,-

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    - 4Antoine Henri Becquerel Marie Curie

    Disco#$r% o& ra!i./s !atral

    ra"ioacti#it%

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    First radiation-induced skin cancerreported

    in 1902 First radiation-induced leukemiadescribed

    in 1911

    First r$0orts o! 1ar.&l

    $&&$cts o& ra"iatio!

    )+23s4 bone cancer a.o!g

    ra"i. "ial 0ai!t$rs

    )+53s4 liver cancer and leukemia"$ to T1rotrast a".i!istratio!

    )+63s4 $7c$ss leukemia a.o!g

    &irst ra"iologists

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    St"i$s o& 8a0a!$s$

    A9bo.b sr#i#ors

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    E&&$cts o& ra"iatio! o! c$lls at

    ato.ic l$#$l

    Io!i:atio!E7citatio!

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    M$c1a!a!is.s o& "a.ag$

    at .ol$clar l$#$l

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    Dir$ct actio!

    Ionizing radiation + RH R-+ H+

    OH IR C = NH

    imidol (enol)

    O IIR C = NH2

    amide (ketol)

    Tautomeric Shifts

    Bond breaks

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    e-X ray

    rayP+

    OH

    HOH-

    H+

    Ho

    OHo

    I!"ir$ct actio!

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    Ra"iol%sis o& H2O

    .ol$cl$

    Shared electron

    Shared electron

    H-O-H H++ OH- ioni!ation"

    H-O-H H#+OH# $ree radical%"

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    R$actio!s ;it1 &r$$ ra"icals

    H3< OH3 HOH (r$co.bi!atio!-

    H3 < H3 H2

    ("i.$r-

    OH3

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    E&&$cts o& o7%g$! o! &r$$

    ra"ical &or.atio!

    O7%g$! ca! .o"i&% t1$ r$actio! b%

    $!abli!g cr$atio! o& ot1$r &r$$ ra"ical

    s0$ci$s ;it1 gr$at$r stabilit% a!" lo!g$r

    li&$ti.$s

    H3

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    Li&$ti.$s o& &r$$ ra"icals

    &nm

    Becau%e %hort li$e o$ %im'le $ree radical% (#-(#%ec") only tho%e $ormed in *ater column o$ -&nm around ,A are a.le to 'artici'ate inindirect e$$ect

    Ho

    OHo Ho

    OHo

    HOo RO

    o

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    R$latio! b$t;$$! LET a!"

    actio! t%0$

    Dir$ct actio! is 0r$"o.i!a!t ;it1

    1ig1 LET ra"iatio!= $>g> al01a

    0articl$s a!" !$tro!s

    I!"ir$ct actio! is 0r$"o.i!a!t ;it1

    lo; LET ra"iatio!= $>g> ' a!"

    ga..a ra%s

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    Bioc1$.ical r$actio!s

    ;it1 io!i:i!g ra"iatio!

    DNAis 0ri.ar% targ$t&or c$ll "a.ag$ &ro. io!i:i!g ra"iatio!

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    T%0$s o& ra"iatio! i!"c$"

    l$sio!s i! DNA

    Single-%trand .rea/% ,ou.le %trand .rea/%

    Ba%e damage

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    M$c1a!is.s o& DNA

    r$0air

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    DNA r$storatio! &ailr$

    0nre1oined ,Adou.le %trand .rea/%

    Incorrect re'air o$

    ,A damage

    Cytoto2ic e$$ect Mutation%

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    C1ro.oso.$s

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    DNA l$sio!s a!"

    c1ro.oso.$ ab$rratio!s

    ,A S3456

    S7RA, BR6A8

    ,A ,O0B56

    S7RA, BR6A8

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    Ra"iatio! i!"c$"

    c1ro.oso.al ab$rratio!s

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    E&&$ct o& ra"iatio! o! c$ll

    C$ll ki!$tics

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    Ra"ios$!siti#it% o& c$ll

    i! c$ll c%cl$

    Relative

    Survivability

    4( S 4 4(MRelative survivability o !ells irradiated in dierent "#ases o t#e

    !ell !y!le$ Syn!#ronised !ells in late %2and in mitosis (&) s#o'ed

    reatest sensitivity to !ell killin$

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    - 25ORMA5 IRRA,IA76,

    Mitotic "$at1

    B$rgo!i@ a!" Tribo!"$as/

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    The most radiosensitive cells are

    acti#$l% 0roli&$rati!g?"i#i"i!g at t1$ti.$ o& $70osr$

    !"i&&$r$!tiat$" (!o!9s0$ciali:$" i!

    strctr$ a!" &!ctio!-

    B$rgo!i@ a!" Tribo!"$as/

    la;/ ()+3-

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    I!t$r01as$ "$at1

    1% ar$ 0$ri01$ral bloo" l%.01oc%t$s 1ig1l%

    s$!siti#$ to ra"iatio!= alt1og1 ;$ll "i&&$r$!tiat$"

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    Ra"iatio! i!"c$"

    .$.bra!$ "a.ag$

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    Dose rate and fractionation

    Radiation quality

    Temperature

    Chemical modificationOxygen

    Radiosensitizing agentsRadioprotectie agents

    Mo"i&icatio! o& ra"iatio!

    i!r%

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    Dos$ rat$ a!"

    &ractio!atio!

    3

    3>,

    )

    )>,

    2

    2>,

    5

    3

    3>,

    )

    )>,

    2

    2>,

    5

    9rolonged e2'o%ure*ith lo*er do%e rate

    Acutee2'o%ure*ith highdo%e rate

    :ractionateddo%e

    Acutedo%e

    Ti.$Ti.$

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    Ra"iatio! alit%

    Survival curve for mammalian cells

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    Survival curve for mammalian cells

    exposed to

    high- (A) and low-!T (") radiation

    A

    B

    Dq

    n

    D0 D0

    1-1/e1-1/e,037

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    T$.0$ratr$

    For c$ll kili!g $&&$cts= tiss$s ar$

    .or$ ra"ios$!siti#$ at 1ig1$r

    t$.0$ratr$s

    C1ro.oso.$ ab$rratio!s i!cr$as$

    at lo;$r t$.0$ratr$s (s00r$ssio!

    o& r$0air 0roc$ss-

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    C1$.ical .o"i&icatio!4

    o7%g$!

    OER Dos$ r$ir$" to cas$ $&&$ct ;it1 o7%g$!

    Dos$ r$ir$" to cas$ $&&$ct ;it1ot o7%g$!

    Dissol#$" o7%g$! i! tiss$s i!cr$as$s

    stabilit% a!" to7icit% o& &r$$ ra"icals

    O7%g$! $!1a!c$.$!t ratio (OER- is"$t$r.i!$" b%4

    T1$ OER 1as a .a7i.. #al$ o& 5>3

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    Ra"ios$!siti:i!g ag$!ts

    Halog$!at$" a!" sbstitt$"

    a!alog$s o& DNA bas$s4 ,9bro.o9

    racil a!" 9t1io9ga!i!$

    El$ctroa&&i!ic co.0o!"s4

    Nitroi.i"a:ol$s (.iso!i"a:ol$=

    !itroi.i"a:ol$= a!" !itro&ra!-s$!siti:atio! $!1a!c$.$!t ratio

    (SER-o& )>2 to )>6

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    Ra"io0rot$cti#$

    ag$!tsT1iols(csteine! 2-"ercaptoet#la"ine!csta"ine and t#iourea$. %#iols #a&e dosereduction 'actor ()*F$ ratio o' 1.4 to 2.0

    %#e are t#ou+#t to protect cells bsca#$!gi!g &r$$ ra"icals0ro"ci!g 1%0o7ia

    t$.0oraril% i!1ibiti!g DNA s%!t1$sis= allo;i!gti.$ &or t1$ r$0air $!:%.$s to co.0l$t$ r$0airo& sbl$t1al "a.ag$

    &or.i!g "isl01i"$ bo!"s i! 0rot$i!s= t1$r$b%

    t t1 i t1