Get Permission Kumar M V and Patil: A ray of black on cells: A short review on radiation biology


Introduction

  1. When X rays interact with human body there are various changes that take place in the body.

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Total Radiation

  1. How are tissues affected by x-rays

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Effects in atoms and molecules

  1. Excitation: If the energy of excitation is too large, it may produce a break in the molecular bond and disrupt the molecule

  2. Ionization: An ionized becomes more chemically reactive as it attempts to find an electron to find the missing one

  3. Breaking of molecular bonds: If enough molecules are damaged, there is a loss of cell function, disruption of internal organelles, or even death of the cell. 1, 2, 3, 4

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  1. Chemical effects of radiation

  2. Radiolysis of water

Ionization of water photoelectron/photon - ion pair

  1. Positive water molecule

Phaton+H2Oe- +H2O+Photoelectron e-+H2O2e- +H2O+

2. Formation of Hydroxyl free radical

OH0+OH0H2O2H0+02HO20

Time scale of radiation damage

Latent period

The time interval between irradiation and development of the observed biological effect is known as latent period.5

Accumulative effects of radiation

Each succeeding radiation exposure is assumed to add a small increment to the radiation damage.

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Dosimetry

  1. Equivalent dose(HT): The equivalent dose is used to compare the biological effects of different types of radiation to a tissue or organ. HT =Σ WR *DT

  2. Effective dose(E : Is used to estimate the risk in humans E= Σ WT *HT

  3. Radioactivity(A : Describes the decay rate of a sample of radioactive material.

  4. Classification of radiobiological effects

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Deterministic effect

  1. Response is proportional to the dose

  2. Cell death

  3. Threshold

  4. Eg. effect on oral cavity

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Stochasatic effect

  1. Probability of the response the dose

  2. All or none

  3. No threshold

  4. Eg. Radiation induced cancer

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Radiation affects life in two ways

  1. Direct effect

  2. Indirect effect

Direct effect

Photon or 2* electron hit bio-molecule-ionization

1.   Free radical production

RH+X-rayR0+H++e

2.   Free radical fates

  • Dissociation

R0x+Y

• Cross linking

R0+S0RS

Indirect effect

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Displaced electron reacts with water molecule

Negative water molecule

e-+H2OH2O-

Unstable and dissociate into

  1. Hydroxyl ion and

  2. Hydrogen free radical H2O-OH-+H0

Effects on biological molecules

  1. Effects on nucleic acids

  2. Effects on proteins

  3. Effects on cell kinetics

Effects on nucleic ACIDS

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  1. Breakage of 1 or both DNA strands.

  2. Cross linking of DNA strands with the helix, or to other DNA strands

  3. Change or loss of base.

  4. Disruption of Hydrogen bonds between DNA strands

Effect on proteins

  1. Affects the secondary and tertiary structure

  2. Affects side chains, hydrogen and sulfide bonds

  3. Inter and intra molecular connection

  4. Amplification of effect by influencing enzymes

  5. Less significant than DNA damage

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Radiation effect on cell kinetics

Effect on high mitotic index population

  1. Decrease in tissue size

  2. Cell cycle delay

  3. Cell death

Bystander effect

Cells that are damaged by radiation, release into immediate environment their products causing cell aberrations, mutations, carcinogenesis

Survival curve

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  1. They are used to study the response of replicating cells exposed in culture to radiation

  2. MODIFYING FACTORS

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Radiation sensitivity and cell type (Bergoni and Tribondeau 1960

  1. Different cells react to radiation in different ways

  2. Most sensitive:

  • High mitotic index cells

  • Most primitive in differentiation

  • Undergo many future mitosis

Casarett’s classification of tissue radiosensitivity

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Effects on organs

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  • Stage of cell cycle

  • Type of damage –stage of cell in cell cycle at the time of irradiation

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  • Total vs Whole body exposure

  • Refers to area of body exposed

  • Extensive radiation injury > damage that occurs in blood-forming tissues

  • Linear energy transfer

The rate at which energy is transferred from ionizing radiation to soft tissue, expressed in terms of kiloelectron volts per micrometer (keV/μm) of track length in soft tissue. The LET of diagnostic x-rays is about 3 keV/μm, 6, 7

Mosby's Medical Dictionary, 8th edition. © 2009, Elsevier

  • High LET –double strand breakage

eg: alpha particles

  • Low LET –single strand breakage

eg; X- ray

Conflicts of Interest

All contributing authors declare no conflicts of interest.

Source of Funding

None.

References

1 

P Rubin GW Casarett Clinical Radiation Pathology1Philaelphia, PA;WB Saunders196827182

2 

Radiation carcinogenesis 2000214397404

3 

RE Marx RP Johnson Studies in the radiobiology of osteoradionecrosis and their clinical significanceOral Surg, Oral Med, Oral Pathol1987643799010.1016/0030-4220(87)90136-8

4 

Sonis WHO Handbook Cancer100197919952025

5 

White pharoah oral radiology:principles & interpretation6th Edn.Mosby2005

6 

RP Langlas OE Langland CJ Nortje Diagnostic imaging of jaws Diagnostic imaging of jaws 1995 Baltimore1995

7 

R Mason S Bourne A Guide to dental radiograph4th edn.Oxford University Press1998



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Article History

Received : 24-02-2021

Accepted : 17-03-2021


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Digital Object Identifier (DOI)

Article DOI

https://doi.org/ 10.18231/j.idjsr.2021.002


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