Even though the initial interaction between radiation and tissue occurs at the electron level, observable human radiation injury results from change at the molecular level
The occurrence of molecular lesions is identified by effects on macromolecules and on water
The human body is an aqueous solution that contains 80% water molecules, radiation interaction with water is the principal molecular radiation interaction in the body
The ultimate damage occurs to the target molecule, DNA, which controls cellular metabolism and reproduction
The effect of irradiation of macromolecules is quite different from that of irradiation of water
Even though the initial interaction between radiation and tissue occurs at the electron level, observable human radiation injury results from change at the molecular level
The occurrence of molecular lesions is identified by effects on macromolecules and on water
When macromolecules are irradiated in vitro, a considerable radiation dose is required to produce a measurable effect. Irradiation in vivo demonstrates that macromolecules are considerably moreradiosensitive in their natural state
Solution
A liquid that contains dissolved substances. A mixture of fluids such as water and alcohol is also a solution
Major effects when macromolecules are irradiated in solution in vitro
Main-chain scission
Cross-linking
Point lesion
Main-chain scission
The breakage of the backbone of the long-chain macromolecule, resulting in the reduction of a long, single molecule into many smaller molecules
Main-chainscission reduces not only the size of the macromolecule but also the viscosity of the solution
Viscosity
The thickness and slowness of a fluid to flow, e.g. cold maple syrup has high viscosity, tap water has low viscosity
Cross-linking
The process where small, spurlike side structures on macromolecules attach to a neighbouring macromolecule or another segment of the same molecule, increasing the viscosity of the solution
Point lesion
The disruption of single chemical bonds in macromolecules, causing minor modifications that can lead to malfunction within the cell
All these types of radiation effects on macromolecules are reversible through intracellular repair and recovery
Macromolecular synthesis
1. Molecular nutrients are brought to the cell, broken down (catabolism) to release energy, which is then used to synthesize macromolecules (anabolism)
2. Proteins are manufactured by translation of the genetic code from transfer RNA, which had been transferred from messenger RNA (mRNA), which was transcribed from DNA
Radiation damage to any of these macromolecules may result in cell death or late stochastic effects
Proteins
Continuously synthesized throughout the cell cycle, occur in much more abundance than nucleic acids, so are less radiosensitive than nucleic acids
DNA
Not as abundant as proteins or RNA, so more radiosensitive
DNA synthesis
1. During G1 phase, deoxyribose, phosphate, and base molecules accumulate in the nucleus in the double-helix form
2. In S phase, the DNA ladder opens up and the single strands are replicated, forming two identical daughter DNA molecules
Deterministic effect
DNA damage without visible chromosome aberration can lead to cell death and tissue/organ destruction
Stochastic effect
DNA damage can result in abnormal metabolic activity and uncontrolled rapid proliferation of cells, leading to radiation-induced malignant disease
Genetic effect
DNA damage in germ cells can be passed on to the next generation, with characteristics of a stochastic effect
Although each of these DNA effects results in a structural change, they are all reversible
Radiation-induced mutations can occur when the sequence of DNA bases is altered, disrupting the triplet code of codons
Radiolysis of water
The dissociation of water molecules into other molecular products when irradiated
Radiolysis of water
1. Water molecule is ionized and dissociates into an ion pair
2. The ion pair may rejoin a stable water molecule, or the negative ion may attach to another water molecule to produce a third type of ion
3. The unstable ions can further dissociate into H+ and OH- ions, and H* and OH* free radicals
Free radical
An uncharged molecule with a single unpaired electron, highly reactive and capable of diffusing through the cell and disrupting bonds to produce point lesions
The H* and OH* free radicals, as well as hydrogen peroxide and the hydroperoxyl radical, are considered the principal damaging products of water radiolysis
Free radicals can also be formed from organic molecules, and in the presence of oxygen, additional reactive free radical species can be produced
Direct effect
When the ionizing event occurs on the target molecule
Indirect effect
When the initial ionizing event occurs on a distant, non-critical molecule, which then transfers the energy to the target molecule
The principal effect of radiation on humans is indirect, as the body consists of approximately 80% water and less than 1% DNA
When oxygen is present, the indirect effects are amplified due to the additional types of free radicals that are formed