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Radiobiology – Principles, Models and Therapeutic Applications | Complete Summary Notes

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This document provides a comprehensive summary of core radiobiology concepts, covering the mechanisms of radiation interaction with biological systems, molecular and cellular damage, and DNA repair pathways. It also includes detailed explanations of survival curves, radiosensitivity, deterministic and stochastic effects, tumor radiobiology, fractionation principles, radiation syndromes, fetal sensitivity, and high-LET/modern radiotherapy modalities. Additional sections outline dose-response models, biomarkers, protective agents, and current research topics such as bystander effects, FLASH radiotherapy, and genomic instability. It serves as a complete, structured reference for exam preparation or course review.

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RADIOBIOLOGY:
PRINCIPLES, MODELS,
AND THERAPEUTIC
APPLICATIONS
[Document subtitle]

,1. Introduction and Scope of Radiobiology
 Definition & Purpose: Radiobiology is the study of the interactions between
ionizing radiation and living systems (cells, tissues, organisms), including how
radiation causes damage at molecular, cellular and tissue/organism levels — and
the consequences such as cell death, mutation, cancer, tissue dysfunction, or
therapeutic effects.

 Applications: Understanding radiation effects is crucial for radiation protection,
radiological safety, cancer radiotherapy, medical diagnostics (radiology),
environmental radiation exposure, and radiogenetics (heritable effects).

 Historical/Conceptual Foundation: Key radiobiological models link physical
radiation interactions → molecular damage (especially DNA) → cellular effects
(death, mutation, repair) → tissue/organ/organism outcomes (acute damage,
long-term carcinogenesis, etc.).



2. Physics of Radiation & Quality: Types of Radiation, LET, Dose
Definitions
To understand biological effects, one must appreciate the physical nature of radiation
and how its physical characteristics modulate biological damage.
 Ionizing vs Non-Ionizing Radiation: Radiobiology mostly deals with ionizing
radiation — radiation with enough energy to remove (ionize) electrons from
atoms or molecules, thereby creating charged ions. This ionization is what can
damage critical biomolecules like DNA.

 Linear Energy Transfer (LET): A critical parameter defining radiation quality.
LET refers to the energy deposited by radiation per unit track length (commonly
keV/µm).
o Low-LET radiation (e.g. X-rays, γ-rays) deposits energy sparsely along its
path — tends to cause indirect damage via intermediates (free radicals
formed by water radiolysis).
o High-LET radiation (e.g. α-particles, heavy ions, neutrons) deposits energy
densely — more likely to cause direct ionizations in DNA or other critical
macromolecules, leading to severe, often irreparable damage.

 Dose and Dose Rate:
o Dose (e.g. Gray, Gy) measures energy absorbed per mass; biological
consequences often depend on total absorbed dose.

, o Dose rate (how fast dose is delivered) influences damage and repair: high
dose rates may overwhelm repair mechanisms; low dose rates may allow
repair to occur between events.

 Relative Biological Effectiveness (RBE): Because different types of radiation
cause different damage per energy deposited (due to LET differences), the
biological effect per Gray may vary. High-LET radiation has greater RBE
compared to low-LET radiation.



3. Mechanisms of Radiation Damage: Molecular and Cellular
Levels
3.1 Direct vs Indirect Action
Radiation can damage cells via two main routes: direct action, and indirect action.
 Direct Action: Radiation deposits energy directly into critical cellular
macromolecules (especially DNA), causing ionization or excitation and breaking
chemical bonds in the DNA backbone or base moieties. This can cause single-
strand breaks (SSBs), double-strand breaks (DSBs), base damage, crosslinks
(DNA–protein), etc.

 Indirect Action: Much of the cell is water. Radiation interacts with water
molecules to produce free radicals (e.g. hydroxyl radicals OH • , hydrogen radicals
H • , ions), reactive oxygen species (ROS) that diffuse and react with DNA,
proteins, lipids, etc., causing oxidative damage.
o Radiolysis of water: radiation splits water → creates free radicals and ions
→ radicals interact with biomolecules → damage ensues.

3.2 Types of Molecular Damage
Depending on the interaction mechanism and radiation quality/dose, various molecular
lesions can arise:
 Base damage (oxidized bases, deamination)

 Single-strand breaks (SSBs)

 Double-strand breaks (DSBs) — more dangerous, because both strands are
broken and repair is more challenging.

 Cross-links (DNA–DNA, DNA–protein, protein–protein)

 Complex clustered damage (multiple lesions in close proximity) — especially
problematic for repair.
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