Radiation is simply a mechanism whereby energy passes through space. It takes the form of an electromagnetic wave, with the frequency of the electromagnetic wave determining its position in the electromagnetic spectrum. Low-frequency waves such as radio waves lie at one end of the spectrum and high-energy, high-frequency X-rays/Gamma rays at the other end. These high-frequency, high-energy waves are termed “ionizing” (as opposed to non-ionizing) radiation because they contain sufficient energy to displace an electron from its orbit around a nucleus. The most important consequence of this displaced electron on human tissue is the potential damage it can inflict on DNA, which may occur directly or indirectly. Direct damage occurs when the displaced electron hits and breaks a DNA strand. Indirect damage occurs when the electron reacts with a water molecule, creating a powerful hydroxyl radical which then damages the cell’s DNA.
Damage to a cell’s DNA in either of these ways can have several consequences. A single-strand DNA break is usually repaired appropriately by the cell with no subsequent deleterious sequelae. However, a break affecting both strands of DNA allows the potential for abnormal reconnection of the strands, which likely accounts for all the adverse biological effects ionizing radiation has on humans. First, DNA may rejoin itself incorrectly, rendering the cell nonviable with cell death taking place. Second, it may rejoin as a symmetrical translocation with the potential expression of an oncogene during division (and development of subsequent malignancy) or with abnormal division in gonads, giving rise to potential hereditary disorders.
Radiosensitivity is the probability of a cell, tissue, or organ suffering an effect per unit dose of radiation. Radiosensitivity is highest in cells which are highly mitotic or undifferentiated. For this reason the basal epidermis, bone marrow, thymus, gonads, and lens cells are highly radiosensitive. Muscle, bones, and nervous system tissues have a relative low radiosensitivity.
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