Skip to main content

Radiation Biology

Molecular Foundations and Clinical Applications

  • 1st Edition - September 1, 2026
  • Latest edition
  • Authors: Barry S. Rosenstein, Jerome M. Karp
  • Language: English

Radiation Biology: Molecular Foundations and Clinical Applications is a comprehensive exploration of the effects of radiation on living organisms, delving into the molecular… Read more

World Book Day celebration

Where learning shapes lives

Up to 25% off trusted resources that support research, study, and discovery.

Description

Radiation Biology: Molecular Foundations and Clinical Applications is a comprehensive exploration of the effects of radiation on living organisms, delving into the molecular mechanisms underlying cellular responses. This book examines critical topics such as radiation-induced DNA damage, repair processes, and molecular signaling pathways. It provides a detailed look at how cells respond to radiation, addressing cell cycle control, apoptosis, and the effects of radiation on immune system functionality. As a resource for researchers, it bridges the gap between molecular biology and clinical oncology, offering insights into radiation's role in both therapeutic contexts and its broader impact on human biology.

In addition to its focus on molecular responses, the book covers topics like tumor microenvironment and metabolism, the role of epigenetics in radiation biology, and the hallmarks of cancer relevant to radiation therapy. It also provides discussions on chemotherapeutic agents, radiation carcinogenesis, and the complex interplay between radiation and cancer biology. The later sections extend the scope to tissue, organ, and systemic effects of radiation, making it an invaluable reference for professionals in molecular biology, oncology, and related fields striving to push the boundaries of radiation research.

Key features

  • Focuses on the topic of radiation biology at the cellular and molecular level

  • Addresses the topic from fundamentals through to clinical application

  • Considers the latest advances in the field of radiation biology and radiation oncology

Readership

Researchers in the area of molecular biology, molecular oncology and radiation oncology.Postgraduate students in molecular biology, cell biology, oncology and related fields

Table of contents

1. Basics of Radiation Physics and Chemistry

1.1 Types of ionizing radiations

1.2 Description of electromagnetic radiation

1.3 Directly and indirectly ionizing radiations

1.4 Direct and indirect action of radiation

1.5 Photoelectric effect, Compton process and pair production

1.6 Exposure, absorbed dose, equivalent dose and effective dose

1.7 Radiation chemistry

2. Radiation-Induced DNA Damages and DNA Repair Processes

2.1 Evidence suggesting DNA as the target for ionizing radiation

2.2 Radiation-induced DNA damages

2.3 Multiply damages sites/clustered DNA damages

2.4 DNA repair mechanisms

2.5 Homologous recombination/gene conversion

2.6 Non-homologous end-joining

2.7 Single-strand annealing

2.8 Alternative end-joining/micro-homology mediated end-joining/theta mediated end-joining

2.9 Chromosome instability syndromes

2.10 Nucleotide, base and mismatch repair

2.11 Synthetic lethality

2.12 Chromosome and chromatid-type aberrations

2.13 Telomeres and telomerase2.14 Chromothripsis

3. Molecular Pathways of Cell Death

3.1 Cell Death Morphotypes

3.2 Main Forms of Regulated Cell Death Induced by Radiation

3.3 Morphological Changes of Regulated Cell Death

3.4 Cross-regulation Among Regulated Cell Death Pathways

3.5 Possible Cell Fates Following Irradiation

3.6 Senescence

3.7 Mitotic death/catastrophe

3.8 Necrosis3.9 Apoptosis

3.10 Caspases

3.11 Apoptotic intrinsic pathway

3.12 Apoptotic extrinsic pathway

3.13 Necroptosis

3.14 Autophagy

4. Radiotherapy and Immune Checkpoint Blockade

4.1 Immune System Overview

4.2 Blockade of CTLA-4, PD-1 and PD-L1 to induce antitumor responses

4.3 The prevalence of somatic mutations across human cancer types

4.4 Radiation causes activation of the STING pathway

4.5 Mechanisms by which radiation enhances immunotherapy

4.6 Radiation-induced secretion of IFN-I is critical for abscopal responses

4.7 DNA exonuclease Trex1 regulates radiotherapy-induced tumor immunogenicity

4.8 Immunosuppressive pathways enhanced by RT in the TME

4.9 Use of immune checkpoint blockade to enhance the abscopal effect

5. Molecular Signaling in Irradiated Cells

5.1 Cellular signaling pathways

5.2 Growth factors

5.3 Growth factor receptors

5.4 RAS

5.5 PTEN

5.6 MAPK core signaling module

5.7 Phosphoinositide metabolism in growth factor signaling

5.8 Cytoplasmic tyrosine kinase pathways

5.9 Developmental signaling pathways – WNT, Notch and Hedgehog

5.10 Transcription factor DNA-binding domain classes

5.11 NF-kappaB

6. Cell-Survival Curves

6.1 Determination of in vitro cell survival curves

6.2 Target theory6.3 Linear quadratic models

6.4 The α/β value and the effect of dose fractionation

6.5 Effective dose response curves6.6 Survival curve calculations

6.7 Principles of tumor control probability and dose response relationships

6.8 Tumor control probability calculations

6.9 Tumor control versus risk of normal tissue complications – Risk-benefit analysis

7. Impact of Cell Cycle Phase, Dose Rate and Kinetic Factors on Radiation Responses

7.1 Production of a synchronous population of cells

7.2 Cell cycle stage and radiation response

7.3 CDKs and cyclins

7.4 Potentially lethal damage repair

7.5 Sublethal damage repair

7.6 Effects of hypoxia and LET on PLDR and SLDR

7.7 Dose rate effect

7.8 Radiolabeled immunoglobin therapy

7.9 Brachytherapy – LDR and HDR; interstitial and intracavitary use

7.10 DNA damage and ATM regulation of the cell cycle

7.11 Mitotic and labeling index

7.12 Calculation of cell cycle phases

7.13 Growth fraction and cell loss factor

7.14 Use of Tpot to predict tumor response

8. The Role of Oxygen in Irradiated Cells

8.1 Oxygen enhancement ratio

8.2 OER and LET

8.3 OER and oxygen concentration

8.4 Paired survival cures and determination of tumor hypoxic cell fraction

8.5 Reoxygenation

8.6 Hypoxia and tumor progression

9. The Use of Hypofractionation, Hyperfractionation and Accelerated Treatment in Radiotherapy

9.1 Strandquist plots

9.2 NSD, TDF and CRE and problems with their use

9.3 Evidence supporting the theory that the α/β ratio for early responding tissues and tumors is greater than the α/β ratio for late responding tissues

9.4 Relationship between biologically effective dose, total dose and fraction size

9.5 Hyperfractionation

9.6 Accelerated treatment

9.7 Hypofractionation

9.8 SBRT/SABR

9.9 Flash radiotherapy

9.10 Biologically effective dose

10. Angiogenesis, Microenvironment and Metastasis and Radiation Responses

10.1 Tumor microenvironment

10.2 Differences in vasculature between normal tissue and tumors

10.3 Angiogenesis

10.4 The angiogenic switch

10.5 Hypoxia, angiogenesis and HIF-1α

10.6 The angiogenic balance

10.7 Anti-angiogenic drugs

10.8 The normalization hypothesis

10.9 Methods to detect hypoxia

10.10 Metastasis

10.11 Matrix metalloproteinases

10.12 E-cadherin and catenins

10.13 Integrins

10.14 Aerobic glycolysis

11. Linear Energy Transfer and Relative Biological Effectiveness

11.1 Track and energy average calculation of LET

11.2 Factors that affect RBE

11.3 RBE as a function of LET, explanation for shape of curve

12. Radiation Sensitizers

12.1 Enhancement ratio

12.2 Halogenated pyrimidines

12.3 5-Fluorouracil and fluorodeoxyuridine

12.4 Gemcitabine12.5 Platinum analogues

12.6 Topoisomerase I inhibitors - irinotecan

12.7 Epidermal growth factor receptor inhibitors – cetuximab

12.8 Radiosensitizers undergoing clinical development

12.9 Hypoxic cell sensitizers

12.10 Bioreductive drugs

13. Radioprotectors and Radiomitigators

13.1 Dose reduction factor

13.2 Antioxidants

13.3 Sulfhydryl compounds

13.4 Pentoxifylline

13.5 Superoxide dismutase

13.6 Nitroxides

13.7 Naturally occurring antioxidants

13.8 Cytokines & growth factors

13.9 Palifermin

13.10 Angiotensin-converting enzyme inhibitors

13.11 Radiprotectors undergoing development

14. Particle Beam Radiotherapy

14.1 Protons

14.2 Carbon ions

15. Predictive Assays in Radiotherapy

15.1 Intrinsic cellular radiosensitivity

15.2 Oxygen status

15.3 Molecular markers

15.4 Gene expression tumor assays

15.5 Normal tissue assays

15.6 Radiogenomics

16. Interaction of Heat and Radiation

16.1 Methods to achieve localized heating

16.2 Possible targets for heat-induced lethality

16.3 Effect of pH and nutrient deficiency on sensitivity to heat

16.4 Hypoxia and hyperthermia

16.5 Thermotolerance

16.6 Hyperthermia combined with irradiation

16.7 Thermal enhancement ratio

16.8 Time sequence of heat and irradiation

16.9 Mild temperature hyperthermia

17. Classical and Targeted Chemotherapeutic Agents and Interaction with Radiation

17.1 Biological basis of chemotherapy

17.2 Alkylating agents

17.3 Antibiotics and other natural products

17.4 Antimetabolites

17.5 Hormonal therapies

17.6 mTOR inhibitors

17.7 Monoclonal antibodies

17.8 Histone deacetylase inhibitors

17.9 Small molecule tyrosine kinase inhibitors

17.10 Phosphoinositide-3 kinase (PI3K) inhibitors

17.11 Radioisotopes

17.12 Proteasome inhibitors

17.13 Fusion proteins

17.14 Immunotherapy and immunomodulatory agents

17.15 Hedgehog signaling pathway inhibitors

17.16 Protein synthesis inhibitors

17.17 CDK inhibitors

17.18 Oncolytic viral therapy

17.19 PARP inhibitors

17.20 BCL-2 inhibitors

17.21 The oxygen effect for chemotherapy agents

17.22 Drug resistance

17.23 Comparison of chemotherapeutic agents with radiation

17.24 Adjunct use of chemotherapeutic agents with radiation

17.25 Spatial cooperation

18. Radiation Carcinogenesis

18.1 Stochastic and non-stochastic effects of radiation

18.2 Epidemiologic studies of irradiated populations

18.3 Models for carcinogenesis

18.4 Cancer incidence as a function of dose; leukemia, breast, thyroid, bone, skin and lung

18.5 Second/Subsequent malignancies following radiotherapy

18.6 Low dose exposures and cancer risk

19. Hereditary Effects of Radiation

19.1 Radiation-induced genetic effects

19.2 Measurement of genetic risks

19.3 Megamouse project

19.4 Genetic risk in humans

20. In Utero Radiation Effects

20.1 Stages of development

20.2 Intrauterine death, congenital abnormalities and neonatal death

20.3 Mental retardation and microcephaly

20.4 Dependence upon dose-rate and stage of gestation

20.5 Sensitivity of the developing embryo and fetus to radiation-induced carcinogenesis

21. Radiation Protection Guidelines

21.1 Sources of radiation to the human population

21.2 Dose equivalent

21.3 Effective dose equivalent

21.4 Committed Dose

21.5 Collective Dose

21.6 Genetically significant dose

21.7 Doses from diagnostic radiology and nuclear medicine

21.8 Estimation of fatal cancers and genetic effects in an irradiated population

21.9 Limits for occupational exposure

21.10 ALARA21.11 Protection of the embryo and fetus

21.12 Emergency occupational exposure

21.13 Non-occupational limits

21.14 Exposure to indoor radon

21.15 Negligible individual dose

22. Normal Tissue and Organ Radiation Responses

22.1 Molecular basis of acute and late effects

22.2 Cell population kinetics of normal tissues

22.3 Hierarchical or type H tissues

22.4 Flexible or type F tissues

22.5 Functional Subunits

22.6 Categories of cell sensitivity

22.7 Organ radiation responses

22.8 Tolerance doses

22.9 QUANTEC

23. Whole-Body Radiation Effects

3.1 Radiologic Terrorism

23.2 The latent period

23.3 Central nervous system syndrome

23.4 Gastrointestinal syndrome

23.5 Hematopoietic syndrome

23.6 LD50

23.7 Treatment of radiation accident victims and patients receiving TBI

24. Topics in Cancer Biology Relevant to Radiation Oncology

24.1 Hallmarks of cancer

24.2 Cell cycle regulation – cyclins and CDKs

24.3 Cancer stem cells24.4 Multistage oncogenesis

24.5 Mechanisms of carcinogenesis

24.6 Oncogenes and mechanisms of oncogene activation

24.7 Tumor suppressor genes24.8 Hereditary disorders that predispose to cancer

24.9 Loss of heterozygosity

24.10 pRb

24.11 p53

24.12 INK4a/ARF

24.13 ATM and regulation of the G1/S, S and G2/M checkpoints

24.14 ATR and Seckel syndrome

Product details

  • Edition: 1
  • Latest edition
  • Published: September 1, 2026
  • Language: English

About the authors

BR

Barry S. Rosenstein

Dr. Rosenstein is a Professor of Radiation Oncology and a Professor of Genetics & Genomic Sciences at the Icahn School of Medicine at Mount Sinai. The focus of Dr. Rosenstein’s research program for the past 25 years has been the identification of genetic/genomic markers associated with the development of adverse effects resulting from radiotherapy. In this context, he was one of the first investigators to hypothesize that possession of single nucleotide polymorphisms in certain genes may render some cancer patients more susceptible to injuries resulting from radiotherapy. Dr. Rosenstein established and co-led for 14 years the Radiogenomics Consortium (RGC), representing an international consortium currently with 240 members in 33 countries across 135 institutions. Through his efforts, Dr. Rosenstein, has been in the forefront of research in the use of big data in radiation oncology and has collaborated with investigators possessing expertise in bioinformatics and statistics to employ machine learning-based modeling approaches in radiogenomic studies.

Affiliations and expertise
Professor of Radiation Oncology, and Genetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, New York, USA

JK

Jerome M. Karp

Dr. Karp is completing his training in radiation oncology at NYU where he is currently a Holman Research Fellow. Dr. Karp will provide a critical perspective to this book as he brings a focus on translational research in radiation oncology as well as experience as a clinician in training, part of the primary audience for this book. Dr. Karp’s research interests include molecular signatures of central nervous system tumors; machine learning methods for prediction of tumor characteristics and recurrence from liquid biopsies and biomolecular simulation.
Affiliations and expertise
Holman Research Fellow, NYU Langone Department of Radiation Oncology, New York, USA