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Radiation-induced DNA damage (beta emission, iodine-131)

Molecular classification
Other (Radiation-induced DNA lesion)
01

Overview

Radiation-induced DNA damage via beta emission from iodine-131 refers to the process by which radioactive iodine-131, used therapeutically especially in thyroid disorders and some neuroendocrine tumors, decays and emits beta particles (high-energy electrons). These electrons penetrate local cellular structures, causing ionization events primarily in the DNA, leading to single- and double-strand breaks. The DNA damage may result in cell death of the target tissue, which underlies the therapeutic benefit, but can also cause genotoxic side effects in non-target cells, including secondary malignancies. The damage is both direct, through deposition of energy in DNA, and indirect, through the formation of free radicals and induction of oxidative stress.

Other names
DNA damage by I-131 beta radiationIodine-131 induced DNA strand breaks
02

Mechanism of action

Beta emission from I-131 generates high-energy electrons that induce direct and indirect DNA strand breaks (single and double), primarily through ionization and free radical formation within targeted cells. Gamma emission also contributes to off-target effects but is less relevant for DNA breakage in the targeted cells.

03

Biological functions

Cell deathDNA strand break induction (single- and double-strand breaks)ApoptosisGenotoxicityOxidative stress generation
04

Disease associations

Cancer (therapeutic and secondary genotoxicity risk)Other (used to ablate thyroid tissue or certain tumors, but may induce secondary malignancies)
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Safety considerations

Induction of secondary cancers (e.g., leukemia) due to genotoxicity in non-target tissuesOff-target DNA damage (salivary glands, bladder, bone marrow)Exposure risks to medical staff and general radiation safety concerns
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Interacting drugs

Iodine-131

2 more in the full profile.

07

Biomarkers

DNA double-strand breaks (e.g., γ-H2AX foci)Micronuclei frequency in lymphocytesApoptosis markers in tumor or thyroid tissue

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