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Tumor DNA (as target of beta emission from yttrium-90)

Molecular classification
Other
01

Overview

The phrase "Tumor cell DNA damage via beta emission from yttrium-90" describes a **therapeutic process** rather than a discrete molecular target or receptor. Yttrium-90 (Y-90) is a radioactive isotope that emits beta particles; when Y-90-labeled microspheres are delivered (e.g., via selective internal radiation therapy or brachytherapy), these particles become embedded in the local microvasculature of tumors, most commonly in the liver. As Y-90 decays, the emitted beta radiation penetrates a few millimeters into adjacent tissue, directly causing DNA double-stranded breaks within nearby tumor cells, leading to cell death. Therefore, DNA is not a specific molecular target in the classical sense (like a receptor or enzyme), but rather, DNA damage is the **ultimate mediator of the radiotoxic effect**. No unique receptor, transporter, or protein is targeted—rather, the beta emission physically disrupts the DNA of all irradiated cells, with therapeutic selectivity achieved by localizing the radioactive microspheres to the tumor. **Note:** This entry is marked as incorrect as a "target" because "tumor cell DNA damage via beta emission from yttrium-90" is a pathological process, not a molecule or receptor that is a canonical pharmacologic or therapeutic target. The true target class is broader ("DNA" as a macromolecule or cellular process subject to radiation)—the functionally relevant detail is the radiotoxic double-strand break induction, not a structurally targetable receptor or protein.

Other names
DNA double-stranded breaks from yttrium-90DNA damage by Y-90DNA beta irradiationRadiotoxic effect of yttrium-90
02

Mechanism of action

Localized beta particle emission leads to DNA double-stranded breaks and apoptosis in tumor cells

03

Biological functions

Cell deathApoptosisDNA damage response
04

Disease associations

Cancer
05

Safety considerations

Nontarget tissue radiation (e.g., gastritis, ulceration if beads migrate)Radiation-induced liver disease (RILD)Postembolization syndrome (fever, pain, nausea)Limited effect on non-hypervascular tumorsPotential infection at catheter siteAllergic reaction to contrast agents
06

Interacting drugs

Yttrium-90 microspheres (e.g., TheraSphere, SIR-Spheres)

1 more in the full profile.

07

Biomarkers

Imaging of microsphere deposition (for adequate delivery)Tumor size reduction via imaging (response biomarker)Biomarkers for liver function (ALT, AST, bilirubin for safety in hepatic radioembolization)

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