PMID- 34769142 OWN - NLM STAT- MEDLINE DCOM- 20211221 LR - 20211221 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 22 IP - 21 DP - 2021 Oct 28 TI - Monte Carlo Simulation of Double-Strand Break Induction and Conversion after Ultrasoft X-rays Irradiation. LID - 10.3390/ijms222111713 [doi] LID - 11713 AB - This paper estimates the yields of DNA double-strand breaks (DSBs) induced by ultrasoft X-rays and uses the DSB yields and the repair outcomes to evaluate the relative biological effectiveness (RBE) of ultrasoft X-rays. We simulated the yields of DSB induction and predicted them in the presence and absence of oxygen, using a Monte Carlo damage simulation (MCDS) software, to calculate the RBE. Monte Carlo excision repair (MCER) simulations were also performed to calculate the repair outcomes (correct repairs, mutations, and DSB conversions). Compared to (60)Co gamma-rays, the RBE values for ultrasoft X-rays (titanium K-shell, aluminum K-shell, copper L-shell, and carbon K-shell) for DSB induction were respectively 1.3, 1.9, 2.3, and 2.6 under aerobic conditions and 1.3, 2.1, 2.5, and 2.9 under a hypoxic condition (2% O(2)). The RBE values for enzymatic DSBs were 1.6, 2.1, 2.3, and 2.4, respectively, indicating that the enzymatic DSB yields are comparable to the yields of DSB induction. The synergistic effects of DSB induction and enzymatic DSB formation further facilitate cell killing and the advantage in cancer treatment. FAU - Hsiao, Ya-Yun AU - Hsiao YY AUID- ORCID: 0000-0001-7494-8767 AD - Department of Radiology, Chung Shan Medical University Hospital, Taichung 40201, Taiwan. AD - Department of Medical Imaging and Radiological Sciences, Chung Shan Medical University, Taichung 40201, Taiwan. FAU - Chen, Fang-Hsin AU - Chen FH AUID- ORCID: 0000-0002-1671-4863 AD - Department of Medical Imaging and Radiological Sciences, Chang Gung University, Taoyuan 33302, Taiwan. AD - Radiation Biology Research Center, Institute for Radiological Research, Chang Gung University, Taoyuan 33302, Taiwan. AD - Department of Radiation Oncology, Chang Gung Memorial Hospital-Linkou Branch, Taoyuan 33305, Taiwan. FAU - Chan, Chun-Chieh AU - Chan CC AUID- ORCID: 0000-0002-1156-9791 AD - Department of Electrical Engineering, National Chung Hsing University, Taichung 40227, Taiwan. FAU - Tsai, Ching-Chih AU - Tsai CC AD - Department of Electrical Engineering, National Chung Hsing University, Taichung 40227, Taiwan. LA - eng GR - CSMU-INT-109-08/Chung Shan Medical University, Taichung, Taiwan/ GR - CMRPD1H0473, CMRPD1J0322/Chang Gung Memorial Hospital at Linkou, Taiwan/ GR - MOST 109-2314-B-182-078-MY3, 110-2628-B-182-008/Ministry of Sciences and Technology, Taiwan/ GR - MOST 109-2811-E-005-514-MY2/Ministry of Sciences and Technology, Taiwan/ PT - Journal Article DEP - 20211028 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 SB - IM MH - *DNA Breaks, Double-Stranded MH - DNA Repair/*radiation effects MH - Hypoxia MH - Monte Carlo Method MH - *Relative Biological Effectiveness MH - X-Rays/*adverse effects PMC - PMC8583805 OTO - NOTNLM OT - DNA repair OT - DSB induction OT - enzymatic DSB OT - ultrasoft X-rays COIS- The authors report no conflict of interest. The authors alone are responsible for the content and writing of the paper. EDAT- 2021/11/14 06:00 MHDA- 2021/12/22 06:00 PMCR- 2021/10/28 CRDT- 2021/11/13 01:04 PHST- 2021/09/28 00:00 [received] PHST- 2021/10/22 00:00 [revised] PHST- 2021/10/25 00:00 [accepted] PHST- 2021/11/13 01:04 [entrez] PHST- 2021/11/14 06:00 [pubmed] PHST- 2021/12/22 06:00 [medline] PHST- 2021/10/28 00:00 [pmc-release] AID - ijms222111713 [pii] AID - ijms-22-11713 [pii] AID - 10.3390/ijms222111713 [doi] PST - epublish SO - Int J Mol Sci. 2021 Oct 28;22(21):11713. doi: 10.3390/ijms222111713.