<?xml version="1.0" encoding="UTF-8"?>
<data xmlns="http://www.aopkb.org/aop-xml">
  <biological-object id="70b11db2-fdcb-4953-83ab-0c2efe248b2f">
    <source-id>CHEBI:16991</source-id>
    <source>CHEBI</source>
    <name>deoxyribonucleic acid</name>
  </biological-object>
  <biological-process id="87d3257f-ff8b-44a5-9e13-6e422a2c2296">
    <source-id>RBO:00015021</source-id>
    <source>RBO</source>
    <name>energy deposition event</name>
  </biological-process>
  <biological-process id="b4a2ce69-3c69-4a03-983c-ac0237905fb2">
    <source-id>GO:0006915</source-id>
    <source>GO</source>
    <name>apoptotic process</name>
  </biological-process>
  <biological-action id="a0b2656c-dc71-4d1b-9436-845f51434386">
    <source-id>1</source-id>
    <source>WIKI</source>
    <name>increased</name>
  </biological-action>
  <biological-action id="2fcf1ffa-287b-4bb4-945e-0747edee5558">
    <source-id>7</source-id>
    <source>WIKI</source>
    <name>functional change</name>
  </biological-action>
  <stressor id="29560b09-2e08-47b8-a4b3-b71a1d38ec97">
    <name>Ionizing Radiation</name>
    <description>&lt;p&gt;Ionizing radiation can vary in energy, dose, charge, and in the spatial distributions of energy transferred to other matter (linear energy transfer per unit length or LET) (ICRU 1970). At the same dose, low and high LET both generate energy deposition events, including many higher energy events (Goodhead and Nikjoo 1989). However, they differ in the spatial distribution and upper range of intensity of energy deposited. Lower LET such as gamma rays sparsely deposit many individual excitations or small clusters of excitations of low energy (Goodhead 1988). In contrast, high LET such as alpha particles have fewer tracks but readily transfer their energy to matter and therefore deposit their energy over a much smaller area (Goodhead 1994). Consequently, alpha and other high LET particles penetrate less deeply into tissue, interactions are densely focused on a narrow track, and individual energy depositions can be large (Goodhead 1988). These different energy deposition patterns can lead to differences in radiation effects including the pattern of DNA damage.&lt;/p&gt;
</description>
    <exposure-characterization>&lt;p&gt;Exposure to ionizing radiation can come from natural and industrial sources. Space and terrestrial radiation includes a range of LET particles, while diagnostic radiation methods such as X-ray imaging, mammography and CT scans use low LET X-rays. Radiation therapy can use an external beam to direct radiation on a focused tissue area, or deposit solid or liquid radioactive materials in the body that release (mostly gamma) radiation internally. External radiotherapy typically uses X-rays but is moving towards higher LET charged particles such as protons and heavy ions (Durante, Orecchia et al. 2017).&lt;/p&gt;
</exposure-characterization>
    <creation-timestamp>2019-05-03T12:36:36</creation-timestamp>
    <last-modification-timestamp>2019-05-07T12:12:13</last-modification-timestamp>
  </stressor>
  <stressor id="780b5b66-201c-480c-afb6-d3cc6447ded9">
    <name>Estrogen</name>
    <description></description>
    <exposure-characterization></exposure-characterization>
    <creation-timestamp>2019-05-08T11:40:27</creation-timestamp>
    <last-modification-timestamp>2019-05-08T11:40:27</last-modification-timestamp>
  </stressor>
  <taxonomy id="26b6adb8-891d-4200-b358-23a41b94fbe4">
    <source-id>WCS_9606</source-id>
    <source>common toxicological species</source>
    <name>human</name>
  </taxonomy>
  <taxonomy id="dcbadb87-288d-493e-8750-8d1d6b10d8b6">
    <source-id>10116</source-id>
    <source>NCBI</source>
    <name>rat</name>
  </taxonomy>
  <taxonomy id="9cece169-a24c-49b9-81f6-3353156fe948">
    <source-id>10090</source-id>
    <source>NCBI</source>
    <name>mouse</name>
  </taxonomy>
  <taxonomy id="7278aa1e-5439-42d2-be31-8c554fd49c11">
    <source-id>6239</source-id>
    <source>NCBI</source>
    <name>nematode</name>
  </taxonomy>
  <taxonomy id="fb6444df-ef8f-4bd6-8cc3-6b83b92ff6df">
    <source-id>WCS_7955</source-id>
    <source>common ecological species</source>
    <name>zebrafish</name>
  </taxonomy>
  <taxonomy id="15644a4b-1994-41a8-8494-0fe622e1b40c">
    <source-id>3702</source-id>
    <source>NCBI</source>
    <name>thale-cress</name>
  </taxonomy>
  <taxonomy id="7f8d71bd-1d79-4b4f-b709-a58208788d96">
    <source-id>3349</source-id>
    <source>NCBI</source>
    <name>Scotch pine</name>
  </taxonomy>
  <taxonomy id="34d3d85a-3e3c-4748-a45c-b275aedd4ad4">
    <source-id>WCS_35525</source-id>
    <source>common ecological species</source>
    <name>Daphnia magna</name>
  </taxonomy>
  <taxonomy id="cd626d7b-33b4-42c4-9fed-42b6e60c8d32">
    <source-id>3055</source-id>
    <source>NCBI</source>
    <name>Chlamydomonas reinhardtii</name>
  </taxonomy>
  <taxonomy id="ace10f45-f3a3-4f29-ab1d-77a9f167f2d9">
    <source-id>WCS_6396</source-id>
    <source>common ecological species</source>
    <name>common brandling worm</name>
  </taxonomy>
  <taxonomy id="a2c13add-599e-484a-8a1f-b4835555eaaf">
    <source-id>WCS_4472</source-id>
    <source>common ecological species</source>
    <name>Lemna minor</name>
  </taxonomy>
  <taxonomy id="5bd473f9-b37a-46b2-b223-98e607bfc8d8">
    <source-id>8030</source-id>
    <source>NCBI</source>
    <name>Salmo salar</name>
  </taxonomy>
  <taxonomy id="79c6451d-558f-4e51-821c-a95bb09ab037">
    <source-id>10090</source-id>
    <source>NCBI</source>
    <name>Mus musculus</name>
  </taxonomy>
  <taxonomy id="ba7ad243-5bba-4416-b425-73899730bb1e">
    <source-id>10116</source-id>
    <source>NCBI</source>
    <name>Rattus norvegicus</name>
  </taxonomy>
  <taxonomy id="fd5509ca-e06a-4daa-96c3-e2af5c44dafa">
    <source-id>9606</source-id>
    <source>NCBI</source>
    <name>Homo sapiens</name>
  </taxonomy>
  <taxonomy id="860f86f4-0e59-4429-b186-898dd9e50664">
    <source-id>6239</source-id>
    <source>NCBI</source>
    <name>Caenorhabditis elegans</name>
  </taxonomy>
  <taxonomy id="3f78814d-3d84-4aa5-bd07-ec9abe61b8a2">
    <source-id>39442</source-id>
    <source>NCBI</source>
    <name>Mus musculus musculus</name>
  </taxonomy>
  <key-event id="ebd7f8c9-b48b-43b2-872c-58007cad211e">
    <title>Deposition of Energy</title>
    <short-name>Energy Deposition</short-name>
    <biological-organization-level>Molecular</biological-organization-level>
    <description>&lt;p&gt;Deposition of energy refers to events where energetic subatomic particles, nuclei, or electromagnetic radiation deposit energy in the media through which they transverse. The energy may either be sufficient (e.g. ionizing radiation) or insufficient (e.g. non-ionizing radiation) to ionize atoms or molecules (Beir et al.,1999).&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Ionizing radiation can cause the ejection of electrons from atoms and molecules, thereby resulting in their ionization and the breakage of chemical bonds. &amp;nbsp;The excitation of molecules can also occur without ionization. These events are stochastic and unpredictable. The energy of these subatomic particles or electromagnetic waves ranges from 124 keV to 5.4 MeV and is dependent on the source and type of radiation (Zyla et al., 2020). Not all electromagnetic radiation is ionizing; as the incident radiation must have sufficient energy to free electrons from the electron orbitals of the atom or molecule. The energy deposited can induce direct and indirect ionization events and can result from internal (injections, inhalation, ingestion) or external exposure.&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Direct ionization is the principal path where charged particles interact with biological structures such as DNA, proteins or &amp;nbsp;membranes to cause biological damage. Photons, which are electromagnetic waves can also deposit energy to cause direct which themselves can indirectly damage critical targets such as DNA (Beir et al., 1999; Balagamwala et al., 2013) or alter cellular processes. Given the fundamental nature of energy deposition by radioactive/unstable nuclei, nucleons or elementary particles in material, this process is universal to all biological contexts.&amp;nbsp;&lt;/p&gt;

&lt;p&gt;The spatial structure of ionizing energy deposition along the resulting particle track is represented as linear energy transfer (LET) (Hall and Giaccia, 2018 UNSCEAR, 2020). High LET refers to energy mostly above 10 keV &amp;mu;m-1 which produces more complex, dense structural damage than low LET radiation (below 10 keV &amp;mu;m-1). Low-LET particles produce sparse ionization events such as photons (X- and gamma rays), as well as high-energy protons. Low LET radiation travels farther into tissue but deposits smaller amounts of energy, whereas high LET radiation, which includes heavy ions, alpha particles and high-energy neutrons, does not travel as far but deposits larger amounts of energy into tissue at the same absorbed dose. The biological effect of the deposition of energy can be modulated by varying dose and dose rate of exposure, such as acute, chronic, or fractionated exposures (Hall and Giaccia, 2018).&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Non-ionizing radiation is electromagnetic waves that does not have enough energy to break bonds and induce ion formation but it can cause molecules to excite and vibrate faster resulting in biological effects. Examples of non-ionizing radiation include radio waves (wavelength: 100 km-1m), microwaves (wavelength: 1m-1mm), infrared radiation (wavelength: 1mm- 1 um), visible light (wavelengths: 400-700 nm), and ultraviolet radiation of longer wavelengths such as UVB (wavelengths: 315-400nm) and UVA (wavelengths: 280-315 nm).&amp;nbsp;&lt;/p&gt;
</description>
    <measurement-methodology>&lt;table border="1"&gt;
	&lt;tbody&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;Radiation type&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;Assay Name&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;References&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;Description&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;OECD Approved Assay&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;Ionizing radiation&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;Monte Carlo Simulations (eg. Geant4)&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;Douglass et al., 2013; Douglass et al., 2012; Zyla et al., 2020&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;Monte Carlo simulations are based on a computational algorithm that mathematically models the deposition of energy into materials.&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;No&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;Ionizing radiation&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;Fluorescent Nuclear Track Detector (FNTD)&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;Sawakuchi, 2016; Niklas, 2013; Kodaira &amp;amp; Konishi, 2015&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;FNTDs are biocompatible chips with crystals of aluminum oxide doped with carbon and magnesium; used in conjunction with fluorescent microscopy, these FNTDs allow for the visualization and the linear energy transfer (LET) quantification of tracks produced by the deposition of energy into a material.&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;No&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;Ionizing radiation&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;Tissue equivalent proportional counter (TEPC)&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;Straume et al, 2015&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;Measure the LET spectrum and calculate the equivalent dose&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;No&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;Ionizing radiation&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;alanine dosimeters/NanoDots&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;Lind et al. 2019&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;Xie et al., 2022&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;Alanine dosimeters use&amp;nbsp;the amino acid alanine to detect radiation-induced changes, and nanodots leverage&amp;nbsp;nano-scale technology to provide high precision and sensitivity in radiation dose measurements&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;No&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;Non-ionizing radiation&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;UV meters or radiometers&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;Xie et al., 2020&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;UVA/UVB (irradiance intensity), UV dosimeters (accumulated irradiance over time), Spectrophotometer (absorption of UV by a substance or material)&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;No&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
	&lt;/tbody&gt;
&lt;/table&gt;

&lt;p&gt;&amp;nbsp;&lt;/p&gt;
</measurement-methodology>
    <evidence-supporting-taxonomic-applicability>&lt;p&gt;Energy can be deposited into any substrate, both living and non-living; it is independent of age, taxa, sex, or life-stage.&amp;nbsp;&lt;/p&gt;

&lt;p&gt;&lt;strong&gt;Taxonomic applicability&lt;/strong&gt;: This MIE is not taxonomically specific.&amp;nbsp;&lt;/p&gt;

&lt;p&gt;&lt;strong&gt;Life stage applicability:&lt;/strong&gt; This MIE is not life stage specific.&amp;nbsp;&lt;/p&gt;

&lt;p&gt;&lt;strong&gt;Sex applicability:&lt;/strong&gt; This MIE is not sex specific.&amp;nbsp;&lt;/p&gt;
</evidence-supporting-taxonomic-applicability>
    <applicability>
      <sex>
        <evidence>Low</evidence>
        <sex>Unspecific</sex>
      </sex>
      <life-stage>
        <evidence>High</evidence>
        <life-stage>All life stages</life-stage>
      </life-stage>
      <taxonomy taxonomy-id="26b6adb8-891d-4200-b358-23a41b94fbe4">
        <evidence>Moderate</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="dcbadb87-288d-493e-8750-8d1d6b10d8b6">
        <evidence>Moderate</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="9cece169-a24c-49b9-81f6-3353156fe948">
        <evidence>Moderate</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="7278aa1e-5439-42d2-be31-8c554fd49c11">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="fb6444df-ef8f-4bd6-8cc3-6b83b92ff6df">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="15644a4b-1994-41a8-8494-0fe622e1b40c">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="7f8d71bd-1d79-4b4f-b709-a58208788d96">
        <evidence>Moderate</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="34d3d85a-3e3c-4748-a45c-b275aedd4ad4">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="cd626d7b-33b4-42c4-9fed-42b6e60c8d32">
        <evidence>Moderate</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="ace10f45-f3a3-4f29-ab1d-77a9f167f2d9">
        <evidence>Moderate</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="a2c13add-599e-484a-8a1f-b4835555eaaf">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="5bd473f9-b37a-46b2-b223-98e607bfc8d8">
        <evidence>Low</evidence>
      </taxonomy>
    </applicability>
    <biological-events>
      <biological-event process-id="87d3257f-ff8b-44a5-9e13-6e422a2c2296" action-id="a0b2656c-dc71-4d1b-9436-845f51434386"/>
    </biological-events>
    <references>&lt;p&gt;Balagamwala, E. H. et al. (2013), &amp;ldquo;Introduction to radiotherapy and standard teletherapy techniques&amp;rdquo;, Dev Ophthalmol, Vol. 52, Karger, Basel, https://doi.org/10.1159/000351045&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Beir, V. et al. (1999), &amp;ldquo;The Mechanistic Basis of Radon-Induced Lung Cancer&amp;rdquo;, in Health Risks of Exposure to Radon: BEIR VI, National Academy Press, Washington, D.C., https://doi.org/10.17226/5499&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Douglass, M. et al. (2013), &amp;ldquo;Monte Carlo investigation of the increased radiation deposition due to gold nanoparticles using kilovoltage and megavoltage photons in a 3D randomized cell model&amp;rdquo;, Medical Physics, Vol. 40/7, American Institute of Physics, College Park, https://doi.org/10.1118/1.4808150&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Douglass, M. et al. (2012), &amp;ldquo;Development of a randomized 3D cell model for Monte Carlo microdosimetry simulations.&amp;rdquo;, Medical Physics, Vol. 39/6, American Institute of Physics, College Park, https://doi.org/10.1118/1.4719963&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Hall, E. J. and Giaccia, A.J. (2018), Radiobiology for the Radiologist, 8th edition, Wolters Kluwer, Philadelphia.&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Kodaira, S. and Konishi, T. (2015), &amp;ldquo;Co-visualization of DNA damage and ion traversals in live mammalian cells using a fluorescent nuclear track detector.&amp;rdquo;, Journal of Radiation Research, Vol. 56/2, Oxford University Press, Oxford, https://doi.org/10.1093/jrr/rru091&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Lind, O.C., D.H. Oughton and Salbu B. (2019), &amp;quot;The NMBU FIGARO low dose irradiation facility&amp;quot;, International Journal of Radiation Biology, Vol. 95/1, Taylor &amp;amp; Francis, London, https://doi.org/10.1080/09553002.2018.1516906.&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Sawakuchi, G.O. and Akselrod, M.S. (2016), &amp;ldquo;Nanoscale measurements of proton tracks using fluorescent nuclear track detectors.&amp;rdquo;, Medical Physics, Vol. 43/5, American Institute of Physics, College Park, https://doi.org/10.1118/1.4947128&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Straume, T. et al. (2015), &amp;ldquo;Compact Tissue-equivalent Proportional Counter for Deep Space Human Missions.&amp;rdquo;, Health physics, Vol. 109/4, Lippincott Williams &amp;amp; Wilkins, Philadelphia, https://doi.org/10.1097/HP.0000000000000334&amp;nbsp;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Niklas, M. et al. (2013), &amp;ldquo;Engineering cell-fluorescent ion track hybrid detectors.&amp;rdquo;, Radiation Oncology, Vol. 8/104, BioMed Central, London, https://doi.org/10.1186/1748- 717X-8-141&amp;nbsp;&lt;/p&gt;

&lt;p&gt;UNSCEAR (2020), Sources, effects and risks of ionizing radiation, United Nations.&amp;nbsp;&lt;/p&gt;

&lt;p&gt;&amp;nbsp;Xie, Li. et al. (2022), &amp;quot;Ultraviolet B Modulates Gamma Radiation-Induced Stress Responses in Lemna Minor at Multiple Levels of Biological Organisation&amp;quot;, SSRN, Elsevier, Amsterdam, http://dx.doi.org/10.2139/ssrn.4081705 .&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Zyla, P.A. et al. (2020), Review of particle physics: Progress of Theoretical and Experimental Physics, 2020 Edition, Oxford University Press, Oxford.&amp;nbsp;&lt;/p&gt;

&lt;p&gt;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;&amp;nbsp;&lt;/p&gt;
</references>
    <source>AOPWiki</source>
    <creation-timestamp>2019-08-22T09:44:23</creation-timestamp>
    <last-modification-timestamp>2024-08-23T09:20:36</last-modification-timestamp>
  </key-event>
  <key-event id="62ff5cfb-d60e-4005-9598-9392d7fbe85d">
    <title>Increase, DNA damage</title>
    <short-name>Increase, DNA Damage</short-name>
    <biological-organization-level>Molecular</biological-organization-level>
    <description>&lt;p&gt;DNA nucleotide damage, single, and double strand breaks occur in the course of cellular operations such as DNA repair and replication and can be induced directly and in neighboring &amp;ldquo;bystander&amp;rdquo; cells by internal or external stressors like reactive oxygen species, chemicals, and radiation. Ionizing radiation and RONS such as hydroxyl radicals or peroxide can create a range of lesions (a change in molecular structure) in the base of the nucleotide, with guanine particularly vulnerable because of its low redox potential (David, O&amp;#39;Shea et al. 2007). The same stressors can also break the sugar (deoxyribose)-phosphate backbone creating a single strand break. Simultaneous proximal breaks in both strands of DNA form double strand breaks, which are considered to be more destructive and mutagenic than lesions or single strand breaks. Double strand breaks can generate chromosomal abnormalities including changes in chromosomal number, breaks and gaps, translocations, inversions, and deletions (Yang, Craise et al. 1992; Haag, Hsu et al. 1996; Ponnaiya, Cornforth et al. 1997; Yang, Georgy et al. 1997; Unger, Wienberg et al. 2010; Behjati, Gundem et al. 2016; Morishita, Muramatsu et al. 2016).&lt;/p&gt;

&lt;p&gt;However, DNA lesions and single strand breaks can also be destructive and mutagenic. Lesions can lead to point mutations (David, O&amp;#39;Shea et al. 2007) or single strand breaks (Regulus, Duroux et al. 2007). Lesions and single strand breaks can also promote the formation of double strand breaks: replication fork collapse and double strand breaks sometimes occur during mitosis when the replisome encounters an unrepaired single strand break (Kuzminov 2001), and clustered lesions and closely opposed single strand breaks can also form double strand breaks (Chaudhry and Weinfeld 1997; Vispe and Satoh 2000; Shiraishi, Shikazono et al. 2017). Complex damage consists of any combination of closely opposed DNA lesions, abasic sites, crosslinks, single, or double strand breaks in proximity. While classically induced by ionizing radiation, there is also evidence that it can be induced by oxidative activity (Sharma, Collins et al. 2016) or even by a single oxidizing particle (Ravanat, Breton et al. 2014). Complex damage is more difficult to repair (Kuhne, Rothkamm et al. 2000; Stenerlow, Hoglund et al. 2000; Pinto, Prise et al. 2005; Rydberg, Cooper et al. 2005).&lt;/p&gt;

&lt;p&gt;DNA damage and resulting repair activity can trigger a halt in the cell cycle, cell death (apoptosis), and cause permanent changes to DNA including deletions, translocations, and sequence changes. DNA damage is also associated with an increase in genomic instability - the new appearance of DNA damage including double strand breaks, mutations, and chromosomal damage following repair of initial damage in affected cells or in clonal descendants or neighbors of DNA damaged cells. The mechanism behind this long term DNA damage is not clear, but telomere erosion appears to play a major role (Murnane 2012; Sishc, Nelson et al. 2015). Genomic instability is more common and longer lasting following complex damage (Ponnaiya, Cornforth et al. 1997), and is influenced by multiple factors including variants in DNA repair genes (Ponnaiya, Cornforth et al. 1997; Yu, Okayasu et al. 2001; Yin, Menendez et al. 2012), RONS (Dayal, Martin et al. 2008), estrogen (Kutanzi and Kovalchuk 2013), caspases (Liu, He et al. 2015), and telomeres (Sishc, Nelson et al. 2015).&lt;/p&gt;
</description>
    <measurement-methodology>&lt;p&gt;DNA damage can be studied in isolated DNA, fixed cells, or living cells. Types of damage that can be detected include single and double strand breaks, nucleotide damage, complex damage, and chromosomal or telomere damage. The OECD test guideline for DNA synthesis Test No. 486 (OECD 1997) detects nucleotide excision repair, so it will reflect the formation of bulky DNA adducts but not the majority of oxidative damage to nucleotides, which is typically repaired via the Base Excision Repair pathway. The OECD test guideline alkaline comet assay Test No. 489 (OECD 2016) detects single and double strand breaks, including those arising from repair as well as some (alkali sensitive) nucleotide lesions including some lesions from oxidative damage. OECD tests for chromosomal damage and micronuclei Test No. 473, 475, 483, and 487 measure longer term effects of DNA damage but these tests require the damaged cell to subsequently undergo replication (OECD 2016; OECD 2016; OECD 2016; OECD 2016).&amp;nbsp; They can therefore reflect a wider range of sources of DNA damage including changes in mitosis. Finally, tests for mutations reveal past DNA damage that resulted in a heritable change, and these are described in the key event &amp;lsquo;Increase in Mutation&amp;rsquo;.&lt;/p&gt;

&lt;p&gt;Many other (non-test guideline) techniques have been used to examine specific forms of DNA damage (Table 1). Double strand breaks are commonly reported because of the significant risk attributed to breaks and the relative ease of detecting and quantifying them. Historically, single and double strand breaks were measured using gel electrophoresis, but are now commonly visualized microscopically using fluorescent or other labeled probes for double and single strand break repair such as H2AX and XRCC2.&amp;nbsp; Base lesions can also be detected using labeled probes for base excision repair enzymes, or by chemical methods such as mass spectroscopy. Refinements on these methods can be used to characterize complex or clustered damage, in which various forms of damage occur in close proximity on a DNA molecule (Lorat, Timm et al. 2016; Nikitaki, Nikolov et al. 2016).&lt;/p&gt;

&lt;p&gt;Certain challenges are common to all methods of detecting DNA damage. In the time required to initiate the detection method, some DNA may already be repaired, leading to undercounting of damage. On the other hand, apoptotic DSBs may be incorrectly included in a measurement of direct (non-apoptotic) induction of DSB damage unless controlled. All methods have difficulty distinguishing individual components of clustered lesions, and microscopic methods may undercount disparate breaks that are processed together in repair centers (Barnard, Bouffler et al. 2013). Methods that use isolated DNA (gel electrophoresis, analytical chemistry) are vulnerable to artifacts and must ensure that the DNA sample is protected from oxidative damage during extraction (Pernot, Hall et al. 2012; Barnard, Bouffler et al. 2013; Ravanat, Breton et al. 2014).&lt;/p&gt;

&lt;p&gt;Table 1. Common methods of detecting DNA damage&lt;/p&gt;

&lt;table border="1" cellpadding="0" cellspacing="0"&gt;
	&lt;tbody&gt;
		&lt;tr&gt;
			&lt;td style="height:22px; width:127px"&gt;
			&lt;p&gt;&lt;strong&gt;Target&lt;/strong&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="height:22px; width:167px"&gt;
			&lt;p&gt;&lt;strong&gt;Name&lt;/strong&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="height:22px; width:133px"&gt;
			&lt;p&gt;&lt;strong&gt;Method&lt;/strong&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="height:22px; width:211px"&gt;
			&lt;p&gt;&lt;strong&gt;Strengths/Weaknesses&lt;/strong&gt;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td style="height:22px; width:127px"&gt;
			&lt;p&gt;&lt;strong&gt;Nucleotide damage&lt;/strong&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="height:22px; width:167px"&gt;
			&lt;p&gt;Single cell gel electrophoresis (comet assay) with restriction enzymes (Collins 2004)&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="height:22px; width:133px"&gt;
			&lt;p&gt;Gel electrophoresis&lt;/p&gt;

			&lt;p&gt;&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="height:22px; width:211px"&gt;
			&lt;p&gt;A variant of the comet assay in which restriction enzymes allow the identification of different types of nucleotide damage.&lt;/p&gt;

			&lt;p&gt;The comet assay is more sensitive than PFGE, detecting damage from 0.1 Gy ionizing radiation (Pernot, Hall et al. 2012). A reproducible high-throughput application of the assay is available (Ge, Prasongtanakij et al. 2014; Sykora, Witt et al. 2018), and the test requires only a small (single cell) sample. Requires destruction of the cell.&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td style="height:22px; width:127px"&gt;
			&lt;p&gt;&lt;strong&gt;Nucleotide damage&lt;/strong&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="height:22px; width:167px"&gt;
			&lt;p&gt;Labeled probes including Biotrin OxyDNA and anti- 8-oxoguanine-DNA glycosylase (OGG1) for oxidative damage and AP&lt;/p&gt;

			&lt;p&gt;endonuclease (APE1) for Base Excision Repair of less bulky lesions such as oxidative damage.&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="height:22px; width:133px"&gt;
			&lt;p&gt;Microscopy, FACS&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="height:22px; width:211px"&gt;
			&lt;p&gt;Most useful with FACS or other measures of average or relative intensity, as locations and numbers of damaged nucleotides can be difficult to distinguish using fluorescence microscopy. (Ogawa, Kobayashi et al. 2003; Nikitaki, Nikolov et al. 2016).&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td style="height:22px; width:127px"&gt;
			&lt;p&gt;&lt;strong&gt;Nucleotide damage&lt;/strong&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="height:22px; width:167px"&gt;
			&lt;p&gt;High performance liquid chromatography (HPLC), tandem mass spectrometry (MS/MS)&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="height:22px; width:133px"&gt;
			&lt;p&gt;Analytical chemistry&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="height:22px; width:211px"&gt;
			&lt;p&gt;Capable of quantifying low levels of specific nucleotide lesions (Madugundu, Cadet et al. 2014; Ravanat, Breton et al. 2014). Requires destruction of the cell.&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td style="height:22px; width:127px"&gt;
			&lt;p&gt;&lt;strong&gt;Nucleotide damage&lt;/strong&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="height:22px; width:167px"&gt;
			&lt;p&gt;Unscheduled DNA synthesis test OECD Test Guideline 486 (OECD 1997)&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="height:22px; width:133px"&gt;
			&lt;p&gt;Autoradiography&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="height:22px; width:211px"&gt;
			&lt;p&gt;Measures DNA damage that is repaired using Nucleotide Excision Repair - mostly bulky adducts (OECD (Organisation for Economic Co-operation and Development) 2016).&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td style="height:22px; width:127px"&gt;
			&lt;p&gt;&lt;strong&gt;Non-specific DNA strand breaks&lt;/strong&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="height:22px; width:167px"&gt;
			&lt;p&gt;Single cell gel electrophoresis (comet assay), alkali conditions&lt;/p&gt;

			&lt;p&gt;OECD Test Guideline 489 (OECD 2016)&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="height:22px; width:133px"&gt;
			&lt;p&gt;Gel electrophoresis&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="height:22px; width:211px"&gt;
			&lt;p&gt;When used in alkali conditions, the comet assay reveals single and double strand breaks and alkali-sensitive nucleotide lesions. See single cell gel electrophoresis (comet assay) with restriction enzymes above for further comments. &amp;nbsp;&lt;/p&gt;

			&lt;p&gt;&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td style="height:22px; width:127px"&gt;
			&lt;p&gt;&lt;strong&gt;Single strand breaks&lt;/strong&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="height:22px; width:167px"&gt;
			&lt;p&gt;Labeled probe pXRCC1 (Lorat, Brunner et al. 2015)&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="height:22px; width:133px"&gt;
			&lt;p&gt;Microscopy&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="height:22px; width:211px"&gt;
			&lt;p&gt;Fluorescent probes can label single strand breaks in cells, while immunogold labeling is able to distinguish multiple single strand breaks in clusters (Lorat, Timm et al. 2016; Nikitaki, Nikolov et al. 2016).&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td style="height:22px; width:127px"&gt;
			&lt;p&gt;&lt;strong&gt;Double strand breaks&lt;/strong&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="height:22px; width:167px"&gt;
			&lt;p&gt;Single cell gel electrophoresis (comet assay), neutral conditions&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="height:22px; width:133px"&gt;
			&lt;p&gt;Gel electrophoresis&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="height:22px; width:211px"&gt;
			&lt;p&gt;Neutral conditions help minimize the release of single strand breaks coiled DNA and alkali lesions, allowing the measurement of double strand breaks. Since single strand breaks can still appear, assay is not very sensitive or specific to double strand breaks (Pernot, Hall et al. 2012). See single cell gel electrophoresis (comet assay) with restriction enzymes above for further comments.&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td style="height:22px; width:127px"&gt;
			&lt;p&gt;&lt;strong&gt;Double strand breaks&lt;/strong&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="height:22px; width:167px"&gt;
			&lt;p&gt;Pulsed field gel electrophoresis (PFGE)&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="height:22px; width:133px"&gt;
			&lt;p&gt;Gel electrophoresis&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="height:22px; width:211px"&gt;
			&lt;p&gt;Permits the quantitative measurement of double strand breaks, and can be combined with immunoblotting to detect DNA-associated proteins (Lobrich, Rydberg et al. 1995; Kawashima, Yamaguchi et al. 2017). Considered less sensitive than comet assay, but detected damage from 0.25 Gy ionizing radiation (Gradzka and Iwanenko 2005). Requires destruction of the cell.&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td style="height:22px; width:127px"&gt;
			&lt;p&gt;&lt;strong&gt;Double strand breaks&lt;/strong&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="height:22px; width:167px"&gt;
			&lt;p&gt;Labeled probes including phosphorylated H2AX, 53BP1, Ku70, ATM (Lorat, Brunner et al. 2015)&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="height:22px; width:133px"&gt;
			&lt;p&gt;Microscopy&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="height:22px; width:211px"&gt;
			&lt;p&gt;Fluorescent probes can label individual double breaks in cells allowing for quantification, with immunogold labeling resolving breaks in clusters (Lorat, Timm et al. 2016; Nikitaki, Nikolov et al. 2016). Sensitive: detects damage from 0.001 Gy ionizing radiation (Rothkamm and Lobrich 2003; Ojima, Ban et al. 2008).&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td style="height:22px; width:127px"&gt;
			&lt;p&gt;&lt;strong&gt;Chromosomal damage&lt;/strong&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="height:22px; width:167px"&gt;
			&lt;p&gt;Chromosomal aberrations and micronuclei&lt;/p&gt;

			&lt;p&gt;OECD Test Guidelines 473, 475, 483, and 487 (OECD 2016; OECD 2016; OECD 2016; OECD 2016)&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="height:22px; width:133px"&gt;
			&lt;p&gt;Microscopy&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="height:22px; width:211px"&gt;
			&lt;p&gt;Detects major DNA damage resulting from large breaks and rearrangements, or mitotic failures. Damage does not appear until DNA undergoes mitosis, so slower and limited to damage in replicating cells. Insensitive tosmall deletions and substitutions.&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
	&lt;/tbody&gt;
&lt;/table&gt;
</measurement-methodology>
    <evidence-supporting-taxonomic-applicability></evidence-supporting-taxonomic-applicability>
    <cell-term>
      <source-id>CL:0000255</source-id>
      <source>CL</source>
      <name>eukaryotic cell</name>
    </cell-term>
    <applicability>
    </applicability>
    <biological-events>
      <biological-event object-id="70b11db2-fdcb-4953-83ab-0c2efe248b2f" action-id="2fcf1ffa-287b-4bb4-945e-0747edee5558"/>
    </biological-events>
    <references>&lt;p&gt;&lt;a name="_ENREF_1"&gt;Barnard, S., S. Bouffler, et al. (2013). &amp;quot;The shape of the radiation dose response for DNA double-strand break induction and repair.&amp;quot; Genome integrity 4(1): 1.&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;&lt;a name="_ENREF_2"&gt;Behjati, S., G. Gundem, et al. (2016). &amp;quot;Mutational signatures of ionizing radiation in second malignancies.&amp;quot; Nat Commun 7: 12605.&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;&lt;a name="_ENREF_3"&gt;Chaudhry, M. A. and M. Weinfeld (1997). &amp;quot;Reactivity of human apurinic/apyrimidinic endonuclease and Escherichia coli exonuclease III with bistranded abasic sites in DNA.&amp;quot; The Journal of biological chemistry 272(25): 15650-15655.&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;&lt;a name="_ENREF_4"&gt;Collins, A. R. (2004). &amp;quot;The comet assay for DNA damage and repair: principles, applications, and limitations.&amp;quot; Molecular biotechnology 26(3): 249-261.&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;&lt;a name="_ENREF_5"&gt;David, S. S., V. L. O&amp;#39;Shea, et al. (2007). &amp;quot;Base-excision repair of oxidative DNA damage.&amp;quot; Nature 447(7147): 941-950.&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;&lt;a name="_ENREF_6"&gt;Dayal, D., S. M. Martin, et al. (2008). &amp;quot;Hydrogen peroxide mediates the radiation-induced mutator phenotype in mammalian cells.&amp;quot; Biochem J 413(1): 185-191.&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;&lt;a name="_ENREF_7"&gt;Ge, J., S. Prasongtanakij, et al. (2014). &amp;quot;CometChip: a high-throughput 96-well platform for measuring DNA damage in microarrayed human cells.&amp;quot; Journal of visualized experiments : JoVE(92): e50607.&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;&lt;a name="_ENREF_8"&gt;Gradzka, I. and T. Iwanenko (2005). &amp;quot;A non-radioactive, PFGE-based assay for low levels of DNA double-strand breaks in mammalian cells.&amp;quot; DNA repair 4(10): 1129-1139.&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;&lt;a name="_ENREF_9"&gt;Haag, J. D., L. C. Hsu, et al. (1996). &amp;quot;Allelic imbalance in mammary carcinomas induced by either 7,12-dimethylbenz[a]anthracene or ionizing radiation in rats carrying genes conferring differential susceptibilities to mammary carcinogenesis.&amp;quot; Mol Carcinog 17(3): 134-143.&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;&lt;a name="_ENREF_10"&gt;Kawashima, Y., N. Yamaguchi, et al. (2017). &amp;quot;Detection of DNA double-strand breaks by pulsed-field gel electrophoresis.&amp;quot; Genes to cells : devoted to molecular &amp;amp; cellular mechanisms 22(1): 84-93.&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;&lt;a name="_ENREF_11"&gt;Kuhne, M., K. Rothkamm, et al. (2000). &amp;quot;No dose-dependence of DNA double-strand break misrejoining following alpha-particle irradiation.&amp;quot; International journal of radiation biology 76(7): 891-900.&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;&lt;a name="_ENREF_12"&gt;Kutanzi, K. and O. Kovalchuk (2013). &amp;quot;Exposure to estrogen and ionizing radiation causes epigenetic dysregulation, activation of mitogen-activated protein kinase pathways, and genome instability in the mammary gland of ACI rats.&amp;quot; Cancer Biol Ther 14(7): 564-573.&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;&lt;a name="_ENREF_13"&gt;Kuzminov, A. (2001). &amp;quot;Single-strand interruptions in replicating chromosomes cause double-strand breaks.&amp;quot; Proceedings of the National Academy of Sciences of the United States of America 98(15): 8241-8246.&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;&lt;a name="_ENREF_14"&gt;Liu, X., Y. He, et al. (2015). &amp;quot;Caspase-3 promotes genetic instability and carcinogenesis.&amp;quot; Mol Cell 58(2): 284-296.&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;&lt;a name="_ENREF_15"&gt;Lobrich, M., B. Rydberg, et al. (1995). &amp;quot;Repair of x-ray-induced DNA double-strand breaks in specific Not I restriction fragments in human fibroblasts: joining of correct and incorrect ends.&amp;quot; Proceedings of the National Academy of Sciences of the United States of America 92(26): 12050-12054.&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;&lt;a name="_ENREF_16"&gt;Lorat, Y., C. U. Brunner, et al. (2015). &amp;quot;Nanoscale analysis of clustered DNA damage after high-LET irradiation by quantitative electron microscopy--the heavy burden to repair.&amp;quot; DNA repair 28: 93-106.&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;&lt;a name="_ENREF_17"&gt;Lorat, Y., S. Timm, et al. (2016). &amp;quot;Clustered double-strand breaks in heterochromatin perturb DNA repair after high linear energy transfer irradiation.&amp;quot; Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology 121(1): 154-161.&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;&lt;a name="_ENREF_18"&gt;Madugundu, G. S., J. Cadet, et al. (2014). &amp;quot;Hydroxyl-radical-induced oxidation of 5-methylcytosine in isolated and cellular DNA.&amp;quot; Nucleic acids research 42(11): 7450-7460.&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;&lt;a name="_ENREF_19"&gt;Morishita, M., T. Muramatsu, et al. (2016). &amp;quot;Chromothripsis-like chromosomal rearrangements induced by ionizing radiation using proton microbeam irradiation system.&amp;quot; Oncotarget 7(9): 10182-10192.&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;&lt;a name="_ENREF_20"&gt;Murnane, J. P. (2012). &amp;quot;Telomere dysfunction and chromosome instability.&amp;quot; Mutation research 730(1-2): 28-36.&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;&lt;a name="_ENREF_21"&gt;Nikitaki, Z., V. Nikolov, et al. (2016). &amp;quot;Measurement of complex DNA damage induction and repair in human cellular systems after exposure to ionizing radiations of varying linear energy transfer (LET).&amp;quot; Free radical research 50(sup1): S64-S78.&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;&lt;a name="_ENREF_22"&gt;OECD (1997). Test No. 486: Unscheduled DNA Synthesis (UDS) Test with Mammalian Liver Cells in vivo.&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;&lt;a name="_ENREF_23"&gt;OECD (2016). Test No. 473: In Vitro Mammalian Chromosomal Aberration Test.&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;&lt;a name="_ENREF_24"&gt;OECD (2016). Test No. 475: Mammalian Bone Marrow Chromosomal Aberration Test.&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;&lt;a name="_ENREF_25"&gt;OECD (2016). Test No. 483: Mammalian Spermatogonial Chromosomal Aberration Test.&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;&lt;a name="_ENREF_26"&gt;OECD (2016). Test No. 487: In Vitro Mammalian Cell Micronucleus Test.&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;&lt;a name="_ENREF_27"&gt;OECD (2016). Test No. 489: In Vivo Mammalian Alkaline Comet Assay.&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;&lt;a name="_ENREF_28"&gt;OECD (Organisation for Economic Co-operation and Development) (2016). Overview of the set of OECD Genetic Toxicology Test Guidelines and updates performed in 2014&amp;ndash;2015. No. 238.&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;&lt;a name="_ENREF_29"&gt;Ogawa, Y., T. Kobayashi, et al. (2003). &amp;quot;Radiation-induced oxidative DNA damage, 8-oxoguanine, in human peripheral T cells.&amp;quot; International journal of molecular medicine 11(1): 27-32.&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;&lt;a name="_ENREF_30"&gt;Ojima, M., N. Ban, et al. (2008). &amp;quot;DNA double-strand breaks induced by very low X-ray doses are largely due to bystander effects.&amp;quot; Radiation research 170(3): 365-371.&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;&lt;a name="_ENREF_31"&gt;Pernot, E., J. Hall, et al. (2012). &amp;quot;Ionizing radiation biomarkers for potential use in epidemiological studies.&amp;quot; Mutation research 751(2): 258-286.&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;&lt;a name="_ENREF_32"&gt;Pinto, M., K. M. Prise, et al. (2005). &amp;quot;Evidence for complexity at the nanometer scale of radiation-induced DNA DSBs as a determinant of rejoining kinetics.&amp;quot; Radiation research 164(1): 73-85.&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;&lt;a name="_ENREF_33"&gt;Ponnaiya, B., M. N. Cornforth, et al. (1997). &amp;quot;Induction of chromosomal instability in human mammary cells by neutrons and gamma rays.&amp;quot; Radiation research 147(3): 288-294.&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;&lt;a name="_ENREF_34"&gt;Ponnaiya, B., M. N. Cornforth, et al. (1997). &amp;quot;Radiation-induced chromosomal instability in BALB/c and C57BL/6 mice: the difference is as clear as black and white.&amp;quot; Radiation research 147(2): 121-125.&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;&lt;a name="_ENREF_35"&gt;Ravanat, J. L., J. Breton, et al. (2014). &amp;quot;Radiation-mediated formation of complex damage to DNA: a chemical aspect overview.&amp;quot; Br J Radiol 87(1035): 20130715.&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;&lt;a name="_ENREF_36"&gt;Regulus, P., B. Duroux, et al. (2007). &amp;quot;Oxidation of the sugar moiety of DNA by ionizing radiation or bleomycin could induce the formation of a cluster DNA lesion.&amp;quot; Proceedings of the National Academy of Sciences of the United States of America 104(35): 14032-14037.&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;&lt;a name="_ENREF_37"&gt;Rothkamm, K. and M. Lobrich (2003). &amp;quot;Evidence for a lack of DNA double-strand break repair in human cells exposed to very low x-ray doses.&amp;quot; Proceedings of the National Academy of Sciences of the United States of America 100(9): 5057-5062.&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;&lt;a name="_ENREF_38"&gt;Rydberg, B., B. Cooper, et al. (2005). &amp;quot;Dose-dependent misrejoining of radiation-induced DNA double-strand breaks in human fibroblasts: experimental and theoretical study for high- and low-LET radiation.&amp;quot; Radiation research 163(5): 526-534.&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;&lt;a name="_ENREF_39"&gt;Sharma, V., L. B. Collins, et al. (2016). &amp;quot;Oxidative stress at low levels can induce clustered DNA lesions leading to NHEJ mediated mutations.&amp;quot; Oncotarget 7(18): 25377-25390.&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;&lt;a name="_ENREF_40"&gt;Shiraishi, I., N. Shikazono, et al. (2017). &amp;quot;Efficiency of radiation-induced base lesion excision and the order of enzymatic treatment.&amp;quot; International journal of radiation biology 93(3): 295-302.&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;&lt;a name="_ENREF_41"&gt;Sishc, B. J., C. B. Nelson, et al. (2015). &amp;quot;Telomeres and Telomerase in the Radiation Response: Implications for Instability, Reprograming, and Carcinogenesis.&amp;quot; Front Oncol 5: 257.&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;&lt;a name="_ENREF_42"&gt;Stenerlow, B., E. Hoglund, et al. (2000). &amp;quot;Rejoining of DNA fragments produced by radiations of different linear energy transfer.&amp;quot; International journal of radiation biology 76(4): 549-557.&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;&lt;a name="_ENREF_43"&gt;Sykora, P., K. L. Witt, et al. (2018). &amp;quot;Next generation high throughput DNA damage detection platform for genotoxic compound screening.&amp;quot; Sci Rep 8(1): 2771.&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;&lt;a name="_ENREF_44"&gt;Unger, K., J. Wienberg, et al. (2010). &amp;quot;Novel gene rearrangements in transformed breast cells identified by high-resolution breakpoint analysis of chromosomal aberrations.&amp;quot; Endocrine-related cancer 17(1): 87-98.&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;&lt;a name="_ENREF_45"&gt;Vispe, S. and M. S. Satoh (2000). &amp;quot;DNA repair patch-mediated double strand DNA break formation in human cells.&amp;quot; The Journal of biological chemistry 275(35): 27386-27392.&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;&lt;a name="_ENREF_46"&gt;Yang, T.-H., L. M. Craise, et al. (1992). &amp;quot;Chromosomal changes in cultured human epithelial cells transformed by low- and high-LET radiation.&amp;quot; Adv Space Res 12(2-3): 127-136.&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;&lt;a name="_ENREF_47"&gt;Yang, T. C., K. A. Georgy, et al. (1997). &amp;quot;Initiation of oncogenic transformation in human mammary epithelial cells by charged particles.&amp;quot; Radiat Oncol Investig 5(3): 134-138.&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;&lt;a name="_ENREF_48"&gt;Yin, Z., D. Menendez, et al. (2012). &amp;quot;RAP80 is critical in maintaining genomic stability and suppressing tumor development.&amp;quot; Cancer research 72(19): 5080-5090.&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;&lt;a name="_ENREF_49"&gt;Yu, Y., R. Okayasu, et al. (2001). &amp;quot;Elevated breast cancer risk in irradiated BALB/c mice associates with unique functional polymorphism of the Prkdc (DNA-dependent protein kinase catalytic subunit) gene.&amp;quot; Cancer Res 61(5): 1820-1824.&lt;/a&gt;&lt;/p&gt;
</references>
    <source>AOPWiki</source>
    <creation-timestamp>2016-11-29T18:41:30</creation-timestamp>
    <last-modification-timestamp>2019-05-08T12:28:46</last-modification-timestamp>
  </key-event>
  <key-event id="f8fabf39-6020-4761-99c4-4a1584bb4702">
    <title>Activation of Tumor Protein 53</title>
    <short-name>Activation of TP53</short-name>
    <biological-organization-level>Cellular</biological-organization-level>
    <description>&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Calibri&amp;quot;,sans-serif"&gt;&lt;span style="font-family:&amp;quot;Arial&amp;quot;,sans-serif"&gt;TP53 is a key player in protecting the integrity of the genome. TP53 protein is present at low levels in all type of cells but become stabilized and transcriptionally active after exposures to DNA-damaging agents. The increase level of TP53 after exposure to ionizing radiation or other stress is primarily regulated at the post-translational level (&lt;/span&gt;&lt;span style="font-family:&amp;quot;Arial&amp;quot;,sans-serif"&gt;Kastan MB, Onyekwere O, Sidransky D, Vogelstein B and Craig RW (1991) &lt;em&gt;Cancer Res.&lt;/em&gt; &lt;strong&gt;51&lt;/strong&gt;: 6304&amp;ndash;6311.&lt;/span&gt;&lt;span style="font-family:&amp;quot;Arial&amp;quot;,sans-serif"&gt;). In response to DNA double-strand breaks activated ATM mediates phosphorylation at multiple sites on p53 including ser 6, 9, 15, 20, 46 and Thr 18 (Saito S, Goodarzi AA, Higashimoto Y, Noda Y, Lees-Miller SP, Appella E and Anderson CW (2002) J. Biol. Chem. 277: 12491&amp;ndash;12494.). The phosphorylated P53 escape proteosomal degradation mediated in non stress situation by MDM2, and thus leads to stabilization of the protein (&lt;/span&gt;&lt;span style="font-family:&amp;quot;Arial&amp;quot;,sans-serif"&gt;Jackson MW and Berberich SJ (2000) &lt;em&gt;Mol. Cell. Biol.&lt;/em&gt; &lt;strong&gt;20&lt;/strong&gt;: 1001&amp;ndash;1007.&lt;/span&gt;&lt;span style="font-family:&amp;quot;Arial&amp;quot;,sans-serif"&gt;)&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
</description>
    <measurement-methodology>&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Calibri&amp;quot;,sans-serif"&gt;Antibody against phosphorylated TP53 are used to detect the activated form of TP53. This is made by immunocytochemistry techniques through Western Blot analysis on protein extract or by immunocytochemistry on tissue sections.&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
</measurement-methodology>
    <evidence-supporting-taxonomic-applicability>&lt;p&gt;Somatic and proliferating cells&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Calibri&amp;quot;,sans-serif"&gt;&lt;span style="font-family:&amp;quot;Arial&amp;quot;,sans-serif"&gt;All vertebrates. &lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12.0pt"&gt;&lt;span style="font-family:&amp;quot;Arial&amp;quot;,sans-serif"&gt;C&lt;/span&gt;&lt;/span&gt;&lt;span style="font-size:12.0pt"&gt;&lt;span style="font-family:&amp;quot;Arial&amp;quot;,sans-serif"&gt;onsequence of increased and irreparable DNA damages&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
</evidence-supporting-taxonomic-applicability>
    <applicability>
      <sex>
        <evidence>High</evidence>
        <sex>Unspecific</sex>
      </sex>
      <life-stage>
        <evidence>High</evidence>
        <life-stage>Pregnancy</life-stage>
      </life-stage>
      <taxonomy taxonomy-id="79c6451d-558f-4e51-821c-a95bb09ab037">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="ba7ad243-5bba-4416-b425-73899730bb1e">
        <evidence>Moderate</evidence>
      </taxonomy>
    </applicability>
    <references>&lt;p&gt;&lt;span style="font-size:12.0pt"&gt;&lt;span style="font-family:&amp;quot;Calibri&amp;quot;,sans-serif"&gt;Kashiwagi, Hiroki, Kazunori Shiraishi, Kenta Sakaguchi, Tomoya Nakahama, and Seiji Kodama. 2018. &amp;ldquo;Repair Kinetics of DNA Double-Strand Breaks and Incidence of Apoptosis in Mouse Neural Stem/Progenitor Cells and Their Differentiated Neurons Exposed to Ionizing Radiation.&amp;rdquo; &lt;em&gt;Journal of Radiation Research&lt;/em&gt; 59 (3): 261&amp;ndash;71. https://doi.org/10.1093/jrr/rrx089.&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12.0pt"&gt;&lt;span style="font-family:&amp;quot;Calibri&amp;quot;,sans-serif"&gt;Limoli, Charles L., Erich Giedzinski, Radoslaw Rola, Shinji Otsuka, Theo D. Palmer, and John R. Fike. 2004. &amp;ldquo;Radiation Response of Neural Precursor Cells: Linking Cellular Sensitivity to Cell Cycle Checkpoints, Apoptosis and Oxidative Stress.&amp;rdquo; &lt;em&gt;Radiation Research&lt;/em&gt; 161 (1): 17&amp;ndash;27. https://doi.org/10.1667/rr3112.&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12.0pt"&gt;&lt;span style="font-family:&amp;quot;Arial&amp;quot;,sans-serif"&gt;Kastan MB, Onyekwere O, Sidransky D, Vogelstein B and Craig RW (1991) &lt;em&gt;Cancer Res.&lt;/em&gt; &lt;strong&gt;51&lt;/strong&gt;: 6304&amp;ndash;6311&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12.0pt"&gt;&lt;span style="font-family:&amp;quot;Arial&amp;quot;,sans-serif"&gt;Saito S, Goodarzi AA, Higashimoto Y, Noda Y, Lees-Miller SP, Appella E and Anderson CW (2002) J. Biol. Chem. 277: 12491&amp;ndash;12494&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12.0pt"&gt;&lt;span style="font-family:&amp;quot;Arial&amp;quot;,sans-serif"&gt;Jackson MW and Berberich SJ (2000) &lt;em&gt;Mol. Cell. Biol.&lt;/em&gt; &lt;strong&gt;20&lt;/strong&gt;: 1001&amp;ndash;1007&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
</references>
    <source>AOPWiki</source>
    <creation-timestamp>2022-03-09T08:07:00</creation-timestamp>
    <last-modification-timestamp>2022-03-17T12:02:31</last-modification-timestamp>
  </key-event>
  <key-event id="90a59d2b-e90d-4ff0-ae7f-3ad58c218ee7">
    <title>Increase risk, microcephaly</title>
    <short-name>Microcephaly</short-name>
    <biological-organization-level>Individual</biological-organization-level>
    <description></description>
    <measurement-methodology></measurement-methodology>
    <evidence-supporting-taxonomic-applicability></evidence-supporting-taxonomic-applicability>
    <applicability>
    </applicability>
    <references></references>
    <source>AOPWiki</source>
    <creation-timestamp>2022-03-17T12:13:01</creation-timestamp>
    <last-modification-timestamp>2022-03-18T08:38:03</last-modification-timestamp>
  </key-event>
  <key-event id="348f6756-9e29-43ae-bb75-05d7c5cf2177">
    <title>Premature cell differentiation</title>
    <short-name>Premature differentiation</short-name>
    <biological-organization-level>Organ</biological-organization-level>
    <description></description>
    <measurement-methodology></measurement-methodology>
    <evidence-supporting-taxonomic-applicability></evidence-supporting-taxonomic-applicability>
    <applicability>
    </applicability>
    <references></references>
    <source>AOPWiki</source>
    <creation-timestamp>2022-03-21T11:48:08</creation-timestamp>
    <last-modification-timestamp>2022-03-21T11:53:52</last-modification-timestamp>
  </key-event>
  <key-event id="d1785a70-141a-406c-b8bd-653b708a87d0">
    <title>Apoptosis</title>
    <short-name>Apoptosis</short-name>
    <biological-organization-level>Cellular</biological-organization-level>
    <description>&lt;p&gt;Apoptosis, the process of programmed cell death, is characterized by distinct morphology with DNA fragmentation and energy dependency [Elmore, 2007]. Apoptosis, also called &amp;ldquo;physiological cell death&amp;rdquo;, is involved in cell turnover, physiological involution, and atrophy of various tissues and organs [Kerr et al., 1972]. The formation of apoptotic bodies involves marked condensation of both nucleus and cytoplasm, nuclear fragmentation, and separation of protuberances [Kerr et al., 1972]. Apoptosis is characterized by DNA ladder and chromatin condensation. Several stimuli such as hypoxia, nucleotides deprivation, chemotherapeutical drugs, DNA damage, and mitotic spindle damage induce p53 activation, leading to p21 activation and cell cycle arrest [Pucci et al., 2000]. The SAHA or TSA treatment on neonatal human dermal fibroblasts (NHDFs) for 24 or 72 hrs inhibited proliferation of the NHDF cells [Glaser et al., 2003]. Considering that the acetylation of histone H4 was increased by the treatment of SAHA for 4 hrs, histone deacetylase inhibition may be involved in the inhibition of the cell proliferation [Glaser et al., 2003]. The impaired proliferation was observed in HDAC1&lt;sup&gt;-/-&lt;/sup&gt; ES cells, which was rescued with the reintroduction of HDAC1 [Zupkovitz et al., 2010]. An&amp;nbsp;AOP focuses existes on&amp;nbsp;p21 pathway leading to apoptosis, however, alternative pathways such as NF-kappaB signaling pathways may be involved in the apoptosis of spermatocytes [Wang et al., 2017].&lt;/p&gt;

&lt;p style="text-align:justify"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:Aptos,sans-serif"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:black"&gt;Apoptosis is defined as a &lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:black"&gt;programmed cell death&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:black"&gt;. &lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:black"&gt;&amp;nbsp;A decrease in apoptosis or a resistance to cell death is noted is described as a hallmark of cancer by Hanahan et al. It is widely admitted as an essential step in tumor proliferation (Adams, Lowe).&amp;nbsp;&amp;nbsp;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:Aptos,sans-serif"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:black"&gt;Apoptosis occurs after activation of a number of intrinsic and extrinsic signals which activate the protease caspase system which in turn activates the destruction of the cell.&amp;nbsp;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:justify"&gt;&amp;nbsp;&lt;/p&gt;

&lt;p style="text-align:justify"&gt;&lt;em&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="color:#000000"&gt;In mammals, the foetal ovary produces hundreds of thousands of oocytes. But most of them die before birth due to apoptosis (Kaur, S., &amp;amp; Kurokawa, M., 2023). The apoptotic process has a specific pattern at different stages: in foetal ovaries, the majority of apoptotic activity was found in germ cells, whereas in adult quiescent cortical follicles, apoptosis occurred from both granulosa and oocyte cells. The oocyte has been shown to be the one that triggers the apoptotic process and causes follicular atresia (Jin, X., et al. (2011). In humans, the primordial follicles&amp;#39; ovarian endowment is formed throughout foetal development. Apoptotic cell death, which is carried out with the assistance of multiple players and routes conserved from worms to humans, depletes this endowment by at least two-thirds prior to birth. As of right now, apoptosis has been linked to atresia, oocyte loss/selection, folliculogenesis, and oogenesis (Hussein MR, 2005)&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/em&gt;&lt;/p&gt;

&lt;p style="text-align:justify"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:Aptos,sans-serif"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:black"&gt;The Bcl-2 is a protein family suppressing apoptosis by &lt;span style="background-color:white"&gt;binding and inhibiting&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:black"&gt; two proapoptotic proteins (Bax and Bak)&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:black"&gt; and transferring them to the mitochondrial outer membrane. In the absence of inhibition by Bcl2, Bax and Bak destroy the mitochondrial membrane and releases &lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:black"&gt;proapoptotic signaling proteins, &lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:black"&gt;such as&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:black"&gt; cytochrome&amp;nbsp;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;em&gt;c&lt;/em&gt;&lt;em&gt; &lt;/em&gt;&lt;em&gt;&lt;span style="background-color:white"&gt;&lt;span style="color:black"&gt;which activated the caspase system. &lt;/span&gt;&lt;/span&gt;&lt;/em&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:black"&gt;An increased&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:black"&gt; expression of &lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:black"&gt;these &lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:black"&gt;antiapoptotic &lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:black"&gt;proteins&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:black"&gt; (Bcl-2, Bcl-x&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;sub&gt;L&lt;/sub&gt;) &lt;em&gt;&lt;span style="background-color:white"&gt;&lt;span style="color:black"&gt;occurs in cancer (Hanahan, Adams, Lowe). Several others pathways such as the l&lt;/span&gt;&lt;/span&gt;&lt;/em&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:black"&gt;oss of TP53 tumor suppressor function,&lt;/span&gt;&lt;/span&gt;&lt;/span&gt; or &lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:black"&gt;the increase &lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:black"&gt;of survival signals (Igf1/2), &lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:black"&gt;or decrease of&lt;/span&gt;&lt;/span&gt;&lt;/span&gt; &lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:black"&gt;proapoptotic factors (Bax, Bim, Puma)&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:black"&gt; can also increase tumor growth &lt;em&gt;(Hanahan, Juntilla).&lt;/em&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:justify"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:Aptos,sans-serif"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:black"&gt;In breast cancer a decrease in apoptosis and a resistance to cell death has been described thoroughly, especially using a dysregulation of the Bcl2 system or TP53 (Parton, &lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:black"&gt;Williams&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:black"&gt;, &lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:black"&gt;Shahbandi&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:black"&gt;).&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
</description>
    <measurement-methodology>&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;Apoptosis is characterized by many morphological and biochemical changes&amp;nbsp;&lt;span style="color:black"&gt;such as homogenous condensation of chromatin to one side or the periphery of the nuclei, membrane blebbing and formation of apoptotic bodies with fragmented nuclei, DNA fragmentation, enzymatic activation of pro-caspases, or phosphatidylserine translocation that can be measured using electron and cytochemical optical microscopy, proteomic and genomic methods, and spectroscopic techniques [Archana et al., 2013; Martinez et al., 2010;&amp;nbsp;Taatjes et al., 2008; Yasuhara et al., 2003].&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;・&lt;span style="color:black"&gt;DNA fragmentation can be quantified with comet assay using electrophoresis, where the tail length, head size, tail intensity, and head intensity of the comet are measured [Yasuhara et al., 2003].&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;・The apoptosis is detected with the expression alteration of procaspases 7 and 3 by Western blotting using antibodies [Parajuli&lt;span style="color:black"&gt;&amp;nbsp;et al.&lt;/span&gt;, 2014].&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;・The apoptosis is measured with down-regulation of anti-apoptotic gene baculoviral inhibitor of apoptosis protein repeat containing 2 (BIRC2, or cIAP1) [Parajuli&lt;span style="color:black"&gt;&amp;nbsp;et al.&lt;/span&gt;, 2014].&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;・Apoptotic nucleosomes are detected using Cell Death Detection ELISA kit, which was calculated as absorbance subtraction at 405 nm and 490 nm [Parajuli&lt;span style="color:black"&gt;&amp;nbsp;et al.&lt;/span&gt;, 2014].&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;・Cleavage of PARP is detected with Western blotting [Parajuli&lt;span style="color:black"&gt;&amp;nbsp;et al.&lt;/span&gt;, 2014].&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;・Caspase-3 and caspase-9 activity is measured with the enzyme-catalyzed release of p-nitroanilide (pNA) and quantified at 405 nm [Wu&lt;span style="color:black"&gt;&amp;nbsp;et al.&lt;/span&gt;, 2016].&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;・Apoptosis is measured with Annexin V-FITC probes, and the relative percentage of Annexin V-FITC-positive/PI-negative cells is analyzed by flow cytometry [Wu et al., 2016].&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;・Apoptosis is detected with the Terminal dUTP Nick End-Labeling (TUNEL) method to assay the endonuclease cleavage products by enzymatically end-labeling the DNA strand breaks [Kressel and Groscurth, 1994].&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;・For the detection of apoptosis, the testes are fixed in neutral buffered formalin and embedded in paraffin. Germ cell death is visualized in testis sections by Terminal dUTP Nick End-Labeling (TUNEL) staining method [Wade et al., 2008]. The incidence of TUNEL-positive cells is expressed as the number of positive cells per tubule examined for one entire testis section per animal [Wade et al., 2008]&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
</measurement-methodology>
    <evidence-supporting-taxonomic-applicability>&lt;p&gt;・Apoptosis is induced in human prostate cancer cell lines (&lt;em&gt;Homo sapiens&lt;/em&gt;) [Parajuli et al., 2014].&lt;/p&gt;

&lt;p&gt;・Apoptosis occurs in B6C3F1 mouse (&lt;em&gt;Mus musculus&lt;/em&gt;) [Elmore, 2007].&lt;/p&gt;

&lt;p&gt;・Apoptosis occurs in Sprague-Dawley rat (&lt;em&gt;Rattus norvegicus&lt;/em&gt;) [Elmore, 2007].&lt;/p&gt;

&lt;p&gt;・Apoptosis occurs in the nematode (&lt;em&gt;Caenorhabditis elegans&lt;/em&gt;) [Elmore, 2007].&lt;/p&gt;

&lt;ul&gt;
	&lt;li&gt;Apoptosis occurs in breast cancer cells, human and mouse (Parton)&lt;/li&gt;
	&lt;li style="text-align:justify"&gt;&lt;em&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;&lt;span style="font-size:12pt"&gt;Apoptosis applicable to fishes, hence be used to study as models (dos Santos, N. M., et al. (2008).&lt;/span&gt;&lt;/span&gt;&lt;/em&gt;&lt;/li&gt;
	&lt;li style="text-align:justify"&gt;&lt;em&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;&lt;span style="font-size:12pt"&gt;Apoptosis in humans and baboon ovaries (Kugu, K., et al. (1998)&lt;/span&gt;&lt;/span&gt;&lt;/em&gt;&lt;/li&gt;
	&lt;li style="text-align:justify"&gt;&lt;em&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;&lt;span style="font-size:12pt"&gt;Apoptosis in amphibians during metamorphosis (Ishizuya-Oka, A., et al. (2010).&lt;/span&gt;&lt;/span&gt;&lt;/em&gt;&lt;/li&gt;
	&lt;li style="text-align:justify"&gt;&lt;em&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;&lt;span style="font-size:12pt"&gt;Apoptosis in Drosophila melanogaster (Steller, H. (2008)&lt;/span&gt;&lt;/span&gt;&lt;/em&gt;&lt;/li&gt;
	&lt;li style="text-align:justify"&gt;&lt;em&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;Apoptosis is a highly conserved and essential process across a broad taxonomic range, from unicellular eukaryotes to complex multicellular animals, it is also evident in metazoans (Suraweera, C. D., et al. (2022).&lt;/span&gt;&lt;/em&gt;&lt;/li&gt;
	&lt;li&gt;
	&lt;p&gt;&lt;em&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;Sex Applicability:&lt;br /&gt;
	Both sexes. Apoptosis occurs in male and female systems (e.g., oocyte and sperm cell turnover).&lt;/span&gt;&lt;/em&gt;&lt;/p&gt;
	&lt;/li&gt;
	&lt;li&gt;
	&lt;p&gt;&lt;em&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;Life Stage Applicability:&lt;br /&gt;
	All stages. Especially critical during embryonic development and in maintaining adult tissue homeostasis.&lt;/span&gt;&lt;/em&gt;&lt;/p&gt;
	&lt;/li&gt;
&lt;/ul&gt;

&lt;p&gt;&amp;nbsp;&lt;/p&gt;
</evidence-supporting-taxonomic-applicability>
    <organ-term>
      <source-id>UBERON:0000062</source-id>
      <source>UBERON</source>
      <name>organ</name>
    </organ-term>
    <cell-term>
      <source-id>CL:0000000</source-id>
      <source>CL</source>
      <name>cell</name>
    </cell-term>
    <applicability>
      <sex>
        <evidence>High</evidence>
        <sex>Unspecific</sex>
      </sex>
      <life-stage>
        <evidence>High</evidence>
        <life-stage>Not Otherwise Specified</life-stage>
      </life-stage>
      <taxonomy taxonomy-id="fd5509ca-e06a-4daa-96c3-e2af5c44dafa">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="79c6451d-558f-4e51-821c-a95bb09ab037">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="ba7ad243-5bba-4416-b425-73899730bb1e">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="860f86f4-0e59-4429-b186-898dd9e50664">
        <evidence>High</evidence>
      </taxonomy>
    </applicability>
    <biological-events>
      <biological-event process-id="b4a2ce69-3c69-4a03-983c-ac0237905fb2" action-id="a0b2656c-dc71-4d1b-9436-845f51434386"/>
    </biological-events>
    <references>&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;Archana, M. et al. (2013), &amp;quot;Various methods available for detection of apoptotic cells&amp;quot;, Indian J Cancer 50:274-283&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;Elmore, S. (2007), &amp;quot;Apoptosis: a review of programmed cell death&amp;quot;, Toxicol Pathol 35:495-516&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;Glaser, K.B. et al. (2003), &amp;quot;Gene expression profiling of multiple histone deacetylase (HDAC) inhibitors: defining a common gene set produced by HDAC inhibition in T24 and MDA carcinoma cell lines&amp;quot;, Mol Cancer Ther 2:151-163&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;Kerr, J.F.R. et al. (1972), &amp;quot;Apoptosis: a basic biological phenomenon with wide-ranging implications in tissue kinetics&amp;quot;, Br J Cancer 26:239-257&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;Kressel, M. and Groscurth, P. (1994), &amp;quot;Distinction of apoptotic and necrotic cell death by in situ labelling of fragmented DNA&amp;quot;, Cell Tissue Res 278:549-556&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;Martinez, M.M. et al. (2010), &amp;quot;Detection of apoptosis: A review of conventioinal and novel techniques&amp;quot;, Anal Methods 2:996-1004&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;Parajuli, K.R. et al. (2014), &amp;quot;Methoxyacetic acid suppresses prostate cancer cell growth by inducing growth arrest and apoptosis&amp;quot;, Am J Clin Exp Urol 2:300-313&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;Pucci, B. et al. (2000), &amp;quot;Cell cycle and apoptosis&amp;quot;, Neoplasia 2:291-299&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;Taatjes, D.J. et al. (2008), &amp;quot;Morphological and cytochemical determination of cell death by apoptosis&amp;quot;, Histochem Cell Biol 129:33-43&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;Wade, M.G. et al. (2008), &amp;quot;Methoxyacetic acid-induced spermatocyte death is associated with histone hyperacetylation in rats&amp;quot;, Biol Reprod 78:822-831&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;Wang, C. et al. (2017), &amp;quot;CD147 regulates extrinsic apoptosis in spermatocytes by modulating NFkB signaling pathways&amp;quot;, Oncotarget 8:3132-3143&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;Wu, R. et al. (2016), &amp;quot;microRNA-497 induces apoptosis and suppressed proliferation via the Bcl-2/Bax-caspase9-caspase 3 pathway and cyclin D2 protein in HUVECs&amp;quot;, PLoS One 11:e0167052&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;&lt;span style="color:black"&gt;Yasuhara, S. et al. (2003), &lt;/span&gt;&amp;quot;&lt;span style="color:black"&gt;Comparison of comet assay, electron microscopy, and flow cytometry for detection of apoptosis&lt;/span&gt;&amp;quot;&lt;span style="color:black"&gt;, J Histochem Cytochem 51:873-885&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;Zupkovitz, G. et al. (2010), &amp;quot;The cyclin-dependent kinase inhibitor p21 is a crucial target for histone deacetylase 1 as a regulator of cellular proliferation&amp;quot;, Mol Cell Biol 30:1171-1181&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&amp;nbsp;&lt;/p&gt;

&lt;p style="text-align:justify"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:Aptos,sans-serif"&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:black"&gt;Hanahan D, Weinberg RA. Hallmarks of cancer: the next generation. Cell. 2011 Mar 4;144(5):646-74. doi: 10.1016/j.cell.2011.02.013. PMID: 21376230&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:justify"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:Aptos,sans-serif"&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:black"&gt;Adams JM, Cory S. The Bcl-2 apoptotic switch in cancer development and therapy. Oncogene. 2007 Feb 26;26(9):1324-37. doi: 10.1038/sj.onc.1210220. PMID: 17322918; PMCID: PMC2930981.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:justify"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:Aptos,sans-serif"&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:black"&gt;Lowe, S., Cepero, E. &amp;amp; Evan, G. Intrinsic tumour suppression.&amp;nbsp;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;em&gt;Nature&lt;/em&gt;&amp;nbsp;&lt;strong&gt;432&lt;/strong&gt;, 307&amp;ndash;315 (2004). &lt;a href="https://doi.org/10.1038/nature03098" style="color:#467886; text-decoration:underline"&gt;&lt;span style="color:black"&gt;https://doi.org/10.1038/nature03098&lt;/span&gt;&lt;/a&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:justify"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:Aptos,sans-serif"&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:black"&gt;Parton M, Dowsett M, Smith I. Studies of apoptosis in breast cancer. BMJ. 2001 Jun 23;322(7301):1528-32. doi: 10.1136/bmj.322.7301.1528. PMID: 11420276; PMCID: PMC1120573.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:justify"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:Aptos,sans-serif"&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:black"&gt;Junttila MR, Evan GI. p53--a Jack of all trades but master of none. Nat Rev Cancer. 2009 Nov;9(11):821-9. doi: 10.1038/nrc2728. Epub 2009 Sep 24. PMID: 19776747.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:justify"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:Aptos,sans-serif"&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:black"&gt;Williams MM, Cook RS. Bcl-2 family proteins in breast development and cancer: could Mcl-1 targeting overcome therapeutic resistance? Oncotarget. 2015 Feb 28;6(6):3519-30. doi: 10.18632/oncotarget.2792. PMID: 25784482; PMCID: PMC4414133.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:justify"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:Aptos,sans-serif"&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:black"&gt;Shahbandi A, Nguyen HD, Jackson JG. TP53 Mutations and Outcomes in Breast Cancer: Reading beyond the Headlines. Trends Cancer. 2020 Feb;6(2):98-110. doi: 10.1016/j.trecan.2020.01.007. Epub 2020 Feb 5. PMID: 32061310; PMCID: PMC7931175.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:justify"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:Aptos,sans-serif"&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:black"&gt;Hanahan D, Weinberg RA. Hallmarks of cancer: the next generation. Cell. 2011 Mar 4;144(5):646-74. doi: 10.1016/j.cell.2011.02.013. PMID: 21376230&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:justify"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:Aptos,sans-serif"&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:black"&gt;Adams JM, Cory S. The Bcl-2 apoptotic switch in cancer development and therapy. Oncogene. 2007 Feb 26;26(9):1324-37. doi: 10.1038/sj.onc.1210220. PMID: 17322918; PMCID: PMC2930981.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:justify"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:Aptos,sans-serif"&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:black"&gt;Lowe, S., Cepero, E. &amp;amp; Evan, G. Intrinsic tumour suppression.&amp;nbsp;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;em&gt;Nature&lt;/em&gt;&amp;nbsp;&lt;strong&gt;432&lt;/strong&gt;, 307&amp;ndash;315 (2004). &lt;a href="https://doi.org/10.1038/nature03098" style="color:#467886; text-decoration:underline"&gt;&lt;span style="color:black"&gt;https://doi.org/10.1038/nature03098&lt;/span&gt;&lt;/a&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:justify"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:Aptos,sans-serif"&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:black"&gt;Parton M, Dowsett M, Smith I. Studies of apoptosis in breast cancer. BMJ. 2001 Jun 23;322(7301):1528-32. doi: 10.1136/bmj.322.7301.1528. PMID: 11420276; PMCID: PMC1120573.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:justify"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:Aptos,sans-serif"&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:black"&gt;Junttila MR, Evan GI. p53--a Jack of all trades but master of none. Nat Rev Cancer. 2009 Nov;9(11):821-9. doi: 10.1038/nrc2728. Epub 2009 Sep 24. PMID: 19776747.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:justify"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:Aptos,sans-serif"&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:black"&gt;Williams MM, Cook RS. Bcl-2 family proteins in breast development and cancer: could Mcl-1 targeting overcome therapeutic resistance? Oncotarget. 2015 Feb 28;6(6):3519-30. doi: 10.18632/oncotarget.2792. PMID: 25784482; PMCID: PMC4414133.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:justify"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:Aptos,sans-serif"&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:black"&gt;Shahbandi A, Nguyen HD, Jackson JG. TP53 Mutations and Outcomes in Breast Cancer: Reading beyond the Headlines. Trends Cancer. 2020 Feb;6(2):98-110. doi: 10.1016/j.trecan.2020.01.007. Epub 2020 Feb 5. PMID: 32061310; PMCID: PMC7931175.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:justify"&gt;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Parton M, Dowsett M, Smith I. Studies of apoptosis in breast cancer. BMJ. 2001 Jun 23;322(7301):1528-32. doi: 10.1136/bmj.322.7301.1528. PMID: 11420276; PMCID: PMC1120573.&lt;/p&gt;

&lt;p&gt;&amp;nbsp;&lt;/p&gt;

&lt;ul&gt;
	&lt;li&gt;&lt;em&gt;&lt;span style="font-family:Tahoma,Geneva,sans-serif"&gt;Kaur S, Kurokawa M. Regulation of Oocyte Apoptosis: A View from Gene Knockout Mice. Int J Mol Sci. 2023;24(2).&lt;/span&gt;&lt;/em&gt;&lt;/li&gt;
	&lt;li&gt;&lt;em&gt;&lt;span style="font-family:Tahoma,Geneva,sans-serif"&gt;Jin X, Xiao LJ, Zhang XS, Liu YX. Apotosis in ovary. Front Biosci (Schol Ed). 2011;3(2):680-97.&lt;/span&gt;&lt;/em&gt;&lt;/li&gt;
	&lt;li&gt;&lt;em&gt;&lt;span style="font-family:Tahoma,Geneva,sans-serif"&gt;Hussein MR. Apoptosis in the ovary: molecular mechanisms. Hum Reprod Update. 2005;11(2):162-77.&lt;/span&gt;&lt;/em&gt;&lt;/li&gt;
	&lt;li&gt;&lt;em&gt;&lt;span style="font-family:Tahoma,Geneva,sans-serif"&gt;dos Santos NM, do Vale A, Reis MI, Silva MT. Fish and apoptosis: molecules and pathways. Curr Pharm Des. 2008;14(2):148-69.&lt;/span&gt;&lt;/em&gt;&lt;/li&gt;
	&lt;li&gt;&lt;em&gt;&lt;span style="font-family:Tahoma,Geneva,sans-serif"&gt;Kugu K, Ratts VS, Piquette GN, Tilly KI, Tao XJ, Martimbeau S, et al. Analysis of apoptosis and expression of bcl-2 gene family members in the human and baboon ovary. Cell Death Differ. 1998;5(1):67-76.&lt;/span&gt;&lt;/em&gt;&lt;/li&gt;
	&lt;li&gt;&lt;em&gt;&lt;span style="font-family:Tahoma,Geneva,sans-serif"&gt;Ishizuya-Oka A, Hasebe T, Shi YB. Apoptosis in amphibian organs during metamorphosis. Apoptosis. 2010;15(3):350-64.&lt;/span&gt;&lt;/em&gt;&lt;/li&gt;
	&lt;li&gt;&lt;em&gt;&lt;span style="font-family:Tahoma,Geneva,sans-serif"&gt;Steller H. Regulation of apoptosis in Drosophila. Cell Death &amp;amp; Differentiation. 2008;15(7):1132-8.&lt;/span&gt;&lt;/em&gt;&lt;/li&gt;
	&lt;li&gt;&lt;em&gt;&lt;span style="font-family:Tahoma,Geneva,sans-serif"&gt;Suraweera CD, Banjara S, Hinds MG, Kvansakul M. Metazoans and Intrinsic Apoptosis: An Evolutionary Analysis of the Bcl-2 Family. International Journal of Molecular Sciences. 2022;23(7):3691.&lt;/span&gt;&lt;/em&gt;&lt;/li&gt;
&lt;/ul&gt;
</references>
    <source>AOPWiki</source>
    <creation-timestamp>2017-02-07T13:21:50</creation-timestamp>
    <last-modification-timestamp>2025-05-31T08:50:09</last-modification-timestamp>
  </key-event>
  <key-event id="3798c5f0-65ac-4251-bdae-38b8c7825821">
    <title>decline, neural progenitor cells</title>
    <short-name>decline, neural progenitor cells</short-name>
    <biological-organization-level>Organ</biological-organization-level>
    <description></description>
    <measurement-methodology></measurement-methodology>
    <evidence-supporting-taxonomic-applicability></evidence-supporting-taxonomic-applicability>
    <applicability>
    </applicability>
    <references></references>
    <source>AOPWiki</source>
    <creation-timestamp>2024-01-10T04:44:24</creation-timestamp>
    <last-modification-timestamp>2024-01-10T04:44:24</last-modification-timestamp>
  </key-event>
  <key-event-relationship id="a481deb6-d447-42c6-8b5a-2e6bb9ea82f0">
    <title>
      <upstream-id>ebd7f8c9-b48b-43b2-872c-58007cad211e</upstream-id>
      <downstream-id>62ff5cfb-d60e-4005-9598-9392d7fbe85d</downstream-id>
    </title>
    <description></description>
    <evidence-collection-strategy/>
    <weight-of-evidence>
      <value></value>
      <biological-plausibility></biological-plausibility>
      <emperical-support-linkage></emperical-support-linkage>
      <uncertainties-or-inconsistencies></uncertainties-or-inconsistencies>
    </weight-of-evidence>
    <known-modulating-factors/>
    <quantitative-understanding>
      <description></description>
      <response-response-relationship/>
      <time-scale/>
      <feedforward-feedback-loops/>
    </quantitative-understanding>
    <applicability>
    </applicability>
    <evidence-supporting-taxonomic-applicability></evidence-supporting-taxonomic-applicability>
    <references></references>
    <source>AOPWiki</source>
    <creation-timestamp>2022-01-21T07:18:45</creation-timestamp>
    <last-modification-timestamp>2022-01-21T07:18:45</last-modification-timestamp>
  </key-event-relationship>
  <key-event-relationship id="8b5b5547-ee44-4df3-9096-ebd9dfc0da34">
    <title>
      <upstream-id>ebd7f8c9-b48b-43b2-872c-58007cad211e</upstream-id>
      <downstream-id>90a59d2b-e90d-4ff0-ae7f-3ad58c218ee7</downstream-id>
    </title>
    <description></description>
    <evidence-collection-strategy/>
    <weight-of-evidence>
      <value></value>
      <biological-plausibility></biological-plausibility>
      <emperical-support-linkage></emperical-support-linkage>
      <uncertainties-or-inconsistencies></uncertainties-or-inconsistencies>
    </weight-of-evidence>
    <known-modulating-factors/>
    <quantitative-understanding>
      <description></description>
      <response-response-relationship/>
      <time-scale/>
      <feedforward-feedback-loops/>
    </quantitative-understanding>
    <applicability>
    </applicability>
    <evidence-supporting-taxonomic-applicability></evidence-supporting-taxonomic-applicability>
    <references></references>
    <source>AOPWiki</source>
    <creation-timestamp>2022-03-17T12:16:34</creation-timestamp>
    <last-modification-timestamp>2022-03-17T12:16:34</last-modification-timestamp>
  </key-event-relationship>
  <key-event-relationship id="2ad5d435-d06e-457b-8c8c-21f9601cab67">
    <title>
      <upstream-id>62ff5cfb-d60e-4005-9598-9392d7fbe85d</upstream-id>
      <downstream-id>f8fabf39-6020-4761-99c4-4a1584bb4702</downstream-id>
    </title>
    <description></description>
    <evidence-collection-strategy/>
    <weight-of-evidence>
      <value></value>
      <biological-plausibility></biological-plausibility>
      <emperical-support-linkage></emperical-support-linkage>
      <uncertainties-or-inconsistencies></uncertainties-or-inconsistencies>
    </weight-of-evidence>
    <known-modulating-factors/>
    <quantitative-understanding>
      <description></description>
      <response-response-relationship/>
      <time-scale/>
      <feedforward-feedback-loops/>
    </quantitative-understanding>
    <applicability>
    </applicability>
    <evidence-supporting-taxonomic-applicability></evidence-supporting-taxonomic-applicability>
    <references></references>
    <source>AOPWiki</source>
    <creation-timestamp>2022-03-09T08:20:00</creation-timestamp>
    <last-modification-timestamp>2022-03-09T08:20:00</last-modification-timestamp>
  </key-event-relationship>
  <key-event-relationship id="5c5e1ca8-82be-4cf7-a63a-745b2dbb3e56">
    <title>
      <upstream-id>f8fabf39-6020-4761-99c4-4a1584bb4702</upstream-id>
      <downstream-id>348f6756-9e29-43ae-bb75-05d7c5cf2177</downstream-id>
    </title>
    <description></description>
    <evidence-collection-strategy/>
    <weight-of-evidence>
      <value></value>
      <biological-plausibility></biological-plausibility>
      <emperical-support-linkage></emperical-support-linkage>
      <uncertainties-or-inconsistencies></uncertainties-or-inconsistencies>
    </weight-of-evidence>
    <known-modulating-factors/>
    <quantitative-understanding>
      <description></description>
      <response-response-relationship/>
      <time-scale/>
      <feedforward-feedback-loops/>
    </quantitative-understanding>
    <applicability>
    </applicability>
    <evidence-supporting-taxonomic-applicability></evidence-supporting-taxonomic-applicability>
    <references></references>
    <source>AOPWiki</source>
    <creation-timestamp>2022-03-21T11:48:52</creation-timestamp>
    <last-modification-timestamp>2022-03-21T11:48:52</last-modification-timestamp>
  </key-event-relationship>
  <key-event-relationship id="7840d57a-f81f-4735-b914-6adf049485c8">
    <title>
      <upstream-id>f8fabf39-6020-4761-99c4-4a1584bb4702</upstream-id>
      <downstream-id>d1785a70-141a-406c-b8bd-653b708a87d0</downstream-id>
    </title>
    <description></description>
    <evidence-collection-strategy/>
    <weight-of-evidence>
      <value></value>
      <biological-plausibility></biological-plausibility>
      <emperical-support-linkage></emperical-support-linkage>
      <uncertainties-or-inconsistencies></uncertainties-or-inconsistencies>
    </weight-of-evidence>
    <known-modulating-factors/>
    <quantitative-understanding>
      <description></description>
      <response-response-relationship/>
      <time-scale/>
      <feedforward-feedback-loops/>
    </quantitative-understanding>
    <applicability>
    </applicability>
    <evidence-supporting-taxonomic-applicability></evidence-supporting-taxonomic-applicability>
    <references></references>
    <source>AOPWiki</source>
    <creation-timestamp>2024-01-10T04:45:15</creation-timestamp>
    <last-modification-timestamp>2024-01-10T04:45:15</last-modification-timestamp>
  </key-event-relationship>
  <key-event-relationship id="c92486e9-4746-404a-b13f-db3a8e027bd7">
    <title>
      <upstream-id>d1785a70-141a-406c-b8bd-653b708a87d0</upstream-id>
      <downstream-id>3798c5f0-65ac-4251-bdae-38b8c7825821</downstream-id>
    </title>
    <description></description>
    <evidence-collection-strategy/>
    <weight-of-evidence>
      <value></value>
      <biological-plausibility></biological-plausibility>
      <emperical-support-linkage></emperical-support-linkage>
      <uncertainties-or-inconsistencies></uncertainties-or-inconsistencies>
    </weight-of-evidence>
    <known-modulating-factors/>
    <quantitative-understanding>
      <description></description>
      <response-response-relationship/>
      <time-scale/>
      <feedforward-feedback-loops/>
    </quantitative-understanding>
    <applicability>
    </applicability>
    <evidence-supporting-taxonomic-applicability></evidence-supporting-taxonomic-applicability>
    <references></references>
    <source>AOPWiki</source>
    <creation-timestamp>2024-01-10T04:46:04</creation-timestamp>
    <last-modification-timestamp>2024-01-10T04:46:04</last-modification-timestamp>
  </key-event-relationship>
  <key-event-relationship id="f49854a1-b4c2-466d-af82-e547ba77cafb">
    <title>
      <upstream-id>348f6756-9e29-43ae-bb75-05d7c5cf2177</upstream-id>
      <downstream-id>3798c5f0-65ac-4251-bdae-38b8c7825821</downstream-id>
    </title>
    <description></description>
    <evidence-collection-strategy/>
    <weight-of-evidence>
      <value></value>
      <biological-plausibility></biological-plausibility>
      <emperical-support-linkage></emperical-support-linkage>
      <uncertainties-or-inconsistencies></uncertainties-or-inconsistencies>
    </weight-of-evidence>
    <known-modulating-factors/>
    <quantitative-understanding>
      <description></description>
      <response-response-relationship/>
      <time-scale/>
      <feedforward-feedback-loops/>
    </quantitative-understanding>
    <applicability>
    </applicability>
    <evidence-supporting-taxonomic-applicability></evidence-supporting-taxonomic-applicability>
    <references></references>
    <source>AOPWiki</source>
    <creation-timestamp>2024-01-10T04:46:26</creation-timestamp>
    <last-modification-timestamp>2024-01-10T04:46:26</last-modification-timestamp>
  </key-event-relationship>
  <key-event-relationship id="a4888553-fd5b-4ea8-a209-8ade385f0e47">
    <title>
      <upstream-id>3798c5f0-65ac-4251-bdae-38b8c7825821</upstream-id>
      <downstream-id>90a59d2b-e90d-4ff0-ae7f-3ad58c218ee7</downstream-id>
    </title>
    <description></description>
    <evidence-collection-strategy/>
    <weight-of-evidence>
      <value></value>
      <biological-plausibility></biological-plausibility>
      <emperical-support-linkage></emperical-support-linkage>
      <uncertainties-or-inconsistencies></uncertainties-or-inconsistencies>
    </weight-of-evidence>
    <known-modulating-factors/>
    <quantitative-understanding>
      <description></description>
      <response-response-relationship/>
      <time-scale/>
      <feedforward-feedback-loops/>
    </quantitative-understanding>
    <applicability>
    </applicability>
    <evidence-supporting-taxonomic-applicability></evidence-supporting-taxonomic-applicability>
    <references></references>
    <source>AOPWiki</source>
    <creation-timestamp>2024-01-10T04:47:01</creation-timestamp>
    <last-modification-timestamp>2024-01-10T04:47:01</last-modification-timestamp>
  </key-event-relationship>
  <aop id="15e3e248-d632-42d0-b600-0ed0a7d21419">
    <title>Ionizing radiation-induced DNA damage leads to microcephaly via apoptosis and premature cell differentiation</title>
    <short-name>Increased DNA damages during embryonic development lead to microcephaly</short-name>
    <point-of-contact>Olivier ARMANT</point-of-contact>
    <authors>&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Calibri&amp;quot;,sans-serif"&gt;Olivier ARMANT (IRSN)&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Calibri&amp;quot;,sans-serif"&gt;Christelle ADAM-GUILLERMIN (IRSN)&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Calibri&amp;quot;,sans-serif"&gt;Karine AUDOUZE (Univ Paris Cit&amp;eacute;)&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Calibri&amp;quot;,sans-serif"&gt;Omid AZIMZADEH (Bfs)&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Calibri&amp;quot;,sans-serif"&gt;Rafi Benotmane (CSK CEN)&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Calibri&amp;quot;,sans-serif"&gt;Christelle DURAND (IRSN)&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Calibri&amp;quot;,sans-serif"&gt;Chrystelle IBANEZ (IRSN)&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Calibri&amp;quot;,sans-serif"&gt;Thomas JAYLET (Univ Paris Cit&amp;eacute;)&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Calibri&amp;quot;,sans-serif"&gt;Olivier LAURENT (IRSN)&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Calibri&amp;quot;,sans-serif"&gt;Jukka LUUKKONEN (UEF)&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Calibri&amp;quot;,sans-serif"&gt;Roel QUINTENS (SCK CEN)&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Calibri&amp;quot;,sans-serif"&gt;Magdalini SACHANA (OECD)&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Calibri&amp;quot;,sans-serif"&gt;Ingacia TANAKA (IES)&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Calibri&amp;quot;,sans-serif"&gt;Knut Erik Tollefsen (NIVA)&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Calibri&amp;quot;,sans-serif"&gt;Vinita Chauhan (Health Canada)&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
</authors>
    <coaches>
    </coaches>
    <external_links>
    </external_links>
    <status>
      <wiki-license>BY-SA</wiki-license>
    </status>
    <oecd-project/>
    <handbook-version>2.0</handbook-version>
    <abstract>&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Calibri&amp;quot;,sans-serif"&gt;Exposures to ionizing radiations during the early phase of embryonic development can alter the process of brain development, increasing the risk of microcephaly. Excessive accumulation of DNA damages in cycling progenitors in the ventricular zone (VZ) and in the subventricular zone (SVZ) activates P53 leading primarily to cellular death via apoptosis and premature neuronal differentiation. Reduction of the progenitors pool consequently affect brain growth leading to microcephaly&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
</abstract>
    <molecular-initiating-event key-event-id="ebd7f8c9-b48b-43b2-872c-58007cad211e">
      <evidence-supporting-chemical-initiation>&lt;p&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;&lt;span style="font-size:12px"&gt;It is well documented that ionizing radiation( (eg.&amp;nbsp;X-rays, gamma, photons, alpha, beta, neutrons, heavy ions)&amp;nbsp;leads to energy deposition on the atoms and molecules of the substrate. Many studies, have demonstrated that the type of radiation and distance from source has an impact on the pattern of energy deposition (Alloni, et al. 2014). High linear energy transfer (LET) radiation has been associated with higher-energy deposits (Liamsuwan et al., 2014) that are more densely-packed and cause more complex effects within the particle track (Hada and Georgakilas, 2008; Okayasu, 2012ab; Lorat et al., 2015; Nikitaki et al., 2016) in comparison to low LET radiation. Parameters such as mean lineal energy, dose mean lineal energy, frequency mean specific energy and dose mean specific energy can impact track structure of the traversed energy into a medium (Friedland et al., 2017)&lt;/span&gt;&lt;/span&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;&lt;span style="font-size:12px"&gt;. The detection of energy deposition by ionizing radiation can be demonstrated with the use of fluorescent nuclear track detectors (FNTDs). FNTDs used in conjunction with fluorescent microscopy, are able to visualize radiation tracks produced by ionizing radiation (Niklas et al., 2013; Kodaira et al., 2015; Sawakuchi and Akselrod, 2016). In addition, these FNTD chips can quantify the LET of primary and secondary radiation tracks up to 0.47 keV/um (Sawakuchi and Akselrod, 2016). This co-visualization of the radiation tracks and the cell markers enable the mapping of the radiation trajectory to specific cellular compartments, and the identification of accrued damage (Niklas et al., 2013; Kodaira et al., 2015). There are no known chemical initiators or prototypes that can mimic the MIE.&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
</evidence-supporting-chemical-initiation>
    </molecular-initiating-event>
    <key-events>
      <key-event key-event-id="62ff5cfb-d60e-4005-9598-9392d7fbe85d"/>
      <key-event key-event-id="f8fabf39-6020-4761-99c4-4a1584bb4702"/>
      <key-event key-event-id="348f6756-9e29-43ae-bb75-05d7c5cf2177"/>
      <key-event key-event-id="d1785a70-141a-406c-b8bd-653b708a87d0"/>
      <key-event key-event-id="3798c5f0-65ac-4251-bdae-38b8c7825821"/>
    </key-events>
    <adverse-outcome key-event-id="90a59d2b-e90d-4ff0-ae7f-3ad58c218ee7">
      <examples></examples>
    </adverse-outcome>
    <key-event-relationships>
      <relationship id="a481deb6-d447-42c6-8b5a-2e6bb9ea82f0">
        <adjacency>adjacent</adjacency>
        <quantitative-understanding-value>Not Specified</quantitative-understanding-value>
        <evidence>High</evidence>
      </relationship>
      <relationship id="2ad5d435-d06e-457b-8c8c-21f9601cab67">
        <adjacency>adjacent</adjacency>
        <quantitative-understanding-value>Not Specified</quantitative-understanding-value>
        <evidence>High</evidence>
      </relationship>
      <relationship id="5c5e1ca8-82be-4cf7-a63a-745b2dbb3e56">
        <adjacency>adjacent</adjacency>
        <quantitative-understanding-value>Not Specified</quantitative-understanding-value>
        <evidence>Moderate</evidence>
      </relationship>
      <relationship id="7840d57a-f81f-4735-b914-6adf049485c8">
        <adjacency>adjacent</adjacency>
        <quantitative-understanding-value>Low</quantitative-understanding-value>
        <evidence>Moderate</evidence>
      </relationship>
      <relationship id="c92486e9-4746-404a-b13f-db3a8e027bd7">
        <adjacency>adjacent</adjacency>
        <quantitative-understanding-value>Low</quantitative-understanding-value>
        <evidence>High</evidence>
      </relationship>
      <relationship id="f49854a1-b4c2-466d-af82-e547ba77cafb">
        <adjacency>adjacent</adjacency>
        <quantitative-understanding-value>Low</quantitative-understanding-value>
        <evidence>Low</evidence>
      </relationship>
      <relationship id="a4888553-fd5b-4ea8-a209-8ade385f0e47">
        <adjacency>adjacent</adjacency>
        <quantitative-understanding-value>Low</quantitative-understanding-value>
        <evidence>High</evidence>
      </relationship>
      <relationship id="8b5b5547-ee44-4df3-9096-ebd9dfc0da34">
        <adjacency>non-adjacent</adjacency>
        <quantitative-understanding-value>Not Specified</quantitative-understanding-value>
        <evidence>High</evidence>
      </relationship>
    </key-event-relationships>
    <applicability>
      <sex>
        <evidence>High</evidence>
        <sex>Unspecific</sex>
      </sex>
      <life-stage>
        <evidence>High</evidence>
        <life-stage>Pregnancy</life-stage>
      </life-stage>
      <taxonomy taxonomy-id="fd5509ca-e06a-4daa-96c3-e2af5c44dafa">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="3f78814d-3d84-4aa5-bd07-ec9abe61b8a2">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="ba7ad243-5bba-4416-b425-73899730bb1e">
        <evidence>Low</evidence>
      </taxonomy>
    </applicability>
    <overall-assessment>
      <description></description>
      <applicability>&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Calibri&amp;quot;,sans-serif"&gt;&lt;strong&gt;Term &amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; Scientific Term &amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; Evidence &amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; NCBI taxonid&lt;/strong&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Calibri&amp;quot;,sans-serif"&gt;mouse &amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; Mus musculus &amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; High &amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;10090&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Calibri&amp;quot;,sans-serif"&gt;human &amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; Homo sapiens &amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; High &amp;nbsp;&amp;nbsp;&amp;nbsp; &amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;9606&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Calibri&amp;quot;,sans-serif"&gt;rat &amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; Rattus norvegicus &amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; High &amp;nbsp;&amp;nbsp;&amp;nbsp; &amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;10114&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
</applicability>
      <key-event-essentiality-summary></key-event-essentiality-summary>
      <weight-of-evidence-summary></weight-of-evidence-summary>
      <known-modulating-factors>&lt;div&gt;
&lt;table class="table table-bordered table-fullwidth"&gt;
	&lt;thead&gt;
		&lt;tr&gt;
			&lt;th&gt;Modulating Factor (MF)&lt;/th&gt;
			&lt;th&gt;Influence or Outcome&lt;/th&gt;
			&lt;th&gt;KER(s) involved&lt;/th&gt;
		&lt;/tr&gt;
	&lt;/thead&gt;
	&lt;tbody&gt;
		&lt;tr&gt;
			&lt;td&gt;&amp;nbsp;&lt;/td&gt;
			&lt;td&gt;&amp;nbsp;&lt;/td&gt;
			&lt;td&gt;&amp;nbsp;&lt;/td&gt;
		&lt;/tr&gt;
	&lt;/tbody&gt;
&lt;/table&gt;
&lt;/div&gt;
</known-modulating-factors>
      <quantitative-considerations></quantitative-considerations>
    </overall-assessment>
    <potential-applications></potential-applications>
    <aop-stressors>
      <aop-stressor stressor-id="29560b09-2e08-47b8-a4b3-b71a1d38ec97">
        <evidence>High</evidence>
      </aop-stressor>
    </aop-stressors>
    <references></references>
    <source>AOPWiki</source>
    <creation-timestamp>2022-03-09T07:33:35</creation-timestamp>
    <last-modification-timestamp>2025-10-10T09:18:04</last-modification-timestamp>
  </aop>
  <vendor-specific id="9d145622-14c9-448e-afe7-0dd9dc70dc8f" name="AopWiki" version="2026-06-17 16:45:23 +0000">
    <biological-process-reference id="87d3257f-ff8b-44a5-9e13-6e422a2c2296" aop-wiki-id="65579"/>
    <biological-process-reference id="b4a2ce69-3c69-4a03-983c-ac0237905fb2" aop-wiki-id="7931"/>
    <biological-action-reference id="a0b2656c-dc71-4d1b-9436-845f51434386" aop-wiki-id="1"/>
    <biological-action-reference id="2fcf1ffa-287b-4bb4-945e-0747edee5558" aop-wiki-id="3"/>
    <taxonomy-reference id="26b6adb8-891d-4200-b358-23a41b94fbe4" aop-wiki-id="459"/>
    <taxonomy-reference id="dcbadb87-288d-493e-8750-8d1d6b10d8b6" aop-wiki-id="68"/>
    <taxonomy-reference id="9cece169-a24c-49b9-81f6-3353156fe948" aop-wiki-id="31"/>
    <taxonomy-reference id="7278aa1e-5439-42d2-be31-8c554fd49c11" aop-wiki-id="3858"/>
    <taxonomy-reference id="fb6444df-ef8f-4bd6-8cc3-6b83b92ff6df" aop-wiki-id="522"/>
    <taxonomy-reference id="15644a4b-1994-41a8-8494-0fe622e1b40c" aop-wiki-id="1522"/>
    <taxonomy-reference id="7f8d71bd-1d79-4b4f-b709-a58208788d96" aop-wiki-id="1101"/>
    <taxonomy-reference id="34d3d85a-3e3c-4748-a45c-b275aedd4ad4" aop-wiki-id="656"/>
    <taxonomy-reference id="cd626d7b-33b4-42c4-9fed-42b6e60c8d32" aop-wiki-id="887"/>
    <taxonomy-reference id="ace10f45-f3a3-4f29-ab1d-77a9f167f2d9" aop-wiki-id="555"/>
    <taxonomy-reference id="a2c13add-599e-484a-8a1f-b4835555eaaf" aop-wiki-id="707"/>
    <taxonomy-reference id="5bd473f9-b37a-46b2-b223-98e607bfc8d8" aop-wiki-id="5028"/>
    <taxonomy-reference id="79c6451d-558f-4e51-821c-a95bb09ab037" aop-wiki-id="30"/>
    <taxonomy-reference id="ba7ad243-5bba-4416-b425-73899730bb1e" aop-wiki-id="66"/>
    <taxonomy-reference id="fd5509ca-e06a-4daa-96c3-e2af5c44dafa" aop-wiki-id="1"/>
    <taxonomy-reference id="860f86f4-0e59-4429-b186-898dd9e50664" aop-wiki-id="3856"/>
    <taxonomy-reference id="3f78814d-3d84-4aa5-bd07-ec9abe61b8a2" aop-wiki-id="123"/>
    <stressor-reference id="29560b09-2e08-47b8-a4b3-b71a1d38ec97" aop-wiki-id="451"/>
    <stressor-reference id="780b5b66-201c-480c-afb6-d3cc6447ded9" aop-wiki-id="452"/>
    <biological-object-reference id="70b11db2-fdcb-4953-83ab-0c2efe248b2f" aop-wiki-id="30552"/>
    <key-event-reference id="ebd7f8c9-b48b-43b2-872c-58007cad211e" aop-wiki-id="1686"/>
    <key-event-reference id="62ff5cfb-d60e-4005-9598-9392d7fbe85d" aop-wiki-id="1194"/>
    <key-event-reference id="f8fabf39-6020-4761-99c4-4a1584bb4702" aop-wiki-id="1974"/>
    <key-event-reference id="90a59d2b-e90d-4ff0-ae7f-3ad58c218ee7" aop-wiki-id="1978"/>
    <key-event-reference id="348f6756-9e29-43ae-bb75-05d7c5cf2177" aop-wiki-id="1979"/>
    <key-event-reference id="d1785a70-141a-406c-b8bd-653b708a87d0" aop-wiki-id="1262"/>
    <key-event-reference id="3798c5f0-65ac-4251-bdae-38b8c7825821" aop-wiki-id="2200"/>
    <key-event-relationship-reference id="a481deb6-d447-42c6-8b5a-2e6bb9ea82f0" aop-wiki-id="2552"/>
    <key-event-relationship-reference id="8b5b5547-ee44-4df3-9096-ebd9dfc0da34" aop-wiki-id="2604"/>
    <key-event-relationship-reference id="2ad5d435-d06e-457b-8c8c-21f9601cab67" aop-wiki-id="2595"/>
    <key-event-relationship-reference id="5c5e1ca8-82be-4cf7-a63a-745b2dbb3e56" aop-wiki-id="2606"/>
    <key-event-relationship-reference id="7840d57a-f81f-4735-b914-6adf049485c8" aop-wiki-id="3105"/>
    <key-event-relationship-reference id="c92486e9-4746-404a-b13f-db3a8e027bd7" aop-wiki-id="3106"/>
    <key-event-relationship-reference id="f49854a1-b4c2-466d-af82-e547ba77cafb" aop-wiki-id="3107"/>
    <key-event-relationship-reference id="a4888553-fd5b-4ea8-a209-8ade385f0e47" aop-wiki-id="3108"/>
    <aop-reference id="15e3e248-d632-42d0-b600-0ed0a7d21419" aop-wiki-id="441"/>
  </vendor-specific>
</data>
