Ionizing radiation causes both singly and multiply damaged sites in DN
A when the range of radical migration is limited by the presence pf hy
droxyl radical scavengers (e.g. within cells). Multiply damaged sites
are considered to be more biologically relevant because of the challen
ges they present to cellular repair mechanisms. These sites occur in t
he form of DNA double-strand breaks (dsb) but also as other multiple d
amages that can be converted to dsb during attempted repair. The prese
nce of a dsb can lead to loss of base sequence information and/or can
permit the two ends of a break to separate and rejoin with the wrong p
artner. (Multiply damaged sites may also be the biologically relevant
type of damage caused by other agents, such as UVA, B and/or C light,
and some antitumour antibiotics.) The quantitative data available from
radiation studies of DNA are shown to support the proposed mechanisms
for the production of complex damage in cellular DNA, i.e. via scaven
gable and non-scavengable mechanisms. The yields of complex damages ca
n in turn be used to support the conclusion that cellular mutations ar
e a consequence of the presence of these damages within a gene. Litera
ture data are used to support these statements and to develop overall
mechanisms connecting the production of primary species to the product
ion of biologically relevant damages. The consequences of the LET of t
he radiation on multiplicity of damage are discussed and suggestions m
ade for the cause of the decrease of the oxygen enhancement ratio as t
he LET increases.