DNA lesions induced by ionizing radiation in cells are clustered and not ra
ndomly distributed, For low linear energy transfer (LET) radiation this clu
stering occurs mainly on the small scales of DNA molecules and nucleosomes,
For example, experimental evidence suggests that both strands of DNA on th
e nucleosomal surface can be damaged in single events and that this damage
occurs with a 10-bp modulation because of protection by histories. For high
LET radiation, clustering also occurs on a larger scale and depends on chr
omatin organization. A particularly significant clustering occurs when an i
onizing particle traverses the 30 nm chromatin fiber with generation of hea
vily damaged DNA regions with an average size of about 2 kbp. On an even la
rger scale, high LET radiation can produce several DNA double-strand breaks
in closer proximity than expected from randomness. It is suggested that th
is increases the probability of misrejoining of DNA ends and generation of
lethal chromosome aberrations.