Gordian Knot News • 139 implied HN points • 27 Jan 26
- Allowing proportional DNA repair doesn't save the Linear No‑Threshold (LNT) model, because if cancer mainly arises from closely spaced double‑strand breaks, risk does not track total dose alone and can grow faster than linearly.
- If repair takes time, higher dose rates increase the inventory of unrepaired double‑strand breaks and the probability of two breaks clustering rises roughly with the square (or higher power) of dose rate, producing a nonlinear (steeper) risk response.
- Biologically, single‑strand breaks are fixed with very high fidelity, but double‑strand breaks can be misrepaired by joining wrong ends; those misrepairs (especially paired or closely spaced DSBs) are the likely mechanism for radiation‑induced cancer, so dose rate and break clustering matter.