Ionizing radiations were directed at the heads of anesthetized mice in doses that evoked the acute central nervous system (CNS) radiation syndrome. Irradiations were done using either a predominantly thermal neutron field at a nuclear reactor after intraperitoneal i'jection of '°B-enriched boric acid or 250-kilovolt-peak x-rays with and without previous intraperitoneal injection of equivalent unenriched boric acid. Since '°B concentrations were =3-fold higher in blood than in cerebral parenchyma during the reactor irradiations, more radiation from a and 7Li particles was absorbed by brain endothelial cells than by brain parenchymal cells. Comparison of the LDjO dose for CNS radiation lethality from the reactor experiments with the LD50 dose from the x-ray experiments gives results compatible with morphologic evidence that endothelial cell damage is a maijor determinant of acute lethality from the CNS radiation syndrome. It was also observed that boric acid is a low linear energy transfer radiation-enhancement agent in vivo.Irradiation of the head of a mouse by more than 120 Gy of xrays usually causes death from the acute central nervous system (CNS) radiation syndrome within 3.5 days after irradiation (1). Blood vessels are damaged in the acute CNS syndrome (2). If a 10B-enriched substance is injected rapidly into a mouse and then penetrates the blood-brain barrier slowly, endothelial cells and parenchymal cells of the brain will be irradiated unequally by heavy charged particles (HCP) from the 10B(n,a)7Li nuclear reaction (3) ms-1, the average neutron speed at 200C (8,9). In 6% of such captures, the 10B(n,a)7Li reaction leads to the lower 7Li energy state (Ea = 1.777 MeV; ELU = 1.014 MeV; 1 eV = 1.602 x 10-19 J), whereas in 94% of captures, the reaction leads to the first excited state of 7Li, from which a 478-keV photon is emitted (Ea = 1.471 MeV; ELI = 0.839 MeV). For uniform distribution of boron, the kinetic energy released in matter (kerma) rate due to these HCP is, therefore, 7.68 x 10-12 FBq Gy-s-', where FB is the 10B mass fraction in the tissue and 4 is the thermal neutron fluence rate (s-1.m-2).tt For endothelial cells, the usual assumption of equivalence between the kerma rate and the absorbed dose rate is inapplicable. Since endothelial cells demarcate the physiological blood-brain barrier anatomically (10,11), and since blood 10B concentrations were about 3 times greater than parenchymal 10B concentrations during exposure to neutrons (Fig. 2 [:14 ,um long (a 9 um, 7Li 5 ,um; ref. 13) and :0.1 ,um in diameter] that envelop the colinear paths of the two mutually recoiling HCP. The radial gradiAbbreviations: CNS, central nervous system; GyE, Gy equivalent; HCP, heavy charged particle; kerma, kinetic energy released in matter; kVp, kilovolt peak; RBE, relative biological effectiveness.