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Cell - cell communication

Secreted Factors

Non-targeted effects of IR

• Recent shift in

conventional paradigm

of radiobiology

• Targeted vs Non-

targeted effects

• Non-Targeted effects

– Bystander effects (RIBE)

• Abscopal = clinical

manifestation

– Genomic instability

(RIGI)

– Low dose

hypersensitivity

– Adaptive response

• Occur >0.5Gy IR

GJIC

Nucleus

Radiation

Courtesy of Orla Howe, DIT