“…The involvement of soluble factors like reactive oxygen species (ROS) (Azzam et al, 2002;Shao et al, 2003aShao et al, , 2005, nitric oxide (NO) (Shao et al, 2003b(Shao et al, , 2005Sokolov et al, 2005) and cytokines released from irradiated cells as well as gap junction intercellular communication (Azzam et al, 2001;Shao et al, 2003a;Mitchell et al, 2004;Sokolov et al, 2005) have recently been reported. Most interestingly, several cytokines can be induced by ROS and NO/NOS (Ayache et al, 2002;Hsu and Wen, 2002;Kosmidou et al, 2002;Hwang et al, 2004;Ryan et al, 2004) providing a possible link between different factors potentially involved in bystander signalling. End points used for the study of bystander effects in vitro have included micronuclei formation (Azzam et al, 2002;Kashino et al, 2004;Shao et al, 2004), gene mutations and genomic instability (Zhou et al, 2000), gene expression changes (Azzam et al, 2002;Yang et al, 2005), transformation (Sawant et al, 2001), proliferation (Gerashchenko and Howell, 2003), cell survival, apoptosis (Belyakov et al, 2002;Lyng et al, 2002), cell cycle arrest (Azzam et al, 2000) and most recently the induction of gH2AX foci in bystander cells (Hu et al, 2005;Sokolov et al, 2005;Yang et al, 2005).…”