“…It has been shown that IR treated cells secrete exosomes that can be taken up by non-irradiated neighboring cells and induce biological changes via the bystander effect [157,158]. These IR-induced exosomes may promote radioresistance, leading to tumor progression and [150] ZEB1, ZEB2 [128] miR-323-3p p73 [151], AdipoR1 [152] miR-379-5p -miR-409-3p PHC3, RSU1,TUSC1 [153] miR-411-5p -miR-493-5p c-Met, CREB1, EGFR [154] miR-494-3p CXCR4 [155] miR-543 RKIP [156] miR-654-3p AR [74] RT radiotherapy, CIRT carbon ion radiotherapy, PCa prostate cancer, PTEN phosphatase and TENsin homolog, MARCKS myristoylated alanine-rich protein kinase c substrate, ANP32A acid nuclear phosphoprotein 32 family member A, SMARCA4 SWI/SNF related matrix associated actin dependent regulator of chromatin subfamily A member 4, AdipoR1 Adiponectin receptor 1, PHC3 polyhomeotic homolog 3, RSU1 Ras suppressor protein 1, TUSC1 tumor suppressor candidate 1, CREB1 CAMP responsive element binding protein 1, EGFR epidermal growth factor, CXCR4 CXC chemokine receptor 4, RKIP Raf kinase inhibitor protein, AR androgen receptor the formation of a pre-metastatic niche. Previous examples have indeed shown a resistance transfer by exosomes in breast cancer carcinoma [159,160], head and neck cancer [161] and glioblastoma [162].…”