“…It could be the bystander effect of radiotherapy, that is, the same effect of radiotherapy on cells, tissues or organs in non-irradiated areas ( Wang et al, 2015 ; Fu et al, 2020 ). After irradiation, cells in the irradiated area can secrete cytokines, small molecular metabolites, exosomes or microvesicles containing various substances, and other media ( Lin et al, 2017 ; Ariyoshi et al, 2019 ; Ni et al, 2020 ; Mukherjee et al, 2021 ), resulting in metabolic disorders, apoptosis, endoplasmic reticulum and golgi dysfunction of cells in non-irradiated areas ( Yakovlev, 2015 ; Jella et al, 2018 ; Mladenov et al, 2018 ; Dong et al, 2020 ; Heeran et al, 2021 ; Yang et al, 2021 ). Earlier studies reported elevated levels of CRP in circulating blood, and splenic cells exhibited enhanced levels of oxidative stress and increased apoptosis after cranial irradiation in rats ( El-Din et al, 2017 ).…”