“…1). Specifically, radiobiological responses include: i) molecular reactions such as DSB (14)(15)(16)(17)(18), ATM (19,20), ATR (21), NBS1 (22), BRCA1 (23), DNA-PK (24,25), HIF-1a (26,27), γ-H2AX (28,29), as well as the early response molecules such as Egr-1 (30) and c-fos (31); ii) cellular responses such as apoptosis (32), autophagy (16,(33)(34)(35), cell proliferation rate (36) and changes in cell cycle (37)(38)(39)(40)(41)(42)(43); iii) tissue and organ level responses, including volume changes (44), inflammation, edema and fibrosis (8,45,46); and iv) the overall level of responses, including changes in expression of cytokines such as IL-1 (47), IL-6 (48), TNFα (49) and TGFβ (45). Radiation responses should be considered on multiple, comprehensive levels in the tumor and normal tissue, as well as in the early stage of acute response and the late stage tissue responses.…”