“…Depending upon the cell and tissue type, bystander signals can be transmitted either through the culture medium [17] or by cell-to-cell contact including gap junctional communication [37]. Some of the candidate intercellular signaling molecules that have been implicated in bystander effects are reactive oxygen species [20], [38], reactive nitrogen species [20], [38], nitric oxide [27], [38], cytokines such as TGFβ and interleukin 8 [39], and small molecules such as amino acids [37], [40], [41]. The involvement of intracellular signaling molecules including mitogen-activated protein kinases (MAPK) and their downstream proteins [42], [43], protein kinase C (PKC) isoforms [44], tumor protein 53 (p53) [45], [46], cyclin-dependent kinase inhibitor 1A (CDKN1A, p21) [47], ataxia telangiectasia mutated protein (ATM) [44], and ataxia telangiectasia and Rad3 related (ATR) DNA-dependent protein kinase (DNA-PK) [44], [48] have also been implicated.…”