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ABSTRACTIn this very new project we have begun a systematic evaluation ot the molecular mechanisms of radiation adaptation. We have developed a wound-healing model that will provide a functional assessment of the promitogenic effects of low dose radiation exposure. We have begun detailed cell cycle analysis of low dose radiation exposure on human keratinocytes and fibroblasts as well as survival assays following priming and challenge doses of ionizing radiation. Initial experiments suggest that doses in the range of 10 cGy provide a promitogenic signal. Further, a priming dose of 10-20 cGy seems to provide radiation protection against subsequent challenge doses up to 4 Gy. Beyond 4 Gy in challenge doses, the radioprotective effect of the priming dose seems to be overwhelmed. Genomic evaluation using the Illumina microarray platform is ongoing. This paper is the first to describe transcriptional responses to low-dose ionizing radiation in vivo in humans. The earlier dosimetry work allowed for accurate quantitation of precisely calibrated doses which were verified by TLD's and MOSFETs. Eight men were included in this study, a biopsy was taken prior to each patient's first radiation treatment and three biopsies were taken 3 hours post exposure at locations on the abdomen which received 1, 10 or 100 cGy doses. Each biopsy was processed and the RNA was interrogated on an Affymetrix HGU133 Plus 2.0 array. The data was analyzed using the method of Rocke et al as described above, which determined significant differential expression of pre-selected gene groups and pathways. The results identified seven of nineteen gene groups and five of seven gene pathways which were up or down regulated. The gene groups up regulated included: BCL6, cytokines, mitogen-activated protein kinases, and zinc finger proteins. The gene groups down regulated included: keratins, protein disulfide isomerase and S 100. The five pathways all displayed up regulation and included: transforming growth factor /cyclin/ubiquitin pathway, stress/apoptosis, inflammation, growth factor/insulin, and AKT/phosphoinositide-3-kinase. The gene groups and pathways found in this study have known functions in apoptosis, cell cycle arrest, DNA repair and inflammation. This indicates that the skin respo...