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    Direct and Bystander Effect on Cervix Cancer Cells (SiHa) Exposed to High Dose-Rate Gamma Radiation Sourced from Ir 192 Used in Brachytherapy

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    Introduction: Brachytherapy is a preferred choice of radiotherapy in the treatment of sensitive tissues&nbsp; cancer&nbsp; like&nbsp; intestine&nbsp; and&nbsp; gonad.&nbsp; The&nbsp; treatment&nbsp; is&nbsp; expensive&nbsp; because&nbsp; of&nbsp; the&nbsp; frequent replacement of radionuclide sources. A better understanding of cell killing and the cellular responses at&nbsp; different&nbsp; dose&nbsp; rates,&nbsp; might&nbsp; aid&nbsp; in tumor&nbsp; cell&nbsp; killing&nbsp; with&nbsp; fewer&nbsp; doses&nbsp; thereby&nbsp; enhancing&nbsp; a&nbsp; better prognosis. Methods: The cervix cancer cell line was irradiated with doses ranging from 2Gy-10 Gy at three different dose-rates as used in brachytherapy along with unexposed sample as control. The biological effects&nbsp; of&nbsp; different&nbsp; doses&nbsp; and&nbsp; dose&nbsp; rate&nbsp; of&nbsp; the&nbsp; cells&nbsp; was&nbsp; assessed&nbsp; by&nbsp; measuring&nbsp; its&nbsp; cytotoxicity,genotoxicity&nbsp; and&nbsp; clonogenic&nbsp; ability&nbsp; of&nbsp; exposed&nbsp; cells.&nbsp; The&nbsp; bystander&nbsp; effect&nbsp; was&nbsp; examined&nbsp; by&nbsp; co-culturing the exposed tumor cells with the unexposed normal blood lymphocyte and vice-versa.&nbsp;Results: A significant and dose dependent changes in cell viability (trypan blue exclusion), genotoxicity (Micronucleus assay) and colony forming ability (Clonogenic assay) was observed in the cells exposed to different doses of radiation (p&lt;0.0001); however, the changes were dose-rate independent.urthermore,&nbsp; the&nbsp; bystander&nbsp; study&nbsp; results&nbsp; show&nbsp; an&nbsp; enhanced&nbsp; cell&nbsp; killing&nbsp; in&nbsp; the&nbsp; tumor cells which suggest a beneficial bystander effects.Conclusion: The observed elevated bystander response in the tumour cells compared to that of normal blood lymphocytes suggest that if it happens under in-vivo situation, could results in has a therapeutic gain.</p
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