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LIFE01200604005 Shri Somnath Ghosh - Homi Bhabha National ...

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CHAPTER 4<br />

DISCUSSION<br />

radiation are yet unknown. More information about the response of these signaling factors at<br />

clinically relevant doses during and after a fractionated regimen is needed to understand their<br />

role.<br />

In the present study human lung adenocarcinoma A549 cells were found to be more<br />

radioresistant if 10 Gy dose was delivered as fractionated dose (Fig.3.1.1). Although<br />

fractionation is supposed to play an important role in inducing an adaptive response and deciding<br />

the fate of cells, the mechanism by which it does so can be many and innumerable factors could<br />

be responsible. In microarray analysis, most of the pathways which were up-regulated in A549<br />

cells exposed to fractionated irradiation in all comparisons were associated with the survival or<br />

repair of the A549 cells. This indicated that fractionated irradiation could induce up-regulation of<br />

survival/repair related pathways in cancer cells.<br />

Previous reports concerning radioresistant non–small-cell lung cancer and HeLa cells<br />

indicated that cell cycle signaling pathways, mismatch repair, homologous recombination were<br />

up-regulated [241, 242]. In this study, some of these genes were previously known to be<br />

associated with responsiveness to radiation, such as p21 and GADD45α, but others were novel.<br />

These novel genes can be expected to be involved in radioresistance, but the precise function of<br />

each gene remains unclear; so further study was necessary to clarify the nature of associations.<br />

Microarray data had shown that p53 signaling pathway was up-regualted in A549 cells<br />

that had been exposed to fractionated irradiation; it was of interest to look at the phosphorylation<br />

of p53 and its translocation to the nucleus of A549 cells. Lung adenocarcinoma A549 cells<br />

typically express wild-type p53 protein [243] and would be expected to be sensitive to the DNAdamaging<br />

agents used for cancer therapy; however, these cells are radioresistant if the radiation<br />

188

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