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Updated: May 31, 2026

Quantification of γH2AX Foci in Response to Ionising Radiation
Published on: April 6, 2010
Retention of γH2AX foci as an indication of lethal DNA damage
1British Columbia Cancer Agency, BC, Canada. polive@bccrc.ca
Abstract:
The application of biological responses of tumours to predict clinical responses to treatment represents a challenging goal with the potential to inform treatment decisions and improve outcome. If tumour cell death is the result of the inability of a cell to repair complex DNA damage, and if γH2AX foci mark sites of unrepaired double-strand breaks, then it may be possible to use residual γH2AX foci to identify treatment-resistant tumour cells early in the course of therapy. This review will highlight some of the evidence that supports the idea that residual γH2AX foci, within certain limitations, may be useful as an early indicator of tumour response to radiotherapy in situ, either alone or in combination with chemotherapy.
Insights
Residual gamma-H2AX foci can indicate early tumor resistance to radiotherapy. This biomarker may help identify treatment-resistant cells, guiding clinical decisions and improving patient outcomes in cancer therapy.
Area of Science:
- Oncology
- Molecular Biology
- Radiotherapy Research
Background:
- Predicting clinical response to cancer treatment using biological markers is crucial for improving patient outcomes.
- Tumor cell death often results from unrepaired complex DNA damage.
- Gamma-H2AX foci are established markers for DNA double-strand breaks.
Purpose of the Study:
- To review the evidence supporting the use of residual gamma-H2AX foci as an early indicator of tumor response to radiotherapy.
- To explore the potential of gamma-H2AX foci in identifying treatment-resistant tumor cells.
- To assess the utility of gamma-H2AX foci in guiding radiotherapy and chemotherapy decisions.
Main Methods:
- Review of existing scientific literature and studies on DNA damage response and cancer treatment.
- Analysis of the role of gamma-H2AX foci in marking unrepaired DNA double-strand breaks.
- Evaluation of data correlating residual gamma-H2AX foci with treatment resistance in preclinical and clinical settings.
Main Results:
- Residual gamma-H2AX foci can serve as a biomarker for unrepaired DNA damage in tumors post-treatment.
- Evidence suggests a correlation between the presence of residual gamma-H2AX foci and resistance to radiotherapy.
- The predictive value of gamma-H2AX foci may be applicable in radiotherapy, alone or combined with chemotherapy.
Conclusions:
- Residual gamma-H2AX foci show promise as an early indicator of tumor response to radiotherapy.
- This biomarker has the potential to identify treatment-resistant cells, informing therapeutic strategies.
- Further research is warranted to establish the limitations and optimize the clinical application of gamma-H2AX foci in cancer treatment.
Related Concept Videos
DNA Damage can Stall the Cell Cycle
Fixing Double-strand Breaks
Homologous Recombination

