Synchrotron microbeam radiation therapy (MRT) relies on the spatial fractionation of a synchrotron beam into parallel micronwide beams allowing deposition of hectogray doses. MRT controls the intracranial tumor growth in rodent models while sparing normal brain tissues. Our aim was to identify the early biological processes underlying the differential effect of MRT on tumor and normal brain tissues. The expression of 28,000 transcripts was tested by microarray 6 hr after unidirectional MRT (400 Gy, 50 mm-wide microbeams, 200 mm spacing). The specific response of tumor tissues to MRT consisted in the significant transcriptomic modulation of 431 probesets (316 genes). Among them, 30 were not detected in normal brain tissues, neither before nor after MRT. Areg, Trib3 and Nppb were down-regulated, whereas all others were up-regulated. Twenty-two had similar expression profiles during the 2 weeks observed after MRT, including Ccnb1, Cdc20, Pttg1 and Plk1 related to the mitotic role of the Pololike kinase (Plk) pathway. The up-regulation of Areg expression may indicate the emergence of survival processes in tumor cells triggered by the irradiation; while the modulation of the "mitotic role of Plk1" pathway, which relates to cytokinetic features of the tumor observed histologically after MRT, may partially explain the control of tumor growth by MRT. The identification of these tumor-specific responses permit to consider new strategies that might potentiate the antitumoral effect of MRT.Microbeam radiation therapy (MRT) is a novel form of preclinical radiotherapy based on the spatial fractionation of an incident synchrotron beam into arrays of parallel microbeams, which are typically few tens microns wide and separated on centre by few hundred microns (for review 1 ). This unique irradiation geometry allows the deposition of hectogray doses in tumors. Remarkably, brain tumors can be palliated by MRT in small animals with limited damage to normal cerebral tissues.2,3 This differential effect relates to the radioresistance of normal brain vessels to MRT for doses up to 1,000 Gy 4,5 , whereas MRT induces a denudation of tumor vessel endothelium, a decrease in tumor blood volume, 6,7 and tumor hypoxia.7 However, other mechanisms may contribute to the differential effects of MRT on tumor vs. normal tissues, e.g., direct impact of ionising radiation on tumor cells occurring before the vascular effect 6 and communication between lethally irradiated cells in the microbeam's path and less damaged cells sited in-between.8 All biological mechanisms underlying these differential effects remain to identify.Increasing the knowledge about the differential response between normal and tumor tissue to MRT is crucial because the identification of processes highly specific for the tumor tissue could be exploited to increase tumor control without disturbing the repair and maintenance of surrounding normal brain tissues. Specific cellular and molecular responses could be used to design efficient and safe adjuvant therapies.We have recently d...