The in vitro antioxidant, antiproliferative, genotoxic and cytoprotective effects of the methanolic extract of the seaweed Padina tetrastromatica were assayed using the 1,1-diphenyl-2-picrylhydrazyl (DPPH) radical, superoxide, nitric oxide and hydroxyl radical scavenging assays, 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) and comet assays. The methanolic extract of P. tetrastromatica showed considerable antioxidant activity through inhibition of DPPH and hydroxyl radicals, with median inhibitory concentration (IC 50 ) values of 45.57 ± 1.63 and 36.58 ± 2.13 μg/ml, respectively. Treatment of the human breast adenocarcinoma cell line MCF-7 with the methanolic extract, at a concentration range of 0-500 μg/ml, showed considerable antiproliferative effects, with an IC 50 value of 125 ± 2.03 μg/ml. The genotoxic and cytoprotective effects of the extract on the human breast adenocarcinoma cell line MCF-7 and the embryonic fibroblast cell line 3T3-L1 were evaluated by the in vitro comet assay, and the extract demonstrated a genotoxic effect on MCF-7 and antigenotoxic and cytoprotective effects on 3T3-L1 cells. The methanolic extract of P. tetrastromatica was more effective in inducing a genotoxic effect in MCF-7 cells and a cytoprotective effect in 3T3-L1 cells, compared with the standard cancer chemotherapy drug doxorubicin, which induced greater DNA damage in the normal 3T3 cells.