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Objective: The aim of this study was to discuss the effect of pre-low-dose X-ray radiation on P53, Bcl-2 and apoptosis of HepG2 cells in tumor-bearing nude mouse, and further explore the mechanism of low doses radiation. Methods: HepG2 cells were implanted subcutaneously into nude mice. 14 days after the implanting, these mice were divided into 6 groups randomly, S group (sham-irradiation 0 cGy), D1 group (7.5 cGy, dosage rate = 7.5 cGy/min), D2 group, (200 cGy, dosage rate = 100 cGy/min), D1 + 2 h + D2 group, D1 + 6 h + D2 group and D1 + 12 h + D2 group. Tumor-bearing mice in each experimental group were executed at 24 h after the last irradiation. P53 and Bcl-2 were detected by immunohistochem-ical staining, the tumor tissues apoptosis were detected in site (Tunel). Results: Each combined exposure groups (D1 + 2 h + D2 group, D1 + 6 h + D2 group and D1 + 12 h + D2 group) compared with the D2 group, the percentages of positive P53 and Bcl-2 were decreased obviously, and the apoptotic indexs were increased (P< 0.01). Conclusion: Pre-low-dose radiation combined with the conventional radiation can increase the apoptosis of tumor tissues by decreasing the expression of P53 and Bcl-2, it can enhance the anti-tumor effect of conventional radiation, and it can have actual clinical significance on supporting radiotherapy.