Interfering with Tumor Hypoxia for Radiotherapy Optimization

Abstract Hypoxia in solid tumors is an important predictor of treatment resistance and poor clinical outcome. The significance of hypoxia in the development of resistance to radiotherapy has been recognized for decades and the search for hypoxia-targeting, radiosensitizing agents continues. This rev...

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Main Authors: Irma Telarovic, Roland H. Wenger, Martin Pruschy
Format: Article
Language:English
Published: BMC 2021-06-01
Series:Journal of Experimental & Clinical Cancer Research
Subjects:
Online Access:https://doi.org/10.1186/s13046-021-02000-x
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spelling doaj-cc4bc911314f4f43bb50c1a3e7cc36f62021-06-27T11:05:40ZengBMCJournal of Experimental & Clinical Cancer Research1756-99662021-06-0140112610.1186/s13046-021-02000-xInterfering with Tumor Hypoxia for Radiotherapy OptimizationIrma Telarovic0Roland H. Wenger1Martin Pruschy2Laboratory for Applied Radiobiology, Department of Radiation Oncology, University Hospital Zurich, University of ZurichInstitute of Physiology, University of ZurichLaboratory for Applied Radiobiology, Department of Radiation Oncology, University Hospital Zurich, University of ZurichAbstract Hypoxia in solid tumors is an important predictor of treatment resistance and poor clinical outcome. The significance of hypoxia in the development of resistance to radiotherapy has been recognized for decades and the search for hypoxia-targeting, radiosensitizing agents continues. This review summarizes the main hypoxia-related processes relevant for radiotherapy on the subcellular, cellular and tissue level and discusses the significance of hypoxia in radiation oncology, especially with regard to the current shift towards hypofractionated treatment regimens. Furthermore, we discuss the strategies to interfere with hypoxia for radiotherapy optimization, and we highlight novel insights into the molecular pathways involved in hypoxia that might be utilized to increase the efficacy of radiotherapy.https://doi.org/10.1186/s13046-021-02000-xhypoxiaradiotherapySBRTradiosensitizers
collection DOAJ
language English
format Article
sources DOAJ
author Irma Telarovic
Roland H. Wenger
Martin Pruschy
spellingShingle Irma Telarovic
Roland H. Wenger
Martin Pruschy
Interfering with Tumor Hypoxia for Radiotherapy Optimization
Journal of Experimental & Clinical Cancer Research
hypoxia
radiotherapy
SBRT
radiosensitizers
author_facet Irma Telarovic
Roland H. Wenger
Martin Pruschy
author_sort Irma Telarovic
title Interfering with Tumor Hypoxia for Radiotherapy Optimization
title_short Interfering with Tumor Hypoxia for Radiotherapy Optimization
title_full Interfering with Tumor Hypoxia for Radiotherapy Optimization
title_fullStr Interfering with Tumor Hypoxia for Radiotherapy Optimization
title_full_unstemmed Interfering with Tumor Hypoxia for Radiotherapy Optimization
title_sort interfering with tumor hypoxia for radiotherapy optimization
publisher BMC
series Journal of Experimental & Clinical Cancer Research
issn 1756-9966
publishDate 2021-06-01
description Abstract Hypoxia in solid tumors is an important predictor of treatment resistance and poor clinical outcome. The significance of hypoxia in the development of resistance to radiotherapy has been recognized for decades and the search for hypoxia-targeting, radiosensitizing agents continues. This review summarizes the main hypoxia-related processes relevant for radiotherapy on the subcellular, cellular and tissue level and discusses the significance of hypoxia in radiation oncology, especially with regard to the current shift towards hypofractionated treatment regimens. Furthermore, we discuss the strategies to interfere with hypoxia for radiotherapy optimization, and we highlight novel insights into the molecular pathways involved in hypoxia that might be utilized to increase the efficacy of radiotherapy.
topic hypoxia
radiotherapy
SBRT
radiosensitizers
url https://doi.org/10.1186/s13046-021-02000-x
work_keys_str_mv AT irmatelarovic interferingwithtumorhypoxiaforradiotherapyoptimization
AT rolandhwenger interferingwithtumorhypoxiaforradiotherapyoptimization
AT martinpruschy interferingwithtumorhypoxiaforradiotherapyoptimization
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