The tumour microenvironment after radiotherapy: mechanisms of resistance and recurrence.

Autor: Barker HE; Targeted Therapy Team, The Institute of Cancer Research, London SW3 6JB, UK., Paget JT; Targeted Therapy Team, The Institute of Cancer Research, London SW3 6JB, UK., Khan AA; Targeted Therapy Team, The Institute of Cancer Research, London SW3 6JB, UK., Harrington KJ; Targeted Therapy Team, The Institute of Cancer Research, London SW3 6JB, UK.
Jazyk: angličtina
Zdroj: Nature reviews. Cancer [Nat Rev Cancer] 2015 Jul; Vol. 15 (7), pp. 409-25.
DOI: 10.1038/nrc3958
Abstrakt: Radiotherapy plays a central part in curing cancer. For decades, most research on improving treatment outcomes has focused on modulating radiation-induced biological effects on cancer cells. Recently, we have better understood that components within the tumour microenvironment have pivotal roles in determining treatment outcomes. In this Review, we describe vascular, stromal and immunological changes that are induced in the tumour microenvironment by irradiation and discuss how these changes may promote radioresistance and tumour recurrence. We also highlight how this knowledge is guiding the development of new treatment paradigms in which biologically targeted agents will be combined with radiotherapy.
Databáze: MEDLINE