Factors affecting the radiation response in glioblastoma

Aiyappa-Maudsley, R., Chalmers, A. J. and Parsons, J. L. (2022) Factors affecting the radiation response in glioblastoma. Neuro-Oncology Advances, 4(1), vdac156. (doi: 10.1093/noajnl/vdac156) (PMID:36325371) (PMCID:PMC9617255)

Abstract

Glioblastoma (GBM) is a highly invasive primary brain tumor in adults with a 5-year survival rate of less than 10%. Conventional radiotherapy with photons, along with concurrent and adjuvant temozolomide, is the mainstay for treatment of GBM although no significant improvement in survival rates has been observed over the last 20 years. Inherent factors such as tumor hypoxia, radioresistant GBM stem cells, and upregulated DNA damage response mechanisms are well established as contributing to treatment resistance and tumor recurrence. While it is understandable that efforts have focused on targeting these factors to overcome this phenotype, there have also been striking advances in precision radiotherapy techniques, including proton beam therapy and carbon ion radiotherapy (CIRT). These enable higher doses of radiation to be delivered precisely to the tumor, while minimizing doses to surrounding normal tissues and organs at risk. These alternative radiotherapy techniques also benefit from increased biological effectiveness, particularly in the case of CIRT. Although not researched extensively to date, combining these new radiation modalities with radio-enhancing agents may be particularly effective in improving outcomes for patients with GBM.

• Item Type: Articles
• Additional Information: Funding: This work was supported by the National Institutes of Health (R01CA256854).
• Status: Published
• Refereed: Yes
• Glasgow Author(s) Enlighten ID: Chalmers, Professor Anthony
• Authors: Aiyappa-Maudsley, R., Chalmers, A. J., and Parsons, J. L.
• College/School: College of Medical Veterinary and Life Sciences > School of Cancer Sciences
• Journal Name: Neuro-Oncology Advances
• Publisher: Oxford University Press
• ISSN: 2632-2498
• ISSN (Online): 2632-2498
• Published Online: 25 September 2022
• Copyright Holders: Copyright © 2022 The Authors
• First Published: First published in Neuro-Oncology Advances 4(1): vdac156
• Publisher Policy: Reproduced under a Creative Commons License