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Updated: May 19, 2026

Live Imaging to Quantify Cellular Radiosensitivity in Patient-Derived Tumor Organoids
Published on: April 5, 2024
[Angiogenesis inhibitors and radiotherapy]
1Klinik und Poliklinik für Radio-Onkologie, Universitätsspital Zürich. oliver.riesterer@usz.ch
Abstract:
Tumor angiogenesis, i.e. the formation of new blood vessels, is a promising therapeutic target. Whereas angiogenesis inhibitors (AI) are selectively aimed against the tumors' vascular system, irradiation targets both, tumor cells and tumor vasculature. Biological interaction of both modalities has been shown on the level of tumor endothelial cells and the microenvironment. The clinical testing of this novel combined treatment strategy so far has been hindered, because AI intuitively increase tumor hypoxia and hypoxic tumors are radio-resistant. However preclinical studies demonstrate that AI can even induce vascular normalization. Furthermore, consolidation therapy with AI after radiotherapy is a promising approach due to the specific biology of irradiated tumor bed. Based on these findings clinical studies are now increasingly been conducted.
Insights
Angiogenesis inhibitors (AI) combined with radiotherapy show promise for cancer treatment. Preclinical data suggest AI can normalize tumor vasculature, potentially overcoming radio-resistance and improving outcomes.
Area of Science:
- Oncology
- Vascular Biology
- Radiation Oncology
Context:
- Tumor angiogenesis is a key therapeutic target in cancer treatment.
- Combining angiogenesis inhibitors (AI) with radiotherapy presents a novel strategy.
- Clinical application has been limited by concerns of increased tumor hypoxia and radio-resistance.
Purpose:
- To explore the biological interactions between angiogenesis inhibitors and radiotherapy.
- To evaluate the potential of AI in overcoming radio-resistance and improving treatment outcomes.
- To provide a rationale for ongoing and future clinical studies.
Summary:
- Angiogenesis inhibitors (AI) target tumor vasculature, while radiotherapy affects both tumor cells and vasculature.
- Preclinical studies indicate AI can induce vascular normalization, counteracting the initial concern of increased hypoxia.
- Consolidation therapy with AI post-radiotherapy is a promising approach due to the specific biology of irradiated tumor beds.
Impact:
- This research supports the increasing clinical investigation of combined AI and radiotherapy strategies.
- Findings may lead to improved cancer treatment protocols by optimizing the use of angiogenesis inhibitors and radiation.
- Understanding the interplay between AI and radiation biology can enhance therapeutic efficacy and patient outcomes.
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