无国界的辐射:解开瘤学中旁观者和非目标效应
Madhi Oli Ramamurthy1, Poorvi Subramanian1, Sivaroopan Aravindan1
1Division of Molecular Oncology, Department of Physiological Sciences, Oklahoma State University, Stillwater, OK 74078, USA.
Cells
|November 26, 2025
概括
放射治疗 (RT) 导致超出瘤的辐射旁观者效应 (BEs). 了解和减轻这些非向效应对于改善癌症治疗疗效和患者治疗结果至关重要.
科学领域:
- 辐射瘤学 辐射瘤学
- 分子生物学分子生物学
- 癌症的生存率 癌症的生存率
背景情况:
- 放射治疗 (RT) 是一种主要的癌症治疗方法.
- 电离辐射 (IR) 导致超出瘤的影响,称为辐射旁观者效应 (BEs) 和非向效应 (NTEs).
- 这些影响挑战了对RT的局部观点,表明了系统性后果.
研究的目的:
- 审查辐射旁观者效应 (BEs) 的分子,细胞和临床方面.
- 阐明涉及传播辐射损伤的细胞间信号网络.
- 探索BEs的临床影响和潜在的对策.
主要方法:
- 一个全面的文献综述,综合了关于BEs的机械学和临床数据.
- 分析细胞间通信通路 (间隙结,细胞因子,细胞外囊泡,氧化应激).
- 评估临床后果和新出现的缓解策略.
主要成果:
- BEs涉及复杂的信号网络,传播损伤,基因组不稳定性和炎症.
- 线粒体功能障碍,表观遗传变化,免疫调节和干细胞利基破坏有助于BEs.
- 临床结果包括神经认知衰退,心血管疾病,肺纤维化,胃肠道毒性和二次癌症.
结论:
- 辐射旁观者效应 (BEs) 是RT生物学的一个重要,可修改的方面.
- 识别和缓解BE对于优化RT疗效和生存率至关重要.
- 建议在RT规划和护理方面转向系统意识的范式转变.
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