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Manipulations of Redox Metabolism for Enhancing Radiation Therapy Responses: A Historical Perspective and Novel Hypothesis
Journal article   Peer reviewed

Manipulations of Redox Metabolism for Enhancing Radiation Therapy Responses: A Historical Perspective and Novel Hypothesis

Douglas R Spitz
Seminars in radiation oncology, Vol.29(1), pp.1-5
01/2019
DOI: 10.1016/j.semradonc.2018.10.010
PMCID: PMC6709524
PMID: 30573179

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Abstract

Since the recognition during the 20th century that cancer cells demonstrated fundamental alterations in the regulation of oxidative and glycolytic metabolism, many basic as well as translational scientists have proposed that targeting metabolic differences in cancer versus normal cells could be exploited to improve cancer therapy outcomes. With the recognition that dysregulation of mitochondrial redox metabolism leads to the increased steady-state levels of superoxide and hydrogen peroxide which could contribute to both aging and cancer; radiation biologists have pursued many avenues of targeting oxidative metabolic pathways to both selectively radiosensitive cancer cells as well as protect normal tissues during cancer therapy. Recent advances in exploiting redox metabolism for improving radiochemotherapy both from a basic and translational science point of view are the focus of the papers in this current issue of Seminars in Radiation Oncology. The historical perspective underlying these areas of research as well as a unifying hypothesis for further advancing this research into clinical trials will be presented in this overview.
Signal Transduction Neoplasms - metabolism Antioxidants - therapeutic use Neoplasms - therapy Humans Gene Expression Regulation, Neoplastic Oxidation-Reduction - drug effects Oxidation-Reduction - radiation effects Oxidative Stress - radiation effects Oxidative Stress - drug effects Chemoradiotherapy

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