Optical Imaging Approaches to Investigating Radiation Resistance

Radiation therapy is frequently the first line of treatment for over 50% of cancer patients. While great advances have been made in improving treatment response rates and reducing damage to normal tissue, radiation resistance remains a persistent clinical problem. While hypoxia or a lack of tumor ox...

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Main Authors: Sina Dadgar, Narasimhan Rajaram
Format: Article
Language:English
Published: Frontiers Media S.A. 2019-11-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fonc.2019.01152/full
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author Sina Dadgar
Narasimhan Rajaram
author_facet Sina Dadgar
Narasimhan Rajaram
author_sort Sina Dadgar
collection DOAJ
description Radiation therapy is frequently the first line of treatment for over 50% of cancer patients. While great advances have been made in improving treatment response rates and reducing damage to normal tissue, radiation resistance remains a persistent clinical problem. While hypoxia or a lack of tumor oxygenation has long been considered a key factor in causing treatment failure, recent evidence points to metabolic reprogramming under well-oxygenated conditions as a potential route to promoting radiation resistance. In this review, we present recent studies from our lab and others that use high-resolution optical imaging as well as clinical translational optical spectroscopy to shine light on the biological basis of radiation resistance. Two-photon microscopy of endogenous cellular metabolism has identified key changes in both mitochondrial structure and function that are specific to radiation-resistant cells and help promote cell survival in response to radiation. Optical spectroscopic approaches, such as diffuse reflectance and Raman spectroscopy have demonstrated functional and molecular differences between radiation-resistant and sensitive tumors in response to radiation. These studies have uncovered key changes in metabolic pathways and present a viable route to clinical translation of optical technologies to determine radiation resistance at a very early stage in the clinic.
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spelling doaj.art-18c81be5c78c4ddb8bc8b42077da584b2022-12-22T01:16:49ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2019-11-01910.3389/fonc.2019.01152486839Optical Imaging Approaches to Investigating Radiation ResistanceSina DadgarNarasimhan RajaramRadiation therapy is frequently the first line of treatment for over 50% of cancer patients. While great advances have been made in improving treatment response rates and reducing damage to normal tissue, radiation resistance remains a persistent clinical problem. While hypoxia or a lack of tumor oxygenation has long been considered a key factor in causing treatment failure, recent evidence points to metabolic reprogramming under well-oxygenated conditions as a potential route to promoting radiation resistance. In this review, we present recent studies from our lab and others that use high-resolution optical imaging as well as clinical translational optical spectroscopy to shine light on the biological basis of radiation resistance. Two-photon microscopy of endogenous cellular metabolism has identified key changes in both mitochondrial structure and function that are specific to radiation-resistant cells and help promote cell survival in response to radiation. Optical spectroscopic approaches, such as diffuse reflectance and Raman spectroscopy have demonstrated functional and molecular differences between radiation-resistant and sensitive tumors in response to radiation. These studies have uncovered key changes in metabolic pathways and present a viable route to clinical translation of optical technologies to determine radiation resistance at a very early stage in the clinic.https://www.frontiersin.org/article/10.3389/fonc.2019.01152/fullraman spectroscopydiffuse reflectance spectroscopyoptical metabolic imagingnonlinear optical microscopymitochondrial organizationradiation resistance
spellingShingle Sina Dadgar
Narasimhan Rajaram
Optical Imaging Approaches to Investigating Radiation Resistance
Frontiers in Oncology
raman spectroscopy
diffuse reflectance spectroscopy
optical metabolic imaging
nonlinear optical microscopy
mitochondrial organization
radiation resistance
title Optical Imaging Approaches to Investigating Radiation Resistance
title_full Optical Imaging Approaches to Investigating Radiation Resistance
title_fullStr Optical Imaging Approaches to Investigating Radiation Resistance
title_full_unstemmed Optical Imaging Approaches to Investigating Radiation Resistance
title_short Optical Imaging Approaches to Investigating Radiation Resistance
title_sort optical imaging approaches to investigating radiation resistance
topic raman spectroscopy
diffuse reflectance spectroscopy
optical metabolic imaging
nonlinear optical microscopy
mitochondrial organization
radiation resistance
url https://www.frontiersin.org/article/10.3389/fonc.2019.01152/full
work_keys_str_mv AT sinadadgar opticalimagingapproachestoinvestigatingradiationresistance
AT narasimhanrajaram opticalimagingapproachestoinvestigatingradiationresistance