Personalized Nutrition as a Key Contributor to Improving Radiation Response in Breast Cancer

Understanding metabolic and immune regulation inherent to patient populations is key to improving the radiation response for our patients. To date, radiation therapy regimens are prescribed based on tumor type and stage. Patient populations who are noted to have a poor response to radiation such as...

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Main Authors: Anuradha A. Shastri, Joseph Lombardo, Samantha C. Okere, Stephanie Higgins, Brittany C. Smith, Tiziana DeAngelis, Ajay Palagani, Kamryn Hines, Daniel A. Monti, Stella Volpe, Edith P. Mitchell, Nicole L. Simone
Format: Article
Language:English
Published: MDPI AG 2021-12-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/23/1/175
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author Anuradha A. Shastri
Joseph Lombardo
Samantha C. Okere
Stephanie Higgins
Brittany C. Smith
Tiziana DeAngelis
Ajay Palagani
Kamryn Hines
Daniel A. Monti
Stella Volpe
Edith P. Mitchell
Nicole L. Simone
author_facet Anuradha A. Shastri
Joseph Lombardo
Samantha C. Okere
Stephanie Higgins
Brittany C. Smith
Tiziana DeAngelis
Ajay Palagani
Kamryn Hines
Daniel A. Monti
Stella Volpe
Edith P. Mitchell
Nicole L. Simone
author_sort Anuradha A. Shastri
collection DOAJ
description Understanding metabolic and immune regulation inherent to patient populations is key to improving the radiation response for our patients. To date, radiation therapy regimens are prescribed based on tumor type and stage. Patient populations who are noted to have a poor response to radiation such as those of African American descent, those who have obesity or metabolic syndrome, or senior adult oncology patients, should be considered for concurrent therapies with radiation that will improve response. Here, we explore these populations of breast cancer patients, who frequently display radiation resistance and increased mortality rates, and identify the molecular underpinnings that are, in part, responsible for the radiation response and that result in an immune-suppressive tumor microenvironment. The resulting immune phenotype is discussed to understand how antitumor immunity could be improved. Correcting nutrient deficiencies observed in these populations should be considered as a means to improve the therapeutic index of radiation therapy.
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spelling doaj.art-5565f8875f0945ac9b6ebba792d5f9302023-11-23T11:35:55ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672021-12-0123117510.3390/ijms23010175Personalized Nutrition as a Key Contributor to Improving Radiation Response in Breast CancerAnuradha A. Shastri0Joseph Lombardo1Samantha C. Okere2Stephanie Higgins3Brittany C. Smith4Tiziana DeAngelis5Ajay Palagani6Kamryn Hines7Daniel A. Monti8Stella Volpe9Edith P. Mitchell10Nicole L. Simone11Department of Radiation Oncology, Sidney Kimmel Cancer Center, Thomas Jefferson University, Philadelphia, PA 19107, USADepartment of Radiation Oncology, Sidney Kimmel Cancer Center, Thomas Jefferson University, Philadelphia, PA 19107, USADepartment of Radiation Oncology, Sidney Kimmel Cancer Center, Thomas Jefferson University, Philadelphia, PA 19107, USADepartment of Radiation Oncology, Sidney Kimmel Cancer Center, Thomas Jefferson University, Philadelphia, PA 19107, USADepartment of Radiation Oncology, Sidney Kimmel Cancer Center, Thomas Jefferson University, Philadelphia, PA 19107, USADepartment of Radiation Oncology, Sidney Kimmel Cancer Center, Thomas Jefferson University, Philadelphia, PA 19107, USADepartment of Radiation Oncology, Sidney Kimmel Cancer Center, Thomas Jefferson University, Philadelphia, PA 19107, USADepartment of Radiation Oncology, Sidney Kimmel Cancer Center, Thomas Jefferson University, Philadelphia, PA 19107, USADepartment of Integrative Medicine and Nutritional Sciences, Marcus Institute of Integrative Health, Thomas Jefferson University, Philadelphia, PA 19107, USADepartment of Human Nutrition, Foods and Exercise, College of Agriculture and Life Sciences, Virginia Tech, Blacksburg, VA 24061, USADepartment of Medical Oncology, Sidney Kimmel Cancer Center, Thomas Jefferson University, Philadelphia, PA 19107, USADepartment of Radiation Oncology, Sidney Kimmel Cancer Center, Thomas Jefferson University, Philadelphia, PA 19107, USAUnderstanding metabolic and immune regulation inherent to patient populations is key to improving the radiation response for our patients. To date, radiation therapy regimens are prescribed based on tumor type and stage. Patient populations who are noted to have a poor response to radiation such as those of African American descent, those who have obesity or metabolic syndrome, or senior adult oncology patients, should be considered for concurrent therapies with radiation that will improve response. Here, we explore these populations of breast cancer patients, who frequently display radiation resistance and increased mortality rates, and identify the molecular underpinnings that are, in part, responsible for the radiation response and that result in an immune-suppressive tumor microenvironment. The resulting immune phenotype is discussed to understand how antitumor immunity could be improved. Correcting nutrient deficiencies observed in these populations should be considered as a means to improve the therapeutic index of radiation therapy.https://www.mdpi.com/1422-0067/23/1/175breast cancerradiation therapynutrientAfrican Americanobesitymetabolic syndrome
spellingShingle Anuradha A. Shastri
Joseph Lombardo
Samantha C. Okere
Stephanie Higgins
Brittany C. Smith
Tiziana DeAngelis
Ajay Palagani
Kamryn Hines
Daniel A. Monti
Stella Volpe
Edith P. Mitchell
Nicole L. Simone
Personalized Nutrition as a Key Contributor to Improving Radiation Response in Breast Cancer
International Journal of Molecular Sciences
breast cancer
radiation therapy
nutrient
African American
obesity
metabolic syndrome
title Personalized Nutrition as a Key Contributor to Improving Radiation Response in Breast Cancer
title_full Personalized Nutrition as a Key Contributor to Improving Radiation Response in Breast Cancer
title_fullStr Personalized Nutrition as a Key Contributor to Improving Radiation Response in Breast Cancer
title_full_unstemmed Personalized Nutrition as a Key Contributor to Improving Radiation Response in Breast Cancer
title_short Personalized Nutrition as a Key Contributor to Improving Radiation Response in Breast Cancer
title_sort personalized nutrition as a key contributor to improving radiation response in breast cancer
topic breast cancer
radiation therapy
nutrient
African American
obesity
metabolic syndrome
url https://www.mdpi.com/1422-0067/23/1/175
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