Radiation-induced Non-targeted Effect and Carcinogenesis; Implications in Clinical Radiotherapy

Bystander or non-targeted effect is known to be an interesting phenomenon in radiobiology. The genetic consequences of bystander effect on non-irradiated cells have shown that this phenomenon can be considered as one of the most important factors involved in secondary cancer after exposure to ionizi...

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Main Authors: R Yahyapour, A Salajegheh, A Safari, P Amini, A Rezaeyan, A Amraee, M Najafi
Format: Article
Language:English
Published: Shiraz University of Medical Sciences 2018-12-01
Series:Journal of Biomedical Physics and Engineering
Subjects:
Online Access:http://jbpe.ir/Journal_OJS/JBPE/index.php/jbpe/article/view/713/429
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author R Yahyapour
A Salajegheh
A Safari
P Amini
A Rezaeyan
A Amraee
M Najafi
author_facet R Yahyapour
A Salajegheh
A Safari
P Amini
A Rezaeyan
A Amraee
M Najafi
author_sort R Yahyapour
collection DOAJ
description Bystander or non-targeted effect is known to be an interesting phenomenon in radiobiology. The genetic consequences of bystander effect on non-irradiated cells have shown that this phenomenon can be considered as one of the most important factors involved in secondary cancer after exposure to ionizing radiation. Every year, millions of people around the world undergo radiotherapy in order to cure different types of cancers. The most crucial aim of radiotherapy is to improve treatment efficiency by reducing early and late effects of exposure to clinical doses of radiation. Secondary cancer induction resulted from exposure to high doses of radiation during treatment can reduce the effectiveness of this modality for cancer treatment. The perception of carcinogenesis risk of bystander effects and factors involved in this phenomenon might help reduce secondary cancer incidence years after radiotherapy. Different modalities such as radiation LET, dose and dose rate, fractionation, types of tissue, gender of patients, etc. may be involved in carcinogenesis risk of bystander effects. Therefore, selecting an appropriate treatment modality may improve cost-effectiveness of radiation therapy as well as the quality of life in survived patients. In this review, we first focus on the carcinogenesis evidence of non-targeted effects in radiotherapy and then review physical and biological factors that may influence the risk of secondary cancer induced by this phenomenon.
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spelling doaj.art-c089d26ab0db4b1a9a1d37ec834bc63e2022-12-22T03:54:52ZengShiraz University of Medical SciencesJournal of Biomedical Physics and Engineering2251-72002251-72002018-12-0184435446Radiation-induced Non-targeted Effect and Carcinogenesis; Implications in Clinical RadiotherapyR Yahyapour0A Salajegheh1A Safari2P Amini3A Rezaeyan4A Amraee5M Najafi6School of Medicine, Jiroft University of Medical Sciences, Jiroft, Iran Department of Radiology, School of Paramedical, Shiraz University of Medical Sciences, Shiraz, IranDepartment of Medical Physics, Faculty of Medicine, Isfahan University of Medical Sciences, Isfahan, IranDepartment of Radiology, Faculty of Paramedical, Tehran University of Medical Sciences, Tehran, IranDepartment of Medical Physics, School of Medicine, Iran University of Medical Sciences, Tehran, IranDepartment of Medical Physics, School of Medicine, Iran University of Medical Sciences, Tehran, IranRadiology and Nuclear Medicine Department, School of Paramedical Sciences, Kermanshah University of Medical Science, Kermanshah, IranBystander or non-targeted effect is known to be an interesting phenomenon in radiobiology. The genetic consequences of bystander effect on non-irradiated cells have shown that this phenomenon can be considered as one of the most important factors involved in secondary cancer after exposure to ionizing radiation. Every year, millions of people around the world undergo radiotherapy in order to cure different types of cancers. The most crucial aim of radiotherapy is to improve treatment efficiency by reducing early and late effects of exposure to clinical doses of radiation. Secondary cancer induction resulted from exposure to high doses of radiation during treatment can reduce the effectiveness of this modality for cancer treatment. The perception of carcinogenesis risk of bystander effects and factors involved in this phenomenon might help reduce secondary cancer incidence years after radiotherapy. Different modalities such as radiation LET, dose and dose rate, fractionation, types of tissue, gender of patients, etc. may be involved in carcinogenesis risk of bystander effects. Therefore, selecting an appropriate treatment modality may improve cost-effectiveness of radiation therapy as well as the quality of life in survived patients. In this review, we first focus on the carcinogenesis evidence of non-targeted effects in radiotherapy and then review physical and biological factors that may influence the risk of secondary cancer induced by this phenomenon.http://jbpe.ir/Journal_OJS/JBPE/index.php/jbpe/article/view/713/429RadiationBystander effectCarcinogenesisNon-targeted effectSecondary cancerGenomic instability
spellingShingle R Yahyapour
A Salajegheh
A Safari
P Amini
A Rezaeyan
A Amraee
M Najafi
Radiation-induced Non-targeted Effect and Carcinogenesis; Implications in Clinical Radiotherapy
Journal of Biomedical Physics and Engineering
Radiation
Bystander effect
Carcinogenesis
Non-targeted effect
Secondary cancer
Genomic instability
title Radiation-induced Non-targeted Effect and Carcinogenesis; Implications in Clinical Radiotherapy
title_full Radiation-induced Non-targeted Effect and Carcinogenesis; Implications in Clinical Radiotherapy
title_fullStr Radiation-induced Non-targeted Effect and Carcinogenesis; Implications in Clinical Radiotherapy
title_full_unstemmed Radiation-induced Non-targeted Effect and Carcinogenesis; Implications in Clinical Radiotherapy
title_short Radiation-induced Non-targeted Effect and Carcinogenesis; Implications in Clinical Radiotherapy
title_sort radiation induced non targeted effect and carcinogenesis implications in clinical radiotherapy
topic Radiation
Bystander effect
Carcinogenesis
Non-targeted effect
Secondary cancer
Genomic instability
url http://jbpe.ir/Journal_OJS/JBPE/index.php/jbpe/article/view/713/429
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