Molecular Biomarkers for Predicting Cancer Patient Radiosensitivity and Radiotoxicity in Clinical Practice

Radiotherapy (RT) is a major part of cancer treatment. The reported variability in patient response to this modality can interfere with the continuation of best-possible care, promote side effects, and lead to long-term morbidity. Tools to predict a patient’s response to radiation could be highly us...

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Main Authors: Angeliki Gkikoudi, Spyridon A. Kalospyros, Sotiria Triantopoulou, Stella Logotheti, Vasiliki Softa, Constantin Kappas, Kiki Theodorou, Evagelia C. Laiakis, Gina Manda, Georgia I. Terzoudi, Alexandros G. Georgakilas
Format: Article
Language:English
Published: MDPI AG 2023-11-01
Series:Applied Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3417/13/23/12564
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author Angeliki Gkikoudi
Spyridon A. Kalospyros
Sotiria Triantopoulou
Stella Logotheti
Vasiliki Softa
Constantin Kappas
Kiki Theodorou
Evagelia C. Laiakis
Gina Manda
Georgia I. Terzoudi
Alexandros G. Georgakilas
author_facet Angeliki Gkikoudi
Spyridon A. Kalospyros
Sotiria Triantopoulou
Stella Logotheti
Vasiliki Softa
Constantin Kappas
Kiki Theodorou
Evagelia C. Laiakis
Gina Manda
Georgia I. Terzoudi
Alexandros G. Georgakilas
author_sort Angeliki Gkikoudi
collection DOAJ
description Radiotherapy (RT) is a major part of cancer treatment. The reported variability in patient response to this modality can interfere with the continuation of best-possible care, promote side effects, and lead to long-term morbidity. Tools to predict a patient’s response to radiation could be highly useful in improving therapeutic outcomes while minimizing unnecessary and toxic exposure to radiation. This study investigates the potential of using molecular biomarkers as predictors of radiosensitivity in clinical practice. We review relative studies researching the positive correlation between various molecular biomarkers and patient radiosensitivity, including DNA damage response and repair proteins, inflammation and apoptosis markers, cell cycle regulators, and other biological markers. The clinical perspectives and applicability of these biomarkers in the prediction of radiosensitivity are also critically discussed. Conclusively, we underline the dynamics of molecular biomarkers to improve the efficacy and safety of radiotherapy in clinical practice and highlight the need for further research in this field. Identification of the most prominent markers is crucial for the personalization of therapies entailing ionizing radiation.
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spelling doaj.art-c4033d0681a14b8b9e298da249363b602023-12-08T15:10:59ZengMDPI AGApplied Sciences2076-34172023-11-0113231256410.3390/app132312564Molecular Biomarkers for Predicting Cancer Patient Radiosensitivity and Radiotoxicity in Clinical PracticeAngeliki Gkikoudi0Spyridon A. Kalospyros1Sotiria Triantopoulou2Stella Logotheti3Vasiliki Softa4Constantin Kappas5Kiki Theodorou6Evagelia C. Laiakis7Gina Manda8Georgia I. Terzoudi9Alexandros G. Georgakilas10DNA Damage Laboratory, Physics Department, School of Applied Mathematical and Physical Sciences, National Technical University of Athens (NTUA), Zografou Campous, 15780 Athens, GreeceDNA Damage Laboratory, Physics Department, School of Applied Mathematical and Physical Sciences, National Technical University of Athens (NTUA), Zografou Campous, 15780 Athens, GreeceLaboratory of Health Physics, Radiobiology & Cytogenetics, Institute of Nuclear & Radiological Sciences & Technology, Energy & Safety, National Centre for Scientific Research “Demokritos”, 15341 Agia Paraskevi, GreeceDNA Damage Laboratory, Physics Department, School of Applied Mathematical and Physical Sciences, National Technical University of Athens (NTUA), Zografou Campous, 15780 Athens, GreeceDepartment of Medical Physics, Faculty of Medicine University of Thessaly, 41500 Larissa, GreeceDepartment of Medical Physics, Faculty of Medicine University of Thessaly, 41500 Larissa, GreeceDepartment of Medical Physics, Faculty of Medicine University of Thessaly, 41500 Larissa, GreeceDepartment of Oncology, Lombardi Comprehensive Cancer Center, Georgetown University, Washington, DC 20057, USAVictor Babeș” National Institute of Pathology, 99-101 Splaiul Independentei, 050096 Bucharest, RomaniaLaboratory of Health Physics, Radiobiology & Cytogenetics, Institute of Nuclear & Radiological Sciences & Technology, Energy & Safety, National Centre for Scientific Research “Demokritos”, 15341 Agia Paraskevi, GreeceDNA Damage Laboratory, Physics Department, School of Applied Mathematical and Physical Sciences, National Technical University of Athens (NTUA), Zografou Campous, 15780 Athens, GreeceRadiotherapy (RT) is a major part of cancer treatment. The reported variability in patient response to this modality can interfere with the continuation of best-possible care, promote side effects, and lead to long-term morbidity. Tools to predict a patient’s response to radiation could be highly useful in improving therapeutic outcomes while minimizing unnecessary and toxic exposure to radiation. This study investigates the potential of using molecular biomarkers as predictors of radiosensitivity in clinical practice. We review relative studies researching the positive correlation between various molecular biomarkers and patient radiosensitivity, including DNA damage response and repair proteins, inflammation and apoptosis markers, cell cycle regulators, and other biological markers. The clinical perspectives and applicability of these biomarkers in the prediction of radiosensitivity are also critically discussed. Conclusively, we underline the dynamics of molecular biomarkers to improve the efficacy and safety of radiotherapy in clinical practice and highlight the need for further research in this field. Identification of the most prominent markers is crucial for the personalization of therapies entailing ionizing radiation.https://www.mdpi.com/2076-3417/13/23/12564radiation biologyradiation therapypatient radiosensitivitymolecular biomarkersDNA damage responseinflammation
spellingShingle Angeliki Gkikoudi
Spyridon A. Kalospyros
Sotiria Triantopoulou
Stella Logotheti
Vasiliki Softa
Constantin Kappas
Kiki Theodorou
Evagelia C. Laiakis
Gina Manda
Georgia I. Terzoudi
Alexandros G. Georgakilas
Molecular Biomarkers for Predicting Cancer Patient Radiosensitivity and Radiotoxicity in Clinical Practice
Applied Sciences
radiation biology
radiation therapy
patient radiosensitivity
molecular biomarkers
DNA damage response
inflammation
title Molecular Biomarkers for Predicting Cancer Patient Radiosensitivity and Radiotoxicity in Clinical Practice
title_full Molecular Biomarkers for Predicting Cancer Patient Radiosensitivity and Radiotoxicity in Clinical Practice
title_fullStr Molecular Biomarkers for Predicting Cancer Patient Radiosensitivity and Radiotoxicity in Clinical Practice
title_full_unstemmed Molecular Biomarkers for Predicting Cancer Patient Radiosensitivity and Radiotoxicity in Clinical Practice
title_short Molecular Biomarkers for Predicting Cancer Patient Radiosensitivity and Radiotoxicity in Clinical Practice
title_sort molecular biomarkers for predicting cancer patient radiosensitivity and radiotoxicity in clinical practice
topic radiation biology
radiation therapy
patient radiosensitivity
molecular biomarkers
DNA damage response
inflammation
url https://www.mdpi.com/2076-3417/13/23/12564
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