Non-targeted effects of photon and particle irradiation and the interaction with the immune system

Ionizing irradiation is an important clinical approach to treat solid tumors. Modern radiation technologies aim to selectively kill tumor cells and protect the surrounding normal tissue. The standard paradigm for radiation effects in cellular systems involves damage of the DNA including DNA double s...

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Main Authors: Thomas Ernst Schmid, Gabriele eMulthoff
Format: Article
Language:English
Published: Frontiers Media S.A. 2012-07-01
Series:Frontiers in Oncology
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fonc.2012.00080/full
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author Thomas Ernst Schmid
Gabriele eMulthoff
author_facet Thomas Ernst Schmid
Gabriele eMulthoff
author_sort Thomas Ernst Schmid
collection DOAJ
description Ionizing irradiation is an important clinical approach to treat solid tumors. Modern radiation technologies aim to selectively kill tumor cells and protect the surrounding normal tissue. The standard paradigm for radiation effects in cellular systems involves damage of the DNA including DNA double strand breaks, which are considered as most effective in destroying tumor cells. Due to their enhanced physical and radiobiological properties, high linear energy transfer (LET) radiation qualities are of special interest in tumor therapy. Future radiation therapy strategies aim to utilize carbon ions to effectively treat highly aggressive tumors. More recently, evidence is emerging for non-DNA targeted effects of radiation, including mutations, chromosomal aberrations and changes in gene expression, which can occur in cells that were not directly exposed to radiation. Radiation oncologists are only gradually beginning to appreciate the clinical relevance of radiation-induced bystander effects, genomic instability and abscopal effects. Since these effects are sensed by the immune system, a combination of immunotherapy and irradiation presents a new therapeutic opportunity in the future.
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spelling doaj.art-d16680dcbea5453199b00da4946b8edd2022-12-22T03:55:55ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2012-07-01210.3389/fonc.2012.0008030814Non-targeted effects of photon and particle irradiation and the interaction with the immune systemThomas Ernst Schmid0Gabriele eMulthoff1Klinikum rechts der Isar, Technische Universitaet Muenchen, GermanyKlinikum rechts der Isar, Technische Universitaet Muenchen, GermanyIonizing irradiation is an important clinical approach to treat solid tumors. Modern radiation technologies aim to selectively kill tumor cells and protect the surrounding normal tissue. The standard paradigm for radiation effects in cellular systems involves damage of the DNA including DNA double strand breaks, which are considered as most effective in destroying tumor cells. Due to their enhanced physical and radiobiological properties, high linear energy transfer (LET) radiation qualities are of special interest in tumor therapy. Future radiation therapy strategies aim to utilize carbon ions to effectively treat highly aggressive tumors. More recently, evidence is emerging for non-DNA targeted effects of radiation, including mutations, chromosomal aberrations and changes in gene expression, which can occur in cells that were not directly exposed to radiation. Radiation oncologists are only gradually beginning to appreciate the clinical relevance of radiation-induced bystander effects, genomic instability and abscopal effects. Since these effects are sensed by the immune system, a combination of immunotherapy and irradiation presents a new therapeutic opportunity in the future.http://journal.frontiersin.org/Journal/10.3389/fonc.2012.00080/fullBystander EffectGenomic InstabilityImmune Systemabscopal effectphoton irradiationparticle irradiation
spellingShingle Thomas Ernst Schmid
Gabriele eMulthoff
Non-targeted effects of photon and particle irradiation and the interaction with the immune system
Frontiers in Oncology
Bystander Effect
Genomic Instability
Immune System
abscopal effect
photon irradiation
particle irradiation
title Non-targeted effects of photon and particle irradiation and the interaction with the immune system
title_full Non-targeted effects of photon and particle irradiation and the interaction with the immune system
title_fullStr Non-targeted effects of photon and particle irradiation and the interaction with the immune system
title_full_unstemmed Non-targeted effects of photon and particle irradiation and the interaction with the immune system
title_short Non-targeted effects of photon and particle irradiation and the interaction with the immune system
title_sort non targeted effects of photon and particle irradiation and the interaction with the immune system
topic Bystander Effect
Genomic Instability
Immune System
abscopal effect
photon irradiation
particle irradiation
url http://journal.frontiersin.org/Journal/10.3389/fonc.2012.00080/full
work_keys_str_mv AT thomasernstschmid nontargetedeffectsofphotonandparticleirradiationandtheinteractionwiththeimmunesystem
AT gabrieleemulthoff nontargetedeffectsofphotonandparticleirradiationandtheinteractionwiththeimmunesystem