Resistance to Radiotherapy in Cancer

Radiation therapy or radiotherapy is a medical treatment that uses high doses of ionizing radiation to eliminate cancer cells and shrink tumors. It works by targeting the DNA within the tumor cells restricting their proliferation. Radiotherapy has been used for treating cancer for more than 100 year...

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Main Authors: Almaz A. Akhunzianov, Elvira V. Rozhina, Yuliya V. Filina, Albert A. Rizvanov, Regina R. Miftakhova
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Diseases
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Online Access:https://www.mdpi.com/2079-9721/13/1/22
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author Almaz A. Akhunzianov
Elvira V. Rozhina
Yuliya V. Filina
Albert A. Rizvanov
Regina R. Miftakhova
author_facet Almaz A. Akhunzianov
Elvira V. Rozhina
Yuliya V. Filina
Albert A. Rizvanov
Regina R. Miftakhova
author_sort Almaz A. Akhunzianov
collection DOAJ
description Radiation therapy or radiotherapy is a medical treatment that uses high doses of ionizing radiation to eliminate cancer cells and shrink tumors. It works by targeting the DNA within the tumor cells restricting their proliferation. Radiotherapy has been used for treating cancer for more than 100 years. Along with surgery and chemotherapy, it is one of the three main and most common approaches used in cancer therapy. Nowadays, radiotherapy has become a standard treatment option for a wide range of cancers around the world, including lung, breast, cervical, and colorectal cancers. Around 50% of all patients will require radiotherapy, 60% of whom are treated with curative intent. Moreover, it is commonly used for palliative treatment. Radiotherapy provides 5-year local control and overall survival benefit in 10.4% and 2.4% of all cancer patients, respectively. The highest local control benefit is reported for cervical (33%), head and neck (32%), and prostate (26%) cancers. But no benefit is observed in pancreas, ovary, liver, kidney, and colon cancers. Such relatively low efficiency is related to the development of radiation resistance, which results in cancer recurrence, metastatic dissemination, and poor prognosis. The identification of radioresistance biomarkers allows for improving the treatment outcome. These biomarkers mainly include proteins involved in metabolism and cell signaling pathways.
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publisher MDPI AG
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series Diseases
spelling doaj-art-9787c0e8e47c4ddeadcfd9ae9dc949192025-01-24T13:29:17ZengMDPI AGDiseases2079-97212025-01-011312210.3390/diseases13010022Resistance to Radiotherapy in CancerAlmaz A. Akhunzianov0Elvira V. Rozhina1Yuliya V. Filina2Albert A. Rizvanov3Regina R. Miftakhova4Institute of Fundamental Medicine and Biology, Kazan Federal University, 420008 Kazan, RussiaInstitute of Fundamental Medicine and Biology, Kazan Federal University, 420008 Kazan, RussiaInstitute of Fundamental Medicine and Biology, Kazan Federal University, 420008 Kazan, RussiaInstitute of Fundamental Medicine and Biology, Kazan Federal University, 420008 Kazan, RussiaInstitute of Fundamental Medicine and Biology, Kazan Federal University, 420008 Kazan, RussiaRadiation therapy or radiotherapy is a medical treatment that uses high doses of ionizing radiation to eliminate cancer cells and shrink tumors. It works by targeting the DNA within the tumor cells restricting their proliferation. Radiotherapy has been used for treating cancer for more than 100 years. Along with surgery and chemotherapy, it is one of the three main and most common approaches used in cancer therapy. Nowadays, radiotherapy has become a standard treatment option for a wide range of cancers around the world, including lung, breast, cervical, and colorectal cancers. Around 50% of all patients will require radiotherapy, 60% of whom are treated with curative intent. Moreover, it is commonly used for palliative treatment. Radiotherapy provides 5-year local control and overall survival benefit in 10.4% and 2.4% of all cancer patients, respectively. The highest local control benefit is reported for cervical (33%), head and neck (32%), and prostate (26%) cancers. But no benefit is observed in pancreas, ovary, liver, kidney, and colon cancers. Such relatively low efficiency is related to the development of radiation resistance, which results in cancer recurrence, metastatic dissemination, and poor prognosis. The identification of radioresistance biomarkers allows for improving the treatment outcome. These biomarkers mainly include proteins involved in metabolism and cell signaling pathways.https://www.mdpi.com/2079-9721/13/1/22cancerradiotherapyradioresistancebiomarkerscellular metabolismmitochondria
spellingShingle Almaz A. Akhunzianov
Elvira V. Rozhina
Yuliya V. Filina
Albert A. Rizvanov
Regina R. Miftakhova
Resistance to Radiotherapy in Cancer
Diseases
cancer
radiotherapy
radioresistance
biomarkers
cellular metabolism
mitochondria
title Resistance to Radiotherapy in Cancer
title_full Resistance to Radiotherapy in Cancer
title_fullStr Resistance to Radiotherapy in Cancer
title_full_unstemmed Resistance to Radiotherapy in Cancer
title_short Resistance to Radiotherapy in Cancer
title_sort resistance to radiotherapy in cancer
topic cancer
radiotherapy
radioresistance
biomarkers
cellular metabolism
mitochondria
url https://www.mdpi.com/2079-9721/13/1/22
work_keys_str_mv AT almazaakhunzianov resistancetoradiotherapyincancer
AT elviravrozhina resistancetoradiotherapyincancer
AT yuliyavfilina resistancetoradiotherapyincancer
AT albertarizvanov resistancetoradiotherapyincancer
AT reginarmiftakhova resistancetoradiotherapyincancer