The Evolution of Radiation Therapy in Metastatic Breast Cancer: From Local Therapy to Systemic Agent

Radiation therapy is a mainstay of treatment in early and locally advanced breast cancer but is typically reserved for palliation of symptomatic lesions in patients with metastatic breast cancer. With new advances in the field of tumor biology and immunology, the role of radiation in the metastatic...

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Main Authors: Jessica M. S. Jutzy, Jeffrey M. Lemons, Jason J. Luke, Steven J. Chmura
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:International Journal of Breast Cancer
Online Access:http://dx.doi.org/10.1155/2018/4786819
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author Jessica M. S. Jutzy
Jeffrey M. Lemons
Jason J. Luke
Steven J. Chmura
author_facet Jessica M. S. Jutzy
Jeffrey M. Lemons
Jason J. Luke
Steven J. Chmura
author_sort Jessica M. S. Jutzy
collection DOAJ
description Radiation therapy is a mainstay of treatment in early and locally advanced breast cancer but is typically reserved for palliation of symptomatic lesions in patients with metastatic breast cancer. With new advances in the field of tumor biology and immunology, the role of radiation in the metastatic setting is evolving to harness its immune-enhancing properties. Through the release of tumor antigens, tumor DNA, and cytokines into the tumor microenvironment, radiation augments the antitumoral immune response to affect both the targeted lesion and distant sites of metastatic disease. The use of immunotherapeutics to promote antitumoral immunity has resulted in improved treatment responses in patients with metastatic disease and the combination of radiation therapy and immunotherapy has become an area of intense investigation. In this article, we will review the emerging role of radiation in the treatment of metastatic disease and discuss the current state of the science and clinical trials investigating the combination of radiation and immunotherapy.
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institution Kabale University
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language English
publishDate 2018-01-01
publisher Wiley
record_format Article
series International Journal of Breast Cancer
spelling doaj-art-9815217de6c94172b438b1275eb9c6692025-02-03T00:59:56ZengWileyInternational Journal of Breast Cancer2090-31702090-31892018-01-01201810.1155/2018/47868194786819The Evolution of Radiation Therapy in Metastatic Breast Cancer: From Local Therapy to Systemic AgentJessica M. S. Jutzy0Jeffrey M. Lemons1Jason J. Luke2Steven J. Chmura3Department of Radiation Oncology, University of Chicago, Chicago, IL, USADepartment of Radiation Oncology, University of Chicago, Chicago, IL, USADepartment of Medicine, University of Chicago, Chicago, IL, USADepartment of Radiation Oncology, University of Chicago, Chicago, IL, USARadiation therapy is a mainstay of treatment in early and locally advanced breast cancer but is typically reserved for palliation of symptomatic lesions in patients with metastatic breast cancer. With new advances in the field of tumor biology and immunology, the role of radiation in the metastatic setting is evolving to harness its immune-enhancing properties. Through the release of tumor antigens, tumor DNA, and cytokines into the tumor microenvironment, radiation augments the antitumoral immune response to affect both the targeted lesion and distant sites of metastatic disease. The use of immunotherapeutics to promote antitumoral immunity has resulted in improved treatment responses in patients with metastatic disease and the combination of radiation therapy and immunotherapy has become an area of intense investigation. In this article, we will review the emerging role of radiation in the treatment of metastatic disease and discuss the current state of the science and clinical trials investigating the combination of radiation and immunotherapy.http://dx.doi.org/10.1155/2018/4786819
spellingShingle Jessica M. S. Jutzy
Jeffrey M. Lemons
Jason J. Luke
Steven J. Chmura
The Evolution of Radiation Therapy in Metastatic Breast Cancer: From Local Therapy to Systemic Agent
International Journal of Breast Cancer
title The Evolution of Radiation Therapy in Metastatic Breast Cancer: From Local Therapy to Systemic Agent
title_full The Evolution of Radiation Therapy in Metastatic Breast Cancer: From Local Therapy to Systemic Agent
title_fullStr The Evolution of Radiation Therapy in Metastatic Breast Cancer: From Local Therapy to Systemic Agent
title_full_unstemmed The Evolution of Radiation Therapy in Metastatic Breast Cancer: From Local Therapy to Systemic Agent
title_short The Evolution of Radiation Therapy in Metastatic Breast Cancer: From Local Therapy to Systemic Agent
title_sort evolution of radiation therapy in metastatic breast cancer from local therapy to systemic agent
url http://dx.doi.org/10.1155/2018/4786819
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