“…Nevertheless, clinical observations have revealed that LDR-evoked systemic tumor rejection is still rare due to insufficient radiation dose accumulation in tumor tissues and tumor-intrinsic radioresistant mechanisms, highlighting the necessity to develop treatment strategies that could sensitize tumor cells to LDR-mediated antitumorigenic effects. ,− Particularly, the hypoxic TME could activate the HIF-1α signaling axis in tumor cells to induce the upregulation of expression of fatty acid transporters FABP3 and FABP7, which would further promote fatty acid uptake and lipid storage to enhance tumor-intrinsic lipid droplet biogenesis. − From a biochemical perspective, lipid droplets are lipid-storage organelles capable of interacting with membrane-enclosed organelles for enabling efficient and bidirectional lipid transfer, thus maintaining phospholipid homeostasis of these organelles to prevent lipotoxicity during various stress events. − Furthermore, recent studies have revealed that lipid droplets are master regulators of tumor cell sensitivity to ferroptosis, ,,− a nonapoptotic form of regulated cell death characterized by the excessive accumulation of lethal lipid peroxides. − Specifically, lipid droplets could modulate the ferroptotic response of tumor cells through scavenging oxidation susceptible polyunsaturated fatty acids (PUFAs). ,, Considering the universal presence of PUFA-containing phospholipids as vital structural components in various lipid membrane structures such as cytoplasmic membrane and mitochondria, it is postulated that depleting lipid droplets in tumor cells could not only promote the ferroptosis-associated peroxidation of membrane lipids in the context of IR-upregulated ROS stress to amplify the treatment-induced direct cytotoxicity but also impair the membrane integrity to facilitate the subsequent release of tumor-derived immunogenic materials including TAAs and damage-associated molecular patterns (DAMPs) and activate the antitumorigenic immune reactions. Therefore, we hypothesize that the strategic combination of tumor targeted inhibition of lipid droplet biogenesis and LDR could synergize IR-induced direct tumor cell damage and an immunostimulatory effect to enable robust and systemic tumor regression.…”