2018
DOI: 10.1002/cnr2.1152
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Biomarkers of radiation‐induced vascular injury

Abstract: Objective Cancer survivorship has thrown the spotlight on the incidence of nonmalignant chronic diseases in cancer patients. Endothelial injury is increasingly recognized as a consequence of cancer treatment, particularly after radiation therapy (RT). This review is to provide a current understanding on the pathophysiological mechanisms and predictive biomarkers of radiation‐induced vascular injury. Recent findings Radiation directly impacts vasculature by causing endothelial apoptosis and senescence, and alte… Show more

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Cited by 8 publications
(8 citation statements)
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References 54 publications
(91 reference statements)
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“…The first question requires a thorough work-up of the endothelial toxicity of agents commonly used in the pre-SCT setting, such as fludarabine, alkylators, and anthracyclines, but also irradiation [ 91 , 92 ], but of course also of the contributions of vascular comorbidity unrelated to the neoplastic disease. Regarding the second question, a large variety of drugs frequently employed during or after SCT, such as CNI, sirolimus, calcium channel blockers, and angiotensin-II inhibitors can affect endothelial integrity and may demand patient-based endothelial monitoring [ 93 96 ].…”
Section: Adjusting Anti-neoplastic and Immunosuppressive Regimens To Endothelial Cell Functionmentioning
confidence: 99%
“…The first question requires a thorough work-up of the endothelial toxicity of agents commonly used in the pre-SCT setting, such as fludarabine, alkylators, and anthracyclines, but also irradiation [ 91 , 92 ], but of course also of the contributions of vascular comorbidity unrelated to the neoplastic disease. Regarding the second question, a large variety of drugs frequently employed during or after SCT, such as CNI, sirolimus, calcium channel blockers, and angiotensin-II inhibitors can affect endothelial integrity and may demand patient-based endothelial monitoring [ 93 96 ].…”
Section: Adjusting Anti-neoplastic and Immunosuppressive Regimens To Endothelial Cell Functionmentioning
confidence: 99%
“…Neoadjuvant chemoradiotherapy in esophageal carcinoma may result in a complete response (25% of patients), partial response (55%), or no response (20%) [ 113 , 114 ]. The use of pre-treatment imaging in radiomics [ 115 , 116 ] and patient-derived plasma samples is beginning to be used in the search for radiation biomarkers [ 117 ] to predict treatment response. However, patient-derived organoid models in development of predictive biomarkers or screening of radio-modulators can be a very useful tool.…”
Section: Ex Vivo Models In Radiotherapymentioning
confidence: 99%
“…Radiation-induced vascular injury is commonly observed in cancer patients after radiation therapy ( Murphy et al, 2012 ; Venkatesulu et al, 2019 ; Ramadan et al, 2021 ). The major drivers of radiation-induced vascular injury are oxidative stress, DNA damage, and inflammation ( Lafargue et al, 2017 ; Baselet et al, 2019 ).…”
Section: Cellular Senescence Of Endothelial Cellsmentioning
confidence: 99%