“…A reduction in natural killer cells, an increased production of free oxygen radicals by neutrophils, an increase in inflammatory cytokines, an enhanced expression of toll-like receptor 2 in macrophages and dendritic cells, and an aberrant expression of antimicrobial peptides have all been incriminated in its pathogenesis 2, 5, 6, 7. High-dose radiation therapy (RT), which is used for the treatment of endometrial adenocarcinoma, can lead to the local production of proinflammatory anaphylatoxins C3a and C5a, to the influx of immune cells in skin, to an increase in apoptosis, and to an increase in the generation of free radicals, providing a hypothesis to the potential mechanism responsible 8 .…”