2023
DOI: 10.3389/fimmu.2023.1133899
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Review: Mechanisms and perspective treatment of radioresistance in non-small cell lung cancer

Abstract: Radiotherapy is the major treatment of non-small cell lung cancer (NSCLC). The radioresistance and toxicity are the main obstacles that leading to therapeutic failure and poor prognosis. Oncogenic mutation, cancer stem cells (CSCs), tumor hypoxia, DNA damage repair, epithelial-mesenchymal transition (EMT), and tumor microenvironment (TME) may dominate the occurrence of radioresistance at different stages of radiotherapy. Chemotherapy drugs, targeted drugs, and immune checkpoint inhibitors are combined with rad… Show more

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Cited by 9 publications
(5 citation statements)
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“…As can be seen from the results presented in Figure 2 , radiation affected only HCT 116 and HT-29 cells to a significant extent with ~40% reduction in cell proliferation compared to the control, while MRC-5 and BxPC-3 cells did not respond significantly to treatments with radiation. Such a low rate of radiation-induced cell inactivation in these cell lines could be due to their inherent radiation resistance or to the effects of radiation in these cell lines tending to manifest at later time points [ 25 , 26 ].…”
Section: Resultsmentioning
confidence: 99%
“…As can be seen from the results presented in Figure 2 , radiation affected only HCT 116 and HT-29 cells to a significant extent with ~40% reduction in cell proliferation compared to the control, while MRC-5 and BxPC-3 cells did not respond significantly to treatments with radiation. Such a low rate of radiation-induced cell inactivation in these cell lines could be due to their inherent radiation resistance or to the effects of radiation in these cell lines tending to manifest at later time points [ 25 , 26 ].…”
Section: Resultsmentioning
confidence: 99%
“…The characteristics of the tumor stemness properties of NR5A2 are conducive to understanding the biological function of carcinogenesis in LUAD and have guiding significance for the study of drug resistance in advanced LUAD [ [38] , [39] , [40] ]. In addition to being beneficial for the diagnosis and treatment of LUAD, whether NR5A2 has the same biological characteristics as other types of adenocarcinoma is a question worthy of further study [ [41] , [42] , [43] , [44] , [45] ].…”
Section: Discussionmentioning
confidence: 99%
“…A novel teranostic approach against malignancy based on the identification and characterization of MtO and/or MtS/MtO-EVs carrying metabolic code should be established with the prognostic significance in conferring RR and metastatic potential dictated by NSCLC. The investigation of the functional connections between DNA repair and inflammation/immunity pathways that are physiologically affected during IR and contribute to post-irradiation cancer progression is highly important [ 123 ]. The clarification of the cross-talk between these cellular processes and their combined effects in RR and stemness will significantly extend our understanding of the mechanisms underlying the IR-related loss of stem cell function and will pave the way to innovative MtO and/or MtS/MtO-EV-based interventions to improve the lifespan and healthspan of the patients.…”
Section: Discussionmentioning
confidence: 99%