Skip to main content
Erschienen in: Strahlentherapie und Onkologie 3/2012

01.11.2012 | Originalien

Prädiktion von Normal- und Tumorreaktion nach Strahlentherapie

verfasst von: Prof. Dr. E. Dikomey, J. Dahm-Daphi, L. Distel

Erschienen in: Strahlentherapie und Onkologie | Sonderheft 3/2012

Einloggen, um Zugang zu erhalten

Auszug

Ziel einer effektiven Strahlentherapie ist es, alle Tumorzellen abzutöten bei gleichzeitiger maximaler Schonung des Normalgewebes. Für beide Endpunkte zeigt sich allerdings selbst bei identischer Gesamtdosis eine große Streuung. Neben vielen klinischen Parametern ist die zelluläre Strahlenempfindlichkeit von großer Bedeutung. Eine hohe zelluläre Strahlenempfindlichkeit kann zur Folge haben, dass für den Patienten einerseits ein besonderes Risiko für eine schwere Normalgewebereaktion besteht, aber anderseits für den Tumor keine Resistenz vorliegt und natürlich vice versa [13]. Könnte daher die zelluläre Strahlenempfindlichkeit vorab bestimmt werden, so könnte für den Tumor aber auch das Normalgewebe die Strahlenwirkung abgeschätzt und die Therapie individuell auf den Patienten angepasst werden [14]. Daher besteht bereits seit langem ein Interesse daran, Methoden zu etablieren, die eine solche prädiktive Bestimmung der Tumor- bzw. Normalgewebereaktion ermöglichen. …
Literatur
1.
Zurück zum Zitat Ang KK, Andratschke NH, Milas L (2004) Epidermal growth factor receptor and response of head-and-neck carcinoma to therapy. Int J Radiat Oncol Biol Phys 58:959–965PubMedCrossRef Ang KK, Andratschke NH, Milas L (2004) Epidermal growth factor receptor and response of head-and-neck carcinoma to therapy. Int J Radiat Oncol Biol Phys 58:959–965PubMedCrossRef
2.
Zurück zum Zitat Baumann M, Krause M, Hill R (2008) Exploring the role of cancer stem cells in radioresistance. Nat Rev Cancer 8:545–554PubMedCrossRef Baumann M, Krause M, Hill R (2008) Exploring the role of cancer stem cells in radioresistance. Nat Rev Cancer 8:545–554PubMedCrossRef
3.
Zurück zum Zitat Bentley J, Diggle CP, Harnden P et al (2004) DNA double strand break repair in human bladder cancer is error prone and involves microhomology-associated end-joining. Nucleic Acids Res 32:5249–5259PubMedCrossRef Bentley J, Diggle CP, Harnden P et al (2004) DNA double strand break repair in human bladder cancer is error prone and involves microhomology-associated end-joining. Nucleic Acids Res 32:5249–5259PubMedCrossRef
4.
Zurück zum Zitat Borgmann K, Haeberle D, Doerk T et al (2007) Genetic determination of chromosomal radiosensitivities in G0- and G2-phase human lymphocytes. Radiother Oncol 83:196–202PubMedCrossRef Borgmann K, Haeberle D, Doerk T et al (2007) Genetic determination of chromosomal radiosensitivities in G0- and G2-phase human lymphocytes. Radiother Oncol 83:196–202PubMedCrossRef
5.
Zurück zum Zitat Borgmann K, Hoeller U, Nowack S et al (2008) Individual radiosensitivity measured with lymphocytes may predict the risk of acute reaction after radiotherapy. Int J Radiat Oncol Biol Phys 71:256–264PubMedCrossRef Borgmann K, Hoeller U, Nowack S et al (2008) Individual radiosensitivity measured with lymphocytes may predict the risk of acute reaction after radiotherapy. Int J Radiat Oncol Biol Phys 71:256–264PubMedCrossRef
6.
Zurück zum Zitat Borgmann K, Roper B, El-Awady R et al (2002) Indicators of late normal tissue response after radiotherapy for head and neck cancer: fibroblasts, lymphocytes, genetics, DNA repair, and chromosome aberrations. Radiother Oncol 64:141–152PubMedCrossRef Borgmann K, Roper B, El-Awady R et al (2002) Indicators of late normal tissue response after radiotherapy for head and neck cancer: fibroblasts, lymphocytes, genetics, DNA repair, and chromosome aberrations. Radiother Oncol 64:141–152PubMedCrossRef
7.
Zurück zum Zitat Brammer I, Zoller M, Dikomey E (2001) Relationship between cellular radiosensitivity and DNA damage measured by comet assay in human normal, NBS and AT fibroblasts. Int J Radiat Biol 77:929–938PubMedCrossRef Brammer I, Zoller M, Dikomey E (2001) Relationship between cellular radiosensitivity and DNA damage measured by comet assay in human normal, NBS and AT fibroblasts. Int J Radiat Biol 77:929–938PubMedCrossRef
8.
Zurück zum Zitat Budach W, Taghian A, Freeman J et al (1993) Impact of stromal sensitivity on radiation response of tumors. J Natl Cancer Inst 85:988–993PubMedCrossRef Budach W, Taghian A, Freeman J et al (1993) Impact of stromal sensitivity on radiation response of tumors. J Natl Cancer Inst 85:988–993PubMedCrossRef
9.
Zurück zum Zitat Chang-Claude J, Ambrosone CB, Lilla C et al (2009) Genetic polymorphisms in DNA repair and damage response genes and late normal tissue complications of radiotherapy for breast cancer. Br J Cancer 100:1680–1686PubMedCrossRef Chang-Claude J, Ambrosone CB, Lilla C et al (2009) Genetic polymorphisms in DNA repair and damage response genes and late normal tissue complications of radiotherapy for breast cancer. Br J Cancer 100:1680–1686PubMedCrossRef
10.
Zurück zum Zitat Dahm-Daphi J, Dikomey E (1996) Rejoining of DNA double-strand breaks in X-irradiated CHO cells studied by constant- and graded-field gel electrophoresis. Int J Radiat Biol 69:615–621PubMedCrossRef Dahm-Daphi J, Dikomey E (1996) Rejoining of DNA double-strand breaks in X-irradiated CHO cells studied by constant- and graded-field gel electrophoresis. Int J Radiat Biol 69:615–621PubMedCrossRef
11.
Zurück zum Zitat Dikomey E, Brammer I, Johansen J et al (2000) Relationship between DNA double-strand breaks, cell killing, and fibrosis studied in confluent skin fibroblasts derived from breast cancer patients. Int J Radiat Oncol Biol Phys 46:481–490PubMedCrossRef Dikomey E, Brammer I, Johansen J et al (2000) Relationship between DNA double-strand breaks, cell killing, and fibrosis studied in confluent skin fibroblasts derived from breast cancer patients. Int J Radiat Oncol Biol Phys 46:481–490PubMedCrossRef
12.
Zurück zum Zitat Dikomey E, Dahm-Daphi J, Brammer I et al (1998) Correlation between cellular radiosensitivity and non-repaired double-strand breaks studied in nine mammalian cell lines. Int J Radiat Biol 73:269–278PubMedCrossRef Dikomey E, Dahm-Daphi J, Brammer I et al (1998) Correlation between cellular radiosensitivity and non-repaired double-strand breaks studied in nine mammalian cell lines. Int J Radiat Biol 73:269–278PubMedCrossRef
13.
Zurück zum Zitat Distel L, Neubauer S, Varon R et al (2003) Fatal toxicity following radio- and chemotherapy of medulloblastoma in a child with unrecognized Nijmegen breakage syndrome. Med Pediatr Oncol 41:44–48PubMedCrossRef Distel L, Neubauer S, Varon R et al (2003) Fatal toxicity following radio- and chemotherapy of medulloblastoma in a child with unrecognized Nijmegen breakage syndrome. Med Pediatr Oncol 41:44–48PubMedCrossRef
14.
Zurück zum Zitat Distel LV, Neubauer S, Keller U et al (2006) Individual differences in chromosomal aberrations after in vitro irradiation of cells from healthy individuals, cancer and cancer susceptibility syndrome patients. Radiother Oncol 81:257–263PubMedCrossRef Distel LV, Neubauer S, Keller U et al (2006) Individual differences in chromosomal aberrations after in vitro irradiation of cells from healthy individuals, cancer and cancer susceptibility syndrome patients. Radiother Oncol 81:257–263PubMedCrossRef
15.
Zurück zum Zitat El-Awady RA, Dikomey E, Dahm-Daphi J (2003) Radiosensitivity of human tumour cells is correlated with the induction but not with the repair of DNA double-strand breaks. Br J Cancer 89:593–601PubMedCrossRef El-Awady RA, Dikomey E, Dahm-Daphi J (2003) Radiosensitivity of human tumour cells is correlated with the induction but not with the repair of DNA double-strand breaks. Br J Cancer 89:593–601PubMedCrossRef
16.
Zurück zum Zitat El-Awady RA, Mahmoud M, Saleh EM et al (2005) No correlation between radiosensitivity or double-strand break repair capacity of normal fibroblasts and acute normal tissue reaction after radiotherapy of breast cancer patients. Int J Radiat Biol 81:501–508PubMedCrossRef El-Awady RA, Mahmoud M, Saleh EM et al (2005) No correlation between radiosensitivity or double-strand break repair capacity of normal fibroblasts and acute normal tissue reaction after radiotherapy of breast cancer patients. Int J Radiat Biol 81:501–508PubMedCrossRef
17.
Zurück zum Zitat Goodarzi AA, Jeggo P, Lobrich M (2010) The influence of heterochromatin on DNA double strand break repair: Getting the strong, silent type to relax. DNA Repair (Amst) 9:1273–1282 Goodarzi AA, Jeggo P, Lobrich M (2010) The influence of heterochromatin on DNA double strand break repair: Getting the strong, silent type to relax. DNA Repair (Amst) 9:1273–1282
18.
Zurück zum Zitat Helleday T (2011) The underlying mechanism for the PARP and BRCA synthetic lethality: clearing up the misunderstandings. Mol Oncol 5:387–393PubMedCrossRef Helleday T (2011) The underlying mechanism for the PARP and BRCA synthetic lethality: clearing up the misunderstandings. Mol Oncol 5:387–393PubMedCrossRef
19.
Zurück zum Zitat Heyer WD, Ehmsen KT, Liu J (2010) Regulation of homologous recombination in eukaryotes. Annu Rev Genet 44:113–139PubMedCrossRef Heyer WD, Ehmsen KT, Liu J (2010) Regulation of homologous recombination in eukaryotes. Annu Rev Genet 44:113–139PubMedCrossRef
20.
Zurück zum Zitat Hoeller U, Borgmann K, Bonacker M et al (2003) Individual radiosensitivity measured with lymphocytes may be used to predict the risk of fibrosis after radiotherapy for breast cancer. Radiother Oncol 69:137–144PubMedCrossRef Hoeller U, Borgmann K, Bonacker M et al (2003) Individual radiosensitivity measured with lymphocytes may be used to predict the risk of fibrosis after radiotherapy for breast cancer. Radiother Oncol 69:137–144PubMedCrossRef
21.
Zurück zum Zitat Kasten-Pisula U, Menegakis A, Brammer I et al (2009) The extreme radiosensitivity of the squamous cell carcinoma SKX is due to a defect in double-strand break repair. Radiother Oncol 90:257–264PubMedCrossRef Kasten-Pisula U, Menegakis A, Brammer I et al (2009) The extreme radiosensitivity of the squamous cell carcinoma SKX is due to a defect in double-strand break repair. Radiother Oncol 90:257–264PubMedCrossRef
22.
Zurück zum Zitat Kasten-Pisula U, Saker J, Eicheler W et al (2011) Cellular and tumor radiosensitivity is correlated to epidermal growth factor receptor protein expression level in tumors without EGFR amplification. Int J Radiat Oncol Biol Phys 80:1181–1188PubMedCrossRef Kasten-Pisula U, Saker J, Eicheler W et al (2011) Cellular and tumor radiosensitivity is correlated to epidermal growth factor receptor protein expression level in tumors without EGFR amplification. Int J Radiat Oncol Biol Phys 80:1181–1188PubMedCrossRef
23.
Zurück zum Zitat Kasten-Pisula U, Tastan H, Dikomey E (2005) Huge differences in cellular radiosensitivity due to only very small variations in double-strand break repair capacity. Int J Radiat Biol 81:409–419PubMedCrossRef Kasten-Pisula U, Tastan H, Dikomey E (2005) Huge differences in cellular radiosensitivity due to only very small variations in double-strand break repair capacity. Int J Radiat Biol 81:409–419PubMedCrossRef
24.
Zurück zum Zitat Keller U, Grabenbauer G, Kuechler A et al (2005) Cytogenetic instability in young patients with multiple primary cancers. Cancer Genet Cytogenet 157:25–32PubMedCrossRef Keller U, Grabenbauer G, Kuechler A et al (2005) Cytogenetic instability in young patients with multiple primary cancers. Cancer Genet Cytogenet 157:25–32PubMedCrossRef
25.
Zurück zum Zitat Keller U, Kuechler A, Liehr T et al (2004) Impact of various parameters in detecting chromosomal aberrations by FISH to describe radiosensitivity. Strahlenther Onkol 180:289–296PubMedCrossRef Keller U, Kuechler A, Liehr T et al (2004) Impact of various parameters in detecting chromosomal aberrations by FISH to describe radiosensitivity. Strahlenther Onkol 180:289–296PubMedCrossRef
26.
Zurück zum Zitat Komuro Y, Watanabe T, Hosoi Y et al (2003) Prediction of tumor radiosensitivity in rectal carcinoma based on p53 and Ku70 expression. J Exp Clin Cancer Res 22:223–228PubMed Komuro Y, Watanabe T, Hosoi Y et al (2003) Prediction of tumor radiosensitivity in rectal carcinoma based on p53 and Ku70 expression. J Exp Clin Cancer Res 22:223–228PubMed
27.
Zurück zum Zitat Lilla C, Ambrosone CB, Kropp S et al (2007) Predictive factors for late normal tissue complications following radiotherapy for breast cancer. Breast Cancer Res Treat 106:143–150PubMedCrossRef Lilla C, Ambrosone CB, Kropp S et al (2007) Predictive factors for late normal tissue complications following radiotherapy for breast cancer. Breast Cancer Res Treat 106:143–150PubMedCrossRef
28.
Zurück zum Zitat Lobrich M, Kuhne M, Wetzel J et al (2000) Joining of correct and incorrect DNA double-strand break ends in normal human and ataxia telangiectasia fibroblasts. Genes Chromosomes Cancer 27:59–68PubMedCrossRef Lobrich M, Kuhne M, Wetzel J et al (2000) Joining of correct and incorrect DNA double-strand break ends in normal human and ataxia telangiectasia fibroblasts. Genes Chromosomes Cancer 27:59–68PubMedCrossRef
29.
Zurück zum Zitat Mansour WY, Schumacher S, Rosskopf R et al (2008) Hierarchy of nonhomologous end-joining, single-strand annealing and gene conversion at site-directed DNA double-strand breaks. Nucleic Acids Res 36:4088–4098PubMedCrossRef Mansour WY, Schumacher S, Rosskopf R et al (2008) Hierarchy of nonhomologous end-joining, single-strand annealing and gene conversion at site-directed DNA double-strand breaks. Nucleic Acids Res 36:4088–4098PubMedCrossRef
30.
Zurück zum Zitat Menegakis A, Eicheler W, Yaromina A et al (2011) Residual DNA double strand breaks in perfused but not in unperfused areas determine different radiosensitivity of tumours. Radiother Oncol 100:137–144PubMedCrossRef Menegakis A, Eicheler W, Yaromina A et al (2011) Residual DNA double strand breaks in perfused but not in unperfused areas determine different radiosensitivity of tumours. Radiother Oncol 100:137–144PubMedCrossRef
31.
Zurück zum Zitat Mladenov E, Iliakis G (2011) Induction and repair of DNA double strand breaks: the increasing spectrum of non-homologous end joining pathways. Mutat Res 711:61–72PubMedCrossRef Mladenov E, Iliakis G (2011) Induction and repair of DNA double strand breaks: the increasing spectrum of non-homologous end joining pathways. Mutat Res 711:61–72PubMedCrossRef
32.
Zurück zum Zitat Muller WU, Bauch T, Stuben G et al (2001) Radiation sensitivity of lymphocytes from healthy individuals and cancer patients as measured by the comet assay. Radiat Environ Biophys 40:83–89PubMedCrossRef Muller WU, Bauch T, Stuben G et al (2001) Radiation sensitivity of lymphocytes from healthy individuals and cancer patients as measured by the comet assay. Radiat Environ Biophys 40:83–89PubMedCrossRef
33.
Zurück zum Zitat Nachtrab U, Oppitz U, Flentje M et al (1998) Radiation-induced micronucleus formation in human skin fibroblasts of patients showing severe and normal tissue damage after radiotherapy. Int J Radiat Biol 73:279–287PubMedCrossRef Nachtrab U, Oppitz U, Flentje M et al (1998) Radiation-induced micronucleus formation in human skin fibroblasts of patients showing severe and normal tissue damage after radiotherapy. Int J Radiat Biol 73:279–287PubMedCrossRef
34.
Zurück zum Zitat Neubauer S, Gebhart E, Schmitt G et al (1996) Is chromosome in situ suppression (CISS) hybridization suited as a predictive test for intrinsic radiosensitivity in cancer patients? Int J Oncol 8:707–712PubMed Neubauer S, Gebhart E, Schmitt G et al (1996) Is chromosome in situ suppression (CISS) hybridization suited as a predictive test for intrinsic radiosensitivity in cancer patients? Int J Oncol 8:707–712PubMed
35.
Zurück zum Zitat Popanda O, Ebbeler R, Twardella D et al (2003) Radiation-induced DNA damage and repair in lymphocytes from breast cancer patients and their correlation with acute skin reactions to radiotherapy. Int J Radiat Oncol Biol Phys 55:1216–1225PubMedCrossRef Popanda O, Ebbeler R, Twardella D et al (2003) Radiation-induced DNA damage and repair in lymphocytes from breast cancer patients and their correlation with acute skin reactions to radiotherapy. Int J Radiat Oncol Biol Phys 55:1216–1225PubMedCrossRef
36.
Zurück zum Zitat Rodel F, Hoffmann J, Distel L et al (2005) Survivin as a radioresistance factor, and prognostic and therapeutic target for radiotherapy in rectal cancer. Cancer Res 65:4881–4887PubMedCrossRef Rodel F, Hoffmann J, Distel L et al (2005) Survivin as a radioresistance factor, and prognostic and therapeutic target for radiotherapy in rectal cancer. Cancer Res 65:4881–4887PubMedCrossRef
37.
Zurück zum Zitat Rodel F, Reichert S, Sprenger T et al (2011) The role of survivin for radiation oncology: moving beyond apoptosis inhibition. Curr Med Chem 18:191–199PubMedCrossRef Rodel F, Reichert S, Sprenger T et al (2011) The role of survivin for radiation oncology: moving beyond apoptosis inhibition. Curr Med Chem 18:191–199PubMedCrossRef
38.
Zurück zum Zitat Rosidi B, Wang M, Wu W et al (2008) Histone H1 functions as a stimulatory factor in backup pathways of NHEJ. Nucleic Acids Res 36:1610–1623PubMedCrossRef Rosidi B, Wang M, Wu W et al (2008) Histone H1 functions as a stimulatory factor in backup pathways of NHEJ. Nucleic Acids Res 36:1610–1623PubMedCrossRef
39.
Zurück zum Zitat Rothkamm K, Kruger I, Thompson LH et al (2003) Pathways of DNA double-strand break repair during the mammalian cell cycle. Mol Cell Biol 23:5706–5715PubMedCrossRef Rothkamm K, Kruger I, Thompson LH et al (2003) Pathways of DNA double-strand break repair during the mammalian cell cycle. Mol Cell Biol 23:5706–5715PubMedCrossRef
40.
Zurück zum Zitat Rothkamm K, Lobrich M (2003) Evidence for a lack of DNA double-strand break repair in human cells exposed to very low x-ray doses. Proc Natl Acad Sci USA 100:5057–5062PubMedCrossRef Rothkamm K, Lobrich M (2003) Evidence for a lack of DNA double-strand break repair in human cells exposed to very low x-ray doses. Proc Natl Acad Sci USA 100:5057–5062PubMedCrossRef
41.
Zurück zum Zitat Rube CE, Dong X, Kuhne M et al (2008) DNA double-strand break rejoining in complex normal tissues. Int J Radiat Oncol Biol Phys 72:1180–1187PubMedCrossRef Rube CE, Dong X, Kuhne M et al (2008) DNA double-strand break rejoining in complex normal tissues. Int J Radiat Oncol Biol Phys 72:1180–1187PubMedCrossRef
42.
Zurück zum Zitat Rube CE, Grudzenski S, Kuhne M et al (2008) DNA double-strand break repair of blood lymphocytes and normal tissues analysed in a preclinical mouse model: implications for radiosensitivity testing. Clin Cancer Res 14:6546–6555PubMedCrossRef Rube CE, Grudzenski S, Kuhne M et al (2008) DNA double-strand break repair of blood lymphocytes and normal tissues analysed in a preclinical mouse model: implications for radiosensitivity testing. Clin Cancer Res 14:6546–6555PubMedCrossRef
43.
Zurück zum Zitat Rube CE, Lorat Y, Schuler N et al (2011) DNA repair in the context of chromatin: new molecular insights by the nanoscale detection of DNA repair complexes using transmission electron microscopy. DNA Repair (Amst) 10:427–437 Rube CE, Lorat Y, Schuler N et al (2011) DNA repair in the context of chromatin: new molecular insights by the nanoscale detection of DNA repair complexes using transmission electron microscopy. DNA Repair (Amst) 10:427–437
44.
Zurück zum Zitat Rudat V, Dietz A, Nollert J et al (1999) Acute and late toxicity, tumour control and intrinsic radiosensitivity of primary fibroblasts in vitro of patients with advanced head and neck cancer after concomitant boost radiochemotherapy. Radiother Oncol 53:233–245PubMedCrossRef Rudat V, Dietz A, Nollert J et al (1999) Acute and late toxicity, tumour control and intrinsic radiosensitivity of primary fibroblasts in vitro of patients with advanced head and neck cancer after concomitant boost radiochemotherapy. Radiother Oncol 53:233–245PubMedCrossRef
45.
Zurück zum Zitat Schirmer MA, Brockmoller J, Rave-Frank M et al (2011) A putatively functional haplotype in the gene encoding transforming growth factor beta-1 as a potential biomarker for radiosensitivity. Int J Radiat Oncol Biol Phys 79:866–874PubMedCrossRef Schirmer MA, Brockmoller J, Rave-Frank M et al (2011) A putatively functional haplotype in the gene encoding transforming growth factor beta-1 as a potential biomarker for radiosensitivity. Int J Radiat Oncol Biol Phys 79:866–874PubMedCrossRef
46.
Zurück zum Zitat Strasser H, Grabenbauer GG, Sprung CN et al (2007) DNA double-strand break induction and repair in irradiated lymphoblastoid, fibroblast cell lines and white blood cells from ATM, NBS and radiosensitive patients. Strahlenther Onkol 183:447–453PubMedCrossRef Strasser H, Grabenbauer GG, Sprung CN et al (2007) DNA double-strand break induction and repair in irradiated lymphoblastoid, fibroblast cell lines and white blood cells from ATM, NBS and radiosensitive patients. Strahlenther Onkol 183:447–453PubMedCrossRef
47.
Zurück zum Zitat Twardella D, Popanda O, Helmbold I et al (2003) Personal characteristics, therapy modalities and individual DNA repair capacity as predictive factors of acute skin toxicity in an unselected cohort of breast cancer patients receiving radiotherapy. Radiother Oncol 69:145–153PubMedCrossRef Twardella D, Popanda O, Helmbold I et al (2003) Personal characteristics, therapy modalities and individual DNA repair capacity as predictive factors of acute skin toxicity in an unselected cohort of breast cancer patients receiving radiotherapy. Radiother Oncol 69:145–153PubMedCrossRef
48.
Zurück zum Zitat Wang H, Perrault AR, Takeda Y et al (2003) Biochemical evidence for Ku-independent backup pathways of NHEJ. Nucleic Acids Res 31:5377–5388PubMedCrossRef Wang H, Perrault AR, Takeda Y et al (2003) Biochemical evidence for Ku-independent backup pathways of NHEJ. Nucleic Acids Res 31:5377–5388PubMedCrossRef
49.
Zurück zum Zitat West CM (1995) Invited review: intrinsic radiosensitivity as a predictor of patient response to radiotherapy. Br J Radiol 68:827–837PubMedCrossRef West CM (1995) Invited review: intrinsic radiosensitivity as a predictor of patient response to radiotherapy. Br J Radiol 68:827–837PubMedCrossRef
50.
Zurück zum Zitat Yaromina A, Krause M, Thames H et al (2007) Pre-treatment number of clonogenic cells and their radiosensitivity are major determinants of local tumour control after fractionated irradiation. Radiother Oncol 83:304–310PubMedCrossRef Yaromina A, Krause M, Thames H et al (2007) Pre-treatment number of clonogenic cells and their radiosensitivity are major determinants of local tumour control after fractionated irradiation. Radiother Oncol 83:304–310PubMedCrossRef
51.
Zurück zum Zitat Zschenker O, Raabe A, Boeckelmann IK et al (2010) Association of single nucleotide polymorphisms in ATM, GSTP1, SOD2, TGFB1, XPD and XRCC1 with clinical and cellular radiosensitivity. Radiother Oncol 97:26–32PubMedCrossRef Zschenker O, Raabe A, Boeckelmann IK et al (2010) Association of single nucleotide polymorphisms in ATM, GSTP1, SOD2, TGFB1, XPD and XRCC1 with clinical and cellular radiosensitivity. Radiother Oncol 97:26–32PubMedCrossRef
Metadaten
Titel
Prädiktion von Normal- und Tumorreaktion nach Strahlentherapie
verfasst von
Prof. Dr. E. Dikomey
J. Dahm-Daphi
L. Distel
Publikationsdatum
01.11.2012
Verlag
Springer-Verlag
Erschienen in
Strahlentherapie und Onkologie / Ausgabe Sonderheft 3/2012
Print ISSN: 0179-7158
Elektronische ISSN: 1439-099X
DOI
https://doi.org/10.1007/s00066-012-0204-2

Weitere Artikel der Sonderheft 3/2012

Strahlentherapie und Onkologie 3/2012 Zur Ausgabe

Mehr Lebenszeit mit Abemaciclib bei fortgeschrittenem Brustkrebs?

24.05.2024 Mammakarzinom Nachrichten

In der MONARCHE-3-Studie lebten Frauen mit fortgeschrittenem Hormonrezeptor-positivem, HER2-negativem Brustkrebs länger, wenn sie zusätzlich zu einem nicht steroidalen Aromatasehemmer mit Abemaciclib behandelt wurden; allerdings verfehlte der numerische Zugewinn die statistische Signifikanz.

ADT zur Radiatio nach Prostatektomie: Wenn, dann wohl länger

24.05.2024 Prostatakarzinom Nachrichten

Welchen Nutzen es trägt, wenn die Strahlentherapie nach radikaler Prostatektomie um eine Androgendeprivation ergänzt wird, hat die RADICALS-HD-Studie untersucht. Nun liegen die Ergebnisse vor. Sie sprechen für länger dauernden Hormonentzug.

Das sind die führenden Symptome junger Darmkrebspatienten

Darmkrebserkrankungen in jüngeren Jahren sind ein zunehmendes Problem, das häufig längere Zeit übersehen wird, gerade weil die Patienten noch nicht alt sind. Welche Anzeichen Ärzte stutzig machen sollten, hat eine Metaanalyse herausgearbeitet.

„Überwältigende“ Evidenz für Tripeltherapie beim metastasierten Prostata-Ca.

22.05.2024 Prostatakarzinom Nachrichten

Patienten mit metastasiertem hormonsensitivem Prostatakarzinom sollten nicht mehr mit einer alleinigen Androgendeprivationstherapie (ADT) behandelt werden, mahnt ein US-Team nach Sichtung der aktuellen Datenlage. Mit einer Tripeltherapie haben die Betroffenen offenbar die besten Überlebenschancen.

Update Onkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.