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Published in: Journal of Radiation Oncology 4/2015

01-12-2015 | Review

Combining radiotherapy and immunotherapy for prostate cancer: two decades of research from preclinical to clinical trials

Authors: Ying Huang, Wei Chen, Bin S. Teh, E. Brian Butler

Published in: Journal of Radiation Oncology | Issue 4/2015

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Abstract

The combination of radiation therapy and immunotherapy is a novel therapeutic approach for prostate cancer. Preclinical evidence has shown that ionizing radiation can have immunostimulatory effects. Ionizing radiation can also affect the tumor microenvironment, enhance infiltration of activated T cells, and trigger an inflammatory process. Together, the combined radio-immunotherapy can enhance cancer cell kill and stimulate the host immune system, providing improved local and systemic control as well as prolongation of survival. The goal of combining radiation therapy with immunotherapy is also to improve cancer cure without an increase in treatment-related toxicity. The combined approach offers a new paradigm, whereby two local therapies, i.e., radiotherapy and in situ immunotherapy, are combined to elicit both local and systemic effects. Herein, we review the rationale for combining radiation and different immunotherapies, the interactions between tumors and the immune system, as well as immunological and abscopal effects of ionizing radiation. The preclinical and clinical trials of combined radiation therapy and immunotherapy for prostate cancer are reviewed. This combined approach holds promise in the management of prostate cancer.
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Metadata
Title
Combining radiotherapy and immunotherapy for prostate cancer: two decades of research from preclinical to clinical trials
Authors
Ying Huang
Wei Chen
Bin S. Teh
E. Brian Butler
Publication date
01-12-2015
Publisher
Springer Berlin Heidelberg
Published in
Journal of Radiation Oncology / Issue 4/2015
Print ISSN: 1948-7894
Electronic ISSN: 1948-7908
DOI
https://doi.org/10.1007/s13566-015-0240-5

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