Targeting the Enhanced Sensitivity of Radiotherapy in Cancer: Mechanisms, Applications, and Challenges

ABSTRACT Cancer is a major public health, societal, and economic challenge worldwide. According to Global Cancer Statistics 2022, it is estimated that by 2050, there will be 35 million new cancer cases globally. Although patient survival rates have improved through various therapeutic approaches, in...

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Main Authors: Yuanyuan Zhao, Fangqin Tan, Jiajia Zhao, Shuchang Zhou, Yao Luo, Chen Gong
Format: Article
Language:English
Published: Wiley 2025-06-01
Series:MedComm
Subjects:
Online Access:https://doi.org/10.1002/mco2.70202
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author Yuanyuan Zhao
Fangqin Tan
Jiajia Zhao
Shuchang Zhou
Yao Luo
Chen Gong
author_facet Yuanyuan Zhao
Fangqin Tan
Jiajia Zhao
Shuchang Zhou
Yao Luo
Chen Gong
author_sort Yuanyuan Zhao
collection DOAJ
description ABSTRACT Cancer is a major public health, societal, and economic challenge worldwide. According to Global Cancer Statistics 2022, it is estimated that by 2050, there will be 35 million new cancer cases globally. Although patient survival rates have improved through various therapeutic approaches, including surgery, chemotherapy, and radiotherapy, treatment efficacy remains limited once tumor metastasis occurs. Among various cancer treatment strategies, radiotherapy plays a crucial role. Along with surgery and chemotherapy, radiotherapy is a cost‐effective single‐modality treatment, accounting for approximately 5% of total cancer care costs. The use of radiosensitizing agents such as histone deacetylase inhibitors, 2‐deoxy‐d‐glucose, enterolactone, and squalene epoxidase can enhance radiotherapy effectiveness. Recent radiosensitization methods involve physical stimuli and chemical radiosensitizers. However, improving their efficacy, durability, and overcoming radioresistance remain significant challenges. This review first introduces current applications of radiotherapy in cancer treatment, the molecular mechanisms underlying its anticancer effects, and its side effects. Second, it discusses the main types of radiosensitizers, their latest applications, and recent challenges in cancer treatment. Finally, it emphasizes on clinical trials of radiosensitizing agents and explores potential biomarkers for radiotherapy response in cancer. Multifunctional nanoparticles have shown greater clinical applicability than single‐functional nanoparticles. Future research will focus on enhancing the drug‐carrying capacity of nanomaterials to further improve radiotherapy outcomes.
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spelling doaj-art-7d56dba8b4594c138868209e9a188c7e2025-08-20T04:00:44ZengWileyMedComm2688-26632025-06-0166n/an/a10.1002/mco2.70202Targeting the Enhanced Sensitivity of Radiotherapy in Cancer: Mechanisms, Applications, and ChallengesYuanyuan Zhao0Fangqin Tan1Jiajia Zhao2Shuchang Zhou3Yao Luo4Chen Gong5Department of Oncology Department of Radiology Institute of Organ Transplantation Tongji Hospital Tongji Medical College Huazhong University of Science and Technology Wuhan ChinaDepartment of Oncology Department of Radiology Institute of Organ Transplantation Tongji Hospital Tongji Medical College Huazhong University of Science and Technology Wuhan ChinaDepartment of Stomatology Union Hospital Tongji Medical College Huazhong University of Science and Technology Wuhan ChinaDepartment of Oncology Department of Radiology Institute of Organ Transplantation Tongji Hospital Tongji Medical College Huazhong University of Science and Technology Wuhan ChinaDepartment of Laboratory Medicine Sichuan Clinical Research Center for Laboratory Medicine West China Hospital Sichuan University Chengdu ChinaDepartment of Oncology Department of Radiology Institute of Organ Transplantation Tongji Hospital Tongji Medical College Huazhong University of Science and Technology Wuhan ChinaABSTRACT Cancer is a major public health, societal, and economic challenge worldwide. According to Global Cancer Statistics 2022, it is estimated that by 2050, there will be 35 million new cancer cases globally. Although patient survival rates have improved through various therapeutic approaches, including surgery, chemotherapy, and radiotherapy, treatment efficacy remains limited once tumor metastasis occurs. Among various cancer treatment strategies, radiotherapy plays a crucial role. Along with surgery and chemotherapy, radiotherapy is a cost‐effective single‐modality treatment, accounting for approximately 5% of total cancer care costs. The use of radiosensitizing agents such as histone deacetylase inhibitors, 2‐deoxy‐d‐glucose, enterolactone, and squalene epoxidase can enhance radiotherapy effectiveness. Recent radiosensitization methods involve physical stimuli and chemical radiosensitizers. However, improving their efficacy, durability, and overcoming radioresistance remain significant challenges. This review first introduces current applications of radiotherapy in cancer treatment, the molecular mechanisms underlying its anticancer effects, and its side effects. Second, it discusses the main types of radiosensitizers, their latest applications, and recent challenges in cancer treatment. Finally, it emphasizes on clinical trials of radiosensitizing agents and explores potential biomarkers for radiotherapy response in cancer. Multifunctional nanoparticles have shown greater clinical applicability than single‐functional nanoparticles. Future research will focus on enhancing the drug‐carrying capacity of nanomaterials to further improve radiotherapy outcomes.https://doi.org/10.1002/mco2.70202combination therapyradiosensitizationradiosensitizersradiotherapy
spellingShingle Yuanyuan Zhao
Fangqin Tan
Jiajia Zhao
Shuchang Zhou
Yao Luo
Chen Gong
Targeting the Enhanced Sensitivity of Radiotherapy in Cancer: Mechanisms, Applications, and Challenges
MedComm
combination therapy
radiosensitization
radiosensitizers
radiotherapy
title Targeting the Enhanced Sensitivity of Radiotherapy in Cancer: Mechanisms, Applications, and Challenges
title_full Targeting the Enhanced Sensitivity of Radiotherapy in Cancer: Mechanisms, Applications, and Challenges
title_fullStr Targeting the Enhanced Sensitivity of Radiotherapy in Cancer: Mechanisms, Applications, and Challenges
title_full_unstemmed Targeting the Enhanced Sensitivity of Radiotherapy in Cancer: Mechanisms, Applications, and Challenges
title_short Targeting the Enhanced Sensitivity of Radiotherapy in Cancer: Mechanisms, Applications, and Challenges
title_sort targeting the enhanced sensitivity of radiotherapy in cancer mechanisms applications and challenges
topic combination therapy
radiosensitization
radiosensitizers
radiotherapy
url https://doi.org/10.1002/mco2.70202
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