Impact of hypoxic versus oxic conditions on local tumor control after proton irradiation in a rat prostate carcinoma

Background and purpose - Hypoxia in tumors significantly contributes to radiation resistance, often leading to poor treatment outcomes. In vitro studies demonstrated that proton irradiation not only exhibits an increased relative biological effectiveness (RBE), but also a lower oxygen enhancement ra...

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Hauptverfasser: Schmitt, Michaela (VerfasserIn) , Glowa, Christin (VerfasserIn) , Kurth, Ina (VerfasserIn) , Peschke, Peter (VerfasserIn) , Brons, Stephan (VerfasserIn) , Karger, Christian (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: July 2025
In: Clinical and translational radiation oncology
Year: 2025, Jahrgang: 53, Pages: 1-7
ISSN:2405-6308
DOI:10.1016/j.ctro.2025.100957
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.ctro.2025.100957
Verlag, lizenzpflichtig, Volltext: https://www.sciencedirect.com/science/article/pii/S2405630825000473
Volltext
Verfasserangaben:Michaela Schmitt, Christin Glowa, Ina Kurth, Peter Peschke, Stephan Brons, Christian P. Karger

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520 |a Background and purpose - Hypoxia in tumors significantly contributes to radiation resistance, often leading to poor treatment outcomes. In vitro studies demonstrated that proton irradiation not only exhibits an increased relative biological effectiveness (RBE), but also a lower oxygen enhancement ratio (OER). This study explored the impact of hypoxic and oxic conditions on local tumor control after proton irradiation in a rat prostate carcinoma. - Material and methods - Subcutaneously transplanted Dunning R3327-HI rat prostate carcinomas were irradiated with varying single doses of protons under oxic or hypoxic conditions. Hypoxia was induced by clamping the tumor-supplying vessels. The biological endpoint was local tumor control assessed 300 days after irradiation. Dose-response curves were determined and based on the doses required for 50 % tumor control probability (TCD50), the RBE and OER were calculated. - Results - The TCD50 value was significantly higher under hypoxic than under oxic conditions (73.4 ± 1.9 Gy vs. 50.5 ± 1.6 Gy), resulting in an OER of 1.45 ± 0.06 for proton irradiation. Compared to photon irradiation, the RBE for protons was of 1.23 ± 0.07 under oxic and 1.30 ± 0.04 under hypoxic conditions. - Conclusion - Proton irradiations showed a 5 % reduction in OER compared to the previously measured photon value of 1.53 ± 0.08, suggesting a slightly higher effectiveness of protons in hypoxic tumors as compared to photons. 
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