PMID- 17440683 OWN - NLM STAT- MEDLINE DCOM- 20070917 LR - 20071203 IS - 0167-7659 (Print) IS - 0167-7659 (Linking) VI - 26 IP - 2 DP - 2007 Jun TI - Hypoxia and radiotherapy: opportunities for improved outcomes in cancer treatment. PG - 241-8 AB - A large body of clinical evidence exists to suggest that tumor hypoxia negatively impacts radiotherapy. As a result, there has been longstanding active research into novel methods of improving tumor oxygenation, targeting hypoxic tumor cells, and otherwise modulating the effect hypoxia has on how tumors respond to radiation. Over time, as more has been learned about the many ways hypoxia affects tumors, our understanding of the mechanisms connecting hypoxia to radiosensitivity has become increasingly broad and complicated. This has opened up new potential avenues for interrupting hypoxia's negative effects on tumor radiosensitivity. Here, we will review what is currently known about the spectrum of influence hypoxia has over the way tumors respond to radiation. Particular focus will be placed on recent discoveries suggesting that hypoxia-inducible factor-1 (HIF-1), a transcription factor that upregulates its target genes under hypoxic conditions, plays a major role in determining tumor radiosensitivity. HIF-1 and/or its target genes may represent therapeutic targets which could be manipulated to influence hypoxia's impact on tumor radiosensitivity. FAU - Moeller, Benjamin J AU - Moeller BJ AD - Department of Radiation Oncology, Duke University Medical Center, Durham, NC, USA,. FAU - Richardson, Rachel A AU - Richardson RA FAU - Dewhirst, Mark W AU - Dewhirst MW LA - eng GR - CA40355/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Review PL - Netherlands TA - Cancer Metastasis Rev JT - Cancer metastasis reviews JID - 8605731 SB - IM MH - Cell Hypoxia/*radiation effects MH - Humans MH - Neoplasms/*physiopathology/*radiotherapy MH - Oxygen Consumption/radiation effects MH - Radiation Tolerance MH - Treatment Outcome RF - 56 EDAT- 2007/04/19 09:00 MHDA- 2007/09/18 09:00 CRDT- 2007/04/19 09:00 PHST- 2007/04/19 09:00 [pubmed] PHST- 2007/09/18 09:00 [medline] PHST- 2007/04/19 09:00 [entrez] AID - 10.1007/s10555-007-9056-0 [doi] PST - ppublish SO - Cancer Metastasis Rev. 2007 Jun;26(2):241-8. doi: 10.1007/s10555-007-9056-0.