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Immunotherapy and stereotactic ablative radiotherapy (ISABR): a curative approach?

Open access
Bernstein, Michael B., Krishnan, Sunil, Hodge, James W., Chang, Joe Y.·2016·Nature Reviews Clinical Oncology

Abstract

Conventional radiotherapy, in addition to its well-established tumoricidal effects, can also activate the host immune system. Radiation therapy modulates tumour phenotypes, enhances antigen presentation and tumour immunogenicity, increases production of cytokines and alters the tumour microenvironment, enabling destruction of the tumour by the immune system. Investigating the combination of radiotherapy with immunotherapeutic agents, which also promote the host antitumour immune response is, therefore, a logical progression. As the spectrum of clinical use of stereotactic radiotherapy continues to broaden, the question arose as to whether the ablative radiation doses used can also stimulate immune responses and, if so, whether we can amplify these effects by combining immunotherapy and stereotactic ablative radiotherapy (SABR). In this Perspectives article, we explore the preclinical and clinical evidence supporting activation of the immune system following SABR. We then examine studies that provide data on the effectiveness of combining these two techniques — immunotherapy and SABR — in an approach that we have termed 'ISABR'. Lastly, we provide general guiding principles for the development of future clinical trials to investigate the efficacy of ISABR in the hope of generating further interest in these exciting developments.

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Metadata

Authors
Bernstein, M. B., Krishnan, S., Hodge, J. W., & Chang, J. Y.
Venue
Nature Reviews Clinical Oncology
Published
2016-03-08
Volume
13
Issue
8
Pages
516-524
ISSN
  • 1759-4774 (ISSN-L)
  • 1759-4782
OpenAlex
W2293494611
Cited by
399
References
12
FWCI
4.80
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Immunotherapy and stereotactic ablative radiotherapy (ISABR): a curative approach? https://app.cochat.ai/papers/10.1038/nrclinonc.2016.30
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Bernstein, M. B., Krishnan, S., Hodge, J. W., & Chang, J. Y. (2016). Immunotherapy and stereotactic ablative radiotherapy (ISABR): a curative approach? Nature Reviews Clinical Oncology. https://doi.org/10.1038/nrclinonc.2016.30

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.