2019
DOI: 10.1101/856443
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Combining hypoxia-activated prodrugs and radiotherapy in silico: Impact of treatment scheduling and the intra-tumoural oxygen landscape

Abstract: Hypoxia-activated prodrugs (HAPs) present a conceptually elegant approach to not only overcome, but better yet, exploit intra-tumoural hypoxia. Despite being successful in vitro and in vivo, HAPs are yet to achieve successful results in clinical settings. It has been hypothesised that this lack of clinical success can, in part, be explained by the insufficiently stringent clinical screening selection of determining which tumours are suitable for HAP treatments [1].We here demonstrate that both the intra-tumour… Show more

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Cited by 3 publications
(6 citation statements)
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References 55 publications
(137 reference statements)
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“…Therefore, gaining a greater mechanistic understanding of the factors and their complex interplay in determining the antitumor effects of CP-506 is essential for successful clinical translation. Despite the clear monotherapeutic activity of CP-506, it should be noted that the therapeutic efficacy of HAPs is predicted to be the greatest when combined with other treatment modalities such as chemo-and radiotherapy (47). Since HAPs mainly target the hypoxic tumor cells, the therapeutic potential can theoretically be enhanced by a different treatment modality that kills aerobic cells.…”
Section: Discussionmentioning
confidence: 99%
“…Therefore, gaining a greater mechanistic understanding of the factors and their complex interplay in determining the antitumor effects of CP-506 is essential for successful clinical translation. Despite the clear monotherapeutic activity of CP-506, it should be noted that the therapeutic efficacy of HAPs is predicted to be the greatest when combined with other treatment modalities such as chemo-and radiotherapy (47). Since HAPs mainly target the hypoxic tumor cells, the therapeutic potential can theoretically be enhanced by a different treatment modality that kills aerobic cells.…”
Section: Discussionmentioning
confidence: 99%
“…ABMs can also be coupled to detailed models of tumour blood flow, angiogenesis and vascular remodelling to understand how their impact on tumour heterogeneity and the emergence of hypoxic regions [70]. Such detailed ABMs also permit investigation of treatments in which radiotherapy is combined with hypoxiaactivated prodrugs [71].…”
Section: Model Extensionsmentioning
confidence: 99%
“…cells with a partial pressure of oxygen (pO 2 ) value of 10 mmHg or less [20]) display arrest (i.e. delay) in the G1 phase of the cell cycle [21]. As is described bellow, details regarding oxygen dynamics are included in the in vivo model, but not in the in vitro model.…”
Section: Oxygen Distribution and Influence On Cellsmentioning
confidence: 99%
“…In vivo oxygen distribution and responses: Within solid tumours, oxygen concentrations typically vary and hypoxic regions are common tumour features [21,18,22]. Avoiding complicated details of vasculature in the model, we here approximate the oxygen as diffusing in from 'outside the tumour'.…”
Section: Oxygen Distribution and Influence On Cellsmentioning
confidence: 99%
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