Evidence map›Paper›PMID 34455983›Full record

ReviewSeminars in radiation oncology2021

Biology of the Radio- and Chemo-Responsiveness in HPV Malignancies.

Michael T Spiotto, Cullen M Taniguchi, Ann H Klopp, Lauren E Colbert, Steven H Lin, Li Wang, Mitchell J Frederick, Abdullah A Osman, Curtis R Pickering, Steven J Frank

Open access · greenAbstract readReview
In one paragraph

Review in Seminars in radiation oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.0field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 38 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Attributes of HPV associated cancers.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Review
  6. Review
  7. Article
  8. Review
  9. Article
  10. Plasma exosomal miR-150-3p,American journal of cancer research · 2025
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Review
  17. Review
  18. Review
  19. Review
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Michael T SpiottoDepartment of Radiation Oncology, The University of Texas M.D. Anderson Cancer Center, Houston, TX. Electronic address: MTSpiotto@mdanderson.org.
Cullen M TaniguchiDepartment of Radiation Oncology, The University of Texas M.D. Anderson Cancer Center, Houston, TX.
Ann H KloppDepartment of Radiation Oncology, The University of Texas M.D. Anderson Cancer Center, Houston, TX.
Lauren E ColbertDepartment of Radiation Oncology, The University of Texas M.D. Anderson Cancer Center, Houston, TX.
Steven H LinDepartment of Radiation Oncology, The University of Texas M.D. Anderson Cancer Center, Houston, TX.
Li WangDepartment of Radiation Oncology, The University of Texas M.D. Anderson Cancer Center, Houston, TX.
Mitchell J FrederickDepartment of Head and Neck Surgery, Baylor College of Medicine, Houston, TX.
Abdullah A OsmanDepartment of Head and Neck Surgery, The University of Texas M.D. Anderson Cancer Center, Houston, TX.
Curtis R PickeringDepartment of Head and Neck Surgery, The University of Texas M.D. Anderson Cancer Center, Houston, TX.
Steven J FrankDepartment of Radiation Oncology, The University of Texas M.D. Anderson Cancer Center, Houston, TX.
The University of Texas MD Anderson Cancer Center · USBaylor College of Medicine · US

Funding

Enhancing Chemoradiation Efficacy through Unbiased Drug Discovery ApproachesU01CA216468 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI KRISHNAN, SUNIL, LIN, STEVEN HSESHENG · 2017 to 2021
$2.9M
Viral Replication Pathways During Oral Tumorigenesis and Response to TherapyR01DE027445 · NIDCR · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI SPIOTTO, MICHAEL T · 2018 to 2022
$1.9M
Genomic Stratification and Targeting of HPV+ CancerR03DE028381 · NIDCR · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI PICKERING, CURTIS · 2019 to 2020
$320k
NCI NIH HHS U01 CA216468NIDCR NIH HHS R01 DE027445NIDCR NIH HHS R03 DE028381
6 · The paper itself

Abstract

In multiple anatomic sites, patients with cancers associated with the Human Papillomavirus (HPV) experience better locoregional control and overall survival after radiotherapy and/or chemoradiotherapy than patients with HPV-negative cancers. These improved outcomes suggest that relatively unique biological features in HPV-positive cancers may increase sensitivity to DNA damaging agents as well as an impaired DNA damage response. This review will address potential biological mechanisms driving this increased sensitivity of HPV-positive cancer to radiation and/or chemotherapy. This review will discuss the clinical and preclinical observations that support the intrinsic radiosensitivity and/or chemosensitivity of HPV-positive cancers. Furthermore, this review will highlight the molecular mechanisms for increased radiation sensitivity using the classical "4 Rs" of radiobiology: repair, reassortment, repopulation, and reoxygenation. First, HPV-positive cancers have increased DNA damage due to increased oxidative stress and impaired DNA damage repair due to the altered activity TP53, p16, TIP60, and other repair proteins. Second, irradiated HPV-positive cancer cells display increased G2/M arrest leading to reassortment of cancer cells in more radiosensitive phases of the cell cycle. In addition, HPV-positive cancers have less radioresistant cancer stem cell subpopulations that may limit their repopulation during radiotherapy. Finally, HPV-positive cancers may also have less hypoxic tumor microenvironments that make these cancers more sensitive to radiation than HPV-negative cells. We will also discuss extrinsic immune and microenvironmental factors enriched in HPV-positive cancers that facilities responses to radiation. Therefore, these potential biological mechanisms may underpin the improved clinical outcomes often observed in these virally induced cancers.

Indexed as

AlphapapillomavirusHead and Neck NeoplasmsPapillomavirus InfectionsApoptosisCell Line, TumorG2 Phase Cell Cycle CheckpointsHumansPapillomaviridaeRadiobiologyTumor Microenvironment

Identifiers

PMID34455983
PMCPMC8689584
OpenAlexW3162135770

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.