Evidence map›Paper›PMID 40641232›Full record

ReviewCancer biology & medicine2025

Mechanisms underlying prostate cancer sensitivity to reactive oxygen species: overcoming radiotherapy resistance and recent clinical advances.

Meidan Wang, Rui Xing, Liqun Wang, Mingyue Pan, Ruoyun Zhang, Ting Li, Weiqiang Sun, Jing Zhou

Abstract readReview
In one paragraph

Review in Cancer biology & medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Review
  5. 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

8 authors.

Meidan Wang *Department of Radiation Oncology, Faculty of Medicine, University of Freiburg, Freiburg 79106, Germany.
Rui Xing *Department of Hematology, Dongyang Hospital Affiliated to Wenzhou Medical University, Dongyang People's Hospital, Dongyang 322100, China.
Liqun Wang *Department of Radiation Oncology, Faculty of Medicine, University of Freiburg, Freiburg 79106, Germany.
Mingyue PanFaculty of Law, University of Freiburg, Freiburg 79085, Germany.
Ruoyun ZhangSchool of Chinese Language and Literature, Tangshan Normal University, Tangshan 063000, China.
Ting LiDepartment of Oncology, Shandong Provincial Third Hospital, Cheeloo College of Medicine, Shandong University, Jinan 250012, China.
Weiqiang SunDepartment of Hepatobiliary Surgery, General Surgery, Jinan Third People's Hospital, Jinan 250031, China.
Jing ZhouDepartment of Chemoradiotherapy, Ningbo NO. 2 Hospital, Ningbo 315010, China.ORCID 0009-0008-2746-2199

Funding

2022 Shandong Medical Association Clinical Research Special Fund for Dynamic Monitoring of Lymphocyte Subpopulations by Flow Cytometry YXH2022ZX03227Jinhua Science and Technology Bureau 2022-4-258Ningbo Yongjiang Talent programme-Project for Innovative Talents 20240340
6 · The paper itself

Abstract

Prostate cancer (PCa) is a leading cause of cancer-related mortality among men. Radiotherapy is the cornerstone of PCa treatment. However, a major limitation of radiotherapy is the development of resistance, which compromises treatment efficacy. Reactive oxygen species (ROS), which are generated by radiation, have a dual role in PCa by inducing DNA damage and apoptosis, while also promoting tumor progression and radioresistance. Elevated ROS levels enhance metabolic reprogramming, activate oncogenic pathways, and influence the tumor microenvironment by modulating immune responses and promoting the epithelial-mesenchymal transition (EMT). Key molecular mechanisms, including the Nrf2/Keap1 signaling axis, Bcl-2 mutations, and Speckle-type POZ protein alterations, contribute to radioresistance by enhancing antioxidant defenses and DNA repair capacity. Additionally, the interplay between hypoxia, androgen receptor variants (AR-Vs), and ferroptosis regulators further influence radiotherapy outcomes. Understanding these resistance mechanisms is crucial for developing targeted strategies to enhance radiosensitivity and improve therapeutic outcomes in PCa patients.

Indexed as

Prostatic NeoplasmsRadiation ToleranceReactive Oxygen SpeciesAnimalsDNA RepairEpithelial-Mesenchymal TransitionHumansMaleSignal TransductionTumor MicroenvironmentReactive Oxygen SpeciesantioxidantsProstate cancer (PCa)radiation therapy (RT)radiotherapy resistancereactive oxygen species (ROS)

Identifiers

PMID40641232
PMCPMC12302274

What OpenQuestion holds

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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.