ArticleNPJ precision oncology2025
Minibeam radiation therapy remodels tumor microenvironment and suppresses HIF-1α/VEGFR axis to overcome radioresistance in triple-negative breast cancer.
Article in NPJ precision oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Oxygen-augmented erythrocyte-liposome hybrids to overcome paclitaxel resistance in triple-negative breast cancer metastasis via enhanced ferroptosis.Materials today. Bio · 2026Article
- Roadmap for the implementation of particle minibeam therapy.Medical physics · 2026Review
- A multidisciplinary experimental and methodological investigation of electron and proton minibeams in the framework of the INFN MIRO project.Medical physics · 2026Article
- Spatially fractionated radiation therapy (SFRT): a scoping review of dosimetric and biological evidence supporting a valley dose-driven translational framework.Radiation oncology (London, England) · 2026Article
- SFRT alleviates symptoms associated with bulky advanced cancer: a retrospective single-center cohort analysis.Frontiers in oncology · 2026Article
Corrections and comments
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Authors and funding
13 authors.
Funding
Abstract
Triple-negative breast cancer (TNBC) is resistant to radiotherapy due to tumor hypoxia and abnormal angiogenesis, necessitating strategies to enhance therapeutic outcomes. This study evaluates the use of minibeam radiation therapy (MBRT), delivered through a novel 3D-printed collimator made of polylactic acid (PLA) and tungsten, to modulate the TNBC microenvironment and potentially overcome radioresistance. Three collimator configurations (400, 600, 800 μm beam widths) were tested. Mice received MBRT (150 Gy) or conventional radiotherapy (CRT, 7 or 15 Gy), with tumor responses assessed using histology, RNA sequencing, and immunohistochemistry. The measured beam FWHM values for the MBRT 0.4, 0.6, and 0.8 groups were 419 ± 23 μm, 575 ± 31 μm, and 798 ± 50 μm, respectively, while the CTC distances were 832 ± 25 μm, 1296 ± 21 μm, and 1651 ± 49 μm. MBRT generated stable, spatially fractionated dose distributions with high peak-to-valley ratios. Compared to CRT at equivalent valley doses, MBRT significantly reduced tumor growth, proliferation, and hypoxia while increasing necrosis. Mechanistically, MBRT downregulated HIF-1α/VEGFR signaling, alleviating hypoxia and angiogenesis, and enhanced vascular normalization via increased pericyte coverage. These findings suggest MBRT reprograms the TNBC microenvironment, supporting its potential as a radiosensitizing strategy for clinical translation.
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Registered trials
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.