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RADCOMP

Aim 1: Insight into Biologic Mechanisms

Specific Aim 1: To determine the early changes in multiple

biomarkers in patients undergoing RT, and how these

changes differ in proton versus photon therapy.

Hypothesis: Early increases in circulating biomarkers will

differ according to RT; photon therapy will result in a more

adverse biomarker profile.

Biologic Alteration

Biomarker

Inflammation

GDF-15, hsCRP

Microvascular Dysfunction PlGF

Oxidative Stress

MPO, PON, Aryl

Myocyte Injury

TnT

Myocyte Stress

NT-proBNP

Fibrosis

Galectin-3