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Targeting hypoxia – holy grail of radiotherapy?

Hypoxia targeting has come a long way, from

increasing oxygen supply and enhancing perfusion, to

inhibitors of specific signaling or metabolic pathways

Tumor hypoxia represents a highly dynamic condition,

distributed heterogenously in tumors and changing over

time

The concept of acute vs chronic hypoxia is clearly an

oversimplification of a complex condition

The comeback of large doses/fx or even single doses

also needs consideration of adding relatively non-toxic

hypoxic sensitizers like nimorazole: “back to the future”