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ESTRO

2017

Radio-enhancement by dFdC of a human squamous

cell carcinoma cell line (SQD9)

10 -4

10 -3

10 -2

10 -1

10 0

0 2 4 6 8 10 12 14

Rx alone

dFdC (5 µM) for

3 h prior to Rx

Surviving Fraction

Absorbed dose (Gy)

DMF=1.3

DMF=1.3

DMF=1.3

a b

(Gy

-1

) (Gy

-2

)

Rx

0.30 0.02

Rx + dFdC 0.38 0.04

ESTRO

2017

Rationales for combining chemotherapeutic

agents and ionizing radiation

modulation of DNA/chromosome repair

regulation of tumor cell proliferation

increased tumor cell loss

enhancement of nucleoside analogue-

induced apoptosis by IR

increased tumor cell re-oxygenation