Review article

The 6th R of radiobiology: reactivation of anti-tumor immune response

Boustani J, Grapin M, Laurent PA, Apetoh L, Mirjolet C

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DoseLab summary

Open-access review. It defines the "five Rs" — repair, re-assortment, repopulation, reoxygenation and radiosensitivity — as the most important biological factors influencing tumor and normal-tissue response to fractionated treatment, and proposes a sixth R, reactivation of the anti-tumor immune response by radiotherapy, discussing how dose and fractionation may affect it. Full text read in Europe PMC (PMC6627091).

Why this is useful

A one-line definition of each of the five Rs, plus the case for a sixth: reactivation of the immune system by radiation.

Reference details

Title
The 6th R of radiobiology: reactivation of anti-tumor immune response
Authors / organization
Boustani J, Grapin M, Laurent PA, Apetoh L, Mirjolet C
Publication / protocol
Cancers (Basel). 2019;11(6):860
Version
Pending verification
Year
2019
DOI
10.3390/cancers11060860
Disease sites
Pending verification
Topics
Radiobiology, 4 Rs, Immunotherapy
Fractionation context
Pending verification
Last reviewed by DoseLab
2026-10-07

Cited on DoseLab