The untapped potential of radiation and immunotherapy for hormone receptor-positive breast cancer

Abstract Hormone receptor-positive breast cancers are a diverse group of tumours, with only some responding well to immunotherapy. Alternative combination strategies such as radiotherapy present an exciting opportunity to improve immunotherapy responses. We review an intriguing overlap between the i...

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Main Authors: Matthew Fenton, Miki Yoneyama, Erik Wennerberg, Tom Lund, Andrew Tutt, Alan Melcher, Sandra Demaria, Navita Somaiah
Format: Article
Language:English
Published: Nature Portfolio 2025-07-01
Series:npj Breast Cancer
Online Access:https://doi.org/10.1038/s41523-025-00796-x
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author Matthew Fenton
Miki Yoneyama
Erik Wennerberg
Tom Lund
Andrew Tutt
Alan Melcher
Sandra Demaria
Navita Somaiah
author_facet Matthew Fenton
Miki Yoneyama
Erik Wennerberg
Tom Lund
Andrew Tutt
Alan Melcher
Sandra Demaria
Navita Somaiah
author_sort Matthew Fenton
collection DOAJ
description Abstract Hormone receptor-positive breast cancers are a diverse group of tumours, with only some responding well to immunotherapy. Alternative combination strategies such as radiotherapy present an exciting opportunity to improve immunotherapy responses. We review an intriguing overlap between the impact of oestrogen signalling and radiation on multiple signalling pathways and immune cells that may be exploited for therapeutic gains in breast cancer. This is synthesised with the pre-clinical data and clinical trial landscape supporting the use of combined radiation and immunotherapy to derive insights for future neo-adjuvant trial design.
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publishDate 2025-07-01
publisher Nature Portfolio
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series npj Breast Cancer
spelling doaj-art-53265644cc134f4ab871e8caa18760212025-08-20T03:43:20ZengNature Portfolionpj Breast Cancer2374-46772025-07-0111111510.1038/s41523-025-00796-xThe untapped potential of radiation and immunotherapy for hormone receptor-positive breast cancerMatthew Fenton0Miki Yoneyama1Erik Wennerberg2Tom Lund3Andrew Tutt4Alan Melcher5Sandra Demaria6Navita Somaiah7Division of Radiotherapy and Imaging, Institute of Cancer ResearchDivision of Radiotherapy and Imaging, Institute of Cancer ResearchDivision of Radiotherapy and Imaging, Institute of Cancer ResearchRoyal Marsden NHS Foundation TrustThe Breast Cancer Now Toby Robins Research Centre, The Institute of Cancer ResearchDivision of Radiotherapy and Imaging, Institute of Cancer ResearchWeill Cornell MedicineDivision of Radiotherapy and Imaging, Institute of Cancer ResearchAbstract Hormone receptor-positive breast cancers are a diverse group of tumours, with only some responding well to immunotherapy. Alternative combination strategies such as radiotherapy present an exciting opportunity to improve immunotherapy responses. We review an intriguing overlap between the impact of oestrogen signalling and radiation on multiple signalling pathways and immune cells that may be exploited for therapeutic gains in breast cancer. This is synthesised with the pre-clinical data and clinical trial landscape supporting the use of combined radiation and immunotherapy to derive insights for future neo-adjuvant trial design.https://doi.org/10.1038/s41523-025-00796-x
spellingShingle Matthew Fenton
Miki Yoneyama
Erik Wennerberg
Tom Lund
Andrew Tutt
Alan Melcher
Sandra Demaria
Navita Somaiah
The untapped potential of radiation and immunotherapy for hormone receptor-positive breast cancer
npj Breast Cancer
title The untapped potential of radiation and immunotherapy for hormone receptor-positive breast cancer
title_full The untapped potential of radiation and immunotherapy for hormone receptor-positive breast cancer
title_fullStr The untapped potential of radiation and immunotherapy for hormone receptor-positive breast cancer
title_full_unstemmed The untapped potential of radiation and immunotherapy for hormone receptor-positive breast cancer
title_short The untapped potential of radiation and immunotherapy for hormone receptor-positive breast cancer
title_sort untapped potential of radiation and immunotherapy for hormone receptor positive breast cancer
url https://doi.org/10.1038/s41523-025-00796-x
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