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Radiotherapy-Induced Side Effects: Epidemiology, Pathogenesis, Prevention and Treatments.

Created on 28 Sep 2026

Authors

Xiaowen Ma, Xiaoxuan Zhang, Pujun Zhao, Jiaxin Yang, Zhihao Li, Xiaoyang Han, Yixuan Wang, Zhenzhen Cui, Nian Liu, Min Li

Published in

MedComm. Volume 7. Issue 10. Pages e71034. Epub Sep 27, 2026.

Abstract

The widespread application of radiotherapy for malignancies underscores the urgent clinical challenge of radiation-induced multiorgan injury, which severely impacts patient prognosis and quality of life. The heart, skin, lungs, intestines, hematopoietic system, oral, kidney, and brain are the most frequently affected sites, each following distinct and complex injury trajectories. Despite growing research into these organ-specific injuries, a substantial translational gap remains between mechanistic insights and effective therapeutic interventions. This review systematically delineates the unique epidemiological and pathological processes in these eight critical systems. It then critically evaluates current clinical management alongside emerging therapeutic strategies, including advanced radioprotectors, mitigators, antifibrotic agents, and innovative stem cell therapies. Central to our analysis is the synthesis of these findings into a comprehensive view of the complex interactive networks and functional imbalances driven by aberrant intercellular communication within damaged tissues. By offering a systematic analysis of mechanism-network-targeted therapeutics, this review establishes a critical framework to guide the future development of more effective, integrated, and personalized patient care strategies in radiation oncology.

PMID:
42802774
Bibliographic data and abstract were imported from PubMed on 28 Sep 2026.

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