Radiogenomics and the DNA damage response: opportunities for biomarker-guided radiosensitization in pancreatic cancer - Report - MDSpire

Radiogenomics and the DNA damage response: opportunities for biomarker-guided radiosensitization in pancreatic cancer

  • By

  • Marie Nour Karam

  • Joseph Hajj

  • Christopher H. Crane

  • Paul Ramia

  • Fady Geara

  • Nadim Hamadeh

  • Jacob G. Scott

  • Stephen Grobmyer

  • Rachael Almond

  • Eileen M. O’Reilly

  • Carla Hajj

  • June 8, 2026

  • 0 min

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Clinical Report: Exploring Radiogenomics and DNA Damage Response in PDAC

Overview

This review discusses the potential of radiogenomics and DNA damage response inhibitors in pancreatic ductal adenocarcinoma (PDAC).

Background

Pancreatic ductal adenocarcinoma (PDAC) is known for its poor prognosis and high radioresistance, complicating treatment with radiotherapy. Radiogenomics examines how genetic variations affect radiotherapy response.

Data Highlights

No numerical data or trial results were provided in the source material.

Key Findings

  • Radiogenomics studies how genetic variations influence radiotherapy response.
  • The radiosensitivity index (RSI) and genomic-adjusted radiation dose (GARD) are tools for personalized radiotherapy dosing.
  • PDAC is one of the most radioresistant cancers.
  • DNA damage response (DDR) inhibitors may sensitize PDAC to radiation.
  • KRAS inhibitors represent a novel approach for radiosensitization in PDAC.

Clinical Implications

Incorporating genetic profiling into treatment planning may improve radiotherapy in PDAC.

Conclusion

The integration of radiogenomics and targeted therapies requires further validation.

Related Resources & Content

  1. Eileen M. O’Reilly, ASCO Post, 2021 -- Tackling the Challenge of Pancreatic Cancer: New Approaches
  2. ASCO Post, 2014 -- Research Insights From the AACR Special Conference on Pancreatic Cancer
  3. European Radiology, 2023 -- Overview of Radiomic Investigations in Pancreatic Cancer: Emphasizing Study Design and Findings Reproducibility
  4. Frontiers in Oncology, 2026 -- Targeting mitochondria as a potential therapeutic strategy against radioresistance in cancer
  5. Pancreatic cancer: ESMO Clinical Practice Guideline for diagnosis, treatment and follow-up, ScienceDirect, 2023
  6. Stereotactic body radiotherapy for pancreatic cancer - A systematic review of prospective data, PubMed
  7. Pancreatic cancer: ESMO Clinical Practice Guideline for diagnosis, treatment and follow-up
  8. Stereotactic body radiotherapy for pancreatic cancer - A systematic review of prospective data - PubMed

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