Volume 1, Issue 1, Oncology Communications
Volume 1, Issue 1, 2025
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Oncology Communications, Volume 1, Issue 1, 2025: 5-7

Open Access | Letter | 29 January 2026
Revisiting The Dual Role of Radiotherapy in EGFR-mutant NSCLC: Implications for Therapeutic Combination Strategies
1 Zhejiang Cancer Hospital, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou 310022, China
2 Department of Thoracic Surgery, Zhejiang Cancer Hospital, Hangzhou Institute of Medicine (HIM), Chinese Academy of Sciences, Hangzhou 310022, China
3 Department of Thoracic Surgery, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat-sen University Cancer Center, Guangzhou 510062, China
* Corresponding Author: Leilei Wu, [email protected]
ARK: ark:/57805/oc.2025.306213
Received: 25 November 2025, Accepted: 30 December 2025, Published: 29 January 2026  
Abstract
The article by Piffkó A et al. elucidates the double-edged sword role of radiotherapy in cancer treatment. Radiotherapy stimulates tumor cells to secrete amphiregulin (AREG), which in turn activates EGFR$^+$ tumor-associated mononuclear phagocytes (MNPs). This activation feeds back into the EGFR signaling pathway, impairing the anti-tumor functions of MNPs. Moreover, AREG upregulates the expression of the immune checkpoint protein CD47 in tumor cells, thereby enabling them to evade immune-mediated phagocytosis. These insights hold important implications for clinical trial design and for optimizing therapeutic strategies.

Keywords
non-small cell lung cancer
EGFR
radiotherapy
combination strategies
EGFR-TKI

Data Availability Statement
Not applicable.

Funding
This work was supported in part by the Zhejiang Provincial Medical Health Science and Technology Project under Grant 2025KY695, Grant 2023KY619 and Grant 2024KY800; in part by the Zhejiang Provincial Cancer Hospital Cultivation Fund under Grant PY2024064 and Grant PY2024034.

Conflicts of Interest
The authors declare no conflicts of interest.

AI Use Statement
The authors declare that no generative AI was used in the preparation of this manuscript.

Ethical Approval and Consent to Participate
Not applicable.

References
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Cite This Article
APA Style
Jiang, W., Huang, X., Tian, J., Wu, Y., Zhao, J., Luo, T., Zeng, J., Cai, S., & Wu, L. (2026). Revisiting The Dual Role of Radiotherapy in EGFR-mutant NSCLC: Implications for Therapeutic Combination Strategies. Oncology Communications, 2(1), 5–7. https://doi.org/10.62762/OC.2025.306213
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TY  - JOUR
AU  - Jiang, Wenmei
AU  - Huang, Xiancong
AU  - Tian, Jiayuan
AU  - Wu, Yimin
AU  - Zhao, Jiazheng
AU  - Luo, Taobo
AU  - Zeng, Jian
AU  - Cai, Shunv
AU  - Wu, Leilei
PY  - 2026
DA  - 2026/01/29
TI  - Revisiting The Dual Role of Radiotherapy in EGFR-mutant NSCLC: Implications for Therapeutic Combination Strategies
JO  - Oncology Communications
T2  - Oncology Communications
JF  - Oncology Communications
VL  - 1
IS  - 1
SP  - 5
EP  - 7
DO  - 10.62762/OC.2025.306213
UR  - https://www.icck.org/article/abs/OC.2025.306213
KW  - non-small cell lung cancer
KW  - EGFR
KW  - radiotherapy
KW  - combination strategies
KW  - EGFR-TKI
AB  - The article by Piffkó A et al. elucidates the double-edged sword role of radiotherapy in cancer treatment. Radiotherapy stimulates tumor cells to secrete amphiregulin (AREG), which in turn activates EGFR$^+$ tumor-associated mononuclear phagocytes (MNPs). This activation feeds back into the EGFR signaling pathway, impairing the anti-tumor functions of MNPs. Moreover, AREG upregulates the expression of the immune checkpoint protein CD47 in tumor cells, thereby enabling them to evade immune-mediated phagocytosis. These insights hold important implications for clinical trial design and for optimizing therapeutic strategies.
SN  - pending
PB  - Institute of Central Computation and Knowledge
LA  - English
ER  - 
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@article{Jiang2026Revisiting,
  author = {Wenmei Jiang and Xiancong Huang and Jiayuan Tian and Yimin Wu and Jiazheng Zhao and Taobo Luo and Jian Zeng and Shunv Cai and Leilei Wu},
  title = {Revisiting The Dual Role of Radiotherapy in EGFR-mutant NSCLC: Implications for Therapeutic Combination Strategies},
  journal = {Oncology Communications},
  year = {2026},
  volume = {1},
  number = {1},
  pages = {5-7},
  doi = {10.62762/OC.2025.306213},
  url = {https://www.icck.org/article/abs/OC.2025.306213},
  abstract = {The article by Piffkó A et al. elucidates the double-edged sword role of radiotherapy in cancer treatment. Radiotherapy stimulates tumor cells to secrete amphiregulin (AREG), which in turn activates EGFR\$^+\$ tumor-associated mononuclear phagocytes (MNPs). This activation feeds back into the EGFR signaling pathway, impairing the anti-tumor functions of MNPs. Moreover, AREG upregulates the expression of the immune checkpoint protein CD47 in tumor cells, thereby enabling them to evade immune-mediated phagocytosis. These insights hold important implications for clinical trial design and for optimizing therapeutic strategies.},
  keywords = {non-small cell lung cancer, EGFR, radiotherapy, combination strategies, EGFR-TKI},
  issn = {pending},
  publisher = {Institute of Central Computation and Knowledge}
}

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CC BY Copyright © 2026 by the Author(s). Published by Institute of Central Computation and Knowledge. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/), which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made.
Oncology Communications

Oncology Communications

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