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. 2021 May 13;11:676583. doi: 10.3389/fonc.2021.676583

Figure 3.

Figure 3

Combining RT with metalloproteinase inhibitors for improved tumor control. (A) Next to cell killing and tumor shrinkage, RT activates metalloproteinases that release pro-survival factors (indicated in blue, red, and yellow) into the TME, resulting in tumor cell proliferation, enhanced tumor angiogenesis and pro-tumorigenic immune responses. At the same metalloproteinases disrupt the ECM barrier (gray), enabling tumor cell dissemination. (B) Combining RT with inhibition of metalloproteinases mitigates pro-survival signaling and results in more effective tumor cell killing.