Redox Mechanisms Underlying Radiation Responses: From Conventional to FLASH Radiotherapy

A special issue of Antioxidants (ISSN 2076-3921). This special issue belongs to the section "Health Outcomes of Antioxidants and Oxidative Stress".

Deadline for manuscript submissions: 31 August 2026 | Viewed by 1334

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Department of Medical Imaging and Radiation Sciences, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, QC J1H 5N4, Canada
Interests: water radiolysis; early events in radiobiology; free radicals; radioprotectors/antioxidants; FLASH radiotherapy; Monte Carlo multi-track chemistry simulations; water chemistry in water-cooled nuclear reactors; supercritical water
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Special Issue Information

Dear Colleagues,

The cellular response to ionizing radiation is fundamentally governed by redox chemistry. Ionizing radiation generates a cascade of reactive oxygen species (ROS) and free radicals that drive oxidative stress, DNA damage, and inflammation, central determinants of therapeutic efficacy and toxicity.  While these redox-mediated processes are well characterized in conventional (CONV) radiotherapy, the recent emergence of FLASH radiotherapy (FLASH-RT), delivering ultra-high dose rates (>40–100 Gy/s), has revealed unexpected normal-tissue sparing without compromising tumor control.  The underlying mechanisms of this so-called "FLASH effect" remain incompletely understood, but growing evidence implicates distinct redox dynamics, including transient oxygen depletion, radical–radical interactions, antioxidant buffering, and altered signaling.

This Special Issue aims to bring together cutting-edge research exploring redox-based mechanisms across the spectrum of radiation modalities, from low- to high-LET radiation and from CONV to FLASH-RT.  Contributions are welcome in areas such as radiation-induced oxidative stress, ROS kinetics, antioxidant defenses, redox signaling, and the role of molecular modifiers (e.g., H₂, cysteamine, nitric oxide, etc.).  Both experimental and computational studies, including medical physics, radiation chemistry, radiobiology, systems biology, and clinical translation, are encouraged.  By unifying redox science and radiotherapy, this Special Issue seeks to advance mechanistic understanding and inform the design of safer, more effective treatment strategies.

Prof. Dr. Jean Paul Jay-Gerin
Guest Editor

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Keywords

  • radiation-induced oxidative stress
  • reactive oxygen species (ROS)
  • antioxidants
  • radiation chemistry
  • medical physics
  • FLASH radiotherapy (FLASH-RT)
  • dose rate effects
  • redox signaling
  • oxygen depletion
  • linear energy transfer (LET)
  • free radical scavengers
  • radical-radical interactions
  • DNA damage and repair
  • radioprotective agents
  • track structure
  • Monte Carlo simulations
  • biomolecular targets

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Published Papers (1 paper)

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Research

15 pages, 796 KB  
Article
Oxygen Depletion in FLASH Particle Therapy: Effects of Linear Energy Transfer and Ion Track Structure
by Jintana Meesungnoen and Jean-Paul Jay-Gerin
Antioxidants 2026, 15(3), 331; https://doi.org/10.3390/antiox15030331 - 6 Mar 2026
Viewed by 1015
Abstract
Ultra-high dose-rate (FLASH) irradiation can transiently deplete oxygen and modulate radical-mediated chemistry in irradiated cells. Cellular antioxidants also contribute to mitigating oxidative damage in a manner dependent on linear energy transfer (LET), as suggested by recent experimental studies. In this work, we employed [...] Read more.
Ultra-high dose-rate (FLASH) irradiation can transiently deplete oxygen and modulate radical-mediated chemistry in irradiated cells. Cellular antioxidants also contribute to mitigating oxidative damage in a manner dependent on linear energy transfer (LET), as suggested by recent experimental studies. In this work, we employed our multi-track Monte Carlo simulation framework (IONLYS-IRT) to investigate how LET influences transient radiation-induced oxygen depletion (ROD) in a cell-like aqueous environment under FLASH irradiation conditions. FLASH exposures were modeled as single, instantaneous pulses of protons with energies from 300 MeV to 150 keV, corresponding to LET values of ~0.3 to 71 keV/μm. Our simulations revealed a marked decline in oxygen depletion with increasing LET, in agreement with experimental observations. For an intracellular O2 concentration of 30 μM, the oxygen consumption yield, G(–O2), decreased from ~4.0 molecules/100 eV at low LET (~0.3 keV/μm) to ~1.6 molecules/100 eV at high LET (~71 keV/μm), representing a ~60% reduction. To assess whether ROD depends solely on LET or is also governed by ion track structure, we systematically compared multiple ion species (protons, 4He2+, 10B5+, 12C6+, 16O8+, 20Ne10+, 28Si14+, 32S16+, and 40Ar18+) at comparable LET values. At ~70 keV/μm, heavier ions produced significantly higher G(−O2) values than protons—though still below those at low LET—suggesting that track structure plays a key role beyond LET alone. These findings highlight the dual importance of LET and ion-specific track structure in modulating ROD under FLASH conditions. Notably, enhanced ROD in surrounding normal tissues (low-LET plateau regions) may contribute to radioprotective effects, whereas reduced ROD in tumor tissues (high-LET Bragg peak regions) would be expected to preserve tumoricidal efficacy. Together, these results provide a mechanistic framework for optimizing proton and heavy-ion approaches in FLASH radiotherapy. Full article
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