Abstract
Recognition of the potent radiosensitizing effects of hyperthermia on cancer cells has led to extensive research aimed at identifying the effects of heat on a variety of cellular targets, including the plasma membrane. The plasma membrane is a highly complex structure, the phospholipid backbone of which is loaded with proteins that facilitate the exchange of information between a cell and its environment. While most cancer research investigating the effects of hyperthermia on cellular functions has focused on “heat shock” temperatures of 42°C and above, there is increasing recognition of the fact that in actual clinical situations in which hyperthermia has proven to be beneficial, the temperatures achieved within tumors can be considerably lower. In some instances, these are within the range which is achievable during high fever or vigorous exercise (39–40°C). Thus, there is now a great need for additional research (particularly on membrane function and structure) to identify cellular mechanisms by which mild (fever-range) thermal stress could be sensitizing tumor cells to cancer therapies. Moreover, recognition of the potential for the addition of hyperthermia to improve overall survival in patients treated with radiation has led to the hypothesis that cells of the immune system (which may have evolutionarily conserved enhanced plasma membrane-dependent effector activity in response to fever-like conditions) could be among the cellular targets that are affected in the hyperthermic field of treatment. The objective of this chapter is to summarize examples of the literature on these topics, including recent publications that describe the effects of hyperthermia on immune effector and target cells, as well as research pertaining to how mild, fever-range temperatures affect the plasma membrane. The chapter will conclude by discussing current questions that remain to be answered within the field.
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The authors thank Dr. Bonnie Hylander and Maegan Capitano for their many helpful comments on this chapter.
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Grimm, M.J., Zynda, E.R., Repasky, E.A. (2009). Temperature Matters: Cellular Targets of Hyperthermia in Cancer Biology and Immunology. In: Pockley, A., Calderwood, S., Santoro, M. (eds) Prokaryotic and Eukaryotic Heat Shock Proteins in Infectious Disease. Heat Shock Proteins, vol 4. Springer, Dordrecht. https://doi.org/10.1007/978-90-481-2976-8_15
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