Targeted Radiation, Unintended Evolution

Radioligand therapy exemplifies precision oncology, yet its consequences remain incompletely understood. A recent article shows that [177Lu]Lu-PSMA promotes emergence and expansion of clonal hematopoiesis enriched for DNA damage response gene mutations, reframing bone marrow effects as treatment-emergent clonal selection rather than collateral toxicity and informing biology-guided patient monitoring and theranostics.

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Publication Details

Journal
Clinical Cancer Research
Published
2026-04-27
DOI
https://doi.org/10.1158/1078-0432.ccr-26-0720
Primary Topic
Prostate Cancer Treatment and Research
Type
article
Field-Weighted Citation Impact
0.00

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article

Targeted Radiation, Unintended Evolution

Gunhild von Amsberg, Katharina Lueckerath, Boris Hadaschik, Ken Herrmann
Clinical Cancer Research
Prostate Cancer Treatment and Research
article

Targeted Radiation, Unintended Evolution

Gunhild von Amsberg, Katharina Lueckerath, Boris Hadaschik, Ken Herrmann
article en

Abstract

Radioligand therapy exemplifies precision oncology, yet its consequences remain incompletely understood. A recent article shows that [177Lu]Lu-PSMA promotes emergence and expansion of clonal hematopoiesis enriched for DNA damage response gene mutations, reframing bone marrow effects as treatment-emergent clonal selection rather than collateral toxicity and informing biology-guided patient monitoring and theranostics.

Clinical Cancer Research
Universität Hamburg (DE), Martini-Klinik (DE), Essen University Hospital (DE), University of Duisburg-Essen (DE)
Prostate Cancer Foundation
Zero hunger
Openalex Percentile: Top 16%
Prostate Cancer Treatment and Research
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