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Article Abstract

Background: The use of nanomaterial-based radiosensitizers to improve the therapeutic ratio has gained attraction in radiotherapy. Increased radiotoxicity applied to the tumor region may result in adverse impact on the unexposed normal cells to the radiation, a phenomenon known as radiation-induced bystander effect (RIBE).

Objectives: This study aimed to investigate the effect of BiS@BSA nanoparticles (NPs) as radiosensitizers on the enhancement of bystander response in non-irradiated cells.

Materials And Methods: Lung carcinoma epithelial cells were exposed to 6 MV x-ray photons at different doses of 2 and 8 Gy, with and without BiS@BSA NPs. The irradiated-cell's conditioned medium (ICCM) was collected and incubated with MCR-5 human fetal lung fibroblasts.

Results: This study showed that ICCM collected from 2-Gy-irradiated A549 cells in the presence of BiS@BSA NPs reduced the cell viability of MCR-5 bystander cells more than ICCM collected from irradiated cells without NPs (<0.05), whereas such a difference was not observed after 8-Gy radiation. The mRNA expression of the BAX and XPA genes, as well as the cell death rate in MCR-5 bystander cells, revealed that the BiS@BSA NPs significantly improved bystander response at 2-Gy (<0.05), but the efficacy was not statistically significant after 8-Gy Irradiation.

Conclusion: The results indicated that the presence of NPs did not affect bystander response enhancement at higher concentrations. These findings highlighted the potential use of radiation-enhancing agents and their benefits in radiotherapy techniques with high doses per fraction.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11139445PMC
http://dx.doi.org/10.30498/ijb.2024.385844.3629DOI Listing

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Article Synopsis
  • This study examines how BiS@BSA nanoparticles function as radiosensitizers to enhance the bystander effect in non-irradiated lung cells during radiotherapy.
  • Lung carcinoma cells were irradiated with x-ray photons, and their conditioned medium was tested on human lung fibroblast cells to assess the impact of these nanoparticles.
  • Results showed that at a lower radiation dose (2 Gy), the nanoparticles significantly increased cell death in bystander cells, but this effect diminished at higher doses (8 Gy), suggesting limitations in their use at elevated radiation levels.
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