Abstract
Background
Gadolinium-based nanoparticles (GdNPs) have been used as theranostic sensitizers in clinical radiotherapy studies; however, the biomechanisms underlying the radio-sensitizing effects of GdNPs have yet to be determined. In this study, ultra-small gadolinium oxide nanocrystals (GONs) were employed to investigate their radiosensitizing effects and biological mechanisms in non-small-cell lung cancer (NSCLC) cells under X-ray irradiation.
Method and materials
GONs were synthesized using polyol method. Hydroxyl radical production, oxidative stress, and clonogenic survival after X-ray irradiation were used to evaluate the radiosensitizing effects of GONs. DNA double-strand breakage, cell cycle phase, and apoptosis and autophagy incidences were investigated in vitro to determine the radiosensitizing biomechanism of GONs under X-ray irradiation.
Results
GONs induced hydroxyl radical production and oxidative stress in a dose- and concentration-dependent manner in NSCLC cells after X-ray irradiation. The sensitizer enhancement ratios of GONs ranged between 19.3% and 26.3% for the NSCLC cells under investigation with a 10% survival rate compared with that of the cells treated with irradiation alone. Addition of 3-methyladenine to the cell medium decreased the incidence rate of autophagy and increased cell survival, supporting the idea that the GONs promoted cytostatic autophagy in NSCLC cells under X-ray irradiation.
Conclusion
This study examined the biological mechanisms underlying the radiosensitizing effects of GONs on NSCLC cells and presented the first evidence for the radiosensitizing effects of GONs via activation of cytostatic autophagy pathway following X-ray irradiation.
Supplementary materials
Figure S1 Ultraviolet-visible spectra results confirm that GON solution is very stable in RPMI 1640 medium.
Notes: (A) Absorbance of GON with different concentrations after incubating at 37°C for 24 hours. (B, C) Absorbance of GON at concentrations 0.5 µg/mL (B) and 5.0 µg/mL (C) at various incubation time.
Abbreviation: GONs, gadolinium oxide nanocrystals.
![Figure S1 Ultraviolet-visible spectra results confirm that GON solution is very stable in RPMI 1640 medium.Notes: (A) Absorbance of GON with different concentrations after incubating at 37°C for 24 hours. (B, C) Absorbance of GON at concentrations 0.5 µg/mL (B) and 5.0 µg/mL (C) at various incubation time.Abbreviation: GONs, gadolinium oxide nanocrystals.](/cms/asset/50a0119a-feda-4d1d-8ef2-504643b9f8bc/dijn_a_12190759_sf0001_c.jpg)
Figure S2 The influence of GON on cell cycle distribution.
Notes: (A) Cell flow spectra at 24 hours after X-ray irradiation. (B) Cell cycle distributions of three studied cells on time. CK represents the control; CO represents co-treatment with irradiation and GONs.
Abbreviations: GONs, gadolinium oxide nanocrystals; Gd, gadolinium; IR, irradiation.
![Figure S2 The influence of GON on cell cycle distribution.Notes: (A) Cell flow spectra at 24 hours after X-ray irradiation. (B) Cell cycle distributions of three studied cells on time. CK represents the control; CO represents co-treatment with irradiation and GONs.Abbreviations: GONs, gadolinium oxide nanocrystals; Gd, gadolinium; IR, irradiation.](/cms/asset/b272cffa-03c0-403a-87f3-7d7d0178c627/dijn_a_12190759_sf0002_c.jpg)
Figure S3 Apoptotic rates of A549, NH1299, and NH1650 cells treated with GON and/or radiation for 24-hour and 48-hour posttreatment.
Note: CK represents the control; CO represents co-treatment with irradiation and GONs.
Abbreviations: GONs, gadolinium oxide nanocrystals; Gd, gadolinium; IR, irradiation.
![Figure S3 Apoptotic rates of A549, NH1299, and NH1650 cells treated with GON and/or radiation for 24-hour and 48-hour posttreatment.Note: CK represents the control; CO represents co-treatment with irradiation and GONs.Abbreviations: GONs, gadolinium oxide nanocrystals; Gd, gadolinium; IR, irradiation.](/cms/asset/7e53639f-94b6-4309-9a4f-126fac4fbae1/dijn_a_12190759_sf0003_c.jpg)
Figure S4 Autophagy incidence of A549, NH1299, and NH1650 cells treated with GON and/or X-ray irradiation for 4-hour and 12-hour posttreatment.
Note: CK represents the control; CO represents co-treatment with irradiation and GONs.
Abbreviations: GONs, gadolinium oxide nanocrystals; Gd, gadolinium; IR, irradiation.
![Figure S4 Autophagy incidence of A549, NH1299, and NH1650 cells treated with GON and/or X-ray irradiation for 4-hour and 12-hour posttreatment.Note: CK represents the control; CO represents co-treatment with irradiation and GONs.Abbreviations: GONs, gadolinium oxide nanocrystals; Gd, gadolinium; IR, irradiation.](/cms/asset/3d21af43-e846-46c0-a34d-5c038ba0e3bd/dijn_a_12190759_sf0004_c.jpg)
Acknowledgments
The authors acknowledge the support from the National Key Research and Development Program (2017YFC0108500), the National Key Technology Support Program of the Ministry of Science and Technology of China (2015BAI01B11), the National Natural Science Foundation of China (11875299), and the CAS Key Laboratory of Heavy Ion Radiation Biology and Medicine, Institute of Modern Physics (2016-01).
Disclosure
The authors report no conflicts of interest in this work.