Rahman Wan Nordiana, Bishara Nour, Ackerly Trevor, He Cheng Fa, Jackson Price, Wong Christopher, Davidson Robert, Geso Moshi
Medical Radiation Discipline, School Medical Sciences, RMIT University, Bundoora, Victoria, Australia.
Nanomedicine. 2009 Jun;5(2):136-42. doi: 10.1016/j.nano.2009.01.014.
Iodinated contrast agents, which are routinely used to improve contrast in x-ray diagnostic radiography, have been successfully proven to enhance radiation effects in kilovoltage x-ray radiation therapy beams. The studies determined the influence of iodine on the level of radiation biotoxicity to cells as an indicator of the radiation dose enhancement. The use of other high-atomic-number materials such as gold nanoparticles (AuNPs) may also provide advantages in terms of radiation dose enhancement. In this work AuNPs have been used for the enhancement of radiation effects on bovine aortic endothelial cells of superficial x-ray radiation therapy and megavoltage electron radiation therapy beams. Results reveal an increase of cell damage with increasing concentration of AuNPs. At 1 mM concentration of AuNPs, enhancement of radiation peaked at 25 times for a kilovoltage x-ray beam. AuNPs showed similar effects on electron beams but to a lesser extent. This study showed that AuNPs can be used to enhance the effect of radiation doses from kilovoltage x-ray radiation therapy and megavoltage electron radiation therapy beams. In the prevailing clinical circumstances, wherein radiation therapy dose is constrained by normal tissue tolerance, this enhancement could in the future be used to improve local control in superficial x-ray treatments, megavoltage electron beam radiation therapy, microbeam radiation therapy, and intraoperative irradiation using kilovoltage x-rays or megavoltage electron beams. Moreover, the value of this work also stems from the fact that the damage to the endothelial cells lining the highly vasculature structure of tumors deprives tumors of their oxygen and nutrients supply and enhances the efficiency of radiation therapy treatment, where it has been proven that more of the AuNPs injected into animals ends up into the blood than in the tumor.
碘化造影剂常用于提高X射线诊断放射成像的对比度,已被成功证明可增强千伏X射线放射治疗束的辐射效应。这些研究确定了碘对细胞辐射生物毒性水平的影响,以此作为辐射剂量增强的指标。使用其他高原子序数材料,如金纳米颗粒(AuNPs),在辐射剂量增强方面也可能具有优势。在这项工作中,AuNPs已被用于增强浅表X射线放射治疗和兆伏电子放射治疗束对牛主动脉内皮细胞的辐射效应。结果显示,随着AuNPs浓度的增加,细胞损伤增加。在1 mM的AuNPs浓度下,千伏X射线束的辐射增强在25倍时达到峰值。AuNPs对电子束也有类似的影响,但程度较小。这项研究表明,AuNPs可用于增强千伏X射线放射治疗和兆伏电子放射治疗束的辐射剂量效应。在目前的临床情况下,放射治疗剂量受正常组织耐受性的限制,这种增强未来可用于改善浅表X射线治疗、兆伏电子束放射治疗、微束放射治疗以及使用千伏X射线或兆伏电子束的术中照射的局部控制。此外,这项工作的价值还在于,对肿瘤高度血管化结构内衬的内皮细胞的损伤会剥夺肿瘤的氧气和营养供应,并提高放射治疗的效率,事实证明,注入动物体内的AuNPs更多地进入血液而非肿瘤。