Rana Juie Nahushkumar, Mumtaz Sohail, Han Ihn, Choi Eun Ha
Department of Plasma Bio Display, Kwangwoon University, Seoul 139701, South Korea.
Plasma Bioscience Research Center (PBRC), Kwangwoon University, Seoul 139701, South Korea.
Fundam Res. 2024 Feb 8;4(6):1542-1556. doi: 10.1016/j.fmre.2024.02.001. eCollection 2024 Nov.
Lung cancer continues to be the second most common cancer diagnosed and the main cause of cancer-related death globally, which requires novel and effective treatment strategies. When considering treatment options, non-small cell lung cancer (NSCLC) remained a challenge, seeking new therapeutic strategies High-power microwave (HPM) progressions have facilitated the advancement of new technologies as well as improvements to those already in use. The impact of HPM on NSCLC has not been investigated before. In this work, we uncovered the effect of pulsed HPM on NSCLC (H460 and A549) for the first time and the most likely underlying mechanisms. Two NSCLC (H460 and A549) cells and lung normal MRC5 were exposed to HPM (15, 30, 45, and 60) pulses (2.1 mJ/pulse). After exposure, the effects were observed at 12, 24, 48, and 72 h. HPM primarily increases the level of intracellular reactive species by a strong electric field of ∼27 kV/cm, which altered NSCLC viability, mitochondrial activity, and death rates. A model for the production of intracellular reactive species by HPM was also presented. NSCLC is found to be affected by HPM through DNA damage (upregulation of ATR/ATM, Chk1/Chk2, and P53) and increased expression of apoptotic markers. NAC scavenger and CPTIO-inhibitor confirm that the reactive species are mainly accountable for cellular effects. In order to ensure suitability for real-world usage, the skin depth was calculated as 30 mm. ROS played a main role in inducing cellular effects, with NO species possibly playing a contributing role. These findings clarify the cellular mechanisms underlying HPM-induced cell death, potentially advancing therapeutic approaches for treating NSCLC, and a useful first step for future investigations in this area. Moreover, this technique has the potential to serve as an adjunct to non-surgical methods in cancer therapy.
肺癌仍然是全球第二大最常被诊断出的癌症以及癌症相关死亡的主要原因,这需要新颖且有效的治疗策略。在考虑治疗方案时,非小细胞肺癌(NSCLC)仍然是一个挑战,需要寻找新的治疗策略。高功率微波(HPM)的发展推动了新技术的进步以及对现有技术的改进。此前尚未研究过HPM对NSCLC的影响。在这项工作中,我们首次揭示了脉冲HPM对NSCLC(H460和A549)的影响以及最可能的潜在机制。将两种NSCLC(H460和A549)细胞以及肺正常MRC5细胞暴露于HPM(15、30、45和60)脉冲(2.1 mJ/脉冲)。暴露后,在12、24、48和72小时观察效果。HPM主要通过约27 kV/cm的强电场增加细胞内活性物质的水平,这改变了NSCLC的活力、线粒体活性和死亡率。还提出了一个HPM产生细胞内活性物质的模型。发现NSCLC通过DNA损伤(ATR/ATM、Chk1/Chk2和P53的上调)和凋亡标志物表达增加而受到HPM的影响。NAC清除剂和CPTIO抑制剂证实活性物质主要是细胞效应的原因。为了确保适用于实际应用,计算出皮肤深度为30毫米。ROS在诱导细胞效应中起主要作用,NO物质可能起辅助作用。这些发现阐明了HPM诱导细胞死亡的细胞机制,有可能推进NSCLC的治疗方法,并且是该领域未来研究有用的第一步。此外,这项技术有可能作为癌症治疗中非手术方法的辅助手段。
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