High atomic number material, such as gold, may be used in conjunction with radiation to provide dose enhancement in tumors. In the current study, we investigated the dose-enhancing effect and apoptotic potential of gold nanoparticles in combination with singledose clinical electron beams on B16F10 melanoma tumor-bearing mice. We revealed that the accumulation of gold nanoparticles was detected inside B16F10 culture cells after 18 h of incubation, and moreover, the gold nanoparticles were shown to be colocalized with endoplasmic reticulum and Golgi apparatus in cells. R adiation dose enhancement by high atomic number (Z) materials has long been investigated. In theory, loading high Z materials into the tumor could result in greater photoelectric absorption within the tumor than in surrounding tissues, and thereby enhance the dose delivered to a tumor during radiation therapy. At least 20 years ago, it was noted in vitro that this effect might be employed to enhance radiotherapy for cancer.(1) Accumulating studies have demonstrated the dose enhancement caused by high Z materials in kilovoltage beams (2)(3)(4) and in megavoltage beams.(5-8) Moreover, enhanced cell killing was also observed when cells were irradiated adjacent to high Z materials by kilovoltage X-rays. (9)(10)(11)(12) In clinical practice, electron beams from linear accelerators have increasingly taken the place of kilovoltage X-ray beams for skin and subcutaneous tumors because they offer distinct advantages in terms of dose uniformity in the target volume and in minimizing the dosage to deeper tissues.(13) Although kilovoltage beams could maximize tumor dose enhancement, it has technical restrictions. The use of kilovoltage X-rays produces significant dose heterogeneity inside the target tumor. (4,14) To be clinically useful, a radiosensitizer and/or dose enhancer should significantly increase the therapeutic ratio and should be readily available, easily utilized, and non-toxic. Gold (Au; Z = 79) or nanogold (gold nanoparticles, AuNP) showed doseenhancing effects in cell experiments, (15) the murine model,and through Monte Carlo calculations. (17) Gold nanoparticles have been actively investigated in a wide variety of biomedical applications due to their biocompatibility and ease of conjugation to biomolecules.(18-21) Besides, nanoparticles have the advantages of small size (1-100 nm) and ability to evade the immune system, (22,23) and also have been shown to preferentially accumulate in tumors. (24)(25)(26)(27)(28) While previous studies have primarily examined the dose enhancement factor by Au, it is also known that radiationinduced apoptosis is a significant component of radiation-induced cell death. Consequently, modulating the apoptotic response and thereby the radiosensitivity is of interest.(29-34) Therefore, in the current study, we investigated the dose-enhancing effect and apoptotic potential of gold nanoparticles in combination with single-dose clinical electron beams on B16F10 melanoma tumor-bearing mice.
Materials and MethodsPreparatio...