“…A series of nanomaterial-mediated RT sensitization strategies have been proposed to improve the efficacy of RT. 15 These strategies include the use of high-Z elements at the tumor site, which enhance the radiotherapy effect by increasing the X-ray attenuation coefficient as well as enhancing the production of secondary electrons and ROS, 16 for example, Pt, 17,18 Au, 19,20 Bi, 21 and Gd, 22,23 the combination of RT with other therapeutic modalities, including chemotherapy, 24 chemodynamic therapy (CDT), 25 photothermal therapy (PTT), 26 photodynamic therapy (PDT), 27 and immunotherapy, 28 and the reprogramming of the hypoxic TME (such as downregulation of HIF-1α at the tumor site 29 or in situ oxygen production). 30,31 Some reactive nitrogen/oxygen species, 32 such as nitric oxide (NO), could alleviate tumor hypoxia by downregulating HIF-1α.…”