Biomedical applications of low-temperature plasmas are of growing interest, especially in the field of plasma-induced anti-tumor effects. The present work is aimed at investigating the regionalized antiproliferative effects of low-temperature plasmas on a multicellular tumor spheroid (MCTS), a model that mimics the 3D organization and regionalization of a microtumor region. We report that a low-temperature plasma jet, using helium flow in open air, inhibits HCT116 colon carcinoma MCTS growth in a dose-dependent manner. This growth inhibition is associated with the loss of Ki67, and the regionalized accumulation of DNA damage detected by histone H2AX phosphorylation. This regionalized genotoxic effect leads to massive cell death and loss of the MCTS proliferative region. The use of reactive oxygen species (ROS), scavenger Nacetyl cysteine (NAC) and plasma-conditioned media demonstrate that the ROS generated in the media after exposure to low-temperature plasma play a major role in these observed effects. These findings strengthen the interest in the use of MCTS for the evaluation of antiproliferative strategies, and open new perspectives for studies dedicated to demonstrate the potential of low-temperature plasma in cancer therapy.Keywords: low temperature plasma, multi-cellular tumor spheroid, antiproliferative effect, genotoxic and cytotoxic effects, reactive oxygen species
IntroductionIn the field of biomedical applications, low-temperature plasmas ejected in open air are an interesting source of active species (charged particles, radicals, long-lived excited species, UV photons, electric field, etc) that can easily be launched, for example, on any prokaryote or eukaryote cells, living tissues, biomaterial surfaces, etc. Such plasma species have been known for many years for their bactericide action useful in decontamination or sterilization [1], and also more recently for wound healing and cell regeneration [2], biomaterial functionalization [3], blood coagulation [4], and gene transfection [5]. The reader can find more exhaustive lists of references on these biomedical applications (for example, in [6][7][8]) and also on plasma-induced anti-tumor effects that are evocated, hereafter, in the light of a few examples of the literature.Indeed nowadays, there is a growing interest on research works devoted to the effect of low-temperature plasmas at atmospheric pressure on cancer cells, both in vitro and in vivo. Recent studies have shown, more particularly, a plasma-induced cell cycle arrest and activation of apoptosis in glioma and colorectal carcinoma HCT116 colon cancer cells [9,10], an activation of p53-dependent cell death in plasma-exposed HCT116 [11], and a mitochondriamediated apoptosis in the case of human cervical cancer HeLa cells [12]. It has also been suggested that the plasma effect could eradicate lung and/or murine melanoma cancer cells with reduced damaging effects on normal or fibroblast cells [13,14]. Finally, in vivo reduction of mice xenografted tumors from the bladder [13], glioma cells [10]...