- Open Access
Synthesis of novel galactose functionalized gold nanoparticles and its radiosensitizing mechanism
- Chuan-dong Zhu†1, 2,
- Qin Zheng†2,
- Li-xue Wang2,
- Han-Feng Xu2,
- Jin-long Tong2,
- Quan-an Zhang2,
- Yuan Wan2, 3, 4Email authorView ORCID ID profile and
- Jian-qing Wu1Email author
© Zhu et al. 2015
- Received: 28 April 2015
- Accepted: 25 September 2015
- Published: 9 October 2015
Biocompatible gold nanoparticles (GNPs) are potentially practical and efficient agents in cancer radiotherapy applications. In this study, we demonstrated that GNPs can significantly modulate irradiation response of hepatocellular carcinoma cells in vitro and investigated the underlying mechanisms. We co-grafted galactose (GAL) targeting hepatocyte specific asialoglycoprotein receptor and Polyethylene Glycol (PEG) onto GNPs surfaces to increase GNPs targeting specificity and stability.
This novel GAL-PEG-GNPs and bare GNPs show similar appearance and cytotoxicity profiles, while more GAL-PEG-GNPs can be effectively uptaken and could enhance cancer cell killing.
GAL-PEG-GNPs have better radiosensitization to HepG2. The sensitization mechanism of GAL-PEG-GNPs is related to the apoptotic gene process activated by generation of a large amount of free radicals induced by GNPs.
- Gold nanoparticles
- Polyethylene glycol
- Hepatocellular carcinoma
Radiation therapy plays an increasingly important role in the treatment of hepatocellular carcinoma (HCC), particularly in the management of locally advanced unresectable HCC [1, 2]. However, radiation-induced liver disease and radiation resistance are major factors that limit the success of radiation therapy [3–5]. To improve the effectiveness of radiation therapy, image-guided radiation that provides real-time imaging of the tumor target during treatment has been study. Real-time imaging can help compensate for normal movement of the internal organs from breathing and for changes in tumor size during treatment. Moreover, in contrast to tumor control it enables full therapeutic efficacy while reducing the degree and frequency of invasive interventions .
On the other hand, radioprotectors and radiosensitizers, chemicals that modify a cell’s response to radiation are also under development. Radioprotectors are drugs that protect normal cells from damage caused by radiation therapy . In contrast, radiosensitizers make tumor cells more susceptible to radiation damage and can increase the damaging effects of radiation while minimizing exposure to normal and healthy cells . Several radiosensitizers, such as misonidazole, metronidazole, tirapazamine, trans sodium crocetinate are under study . In addition, some anticancer drugs, such as 5-fluorouracil and cisplatin, can make cancer cells more sensitive to radiation therapy as well [10–12]. Together, radiosensitizers could enable radiation therapy at a lower dose, but would not affect treatment efficiency.
Nanoparticles have played a key role in the enhancement of the radiation therapy by acting as both a therapeutic and a carrier for other therapeutics. Particularly, inert and biocompatible gold nanoparticles (GNPs) with tunable size and low osmolality hold many potential advantages . Gold absorbs approximately 3-times more than iodine at 20 and 100 keV; the dose enhancement factor for gold is adjustable depending on the beam’s energy and the amount of gold delivered; the biodistribution of GNPs can be imaged in real time before a therapeutic dose is delivered and used for treatment planning and quantified prediction of dose enhancement; moreover, GNPs allow surface immobilization of antibodies, peptides, aptamers or drugs. Thus, in recent years, using GNPs to enhance the radiation absorbed dose deposited in tumors from X-ray has gained increasing attention [14–17]. Ligands functionalized GNPs could enhance radiation sensitivity in radiation-resistant human prostate cancer cells at keV and MeV X-rays . Chithrani et al. also showed a range of cell line specific responses including decreased clonogenic survival, increased apoptosis and induction of DNA damage could be induced when exposure to 1.9 nm GNPs and X-rays .
Ligands against cancer cell surface biomarkers or extracellular matrix proteins have led to the applications of ligands for specific delivery of therapeutic agents . Asialoglycoprotein receptor (ASGPR) is a hepatocyte-specific receptor, and approximately 5 × 105 ASGPRs are expressed on the sinusoidal surface of a single liver cell . ASGPR mediates the capture and endocytosis of galactose- or N-acetylgalactosamine-terminating glycoproteins [19, 20]. Thus, galactose, asialofetuin, acetylgalactosamine and asialoorosomucoid targeting ASGPR are commonly used as homing agents for drug delivery .
Characterization of GAL-PEG-GNPs
Uptaking GAL-PEG-GNPs by HepG2 Cells
Immunofluorescence γ-H2AX Assay
Western blot assay
Expression changes of CAT, SOD and GSH
CAT/SOD/GSH changes in HepG2 cells detected by the Microplate reader (mean ± SD)
128 ± 4.35
466 ± 5.19
51 ± 2.08
95 ± 7.09
392 ± 8.54
39 ± 2
66 ± 6.56
285 ± 7.94
28 ± 1.15
Nanoparticles can permeate leaky angiogenic endothelium providing some tumor specificity. Additionally, blood clearance of nanoparticles is slower than small molecules, such as iodine contrast media, and thus nanoparticles can stay in the blood for hours . Moreover, drugs can be bound to the nanoparticles or be entrapped inside the nanoparticles, allowing flexible and multifunctional therapy . Nevertheless, nanoparticles have the potential to revolutionize cancer diagnosis and therapy . Among various nanomaterials, particularly GNPs are very attractive. They can be safely administered with minimal inflammatory activation and few side effects. GNPs are very convenient to realize a variety of surface functionalization with various biological molecules to help improve stability, drug-carrying, and tumor-targeting . Furthermore, gold allows high absorption and enhancement of ionizing radiation, as well as superior X-ray attenuation for biomedical imaging application. Moreover, other physical properties including surface plasmon resonance and Raman scattering activity have been exploited in fluorescent imaging, photothermal therapy, and many other applications [26, 27]. At KeV or MeV radiation energies, GNPs can selectively improve radiosensitivity of tumor cells leading to increased cell killing and have been trialed on various cancer cell lines and animals [28–31]. Theoretically, the dose enhancement achieved by GNPs could be more than 200 % . Though the mechanisms are still unclear, radiosensitization is generally attributed to increasing photo absorption of high-Z elements, and the resulting transfer of a larger portion of primary ionizing photon energy to tumor tissue.
Our previous results showed that bare GNPs could improve the radiosensitivity of HepG2 cells, elevate DNA damage levels, and induce cancer cells apoptosis in vitro . To deliver a high dose of GNPs directly to malignant cells, and to specifically radiosensitize them while minimizing side-effects, we further graft GAL targeting ASGPR for delivering GNPs to HepG2 cells in vitro. First of all, GNPs were prepared by sodium citrate reduction followed by surface functionalization with SH-PEG-NH2 molecules and surface deactivation using SH-PEG molecules. The grafted amine groups were used to covalently immobilize GAL.
The size of GNPs for liver cancer therapy should not exceed 200 nm, since the size of liver sinusoidal fenestrations have 200 nm effective size limit. On the other hand, GNPs may experience rapid renal clearance if they are smaller than 10 nm in diameter. Size is also an influencing radiation sensitivity parameter, and large sized GNPs have superior dose enhancement factor [32, 33]. Bergen et al. tested the efficacy of GNP size ranging from 50 to 150 nm and concluded that GNPs in 50-nm diameter could have the highest radio enhancement factor (1.43 at 220 keV) and also have the highest cellular uptake . However, a recent report showed that GNPs in 18-nm diameter have more cell internalization . Though the optimal size of GNPs is inconclusive so far, there is a tradeoff between effective dose enhancement of large GNPs and the effective clearance of small ones. This remains a hurdle for their application in cancer imaging and therapy. The average size of our GNPs and GAL-PEG-GNPs is 23 and 34 nm, respectively. Therefore, our nanoparticles prepared in this study are in principle suitable, in terms of size for radiosensitization applications, exploiting the enhanced permeability and retention effect and avoiding renal clearance. The larger size and peak shift of GAL-PEG-GNPs are attributed to surface PEGylation and GAL grafting. PEGylation can further reduce the reticuloendothelial system uptake and thus significantly increase circulation time. In addition, PEGylation decreases aggregation of GNPs owing to passivated surfaces and increase solubility in buffer and serum due to hydrophilic ethylene glycol repeats. It was reported that PEGylated nanoparticles show higher tumor accumulation versus background.
Both GNPs and GAL-PEG-GNPs at various concentrations showed cytotoxicity, and their IC50 values are 5.001 and 4.997 μg/mL, respectively. Compared to the published data of GNPs cytotoxicity , our GNPs are relatively less cytotoxic. In this study, we merely used 1/5 concentration (1.0 μg/mL) to minimize the cytotoxicity on HepG2 cells, and thus such low level of cytotoxicity can be neglected.
ICP-MS analysis revealed that the amount of GAL-PEG-GNPs endocytosed by HepG2 cells was approximately three times more than that of GNPs dose, suggesting GAL significantly increased the gold uptake. Although both internalizing and noninternalizing epitopes on cell membrane can be targeted, if ligands bind to noninternalizing ones, drugs or nanoparticles may accumulate around the cells and enter into cells either by passive diffusion or normal transport mechanisms. In contrast, when GAL bind to internalizing epitopes, like ASGPR, the binding triggers ASGPR-mediated uptake and hence GAL-PEG-GNPs uptake is thus more effective. TEM images showed that GNPs were mainly distributed in mitochondrion. Few reports have demonstrated a role for reactive oxygen free radicals (ROS) or the involvement of mitochondria as mechanism of GNPs radiosensitization [36, 37]. In this study, we confirmed that elevated levels of DNA damage which may be a direct result of impaired mitochondrial function manifested by increased oxidation and loss of membrane potential, resulting in HepG2 cells proliferation inhibition. It was further confirmed by clonogenic analysis. After exposure of cells to various radiation doses (1–8 Gy zone), clone quantities in GAL-PEG-GNPs-treated group were significantly less than that in GNPs-treated and control groups mainly due to more amount of gold uptake.
The cell cycle analysis showed that cells were propelled to enter G2/M phase. GAL-PEG-GNPs induced approximately 27 % of cells in the G2/M phase; the percentage was more than that of GNPs induced. G2/M phase is the most radiosensitive phase of a cell cycle, and thus more accumulation in G2/M phase can enhance the radiation sensitivity. It was reported that GNPs can trigger activation of the CDK kinases, leading cancer cells to accumulate in the G2/M phase [37, 38]. Additionally, p53 protein may mediated G1 arrest and p53-independent G2/M phase arrest over 2–10 h after radiation . Moreover, cell cycle kinetics can be changed by GNPs after radiation. Previous reports demonstrated that GNP radiosensitization can increase sub G1 population or accumulate cells in G2/M. Additionally, surface functionalization of GNP using a range of different biological moieties not only enables them maintain stability and bio-compatibility but also leads to accumulation of GNPs in tumors compared to healthy tissues . Thus, it is likely to provide significant therapeutic advantage and may potential benefit personalized medicine.
γ-H2AX assay results showed a significantly higher incidence of DNA-DSBs in GAL-PEG-GNPs-treated group as compared to that in GNPs-treated or control group. Decreased clonogenic survival of HepG2 cells and increased DNA-DSBs demonstrated that GAL-PEG-GNPs achieved better radiotherapy sensitization effect compared to bare GNPs.
Significantly upregulated expression of Cytochrome C, Bax, Caspase-3, and Caspase-9 and downregulated anti-apoptotic protein Bcl-2 were found in GAL-PEG-GNPs-treated cells after radiation. We found antioxidant enzymes including CAT, SOD, and GSH were significantly reduced indicating the increase of free radicals in HepG2 cells. The release of ROS can cause mitochondrial membrane depolarization and oxidization, and subsequently attack intercellular macromolecules, such as DNA, RNA, proteins, leading to above mentioned changes [31, 32]. The cytochrome C, which was released from mitochondria to cytoplasm activated Caspase-9; Caspases-9 further activated Caspase-3 and others [33, 34]. Caspase-3 caused chromatin pyknosis, DNA fragmentation, and DNA fracture leading to cell apoptosis . In contrast, the mechanisms of upregulated Bax and downregulated Bcl-2 through GNPs-mediated radiation are not clear yet, and thus should be further investigated in the future.
In this study, we successfully prepared GAL-PEG-GNPs as a novel radiosensitizer,found our novel nanoparticles could significantly improve the efficacy of radiotherapy in vitro, and briefly discussed the mechanism of radiosensitization. Given the wide range of methods available to further modify these nanoparticles, in ongoing work we are also exploring the use of cell-specific internalizing aptamers (i.e. anti-EGFR aptamers or anti-EpCAM aptamers) grafted PEG-GNPs that can more effectively be taken up by cancer cells overexpressing a cognate receptor, and the dual delivery of chemotherapeutic agents and GNPs to achieve a synergistic therapeutic outcome in vivo. These vehicles may be able to circumvent biological barriers, such as the blood–brain barrier, thus resulting in efficient localization of various agents at the target sites.
The HepG2 cells were cultured in DMEM (GIBCO, Grand Island, USA) supplemented with 10 % heat-inactivated fetal calf serum (FCS, GIBCO, Grand Island, USA) and 1 % penicillin–streptomycin (GIBCO, Grand Island, USA) at 37 °C under a humidified atmosphere containing 5 % CO2 and maintained in an exponential growth state. Cells were passaged once every 3 days by using 0.25 % trypsin.
Preparation of GAL-PEG-GNPs
Synthesis of GNPs in 20 nm diameter was done with sodium citrate reduction method. The preparation method can be found elsewhere . To graft amine groups onto bare GNPs surfaces, 0.1 mL of GNPs at 0.1 mg/L (pH 7.5) were well mixed with excessive amount of thiol-PEG-amino (5000 Da, Seebio, ShangHai, China) and incubated at 4 °C overnight. The following thiol-PEG (5000 Da, Seebio, ShangHai, China) surface modification was performed to thoroughly replace the residual citrate groups. The products were purified and buffer exchanged into 1× PBS (pH 7.5) using ultrafiltration. 100 μL of N-hydroxysulfosuccinimide (sulfo-NHS) and carbodiimide (EDC) (5:1, pH 5.0) were incubated with 20 μg of GAL for 6 h at 37 °C to active carboxyl groups of GAL. At pH 7.2, 20 μL of PEGylated GNPs at 0.1 mg/L were added and incubated with the mixture at 37 °C for 2 h to finally produce GAL-PEG-GNPs (Fig. 1). The products were concentrated, filtered and stored at 4 °C.
Characterization of GAL-PEG-GNPs
Dynamic light scattering (DLS) was used to determine the size of GNPs. The DLS and Z-potential experiments were performed on a Malvern Zetasizer Nano ZS (Malvern Instruments, Southborough, Massachusetts). Samples filtered followed by equilibration (typically 5 min) in a quartz cuvette to 37 °C. The software was arranged with the specific parameters of refractive index and absorption coefficient of the material and the viscosity of the solvent. DLS allows determination of hydrodynamic diameter of colloidal particles and conjugates, that is the diameter of sphere with the same Brownian motion as the analyzed particle. The concentration of GNPs and GAL-PEG-GNPs were determined by using inductively couple plasma mass spectrometry (ICP-MS). UV–visible adsorption spectrum of GNPs or GAL-PEG-GNPs was acquired over the wavelength range from 250 to 800 nm with UV-2450 spectrophotometer (Tianjin Gangdong Sci. & Tech. Development CO. LTD, China) using quartz cuvettes with an optical path length of 0.5 cm at room temperature (RT). The size and morphology of GAL-PEG-GNPs are analyzed by FEI Tecnai Spirit transmission electron microscopy (TEM) (JEM-100CX II, Japan) at 200 kV using AnalySIS software (Soft Imaging Systems).
The CCK8 assays were performed as instructed by the manufacturer to assess cell viability. Briefly, the cells were seeded in 96-well plates (approximately 3000 cells/well). GNPs and GAL-PEG-GNPs were diluted to various concentrations in 1× PBS (pH 7.4), then added into the wells. After 24 h incubation, 20 μL CCK8 (keygentec company, Nanjing, Jiangsu, China) was added to each well for 4 h. Optical density (OD) was measured at 490 nm using a Microplate reader (BioRad, DG3022, USA) and the proliferation index was calculated as experimental OD value/control OD value. Estimate value of 50 % inhibition concentration (IC50).
The assay was performed in triplicate. A total of 1 × 106 HepG2 cells were seeded onto a culture dish (dia. 15 mm) and cultured for 24 h. When the cells reached a 70 % confluence, cells were exposed to GNPs (1/5 IC50 = 1.0 μg/mL) and GAL-PEG-GNPs (1/5 IC50 = 1.0 μg/mL) at 37 °C for 1, 2, 4, 8, 12, 24, 48, 72, 96 h, respectively. Cells were washed with 1× PBS twice, detached with 0.25 % trypsin, and suspend in 5 mL of 1× PBS. 5 mL of Aqua Regia (HNO3:HCL = 1:3) solution was added to cell suspension to fully lyse cells at RT for 48 h. Concentration of Au in lysates was determined by ICP-MS, the total number of nanoparticles and cells were recorded as n and N, respectively. Thus, the number of nanoparticles contained in each cell calculated as n/N.
Transmission electron microscopy
A total of 1 × 106 HepG2 cells were seed onto a culture dish (dia. 15 mm) and cultured for 24 h. After another 24 h of incubation with GNPs or GAL-PEG-GNPs, cells were fixed by 4 % paraformaldehyde/2.5 % glutaraldehyde in PBS (0.7 mL) for 3 h. The cells were next rinsed with PBS and post-fixed using 1 % aqueous solution of OsO4 (0.5 mL) for 1 h. Subsequently, the cells were washed with DI water, 30 % ethanol solution and stained with 0.5 % uranyl acetate (0.5 mL, in 30 % ethanol) for 1 h. Cells were then gradually dehydrated using a series of ethanol solutions (30, 60, 70, 80, and 100 %) and embedded in epoxy resin. The resin was polymerized at 60 °C for 48 h. Ultra-thin sections (70–100 nm) were cut using a diamond knife on a Leica Ultramicrotome and mounted on Formvarcoated copper grids. The sections were then post-stained with 5 % uranyl acetate in 50 % ethanol and 2 % aqueous lead citrate solution and imaged with TEM at 200 kV.
Cells cycle assay
The cells exposed to 0.25 Gy X-ray (6 MeV, Medical linear accelerator, Germany Siemens Primus Company) after incubating with GNPs (1.0 μg/mL) or GAL-PEG-GNPs (1.0 μg/mL) for 24 h and then were harvested using 0.25 % trypsin with 1 mM EDTA solution and fixed for 12 h in 70 % ethanol at 4 °C. The fixed cells were then centrifuged at 3000 rpm for 15 min to remove the ethanol thoroughly. The cells were then washed twice with 3 mL of PBS, resuspended in 1 mL of PI (Sigema, USA) staining solution, and incubated for 15 min at RT. The staining solution consisted of 20 mg/mL PI and 0.2 mg/mL RNase in PBS. The samples were subsequently analyzed using a BD FACS CantoII instrument (BD Biosciences, USA). Twenty thousand events were collected from each sample. The percentages of cells in the G0/G1, S, and G2/M phases of the cell cycle were determined using the ModFit software (BD, USA).
The radiosensitization of GAL-PEG-GNPs or GNPs to HepG2 cells were assessed by the clonogenic assay. Different number of HepG2 cells (100, 300, 1000, 5000, 10,000) were plated in 6-well and incubated with GNPs (1.0 μg/mL) or GAL-PEG-GNP (1.0 μg/mL) for 24 h, then irradiated with 0, 1, 2, 4, 6, 8 Gy X-ray and incubated for 9–14 days. The colonies were fixed with methanol and stained with 0.4 % crystal violet. Finally, the plates were inspected by microscopy and the number of the colonies was counted. Each assay was made in triplicate and only colonies containing at least 50 cells were counted. The sensitizer enhancement ratio (SER) was calculated as the radiation dose needed for radiation alone divided by the dose needed for various concentrations of nanoparticles plus radiation at a survival fraction of 37 % (D0 in radiobiology).
DNA damage immunofluorescence microscopy
The ability of GAL-PEG-GNPs or GNPs to enhance DNA double-strand breaks (DSBs) in HepG2 cells exposed to 0.5 Gy X-ray was evaluated using the γ-H2AX assay. This assay detects the phosphorylation of histone-H2AX at serine-139 (γ-H2AX), which is visualized as discrete nuclear foci by laser confocal microscopy using γ-H2AX-specific antibodies.
Cells were cultured (6 × 104 cells/well) on 24-well plates overnight at 37 °C in medium. After 24 h, the culture medium was replaced with 300 mL of fresh medium or medium containing GAL-PEG-GNPs or GNPs, respectively, and incubated overnight at 37 °C. The treated cells were then exposed to 0.5 Gy of X-radiation using an X-ray source, operating at 6 MeV. Cells were subsequently fixed using 4 % paraformaldehyde (Sigma-Aldrich, USA), permeabilized with 0.5 % Nonidet P40 (Sigma-Aldrich, USA) in PBS for 15 min, and blocked in 2 % bovine serum albumin (BSA, Sigma-Aldrich, USA) for 1 h at RT. Cells were then incubated with anti-γ-H2AX mouse monoclonal IgG1 (Upstate Biotechnology, Billerica, MA, USA) at a 1:800 dilution in 3 % BSA-PBS overnight at 48 °C and then with anti-mouse IgG (H + L) (Invitrogen Molecular Probes, Carlsbad, CA, USA) at 1:500 dilution for 45 min at RT. Cover glasses were mounted on microscope slides (25 × 75 × 1 mm, Fisherbrand, Fisher Scientific Co.) The edges of cover glasses were sealed with clear nail polish. From the step using the secondary antibody onwards, all procedures were performed in the dark. Cover glasses were wrapped in aluminum foil and stored at 4 °C for later image acquisition. Images of γ-H2AX foci and nuclei were acquired with a Confocal Microscope Images were taken with an inverted laser confocal microscope (Zeiss510, Germany). Excitation was at 364 or 488 nm for visualization of DAPI or AlexaFluor-488 with emission filters of 385–470 nm or 505–550 nm, respectively. The number of γ-H2AX foci present in each cell was quantified with Image J software (version 1.36b, National Institutes of Health) using customized macros recently developed by our group.
Western blot analysis
Cellular proteins were extracted, quantified, and subjected to sodium dodecylsulfate polyacrylamide gel electrophoresis (SDS-PAGE, keygentec company, KGP113). Proteins samples were then blotted onto a nitrocellulose membrane. After incubation with a blocking buffer, the membranes were incubated for 2 h at RT with each primary antibody at the appropriate dilution, as recommended by the supplier. Antibodies included Bax, Bcl-2, Caspase-3, Caspase-9, and Cytochrome C. After washing, the membranes were subsequently incubated for 1 h at RT in Goat Anti-mouse Immunoglobulin G (IgG, keygentec company, KGAA36) followed by the use of enhanced chemiluminescence kits. β-actin was used as an internal control.
Expression of CAT, SOD, and T-GSH in HepG2 cells14
Catalase (CAT) activity was estimated by the method of Aebi. Activity of the enzyme superoxide dismutase (SOD) was measured by nitro blue tetrazolium reduction method of McCord and Fridovich. The level of glutathione (GSH) was assayed by the method of Moron et al. based on the reaction with dithiobis(2-nitrobenzoic acid). The method measured the rate of decomposition of hydrogen peroxide (H2O2) at 240 nm.
In the statistical analysis, differences between the treated and control groups were compared using Student’s t tests, with the differences at the P < 0.05 level considered to be statistically significant.
CDZ, QZ, YW, and JQW designed research; CDZ, QZ, LXW, HFX, JLT and QAZ performed research; CDZ, QZ, YW, and JQW analyzed data; CDZ, YW and JQW wrote the paper. All authors read and approved the final manuscript.
This work was supported by Natural Science Foundation of Jiangsu Province (BK20141084) and Key Topics of Nanjing Medical Technology Development Project (ZKX13019).
The authors have no other relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript apart from those disclosed. No writing assistance was utilized in the production of this manuscript.
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- Zeng ZC, Jiang GL. DNA-PKcs subunits in radiosensitization by hyperthermia on hepatocellular carcinoma hepG2 cell line. World J Gastroenterol. 2002;8(5):797–803.Google Scholar
- Tai A, Erickson B, Khater KA, Li XA. Estimate of radiobiologic parameters from clinical data for biologically based treatment planning for liver irradiation. Int J Radiat Oncol Biol Phys. 2008;70(3):900–7.View ArticleGoogle Scholar
- Ursino S, Greco C, Cartei F, Colosimo C, Stefanelli A, Cacopardo B, et al. Radiotherapy and hepatocellular carcinoma: update and review of the literature. Eur Rev Med Pharmacol Sci. 2012;16(11):1599–604.Google Scholar
- Feng M, Ben-Josef E. Radiation therapy for hepatocellular carcinoma. Semin Radiat Oncol. 2011;21(4):271–7.View ArticleGoogle Scholar
- Gil-Alzugaray B, Chopitea A, Iñarrairaegui M, Bilbao JI, Rodriguez-Fraile M, Rodriguez J, et al. Prognostic factors and prevention of radioembolization-induced liver disease. Hepatology. 2013;57(3):1078–87.View ArticleGoogle Scholar
- Wiersma RD, Mao W, Xing L. Combined kV and MV imaging for real-time tracking of implanted fiducial markers. Med Phys. 2008;35(4):1191–8.View ArticleGoogle Scholar
- Nairi CK, Parida DK, Nomura T. Radioprotectors in Radiotherapy. J Radiat Res. 2001;42(1):21–37.View ArticleGoogle Scholar
- Lee IJ, Seong J. Radiosensitizers in hepatocellular carcinoma. Semin Radiat Oncol. 2011;21(4):303–11.View ArticleGoogle Scholar
- Wardman P. Chemical radiosensitizers for use in radiotherapy. Clin Oncol. 2007;19(6):397–417.View ArticleGoogle Scholar
- Zhua AX, Willetta CG. Chemotherapeutic and biologic agents as radiosensitizers in rectal cancer. Semin Radiat Oncol. 2003;13(4):454–68.View ArticleGoogle Scholar
- Urick ME, Chung EJ, Shield WP, Gerber N, White A, Sowers A, et al. Enhancement of 5-fluorouracil induced in vitro and in vivo radiosensitization with MEK inhibition. Clin Cancer Res. 2011;17(15):5038–47.View ArticleGoogle Scholar
- Toulany M, Mihatsch J, Holler M, Chaachouay H, Rodemann HP. Cisplatin-mediated radiosensitization of non-small cell lung cancer cells is stimulated by ATM inhibition. Radiother Oncol. 2014;111(2):228–36.View ArticleGoogle Scholar
- Daniel MC, Astruc D. Gold nanoparticles: assembly, supramolecular chemistry, quantum-size-related properties, and applications to-ward biology, catalysis and nanotechnology. Chem Rev. 2004;104(1):293–346.View ArticleGoogle Scholar
- Zheng Q, Yang H, Wei J, Tong JL, Shu YQ. The role and mechanisms of nanoparticles to enhance radiosensitivity in hepatocellular cell. Biomed Pharmacother. 2013;67(7):569–75.View ArticleGoogle Scholar
- Jain S, Coulter JA, Hounsell AR, Butterworth KT, McMahon SJ, Hyland WB, et al. Cell-specific radiosensitization by gold nanoparticles at megavoltage radiation energies. Int J Radiat Oncol Biol Phys. 2011;79(2):531–9.View ArticleGoogle Scholar
- Chattopadhyay N, Cai Z, Kwon YL, Lechtman E, Pignol JP, Reilly RM. Molecularly targeted gold nanoparticles enhance the radiation response of breast cancer cells and tumor xenografts to X-radiation. Breast Cancer Res Treat. 2013;137(1):81–91.View ArticleGoogle Scholar
- Chithrani DB, Jelveh S, Jalali F, van Prooijen M, Allen C, Bristow RG, et al. Gold nanoparticles as radiation sensitizers in cancer therapy. Radiat Res. 2010;173(6):719–28.View ArticleGoogle Scholar
- Ma H, Liu J, Ali MM, Mahmood MA, Labanieh L, Lu M, et al. Nucleic acid aptamers in cancer research, diagnosis and therapy. Chem Soc Rev. 2015;44(5):1240–56.View ArticleGoogle Scholar
- Yik JH, Saxena A, Weigel JA, Weigel PH. Palmitoylation-defective asialoglycoprotein receptors are normal in their cellular distribution and ability to bind ligand, but are defective in ligand uptake and degradation. Biochem Biophys Res Commun. 2002;297(4):980–6.View ArticleGoogle Scholar
- Park E, Manzella SM, Baenziger JU. Rapid clearance of sialylated glycoproteins by the asialoglycoprotein receptor. J Biol Chem. 2003;278(7):4597–602.View ArticleGoogle Scholar
- Jeong YI, Seo SJ, Park IK, Lee HC, Kang IC, Akaike T, et al. Cellular recognition of paclitaxel-loaded polymeric nanoparticles composed of poly(gamma-benzyl-l-glutamate) and poly(ethylene glycol) diblock copolymer endcapped with galactose moiety. Int J Pharm. 2005;296(1–2):151–61.View ArticleGoogle Scholar
- Liu ZX, Wu YC, Guo ZR, Liu Y, Shen Y, Zhou P, et al. Effects of internalized gold nanoparticles with respect to cytotoxicity and invasion activity in lung cancer cells. PLoS One. 2014;9(6):e99175.View ArticleGoogle Scholar
- Peer D, Karp JM, Hong S, Farokhzad OC, Margalit R, Langer R. Nanocarriers as an emerging platform for cancer therapy. Nat Nanotechnol. 2007;2(12):751–60.View ArticleGoogle Scholar
- Jain S, Hirst DG, O’Sullivan JM. Gold nanoparticles as novel agents for cancer therapy. Br J Radiol. 1010;2012(85):101–13.Google Scholar
- Choi Y, Kang T, Lee LP. Plasmon resonance energy transfer (PRET)-based molecular imaging of cytochrome C in living cells. Nano Lett. 2009;9(1):80–90.View ArticleGoogle Scholar
- Yeh YC, Creran B, Rotello VM. Gold nanoparticles: preparation, properties, and applications in bionanotechnology. Nanoscale. 2012;4(6):1871–80.View ArticleGoogle Scholar
- Kang B, Afifi MM, Austin LA, El-Sayed MA. Exploiting the nanoparticle plasmon effect: observing drug delivery dynamics in single cells via Raman/fluorescence imaging spectroscopy. ACS Nano. 2013;7(8):7420–7.View ArticleGoogle Scholar
- Rahman WN, Bishara N, Ackerly T, He CF, Jackson P, Wong C, et al. Enhancement of radiation effects by gold nanoparticles for superficial radiation therapy. Nanomedicine. 2009;5(2):136–42.View ArticleGoogle Scholar
- Liu CJ, Wang CH, Chien CC, Yang TY, Chen ST, Leng WH, et al. Enhanced X-ray irradiation-induced cancer cell damage by gold nanoparticles treated by a Flew synthesis method of polyethylene glycol modification. Nanotechnology. 2008;19(99):95–104.Google Scholar
- Kong T, Zeng J, Wang XP, Yang X, Yang J, McQuarrie S, et al. Enhancement of radiation eytotoxicity in breast-cancer cells by localized attachment of gold nanoparticles. Small. 2008;4(9):1537–43.View ArticleGoogle Scholar
- Hainfeld JF, Slatkin DN, Smilowitz HM. The use of gold nanoparticles to enhance radiotherapy in mice. Phys Med Biol. 2004;49(18):309–15.View ArticleGoogle Scholar
- Brun E, Sanche L, Sicard-Roselli C. Parameters governing gold nanoparticle X-ray radiosensitization of DNA in solution. Colloids Surf B: Biointerfaces. 2009;72(1):128–34.View ArticleGoogle Scholar
- Leung MK, Chow JC, Chithrani BD, Lee MJ, Oms B, Jaffray DA. Irradiation of gold nanoparticles by X-rays: Monte Carlo simulation of dose enhancements and the spatial properties of the secondary electrons production. Med Phys. 2011;38(2):624–31.View ArticleGoogle Scholar
- Mesbahi A, Jamali F, Garehaghaji N. Effect of photon beam energy, gold nanoparticle size and concentration on the dose enhancement in radiation therapy. Bioimpacts. 2013;3(1):29–35.Google Scholar
- Khlebtsov N, Dykman L. Biodistribution and toxicity of engineered gold nanoparticles: a review of in vitro and in vivo studies. Chem Soc Rev. 2011;40(3):1647–71.View ArticleGoogle Scholar
- Geng F, Song K, Xing JZ, Yuan C, Yan S, Yang Q, et al. Thio-glucose bound gold nanoparticles enhance radiocytotoxic targeting of ovarian cancer. Nanotechnology. 2011;22(28):285101.View ArticleGoogle Scholar
- Zhang X, Xing JZ, Chen J, Ko L, Amanie J, Gulavita S, et al. Enhanced radiation sensitivity in prostate cancer by goldnanoparticles. Clin Invest Med. 2008;31(3):e160–7.Google Scholar
- Turner J, Koumenis C, Kute TE, Planalp RP, Brechbiel MW, Beardsley D, et al. Tachpyridine, a metal chelator, induces G2 cell-cycle arrest, activates checkpoint kinases, and sensitizes cells to ionizing radiation. Blood. 2005;106(9):3191–9.View ArticleGoogle Scholar
- Zoler F, Jagetia G, Streffer C. G2-block after irradiation of cells with different p53 status. Strahlenther Onkol. 2014;190(11):1075–9.View ArticleGoogle Scholar
- Butterworth KT, McMahon SJ, Currell FJ, Prise KM. Physical basis and biological mechanisms of gold nanoparticle radiosensitization. Nanoscale. 2012;4(16):4830–8.View ArticleGoogle Scholar