Abstract

Gold nanoparticles have been introduced to increase the radiotherapy therapeutic efficacy. In this study, bismuth oxide nanorods coated with polyethylene glycol (Bi2O3-PEG) was applied as radiosensitizer for megavoltage photon and electron beams. Bi2O3-PEG nanorods of size 60 nm were synthesized using hydrothermal method and characterized using XRD and FESEM. Cytotoxicity evaluation was conducted on MCF-7 cells using 0.5 µMol/L of Bi2O3-PEG nanorods for 24, 48 and 72 hours of incubation time. The cells with and without Bi2O3-PEG were irradiated with 6 and 10 MV photon beams as well as electron beams of energy 6 and 12 MeV. Post-irradiation cell survival were quantified using clonogenic assays. The radiosensitization effects of Bi2O3-PEG nanorods were elucidated by extrapolating the sensitization enhancement ratio (SER) from the cell survival curves. Size and morphological characterization confirm the Bi2O3-PEG nanorods average size was 60 nm with surface modification of PEG. The cytotoxicity results show the Bi2O3-PEG nanorods are biocompactible to MCF-7 cells. The irradiation results demonstrate that Bi2O3-PEG nanorods produce radiosensitization effects when irradiated with photon beams with SER value of 1.12 for 6 MV and 1.15 for 10 MV. Meanwhile for electron beam, the SER obtained are 1.13 for 6 MeV and 1.06 for 12 MeV. In conclusion, the Bi2O3-PEG nanorods positively induced radiosensitization when irradiated with megavoltage radiotherapy beam indicating potential future clinical application as radiosensitizer.

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