L. Chen1, Z. Wang1, T. Zhang1, W. Wang1, X. H. Sun1, J. Duan1, Y. Gao1, H. Zhang2, and L. Zhao1; 1Department of Radiation Oncology, Xijing Hospital, Fourth Military Medical University, Xian, Shaanxi, China, 2Ministry of Education Key Laboratory of Intelligent and Network Security, Faculty of Electronics and Information Engineering, Xi’an Jiaotong University, Xian, Shaanxi, China
Purpose/Objective(s): The damage of radiotherapy to normal tissues and the recurrence after radiotherapy of the esophageal are still clinical problems. A new nanomaterial, Bi2S3-CeO2@Phe, with both radiosensitization and radiation protection properties, is developed to solve these problems. Materials/
Methods: The Monte Carlo simulation is used to obtain the optimal X-ray irradiation energy and the optimal particle size of the nanomaterial. Then, the Bi2S3-CeO2@Phe is synthesized, which combines photothermal therapy (Bi2S3), catalytic therapy (CeO2), and targeted drug Phe. Connecting to CeO2 by chemical bonds, the targeted drug Phe can improve the targeting and reduce the toxic effects of CeO2. The Bi2S3-CeO2@Phe nanomaterial has the characteristics of low toxicity, high targeting, radiosensitization and radiation protection. The structure, performance and curative effect of the Bi2S3-CeO2@Phe nanomaterial are verified by optical tests and biological experiments. Results: By Monte Carlo simulation, the optimal particle size of the Bi2S3-CeO2@Phe nanomaterial is 53.2 nm, and the optimal X-ray irradiation energy is 100 KeV. The observed results, e.g. the crystallinity, structure and composition, from scanning electron microscopes, transmission electron microscopes, X-ray diffraction spectrums and infrared spectrums show that the successful synthesis of the Bi2S3-CeO2@Phe nanomaterial. UV-vis spectrums indicate that the nanomaterial has remarkable photothermal features, and the photothermal conversion efficiency can be improved to 49.3%. Biological experiments show low toxicity to the normal tissues, high targeting and the excellent radiosensitization and radiation protection properties compared with eleven control groups. Conclusion: The synthetic Bi2S3-CeO2@Phe nanomaterial could protect the normal tissues during radiotherapy and reduce the recurrence after radiotherapy, and has a great potential to be applied to other disease sites.