Synergetic Effect of Tumor Treating Fields and Zinc Oxide Nanoparticles on Cell Apoptosis and Genotoxicity of Three

Mamdouh M Shawki1, Alaa El Sadieque1,2, Seham Elabd3

  • 1Medical Biophysics Department, Medical Research Institute, Alexandria University, Alexandria 21561, Egypt.

Insights

Tumor-treating fields (TTFields) combined with zinc oxide nanoparticles (ZnO NPs) show enhanced cancer cell death. This novel combination therapy offers a promising approach for treating various cancers, including liver, colon, and breast cancer.

Area of Science:

  • Biomedical Engineering
  • Nanomedicine
  • Oncology

Background:

  • Cancer is a leading global cause of death, necessitating novel therapeutic strategies.
  • Tumor-treating fields (TTFields) utilize electric fields with anti-mitotic properties.
  • Zinc oxide nanoparticles (ZnO NPs) offer biocompatibility and have shown promise in cancer treatment.

Purpose of the Study:

  • To investigate the efficacy of TTFields, sub-lethal ZnO NPs, and their combination against hepatocellular carcinoma (HepG2), colorectal cancer (HT-29), and breast cancer (MCF-7) cell lines.
  • To assess the impact of this combined therapy on cell death, genotoxicity, and antioxidant capacity.
  • To explore the potential of enhancing nanoparticle potency through TTFields for biomedical applications.

Main Methods:

  • Sulforhodamine B sodium salt assay (SRB) to determine lethal concentrations of ZnO NPs.
  • Flow cytometry to quantify cancer cell death percentages.
  • Comet assay to evaluate genotoxicity and chemical assays for total antioxidant capacity.

Main Results:

  • TTFields alone induced 14%, 8%, and 17% cell death in HepG2, HT-29, and MCF-7 cells, respectively.
  • A sub-lethal dose of 10 µg/mL ZnO NPs was identified via SRB assay.
  • The combination of TTFields and sub-lethal ZnO NPs significantly increased cell death to 29%, 20%, and 33% in HepG2, HT-29, and MCF-7 cells, respectively, without increasing reactive oxygen species.

Conclusions:

  • The combination of TTFields and sub-lethal ZnO NPs demonstrates enhanced anti-cancer effects across multiple cancer cell lines.
  • This synergistic approach offers a novel strategy for cancer therapy by potentiating nanoparticle efficacy.
  • Further research into TTFields-enhanced nanomedicine holds significant potential for diverse biomedical applications.

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