PMID- 24040157 OWN - NLM STAT- MEDLINE DCOM- 20140615 LR - 20211025 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 8 IP - 9 DP - 2013 TI - Radioactive (1)(2)(5)I seed inhibits the cell growth, migration, and invasion of nasopharyngeal carcinoma by triggering DNA damage and inactivating VEGF-A/ERK signaling. PG - e74038 LID - 10.1371/journal.pone.0074038 [doi] LID - e74038 AB - Although radiotherapy technology has progressed rapidly in the past decade, the inefficiency of radiation and cancer cell resistance mean that the 5-year survival rate of patients with nasopharyngeal carcinoma (NPC) is low. Radioactive (125)I seed implantation has received increasing attention as a clinical treatment for cancers. Vascular endothelial growth factor-A (VEGF-A) is one of the most important members of the VEGF family and plays an important role in cell migration through the extracellular-signal-regulated kinase (ERK) pathway. Here we show that radioactive (125)I seeds more effectively inhibit NPC cell growth through DNA damage and subsequent induction of apoptosis, compared with X-ray irradiation. Moreover, cell migration was effectively inhibited by (125)I seed irradiation through VEGF-A/ERK inactivation. VEGF-A pretreatment significantly blocked (125)I seed irradiation-induced inhibition of cell migration by recovering the levels of phosphorylated ERK (p-ERK) protein. Interestingly, in vivo study results confirmed that (125)I seed irradiation was more effective in inhibiting tumor growth than X-ray irradiation. Taken together, these results suggest that radioactive (125)I seeds exert novel anticancer activity by triggering DNA damage and inactivating VEGF-A/ERK signaling. Our finding provides evidence for the efficacy of (125)I seeds for treating NPC patients, especially those with local recurrence. FAU - Tian, Yunhong AU - Tian Y AD - Cancer Research Institute, Southern Medical University, Guangzhou, Guangdong Province, People's Republic of China ; Department of Oncology, Armed Police Hospital of Guangdong Province, Guangzhou, Guangdong Province, People's Republic of China. FAU - Xie, Qiang AU - Xie Q FAU - Tian, Yunming AU - Tian Y FAU - Liu, Ying AU - Liu Y FAU - Huang, Zuoping AU - Huang Z FAU - Fan, Cundong AU - Fan C FAU - Hou, Bing AU - Hou B FAU - Sun, Dan AU - Sun D FAU - Yao, Kaitai AU - Yao K FAU - Chen, Tianfeng AU - Chen T LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130910 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (Iodine Radioisotopes) RN - 0 (Reactive Oxygen Species) RN - 0 (Vascular Endothelial Growth Factor A) RN - EC 2.7.11.24 (Extracellular Signal-Regulated MAP Kinases) SB - IM MH - Animals MH - Apoptosis/radiation effects MH - Carcinoma MH - Cell Cycle Checkpoints/radiation effects MH - Cell Line, Tumor MH - Cell Movement/radiation effects MH - Cell Proliferation/radiation effects MH - DNA Damage/*radiation effects MH - Disease Models, Animal MH - Extracellular Signal-Regulated MAP Kinases/*metabolism MH - Female MH - Humans MH - Iodine Radioisotopes/*administration & dosage MH - Mice MH - Nasopharyngeal Carcinoma MH - Nasopharyngeal Neoplasms/*genetics/*metabolism/pathology/radiotherapy MH - Neoplasm Invasiveness MH - Reactive Oxygen Species/metabolism MH - Signal Transduction/*radiation effects MH - Tumor Burden/radiation effects MH - Vascular Endothelial Growth Factor A/*metabolism MH - X-Rays MH - Xenograft Model Antitumor Assays PMC - PMC3769370 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2013/09/17 06:00 MHDA- 2014/06/16 06:00 PMCR- 2013/09/10 CRDT- 2013/09/17 06:00 PHST- 2013/05/02 00:00 [received] PHST- 2013/07/25 00:00 [accepted] PHST- 2013/09/17 06:00 [entrez] PHST- 2013/09/17 06:00 [pubmed] PHST- 2014/06/16 06:00 [medline] PHST- 2013/09/10 00:00 [pmc-release] AID - PONE-D-13-17896 [pii] AID - 10.1371/journal.pone.0074038 [doi] PST - epublish SO - PLoS One. 2013 Sep 10;8(9):e74038. doi: 10.1371/journal.pone.0074038. eCollection 2013.