# Nano‐Topography Enhanced Topological‐Cell‐Analysis in Radiation‐Therapy

**Authors:** Francesca Pagliari, Maria‐Francesca Spadea, Pierre Montay‐Gruel, Anggraeini Puspitasari‐Kokko, Joao Seco, Luca Tirinato, Angelo Accardo, Francesco De Angelis, Francesco Gentile

PMC · DOI: 10.1002/adhm.202405187 · 2025-03-22

## TL;DR

This paper explores how nanoscale surface features can influence cancer cell response to radiation therapy, potentially improving treatment effectiveness.

## Contribution

The paper introduces a novel hypothesis that nanoscale topography affects cancer cell networks during radiation therapy, offering a new approach to assess radio-resistance.

## Key findings

- Nanoscale surface topography may influence cancer cell topology during radiation therapy.
- This approach could provide a new way to assess radio-resistance in cancer cells.
- The integration of nanotechnology and Raman phenotyping may enhance structural biology insights.

## Abstract

Radiotherapy (RT) is a cancer treatment technique that involves exposing cells to ionizing radiation, including X‐rays, electrons, or protons. RT offers promise to treat cancer, however, some inherent limitations can hamper its performance. Radio‐resistance, whether innate or acquired, refers to the ability of tumor cells to withstand treatment, making it a key factor in RT failure. This perspective hypothesizes that nanoscale surface topography can impact on the topology of cancer cells network under radiation, and that this understanding can possibly advance the assessment of cell radio‐resistance in RT applications. An experimental plan is proposed to test this hypothesis, using cancer cells exposed to various RT forms. By examining the influence of 2D surface and 3D scaffold nanoscale architecture on cancer cells, this approach diverges from traditional methodologies, such as clonogenic assays, offering a novel viewpoint that integrates fields such as tissue engineering, artificial intelligence, and nanotechnology. The hypotheses at the base of this perspective not only may advance cancer treatment but also offers insights into the broader field of structural biology. Nanotechnology and label‐free Raman phenotyping of biological samples are lenses through which scientists can possibly better elucidate the structure‐function relationship in biological systems.

Radiotherapy, a treatment that implies exposition of cells to radiation, offers promise to treat cancer. Here, it is hypothesized that the nanoscale details of a scaffold can amplify the response of cells to radiation, measured through topological variables, providing ways to assess the efficacy of Radiotherapy treatment.

## Linked entities

- **Diseases:** cancer (MONDO:0004992)

## Full-text entities

- **Diseases:** cancer (MESH:D009369)

## Figures

7 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12057610/full.md

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Source: https://tomesphere.com/paper/PMC12057610