A Colorimetric Plasmonic Nanosensor For Dosimetry Of Therapeutic Levels .

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Karthik Pushpavanam,† Eshwaran Narayanan,† John Chang,‡ Stephen Sapareto,‡ and Kaushal Rege*,†ARTICLEA Colorimetric Plasmonic Nanosensorfor Dosimetry of Therapeutic Levelsof Ionizing Radiation†Chemical Engineering, Arizona State University, Tempe, Arizona 85287-6106, United States and ‡Banner-MD Anderson Cancer Center, Gilbert, Arizona 85234,United StatesDownloaded via ARIZONA STATE UNIV on January 22, 2019 at 23:36:54 (UTC).See https://pubs.acs.org/sharingguidelines for options on how to legitimately share published articles.ABSTRACT Modern radiation therapy using highly automatedlinear accelerators is a complex process that maximizes doses totumors and minimizes incident dose to normal tissues. Dosimeterscan help determine the radiation dose delivered to target diseasedtissue while minimizing damage to surrounding healthy tissue.However, existing dosimeters can be complex to fabricate, expensive, and cumbersome to operate. Here, we demonstrate studies of aliquid phase, visually evaluated plasmonic nanosensor that detects radiation doses commonly employed in fractionated radiotherapy (1 10 Gy) for tumorablation. We accomplished this by employing ionizing radiation, in concert with templating lipid surfactant micelles, in order to convert colorless saltsolutions of univalent gold ions (Au1) to maroon-colored dispersions of plasmonic gold nanoparticles. Differences in color intensities of nanoparticledispersions were employed as quantitative indicators of the radiation dose. The nanoparticles thus formed were characterized using UV vis absorbancespectroscopy, dynamic light scattering, and transmission electron microscopy. The role of lipid surfactants on nanoparticle formation was investigated byvarying the chain lengths while maintaining the same headgroup and counterion; the effect of surfactant concentration on detection efficacy was alsoinvestigated. The plasmonic nanosensor was able to detect doses as low as 0.5 Gy and demonstrated a linear detection range of 0.5 2 Gy or 5 37 Gydepending on the concentration of the lipid surfactant employed. The plasmonic nanosensor was also able to detect radiation levels in anthropomorphicprostate phantoms when administered together with endorectal balloons, indicating its potential utility as a dosimeter in fractionated radiotherapy forprostate cancer. Taken together, our results indicate that this simple visible nanosensor has strong potential to be used as a dosimeter for validatingdelivered radiation doses in fractionated radiotherapies in a variety of clinical settings.KEYWORDS: CTAB . micelles . nanoparticles . radiation dosimetry . radiation therapy . radiotherapyRadiation therapy is a common primarytreatment modality for multiple malignancies, including cancers of thehead and neck, breast, lung, prostate, andrectum.1 Depending on the disease, cumulative radiation doses ranging from 20 and70 Gy are often employed for therapeuticuse. Diseased tissue and normal organradiation sensitivities also vary.2 In orderto maximize disease treatment relativeto radiation-induced side-effects, variousmethods of delivery including hyperfractionation (0.5 1.8 Gy), conventional fractionation (1.8 2.2 Gy), and hypofractionation(3 10 Gy)1 have been explored. These delivery methods explore different regimes ofradiation sensitivity in order to maximizetumor cell killing while optimizing treatment times.1PUSHPAVANAM ET AL.Despite obvious advantages with radiotherapy, there can be significant radiationinduced toxicity in tissues.3 For example,radiation-induced proctitis can be of significant morbidity for patients undergoing prostate or endometrial cancer treatment. Forcentrally located lung cancer radiotherapy,the esophagus can be incidentally irradiatedduring treatments, resulting in esophagitis.In head and neck treatments, radiation ofsalivary gland or pharyngeal tumors caninduce radiation-induced osteonecrosis. Another concern during radiotherapy is themotion of the patient as well as the naturalperistalsis of internal organs. These issueshighlight the importance of appropriatelydosing cancerous tumors while sparing thenormal tissue in order to prevent significantmorbidity that arises from radiation toxicity.VOL. 9’NO. 12’* Address correspondence torege@asu.edu.Received for review May 21, 2015and accepted October 2, 2015.Published online October 04, 201510.1021/acsnano.5b05113C 2015 American Chemical Society11540–11550’201511540www.acsnano.org

PUSHPAVANAM ET AL.radiotherapy (0.5 2 Gy). Modulating the concentrationand chemistry of the templating lipid surfactant resultsin linear response in different dose ranges, whichdemonstrates the versatility of the plasmonic radiationnanosensor in a variety of radiotherapy applications.RESULTS AND DISCUSSIONFacile radiation sensors have the potential to transform treatment methods and planning in clinical radiotherapy by verifying the precise delivery of doses to theintended site of action with minimal damage to surrounding tissues. Here, we report studies on a simplecolorimetric, liquid-phase plasmonic nanosensor thatcan detect therapeutic levels of ionizing radiation.X-rays, in concert with templating lipid micelles, induced the formation of colored dispersions of goldnanoparticles from a colorless gold salt solution, thereby resulting in a visible indicator of ionizing radiation.Several molecular design considerations were employed in order to develop the plasmonic nanosensorfor detecting therapeutic doses (broadly 0.5 10 Gy) ofionizing radiation. The basic working principle behindthe plasmonic nanosensor involves reduction of colorless gold ions to gold nanoparticles (colored) by generating zerovalent (Au(0)) ions in order to facilitatenanoparticle nucleation and growth. Gold ions typically exist in a trivalent state (Au(III)) in metal salts, andwe first sought to convert these ions to monovalentgold ions (Au(I)). This is because the reduction of Au(I)to Au(0) is thermodynamically favored over the reduction of Au(III) to Au(0) due to the higher standardreduction potential of the former.25 Au(I) has an electronic configuration of 4f145d10 and requires a singleelectron for conversion (reduction) to Au(0),26 whichthen grows to form nanoparticles.In the current plasmonic nanosensor, the electrontransfer required for reducing Au(I) to Au(0) is facilitated by splitting water into free radicals followingexposure to ionizing radiation (X-rays). Water splittingby ionizing radiation generates three key free radicals,two of which, e and H , are reducing, and the other(OH ) is oxidizing in nature.22 Ascorbic acid is anantioxidant and is capable of removing the oxidizingOH radicals, which can inhibit nanoparticle formation.Finally, cetyl trimethylammonium bromide (CxTAB(x 8, 12, 16)) surfactants were employed for theirability to template gold nanoparticles.27 Taken together,a colorless metal salt precursor solution consisting of amixture of auric chloride (HAuCl4), L-ascorbic acid (AA),and cetyl (C16), dodecyl (C12), or octyl (C8) trimethylammonium bromide (Cx; x 16/12/8TAB) surfactantmolecules (Figure 1; see the Experimental Section formore details)28,29 forms the novel plasmonic nanosensor for detecting ionizing radiation as described inthe following sections.CxTAB and HAuCl4 (gold salt) were first mixed, leading to the formation of AuIIIBr4 . HAuCl4 (Au(III)) showsVOL. 9’NO. 12’11540–11550’ARTICLEFollowing several transformative advances since itsinception in the late 19th century,4 radiation therapyhas become a complex process aimed at maximizingthe dose delivered to the tumor environment whilesparing normal tissue of unnecessary radiation. Thishas led to the development of image-guided andintensity-modulated radiation therapy.5 The processof treatment planning requires initial simulation followed by verification of dose delivery with anthropomorphic phantoms that simulate human tissue withmore or less homogeneous, polymeric materials.6 Theaccuracy of the planning is determined using eitheranthropomorphic phantoms or 3D dosimeters.5,7,8During treatment, actual dose delivery can be verifiedwith a combination of entry, exit, or luminal dosemeasurements,6,9,10 in a process called in vivo dosimetry. Administered in vivo doses can be measured withdiodes (surface or implantable), thermoluminescentdetectors (TLDs), or other scintillating detectors.6,9,10However, these detectors are invasive or difficultto handle (due to fragility or sensitivity to heat andlight), require a separate read-out device, or measuresurface doses only. TLDs are typically laborious to useand require repeated calibration, while diodes sufferfrom angular-, energy-, and dose rate-dependent responses.11 Although MOSFETs can overcome some ofthese limitations, they typically require highly stablepower supplies.12 In addition, these dosimeters requiresophisticated and expensive fabrication processes inmany cases. In light of these considerations, there isstill a need for the development of robust and simplesensors in order to assist/replace existing dosimetersthat can be employed during sessions of fractionatedradiotherapy.13,14Unique optical properties associated with plasmonicnanoparticles15 have led to investigation of differentmetal nanoparticles in imaging, hyperthermia, drugdelivery, and sensing applications.16 18 Of particularrelevance to imaging and sensing is the observationthat dispersions of plasmonic nanoparticles displaydifferent colors depending on the size of the particles.Metallic nanoparticles are synthesized using a widerange of wet chemistry-19,20 and radiation21-basedtechniques. Current radiation-based methods requirehigh doses, use of complex polymers/polypeptides,scavengers, and/or inert atmospheres to engendernanoparticle synthesis.22 24 To our knowledge, noneof these methods are based on dose ranges employedin fractionated radiotherapies.In this work, we exploited lipid surfactant-templatedformation of colored dispersions of gold nanoparticlesfrom colorless metal salts as a facile, visual, and quantitative indicator of therapeutic levels of ionizing radiation (X-rays) for application in radiation dosimetry. Thisplasmonic nanosensor can detect radiation doses aslow as 0.5 Gy and exhibits a linear response for dosesrelevant in therapeutic administration of fractionated115412015www.acsnano.org

ARTICLEFigure 1. Schematic depicting the reaction progress after addition of various components in the plasmonic nanosensor forionizing radiation. The concept for this figure was adapted from ref 48. HAuCl4 salt solution is yellow in color, but changes toorange upon addition of CxTAB. Addition to ascorbic acid results in the formation of a colorless solution forming the precursorsolution for the plasmonic nanosensor. Irradiation with ionizing radiation (e.g., X-rays shown as hν) results in the formation ofcolored dispersions of gold nanoparticle. The color of gold nanoparticle dispersions (AuNPs) can vary in color depending onthe size of the nanoparticles. Figure adapted from ref 48 with permission.a prominent light absorption peak at 340 nm, whichshifts to 400 nm after addition of C16TAB, likely due tothe exchange of a weaker chloride ion by a strongerbromide ion (Figure S1A and B, Supporting Information, and Figure 1).26 The shift in the absorption peakcan also be seen visually as a color change from yellowto orange. Ascorbic acid reduces Au(III) to Au(I) in atwo-electron, step-reduction reaction,26 and additionof the acid to an orange-colored solution of HAuCl4 andC16TAB renders it colorless with no observable peaksbetween 300 and 999 nm (Figure S1C, SupportingInformation, and Figure 1). This mixture of CxTAB,ascorbic acid, and HAuCl4 is employed as the precursorsolution of the plasmonic radiation nanosensor. It hasbeen shown that addition of up to 5 molar equiv ofexcess ascorbic acid does not result in the formation ofzerovalent gold or Au(0) species, which can be partlyattributed to the lower oxidation potential of the acidin the presence of C16TAB.30 However, a characteristicpeak in the range 500 600 nm corresponding to goldnanoparticles is observed if ascorbic acid is directlyreacted with the gold salt in the absence of C16TAB(Figure S1D, Supporting Information),26 indicating spontaneous formation of nanoparticles in the absence ofthe lipid surfactant under the conditions employed.We next optimized the concentration of ascorbicacid in the presence of the surfactant (C16TAB) andgold salt employed in the precursor solution for theplasmonic nanosensor; the maximal dose of 47 Gy wasdelivered in order to study the effect of ascorbic acidon nanoparticle formation (Figure S2, SupportingInformation). A marked increase in nanoparticle formation is observed when excess AA is used, and the effectsaturates at 600 μL of 0.01 M (4 mM AA) (Figure S2,Supporting Information). Although saturation was observed when 4 mM AA was used, we used 5.9 mM AAfor all subsequent experiments in order to ensureadequate quenching of OH radicals, which can reducethe yield of nanoparticles generated. Control experimentsPUSHPAVANAM ET AL.with (1) gold salt (HAuCl4) alone, (2) gold salt þ C16TAB,and (3) gold salt þ C12TAB were also carried out in thepresence of different X-ray doses, but in the absence ofascorbic acid. Absorbance profiles of the samples weremeasured after 7 h, and the absence of peaks from 500to 900 nm indicated the absence of plasmonic (gold)nanoparticles (Figure S3, Supporting Information).Next, we investigated the efficacy of three cationicsurfactants, C8TAB, C12TAB, and C16TAB, for inducingnanoparticle formation in the presence of differentdoses of ionizing radiation (Figure 2). All three surfactants have trimethylammonium moieties as the headgroup and bromide as the counterions; only the lipidchain length was varied as C8, C12, and C16 in thesemolecules, and a concentration of 20 mM was employed for each lipid. As stated previously, a largenumber of e aq and H radicals are generated followingexposure of the solution to X-rays, which facilitate theconversion of Auþ ions to their zerovalent Au0 state.31The Au0 species act as seeds upon which furthernucleation and coalescence occur. This, in turn, leadsto an increase in size and eventual formation ofnanoparticles, which are stabilized by surfactant molecules. Formation of these plasmonic nanoparticlesimparts a burgundy/maroon color to the dispersion;the intensity of the color increases with an increase inradiation dose applied (Figure 3).Nanoparticle formation was seen as early as 1 hfollowing irradiation in many cases, although 2 h wasrequired for samples irradiated with lower doses (1, 3,and 5 Gy) (Figure S4, Supporting Information). Nosignificant differences in absorbance intensity wereobserved thereafter until a period of 7 h, which wasthe maximum duration investigated in these cases.Nanoparticle formation was observed at radiationdoses as low as 1 Gy, which is well within the rangeof doses employed for radiotherapy.32 While C16TAB orC12TAB was effective at templating nanoparticle formation even at low doses (1 5 Gy), C8TAB did notVOL. 9’NO. 12’11540–11550’115422015www.acsnano.org

show any propensity for templating nanoparticle formation even at the highest radiation dose (47 Gy)employed. C12TAB-templated gold nanoparticles exhibited unique spectral profiles under ionizing radiation; two spectral peaks;one between 500 and550 nm and another between 650 and 800 nm;wereseen (Figure 2B). This is in contrast to C16TAB, whichexhibited only a single peak between 500 and 600 nm(Figure 2A). The linear response of absorbance due tonanoparticle formation, seen between 5 and 37 Gy, wassignificantly more pronounced for C16TAB than that forC12TAB (Figure S5, Supporting Information). Althoughnanoparticle formation was seen in the 1 5 Gy range,the absorbance of the dispersions under these conditions did not fall in the linear range 5 37 Gy, whichindicated that the nanosensor was not sensitive at theselower doses. Given these findings, we focused oursubsequent studies mainly on the C16TAB lipid surfactant in order to further optimize the nanosensor.PUSHPAVANAM ET AL.VOL. 9’NO. 12’11540–11550’ARTICLEFigure 2. UV vis absorption spectra of the control (0 Gy)and X-ray-irradiated samples containing (A) C16TAB, (B)C12TAB, and (C) C8TAB after 7 h. The concentration of eachlipid surfactant was 20 mM.The critical micelle concentration (CMC) of C16TAB isreported to be approximately 1 mM.33 Using thepyrene fluorescence assay, we determined the CMCof C16TAB in the nanosensor precursor solution (i.e.,gold salt and ascorbic acid in deionized water) to be 0.39 mM, which was slightly lower than 0.88 mMdetermined in deionized (DI) water (Figure S6, Supporting Information). Premicellar aggregates are thoughtto exist when C16TAB concentration is lower than7.4 mM, while stable micelles are observed at higherconcentrations of the lipid surfactant.34 It has beenpreviously suggested that smaller, premicellar aggregates can facilitate enhanced catalytic activity of Fe(III)and promote oxidation of sulfanilic acid compared tofully matured micelles, likely due to the increased ratioof the reactant species to the surfactant molecules.35We therefore hypothesized that increasing the ratioof the metallic species (Auþ) to the aggregate(premicellar/micellar) C16TAB species will lead to greater propensity for nanoparticle formation upon exposure to ionizing radiation and therefore increasedsensitivity of the resulting nanosensor at lower radiation doses. On the basis of the assumption that thenumber of aggregate species increases with lipidconcentration,34 we next investigated different concentrations of C16TAB (0.7, 2, 4, and 10 mM) in thenanosensor, while keeping the concentrations of goldions and ascorbic acid constant.Use of C16TAB concentrations below its CMC in thenanosensor precursor solution resulted in spontaneous formation of gold nanoparticles in the absence ofionizing radiation; gold nanoparticle formation can beseen from the characteristic absorbance peak of thedispersion in Figures S6 and S7, Supporting Information. However, the propensity for spontaneous nanoparticle formation is significantly reduced or lost atconcentrations well above the CMC. A distinct colorchange can be observed for radiation doses as low as0.5 Gy at a C16TAB concentration of 2 mM, which isabove the CMC of the lipid surfactant (Figures 3A and S8,Supporting Information). A linear response was observed for radiation doses ranging from 0.5 to 2 Gyunder these conditions (Figure 4). As the concentrationof C16TAB increases (4, 10, 20 mM), the radiation doserequired to template nanoparticle formation also increases (Figures 3 and S8, Supporting Information).Furthermore, the color of the nanoparticle dispersionformed is significantly different in case of 2 mMC16TAB (blue-violet) compared to that observed incases of 4 mM (bluish-red), 10 mM (red/pink), and20 mM (burgundy/maroon) C16TAB, likely indicatingdifferent sizes of nanoparticles formed under theseconditions. An increase in color intensity is observedwith increasing radiation dose (Figures 2 and 3), whichallows for dose quantification using absorbance measurements. While it is most desired that the nanosensoris sensitive to therapeutic doses used in conventional115432015www.acsnano.org

ARTICLEFigure 3. Optical images of samples containing different C16TAB and C12TAB concentrations irradiated with a range of X-raydoses (Gy): (A) 2 mM C16TAB, (B) 4 mM C16TAB, (C) 10 mM C16TAB, (D) 20 mM C16TAB, and (E) 20 mM C12TAB 2 h post X-rayirradiation. The corresponding X-ray radiation dose leading to the observed visual color change is indicated below eachsample in grays (Gy).PUSHPAVANAM ET AL.VOL. 9’NO. 12’11540–11550’115442015www.acsnano.org

and hyperfractionated radiotherapy ( 0.5 2.0 Gy) asseen in the case of 2 mM C16TAB, results with differentconcentrations of the lipid surfactant indicate that theresponse of the plasmonic nanosensor can be tuned bysimply modifying the concentration of the lipid surfactant. Such visual colorimetric sensors possess significant advantages of convenience and, likely, cost overthose that employ fluorescence changes or electronspin resonance measurements for detecting ionizingradiation.Free radicals generated upon radiolysis of water arethought to be localized in finite volumes called spurs.36These spurs can expand, diffuse, and simultaneouslyreact, leading to the formation of molecular products.These highly reactive free radicals have very shortlifetimes of 10 7 10 6 s at 25 C.36 Reaction volumesconsisting of nanoscale features can facilitate enhanced reaction kinetics and ensure efficient utilization of these free radicals for the formation ofnanoparticles.37 In the case of the current plasmonicnanosensor, this was achieved by the use of amphiphilic molecules that self-assemble into micelles abovetheir respective critical micellar concentrations. Astrong interaction is possible between the positivelycharged headgroup of the lipid surfactant micelles andthe negatively charged AuCl4 ions (Figure 1).38 Thisinteraction can lead to incorporation of AuCl4 ions inthe water-rich Stern layer, leading to the formation of a“nanoreactor”.37,38 However, spontaneous formationof nanoparticles (i.e., in the absence of ionizingradiation) was seen when concentrations of C16TABwere lower than the CMC (Figure S7, SupportingInformation). We hypothesize that spontaneous nanoparticle formation observed at lower concentrationsof the surfactant is likely due to negligible sterichindrance between the surfactant and ascorbic acid;22absence of these barriers results in nanoparticlegrowth, which can be observed spectroscopically.39 Itis only when the concentrations of C12TAB and C16TABare higher than the CMC that no spontaneous formation of gold nanoparticles is seen in the precursorsolution, and ionizing radiation is required to inducenanoparticle formation. Of the three lipid surfactants,PUSHPAVANAM ET AL.VOL. 9’NO. 12’11540–11550’ARTICLEFigure 4. Maximum absorbance vs radiation dose for varying concentrations of C16TAB 2 h post X-ray irradiation. Redfilled diamonds, solid line: 2 mM C16TAB. Orange filledcircles, dashed line: 4 mM C16TAB. Green filled triangles,solid line: 10 mM C16TAB. Blue filled squares, dashed line:20 mM C16TAB.only the concentration of C8TAB was significantlybelow its CMC value (130 mM),40 while the concentrations employed were significantly higher than theCMCs of C12TAB (CMC 15 mM33) and C16TAB (CMC 1 mM33). In the case of C8TAB, there is an absence ofthese “nanoreactors”, which may explain the lack ofnanoparticle formation under these conditions. Theself-assembly of C12TAB and C16TAB lipid surfactants tonanoscale micelles above their respective CMCs istherefore key for the functioning of the plasmonicnanosensor.Key features of gold nanoparticle absorbance spectra include the shape of the surface plasmon resonanceband and the position of the maximal (peak) absorption wavelength. While C16TAB-templated nanoparticles showed a single maximal absorption peak (at ca.520 nm), C12TAB-templated nanoparticles showed twopeaks: one at ca. 520 nm (visual region) and another atca. 700 nm (near-infrared, or NIR, region; Figure 2B),particularly at higher doses of ionizing radiation. Thewidth of the spectral profiles at lower doses signifiesa somewhat polydisperse population of the nanoparticles (Figure 2A,B and Figure S8 Supporting Information).41 The absorbance peaks are red-shifted withdecreasing radiation doses, suggesting an increase inparticle size under these conditions compared to thoseobtained at higher doses.Nanoparticles formed in the presence and absenceof ionizing radiation were further characterized fortheir hydrodynamic diameters and morphology usingdynamic light scattering (Figure S9, Supporting Information) and transmission electron microscopy (TEM;Figure 5 and Figures S10 and S11, Supporting Information), respectively. TEM images indicated that amixture of spherical and rod-shaped nanoparticleswas observed at the higher radiation doses (47 Gy)in the case of C12TAB as the templating surfactant(Figure 5D). This can explain the absorption spectralprofile with peaks in both the visual and near-infraredrange of the spectrum in the case of nanoparticlestemplated using 20 mM C12TAB (Figure 2B). A significant decrease in the near-infrared absorption peak isobserved at lower X-ray doses. Although the spectralprofile indicates formation of gold nanospheres, weobserved an ensemble of unique anisotropic (dendriticand nanowire) structures (Figure S10, SupportingInformation). Such structures were not observed atsimilar X-ray doses when 20 mM C16TAB was used asthe templating surfactant. A strong interaction energy(U) between C12TAB and Au (111) has been previouslydescribed.42 This strong affinity for the Au (111) crystalplane is thought to favor slower desorption of thesurfactant along Au (111), leading to growth alongother available crystal planes. This can allow for theformation of rod-shaped and other anisotropic nanostructures. Although C16TAB has been used to synthesize nanowires and nanorods previously, these115452015www.acsnano.org

Figure 5. Transmission electron microscopy (TEM) images ofnanoparticles after exposure to ionizing (X-ray) radiation usingtwo different lipid surfactants, 20 mM C16TAB (left) and 20 mMC12TAB (right). (A) 1 Gy, (B) 47 Gy, (C) 5 Gy, and (D) 47 Gy.methods typically involve the use of additional chemicals including NaOH or AgNO3.43,44 In the current case,it is likely that the gold nanoparticles aggregate morerapidly in situ due to the strong hydrophobic natureof the long C16TAB chains, leading to the formationof quasi-spherical nanoparticles and not anisotropicnanostructures.42TEM images indicated a reduction in the size of themetal nanoparticles with increasing radiation dose.Dynamic light scattering (DLS) studies on irradiatedsamples (Figure S9, Supporting Information and TableS1, Supporting Information) also indicated a decreasein nanoparticle hydrodynamic diameters with increases in X-ray dose, which is in good agreement withinformation from TEM images. High radiation dosesgenerate a larger number of free radicals in comparison to lower radiation doses, which can lead to thereaction with and, therefore, consumption of a highernumber of metal ions. This leads to the formation of ahigher concentration of zerovalent gold species incomparison to samples irradiated at lower doses.These unstable Au(0) seeds grow and can be cappedby the cationic lipid surfactant, resulting in smallersized nanoparticles.31 In contrast, at lower doses ofionizing radiation, the ratio of concentration of Au(0) toAu(I) is likely smaller. It is possible that unreacted metalions coalesce with the smaller population of gold seedsand in turn lead to the formation of nanoparticles withlarger diameters.31We next investigated the translational potential ofour plasmonic nanosensor for detecting X-ray radiation under conditions that simulate those employed inhuman prostate radiotherapy in the clinic. While radiotherapy is common in the treatment of prostate cancerpatients, exposure of normal tissues (e.g., underlyingPUSHPAVANAM ET AL.ARTICLEFigure 6. (A) Endorectal balloon with precursor solution notsubjected to irradiation with X-rays. (B) Endorectal balloonpost irradiation with 10.5 Gy X-rays. The dashed rectangleshows a light pink colored dispersion following exposure toX-ray radiation.rectal wall) to radiation is a cause for concern. Information on the dose delivered during a particular stage of afractionated radiotherapy regimen can help plan thesubsequent stage in order to achieve better patientoutcomes. However, to our knowledge, there is noavailable method for determining the actual dosereceived by the rectal wall during prostate radiotherapy. Endorectal balloons are typically used for holdingthe prostate in place and for protecting the rectalwall during radiotherapy treatments in humans.45 Wetherefore used the endorectal balloon as a means toadminister the plasmonic nanosensor and used thissetup to determine the dose received at differentpoints along the rectal wall. In all cases, the efficacyof the plasmonic nanosensor was evaluated in endorectal balloons ex vivo; no studies on human patientswere carried out.We first incorporated 1.5 mL of the precursor solution (20 mM C16TAB þ AA þ HAuCl4) into endorectalballoons as shown in Figure 6A in order to investigatethe efficacy of the plasmonic sensor using this potential method of delivery. The nanosensor precursorsolution was subjected to two relatively high, butclinically relevant doses of 7.9 and 10.5 Gy (n 3).These relatively high doses were used in order toestablish proof-of-concept efficacy of the nanosensorin the endorectal balloon. The absorbance of theplasmonic nanosensor, which changes color insidethe balloon itself (light pink color seen in Figure 6Bfor a balloon subjected to a radiation dose of 10.5 Gy),was employed to determine the radiation dose delivered to the balloon. A calibration curve between 5 and37 Gy from the plot between maximum absorbance andradiation dose after 7 h was employed to determine theradiation dose delivered. Doses of 8.5 ( 1.7 Gy and 7.9 ( 2.0 Gy were calculated from the calibration curvefor delivered doses of 10.5 and 7.9 Gy, respectively(Table 1). Due to the nonlinearity of the curve below5.3 Gy, the control (0 Gy) showed a value of 4.4 ( 0.41Gy (n 3) when the calibration equation was employed,indicating that the operating region of the plasmonicnanosensor, with a CTAB concentration of 20 mM, isbetween 5 and 37 Gy and is not reliable for lower dosesof radiation for CTAB concentrations of 20 mM.On the basis of the above findings, we next investigated the detection efficacy of the plasmonic nanosensorVOL. 9’NO. 12’11540–11550’115462015www.acsnano.org

(20 mM C16TAB Concentration) Following Exposure to Different Doses of Ionizing Radiationadelivered dose (Gy)measured absorbance (AU)calc

A Colorimetric Plasmonic Nanosensor . the effect of surfactant concentration on detection efficacy was also . peak in the range 500 600 nm corresponding to gold nanoparticles is observed if ascorbic acid is directly reacted with the gold salt in the absence of C 16TAB

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