In recent years, with the development of radiotherapy equipment and technology, radiotherapy has shown good clinical effect for many kinds of cancers. However, due to the heterogeneity and radioresistance of lung cancer, the treatment and prognosis of some lung cancers are poor. Studies have shown a correlation between radiosensitivity and immunity as well[12]. Therefore, the exploration of radiation pattern and dose is the key of current research in this field. These results demonstrated that 8 and 10 Gy photons could inhibit the colony formation of H1299 cells, inhibit the proliferation of H1299 cells, arrest the tumor cell cycle in G2/M phase, and induce cell apoptosis. Radiation therapy leads to the failure of proper repair after DNA damage in cells, leading to cell death and inhibition of cell proliferation by apoptosis and other means [13]. It is possible that the X-rays of 8 and 10 Gy caused the double-strand break of DNA, thus inhibiting the proliferation of tumor cells. Most tumor cells cause different degrees of DNA strand breaks in cells after lethal doses of irradiation, and double-strand breaks in DNA are more difficult to repair, thus more likely to cause apoptosis [14]. Cells sensitive to ionizing radiation undergo apoptotic effects at a rapid rate [15]. It may also allow tumor cells to escape apoptosis induced by certain factors.
The samples of irradiated H1299 cells were isolated and identified by LC-MS/MS technique. Bioinformatics analysis can identify DEPs. SLC2A1 is a major component of cellular energy metabolism and is closely related to the HIF1 signaling pathway, and EIF4G1 is an important part of protein translation and is closely related to tumorigenesis. These functions and associated metabolic pathways provided a basis for understanding how photon radiation resistance promoted lung adenocarcinoma cell proliferation. Hypoxic tumor cells are more resistant to radiation, which can lead to the failure of radiotherapy and chemotherapy in tumor patients [16]. Photon radiation up-regulated the expression of ITGA6 in H1299 cells. ITGA6 was abundantly present in the plasma membrane and was essential for tumor growth and metastasis [17, 18]. In addition, the expression of NRP1 was associated with radioresistance in A549 cells, and can play a radioresistant role by activating signaling pathways such as PI3K-Akt, VEGF and TGF-β[19, 20]. Our study suggested that photon radiation promoted NRP1 expression by 8 Gy at 48 h. Other research showed that EGF promoted tumor stemness expression and self-renewal by acting directly on CSCs through an autocrine loop of NRP1, and knockdown of NRP1 in normal epithelium prevented tumorigenesis [21]. Therefore, NRP1 plays an important role in the occurrence and development of tumors. It has been found that the translation initiation complex EIF4F also played an important role in tumorigenesis, growth and therapeutic resistance of prostate cancer [22, 23].
Glucose transporter 1 (SLC2A1) plays an important role in tumor glycolysis and is closely related to tumor healing [18]. Previous studies have reported that SLC2A1 is over-expressed in several types of cancer, such as breast and lung cancer. The expression level of GLUT1 correlates with that of HIF-1 α in many cancer types, including colorectal and ovarian cancers[7]. In the anaerobic glycolysis pathway, HIF-1α first activates SLCA1 transcription to increase glucose uptake in cells. High expression of SLC2A1 is an early marker of malignant transformation and can be used as an important basis for predicting tumor prognosis [18].Clinical studies have shown that SLC2A1 protein is not expressed in normal or benign lesions, whereas SLC2A1 1 is highly expressed in malignant tumor tissues[24]. Our study found that photons of 8Gy could significantly inhibit the proliferation of H1299 cells, and further proteomics showed that the expression of SLC2A1 protein was down-regulated.In the process of tumor proliferation, tumor tissues are in a relatively hypoxic state, and the expression under hypoxic microenvironment, increased expression of HIF-1α has the potential to promote the proliferation and angiogenesis of small cell lung cancer [25, 26]. Hypoxic cells upregulate the HIF pathway which is associated with radiation resistance in many types of cancer, including NSCLC [27]. In our study, irradiated molecules participate in HIF-1 α signaling pathway, which may be related to the radiation resistance of H1299 cells. Some studies have indicated that the expression level of SLC2A1 can be used as an important indicator to evaluate tumor hypoxia and glucose metabolism. In this study, the results in the transcriptional level indicated that SLC2A1 molecules in cells were affected by different radiation doses, and after 8 and 10 Gy irradiation, the relative expression levels of the SLC2A1 molecules was decreased. While, there was no significant change in the expression of SLC2A1and HIF-1 α in cells after 4Gy irradiation. It has been shown that there is a linear positive correlation between SLC2A1 and HIF-1α mRNA expression in NSCLC tissues [28, 29], which may be that hypoxic tissues in the tumor activate the expression of the transcription factor HIF-1, acting on the downstream targeting molecule SLC2A1 molecules to make glycolysis faster. Cdk2 is not required for Chk1 activation and G2 arrest by agents that induce double strand DNA breaks. Research shows that inhibition of Cdk2 by the DNA damage response promotes a timely implementation of the G2 cell cycle exit programmers [30]. Our study showed that after knockdown, the cell cycle increased in G2 phase and decreased in S phase. Furthermore, this change is more obvious after X-ray exposure to 4Gy. This may be a down-regulation of SLC2A1, which can increase the radio sensitivity to X-rays. Cdk2 inhibition apparently hinders the DDR, and sensitizes cells to ionizing radiation, inducing cell death [30]. To complement the energy requirement for rapid tumor growth, HIF-1α can promote SLC2A1 expression in tumor cells. Recently, it has been found that irradiation of primary tumors in mice can accelerate the invasion and metastasis of malignant tumors[31]. It was confirmed in animal studies that HIF-1 plays a role in promoting tumor growth [32]. In hypoxia, activated HIF-1 binds to the downstream target gene SLC2A1 and activates transcriptional expression, thereby maintaining the energy metabolism of cells to promote tumor proliferation.