Iranian Journal of Medical Physics

Iranian Journal of Medical Physics

Investigating Direct and Bystander Radio-Sensitizing Effects of Genistein in PC-3 Prostate Cancer Cells

Document Type : Original Paper

Authors
1 Ionizing and Non-Ionizing Radiation Protection Research Center (INIRPRC), Faculty of Paramedical Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
2 Department of Radiology, Paramedical School, Shiraz University of Medical Sciences, Shiraz, Iran
3 Department of Laboratory Sciences, Paramedical School, Shiraz University of Medical Sciences, Shiraz, Iran
4 Department of Radiology, Paramedical School , Shiraz University of Medical Sciences, Shiraz, Iran
5 Department of Radio-oncology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
10.22038/ijmp.2026.92400.2642
Abstract
Introduction: Radiation therapy is the major treatment modality of prostate cancer. Genistein (GEN) as the most abundant isoflavone in soybeans prevents the repair of DNA breaks, improving the radiosensitivity of cancer cells. It is demonstrated that cancer cells can be eradicated outside the radiation field as a result of the bystander effect. The aim of this study was to investigate the direct and indirect effect of ionizing radiation (IR), GEN and their combination on prostate cancer cell line (PC-3).
Material and Methods: Cells were irradiated to 4 Gy IR 24h after treatment with GEN. Then the medium of cells was transferred to non-irradiated cells to induce bystander effect. The direct and indirect effects of GEN, IR, and their combination (GEN+IR) on cell cycle and apoptosis were assessed by flow-cytometry.
Results: Cell cycle arrest has occurred in the G2/M phase in the GEN and GEN+IR groups, while no significant differences were observed in the bystander groups. Apoptosis levels were also significantly increased by GEN, IR and combined treatment. Although apoptosis was significantly higher in Bys+IR group compared to control, indirect exposure to both GEN and IR did not enhance apoptosis levels.
Conclusion: Overall, the results demonstrate that GEN enhances PC-3 cells radiosensitivity by promoting apoptosis and cell cycle arrest. However, bystander effect was not observed by indirect exposure of PC-3 cells to both GEN and IR. Future research are crucial to explore the radiation-induced bystander effect in the presence of GEN.
Keywords
Subjects

1.        Culp MB, Soerjomataram I, Efstathiou JA, Bray F, Jemal A. Recent global patterns in prostate cancer incidence and mortality rates. Eur Urol. 2020;77(1):38-52.
2.        Wang L, Lu B, He M, Wang Y, Wang Z, Du L. Prostate cancer incidence and mortality: global status and temporal trends in 89 countries from 2000 to 2019. Front Public Health. 2022;10:811044.
3.        Gomella LG, Johannes J, Trabulsi EJ. Current prostate cancer treatments: effect on quality of life. Urology. 2009;73(5):S28-S35.
4.        Borrego-Soto G, Ortiz-López R, Rojas-Martínez A. Ionizing radiation-induced DNA injury and damage detection in patients with breast cancer. Genet Mol Biol. 2015;38:420-32.
5.        Li G, Li Y, Wang J, Gao X, Zhong Q, He L, et al. Guidelines for radiotherapy of prostate cancer (2020 edition). Precis Radiat Oncol. 2021;5(3):160-82.
6.        Kaliberov SA, Buchsbaum DJ. Cancer treatment with gene therapy and radiation therapy. Adv Cancer Res. 2012;115:221-63.
7.        Kayani Z, Islami N, Behzadpour N, Zahraie N, Imanlou S, Tamaddon P, et al. Combating cancer by utilizing noble metallic nanostructures in combination with laser photothermal and X-ray radiotherapy. J Drug Deliv Sci Technol. 2021;65:102689.
8.        Zahraie N, Perota G, Vais RD, Sattarahmady N. Simultaneous chemotherapy/sonodynamic therapy of the melanoma cancer cells using a gold-paclitaxel nanostructure. Photodiagnosis Photodyn Ther. 2022;39:102991.
9.        Palacios DA, Miyake M, Rosser CJ. Radiosensitization in prostate cancer: mechanisms and targets. BMC Urol. 2013;13(1):1-13.
10.     Dixon RA, Ferreira D. Genistein. Phytochemistry. 2002;60(3):205-11.
11.     Spagnuolo C, Russo GL, Orhan IE, Habtemariam S, Daglia M, Sureda A, et al. Genistein and cancer: current status, challenges, and future directions. Adv Nutr. 2015;6(4):408-19.
12.     Kim JW, Kim JM, Kim S-K, Kim Y-M, Choi J-S. Protective effect of ginseng on salivary dysfunction following radioiodine therapy in a mouse model. Thyroid. 2018;28(8):1034-41.
13.     Kyle E, Neckers L, Takimoto C, Curt G, Bergan R. Genistein-induced apoptosis of prostate cancer cells is preceded by a specific decrease in focal adhesion kinase activity. Mol Pharmacol. 1997;51(2):193-200.
14.     Pagliacci M, Smacchia M, Migliorati G, Grignani F, Riccardi C, Nicoletti I. Growth-inhibitory effects of the natural phyto-oestrogen genistein in MCF-7 human breast cancer cells. Eur J Cancer. 1994;30(11):1675-82.
15.     Spinozzi F, Pagliacci MC, Migliorati G, Moraca R, Grignani F, Riccardi C, et al. The natural tyrosine kinase inhibitor genistein produces cell cycle arrest and apoptosis in Jurkat T-leukemia cells. Leuk Res. 1994;18(6):431-9.
16.     Alhasan SA, Pietrasczkiwicz H, Alonso MD, Ensley J, Sarkar FH. Genistein-induced cell cycle arrest and apoptosis in a head and neck squamous cell carcinoma cell line. Nutr Cancer. 1999;34(1):12-9.
17.     Sirtori CR, Arnoldi A, Johnson SK. Phytoestrogens: end of a tale? Ann Med. 2005;37(6):423-38.
18.     Banerjee S, Li Y, Wang Z, Sarkar FH. Multi-targeted therapy of cancer by genistein. Cancer Lett. 2008;269(2):226-42.
19.     Kuiper GG, Lemmen JG, Carlsson B, Corton JC, Safe SH, Van Der Saag PT, et al. Interaction of estrogenic chemicals and phytoestrogens with estrogen receptor β. Endocrinology. 1998;139(10):4252-63.
20.     Akiyama T, Ishida J, Nakagawa S, Ogawara H, Watanabe S-i, Itoh N, et al. Genistein, a specific inhibitor of tyrosine-specific protein kinases. J Biol Chem. 1987;262(12):5592-5.
21.     Raffoul JJ, Wang Y, Kucuk O, Forman JD, Sarkar FH, Hillman GG. Genistein inhibits radiation-induced activation of NF-κB in prostate cancer cells promoting apoptosis and G2/M cell cycle arrest. BMC Cancer. 2006;6(1):107.
22.     Burdak-Rothkamm S, Rothkamm K. Radiation-induced bystander and systemic effects serve as a unifying model system for genotoxic stress responses. Mutat Res Rev Mutat Res. 2018;778:13-22.
23.     Heeran AB, Berrigan HP, O'Sullivan J. The radiation-induced bystander effect (RIBE) and its connections with the hallmarks of cancer. Radiat Res. 2019;192(6):668-79.
24.     Najafi M, Fardid R, Hadadi G, Fardid M. The mechanisms of radiation-induced bystander effect. J Biomed Phys Eng. 2014;4(4):163.
25.     Mothersill C, Seymour C. Bystander and delayed effects after fractionated radiation exposure. Radiat Res. 2002;158(5):626-33.
26.     Ewald J, Desotelle J, Almassi N, Jarrard D. Drug-induced senescence bystander proliferation in prostate cancer cells in vitro and in vivo. Br J Cancer. 2008;98(7):1244-9.
27.     Brenner DJ, Curtis RE, Hall EJ, Ron E. Second malignancies in prostate carcinoma patients after radiotherapy compared with surgery. Cancer. 2000;88(2):398-406.
28.     Nh MZ, Abdullah R, Rahman W. Bystander effect induced in breast cancer (MCF-7) and human osteoblast cell lines (hFOB 1.19) with HDR-brachytherapy. J Biomed Phys Eng. 2020;10(3):319.
29.     29.           Singh‐Gupta V, Zhang H, Banerjee S, Kong D, Raffoul JJ, Sarkar FH, et al. Radiation‐induced HIF‐1α cell survival pathway is inhibited by soy isoflavones in prostate cancer cells. Int J Cancer. 2009;124(7):1675-84.
30.     30.           Hillman GG, Forman JD, Kucuk O, Yudelev M, Maughan RL, Rubio J, et al. Genistein potentiates the radiation effect on prostate carcinoma cells. Clin Cancer Res. 2001;7(2):382-90.
31.     31.           Raffoul JJ, Wang Y, Kucuk O, Forman JD, Sarkar FH, Hillman GG. Genistein inhibits radiation-induced activation of NF-κB in prostate cancer cells promoting apoptosis and G2/M cell cycle arrest. BMC cancer. 2006;6(1):1-10.
32.     32.           Singh-Gupta V, Zhang H, Yunker CK, Ahmad Z, Zwier D, Sarkar FH, et al. Daidzein effect on hormone refractory prostate cancer in vitro and in vivo compared to genistein and soy extract: potentiation of radiotherapy. Pharm Res. 2010;27:1115-27.
33.     33.           Cunningham D, You Z. In vitro and in vivo model systems used in prostate cancer research. J Biol Methods. 2015;2(1):e17.
34.     34.           Norman HA, Butrum RR, Go VLW. Review of the international research conference on food, nutrition, and cancer, 2004. J Nutr. 2004;134(12):3391S-3S.
35.     35.           Kim S-H, Kim C-W, Jeon S-Y, Go R-E, Hwang K-A, Choi K-C. Chemopreventive and chemotherapeutic effects of genistein, a soy isoflavone, upon cancer development and progression in preclinical animal models. Lab Anim Res. 2014;30(4):143-50.
36.     36.           Lakshman M, Xu L, Ananthanarayanan V, Cooper J, Takimoto CH, Helenowski I, et al. Dietary genistein inhibits metastasis of human prostate cancer in mice. Cancer Res. 2008;68(6):2024-32.
37.     37.           Hermann RM, Wolff HA, Jarry H, Thelen P, Gruendker C, Rave-Fraenk M, et al. In vitro studies on the modification of low-dose hyper-radiosensitivity in prostate cancer cells by incubation with genistein and estradiol. Radiat Oncol. 2008;3(1):19.
38.     Shafiee G, Saidijam M, Tayebinia H, Khodadadi I. Beneficial effects of genistein in suppression of proliferation, inhibition of metastasis, and induction of apoptosis in PC3 prostate cancer cells. Arch Physiol Biochem. 2022;128(3):694-702.
39.     Klein CB, King AA. Genistein genotoxicity: critical considerations of in vitro exposure dose. Toxicol Appl Pharmacol. 2007;224(1):1-11.
40.     Davis JN, Singh B, Bhuiyan M, Sarkar FH. Genistein-induced upregulation of p21WAF1, downregulation of cyclin B, and induction of apoptosis in prostate cancer cells. Nutr Cancer. 1998;32(3):123-31.
41.     Tang Q, Ma J, Sun J, Yang L, Yang F, Zhang W, et al. Genistein and AG1024 synergistically increase the radiosensitivity of prostate cancer cells. Oncol Rep. 2018;40(2):579-88.
42.     Famuyiwa T, Boe A, Diaka J, Jebelli J, Esiobu N. Enhancement of genistein-induced apoptosis in LNCaP prostate cancer cells. J Cancer Prev Curr Res. 2016;4(2).
43.     Vodnik VV, Mojić M, Stamenović U, Otoničar M, Ajdžanović V, Maksimović-Ivanić D, et al. Development of genistein-loaded gold nanoparticles and their antitumor potential against prostate cancer cell lines. Mater Sci Eng C. 2021;124:112078.
44.     Buonanno M, Gonon G, Pandey BN, Azzam EI. The intercellular communications mediating radiation-induced bystander effects and their relevance to environmental, occupational, and therapeutic exposures. Int J Radiat Biol. 2023;99(6):964-82.
45.     Smolarz M, Skoczylas Ł, Gawin M, Krzyżowska M, Pietrowska M, Widłak P. Radiation-induced bystander effect mediated by exosomes involves the replication stress in recipient cells. Int J Mol Sci. 2022;23(8):4169.
46.     Pszczółkowska–Kępa B, Olejarz W, Głuszko A, Wałpuski G, Lorenc T, Brzozowska B. Exosome-mediated modulation of radioresistance: The radiation-induced bystander effect in prostate cancer cells. PLoS One. 2025;20(8):e0330501.
47.     Tubin S, Valeriani M, Salerno G, Bracci S, Stoppacciaro A, Cardelli P, et al. Manipulation of radiation-induced bystander effect in prostate adenocarcinoma by dose and tumor differentiation grade: In vitro study. Int J Radiat Biol. 2015;91(2):166-71.
48.     Liu X, Zheng T, Bao Y, Li P, Zhao T, Liu Y, et al. Genistein Implications in Radiotherapy: Kill Two Birds with One Stone. Molecules. 2025;30(1):188.
49.     Ivashkevich A. The role of isoflavones in augmenting the effects of radiotherapy. Front Oncol. 2023;12:800562.
 
 
 
 
 
 
Volume 23, Issue 2 - Serial Number 2
March and April 2026
Pages 86-92

  • Receive Date 15 November 2025
  • Revise Date 22 February 2026
  • Accept Date 17 May 2026