Abstract:Objective To discuss the effect of calf spleen extraction injection (CSEI) on proliferation and radiosensitivity in lung cancer cell A549. Methods A549 cells were treated with different concentrations of CSEI or different radiation doses for 48h. Cell proliferation inhibition rate, sensitivity enhancement ratio (SER) and colony formation rate were accessed by MTT assay and plate colony formation assay. Propidium iodide (PI) staining and Annexin V-FITC/PI staining were respectively used for cell cycle and apoptosis of A549 cells. Comet assay was to detected the DNA damage. The B-cell lymphoma-2 (Bcl-2), bcl-2-associated X protein (Bax), multi-drug resistance1 (MDR1) and Survivin proteins levels of A549 cells were detected by western blot. Results By MTT assay, 1.0 mg/mL would be the highest non-toxic dose of CSEI. CSEI (1.0 mg/mL) pretreatment might increase the inhibition rate of radiation (2, 4, 6, 8, 10 Gy) on A549 cells (P < 0.05). And sensitivity enhancement ratio (SER) was (1.42±0.06). Cloning formation experiment showed the colony formation ability of CSEI (1.0 mg/mL) + radiation (5 Gy) group was the least (P < 0.05). As the results of comet assay and flow cytometry, the tailing cell amount, tail length, tail distance and apoptosis rate of A549 cells in CSEI (1.0 mg/mL) + radiation (5 Gy) group were more than those in control group, radiation group and CSEI group (P < 0.05). Meanwhile, compared with control group, radiation group and CSEI group, cell amount in G1 stage and S stage were less, but in G2/M stages was more; and Bcl-2 and Survivin proteins levels were lower, Bax protein level was higher (P < 0.05). Conclusions There are significant evidences that 1.0 mg/mL of CESI would enhance the sensitivity of A549 cells to radiation, which could be related with tumor cell cycle, apoptosis, nucleus DNA double-strand damage, etc.