“…There has been conflicting literature about cerium oxide nanoparticles’ ability to induce radiosensitization, despite being a metal with a high z number, with some studies showing radiosensitizing abilities [ 37 , 50 , 51 , 52 ], including in breast cancer [ 53 ], while others reporting it as a radioprotector [ 54 , 55 , 56 ]. Moreover, reports on the subcellular distribution of unmodified CeO 2 nanoparticles also varied widely based on the type of cells: in neuronal stem cells, they were predominantly localized in membrane-bound structures and, to a lesser extent, were found free in the cytoplasm, with none detected in the nucleus or other structures [ 57 ]; in gastric cancer cells, they were reported to be localized in lysosomes and in no other parts of the cell [ 58 ]; in human keratinocyte cells, they were localized in mitochondria, lysosomes, and endoplasmic reticulum, as well as being abundant in the cytoplasm and the nucleus [ 59 ]; however, in bone marrow-derived macrophages, the CeO 2 nanoparticles entered the nucleus and were found to disrupt the integrity of the cell membrane and organelles [ 60 ]. Moreover, it has been reported that the subcellular location of the nanoceria affected their cytotoxicity profiles, with minimal toxicity observed when localized in the cytoplasm and exhibiting significant cytotoxicity when present in the lysosomal compartment [ 35 ].…”