Summary: | We report on strong X-ray-induced hydroxyl radical (<sup>.</sup><inline-formula> <math display="inline"> <semantics> <mrow> <mi mathvariant="normal">O</mi> <mi mathvariant="normal">H</mi> </mrow> </semantics> </math> </inline-formula>) generation in an aqueous solution containing UV light pre-treated GdYVO<sub>4</sub>:Eu<sup>3+</sup> nanoparticles (L-GdYVO). The methods of optical spectroscopy were used to detect <sup>.</sup><inline-formula> <math display="inline"> <semantics> <mrow> <mi mathvariant="normal">O</mi> <mi mathvariant="normal">H</mi> </mrow> </semantics> </math> </inline-formula> in the solutions. The complex nature of the mechanism of <sup>.</sup><inline-formula> <math display="inline"> <semantics> <mrow> <mi mathvariant="normal">O</mi> <mi mathvariant="normal">H</mi> </mrow> </semantics> </math> </inline-formula> generation has been revealed and discussed. The experimental data obtained indicate that the mechanism of <sup>.</sup><inline-formula> <math display="inline"> <semantics> <mrow> <mi mathvariant="normal">O</mi> <mi mathvariant="normal">H</mi> </mrow> </semantics> </math> </inline-formula> generation is associated with two main processes: (i) direct <sup>.</sup><inline-formula> <math display="inline"> <semantics> <mrow> <mi mathvariant="normal">O</mi> <mi mathvariant="normal">H</mi> </mrow> </semantics> </math> </inline-formula> generation with the participation of thermalized h<sup>+</sup> formed at X-ray irradiation, and (ii) X-ray-facilitated jumps of h<sup>+</sup> formed in the nanoparticles’ (NPs’) valence band at UV light pre-treatment and trapped in local levels formed by random scattering potential. At the same time, for GdYVO<sub>4</sub>:Eu<sup>3+</sup> nanoparticles, which were not exposed to UV light before the X-ray irradiation (D-GdYVO), a strong radioprotective effect ascribed to the electron-donation properties of V<sup>4+</sup> ions was observed. Thus, depending on the pre-treatment condition, we can change the redox properties of GdYVO<sub>4</sub>:Eu<sup>3+</sup> NPs in an opposite direction, which makes this nanomaterial a unique theranostic agent for radiation therapy (RT) enhancement, allowing the problem of radiation therapy (RT)-resistant hypoxic tumours to be overcome.
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