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Table 3.3 Nanomaterial effects as the basis for pathophysiology and toxicity
Experimental NM effects
Possible pathophysiological outcomes
ROS generation a
Protein, DNA and membrane injury a , oxidative
stress b
Oxidative stress a
Phase II enzyme induction, inflammation b ,
mitochondrial perturbation a
Mitochondrial perturbation a
Inner membrane damage a , permeability transition
(PT) pore opening a , energy failure a , apoptosis a ,
apo-necrosis, cytotoxicity
Inflammation a
Tissue infiltration with inflammatory cells b , fibrosis b ,
granulomas b , atherogenesis b , acute phase protein
expression (e.g., C-reactive protein)
Uptake by reticulo-endothelial system a
Asymptomatic sequestration and storage in liver a ,
spleen, lymph nodes b , possible organ enlargement
and dysfunction
Protein denaturation, degradation a
Loss of enzyme activity a , autoantigenicity
Nuclear uptake a
DNA damage, nucleoprotein clumping a , autoantigens
Uptake in neuronal tissue a
Brain and peripheral nervous system injury
Perturbation of phagocytic function a ,
''particle overload,'' mediator release a
Chronic inflammation b , fibrosis b , granulomas b ,
interference in clearance of infectious agents b
Atherogenesis a , thrombosis a , stroke, myocardial
infarction
Endothelial dysfunction, effects on blood
clotting a
Generation of neoantigens, breakdown
in immune tolerance
Autoimmunity, adjuvant effects
Altered cell cycle regulation Proliferation, cell cycle arrest, senescence
DNA damage Mutagenesis, metaplasia, carcinogenesis
a Effects supported by limited experimental evidence; b Effects supported by limited clinical
evidence. From Nel et al. ( 2006 ). Reprinted with permission from AAAS
nanoparticles by Kupffer cells in the liver induces modifications in hepatocyte
antioxidants systems, probably due to the production of radical oxygen species
(Fernandez-Urrusuno et al. 1997 ). Exposure of laboratory-grown human liver and
skin cells for 48 h to solutions containing 20 ppb of buckyballs demonstrated that
the solution could kill half the cells (Goho 2004 ). Green and Howman ( 2004 )
report the observation of DNA damage in plasmid nicking assays with water-
soluble CdSe/ZnS quantum dots (cadmium selenide capped with a shell of zinc
sulfide, complete with biotin surface functionality). Studies involving pulmonary
exposure of carbon nanotubes in rodents (Lam et al. 2004 ; Warheit et al. 2004 )
suggest that lung histopathological responses, including inflammation and granu-
loma formation, may be significant. Nanoparticles can enter cells and cross the
blood-brain barrier where they may have unexpected health effects (Guzman et al.
2006 ). The US EPA attributed 60,000 deaths per year to the inhalation of atmo-
spheric nanoparticles; and there is evidence for direct transfer into the brain
(Oberdörster et al. 2004 ; Raloff 2003 ). Table 3.3 summarizes the current knowl-
edge of the impact of nanomaterials in relation to pathophysiology and toxicity.
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