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Fanizza C, Stefanelli M, Risuglia A, Bruni E, Ietto F, Incoronato F, Marra F, Preziosi A, Mancini P, Sarto MS, Uccelletti D. In Vitro and In Vivo Biocompatibility Studies on Engineered Fabric with Graphene Nanoplatelets. NANOMATERIALS (BASEL, SWITZERLAND) 2022; 12:1405. [PMID: 35564114 PMCID: PMC9100993 DOI: 10.3390/nano12091405] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/22/2022] [Revised: 04/08/2022] [Accepted: 04/13/2022] [Indexed: 01/10/2023]
Abstract
To produce clothes made with engineered fabrics to monitor the physiological parameters of workers, strain sensors were produced by depositing two different types of water-based inks (P1 and P2) suitably mixed with graphene nanoplatelets (GNPs) on a fabric. We evaluated the biocompatibility of fabrics with GNPs (GNP fabric) through in vitro and in vivo assays. We investigated the effects induced on human keratinocytes by the eluates extracted from GNP fabrics by the contact of GNP fabrics with cells and by seeding keratinocytes directly onto the GNP fabrics using a cell viability test and morphological analysis. Moreover, we evaluated in vivo possible adverse effects of the GNPs using the model system Caenorhabditis elegans. Cell viability assay, morphological analysis and Caenorhabditis elegans tests performed on smart fabric treated with P2 (P2GNP fabric) did not show significant differences when compared with their respective control samples. Instead, a reduction in cell viability and changes in the membrane microvilli structure were found in cells incubated with smart fabric treated with P1. The results were helpful in determining the non-toxic properties of the P2GNP fabric. In the future, therefore, graphene-based ink integrated into elastic fabric will be developed for piezoresistive sensors.
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Affiliation(s)
- Carla Fanizza
- Department of Technological Innovations and Safety of Plants, Products and Anthropic Settlements (DITSIPIA), National Institute for Insurance against Accidents at Work (INAIL), 00143 Rome, Italy; (M.S.); (A.R.); (F.I.); (F.I.)
| | - Mara Stefanelli
- Department of Technological Innovations and Safety of Plants, Products and Anthropic Settlements (DITSIPIA), National Institute for Insurance against Accidents at Work (INAIL), 00143 Rome, Italy; (M.S.); (A.R.); (F.I.); (F.I.)
| | - Anna Risuglia
- Department of Technological Innovations and Safety of Plants, Products and Anthropic Settlements (DITSIPIA), National Institute for Insurance against Accidents at Work (INAIL), 00143 Rome, Italy; (M.S.); (A.R.); (F.I.); (F.I.)
| | - Erika Bruni
- Department of Biology and Biotechnology C. Darwin, Sapienza University of Rome, 00185 Rome, Italy; (E.B.); (A.P.); (D.U.)
| | - Federica Ietto
- Department of Technological Innovations and Safety of Plants, Products and Anthropic Settlements (DITSIPIA), National Institute for Insurance against Accidents at Work (INAIL), 00143 Rome, Italy; (M.S.); (A.R.); (F.I.); (F.I.)
| | - Federica Incoronato
- Department of Technological Innovations and Safety of Plants, Products and Anthropic Settlements (DITSIPIA), National Institute for Insurance against Accidents at Work (INAIL), 00143 Rome, Italy; (M.S.); (A.R.); (F.I.); (F.I.)
| | - Fabrizio Marra
- Department of Astronautical, Electrical and Energy Engineering, Sapienza University of Rome, 00184 Rome, Italy; (F.M.); (M.S.S.)
- Research Center for Nanotechnology Applied to Engineering, Sapienza University of Rome, 00184 Rome, Italy
| | - Adele Preziosi
- Department of Biology and Biotechnology C. Darwin, Sapienza University of Rome, 00185 Rome, Italy; (E.B.); (A.P.); (D.U.)
| | - Patrizia Mancini
- Department of Experimental Medicine, Sapienza University of Rome, 00161 Rome, Italy;
| | - Maria Sabrina Sarto
- Department of Astronautical, Electrical and Energy Engineering, Sapienza University of Rome, 00184 Rome, Italy; (F.M.); (M.S.S.)
- Research Center for Nanotechnology Applied to Engineering, Sapienza University of Rome, 00184 Rome, Italy
| | - Daniela Uccelletti
- Department of Biology and Biotechnology C. Darwin, Sapienza University of Rome, 00185 Rome, Italy; (E.B.); (A.P.); (D.U.)
- Research Center for Nanotechnology Applied to Engineering, Sapienza University of Rome, 00184 Rome, Italy
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Kyriakidou K, Brasinika D, Trompeta A, Bergamaschi E, Karoussis I, Charitidis C. In vitro cytotoxicity assessment of pristine and carboxyl-functionalized MWCNTs. Food Chem Toxicol 2020; 141:111374. [DOI: 10.1016/j.fct.2020.111374] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2020] [Revised: 04/15/2020] [Accepted: 04/17/2020] [Indexed: 02/07/2023]
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Ultrastructural changes in hepatocellular carcinoma cells induced by exponential pulses of nanosecond duration delivered via a transmission line. Bioelectrochemistry 2020; 135:107548. [PMID: 32408094 DOI: 10.1016/j.bioelechem.2020.107548] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2019] [Revised: 04/30/2020] [Accepted: 04/30/2020] [Indexed: 12/21/2022]
Abstract
Clinical applications of high-intensity pulsed electric fields have proven useful in ablating solid tumors. However, novel ideas for the development of an effective tumor ablation device are urgently needed. Here, we studied cellular effects of the nanosecond exponential pulse, which is generated by a capacitor-discharging circuit and delivered via a transmission line. Pulses of peak voltage boosted by transmission line oscillation possess high capability to induce swelling and to cause loss of viability in cells. The appropriate parameter of the pulse was selected to investigate the ultrastructural changes in swollen cells, which present smoothened plasma membrane, loss of microvilli, and lowered cytoplasm electron density. We propose the equivalent force field hypothesis to understand the mechanism underlying cell swelling induced by pulsing. Wrinkles on the plasma membrane might indicate recovery from cell swelling, and this was verified by co-culture of pulsed PKH26-Cells with sham-treated PKH67-Cells. We concluded that the ultrastructural changes, such as irregular pores formed on the plasma membrane, were mainly induced by the effect of electric pulse applied on the charged molecules in the membrane.
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Holian A, Hamilton RF, Wu Z, Deb S, Trout KL, Wang Z, Bhargava R, Mitra S. Lung deposition patterns of MWCNT vary with degree of carboxylation. Nanotoxicology 2020; 13:143-159. [PMID: 31111787 DOI: 10.1080/17435390.2018.1530392] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
Functionalization of multi-walled carbon nanotubes (MWCNT) is known to affect the biological response (e.g. toxicity, inflammation) in vitro and in vivo. However, the reasons for these changes in vivo are not well described. This study examined the degree of MWCNT functionalization with regard to in vivo mouse lung distribution, particle retention, and resulting pathology. A commercially available MWCNT (source MWCNT) was functionalized (f-MWCNT) by systematically varying the degree of carboxylation on the particle's surface. Following a pilot study using seven variants, two f-MWCNT variants were chosen and for lung pathology and particle distribution using oropharyngeal aspiration administration of MWCNT in Balb/c mice. Particle distribution in the lung was examined at 7 and 28 days post-instillation by bright-field microscopy, CytoViva hyperspectral dark-field imaging, and Stimulated Raman Scattering (SRS) microscopy. Examination of the lung tissue by bright-field microscopy showed some acute inflammation for all MWCNT that was highest with source MWCNT. Hyperspectral imaging and SRS were employed to assess the changes in particle deposition and retention. Highly functionalized MWCNT had a higher lung burden and were more disperse. They also appeared to be associated more with epithelial cells compared to the source and less functionalized MWCNT that were mostly interacting with alveolar macrophages (AM). These results showing a slightly reduced pathology despite the extended deposition have implications for the engineering of safer MWCNT and may establish a practical use as a targeted delivery system.
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Affiliation(s)
- Andrij Holian
- a Department of Biomedical and Pharmaceutical Sciences, Center for Environmental Health Sciences , University of Montana , Missoula , MT , USA
| | - Raymond F Hamilton
- a Department of Biomedical and Pharmaceutical Sciences, Center for Environmental Health Sciences , University of Montana , Missoula , MT , USA
| | - Zhequion Wu
- b Beckman Institute University of Illinois at Urbana-Champaign , Urbana , IL , USA
| | - Sanghamitra Deb
- c Department of Chemistry and Environmental Science , New Jersey Institute of Technology , Newark , NJ , USA
| | - Kevin L Trout
- a Department of Biomedical and Pharmaceutical Sciences, Center for Environmental Health Sciences , University of Montana , Missoula , MT , USA
| | - Zhiqian Wang
- b Beckman Institute University of Illinois at Urbana-Champaign , Urbana , IL , USA
| | - Rohit Bhargava
- c Department of Chemistry and Environmental Science , New Jersey Institute of Technology , Newark , NJ , USA
| | - Somenath Mitra
- b Beckman Institute University of Illinois at Urbana-Champaign , Urbana , IL , USA
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Zhang T, Tang M, Yao Y, Ma Y, Pu Y. MWCNT interactions with protein: surface-induced changes in protein adsorption and the impact of protein corona on cellular uptake and cytotoxicity. Int J Nanomedicine 2019; 14:993-1009. [PMID: 30799918 PMCID: PMC6369850 DOI: 10.2147/ijn.s191689] [Citation(s) in RCA: 54] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022] Open
Abstract
PURPOSE Protein adsorption onto nanoparticles in the form of protein corona, affects properties of nanomaterials and their behavior in the biological milieu. This study aims at exploring the effects of multiwalled carbon nanotubes (MWCNTs) surface chemistry on bovine serum albumin (BSA) and immunoglobulin G (IgG), including their adsorption behavior and spatial configurations, as well as the impact on cellular uptake, cytotoxicity, and cellular responses. METHODS Three types of MWCNTs (pristine MWCNTs, MWCNTs-COOH, and MWCNTs-PEG) were synthesized by classical chemical reduction. The size, morphology, hydrodynamic size, and zeta potential were characterized using transmission electron microscopy and dynamic light scattering. MWCNTs were exposed to BSA and IgG solutions, then the amount of MWCNT absorption was performed by bicinchoninic acid assay, and the effects were assessed by utilizing fluorescence spectroscopy, circular dichroism (CD) spectroscopy. Quantitative measurement of MWCNTs uptake with or without protein corona was performed as turbidity method. CCK assay and a microdilution method were performed to evaluate the effects of protein corona on cytotoxicity and pro-inflammatory cytokines release. RESULTS The BSA and IgG adsorption capacities of MWCNTs followed the order pristine MWCNTs>MWCNTs-COOH and MWCNTs-PEG. MWCNT binding can cause fluorescence quenching and conformational changes in BSA and IgG, indicating that both the physicochemical properties of MWCNTs and protein properties play critical roles in determining their adsorption behavior. Further study showed time-dependent increases in MWCNT cellular uptake and internalization. Hydrophobicity is the major factor increasing cellular uptake of pristine MWCNTs, but a protein corona enriched with dysoposnins is the main factor reducing uptake of MWCNT-COOH by RAW264.7 cells. The cytotoxicity and pro-inflammatory response related to physicochemical properties of MWCNTs, and frustrated phagocytosis is a key initiating event in the pro-inflammatory response of MWCNT-exposed macrophages. CONCLUSION These findings shed light on how functionalized MWCNTs interact with protein coronas and provide useful insight into the dramatic effect of protein coronas on different functionalized MWCNTs. These events affect cellular uptake and cytotoxicity, which could inform how to enhance MWCNT biocompatibility and develop approaches for managing MWCNT hazards.
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Affiliation(s)
- Ting Zhang
- Key Laboratory of Environmental Medicine and Engineering, Ministry of Education, Department of Occupational and Environmental Health, School of Public Health & Collaborative Innovation Center of Suzhou Nano Science and Technology Southeast University, Nanjing, Jiangsu, 210009, China,
- Jiangsu Key Laboratory for Biomaterials and Devices, Southeast University, Nanjing, Jiangsu, 210009, China,
| | - Meng Tang
- Key Laboratory of Environmental Medicine and Engineering, Ministry of Education, Department of Occupational and Environmental Health, School of Public Health & Collaborative Innovation Center of Suzhou Nano Science and Technology Southeast University, Nanjing, Jiangsu, 210009, China,
- Jiangsu Key Laboratory for Biomaterials and Devices, Southeast University, Nanjing, Jiangsu, 210009, China,
| | - Ying Yao
- Key Laboratory of Environmental Medicine and Engineering, Ministry of Education, Department of Occupational and Environmental Health, School of Public Health & Collaborative Innovation Center of Suzhou Nano Science and Technology Southeast University, Nanjing, Jiangsu, 210009, China,
| | - Ying Ma
- Key Laboratory of Environmental Medicine and Engineering, Ministry of Education, Department of Occupational and Environmental Health, School of Public Health & Collaborative Innovation Center of Suzhou Nano Science and Technology Southeast University, Nanjing, Jiangsu, 210009, China,
| | - Yuepu Pu
- Key Laboratory of Environmental Medicine and Engineering, Ministry of Education, Department of Occupational and Environmental Health, School of Public Health & Collaborative Innovation Center of Suzhou Nano Science and Technology Southeast University, Nanjing, Jiangsu, 210009, China,
- Jiangsu Key Laboratory for Biomaterials and Devices, Southeast University, Nanjing, Jiangsu, 210009, China,
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Hamilton RF, Wu Z, Mitra S, Holian A. The Effects of Varying Degree of MWCNT Carboxylation on Bioactivity in Various In Vivo and In Vitro Exposure Models. Int J Mol Sci 2018; 19:ijms19020354. [PMID: 29370073 PMCID: PMC5855576 DOI: 10.3390/ijms19020354] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2017] [Revised: 01/16/2018] [Accepted: 01/23/2018] [Indexed: 12/25/2022] Open
Abstract
Functionalization has been shown to alter toxicity of multi-walled carbon nanotube (MWCNT) in several studies. This study varied the degree of functionalization (viz., amount of MWCNT surface carboxylation) to define the relationship between the extent of carboxylation and effects in a variety of in vitro cell models and short-term ex vivo/in vivo particle exposures. Studies with vitamin D3 plus phorbol ester transformed THP-1 macrophages demonstrated that functionalization, regardless of amount, corresponded with profoundly decreased NLRP3 inflammasome activation. However, all MWCNT variants were slightly toxic in this model. Alternatively, studies with A549 epithelial cells showed some varied effects. For example, IL-33 and TNF-α release were related to varying amounts of functionalization. For in vivo particle exposures, autophagy of alveolar macrophages, measured using green fluorescent protein (GFP)- fused-LC3 transgenic mice, increased for all MWCNT tested three days after exposure, but, by Day 7, autophagy was clearly dependent on the amount of carboxylation. The instilled source MWCNT continued to produce cellular injury in alveolar macrophages over seven days. In contrast, the more functionalized MWCNT initially showed similar effects, but reduced over time. Dark-field imaging showed the more functionalized MWCNTs were distributed more uniformly throughout the lung and not isolated to macrophages. Taken together, the results indicated that in vitro and in vivo bioactivity of MWCNT decreased with increased carboxylation. Functionalization by carboxylation eliminated the bioactive potential of the MWCNT in the exposure models tested. The observation that maximally functionalized MWCNT distribute more freely throughout the lung with the absence of cellular damage, and extended deposition, may establish a practical use for these particles as a safer alternative for unmodified MWCNT.
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Affiliation(s)
- Raymond F Hamilton
- Department of Biomedical and Pharmaceutical Sciences, Center for Environmental Health Sciences, University of Montana, Missoula, MT 59812, USA.
| | - Zheqiong Wu
- Department of Chemistry and Environmental Science, New Jersey Institute of Technology, Newark, NJ 07102, USA.
| | - Somenath Mitra
- Department of Chemistry and Environmental Science, New Jersey Institute of Technology, Newark, NJ 07102, USA.
| | - Andrij Holian
- Department of Biomedical and Pharmaceutical Sciences, Center for Environmental Health Sciences, University of Montana, Missoula, MT 59812, USA.
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Casti P, Mencattini A, Sammarco I, Velappa SJ, Magna G, Cricenti A, Luce M, Pietroiusti A, Lesci GI, Ferrucci L, Magrini A, Martinelli E, Di Natale C. Robust classification of biological samples in atomic force microscopy images via multiple filtering cooperation. Knowl Based Syst 2017. [DOI: 10.1016/j.knosys.2017.07.016] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
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Nirmal NK, Awasthi KK, John PJ. Effects of hydroxyl-functionalized multiwalled carbon nanotubes on sperm health and testes of Wistar rats. Toxicol Ind Health 2017; 33:519-529. [DOI: 10.1177/0748233716685661] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
Carbon nanotubes (CNTs) are promising candidates for various applications including biomedical purposes. Owing to their remarkable physical, mechanical, electrical and chemical properties, CNTs have become an area of intense research and industrial activity in recent years. Therefore, toxicity and risk assessment studies are becoming increasingly important. The present study was designed to assess the effects of hydroxyl-functionalized multiwalled CNTs (OH-f MWCNTs) on sperm health and testes of adult Wistar rats. Animals were treated with different doses of OH-f MWCNTs (0.4, 2.0 and 10.0 mg/kg) along with a control group receiving only vehicle. Assessments after 15 alternate intraperitoneal doses revealed dose-related adverse effects on many endpoints tested. Results of the study showed significant impairment of sperm health at 2.0 and 10.0 mg/kg. Histology of testes demonstrated degeneration of germinal epithelium and loss of germ cells in the treatment groups. The exposure resulted in increased oxidative stress in testes in a dose-dependent manner. The findings of the study demonstrate that CNTs are potentially harmful for male reproductive health.
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Affiliation(s)
- NK Nirmal
- Department of Zoology, Centre for Advanced Studies, University of Rajasthan, Jaipur, Rajasthan, India
| | - KK Awasthi
- National Institute of Animal Welfare, MoEF & CC, Ballabhgarh, Haryana, India
| | - PJ John
- Department of Zoology, Centre for Advanced Studies, University of Rajasthan, Jaipur, Rajasthan, India
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Alshehri R, Ilyas AM, Hasan A, Arnaout A, Ahmed F, Memic A. Carbon Nanotubes in Biomedical Applications: Factors, Mechanisms, and Remedies of Toxicity. J Med Chem 2016; 59:8149-67. [DOI: 10.1021/acs.jmedchem.5b01770] [Citation(s) in RCA: 222] [Impact Index Per Article: 24.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Affiliation(s)
- Reem Alshehri
- Center of Nanotechnology, King Abdulaziz University, Jeddah, 21589, Saudi Arabia
| | - Asad Muhammad Ilyas
- Center of Excellence in Genomic Medical Research, King Abdulaziz University, Jeddah, 21589, Saudi Arabia
| | - Anwarul Hasan
- Department of Mechanical and Industrial Engineering, College of Engineering, Qatar University, Doha 2713, Qatar
- Biomedical Engineering and Department of Mechanical Engineering,
Faculty of Engineering and Architecture, American University of Beirut, Beirut 1107 2020, Lebanon
- Biomaterials
Innovation Research Center, Division of Biomedical Engineering, Department
of Medicine, Brigham and Women’s Hospital, Harvard Medical
School, Boston Massachusetts 02115, United States
| | - Adnan Arnaout
- Department of Mechanical and Industrial Engineering, College of Engineering, Qatar University, Doha 2713, Qatar
| | - Farid Ahmed
- Center of Excellence in Genomic Medical Research, King Abdulaziz University, Jeddah, 21589, Saudi Arabia
| | - Adnan Memic
- Center of Nanotechnology, King Abdulaziz University, Jeddah, 21589, Saudi Arabia
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Ursini CL, Maiello R, Ciervo A, Fresegna AM, Buresti G, Superti F, Marchetti M, Iavicoli S, Cavallo D. Evaluation of uptake, cytotoxicity and inflammatory effects in respiratory cells exposed to pristine and -OH and -COOH functionalized multi-wall carbon nanotubes. J Appl Toxicol 2015; 36:394-403. [PMID: 26370214 DOI: 10.1002/jat.3228] [Citation(s) in RCA: 51] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2015] [Revised: 07/28/2015] [Accepted: 08/04/2015] [Indexed: 01/06/2023]
Abstract
Toxic effects were reported for pristine-multi-wall carbon nanotubes (p-MWCNTs) while the role of the functionalization on MWCNT-induced toxicity is not yet well defined. We evaluated on human alveolar (A549) epithelial cells and normal bronchial (BEAS-2B) cells exposed to p-MWCNTs, MWCNTs-OH and MWCNTs-COOH: uptake by TEM, cell viability by different assays, membrane damage by the LDH assay and cytokine release by ELISA. The aims of the present study were to: (i) confirm MWCNT cytotoxicity mechanisms hypothesized in our previous studies; (ii) identify the most reliable viability assay to screen MWCNT toxicity; and (iii) to test our model to clarify the role of functionalization on MWCNT-induced toxicity. In A549 cells, p-MWCNTs and MWCNTs-OH were localized free in the cytoplasm and inside vacuoles whereas MWCNTs-COOH were confined inside filled cytoplasmic vesicles. WST-1 and Trypan blue assays showed in A549 cells a similar slight viability reduction for all MWCNTs whereas in BEAS-2B cells WST1 showed a high viability reduction at the highest concentrations, particularly for MWCNTs-COOH. The MTT assay showed a false cytotoxicity as a result of MWCNTs-interference. Pristine and MWCNTs-COOH induced membrane damage, particularly in BEAS-2B cells. MWCNTs-COOH induced interleukin-6 (IL-6) and IL-8 release in A549 cells whereas p-MWCNTs induced IL-8 release in BEAS-2B cells. MWCNTs intracellular localization in A549 cells confirms the toxicity mechanisms previously hypothesized, with p-MWCNTs disrupting the membrane and vesicle-confined MWCNTs-COOH inducing inflammation. WST-1 was more reliable than MTT to test MWCNT-toxicity. BEAS-2B cells were more susceptible then A549 cells, particularly to MWCNT-COOH cytotoxicity. Our results confirm the toxicity of p-MWCNTs and demonstrate, also for the two kinds of tested functionalized MWCNTs toxic effects with a different mechanism of action.
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Affiliation(s)
- Cinzia Lucia Ursini
- INAIL-Italian Workers' Compensation Authority - Research Area, Department of Occupational and Environmental Medicine, Epidemiology and Hygiene, via Fontana Candida 1, 00040, Monteporzio Catone, Rome, Italy
| | - Raffaele Maiello
- INAIL-Italian Workers' Compensation Authority - Research Area, Department of Occupational and Environmental Medicine, Epidemiology and Hygiene, via Fontana Candida 1, 00040, Monteporzio Catone, Rome, Italy
| | - Aureliano Ciervo
- INAIL-Italian Workers' Compensation Authority - Research Area, Department of Occupational and Environmental Medicine, Epidemiology and Hygiene, via Fontana Candida 1, 00040, Monteporzio Catone, Rome, Italy
| | - Anna Maria Fresegna
- INAIL-Italian Workers' Compensation Authority - Research Area, Department of Occupational and Environmental Medicine, Epidemiology and Hygiene, via Fontana Candida 1, 00040, Monteporzio Catone, Rome, Italy
| | - Giuliana Buresti
- INAIL-Italian Workers' Compensation Authority - Research Area, Department of Occupational and Environmental Medicine, Epidemiology and Hygiene, via Fontana Candida 1, 00040, Monteporzio Catone, Rome, Italy
| | - Fabiana Superti
- ISS- Istituto Superiore di Sanità, Department of Technology and Health, Viale Regina Elena 299, 00161, Rome, Italy
| | - Magda Marchetti
- ISS- Istituto Superiore di Sanità, Department of Technology and Health, Viale Regina Elena 299, 00161, Rome, Italy
| | - Sergio Iavicoli
- INAIL-Italian Workers' Compensation Authority - Research Area, Department of Occupational and Environmental Medicine, Epidemiology and Hygiene, via Fontana Candida 1, 00040, Monteporzio Catone, Rome, Italy
| | - Delia Cavallo
- INAIL-Italian Workers' Compensation Authority - Research Area, Department of Occupational and Environmental Medicine, Epidemiology and Hygiene, via Fontana Candida 1, 00040, Monteporzio Catone, Rome, Italy
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