Gözde
Kiliç
ab,
Carla
Costa
cd,
Natalia
Fernández-Bertólez
ab,
Eduardo
Pásaro
a,
João Paulo
Teixeira
cd,
Blanca
Laffon
*a and
Vanessa
Valdiglesias
a
aDICOMOSA Group, Department of Psychology, Area of Psychobiology, Universidade da Coruña, Research Services Building, Campus Elviña s/n, 15071-A Coruña, Spain. E-mail: blaffon@udc.es; Fax: +34 981167172; Tel: +34 981167000
bDepartment of Cell and Molecular Biology, University of A Coruña, Faculty of Sciences, Campus A Zapateira s/n, 15071-A Coruña, Spain
cDepartment of Environmental Health, Portuguese National Institute of Health, Rua Alexandre Herculano 321, Porto 4000-055, Portugal
dEPIUnit - Institute of Public Health, University of Porto, Rua das Taipas no. 135, Porto 4050-600, Portugal
First published on 23rd October 2015
Iron oxide nanoparticles (ION) have been widely used in biomedical applications, for both diagnosis and therapy, due to their unique magnetic properties. They are intensively explored in neuromedicine mostly because of their ability to cross the blood brain barrier. Hence, their potential harmful effects on neuronal cells need to be carefully assessed. The objective of this study was to evaluate the toxicity of silica-coated ION (S-ION) (10–200 μg ml−1) on human neuronal SHSY5Y cells. Alterations in the cell cycle, cell death by apoptosis or necrosis, and membrane integrity were assessed as cytotoxicity parameters. Genotoxicity was determined by a γH2AX assay, a micronucleus (MN) test, and a comet assay. Complementarily, possible effects on DNA damage repair were also analysed by means of a DNA repair competence assay. All analyses were performed in complete and serum-free cell culture media. Iron ion release from the nanoparticles was notable only in complete medium. Despite being effectively internalized by the neuronal cells, S-ION presented in general low cytotoxicity; positive results were only obtained in some assays at the highest concentrations and/or the longest exposure time tested (24 h). Genotoxicity evaluations in serum-free medium were negative for all conditions assayed; in complete medium, dose and time-dependent increase in DNA damage not related to the production of double strand breaks or chromosome loss (according to the results of the γH2AX assay and MN test), was obtained. The presence of serum slightly influenced the behaviour of S-ION; further studies to investigate the formation of a protein corona and its role in nanoparticle toxicity are necessary.
Considering that iron oxides occur naturally as nanosized crystals in the earth's crust,11 and that ION have already been used in clinical applications,12 it could seem that there is no underlying risk associated with these nanoparticles. Although some studies in the literature have shown that ION are less toxic than other types of metal nanoparticles,11,13,14 systematic studies on their effects on the human nervous system are rare, and their results have been inconsistent.15 Hence, considering the relevant uses and promising applications of ION in the neuromedicine field, their potential harmful effects on neuronal cells need to be carefully assessed.
Naked ION tend to form agglomerates becoming unstable over certain periods of time; they can be easily trapped by the immune system as foreign materials, which means that they cannot reach the desired target; and are chemically highly active and easily oxidized in air, resulting frequently in loss of magnetism and dispensability.16,17 To solve these problems, the surface of nanoparticles may be modified by coating with a number of materials for different purposes, and surface functionalisation may play a key role not only in regulating the cell-membrane penetration but also in affecting the cell activity.18 ION functionalized with different surface chemicals have been tested in different neuronal cell lines, showing conflicting results. While plain ION show a low health hazard,19 surface functionalisation can trigger very different cellular responses.20 Thus, exposure to dimercaptosuccinic acid-coated ION (maghemite) caused a dose-dependent reduction of viability and capacity of PC12 rat cells to extend neurites in response to the nerve growth factor.21 Similar results were obtained for ION coated with dextran, carboxydextran, lipid and citrate in the same cell type.22 Besides, in the same study different cytotoxic potentials were observed on c17.2 mouse neural progenitor cells; the citrate-coated ION were the most toxic and the lipid-coated ones were the least toxic, under the experimental conditions used. In contrast, polyethylene glycol-coated ION increased the efficiency of neurite outgrowth in a dose-dependent manner in nerve growth factor-stimulated PC12 cells.14 Thus, further and more detailed studies, particularly those employing human neural cells, are required to identify any potential toxicity associated with the use of ION with particular surface coatings.
Among all the possible surface modifications for ION, silica (SiO2) coating has several advantages that make it especially suitable to be employed for medical purposes. For instance, silica-coated ION (S-ION) are negatively charged at blood pH helping to avoid aggregate formation in body fluids,5 and its transparent matrix allows the efficient passage of excitation and emission light, which is a relevant property for imaging diagnosis.23 However, their potential toxicity on the nervous system has not been deeply addressed.
Therefore, the objective of this study was to evaluate the toxicity of S-ION on human neuronal SHSY5Y cells. To that aim, alterations in the cell cycle, cell death by apoptosis or necrosis, and membrane integrity were assessed as cytotoxicity parameters. Besides, genotoxicity was determined by evaluating the levels of phosphorylation of H2AX histone (γH2AX assay), a micronucleus (MN) test, and a comet assay. Complementarily, possible effects of S-ION on DNA damage repair were also analysed by means of a DNA repair competence assay.
The treatment doses and exposure times were selected from the previous results of cell viability assays, as producing a maximum decrease in viability of 30%.25 Incomplete or complete cell culture media were used as negative controls in all experiments. The following chemicals were used as positive controls: Campt (10 μM) for apoptosis; Triton X-100 (1%) for membrane integrity; MMC (1.5 μM) for the cell cycle and MN test; and BLM (1 μg ml−1) for the comet assay and γH2AX analysis.
Additionally, the cells were treated with S-ION (50 μg ml−1) for 30 min and the comet assay was performed immediately after. This was done to test whether 30 min incubation with S-ION (as occurs in phase C) might induce significant damage to DNA.
The release of iron ions from the S-ION was studied in incomplete and complete cell culture media, and also in ALF with respect to the influence of pH on nanoparticle degradation. It was found to be very low in incomplete medium and ALF solution when tested three times (3, 6 and 24 h) (Fig. 1). Nevertheless, important concentrations of dissolved iron were observed when S-ION were suspended in complete media, generally increasing with exposure time and nanoparticle dose.
Fig. 1 Analysis of iron ions released from S-ION in (A) incomplete cell culture medium, (B) complete cell culture medium, and (C) artificial lysosomal fluid. Bars represent the mean standard error. |
Results obtained by testing the ability of S-ION to enter the human neuroblastoma cells are shown in Fig. 2. The nanoparticles were effectively internalized by the cells under all conditions tested in a dose-dependent manner (incomplete medium: r = 0.824, P < 0.01 for 3 h treatment and r = 0.877, P < 0.01 for 24 h treatment; complete medium: r = 0.737, P < 0.01 for 3 h treatment and r = 0.692, P < 0.01 for 24 h treatment). However, uptake was slightly higher in serum-free medium than in complete medium, and for the highest dose tested it was more prominent at 3 h than at 24 h treatment.
Fig. 3 shows the cell distribution during the various phases of the cell cycle after exposing the neuronal cells to S-ION. The 3 h treatments, regardless of the medium employed, did not modify the cell cycle, and significant alterations at 24 h treatments were only observed for the 200 μg ml−1 concentration (decrease in the G2/M phase and notable although not significant increase in the S phase for treatment in incomplete medium, and increase in the S phase for treatment in complete medium). Besides, the subG1 region of the cell cycle distribution was also evaluated, since DNA fragmentation, indicative of the late stages of apoptosis, results in the appearance of PI-stained events containing subG1 levels;29 results are shown in Fig. 4. No significant increase in the subG1 fraction was observed except for the cells exposed in serum-free medium to the highest S-ION dose for 24 h.
To further investigate whether treatments with S-ION were able to induce cell death by apoptosis or necrosis, a double stain with Annexin V and PI was carried out. Results obtained from the analyses showed that S-ION did not induce early apoptosis (events positive for Annexin V but negative for PI) at any concentration after 3 h of exposure regardless of the medium used (Fig. 5). After 24 h of treatment significant increases in the apoptosis rate could only be observed for the highest doses assayed (200 μg ml−1 in incomplete medium and 100 and 200 μg ml−1 in complete medium). No significant induction of necrosis/late apoptosis (events positive for both Annexin V and PI) was obtained under any experimental conditions tested.
The potential alterations in the neuronal cell membrane integrity caused by S-ION exposure were assessed by measuring LDH activity in extracellular medium, since LDH is released when the cell membrane is damaged. Results obtained in this test are shown in Fig. 6. No significant alteration in the percentage of LDH activity was observed at any medium, concentration or treatment time tested.
The genotoxic potential of the S-ION was examined using different approaches. As a rapid screening method for genotoxicity, we first analysed H2AX phosphorylation, an early cellular response to the induction of DNA double-strand breaks (DSB). As can be clearly seen in Fig. 7, S-ION did not induce γH2AX at either of the conditions analysed.
Next, we applied a relatively less specific approach, the MN test scored by flow cytometry, in order to quantify chromosomal alterations. The results of MN evaluation showed that no significant changes were produced in the MN ratio after treatment of the neuronal cells with the S-ION (Fig. 8).
The comet assay (single cell gel electrophoresis) was used for measuring primary DNA damage in SHSY5Y cells caused by exposure to S-ION. Due to the distinct physicochemical characteristics of nanomaterials, several possible interferences may occur with the comet assay methodology.39 Thus, a comprehensive test for detecting these interferences was carried out before starting DNA damage evaluation, following Magdolenova et al.37 As can be observed from Fig. 9, addition of S-ION to the cells just before the lysis step was found not to interfere with the subsequent steps of the experimental protocol, since no differences were found between the DNA damage measured in the absence and in the presence of the nanoparticles. When the comet assay was applied to neuronal cells treated with S-ION in serum-free medium, no significant alteration in %tDNA was detected (Fig. 10). Nevertheless, dose-dependent induction of DNA damage was observed in complete medium (r = 0.948, P < 0.05 for 3 h treatment, and r = 0.842, P < 0.05 for 24 h treatment).
Fig. 9 Results of interference testing between S-ION (200 μg ml−1) and comet assay methodology in incomplete and complete medium. Bars represent the mean standard error. |
Results obtained in the DNA repair competence assay are shown in Fig. 11. When cells were challenged with H2O2 and no exposure to S-ION was carried out, there was a significant decrease in the level of DNA damage after the 30 min repair period in both media tested. When incubation with S-ION was carried out before damage induction by H2O2 (phase A, either 3 or 24 h), no repair was observed in serum-free medium but %tDNA was significantly reduced in complete medium, more pronounced in incubation for 24 h than for 3 h. Similar results were obtained when S-ION were applied only during the 30 min repair period (phase C), although treatment of cells for 30 min with only S-ION increased significantly the DNA damage over the control level in both cell culture media. However, the opposite occurred for experiments where treatment with H2O2 and S-ION were performed simultaneously (phase B), i.e., significant repair was observed in incomplete medium and no repair in complete medium.
Due to its chemical stability, coating with silica can transform ION by increasing their biocompatibility and offering the capacity to functionalize their surface without affecting their magnetic properties.45–47 Moreover, silica-coating helps to convert hydrophobic nanoparticles into hydrophilic water-soluble particles.48 Nevertheless, despite the numerous advantages and potential applications in neuromedicine, the possible neurotoxicity of S-ION has not been completely discarded yet.
There is a consensus that in vitro methods can provide useful information concerning basic biological processes underlying neurotoxicity, and specific information about the mechanisms of action of neurotoxicants.49 Therefore human SHSY5Y neuroblastoma cells were chosen as an appropriate cell model widely used for studying neurotoxicity, since they maintain many biochemical and functional properties of neurons.50 The toxicity of S-ION on SHSY5Y cells was evaluated using a range of concentrations (10–200 μg ml−1) and two treatment times (3 and 24 h). As physicochemical properties of nanomaterials may be quite different depending on how they are suspended, we also considered the possible differences in toxicity of S-ION when they were prepared under biologically relevant conditions (absence or presence of FBS).
Analysis of iron ion release from the S-ION suspensions showed a different behaviour of the nanoparticles depending on the media composition. Low concentrations of iron were detected in incomplete medium and ALF solution, whereas the release of ions was notable in the presence of serum (complete medium), in general increasing with time and S-ION concentration. Release of iron ions from ION was previously described in a number of studies.51 However this release can vary depending on the suspension conditions (e.g. pH) and the nanoparticle surface coating.52 Results obtained here suggest that degradation of the studied S-ION is not pH-dependent as observed for other S-ION.52 Furthermore this degradation is also not dependent on the particle size, since similar hydrodynamic diameters obtained in different media showed very different dissolution rates.
The chemical synthesis, as well as the presence of a coating, which surrounds and isolates the magnetic material from the environment, and its physicochemical properties, may influence the degradation rate of the particles and so the release of iron ions.53,54 This would explain the differences found in our study, since ION suspended in complete medium may externally interact with serum proteins, thus favouring the silica coating degradation and causing a higher iron release from the nanoparticle core. In fact, proteins may increase the dissolution rates of iron oxides through both aqueous complexation and ligand-enhanced dissolution.55
The evaluation of cellular uptake of nanoparticles by flow cytometry using the side scatter parameter (indicative of cell granularity/complexity) is suitable for initial screening of nanotoxicity.56 Experimental data confirmed that the S-ION were effectively taken up by neuroblastoma cells, and the uptake was higher when exposure was performed in the absence of serum. These findings agree with previous studies in other cell types showing that S-ION are quickly internalized by macrophages,57 and by A549 and HeLa cells.52 Differences in nanoparticle uptake were previously reported by Krais et al., who studied the role of serum proteins on ION uptake, and observed that the presence of a protein ‘corona’ may indeed influence the cellular uptake of folic acid-functionalized ION.58 Agreeing with our results, Salvati et al. speculated that excessive binding of serum proteins may prevent selective, ligand-mediated uptake of nanoparticles.59 Besides, our in vitro studies revealed a remarkable lower degree of internalization for the highest S-ION concentration at 24 h when compared to the one obtained at 3 h. This is likely due to the progressive nanoparticle agglomeration at this high concentration, which causes a more noticeable interference with the uptake process at the longest exposure period.
Cell cycle machinery corresponds to a series of events which lead the cell to its division and duplication.60 Results obtained from the analysis of the cell cycle showed that exposure for 3 h to S-ION did not alter it at any concentration, which agrees with previous findings from some other studies using bare or differently coated ION.61 However, significant mitotic arrest (increase in the rate of cells in the S phase and/or decrease in the rate of cells in the G2/M phase) was observed for 24 h treatments in both culture media at the highest dose tested. Similar alterations in the cell cycle were observed by Namvar et al. after exposing Jurkat cells to bare magnetite nanoparticles prepared by green biosynthesis (using a brown seaweed), but the dose used was much lower (6.4 μg ml−1, corresponding to the inhibitory concentration 50 [IC50], calculated by the MTT assay).62 In the previous cell viability assays with our S-ION,25 viabilities obtained for treatments up to 200 μg ml−1 were always higher than or equal to 70% as calculated by MTT, neutral red uptake and alamar blue assays; therefore cytotoxicity of the current nanoparticles, at least to SHSY5Y cells, was much lower than cytotoxicity of the ION used by Namvar et al. in Jurkat cells. These observations agree with the general assumption that ION coated with silica are indeed less toxic that bare ION. Besides, in a very recently published study, Couto et al. were unable to find any alteration in the cell cycle when testing polyacrylic acid (PAA)-coated and non-coated ION on human T lymphocytes (48 h treatments).63
In order to evaluate apoptosis, which is critical in many physiological and pathological processes, we used two alternative strategies: analysis of the subG1 region of the cell cycle distribution, indicative of DNA fragmentation at the late stages of apoptosis, and Annexin V/PI staining for sensitive detection of early stage apoptosis. Results obtained with the two strategies were quite similar. The only significant increase in apoptosis rate observed was for the highest S-ION concentration after 24 h treatments in both media tested. The exception was the subG1 region in complete medium, which did not show any significant alteration. This difference may be explained on the basis of the methodological differences between the two techniques used. Annexin V/PI staining and measurement are carried out just after the treatments, and reflect early stage apoptosis, meanwhile subG1 region analysis is performed after an additional 24 h incubation period following the treatments, and is indicative of late stage apoptosis. Hence, probably the cells undergoing early apoptosis detected by Annexin V/PI staining have already been mostly removed when the subG1 region was analysed. Similar apoptosis results were reported by Jeng and Swanson, who found that ION only induce apoptosis in mouse Neuro-2A neuroblastoma cells after exposure to concentrations higher than 100 μg ml−1.64 Contrarily, Namvar et al. described time-dependent (from 12 to 48 h) increases in the apoptosis rates in Jurkat cells treated with bare magnetite nanoparticles (6.4 μg ml−1), evaluated by the two same methodologies used in the current work.62 Likewise, significant apoptosis induction (evaluated by means of mitochondrial membrane potential, JC-1 assay) in cervical and lung cells exposed to 2.5 nM S-ION (magnetite) for 48 h was reported.52 This concentration is equivalent to approximately 30 μg ml−1 of our S-ION, dose which produced negative results under all conditions tested in this study.
Cell death by necrosis (and/or late apoptosis) was also determined by Annexin V/PI staining, and no alterations in this rate were found in SHSY5Y cells exposed to S-ION in any of the conditions assayed. Namvar et al. obtained contrary results again: time-dependent increase in the necrosis/late apoptosis rate in Jurkat cells treated with ION but, as mentioned above, toxicity of these nanoparticles (in terms of cell viability decrease) was much higher.62
Possible effects of S-ION exposure on cell membrane integrity of neurons were evaluated by the LDH leakage assay. Negative results were obtained for all experimental conditions evaluated, which is essentially in agreement with most results obtained for cell cycle and apoptosis or necrosis induction, and also with previous results from the same nanoparticles, doses and cell line using MTT and alamar blue viability assays.25 Nevertheless, positive LDH leakage results were obtained by Malvindi et al. after treatment of A549 and HeLa cells for 48 and 96 h with 2.5 nM S-ION (as already mentioned, equivalent to 30 μg ml−1 of the current S-ION), according to their apoptosis assessment results and confirming the lower cytotoxicity of our silica-coated nanoparticles.52
Taking all cytotoxicity results together, S-ION tested showed low cytotoxic potential; data from serum-free medium indicate a slightly larger harmful potential [viability reduction,25 cell cycle alterations and apoptosis induction (present study)], agreeing with the faintly higher entrance of the nanoparticles into the cells.
For testing the potential of S-ION to induce damage on the genetic material, we used a battery of genotoxicity tests, i.e., the γH2AX assay, the MN test, and the comet assay. As a response to the formation of DNA DSB, H2AX flanking the DSB sites are rapidly phosphorylated at the serine 139 residue to become γH2AX. Under normal conditions, γH2AX foci appear within few minutes after the lesion, reach maximum levels after about 30 min, and their half-life has been estimated to be 2–7 h (reviewed in Valdiglesias et al.).65 Reliability and specificity of the γH2AX assay as a biomarker of DNA damage have already been proved.66,67 We used the γH2AX assay evaluated by flow cytometry since it provides an automated, fast, practical, and reproducible high-throughput platform that increases considerably the number of cells evaluated, diminishing the variability and enhancing the statistical power of the results.68 No significant increase in the γH2AX levels was observed in SHSY5Y cells after exposure to S-ION. No other study employing the γH2AX assay for testing genotoxicity caused by any type of ION could be found in the literature; however this cell line showed significant H2AX phosphorylation activity when treated with ZnO nanoparticles69 but not when exposed to different types of TiO2 nanoparticles.70
The purpose of the MN test is to identify chromosome aberrations, since MN may contain lagging chromosome fragments or whole chromosomes; therefore it detects both clastogenic and aneugenic events. After S-ION treatment no effects were observed in the neuronal cells in terms of MN formation. To our knowledge no studies have been reported on MN induction by S-ION in any type of cells so far, but passiveness of other types of ION on MN formation have been documented in cells from a different origin in in vitro71–73 and in vivo studies.71,74,75
The comet assay is one of the most frequently used methods for genotoxicity testing. Since it is simple, versatile, and able to detect different DNA lesions, it has been claimed to be the most promising assay to measure potential genotoxicity of nanomaterials.76 Thus, we applied the alkaline comet assay to examine primary DNA damage induced by S-ION. But before that, we confirmed that these nanoparticles do not interfere with the assay methodology, since interference of different nanomaterials had been previously reported.37,77,78 When treatments were carried out in serum-free medium no significant induction of DNA damage was observed. However, in complete medium S-ION induced dose- and time-dependent increase in the comet parameter, in agreement with the iron ion dissolution determination, which showed significant amounts of ions released from the nanoparticles in complete medium. Although the human body contains relatively high concentrations of iron, the presence of this metal at concentrations higher than physiological can lead to deleterious effects. Iron ions are able to interact with DNA in-between the bases, thereby unwinding the double-helix79 and causing single strand breaks (SSB) and oxidative base modification.80 This kind of damage, especially SSB, is detected by the standard alkaline comet assay but is not related to phosphorylation of H2AX or MN production. Therefore, this may help to explain the positive results obtained in the comet assay and the negative ones from the H2AX assay and the MN test. According to the current results, the type of DNA damage induced by S-ION on neuronal cells is likely not related to DSB but mostly to repairable DNA lesions (alkali labile sites and SSB), indicating recent damage.81 Similar increases in comet assay parameters (tail length and tail DNA intensity) were reported by Malvindi et al. in A549 and HeLa cells treated with S-ION,52 by Hong et al. in murine L-929 fibroblast cells exposed to ION coated with (3-aminopropyl)trimethoxysilane (APTMS), tetraethyl-orthosilicate (TEOS)–APTMS, or citrate,82 and by Bhattacharya et al. in human lung IMR-90 fibroblasts and bronchial epithelial BEAS-2B cells treated with bare hematite.83 Moreover, no induction of chromosomal aberrations (which require DSB production) was observed in human T lymphocytes treated with PAA-coated and non-coated ION,63 which further supports our results.
Possible effects of S-ION on DNA repair processes were tested by the DNA repair competence assay using H2O2 as the challenging agent. H2O2 causes damage to DNA by generating hydroxyl-free radicals (OH˙).84 These radicals attack DNA at the sugar residue of the DNA backbone, leading to SSB.85
Rejoining of SSB induced by H2O2 is a simple cellular process; thousands of breaks per cell can be repaired in a matter of half an hour in typical cultured mammalian cells.81 In the current study, repair of approximately one-third of the DNA damage observed after H2O2 treatment was obtained during a 30 min period, both in incomplete and in complete media. Incubation with the nanoparticles was carried out at three different stages of the assay: before inducing DNA damage (pre-treatment or phase A, for 3 or 24 h), during DNA damage induction (phase B), or during the repair period (phase C). Results obtained were different depending on the presence of serum in the medium. In incomplete medium no significant decrease in the DNA damage during the repair phase was observed when S-ION incubation was carried out before DNA damage induction, or during the repair phase. Since incubation only with S-ION for 30 min caused a significant increase in the comet parameter, maybe the negative repair result obtained for phase C is related to DNA damage induced directly by the S-ION instead of (or in addition) the actual disturbance on the repair machinery. When treatment with H2O2 and the nanoparticles was performed simultaneously the repair process occurred normally; a possible explaining reason is the short time for this incubation (only 5 min), insufficient to cause any alteration in the repair systems.
The results observed in complete medium suggested scarce effects on DNA repair, since significant decreases in the DNA damage were observed after the repair period under all conditions tested, except for phase B. As indicated before, a notable release of iron ions from the S-ION took place in complete medium. The deleterious effects of transition metal ions, such as iron, to DNA are greatly enhanced by the presence of oxygen and related species; thus, iron ions readily associate with DNA and, in the presence of hydrogen peroxide, a high ratio of DSB to SSB is generated.86 It is well known that the repair of DSB can take hours.87 Therefore, the result obtained for phase B in complete medium is probably more related to the type of DNA damage induced (more DSB than SSB), for which the 30 min repair period tested was not long enough, than to alterations in the repair process. To the best of our knowledge, this is the first study addressing the potential effects of ION on cellular repair systems. Therefore, further investigations are required to go into detail about all these findings.
The medium composition (presence or absence of serum) influenced the behaviour of S-ION, although not to a great extent. Uptake of the nanoparticles by the cells, cytotoxicity, and effects on DNA repair were more pronounced in the absence of serum. On the contrary, iron ion release and primary DNA damage were only observed in complete medium. Formation of a protein corona in the presence of serum has probably an important role in these differences. Further studies are needed to determine the protein corona formation and to elucidate the possible role of redox imbalance in the generation of harmful effects, particularly those related to DNA damage.
Our study demonstrates how the preparation conditions, beyond the intrinsic properties of the nanoparticles, may determine the cytotoxic and genotoxic outcomes. Results obtained in this work also highlight the importance of screening of possible interactions of nanoparticles with the living systems, especially with the nervous system components, in order to increase the knowledge on the effects of nanoparticles at different levels to be able to guarantee manufacturers’ and consumers’ safety.
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