Open Access Article
Marco Reindl
a,
Verena Zacha,
Gerhard Cvirnb and
Sebastian P. Schwaminger
*acd
aMedical University of Graz, Otto Loewi Research Center, Division of Medicinal Chemistry, Nano Lab, Neue Stiftingtalstraße 6, 8010 Graz, Austria. E-mail: sebastian.schwaminger@medunigraz.at
bMedical University of Graz, Otto Loewi Research Center, Division of Medicinal Chemistry, Neue Stiftingtalstraße 6, 8010 Graz, Austria
cTechnical University of Munich, TUM School of Engineering and Design, Chair of Bioseparation Engineering, Boltzmannstr. 15, 85748 Garching, Germany. E-mail: s.schwaminger@tum.de
dBioTechMed-Graz, Mozartgasse 12, 8010 Graz, Austria
First published on 2nd October 2025
Iron oxide nanoparticles (IONPs) are promising candidates for a variety of biomedical applications thanks to their magnetic properties and biocompatibility. However, optimising their physicochemical and biological behaviour through fine-tuning their synthesis remains challenging. In this study, we systematically investigated the effect of variations in coprecipitation synthesis parameters, including Fe2+/Fe3+ ratios, NaOH concentration, stirring speed, temperature and dosing rate, on IONP size, cytotoxicity and blood coagulation. Our robust regression model (R2 = 0.91) revealed that the concentration of Fe2+ and its interaction with the other synthesis factors had a strong influence on particle size, which ranged from 3 to 16 nm while maintaining the magnetite phase. All synthesised nanoparticles demonstrated excellent biocompatibility, with no evidence of cytotoxicity observed. Notably, all IONPs induced a significant reduction in coagulation time (CT), indicating a procoagulant effect modulated by synthesis conditions: higher Fe3+ values prolonged CT, whereas increased Fe2+ values accelerated clotting. Particle size predominantly influenced clot formation time (CFT) and clot firmness without compromising final clot stability, suggesting nuanced modulation of haemostasis. These findings emphasise the critical role of nanoparticle surface chemistry and synthesis control in tailoring IONP properties for biomedical applications.
In targeted drug delivery, IONPs can either act directly as drug carriers7 or functionalised with coatings, such as silica,8 lipids,9 or polymers,10 to tailor their surface for specific applications.
The synthesis method used to produce IONPs plays a critical role in determining their properties and can significantly affect nanoparticle morphology, which in turn influences important characteristics, such as aggregation, magnetisation, and interactions with the surrounding environment.11–13 These factors are essential in determining the suitability of IONPs for various biomedical applications. Among the most widely used methods for synthesising IONPs are thermal decomposition,14 hydrothermal synthesis,15 polyol synthesis,16 sol–gel methods,17 and coprecipitation,3 each offering different levels of control over particle size, shape, and crystallinity.
Thermal decomposition provides a good control over particle size and crystallinity, although it can sometimes lead to structural defects and polycrystallinity, which may reduce the magnetic properties of the nanoparticles.14 While high temperatures can favour the formation of crystalline structures, they also create a risk of nonmagnetic phases, such as wüstite, in oxygen-deficient conditions. However, the application of an oxidation step can help mitigate this.18 Despite its potential drawbacks, thermal decomposition remains a viable method for producing nanoparticles with controlled size and crystallinity. Hydrothermal synthesis yields highly crystalline particles but with inconsistent sizes. It also requires long reaction times and high-pressure conditions, making it less cost-effective than coprecipitation.3,19 Despite its ability to produce high-quality nanoparticles, the inconsistencies in size and high operational costs remain significant limitations. Another synthesis approach is polyol synthesis. This method produces biocompatible IONPs with enhanced heating ability and colloidal stability in a short reaction time.16 A disadvantage of this synthesis method is that they require additional treatment or a post-synthesis ligand exchange to achieve water dispersibility, a process that is both time-consuming and complex.20 The sol–gel method offers precise control over size, shape, and crystallinity.19 However, it is time-consuming, prone to aggregation and requires careful sol preparation and post-treatment.17,21 In contrast, coprecipitation, especially the Massart process, is a simple, fast, and cost-effective technique.3,22 It produces 4 to 16 nm superparamagnetic nanoparticles with high magnetisation, making them ideal for biomedical applications, including drug delivery, imaging, and therapy.7,10,23
In a previous study, we optimised the synthesis of IONPs via the coprecipitation method, exploring the impact of the concentration of sodium hydroxide (NaOH), ferrous chloride and ferric chloride, temperature, stirring speed, and dosing rate on the particle size and growth. Using small-angle X-ray scattering (SAXS), it was observed that higher temperatures led to a 50% increase in particle size, while the stirring speed and NaOH concentration also influenced nucleation and aggregation.24 These findings highlight the importance of understanding how synthesis parameters influence various outcome characteristics to achieve more reproducible results, ensuring low synthesis-to-synthesis variation in important characteristics such as particle size, iron oxide phase, and biocompatibility. Despite the broad range of studies on the synthesis and application of IONPs, there remains a gap in understanding how variations in synthesis conditions affect their biological behaviour, particularly regarding the interactions between IONPs and blood.25,26 The role of IONPs in the bloodstream, such as their influence on blood clotting is of significant concern when considering their in vivo use.27 IONPs can interact with blood proteins and cells, potentially altering coagulation pathways, which could lead to serious complications such as thrombosis or haemorrhage.26,28 This is especially important for applications like drug delivery and cancer treatment, where nanoparticles may directly circulate in the bloodstream.
In this study, we systematically investigate how different coprecipitation conditions influence the iron oxide phase, size, cytotoxicity, and blood coagulation properties of IONPs. By studying the impact of synthesis conditions on these parameters, this research aims to contribute valuable insights into the design of safe IONPs for clinical applications, ensuring their reproducibility, biocompatibility, and minimised risks in therapeutic and diagnostic procedures.
| Factor | −1 | 0 | 1 |
|---|---|---|---|
| [Iron(II)chloride] (mmol) | 1.76 | — | 3.52 |
| [Iron(III)chloride] (mmol) | 3.20 | — | 6.39 |
| Sodium hydroxide (mmol) | 18 | — | 38 |
| Temperature (°C) | 30 | 55 | 80 |
| Stirring speed (rpm) | 0 | 500 | 1000 |
| Dosing rate (s) | 10 | 30 | 60 |
For the synthesis, the respective amount of NaOH was dissolved in 15 mL ultrapure water and adjusted to the assigned temperature. Ferrous chloride and ferric chloride were dissolved in 6 mL ultrapure water. Under continuous mechanical stirring, the iron salts were added to the basic solution at a pre-defined dosing rate. The reaction was allowed to continue for 30 minutes after the complete addition of the iron salts. The synthesised nanoparticles (IONPs) were washed 15 times by magnetic decantation with ultrapure water. IONPs were resuspended in ultrapure water and the mass concentration determined by gravimetry. The particles were stored at RT for further analysis.
:
250 dilution in 0.9% sodium chloride. This method has been previously described in detail by Sørensen et al.32 Following laboratory parameters were obtained using ROTEM: Coagulation time (CT), which indicates the time from the addition of the “trigger solution” to the initiation of fibrin formation; clot formation time (CFT), representing the time required to reach a clot amplitude of 20 mm; maximum clot firmness (MCF), reflecting clot stability; and the alpha angle, which describes the rate of fibrin build-up and cross-linking.
All samples exhibited the characteristic Fe–O vibrational mode at 565 cm−1 (Fig. 1A), consistent with the spinel structure of magnetite-based nanoparticles.36 The position of the Fe–O peak indicates that the IONPs mainly consist of magnetite, as maghemite (630–660 cm−1) and haematite (540 cm−1) typically show Fe–O peaks at differing wavenumbers.37 Interestingly, this result suggests that varying synthesis conditions did not influence the iron oxide phase of the nanoparticles indicating the robustness of the particle synthesis by coprecipitation in terms of iron oxide phase.
Subsequent analysis of the morphology and size showed a more diverse picture when comparing to ATR-FTIR results. The morphology of the IONPs was assessed by transmission electron microscopy (TEM). The majority of the IONPs showed a morphology which can be described as mostly round to ellipsoid (1, 2, 4, 6, 9, 10, 16, 18–24, 28, 30–34, 36–38), two samples showed mostly round to ellipsoid with a few cubic particles (11, 12), a mix of round to ellipsoid and cubic particles was observed in several samples (3, 5, 7, 8, 25–27, 29, 35), while very irregularly shaped particles were only found in three samples (13, 14, 17) (Fig. S1A–AL). The average diameter of the particles ranged between 3.7 and 16.5 nm (Fig. 1B, Table S2) indicating a moderate variability upon varying synthesis factors. Still, all the particles fall in an acceptable range when comparing it to previously reported size distributions of IONPs synthesised via coprecipitation usually ranging from 4 to 16 nm.7,10,38
To better understand the influence of synthesis parameters on particle size, we applied ordinary least squares (OLS) regression analysis within the framework of response surface methodology (RSM). The goal of this model was to predict the average particle size of the IONPs as a function of key experimental factors. The analysis identified several statistically significant parameters and interactions (Tables 2 and S3), including the concentrations of Fe2+, the Fe2+/Fe3+ ratio, NaOH concentration, stirring speed, and temperature. Notably, interactions between Fe2+ and Fe3+, Fe2+ and NaOH, NaOH and stirring speed, and temperature and stirring speed also had significant effects. The fitted regression model explained a large portion of the variance in particle size, with an R2 of 0.95, indicating excellent agreement with the experimental data. The adjusted R2 of 0.74 confirms that the model remains robust without overfitting, supporting the reliability of the identified trends.
| Factor | Coefficient | Std. error | t-Statistic | p-Value |
|---|---|---|---|---|
| Fe2+ | 1.72 | 0.443 | 3.88 | 0.006 |
| Stirring speed | −1.17 | 0.437 | −2.681 | 0.031 |
| I (dosing rate**2) | −2.64 | 0.864 | −3.053 | 0.019 |
Fe2+ : Fe3+ |
1.02 | 0.409 | 2.501 | 0.041 |
Fe2+ : NaOH |
−1.94 | 0.51 | −3.787 | 0.007 |
NaOH : stirring speed |
1.65 | 0.566 | 2.923 | 0.022 |
T : stirring speed |
1.66 | 0.537 | 3.09 | 0.018 |
The RSM model revealed that Fe2+ concentration has a statistically significant linear effect on particle size (Table 2), with a coefficient (β) of 1.72 (p = 0.006). This indicates that, holding other variables constant, each 1 mM increase in Fe2+ concentration results in an average increase of 1.72 nm in particle diameter (Fig. 1C). However, while the quadratic effect of Fe2+ concentration on particle size was not statistically significant (β = −1.29, p = 0.061), it approaches significance, suggesting also a potential nonlinear relationship, as the relation in Fig. 1C already implicates. This trend aligns with classical nucleation theory, where higher precursor concentrations suppress nucleation and favour particle growth.39 The presence of excess Fe2+ ions in solution provides a continuous source for crystal enlargement, leading to larger nanoparticles. Similar trends have been reported in iron oxide and ferrite nanoparticle synthesis, where higher Fe2+ concentrations correlate with enhanced particle growth due to reduced nucleation rates and prolonged ion availability.29,40 Beyond this, increased Fe2+ levels have also been linked to under stoichiometric conditions which have the potential to affect particle size through altered oxidation dynamics.41,42
However, this deviation from a purely linear trend implies that the growth process cannot be described by a simple linear model. As Fe2+ concentration increases, the initial increase in particle size is due to the enhanced availability of Fe2+ ions, which favour growth.39 Beyond a certain concentration, the rapid consumption of Fe2+ ions may lead to increased nucleation and the formation of a greater number of smaller particles. This shift could be attributed to Fe2+ depletion in solution, restricting further growth and favouring nucleation of multiple small nanoparticles instead of fewer larger ones. Therefore, the observed quadratic effect suggests that there is an optimal concentration of Fe2+, where the dominant process shifts from particle growth to nucleation. At concentrations below this threshold, particle growth dominates, leading to larger nanoparticles. Above this threshold, nucleation becomes more prevalent, resulting in smaller particles. This phenomenon has been previously observed in IONP synthesis, where maintaining the Fe3+/Fe2+ ratio is challenging due to Fe2+ oxidation, further influencing the particle size distribution.43,44
Moreover, phase changes at high Fe2+ concentrations could further impact particle morphology, as Fe2+-rich conditions may promote partial oxidation or transition to non-magnetite phases, predominantly maghemite and haematite.45 Magnetite typically forms under reducing conditions with higher Fe2+ concentrations, whereas more oxidising environments or limited Fe2+ availability tend to favour the formation of maghemite or haematite.46 Interestingly, our ATR-FIT data suggests that the predominant phase in the analysed IONPs, irrespective of the Fe2+ concentration used for their synthesis, is magnetite (Fig. 1A).
Stirring speed had a statistically significant negative linear effect on particle diameter in the response surface model (β = −1.17, p = 0.031, Table 2), indicating that, on average, each 100 rpm increase in stirring speed reduces particle size by approximately 1.17 nm (Fig. 1D). This effect can be attributed to enhanced micro-mixing, which improves the homogeneity of Fe2+, Fe3+, and OH− ion distribution, thereby promoting rapid and uniform nucleation.24,47 At lower stirring speeds, diffusion limitations result in localized supersaturation, favouring fewer but larger nuclei that grow into larger particles.24,47 Additionally, slow mixing reduces the shear force acting on particles, increasing the likelihood of aggregation and polydispersity.48 Equally a higher stirring speed increases the oxygen input in the reaction,49 accelerating Fe2+ oxidation to Fe3+.50 This potentially results in higher nucleation rates, as Fe3+ is the main driver of iron oxide precipitation, leading to smaller particle sizes due to reduced time for crystal growth.51 Moreover, rapid oxidation shifts the Fe2+/Fe3+ ratio, promoting phase transitions from magnetite to maghemite. Conversely, the ATR-FTIR data do not suggest a shift towards maghemite indicating only a minor effect on the iron oxide phase in our experimental setup (Fig. 1A).
The squared term of the dosing rate shows a coefficient of −4.52 (p = 0.039), indicating a decrease in particle size with an increase in the speed of iron salt addition (Fig. 1E and Table 2). In the coprecipitation process, the dosing rate directly influences the nucleation and growth phases of nanoparticle formation.24 At higher dosing rates, the rapid introduction of iron salts results in faster nucleation, creating a greater number of smaller nuclei. This increased nucleation rate limits the growth of individual particles, ultimately leading to smaller nanoparticles. Additionally, a higher dosing rate accelerates supersaturation,52 which further promotes nucleation over growth, restricting the size of the particles. However, the quadratic nature of the relationship suggests that beyond a certain dosing rate, the reduction in particle size levels off, potentially due to the saturation of available ions and the onset of particle agglomeration.
In the RSM, the ratio between Fe2+ and Fe3+ was also found to have a significant positive effect on the particle size with a coefficient of 1.02 (p = 0.041, Fig. 1F and Table 2). Thus, increasing the Fe2+/Fe3+ ratio by 1 leads to an increase of approximately 1.02 nm in particle size, holding all other variables constant. Potential explanations for this positive effect are the influence of the Fe2+/Fe3+ ratio on nucleation and growth dynamics during iron oxide formation. A higher Fe2+ concentration is known to reduce the nucleation rate while enhancing particle growth, leading to the formation of larger particles.53 Thermodynamic and kinetic considerations further suggest that a higher Fe2+/Fe3+ ratio can modify the activation energy for nucleation and dissolution-reprecipitation mechanisms, thereby favouring fewer but larger particles.54,55
Moreover, the ratio between Fe2+ and NaOH exhibits a negative coefficient of −1.94 (p = 0.007) on the particle size (Fig. 1G and Table 2). Specifically, an increase of 1 unit in the Fe2+/NaOH ratio corresponds to an average decrease of 1.94 nm in particle size, assuming other factors remain constant. The observed negative correlation suggests that increasing NaOH concentration leads to smaller particles under well-mixed conditions. This can be attributed to the role of hydroxide ions in the nucleation and growth process of iron oxides.56 Higher NaOH concentrations promote rapid supersaturation, increasing the nucleation rate while limiting subsequent particle growth, resulting in smaller particles.24,39 Additionally, a higher concentration of hydroxide ions can accelerate Fe2+ hydrolysis and precipitation, potentially leading to a finer distribution of nucleation sites.45 Moreover, high hydroxide levels can enhance electrostatic stabilisation of colloidal particles, preventing aggregation and Ostwald ripening.24,57
In the RSM, the ratio between NaOH and stirring speed showed a positive effect on particle size with a coefficient of 1.65 (p = 0.022, Table 2) suggesting that increased NaOH concentration, relative to stirring intensity, promotes particle growth (Fig. 1H). Holding other factors constant, a one-unit rise in the NaOH-to-stirring speed ratio leads to an average increase of 1.65 nm in particle size. This effect can be explained by the interplay between precipitation kinetics and hydrodynamic conditions during synthesis. While higher NaOH concentrations generally lead to smaller particles by promoting nucleation,24,39 their effect is modulated by stirring intensity. The positive effect of NaOH and stirring speed indicates that if the stirring speed is not increased proportionally, it may lead to uneven mixing of the suspension. These conditions can favour particle aggregation or uncontrolled growth, ultimately leading to larger particles.24,47 As already discussed earlier, under such lower turbulence conditions, shear-induced fragmentation of growing clusters is also minimized, allowing for enhanced particle growth via Ostwald ripening.48 Thus, although NaOH alone favours nucleation, its interaction with stirring dynamics determines whether nucleation or growth dominates the process. In addition, the RSM predicts that increasing the temperature-to-stirring speed ratio by one unit results in an average particle size increase of 1.66 nm (β = 1.66, p = 0.018; Table 2), indicating that elevated temperatures are more effective in promoting particle growth under low stirring conditions (Fig. 1I). As already discussed, a lower stirring rate leads to an increase in particle size due to limited diffusion24,47 and reduced shear force.48 Temperature influences both the nucleation rate and growth kinetics in iron oxide formation.47,53 Higher temperatures generally enhance atomic diffusion and solubility, leading to faster grain growth and coarsening via Ostwald ripening.24 Thus, the observed effect suggests that under conditions where temperature is elevated but stirring intensity is relatively lower, growth mechanisms dominate over nucleation, leading to larger particle sizes, as expected. Interestingly, a combination of high temperature and high stirring speed can increase the particle size, diminishing the effect of thorough stirring.
Taken together, these results provide important insights into the control over particle size for IONPs synthesised via coprecipitation. Fe2+ concentration, stirring speed, dosing rate, Fe2+/Fe3+ and Fe2+/NaOH ratios, NaOH and stirring speed interactions, and temperature-stirring speed dynamics, significantly influenced IONP size while maintaining the magnetite phase (Fig. 1A). Higher Fe2+ concentrations promote growth, whereas increased stirring speeds reduce particle size by enhancing mixing and Fe2+ oxidation.47,49,50 The Fe2+/Fe3+ ratio favours larger particles, while higher NaOH levels drive smaller sizes through rapid nucleation.24,47,56 Temperature further supports growth via Ostwald ripening.24,47,53 Importantly, despite varying the synthesis factors drastically, all particles remained in the magnetite phase (Fig. 1A) as well as in an acceptable size range (Fig. 1B) for IONPs synthesised via the Massart process, highlighting the robustness of the coprecipitation method for IONP synthesis. These results demonstrate the possibility to tailor the particle size to meet specific application requirements, which is crucial for ensuring the functionality and effectiveness of the nanoparticles in various fields.3
Statistical analysis revealed no significant correlation between cytotoxicity values and particle sizes, as indicated by both Pearson's and Spearman's correlation coefficients. This suggests that changes in particle size do not meaningfully impact cell viability in our model. Additionally, all synthesized IONPs exhibited cell viability well above 70%, confirming their overall biocompatibility with 3T3 mouse embryonic fibroblasts (Fig. 2A) and HEK cells (Fig. 2B). This suggests that neither variations in Fe2+, Fe3+, nor NaOH concentrations, nor variations in their ratios had a measurable effect on the cytotoxic effects of the particles. Regardless of the synthesis parameters, the nanoparticles remained non-toxic to both 3T3 mouse embryonic fibroblasts (Fig. 2A) and HEK cells (Fig. 2B). This indicates that the applied synthesis method produces IONPs with consistent biocompatibility, making them suitable for biomedical use.
These findings highlight the robustness of the synthesis method, demonstrating that even drastic variations in precursor concentrations do not compromise cell viability.
However, ROTEM is a global assay of haemostasis, reflecting the combined activity of platelet function, coagulation proteases, and inhibitors, and the fibrinolytic system. Therefore, the specific mechanisms underlying the procoagulant effects induced by IONPs in our experiments can only be speculated upon. Based on the literature available to date, it can be assumed that IONPs can enhance platelet aggregation. Direct addition of IONPs to mice has been shown to induced platelet aggregation in a dose-dependent manner.59 Two mechanisms have been proposed: first, IONPs enhance platelet aggregation by activating the GPIIb/IIIa receptor; second, they bridge adjacent non-activated platelets, thereby promoting agonist-induced aggregation.65 Moreover, IONPs have been shown to enhance platelet activation, as evidenced by significant increases in the soluble platelet markers sCD62P, PF4, and NAP-2 in whole blood following incubation with endothelial cells.66
The drastic reduction in CT observed in our experiments cannot be solely attributed to enhanced platelet function and aggregation. It is likely that IONPs also interact with coagulation factors and inhibitors. However, our ROTEM analysis does not provide sufficient resolution to determine the specific factors or inhibitors involved in these interactions. Nevertheless, evidence from the literature supports this possibility. For instance, Kottana et al. reported that IONPs interact with fibrinogen, inducing conformational changes in this key plasma protein.67 Moreover, the markedly shortened CT observed in our study aligns well with the findings of Nemmar et al., who demonstrated that IONPs induce a reduction in both activated partial thromboplastin time (APTT) and prothrombin time (PT).59 These results further support the hypothesis that IONPs may interact directly with components of the coagulation cascade. Additionally, there is growing evidence that nanoparticles can influence coagulation inhibitors. Notably, Nemmar et al. reported elevated levels of plasminogen activator inhibitor-1 (PAI-1) in mice following exposure to IONPs, suggesting another potential prothrombotic mechanism.59 These findings highlight the urgent need for further research specifically investigating the interactions between nanoparticles and both coagulation factors and inhibitors.
It has been reported that IONPs influence blood coagulation depending on their size and surface chemistry.65 Interestingly, CT showed no significant correlation with the hydrodynamic diameter of the particles (0.169, p = 0.331, Tables S1 and S5), indicating that the overall coagulation initiation process is not directly influenced by the hydrodynamic diameter of IONPs (Fig. 3B) but rather by their mere presence in the blood samples. However, the RSM model revealed a significant, albeit subclinical, effect of synthesis conditions on CT (Table 3), while the hydrodynamic diameter alone did not predict clotting behaviour (Fig. 3B). This implies that surface chemistry or nanoparticle reactivity, rather than physical dimensions, may play a more critical role in modulating coagulation initiation.
| Factor | Coefficient | Std. error | t-Statistic | p-Value |
|---|---|---|---|---|
| Fe3+ | 3.85 | 1.038 | 3.709 | 0.014 |
| NaOH | −2.34 | 0.88 | −2.665 | 0.045 |
| I (NaOH**2) | −9.79 | 2.895 | −3.383 | 0.02 |
Fe2+ : Fe3+ |
−4.72 | 1.382 | −3.416 | 0.019 |
Fe2+ : NaOH |
8.71 | 2.448 | 3.557 | 0.016 |
Fe3+ : NaOH |
−4.35 | 1.014 | −4.293 | 0.008 |
Table 3 summarises the synthesis factors that significantly affect CT, as identified by the RSM model. Fe3+ concentration exhibited a positive effect on CT (β = 3.85, p = 0.014, Tables 2 and 3), indicating that a 1 mM increase in Fe3+ concentration during synthesis results in an average prolongation of CT by 3.85 s (Fig. 3C). This effect may be attributed to altered surface oxidation states, where higher Fe3+ availability could lead to nanoparticles with a different Fe2+/Fe3+ ratio, potentially reducing their procoagulant activity. There is only very limited data on the interaction between IONPs and CT, as most studies focused on the effects of free iron ions. Previously, it was suggested that Fe3+ can prolong the clotting time by interacting with coagulation proteins.68 Conversely, it was also reported that Fe3+-modified poly(L-lactic acid) led to a decrease in CT.69 Additionally, it must be taken into consideration that the behaviour of IONPs, where the iron ions are complexed, cannot be directly compared to the effect of free Fe3+. Thus, the observed effect is likely due to changes in the surface chemistry of the particles which can impact the CT.26,70 These results suggest that Fe3+-rich surfaces potentially interact more efficiently with proteins involved in the coagulation cascade, leading to slower clot initiation.
Likewise, the ratio between Fe3+ and NaOH (β = −4.35, p = 0.008) negatively impacted CT (Table 3), though the interaction between both concentrations appears to be nonlinear and more complex according to the RSM model (Fig. 3D). Overall, a higher Fe3+ concentration relative to NaOH was associated with a prolonged CT, suggesting that excess Fe3+ may interfere with coagulation factor interactions or alter the surface chemistry of the IONPs, reducing their procoagulant activity. However, this effect was gradually diminished as NaOH concentrations exceeded 0.5 M, leading to a progressive acceleration of CT. This behaviour may be linked to NaOH-induced changes in nanoparticle surface chemistry, particularly through increased hydroxylation and Fe3+ hydrolysis, which could impact how IONPs interact with clotting factors. Supporting this, the concentration of NaOH (β = −9.79, p = 0.020) exhibited a quadratic effect on CT (Table 3), suggesting that beyond a certain threshold, excessive NaOH may disrupt the balance of nanoparticle surface properties (Fig. 3E). This could possibly be due to increased surface hydroxylation or changes in the surface chemistry, which could also be observed in the zeta potential measurements (Table S4). These changes may enhance interactions with clotting factors such as fibrinogen or prothrombin, thereby reducing their catalytic activity in clot formation.71,72
The observed negative correlation between the Fe2+/Fe3+ ratio in the RSM and CT (−4.72, p = 0.019) suggests that increasing the Fe2+ content by 1 mM in the synthesis accelerates coagulation by almost 5 s. Likewise, as already discussed earlier, an increased Fe3+ concentration leads to a prolonged CT and low concentrations of both Fe2+ and Fe3+ lead to an accelerated CT (Fig. 3F). Similarly, interactions between Fe2+ and NaOH (β = 8.71, p = 0.016) influenced the CT (Table 3), implying that higher Fe2+ compared to NaOH leads to a decreased coagulation time (Fig. 3G). This phenomenon may be attributed to several factors. First, Fe2+ is more chemically reactive than Fe3+ due to its oxidation state, potentially enhancing the surface reactivity of IONPs, thereby promoting faster interactions with factors involved in coagulation,59 such as fibrinogen and prothrombin. Additionally, Fe2+ is known for its redox activity, which may lead to the generation of ROS,73 potentially further influencing the coagulation cascade by activating platelet aggregation and fibrin formation.74
Taken together, these findings demonstrate that the synthesis conditions of IONPs can significantly influence CT, likely through alterations in nanoparticle surface chemistry and reactivity. While Fe3+-rich surfaces appear to prolong CT (Fig. 3C, D, and F), increasing Fe2+ levels were associated with faster clot initiation (Fig. 3F and G), possibly due to enhanced interactions with coagulation proteins and redox-driven activation of clotting pathways. Additionally, variations in NaOH concentrations suggest a complex interplay between surface hydroxylation and coagulation factor interactions (Fig. 3D and E), further modulating clotting dynamics. Given the limited data on IONPs in coagulation studies, these results highlight the need for further investigation into surface-specific interactions and their implications for biomedical applications.
Interestingly, the IONP-induced changes of the three remaining ROTEM values, namely CFT, MCF and alpha angle, could not be explained by the RSM model (Table S6), which includes the different synthesis parameters (Table 1). Despite the high R2 values for CFT (R2 = 0.954, adjusted R2 = 0.655), the model was not statistically significant (F-statistic = 0.134), suggesting that synthesis parameters alone do not fully account for variations in CFT (Fig. 4A, Table S6). However, IONPs-induced changes were significantly influenced by the hydrodynamic diameter of the particles (Table S1), as indicated by a moderate negative correlation between CFT and diameter (−0.377, p = 0.020, Fig. 4B, Table S5). Thus, CFTs were shortened more as nanoparticle size increased. Correspondingly, larger nanoparticles were associated with a more stable fibrin network, reflected by higher MCF (Fig. 4C and D, Table S5) and alpha angle values (Fig. 4E and F, Table S5). These findings are in good agreement with previous studies which reported an accelerated fibrin polymerisation caused by IONPS obtained by ultrasound-assisted plasma discharge synthesis, leading to denser and more complex gel structures.75,76 These particles exhibited enhanced catalytic and enzymatic interactions compared to inert IONPs synthesised by coprecipitation.77
Overall, these findings highlight the distinct influence of particle size and synthesis parameters on different aspects of coagulation dynamics. While CT is not directly affected by particle size and is better explained by synthesis conditions, CFT, MCF, and alpha angle show a clear dependence on particle size, with smaller IONPs accelerating clot formation. However, the stability of MCF and alpha angle suggests that despite these changes in clot formation dynamics, the final clot structure and firmness remain intact, comparable to the control. This indicates that while IONPs influence the early stages of coagulation, they do not compromise overall clot stability, highlighting their potential for biomedical applications that require controlled coagulation interactions.
The regression model explaining particle size variations had an R2 of 0.91, indicating strong predictive power of the tested synthesis parameters. Although the adjusted R2 (0.74) is slightly lower than the R2, it still indicates a robust and reliable model with minimal risk of overfitting. The size of the synthesised nanoparticles was positively influenced by Fe2+ concentration (β = 1.72), the Fe2+/Fe3+ ratio (β = 1.02), NaOH–stirring speed interaction (β = 1.65), and temperature–stirring speed dynamics (β = 1.66). In contrast, particle size was negatively affected by stirring speed (β = −1.17), the Fe2+/NaOH ratio (β = −1.94), and dosing rate (β = −2.64). Despite substantial variation in synthesis factors, all particles remained in the magnetite phase and within the expected size range for coprecipitated IONPs (3–16 nm), underscoring the robustness of the coprecipitation method. Moreover, the ability to fine-tune size supports application-specific design, which is crucial for optimising performance in various biomedical fields.3
Cytotoxicity assays using 3T3 fibroblasts and HEK cells showed cell viability above 99% compared to the control across all samples. No significant correlation was observed between particle size and cell viability, supporting the conclusion that particle size variation due to synthesis conditions does not compromise biocompatibility.
In terms of blood coagulation effects, IONPs significantly reduced CTs for all tested nanoparticles by an average of 83 s, suggesting procoagulant activity. Variations in CT between the particles could be explained by the differing synthesis conditions, though only in a subclinical range. Higher Fe3+ concentrations prolonged CT, while elevated Fe2+ shortened it. NaOH concentration and Fe2+/Fe3+ ratios also modulated CT, likely via changes in surface chemistry and reactivity.26,70–72 Thus, for applications requiring minimal coagulation interaction, lower Fe2+ levels and post-synthesis surface modifications may be advisable. Conversely, procoagulant IONPs for haemostatic applications may benefit from higher Fe2+ concentrations and smaller particle sizes.
In contrast, CFT, MCF, and the alpha angle were more strongly influenced by particle size, with smaller particles accelerating clot formation but not compromising final clot firmness. Notably, the consistent clot firmness (MCF, alpha angle) despite changes in CT suggests that IONPs modulate early haemostasis without impairing final clot structure, a finding that remains underreported in current literature.
Overall, these results highlight the importance of precise control over synthesis parameters to tailor IONP properties for specific biomedical uses. While the synthesis method proved robust in producing biocompatible IONPs, the procoagulant effects highlight the need for surface modifications with citrate or antibodies to mitigate thrombosis risk.27,78 Future studies should explore long-term in vivo safety, immune interactions, and the effects of surface functionalisation on coagulation behaviour to fully establish the clinical potential of these IONPs.
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