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    TOXICOLOGICAL SCIENCES 120(S1), S109S129 (2011)

    doi:10.1093/toxsci/kfq372

    Advance Access publication December 22, 2010

    The New Toxicology of Sophisticated Materials:Nanotoxicology and Beyond

    Andrew D. Maynard,* David B. Warheit, and Martin A. Philbert,1

    *Risk Science Center, University of Michigan School of Public Health, Ann Arbor Michigan 48019; DuPont Haskell La boratory for Heal th a nd Enviro nmental

    Sciences, Newark, Delaware 19714-0050; and Toxicology Program, University of Michigan School of Public Health, Ann Arbor, Michigan 48019

    1To whom correspondence should be addressed at Toxicology Program, University of Michigan School of Public Health, 1415 Washington Heights, Ann Arbor,

    MI 48019. Fax: (734) 763-8095. E-mail: [email protected].

    Received October 4, 2010; accepted December 1, 2010

    It has long been recognized that the physical form of materials

    can mediate their toxicitythe health impacts of asbestiform

    materials, industrial aerosols, and ambient particulate matter are

    prime examples. Yet over the past 20 years, toxicology research

    has suggested complex and previously unrecognized associations

    between material physicochemistry at the nanoscale and biological

    interactions. With the rapid rise of the field of nanotechnology and

    the design and production of increasingly complex nanoscale

    materials, it has become ever more important to understand how

    the physical form and chemical composition of these materials

    interact synergistically to determine toxicity. As a result, a new field

    of research has emergednanotoxicology. Research within this

    field is highlighting the importance of material physicochemicalproperties in how dose is understood, how materials are

    characterized in a manner that enables quantitative data inter-

    pretation andcomparison, and how materials move within, interact

    with, and are transformed by biological systems. Yet many of the

    substances that are the focus of current nanotoxicology studies are

    relatively simple materials that are at the vanguard of a new era of

    complex materials. Over the next 50 years, there will be a need to

    understand the toxicology of increasingly sophisticated materials

    that exhibit novel, dynamic and multifaceted functionality. If the

    toxicology community is to meet the challenge of ensuring the safe

    use ofthisnew generation of substances,it will need to move beyond

    nano toxicology and toward a new toxicology of sophisticated

    materials. Here, we present a brief overview of the current state of

    the science on the toxicology of nanoscale materials and focus onthree emerging toxicology-based challenges presented by sophisti-

    cated materials that will become increasingly important over the

    next 50 years: identifying relevant materials for study, physico-

    chemical characterization, and biointeractions.

    Key Words: nanotechnology; nanotoxicology; engineered

    nanomaterials; biokinetics; biointeractions; dose; physicochemical

    characterization.

    In 1990, two consecutive articles appeared in the Journal of

    Aerosol Science asking whether inhaled particles smaller than

    100 nm in diameter elicit a greater than expected pulmonary

    response (Ferin et al., 1990; Oberdorster et al., 1990). On

    a mass for mass basis, nanometer-scale particles of TiO2 and

    Al2O3 elicited a significantly greater inflammatory response in

    the lungs of rats compared with larger particles with the same

    chemical composition. The two studies were at the vanguard of

    research challenging long-held assumptions that response to

    particulate exposure can be understood in terms of chemical

    composition and suggested unusual biological activity associ-

    ated with nanometer-scale materials. Fourteen years later, this

    growing field of research would be formalized as the field of

    nanotoxicology (Donaldson et al., 2004).

    The size-specific effects observed by Oberdorster, Ferin and

    colleagues were attributed to an increased rate of interstitializa-

    tion of nanometer-scale particles in the lungs. Oberdorsteret al.

    concluded, Phagocytosis of particles in the alveoli counteracts

    the translocation of particles into the interstitial space. Alveolar

    macrophage death or dysfunction promotes translocation from

    alveoli inter interstitium. Particles of about 0.020.03 lm in

    diameter penetrate more easily than particles of ~0.20.5 lm.

    Small particles usually form aggregates. Their aerodynamic size

    determines the deposition in the airways. After deposition, they

    may deagglomerate. If the primary particle size is~0.020.03 lm,deagglomeration may affect the translocation of the particles

    more than for aggregates consisting of larger particles

    (Oberdorster et al., 1990).

    This simple statement outlined two emerging aspects of

    materials that potentially mediated their toxicology: particle size

    and dynamic behavior. In follow-up studies, further associa-

    tions between material physicochemistry and effects were

    uncoveredmost notably the role of particle surface area in

    mediating pulmonary toxicity. Using TiO2 samples comprising

    The Author 2010. Published by Oxford University Press on behalf of the Society of Toxicology. All rights reserved.For permissions, please email: [email protected]

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    of two distinct sizes of primary particles, Oberdorster et al.

    showed that, while inflammatory responses following inhala-

    tion in rats depended on particle size, normalizing by surface

    area led to a size-invariant dose-response function (Oberdorster,

    2000). With surface area as the dosemetric instead of the more

    conventional mass concentration, Maynard and Kuempel

    (2005) and others showed that a range of insoluble materialstypically classified as nuisance dusts followed a similar dose-

    response curve for pulmonary inflammation in rats. However,

    more chemically active materials such as crystalline quartz

    demonstrated a markedly different dose-response (Maynard and

    Kuempel, 2005).

    This early research was driven by occupational aerosol

    exposures and concerns that the hazards associated with fine

    dusts ranging from welding fume to metal and metal aerosol

    powders were not predictable from the chemical composition of

    these materials alone. What began to emerge was an un-

    derstanding that the physicochemical nature of inhaled particles

    was more relevant than previously thought in eliciting a re-

    sponse and that materials with a nanometer-scale biologicallyaccessible structure (whether they were discrete nanometer-

    scale particles or had a nanometer-scale surface structure, as in

    the case of aggregates of nanoparticles) had the potential to

    show previously unrecognized biological behavior. That this

    new research on what were termed ultrafine aerosols came

    out of occupational toxicology is perhaps not surprising, given

    the fields long history of addressing hazards associated with

    exposure to aerosol particles with varying sizes, shapes, and

    compositions (Maynard, 2007a).

    Although research into occupational exposure to ultrafine

    aerosols was developing in the 1990s, environmental epidemi-

    ology studies were beginning to uncover associations betweenambient aerosol particle size and morbidity and mortality.

    Starting with the six-cities study (Dockery et al., 1993),

    evidence emerged for ambient particles approximately smaller

    than 2.5 lm (PM 2.5) having an elevated impact on human

    health (Pope, 1996; Schwartz and Morris, 1995; Schwartz et al.,

    1996). As small particles were implicated in eliciting more

    pronounced pulmonary and cardiovascular effects following

    inhalation exposure (Seaton et al., 1995), researchers began to

    correlate impacts with exposure to ultrafine particles (Brown

    et al., 2002; Chalupa et al., 2004; Pekkanen et al., 2002;

    Wichmann and Peters, 2000). Although clear associations

    between ultrafine particle exposure and health impacts remained

    uncertain, this research was suggestive of a link between

    aerosol inhalation and health impacts that was mediated by

    particle size as well as chemistry, with smaller particles

    exhibiting a higher degree of potency. In this respect,

    epidemiological studies began to complement contemporary

    toxicology studies on inhalation exposure to fine particles.

    These two streams of research began to coincide in the late

    1990s. But it was the formal advent of the field of

    nanotechnology toward the end of the 1990s that galvanized

    action toward developing a more complete understanding of

    how material physicochemical characteristics impact on

    material hazard and how nanoscale materials might lead to

    previously unanticipated health impacts.

    In the 1990s, federal research agencies in the United States

    began looking to identify and nurture a new focus for science,

    engineering, and technology that would stimulate research

    funding and lead to economic growth. At the time, advancesacross the physical sciences were leading to breakthroughs in

    understanding of how material structure at the near-atomic

    scale influenced functionality and how this nanoscale structure

    might be intentionally manipulated. Recognizing the potential

    cross-disciplinary and cross-agency significance of these

    breakthroughs, an Interagency Working Group on Nanotech-

    nology was established to promote the science and technology

    of understanding and manipulating matter at the nanometer

    scale (IWGN, 1999).

    Although not fully realized until late in the 20th century (the

    first documented coining of the term nanotechnology is often

    credited to N. Taniguchi [Taniguchi, 1974]), the field of

    nanotechnology had its roots in 20th century advances inmaterials science and high-resolution imaging and analytical

    techniques. As techniques such as X-ray diffraction and

    transmission electron microscopy began to illuminate the

    structure of materials at the atomic scaleand how this

    structure influenced functionalityinterest grew in improving

    materials through manipulating this structure. The fields of

    materials science and synthetic chemistry began to explore how

    small changes in structure at the atomic and molecular level

    could alter behavior at the macroscale. But it was perhaps the

    physicist Richard Feynman who first articulated a grander vision

    of nanoscale engineering. In a 1959 lecture at Caltech titled

    Theres plenty of room at the bottom, Feynman speculated onthe revolutionary advances that could be made if scientists and

    engineers developed increasingly sophisticated control over

    how substances were built up at the nanoscale (Feynman,

    1960)a level of control which at the time remained largely out

    of reach. Despite Feynmans lecture often being considered the

    foundation of modern nanotechnology, there is little evidence

    that it had much impact at the time (Toumey, 2008, 2010).

    However, the advent of Scanning Probe Microscopy in 1982

    (Binnig et al., 1982), together with advances throughout the

    physical and biological sciences in imaging and understanding

    the nature of matter at the nanometer scale, began to open up the

    possibility of altering the functionality of a wide range of

    materials through nanoscale engineering.

    Some of the more extreme and speculative possibilities of

    building materials and even devices molecule by molecule

    were captured in the popular book Engines of Creation by

    Eric Drexler, inspired by shrinking human-scale materials

    engineering down to the nanoscale (Drexler, 1986). Although

    many of the ideas put forward by Drexler were treated with

    caution and occasionally skepticism by the scientific commu-

    nity, there was a ground swell of excitement through the 1980s

    and 1990s over the possibilities that emerging techniques were

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    opening up to systematically manipulating matter at the

    nanoscale, allowing nanoscale structure-mediated functionality

    to be exploited at the macroscale. This excitement was buoyed

    up by the discovery of carbon nanotubes (Iijima, 1991)a new

    and functionally unique allotrope of carbonand the demon-

    stration of single-atom manipulation using scanning probe

    microscopy (Eigler and Schweizer, 1990). Working at this scale,new opportunities were arising for enhancing the structure of

    materials, for engineering materials tailored to exhibit specific

    physical, chemical, and biological behavior, for exploiting

    novel electron behavior in materials that begins to dominate at

    nanometer length scales, and for building increasingly sophis-

    ticated materials that could demonstrate multiple and context-

    specific functionality. The door was being opened to a new era

    of enhancing existing materials and products and creating

    innovative new ones by intentionally manipulating the compo-

    sition and physical form of substances at the nanoscale.

    Riding the wave of this cross-disciplinary revolution in

    science, engineering, and technology, President Clinton

    announced a new U.S. initiative to explore and exploit thescience and technology of the nanoscale on January 21, 2000

    (Clinton, 2000). In an address at Caltech on science and

    technology, he asked his audience to imagine materials with

    10 times the strength of steel and only a fraction of the weight;

    shrinking all the information at the Library of Congress into

    a device the size of a sugar cube; detecting cancerous tumors

    that are only a few cells in size, and laid the foundation for the

    U.S. National Nanotechnology Initiative (NNI). Since then, the

    NNI has set the pace for national and international research and

    development in nanoscale science and engineering and has led

    the world in generating and using new knowledge in the field

    of nanotechnology.As nanotechnology began to gain ground, it did not take

    long for concerns to be raised over the potential health and

    environmental implications of nanotechnology. In 2000, the

    cofounder of Sun Microsystems Bill Joy wrote an influential

    essay for Wired Magazine titled Why the Future Doesnt

    Need Us in which he raised concerns about the impacts of

    nanotechnology (Joy, 2000). This was followed by calls for

    a moratorium on research until more was known about the

    possible adverse impacts by one Civil Society group (ETC

    Group, 2003). More scientifically, sound concerns were raised

    by the reinsurance company Swiss Re in 2004 (Hett, 2004),

    and later that year, the UK Royal Society and Royal Academy

    of Engineering launched a highly influential report on the

    opportunities and uncertainties of nanotechnology (RS/RAE,

    2004). At the center of the Royal Society and Royal Academy

    of Engineering report were concerns that engineered nanoscale

    materials with unique functionality may lead to unexpected

    exposure routes, may have access to unanticipated biological

    compartments, and may exhibit unconventional biological

    behavior associated with their size. In particular, concern was

    expressed over materials intentionally engineered to have

    nanoscale structurenanomaterialsand particles and fibers

    with nanometer-scale dimensionsnanoparticles and nano-

    fibers.

    The Royal Society and Royal Academy of Engineering

    report marked a move toward a more integrated approach to the

    potential risks associated with nanotechnology. As global

    investment in nanotechnology research and development has

    grown (it has been estimated that global research anddevelopment investment in nanotechnologies exceeded $18

    billion in 2008 and that the value of products utilizing these

    technologies in some way has been projected to exceed $3

    trillion by 2015 [Lux Research, 2009]), so has interest in

    identifying, understanding, and addressing potential risks to

    human health and the environment (Chemical Industry Vision

    2020 technology Partnership and SRC, 2005; ICON, 2008a;

    Luther, 2004; Maynard, 2006; Maynard et al., 2006; NNI,

    2008; Oberdorster et al., 2005; PCAST, 2010; RCEP, 2008;

    SCENIHR, 2005, 2009). This interest has been stimulated by

    concerns that novel materials have the potential to lead to novel

    hazards and risks. But fueling it has been the research noted

    earlier on the role of particle size, physical form, and chemistryin mediating biological interactions and responses. With the

    advent of nanotechnology and the production of increasingly

    sophisticated engineered nanomaterials, research strands de-

    veloping an understanding of the potential human health

    impacts of fine particles were thrust into the mainstream and

    became the basis of new thinking about how potential risks

    associated with new materials can be addressed.

    As research began to focus on the potential hazards presented

    by engineered nanomaterials, the term nanotoxicology began

    to be used informally to describe this growing area of study.

    This was formalized in an editorial in Occupational and

    Environmental Medicine by Donaldson et al. (2004). Writingabout the human health challenges presented by the emerging

    field of nanotechnology, Donaldson et al. noted that:

    NP [nanoparticles] have greater potential to travel through

    the organism than other materials or larger particles. The various

    interactions of NP with fluids, cells, and tissues need to be

    considered, starting at the portal of entry and then via a range of

    possible pathways towards target organs. The potential for

    significant biological response at each of these sites requires

    investigation. In addition, at the site of final retention in the

    target organ(s), NP may trigger mediators which then may

    activate inflammatory or immunological responses. Importantly

    NP may also enter the blood or the central nervous system,

    where they have the potential to directly affect cardiac and

    cerebral functions. We therefore propose that a new subcategory

    of toxicologynamely nanotoxicologybe defined to address

    gaps in knowledge and to specifically address the special

    problems likely to be caused by nanoparticles.

    The new field was consolidated in 2005 with a highly cited

    paper by Oberdorster et al. titled Nanotoxicology: an

    emerging discipline evolving from studies of ultrafine

    particles (Oberdorster et al., 2005), and the launch of the

    journal Nanotoxicology in 2007.

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    Since the early 2000s, research into the potential impacts

    of nanomaterials and nanoparticles in particular has increased

    substantially. In the United States, the combined investment

    across federal agencies in research and development addressing

    environmental health and safety implications of nanotechnol-

    ogy was $34.8 million in 2005 (NSET, 2006). In 2011, this

    figure is estimated to rise to $116.9 million (NSET, 2010).Global publications addressing human health and environmen-

    tal impacts of engineered nanomaterials have similarly in-

    creased. In 2005, there were an estimated 179 articles

    published on the potential environmental health and safety

    implications of engineered nanomaterials. By 2009, that

    number had risen to 791 publications (PCAST, 2010). Of

    these, the majority address the potential hazards of engineered

    nanomaterials. A search for publications with the key terms

    nano* and toxic* between 2000 and 2010 shows a rapidly

    increasing peer review literature in this area (Fig. 1)

    Yet for all this activity, the field of nanotoxicology is

    suffering from something of an identity crisis. There is a strong

    sense that emerging, novel and complex materials that have been

    engineered at the nanoscale may exhibit unusual or unantici-

    pated toxicity from a conventional perspective and that research

    is needed to understand and address how these designed

    materials might cause harm in ways that are not readily

    understood at present. This concern is supported by a growing

    body of research which indicates that some nanometer-scale

    materials do demonstrate biological behavior that is mediated by

    physical form as well as chemical composition (Donaldson

    et al., 2010; Nel et al., 2006; Oberdorster, 2010). Yet a clear

    identification and formulation of the problems being faced

    remain elusive. For example, what is meant by the nanoscale

    is far from clear, meaning that there is considerable ambiguity

    over which materials are embraced by nanotoxicology.

    Widely accepted definitions of nanotechnology refer to a size

    range of approximately 1100 nm where unique phenomena

    enable novel applications (NSET, 2010). Yet these are largely

    definitions of convenience, not of science. And while thedefinitions defining the field of nanotechnology have been

    important in driving new science and technology innovation, it

    is not clear how they apply to a new materials propensity to

    cause harm in unexpected ways.

    Within generally accepted definitions of nanotechnology,

    there is considerable ambiguity over the terms uniqueness

    and noveltyand how these attributes might lead to new

    materials that raise new health concerns. To a degree, nano-

    toxicology has been underpinned by an assumption that

    materials engineered to utilize unique properties associated

    with the nanoscale must, by definition, exhibit nanoscale-

    specific toxicity. Yet this assumption is far from secure. Indeed,

    a body of research has suggested that the toxicity of manynanomaterials is scalableand thus predictablefrom non-

    nanoscale materials (Oberdorster et al., 2007), questioning the

    uniqueness of the nanoscale. This does not of course negate the

    importance of studying nanomaterial toxicologyit simply

    brings into questions some of the blanket assumptions that direct

    this research. One of these assumptions is that the toxicity of

    nanomaterials is dominated by quantum effectsan assump-

    tion that is currently not supported in simple terms by the

    literature.

    There is also uncertainty over the relationship between

    emerging nanoscale materials and established nanomaterials,

    including natural nanomaterials that have been presentthroughout human evolutionary history and anthropogenic

    nanomaterials (whether engineered or produced as a by-

    product) that have been part of human exposure for decades

    and even centuries. Although the argument is often made that

    engineered nanomaterials are unique by nature of their

    intentionally designed functionality and their precise physico-

    chemical form, the boundaries between engineered nanoscale

    materials and other nanoscale materials in the real world can

    become blurred very rapidly. For example, humans have

    developed as a species in the presence of airborne carbona-

    ceous nanoparticles from combustion, and our bodies have

    evolved to handle exposure to such materials. Since before the

    industrial revolution, people have been exposed to airborne

    metal and metal oxide nanoscale particles from hot processes

    (Maynard and Kuempel, 2005), and while these materials are

    rarely innocuous, we have an understanding of how they

    impact on human health. Even some forms of intentionally

    engineered nanomaterials have been used for many deca-

    desthe product Aerosil from Evonik (formally Degussa), for

    instance, is a fumed silica intentionally engineered to have

    a primary structure of the order of a few nanometers in scale.

    Aerosil has been used commercially for over 60 years.

    FIG. 1. .Publications related to nanotoxicology, 20002010. Source: ISI

    Science Citation Index (Expanded). These data include research related to

    environmental and human health impacts, as well as toxicology-related research

    on nanoscale therapeutics, and thus provide an indicative rather than

    quantitative perspective on publications addressing nanomaterial toxicity in

    humans. Denotes data for 2010 were collected on September 19 and were

    pro ratad for the full year to allow comparison with previous years. Actual

    2010 data: nano* AND toxic*: 1364 publications; nanotoxicology: 64

    publications.

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    This context does not detract from the emerging challenges

    presented by increasingly sophisticated new materials. But it

    does demand that careful thought is given to the toxicity of these

    materials and whether they are genuinely an unknown quantity

    or whether we have a body of evidence and understanding from

    which to address them. And it does require a distinction to be

    made between the language and terminology that drives a newfield of technology innovation such as nanotechnology and that

    which drives research into understanding potential health

    impacts. History suggests that not every new technology leads

    to new hazards and not every new hazard is associated with

    a new technology.

    Nevertheless, there is an array of increasingly sophisticated

    materials that are emerging from advances in science, technol-

    ogy, and engineering that do demand careful consideration of the

    new risks they might pose. In this respect, a differential approach

    to toxicology studies is requiredone which helps identify

    where emerging materials and products deviate from established

    ones in their potential to cause harm and focuses research on

    narrowing the resulting knowledge gap. Undoubtedly, materialsintentionally designed and engineered to behave in specific ways

    because of their fine structure are at the forefront of the new

    challenges being faced in toxicology. These materials in-

    creasingly demonstrate biological behavior that results from

    a synergistic interaction between chemical composition and

    physical form. But whether these new challenges can be

    confined to a narrow size scale implied by nanotoxicology

    is debatable. Rather, we would argue that a broader perspective

    is needed on the challenges presented by novel and functional

    materials that capture the idea of sophisticated materials.

    These are substances that arise at the intersection of scientific

    disciplines and technology platforms and demonstrate novel andeven time and context-dependent functionality based on their

    engineered and increasingly complex physicochemical struc-

    ture. Although many of these materials will depend on nanoscale

    engineering, decoupling the materials from the underlying

    technologyor technologiesis helpful in formulating sci-

    ence-based questions regarding their toxicity. In this respect, the

    toxicology challenge presented by sophisticated materials is to

    understand and address the hazards presented by materials that

    have the ability to enter the body, interact with it, and elicit an

    adverse response in ways that are not adequately understood

    through a conventional and chemical compositiondominated

    perspective on toxicology.

    In this review, we present a brief overview of the current

    state of the science on the toxicology of nanoscale materials

    and focus on three areas of emerging toxicology-based

    challenges presented by sophisticated materials: identifying

    relevant materials for study, physicochemical characterization,

    and biointeractions. Given the rapidly increasing breadth of

    research on the potential hazards and risks presented by

    engineered nanomaterials, a comprehensive evaluation of the

    field is beyond the scope of this review. It is also somewhat

    redundant, given the large number of excellent previously

    published reviews and analyses (Aitken et al., 2009; Balbus

    et al., 2007; ICON, 2008b; Maynard and Kuempel, 2005;

    Maynard et al., 2006; Oberdorster, 2010; Oberdorster et al.,

    2005, 2007; SCENIHR, 2005, 2009; Warheit et al., 2007).

    Rather, here we consider aspects of nanoscale materials that set

    them apart from more conventional materials and build on

    these to explore the emerging challenges of understanding thetoxicology of sophisticated materials.

    THE TOXICOLOGY OF NANOSCALE MATERIALS

    In 2005, the European Commission Scientific Committee on

    Emerging and Newly Identified Health Risks (SCENIHR)

    published a comprehensive assessment of the state of the

    science regarding potential risks associated with engineered

    and adventitious products of nanotechnologies (SCENIHR,

    2005). It was one of the first in a long series of assessments and

    reviews of the toxicology of nanoscale materials that have

    helped identify emerging issues surrounding the potentialhealth impacts of these materials, and although the state of the

    science has moved on since its publication, the overarching

    issues identified by the committee remain contemporary.

    The SCENIHR committee was tasked with addressing three

    questions: Are existing methodologies appropriate to assess

    potential and plausible risks associated with different kinds of

    nanotechnologies and processes associated with nanosized

    materials as well as the engineered and adventitious products of

    nanotechnologies? If existing methodologies are not appropri-

    ate to assess the hypothetical and potential risks associated with

    certain kinds of nanotechnologies and their engineered and

    adventitious products, how should existing methodologies beadapted and/or completed? And in general terms, what are the

    major gaps in knowledge necessary to underpin risk assessment

    in the areas of concern?

    In common with most other reviews addressing the toxicity of

    nanomaterials, SCENIHR focused on materials that are

    physically able to enter the body via inhalation, ingestion, and

    potentially dermal penetration, leading to an emphasis on the

    particulate form of nanomaterialsand nanometer-scale par-

    ticles (nanoparticles) in particular. In reviewing the literature,

    the committee identified three nanoscale mediators of toxicity:

    particle size, shape, and chemical composition. Drawing on

    evidence of material toxicity that was influenced by physical

    form as well as chemical composition, SCENIHR explored how

    these three mediators potentially affect bioavailability and

    biointeractions and influence exposure and dose. Specific

    mechanisms of toxicity highlighted included epithelial tissue

    injury, inflammation, oxidative stress, and allergy. Concluding

    that there is insufficient data available to identify any generic

    rules governing the likely toxicology and ecotoxicology of

    nanoparticles in general, the committee identified a number

    of major knowledge gaps that prevented a complete risk

    assessment of engineered nanomaterials. These included

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    understanding the mechanisms and kinetics governing nano-

    material release, quantifying the range of potential exposures,

    developing an understanding of the extent to which data from

    non-nanosized materials can be extrapolated to the nanoscale,

    generating toxicokinetic data associated with various portals of

    entry to the body, and addressing worker health.

    Although the SCENIHR report was published nearly 6 yearsago, it outlined issues associated with synergistic interaction

    between the chemical composition and physical form of

    nanoscale materials and their biological interactions that

    continue to be relevant. Although the state of the science has

    moved on since the reports publication, the key themes that

    the committee laid out remain central to understanding and

    addressing the toxicology of nanoscale materials.

    These themes are reflected and expanded on in one of the

    more recent reviews of the field by Oberdorster (Oberdorster,

    2010). Although there is a growing literature on the toxicology

    of nanoscale materials and many reviews of the potential risks

    presented by such materials (Aitken et al., 2009; Balbus et al.,2007; Donaldson and Poland, 2009; Maynard, 2006, 2007a,

    2007b; Maynard and Kuempel, 2005; Maynard et al., 2006;

    Nel et al., 2006; Oberdorster et al., 2005), much of this is

    captured in Oberdorsters review.

    Oberdorster considers the toxicology of nanoparticles (as

    a special but biologically important case of nanomaterials) in

    terms of their physicochemical characteristics, their biokinetics,

    and their effects. Specifically, he focuses on nanoparticles that

    are likely to be biopersistent and therefore show prolonged

    behavior that is governed by their physicochemistry. Relatively

    transient nanoparticle such as nanoscale micelles and lip-

    osomes are not addressedwhereas the temporal physical

    form of these and similar soft materials may influence their

    toxicity, it remains unclear the extent to which their impact isdominated by chemistry or form.

    Comparing particles smaller than 100 nm in diameter to

    those > 500 nm in diameter, Oberdorster identifies 22 aspects

    that are potentially important to influencing size-related

    biological impact (Table 1). In doing so, he begins to develop

    a framework for a differential toxicology approach to nano-

    materials, where the toxicology of nanoscale materials is

    understood in the context of chemically similar but physically

    different materials. Importantly, this approach acknowledges

    the fuzzy transition between large and small particles that is not

    always governed by well-defined size boundaries and abrupt

    changes in behavior.Within this framework, Oberdorster highlights three areas

    which are significant in understanding nanomaterial toxicity

    compared with that of macroscale materials and/or constituent

    chemicals: dose, biokinetics, and the significance of physico-

    chemical properties. Although these are not the only issues of

    significance in addressing nanomaterials, they provide a useful

    framework for summarizing the current state of the science.

    TABLE 1

    Comparing the Characteristics, Biokinetics, and Effects of Inhaled Nanoparticles versus Larger Particles (Oberdorster, 2010)

    Nanoparticles (< 100 nm) Larger particles (> 500 nm)

    General characteristics

    Ratio: Particle number/mass or surface area/mass High Low

    Agglomeration/aggregation in air and/or liquids Likely (dependant on medium) Less likely

    Deposition in respiratory tract Diffusion dominates Sedimentation, impaction and interception dominate

    Protein/lipid adsorption in vitro Yes; important for biokinetics Less important

    Translocation to secondary target organs

    Clearance Yes Generally not

    Mucociliary Probably yes Efficient

    Alveolar macrophages Poor Efficient

    Epithelial cells Yes Mainly under overload

    Lymphatic circulation Yes Under overload

    Blood circulation Yes Under overload

    Sensory neurons (uptake and transport) Yes No

    Protein/lipid adsorption in vivo Yes SomeCell entry/uptake Yes (caveolae, clathrin, l ipid rafts, diffusion) Primarily phagocytic cells

    Mitochondria Yes No

    Nucleus Yes (< 40 nm) No

    Direct effects (chemistry and dose dependent)

    At secondary target organs Yes No

    At portal of entry (respiratory tract) Yes Yes

    Inflammation Yes Yes

    Oxidative stress Yes Yes

    Activation of signaling pathways Yes Yes

    Primary genotoxicity Some No

    Carcinogenicity Yes Yes

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    Dose

    Over the past 20 years, questions surrounding dose,

    including how it is characterized and quantified, have been

    central to addressing the toxicity of nanomaterials. As was

    highlighted earlier, evidence has emerged that, for some

    materials, the use of mass concentration alone as a dose metric

    can obscure associations between the material and biological

    behavior. If response is mediated by particle number

    concentration, the disparity between what is measured and

    what leads to an affect is potentially large if mass is the dose

    metric used as the number of particles in a given mass of

    material increases inversely with diameter cubed. For example,

    1 m g of 10 lm diameter spherical carbonaceous particles

    would consist of approximately 1012 particles; the same mass

    of 10-nm diameter particles would consist of approximately

    1021 particles. A smaller but still potentially significant disparity

    exists if mass is used as a dose metric where surface area

    mediates response. For a given mass of material, surface area

    varies inversely with particle diameter (assuming sphericalparticles). So whereas 1 mg of 10-lm diameter spherical

    carbonaceous particles has a surface area of approximately 270

    m2, the same mass of 10-nm diameter particles has a surface area

    of 270,000 m2. As a result, although Paracelsus observation that

    the dose makes the poison still holds in contemporary

    toxicology, there is considerable uncertainty over what is meant

    by dose when it comes to nanomaterials.

    A number of studies have suggested that particle surface area

    is a relevant metric for small, insoluble inhaled particles

    (Maynard and Kuempel, 2005; Oberdorster, 2000). Yet it is by

    no means clear whether this is a general rule for a wide range of

    materials and exposure routes. Even with well-studiedmaterials such as TiO2, there is research, suggesting that

    surface area alone may not provide a good indicator of

    response (Warheit et al., 2006). It is also possible that

    conventional metrics of mass concentration and chemical

    composition may be used as surrogate measures of dose, even

    when effects are not driven by the measured quantity per se

    (Maynard and Aitken, 2007). For instance, in a highly

    monodisperse suspension of nanoparticles, dose characterized

    by mass, surface area, or particle number are highly correlated

    and probably interchangeable.

    In addressing how dose is most appropriately characterized,

    there remains limited understanding of the underlying

    mechanisms of interaction and impact. For instance, where

    surface area correlates well with response, there is uncertainty

    whether (in specific cases) this is governed by dissolution,

    surface reactivity, or other mechanisms. A greater understand-

    ing is needed of these mechanisms before empirical findings on

    dose-response for engineered nanomaterials can be placed on

    a more systematic and mechanistic footing. This will become

    increasingly important as more sophisticated materials are

    engineered with complex and multifunctional components at

    the material-biological interface.

    An issue related to dose metrics raised by Oberdorster is that

    of dosimetry. Oberdorster argues that an increasingly sophis-

    ticated understanding of dosimetry is neededone that not

    only recognizes different mediators of response but also one

    that is related to real-world exposures and is responsive to

    localized dose within the body. There have been a number of

    instances where in vitro studies have been publisheddemonstrating a response to nanoparticles, but at doses that

    far exceed those reproducible in vivo (Oberdorster,

    2010)resulting in headline-catching data that is difficult to

    interpret and near-impossible to apply to human exposures.

    Similarly, there have been in vivo studies that elicit responses at

    extremely high doses but are again difficult to relate to real-

    world conditions precisely because of this. As Oberdorster

    notes, these studies are valuable in exploring proofs of

    principle but are limited in terms of their ability to develop

    a clear and predictive understanding of nanomaterial toxicity.

    This becomes all the more difficult if the dose metric of

    relevance is not the one that is measured, leading to the

    possibility of unintended high dosing in studies.Questions surrounding dosimetry also relate to localized and

    temporal dose. If nonlinear associations exist between dose and

    response, significant spatial and time variations in dose within

    an animal model or cell culture have the potential to confound

    studies. For example, the administration of an aerosol as a high

    concentration bolus in inhalation studies has the potential to

    influence response and lead to data misinterpretation. Ober-

    dorster cites a study where a total dose of 7.5 mg of nanoscale

    TiO2 was instilled intranasally in mice and resulted in

    significant oxidative stress and inflammation in the brain

    (Wang et al., 2008). The study was subsequently highlighted in

    the media, where it was misrepresented as an inhalation studyshowing that nanoparticles can damage brain cells (Benningh-

    off and Hessler, 2008). As Oberdorster points out, the dose in

    this case was the equivalent of intranasally instilling ~17.5 g of

    the material into a human subject.

    In addition, localized dose hot spots often drive response

    following aerosol inhalation. Particles preferentially deposit at

    bifurcations in the airwayslarge particles through inertial

    deposition and small particles through diffusion within the

    stagnation zone that develops at bifurcations. These localized

    doseswhich can be a hundredfold higher than the mean dose

    for larger particlesare frequently used to justify high dose

    in vitro assays. Yet the local dose enhancement for nano-

    particles is somewhat differentranging from around a 5-fold

    to a 60-fold increase in dose (Balashazy et al., 2003).

    Misrepresenting these dose hot spots as they relate to

    particle size has the potential to confound the extension of

    in vitro studies to in vivo exposures.

    The question of dose also becomes important when

    comparing studies and when developing predictive models of

    nanoparticle toxicity. This is particularly significant when

    comparing in vitro and in vivo studies, where physicochemical

    parameters make simple comparisons difficult. Rushton et al.

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    (2010) have proposed a novel approach where studies are

    compared using the steepest part of the dose-response curve.

    Using this approach, Rushton et al. have reported good

    predictive power between in vitro cell-free studies and in vivo

    studies looking at inflammatory response. Building on this

    work, the authors have looked at using the maximum rate of

    response as a function of dose (the steepest part of the dose-response curve) as an approach to categorize nanomaterial

    hazard based on reactivity per unit surface area (Rushton et al.,

    2010).

    As a final reflection dose, there is increasing evidence that

    particulate dose may need to be rethought in in vitro studies as

    well as in vivo studies. Teeguarden et al. (2007) have identified

    discrepancies between the amount of a material introduced to

    in vitro cell culturesnominally considered to be the

    doseand the amount of material cells are able to interact

    with. As particles form a dynamic concentration gradient

    within the suspension medium, there are indications that over

    short time periods actual doses of material experienced by cells

    may be orders of magnitude lower than assumed, suggesting

    that further work is needed in characterizing particle doses

    in vitro.

    Physicochemical Properties

    The biological nature of nanoscale materials is intimately

    associated with their physical form and chemical composition,

    leading to toxicologic responses that are associated with a wide

    range of physicochemical parameters and that are affected by

    dynamic changes in materials. Understanding the association

    between physicochemical properties, biological interactions,and hazard is a significant challenge as it requires new

    approaches to think about how physical formwhich may

    vary with time and between batches of materialcan modulate

    biological response beyond what is anticipated from chemical

    composition alone. In 2005, Oberdorster et al. proposed 17

    physicochemical material characteristics that potentially affect

    nanomaterial toxicity and which ideally need to be character-

    ized in studies (Oberdorster et al., 2005). Recognizing the

    dynamic nature of these materials, characterization in situ was

    recommended where possible, as well as characterization of the

    as-supplied material and the as-administered material. This list

    of parameters formed the basis of a reduced list developed at

    a workshop held in Washington, DC, in 2008, and made public

    through the Minimum Information for Nanomaterial Charac-

    terization (MINChar) Initiative (2008). Similar lists have been

    proposed in the literature (Card and Magnuson, 2009; Warheit,

    2008).

    Particle aggregation and agglomeration present particular

    challenges in toxicology studies. The process of particles

    joining together to form weak bonds (agglomeration) or strong

    bonds (aggregation) changes profoundly the size, dynamics,

    and properties of the resultant clusters. In air, changes in

    particle size through agglomeration influence transport, de-

    position, whether the material can be inhaled, where it deposits

    within the respiratory tract, whether it can translocate from the

    lungs to other parts of the body, and how it is cleared from the

    body. Likewise, agglomeration and aggregation in liquids

    affects how a material is transported, where it goes, and how it

    interacts with its environment. Agglomeration/aggregation (oreven de-agglomeration) between material release, exposure,

    and transport within the body (or preparation, administration,

    and transport in toxicology studies) may lead to significant

    changes in hazard potential. For instance, where transport

    between organs, across cell barriers, and along neuronal

    pathways is mediated by particle size, an understanding of

    agglomeration/aggregation state is essential to understanding

    potential impact (Oberdorster, 2010). The rate at which

    particles will aggregate or agglomerate is dependent on

    concentration and sizethe smaller the particles and the

    higher the concentration, the greater the aggregation/agglom-

    eration rate (Hinds, 1999).

    Internal particle structure has also been shown to influencetoxicity. Jiang et al. (2008) and Sayes et al. (2006) have shown

    for instance that the crystal structure of TiO2 nanoparticles can

    have a significant impact on particle toxicity. In both studies,

    anatase TiO2 was found to be more potent than the rutile form

    of the material. Mixtures of anatase and rutile TiO2 had an

    intermediate potency. Using a cell-free assay designed to probe

    a materials capacity to generate reactive oxygen species

    (ROS), Jiang et al. also indicated a significant dependence

    between particle size and capacity to generate ROS, with

    a clear transition in behavior with anatase nanoparticles

    between ~10 and 40 nm. What was particularly interesting in

    this study was that the smallest particles demonstrated a reducedcapacity to generate ROS. However, as the surface structure of

    materials can change markedly at very small sizes (Jefferson,

    2000), it is unclear whether this transition was size mediated or

    surface chemistry mediated. The authors speculated that the

    findings might be associated with the density of defects on the

    surface of the particles, suggesting another physicochemical

    parameter of potential interest in understanding the toxicity of

    nanomaterials.

    As well as particle size, particle shape has also been

    indicated as a key parameter in determining biological impact.

    In particular, the fiber-like morphology of some carbon

    nanotubes has prompted concerns over possible asbestos-like

    behavior following inhalation, including the potential de-

    velopment of mesothelioma (Coles, 1992; Maynard et al.,

    2006; RS/RAE, 2004). Takagi et al. induced mesothelioma and

    reduced mortality in p53/ mice through ip injection of

    multiwalled carbon nanotubes (Takagi et al., 2008), although

    this study was subsequently criticized for the use of extremely

    high doses and poor material characterization (Ichihara et al.,

    2008). To confirm the possibility of mesothelioma resulting

    from exposure to carbon nanotubes, Poland et al. exposed the

    mesothelial lining of the peritoneal cavity of mice to long

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    multiwalled carbon nanotubes via ip injection and concluded

    that the early pathological effects were characteristic of

    asbestos-like events in producing inflammation (Poland et al.,

    2008). Subsequently, Ryman-Rasmussen et al. (2009) sub-

    jected mice to a single inhalation exposure of multiwalled

    carbon nanotubes and reported that, at a subsequent post-

    exposure period, the nanotubes translocated from airspace tosites outside the respiratory tract and embedded in the

    subpleural wall and within subpleural macrophages. This

    finding served to provide an indirect confirmation of the

    possibility of inhaled multiwalled carbon nanotubes producing

    effects both inside and outside the respiratory tractsimilar to

    asbestos fibers. It is interesting to note, however, that two 90-

    day inhalation studies with multiwall carbon nanotubes

    conducted in rats, reported by Ma-Hock et al. (2009) (Nanocyl

    multiwalled carbon nanotubes) and Pauluhn (2010) (Baytubes

    multiwalled carbon nanotubes), failed to find pathological

    effects outside the respiratory tract. Either there is a difference

    among species, the pleural effect is not particularly pronouncedor a greater focus needs to be implemented to investigate the

    potential and relevance of this pleural effect (Warheit, 2009).

    To add further complexity to the biological actions of

    nanotubes, Kagan et al. (2010a) recently reported that carbon

    nanotubes may be biodegraded via a neutrophil myeloperox-

    idase mechanism under conditions of inflammation, although it

    remains unclear how relevant the results of this in vitro study

    are to conditions in vivo.

    The question over carbon nanotube toxicity is dominated by

    the physicochemical nature of the material. Carbon nanotubes

    are not a homogeneous material category but rather represent

    an extremely wide array of material chemistries and morphol-

    ogies, determined by the number of concentric graphene walls

    constituting the nanotubes, their chirality, their diameter, their

    length, the density of surface defects, surface functionalization,

    the presence of trace elements and other contaminants,

    nanotube straightness, the degree of nanotube entanglement,

    and so on. Poland et al. demonstrated the potential of one

    subset of this materiallong, straight multiwalled carbon

    nanotubesto show fiber-like behavior in a biological envi-

    ronment (Donaldson et al., 2010). However, many forms of the

    material are too short, too long, or too tangled to demonstrate

    similar behavior. Nevertheless, these non-fiberlike forms of

    carbon nanotubes may present their own distinct hazards

    (Shvedova et al., 2003, 2008). Given evidence that themorphology of carbon nanotube material released into the air

    during handling can vary markedly from batch to batch, the

    challenges of relating relevant characteristics to hazard are

    complex (Maynard et al., 2007). This is a material that cannot

    be adequately characterized by chemistry alone, or as a simple

    fiber, in determining its potential toxicity. Rather, it epitomizes

    the need for a detailed and sophisticated understanding of

    nanomaterial physicochemical characteristic in understanding

    potential hazard.

    Biokinetics

    Unlike free or loosely bound molecules, the transport,

    accumulation, transformation, and clearance of nanomaterials

    in the body is intimately associated with physical form as well

    as chemical composition. Understanding the biokinetics of

    nanomaterials provides information on internal doses to

    secondary organs and is essential to designing and interpreting

    in vitro studies. Oberdorster cites the well-documented

    tendency of nanoparticles to translocate from primary de-

    position sites to secondary organs (Oberdorster, 2010) but

    cautions that uninformed interpretation of these data can lead to

    misunderstanding of potential risk. Inhalation studies using 15

    and 80 nm iridium nanoparticles have demonstrated the

    translocation of inhaled particles to extrapulmonary organs.

    However, translocation rates were the order of~12%, with the

    rate decreasing rapidly at larger particle sizes (Kreyling et al.,

    2002, 2009). Nevertheless, there is mounting evidence that

    changes in physical and chemical nature at the nanoscale can

    have a significant impact on biodistribution. For example,Semmler-Behnke et al. (2008) have demonstrated a marked

    difference in biodistribution of 1.4-nm diameter Au55 clusters

    and 18-nm diameter gold particles administered to rats via

    injection and intratracheal instillation; 24 h following iv

    injection, 18-nm diameter gold particles were cleared from

    the blood and predominantly accumulated in the liver and

    spleen; 0.5% of the injected dose was excreted via that

    hepatobiliary system, but renal excretion was extremely low. In

    comparison, the 1.4-nm diameter gold clusters were excreted

    by the kidneys as well as by the hepatobiliary system.

    Of particular concern in recent years has been the nature of

    interactions between nanoparticles and the central nervoussystem (Yang et al., 2010). There is evidence that inhaled

    nanoparticles can translocate to the central nervous system via

    olfactory neurons following nasal deposition (Oberdorster

    et al., 2004) and induce significant inflammation-related effects

    (Elder et al., 2006). This appears to be a particle size and

    chemistry transport route that is unique to nanometer-scale

    particles and raises the possibility of previously unidentified

    organ-specific doses and responses. Although data remain

    inconclusive, Oberdorster hypothesizes that differential protein

    adsorption on nanoparticles will affect their uptake and

    transport within the central nervous system (Oberdorster,

    2010). Preliminary data generated using Apolipoprotein E

    coated gold nanoparticles are consistent with increased nano-

    particle translocation to the central nervous system in rats

    following iv administration. However, in this study, less than

    0.01% of injected particles were translocated, leaving the

    authors to conclude that further confirmatory studies are

    needed (Oberdorster, 2010).

    Nanoparticle translocation to the central nervous system is

    indicative of research on a number of fronts looking at

    nanoparticle movement across tight barriers. For a number for

    years, there has been concern over the ability of blood-borne

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    nanoparticles to cross the placental barrier (Saunders, 2009).

    Recently, Bhabra et al. (2009) have indicated using an

    in vitro model that blood-borne nanoparticles may be able to

    exert an influence across the placental barrier without

    physically crossing it. Using an in vitro system designed to

    investigate cellular barriers, Bhaba et al. showed that high

    concentrations of Cobalt-Chromium alloy nanoparticles on oneside of a tightly meshed layer of cells can cause measurable

    DNA damage to cells on the other side. However, it remains

    uncertain how relevant these data are to in vivo exposures.

    The skin represents another tight barrier that has received

    a high level of attention in recent years, as concerns over the

    ingress of mineral nanoparticle such as TiO2 and ZnO from

    sunscreens and cosmetics into the body have been raised. Early

    research suggested that the potential exists for sub-micrometer

    diameter particles to penetrate across the dermal barrier under

    some circumstances, depending on their size and chemistry

    (Ryman-Rasmussen et al., 2006; Tinkle et al., 2003). However,

    the majority of studies to date suggest that under mostconditions healthy skin is an effective barrier to nanometer-

    scale particles entering the body and causing adverse effects

    (Choksi et al., 2010; Newman et al., 2009; Nohynek et al.,

    2008, 2010; Osmond and McCall, 2010; Stern and McNeil,

    2008). However, there remain some uncertainties surrounding

    the tightness of the skin as a barrier against nanoparticles under

    varying conditions, and the impacts and clearance of particles

    that may cross the barrier. Recently, Gulson et al. (2010)

    exposed human volunteers to sunscreens formulated with ZnO

    particles tagged with the stable isotope 68Zn. Traces of 68Zn

    were found in blood and urine samples of volunteers exposed

    to nanometer-scale and non-nanoscale particles, providingevidence of Zn transport into the body. However 68Zn levels

    were orders of magnitude below normal blood-borne Zn

    concentrations. It also remains uncertain whether these findings

    were associated with particle translocation, or particle disso-

    lution and subsequent ion transport.

    As has been alluded to, a possible confounding factor in

    understanding the biokinetics of nanoparticles is their differ-

    ential interactions with proteins within biological environ-

    ments. Nanoparticles within a biological environment rapidly

    acquire a coating or corona of protein molecules and there is

    increasing evidence that this dynamic coating mediates the

    transport of, and first order interactions with, nanoparticleswithin the body (Cedervall et al., 2007a, 2007b; Ehrenberg

    et al., 2009). Furthermore, there is evidence that the corona

    and thus particle biokinetics is influenced by particle size and

    chemistry (Lundqvist et al., 2008). This relatively new area of

    research suggests that interactions between nanoparticles and

    biological systems may be more complex and dynamic than

    previously thought, requiring a more holistic understanding of

    how biokinetics are influenced by particle physicochemistry

    and their local environments over time.

    EMERGING CHALLENGES

    Although we have touched on just some of the more

    prominent developments in the science of nanoscale materials

    toxicology, it is clear that as understanding of how these

    materials interact with biological systems increases, new

    questions are being raised as to how to understand and quantify

    the toxicity of increasingly sophisticated materials in the context

    of identifying, assessing, and managing risks. It is also be-

    coming clear that, although new questions are being prompted

    by the development and commercial use of engineered nano-

    materials, the challenges being faced by toxicology are not

    solely confined to materials or particles with physical structure

    in the range of 1100 nm. Rather, the emergence of new

    nanomaterials is highlighting the importance of material

    physicochemistry in mediating biological interactions that result

    in toxicity. Research to date suggests that synergism between

    particle chemistry and physical form becomes increasingly

    important as the features and dimensions of materials entering

    the body become increasingly small. But beyond this, there arefew indicators of generalized sharp size-specific transitions in

    behavior. Aufann et al. (2009). have attempted to define

    a particle size region where size-specific biological behavior

    unique to nanoparticles might occur. Reviewing the literature,

    they concluded that particles smaller than ~30 nm in diameter

    are more likely to demonstrate dramatic changes in behavior

    with size. However, particle sizes at which abrupt changes in

    behavior occur are clearly material dependentas was shown

    by Semmler-Behnke et al. in contrasting the biokinetics of 1.4

    and 18 nm diameter gold nanoparticles (Semmler-Behnke et al.,

    2008). And there is little reason not to suppose that some

    materials may exhibit abrupt changes in behavior above 100 nm.Concerns over the possible novel toxicity of nanomaterials

    are frequently driven by abrupt size-specific changes in

    functionality that are governed by size-constrained electron

    behavioroften referred to as quantum effects. Yet very

    few studies have shown a clear association between nanoscale

    phenomena such as quantum confinement or surface plasmon

    resonances and toxicity. Instead, studies have tended to

    highlight the importance of decreasing particle size and

    increasing specific surface area for specific particle chemistries

    in altering biological behavior. In many cases, these are

    scalable effectssmall particles show greater or less tendency

    to behave in a certain way compared with large particles, but

    their behavior is predictable from larger particles. This is the

    case for most studies correlating toxicity with surface area. In

    other cases, nonscalable effects are seen, such as with size-

    specific translocation. Yet even here, it is unclear whether the

    unusual biological behavior observed is related to the

    functionality these materials are designed to exhibit or simply

    a function of small size.

    Yet the field of toxicology is undoubtedly facing a new and

    growing challenge: How to understand and address the hazard

    of intentionally engineered materials where physical form and

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    chemical composition interact synergistically to determine

    biological behavior. As collaborations across diverse fields of

    research lead to increasingly sophisticated new materials

    many of which will be engineered with nanoscale features

    this challenge will only grow in magnitude. Up to now,

    research has been driven by small particles of conventional

    materials such as TiO2, ZnO, and Ag and the occasional newmaterial such as carbon nanotubes. But as the science and

    technology of new materials becomes increasingly sophisti-

    cated, toxicologists will be faced with complex multicompo-

    nent materials, hybrid materials that blur the boundaries of

    biological and nonbiological components and active materials

    that are designed to change behavior according to their

    environment or a received set of signals (Subramanian et al.,

    2010). These new sophisticated materials will require a new

    toxicology that recognizes the significance of physicochemistry

    and dynamic (and possibly remote activated) behavior, that is

    cognizant of but not constrained by the importance of the

    nanoscale, and that is focused on the potential biological

    impacts of the materials rather than their commercially relevant

    functionality.

    Within this context, we highlight three emerging challenges

    to addressing the toxicology of sophisticated materials:

    identifying materials that have the potential to exhibit novel

    and significant toxicity, characterizing materials appropriately,

    and biointeractions.

    Identifying Relevant Materials

    Effective problem formulation is a cornerstone of contem-

    porary risk assessment and, by association, toxicology

    (National Academy of Science, 2008). Nevertheless, formulat-ing the environmental health and safety impact problems

    posed by sophisticated materials is not trivial. A key question is

    how to delineate between the materials and products that are of

    concern and those that are not. In regard to engineered

    nanomaterials, the conventional approach has been to use

    established definitions of nanotechnology and engineered

    nanomaterials. These debates typically focus on material

    functionality within a narrow size range and are designed

    primarily to stimulate research and innovation leading to

    economically and socially beneficial new products (NSET,

    2010). However, these simple function-oriented definitions do

    not always lend themselves to supporting well-defined problem

    statements that frame relevant toxicology research on engi-

    neered nanomaterials. For example, they do not allow easy

    differentiation between functionally unique materials and

    products that do not present new toxicology challenges and

    functionally mundane materials and products that do present

    new hazards. An example of the former might be cadmium

    selenide-based quantum dots, where functionality is associated

    with size-dependent quantum confinement, but hazard is more

    likely associated with the composition of the quantum dots.

    And an example of the latter might be the use of nanoscale

    particles in a product simply on the grounds of convenience or

    economy, but where particle size leads to new exposures, doses,

    and hazards. This disconnect between definitions driving

    research and innovation and hazard-based problem formulation

    is likely to become increasingly important in the face of

    increasingly sophisticated materials.

    An alternative approach to addressing potential hazardspresented by sophisticated materials is to use principles that

    guide scientifically grounded problem formulation. Three

    principles that go some way to support science-based and

    socially relevant problem formulation address emergent risk,

    plausibility, and impact.

    Emergent Risk

    The idea of emergent risk reflects the likelihood of a new

    material causing harm in a manner that is not apparent,

    assessable, or manageable based on current approaches to risk

    assessment and management. Examples of emergent risk

    include the ability of small particles to penetrate to normallyinaccessible places, the inapplicability of established toxicol-

    ogy assays to some materials, scalable behavior that is not

    addressed by conventional approaches to assessing hazard, and

    the possibility of abrupt scale-dependent changes in material

    interactions within biological systems. This understanding of

    emergence is dependent on the potential of a material to

    cause harm in unanticipated or poorly understood ways, rather

    than its physical structure or properties per se. As such, it is not

    bound by rigid definitions such as those used to define

    nanotechnology or nanomaterials. Rather, it enables sophisti-

    cated materials that potentially present emergent and un-

    anticipated risks to human health and the environment to bedistinguished from those that probably do not.

    Many of the engineered nanomaterials that have raised

    concerns in recent years have shown potential to lead to

    emergent risks and thus would be classified as requiring further

    investigation under this principle. But the principle also

    embraces more complex nanomaterials that are either in the

    early stages of development, or have yet to be developed,

    including active nanomaterials and self-assembling materials.

    Plausibility

    Plausibility capturesin qualitative termsthe science-

    informed likelihood of a new material or product presentinga risk to humans. It is based on the possible hazard of a material

    and potential for exposure or release to occur. But it also

    addresses the likelihood of a technology being developed and

    commercialized, and it leading to emergent risks. For example,

    the gray goo of self-replicating nanobots envisaged by some

    (Joy, 2000) might legitimately be considered an emergent risk

    but is clearly not a plausible risk. In this way, plausibility acts

    as a crude but effective filter to distinguish between speculative

    riskswhich are legionand credible riskswhich are not.

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    Impact

    Impact is an indicator of the extent to which a poorly

    managed sophisticated material might cause harm or the

    possible reduction in harm resulting from new research into

    identifying, assessing, and managing emergent risks. It helps

    provide a qualitative reality check to guard against extensive

    research efforts that are unlikely to have a significant impact onprotecting human health, while ensuring that research having

    the potential to make a significant difference is identified and

    supported.

    Together, these three principles provide a basis for de-

    veloping informed and relevant approaches to problem

    formulation when faced with evaluating the hazards associated

    with emerging sophisticated materials. They are tools that allow

    new materials which raise safety concerns to be differentiated

    from those that, while they may be novel from an applications

    perspective, do not present undetected, unanticipated, or

    enhanced risks. The principles are technology independent

    and therefore can be used to guide research independently of thesophistication of the materials being produced or shifts in

    terminology and emphasis underlying technology innovation.

    Applying the principles to increasingly sophisticated materi-

    als that are being envisaged, a number of groups of materials

    begin to emerge that may require further study:

    Materials demonstrating abrupt scale-specific changes in

    biological or environmental behavior. Materials that undergo

    rapid size-dependent changes in physical and chemical

    properties, which in turn affect biological behavior, may present

    a hazard that is not predictable from larger scale materials of the

    same composition. In this case, size and form at the nanoscale

    may increase or decrease hazard in a way that is currently notwell understood.

    Materials capable of penetrating to normally inaccessible

    places. Materials that, by their size, shape, and/or surface

    chemistry, are able to persist in or penetrate to places in the body

    that are not anticipated based on current understanding may

    present emergent risks. Where there is a credible possibility of

    accumulation of, exposure to, or organ/system-specific dose

    associated with a material that is not expected from how the

    dissolved material or larger particles of the material behave,

    a plausible and emergent risk is possible.

    Active materials. Materials that undergo a change in their

    biological behavior in response to their local environment or

    a received signal (Subramanian et al., 2010), potentially

    present dynamic risks that are currently not well understood.

    Self-assembling materials. Materials designed to assemble

    into new structures in the body once released raise issues that

    may not be captured well within current approaches to hazard

    assessment.

    Materials exhibiting scalable hazard that is not captured by

    conventional hazard assessments. Where hazard scales

    according to parameters other than those normally associated

    with an assessment, emergent risks may arise as dose-response

    relationships are inappropriately quantified. For instance, if the

    hazard presented by an inhaled material scales with the surface

    area of the material and the dose-response relationship is

    evaluated in terms of mass concentration, the hazard will remain

    ill quantified.In each of these examples (they are not exclusive), new

    research is needed if emergent and plausible risks associated

    with new sophisticated materials are to be identified,

    characterized, assessed, and managed.

    Physicochemical Characterization

    Relevant physicochemical characterization is essential to

    interpreting data from toxicity studies on sophisticated materials

    if generated data are to be useful. The early research by

    Oberdorsteret al. on inhalation exposure to TiO2 particles using

    rats showed that chemistry alone could not explain differencesin dose-response relationships for two distinct sizes of particles

    with the same composition (Oberdorster, 2000); it was only

    when the physical structure of the two materials was included in

    the assessment that the data were reconcilableand a single

    dose response relationship relative to material surface area

    emerged. But relevant physicochemical characterization is also

    necessary if different studies are to be reproduced and

    compared. Without it, vital information is lacking that can

    prevent a robust picture of material toxicity from emerging. In

    the case of the Oberdorster study, material surface area was

    measured, but not discrete particle size or aggregation state. As

    a result, it was initially difficult to evaluate or validate whetherthe effects observed were simply because of an elevated material

    surface area or were associated with the presence of discrete

    nanometer-scale particles. A clearer case of data confounding

    through a lack of physicochemical characterization can be

    found in studies on carbon nanotubes. Despite the enormous

    variation in physical and chemical properties among carbon

    nanotubes from different sources (or even the same source at

    different times), early toxicology studies were remarkably

    vague on the precise nature of the materials being studied,

    leading to irreproducible, conflicting, and ultimately uninter-

    pretable data (Lam et al., 2006).

    The relevance of physicochemical characterization in un-

    derstanding and assessing material toxicity has received

    considerable attention in recent years. A workshop in 2004,

    organized by the National Institute of Environmental Health

    Sciences and the University of Florida placed a strong emphasis

    on the need for highly detailed materials characterization for

    instance (Moudgil, 2004). These recommendationsdriven in

    part by materials scientistswere considered at the time to be

    beyond the scope of many toxicologists. In 2005, an influential

    review led by Oberdorster proposed a reducedbut still

    extensiveset of physicochemical parameters that should be

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    included in nanomaterial toxicology studies (Oberdorsteret al.,

    2005). The recommendations listed 17 parameters as either

    essential or desirable in studies. Importantly, they also

    considered characterization at three distinct points, recognizing

    the dynamic nature of physicochemical characteristics: in the

    bulk material, as-prepared for administration, and in situ. Of

    these, the importance of characterizing materials in situ wasstressed as materials are capable of undergoing significant

    alterations in properties once they are introduced to a biological

    environment. However, it was also recognized that few

    technologies currently exist that enable detailed materials

    characterization within in vitro and in vivo test systems.

    Although the Oberdorster recommendations were less chal-

    lenging than those from Florida, they were still seen as presenting

    near-insurmountable barriers to toxicologists. As a result,

    discussions within the community continued to focus on

    a minimum characterization set that would be both feasible and

    readily adoptable. A 2008 workshop was held at the Woodrow

    Wilson International Center for Scholars in Washington, DC, was

    influential in mapping out such a minimum characterization set(Table 2) (MINChar Initiative, 2008). The list was one of the first

    pragmatic sets of physicochemical characterization requirements

    and reflects similar thinking published elsewhere (Boverhof and

    David, 2010; Card and Magnuson, 2009; Warheit, 2008).

    As a result of these and other efforts, there is movement

    toward expecting and including detailed physicochemical

    characterization data in nanomaterial toxicology studies. This

    is becoming increasingly important as methodologies are

    developed to develop predictive models for engineered nano-

    materials andby extensionsophisticated materials in gen-

    eral. In 2006, Maynard et al. challenged the scientific

    community to work towards predictive models for nano-material impact (Maynard et al., 2006). Four years later,

    a number of initiatives are beginning to work toward this goal

    (Alvarez et al., 2009; Meng et al., 2009). These approaches

    depend on associating key material properties with mecha-

    nisms of biological interaction and ultimately effects. To be

    successful, they will depend on detailed physicochemical

    characterization of the materials under test.

    However, knowing what needs to be measured is only part of

    the challenge, it is complemented by the need for tools to make

    appropriate measurements. Here, progress is still lacking, with

    even the minimum characterization requirements proposed by

    initiatives like MINChar challenging toxicologists. Three

    challenges in particular face the toxicology community as

    increasingly sophisticated materials are developed: presenting

    samples to test systems that are well-characterized, evaluating

    key physicochemical properties in situ, and developing

    analytical techniques that can provide useful information into

    tools that are accessible to the toxicology community. Each

    comes with its own challenges and it is likely to be many years

    before substantial progress is made. Yet evaluating and

    quantifying the toxicology of sophisticated materials will

    depend on new tools and methodologies in each of these areas.

    One final significant challenge exists here: developing an

    understanding of the tolerance within which physicochemical

    characteristics show similar or markedly different biological

    behavior (National Academies, 2009). Most sophisticated

    materials will be manufactured within a certain range ofphysicochemical properties, ensuring functionality is achieved

    without resulting in over-costly production processes. As a

    result, materials will demonstrate variation in particle size,

    shape, surface properties, and other characteristics, both

    between batches and within samples. Understanding the

    association between variations in physicochemical character-

    istics and toxicity will be essential in developing the tools and

    methodologies to quantify and address risks presented by

    sophisticated materials. Central to this are three questions: (1)

    How precisely do physicochemical characteristics need to be

    measured? (2) What constitutes a significant change in

    characteristics such as particle size, shape, or compositionwhen evaluating toxicity? and (3) How should the hazard

    associated with a material representing a distribution of

    physicochemical characteristic be evaluated? So far, ve