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Principles and Procedures to Assess Nanomaterial Toxicity  209

        stress [17, 18]. More recently, PM exposure has also been linked to sys-
        temic inflammatory effects in the cardiovascular system; this could be
        due to either the ability of ambient PM to induce pulmonary inflam-
        mation or the ability of the ultrafine particles (aerodynamic diameter
        <100 nm) to gain access to the systemic circulation. Cellular studies have
        generally supported the role of oxidative stress, pro-inflammatory
        cytokines, and programmed cell death as relevant mechanisms of PM
        injury [19, 20]. Ambient ultrafine particles have a higher pro-oxidative
        potential than ambient particles of larger size [19].
          In contrast to the heterogeneous characteristics of ambient PM, man-
        ufactured NM are more homogeneous in shape, size, and form. In spite
        of these differences, research into ambient PM has helped to establish
        a number of principles that can be used to study NM toxicity. These
        include recognition that small particle size, large surface area, chemi-
        cal composition, and ability to catalyze ROS production are important
        properties that determine PM-induced oxidant injury and inflammation
        [6,7]. Additional NM properties may contribute to ROS generation and
        oxidant injury and will be discussed throughout this chapter.
          Oxidative stress refers to a state in which cellular GSH is depleted
        while oxidized glutathione (GSSG) accumulates. Under normal cou-
        pling conditions, ROS are generated at low frequency, mostly in mito-
        chondria, and are easily neutralized by antioxidant defense mechanisms
        such as the glutathione (GSH)/glutathione disulfide (GSSG) redox
        couple. Ambient nanoparticles can elicit further ROS production in
        mitochondria, in addition to ROS generation by catalytic conversion
        pathways and NADPH oxidase activation [19, 21]. PM-induced ROS
        production is dependent on the particles themselves, as well as the
        redox cycling organic chemicals and transition metals that coat the par-
        ticle surface [19, 21]. In addition to intrinsic redox cycling capabilities,
        the metabolic transformation of these chemicals and their ability to
        elicit intracellular calcium flux, disrupt electron flow in the mitochon-
        drial inner membrane, perturb the permeability transition pore, and
        deplete cellular GSH content could contribute to cellular ROS genera-
        tion. While small amounts of ROS could be buffered by the antioxidant
        defense pathways in the cell, excess amounts of ROS could lead to a drop
        in the GSH/GSSG ratio. This elicits additional cellular responses.
          Only a limited number of manufactured NM have so far been shown
        to exert toxicity in tissue culture and animal experiments, and usually
        at high doses. A recent study shows that the biological response of BV2
        microglia to noncytotoxic concentrations of TiO induced a rapid
                                                        2
        (<5 minutes) and sustained (120 minutes) release of reactive oxygen
        species [22]. The kinetics of ROS production suggests that TiO stim-
                                                                   2
        ulates immediate oxidative burst activity in microglia and can also
        interfere in mitochondrial energy production. Carbon nanostructures
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