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212   Principles and Methods

        could act as biopersistent fibers. A fullerene could also be considered for
        the development as a carbon-based reference standard NM. No doubt
        as we undertake a more deliberate exploration of NM properties that
        lead to adverse biological events, we may be able to develop reference
        materials with predictive toxicity. The establishment of benchmark
        standards will rapidly expand our knowledge of NM toxicity.


        Overall Considerations in the Assessment
        of NM Toxicity

        A rational approach to NM toxicity begins with an assessment of the
        physico-chemical properties of the materials that allow them to interact
        with and possibly damage biological systems. Another set of tests
        involves in vitro cellular assays that reflect the response of a number
        of different cell types that may be targeted at the portal of entry or sys-
        temic sites after NM uptake and spread. Finally, any test strategy
        should include appropriate use of animal models, potentially the most
        difficult assay to consider. While some experts regard animal testing as
        obligatory, it is important to understand that this mode of experimen-
        tation is costly and time-consuming. In our opinion, animal testing
        should be done judiciously and possibly reserved for those materials
        that show a toxic potential in the in vitro studies. Moreover, where such
        testing is used, it is likely to be more informative if used in conjunction
        with a known mechanism of injury rather than a descriptive approach.
        This aspect will be discussed later.
          The decision about an appropriate test strategy for NM should con-
        sider cost and time. A sobering thought is that among the 80,000 chem-
        icals that are currently registered for commercial use in the US, only
        slightly more than 500 have undergone long-term and only 70 short-term
        testing by the National Toxicology Program (NTP). Moreover, the
        resource-intensive nature of these studies puts the cost of each bioas-
        say at $2–4 million, and tests generally take more than three years to
        complete. Thus, the test strategy must be pragmatic. While it may be
        optimal to conduct comprehensive in vitro and in vivo toxicological
        assessment in some instances, it is probably more practical to develop
        in vitro decision matrices that avoid unnecessary in vivo testing, such
        as when  in vitro testing fails to show any evidence of toxicity.
        Accordingly, the construction of a database that is premised on an
        in vitro predictive test result could help to determine under what cir-
        cumstances in vivo testing should be performed.
           Predictive assays should ideally be premised on a mechanism of
        injury that is directly related to in vivo toxicological or pathological out-
        comes [11]. Elucidation of NM properties that are responsible for ROS
        generation, with the possibility of generating oxidative stress responses
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