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Principles and Procedures to Assess Nanomaterial Toxicity  217

        enzyme to reduce a tetrazolium salt to water-soluble formazan, which
        can be measured by absorption at 492 nm [47]. The major advantage of
        these screening assays is the ease with which they can be performed and
        the ability to compare a large number of NM simultaneously.
          ROS generation in cells can be detected by fluorescent dyes such as
        dichlorofluorescein-diacetate (DCFH-DA) and MitoSOX™ Red [41].
        DCFH-DA is a nonpolar compound that readily diffuses into cells, where
        it is hydrolyzed to the nonfluorescent polar derivative, DCFH, which is
                                                                   .
        trapped in the cell. In the presence of a H O and hydroxyl (OH ) radi-
                                                 2
                                               2
        cals, DCFH is oxidatively modified into a highly fluorescent derivative,
        2,7-dichlorofluorescein (DCF). DCF fluorescence can be detected in cells
        by a flow cytometry procedure. MitoSOX Red is a novel fluorogenic indi-

        cator offering direct measurement of superoxide (O ) production in live
                                                       2
        cells. This cell-permeant dye is rapidly and selectively concentrated in

        mitochondria, where oxidation by O but not other oxygen or nitrogen
                                         2
        species leads to the formation of a fluorescent product that interacts with
        nucleic acids. MitoSOX Red fluorescence is also detectable by flow cytom-
        etry. Both flow cytometry procedures can be adapted to study the kinet-
        ics of ROS generation as well as dose response relationships.
          Whether a biological response follows cellular ROS production is
        dependent on the magnitude of the response, as well as the antioxidant
        buffering capacity [11]. If the antioxidant defense capability of the cell
        is overwhelmed, excess ROS production leads to cellular damage as
        well as GSH depletion. The GSH content of the cell is an important
        determinant of redox equilibrium and if perturbed could elicit further
        cellular responses. Cellular thiol levels can be assessed with a thiol-
        interactive fluorescent dye, monobromobimane (MBB), using a flow
        cytometry procedure [41]. Since GSH makes the biggest contribution
        towards the thiol content of the cell, this assay is helpful in predicting
        whether NM elicit oxidative stress.
          According to the hierarchical oxidative stress hypothesis, cells respond
        to even minimal levels of oxidative stress with a protective antioxidant
        response [31]. This pathway is dependent on transcriptional activation
        of phase II gene promoters by the transcription factor, Nrf2 [27]. Heme
        oxygenase 1 (HO-1) is a prime example of a phase II enzyme that medi-
        ates antioxidant, anti-inflammatory, and cytoprotective effects, and it
        is useful as a marker for particle-induced oxidative stress effects [28].
        HO-1 and phase II enzyme expression can be assessed by immuno-
        blotting, real-time PCR, or reporter gene assays that reflect the activa-
        tion of the antioxidant response element by Nrf2 [27, 28]. The value of
        these assays is the sensitivity of the phase II response to oxidative
        stress. It is possible to discern phase II enzyme expression at minimal
        levels of oxidative stress that are not necessarily related to oxidant
        injury. Not only is phase II enzyme expression indicative of the ability
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