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Principles and Procedures to Assess Nanomaterial Toxicity  219

          Toxic oxidative stress can be studied by following changes in mito-
        chondrial function or structural integrity. We have demonstrated that
        the induction of oxidative stress by ambient UFP or manufactured NP
        induces the dissipation of the mitochondrial membrane potential (  m),
        large-scale opening of the PTP, and the release of pro-apoptotic factors
        [41]. A change in the   m can be followed by the use of the cationic dye,
              , which is highly concentrated in the negatively charged mito-
        DiOC 6
        chondrial matrix. Dissipation of the   m leads to a decrease in DiOC 6
        fluorescence that is also quantifiable by flow cytometry [41]. Apoptosis
        can be assessed by detecting annexin V and propidium iodide (PI) flu-
        orescence [36, 41]. Annexin V is a calcium-dependent phospholipid bind-
        ing protein with high affinity for phosphatidylserine (PS), a membrane
        phospholipid component normally localized in the inner layer of the cell
        membrane. During early apoptosis, PS translocates to the outer surface
        of the cell membrane where this phospholipid becomes accessible to
        annexin V binding. At a later stage of apoptosis, the loss of membrane
        integrity allows PI to be taken up in the nucleus where its presence can
        be followed by flow cytometry. More formal demonstration of mito-
        chondrial damage can be accomplished by ultrastructural studies and
        confocal microscopy, which are time-consuming and expensive methods
        that may be better used as a research tool.


        Use of Cellular Assays to Study Other
        Responses that Are Relevant to NM Toxicity,
        Including Cellular Uptake and Subcellular
        Localization
        A detailed investigation of NM toxicity should assess NM uptake and
        subcellular localization (Figure 6.1). The most common method to visu-
        alize NM uptake is transmission electron microscopy (TEM). This
        approach is relatively expensive and time-consuming. Fluorescent-
        labeled NM can help to determine cellular uptake and localization by
        using fluorescent or confocal microscopy. Using fluorescent dyes that
        localize in the cell membrane, mitochondria, endoplasmic reticulum,
        nucleus, Golgi apparatus, or endocytic vesicles can help to further refine
        the subcellular localization of the NM. It is important to demonstrate
        that labeling procedures do not alter the size, state of aggregation,
        charge, hydrophobicity, or other physico-chemical characteristics of the
        NM being tested.

        In vivo testing
        While in vitro techniques allow one to focus on specific biological and
        mechanistic pathways that can be studied under controlled conditions,
        the ultimate proof of NM toxicity necessitates the performance of
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