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     406   Potential Impacts of Nanomaterials
        suitable for use in cell culture because of this interference with via-
        bility and cytokine assays (Monteiro-Riviere and Inman, 2006). These
        studies with the neutral red (NR) assay, which is a widely utilized via-
        bility test in cell culture experiments, showed that carbon can adsorb
        viability marker dyes such as NR (3-amino-7-dimethylamino-2
        methylphenazine hydrochloride) from cell culture media, interfering
        with the absorption spectra causing false readings. Interference
        studies with the NR assay protocol using different CB sources (Fisher,
        Cabot, and Degussa varieties) in the absence of human epidermal
        keratinocytes demonstrated a false negative signal indicating the
        presence of viable cells. CB was found to adsorb NR dye and gener-
        ate a signal in the assay suggesting high cell viability when in fact
        cells were not even present. Similar studies were also shown for the
        MTT (3-[4,5-dimethyl-2-thiazol]-2,5-diphenyl-2H-tetrazolium bromide)
        viability assay. MTT is a colorimetric metabolic assay based on mito-
        chondrial dye conversion to assess viability. Tetrazolium salt is used to
        assess the activity of various dehydrogenase enzymes where the tetra-
        zolium ring is cleaved in active mitochondria, demonstrating the pres-
        ence of living cells. In the presence of CB, the tetrazolium dye desolved
        from the cells is adsorbed by the CB, thereby reducing the absorbance
        reading and giving a false positive signal for reduced viability and thus
        cytotoxicity.
          These studies have shown how carbon adsorbents may interfere with
        in vitro cytotoxicity assays. CB may also adsorb the constituents of the
        grow media as well as proteins and growth factors, thereby preventing
        the cells from receiving their proper nutrients and growth factors. CB
        may adsorb other soluble components that could alter pH and cell via-
        bility. Ultrafine CB may act as an adsorbent that could potentially bind
        compounds during the manufacturing process (Monteiro-Riviere and
        Inman, 2006). The type of CB used in a study and its characterization
        and composition is extremely important. Their rational use as particu-
        late controls in inhalational studies may not carry over into other organ
        or exposure systems.
          Table 11.1 lists a number of reports on carbon-based nanomaterials
        toxicity.
        Titanium Dioxides
        Titanium dioxide (TiO 2 ) particles larger than 100 nm are generally con-
        sidered to be biologically inert in both humans and animals (Bernard
        et al., 1990; Chen and Fayerweather, 1988; Hart and Hesterberg, 1998;
        Lindenschmidt et al., 1990; Ophus et al., 1979). Thus, they have been
        widely used as a food colorant (Lomer et al., 2002) and as a white pig-
        ment (Nordman et al., 1986) in sunscreens and in cosmetic creams
     	
