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416   Potential Impacts of Nanomaterials

        and 2004b). However, these observations are not in accordance with
        other studies in which the cell response to dextran-starch–derivatized
        iron oxide particles showed no measurable lethality (Babincova et al.,
        2001; Lubbe et al., 1999).
          Recently, we have shown that DMSA-coated maghemite nanoparticles
        in vitro induced a moderate but significant decrease in the metabolic
        mitochondrial activity (MTT assay) on human fibroblast from concen-
                                6       3
        trations ranging from 10  to 10  g/L, whereas a slight increase was
                       1
        observed at 10  g/L. Almost all the surface Fe atoms were affected by
        the DMSA through chemical linkage, and the DMSA coating was stable
        in biological media (Auffan et al., 2006). Underivatized Fe O nanopar-
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        ticles induce a dramatic decrease in the metabolic activity and prolifer-
        ation of human cells (MSTO-211H) (Brunner et al., 2006). This strong
        difference seems to be related to the DMSAcoating. Interestingly, we evi-
        denced a lack of genotoxicity (no DNA strand break using the Comet
        assay) of DMSA-coated maghemite nanoparticles that could be associ-
        ated with the lack of evidence of nanoparticles in the cytoplasm or inside
        mitochondria and nucleus. Nevertheless, we could point out that
        NmDMSA damage occurs in very few cells at large DMSA-coated
        maghemite nanoparticles concentration (0,1 g/L). Although the absence
        of DNA break is not proof of the absence of carcinogenic effect, complete
        DMSAcoating should increase the biocompatibility of iron oxide nanopar-
        ticles. Experiments with partial surface coating of nanomaghemites
        should be led to confirm this protective effect.
          A combination of morphological, immunological, and genetic methods
        demonstrated that the synthesized supraparamagnetic iron oxide
        nanoparticles (magnetite) derivatized with transferrin encouraged an
        enhanced cell response as compared to underivatized particles. These
        influences included an increase in proliferation, altered cytoskeletal
        organization, cell signaling, and production of an extracellular matrix
        (Berry et al., 2004a and 2004b). Of interest was the lack of internaliza-
        tion of the transferrin-derivatized particles, despite attachment to the
        cell membrane. Whereas underivatized magnetite particles inhibit DNA
        replication, transferring-derivatized nanomagnetite induces cell prolif-
        eration. Accordingly, transferrin nanomagnetites induce an up-regulation
        in a wide variety of genes, including those involved in cytoskeleton,
        extracellular matrix, replication, and cell signaling, whereas underiva-
        tized nanoparticles down-regulated them (Berry et al., 2004a).
          The effects of magnetic particles using the ferumoxides (Feridex IV;
        Berlex Laboratories, Wayne, NJ)-PLL complex for magnetic cell labeling
        on the long-term viability, function, metabolism, and iron utilization were
        studied in mammalian cells. The major finding of this study is that the
        intracellular endosomal magnetic labeling of human mesenchymal stem
        cells and HeLa cells with ferumoxides combined with the appropriate
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