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composite  structure  essentially  consisting  of  mineral  nanoplates  cemented  together  by  a  protein  matrix [87].  The  exact  mechanism  of  their
  formation has yet to be elucidated but presumably is essentially an extracellular process. Bone is apparently constructed on similar principles,
  although it has a more sophisticated hierarchical structure.

  4.1.3. Cells

  This  section  considers  two  themes:  (1)  a  nano-object  small  enough  to  penetrate  inside  a  cell;  and  (2)  the  response  of  a  supported  cell  to
  nanostructured features of its substratum (support).

  Penetration of Nano-Objects into the Cell's Interior
  It has been a long-standing frustration of electrophysiologists that the electrodes typically used to probe electrical activity in the interior of the brain
  are gigantic in comparison with the size of neurons and dendrites, hence observations not only imply gross damage due to initial installation of the
  electrode, but also that signals are recorded simultaneously from dozens of neurons. The availability of carbon nanotubes, which can be excellent
  electrical conductors (Section 9.2), offers the possibility of creating an electrode considerably smaller than a single cell. This has the potential to
  revolutionize experimental neurophysiology. The main practical obstacle is the difficulty of manipulating the nanotubes: they must be attached to
  some kind of back plate. If the nano-object is freely floating, such as the drug delivery nanoparticle already referred to, the main problem is
  controlling  uptake.  The  tiniest  nanoparticles  might  be  able  to  enter  the  cell  through  some  of  the  larger  transmembrane  channels.  Larger
  nanoparticles may be engulfed (e.g., by macrophages) as if they were viruses. They may also become wrapped by the outer lipid membranes of
  the cell, as has been observed in a model system [117]. The penetration of a drug-bearing nanoparticle into the cell's interior may be precisely the
  goal of the particle designer, but nanoparticles used in other applications for cosmetic purposes, for example as ultraviolet-absorbing sunscreen
  applied to the skin, may, by similar mechanisms, also end up inside the cell where they may have toxic consequences. The investigation of these
  consequences constitutes what is currently the most active part of the field of nanotoxicology (Section 4.3).

  The Response of a Cell to External Nanostructured Features
  The fundamental premise engendering interest in living cells interacting with nanostructured surfaces is that there is strong evidence that cell
  surfaces are themselves heterogeneous at the nanoscale, whence the hypothesis that by matching artificial substratum patterns with natural cell
  surface ones, a degree of control over the cell can be achieved. “Patterns” are here to be understood as denoting statistical regularity only.
  Perhaps the degree of regularity of cell surface features determining the binding to substrata is intermediate between wholly regular and random;
  that is, maximally complex (Figure 4.2).
















  Figure 4.2 Proposed relationship between environmental complexity and biological response.

  While some responses may have a purely physical nature, at least in part (the characteristic spreading, i.e., the transformation from sphere to
  segment, Table 4.1, shown by some cell types placed on a planar surface could result from cell viscoelasticity opposing adhesion to the surface),
  others involve cellular intelligence: it is an adaptive response, the mechanism of which involves the reception of environmental information by the
  cell  surface  and  the  transmission  of  that  information  to  the  cell's genome, following which action in the form of activating or deactivating the
  synthesis of certain proteins (i.e., changes in gene expression) results. These proteins then engender a certain response. Sometimes it is the
  unique history of cell–environment interactions that determines cell behavior.
                        Table 4.1 Cell environmental responses, in roughly increasing order of complexity. See Section 5.5 for the techniques used to measure the responses
  Response                                 Level                                           Timescale                a
  Adhesion                                 Energetic                                                s              1,2
  Spreading (morphology)                   Energetic                                       min                1,2
  Growth alignment                         Energetic?                                               h               1
  Microexudate secretion                   Gene expression                                          min            2,3
  Growth factor secretion                  Gene expression                                          min             3
  Alteration of metabolism                 ?                                                        ?               3
  Differentiation                          Gene expression                                         days            1,2,3,4
  Speciation (i.e., cancer)                Chromosome rearrangement                                years           1,2,3,4
  a Techniques useful for determning responses are: 1, mcroscopy (usually optical, but may include scanning probe techniques); 2, nonimaging interfacial techniques (e.g., optical waveguide lightmode spectroscopy; 3, biochemcal techniques
                 i
                             i
                                                                                                                 i
  (e.g., immunocytochemstry); 4, nucleic acid arrays.
             i
  Eukaryotic Cells
  This hypothesis of maximum complexity (Figure 4.2) originated in the many observations that the behavior of cells depends on the nature of the
  basement membrane supporting them. A classic example is the different patterns of neurite outgrowths from neurons supported on different
  extracellular  matrix  materials  such  as  laminin  and  tenascin. An  early  example  of  cells  brought  into  contact  with  artificial  materials  were  the
  experiments of Carturan et al. on immobilizing yeast within inorganic gels [30]. Eukaryotic cells are typically a few to several tens of μm in diameter.
  They are enveloped by a lipid bilayer (the plasmalemma) and the shape is controlled by the cell itself. In suspension they tend to adopt the shape of
  lowest surface:volume ratio (viz., a sphere) as expected from purely mechanical considerations but on a solid surface tend to spread (i.e., transform
  into a segment). There is already a vast literature on the interaction of individual living cells with microstructured surfaces, defined as having
  features in the range 100 nm–100 μm. The main result from this large body of work, is that the cells tend to align themselves with microscale
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