Maria João Silva H. Louro 1, T. Borges 2, J. Lavinha 1, J.M. Albuquerque 1

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Maria João Silva H. Louro 1, T. Borges 2, J. Lavinha 1, J.M. Albuquerque 1 1 National Institute of Health Dr. Ricardo Jorge 2 General-Directorate of Health, Lisbon, Portugal Venice.,10-03-2015

The number of NANOMATERIALS brought to market has exponentially grown in recent years and will continue to grow and evolve to new generation NMs. NANOTECHNOLOGIES Key-enabling technologies that use materials and manipulations at the nanoscale and which has a potential influence on almost any technological area. Fundamental and application-driven research is expected to boost nanosciences and innovation towards development of SAFE-BY- DESIGN NMs and applications

Nano-applications in consumer products, medicine and industrial processes are widespread SOCIETAL BENEFITS VAST SOCIETAL BENEFITS RESPONSIBLE AND SUSTAINABLE INNOVATION IMPACTS ON ENVIRONMENT AND HUMAN HEALTH? WHO, 2012

Solid information about hazard is limited for the majority of NMs, especially related to chronic exposure to low doses, that is the most likely to occur (e.g., through consumers products) Inhalation Transdermal Oral route Intravenous route Toxicity? Zhao & Liu, 2012 The, which may be linked to carcinogenic effects, are of special concern because cancer has a long latency period and thereby these effects can be less obvious and more difficult to predict than eventual acute effects. 4

Release of free metal ions Reaction with cell surface Oxidative Stress Increased ROS (OH, O 2- ) Endocytosis DNA damage -DNA strand breaks -adducts formation -histone modification -altered DNA methylation -DNA damage response genes Inflammation: NFκB & AP-1 dependent genes Adapetd from Singh et al., 2009 Cytokines (IL-1, IL-6, TNF-α) Genetic and/or epigenetic alterations Apoptosis Malignant tranformation Assessment of toxicity - use of complementary in silico, in vitro and in vivo assays, taking into account specific physico-chemical properties of NMs

Incomplete description of the NMs physicochemical properties Coating Dynamic behavior of NMs (formation of aggregates and agglomerates, and the kinetics dependent of the medium conditions) Corona formation and composition Dosing (difficult to picture a real exposure scenario in in vitro or in vivo assays - limited human exposure data) Interference with colorimetric assays (e.g., cytotoxicity assays) Differences in the means of dispersion of insoluble NMs Different uptake capacity of cell lines Limited existence/access of SOPs and validated methods The dose-metrics (e.g., mass, particle number or surface area) Lack of reliable positive controls at the nanoscale

Pigment Food colorant Cosmetics Skin care products Sunscreen products Photocatalytic properties Solar panels paints and construction products

Objectives To assess genotoxic effects of TiO 2 NMs at cellular, molecular and organism level using a combination of in vitro and in vivo approaches to allow an integrated understanding of its biological effects Minimize variability inherent to NMs and in vitro experimental procedures: Benchmark NMs (JRC repository) Characterized physico-chemical properties Standardized method for NMs dispersion and control of particle size distibution MN assay (OECD guideline 487) Comet assay (SOP) Use of integrated in vivo approach: analysis of several endpoints in the same animals (3Rs) DNA and chromosome damage and somatic gene mutation; inflammation and NPs accumulation in liver (toxicokinetics information) Comparison of in vitro and in vivo data for one TiO2 NM

Experimental strategy Titanium dioxide nanomaterials (JRC repository) NM-102 NM-103 NM-104 NM-105 Characterization of physico-chemical properties TEM 1 1 Jan Mast, Keld A. Jensen et al., Nanogenotox Deliverable 4.1, 2013; Tavares et al., 2014

Experimental strategy Dispersion of NMs according to a standardized protocol Dispersion in BSA/water Sonication Size distribution in culture medium (DLS) Keld A. Jensen et al., Nanogenotox Deliverable 3, 2011; Tavares et al., 2014

In vitro testing of TiO 2 In vivo testing of TiO 2 Micronucleus (MN) assay 48h - exposure to NM (6h before cytb) Integrated Approach Using LacZ Plasmid-Based Transgenic Mice Comet assay Human lung cell lines (BEAS-2B, A549) Human lymphocytes

Results In vitro testing of TiO 2 1. MN assay in human lymphocytes * * No monotonic dose-response relationship; Significant increase in the micronucleus frequency : *NM-102: 125 μg/ml (p=0.038); *NM-103: 5 e 45 μg/ml (p=0.007 and 0.039) φnm-104: 15 e 45 μg/ml (p= 0.037 and 0.048) Tavares et al., Toxicology in vitro, 2014

Results In vitro testing of TiO 2 1.1. Cytokinesis-block proliferation index in human lymphocytes No Significant decreases of CBPI

Results In vitro testing of TiO 2 1. MN assay in pulmonary cells Significant increase in the micronucleus frequency in A549 cells exposed to 256 μg/ml.

Results In vitro testing of TiO 2 NM-102 2. Comet assay in pulmonary cells Significant (low) increase in the level of DNA breaks in A549 cells exposed to 128 and 256 μg/ml ; no significant oxidative DNA stress (FPG-modified comet assay)

Remarks In vitro testing of TiO 2 NMs NMs obtained under GLP and international benchmarks; good physicochemical characterization; variability associated to experimental conditions minimized: Differential genotoxicity for closely related NMs observed in human lymphocytes - importance of investigating the toxic potential of each NM individually, instead of assuming a common mechanism and similar genotoxic effects for a set of similar NMs. Standard genotoxicity tests are useful, and can be applied, for the safety evaluation of nanomaterials provided that standardized protocols for NM preparation are used, the physicochemical characteristics of NMs are considered. Predictivity of the in vitro genotoxicity assays for in vivo situation with NMs? 16

Results In vivo testing of TiO 2 NM102 1. Frequency of mutations in the LacZ gene recovered from liver and spleen No mutagenic effects in liver or spleen, 28 days after exposure Louro et al., EnvironMol Mut (2014)

Results In vivo testing of TiO 2 2. MN in mouse blood immature erythrocytes No induction of micronuclei

Results In vivo testing of TiO 2 3. Comet assay in liver and spleen cells No induction of DNA damage

Results In vivo testing of TiO 2 4. Cellular effects in liver cells NMs NMs NMs NMs NMs NMs NMs Persistence of NM in mouse liver and mild inflammatory effects Louro et al., EnvironMol Mut (2014)

TiO2 NMs summary of results NMs Experimental system Genotoxicity (MN assay, comet assay or somatic gene mutaions) Cytotoxicity/ inflammation NM-102 NM-103 NM-104 NM-105 Primary lymphocytes MN assay: Positive, without a dose-response relationship (NM-103, 104) Equivocal (NM-102) Negative (NM-105) No cell cycle disturbance (CBPI) Alveolar cells type- II (A549) Equivocal (low +) - comet assay Equivocal MN assay Negative NM-102 Lung epithelial cell line (BEAS 2B) Negative Negative In vivo, Transgenic mice harbouring lacz Negative: Comet assay MN assay Somatic mutations in liver Moderate inflammatory effect in liver NPs accumulation in liver cells

Final remarks In vivo testing of TiO 2 No systemic mutagenic effects were disclosed for NM-102 in blood, liver and spleen cells of transgenic mice, under the tested conditions Histological and TEM analyses confirmed the persistence of TiO 2 and showed a moderate inflammatory effect in liver The integration of the in vitro and in vivo data strengthens the weight of evidence of an absence of NM-102 primary genotoxicity, although the possibility of a secondary genotoxic effect driven by an inflammatory response within a longer time window or at different doses cannot be excluded.

Toxicokinetics PHYSICOCHEMICAL PROPERTIES STRUCTURE-ACTIVITY RELATIONSHIP (SAR) ROBUST METHODOLOGIES TO CHARACTERIZE THE GENOTOXIC AND POTENTIAL CARCINOGENIC EFFECTS INNOVATIVE APPROACHES: ALTERNATIVE IN VITRO TESTS (e.g.,cell transformation assay) 3D/ORGANOTYPIC CELL SYSTEMS NEW EXPOSURE METHODS (e.g. ALI to mimetize inhalation) DOSING (real exosure scenario) 23

Thank you for your attention! m.joao.silva@insa.min-saude.pt