Nanoparticles: Conclusions. 1. Nanoparticles are not new. Six messages. -health hazards and risks. Nano-1. Nano-1

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Nanoparticles: -health hazards and risks Kaarle Hämeri University of Helsinki/ Finnish Institute of Occupational Health Conclusions There is no evidence on the significant health and environmental risks concerning nanotechnology Previous knowledge on aerosols predicts risks that needs to be considered Importance of the particle size: surface area, penetration to human body Importance of the composition: solubility, surface composition Importance of the shape: Characteristics of fibres Challenges on occupational hygiene: novel experimental techniques and expertise on new properties Protection needs particle characterisation Nanoparticles Health hazards and risks, Kaarle Hämeri 8.11.2010 Six messages 1. Nanoparticles are not new

Nanoparticles from traffic Soot particles from traffic Nanoparticles Long range transpo -Energy production -Industry Nanoparticles Health hazards and risks, Kaarle Hämeri 27.10.2008 2. Occupational nanoparticles are present in many environments

Background aerosol in a cast iron foundry Emissions from arch welding processes Paint shop 3. Health risks of aerosols are real

Quartz Asbestos Micrometer sized Inflammation, cell damage, fibrosis, tumors Surface area (strongly reactive), formation of free radicals Other mineral particles may cause lung damage in high concentrations (overloading), probably due to surface area. Fibres with length at least 3 x thickness Small diameter: penetration to deep lungs Length more than15 µm: Not transported by magrophages Asbestosis, lung cancer, mesothelioma, tumors Main properties solubility and surface activity Ambient air Soot and SO 2 annual concentrations 1984-1996 Clancy et al., Lancet 2002;360:1210-14

Cardiovascular and respiratory mortality 1984-1996 Ambient air Clancy et al., Lancet 2002;360:1210-14 Most particles ultrafine (nanoparticles) Epidemiologic research indicate links between fine particles and respiratory and cardiovascular deseases 10 µg/m 3 increase in concentration causes ca. 1% inrease in cardiovascular deseases Note! Particles mostly non-toxic such as ammonium salts or carbon Explanation transition metals in surfaces producing radicals or just large surface area causing oxidicing stress What causes harmful effects? Inflammation reactions: in respiratory system, hearth and/or blood circulation Micro-coagulation of blood: Autonomic reflex: respiratory symptoms, lower exhale efficiency, changes in hearth electrical functioning Cell damages in respiratory system: increased risk for cancer 4. Why would size matter?

Nanoparticles Health hazards and risks, Kaarle Hämeri 27.10.2008 Nanoparticles Health hazards and risks, Kaarle Hämeri 27.10.2008 Industrial nanoparticles 5. Exposure to synthetic nanoparticles Now significant production of: Titanium dioxide Black carbon Zinc oxide Iron oxide Near future Nanotubes: research institutes and industry

Nanoparticles and -tubes TiO 2 production facility Important, as estimated to exist in first consumer products Toxicity: Surface area Surface chemical activity Physical size: -penetration to tissues and organs Solubility CNT: Fibre structure and small size Persistency in lungs Surface iron or other metals: catalytic effect 6. Health risks of synthetic nanoparticles Main open questions: Are engineered nanoparticles harmful and how harmful? Main sources and emissions? Health relevant properties and measurables? What type of detectors and instruments should be used in determining exposure? Chain: emission-concentration-exposuredose-effect

% of BAL cells Pulmonary inflammation in mouse lungs after TiO2 exposure 12 Neutrophils A= 2 hours exposure B= 4 days exposure C= 4 weeks exposure 9 Airway exposure to silica coated TiO2 nanoparticles induces pulmonary neutrophilia in mice. 6 3 0 Exposure time - A B A B C A B A B A B C A B C Rossi EM, Pylkkänen L, Koivisto AJ, Vippola M, Jensen KA, Miettinen M, Sirola K, Nykäsenoja H, Karisola P, Stjernvall T, Vanhala E, Kiilunen M, Pasanen P, Mäkinen M, Hämeri K, Joutsensaari J, Tuomi T, Jokiniemi J, Wolff H, Savolainen K, Matikainen S, Alenius H nanosio2 amorphous nanotio2 +SiO2 rutile nanotio2 rutile nanotio2 anatase nanotio2 anatase (generated) coarsetio2 rutile None of the nanotio2 preparation tested, other than SiO2 coated TiO2, elicited pulmonary inflammation in mice!!! Exposure to nanosio2 did not induce any inflammatory effects!!! Hypothesis Inhalation exposure to silica coated nanotio2 Accumulation into the alveolar macrophages Escape from the membrane bound lysosomes into the cytosol Interfering proper cell signalling?? Expression and secretion of proinflammatory cytokines and chemokines Nanoparticle induced lung inflammation could not be explained by the surface area of the particles, their primary or agglomerate particle size or radical formation capacity, but is rather explained by the surface coating. Our findings emphasize that it is vitally important to take into account in the risk assessment that alterations of nanoparticles, e.g. by surface coating, may drastically change their toxicological potential. Recruitment of neutrophils and formation of pulmonary inflammation Poland et al. Nature Nanotechnology. 2008 Jul;3(7):423-8.

Recruitment of inflammatory cells in the peritoneal cavity after introduction of fibers Inflammatory response 24 h post -installation Granuloma response 7 days post -installation Assessment of hazards of CNT Short fibers Long fibers Short fibers Long fibers There is convincing evidence that CNT induce pulmonary inflammation and associated toxicity CNT may have the potential to induce mesotheliomas, but this needs to be confirmed using appropriate exposure route (reaching of MWCNT of pleura has been shown by Hubbs et al. 2009) There are data to provide evidence on CNT genotoxity in vitro and in vivo also requiring confirmation from other studies All studies suffer from high doses or in adequate exposure route for risk assessment Female C57Bl/6 mice were intraperitoneally instilled with 50 µg of vehicle control, nanoparticulate carbon black (NPCB), short-fibre amosite (SFA), long-fibre amosite (LFA), two curled/tangled MWNT samples of different lengths (NTtang1, NTtang2) and two samples containing long MWNTs (NTlong1, NTlong2). General Conclusions Different type of nanoparticles may elicit drastic differences in the inflammatory response Surface coating may have critical effect to the toxicity of the nanoparticles Underlying disease influence significantly to the health effects of nanoparticles. We can not study only healthy people Be careful with the risk assessment at the moment. We have gained a lot information during the recent few years but our knowledge is still scanty. However, we have got enough information to be sure that we have to continue research in this area