NanoPharmaceuticals Online Journal, Vol 1, Oct, 2006

Death by Nanoparticles

By

Dusica Maysinger*

Maik Behrendt and

Ewa Przybytkowski

Department of Pharmacology and Therapeutics, McGill University, Montreal, Canada

Received on 22nd Sept 2006,  Published on line on 1st Oct 2006

1.      Abstract

2.      Introduction

3.      Nanoparticles

3.1.     Nanoparticles containing metals

3.2.     Fluorescent nanoparticles and nanoparticles containing drugs

4.      Cell death induced by nanoparticles

4.1.     Nanoparticle properties and interactions with cells

4.2.     Types of cell death and roles of individual organelles

5.      Mechanisms involved in nanoparticle-induced cell death

5.1.     ROS generation and nanoparticle-induced cell death

5.2.     Metals and cell death

6.      Nanoparticles: prospects and perils

7.      References

8.      Acknowledgments

9.      Contact details

 

 

 

 

 

 

 


1. Abstract

Nanoparticle technology has been put to a staggering variety of uses. The ever-accelerating technology, however, is generating an important cause for concern, namely that some nanoparticles, such as those already used in the manufacture of electronic equipment, luminescent paints etc., could become environmental hazards. Only relatively recently, however, nanoparticles have begun to catch the interest of life scientists. They are expected to have an impact in basic research and in the development of new technologies for medical diagnosis and drug delivery. To date, nanoparticles such as luminescent quantum dots, iron nanoparticles and block copolymer micelles have been studied as nano-containers for controlled and/or sustained drug delivery or as imaging tools for cells and whole organisms. Our objective has been to determine the impact of nanoparticles on cell function, with a focus on those particles which contain metals, fluorescent labels and selected drugs. A brief overview of the currently available data on the potential hazards and usefulness of selected classes of nanoparticles will be provided, with some comments on possible strategies for optimizing the latter. Induction of cell death by nanoparticles will be discussed in the context of physico-chemical properties of selected nanoparticles, cell status and the cellular environment.

 

2. Introduction

As the exploitation of nanoparticles accelerates we are beginning to understand some of their possible hazards as well as their enormous potential for economic growth, improved quality of life, and medical diagnosis. However, nanoparticle research driven by rational applications must also address the management and elimination of hazardous particles in order to protect our health and our environment. A word of caution must be noted particularly because of the seductive quality of some intellectually very attractive nanoparticles. Nanoparticles with different morphologies made of non-biodegradable materials provided invaluable information on their self-assembly and physicochemical properties, but were rarely tested in vivo. Unfortunately these nanoparticles can constitute threats to living cells, animals or humans. Working as multidisciplinary teams [1] we will be better poised to select appropriate materials, modify nanoparticle surfaces, identify optimal routes of administration, and understand the pharmacodynamics which will allow a safe use of nanoparticles [2]. Currently, metal-containing nanoparticles, including quantum dots, are still largely an attractive chemical, pharmacological and medical toolbox but not a clinical solution for diagnosis or therapy.

Recent reviews have provided instructive examples of nanotechnology application in basic neurosciences and its use in addressing interesting biological questions [1-13].

Figure 1. Summary of different classes of nanoparticles and their characteristics

 

 

 

 

3. Nanoparticles

 

3.1 Nanoparticles containing metals

 

Nanoparticles made of metals e.g. quantum dots, QDs or metallic particles linked with polymers endows them with unique optical properties. This section reviews some of their specific photo-physical and optical characteristics which are exploited for long-term and multicolor imaging [14, 15] and provides examples of metallic nanoparticles used as research tools in biology, pharmacology and medicine (Figure 1).

QDs can be excited at a single wavelength far removed from their emission maxima, which are tunable by the nanoparticles composition and size. This allows for the simultaneous detection of multiple color QDs upon illumination with single light source. QD absorption spectra are broad, but emission spectra are narrow without the red tail characteristic of organic dyes. QDs are rather resistant to photo bleaching [4], which is one of the major drawbacks of currently used fluorescent dyes. The electron dense QD core allows their detection by electron microscopy. Combined fluorescence and electron microscopy analyses using the same multipotent probe provide both temporal dynamics and high-resolution intracellular localization [16]. Furthermore, QDs have an efficient multiphoton absorption cross-section making them suitable for in vivo imaging [17]. An example of a multicolor imaging of live cells with organelle-selective dyes and QDs is shown in Figure 2. QDs’ wide variety of emissions allows the use of numerous combinations of fluorescent dyes and QDs for nanoparticle tracking within cells. QDs that can emit infrared or near infrared light are particularly suitable for deep tissue imaging because autofluorescence of hair and tissues in this range is minimal [18, 19]. Several QDs emitting within 650-800 nm are commercially available (e.g. QD 655, QD 705; QD 800) and some of them can be obtained as conjugates with polyethylene glycol (PEG). Such conjugates seem particularly useful; when administered subcutaneously, they remain localized at the site of injection for several days. If administered intravenously, PEG-QDs are not immediately eliminated by the liver and their protracted circulation time allows their fate to be followed using different imaging set-ups. Injected QDs with PEG coating or functionalized QDs can be detected with common in vivo imaging systems for several days when administered subcutaneously or intravenously [14-16]. In vivo monitoring of QDs is appealing because it can provide needed information on time-dependent QD distribution and accumulation in tissues, important in the evaluation of potential therapeutic applications. An accumulation of QDs due to the enhanced permeability and retention (EPR) effect in tumor tissue could enhance efficiency of phototherapy and, if the luminescence is satisfactorily high, could coincidentally allow for monitoring of tumor-size reduction or spread of metastases. Such studies have been already initiated in several laboratories [20, 21, 22]. Data for biodistribution and pharmacokinetics of QDs are not currently extensive and more systematic studies are needed to demonstrate how rapidly these particles can be eliminated from the body, where they accumulate, and what non-specific tissue damage they may eventually cause.

A variety of ligands have been attached to QD surfaces, including thiol-containing molecules [23, 24] peptides [25], polymerized silica shells with polar groups, amphiphilic diblock or triblock copolymers and phospholipids [26]. For tumor targeting, multiple specific ligands such as folic acid and others especially suitable for different types of tumors can be conjugated to the QD surface [27, 28]. Bioluminescent QD conjugates for in vivo imaging were recently developed by So’s group [19]. Instead of fluorescent excitation light, these QD nanocrystals are exited by bioluminescence resonance energy transfer and consequently tissue auto fluorescence is significantly reduced [19]. This complementary approach using bioluminescent QD conjugates could be especially useful for small animal imaging.

There appear to be no studies on the stability of QDs either at the immediate site of administration or after longer times post injection at remote sites. Due to its inorganic character the QD core is relatively resistant to photo degradation, but prolonged exposure to UV light can affect its integrity [29, 30]. In general QDs with ligands, which are resistant to photo oxidation are better suited for long-term cellular or in vivo imaging. Photo oxidation of surface ligands takes place upon prolonged UV illumination of QDs. However, increasing the thickness and packing density of the ligand shell can delay the onset of photo oxidation [30]. Taken together, the QD stability is essential to optimize their performance as imaging tools and to ensure their compatibility with living cells (see sections 3 and 4 for discussions).

Figure 2. QDs in vitro - principle of cell labeling

Photomicrograph of PC12 cells treated with QDs and stained with organelle-specific fluorescent dyes. Schematic of cell organelles stained with Hoechst 33342, DAF and internalized QDs (red) (A) Photomicrograph of QDs obtained by confocal microscopy (B) Plasma membrane (green) labeled with DAF (C) Superimposed signals from QDs (red) and plasma membrane (green) are seen as yellow suggesting a presence of QDs associated with plasma membrane (D). There are no QDs within nuclei (blue).

Abbreviations: nucleus, NC; cytoplasm, CP; plasma membrane, PM

Another class of metal-containing nanoparticles includes that made of gold. Gold nanoparticles have been traditionally used as labels for immunocytochemistry and in conjunction with electron microscopy they allow detection of selected proteins with high resolution. In such labeling studies the gold nanoparticles are integral parts of the secondary antibody. This labeling is usually achieved by attaching gold nanoparticles of different sizes to IgG molecules which bind to the primary antibodies. Although this approach can reveal specific intracellular location of up to three proteins at the same time, the quantification of the small (5 nm), medium (10-120 nm) and large (30-50 nm) gold nanoparticles associated with the individual proteins of choice is rather tedious and therefore is not frequently used. In practice, single protein gold labeling is one of the “gold standards” in life sciences/cell biology.

We were interested in developing gold-labeled micelles that would allow us to assess the fate of block copolymer micelles in different cells (Figure 3). To this end we used block copolymer micelles containing covalently bound nanoparticles. [31, 32]. A schematic presentation of such a nanoparticle is given in Figure 1 and Figure 3. An advantage of gold-labeled micelles compared with other nonmetallic nanoparticles (e.g. silica or styrenes) is that their distribution can be detected with transmission electron microscopy (TEM), which provides information about their location within the cells with high resolution. The disadvantage of EM is that the tissues or cells have to be fixed. Moreover to obtain a dynamic picture of nanoparticle distribution using TEM is rather time consuming and tedious.

Supraparamagnetic iron nanoparticles (spions) labeled with fluorescent dye Cy5.5 (Figure 1 and Figure 3) [33] allow dual imaging. Live cells are imaged by confocal microscopy to gain a dynamic picture of cell-nanoparticle interaction and fixed cells are imaged by TEM to gain information on nanoparticle subcellular distribution at the high level of resolution. Thus, iron and QD nanoparticles serve as complementary tools to standard fluorescent dyes and provide a versatile means of assessing their fate both by confocal and electron microscopy [14, 26, 34]. Spions without conjugated fluorescent dyes have been examined in vivo [35, 36].

Figure 3. Types of nanoparticles and their location in cells

Gold and superparamagnetic iron nanoparticles in the cells. Transmission electron micrograph of gold nanoparticle (A) and their size distribution (B) Gold nanoparticles in lysosomes and endosomes (C) Iron nanoparticles labeled with Cy5.5 taken up by cells can be visualized by confocal microscope (D and E). Schematic of a functionalized spion (F). (For details see ref 31 and 33

Abbreviations: ES-endosome, VS-vesicle, LS-lysosome, NM-nuclear membrane.

    

 

 

 

 

Figure 4. Relationship between QD-induced stress, duration, intensity and location of signal and cell fate

Different QDs exert different degree of toxicity. QD655 coated with polyethylene glycol and CdSe/ZnS with multiple layers of ZnS are non toxic in PC12 cell cultures (A). Different cell types are differently sensitive towards QD treatments. Human SH-SY5Y neuroblasoma cells are more susceptible to QD treatment than rat pheochromocytoma cells (PC12), human breas cancer cells (MCF-7) and human lung cells (A549) (B). Among the nanoparticles, micelles (Mic) and cross-linked micelles do not cause cell toxicity when incubated for 24 hours (PC12 cells, 24 hours) whereas cadmium chloride (200nM) is highly toxic (C).

 

Fluorescent nanoparticles

 

To follow the fate of a nanoparticle alone or nanoparticle containing fluorescent dyes or drugs, several groups have used fluorescent labeled polymers in combination with organelle selective fluorescent dyes [12, 37-40]. Although, fluorescent dyes are useful for visualizing micelles at selected time points, the tracking of micelles, particularly in time-lapse experiments using confocal microscopy is considerably more difficult because of dye bleaching.

Relatively little is known about the fate of fluorescent nanoparticles in the whole animal. One of the reasons for this is that the quantities required for in vivo imaging are significantly larger than those used for in vitro experiments and some fluorescent dyes are expensive. Moreover the synthesis of fluorescent polymers is not a trivial matter, and some dyes simply cannot be conjugated to the polymer. Additional problems include the autofluorescence of the tissue and a limited access to suitable instrumentation for in vivo imaging. Finally, a factor complicating the determination of the fate of biodegradable block copolymer micelles in vivo is the interference associated with components from blood and other biological molecules plus the polymer degradation products within individual organs and cellular compartments. One of the first studies designed to assess the fate of fluorogenic dyes incorporated into micelles in complex biological media was recently reported [41]. The findings showed a gradual increase in fluorescence at the site of micelle decomposition, which is due to the conversion of the fluorogenic dye to the fluorescent product. Fluorogenic dyes, which could yield a product emitting in the near-infra region, would be very useful in the quest for new information on micelle fate in vivo.

The problem of micelle stability can be partly circumvented by cross-linking the micelle shell. However, complete control of drug release from such micelles becomes an issue to be resolved for each individual drug. A significant contribution in development  and utilization of shell-cross-linked nanoparticles for tumor imaging is has been made by Wooley’s group [42]. Shell cross-linked knedel-like (SCKs) nanoparticles are core-shell nanospheres inspired by biological structures (e.g. virus capsids) and optimized for drug packaging. Stable SCKs are obtained by cross-linking the shell layers of micelles made of amphiphilic diblock copolymers. The cross-linking procedures yield SCKs with well-defined sizes, surface charges, shapes and functionalities. SCKs can be labeled with fluorescent, radioligand or dense core particles and decorated with different ligands for cell or tissue targeting [43-46].

In summary, using both fluorescently labeled agents and fluorescent polymers one can distinguish micelle-incorporated agents from free agents, and obtain information about their intracellular location [40]. Studies using new imaging approaches and tools are already beginning to emerge [41, 47-51]. It seems certain that the use of nanoparticles with high fluorescence/luminescence in combination with advanced imaging equipment will soon provide needed information relevant to the in vivo condition.

 

4. Cell death induced by nanoparticles

 

4.1. Nanoparticle properties and cell death

 

Once cells internalize nanoparticles they often undergo degenerative changes and eventually die. This is independent of the mechanism of their entry (e.g. non-specific endocytosis [4] or specific endocytosis [52]). Micelles with polyethylene glycol (PEG) corona, purified to satisfy the stringent requirements for work with biological systems, are mostly non toxic in low concentrations [12, 40]. In contrast, polyethylene imines are often toxic (PEI) [2]. Non-functionalized QDs mostly end up in the cytoplasm. However, functionalized QDs with the Nuclear Localization Signal (NLS) peptide or the mitochondrial localization signal peptide enter the nucleus and mitochondria [53]. Peptide modifications on QD surface make them relatively well tolerated by most cells.

The toxicity of QDs when tested in vitro, is dependent on numerous factors associated with QD properties and cell status. QD properties, which are critical for their biocompatibility, are: size, surface charge, type of ligand attached to the surface, stability, and concentrations. Properties determining the cell status are associated with the cells themselves and their environment. Thus, the fate of cells exposed to nanoparticles will depend on: their tissue of origin and differentiation state, their proliferative status (doubling time) and their redox state. In addition to this, plating cell density, composition of the medium, presence and absence of serum or defined trophic factors in chemically defined media will be also critical to the final outcome. The combination of these physical and chemical factors of QDs, the cellular environment, and the status of the cells determine cell fate: survival, death or differentiation (Figure 5).

Depending on the kind of nanoparticles, the type of cells, the duration of exposure, the concentration of nanoparticles and the conditions under which cell-nanoparticle interaction takes place, different cells will either “tolerate” nanoparticles or succumb to their “attack”. In a brief contact with cells, particles with surfaces well-protected by polymers or proteins, are generally not very harmful or are totally benign [15]. However, the breakdown of protective coating (e.g. by irradiation, low lysosomal pH or possibly metabolic degradation) can lead to cell damage and death [29]. The cellular environment plays a critical role in influencing physiological status of cells and has an impact on their response to QDs. For example, cells exposed to QDs are more vulnerable when deprived of growth factors, whereas cells cultured in the presence of serum will be more resistant to QDs induced cell death. Moreover, certain types of QDs can interact with serum and other biological fluid components reducing or increasing their damaging effects on cells. In general, short-term exposure (1-4 hours) and low concentrations (nanomolar range) of nanoparticles is well tolerated by living cells. Under certain circumstances, nanoparticle degradation “on command” could be desirable and a number of different types of such nanoparticles have been prepared and tested. (e.g. nanoparticles responding to changes in pH, in temperature or in redox potential). Significant advances have been made in this field and a number of biosensors based on QDs and other nanoparticle structures exist that can respond to various pathological or physiological stimuli [54-56].

 

4.2. Types of cell death and roles of individual organelles

 

Cells can die by apoptosis, autophagy or by necrosis (“accidental but aggressive” death) [57]. The mode of cell death depends on the type of insult, its intensity and duration. The most common mechanisms associated with nanoparticle-induced cell death are apoptosis and necrosis. For instance, the long-term exposure to unprotected CdTe QDs, which are internalized by cells, will cause damage at multiple cellular sites [58]. Cells in a nutrient enriched medium and in a low metabolic state will generally handle small insults well and once the nanoparticles are removed they will recover. In contrast, cells under starvation/serum deprivation conditions will be sensitized to the QD insult and will die by apoptosis, autophagy and/or necrosis. Looking at morphological changes during QD-induced cell death one can often notice a transition from one mode of death to the other (e.g. apoptosis to delayed necrosis).

Programmed cell death is most frequently associated with the term “apoptosis”, but there is emerging evidence for “programmed necrosis”. Several recent reviews cover different aspects of classical and “nonclassical” types of cell death [59, 60] and provide an overview of consensus terms to be used in research associated with cell death and dying [61]. A brief account of the damaging effects of some nanoparticle types (e.g. QDs) on different organelles is provided in the following section.

 

Mitochondria play a central role in energy metabolism and they are responsive to even small stresses in multiple ways [62]. When cells are exposed to nanoparticles (e.g. QDs) which can induce generation of ROS, mitochondria are among the first and most sensitive organelles affected. In QD-insulted cells, reduction of mitochondrial membrane potential and swelling of mitochondria can be detected [63] (Przybytkowski, unpublished observation). Mitochondria and their associated proteins, which serve multiple roles in cell death and survival, are emerging as potential targets for drug development in different areas of medicine, e.g. cancer and arthritis therapies, and cardiovascular and neurodegenerative diseases [64-67]).

 

Lysosomes are organelles commonly associated with cell death [68, 69 and cited in them refs]. Lysosomes and lysosomal hydrolyses play a role in the engulfment and digestion of dead and dying cells and in cellular/tissue autolysis during necrosis. Studies showing the involvement of lysosomes in cell death, induced by either pharmacological or genetic manipulations, were recently reviewed [69 and refs cited in them]. Among the signal transduction pathways, communicating with lysosomes, PI3K seems to play a prominent role as demonstrated by use of wortmanin. This drug causes the swelling of perinuclear lysosomes and missorting of cathepsin D in secretory granules [70]. The lysosomal compartment is a theme in drug development of anticancer therapies. In this context, Rabs, Sigma 2- receptors, microtubules, and HSP70 are proteins of particular interest as targets [69].

 

Endoplasmic reticulum (ER) is another organelle at risk in cells exposed to certain types of nanoparticles. The ER is a sensor for oxidative stress [rev. in 71, 72, 73]. If the ER damage is extensive, programmed cell death is initiated by the unfolded protein response or by the release of calcium. The Bcl-2 family of proteins and cytoplasmic calcium orchestrate the cross talk between the mitochondria and the ER [74, 75].

 

It is important to emphasize, that even if cells are not killed during exposure to QDs and even if there is no apparent damage to the cellular structures, they may respond by a change in some cellular functions. One example of this is change in size and number of lipid droplets present in the cytoplasm (Przybytkowski, unpublished observation). Although lipid accumulation has been considered harmful, there is evidence that it could have adaptive functions and protect against lipotoxicity [76]. The role of lipid droplets in cell function is still not clear, but it is becoming a new and attractive area of research and may open unexpected possibilities for new therapeutics [77].

Figure 5. Mechanism of cell death induced by nanoparticles

The fate of cells exposed to nanoparticles depends on their extracellular and intracellular environment. Moreover, the signal duration, location and intensity will determine whether cells will proliferate, die or differentiate.

 

5.             Mechanisms of nanoparticle-induced cell death

 

Different mechanisms can be involved in inducing nanoparticle cell death depending on nanoparticle properties, dose and duration of cell exposure (Fig. 4). [68, 78-81]. Two main causes for induction of cell death by nanoparticles (QDs) have been proposed: (i) formation of reactive oxygen species (ROS) [63, 82-84], (ii) release of metals (Cd2+, Te2+, or Se2+) from the core of nanoparticles with subsequent direct cell damage [85].

 

5.1. ROS and cell death

 

QDs could generate reactive oxygen species by electron transfer to molecular oxygen. Cells are able to respond to even small changes of intracellular redox status which is sufficient to inhibit proliferation and induce differentiation [86]. The type of ROS formed strongly depends on the material used to build QDs [87]. A number of fluorescent probes have been used to reveal ROS in live cells. Dihydroethidium has been used to detect superoxide anion [63, 82, 88], Singlet Oxygen Sensor green is used for detection of singlet oxygen species which can also be detected by electron spin resonance spectroscopy (ESR) [83, 88, 89]. Dichlorodihydrofluorescein diacetate detects nearly all ROS nonspecifically and it is particularly useful in the preliminary screening to detect if an insult causes ROS formation. ROS are well known inducers of damage to cellular proteins, lipids, DNA and carbohydrates, and can cause apoptosis or necrosis depending on the severity of damage. Recently, we have provided evidence for the production of ROS in live cells incubated with surface-unprotected CdTe QDs [63, 89].

 

5.2. Metal ion-induced cell death

 

Materials from which nanoparticles are often formed include metals such as lead, iron, selenium, tellurium, indium and gallium. Under certain biological conditions the protective layer on the surface of the QDs can be damaged and ions can leak out. Cadmium and selenium can interfere with the cell redox system. Analyses of thioredoxin in oxidized and reduced states by western blot analysis, using antibodies, which recognize these two states of thioredoxin, provided insights into the extent and time course of its conversion from one to the other in the presence of these ions [62, 90-94].

Cd cytotoxicity is generally not significant with multilayered ZnS capping, but it can occur with single layers or non-capped QDs in biological media. Released Cd ions, even at very low nanomolar to micromolar range, can cause cell damage. Defined concentrations and time of maximal damage by QDs depends on the cell type and cell status: healthy, non-starved, starved etc. We have determined extracellular and intracellular Cd concentrations in several cell types [89] after 24 hour treatment with different types of QDs (Figure 4). Mechanisms by which Cd can induce cell death are reviewed elsewhere [95, 96] and illustrated here (Figure 4).

 

In summary, cell death by nanoparticles is a relatively unexplored area of research. Further studies are required to understand the mechanisms involved in nanoparticle cell death, and to find the ways to prevent it. We should also keep in mind that nanoparticles could have an impact on cellular function even when they are not toxic. Studying all these effects will be important to the safe preparation, handling and utilization of nanoparticles in science and beyond.

 

6. Conclusions: Nanoparticles; prospects and perils

 

Developments of new nanotechnologies are gaining momentum and claims are made that they will dominate the economy of the 21st century. The application of these technologies already extends to solar technology, new means of transportation, telecommunications, medical diagnostics and devices. However, the clearly evident huge potential benefits of nanotechnology in our society will only be achieved if we apply it sensibly and learn how to reduce potential health risks associated with nanoparticle contamination of our environment. In the context of biological systems we must especially understand the mechanisms underlying the interactions between nanoparticles with different physical and chemical properties and biological structure and function. Using the advantages of multidisciplinary teams that embrace chemistry, physics, and biology, we can anticipate a clear understanding of the problems and hazards in the application of nanoparticle technology, and find the ways to realize this technological promise without posing a threat to our daily life.

4. Acknowledgments

We acknowledge the partial financial support of the Canadian Institutes of Health Research, the National Sciences and Engineering Research Council (Canada) and the Juvenile Diabetes Research Foundation.

5.  About Author

Dr. D. Maysinger earned her Ph.D. at the University of Southern California, Los Angeles, and she got her post-doctoral trainings at Max Planck Institute in Munchen, Karolinska Institut in Stockholm and Oxford University in UK. She is an associate professor at McGill University.  Research activities in Dr. Maysinger’s laboratory focus on investigating therapeutic interventions in diabetes and neurodegenerative disorders in conjunction with nano-delivery systems. Moreover, they are investigating the effectiveness of drugs from the nano-delivery systems in modulating signal transduction pathways in cell death and differentiation.

4.  Contact information

*Corresponding author:

Department of Pharmacology and Therapeutics,

McGill University,

3655 Promenade Sir William Osler, Room #1314

Montreal, Quebec, Canada,

H3G 1Y6

Tel: 514-398-1264

Fax: 514-398-6690

e-mail: Dusica.maysinger@mcgill.ca

3. References

[1] G. A. Silva, Neuroscience nanotechnology: progress, opportunities and challenges, Nat Rev Neurosci 7 (2006) 65-74.

[2] S. M. Moghimi, A. C. Hunter, and J. C. Murray, Nanomedicine: current status and future prospects, Faseb J 19 (2005) 311-330.

[3] M. J. Levene, D. A. Dombeck, K. A. Kasischke, R. P. Molloy, and W. W. Webb, In vivo multiphoton microscopy of deep brain tissue, J Neurophysiol 91 (2004) 1908-1912.

[4] M. Dahan, S. Levi, C. Luccardini, P. Rostaing, B. Riveau, and A. Triller, Diffusion dynamics of glycine receptors revealed by single-quantum dot tracking, Science 302 (2003) 442-445.

[5] T. Q. Vu, R. Maddipati, T. A. Blute, B. J. Nehilla, L. Nusblat, and T. A. Desai, Peptide-conjugated quantum dots activate neuronal receptors and initiate downstream signaling of neurite growth, Nano Lett 5 (2005) 603-607.

[6] S. Pathak, E. Cao, M. C. Davidson, S. Jin, and G. A. Silva, Quantum dot applications to neuroscience: new tools for probing neurons and glia, J Neurosci 26 (2006) 1893-1895.

[7] O. C. Farokhzad, J. Cheng, B. A. Teply, I. Sherifi, S. Jon, P. W. Kantoff, J. P. Richie, and R. Langer, Targeted nanoparticle-aptamer bioconjugates for cancer chemotherapy in vivo, Proc Natl Acad Sci U S A 103 (2006) 6315-6320.

[8] A. Khademhosseini, R. Langer, J. Borenstein, and J. P. Vacanti, Microscale technologies for tissue engineering and biology, Proc Natl Acad Sci U S A 103 (2006) 2480-2487.

[9] M. Tomita, E. Lavik, H. Klassen, T. Zahir, R. Langer, and M. J. Young, Biodegradable polymer composite grafts promote the survival and differentiation of retinal progenitor cells, Stem Cells 23 (2005) 1579-1588.

[10] M. Radisic, J. Malda, E. Epping, W. Geng, R. Langer, and G. Vunjak-Novakovic, Oxygen gradients correlate with cell density and cell viability in engineered cardiac tissue, Biotechnol Bioeng 93 (2006) 332-343.

[11] O. C. Farokhzad, A. Khademhosseini, S. Jon, A. Hermmann, J. Cheng, C. Chin, A. Kiselyuk, B. Teply, G. Eng, and R. Langer, Microfluidic system for studying the interaction of nanoparticles and microparticles with cells, Anal Chem 77 (2005) 5453-5459.

[12] D. Maysinger, J. Lovric, A. Eisenberg, and R. Savic, Fate of micelles and quantum dots in cells, Eur. J. Pharm. Biopharm. in press. (2006).

[13] R. Savic, A. Eisenberg, and D. Maysinger, Block copolymer micelles as delivery vehicles of hydrophobic drugs: micelle-cell interactions, J. Drug Targeting in press (2006).

[14] I. L. Medintz, H. T. Uyeda, E. R. Goldman, and H. Mattoussi, Quantum dot bioconjugates for imaging, labelling and sensing, Nat Mater 4 (2005) 435-446.

[15] J. K. Jaiswal, H. Mattoussi, J. M. Mauro, and S. M. Simon, Long-term multiple color imaging of live cells using quantum dot bioconjugates, Nat Biotechnol 21 (2003) 47-51.

[16] D. R. Larson, W. R. Zipfel, R. M. Williams, S. W. Clark, M. P. Bruchez, F. W. Wise, and W. W. Webb, Water-soluble quantum dots for multiphoton fluorescence imaging in vivo, Science 300 (2003) 1434-1436.

[17] S. Kim, Y. T. Lim, E. G. Soltesz, A. M. De Grand, J. Lee, A. Nakayama, J. A. Parker, T. Mihaljevic, R. G. Laurence, D. M. Dor, L. H. Cohn, M. G. Bawendi, and J. V. Frangioni, Near-infrared fluorescent type II quantum dots for sentinel lymph node mapping, Nat Biotechnol 22 (2004) 93-97.

[18] E. B. Voura, J. K. Jaiswal, H. Mattoussi, and S. M. Simon, Tracking metastatic tumor cell extravasation with quantum dot nanocrystals and fluorescence emission-scanning microscopy, Nat Med 10 (2004) 993-998.

[19] M. K. So, C. Xu, A. M. Loening, S. S. Gambhir, and J. Rao, Self-illuminating quantum dot conjugates for in vivo imaging, Nat Biotechnol 24 (2006) 339-343.

[20] A. C. Samia, S. Dayal, and C. Burda, Quantum dot-based energy transfer: perspectives and potential for applications in photodynamic therapy, Photochem Photobiol 82 (2006) 617-625.

[21] Y. Choi, R. Weissleder, and C. H. Tung, Selective antitumor effect of novel protease-mediated photodynamic agent, Cancer Res 66 (2006) 7225-7229.

[22] L. H. Reddy, Drug delivery to tumours: recent strategies, J Pharm Pharmacol 57 (2005) 1231-1242.

[23] S. Pathak, S. K. Choi, N. Arnheim, and M. E. Thompson, Hydroxylated quantum dots as luminescent probes for in situ hybridization, J Am Chem Soc 123 (2001) 4103-4104.

[24] N. Gaponik, D. V. Talapin, A. L. Rogach, K. Hoppe, E. V. Shevchenko, A. Kornowski, A. Eychmuller, and H. Weller, Thiol-Capping of CdTe Nanocrystals: An Alternative to Organometallic Synthetic Routes, J. Phys. Chem. B. 106 (2002) 7177-7185.

[25] F. Pinaud, D. King, H. P. Moore, and S. Weiss, Bioactivation and cell targeting of semiconductor CdSe/ZnS nanocrystals with phytochelatin-related peptides, J Am Chem Soc 126 (2004) 6115-6123.

[26] B. Dubertret, P. Skourides, D. J. Norris, V. Noireaux, A. H. Brivanlou, and A. Libchaber, In vivo imaging of quantum dots encapsulated in phospholipid micelles, Science 298 (2002) 1759-1762.

[27] X. Wu, H. Liu, J. Liu, K. N. Haley, J. A. Treadway, J. P. Larson, N. Ge, F. Peale, and M. P. Bruchez, Immunofluorescent labeling of cancer marker Her2 and other cellular targets with semiconductor quantum dots, Nat Biotechnol 21 (2003) 41-46.

[28] J. M. Saul, A. V. Annapragada, and R. V. Bellamkonda, A dual-ligand approach for enhancing targeting selectivity of therapeutic nanocarriers, J Control Release (2006).

[29] A. M. Derfus, W. C. W. Chen, and S. N. Bhatia, Probing the cytotoxicity of semiconductor quantum dots, Nano Letters 4 (2004) 11-18.

[30] J. Aldana, Y. A. Wang, and X. Peng, Photochemical instability of CdSe nanocrystals coated by hydrophilic thiols, J Am Chem Soc 123 (2001) 8844-8850.

[31] S. N. Sidorov, L. M. Bronstein, Y. A. Kabachii, P. M. Valetsky, P. L. Soo, D. Maysinger, and A. Eisenberg, Influence of metalation on the morphologies of poly(ethylene oxide)-block-poly(4-vinylpyridine) block copolymer micelles, Langmuir 20 (2004) 3543-3550.

[32] T. Sakai, and P. Alexandridis, Single-step synthesis and stabilization of metal nanoparticles in aqueous pluronic block copolymer solutions at ambient temperature, Langmuir 20 (2004) 8426-8430.

[33] F. Cengelli, D. Maysinger, F. Tschudi-Monnet, X. Montet, C. Corot, A. Petri-Fink, H. Hofmann, and L. Juillerat-Jeanneret, Interaction of functionalized superparamagnetic iron oxide nanoparticles with brain structures, J Pharmacol Exp Ther 318 (2006) 108-116.

[34] N. Duxin, F. Liu, H. Vali, and A. Eisenberg, Cadmium sulphide quantum dots in morphologically tunable triblock copolymer aggregates, J Am Chem Soc 127 (2005) 10063-10069.

[35] S. M. Moghimi, and B. Bonnemain, Subcutaneous and intravenous delivery of diagnostic agents to the lymphatic system: applications in lymphoscintigraphy and indirect lymphography, Adv Drug Deliv Rev 37 (1999) 295-312.

[36] B. J. Dardzinski, V. J. Schmithorst, S. K. Holland, G. P. Boivin, T. Imagawa, S. Watanabe, J. M. Lewis, and R. Hirsch, MR imaging of murine arthritis using ultrasmall superparamagnetic iron oxide particles, Magn Reson Imaging 19 (2001) 1209-1216.

[37] L. Luo, J. Tam, D. Maysinger, and A. Eisenberg, Cellular internalization of poly(ethylene oxide)-b-poly(epsilon-caprolactone) diblock copolymer micelles, Bioconjug Chem 13 (2002) 1259-1265.

[38] N. Rapoport, A. Marin, Y. Luo, G. D. Prestwich, and M. D. Muniruzzaman, Intracellular uptake and trafficking of Pluronic micelles in drug-sensitive and MDR cells: effect on the intracellular drug localization, J Pharm Sci 91 (2002) 157-170.

[39] H. S. Yoo, and T. G. Park, Folate-receptor-targeted delivery of doxorubicin nano-aggregates stabilized by doxorubicin-PEG-folate conjugate, J Control Release 100 (2004) 247-256.

[40] R. Savic, L. Luo, A. Eisenberg, and D. Maysinger, Micellar nanocontainers distribute to defined cytoplasmic organelles, Science 300 (2003) 615-618.

[41] R. Savic, T. Azzam, A. Eisenberg, and D. Maysinger, Assessment of the integrity of poly(caprolactone)-b-poly(ethylene oxide) micelles under biological conditions: a fluorogenic-based approach, Langmuir 22 (2006) 3570-3578.

[42] R. Rossin, D. Pan, K. Qi, J. L. Turner, X. Sun, K. L. Wooley, and M. J. Welch, 64Cu-labeled folate-conjugated shell cross-linked nanoparticles for tumor imaging and radiotherapy: synthesis, radiolabeling, and biologic evaluation, J Nucl Med 46 (2005) 1210-1218.

[43] C. Cheng, K. Qi, E. Khoshdel, and K. L. Wooley, Tandem synthesis of core-shell brush copolymers and their transformation to peripherally cross-linked and hollowed nanostructures, J Am Chem Soc 128 (2006) 6808-6809.

[44] K. B. Thurmond, T. Kowalewski, and K. L. Wooley, Water-Soluble Knedel-like Structures: The Preparation of Shell-Cross-Linked Small Particles, J. Am. Chem. Soc 118 (1996) 7239-7240.

[45] M. J. Joralemon, R. K. O'Reilly, C. J. Hawker, and K. L. Wooley, Shell click-crosslinked (SCC) nanoparticles: a new methodology for synthesis and orthogonal functionalization, J Am Chem Soc 127 (2005) 16892-16899.

[46] K. B. Thurmond, T. Kowalewski, and K. L. Wooley, Shell Cross-Linked Knedels: A Synthetic Study of the Factors Affecting the Dimensions and Properties of Amphiphilic Core-Shell Nanospheres, J. Am. Chem. Soc 119 (1997) 6656-6665.

[47] B. N. Giepmans, S. R. Adams, M. H. Ellisman, and R. Y. Tsien, The fluorescent toolbox for assessing protein location and function, Science 312 (2006) 217-224.

[48] X. Michalet, F. F. Pinaud, L. A. Bentolila, J. M. Tsay, S. Doose, J. J. Li, G. Sundaresan, A. M. Wu, S. S. Gambhir, and S. Weiss, Quantum dots for live cells, in vivo imaging, and diagnostics, Science 307 (2005) 538-544.

[49] H. Arya, Z. Kaul, R. Wadhwa, K. Taira, T. Hirano, and S. C. Kaul, Quantum dots in bio-imaging: Revolution by the small, Biochem Biophys Res Commun 329 (2005) 1173-1177.

[50] M. P. Bruchez, Turning all the lights on: quantum dots in cellular assays, Curr Opin Chem Biol 9 (2005) 533-537.

[51] F. Pinaud, X. Michalet, L. A. Bentolila, J. M. Tsay, S. Doose, J. J. Li, G. Iyer, and S. Weiss, Advances in fluorescence imaging with quantum dot bio-probes, Biomaterials 27 (2006) 1679-1687.

[52] W. C. Chan, and S. Nie, Quantum dot bioconjugates for ultrasensitive nonisotopic detection, Science 281 (1998) 2016-2018.

[53] A. Hoshino, K. Fujioka, T. Oku, S. Nakamura, M. Suga, Y. Yamaguchi, K. Suzuki, M. Yasuhara, and K. Yamamoto, Quantum dots targeted to the assigned organelle in living cells, Microbiol Immunol 48 (2004) 985-994.

[54] L. Murphy, Biosensors and bioelectrochemistry, Curr Opin Chem Biol 10 (2006) 177-184.

[55] Y. Zhang, C. T. Lim, S. Ramakrishna, and Z. M. Huang, Recent development of polymer nanofibers for biomedical and biotechnological applications, J Mater Sci Mater Med 16 (2005) 933-946.

[56] G. Gruner, Carbon nanotube transistors for biosensing applications, Anal Bioanal Chem 384 (2006) 322-335.

[57] G. Melino, R. A. Knight, and P. Nicotera, How many ways to die? How many different models of cell death? Cell Death Differ 12 Suppl 2 (2005) 1457-1462.

[58] J. Lovric, H. S. Bazzi, Y. Cuie, G. R. Fortin, F. M. Winnik, and D. Maysinger, Differences in subcellular distribution and toxicity of green and red emitting CdTe quantum dots, J Mol Med 83 (2005) 377-385.

[59] A. L. Edinger, and C. B. Thompson, Death by design: apoptosis, necrosis and autophagy, Curr Opin Cell Biol 16 (2004) 663-669.

[60] W. X. Zong, and C. B. Thompson, Necrotic death as a cell fate, Genes Dev 20 (2006) 1-15.

[61] G. Kroemer, W. S. El-Deiry, P. Golstein, M. E. Peter, D. Vaux, P. Vandenabeele, B. Zhivotovsky, M. V. Blagosklonny, W. Malorni, R. A. Knight, M. Piacentini, S. Nagata, and G. Melino, Classification of cell death: recommendations of the Nomenclature Committee on Cell Death, Cell Death Differ 12 Suppl 2 (2005) 1463-1467.

[62] J. M. Hansen, Y. M. Go, and D. P. Jones, Nuclear and mitochondrial compartmentation of oxidative stress and redox signaling, Annu Rev Pharmacol Toxicol 46 (2006) 215-234.

[63] J. Lovric, S. J. Cho, F. M. Winnik, and D. Maysinger, Unmodified cadmium telluride quantum dots induce reactive oxygen species formation leading to multiple organelle damage and cell death, Chem Biol 12 (2005) 1227-1234.

[64] A. Szewczyk, and L. Wojtczak, Mitochondria as a pharmacological target, Pharmacol Rev 54 (2002) 101-127.

[65] D. J. Pagliarini, and J. E. Dixon, Mitochondrial modulation: reversible phosphorylation takes center stage? Trends Biochem Sci 31 (2006) 26-34.

[66] M. A. Di Noia, S. Van Driesche, F. Palmieri, L. M. Yang, S. Quan, A. I. Goodman, and N. G. Abraham, Heme oxygenase-1 enhances renal mitochondrial transport carriers and cytochrome C oxidase activity in experimental diabetes, J Biol Chem 281 (2006) 15687-15693.

[67] M. W. Fariss, C. B. Chan, M. Patel, B. Van Houten, and S. Orrenius, ROLE of MITOCHONDRIA in TOXIC OXIDATIVE STRESS, Mol Interv 5 (2005) 94-111.

[68] L. E. Broker, F. A. Kruyt, and G. Giaccone, Cell death independent of caspases: a review, Clin Cancer Res 11 (2005) 3155-3162.

[69] G. Kroemer, and M. Jaattela, Lysosomes and autophagy in cell death control, Nat Rev Cancer 5 (2005) 886-897.

[70] W. J. Brown, D. B. DeWald, S. D. Emr, H. Plutner, and W. E. Balch, Role for phosphatidylinositol 3-kinase in the sorting and transport of newly synthesized lysosomal enzymes in mammalian cells, J Cell Biol 130 (1995) 781-796.

[71] C. Xu, B. Bailly-Maitre, and J. C. Reed, Endoplasmic reticulum stress: cell life and death decisions, J Clin Invest 115 (2005) 2656-2664.

[72] M. Boyce, and J. Yuan, Cellular response to endoplasmic reticulum stress: a matter of life or death, Cell Death Differ 13 (2006) 363-373.

[73] K. Zhang, and R. J. Kaufman, The unfolded protein response: a stress signaling pathway critical for health and disease, Neurology 66 (2006) S102-109.

[74] S. A. Oakes, S. S. Lin, and M. C. Bassik, The control of endoplasmic reticulum-initiated apoptosis by the BCL-2 family of proteins, Curr Mol Med 6 (2006) 99-109.

[75] K. F. Ferri, and G. Kroemer, Organelle-specific initiation of cell death pathways, Nat Cell Biol 3 (2001) E255-263.

[76] S. Hardy, W. El-Assaad, E. Przybytkowski, E. Joly, M. Prentki, and Y. Langelier, Saturated fatty acid-induced apoptosis in MDA-MB-231 breast cancer cells. A role for cardiolipin, J Biol Chem 278 (2003) 31861-31870.

[77] S. Martin, and R. G. Parton, Lipid droplets: a unified view of a dynamic organelle, Nat Rev Mol Cell Biol 7 (2006) 373-378.

[78] A. Nel, T. Xia, L. Madler, and N. Li, Toxic potential of materials at the nanolevel, Science 311 (2006) 622-627.

[79] C. Kirchner, T. Liedl, S. Kudera, T. Pellegrino, A. Munoz Javier, H. E. Gaub, S. Stolzle, N. Fertig, and W. J. Parak, Cytotoxicity of colloidal CdSe and CdSe/ZnS nanoparticles, Nano Lett 5 (2005) 331-338.

[80] R. Hardman, A toxicologic review of quantum dots: toxicity depends on physicochemical and environmental factors, Environ Health Perspect 114 (2006) 165-172.

[81] P. H. Hoet, I. Bruske-Hohlfeld, and O. V. Salata, Nanoparticles - known and unknown health risks, J Nanobiotechnology 2 (2004) 12.

[82] B. I. Ipe, M. Lehnig, and C. M. Niemeyer, On the Generation of Free Radical Species from Quantum Dots, Small 1 (2005) 706-709.

[83] A. C. Samia, X. Chen, and C. Burda, Semiconductor quantum dots for photodynamic therapy, J Am Chem Soc 125 (2003) 15736-15737.

[84] M. Green, and E. Howman, Semiconductor quantum dots and free radical induced DNA nicking, Chem Commun (Camb) (2005) 121-123.

[85] M. Valko, H. Morris, and M. T. Cronin, Metals, toxicity and oxidative stress, Curr Med Chem 12 (2005) 1161-1208.

[86] M. Noble, M. Mayer-Proschel, and C. Proschel, Redox regulation of precursor cell function: insights and paradoxes, Antioxid Redox Signal 7 (2005) 1456-1467.

[87] R. Bakalova, H. Ohba, Z. Zhelev, M. Ishikawa, and Y. Baba, Quantum dots as photosensitizers? Nat Biotechnol 22 (2004) 1360-1361.

[88] S. J. Clarke, C. A. Hollmann, Z. Zhang, D. Suffern, S. E. Bradforth, N. M. Dimitrijevic, W. G. Minarik, and J. L. Nadeau, Photophysics of dopamine-modified quantum dots and effects on biological systems, Nat Mater 5 (2006) 409-417.

[89] C. SungJu, D. Maysinger, M. Jain, B. Roder, S. Hackbarth, and F. M. Winnik, Intracellular cadmium ions and reactive oxygen species cause lysosomal damage and death of cells incubated with CdTe Quantum dots, Langmuir (2006).

[90] P. J. Halvey, W. H. Watson, J. M. Hansen, Y. M. Go, A. Samali, and D. P. Jones, Compartmental oxidation of thiol-disulphide redox couples during epidermal growth factor signalling, Biochem J 386 (2005) 215-219.

[91] J. M. Hansen, H. Zhang, and D. P. Jones, Differential oxidation of thioredoxin-1, thioredoxin-2, and glutathione by metal ions, Free Radic Biol Med 40 (2006) 138-145.

[92] T. Noguchi, K. Takeda, A. Matsuzawa, K. Saegusa, H. Nakano, J. Gohda, J.-I. Inoue, and H. Ichijo, Recruitment of Tumor Necrosis Factor Receptor-associated Factor Family Proteins to Apoptosis Signal-regulating Kinase 1 Signalosome Is Essential for Oxidative Stress-induced Cell Death., J. Biol. Chem. 280 (2005) 37033-37040.

[93] M. Saitoh, H. Nishitoh, M. Fujii, K. Takeda, K. Tobiume, Y. Sawada, M. Kawabata, K. Miyazono, and H. Ichijo, Mammalian thioredoxin is a direct inhibitor of apoptosis signal-regulating kinase (ASK) 1, Embo J 17 (1998) 2596-2606.

[94] J. J. Song, and Y. J. Lee, Differential role of glutaredoxin and thioredoxin in metabolic oxidative stress-induced activation of apoptosis signal-regulating kinase 1, Biochem J 373 (2003) 845-853.

[95] L. Patrick, Toxic metals and antioxidants: Part II. The role of antioxidants in arsenic and cadmium toxicity, Altern Med Rev 8 (2003) 106-128.

[96] S. Jimi, M. Uchiyama, A. Takaki, J. Suzumiya, and S. Hara, Mechanisms of cell death induced by cadmium and arsenic, Ann N Y Acad Sci 1011 (2004) 325-331.