Toxicity and biocompatibility of nanoparticles, and studies on oxidative stress and DNA damage

Oxidative stress is associated with several diseases, either as a cause or a consequence.
Chronic kidney disease (CKD) is one example of a disease in which elevated levels of
oxidative stress are frequently reported. Oxidative stress, inflammation and
malnutrition are risk factors that contribute to an increased risk for cardiovascular
disease and a higher morbidity and mortality in CKD patients. In addition, oral
complaints such as periodontitis and mouth dryness are recurrently reported.
Furthermore, oxidative stress can also be induced by exogenous sources such as toxic
agents in our environment. Nanoparticles, which are increasingly used in the society,
can potentially cause adverse health effects with oxidative stress as a proposed
underlying toxic mechanism. Yet, nanoparticles offer tremendous possibilities for the
society, not least within biomedical applications.



The aim of Study I in this thesis was to investigate the effects of kidney disease on
DNA damage and oxidative stress in the salivary glands. The comet assay was used for
the analysis and the results showed that the DNA damage in predialysis patients (CKD
patients not yet on dialysis) was higher compared to controls as well as CKD patients
on dialysis. The dialysis patients showed lower levels of DNA damage compared to the
controls. There were no differences between the groups regarding the oxidative DNA
damage. The inflammation and uremic markers were elevated in all CKD patients
compared to the controls. The results suggest that the DNA in salivary glands are
affected differently compared to in circulating blood cells that have been studied in
previous studies in CKD patients, potentially due to upregulated DNA repair and
antioxidative mechanisms in the peripheral tissue.



The aim of Study II was to examine health effects of dietary supplementation with an
extract of sea buckthorn rich in antioxidants and fatty acids. The patient group was
dialysis patients and the main outcomes were DNA damage and oxidative stress in the
salivary glands, as well as saliva production. No significant effects on DNA damage,
oxidative DNA damage or saliva production were observed in this crossover
intervention study (2 × 8 weeks).



A further aim of the thesis was to investigate the toxicity of nanoparticles in vitro. A
wide range of nano- and microsized particles was screened for cytotoxicity. Cu- and
Zn-based (Cu, CuO, CuZn, Zn, ZnO) nanoparticles were found to be particularly
cytotoxic. The Cu-based particles were cytotoxic in a size-dependent manner.
Furthermore, the toxicity was found to be dependent on the type of cell investigated.



In Study III the aim was to elucidate the toxic mechanisms of Cu-based (Cu and CuO)
nanoparticles. The studies were performed in a leukemic cell line, and the results
showed that the Cu nanoparticles were most cytotoxic, followed by CuCl2 and lastly
CuO nanoparticles. The Cu nanoparticles induced high levels of oxidation in an
acellular method, as well as slightly increased levels of intracellular reactive oxygen
species (ROS) and oxidative DNA damage in the cells. CuO nanoparticles did not
induce acellular ROS, and the induction of intracellular ROS and DNA damage was
limited. Differences in metal release processes may explain the differences in toxicity
modes between Cu and CuO nanoparticles.



In Study IV, the application of nonporous and mesoporous amine-modified silica
nanoparticles as plasmid delivery vectors was explored. Both of the silica particles
were found to be biocompatible in the human breast carcinoma cell line that was
studied. Nonporous particles were more efficient in the delivery of the plasmids.
Addition of serum in the cell medium increased the delivery efficiency as well as
restricted the toxicity.



In conclusion, the studies in this thesis indicate that the DNA in the oral tissue is less
affected by kidney disease and the dialysis treatment compared to circulating blood
cells. Dietary supplementation with a berry extract containing fatty acids and
antioxidants appears to not affect the levels of DNA damage and oxidative damage in
the oral tissue. Moreover, certain nanoparticles are toxic, and the toxicity is dependent
on several factors including the chemical composition, particle size and dissolution.
Concurrently, some nanoparticles, including silica nanoparticles, offer exciting
possibilities to be used as platforms for biomedical applications. Taken together, further
investigations on both toxicity and application of nanomaterials are required to avoid
negative health effects as well as to embrace their beneficial use