Metabolic effects of TiO2 nanoparticles, a common component of sunscreens and cosmetics, on human keratinocytes

Abstract

The long-term health risks of nanoparticles remain poorly understood, which is a serious concern given their prevalence in the environment from increased industrial and domestic use. The extent to which such compounds contribute to cellular toxicity is unclear, and although it is known that induction of oxidative stress pathways is associated with this process, the proteins and the metabolic pathways involved with nanoparticle-mediated oxidative stress and toxicity are largely unknown. To investigate this problem further, the effect of TiO ₂ on the HaCaT human keratinocyte cell line was examined. The data show that although TiO₂ does not affect cell cycle phase distribution, nor cell death, these nanoparticles have a considerable and rapid effect on mitochondrial function. Metabolic analysis was performed to identify 268 metabolites of the specific pathways involved and 85 biochemical metabolites were found to be significantly altered, many of which are known to be associated with the cellular stress response. Importantly, the uptake of nanoparticles into the cultured cells was restricted to phagosomes, TiO ₂ nanoparticles did not enter into the nucleus or any other cytoplasmic organelle. No other morphological changes were detected after 24-h exposure consistent with a specific role of mitochondria in this response.

OPEN

Citation: Cell Death and Disease (2013) 4, e549; doi:10.1038/cddis.2013.76

& 2013 Macmillan Publishers Limited All rights reserved 2041-4889/13

http://www.nature.com/cddis

Web End =www.nature.com/cddis

P Tucci*,1,2, G Porta3, M Agostini1, D Dinsdale1, I Iavicoli4, K Cain1, A Finazzi-Agr5, G Melino1,5 and A Willis*,1

The long-term health risks of nanoparticles remain poorly understood, which is a serious concern given their prevalence in the environment from increased industrial and domestic use. The extent to which such compounds contribute to cellular toxicity is unclear, and although it is known that induction of oxidative stress pathways is associated with this process, the proteins and the metabolic pathways involved with nanoparticle-mediated oxidative stress and toxicity are largely unknown. To investigate this problem further, the effect of TiO2 on the HaCaT human keratinocyte cell line was examined. The data show that although

TiO2 does not affect cell cycle phase distribution, nor cell death, these nanoparticles have a considerable and rapid effect on mitochondrial function. Metabolic analysis was performed to identify 268 metabolites of the specic pathways involved and 85 biochemical metabolites were found to be signicantly altered, many of which are known to be associated with the cellular stress response. Importantly, the uptake of nanoparticles into the cultured cells was restricted to phagosomes, TiO2 nanoparticles did not enter into the nucleus or any other cytoplasmic organelle. No other morphological changes were detected after 24-h exposure consistent with a specic role of mitochondria in this response.

Cell Death and Disease (2013) 4, e549; doi:http://dx.doi.org/10.1038/cddis.2013.76

Web End =10.1038/cddis.2013.76 ; published online 21 March 2013

Subject Category: Cancer Metabolism

Normal-sized (4100 nm) titanium dioxide (TiO2) particles are classied as biologically inert in both humans and animals,1,2

and therefore, they have been extensively used as an excipient in wide range of products such as cosmetics and pharmaceuticals.35 However, in recent years, with the introduction of nanotechnology, the industrial use of TiO2 in

nanoparticulate form (o100 nm) has grown exponentially.

Currently, TiO2 nanoparticles (TiO2-NP) are used as additives in sunscreen products, paints, printing ink, rubber, paper, sugar, cement, toothpaste, lm, bio-medical ceramic and implanted biomaterials, antimicrobial plastic packaging and self-cleaning sanitary ceramics.68

Owing to their widespread use, the potential biological effects of TiO2-NP have assumed increasing importance, and concerns are mounting for health risks to exposed workers as well as to the general population. Some studies suggest that nanoparticles may be more toxic than larger particles of the same material because of their larger surface area, enhanced chemical reactivity and easier cellular penetration.9 In support of this, TiO2-NP are known to exert signicant toxic effects and have been shown to cause chronic pulmonary inammation in rats10 and pro-inammatory effects in human endothelial

Keywords: titanium dioxide; apoptosis; metabolism; cancer; sunscreens; cosmetics

Abbreviations: TiO2, titanium dioxide; NP, nanoparticles; OCR, oxygen consumption rate; ECAR, extracellular acidication rate; SAM, S-adenosylmethionine;

SAH, S-adenosylhomocysteine; ROS, reactive oxygen species

Metabolic effects of TiO2 nanoparticles, a common component of sunscreens and cosmetics, on human keratinocytes

cells.11 TiO2-NP have also been reported to elicit changes in gene expression pathways, including apoptosis-related genes12,13 and inammatory genes, and to promote oxidative stress and DNA damage responses.11,12 In vivo studies

suggest that the major pathogenic mechanisms initiated by

TiO2-NP are inammatory responses and as a consequence, inammation is used as a marker for toxicological testing for TiO2.14,15

The biological effects of TiO2-NP exposure and the mechanisms underlining the response are still not well understood. Therefore, a more detailed understanding of the toxicological behavior of TiO2-NP is required to elucidate toxicity pathways, the oxidative stress effects and the response mechanisms triggered by this material. In particular, as skin contact is one of the most signicant routes of exposure for the general population, as well as in workers occupationally exposed to this agent, it is very important to evaluate the interaction between TiO2-NP and keratinocytes.

The aim of this study was therefore to investigate the early pathological, metabolic and toxicological processes induced by TiO2-NP through a new, non-invasive and powerful technique, metabolomics. This method provides a relatively

1Medical Research Council, Toxicology Unit, Leicester University, Leicester LE1 9HN, UK; 2Department of Pharmacy, Health and Nutritional Sciences, University of Calabria, Arcavacata di Rende 87036, Italy; 3Department of Clinical and Experimental Medicine, University of Insubria, Varese, Italy; 4Institute of Occupational Medicine, Universit Cattolica del Sacro Cuore, Rome 00133, Italy and 5Biochemistry Laboratory, IDI-IRCCS, University of Rome Tor Vergata, Rome 00133, Italy *Corresponding author: P Tucci, Department of Pharmacy, Health and Nutritional Sciences, University of Calabria, Ed. Polifunzionale, Arcavacata di Rende, Cosenza 87036, Italy. Tel: [phone]; Fax: [phone]; E-mail: mailto:[email protected]

Web End [email protected]

or A Willis, Medical Research Council, Toxicology Unit, Leicester University, Leicester LE1 9HN, UK; Tel: [phone]; Fax: [phone];

E-mail: mailto:[email protected]

Web End [email protected]

Received 11.1.13; accepted 29.1.13; Edited by RA Knight

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complete biological outlook of the whole-cell response to nanomaterials. We conducted such a metabolic analysis in a human keratinocyte cell line (HaCaT cells) treated for 24 h with a range of doses of TiO2-NP, in order to characterize the metabolic effects of treatment and to obtain a detailed biochemical identication of tissue damage.

Results

Ultrastructural effects of TiO2. The size and shape and particle surface characteristics, for example, charge, are important factors in cytotoxicity.16 In addition, TiO2 particles are mostly found as aggregates,17 and the nature of these aggregates is an important factor in determining their cytotoxicity;18 in this regard, it has been shown previously that the size of TiO2 aggregates affects gene expression pathways.19 To determine whether and how TiO2-NP were taken up by the cells, electron microscopy was used to examine their interaction with HaCaT cells. Electron-dense particles of 10100 nm in diameter were identied both isolated and as aggregates within phagosomes throughout the cytoplasm (Figure 1a). Larger phagosomes (12 mm in diameter) were particularly common in the region of the microtubule-organizing center and their titanium content was conrmed by energy-dispersive X-ray spectrometry. No particles were found in any other cytoplasmic organelles or within the nucleus, and no other morphological changes were detected after 24-h exposure (Figure 1a). Several large clumps of particles (0.53 mm in diameter) were observed free in the culture medium, however, none of these were found to be undergoing phagocytosis.

Effect of TiO2 on cell viability and on mitochondrial function. In order to determine whether there were cytotoxic effects associated with the presence of intracellular TiO2-NP,

HaCaT cells were exposed to a range of concentrations of nanoparticles and apoptosis rates were examined by FACS analysis (Figure 1b). The data show that there were no signicant differences in cell death between cells treated with TiO2 and control cells within the time frame used (Figure 1b).

Moreover, there were no signicant differences in the cell cycle prole.

As intracellular TiO2-NP did not cause any gross changes in cell cycle phase distribution or induce apoptosis during the time interval of study, a more rened analysis was performed. In particular, the role of mitochondrial function was investigated as a reduction in mitochondrial activity is known to be an early marker of toxic insult. Previous studies have shown that energy pathways are highly sensitive to exposure to toxic agents, affecting several intracellular biochemical processes (glycolysis, Krebs cycle, electron transport and OXPHOS), resulting in the abnormal production of ATP and release of heat and chemical byproducts (lactate and CO2) into the extracellular environment.2026 In order to evaluate

whether TiO2-NP affected mitochondrial function, the oxygen consumption rate (OCR) (Figure 2a and Supplementary Figure S1A) and extracellular acidication rate (ECAR) (Supplementary Figure S1B) were measured in HaCaT cells exposed sequentially to modulators of mitochondrial activity

(oligomycin, FCCP and Rotenone) in the presence of different concentrations of TiO2-NP for 24 h.

The data show that TiO2-NP led to a signicant, inhibitors-insensible, concentration-dependent increase of basal cellular respiration (Figure 2b). In particular, the rotenone-sensitive OCR was affected by TiO2-NP (Figure 2c). Thus, in control cells, rotenone reduced the OCR to about 20% of its baseline rate, suggesting that mitochondrial respiration accounted for

B80% of total cellular respiration. However, in cells exposed to TiO2-NP, the oxygen consumption was reduced by rotenone to between 60 and 30% of the total. Taken together, these data strongly suggest that TiO2-NP affects mitochondrial function, inducing a signicant fraction of electrons to escape from the regular respiratory chain path, perhaps giving rise to reactive oxygen radicals. Trying to better understand these effects in more detail, a full metabolic analysis was carried out.

High-dose TiO2 has an impact on energy metabolism and increases cellular turnover. HaCaT cells were incubated with 5, 50 or 100 mg/ml TiO2-NP for 24 h and samples were analyzed by either gas chromatography/mass

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Figure 1 Effect of TiO2 on morphology and cell cycle phase distribution. (a) Transmission electron microscopy of HaCaT cells treated with 50 mg/ml TiO2 for 24 h. Agglomerated and single particles were found inside phagosomes/lysosomes.

No particles were found within the nucleus or any other organelles. (b) Apoptosis and cell cycle analysis was performed by ow cytometry in HaCat cells treated for 24 h with different concentrations of TiO2 as indicated. Data represent meanS.E.M. of three independent experiments

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spectrometry (GC/MS) or liquid chromatography/mass spec-trometry (LC/MS/MS). Overall, a total of 268 metabolites were identied (Table 1 and Supplementary Figure S3,) of which 56 or 85 (Table 1, at 50 or 100 mg/ml versus control,

Pr0.05 and 0.05oPo0.10, respectively) were found signicantly altered by exposure to TiO2-NP.

After treatment with the highest concentration of TiO2,

NAD (Figure 3a), NADH (Figure 3b), and NADP (Figure 3c) levels were decreased following exposure of cells to 100 mg/ml TiO2. There was a reduction in the amount of coenzyme A (Figure 3d), carnitine (Figure 3e) and acylcarnitines (Figures 3f-g), implying an alteration in the oxidation of fatty acids, and changes in acetyl-CoA (Figure 3h) and acetyl-carnitine (Figure 3i).

Although TCA intermediates did not appear to be affected (3-phosphoglycerate, Figure 4b) by exposure of the cells to TiO2-NP, glucose (Figure 4a) and glycolytic metabolites, including pyruvate (Figure 4c), were signicantly reduced at higher doses of TiO2. Consistent with these data, there was also a reduction in pentose phosphate pathway intermediates, such as ribose-5-phosphate (Figure 4d) and ribose (Figure 4e). As these intermediates are important for nucleotide synthesis,27,28 reduced ribose-5-phosphate may explain the lower level of nucleosides and nucleotides observed at 100 mg/ml TiO2-NP.

Reduced nucleotide synthesis may drive an increase of RNA turnover as indicated by elevated RNA degradation metabolites (30AMP, 30CMP, and 20, 30-cCMP) (Figures 5a-c)

after treatment with 50 mg/ml and 100 mg/ml TiO2. Similarly,

dipeptides were signicantly increased (Figures 5d-f), indicating a faster protein degradation and turnover.

Altogether, these changes indicate that TiO2-NP have signicant effects on anabolic pathways and energy metabolism.

TiO2 nanoparticles affect methylation capacity, resulting in decreased glutathione levels. S-Adenosylmethionine (SAM) and S-Adenosylhomocysteine (SAH) are metabolites

Table 1 Metabolic changes induced by TiO2

Statistical Comparisons

Welchs two-sample t-tests

Total number of biochemicals with Pp0.05

Bio-chemicals (mk)Pp0.05

Total number of biochemicals with0.05o Po0.10

Bio-chemicals (mk)0.05o Po0.10

5 mg/CTRL 19 19/0 11 6/5 50 mg/CTRL 45 39/6 11 8/3 100 mg/CTRL 54 17/37 31 2/29 50 mg/5 mg 59 49/10 31 28/3 100 mg/5 mg 71 26/45 29 2/27 100 mg/50 mg 56 0/56 53 1/52

Welchs two-sample t-test was used to determine whether the means of the two populations are different. A total of 268 metabolites was identied. Bold values indicate an increase, italic values indicate a reduction. Original data are shown in Supplementary Figure S3.

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Figure 2 Effect of TiO2 on respiration. (a) OCR of HaCat cells exposed sequentially to each modulator of mitochondrial activity (oligomycin, FCCP and Rotenone) in presence of different concentrations of TiO2 for 24 h. A representative experiment out of ve performed, is shown. (b) Basal cellular respiration for each concentration used, as from experiment in A. (c) Effect of TiO2 on rotenone-sensitive OCR, as from experiment in (a). Data in (b and c) represent meanS.E.M. of three independent experiments. Statistical P-values in (b) and (c) are shown, compared with control. See also Supplementary Figures 1 for relative cumulative effect on three independent experiments and for ECAR

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Figure 3 Effect of TiO2 on energy metabolism and cellular turnover. Levels of NAD (a), NADH (b), NADP (c), CoA (d), carnitine (e), hexanoylcarnitine (f), palmitoylcarnitine (g), acetyl-CoA (h) and acetyl-carnitine (i) were measured as described in Materials and Methods. The box and whiskers legend are shown

involved in the conversion of methionine to homocysteine in the proximal part of the methionine cycle. S-Adenosylmethio-nine is synthesized from methionine and ATP in a reaction catalyzed by methionine adenosyltransferase. SAM provides methyl groups in dozens of transmethylation reactions of crucial biological importance.29 S-Adenosylhomocysteine, produced by methyl group transfer has been demonstrated to inhibit these reactions at various concentrations.2931 The

results obtained show a reduced SAH concentration following treatment of HaCaT cells with 50 and 100 mg/ml TiO2 (Figure 6a), as well as a decreased level of homocysteine (Figure 6b), which may react with adenosine to form SAH by the reverse action of the enzyme S-Adenosylhomocysteine

hydrolase. Moreover, a decreased methylation capacity may mirror a decreased glutathione synthesis, (Figure 6c) thus contributing to a greater oxidative stress. Methionine is essential also for cell growth, being a precursor for the aminopropyl moieties of spermidine and spermine, the key polyamines required for transcription and translation, and which stimulate normal and neoplastic cell division. Therefore, treatment with TiO2-NP resulted in dysfunction of the methionine cycle and methionine deciency (Figure 6d).

Overall gene expression can be regulated by epigenetic processes including the methylation of cytosine residues in the DNA sequence of gene promoters.32 This process of DNA methylation is regulated by the ratio of SAM and SAH, and is

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glucose

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Figure 4 Effect of TiO2 on glucose metabolism. Levels of glucose (a), 3-phosphoglycerate (b), pyruvate (c), ribose-5-phosphate (d) and ribose (e) were measured as described in Materials and Methods. The metabolic pathway is shown

catalyzed by DNA methyltranferase enzymes that transfer methyl groups from SAM to cytosines. Methionine and folate interrelate in this metabolic process at the stage of conversion of homocysteine to methionine. Dysregulation of DNA methylation has been consistently associated with cancer initiation. Together with the dose-dependent decrease in 5-methylthioadenosine (MTA) (Figure 7a), these observations suggest a potential deciency in the methyl donor SAM. Such a deciency could have signicant impact on enzymatic reactions that use SAM as a cofactor, including DNA methylation enzymes.

A signicant dose-dependent decline in cystathionine (Figure 6e) was also observed in TiO2-treated samples starting at 50 mg/ml. Cystathionine is an intermediate in cysteine biosynthesis, which appears to decrease after treatment with the 100-mg/ml TiO2 dose (Figure 6f). This reduction in cysteine levels may have a subsequent effect on glutathione synthesis, which is also reduced at the highest dose of TiO2 tested (Figure 6c). Glutathione has an important role in redox-homeostasis; thus, oxidative stress is expected to increase as glutathione levels decrease.

Highly elevated dimethylarginine (Figure 7b) after treatment with 50 mg/ml or 100 mg/ml of TiO2 would support increased oxidative stress, as degradation of this regulator of nitric oxide synthesis is inhibited under such conditions.

TiO2 reduces polyamine synthesis and induces an inammatory-like response. The natural polyamines, spermine and spermidine, as well as their precursor, putrescine, are aliphatic cations that interact with nucleic acids and proteins. Spermine and spermidine have a vital role in a variety of intracellular processes including gene transcription, RNA processing and translation.33 Increased polyamine levels are required for growth, differentiation and transformation of cells. Both spermine and spermidine are actively involved in the protection of cells from oxidative stress by scavenging ROS.3436 Consequently, any imbalance of polyamine metabolism may have important consequences. Thus, for example, increased polyamine synthesis is a marker of neoplastic proliferation.3739

A signicant dose-dependent decrease in spermidine (Figure 7c) and the byproduct of spermidine synthesis, MTA, (Figure 7a) was observed in TiO2-treated cells.

Decreased spermidine synthesis, which is often correlated with proliferation, may reect decreased activity of spermidine synthase due to low levels of decarboxylated SAM. Alternatively, reduced levels of the precursor putrescine (Figure 7d), resulting from lower activity of the urea cycle, may lead to reduced polyamine synthesis. Increased arginine levels (Figure 7e) at the 50 and 100 mg/ml doses and decreased urea (Figure 7f) and ornithine (Figure 7g) would

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3'-AMP

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Figure 5 Effect of TiO2 on energy intermediates. Metabolic changes in proteins and in the RNA degradation pathway following treatment with TiO2. Levels of 3-AMP (a), 3-CMP (b), cytosine-2,3-cyclic monophosphate (c), glycylvaline (d), aspartylleucine (e) and aspartylphenylalanine (f) were measured as described in Materials and Methods

be consistent with the hypothesis that decreased polyamine synthesis may signify reduced proliferation.

2-(D)-Hydroxy fatty acids are conventional lipid components and are important constituents of animal sphingolipids.4046 The hydroxyl group is believed to add to the hydrogen-bonding capacity of the sphingolipids, helping to stabilize membrane structures and strengthen their interactions with membrane proteins. Although 2-hydroxy fatty acids are not typical indicators of oxidative stress, increased levels of the fatty acid 2-hydroxypalmitate at the 50 mg/ml and 100 mg/ml concentrations (Supplementary Figure S2A) may reect increased oxidation of membrane lipids. Furthermore, a cellular response to stress is also indicated by the increased levels of the pro-inammatory molecules prostaglandin E2 (Supplementary Figure S2B) and 15-HETE (Supplementary Figure S2C).

Taken together, these biochemical changes support a signicant perturbation of the urea cycle and of polyamine metabolism upon TiO2-NP treatment, as well as some evidence for an increased inammatory response.

The glucuronidation pathway is impaired in cells treated with TiO2. All major enzymes that are involved in the metabolism of xenobiotics are present in the skin.47 Indeed, bioactivation of drugs to chemically reactive metabolites is thought to be the primary step in many chemical toxicities.48

Glucuronidation involves the conjugation of a suitable functional group present on a variety of structurally unrelated substrates with glucuronic acid and has an important cytoprotective role. The reaction requires UDP-glucuronate

as cofactor and is catalyzed by the enzyme UGT. This metabolic pathway leads to the formation of water-soluble metabolites. Thus, glucuronate is a highly polar molecule that is incorporated into proteoglycans, as well as combined with bilirubin and steroid hormones; it can also be combined with certain drugs to increase their solubility. Glucuronate is derived from glucose in the uronic acid pathway. The pathway involves the oxidation of glucose-6-phosphate to UDP-glucuronate, and is an alternative mechanism for the oxidation of glucose that does not provide a means of producing ATP, but is utilized for the generation of the activated form of glucuronate, UDP-glucuronate. Glucuronidation of drugs and hormones increases their water solubility by modifying the substrate with a glucuronate moiety transferred from UDP-glucuronate. Interestingly, a signicant decrease in UDP-glucuronate (Figure 8a) and glucuronate (Figure 8b) was observed in cells treated with 100 mg/ml

TiO2, suggesting that this pathway is also affected by nanoparticle treatment.

Discussion

The skin is the largest organ and represents the bodys protective surface as the rst and outermost contact site for topically applied substances.4953 Although the role of the skin as a barrier in preventing mechanical and physical harm has often been emphasized, its potential to detoxify chemicals has been less well studied. However, the skin has a key role in controlling not only the penetration and distribution but also the metabolism of topically applied chemicals, and is thus a

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S-adenosylhomocysteine (SAH)

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Figure 6 Metabolic pathway of methylation and glutathione synthesis. Levels of SAH (a), homocysteine (b), GSH (c), methionine (d), cystathionine (e) and cysteine (f) were measured as described in Materials and Methods. The metabolic pathway is shown below

rst-pass organ for penetrating substances. Numerous examples exist showing that skin metabolism is not only protective but also contributes to skin pathologies such as contact dermatitis or carcinogenesis.54,55 This implies the

need of safety assessment for all ingredients of cosmetic products, and the need to employ appropriate models to test chemical ingredients for their potential to cause skin irritation and sensitization, as well as genotoxic damage.

Among the engineered nanoparticles, TiO2-NP are the earliest industrially produced nanomaterials and remain the most widely used white pigments in use today. Their opacity is utilized to enhance the whiteness of products such as toothpaste, lotion, skimmed milk, cottage cheese and

medicines. The levels of TiO2-NP in these different agents varies over a wide range, being up to 5 mg/ml in foodstuffs, between 1 and 90 mg/ml in topically applied agents such as toothpastes and sunscreens, to 4100 mg/ml in some paints.56

Because of this wide range of concentrations, we have used a similarly broad range of concentrations in our study.

Owing to their widespread use, TiO2-NP have become an important public health issue, and an appropriate risk assessment of these materials is required due to increased environmental and occupational exposure. For these reasons, in the last decade, several in vitro and in vivo studies have been conducted to investigate the potential toxicological effects of TiO2-NP exposure. Although the ndings of in vitro

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Figure 7 Metabolic pathway of polyamine synthesis. Levels of MTA (a), dimethylarginine (b), spermidine (c), putrescine (d), arginine (e), urea (f) and ornithine (g) were measured as described in Materials and Methods. The metabolic pathway is shown on the right side

studies have to be interpreted with caution because of heterogeneity in particle characterization and doses of TiO2-NP used, they do show that TiO2-NP can exert toxic effects in different cell lines. In particular, they are able to cause cellular responses, including cell death, cytokine production, increase of inammatory indices and radical oxygen species (ROS) generation.7,14 Nevertheless, the biological effects of TiO2-NP exposure, and the mechanisms underlying cellular responses are far from being completely understood.

In this study, we have identied a number of metabolic changes in response to TiO2 treatment, and focused on

biochemicals that changed signicantly in either a dose-dependent manner or were affected at the highest concentration of TiO2-NP. Although there is some conicting evidence in the literature, several studies have reported cellular toxicity and induction of oxidative stress upon treatment of mammalian cells with TiO2 in vitro. Our own data would support these ndings, as we have identied several biochemical changes indicative of oxidative stress and depressed energy metabolism induced by exposure of HaCaT cells to TiO2-NP.

Inammation leads to genotoxic events as well as cellular proliferation and tissue remodeling, which are processes that

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UDP-glucuronate

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Figure 8 Effect of TiO2 on the glucuronidation pathway. Changes in UDP-glucuronate (a) and glucuronate (b) levels in TiO2-treated cells. The metabolic pathway is shown on the right side

increase the likelihood of mutation and progression towards neoplastic lesions.57 Similarly, ROS generation has also been implicated in malignant transformation and cancer,58 and

specically in the acquisition of a tumorigenic phenotype induced by TiO2-NP.59 However, the mutagenic or epigenetic mechanisms underlying the role of TiO2-NP in the multistep process of carcinogenesis still requires more detailed analysis.

In summary, we report several signicant biochemical changes associated with the treatment of human keratinocytes with TiO2-NP that warrant further investigation. The majority of changes seen 24 h after treatment with 100 mg/ml

TiO2 indicate activation of cellular stress and reduced metabolic capacity. These changes expand, at the biochemical and molecular level, previous observations of cytotoxicity associated with TiO2-NP. In our experimental conditions, we did not detect any effect on cell viability, which may reect the relatively brief (24 h) exposure. This would suggest that metabolic effects precede effects on viability. Dermal exposure is important not only for the general population in the use of topically applied cosmetics but also, more importantly, for workers exposed occupationally in the manufacture of TiO2-NP. As our short-term study has shown signicant (and potentially pathogenic) metabolic changes, it is evident that longer-term systematic in vivo studies are required to fully inform risk assessment and management.

Materials and MethodsCell culture. The human keratinocyte cell line (HaCaT) was obtained from the American Type Culture Collection (ATCC). The cells were grown in Dulbeccos modied Eagles medium (DMEM) (Gibco, Paisley, UK) supplemented with 2 mM L-glutamine, 10% fetal bovine serum (FBS) and 1% pen/strep. The cultures were maintained at 37 1C and 5% CO2.

Titanium dioxide solution preparation and treatment. Anatase titanium dioxide (TiO2) nanopowder was purchased from Sigma (St. Louis, MO,

USA). The stock solution of TiO2 nanoparticles (1 mg/ml) was prepared in deionized water, dispersed for 10 min by using a sonicator (60 amplitude) to prevent aggregation and vortexed for 1 min. The stock solution of titanium dioxide nanoparticles was kept at 4 1C and used within 1 week for the experiments. Prior

to each experiment, the stock solution was sonicated on ice for 10 min, vortexed for 1 min and then immediately diluted into the working concentrations with medium. TiO2-NP at different concentrations (5, 50 and 100 mg/ml) was added to the cell cultures containing 20 ml of medium in 150 mm polystyrene-coated dishes.

After 24-h incubation, cells were harvested and prepared for metabolomic and other analysis.

Transmission electron microscopy (TEM). For electron microscopy, cells were xed in 2% glutaraldehyde in 0.1 M sodium cacodylate buffer (pH 7.4) at 4 1C overnight and postxed with 1% osmium tetroxide/1% potassium ferrocyanide for 1 h at room temperature. After xation, cells were stained en bloc with 5%

aqueous uranyl acetate overnight at room temperature, dehydrated and embedded in Taab epoxy resin (Taab Laboratories Equipment Ltd., Aldermaston, UK). Ultrathin sections were stained with lead citrate and recorded using a Megaview 3 digital camera and iTEM software (Olympus Soft Imaging Solutions GmbH, Mnster, Germany) in a Jeol 100-CXII electron microscope (Jeol UK Ltd., Welwyn Garden City, UK) equipped with a PCXA-1186 energy-dispersive X-ray spectrometer (Link Analytical Ltd., High Wycombe, UK).

Flow cytometry analysis. Flow cytometry was performed as described by Tucci et al.60 Briey, HaCaT cells were harvested after treatment with 0.025% trypsin for 3 min at 37 1C and then, after addition of 10% FCS in PBS, the cells were centrifuged, washed with PBS and xed in 70% cold ethanol. The harvesting of cells using these conditions led to a high yield of undamaged cells. After xation, cells were washed with PBS, treated for 15 min at 37 1C with RNase (100 mg/ml) and then stained with propidium iodide (10 mg/ml in the dark for 30 min). The samples were then analyzed using a FACScan ow cytometer (Becton Dickinson, San Jose, CA, USA).

Extracellular ux (XF) analysis. HaCaT cells were seeded in XF 24-well cell culture microplates (Seahorse Bioscience, North Billerica, MA, USA) in triplicate at 10 103 cells/well in 1 ml growth medium and then incubated at 37 1C

in 5% CO2. Assays were initiated, 24 h after treatment with TiO2-NP, by removing the growth medium from each well and replacing it with 600900 ml of assay medium pre-warmed to 37 1C. The cells were incubated at 37 1C for 30 min to allow media temperature and pH to reach equilibrium before the rst rate measurement. Prior to each rate measurement, the XF24 Analyzer (Seahorse Bioscience) gently mixed the assay media in each well for 10 min to allow the oxygen partial pressure to reach equilibrium. Following mixing, oxygen consumption rate (OCR) and extracellular acidication rate (ECAR) were measured simultaneously for 35 min to establish a baseline rate. The assay medium was then gently mixed again for 35 min between each rate measurement to restore normal oxygen tension and pH in the microenvironment surrounding the cells. After the baseline measurement, 7590 ml of a testing agent prepared in assay medium was then injected into each well to reach the desired nal working

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concentration. This was followed by mixing for 510 min to expedite compound exposure to cellular proteins, after which OCR and ECAR measurements were then carried out. Generally, two to three baseline rates and two or more response rates (after compound addition) were measured, and the average of two baseline rates or test rates was used for data analysis. For time-resolved experiments, multiple measurements as well as compound injections were made at the time points indicated. The values of OCR and ECAR reect both the metabolic activities of the cells and the number of cells being measured. For relative measurements comparing metabolic rate after compound exposure to a pre-exposure baseline, that is, when data are expressed as a percentage of OCR or ECAR change over baseline, the number of cells present in a well is not relevant as the same cell population is assayed.

Metabolomic analysis. Samples were immediately stored at 80 1C, and,

at the time of analysis, were extracted and prepared for analysis using a standard metabolic solvent extraction method. The extracted samples were split into equal parts for analysis by gas chromatography/mass spectrometry (GC/MS) or liquid chromatography/mass spectrometry (LC/MS/MS) platforms. Also included were several technical replicate samples created from a homogeneous pool containing a small amount of all study samples. Global biochemical proles, from untreated HaCaT cells (control, CTRL) and cells treated for 24 h with varying doses of TiO2 nanoparticles: 5 mg/ml, 50 mg/ml, and 100 mg/ml, were compared.

The LC/MS portion of the platform was based on a Waters ACQUITY UPLC (Waters, Milford, MA, USA) and a Thermo-Finnigan LTQ mass spectrometer (Thermo Electron Corporation, San Jose, CA, USA), which consisted of an electrospray ionization source and linear ion-trap mass analyzer. The sample extract was split into two aliquots, dried, then reconstituted in acidic or basic LC-compatible solvents, each of which contained 11 or more injection standards at xed concentrations. One aliquot was analyzed using acidic positive ion-optimized conditions and the other using basic negative ion-optimized conditions in two independent injections using separate dedicated columns. Extracts reconstituted in acidic conditions were gradient-eluted using water and methanol, both containing0.1% formic acid, while the basic extracts, which also used water/methanol, contained 6.5 mM ammonium bicarbonate. The MS analysis alternated between MS and data-dependent MS2 scans using dynamic exclusion.

The samples destined for GC/MS analysis were redried under vacuum desiccation for a minimum of 24 h prior to being derivatized under dried nitrogen using bistrimethyl-silyl-triouroacetamide (BSTFA). The GC column was 5% phenyl and the temperature ramp is from 40 to 300 1C in a 16 min period. Samples were analyzed on a Thermo-Finnigan Trace DSQ fast-scanning single-quadrupole mass spectrometer using electron impact ionization. The instrument was tuned and calibrated for mass resolution and mass accuracy on a daily basis. The information output from the raw data les was automatically extracted.

For ions with counts 42 million, an accurate mass measurement could be performed. Accurate mass measurements could be made on the parent ion as well as on the fragments. The typical mass error was o5 ppm. Ions with o2 million counts require a greater amount of effort to characterize. Fragmentation spectra (MS/MS) were typically generated in a data-dependent manner, but if necessary, targeted MS/MS could be employed, such as in the case of lower level signals. Compounds were identied by comparison with library entries of puried standards or recurrent unknown entities. Identication of known chemical entities was based on comparison with metabolic library entries of puried standards. The combination of chromatographic properties and mass spectra gave an indication of a match to the specic compound or an isobaric entity.

Data quality: instrument and process variability. Instrument variability was determined by calculating the median relative S.D. for the internal standards that were added to each sample prior to injection into the mass spectrometers. Overall process variability was determined by calculating the median relative S.D. for all endogenous metabolites (i.e., non-instrument standards) present in 100% of the matrix samples, which are technical replicates of pooled client samples.

Metabolite summary and signicantly altered biochemicals. The metabolic analysis, as from above, allowed the identication of a total of 268 named biochemicals. Following normalization to total protein determined by Bradford assay, log transformation and imputation with minimum observed values was performed for each compound. Welcs two-sample t-tests were then used to identify biochemicals that differed signicantly between experimental groups.

A summary of the numbers of biochemicals that achieved statistical signicance (Pp0.05), as well as those approaching signicance (0.05oPo0.1), is shown as a table and a Supplementary table in the Results section.

An estimate of the false discovery rate (q-value) is calculated to take into account the multiple comparisons that normally occur in metabolic-based studies. For example, when analyzing 200 compounds, we would expect to see about 10 compounds meeting the Pp0.05 cutoff by random chance. The q-value describes the false discovery rate; a low q-value (qo0.10) is an indication of high condence in a result. While a higher q-value indicates diminished condence, it does not necessarily rule out the signicance of a result.

Conict of InterestThe authors declare no conict of interest.

Acknowledgements. We would like to acknowledge Judy McWilliam and Tim Smith for their technical support in transmission electron microscopy. This work has been supported by the Medical Research Council, UK; grants from Alleanza contro il Cancro (ACC12-ACC6), MIUR/PRIN (RBIP06LCA9_0023), AIRC (20082010_3308) (no. 5471) (2011-IG11955), AIRC 5xmille (no. 9979), Italian Human ProteomeNet RBRN07BMCT, Min. Salute (Ricerca oncologica 26/07) and IDI-IRCCS RF06 (conv. 73) and RF07 (conv. 57) to GM.

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