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* Department and Institute of Pharmacology, School of Medicine, National Yang-Ming University, Taipei, Taiwan;
NTU Center for Genomic Medicine, National Taiwan University, Taipei, Taiwan;
Department of Medical Research, National Taiwan University Hospital, Taipei, Taiwan;
Institute of Life Sciences, College of Life Sciences, National Chung-Hsing University, Taichung, Taiwan;
|| Institutes of Biomedical Sciences and Molecular Biology, College of Life Sciences, National Chung-Hsing University, Taichung, Taiwan; and

Department of Internal Medicine, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan
2Correspondence: Department of Internal Medicine National Taiwan University Hospital and National Taiwan University College of Medicine, No. 7 Chung-Shan South Rd., Taipei 100, Taiwan. E-mail: pcyang{at}ha.mc.ntu.edu.tw
ABSTRACT
Titanium dioxide nanoparticles (nanoTiO2) have been widely used as a photocatalyst in air and water cleaning. However, these nanoparticles inhalation can induce pulmonary toxicity and its mechanism is not fully understood. In this study we investigated the pulmonary toxicity of nanoTiO2 and its molecular pathogenesis. The adult male ICR mice were exposed to intratracheal single dose of 0.1 or 0.5 mg nanoTiO2 (1921 nm) and lung tissues were collected at 3rd day, 1st wk, and 2nd wk for morphometric, microarray gene expression, and pathway analyses. NanoTiO2 can induce pulmonary emphysema, macrophages accumulation, extensive disruption of alveolar septa, type II pneumocyte hyperplasia, and epithelial cell apoptosis. NanoTiO2 induced differential expression of hundreds of genes include activation of pathways involved in cell cycle, apoptosis, chemokines, and complement cascades. In particular, nanoTiO2 up-regulates placenta growth factor (PlGF) and other chemokines (CXCL1, CXCL5, and CCL3) expressions that may cause pulmonary emphysema and alveolar epithelial cell apoptosis. Cultured human THP-1 cell-derived macrophages treated with nanoTiO2 in vitro also resulted in up-regulations of PlGF, CXCL1, CXCL5, and CCL3. These results indicated that nanoTiO2 can induce severe pulmonary emphysema, which may be caused by activation of PlGF and related inflammatory pathways.Chen, H-W., Su, S-F., Chien, C-T., Lin, W-H., Yu, S-L., Chou, C-C., Chen, J. J. W., Yang, P. C. Titanium dioxide nanoparticles induce emphysema-like lung injury in mice.
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