纳米颗粒对肾脏系统的影响。
The effects of nanoparticles on the renal system.
机构信息
a Section of Occupational Medicine, Department of Public Health , University of Naples Federico II , Naples , Italy ;
b Department of Occupational and Environmental Medicine , Epidemiology and Hygiene INAIL-Italian Workers' Compensation Authority , Monte Porzio Catone (Rome) , Italy ;
出版信息
Crit Rev Toxicol. 2016 Jul;46(6):490-560. doi: 10.1080/10408444.2016.1181047. Epub 2016 May 19.
Through a process of translocation across biological barriers, nanoparticles can reach and deposit in secondary target organs where they may induce adverse biological reactions. Therefore, a correct assessment of nanoparticle-induced adverse effects should take into account the different aspects of toxicokinetics and tissues that may be targeted by nanoparticles. For this reason, a comprehensive evaluation of renal nanotoxicity is urgently needed as kidneys are particularly susceptible to xenobiotics and renal excretion is an expected and possible elimination route of nanoparticles in living organisms. On one hand, summarizing the findings of in vitro and in vivo studies that have investigated the adverse effects of nanoparticles on the kidney, this review intends to provide a thorough insight into the nephrotoxicity of these substances. The evaluation of the in vitro studies revealed that different types of nanoparticles (carbon, metal and/or silica nanoparticles) are able to exert significant cytotoxic effects (i.e., decreased cell viability, induction of oxidative stress, mitochondrial or cytoskeleton dysfunction and cell membrane and DNA damage). On the other hand, in vivo studies demonstrated that nanoparticles exhibited an important nephrotoxic potential both at tubular (i.e., degeneration of tubular epithelial cell, cellular fragments and proteinaceous liquid in tubule lumen, renal interstitial fibrosis) and glomerular level (i.e., swollen glomeruli, changes in Bowman's space and proliferation of mesangial cells). Although the data currently available indicate that nanoparticles may adversely impact the renal system, further studies are needed in order to clarify all the potential molecular mechanisms of nephrotoxicity induced by these xenobiotics, in particular at glomerular level.
通过跨生物屏障的易位过程,纳米颗粒可以到达并沉积在次级靶器官中,在那里它们可能引起不良反应。因此,正确评估纳米颗粒引起的不良反应应考虑到毒代动力学和可能成为纳米颗粒靶组织的不同方面。出于这个原因,迫切需要对肾纳米毒性进行全面评估,因为肾脏特别容易受到外来物质的影响,而肾脏排泄是纳米颗粒在生物体中预期和可能的消除途径。一方面,总结了研究纳米颗粒对肾脏的不良影响的体外和体内研究结果,本文旨在深入了解这些物质的肾毒性。对体外研究的评估表明,不同类型的纳米颗粒(碳、金属和/或二氧化硅纳米颗粒)能够发挥显著的细胞毒性作用(即细胞活力降低、氧化应激诱导、线粒体或细胞骨架功能障碍以及细胞膜和 DNA 损伤)。另一方面,体内研究表明,纳米颗粒在肾小管(即肾小管上皮细胞变性、管状腔中细胞碎片和蛋白质样液体、肾间质纤维化)和肾小球水平(即肿胀的肾小球、鲍曼氏空间的变化和系膜细胞的增殖)均表现出重要的肾毒性潜能。尽管目前的数据表明纳米颗粒可能对肾脏系统产生不良影响,但需要进一步研究以阐明这些外来物质引起的肾毒性的所有潜在分子机制,特别是在肾小球水平。