Cellular uptake and localization of inhaled gold nanoparticles in lungs of mice with chronic obstructive pulmonary disease
© Geiser et al.; licensee BioMed Central Ltd. 2013
Received: 11 February 2013
Accepted: 9 May 2013
Published: 16 May 2013
Inhalative nanocarriers for local or systemic therapy are promising. Gold nanoparticles (AuNP) have been widely considered as candidate material. Knowledge about their interaction with the lungs is required, foremost their uptake by surface macrophages and epithelial cells.
Diseased lungs are of specific interest, since these are the main recipients of inhalation therapy. We, therefore, used Scnn1b-transgenic (Tg) mice as a model of chronic obstructive pulmonary disease (COPD) and compared uptake and localization of inhaled AuNP in surface macrophages and lung tissue to wild-type (Wt) mice.
Scnn1b-Tg and Wt mice inhaled a 21-nm AuNP aerosol for 2 h. Immediately (0 h) or 24 h thereafter, bronchoalveolar lavage (BAL) macrophages and whole lungs were prepared for stereological analysis of AuNP by electron microscopy.
AuNP were mainly found as singlets or small agglomerates of ≤ 100 nm diameter, at the epithelial surface and within lung-surface structures. Macrophages contained also large AuNP agglomerates (> 100 nm). At 0 h after aerosol inhalation, 69.2±4.9% AuNP were luminal, i.e. attached to the epithelial surface and 24.0±5.9% in macrophages in Scnn1b-Tg mice. In Wt mice, 35.3±32.2% AuNP were on the epithelium and 58.3±41.4% in macrophages. The percentage of luminal AuNP decreased from 0 h to 24 h in both groups. At 24 h, 15.5±4.8% AuNP were luminal, 21.4±14.2% within epithelial cells and 63.0±18.9% in macrophages in Scnn1b-Tg mice. In Wt mice, 9.5±5.0% AuNP were luminal, 2.2±1.6% within epithelial cells and 82.8±0.2% in macrophages. BAL-macrophage analysis revealed enhanced AuNP uptake in Wt animals at 0 h and in Scnn1b-Tg mice at 24 h, confirming less efficient macrophage uptake and delayed clearance of AuNP in Scnn1b-Tg mice.
Inhaled AuNP rapidly bound to the alveolar epithelium in both Wt and Scnn1b-Tg mice. Scnn1b-Tg mice showed less efficient AuNP uptake by surface macrophages and concomitant higher particle internalization by alveolar type I epithelial cells compared to Wt mice. This likely promotes AuNP depth translocation in Scnn1b-Tg mice, including enhanced epithelial targeting. These results suggest AuNP nanocarrier delivery as successful strategy for therapeutic targeting of alveolar epithelial cells and macrophages in COPD.
KeywordsAerosol COPD Electron microscopy Gold nanoparticles Inhalation Lungs Macrophages Stereology
During the last decade, research on interactions between nanoparticles (NP) and lung tissue has been intensified, especially in terms of potential health risk of particle inhalation. The fast development of nanotechnology has also brought about novel delivery strategies for inhalative and target-specific drugs for therapeutic application, vaccines and diagnostics . There are various definitions of nano-sized materials. On 18 October 2011 the European Commission adopted the recommendation on the definition that “nanomaterial means a natural, incidental or manufactured material containing particles, in an unbound state or as an aggregate or as an agglomerate and where, for 50% or more of the particles in the number size distribution, one or more external dimensions is in the size range 1 nm – 100 nm” . Respiratory tract anatomy, breathing pattern and particle size are the main factors determining particle deposition and retention in the different pulmonary compartments . Since NP deposit with high efficiency in the entire respiratory tract, an increasing number of studies suggest a potential role of inhaled NP to activate and modulate pathophysiological pathways in lungs, which are known to be involved in a range of respiratory diseases, such as chronic obstructive pulmonary disease (COPD), asthma and carcinoma . Gold nanoparticles (AuNP) have also many applications in nanomedicine, as they are apparently non-toxic, suitable for biomedical imaging and can be coated with medical and pharmacological substrates .
In lung defense, one of the key players is the surface macrophage. Directly exposed to the environment, it is one of the first cells that comes into contact with inhaled and deposited particles. Thus, its primary function is the phagocytic uptake of deposited particles to keep the lung surface clean, but this also minimizes particle action on the epithelium, uptake by the epithelium or depth translocation beyond the epithelial barrier .
Chronic obstructive pulmonary disease (COPD) is one of the main human chronic inflammatory lung diseases and has evolved as the fourth leading cause of death worldwide . Its pathophysiology is caused by inhaled noxious particles and/or gases that trigger inflammatory responses in the larger airways, i.e. chronic bronchitis, as well as a continuous destruction of the alveolar epithelium, i.e. emphysema. Symptomatically, patients suffer from cough and dyspnea resulting from increased mucus secretion and airflow obstruction with air trapping. It was reported that COPD patients have a reduced NP clearance  caused by decreased phagocytic activity of alveolar macrophages .
Recently a murine model has been developed that recapitulates key features of human COPD [10–12]. The overexpression of the β-epithelial Na+-channel (βENaC) encoded by the Scnn1b gene causes airway surface dehydration and impaired mucociliary clearance producing chronic mucostasis and airway inflammation. As a result, Scnn1b-transgenic (Tg) animals develop spontaneous chronic bronchitis with goblet cell metaplasia and mucus hypersecretion and emphysema with increased lung volumes, distal airspace enlargement and increased lung compliance [11, 13].
The aim of this study was to compare the distribution and localization of AuNP after inhalation in lung tissue, as well as AuNP uptake by surface macrophages of Scnn1b-Tg mice and wild-type (Wt) littermates, using unbiased stereology. To achieve this goal, animals inhaled an aerosol of spark generated AuNP for 2 h. At two time points after inhalation, i.e. immediately (0 h) and at 24 h, surface macrophages harvested by bronchoalveolar lavage (BAL) and whole lungs were prepared for transmission electron microscopic (TEM) analysis by unbiased stereology.
AuNP distribution and localization in lung tissue
Relative distribution of AuNP (singlets, small or large agglomerates) in lung tissue compartments [%]
Type II cells
Type I & Type II
Tg 0 h
1.0 ± 1.4
24.0 ± 5.9
69.2 ± 4.9
6.7 ± 1.2
0.1 ± 0.2
6.8 ± 1.0
76.0 ± 5.9
Tg 24 h
1.0 ± 1.4
63.0 ± 18.9
15.5 ± 4.8
19.9 ± 12.0
1.5 ± 2.1
21.4 ± 14.2
37.0 ± 19.0
1.0 ± 1.2
43.5 ± 25.3
42.4 ± 31.3
13.3 ± 10.4
0.8 ± 1.5
14.1 ± 11.8
56.5 ± 25.3
Wt 0 h
3.5 ± 4.9
58.3 ± 41.4
35.3 ± 32.2
2.5 ± 3.5
0.5 ± 0.7
3.0 ± 4.2
38.3 ± 36.4
Wt 24 h
4.5 ± 6.4
82.8 ± 0.2
9.5 ± 5.0
2.1 ± 1.5
0.1 ± 0.1
2.2 ± 1.6
11.7 ± 6.6
4.0 ± 4.7
70.5 ± 27.8
22.4 ± 24.0
2.3 ± 2.2
0.3 ± 0.5
2.6 ± 2.7
25.0 ± 26.3
Lung volume and fine pulmonary structure
Tissue distribution [%]
Macs 0 h/24 h
Type I cells
Type II cells
Tg (n = 4)
1.48 ± 0.06
86.0 ± 0.8/14.0 ± 0.8
36.8 ± 14.2
38.2 ± 19.6
2.9 ± 2.6/2.0 ± 2.2
19.1 ± 6.9
3.5 ± 0.4
Wt (n = 4)
1.27 ± 0.21
32.4 ± 11.0
36.3 ± 24.4
3.1 ± 3.0/3.9 ± 4.7
23.3 ± 11.0
4.9 ± 3.3
AuNP uptake in BAL macrophages
Uptake of AuNP in BAL macrophages at 0 h and 24 h after aerosol inhalation
Partial χ 2
Partial χ 2as%
Wt 0 h
Wt 24 h
Tg 0 h
Tg 24 h
Unbiased stereology combined with TEM allows quantitative assessment of the ultrastructural localization and distribution of inhaled NP in lungs at the individual particle level. In the present study, we investigated the distribution of inhaled 21-nm AuNP in whole lungs and in BAL macrophages in a transgenic mouse model of COPD in comparison to wild-type mice, at 0 h and 24 h after the inhalation of the aerosol by negative-pressure ventilation for 2 h.
Stereological analysis of particle distribution in lungs demonstrated a rapid association of AuNP with the epithelial surface, i.e. alveolar type I epithelial cells, which cover 95% or more of the alveolar surface area . These data are in agreement with results of a recent study about the influence of surfactant protein D on the biodistribution of inhaled 22-nm AuNP in mice, where a high fraction of AuNP retained in lungs were shown to be associated with the lung tissue . Ultrastructural TEM analysis allowed in addition distinguishing AuNP attached to the cell membrane from those internalized. The results revealed similarities but also differences between the two animal groups, as well as between the two time points studied: Overall, the percentage of AuNP associated with the alveolar epithelium, i.e. those attached to and within alveolar type I or type II epithelial cells (Table 1) was substantially higher in Scnn1b-Tg (56.5 ± 25.3%, mean over all animals and time points) than in Wt lungs (25.0 ± 26.3%). Conversely, the percentage of AuNP was substantially higher in macrophages of Wt (70.5 ± 27.8%, mean values over all animals and time points) than of Scnn1b-Tg animals (43.5 ± 25.3%). In both animal groups, the percentage of AuNP attached to the epithelium was lower at 24 h than at 0 h and concomitantly, the percentage of AuNP in macrophages was higher at 24 h than at 0 h after aerosol inhalation. In Wt animals, AuNP appeared to be rapidly removed from the alveolar surface by macrophages. In Scnn1b-Tg mice, however, uptake of AuNP by surface macrophages appeared to be less efficient. In addition, a substantial part of AuNP was found internalized by the primary surface-covering alveolar epithelial type I cells in Scnn1b-Tg mice; 6.7 ± 1.2% at 0 h and 19.9 ± 12.0% at 24 h after the inhalation of the aerosol. Less efficient uptake of AuNP by surface macrophages in lungs of Scnn1b-Tg mice was confirmed by the results of AuNP internalization in BAL macrophages, which is further described below. Hence, the results from lung tissue analysis provide evidence for a prolonged residence time of AuNP on the lung surface in chronic obstructive lung disease in Scnn1b-Tg mice resulting in increased NP uptake by epithelial cells. These findings are of interest for therapeutic targeting of epithelial cells in COPD/emphysema. A prolonged residence time of AuNP on the alveolar surface and augmented AuNP uptake by the primary surface-covering alveolar type I epithelial cells in addition enhance the probability of AuNP translocation into the adjacent endothelial cells and into the blood capillaries and, hence, further systemic distribution of AuNP . In case of inhaled harmful NP, this may be an important factor in disease initiation or for alterations in the course of disease, i.e. exacerbation.
Because stereological analysis did not result in any AuNP in the connective tissue, we consider particle accumulation in this lung compartment to be negligible. However, we have evidence for AuNP translocation beyond the epithelium from qualitative TEM analysis, as we found AuNP –though a few only– in endothelial cells of capillaries (Figure 1C2). Thus, these results are also in agreement with the findings in the AuNP-biodistribution study in mice, where rapid systemic translocation of a small fraction of AuNP was reported . Similarly, in rat lungs, only a small fraction of inhaled AuNP was reported to translocate to the systemic circulation by crossing the air-blood barrier [20, 21].
Particle uptake by resident surface macrophages and their further migration to airways and mucociliary transport to the larynx is the main mechanism for particle clearance from the peripheral lungs . In the present study, there is consistent evidence for less efficient AuNP uptake by macrophages in Scnn1b-Tg compared to Wt animals and, hence, for limited macrophage clearance of NP in diseased lungs: (i) data of AuNP distribution in whole lungs (Table 1, Figure 2) revealed considerably lower percentages of AuNP internalized by macrophages in Scnn1b-Tg than in Wt mice at both time points studied (0 h and 24 h); (ii) analysis of AuNP uptake in BAL macrophages (Table 3) revealed a RDI = 1.3 in Wt animals at 0 h, indicating that deposited AuNP were rapidly and more eagerly internalized than at 24 h by the same condition group (RDI = 0.7). In contrast, in Scnn1b-Tg animals, the RDI was 1.2 at 24 h and higher than at 0 h (RDI = 0.7), indicating delayed AuNP clearance from the epithelial surface by macrophages in this animal group.
AuNP in macrophages and in alveolar type I epithelial cells were mainly found in vesicles (Figure 1 and Figure 3). This is in agreement with studies in rats, where AuNP were also observed in vesicles of the same cell types [20, 21]. Likewise, in an in vitro study with BAL macrophages, AuNP were found in pinocytic vesicles and lysosomes . This is in line with other reports on intra-vesicular particle localization, suggesting NP uptake by cells to mainly occur by endocytic processes . The variety of vesicular structures in which we observed AuNP indicate different endocytosis mechanisms . AuNP found as singlets or small agglomerates (< 100 nm in diameter) in vesicles of all cell types reflect pinocytic uptake. Vesicles containing large AuNP agglomerates of 500 nm diameters or more, found in macrophages only, demonstrate phagocytosis that allows uptake of micrometer sized objects.
We very rarely found AuNP in the cytoplasm of alveolar type I epithelial cells, suggesting that passive uptake of NP, i.e. not triggered by receptor-ligand interactions, is not a major pathway for AuNP uptake by alveolar epithelial cells. Cytoplasmic localization of inhaled NP has been reported for inhaled 20-nm TiO2NP in rat lungs . The difference between TiO2 and AuNP in regard to cytoplasmic localization might be explained by the finding that in contrast to AuNP, we did not observe TiO2NP bound to the apical surface of epithelial cells in rat lungs. So, it might be that AuNP bind to surface receptors that are constitutively or abundantly expressed on alveolar epithelial cells, while TiO2NP do not bind to such receptors but are more likely to enter the cell by non-adhesive forces as we have previously suggested .
AuNP attached to the epithelial surface were exclusively found as singlets or small agglomerates. Since we registered macrophages containing large particle agglomerates at the same time points, this may indicate efficient macrophage clearance of agglomerated but not of single AuNP from the lung surface. This is in line with the results of all analyses in this study.
Characteristics of the inhaled AuNP aerosol
Aerosol concentration (p/cm 3 ), continuously measured and averaged over the entire study time; subsequent averaging of data over all inhalation periods
1.28 ± 0.08 × 107
Inhalation period (min), experimentally set
Tidal volume (cm 3 ), estimated from pneumotachograph signals
Breathing frequency (1/min), experimentally set
Minute volume (cm 3 /min), calculated from data above
Inhaled volume (L/120 min), calculated from data above
Deposition fraction, based on MPPD model
CMD of AuNP (nm)/GSD, measured continuously as described in text and averaged over all inhalation periods
Number of AuNP inhaled, calculated from data above
3.3 × 1010
Number of AuNP deposited in lungs, calculated from data above
1.3 × 1010
Calculated AuNP deposition density on the alveolar epithelium
CMD of Au NP (nm)
Volume of AuNP (cm 3 ), calculated median volume of spherical AuNP with density given below
4.9 × 10-18
Nominal density of Au (g/cm 3 )
Mass of AuNP (g), calculated from data above
9.4 × 10-17
1.3 × 1010
1.24 × 10-6
Total projected area of all AuNP deposited (cm 2 ) calculated from data above
2.2 × 10-10
Lung surface area (cm 2 ), 
Fraction of NP coverage of lung surface (cm 2 ) calculated from data above
5.5 × 10-13
Mean linear distance between 2 NP (nm), 
This, to our knowledge, first study on the ultrastructural distribution of inhaled AuNP by unbiased stereology in Scnn1b-Tg mice with COPD and healthy Wt littermates gives further insight into the interaction of deposited NP with fine pulmonary structures. We observed rapid binding of AuNP to the alveolar epithelium, i.e. to the primary surface-covering alveolar type I epithelial cells in both animal groups. In Scnn1b-Tg mice, we found delayed and less uptake of AuNP by surface macrophages and concomitant higher AuNP uptake by alveolar type I epithelial cells compared to Wt mice. In case of inhaled harmful NP, this may be an important factor in disease initiation or for alterations in the course of disease, i.e. exacerbation. Conversely, a prolonged residence time of deposited AuNP on the epithelial surface and increased NP uptake by the alveolar epithelium may be favorable for therapeutic targeting of the lung parenchyma by inhaled aerosols in COPD/emphysema. To unravel NP-lung interaction, more studies with diseased lungs are required.
Materials and methods
To resolve the interaction of AuNP with the inner lung surface, we studied (i) AuNP distribution in lung tissue and (ii) AuNP uptake by surface macrophages, at the individual particle level, immediately (0 h) and 24 h after a 2-hour aerosol inhalation, in Scnn1b-Tg mice and Wt littermates.
Scnn1b-Tg mice (congenic line generated in a mixed C3H/HeN:C57BL/6 N background ) and Wt littermates were bred and reared at the University of Heidelberg, Heidelberg, Germany. Mouse progeny were genotyped by tail biopsy polymerase chain reaction (PCR) as previously described . Specified pathogen-free status was approved by a health certificate according to Federation of European Laboratory Animals Science Association (FELASA) guidelines. For the experiments, mice were transferred to the animal facility of the Institute of Lung Biology and Disease at the Helmholtz-Center Munich, Neuherberg/Munich, Germany. They were housed in individually ventilated cages (IVC; BioZone, Ramsgate, UK) supplied with filtered air and access to food and water ad libitum. Mice were kept on a 12 h day/night cycle, humidity was maintained at 55% and the temperature was 22°C.
All experiments were conducted under federal guidelines for the use and care of laboratory animals and were approved by the Bavarian Animal Research Authority and by the Helmholtz Center’s Institutional Animal Care and Use Committee, the Animal Care and Use Committee of the Regierungspräsidium Karlsruhe, Germany, as well as in accordance with the Swiss Federal Act on Animal Protection and the Swiss Animals Protection Ordinance.
Six Scnn1b-Tg and six Wt mice (females, age: 10 – 18 weeks, body weights: 22 - 33 g) were used. There were no significant differences in age or body weight between mutant and Wt mice. For particle inhalation and for lung fixation prior to euthanasia by exsanguination via the abdominal aorta, animals were anesthetized by intraperitoneal (i.p.) injection of a mixture of medetomidine (Domitor®, Pfizer GmbH, Karlsruhe, Germany; 0.5 mg/kg body weight), midazolam (Dormicum®, Hoffmann-La Roche AG, Grenzach-Wyhlen, Germany; 5 mg/kg) and fentanyl (Fentanyl®, Janssen-Cilag GmbH, Neuss, Germany; 0.05 mg/kg). For examinations at 24 h, anesthesia was antagonized by subcutaneous injection of atipamezole (Antisedan®, Pfizer GmbH Karlsruhe, Germany; 2.5 mg/kg), flumazenil (Anexate®, Hoffmann-La Roche AG, Grenzach-Wyhlen, Germany; 0.5 mg/kg), and naloxone (Narcanti®, Janssen Animal Health, Neuss, Germany; 1.2 mg/kg).
Aerosol generation and inhalation
Lung processing and stereology
Lungs (n = 8, two per genotype and time point) were fixed in situ by airway instillation of phosphate-buffered 2.5% glutaraldehyde (Agar Scientific Ltd., Stansted, Essex, England; 350 mOsm, pH 7.4) at a pressure of 25 cm H2O, as previously described . Thereafter, lungs were removed in toto from the thorax and stored for at least 24 h in fixative solution at 4°C. Lungs were then subjected to systematic tissue sampling, post-fixed with buffered 1.0% osmium tetroxide (Simec, Zofingen, Switzerland) and 0.5% uranyl acetate (Fluka Chemie GmbH, Sigma-Aldrich, Buchs, Switzerland), dehydrated in a graded series of ethanol and acetone, and finally embedded in epon (Fluka), as previously described [19, 30]. Ultrathin sections (≤ 50 nm) were cut from 6 - 8 tissue blocks per animal, mounted onto formvar-coated 200-mesh copper grids and post-stained with uranyl acetate and lead citrate (Ultrastain; Leica, Glattbrugg, Switzerland). Ultrathin lung sections, i.e. twelve systematic fields (every second field with random start) per section, were analyzed for (i) lung tissue composition at 400 × magnification and (ii) AuNP morphology and localization at 7100 × magnification, using a FEI Morgagni 268D TEM operated at 80 kV. AuNP were analyzed according to their shape and size (single or agglomerated) as well as in regard to their anatomical-histological and sub-cellular localization. The following associations with the lung tissue were discerned: surface macrophage, alveolar type I and type II epithelial cells, alveolar lining layer, luminal, i.e. attached to the epithelial surface, and connective tissue.
To recover surface macrophages, lungs (n = 4, one animal per genotype and time point) were lavaged in situ with 5 × 1 ml divalent cation free phosphate buffered saline (PBS) (Sigma-Aldrich, Taufkirchen, Germany) under gentle massage of the thorax . To prevent further particle uptake by cells, recovered BAL fluid was immediately mixed with equal amounts of phosphate-buffered 2.5% glutaraldehyde. Thereafter, BAL fluid was centrifuged, cells were resuspended in fresh glutaraldehyde and then further prepared for TEM analysis as described above. Ultrathin sections of the cell pellets were stereologically analyzed for AuNP uptake by surface macrophages with a CM12 TEM operated at 80 kV (Philips, Eindhoven, The Netherlands).
Stereology and statistics
Stereological analysis of TEM images from the systematic fields sampled on ultrathin tissue sections was performed with the STEPanizer software version 1 [15, 32]. The fine pulmonary structure and AuNP uptake in BAL macrophages were evaluated using point counting test systems. Data of Scnn1b-Tg and Wt animals were compared using the nonparametric Mann–Whitney Rank Sum Test. The level of significance was set at p < 0.05.
N O and N E of Scnn1b-Tg and Wt mice at 0 h and 24 h were then statistically compared using the chi squared(χ2) test [15, 33]. RDI > 1 and partial χ2 > 30% (Partial χ2 = (N O − N E )2/N E ) indicate a preferentially particle loaded compartment, meaning here that a higher number of AuNP were found within BAL macrophages than expected for random AuNP distribution.
- βENaC Scnn1b:
β subunit of epithelial Na+ channel encoded by the Scnn1b gene
Count median diameter
Chronic obstructive pulmonary disease
Condensation particle counter
Phosphate buffered saline
Transmission electron microscopy
Scanning differential electrical mobility particle sizer
Geometric standard deviation
The authors thank Barbara Krieger & Barbara Kupferschmid, Institute of Anatomy, University of Bern, and Stefanie Hirtz, University Hospital Heidelberg, for excellent technical assistance. We also express our gratitude to Nadine Senger, Institute of Lung Biology and Disease, Helmholtz Center Munich, for outstanding technical assistance during the inhalation exposure and subsequent preparatory dissection. This study was supported by the Swiss National Science Foundation, SNSF (grant No. 310030–120763 to MG), the Bundesministerium für Bildung und Forschung, BMBF (DZL 82DZL00401 to MAM), the EU-FP7 projects ENPRA (NMP4-SL-2009-228789 to WGK.) and NeuroNano (NMP4-SL-2008-214547 to WGK), as well as by the German Research Foundation, DFG (SPP1313 to WGK).
- Gwinn MR, Vallyathan V: Nanoparticles: health effects–pros and cons. Environ Health Perspect 2006, 114: 1818–1825.PubMed CentralPubMed
- The European Commission: Commission recommendation of 18 October 2011 on the definition of nanomaterial. Official Journal of the European Union 2011. 2011/696/EU. http://eur-lex.europa.eu/LexUriServ/LexUriServ.do?uri=OJ:L:2011:275:0038:0040:EN:PDF
- Brain JD, Valberg PA: Deposition of aerosol in the respiratory tract. Am Rev Respir Dis 1979, 120: 1325–1373.PubMed
- Kirkham P, Rahman I: Oxidative stress in asthma and COPD: antioxidants as a therapeutic strategy. Pharmacol Ther 2006, 111: 476–494. 10.1016/j.pharmthera.2005.10.015View ArticlePubMed
- Brandenberger C, Rothen-Rutishauser B, Muhlfeld C, Schmid O, Ferron GA, Maier KL, Gehr P, Lenz AG: Effects and uptake of gold nanoparticles deposited at the air-liquid interface of a human epithelial airway model. Toxicol Appl Pharmacol 2010, 242: 56–65. 10.1016/j.taap.2009.09.014View ArticlePubMed
- Geiser M: Update on macrophage clearance of inhaled micro- and nanoparticles. J Aerosol Med Pulm Drug Deliv 2010, 23: 207–217. 10.1089/jamp.2009.0797View ArticlePubMed
- Ferrara A: Chronic obstructive pulmonary disease. Radiol Technol 2011, 82: 245–263.PubMed
- Moller W, Felten K, Sommerer K, Scheuch G, Meyer G, Meyer P, Haussinger K, Kreyling WG: Deposition, retention, and translocation of ultrafine particles from the central airways and lung periphery. Am J Respir Crit Care Med 2008, 177: 426–432. 10.1164/rccm.200602-301OCView ArticlePubMed
- Hodge S, Hodge G, Ahern J, Jersmann H, Holmes M, Reynolds PN: Smoking alters alveolar macrophage recognition and phagocytic ability: implications in chronic obstructive pulmonary disease. Am J Respir Cell Mol Biol 2007, 37: 748–755. 10.1165/rcmb.2007-0025OCView ArticlePubMed
- Mall M, Grubb BR, Harkema JR, O’Neal WK, Boucher RC: Increased airway epithelial Na+ absorption produces cystic fibrosis-like lung disease in mice. Nat Med 2004, 10: 487–493. 10.1038/nm1028View ArticlePubMed
- Mall MA, Harkema JR, Trojanek JB, Treis D, Livraghi A, Schubert S, Zhou Z, Kreda SM, Tilley SL, Hudson EJ: Development of chronic bronchitis and emphysema in beta-epithelial Na+ channel-overexpressing mice. Am J Respir Crit Care Med 2008, 177: 730–742. 10.1164/rccm.200708-1233OCPubMed CentralView ArticlePubMed
- Mall MA: Role of cilia, mucus, and airway surface liquid in mucociliary dysfunction: lessons from mouse models. J Aerosol Med Pulm Drug Deliv 2008, 21: 13–24. 10.1089/jamp.2007.0659View ArticlePubMed
- Wielputz MO, Eichinger M, Zhou Z, Leotta K, Hirtz S, Bartling SH, Semmler W, Kauczor HU, Puderbach M, Mall MA: In vivo monitoring of cystic fibrosis-like lung disease in mice by volumetric computed tomography. Eur Respir J 2011, 38: 1060–1070. 10.1183/09031936.00149810View ArticlePubMed
- Scherle W: A simple method for volumetry of organs in quantitative stereology. Mikroskopie 1970, 26: 57–60.PubMed
- Muhlfeld C, Mayhew TM, Gehr P, Rothen-Rutishauser B: A novel quantitative method for analyzing the distributions of nanoparticles between different tissue and intracellular compartments. J Aerosol Med 2007, 20: 395–407. 10.1089/jam.2007.0624View ArticlePubMed
- Muhlfeld C, Gehr P, Rothen-Rutishauser B: Translocation and cellular entering mechanisms of nanoparticles in the respiratory tract. Swiss Med Wkly 2008, 138: 387–391.PubMed
- Crapo JD, Young SL, Fram EK, Pinkerton KE, Barry BE, Crapo RO: Morphometric characteristics of cells in the alveolar region of mammalian lungs. Am Rev Respir Dis 1983, 128: S42-S46.PubMed
- Schleh C, Holzwarth U, Hirn S, Wenk A, Simonelli F, Schaffler M, Moller W, Gibson N, Kreyling WG: Biodistribution of inhaled gold nanoparticles in mice and the influence of surfactant protein D. J Aerosol Med Pulm Drug Deliv 2013, 26: 24–30. 10.1089/jamp.2011.0951View ArticlePubMed
- Geiser M, Kreyling WG: Deposition and biokinetics of inhaled nanoparticles. Part Fibre Toxicol 2010, 7: 2. 10.1186/1743-8977-7-2PubMed CentralView ArticlePubMed
- Takenaka S, Karg E, Kreyling WG, Lentner B, Moller W, Behnke-Semmler M, Jennen L, Walch A, Michalke B, Schramel P: Distribution pattern of inhaled ultrafine gold particles in the rat lung. Inhal Toxicol 2006, 18: 733–740. 10.1080/08958370600748281View ArticlePubMed
- Takenaka S, Moller W, Semmler-Behnke M, Karg E, Wenk A, Schmid O, Stoeger T, Jennen L, Aichler M, Walch A: Efficient internalization and intracellular translocation of inhaled gold nanoparticles in rat alveolar macrophages. Nanomedicine (Lond) 2012, 7: 855–865. 10.2217/nnm.11.152View Article
- Shukla R, Bansal V, Chaudhary M, Basu A, Bhonde RR, Sastry M: Biocompatibility of gold nanoparticles and their endocytotic fate inside the cellular compartment: a microscopic overview. Langmuir 2005, 21: 10644–10654. 10.1021/la0513712View ArticlePubMed
- Brandenberger C, Muhlfeld C, Ali Z, Lenz AG, Schmid O, Parak WJ, Gehr P, Rothen-Rutishauser B: Quantitative evaluation of cellular uptake and trafficking of plain and polyethylene glycol-coated gold nanoparticles. Small 2010, 6: 1669–1678. 10.1002/smll.201000528View ArticlePubMed
- Geiser M, Rothen-Rutishauser B, Kapp N, Schurch S, Kreyling W, Schulz H, Semmler M, Im Hof V, Heyder J, Gehr P: Ultrafine particles cross cellular membranes by nonphagocytic mechanisms in lungs and in cultured cells. Environ Health Perspect 2005, 113: 1555–1560. 10.1289/ehp.8006PubMed CentralView ArticlePubMed
- Stone KC, Mercer RR, Gehr P, Stockstill B, Crapo JD: Allometric relationships of cell numbers and size in the mammalian lung. Am J Resp Cell Mol Biol 1992,6(2):235–243. 10.1165/ajrcmb/6.2.235View Article
- Zhou Z, Duerr J, Johannesson B, Schubert SC, Treis D, Harm M, Graeber SY, Dalpke A, Schultz C, Mall MA: The ENaC-overexpressing mouse as a model of cystic fibrosis lung disease. J Cyst Fibros 2011,10(Suppl 2):S172-S182.View ArticlePubMed
- Kreyling WG, Biswas P, Messing ME, Gibson N, Geiser M, Wenk A, Sahu M, Deppert K, Cydzik I, Wigge C: Generation and characterization of stable, highly concentrated titanium dioxide nanoparticle aerosols for rodent inhalation studies. Journal of Nanoparticle Research 2011, 13: 511–524. 10.1007/s11051-010-0081-5View Article
- Moller W, Gibson N, Geiser M, Pokhrel S, Wenk A, Takenaka S, Bulgheroni A, Simonelli F, Kozempel J, Holzwarth U: Gold nanoparticle aerosols for rodent inhalation and translocation studies. Journal of Nanoparticle Research 2013, 15: 1574.View Article
- Geiser M, Zimmermann B, Baumann M, Cruz-Orive LM: Does lack of Cftr gene lead to developmental abnormalities in the lung? Exp Lung Res 2000, 26: 551–564. 10.1080/019021400750048090View ArticlePubMed
- Im Hof V, Scheuch G, Geiser M, Gebhart J, Gehr P, Heyder J: Techniques for the determination of particle deposition in lungs of hamsters. J Aerosol Med 1989, 2: 247–259. 10.1089/jam.1989.2.247View Article
- Geiser M, Serra AL, Cruz-Orive LM, Baumann M, Im Hof V, Gehr P: Efficiency of airway macrophage recovery by bronchoalveolar lavage in hamsters: a stereological approach. Eur Respir J 1995, 8: 1712–1718. 10.1183/09031936.95.08101712View ArticlePubMed
- Tschanz SA, Burri PH, Weibel ER: A simple tool for stereological assessment of digital images: the STEPanizer. J Microsc 2011, 243: 47–59. 10.1111/j.1365-2818.2010.03481.xView ArticlePubMed
- Snedecor GW, Cochran WG: Statistical methods. 8th edition. Ames, Iowa, 50014, USA: Iowa State Universisty Press; 1989.
This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.