Multi-walled carbon nanotubes directly induce epithelial-mesenchymal transition in human bronchial epithelial cells via the TGF-β-mediated Akt/GSK-3β/SNAIL-1 signalling pathway
© Polimeni et al. 2016
Received: 23 February 2015
Accepted: 10 May 2016
Published: 1 June 2016
Multi-walled carbon nanotubes (MWCNT) are currently under intense toxicological investigation due to concern on their potential health effects. Current in vitro and in vivo data indicate that MWCNT exposure is strongly associated with lung toxicity (inflammation, fibrosis, granuloma, cancer and airway injury) and their effects might be comparable to asbestos-induced carcinogenesis. Although fibrosis is a multi-origin disease, epithelial-mesenchymal transition (EMT) is recently recognized as an important pathway in cell transformation. It is known that MWCNT exposure induces EMT through the activation of the TGF-β/Smad signalling pathway thus promoting pulmonary fibrosis, but the molecular mechanisms involved are not fully understood. In the present work we propose a new mechanism involving a TGF-β-mediated signalling pathway.
Human bronchial epithelial cells were incubated with two different MWCNT samples at various concentrations for up to 96 h and several markers of EMT were investigated. Quantitative real time PCR, western blot, immunofluorescent staining and gelatin zymographies were performed to detect the marker protein alterations. ELISA was performed to evaluate TGF-β production. Experiments with neutralizing anti-TGF-β antibody, specific inhibitors of GSK-3β and Akt and siRNA were carried out in order to confirm their involvement in MWCNT-induced EMT. In vivo experiments of pharyngeal aspiration in C57BL/6 mice were also performed. Data were analyzed by a one-way ANOVA with Tukey’s post-hoc test.
Fully characterized MWCNT (mean length < 5 μm) are able to induce EMT in an in vitro human model (BEAS-2B cells) after long-term incubation at sub-cytotoxic concentrations. MWCNT stimulate TGF-β secretion, Akt activation and GSK-3β inhibition, which induces nuclear accumulation of SNAIL-1 and its transcriptional activity, thus contributing to switch on the EMT program. Moreover, a significant increment of nuclear β-catenin - due to E-cadherin repression and following translocation to nucleus - likely reinforces signalling for EMT promotion. In vivo results supported the occurrence of pulmonary fibrosis following MWCNT exposure.
We demonstrate a new molecular mechanism of MWCNT-mediated EMT, which is Smad-independent and involves TGF-β and its intracellular effectors Akt/GSK-3β that activate the SNAIL-1 signalling pathway. This finding suggests potential novel targets in the development of therapeutic and preventive approaches.
Carbon nanotubes (CNT) are fibre-shaped promising and revolutionary nanomaterials that could have a wide range of applications due to their remarkable properties . Given their potential, it is expected that the production and use of CNT will continue to grow over the coming years , raising concern on their potential health effects. Structurally, CNT can appear as single-walled (SWCNT) or multi-walled (MWCNT), which are thought to have the greatest potential health risks due to their reduced flexibility, high degree of biopersistence and similarity in shape to asbestos fibres .
Accumulating evidence in the literature shows the potential toxicity of MWCNT in biological systems and has demonstrated that MWCNT can induce lung inflammation, fibrosis, granuloma formation, cancer and airway injury in rodents [4–14]. MWCNT are also able to induce markers of remodelling and fibrosis in human in vitro models although no relationship of human diseases with the occupational or environmental exposure to MWCNT has been demonstrated so far. Snyder et al. observed altered morphology and loss of barrier function in bronchial epithelium exposed to non-cytotoxic doses of MWCNT , and Rotoli et al. detected changing of shape and cytoskeletal organization of several human epithelial cell lines exposed to MWCNT . Hussain and colleagues demonstrated inflammasome activation in primary bronchial epithelial cells and subsequent markers of fibrosis in lung fibroblasts . Some studies mainly focused on the role of lung interstitial fibroblasts as the primary responsive cells in pulmonary fibrosis: indeed, MWCNT may directly stimulate fibroblasts to produce collagen  or indirectly by stimulating macrophages to produce inflammatory cytokines [6, 10, 19]. Meanwhile, few papers investigated the function of epithelial cells in MWCNT-induced lung fibrosis. Kumarathasan and Ju studies evaluated the MWCNT cytotoxicity on human lung epithelial cells [20, 21]. Chen and colleagues suggested that epithelial cells could serve as a novel source of fibroblasts in pulmonary fibrosis through epithelial-mesenchymal transition (EMT) : they demonstrated that MWCNT exposure induced pulmonary fibrosis and epithelial-derived fibroblasts via transforming growth factor-beta (TGF-β), one of the most potent EMT mediators [23, 24].
EMT is controlled by several mechanisms, however there is growing evidence that MWCNT exposure stimulates TGF-β production in fibroblasts [10, 19], macrophages  and epithelial cells [18, 22]. Recent studies finally showed that MWCNT are involved in the fibrogenic process by stimulating the TGF-β/Smad signalling pathway. Interestingly, it seems that the fibrotic response could depend on MWCNT length: only long MWCNT, but not short MWCNT, caused pulmonary injury and lung fibrosis promoted by the EMT and TGF-β/Smad signalling pathway [10, 19, 22]. On the other hand alveolar septal fibrosis in mice was induced only by exposure to short MWCNT . Thus, the implication of CNT length in determining the fibrotic activity of MWCNT still needs to be confirmed by further investigations.
In light of the high concern about CNT potential hazard, we investigated in this work the occurrence of EMT in human bronchial epithelial (BEAS-2B) cells exposed to sub-cytotoxic concentrations of a sample of MWCNT that has been ground to reduce the length (MWCNTg; mean length < 5 μm) that we have previously studied . Pristine MWCNT (pMWCNT) were tested for comparison. Moreover, we validated in vitro data in C57BL/6 mice. Interestingly, our results show that MWCNTg trigger the TGF-β-mediated SNAIL-1 signalling pathway, thus suggesting a novel mechanism of MWCNT-induced fibrosis and providing new important insights into cellular and molecular mechanisms involved.
Chemical characterization of MWCNT
Physicochemical properties of MWCNT samples 
Mean diameter (nm)
Mean length (μm)
Elemental analysis (% oxides)
Iron potentially bioavailable (% Fe2O3)
Fe 0.61 ± 0.01
Al 0.04 ± 0.05
0.50 ± 0.01
67 ± 2
1.12 ± 0.05
Fe 0.50 ± 0.01
Al 0.06 ± 0.03
0.420 ± 0.001
70 ± 2
1.23 ± 0.05
Fe 0.050 ± 0.001
Al 0.06 ± 0.03
0.002 ± 0.001
For in vitro testing the MWCNT samples were dispersed by mild sonication. The degree of dispersion and the stability of the MWCNTg suspensions were evaluated by means of dynamic light scattering (DLS) and optical microscopy (OM): a peak, corresponding to agglomerates having an equivalent hydrodynamic diameter of 345 nm, was detected. However, OM revealed the presence of aggregates having a diameter of 1–5 μm. The polydispersion index (PDI) was 0.35, indicating a wide agglomerate size distribution (Additional file 3: Figure S3). No changes were detectable in either form or position of the peak after 15 min. After 24 h of incubation in cell medium a small but significant decrease of the mean equivalent hydrodynamic diameter evaluated by DLS and, at the same time, the formation of some large aggregates with a diameter around 10 μm was observed by OM. No significant changes were observed from 24 to 96 h (Additional file 3: Figure S3).
Evaluation of cytotoxicity and cellular morphology in BEAS-2B cells exposed to MWCNT
Evaluation of epithelial and mesenchymal markers in BEAS-2B cells exposed to MWCNT
Evaluation of extracellular proteins in BEAS-2B cells exposed to MWCNT
Evaluation of cellular morphology and markers expression in BEAS-2B cells exposed to Fe-depleted MWCNTg
CNT toxicity is generally attributed to the residual metals used as catalysts in the production process. Therefore, in order to discriminate the biological effect of MWCNTg alone, BEAS-2B cells were incubated for 96 h with a concentration of Fe3+ similar to the one potentially released at the highest concentration of MWCNTg used and to Fe-depleted MWCNTg (44 μg/ml see Table 1). Data showed that cell morphology and epithelial markers are not modified by Fe3+ alone. In addition Fe-depleted MWCNTg, prepared by acidic treatment of MWCNTg , were able to induce in BEAS-2B cells morphological changes and altered proteins expression similar to that induced by MWCNTg (Additional file 5: Figure S5).
Evaluation of Akt/GSK-3β/SNAIL-1 signalling pathway in BEAS-2B cells exposed to MWCNT
Evaluation of TGF-β production in BEAS-2B cells exposed to MWCNT
Evaluation of TGF-β production and development of lung fibrosis in C57BL/6 mice exposed to MWCNT
Since CNT have many industrial applications due to their unique properties , their raising production and use have promoted studies to investigate their potential adverse health effects following occupational or environmental exposure. Data in literature are growing, although results are not easily comparable because many parameters and characteristics may vary considerably. Current data, obtained in limited animal models in vivo and in human cells in vitro, indicate that CNT exposure could be strongly associated with lung toxicity with its effects being comparable to asbestos-induced carcinogenesis . A large body of literature shows that CNT can enter cells accumulating and causing cell death: they may induce inflammation and oxidative stress [11, 40–42], exert genotoxic effects , lung cancer , mesothelioma , penetrate through lung tissues inducing fibrotic lesions [4–8, 10, 12, 44–46] and are able to migrate causing lesions in remote areas [47–49].
During pulmonary fibrosis, activation of macrophages and fibroblasts are common cellular events promoting the secretion of different inflammatory and fibrogenic factors, fibroblasts transformation for matrix deposition and remodelling [6, 8, 10, 50]. Recently, EMT has been increasingly recognized as an important pathway in fibrosis: differentiated epithelial cells undergo transition to a mesenchymal phenotype, giving rise to fibroblasts and myofibroblasts generation . The EMT event was observed in vitro by Chen in human A549 cells  and by Wang in rat alveolar type-II epithelial cells  exposed to MWCNT. We carried out this study on human BEAS-2B cells, which are more sensitive than A549 cells , using two different MWCNT samples that we have previously characterized . There are still some uncertainties about the MWCNT fibrotic potential due to the variety of results obtained. Pristine CNT are highly hydrophobic and the formation of agglomerates in aqueous solutions or biological fluids is inevitable. The agglomeration degree, which in turn depends upon the composition of the fluid, is a source of discrepancies among studies . Furthermore, other parameters such as diameter, specific surface area, purity and metal contents, have been shown to influence their reactivity . In particular several investigators attributed part of the observed CNT toxicity to the residual metals used as catalysts in the production process. Unfortunately, a clear picture on the role of metals is difficult to be achieved since several studies were performed with MWCNT with no specification about metal impurities, or containing, although in very low amount, several metal residues [10, 22]. In our study, MWCNTg contain only iron, in great part (0.42 %) potentially bioavailable (i.e., that may dissolve in cell medium). Results obtained with BEAS-2B cells exposed to a concentration of Fe3+ similar to the one potentially released at the highest concentration of MWCNTg used and to Fe-depleted MWCNTg, strongly suggest that the content of iron in MWCNT samples is not an important factor for EMT induction: Fe3+ alone did not modify cell morphology nor the investigated epithelial markers, while Fe-depleted MWCNTg in BEAS-2B cells are able to induce changes similar to Fe-rich MWCNTg.
Chang et al. have recently reported that the EMT contributes to SWCNT-induced pulmonary fibrosis . Interestingly, because several works have reported that the tube length could be a critical factor in mesothelial injury and carcinogenesis [4, 54], Wang and Chen have more recently discussed the role of MWCNT length. In the first study, only long (20–50 μm) but not short (0.5–2 μm) MWCNT were observed to cause granuloma formation, fibroblasts increase and collagen deposition in the lung of rats . Chen et al. reported similar findings in mice demonstrating that long MWCNT (5–15 μm) caused heavier lung injury compared to short MWCNT (350–700 nm) and were capable of promoting pulmonary fibrosis . In the present study two different fully characterized MWCNT samples have been used (Table 1) to evaluate their fibrogenic activities. The pMWCNT sample, composed by low defective long and needle-like MWCNT (length higher than 5 μm), was used as positive control. MWCNTg were produced in order to reduce the length: indeed, this sample is composed by tubes having large diameters and a short length (mean length 1.12 μm).
As a process of epithelial plasticity, EMT is achieved when epithelial cell-cell adhesions are dissolved, the actin cytoskeleton is reorganized, and cells acquire increased cell-matrix contacts and enhanced migratory and invasive capabilities . During EMT, the cells lose their polarity and cell-cell contact by down-regulating the expression of E-cadherin and other components of the cell junctions such as β-catenin, essential subunit in cell-cell adhesion complexes. Concomitantly, they up-regulate the expression of cytoskeletal proteins such as fibronectin, α-SMA and vimentin, which are essential for enhanced motility and invasiveness . After 96 h of incubation, sub-cytotoxic concentrations of both pMWCNT and MWCNTg samples are able to induce a significantly altered morphology of BEAS-2B cells: exposed cells appear spindle-shaped and disorganized. The shape change is accompanied, in both cases, by a significant loss of E-cadherin expression and a significant decrease of cytosolic β-catenin, that is reflective of dissociation from E-cadherin. Moreover, transformed cells acquire mesenchymal characteristics such as significant increase of vimentin, rearrangement of actin with de novo synthesis of α-SMA, up-regulation of fibronectin and MMPs. Cytoskeletal reorganization and changes in cell morphology were also validated by immunofluorescent staining of both pMWCNT and MWCNTg-exposed cells. Indeed, phalloidin-labelled β-actin is predominantly organized in cortical bundles tightly associated with cell-cell adhesions in control cells, while it is assembled into thick parallel bundles, or actin stress fibres, traversing the ventral cell surface in cells exposed to both MWCNT samples; moreover, double labelling for α-SMA and vimentin of BEAS-2B cells observed by confocal microscope shows an increase of proteins expression and their reorganization inside the cell. EMT can be induced by a number of extracellular mediators depending on the cell type involved and the precise physiological context. We have performed some experiments also on A549 cells, usually still employed in in vitro studies on toxic particulates, and we observed that MWCNT-induced EMT was not cell-specific. Indeed, EMT also occurred in A549 cells: however, it is likely that the tumoral nature of A549 cells is responsible for their resistance thus requiring a stronger exposition to MWCNT, using concentrations higher than those used for BEAS-2B cells, to obtain a significant EMT event (not shown). These data were also confirmed in vivo: our experiments, performed in mice exposed to MWCNT, showed a decreased expression of E-cadherin and conversely an increased expression of vimentin, as main markers of the occurred EMT.
Interstitial lung fibrosis is characterized by increased ECM proteins production and deposition in the lung tissue: our data show elevated levels of fibronectin - due to increased transcriptional activity - in cells exposed to MWCNT. This increased production of one of the proteins essential for ECM assembly can result in an increased production/accumulation of ECM.
Moreover, it is well known that members of MMPs could be released by stressed lung cells promoting the recruitment of inflammatory and immune cells to the site of injury, or specifically modelling cellular environment and facilitating cell invasiveness . Present data show significantly increased levels of MMP-2 and MMP-9 activities in the medium of cells exposed to both MWCNT samples, thus suggesting the involvement of these fibrogenic mediators in MWCNT-induced fibrosis. Furthermore, in vivo experiments performed on C57BL/6 mice revealed a significant increased deposition of collagen in their lung interstitium, indicating the induction of fibrotic process after pulmonary exposure to both MWCNT samples, although the MWCNTg-mediated event is less strong compared to that induced by pMWCNT.
Growing evidences confirm that epithelial cells play an important role in the regulation of lung fibrosis by producing cytokines and growth factors . Although Palomaki et al. reported that MWCNT induced a pro-inflammatory response in human primary macrophages , very recently NLRP3 inflammasome activation and dependent pro-fibrotic response was also observed in primary human bronchial epithelial cells after MWCNT exposure . However, TGF-β is one of the most potent fibrogenic mediators [23, 24] and it is elevated in mice exposed to MWCNT [8, 10, 19, 22, 42, 59]. In agreement with a previous work , in which human BEAS-2B and A549 cells exhibited significant production of TFG-β after MWCNT treatment, also our data show that exposure to both MWCNT samples induces in BEAS-2B cells significantly elevated levels of secreted TFG-β in cell culture supernatants, in a concentration-dependent way. In vivo results corroborated one more our in vitro findings: indeed increased TGF-β levels were detected in BAL of both pMWCNT and MWCNTg-exposed mice. When cells are exposed to the highest concentration of MWCNTg (44 μg/ml), the TGF-β secretion is already significant after few hours reaching a maximum after 6 h, then slightly decreasing but keeping significant levels also after 96 h, the time period that we used to detect EMT markers, thus suggesting a continuous autocrine cell stimulation. The anti-TGF-β neutralizing antibody and TGF-β siRNA gene knockdown restored the expression levels of E-cadherin and SNAIL-1, thus confirming the TGF-β involvement in our cellular model.
Fibrosis is a disease involving complex and interrelated signalling pathways. Previous studies demonstrated that MWCNT can be inducers of lung fibrogenesis suggesting several molecular mechanisms: MWCNT can stimulate oxidative stress and mitochondrial damage in lung cells [60, 61], activate nuclear factor-κB signalling to boost inflammatory and pro-fibrogenic factors secretion [6, 8, 10, 50], and finally promote lung fibrosis through EMT via the TGF-β/Smad signalling [10, 19, 22]. To improve our knowledge about the molecular mechanisms involved in MWCNT-induced toxicity, we carried out this study investigating the Smad-independent mechanisms involved in TGF-β dependent EMT that has SNAIL-1 as a main downstream transcription factor [23, 24, 31–33]. We referred to previous works in literature reporting that TGF-β is responsible for the up-regulation of the transcription factor SNAIL-1, involved in E-cadherin gene down-regulation [31, 32], and that in addition E-cadherin repression is frequently accompanied by activation of the β-catenin signalling cascade . Our data demonstrate that MWCNTg promotes EMT through the activation of TGF-β-mediated SNAIL-1 signalling pathway: SNAIL-1 accumulates in the nucleus of BEAS-2B cells after few hours of MWCNTg incubation. These events may be consequence of the rapid phosphorylation and functional inactivation of GSK-3β, an ubiquitously expressed serine/threonine kinase  that is crucial to stabilize SNAIL-1 [35, 36] thus contributing to the EMT regulation . Indeed, we were able to detect an increased phosphorylation of GSK-3β accompanied by the simultaneous accumulation of SNAIL-1 in the nucleus of cells exposed to MWCNT. The role of GSK-3β in the regulation of SNAIL-1 was confirmed by using a specific inhibitor of GSK-3β (SB216763) or siRNA gene knockdown: in the presence of these compounds, the nuclear increase of SNAIL-1 was completely prevented, and the E-cadherin expression level was partially restored.
GSK-3β is reported to be involved in many different intracellular pathways and is regulated by a number of factors: among these, we investigated PKB/Akt as an upstream regulator kinase [32, 37]. After exposure to MWCNTg the p-Akt/Akt ratio increased in a time-dependent manner reaching a peak after 2 h of incubation and then started to decrease at 4 h. Therefore, to confirm the role of Akt in GSK-3β regulation and the subsequent steps of the signalling pathway, we co-incubated BEAS-2B cells with MWCNT and a specific Akt inhibitor or siRNA gene knockdown. Interestingly, the Akt inhibitor modified neither GSK-3β phosphorylation nor SNAIL-1 accumulation in the nucleus, compared to control levels. Furthermore, also after a long-term (96 h) exposure, the Akt inhibitor or siRNA gene knockdown completely blocked the SNAIL-1 nuclear accumulation, thus recovering the expression of E-cadherin. However, the non-total recovery of the investigated epithelial marker can be explained considering TGF-β as just one of the possible mediators of MWCNT-induced EMT event in these cells.
Plasticware for cell culture was provided by Falcon (Becton Dickinson, Franklin Lakes, NJ). When not otherwise specified, reagents were from Sigma-Aldrich S.r.l. (Milan, Italy).
pMWCNT, physicochemically similar to MITSUI-7, classified as possibly carcinogenic to humans by IARC (Group 2B) , were used as positive control.
MWCNTg were produced from pMWCNT by grinding in a ball mill to reduce the length .
To remove metals, an aliquot of MWCNTg (in this study referred to as Fe-depleted MWCNTg) was suspended in 1 M HCl and the suspension was stirred at 25 °C for 10 days; after that, the Fe-depleted MWCNTg were recovered by centrifugation at 13,000 × g, washed with distilled water, and dried .
Physicochemical properties of different MWCNT samples are shown in Table 1. MWCNTg and Fe-depleted MWCNTg were suspended in the culture medium described below at the concentration of 1 mg/ml and sonicated on ice as previously described , while pMWCNT were suspended in 1.4 mg/ml endotoxin-free bovine serum albumin (BSA) at the concentration of 2.5 mg/ml and sonicated on ice as described in Vietti et al. . Then all MWCNT samples were diluted into fresh medium to the final concentrations of 1, 2, 4 and 8 μg/cm2 (corresponding to 5.5, 11, 22 and 44 μg/ml) to perform in vitro experiments.
The morphology of MWCNT samples was evaluated on low agglomerated regions by TEM/SEM analysis (Additional file 1: Figure S1) and Raman spectroscopy (Additional file 2: Figure S2). The average hydrodynamic size of MWCNT samples in the culture medium was evaluated by means of DLS (Zetasizer Nano-ZS, Malvern Instruments, Worcestershire, UK). The stability of the suspensions was followed for a time period of 15 min, which is largely sufficient for a correct dosage. OM (Leica DC100 microscope; Leica Microsystems GmbH, Wetzlar, Germany) was also used to detect the presence of large aggregates.
Human bronchial epithelial cells BEAS-2B (from American Type Culture Collection, ATCC, Manassas, VA) were cultured in RPMI-1640 medium (Gibco, Paisley, UK) with 10 % FBS (foetal bovine serum) and 1 % penicillin/streptomycin without reaching confluence, and maintained in a humidified atmosphere at 37 °C and 5 % CO2.
Measurement of extracellular lactate dehydrogenase (LDH) activity
The cytotoxic effect of MWCNT was measured as leakage of LDH activity into the extracellular medium . Both intracellular and extracellular enzyme activity was expressed as μmol of NADH oxidized/min/dish, then extracellular LDH activity was calculated as percentage of the total (intracellular + extracellular) LDH activity in the dish.
Optical microscopy (OM)
Cells (0.1 × 106) were incubated under the experimental conditions indicated in Results, then rinsed with PBS and examined with a Leica DC100 microscope (Leica Microsystems GmbH). For each experimental point, a minimum of five microscopic fields were examined.
Quantitative real-time polymerase chain reaction (qRT-PCR)
Total RNA (2 μg) was reverse transcribed into cDNA using the iScript cDNA synthesis kit (Bio-Rad Laboratories, Hercules, CA) and qRT–PCR was carried out using IQ™ SYBR Green Supermix (Bio-Rad Laboratories). The same cDNA preparation was used for the quantification of human E-cadherin, vimentin, fibronectin, α-SMA and the housekeeping gene ribosomal subunit protein S14. The relative quantification of each sample was performed comparing each PCR gene product with the S14 product using the Gene Expression Macro (http://www3.bio-rad.com/LifeScience/jobs/2004/04-0684/genex.xls; Bio-Rad Laboratories). Primers used were: S14 (forward: 5′-AGGTGCAAGGAGCTGGGTAT-3′; reverse: 5′-TCCAGGGGTCTTGGTCCTATTT-3′), E-cadherin (forward: 5′-TACGCCTGGGACTCCACCTA-3′; reverse: 5′-CCAGAAACGGAGGCCTGAT-3′), α-SMA (forward: 5′-GACAATGGCTCTGGGCTCTGTAA-3′; reverse: 5′-ATGCCATGTTCTATCGGGTACTTCA-3′), fibronectin (forward: 5′-GTGCCTGGGCAACGGA-3′; reverse: 5′-CCCGACCCTGACCGAAG-3′), vimentin (forward: 5′-AGGAAATGGCTCGTCACCTTCGTGAATA-3′; reverse: 5′-GGAGTGTCGGTTGTTAAGAACTAGAGCT-3′).
Cytosolic and nuclear extracts
Cytosolic and nuclear extracts were obtained with the Nuclear Extraction Kit (Active Motif, Vinci-Biochem, Florence, Italy), according to the manufacturer’s recommendations. The protein content was assessed with the Bradford reagent measuring the absorbance at 595 nm (37 °C) with a Synergy HT microplate reader (BioTek Instruments, Winooski, VT).
Western blotting (WB)
Aliquots of cell supernatants (corrected for the content of cell proteins), cytosolic and nuclear extracts (10 μg) were separated by SDS-PAGE (8–10–12 %). The blots were probed with anti-human antibodies and then with horseradish peroxidase-conjugated antibodies diluted in PBS-Tween 0.1 % with Blocker Not-Fat Dry Milk 5 %. Proteins were detected by enhanced chemiluminescence (Bio-Rad Laboratories) using a ChemiDoc MP system (Bio-Rad Laboratories) with Image Lab image acquisition. Densitometric analysis of the bands was performed using ImageJ software (http://rsbweb.nih.gov/ij/). The relative quantification of each sample was performed comparing each band with glyceraldehyde 3-phosphate dehydrogenase (GAPDH) or TBP (TATA-binding protein), used as loading control for cytosolic and nuclear extracts respectively.
Cells (0.1 × 106) were grown on sterile glass coverslips and incubated under the experimental conditions indicated in the Results, then rinsed with PBS, fixed with 4 % (w/v) paraformaldehyde (diluted in PBS) for 15 min. The samples were washed three times with PBS, permeabilized with 0.1 % v/v Triton-X 100 for 5 min on ice, probed with primary antibodies: mouse anti-β-catenin (1:2000) and anti-vimentin (1:5000) or rabbit anti-E-cadherin (1:2000) and anti-α-SMA (1:5000), followed by secondary TRITC (tetramethylrhodamine β-isothiocyanate)-conjugated anti-mouse (1:200) or AlexaFluor 488-conjugated anti-rabbit (1:400) antibodies. All antibodies were diluted in PBS + FBS 1 %. The slides were washed three times with PBS and once with water, mounted with 4 μl of Gel Mount Aqueous Mounting and examined with an Olympus FV300 laser scanning confocal microscope (Olympus Biosystems, Tokyo, Japan). In a parallel set of experiments, after fixation and permeabilization the cells were probed with phalloidin-tetramethylrhodamine B isothiocyanate (diluted 1:1000 in PBS) and stained with 4′,6-diamidino-2-phenylindole dihydrochloride (DAPI; diluted 1:10,000 in PBS containing 1 % FBS), to visualize actin cytoskeleton and cell nucleus respectively. The slides were washed three times with PBS and once with water, mounted with 4 μl of Gel Mount Aqueous Mounting and examined with a Leica DC100 fluorescence microscope (Leica Microsystems GmbH). For each experimental point, a minimum of five microscopic fields were examined.
Primary antibodies to E-cadherin, GAPDH, fibronectin, SNAIL-1 and TBP were purchased from Santa Cruz Biotechnology Inc. (Santa Cruz, CA); primary antibody to β-catenin was from Abcam (Cambridge, UK); primary antibody to vimentin was from Sigma; primary antibody to α-SMA was from GeneTex (Irving, CA). Secondary horseradish peroxidase-conjugated anti-rabbit or anti-mouse antibodies were from goat (Bio-Rad Laboratories); AlexaFluor 488-conjugated antibody was from Millipore (Billerica, MA); TRITC-conjugated antibody was from Sigma.
The neutralizing anti-TGF-β antibody (5 μg/ml) was purchased by Abcam (Cambridge, UK); the GSK-3β inhibitor SB216763 and the Akt 1/2 Kinase Inhibitor were from Sigma, and were both used at a 5 μM concentration.
Cells were plated in 35-mm-diameter Petri dishes (1.5 × 105) and cultured in RPMI-1640 medium containing 10 % FBS. After 24 h, cells were washed once with fresh medium and transfected for 72 h with Akt 1/2 siRNA 50 nM (sc-43609; Santa Cruz Biotechnology Inc.), or GSK-3β siRNA 10 nM (sc-35527; Santa Cruz Biotechnology Inc.), or TGF-β siRNA 10 nM (sc-44146; Santa Cruz Biotechnology Inc.), according to manufacturer’s instructions. Cellular toxicity was assessed by measuring the extracellular LDH release. To verify the siRNA efficacy, cells were lysed and the expression of Akt and GSK-3β proteins was analyzed by WB, TGF-β gene expression by semi-quantitative PCR. Primers used for TGF-β were: (forward) 5′-GCCCTGGACACCAACTATTGC-3′, (reverse) 5′-GCTGCACTTGCAGGAGCGCAC-3′.
Cells were cultured in RPMI-1640 medium with 1 % FBS. Aliquots of cell supernatants (corrected for the content of cell proteins), were loaded on 8 % polyacrylamide gels containing 0.1 % gelatin under non-denaturing and non-reducing conditions to evaluate MMPs activity. Gel images were achieved by a ChemiDoc MP system with Image Lab image acquisition. Densitometric analysis of the white bands considered to reflect total enzymatic activity of MMP, was performed using ImageJ software with activity presented as relative units compared to control cells.
After incubation of BEAS-2B cells in the absence or presence of MWCNT, the extracellular medium was collected and centrifuged at 4 °C at 13,000 × g for 30 min. To determine the concentration of TGF-β in the supernatant, ELISA was performed according to the kit instructions (Invitrogen Corporation, Camarillo, CA). Absorbance was measured at 450 nm with a Synergy HT microplate reader. The cytokine amount was determined using a standard solution curve and corrected for the content of cell proteins. Results were finally expressed as relative fold change compared to control cells.
For the in vivo studies, eight week-old C57BL/6 male mice were obtained from Charles River Italia (Calco, LC, Italy), and housed in the Tor Vergata Animal Technology Station under standard condition (25 °C, 50 % relative humidity) on a 12 h light/dark cycle with free access to water and laboratory animal food. All animal procedures were in compliance with the European Legislation (2010/63/EU) and have been approved by the Institutional Animal Care and Use Committee of the University of Tor Vergata.
For the pharyngeal aspiration experiments mice of 20–22 g were anaesthetized using a mixture of Ketalar, 1 mg/mouse (Warner-Lambert, Zaventem, Belgium), and Rompun, 0.2 mg/mouse (Bayer, Leverkusen, Germany) given intraperitoneally. At least 4 animals were included in each experimental group. The procedure was performed by placing the animal supine on an inclined support with overextended head. The tongue was pulled out and 50 μl of MWCNT suspension, containing 120 μg of pMWCNT or MWCNTg, were deposited at its base. For the preparation of MWCNT suspension, pMWCNT and MWCNTg were dispersed in distilled water containing 1.4 mg/ml endotoxin-free BSA and sonicated on ice as described in Vietti et al. . Control animals were treated with an equivalent volume of sterile water containing 1.4 mg/ml BSA. Pulling of the tongue induced two deep breaths that assured inhalation of the suspension. At the end of the procedure, animals were located in their cage on a heated pad and allowed to recover, before returning to their room. After 15, 30 and 60 days BAL was performed under terminal anaesthesia by cannulating the trachea and lavaging with 1 ml of ice-cold saline solution. The lavage was then centrifuged at 200 × g for 10 min at 4 °C and the supernatant was stored at −80 °C for further biochemical analysis.
Sirius red staining
The left lobe of the mouse lungs was collected and processed for paraffin embedding following standard histological procedure. Five micron sections were stained using a solution of 1 mg/ml Sirius red (Direct Red 80) in saturated aqueous solution of picric acid (1.3 % in water). Specifically, sections were incubated in Weigert’s haematoxylin for 8 min in order to stain the nuclei, washed for 10 min in running tap water, and then transferred to the picro-sirius red solution for one hour. After two washes in acidified water, slides were dehydrated and mounted in a resinous medium. The slides were examined using a Zeiss Axioplan2 microscope and acquired though a Nikon camera. For each experimental point, a minimum of five microscopic fields were examined.
To measure the lung content of hydroxyproline a commercial kit was used (Chondrex Inc, Redmond, WA, USA. Catalog # 6017) following the manufacturer’s specifications. Results were finally expressed as μg of hydroxyproline per mg of lung tissue.
Five micron thick lung sections were deparaffinized and rehydrated using several washes in xylene and decreasing concentrations of alcohol, following standard histological protocols. After bleaching of endogenous peroxidase activity using a solution of 0.3 % H2O2 in methanol, slides were incubated in TNB Blocking Buffer (0.1 M Tris-HCl, pH 7.5 0.15 M NaCl 0.5 % Blocking Reagent. Perkin Elmer) for 1 h at room temperature and then incubated with anti-E-Cadherin and anti-vimentin primary antibodies overnight at 4 °C. After three washes in TN buffer (0.1 M Tris-HCl, pH 7.5 0.15 M NaCl), sections were incubated with biotin-conjugated secondary antibodies for 1 h at room temperature. After three washes in TN buffer, slides were incubated twice with Streptavidin-HRP solution (1:100) for 30 min at room temperature, and once with 1:50 thyramide in amplification buffer for 7 min, following the manufacturer specifications. HRP activity was detected using DAB Substrate Kit (Vector laboratories). Slides were counterstained with Hematoxylin.
All data in text and figures are provided as means ± SEM. The results were analyzed by a one-way Analysis of Variance (ANOVA) and Tukey’s post-hoc test (software: SPSS 21.0 for Windows, SPSS Inc., Chicago, IL). p < 0.05 was considered significant.
This paper is dedicated to the memory of Professor Dario Ghigo, who passed away on 7 October 2015. He was not only a wonderful teacher and colleague but also a dear friend. He represented an example of correctness, honesty and integrity. He could communicate passion for scientific research and teaching. Dario will be our light even in the hardest times.
We gratefully thank Mr. Costanzo Costamagna for his technical assistance; Dr. Chiara Riganti for the financial support [grant number RIGC02 AP11 by AIRC (Associazione Italiana per la Ricerca sul Cancro)]; Prof. Sebastiano Colombatto for helping with data interpretation and discussion.
MP participated in the study design, carried out the experiments in vitro and data interpretation, drafted the manuscript and contributed to the revision. GRG and EG participated in the experimental work in vitro and analysis of results; JK performed analysis with confocal microscopy. IF, FC and AM contributed to the physico-chemical characterization of MWCNT samples. LC and AP performed the experiments in vivo and the analysis of tissues. IF, LC, AM and AP contributed to the interpretation of the results and to the revision of the manuscript. DG and EA designed the study, revised the manuscript and supervised the work. All authors read and approved the final manuscript.
The authors declare that they have no competing interests.
Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
- Eatemadi A, Daraee H, Karimkhanloo H, Kouhi M, Zarghami N, Akbarzadeh A, Abasi M, Hanifehpour Y, Joo SW. Carbon nanotubes: properties, synthesis, purification, and medical applications. Nanoscale Res Lett. 2014;9(1):393.View ArticlePubMedPubMed CentralGoogle Scholar
- De Volder MF, Tawfick SH, Baughman RH, Hart AJ. Carbon nanotubes: present and future commercial applications. Science. 2013;339(6119):535.View ArticlePubMedGoogle Scholar
- Donaldson K, Poland CA, Murphy FA, MacFarlane M, Chernova T, Schinwald A. Pulmonary toxicity of carbon nanotubes and asbestos - similarities and differences. Adv Drug Deliv Rev. 2013;65(15):2078.View ArticlePubMedGoogle Scholar
- Poland CA, Duffin R, Kinloch I, Maynard A, Wallace WA, Seaton A, Stone V, Brown S, Macnee W, Donaldson K. Carbon nanotubes introduced into the abdominal cavity of mice show asbestos-like pathogenicity in a pilot study. Nat Nanotechnol. 2008;3(7):423.View ArticlePubMedGoogle Scholar
- Porter DW, Hubbs AF, Mercer RR, Wu N, Wolfarth MG, Sriram K, Leonard S, Battelli L, Schwegler-Berry D, Friend S, Andrew M, Chen BT, Tsuruoka S, Endo M, Castranova V. Mouse pulmonary dose- and time course-responses induced by exposure to multi-walled carbon nanotubes. Toxicology. 2010;269(2-3):136.View ArticlePubMedGoogle Scholar
- He X, Young SH, Schwegler-Berry D, Chisholm WP, Fernback JE, Ma Q. Multiwalled carbon nanotubes induce a fibrogenic response by stimulating reactive oxygen species production, activating NF-κB signaling, and promoting fibroblast-to-myofibroblast transformation. Chem Res Toxicol. 2011;24(12):2237.View ArticlePubMedGoogle Scholar
- Mercer RR, Hubbs AF, Scabilloni JF, Wang L, Battelli LA, Friend S, Castranova V, Porter DW. Pulmonary fibrotic response to aspiration of multi-walled carbon nanotubes. Part Fibre Toxicol. 2011;8:21.View ArticlePubMedPubMed CentralGoogle Scholar
- Wang X, Xia T, Ntim SA, Ji Z, Lin S, Meng H, Chung CH, George S, Zhang H, Wang M, Li N, Yang Y, Castranova V, Mitra S, Bonner JC, Nel AE. Dispersal state of multiwalled carbon nanotubes elicits profibrogenic cellular responses that correlate with fibrogenesis biomarkers and fibrosis in the murine lung. ACS Nano. 2011;5(12):9772.View ArticlePubMedPubMed CentralGoogle Scholar
- Takagi A, Hirose A, Futakuchi M, Tsuda H, Kanno J. Dose-dependent mesothelioma induction by intraperitoneal administration of multi-wall carbon nanotubes in p53 heterozygous mice. Cancer Sci. 2012;103(8):1440.View ArticlePubMedPubMed CentralGoogle Scholar
- Wang P, Nie X, Wang Y, Li Y, Ge C, Zhang L, Wang L, Bai R, Chen Z, Zhao Y, Chen C. Multiwall carbon nanotubes mediate macrophage activation and promote pulmonary fibrosis through TGF-β/Smad signaling pathway. Small. 2013;9(22):3799.View ArticlePubMedGoogle Scholar
- Kido T, Tsunoda M, Kasai T, Sasaki T, Umeda Y, Senoh H, Yanagisawa H, Asakura M, Aizawa Y, Fukushima S. The increases in relative mRNA expressions of inflammatory cytokines and chemokines in splenic macrophages from rats exposed to multi-walled carbon nanotubes by whole-body inhalation for 13 weeks. Inhal Toxicol. 2014;26(12):750.View ArticlePubMedGoogle Scholar
- Kasai T, Umeda Y, Ohnishi M, Kondo H, Takeuchi T, Aiso S, Nishizawa T, Matsumoto M, Fukushima S. Thirteen-week study of toxicity of fiber-like multi-walled carbon nanotubes with whole-body inhalation exposure in rats. Nanotoxicology. 2014. doi:10.3109/17435390.2014.933903.Google Scholar
- Rittinghausen S, Hackbarth A, Creutzenberg O, Ernst H, Heinrich U, Leonhardt A, Schaudien D. The carcinogenic effect of various multi-walled carbon nanotubes (MWCNTs) after intraperitoneal injection in rats. Part Fibre Toxicol. 2014;11(1):59.View ArticlePubMedPubMed CentralGoogle Scholar
- Sargent LM, Porter DW, Staska LM, Hubbs AF, Lowry DT, Battelli L, Siegrist KJ, Kashon ML, Mercer RR, Bauer AK, Chen BT, Salisbury JL, Frazer D, McKinney W, Andrew M, Tsuruoka S, Endo M, Fluharty KL, Castranova V, Reynolds SH. Promotion of lung adenocarcinoma following inhalation exposure to multi-walled carbon nanotubes. Part Fibre Toxicol. 2014;11:3.View ArticlePubMedPubMed CentralGoogle Scholar
- Snyder RJ, Hussain S, Rice AB, Garantziotis S. Multiwalled carbon nanotubes induce altered morphology and loss of barrier function in human bronchial epithelium at noncytotoxic doses. Int J Nanomedicine. 2014;9:4093.View ArticlePubMedPubMed CentralGoogle Scholar
- Rotoli BM, Gatti R, Movia D, Bianchi MG, Di Cristo L, Fenoglio I, Sonvico F, Bergamaschi E, Prina-Mello A, Bussolati O. Identifying contact-mediated, localized toxic effects of MWCNT aggregates on epithelial monolayers: a single-cell monitoring toxicity assay. Nanotoxicology. 2014. doi:10.3109/17435390.2014.918203.PubMedGoogle Scholar
- Hussain S, Sangtian S, Anderson SM, Snyder RJ, Marshburn JD, Rice AB, Bonner JC, Garantziotis S. Inflammasome activation in airway epithelial cells after multi-walled carbon nanotube exposure mediates a profibrotic response in lung fibroblasts. Part Fibre Toxicol. 2014;11:28.View ArticlePubMedPubMed CentralGoogle Scholar
- Mishra A, Rojanasakul Y, Chen BT, Castranova V, Mercer RR, Wang LY. Assessment of pulmonary fibrogenic potential of multiwalled carbon nanotubes in human lung cells. J Nanomater. 2012; 2012(ID 930931). doi:10.1155/2012/930931.
- Wang P, Wang Y, Nie X, Braïni C, Bai R, Chen C. Multiwall carbon nanotubes directly promote fibroblast-myofibroblast and epithelial-mesenchymal transitions through the activation of the TGF-β/Smad signaling pathway. Small. 2015;11(4):446.View ArticlePubMedGoogle Scholar
- Kumarathasan P, Breznan D, Das D, Salam MA, Siddiqui Y, Mackinnon-Roy C, Guan J, de Silva N, Simard B, Vincent R. Cytotoxicity of carbon nanotube variants: a comparative in vitro exposure study with A549 epithelial and J774 macrophage cells. Nanotoxicology. 2014. doi:10.3109/17435390.2014.902519.PubMedGoogle Scholar
- Ju L, Zhang G, Zhang X, Jia Z, Gao X, Jiang Y, Yan C, Duerksen-Hughes PJ, Chen FF, Li H, Zhu X, Yang J. Proteomic analysis of cellular response induced by multi-walled carbon nanotubes exposure in A549 cells. PLoS One. 2014;9(1):e84974.View ArticlePubMedPubMed CentralGoogle Scholar
- Chen T, Nie H, Gao X, Yang J, Pu J, Chen Z, Cui X, Wang Y, Wang H, Jia G. Epithelial-mesenchymal transition involved in pulmonary fibrosis induced by multi-walled carbon nanotubes via TGF-beta/Smad signaling pathway. Toxicol Lett. 2014;226(2):150.View ArticlePubMedGoogle Scholar
- Willis BC, Borok Z. TGF-beta-induced EMT: mechanisms and implications for fibrotic lung disease. Am J Physiol Lung Cell Mol Physiol. 2007;293(3):L525.View ArticlePubMedGoogle Scholar
- Lamouille S, Xu J, Derynck R. Molecular mechanisms of epithelial-mesenchymal transition. Nat Rev Mol Cell Biol. 2014;15(3):178.View ArticlePubMedPubMed CentralGoogle Scholar
- Muhlfeld C, Poland CA, Duffin R, Brandenberger C, Murphy FA, Rothen-Rutishauser B, Gehr P, Donaldson K. Differential effects of long and short carbon nanotubes on the gas-exchange region of the mouse lung. Nanotoxicology. 2012;6:867.View ArticlePubMedGoogle Scholar
- Aldieri E, Fenoglio I, Cesano F, Gazzano E, Gulino G, Scarano D, Attanasio A, Mazzucco G, Ghigo D, Fubini B. The role of iron impurities in the toxic effects exerted by short multiwalled carbon nanotubes (MWCNT) in murine alveolar macrophages. J Toxicol Environ Health A. 2013;76(18):1056.View ArticlePubMedGoogle Scholar
- Fenoglio I, Aldieri E, Gazzano E, Cesano F, Colonna M, Scarano D, Mazzucco G, Attanasio A, Yakoub Y, Lison D, Fubini B. Thickness of multi-walled carbon nanotubes affects their lung toxicity. Chem Res Toxicol. 2012;25:74.View ArticlePubMedGoogle Scholar
- Nymark P, Jensen KA, Suhonen S, Kembouche Y, Vippola M, Kleinjans J, Catalán J, Norppa H, van Delft J, Briedé JJ. Free radical scavenging and formation by multi-walled carbon nanotubes in cell free conditions and in human bronchial epithelial cells. Part Fibre Toxicol. 2014;11:4.View ArticlePubMedPubMed CentralGoogle Scholar
- Pardo A, Selman M. Matrix metalloproteases in aberrant fibrotic tissue remodeling. Proc Am Thorac Soc. 2006;3(4):383.View ArticlePubMedGoogle Scholar
- Scanlon CS, Van Tubergen EA, Inglehart RC, D’Silva NJ. Biomarkers of epithelial-mesenchymal transition in squamous cell carcinoma. J Dent Res. 2013;92(2):114.View ArticlePubMedPubMed CentralGoogle Scholar
- Peinado H, Quintanilla M, Cano A. Transforming growth factor beta-1 induces snail transcription factor in epithelial cell lines: mechanisms for epithelial mesenchymal transitions. J Biol Chem. 2003;278(23):21113.View ArticlePubMedGoogle Scholar
- Lan A, Qi Y, Du J. Akt2 mediates TGF-β1-induced epithelial to mesenchymal transition by deactivating GSK3β/snail signaling pathway in renal tubular epithelial cells. Cell Physiol Biochem. 2014;34(2):368.View ArticlePubMedGoogle Scholar
- Zavadil J, Böttinger EP. TGF-beta and epithelial-to-mesenchymal transitions. Oncogene. 2005;24(37):5764.View ArticlePubMedGoogle Scholar
- Jope RS, Yuskaitis CJ, Beurel E. Glycogen synthase kinase-3 (GSK3): inflammation, diseases, and therapeutics. Neurochem Res. 2007;32(4-5):577.View ArticlePubMedPubMed CentralGoogle Scholar
- Zhou BP, Deng J, Xia W, Xu J, Li YM, Gunduz M, Hung MC. Dual regulation of Snail by GSK-3beta-mediated phosphorylation in control of epithelial-mesenchymal transition. Nat Cell Biol. 2004;6(10):931.View ArticlePubMedGoogle Scholar
- Lee YJ, Han HJ. Troglitazone ameliorates high glucose-induced EMT and dysfunction of SGLTs through PI3K/Akt, GSK-3β, Snail1, and β-catenin in renal proximal tubule cells. Am J Physiol Renal Physiol. 2010;298(5):F1263.View ArticlePubMedGoogle Scholar
- Kattla JJ, Carew RM, Heljic M, Godson C, Brazil DP. Protein kinase B/Akt activity is involved in renal TGF-beta1-driven epithelial-mesenchymal transition in vitro and in vivo. Am J Physiol Renal Physiol. 2008;295(1):F215.View ArticlePubMedPubMed CentralGoogle Scholar
- Kasper M, Huber O, Grossmann H, Rudolph B, Tränkner C, Müller M. Immunocytochemical distribution of E-cadherin in normal and injured lung tissue of the rat. Histochem Cell Biol. 1995;104(5):383.View ArticlePubMedGoogle Scholar
- Kaarteenaho R, Lappi-Blanco E, Lehtonen S. Epithelial N-cadherin and nuclear β-catenin are up-regulated during early development of human lung. BMC Dev Biol. 2010;10:113.View ArticlePubMedPubMed CentralGoogle Scholar
- Choi SJ, Oh JM, Choy JH. Toxicological effects of inorganic nanoparticles on human lung cancer A549 cells. J Inorg Biochem. 2009;103(3):463.View ArticlePubMedGoogle Scholar
- Herzog E, Byrne HJ, Davoren M, Casey A, Duschl A, Oostingh GJ. Dispersion medium modulates oxidative stress response of human lung epithelial cells upon exposure to carbon nanomaterial samples. Toxicol Appl Pharmacol. 2009;236(3):276.View ArticlePubMedGoogle Scholar
- Shvedova AA, Pietroiusti A, Fadeel B, Kagan VE. Mechanisms of carbon nanotube-induced toxicity: focus on oxidative stress. Toxicol Appl Pharmacol. 2012;261(2):121.View ArticlePubMedPubMed CentralGoogle Scholar
- Kato T, Totsuka Y, Ishino K, Matsumoto Y, Tada Y, Nakae D, Goto S, Masuda S, Ogo S, Kawanishi M, Yagi T, Matsuda T, Watanabe M, Wakabayashi K. Genotoxicity of multi-walled carbon nanotubes in both in vitro and in vivo assay systems. Nanotoxicology. 2012;7(4):452.View ArticlePubMedGoogle Scholar
- Shvedova AA, Kisin E, Murray AR, Johnson VJ, Gorelik O, Arepalli S, Hubbs AF, Mercer RR, Keohavong P, Sussman N, Jin J, Yin J, Stone S, Chen BT, Deye G, Maynard A, Castranova V, Baron PA, Kagan VE. Inhalation vs. aspiration of single-walled carbon nanotubes in C57BL/6 mice: inflammation, fibrosis, oxidative stress, and mutagenesis. Am J Physiol Lung Cell Mol Physiol. 2008;295(4):L552.View ArticlePubMedPubMed CentralGoogle Scholar
- Takagi A, Hirose A, Nishimura T, Fukumori N, Ogata A, Ohashi N, Kitajima S, Kanno J. Induction of mesothelioma in p53+/- mouse by intraperitoneal application of multi-wall carbon nanotube. J Toxicol Sci. 2008;33(1):105.View ArticlePubMedGoogle Scholar
- Xu J, Alexander DB, Futakuchi M, Numano T, Fukamachi K, Suzui M, Omori T, Kanno J, Hirose A, Tsuda H. Size- and shape-dependent pleural translocation, deposition, fibrogenesis, and mesothelial proliferation by multiwalled carbon nanotubes. Cancer Sci. 2014;105(7):763.View ArticlePubMedPubMed CentralGoogle Scholar
- Ryman-Rasmussen JP, Cesta MF, Brody AR, Shipley-Phillips JK, Everitt JI, Tewksbury EW, Moss OR, Wong BA, Dodd DE, Andersen ME, Bonner JC. Inhaled carbon nanotubes reach the subpleural tissue in mice. Nat Nanotechnol. 2009;4(11):747.View ArticlePubMedPubMed CentralGoogle Scholar
- Mercer RR, Hubbs AF, Scabilloni JF, Wang L, Battelli LA, Schwegler-Berry D, Castranova V, Porter DW. Distribution and persistence of pleural penetrations by multi-walled carbon nanotubes. Part Fibre Toxicol. 2010;7:28.View ArticlePubMedPubMed CentralGoogle Scholar
- Choi HS, Ashitate Y, Lee JH, Kim SH, Matsui A, Insin N, Bawendi MG, Semmler-Behnke M, Frangioni JV, Tsuda A. Rapid translocation of nanoparticles from the lung airspaces to the body. Nat Biotechnol. 2010;28(12):1300.View ArticlePubMedPubMed CentralGoogle Scholar
- Chang CC, Tsai ML, Huang HC, Chen CY, Dai SX. Epithelial-mesenchymal transition contributes to SWCNT-induced pulmonary fibrosis. Nanotoxicology. 2012;6(6):600.View ArticlePubMedGoogle Scholar
- Tanjore H, Xu XC, Polosukhin VV, Degryse AL, Li B, Han W, Sherrill TP, Plieth D, Neilson EG, Blackwell TS, Lawson WE. Contribution of epithelial-derived fibroblasts to bleomycin-induced lung fibrosis. Am J Respir Crit Care Med. 2009;180(7):657.View ArticlePubMedPubMed CentralGoogle Scholar
- Wick P, Manser P, Limbach LK, Dettlaff-Weglikowska U, Krumeich F, Roth S, Stark WJ, Bruinink A. The degree and kind of agglomeration affect carbon nanotube cytotoxicity. Toxicol Lett. 2007;168(2):121.View ArticlePubMedGoogle Scholar
- Shvedova AA, Kisin ER, Porter D, Schulte P, Kagan VE, Fadeel B, Castranova V. Mechanisms of pulmonary toxicity and medical applications of carbon nanotubes: two faces of Janus? Pharmacol Ther. 2009;121(2):192.View ArticlePubMedGoogle Scholar
- Palomäki J, Välimäki E, Sund J, Vippola M, Clausen PA, Jensen KA, Savolainen K, Matikainen S, Alenius H. Long, needle-like carbon nanotubes and asbestos activate the NLRP3 inflammasome through a similar mechanism. ACS Nano. 2011;5(9):6861.View ArticlePubMedGoogle Scholar
- Yilmaz M, Christofori G. EMT, the cytoskeleton, and cancer cell invasion. Cancer Metastasis Rev. 2009;28(1–2):15.View ArticlePubMedGoogle Scholar
- Thiery JP, Acloque H, Huang RY, Nieto MA. Epithelial-mesenchymal transitions in development and disease. Cell. 2009;139(5):871.View ArticlePubMedGoogle Scholar
- Chakrabarti S, Patel KD. Matrix metalloproteinase-2 (MMP-2) and MMP-9 in pulmonary pathology. Exp Lung Res. 2005;31(6):599.View ArticlePubMedGoogle Scholar
- Guarino M, Tosoni A, Nebuloni M. Direct contribution of epithelium to organ fibrosis: epithelial-mesenchymal transition. Hum Pathol. 2009;40(10):1365.View ArticlePubMedGoogle Scholar
- Ronzani C, Spiegelhalter C, Vonesch JL, Lebeau L, Pons F. Lung deposition and toxicological responses evoked by multi-walled carbon nanotubes dispersed in a synthetic lung surfactant in the mouse. Arch Toxicol. 2012;86(1):137.View ArticlePubMedGoogle Scholar
- Chen T, Zang J, Wang H, Nie H, Wang X, Shen Z, Tang S, Yang J, Jia G. Water-soluble taurine-functionalized multi-walled carbon nanotubes induce less damage to mitochondria of RAW 264.7 cells. J Nanosci Nanotechnol. 2012;12(10):8008.View ArticlePubMedGoogle Scholar
- Wang X, Guo J, Chen T, Nie H, Wang H, Zang J, Cui X, Jia G. Multi-walled carbon nanotubes induce apoptosis via mitochondrial pathway and scavenger receptor. Toxicol In Vitro. 2012;26(6):799.View ArticlePubMedGoogle Scholar
- Zucchini-Pascal N, Peyre L, Rahmani R. Crosstalk between beta-catenin and snail in the induction of epithelial to mesenchymal transition in hepatocarcinoma: role of the ERK1/2 pathway. Int J Mol Sci. 2013;14(10):20768.View ArticlePubMedPubMed CentralGoogle Scholar
- Nawshad A, Lagamba D, Polad A, Hay ED. Transforming growth factor-beta signaling during epithelial-mesenchymal transformation: implications for embryogenesis and tumor metastasis. Cells Tissues Organs. 2005;179(1–2):11.View ArticlePubMedGoogle Scholar
- Grosse Y, Loomis D, Guyton KZ, Lauby-Secretan B, Ghissassi FE, Bouvard V, Benbrahim-Tallaa L, Guha N, Scoccianti C, Mattock H, Straif K. Carcinogenicity of fluoro-edenite, silicon carbide fibres and whiskers, and carbon nanotubes. Lancet Oncol. 2014;15:1427.View ArticlePubMedGoogle Scholar
- Vietti G, Ibouraadaten S, Palmai-Pallag M, Yakoub Y, Bailly C, Fenoglio I, Marbaix E, Lison D, van den Brule S. Towards predicting the lung fibrogenic activity of nanomaterials: experimental validation of an in vitro fibroblast proliferation assay. Part Fibre Toxicol. 2013;10:52.View ArticlePubMedPubMed CentralGoogle Scholar