AN ABSTRACT OF THE DISSERTATION OF Leah C. Wehmas for the degree of Doctor of Philosophy in Toxicology presented on August 26, 2015. Title: Nanotoxicology to Nanotherapeutics: Prioritizing Hazard and Anticancer Efficacy of Nanomaterials using the Embryonic Zebrafish Model Abstract approved: ______________________________________________________ Robert L. Tanguay Juliet A. Greenwood The numerous different types of nanomaterials and paucity of reliable in vivo information on toxicity has resulted in enduring uncertainties associated with health and safety risks, thereby slowing progress in nanotherapeutic assessment and development. This dissertation explores how the embryonic zebrafish model can be applied to prioritize commonly used nanomaterial (multi-walled carbon nanotubesMWNTs and metal oxide nanoparticles- MO NPs) hazard and anticancer efficacy bridging the gap between high throughput in vitro assays and low throughput, mammalian assays to advance glioblastoma drug development and safety. First, the zebrafish model was utilized to evaluate comprehensively characterized MWNTs systematically modified to introduce oxygen functional groups on the surface. Advanced multivariate statistical methods identified MWNT physicochemical properties that best estimated the probability of observing an adverse outcome. The properties considered included surface charge, percent surface oxygen, dispersed aggregate size and morphology and electrochemical activity. Total surface oxygen and the highly related parameter surface charge, quantified as the point of zero charge (PZC), were determined as the best predictor of embryonic zebrafish mortality at 24 hpf. Second, the embryonic zebrafish model was used to evaluate the toxicity of seven widely used semiconductor MO NPs made from zinc oxide (ZnO), titanium dioxide, cerium dioxide and tin dioxide prepared in pure water and in synthetic salt water to identify the physicochemical properties associated with toxicity. Significant agglomeration, elemental composition and dissolution potential were identified as major drivers of toxicity. Only ZnO caused significant adverse effects and only when prepared in pure water (point estimate median lethal concentration = 3.5-9.1 mg/L) despite charge and size similarities with one cerium dioxide and titanium dioxide NP. This toxicity was life stage dependent. The 24 h toxicity increased greatly (~22.7 fold) when zebrafish exposures started at the larval life stage compared to the 24 h toxicity following embryonic exposure. Measurement of ZnO dissolution revealed high levels of zinc ion (40-89% of total sample) were generated. Exposure to zinc ion equivalents revealed dissolved Zn2+ may be a major contributor to ZnO toxicity. Third, an orthotopic zebrafish xenograft screening assay was created to discover and prioritize the testing of potential nanotherapeutics targeting glioblastoma proliferation, migration and invasion. Evaluation of the potential anti-cancer efficacy of zinc oxide nanoparticles (ZnO NP) and the model phosphatidylinositide 3-kinase (PI 3-kinase) inhibitor LY294002, revealed divergent responses in the assay. ZnO NPs significantly enhanced glioblastoma proliferation by up to 23% and migration/invasion by 22 to 49% at the periphery of the cell mass (161+ µm) compared to vehicle control. Exposures of 3.125-6.25 µM LY294002 significantly decreased glioblastoma proliferation by up to ~34% and 6.25 µM LY294002 significantly inhibited migration/invasion by 30 and 48% within the glioblastoma cell mass (0-80 µm and 81­ 160 µm respectively). Overall, this dissertation demonstrates how novel methodologies employing the zebrafish model can be used to quickly and efficiently identify nanomaterial hazard and advance applications in nanomedicine, thereby efficiently bridging toxicity and therapeutic efficacy assessments. ©Copyright by Leah C. Wehmas August 26, 2015 All Rights Reserved Nanotoxicology to Nanotherapeutics: Prioritizing Hazard and Anticancer Efficacy of Nanomaterials using the Embryonic Zebrafish Model by Leah C. Wehmas A DISSERTATION submitted to Oregon State University in partial fulfillment of the requirements for the degree of Doctor of Philosophy Presented August 26, 2015 Commencement June 2016 Doctor of Philosophy dissertation of Leah C. Wehmas presented on August 26, 2015 APPROVED: Co-Major Professor, representing Toxicology Co-Major Professor, representing Toxicology Head of the Department of Environmental and Molecular Toxicology Dean of the Graduate School I understand that my dissertation will become part of the permanent collection of Oregon State University libraries. My signature below authorizes release of my dissertation to any reader upon request. Leah C. Wehmas, Author ACKNOWLEDGEMENTS I sincerely appreciate the support and advice of my friends and family during the completion of this dissertation. I also thank my major advisors Dr. Robert Tanguay and Dr. Juliet Greenwood for their mentorship and belief in my abilities. Thank you to my committee, members of the Greenwood laboratory and members of the Tanguay laboratory for their guidance throughout my time in graduate school. A special thanks goes to Dr. Tod Harper Jr., Dr. Josephine Bonventre, Dr. Sean Bugel and Jane Ladu for their helpful edits and assistance in the revising this dissertation. A final thanks goes to the National Science Foundation (NSF1134468), the National Institute of Health Training Grant (NIH T32 ES07060), Oregon State University’s P. F. and Nellie Buck Yerex Fellowship and other funding in support of my research. CONTRIBUTION OF AUTHORS Chapter 2 was written by Leanne M. Gilbertson with major contributions from Leah C. Wehmas. Leah C. Wehmas conducted all toxicology experiments including methods optimization and initial data visualization and analyses of toxicity data. All parts of Chapter 2 associated with introduction of the zebrafish model, discussion of multi-walled carbon nanotube toxicity data and future recommendations were written by Leah C. Wehmas. Leanne M. Gilbertson synthesized and characterized the multiwalled carbon nanotube and wrote about the material science while Fjodor Melnikov provided the multivariate statistical analyses and predictive toxicity modelling. Additional advice on Chapter 2 was provided by Paul T. Anastas, Robert L. Tanguay and Julie B. Zimmerman. Chapter 3 was primarily written by Leah C. Wehmas with advice from Dr. Robert Tanguay, Dr. Alex Punnoose, Dr. Juliet Greenwood and Dr. Cliff Pereira. Catherine Anders and Jordan Chess in the Punnoose laboratory synthesized all nanomaterials and performed initial characterization (XRD and TEM) of the primary particles. Leah Wehmas conducted DLS, SEM, ICP-OES, all zebrafish toxicity assessments, interpretation and discussion of results. Dr. Cliff Pereira performed statistical analyses of the data. Chapter 4 was primarily written by Leah C. Wehmas with advice from Dr. Juliet Greenwood, Dr. Robert Tanguay and Dr. Alex Punnoose. Dr. Alex Punnoose provided the zinc oxide nanoparticles and zinc oxide bulk material. Leah C. Wehmas developed, optimized and conducted all zebrafish xenograft experiments. Some assistance in data interpretation was provided by Dr. Cliff Pereira. Leah C. Wehmas acquired and analyzed all imaging data with software support from Paula Gedraitis and Vipat Raksakulthai at Molecular Devices. TABLE OF CONTENTS Page 1 Introduction ................................................................................................................1 1.1 General overview ................................................................................................1 1.2 Nanomaterials ....................................................................................................2 1.2.1 Background ................................................................................................2 1.2.2 Environment and human health ..................................................................3 1.2.3 Carbon nanotubes, applications, health and safety ....................................4 1.2.4 Metal oxides, appications, health and safety...............................................6 1.3 Glioblastoma .......................................................................................................7 1.3.1 Background and mutations .........................................................................7 1.3.2 Nanomedicine for brain cancer ...................................................................9 1.4 Zebrafish model ...............................................................................................10 1.4.1 Background ..............................................................................................10 1.4.2 Toxicology and drug discovery screening ...............................................11 1.4.3 Cancer model ............................................................................................12 1.5 Specific aims ....................................................................................................13 2 Toward safer multi-walled carbon nanotube design: Establishing a statistical model that relates surface charge and embryonic zebrafish mortality....................................17 2.1 Abstract ............................................................................................................18 2.2 Introduction ......................................................................................................18 2.3 Methods ............................................................................................................22 2.3.1 MWNT preparation ..................................................................................22 2.3.2 MWNT characterization ...........................................................................23 TABLE OF CONTENTS (Continued) Page 2.3.3 Toxicity testing .........................................................................................23 2.3.4 Statistical analysis ....................................................................................25 2.4 Results ..............................................................................................................27 2.4.1 Physicochemical properties of the MWNTs ............................................27 2.4.2 MWNT toxicity profiles ...........................................................................28 2.4.3 Exploratory statistics used to inform the multivariate model ..................29 2.5 Discussion ........................................................................................................32 2.6 Conclusions ......................................................................................................36 3 Comparative metal oxide nanoparticle toxicity using embryonic zebrafish.............47 3.1 Abstract .............................................................................................................48 3.2 Introduction .......................................................................................................49 3.3 Materials and Methods......................................................................................52 3.3.1 Nanoparticle synthesis...............................................................................52 3.3.2 Nanoparticle characterization ...................................................................54 3.3.3 Inductively coupled plasma optical emission spectrometry of zinc dissolution .........................................................................................................55 3.3.4 Zebrafish husbandry .................................................................................56 3.3.5 Zebrafish bioassays ..................................................................................56 3.3.6 Nanoparticle exposures ............................................................................57 3.3.7 Scanning electron microscopy .................................................................58 3.3.8 Statistics ...................................................................................................59 3.4 Results and Discussion .....................................................................................60 TABLE OF CONTENTS (Continued) Page 3.4.1 Metal oxide nanoparticles with similar primary particle size differ greatly in hydrodynamic size and charge .......................................................................60 3.4.2 Only zinc oxide nanoparticles demonstrate acute embryonic zebrafish toxicity ...............................................................................................................61 3.4.3 Zinc oxide nanoparticle dissolution analysis and toxicity .......................64 3.4.4 Zinc oxide exposure results in life stage-dependent zebrafish toxicity ...66 3.5 Conclusions ......................................................................................................67 4 An orthotopic zebrafish xenograft assay to study novel human glioblastoma therapeutics targeting migration, invasion and proliferation .......................................78 4.1 Abstract ............................................................................................................79 4.2 Introduction ......................................................................................................79 4.3 Materials and Methods .....................................................................................82 4.3.1 Zebrafish husbandry .................................................................................82 4.3.2 U87MG maintanence and fluorescent labeling ........................................83 4.3.3 Glioblastoma transplantation procedure ...................................................84 4.3.4 Imaging and analysis of U87MG behavior ..............................................84 4.3.5 Xenograft exposure assay .........................................................................86 4.3.6 Statistical methods ....................................................................................88 4.4 Results ..............................................................................................................89 4.4.1 Transplantation conditions support glioblastoma growth ........................89 4.4.2 Zinc oxide nanoparticle enhances U87MG proliferation and dispersal ...90 4.4.3 LY294002 inhibits U87MG proliferation and dispersal ..........................91 4.5 Discussion ........................................................................................................92 TABLE OF CONTENTS (Continued) Page 4.5.1 Orthotopic zebrafish xenograft assay supports study of glioblastoma biology ...............................................................................................................92 4.5.2 Application of orthotopic zebrafish xenograft assay assists drug prioritization ......................................................................................................94 4.5.3 Nanotherapeutic assessment .....................................................................94 4.5.4 Chemotherapeutic assessment ..................................................................96 4.5.5 Future directions .......................................................................................98 5 Final Conclusions ...................................................................................................115 Bibliography ..............................................................................................................124 Appendix A................................................................................................................141 A.1 Methods ....................................................................................................141 Appendix B ................................................................................................................145 LIST OF FIGURES Figure Page 1.1 Potential for exposure throughout the life cycle of nanomaterials from production to disposal …………………………………………………………………...14 1.2 Examples of single walled carbon nanotubes and multi-walled carbon nanotubes ………………………………………………………………………………..15 1.3 The role of PTEN in regulating the PI 3-kinase/AKT …..……………………....16 2.1 MWNT representative exposure images ..……………………………………….43 2.2 MWNT toxicity response .……………………………………………………….44 2.3 Correlating MWNT physicochemical properties with toxicity …………………45 2.4 Model relationship between probability of embryo mortality and MWNT point of zero charge ……………………………………….………………………….46 3.1 Size to charge relationship between metal oxide nanoparticles …………………73 3.2 Zinc oxide nanoparticle, zinc oxide bulk and zinc ion equivalent toxicity …..…74 3.3 Dissolution of zinc oxide nanoparticles and zinc oxide bulk …………………...76 3.4 96 hpf zebrafish zinc oxide nanoparticle and zinc ion equivalent toxicity ……...77 4.1 Microinjection setup, zebrafish placement and glioblastoma implantation site .102 4.2 Position of embryonic zebrafish for image acquisition ………………………..104 4.3 Image analysis for proliferation, migration and invasion ……………………...105 4.4 Diagram depicting the timeline of the orthotopic zebrafish xenograft assay ….106 4.5 Comparison of the effects of exposure to zinc oxide nanoparticles (ZnO NP), bulk material control and vehicle control on the fold change in human glioblastoma (U87MG) cell count ………………………………………………………..107 4.6 Quantitative analysis of human glioblastoma (U87MG) cell spread following zinc oxide nanoparticle (NP), zinc oxide bulk (BULK), or vehicle control exposure ………………………………………………………………………………109 LIST OF FIGURES (Continued) Figure Page 4.7 Comparison of the effects of increasing exposure to LY294002 on the fold change in human glioblastoma (U87MG) cell count data ………………………….111 4.8 Quantitative analysis of human glioblastoma (U87MG) cell spread following LY294002 or vehicle control exposure ……….……………………………113 A.1 Pearson correlations between the five measured MWNTs properties …..….…144 B.1 Representative TEM images of each metal oxide nanoparticle synthesis method …………………………………………………..………………………….145 B.2 Heat map of metal oxide nanoparticle toxicity ………………………………..146 B.3 Zebrafish exposed to zinc oxide nanoparticle ..………………………………..148 LIST OF TABLES Table Page 2.1 MWNT samples and treatment conditions ……………………….......….39 2.2 MWNT physicochemical characteristics ..……………………………… 40 2.3 24-hour zebrafish mortality model summary …………………….......….41 2.4 Model validation results..…………………………………………..…… 42 3.1 Metal oxide nanoparticle physical characterization …………….......…...71 3.2 Descriptions of time points and endpoints assessed during five-day embryonic zebrafish bioassay……………………………………………………..…72 4.1 Mortality associated with zinc oxide nanoparticle (NP) exposures ........100 4.2 Mortality associated LY294002 exposures..............................................101 A.1 Developmental and toxic endpoints measured at either 24 or 120 hours post fertilization (hpf)……....…………………………………………..……143 1. Introduction 1.1 General overview This dissertation focuses on identifying and prioritizing the environmental, health and safety risks associated with nanomaterials so that novel applications, especially in the field of medicine can be realized. Chapter 2 demonstrates how the embryonic zebrafish can be utilized to develop a model to predict multi-walled carbon nanotube (MWNT) toxicity based on surface functionalization. The adverse biological response of embryonic zebrafish exposed to MWNTs modified with oxygen moieties was used to build a multivariate mathematical model predicting which properties resulted in zebrafish toxicity. In Chapter 2, I explore how information acquired from this model can be utilized in the design of safer nanomaterials before wide-scale production to reduce future environmental health and safety problems. Chapter 3 focuses on how size, charge, agglomeration and dissolution of a similar class of un-functionalized metal oxide nanoparticles (MO NPs) influence embryonic zebrafish toxicity. In Chapter 3, I further address caveats of the typical embryo-larval toxicity assay by exploring how MO NP agglomeration and dissolution complicate the interpretation of aqueous exposure results. Chapter 4 discusses how I developed and applied an orthotopic embryonic zebrafish xenograft model of glioblastoma to assess the efficacy of a putative anticancer MO NP (zinc oxide). Chapter 4 also confirms the efficacy of the embryonic zebrafish xenograft assay by assessing the well-studied phosphatidylinositol 3-kinase inhibitor LY294002. This chapter demonstrates how the zebrafish xenograft model can be used to prioritize candidate therapeutics and streamline the anticancer compound development pipeline. 1 1.2 Nanomaterials 1.2.1 Background For centuries, humans have unknowingly harnessed the unique properties, especially the interesting optical phenomena and durability, that emerge in materials at the nanoscale (operationally defined as the size range of 1-100 nm) (NNI, 2011). Not until the mid to late 20th century were people actually able to visualize materials at the atomic and molecular level and deliberately manipulate them to understand the unusual chemical, physical and biological properties that emerge (NNI, 2015). Within the size range of 1-100 nm, quantum effects dictate particle behavior making physical and chemical properties size dependent and customizable (Smith et al., 2010), yet some unique biological behaviors have been observed for materials larger (~400 nm or less) than the traditional 100 nm size definition for nanomaterials (Gradishar et al., 2005; Kato et al., 2003; O'Neal et al., 2004). Furthermore, the greater surface area to volume ratio of materials at the nanoscale enhances biological reactivity of insoluble materials (Nel et al., 2006; Oberdörster et al., 2005) or enhances dissolution of soluble materials compared to larger bulk material counterparts (Borm et al., 2006). The field of nanotechnology exploits the novel and tunable traits of nanomaterials for diverse applications in material science, chemical catalysts, electronics (Liang et al., 2002; Park et al., 2002), energy storage (Chan et al., 2008), personal care products, environmental remediation and medicine (Ashley et al., 2011; Cheng et al., 2011; Hanley et al., 2008; Kang et al., 2008a; Nie et al., 2007). There are also many naturally occurring nanoscale particles or materials including biological macromolecules and byproducts of combustion or volcanic eruptions (Oberdörster, et al., 2005). For the purposes of this dissertation, use of the term “nano” as in 2 nanomaterial, nanoparticle or nanotube will refer to engineered nanomaterials unless specifically stated otherwise. 1.2.2 Environment and human health Each year more and more products incorporate nanomaterials, especially in the field of medicine, with no expectations of slowing. This increases the likelihood of exposure throughout the material lifecycle from production to disposal particularly for nanotherapeutics (Figure 1.1). Nanomaterials are of a size similar to many cellular structures, organelles, enzymes and nucleic acids. The numerous functionalities, material compositions, shapes and coatings increases opportunities for negative interactions with living organisms and the environment (Nel, et al., 2006; Oberdörster, et al., 2005). Concerns for environment, human health and safety via intended (i.e. application of personal care products, use of nanoscale medicines or environmental remediation) or unintended (i.e. occupational exposure and leaching) exposures remain (Figure 1.1). Therefore, the United States government established the National Nanotechnology Initiative (NNI) (NNI, 2015). The NNI realized that all socio-economic benefits associated with nanomaterials and nanotechnology must be counterbalanced with possible environment, human health and safety impacts (NSET, 2014). Comprehensive risk assessment requires toxicology testing, yet the unique challenge associated with nanomaterial toxicology or nanotoxicology is that physical form (i.e. surface area, shape, agglomeration) as well as chemical composition (i.e. charge, functionalization, band gap) can interact to cause adverse biological responses not observed by chemicals alone (Maynard et al., 2010; Oberdürster, 2000). To account for these challenges, nanotoxicology requires additional test considerations not found in traditional 3 chemical based toxicological safety assessments (Maynard, et al., 2010). In recognition of these problems, the NNI drafted an Environment, Health and Safety Research Strategy outlining methods to prioritize and acquire the necessary data for accurate nanomaterial risk assessment. This requires creating better predictive models relating structure and composition to adverse in vivo biologic response (NNI, 2011), which is necessary to prioritize the testing of the nanomaterials that possess the greatest environmental health and safety risk. Furthermore, this information is necessary to create guidelines and support for the design of safe, environmentally benign nanomaterials. Two common classes of nanomaterial with many industrial and medical applications, yet also potential environmental health and safety risks are carbon nanotubes and metal oxide nanoparticles. 1.2.3 Carbon nanotubes, applications, health and safety Carbon nanotubes (CNTs) are hollow, cylindrical tubes comprised of individual (single­ wall, SWNTs) sheets of graphene or multiple (multi-walled, MWNTs) sheets of graphene creating a tube within a tube structure (Figure 1.2) (De Volder et al., 2013). The surface may be bare or functionalized with different chemical groups enhancing solubility and specificity for delivery of therapeutics. CNTs possess great mechanical strength, electrical properties, large aspect ratio and thermal traits making them very attractive for material science, electronics, water purification and medicine (De Volder, et al., 2013; Popov, 2004). Global CNT production is predicted to surpass 12,300 metric tons in 2015, most of which will be comprised of MWNTs (Patel, 2011). The ability to attach various functional groups to MWNTs, while useful for biomedical applications, may alter bioavailability or biodistribution and lead to unexpected adverse biological interactions. 4 There are already concerns that the fiber-like characteristics (large aspect ratio) of CNTs will cause mesothelioma similar to the effects observed with asbestos exposure (Donaldson et al., 2006). Studies using mammalian cell lines or rodent models demonstrate MWNTs induce genotoxicity, inflammation, oxidative stress, granulomas and mesotheliomas (Mitchell et al., 2007; Poland et al., 2008; Sakamoto et al., 2009; Yang et al., 2009; Ye et al., 2009; Zhu et al., 2007). However, contradictory data exists. The differences in routes of exposure, MWNT size, dispersal method and level of agglomeration make it difficult to compare studies and create rational material synthesis guidelines to reduce adverse biological interaction (Johnston et al., 2010; Maynard, et al., 2010; Oberdörster, 2010). The two general synthesis guidelines gleaned from these studies are longer MWNTs are generally more toxic than short (Brown et al., 2007; Johnston, et al., 2010; Poland, et al., 2008) and care should be taken to remove contaminants leftover from synthesis (Guo et al., 2007; Kagan et al., 2006). The high production volumes of MWNTs guaranty that some will eventually end up in the environment during disposal or as waste byproducts. While research exists investigating MWNT exposure effects on microbiota (Gilbertson et al., 2014; Kang, et al., 2008a; Kang et al., 2008b), there is also need to understand effects in vertebrates such as fish during sensitive early life stages. As with experiments in mammalian models, the few studies investigating MWNT toxicity in developing fish observe some toxicity but these studies utilize disparate base materials and experimental methods, which may account for differences in experimental outcomes (Asharani et al., 2008; Cheng et al., 2009; Cheng et al., 2007). To realize the benefits of MWNTs for fields such as medicine, there is a need to systematically examine how MWNT physicochemical traits such as surface functionalization contribute to adverse biological response in vivo, which can be used to prospectively create safer products instead of dealing with health hazards retrospectively. 5 1.2.4 Metal oxides, applications, health and safety Metal oxides (MO) comprise a common class of nanoparticles of semiconductor materials with broad applications in personal care products, electronics, energy storage, medicines and medical imaging (Nel, et al., 2006; Oberdörster, et al., 2005). Some of the most widely used metal oxide nanomaterials include zinc oxide (ZnO), titanium dioxide (TiO2), cerium dioxide (CeO2) and tin dioxide (SnO2). While many of these materials initially drew interest due to antimicrobial traits (Adams et al., 2006; Li et al., 2008; Premanathan et al., 2011; Reddy et al., 2007), they are now being applied to cancer imaging and therapeutics (Lee et al., 2007a; Lee et al., 2007b; Liong et al., 2008; Nie, et al., 2007). In vitro studies demonstrate some metal oxide nanoparticles (MO NPs) such as ZnO and TiO2 cause inflammatory response, reactive oxygen species generation, apoptosis and genotoxicity, which could be useful in destroying cancer cells if selective (Prasad et al., 2013). In fact, some TiO2 and ZnO NPs demonstrate preferential cytotoxicity toward cancer cells making these materials of particular interest as therapeutics (Akhtar et al., 2012; Hanley, et al., 2008; Thevenot et al., 2008). Alternatively, CeO2 NPs may act as an antioxidant providing cytoprotective effects (Özel et al., 2013; Schubert et al., 2006; Xia et al., 2008); however, contradictory data exists and the reactive oxygen species scavenging ability may depend on the redox potential of CeO2 NPs in various exposure media (Auffan et al., 2009; García et al., 2011; Lin et al., 2006). Little information is available on the toxicity of SnO2 NPs but the existing data suggests it is relatively inert (Zhang et al., 2012). While these in vitro experiments are useful in exploring specific mechanisms of toxicity at the cellular level, nanomaterial studies are especially challenging to translate to the organismal level (Maynard, et al., 2010). The same problems associated with MWNT experiments exist with MO NPs making general conclusions about the class of materials difficult based on differing in vivo data. In vivo exposures to TiO2 and ZnO NPs 6 have measured oxidative stress response and inflammation, sometimes only at high concentrations (George et al., 2011; Kao et al., 2012; Paterson et al., 2011; Sayes et al., 2006; Xiong et al., 2011; Yu et al., 2011; Zhang, et al., 2012; Zhu et al., 2009). Additional controversy arises from the potential of some MO NPs (ZnO) to dissolve and release toxic ions (Adams, et al., 2006; Brunner et al., 2006; Franklin et al., 2007; Xia, et al., 2008; Yang et al., 2006; Zhu et al., 2008), the potential for photoactivation-induced toxicity (TiO2) (Bar-Ilan et al., 2012; Gopalan et al., 2009; Gurr et al., 2005; Sanders et al., 2012; Yeo et al., 2012) and the use of surfactants, which influence dispersal and confound interpretation of the physicochemical surface properties influencing toxicity (Maynard, et al., 2010). A better understanding of the physicochemical properties contributing to MO NP toxicity in vivo while mitigating these confounding factors is required for safer MO NP design and for the realization of future MO NP biomedical applications. 1.3 Glioblastoma 1.3.1 Background and mutations Glioblastoma is the most prevalent and deadly primary brain tumor to occur in adults, accounting for 45.6% of malignant primary brain cancers (Ostrom et al., 2014). Glioblastoma arises from astrocytes, a major type of glial cell located in the brain and spinal cord that provides structural support, maintains homeostasis, and regulates neuronal development (Abbott et al., 2010). Necrotic foci, aberrant cellular morphology and angiogenesis are histological characteristics defining glioblastoma (DeAngelis, 2001). Approximately 3.19 per 100,000 people develop this disease, and it typically occurs later in life starting around age 55 (Ostrom, et al., 2014). Despite a relatively low incidence, the median survival rate for glioblastoma is only 15 mo (Hayat, 2011), and the considerable health care services associated with this disease creates a 7 significant socioeconomic onus (Kutikova et al., 2007 ). The invasive nature of glioblastoma leads to high recurrence making even aggressive, multimodal treatment options such as surgery, radiation and chemotherapy not very effective (Stupp et al., 2005). Several decades of research into new glioblastoma treatments has not improved the five-year survival rate, which remains unacceptably poor at ~5% (Ostrom, et al., 2014). Further complicating successful treatment of glioblastoma is the heterogeneous mutational spectrum (TCGA, 2008). No one or two gene mutations cause glioblastoma, but there are essential signaling pathways controlling normal cellular growth and survival that are commonly dysregulated (TCGA, 2008). Large scale analyses of genomic alterations identified mutations leading to aberrant activation of receptor tyrosine kinase-RAS pathway, enhanced protein kinase B (AKT)- phosphatidylinositol 3-kinase (PI 3-kinase) signaling, or inactivation of p53­ retinoblastoma tumor suppressor pathway in 88% of glioblastoma samples (TCGA, 2008). One common homozygous mutation that results in overactivation of the PI 3-kinase/AKT pathway is that of PTEN (TCGA, 2008; Cantley et al., 1999). PTEN acts as a tumor suppressor in glioblastoma by preventing the dephosphorylation of phosphatidylinositol 3-phosphate (Cantley, et al., 1999), which mediates the activation of AKT via PI 3-kinase leading to apoptotic and therapeutic resistance (Figure 1.3) (Mayo et al., 2002). Another major obstacle to the development of new glioblastoma therapeutics in addition to therapeutic resistance is the blood brain barrier (Cecchelli et al., 2007). The blood brain barrier consists of endothelial cells lining capillaries that supply the central nervous system and helps maintain the electrochemical environment around neurons and axons necessary for synaptic transmissions (Cecchelli, et al., 2007). The tight junctions, transporters and specific enzymes present in the endothelial cells of the blood brain barrier create a physical, chemical and metabolic 8 barrier to the central nervous systems (Cecchelli, et al., 2007). Unless actively transported, only small, hydrophobic molecules around 400-600 Da (~1 nm in diameter assuming a spherical shape) can pass the blood brain barrier (Pardridge, 1998). Any new glioblastoma therapeutics must be able to cross this protective barrier passively or actively to inhibit glioblastoma progression and be effective. The emerging field of nanomedicine is opening new avenues of glioblastoma treatment, diagnostic imaging and potential for enhanced blood brain barrier translocation through functionalization and active transport. 1.3.2 Nanomedicine for brain cancer Development of nanomaterials for biomedical applications as pharmaceuticals and in vivo imaging and diagnosis has expanded in recent years, opening new avenues of innovation in human health (Etheridge et al., 2013). The small size (molecular scale), diverse possibilities in material composition, numerous morphologies and ease in functionalization makes nanomaterials especially advantageous as targeted anti-cancer agents (Ashley, et al., 2011), enhanced drug delivery systems (Nie, et al., 2007) or high resolution imaging agents (Smith et al., 2011). For instance, the larger surface area to volume ratio of materials at the nano scale increases bioavailability (Oberdörster, et al., 2005), preparation with biocompatible materials like poly(lacticzoglycolic acid) and coating with polyethylene glycol helps evade the immune system extending circulation (Gref et al., 1994) and the small size allows extensive penetration and retention in tumors (Perrault et al., 2009; Wong et al., 2011). Furthermore, functionalization with peptides specific to receptors such as integrin αvβ3, which are commonly overexpressed around or on cancer cells or functionalization with aptamers can enhance delivery and site-specific toxicity while reducing adverse systemic effects (Cheng, et al., 2011; Farokhzad et al., 2006; Hood et al., 9 2002). Of additional interest to future glioblastoma drug development is that some nanoparticles can bypass the blood brain barrier through transport along neurons to the brain (Oberdörster et al., 2004). Furthermore, certain sizes (150-300) or functionalization that activates the low density lipoprotein or transferrin receptors may enhance nanoparticle transport across the blood brain barrier (Wohlfart et al., 2012) and delivery to tumors. These examples, illustrate how nanomaterials will improve glioblastoma therapeutics. 1.4 Zebrafish model 1.4.1 Background As a useful developmental and molecular model, detailed information on zebrafish biology, physiology and morphology has been available for several years (Driever et al., 1996; Driever et al., 1994; Haffter et al., 1996; Kimmel et al., 1995). The conservation of developmental processes between zebrafish and other vertebrates including humans makes it a valuable and relevant developmental model (Haffter, et al., 1996). Large scale mutagenesis screening helped elucidate many of the genes and molecular signaling pathways involved in zebrafish development (Driever, et al., 1996) and sequencing of the zebrafish genome added to the translational relevance of the model by identifying 71.4% genome sequence conservation with that of humans (Howe et al., 2013). Genomic information has helped simplify genetic techniques for quantifying gene expression, creating transgenics and producing conditional knockouts through antisense technologies such as morpholinos to study gene function and expression patterns (Zon et al., 2005). The knowledge base associated with the zebrafish model has made them adaptable to many other fields including toxicology and drug discovery. 10 1.4.2 Toxicology and drug discovery screening The wealth of information on zebrafish biology makes it an advantageous model in understanding the effects (beneficial and adverse) of compound (chemical and nanomaterial) exposure (Fako et al., 2009; Hill et al., 2005; Zon, et al., 2005). Zebrafish possess a remarkable capacity for egg production and require only a few months to reach reproductive maturity making it possible to provide thousands of embryos for experiments not feasible with mammalian models (Detrich et al., 1999). The small size and quick development, most major organ systems are fully developed three days post fertilization, makes the zebrafish amenable to rearing in multi-well plates for moderate-throughput embryo-larval screening assays (Zon, et al., 2005). The translucency and external development of the embryos allows for non-invasive phenotypic observation of compound effects using a stereo microscope (Hill, et al., 2005; Zon, et al., 2005). Coupling the use of specific transgenic fish with fluorescence microscopy can help elucidate whether a compound is activating or inhibiting molecular processes, thereby identifying a target of toxicity or target for therapeutic intervention (Zon, et al., 2005). The ease of phenotypic-based screening allows for the correlating chemical structure or nanomaterial physicochemical modifications with biological response to create structure activity relationships informative of hazard (Harper et al., 2011; Knecht et al., 2013). The short duration of embryo-larval zebrafish assays (3-5 days) puts it on par with the speed of in vitro studies. However, additional information on biodistribution, biopersistance, metabolism, excretion and systemic effects can be investigated in embryo-larval zebrafish assays that would require numerous different in vitro assays with multiple cell types. The many systems biology based techniques available for use in the zebrafish such as proteomics, transcriptomics and metabolomics can provide a holistic understanding of the mechanism of action of a compound, 11 whether it be nanomaterial, drug or chemical, which is highly desirable for cross species comparisons. 1.4.3 Cancer model Zebrafish possess orthologues with several genes implicated in human diseases (Howe, et al., 2013) and develop cancers with molecular signatures similar to human cancers (Lam et al., 2006). Therefore, zebrafish are increasingly used as a model to study human diseases such as cancer (Feitsma et al., 2008). Cancer transplantation experiments demonstrate embryonic zebrafish hold promise to study some details of malignant progression that are incredibly challenging in mammalian models. For instance, research investigating growth, angiogenesis, migration, invasion and metastases of a variety of human cancers in embryonic zebrafish noninvasively already exists (Geiger et al., 2008; Haldi et al., 2006; Lal et al., 2012; Nicoli et al., 2007; Yang et al., 2013). Moreover, this research suggests that these embryonic zebrafish xenograft models hold promise in investigating the efficacy of chemo or nanotherapeutic intervention on proliferation, migration and invasion in real time (Cheng, et al., 2011; Geiger, et al., 2008; Nicoli, et al., 2007; Yang, et al., 2013). The absence of a fully functional immune system during early zebrafish development (Lam et al., 2004) means these xenograft experiments can be completed without potentially confounding effects of immunosuppressive chemicals. Therefore, embryonic zebrafish xenografts can be incorporated into screening for novel chemo or nanotherapeutics to aid in drug discovery especially for highly invasive diseases like glioblastoma where little progress in treatments has occurred over the years. Development of a realistic embryonic zebrafish xenograft assay of glioblastoma to prioritize therapeutic compound development remains incomplete. Most embryonic zebrafish 12 xenograft studies transplant the cancer cells in the yolk (Geiger, et al., 2008; Haldi, et al., 2006; Marques et al., 2009; Yang, et al., 2013) or perivitelline space (Nicoli, et al., 2007). However, research shows that injection site location can significantly alter typical cancer behavior (Lal, et al., 2012). Transplanting glioblastoma cells into the brain microenvironment recapitulates the invasive behavior of glioblastoma (Lal, et al., 2012). Moreover, the presence of a blood brain barrier by three days post fertilization in zebrafish (Jeong et al., 2008) will also help identify compounds that can traverse the barrier. Therefore, creation of an orthotopic embryonic zebrafish xenograft assay is necessary to identify and prioritize chemicals and nanomaterials targeting glioblastoma proliferation, migration and invasion for future therapeutic advancement. 1.5 Specific aims By addressing three specific aims, this dissertation will reveal how the embryonic zebrafish model can be applied to prioritize nanomaterial hazard and anticancer efficacy bridging the fields of nanotoxicology and nanotherapeutics to advance drug development and safety. The specific aims of this dissertation are to: Aim 1. Evaluate two common classes of nanomaterials (MWNT and MO NPs) for toxicity using the embryo-larval zebrafish assay and prioritize further assessment. Aim 2. Identify physicochemical properties of MWNTs and MO NPs associated with zebrafish toxicity to inform safe nanomaterial design and predict nanotoxicity Aim 3. Establish a novel orthotopic embryonic zebrafish xenograft assay to prioritize efficacy of nanotherapeutic agents for glioblastoma drug development. 13 Figure 1.1. Potential for exposure throughout the life cycle of nanomaterials from production to disposal 14 Figure 1.2. Examples of single walled carbon nanotubes and multi-walled carbon nanotubes Image adapted from Raymond M. Reilly J Nucl Med 2007;48:1039-1042. 15 Figure 1.3. The role of PTEN in regulating the PI 3-kinase/AKT pathway Abbreviations: PTEN- Phosphatase and tensin homolog; AKT-Protein kinase B; PI3K­ Phosphatidylinositol 3-kinase; PIP2- Phosphatidylinositol 4,5-bisphosphate; PIP3­ Phosphatidylinositol (3,4,5)-trisphosphate; P-Phosphorylation; BAD- BCL2-associated agonist of cell death; mTOR- Mammalian target of rapamycin, NFKB- Nuclear factor kappa-light-chain­ enhancer of activated B cells 16 2. Toward safer multi-walled carbon nanotube design: Establishing a statistical model that relates surface charge and embryonic zebrafish mortality This article is printed with permission from Informa Healthcare License Number: 3677150628039 Leanne M. Gilbertson, Fjodor Melnikov, Leah C. Wehmas, Paul T. Anastas, Robert L. Tanguay, and Julie B. Zimmerman Nanotoxicology Volume 0 Issue 0 17 2.1 Abstract Given the increased utility and lack of consensus regarding carbon nanotube (CNT) environmental and human health hazards, there is a growing demand for guidelines that inform safer CNT design. In this study, the zebrafish (Danio rerio) model is utilized as a stable, sensitive biological system to evaluate the bioactivity of systematically modified and comprehensively characterized multi-walled carbon nanotubes (MWNTs). MWNTs were treated with strong acid to introduce oxygen functional groups, which were then systematically thermally reduced and removed using an inert temperature treatment. While 25 phenotypic endpoints were evaluated at 24 and 120 hours post-fertilization (hpf), high mortality at 24 hpf prevented further resolution of the mode of toxicity leading to mortality. Advanced multivariate statistical methods are employed to establish a model that identifies those MWNT physicochemical properties that best estimate the probability of observing an adverse outcome. The physicochemical properties considered in this study include surface charge, percent surface oxygen, dispersed aggregate size and morphology and electrochemical activity. Of the five physicochemical properties, surface charge, quantified as the point of zero charge (PZC), was determined as the best predictor of mortality at 24 hpf. From a design perspective, the identification of this property–hazard relationship establishes a foundation for the development of design guidelines for MWNTs with reduced hazard. 2.2 Introduction There are numerous current and projected applications of carbon nanotubes (CNTs) spanning a range of sectors, including energy, electronics and healthcare (De Volder et al., 2013; Endo et al., 2008). These applications are inspired by the unique physical and chemical properties of CNTs, including tensile strength, electronic and thermal conductivity, aspect ratio and 18 antimicrobial activity, to name a few (Endo, et al., 2008; Popov, 2004). Of the two primary classes of CNTs, single- (SWNT) and multi-walled (MWNT), MWNTs are primarily utilized in high concentration, low order applications and accounted for 95% of the total 2010 CNT production value (Patel, 2011). As such, there is increased likelihood of environmental and human exposure to MWNTs considering the various pathways of release throughout the life cycle (EPA, 2014). Given the current lack of consensus regarding the MWNT hazard profile, this is potentially of concern for environmental and human health. To better understand and resolve the specific material properties that can induce MWNT environmental and human health hazard, zebrafish (Danio rerio) were selected as the model organism. Zebrafish are considered a preferred in vivo vertebrate model organism for assessing the toxicity of nanomaterials for multiple reasons (Fako et al., 2009; Lin et al., 2013; Rizzo et al., 2013; Usenko et al., 2007). Zebrafish possess genetic parallels with humans enabling projection and understanding of potential mechanisms of human toxicity (Fako, et al., 2009). Zebrafish also have a remarkable degree of molecular and physiological conservation with other vertebrates, particularly during embryonic development (Amsterdam et al., 2004). Exposure to exogenous compounds during this sensitive life stage can disrupt key developmental processes such as cell differentiation, organogenesis, apoptosis, proliferation, ion regulation and neurogenesis, which manifest as craniofacial malformations, edema, disrupted vasculature and muscles, abnormal evasion response and even death (Harper et al., 2011a; Hill et al., 2005). Further, zebrafish are favorable for high throughput toxicity screening methodologies as they facilitate rapid testing of numerous chronic and acute endpoints, simultaneous testing of a range of concentrations and the potential to probe detailed mechanisms of toxicity (Harper, et al., 2011a). 19 While there is a significant body of research investigating the impacts of CNTs at the cellular level (Johnston et al., 2010; Kang et al., 2008a; Kang et al., 2008b; Kang et al., 2007; Liu et al., 2009; Pasquini et al., 2012; Pasquini et al., 2013a; Vecitis et al., 2010) and using mammalian models (Kane et al., 2008; Kolosnjaj-Tabi et al., 2010; Lam et al., 2006; Lam et al., 2004; Muller et al., 2005; Nel et al., 2006), those studies pertaining to higher order aquatic organisms are more disparate (Baun et al., 2008; Scown et al., 2010). In particular, only a handful of studies, to date, investigate the impact of CNTs on zebrafish (Adenuga et al., 2013; Asharani et al., 2008; Cheng et al., 2009; Cheng et al., 2012; Cheng et al., 2007), and there are significant variations in the experimental methodologies. A seminal paper by Cheng et al. (2007) found that the chorion serves as a protective barrier, preventing the interaction between the CNT aggregates and the embryo. While they observed delayed hatching, there were no observed developmental or mortality implications (Cheng, et al., 2007). To facilitate direct exposure between CNTs and the embryo, two alternative procedures were developed. The first is a microinjection technique, which is administered at the one-cell stage (Cheng, et al., 2009; Cheng, et al., 2012) or 8-cell stage (Asharani, et al., 2008). The second method involves enzymatic dechorionation of the embryos 4 hours post-fertilization (hpf), prior to CNT exposure (Mandrell et al., 2012; Truong et al., 2011). This latter technique is employed in this study as it is automated, quick, cost effective and more precise than the manual alternative (Mandrell, et al., 2012). While the current CNT zebrafish literature thoroughly evaluates both lethal and sublethal endpoints, there is often a lack of comprehensive physicochemical characterization of the nanomaterials necessary to draw meaningful conclusions or to compare results between studies (Asharani, et al., 2008; Cheng, et al., 2009; Cheng, et al., 2012; Cheng, et al., 2007). The approach employed here is unique from those presented in previous CNT zebrafish studies in that the 20 MWNTs: (1) originated from the same starting batch, which eliminates the potential of confounding variables associated with batch heterogeneity (Jones et al., 2008); (2) were systematically modified, minimizing the number of properties being varied at one time; and (3) were comprehensively characterized for those intrinsic and extrinsic properties most pertinent to their toxicity including surface charge, oxygen content, dispersed aggregate radius and morphology and electrochemical activity (Fubini et al., 2010; Powers et al., 2007). The ability to extrapolate relationships between physicochemical properties and observed trends in adverse outcomes will improve our understanding of the underlying toxicity mechanisms as well as promote the design of CNTs for enhanced performance and minimized hazard. To address the current knowledge gap, this study intends to inform the development of property– hazard relationships for a given set of MWNTs by developing a logistic model that relates MWNT physicochemical properties and zebrafish toxicity. The study presented herein has three primary goals: (1) to determine whether the established correlating trend of MWNT electrochemical activity and bacterial cytotoxicity (Gilbertson et al., 2014a; Pasquini, et al., 2013a) is maintained for higher trophic organisms (i.e. zebrafish), (2) to establish a model that relates the observed trend in the adverse effects in zebrafish with physicochemical properties of MWNTs and (3) to utilize the model as a first step towards developing a foundational understanding of the underlying mechanism of the bioactivity of MWNTs. The combined results aim to elucidate the toxic potential of MWNTs and to inform their future inherently safer design. 21 2.3 Methods 2.3.1 MWNT preparation Pristine MWNTs were purchased from CheapTubes (Burlington, VT, CCVD, >95 wt%, 10–20 nm diameter, 10–20 μm length; (Cheaptubes, 2014)). These as-received MWNTs were acid treated in house via reflux in nitric acid (HNO3, 15.7 M) for 2 h. This acid treated (AT 2) MWNT sample was then annealed (heat treatment under inert conditions) at increased maximum temperature (400–900 ‡C, 100 ‡C increments) and served as the model training set. A separate set of MWNTs, purchased from NanoLab Inc. (Waltham, MA 15 ± 5 nm diameter, 5–20 μm length, >95% purity), was prepared and utilized to confirm the logistic model (Nanolab, 2011). These as-received MWNTs (NL-AR) were treated by the manufacturer using a sulfuric–nitric acid mix and then annealed in house at a subset of the previously applied temperatures (400, 600, and 900 ‡C). Annealing enabled systematic modifications of MWNT properties via reduction of surface oxygen groups that were added during the acid treatment. The various functional group moieties (e.g. carboxylic acid, hydroxyl and carbonyl) possess different thermal properties (Figueiredo et al., 1999b). As the maximum annealing temperature increases, the more labile groups elude the MWNT surface while the more thermally stable groups remain (illustrated in the schematic in Table 2.2). The annealing conditions remained consistent for all samples, including heating under helium (He) at the indicated maximum temperature for 1 h (10‡ per min heating rate). Compiled treatment conditions for all of the MWNT samples utilized in this study can be found in Table 2.1. 22 2.3.2 MWNT characterization The physicochemical properties of the MWNT samples used in this study were comprehensively characterized for sample purity by thermogravimetric analysis (TGA), surface charge by point of zero charge (PZC), elemental composition by x-ray photoelectron spectroscopy (XPS), dispersed aggregate size and size distribution by dynamic light scattering (DLS), dispersed aggregate morphology by static light scattering (SLS) and electrochemical activity by the oxygen reduction reaction (ORR) using the rotating disc electrode (RDE) method. Dispersed aggregate morphology is quantified here by the fractal dimension (Df), which is evaluated using the static light scattering technique, and is representative of the aggregate compactness and shape (Df = 1: rod-like morphology, Df = 3: sphere-like morphology; (Chen et al., 2004; Schaefer et al., 2003). Relative MWNT surface charge was determined via PZC using a mass titration method (Noh et al., 1989; Pasquini, et al., 2013a). The point of zero charge is the pH at which there is a net zero surface charge, and thus, the values reported in Table 2.2 are pH values obtained using the previously described titration method. Details on additional characterization methods utilized in this study can be found in the Appendix A. Table 2.2 contains the compiled characterization data, including some previously published data associated with our bacterial cytotoxicity study (Gilbertson, et al., 2014a). 2.3.3 Toxicity testing At 4-h post-fertilization (hpf), the acellular chorion was enzymatically removed from tropical 5D zebrafish embryos using pronase following an established protocol described in Mandrell et al. (2012) (Mandrell, et al., 2012). At 6 hpf, embryos were rinsed and transferred to a low ionic strength 62.5 µM CaCl2·2H2O (Sigma Aldrich, St. Louis, MO) medium prepared in 23 ultrapure water (Invitrogen, Grand Island, NY) prior to loading (one embryo per well) into 96-well plates (Falcon, Waltham, MA) containing 0.05 mL of 62.5 µM CaCl2·2H2O. A low ionic strength 62.5 µM CaCl2·2H2O medium was employed in this assay to minimize MWNT aggregation while maintaining normal zebrafish development. On the day of exposure, MWNTs were suspended in a 10% dimethylsulfoxide (DMSO; J.T. Baker, Center Valley, PA) solution prepared with ultrapure water to create a 1 mg/mL MWNT stock. The stock was sonicated indirectly for 30 min via Cup Horn with a Fisher Scientific 60 Sonic Dismembrator at 20 kHz. Immediately following sonication, MWNT stock was diluted in CaCl2·2H2O water to prepare a five-fold, 2X MWNT dilution series ranging from 100 to 0.16 mg/L with DMSO (1%) and CaCl2·2H2O (62.5 µM). At 8 hpf, 0.05 mL of the 2X MWNT suspension was added to 96-well plates for an n = 48 per exposure concentration. Zebrafish underwent a static non-renewal exposure to 1X MWNT (50– 0.08 mg/L), 0.5% DMSO and 62.5 µM CaCl2·2H2O for 5 days maintained at 28 ± 1 ‡C in the dark. The concentration range utilized is the standard range for this established method (Adenuga, et al., 2013; Truong, et al., 2011). At 24 hpf, embryos were visually evaluated by stereomicroscope for mortality, spontaneous tail flexion, notochord malformations and delayed developmental progression. At 120 hpf, zebrafish were evaluated for mortality, phenotypic malformations of the axis, yolk sac, eye, jaw, snout, brain, otic vesicle, somites, heart, circulation, caudal and pectoral fins, swim bladder and behavioral response to mechanical stimulus (Appendix Table A.1). Results were recorded using a binary system of 1 for the presence of an endpoint and 0 for absence. For a more detailed description of the assay, refer to Truong et al. (2011) (Truong, et al., 2011). All experiments were conducted in accordance with Institutional Animal Care and Use Committee protocols at Oregon State University. 24 2.3.4 Statistical analysis 2.3.4.1 Model selection and development. All statistical analyses were conducted using the R version 3.02 statistical software (R_Core_Team, 2013). 2.3.4.2 The logistic model. A logistic model was used to fit the MWNT physicochemical property and zebrafish toxicity data to provide a means of deriving a relationship between the probability of zebrafish embryo mortality (p) and specific MWNT properties. The nature of the relationship between continuous property data and the binomial toxicity outcome suggests the appropriate use of binomial regression. Binomial models are commonly used for toxicity outcomes (Morgan, 1992) and have three major mathematical advantages when modeling binary data, including adequate consideration of inconsistent variance, no necessity for lack of normality assumptions and no range restrictions imposed by binary response variables. The logistic binomial model was chosen for this study as it is easily interpretable and there was no available information on success asymmetry (Collette, 1991). In this study, logistic regression was used to predict the category of outcome (e.g. dead or alive) for individual embryos optimizing the model for minimal complexity. Logistic regression calculates the outcome as odds ratio of embryo death, or probability of death over the probability of survival according to Equation (1) ዉ Lቷቯቱቼ ሤሲዂ ሥ ሲ ቴቶ ረማሥዉኺ ቃ (1),(Collett, 1991) ኺ where pi = p[xi=1] =1-p[xi=0] and xi is the independent variable corresponding to ith observation in the sample i = 1, 2, …, n. In this case pi or p[xi=1], is the probability of observing a toxic effect and 1-pi or p[xi=0] is the probability of embryo survival. 25 Five MWNT physicochemical properties were included as potential predictor variables in the univariate and multivariate analysis to elucidate the toxicity outcome. The affection of percent surface oxygen, point of zero charge, dispersed aggregate radius, dispersed aggregate morphology, and electrochemical activity, and their interactions, on zebrafish embryo toxicity is considered. In logistic regression, these predictor variables are related to the probability of mortality as shown in Equation 2: ሲዂ ሲ ኾ ሠዧሒ ሜዧሓ ዉሓ ሜዧሔ ዉሔ ሜኔሜዧኼ ዉኼ ሡ (2)(Collett, 1991) ማሤ ኾ ሠዧሒ ሜዧሓ ዉሓ ሜዧሔ ዉሔ ሜኔሜዧኼ ዉኼ ሡ where ዀሚ is the intercept coefficient, ዀማ through ዀዄ are parameter coefficients for independent variables 1 though k, and x1 through xk are measured parameters for the specific MWNT sample exposed to zebrafish embryo i. Equation (3), a rearrangement of equations (1) and (2), represents the general form of logistic regression for the logit probability function. ዉ Lቷቯቱቼ ሤቸዂ ሥ ሲ ቴቶ ረማሥዉኺ ቃ ሲ ዀሚ ራ ዀማሺማ ራ ዀሜ ሺሜ ራ ኔ ራ ዀዄ ሺዄ ኺ (3) The parameters of the logistic model ዀሚ though ዀዄ are derived by the method of maximum likelihood. Under the assumption of the logistic regression, the chosen coefficients maximize the probability or likelihood of the observed data (Collett, 1991). 2.3.4.3 Model training and selection. The model was trained on a set of seven systematically treated MWNT (see Table 2.1 for treatment details) with 240 embryonic zebrafish tested for each MWNT type (48 embryos per concentration, 5 exposure concentrations). An iterative model selection process was used to derive the most parsimonious model without over fitting the data. We used Akaike information criterion (AIC), Wald test, and likelihood-ratio test to compare and select model fits (Fox, 1997). Parsimonious models with clear interpretations were preferred, when statistical parameters were similar. Z-score tests were used to assess individual 26 parameter contribution to the overall model. Likelihood ratio, Wald, and the more conservative le Cessie-van Houswelingeen-Copas-Hosme tests (le Cessie et al., 1991) were also used to assess model differences 2.3.4.4 Model validation. The final multivariate model performance was tested on a distinct set of four MWNT samples (see Table 2.1 for treatment details) under the same methodological conditions as previously described for the toxicity evaluation. 2.4 Results 2.4.1 Physicochemical properties of the MWNTs Various techniques were utilized here to characterize the intrinsic and extrinsic properties of the MWNT sample set. The data is compiled in Table 2.2, including a schematic that illustrates the change in surface oxygen groups with increased annealing temperature (Gilbertson et al., 2014b). There are some identifiable trends in the compiled data. First, there is a systematic decrease in the percent surface oxygen with increased annealing temperature due to the varying thermal stability of oxygen functional groups on MWNT surfaces (Kundu et al., 2008). The corresponding increase in the PZC with increased annealing temperature results from the lower thermal stability of the more acidic functional groups, including carboxylic acid (COOH) and hydroxyl (OH), relative to more basic oxygen moieties, such as carbonyl (C=O) containing anhydride, ester, and quinone (Figueiredo et al., 1999a; Gilbertson, et al., 2014b; Montes-Morán et al., 2004). There are no discernable trends in the dispersed aggregate radius or morphology despite the significant change in surface oxygen and PZC. The addition of oxygen functional groups is 27 commonly used to enhance SWNT dispersion yet, MWNTs are inherently more dispersible than SWNTs (Hilding et al., 2003). As such, the changes in surface oxygen do not significantly influence the dispersity of the MWNT samples used in this study. Finally, there is a positive shift in the half-wave potential, E1/2, of the MWNT annealed at 600 °C, which is indicative of enhanced activity toward oxygen reduction (Yeager, 1984). It was previously shown that this shift correlates with the observed trend in E.coli cytotoxicity (Pasquini et al., 2013b). Pasquini, et al. hypothesize that the combined reduction of carboxylic acid groups and presence of carbonyl groups, particularly quinone moieties, is optimized around 600 °C and results in a significant increase in the MWNT electrochemical and antimicrobial activity (Gilbertson, et al., 2014b). The five characterized properties (percent oxygen, PZC, aggregate radius, aggregate morphology, and electrochemical activity) are used in the development of a predictive model for zebrafish toxicity. 2.4.2 MWNT toxicity profiles 2.4.2.1 Impact on embryos. During early developmental stages, embryonic zebrafish interact with the dosed MWNT samples in concentrations ranging from 0.8 to 50 mg/L. Figure 2.1 includes representative images under different concentrations and at various stages of development. The images indicate that the MWNTs under all concentration conditions aggregate and settle over time. When immobile, the interaction between embryo and the MWNTs depends on direct contact between the settled aggregates to the stationary embryo (Figure 2.1). Once mobile (> 36 hpf), the zebrafish movement within the plate well disrupts the MWNT aggregates thus, promoting interaction. 28 2.4.2.2 Concentration-response. Exposure to all MWNTs at concentrations below 50 mg/L induced minimal adverse response. However, several samples halted developmental progression at the highest exposure concentration (50 mg/L) due to significant mortality prior to 24 hpf. The high prevalence of mortality at 24 hpf prevented further evaluation and determination of whether MWNT exposure significantly influenced the manifestation of signature morphological malformations in the zebrafish indicative of more chronic endpoints. Thus, the statistical model development utilizes mortality as the most relevant endpoint for MWNT toxicity prediction. Figure 2.2 shows the mortality at 24 hpf induced by exposure to the seven MWNT samples treated as previously described. There is a significant increase in mortality upon dosing at 50 mg/L compared to the other concentrations. This trend is most notable for the AT 2, AT2-400, and AT2-500 samples, and diminishes for those samples treated at higher annealing temperatures. Due to the highly pronounced differences in mortality at 50 mg/L exposure concentration, and little to no observed effects at and below 10 mg/L, the development of the logistic model relied exclusively on the 50 mg/L results. 2.4.3 Exploratory statistics used to inform the multivariate model 2.4.3.1 Parameter correlations. In order to create a model for adverse zebrafish effects, we first explored the linear relationships between five individual MWNT properties and zebrafish mortality at 24 hpf (Figure 2.3). As evident from Figure 2.3, PZC and percent surface oxygen result in the highest linear correlation with mortality at 24 hpf (R2 = 0.647 and 0.665, respectively). This suggests that of the previously described MWNT properties, percent surface oxygen and surface charge (PZC) are likely to have a significant influence on the observed trend in mortality. 29 The remaining predictors show some linear correlation with observed zebrafish mortality in order of decreasing correlation: aggregate morphology, aggregate radius, and the electrochemical activity (E1/2). 2.4.3.2 Parameter relationships. It is expected that certain MWNT properties would correlate highly with each other. Pearson correlation analysis was used to test property association and remove highly related properties prior to model development. The compiled correlation plots for the measured MWNT properties can be found in Figure A.1. As expected, PZC and percent surface oxygen are highly correlated (R = 0.901). As explained above, this relationship is expected because the charge distribution on the MWNT surface is dependent on the nature of the surface functional group (Figueiredo, et al., 1999a; Montes-Morán, et al., 2004). When two highly colinear predictors were available during the model development, only one parameter was selected. In the case of PZC and percent surface oxygen, PZC was chosen as the more ubiquitous property that would be more prudent for future model testing and implementation as it is applicable to CNTs functionalized or doped with elements other than oxygen including nitrogen and sulfur. In addition, conclusions drawn herein related to PZC are potentially relevant to other classes of nanomaterials. As such, PZC and the remaining three properties were considered in the model development as potential predictors for zebrafish toxicity. 2.4.3.3 Statistical model for predicting zebrafish mortality. A derived logistic regression was used to elucidate the relationship between intrinsic and extrinsic MWNT physicochemical properties and their influence on the mortality of zebrafish. The final four MWNT properties that were considered as potential predictors of mortality at 24 hpf include PZC, aggregate size, 30 aggregate morphology, and electrochemical activity. The percent surface oxygen was eliminated due to co-linearity considerations as described above. The toxicity was assessed with seven different MWNTs and 48 embryos tested for a given concentration. The final model was selected based on highest explanatory power and biological relevance, while maintaining preference for minimal complexity. The logistic model uses PZC as the sole significant predictor (p = 0.000) of mortality to provide robust, interpretable results, without overfitting. The model and associated significance tests are provided in Table 2.3. For each unit increase in PZC, the natural logarithm of toxicity odds ratio decreases by 1.1 (95% CI = 1.35:0.86). The relative decrease in odds ratio for each unit of PZC increase is 0.33 (95% CI = 0.26–0.42). The model significantly improves the understanding of the relationship between MWNT properties and embryonic zebrafish toxicity. Both the likelihood ratio and le Cessie-van Houwelingen-Copas-Hosmer unweighted sum of squares tests of significance confirm the explanatory power of the model (p = 0.000). Higher PZC is associated with lower probability of mortality at 24 hpf. Figure 2.4 illustrates the model relationship between probability of embryo mortality and MWNT PZC. 2.4.3.4 Model validation. To validate the model and its ability to predict zebrafish mortality based on surface charge, four new MWNT samples were prepared and tested as described in the “Methods” section. These MWNTs were purchased from another vendor and acid treated under different conditions to ensure robustness across MWNT batches and acid treatment conditions. The annealing temperatures for the test set include 400, 600, and 900 °C to obtain MWNT samples from each significant shift in PZC. All other conditions were held constant. Table 2.4 summarizes the predicted and measured results for the training set. 31 The model was able to predict the mortality at 24 hpf for the MWNT validation sample set as illustrated by reasonable agreement between the predicted and measured probability in Table 2.4. The data for these four validation samples are also included in Figure 2.4 (circles) and follow the same trend as the training sample set (diamonds). 2.5 Discussion As the field of nanotechnology matures, there is an increased demand to resolve the potential environmental and human health implications resulting from the utilization, handling, and disposal of nanomaterials. Lessons learned from toxic legacy chemicals have motivated a paradigm shift and the development of predictive toxicity models that can be used to estimate a molecule’s hazard potential without investing the time and resources necessary to complete the suite of conventional in vivo toxicity assessments (e.g. mammalian and aquatic studies) (Connors et al.; Kostal et al., 2013; Voutchkova-Kostal et al., 2012). While there are added complexities when applying this approach to nanomaterials, it is imperative to engage in the resolution of a set of design guidelines to inform the development of nanomaterials with reduced hazard, ultimately facilitating sustainable growth of the field by preventing unintended consequences. The study presented herein, is the first to establish a statistical model to explain the observed adverse response of embryonic zebrafish upon exposure to carbon nanotubes. The model is informed by comprehensive physicochemical property characterization of systematically modified MWNTs from the same starting batch, which minimizes the number of intrinsic properties being altered at one time and avoids batch-to-batch heterogeneity, respectively. The importance of such an approach has recently been identified as a primary research objective and 32 is intended for simultaneous resolution and optimization of the performance and safety of nanomaterials (Harper et al., 2011b; Liu et al., 2013; N.N.I., 2011; N.R.C., 2012). The logistic model based on the analysis of seven MWNT samples and four independent physicochemical properties is summarized in Table 2.3 and indicates that MWNT surface charge is the best predictor of zebrafish mortality at 24 hpf. The model was developed on MWNT samples with PZC values between 3 and 9. Thus, there is high confidence in the relevance of the model for CNTs with PZC properties within this range. The current one-parameter model explains the relationship between the MWNT surface charge and the associated zebrafish toxicity. The relationship explains a large portion of variability in the toxicity data (McFadden’s Pseudo R2 = 0.32). McFadden’s Pseudo R2 is a measure similar to R2 in linear regression and is used for maximum likelihood estimates, such as logistic regression. McFadden’s Pseudo R2 values between 0.2 and 0.4 are indicative of good fit (McFadden, 1974). The established PZC-mortality relationship is promising from a material design perspective, providing a tunable parameter that can be impacted by rational design. However, with additional data (e.g. differently treated MWNTs and additional measured endpoints at MWNT concentrations between 10 and 50 mg/L), the remaining toxicity variability and the relationship between MWNT properties can be further explained leading to enhanced predictive power. In previous studies, using the same sample set, MWNT electrochemical activity was found to correlate with the observed trend in bacterial cytotoxicity (Gilbertson, et al., 2014b; Pasquini, et al., 2013b). Controlled modification of surface oxygen functional groups significantly influenced the potential for the MWNTs to facilitate redox reactions and thus, the potential to disrupt healthy cellular function (Gilbertson, et al., 2014b). This finding highlights the important contribution of the chemical mechanism to cell viability (Liu, et al., 2013). A goal of the current 33 study is to evaluate whether this correlation was maintained for a higher trophic level aquatic organism, which we found was not the case. This is an increasingly important consideration as various stake holder communities attempt to reconcile generalizable hazard profiles for all classes of nanomaterials (N.R.C., 2012; Nel et al., 2013). The results presented here indicate that MWNT surface charge, not electrochemical activity, has the greatest influence on zebrafish mortality. Surface charge is known to influence the aggregation behavior of nanomaterials (Petosa et al., 2010). The available contact area will increase with enhanced dispersion, including decreased aggregate size and less compact morphology (Df ² 2). This will enhance contact between the developing embryos and MWNT samples as well as promote MWNT uptake, both of which can lead to increased lethality. In addition, enhanced dispersion will promote molecular level interactions necessary for the production of reactive oxygen species (ROS), which can induce oxidative stress related adverse developmental outcomes and embryonic mortality. Yet, characterization of the MWNTs used in this study reveal that dispersed aggregate properties do not play a critical role in the observed mortality at 24 hpf. Thus, the surface charge must be impacting the bioactivity of the MWNTs through a mechanism other than aggregation. The charged nature of the MWNT surface may also influence the interaction with the organism (Saxena et al., 2007). The pH of the media used in this study is between 6 and 7; the system was intentionally not buffered in an effort to reduce ionic strength induced aggregation of the MWNTs (Truong et al., 2012). Therefore, the MWNTs associated with the greatest embryonic zebrafish mortality at 24 hpf possessed a negatively charged surface (PZC less than ~6). Several recent studies have explored the impact of nanomaterial surface charge, controlled by functionalizing with cationic, neutral, or anionic ligands, on observed adverse outcomes using 34 either Daphnia magna or embryonic zebrafish as the in vivo model organism (Bozich et al., 2014; Harper, et al., 2011b; Lee et al., 2013). Results from these studies elucidate the important role that surface charge plays in the observed toxicity trends, which is hypothesized to be governed primarily by the electrostatic interaction between the material and model organism. Yet, inconsistencies among the findings remain unresolved due to the complexities that result from differences in the nanomaterial studied (i.e. Au, Ag, C60, CNTs) and in vivo model organism utilized. While the importance of nanomaterial surface charge has been established, the underlying mechanism is not yet elucidated. As such, this is the subject of ongoing research. The observed disparity in the driving force of viability between bacteria (E.coli ) and zebrafish for the same MWNT sample set is not entirely surprising considering variations in methodological exposure conditions and the differences in biological response between bacteria and zebrafish. That said, analysis and establishment of statistical models for alternative adverse developmental endpoints, particularly those sensitive to oxidative stress, would provide further resolution of the mechanism of zebrafish mortality and may reveal the important contribution of additional MWNT properties. Elucidation of the underlying mechanism of toxicity is the subject of ongoing research. A primary limitation of the current study is the sample size. Due to the complexities of preparing and comprehensively characterizing a controlled sample set as well as the motivation to compare to previous studies completed at the cellular level, the sample set was limited here to seven MWNTs. As such, a confirmation sample set of four MWNTs, (also previously evaluated at the cellular level) was utilized to confirm the significance of the resulting model. With the model and statistical methods established, further robust analysis can be applied to sample sets of interest when they become available. Additional data would allow for more complex hypothesis 35 testing with fewer concerns for overfitting during model development. Another limiting factor to consider in this study is the reduced number of observations of the other adverse endpoints. Since mortality at 24 hpf was significant for several of the MWNTs, the number of available observations for the remaining developmental endpoints was reduced. This prevented the ability to draw significant statistical conclusions for other developmental endpoints. Future research will focus on resolving the underlying mechanism of toxicity probing additional endpoints and using more specific assays. In particular, measures of transcriptional, proteomic, and metabolomics profiles coupled with in situ detection methods can be used to identify adverse outcome pathways and the primary cellular targets of CNTs. These studies will provide additional resolution surrounding the contribution of the chemical versus physical mechanism to zebrafish toxicity. Since significant adverse effects were primarily observed at the 50 mg/L MWNT concentration, it will be important to include concentrations between 10 and 50 mg/L in future studies. The lower concentrations (< 50 mg/L) will also provide insight into the potential hazard of CNTs at more environmentally relevant concentrations. Finally, the current data suggests a threshold dose-response curve shape where mortality is observed upon reaching a given concentration. Analysis of additional concentrations (10-50 mg/L) will further resolve the shape of this dose-response curve as well as non-mortality effects of MWNTs. 2.6 Conclusions Significant embryonic zebrafish mortality was observed at 24 hpf and the highest MWNT concentration studied here, 50 mg/L. The logistic model developed around this data set for seven systematically treated MWNTs and four independent physicochemical properties indicates that surface charge, quantified as the point of zero charge, is the most significant predictor of mortality 36 at 24 hpf. This model was confirmed using a separate set of MWNTs purchased from a different vendor and systematically modified in the same manner. While MWNTs are the subject of this study, the approach is applicable to all classes of nanomaterials. A similar approach has been successfully applied to gold nanomaterials (Harper, et al., 2011b). The study exemplifies the importance of comprehensively characterizing physicochemical properties of nanomaterials used in toxicological investigations as well as the utility of statistical methods for extrapolating generalizable relationships between nanomaterial properties and hazard endpoints. Since the observed toxicity is correlated with a universal property (i.e. PZC) rather than a specific batch of MWNTs, the findings are intended for comparison across studies, including those utilizing different cellular or organism models and different carbon nanomaterials. Furthermore, the approach and findings presented here are intended to inform the development of nanomaterial hazard profiles. The threshold observed in the concentration-response curve prevented resolution of the underlying mechanism of mortality due to the lack of observations at other developmental endpoints. Still, the establishment of the PZC-mortality relationship serves as a first step towards the development of predictive models to inform safe carbon nanotube design for minimization of unintended consequences. Acknowledgements The authors would like to thank Patrick Kelleher for assisting with the MWNT preparation, Eva Albalghiti for collecting PZC measurements, and David Goodwin for providing XPS analysis. 37 Declaration of Interest The authors declare no conflict of interest. The authors alone are responsible for the content and writing of the paper. This publication was developed under Assistance Agreement No. RD83558001-0 by the U.S. Environmental Protection Agency and the NIH grant No. T32 ES07060 and P30 ES000210. It has not been formally reviewed by EPA. The views expressed in this document are solely those of the authors and do not necessarily reflect those of the Agency. EPA does not endorse any products or commercial services mentioned in this publication. 38 Table 2.1. MWNT samples and treatment conditions MWNT sample Acid treatment Annealing treatment (Max Temp) Model training sample set AT 2 2 hr reflux 70% HNO3 AT2-400 2 hr reflux 70% HNO3 400°C AT2-500 2 hr reflux 70% HNO3 500°C AT2-600 2 hr reflux 70% HNO3 600°C AT2-700 2 hr reflux 70% HNO3 700°C AT2-800 2 hr reflux 70% HNO3 800°C AT2-900 2 hr reflux 70% HNO3 900°C Model validation sample set NL-AR H2SO4:HNO3 by manufacturer NL-400 H2SO4:HNO3 by manufacturer 400°C NL-600 H2SO4:HNO3 by manufacturer 600°C NL-900 H2SO4:HNO3 by manufacturer 900°C 39 Table 2.2. MWNT physicochemical characteristics Compiled characterization data including point of zero charge (PZC) by titration, percent oxygen (% O) by X-ray photoelectron spectroscopy (XPS), fractal dimension (Df) by static light scattering (SLS), aggregate radius by dynamic light scattering (DLS), electrochemical activity (E1/2) by oxygen reduction reaction (ORR) and the rotating disc electrode method (RDE), and a schematic representation of the distribution and type of functional group with increased annealing temperature. MWNT sample Point of zero charge (PZC, pH) Surface oxygen (%O) Morphology (Df) Aggregate radius Halfwave potential (E1/2, V) Model training sample set AT 2 3.08 7.6 1.85 37.5 -0.219 AT2-400 4.16 4.6 1.84 48.8 -0.221 AT2-500 4.73 3.8 2.05 57.2 -0.216 AT2-600 6.11 3.5 2.07 37.5 -0.127 AT2-700 6.35 3.0 1.82 39.5 -0.215 AT2-800 6.43 2.4 2.07 92.1 -0.244 AT2-900 9.42 1.3 2.14 48.8 -0.244 8.5 4.4 3.0 1.2 1.24 1.92 1.70 2.42 41.69 51.52 46.33 67.67 -0.235 -0.215 -0.214 -0.238 Model validation sample set NL-AR 3.1 NL-400 4.9 NL-600 7.4 NL-900 8.6 *This data is previously published (Gilbertson, et al., 2014b) 40 Schematic representation of oxygen functional group distribution Table 2.3. 24-hour zebrafish mortality model summary Parameter Estimate (Intercept) 5.10 PZC -1.10 Null Deviance 428.3 Residual Deviance 289.0 Likelihood Ratio Test 139.3 Le Cessie Test1 46.7 DoF - Degrees of Freedom Akaike information criterion (AIC)=293.02 Std. Error z-score 0.64 8.02 0.12 -8.85 DoF: 334 DoF: 333 DoF: 1 0.59 -5.944 41 p-value 0.000 0.000 0.000 0.000 Table 2.4. Model validation results Sample Name Predicted Probability (CI) Measured Probability Number of Embryos tested Observed # of dead embryos Expected # of dead embryos (CI) NA-AR NL-400 NL-600 NL-900 0.84 (0.76-0.90) 0.98 47 46 39 (36-42) 0.42 (0.50-0.35) 0.19 47 9 20 (16-23) 0.04 (0.08-0.02) 0.00 47 0 2 (4-1) 0.01 (0.03-0.005) 0.00 48 0 0 (1-0) 42 a. 0 ppm MWNT, 8 hpf d. b. 10 ppm MWNT, 8 hpf e. 120 hpf c. 50 ppm MWNT, 8 hpf 120 hpf Figure 2.1. MWNT representative exposure images Representative images of the zebrafish embryos under varying MWNT concentrations (a–c) and at different stages of development (d–e). a–c show an increasing the presence of MWNT aggregates with increased concentration for embryos 8 hpf. The zebrafish shown in d–e are at 120 hpf, with (e) indicating the accumulation of MWNT aggregates at the gills (arrow). 43 Figure 2.2. MWNT toxicity response Compiled concentration-response curves for seven differently treated MWNTs and embryonic zebrafish mortality at 24 hpf. MWNT treatment details are outlined in Table 2.1. Briefly, AT 2 MWNTs were acid treated for 2 h and then annealed at 100° increments from 400 to 900 °C (AT2­ 400,-500, -600, -700, -800, -900, respectively). Dispersed MWNT samples were pre-loaded to wells at concentrations ranging 0–50 mg/L prior to adding the dechorionated embryos 6–8 hpf. Increased mortality at 24 hpf was observed only at 50 mg/L concentration. 44 Figure 2.3. Correlating MWNT physicochemical properties with toxicity Linear correlations between the five measured MWNTs physicochemical properties and embryonic zebrafish mortality observed at 24 hpf. The MWNT properties are in the order of decreasing correlation with the 24 hpf mortality. Surface oxygen (%) and point of zero charge (PZC) are the best linear predictors of mortality. Dispersion measurements, including fractal dimension and aggregate radius are minimally correlated with the mortality endpoints. Finally, the correlation between MWNT reactivity (half-wave potential) and mortality is negligible. The 95% confidence interval for the linear regression between MWNT properties and mortality is shown in grey. 45 Figure 2.4. Model relationship between probability of embryo mortality and MWNT point of zero charge A graphical representation of the established statistical model showing the effect of PZC on the 24 hpf mortality model when other covariates are held constant. Surface charge (quantified as the point of zero charge, PZC) is the best single estimator of toxicity and the correlation indicates that the greater the PZC, the lower the magnitude of toxicity. 46 3. Comparative metal oxide nanoparticle toxicity using embryonic zebrafish Leah C. Wehmas, Catherine Anders, Jordan Chess, Alex Punnoose, Cliff B. Pereira, Juliet A. Greenwood and Robert L. Tanguay Toxicology Reports Volume 2 Issue 0 47 3.1 Abstract Engineered metal oxide nanoparticles (MO NPs) are finding increasing utility in the medical field as anticancer agents. Before validation of in vivo anticancer efficacy can occur, a better understanding of whole-animal toxicity is required. We compared the toxicity of seven widely used semiconductor MO NPs made from zinc oxide (ZnO), titanium dioxide, cerium dioxide and tin dioxide prepared in pure water and in synthetic seawater using a five-day embryonic zebrafish assay. We hypothesized that the toxicity of these engineered MO NPs would depend on physicochemical properties. Significant agglomeration of MO NPs in aqueous solutions is common making it challenging to associate NP characteristics such as size and charge with toxicity. However, data from our agglomerated MO NPs suggests that the elemental composition and dissolution potential are major drivers of toxicity. Only ZnO caused significant adverse effects of all MO particles tested, and only when prepared in pure water (point estimate median lethal concentration = 3.5-9.1 mg/L). This toxicity was life stage dependent. The 24 h toxicity increased greatly (~22.7 fold) when zebrafish exposures started at the larval life stage compared to the 24 h toxicity following embryonic exposure. Investigation into whether dissolution could account for ZnO toxicity revealed high levels of zinc ion (40-89% of total sample) were generated. Exposure to zinc ion equivalents revealed dissolved Zn2+ may be a major contributor to ZnO toxicity. 3.2 Introduction Engineering materials at the nanoscale results in unique characteristics valuable for applications in electronics, personal care products, environmental remediation and medicine (Nel et al., 2006; Oberdörster et al., 2005). The semiconducting properties of metal oxide nanoparticles (MO NPs) such as zinc oxide (ZnO) and titanium dioxide (TiO2) make them particularly popular 48 for use in commercially available sunscreens and cosmetics to block ultraviolet radiation when they are < 50 nm in size (Adams et al., 2006). Engineered MO NPs are finding increasing utility in the medical field ranging from use as antimicrobial agents (Adams, et al., 2006; Li et al., 2008; Premanathan et al., 2011; Reddy et al., 2007) to diagnostic imaging (Bae et al., 2011; Hong et al., 2011; Lee et al., 2007a; Lee et al., 2007b; Liong et al., 2008; Wang et al., 2008; Yu et al., 2010) and potential cancer treatment (Hanley et al., 2008; Liong, et al., 2008; Ostrovsky et al., 2009; Premanathan, et al., 2011; Thevenot et al., 2008). While scaling down the size of materials to the nanometer realm imparts useful traits, they are then within a size range to interact with biomolecules, such as proteins and nucleic acids, or organelles such as mitochondria, causing damage that could interfere with biological functions (Nel, et al., 2006; Oberdörster, et al., 2005). To date, most anti-cancer applications with engineered MO NPs have been demonstrated using cell lines (Liong, et al., 2008; Ostrovsky, et al., 2009; Thevenot, et al., 2008; Wang, et al., 2008). Specifically, in vitro studies indicate ZnO nanomaterials generate reactive oxygen species, perturb calcium homeostasis within the mitochondria, disrupt cellular membranes, induce apoptosis and generate an inflammatory response (Hanley, et al., 2008; Ostrovsky, et al., 2009; Sharma et al., 2009; Xia et al., 2008). TiO2 nanomaterials, in the absence of photoactivation, require high parts per million exposure concentrations to affect gene transcription, cause DNA and chromosomal damage, and stimulate inflammation (Gurr et al., 2005; Rahman et al., 2002; Sayes et al., 2006). Upon photoactivation, TiO2 nanomaterials generate more reactive oxygen species resulting in greater cytotoxicity to mammalian cells and bacteria (Adams, et al., 2006; Li, et al., 2008). Conversely, some cerium dioxide (CeO2) nanomaterials scavenge reactive oxygen species enhancing cell survival in the presence of an oxidant (Brunner et al., 2006; Xia, et al., 2008), but these results are controversial as others have found the opposite effect (García et al., 2011; Lin et 49 al., 2006). Unfortunately, differences in experimental design and exposure concentrations can make cross study comparisons difficult, and evaluating the toxicity of these materials under culture conditions with a single or even a few cell types cannot adequately simulate a living dynamic organism, which can metabolize, sequester and excrete compounds. Before in vivo efficacy of these MO NPs as medical agents can occur, a better understanding of whole-animal nanomaterial toxicity is required. This could enable the engineering of safer nanomaterials for therapeutic applications. Despite a multitude of data on NP toxicity, data gaps still exist and the limited sample availability, common with nanomaterials under development, make in vivo nanotoxicology assessment particularly challenging using traditional mammalian models. The embryonic zebrafish model has emerged as an inexpensive and efficient alternative for in vivo nanotoxicity screening (Fako et al., 2009; Harper et al., 2008). This is, in part, due to the high degree of genetic conservation, anatomical and physiological similarity between zebrafish and humans particularly throughout development. Additionally, the small size, rapid growth and transparency of zebrafish embryos makes them conducive for moderate to high-throughput screening methods. Toxicity assays can be conducted in 96-well plates in which morbidity and mortality are visually assessed over a short duration. Multiple routes of nanoparticle exposure including epithelial absorption (primary), ingestion, and respiration (gill uptake) can be assessed along with identification of potential windows of developmental susceptibility to NPs. The small quantity of test material required to investigate in vivo toxicity in zebrafish is particularly advantageous. Our laboratory assesses nanotoxicity using a well-defined five-day embryonic zebrafish assay (Harper et al., 2011; Harper, et al., 2008; Truong et al., 2011; Usenko et al., 2007). Research by others assessing MO NP toxicity with the zebrafish model has primarily focused on 50 characterizing ecotoxicological health risks (Bai et al., 2010; Bar-Ilan et al., 2012; Brun et al., 2014; Chen et al., 2011; Faria et al., 2014; Lee et al., 2007c; Ma et al., 2013; Yu et al., 2011; Zhao et al., 2013; Zhu et al., 2009). These assays typically employ zebrafish embryos with intact chorions, an acellular envelope surrounding the embryo, which can obstruct NP uptake in a size dependent manner and potentially confound interpretation of concentration response results (Bai, et al., 2010; Lee, et al., 2007c). Furthermore, NPs are frequently coated with various natural organic matter to mimic aqueous environmental conditions, which will alter bioavailability (Bian et al., 2011; Blinova et al., 2010; Handy et al., 2008; Keller et al., 2010). Because our laboratory is interested in these NPs for medical applications, we enzymatically removed the chorion to mitigate barriers of NP absorption, and we do not coat the MO NPs with natural organic matter. Zebrafish exhibit a high degree of tolerance to varying water chemistry parameters such as salinity and pH allowing us to carefully adjust exposure conditions, such as reducing medium salt content to diminish agglomeration and enhance particle absorption (Kim et al., 2013; Truong et al., 2012). The objective of these studies was to assess and compare the in vivo toxicity of seven semiconductor MO NPs made from zinc oxide (ZnO), titanium dioxide (TiO2), cerium dioxide (CeO2) and tin dioxide (SnO2). In this article, we report the first in vivo toxicity assessment of these novel MO NPs compared to bulk controls using the embryonic zebrafish assay under two medium conditions of differing ionic strengths. While these MO NPs possess similar primary mean diameters and spherical shapes, they differ in physicochemical properties such as band gap, hydrodynamic size, charge, chemical composition and ionic state of metal ions, and reactive oxygen species generation. We hypothesized that differences in MO NP toxicity will depend on these physicochemical properties. In this study we investigated how hydrodynamic size and charge of uncoated, non-functionalized MO NPs in a waterborne suspension affected zebrafish toxicity. 51 Most MO NPs caused little to no toxicity in our assay under either medium condition except ZnO. Similar to other aqueous systems, MO NP agglomeration complicates toxicological studies making it challenging to study primary particle characteristics, as these particles are not well dispersed, and ions present in the suspension medium can further enhance agglomeration and impede dispersal. However, it is important to note that agglomeration is an important parameter in particle hazard assessment. Despite agglomeration of all our MO NPs, particularly in the high ionic strength embryo medium, we successfully compared how size and charge were associated with the toxicity of three MO NPs: TiO2 (TC009), CeO2 (QK055) and ZnO, as they created stable suspension in low ionic strength water. While all three MO NPs possessed similar hydrodynamic sizes and similar, high positive charges under our assay conditions, only ZnO was significantly toxic to embryonic zebrafish. This data suggests that for MO NPs suspended in water, elemental composition or dissolution are principally important for producing toxicity in zebrafish. 3.3 Materials and Methods 3.3.1 Nanoparticle synthesis All MO NPs were produced through in-house synthesis. Bulk samples were purchased from commercially available sources. All chemicals used in our synthesis were reagent grade. They were used without further modification unless otherwise indicated. Synthesis details of each nanomaterial system are given below. ZnO NPs: ZnO NPs were synthesized using forced hydrolysis. Briefly 1.0 g of zinc acetate dehydrate (Zn(CH3COO)2·2H2O) was heated in 100 mL of diethylene glycol containing 0.5 mL of nanopure water at 160°C for 90 min. The nanoparticles were then rinsed three times with ethanol and were separated using centrifugation for 20 min at 20,000 rpm after each rinse. 52 CeO2 NPs: CeO2 NPs were also prepared by a forced-hydrolysis process using cerium chloride as precursor. The cerium precursor was dissolved along with lithium hydroxide in ethanol, heated to 70°C in a silicon oil bath, and held while stirring for 90 min. After heating, the solution was mixed with N-heptane to facilitate crystal growth, and allowed to rest for 20-24 h. The precipitate was centrifuged and washed in ethanol to remove any remaining precursor, and washed twice in nanopure water to remove any residual hydroxide and ethanol. The final product was dried in an oven for 24 h at 50°C before being ground to a fine powder using an agate mortar and pestle. SnO2 NPs: SnO2 NPs designated as UG022 were prepared using Tin (IV) chloride pentahydrate (SnCl4•5H2O) and urea. The syntheses were carried out at 90°C in nanopure water for 90 min. The SnO2 NPs designated UG023 were prepared using Tin (IV) acetate (Sn(C2H4OH)4) precursor. This synthesis was carried out in benzyl alcohol at 100°C for 90 min. Samples were extracted from solution by centrifugation at 21,000 rpm before drying in an oven at 50°C. TiO2 NPs: TiO2 NPs were prepared by combining titanium isopropoxide and benzyl alcohol in a glove box maintained with nitrogen atmosphere at atmospheric pressure. Samples were stirred for 5 min prior to the addition of 0.5 mL nanopure water along with heating to 150°C. Temperature was maintained for 24 h. Cooled NPs were centrifuged and washed using ethanol and nanopure water followed by drying in an oven for 12 h. All the as-purchased bulk MO samples from multiple commercial sources had a small fraction of material present in them as <10 nm crystallites. The commercially acquired bulk MO samples were annealed in air at 800°C for 3 h to sinter any nanocrystals present before using them as bulk controls. 53 3.3.2 Nanoparticle characterization All nanoparticle samples were thoroughly characterized using x-ray diffraction (XRD), Xray photoelectron spectroscopy (XPS), inductively coupled plasma-mass spectrometry (ICP-MS), transmission electron microscopy (TEM), Zeta potential (charge) and hydrodynamic size measurements. Room temperature XRD spectra were collected with a Philips X’Pert x-ray diffractometer using a Cu Kα source (λ = 1.5418 Å) in Bragg-Brentano geometry. Briefly, loose powder samples were leveled in the sample holder to ensure a smooth surface and mounted on a fixed horizontal sample plane. Rietveld refinement was utilized to obtain lattice parameters and crystal size using Materials Analysis Using Diffraction (MAUD) software after correction for instrumental broadening (Lutterotti et al., 1999). High-resolution TEM analysis was carried out on a JEOL JEM-2100HR microscope with a specified point-to-point resolution of 0.23 nm and an operating voltage of the microscope was 200 kV. Image processing was carried out using the Digital Micrograph software from Gatan (Pleasant, California, USA). The hydrodynamic size distribution and charge of each MO NP was measured using dynamic light scattering (DLS) with a Malvern Zetasizer Nano ZS instrument. The Malvern Zetasizer Nano ZS measures particles with diameters within 0.3 nm to 10 µm utilizing NonInvasive Back Scatter technology and the Stokes-Einstein relationship to obtain particle size distributions based on the diffusion of particles traveling by Brownian motion. Charge is measured using Laser Doppler Micro-electrophoresis, which involves applying an electric field to particles in suspension causing them to move at a velocity, which is used to calculate electrophoretic mobility. The Helmholtz-Smoluchowski equation is employed to convert electrophoretic mobility to charge. We quantified size and charge using 50 mg MO NP per L embryo medium at 0.5% dimethyl sulfoxide (DMSO; JT Baker, Center Valley, PA, USA) , pH 7 and using 50 mg MO NP 54 per L purified, deionized water (ultrapure water; Invitrogen, Carlsbad, CA, USA) at 0.5% DMSO (the highest exposure concentrations tested in the embryonic zebrafish bioassay). Each sample was prepared using the same preparation methods as the zebrafish embryo larval exposure assay, and the samples were measured four times within 1-2 h of preparation. 3.3.3 Inductively coupled plasma optical emission spectrometry of zinc dissolution Measurements of dissolved zinc present in ZnO NP suspensions were quantified by Inductively Coupled Plasma Optical Emission Spectrometry (ICP-OES) using a Teledyne Leeman instrument Prodigy (Hudson, NH, USA) and a protocol modified from Poynton et al. (Poynton et al., 2010). ZnO NP suspensions were diluted in ultrapure water to two exposure concentrations, 0.625 and 10 mg/L. ZnO bulk suspensions were diluted in ultrapure water to 10 mg/L as well. At 0, 6, 24 and 120 h post sample preparation, suspensions were filtered through a 10kD molecular weight cutoff Macrosep centrifuge filtration unit (PALL Life Sciences; Ann Arbor, MI, USA) which will retain all particles with a diameter above ~2 nm, thereby collecting what we defined as the soluble zinc in the filtrate. Unfiltered ZnO NP and bulk suspensions were also collected to quantify total zinc concentrations to determine the percentage of dissolved zinc present in ZnO NP suspensions. Both soluble and total zinc solutions were concentrated and dissolved in 35% nitric acid overnight. Digested samples were then reconstituted to 1x and a final acid concentration of 7% in millipore water treated with chelex 100 prior to ICP-OES analysis. Analyzed samples were compared to known zinc standards (ULTRA Scientific; N. Kingstown, RI, USA). A known quantity of zinc (5 mg/L) was also run through our method to determine zinc recovery (101.5%). 55 3.3.4 Zebrafish husbandry Adult 5D Tropical zebrafish were housed at the Sinnhuber Aquatic Research Laboratory in accordance with Institutional Animal Care and Use Committee protocols at Oregon State University. Spawning fish were maintained at 10 fish/L in 100 L tanks recirculated with reverse osmosis water reconstituted with sea salts (Instant Ocean; United Pet Group, Inc., Blacksburg, VA, USA) under a 14h light:10h dark photoperiod at 28±1°C. Spawning occurred in the morning, and eggs were collected by funnel and staged as documented in Kimmel et al., 1995 (Kimmel et al., 1995). 3.3.5 Zebrafish bioassays 3.3.5.1 Five-day embryonic zebrafish bioassay. A volume of 0.1 mL of the five-fold nanoparticle and bulk control exposure concentrations, each prepared in ultrapure water and embryo medium, was transferred to a sterile polystyrene 96-well tissue culture, flat bottom plate (Falcon, Manassas, VA). At 4 h post fertilization (hpf), the acellular chorion of the zebrafish eggs was enzymatically digested using pronase and an automated protocol described by Mandrell et al. 2012 (Mandrell et al., 2012). One dechorionated embryo was transferred by glass pipet to each well of the plates for a minimum of N=32 per exposure concentration of nanoparticle and bulk control in water and embryo medium. Embryos damaged during loading were excluded from the experiment. The embryos were maintained in the exposure solutions at 28±1°C for 120 h. The plates were wrapped in aluminum foil to prevent potential confounding toxicity from particle exposure to ambient light. At 24 and 120 hpf, the zebrafish were visually inspected by stereomicroscope for mortality and a suite of morphological abnormalities, which will be referred to as toxicological endpoints (see Table 3.2 for descriptions). Data was recorded using a binary 56 system in which the presence of an endpoint received a score of 1 while the absence of an endpoint received a score of 0. A detailed description of this assay may be found in Truong et al. 2011 (Truong, et al., 2011). Typically, we examine 22 specific endpoints; however, exposures in low ionic strength ultrapure water, at times, resulted in variable and sometimes elevated background prevalence of malformations, which was date dependent especially for two endpoints equally across all exposure concentrations including controls. The endpoints were excluded from the results. This did not confound our toxicity assessments or statistical analyses as we always compared exposure groups to the respective controls based on the date of an experiment. 3.3.5.2 96 h post fertilization larval zebrafish bioassay. A dilution series of ZnO NP, ZnO bulk or zinc ion equivalent, each prepared in ultrapure water, was transferred to a sterile polystyrene 96-well tissue culture, flat bottom plate at 0.1 mL per well. Zebrafish at 96 hpf were rinsed in water prior to loading into each plate at one fish per well with a minimum of N=24 per exposure concentration. Plates were wrapped in foil to exclude light and maintained at 28±1°C. Plates were inspected for malformations and mortality at 1, 2, 6 and 24 h post exposure. Due to high lethality, we focused on mortality as the most relevant endpoint. Data was recorded as described in 3.3.5.1. 3.3.6 Nanoparticle exposures On the day of an exposure, an aliquot of nanoparticle and bulk material control were suspended in 100% DMSO at a concentration of 10 mg/mL and water bath sonicated (Ultrasonik NDI; NEY, Inc., Bloomfield, CT, USA) for 20 min at room temperature. Immediately following sonication, the nanoparticle and bulk stock solutions were diluted to the desired exposure 57 concentrations. For the five-day embryonic zebrafish assay, nanoparticle and bulk were diluted to 50, 10, 2, 0.4 and 0.08 mg/L in ultrapure water and diluted to 50, 10, 2, 0.4 and 0.08 mg/L in buffered, pH 7-7.2, embryo medium. Embryo medium is a defined synthetic sea solution consisting of 15 mM NaCl, 0.5 mM KCl, 1 mM CaCl2·2H2O, 0.15 mM KH2PO4, 0.05 mM Na2HPO4 and 1 mM MgSO4·7H2O commonly used to rear zebrafish embryos and conduct embryo-larval toxicity assays. The vehicle controls consisted of 0.5% DMSO in ultrapure water and 0.5% DMSO in embryo medium. To test the toxicity of zinc ion present in ZnO NP solutions, we used the ICP­ OES results from 120 h in 10 mg/L ZnO NP to calculate equivalent concentrations using ZnSO 4­ 7H2O, which was diluted in ultrapure water to 98.9, 19.8, 4.0, 0.8 and 0.16 mg/L with 0.5% DMSO. For the 96 hpf zebrafish bioassay, ZnO NP and ZnO bulk were suspended and sonicated as described above. ZnO NP, ZnO bulk were diluted in ultrapure water to 20, 10, 5, 2.5, 1.25, 0.625 and 0.3125 mg/L in ultrapure water with DMSO maintained at 0.5%. We used the amount of zinc ion measured by ICP-OES in the 0.625 mg/L ZnO NP sample after 24 h to calculate equivalent concentrations using ZnSO4·7H2O for the 96 hpf exposures. This resulted in ZnSO4·7H2O exposures of 42.7, 21.35, 10.68, 5.34, 2.67, 1.33 and 0.67 mg/L with DMSO maintained at 0.5%. The dissolved zinc present in 0.625 mg/L ZnO NP was selected to calculate the amount of ZnSO4·7H2O to use in the 96 hpf exposure because we previously found 0.625 mg/L of ZnO NP resulted in the lowest observable lethality after 24 h. 3.3.7 Scanning electron microscopy Larval zebrafish at 96 hpf, were exposed to 0.5% DMSO, 0.625 and 10 mg/L ZnO NP and 10 mg/L ZnO bulk in water for ~1-2 h prior to fixation in electron microscopy fixative. Samples were prepared by placing 10, 96 hpf larvae in 1 mL of fixative consisting of 1% paraformaldehyde 58 in 2.5% glutaraldehyde and 0.1 M sodium cacodylate buffer overnight at room temperature. Samples were rinsed twice in 0.1 M cacodylate buffer for 15 min each prior to dehydration in 30­ 100% acetone or ethanol for 10-15 min each. Samples then underwent critical point drying and were sputter coated with gold-palladium alloy before imaging. Images were acquired at 500x using an FEI Quanta 600 FEG scanning electron microscope. 3.3.8 Statistics Within each MO, medium and nanoparticle vs. bulk combination, logistic regression was used to test for any differences in proportion mortality or proportion affected across the six concentrations used in each experiment (5 d.f. test). Because of the low incidences at many concentrations for many of the combinations, exact logistic regression was employed in SAS (Cary, NC, USA) using PROC LOGISTIC. When there was evidence of concentration effects (p<0.0001 for ZnO NP and zinc ion in water), median lethal concentration estimates (LC50) and median effect concentration (mortality combined with malformed) estimates (EC50) were determined by first dropping the lowest doses until there was no lack of fit to a logit linear in log concentration model and then using that model to estimate the quantities of interest (LOGIT and INVERSECL options in SAS PROC PROBIT). Fisher’s Exact analysis was performed for each ZnO NP and zinc ion in water separated by experimental date (p<0.05 considered significant). Within each response and experiment date, concentration above vehicle control was compared to background. Only for 10 and 50 mg/L was the prevalence significantly higher for both ZnO NP and zinc ion in water for all experiments studied. 59 3.4 Results and Discussion 3.4.1 Metal oxide nanoparticles with similar primary particle size differ greatly in hydrodynamic size and charge We characterized MO NP purity through XRD, XPS and ICP-MS. The primary particle size (crystallite size) of MO NP was obtained by both TEM while hydrodynamic size and charge were determined using DLS electrophoresis measurements, respectively. Detailed analyses of MO NPs using XPS confirmed that there were no unexpected elements in the samples and ICP-MS further revealed that concentrations of common impurities such as the tested Fe, Mn, Co, Ni, Cr and V ions were below 1 ng/L. TEM analyses demonstrated that all MO NPs exhibited a spherical shape (Appendix B, Figure B.1), and the average primary particle size of each material type was within the 2.8-11.6 nm range in diameter (Table 3.1). DLS data acquired for the highest exposure concentration (50 mg/L at 0.5% DMSO) indicated that none of our MO NPs stayed well suspended in embryo medium (Figure 3.1, Table 3.1) likely due to the salts present in embryo medium (Section 3.3.6). All agglomerated significantly with hydrodynamic diameters ranging from ~150­ 1000x larger than the corresponding primary particle size. The variability in count rates and decreasing size trends observed during DLS acquisition indicated particle sedimentation in embryo medium making size and charge accuracy questionable besides knowing that the particles were very large. Therefore, we not only exposed zebrafish embryos to MO NPs and bulk control material prepared in embryo medium but also MO NPs and bulk controls prepared in ultrapure water to reduce agglomeration, enhance dispersion and maximize bioavailability (Bian, et al., 2011) for the toxicity assessments. MO NPs suspension in ultrapure water reduced the average hydrodynamic diameter, but the particles remained large (>~350 nm diameter). However, TiO2 NP (TC009), CeO2 NP (QK055) and ZnO NP were stable enough in ultrapure water suspension to 60 provide precise DLS data (Table 3.1) These three MO NPs were of similar hydrodynamic size (~353-416 nm) and all three possessed similar, high positive charges especially TiO2 NP (TC009) and ZnO NP at ~17.1 and 20.2 mV respectively (Table 3.1, Figure 3.1). While CeO2 NP (QK020) possessed a significantly smaller mean diameter when prepared in water, charge measurements near neutrality (-3.54 mV) indicated instability of the suspension. 3.4.2 Only zinc oxide nanoparticles demonstrate acute embryonic zebrafish toxicity Our embryonic zebrafish toxicity assay involves assessing not only lethality from the seven MO NP and bulk control exposures, but also phenotypic malformations that accompany the disruption of key developmental processes that occur during the 8 to 120 hpf exposure period. We visually inspected exposed 24 hpf embryos for mortality, alterations in spontaneous tail flexion, notochord malformations as well as delayed developmental progression. At 120 hpf, we evaluated all exposed zebrafish larvae for the presence or absence of mortality, 14 morphological endpoints, and one behavioral endpoint (Table 3.2). Some of the morphological endpoints assessed include axial, craniofacial, somite, fin defects and edema indicating disruption of key processes during organogenesis or in the case of edema, aberrant ion regulation. Inspection of toxicity data from MO NPs prepared in water or embryo medium compared to respective bulk controls demonstrated most had little to no significant concentration-dependent toxicity, NP or media- specific effects (Figure B.2). For ease of analysis, we condensed the toxicity data into 24 hpf mortality, total mortality, and cumulatively affected zebrafish, which consisted of any 120 hpf malformation and mortality. Agglomeration certainly limited bioavailability of some of the MO NPs contributing, at least in part, to the low observed toxicity especially in the exposures with embryo medium. Yet some MO NP agglomerates, mainly ZnO and TiO2, have been 61 demonstrated to cause toxicity in adult and embryonic zebrafish under similar waterborne assay conditions as our experiments (Faria, et al., 2014; Xiong et al., 2011; Yu, et al., 2011; Zhu, et al., 2009). Exact logistic regression of the condensed MO NP data revealed that ZnO NP prepared in water produced statistically significant concentration-dependent toxicity after five days of exposure (Figure 3.2). Across three experiments, the point estimate of the LC50 ranged between 3.5-9.1 mg/L while the EC50, represented by mortality combined with malformed, ranged from 0.5-3.51 mg/L. These results coincide well with Zhu et al. who found, in a slightly shorter zebrafish embryo-larval assay, that ZnO NPs prepared in water had an LC50 of 1.793 mg/L. Unlike Zhu et al., our ZnO bulk control caused no significant toxicity when prepared in ultrapure water or embryo medium (Figure 3.2). Two independent studies evaluating the toxicity of ZnO NPs to microalgae also found no significant difference between the LC50 of ZnO NP and bulk (Aruoja et al., 2009; Franklin et al., 2007). The magnitude and similarity in dissolution of ZnO NP and bulk led authors from both studies to conclude toxicity was attributed primarily to dissolved zinc ions. The discrepancy in our data may be due to the inherently greater total surface area of ZnO NPs compared to bulk which could result in a higher degree of dissolution (Borm et al., 2006; Yang et al., 2006). While ZnO NPs were the only material to cause toxicity in our assay, this toxicity appeared to be independent of hydrodynamic size or charge. Both TiO2 (TC009) and CeO2 (QK055) exhibited similar mean hydrodynamic sizes and positive charges when prepared in ultrapure water (Table 3.1, Figure 3.1), but did not cause a significant toxic response in the embryonic zebrafish assay (Figure B.2). This result is contrary to some research, which suggests that positively charged nanooparticles are more likely to induce toxicity than negative or neutrally charged nanoparticles of similar size (Harper, et al., 2011; Oberdörster, et al., 2005), which was not the case in our assay. 62 However, these studies were conducted with different core materials and their nanoparticles were covalently functionalized to create charge (Harper, et al., 2011; Oberdörster, et al., 2005) whereas our MO NPs lacked coating and surface functionalization. The low toxicity associated with zebrafish exposure to TiO2 NP and TiO2 agglomerates in the absence of photoactivation during development corroborates other research. For instance, Zhu et al. reported that exposures of up to 10x our highest exposure concentration (500 mg/L) TiO2 NPs with mean diameters ~half the size of ours had no significant influence on zebrafish hatch or mortality. No data on TiO2 NP charge in suspension was provided (Zhu et al., 2008). Griffitt et al. also reported little to no lethality associated with 48 h exposure to both adult and zebrafish fry (<24 h old) using slightly larger TiO2 NPs (687.5 nm) than ours with a highly negative charge (-25.1 mV) (Griffitt et al., 2009). The low toxicity of CeO2 particles in our assay falls in line with other research which, in some cases, considers CeO2 NPs as inert, biocompatible (Ispas et al., 2009; Van Hoecke et al., 2009) or perhaps beneficial with cytoprotective effects (Xia, et al., 2008). However, others have reported some acute mortality to the aquatic invertebrate Daphnia magna (LC50 = 12 mg/L) (García, et al., 2011). Differences in CeO2 NP size (6.7 nm diameter), coating with hexamethylenetetramine or species sensitivity may explain these results. The low biological response associated with both TiO2 and CeO2 exposure suggests perhaps charge has little influence on embryonic zebrafish acute toxicity when the particles are in the size range tested in these studies especially without photoactivation of TiO2. Calculation of the specific surface area of ZnO, TiO2 (TC009) and CeO2 (QK055) NPs using the mean hydrodynamic radius revealed only small differences at 267000, 341000 and 222000 cm2/g respectively. Charge, size and specific surface area were not good predictors of toxicity in our study. Our results suggest a material specific driver of toxicity amongst 63 our ZnO, TiO2 (TC009) and CeO2 (QK055) NPs, which may be explained by the propensity of ZnO to dissolve. 3.4.3 Zinc oxide nanoparticle dissolution analysis and toxicity Several studies attributed the toxicity of ZnO NPs in waterborne assays to dissolved zinc ions (Aruoja, et al., 2009; Blinova, et al., 2010; Brun, et al., 2014; Deng et al., 2009; Fairbairn et al., 2011; Franklin, et al., 2007; Heinlaan et al., 2008; Song et al., 2010); therefore, we wanted to determine the degree of zinc dissolution from our ZnO NPs to differentiate particle toxicity from ion toxicity in our assay. We utilized ultrafiltration and ICP-OES to separate and quantify what we defined as the soluble zinc fraction (zinc that filtered through a 10kD membrane) compared to the total concentration of ZnO NP and bulk (Figure 3.2). We measured dissolution of two concentrations of ZnO NP: one low (0.625 mg/L) and one high (10 mg/L) and found that there was a high initial level of soluble zinc present in both nanoparticle samples compared to the total zinc, ~ 47 and 44% respectively. The percent of soluble zinc remained relatively stable over 24 h but increased to ~87% after 120 h in the 10 mg/L (nominal) ZnO NP sample. The 10 mg/L (nominal) ZnO bulk sample generally had a lower percentage of soluble zinc relative to the total, over all tested time points (Figure 3.2). As with ZnO NP, the percentage of soluble zinc in the bulk sample increased over time from 26% initially to 66% after 120 h. We predicted the larger ZnO bulk particles to have lower levels of soluble zinc compared to nanoparticles due to reduced total surface compared to the nanoparticles (Bian, et al., 2011; Borm, et al., 2006; Yang, et al., 2006). Our nominal concentration of zinc differed from the total measured by ICP-OES (Figure 3.2). Our 0.625 and 10 mg/L ZnO NP samples should have contained ~0.5 and 8 mg/L zinc, yet we actually measured ~0.2-0.3 and ~4-5 mg/L total zinc respectively. The actual total zinc in the 10 mg/L bulk 64 sample was also different from the nominal at ~0.93-0.98 mg/L. We adjusted the exposure concentrations based on the difference between actual and nominal zinc and compared the toxicity between ZnO bulk and nanoparticles at equivalent concentrations and found the nanoparticles were still more toxic than the bulk. For instance, the actual concentration of ZnO in the nominal 50 mg/L ZnO bulk exposure was ~6 mg/L. The nominal 10 mg/L ZnO NP exposure was actually ~5 mg/L. By comparing the toxicity results of these two adjusted exposure concentrations, we found that ~5 mg/L ZnO NP still caused at least 50% mortality while the bulk caused 0% mortality at a slightly higher exposure concentration (Figure 3.2). Therefore, we could conclude that the ZnO NP was more toxic than the ZnO bulk under these assay conditions. Using the 4.5 mg/L of soluble zinc measured at 120 h as a maximum amount of dissolved zinc present in 10 mg/L ZnO NP sample, we conducted the five-day embryonic zebrafish assay to understand whether exposure to zinc ion could result in similar toxicity as ZnO NP. We exposed 8 hpf embryos to a five-fold concentration series of Zn ion equivalent (98.9-0.16 mg/L ZnSO4­ 7H2O) prepared in ultrapure water. The mortality and total affected zebrafish results were similar between ZnO NP and the ion equivalent across all tested concentrations. This suggested that the zinc ions could be the main driver of ZnO NP toxicity in water for our assay (Figure 3.2). Our results corroborate several other studies. In a freshwater microalgae exposure, Franklin et al., demonstrated that ZnO bulk, ZnO NP and ZnCl2 all had similar IC50 values at ~60 µg Zn/L, which they attributed to the dissolved (0.1 µm filterable) zinc present the in samples (Franklin, et al., 2007). Heinlaan et al. found that both ZnO NP and ZnSO4-7H2O had similar EC50 values in their bacterial assay at 1.9 and 1.1 mg/L, respectively (Heinlaan, et al., 2008). Exposure of embryonic zebrafish by Brun et al. to ZnO NP and equivalent dissolved zinc revealed similar uptake and tissue distribution as measured by laser ablation ICP-MS (Brun, et al., 2014). 65 3.4.4 Zinc oxide exposure results in life stage-dependent zebrafish toxicity Due to the unique advantages of the zebrafish embryo-larval test, we can start exposures at different stages of key developmental processes such as somitogenesis, neurogenesis, hepatogenesis, etc to understand how the nanoparticle is causing toxicity. Because ZnO and zinc ion caused significant toxicity in the five-day embryonic zebrafish assay, we wanted to determine when toxicity was occurring. We exposed 96 hpf zebrafish larvae to ZnO NP, ZnO bulk and Zn ion equivalent, assuming ~48% of the ZnO NP suspension was dissolved zinc based on ICP-OES results. While most major organs are developed by this life stage, the gills are still undergoing maturation. Surprisingly, exposure to the ZnO NPs starting at 96 hpf resulted in a substantial increase in mortality after 24 h of exposure (LC50 = 2.20 mg/L, Figure 3.4) compared to 24 h mortality from exposures starting at 8 hpf (~LC50 at 50+ mg/L, Figure 3.2). Exposure to Zn ion equivalents resulted in a similar life-stage dependent toxicity as ZnO NP, whereas ZnO bulk did not cause significant mortality compared to vehicle control (Figure 3.4). We also observed the presence of skin ulcerations along the body axis of ZnO NP and zinc ion exposed larvae within 1-2 h, which were not apparent in the vehicle or bulk controls. The skin ulcerations were similar in appearance to those observed by Zhu et al., upon exposure of zebrafish to their ZnO NPs (Zhu, et al., 2008). Scanning electron microscopy images of zebrafish larvae exposed for ~1-2 h prior to fixation revealed that the ZnO NPs caused external damage over the entire body including gill primordia, which was not apparent in the vehicle controls (Figure B.3). Ulcerations appeared to concentrate around neuromasts of the lateral line but it was difficult to discern if this led lethality. George et al., demonstrated that ZnO NPs are capable of disrupting plasma membrane integrity in macrophage and epithelial cell lines (George et al., 2009), which may explain why we observed tissue ulceration. An acridine orange/ethidium bromide assay demonstrated that exposure of 66 isopods to nanoscale ZnO resulted in cell membrane destabilization in the hepatopancreas (Valant et al., 2009). Xiong et al. found that 5 mg/L ZnO NP induced gill cell shrinkage in adult zebrafish but not necessarily cell membrane rupture after 96 h of exposure (Xiong, et al., 2011). Perhaps the ZnO NPs and/or zinc ions present in the exposure disrupted the larval zebrafish epidermal cells over the entire body axis including gill primordia, which eventually resulted in mortality. Gills are known to be a primary target of ZnO NPs in oysters (Trevisan et al., 2014). Our results suggest that later zebrafish life stages may be more sensitive than the embryonic stage, which could confound predictive toxicity interpretation. Results by Ma and Diamond support this conclusion (Ma, et al., 2013). However, they attributed their life-stage dependent differences in toxicity to the presence of the chorion, which impedes nanoparticle bioavailability when exposures start at earlier life stages. This is different from our assay as we enzymatically remove the chorion. Nevertheless, it illustrates that we must carefully consider possible limitations of these exposure paradigms in toxicity assessments. 3.5 Conclusions The objective of these studies was to assess and compare the in vivo toxicity of seven novel MO NPs made from ZnO, TiO2, CeO2 and SnO2 that were uncoated and without surface functionalization using an embryonic zebrafish assay. We hypothesized the physicochemical properties hydrodynamic size and charge would dictate in vivo toxicity. However, little toxicity was observed, partly due to MO NP agglomeration, which reduced bioavailability and made size and charge measurements challenging. Three MO NPs created stable suspension in low ionic strength ultrapure water: TiO2 (TC009), CeO2 (QK055) and ZnO. While all three MO NPs 67 possessed similar mean hydrodynamic diameters and charges, only ZnO was significantly toxic with a point estimate LC50 ranging between 3.5-9.1 mg/L. Further investigation into ZnO toxicity revealed that it was life stage dependent. The 24 h toxicity increased greatly (~22.7 fold) when zebrafish exposures started at the larval life stage (96 hpf) compared to the 24 h toxicity following embryonic exposure (8 hpf). This finding is especially important as many laboratories have adopted the five-day embryo-larval zebrafish assay to evaluate and predict in vivo toxicity, yet we found that testing at earlier life stages may not be the most sensitive. This sensitivity did not depend on the chorion as we enzymatically remove it for unimpeded exposure. Therefore, it may be necessary to test some materials like ZnO at several early time points to identify the most sensitive window for predicting toxicity for health and safety assessment. Fortunately, we can efficiently examine the factors contributing to adverse biological interactions while working with material scientists to quickly revise synthesis methods to modify material properties followed by re-evaluation of biocompatibility (Harper, et al., 2008). This approach of using rapid in vivo readouts to inform the engineering of safer nanomaterials that maintain their desirable properties is consistent with the principles of green chemistry and green nanoscience (McKenzie et al., 2004). Because ZnO NP toxicity is frequently associated with dissolution (Aruoja, et al., 2009; Blinova, et al., 2010; Brun, et al., 2014; Deng, et al., 2009; Fairbairn, et al., 2011; Franklin, et al., 2007; Heinlaan, et al., 2008; Song, et al., 2010), we quantified the amount released zinc ion (10 kD filterable). We found high levels of zinc ion (40-89% of total sample) were generated in our ZnO NP suspensions. Exposure of zebrafish to zinc ion equivalents suggested dissolved zinc ion may be a major contributor to ZnO toxicity at both embryonic and larval zebrafish life stages when exposures occurred in ultrapure water. Therefore, we conclude that elemental composition 68 and dissolution potential were key drivers of toxicity amongst ZnO, TiO2 (TC009) and CeO2 (QK055) rather than hydrodynamic size and charge in water suspensions. Another important discovery of these experiments was that a careful understanding of how assay conditions, such as medium ion composition and strength, are important in interpreting MO NP results. Conducting our assay using high ionic strength embryo medium reduced bioavailability through agglomeration of the MO NPs, thereby reducing zebrafish toxicity. This is not necessarily a unique conclusion as others have seen similar effects testing silver nanoparticles (Kim, et al., 2013); however, if we had not conducted our assays using ultrapure water as a medium, we may have erroneously concluded that all our MO NPs including ZnO NP were non-toxic to zebrafish and not been able to deduce any relationships between toxicity and physicochemical properties. Caution must be employed in interpretation of data from these waterborne assays especially regarding potential MO NP agglomeration, sedimentation and/or dissolution. Acknowledgments We would like to thank Teresa Sawyer and the Oregon State University Electron Microscopy Facility for SEM images and Andy Ungerer of the WM Keck Collaboratory for Plasma Spectrometry at Oregon State University for assistance with ICP-OES. We would also like to thank Dr. Yasmeen Nkrumah-Elie for advice on ICP-OES sample preparation and Dr. Stacey Harper for the use of the Malvern Zetasizer Nano ZS. This research was funded by the NIH T32 ES07060, NIH P30 ES000210 and NSF 1134468. 69 Conflicts of Interest The authors declare no conflict of interest. 70 Table 3.1. Metal oxide nanoparticle physical characterization Nanoparticle Material Primary Size ± SE (nm) Hydrodynamic Diameter ± SE (nm) Charge ± SE (mV) Poly Dispersity Index ± SE Mob ± SE (µmcm/Vs) in Embryo Medium TiO2 (TC009) 11.64±0.26 2110±73.2 -15.1±0.370 0.483±0.0327 -1.18±0.0290 TiO2 (TC010) 10.47±0.13 2550±102 -19.2±0.323 0.479±0.0176 -1.50±0.0256 CeO2 (QK020) 2.87±0.12 2960±112 -8.74±0.561 0.512±0.0242 -0.686±0.0440 CeO2 (QK055) 2.77±0.12 2150±107 -3.27±0.207 0.584±0.0139 0.256±0.0161 8.35 1280±79.7 -18.5±0.260 0.366±0.0343 -1.45±0.0199 SnO2 (UG022) 2.99±0.08 1470±149 -12.2±0.852 0.470±0.0372 -0.957±0.665 SnO2 (UG023) 2.87±0.06 2120±129 -13.6±0.232 0.549±0.0531 -1.06±0.0190 ZnO (BI010) in Ultrapure Water TiO2 (TC009) 416±15.0 17.1±1.47 0.445±0.0238 1.34±0.115 TiO2 (TC010) 2170±119 -10.6±5.69 0.542±0.0444 -0.830±0.446 CeO2 (QK020) 521±24.7 -3.54±0.921 0.514±0.004 -0.277±0.0721 CeO2 (QK055) 353±23.6 38.8±2.76 0.432±0.0345 3.04±0.216 ZnO (BI010) 400±3.72 20.2±0.748 0.151±0.010 1.59±0.0586 SnO2 (UG022) 1690±151 -8.49±4.08 0.571±0.0349 -0.667±0.320 SnO2 (UG023) 1210±102 -14.2±3.81 0.553±0.0244 -1.11±0.299 71 Table 3.2. Descriptions of time points and endpoints assessed during five-day embryonic zebrafish bioassay Abbreviation MO24 DP24 SM24 NC24 MORT YSE_ AXIS EYE_ SNOU JAW_ OTIC PE__ BRAI SOMI PFIN PIG_ CIRC TRUN SWIM NC__ AFTD Assessed Time Point (hours post fertilization) Mortality 24 Delayed developmental progression 24 Reduced or excessive frequency of zebrafish spontaneous tail coiling 24 Notochord malformations 24 Total mortality 120 Yolk sac edema 120 Abnormal body axis curvature such as lordosis or scoliosis of the spine 120 Eye malformations such as large or small eyes 120 Snout malformations 120 Jaw malformations 120 Otic vesicle malformations 120 Pericardial edema 120 Brain malformations such as edema 120 Abnormal somite development 120 Pectoral fin malformations 120 Abnormal pigmentation (hypo or hyper pigmentation) 120 Abnormal circulation or vasculature 120 Truncated body 120 Abnormal swim bladder development 120 Notochord malformations 120 Total mortality combined with any malformation at 120 120 Endpoint Description 72 Figure 3.1. Size to charge relationship between metal oxide nanoparticle Dynamic light scattering measurements of 50 mg/L metal oxide nanoparticles (MO NPs) suspended in low ionic strength medium (WATER) and high ionic strength medium (ZEBRAFISH EMBRYO MEDIUM). Error bars represent standard error of the mean (n = 4) of hydrodynamic diameter vertically and charge horizontally. Red circle highlights the MO NPs with very similar sizes and charges that created stable suspensions when prepared in water; however, only ZnO was the only MO NP to cause significant mortality and malformations in the five-day embryonic zebrafish bioassay with water as the exposure medium. 73 74 Figure 3.2. Zinc oxide nanoparticle, zinc oxide bulk and zinc ion equivalent toxicity Toxicity of zinc oxide nanoparticles (ZnO NP) compared to ZnO Bulk and Zn Ion Equivalent controls with 0.5% DMSO vehicle in five-day embryonic zebrafish bioassay under two medium conditions (water and embryo medium). The Zn Ion Equivalent represents the approximate amount of dissolved zinc present in ZnO NP samples as determined by inductively coupled plasma optical emission spectrometry. Total affected represents the combined percent of zebrafish with mortality or any morphological malformation(s) at 120 hours post fertilization. For the ZnO NP prepared in water and embryo medium, the error bars represent the range in mean percent response (3 experiments and 2 experiments respectively, n=32 per experiment per concentration). For the other exposures, the data represents the percent response of 1 experiment, n = 32 per concentration. For ZnO NP (*) and Zn Ion Equivalent (#) data, symbol indicates concentrations where percent prevalence is significantly above background (p<0.05 Fisher’s Exact Test) for all experiments studied. 75 Figure 3.3. Dissolution of zinc oxide nanoparticles and zinc oxide bulk Dissolved zinc (Zn) present in blanks (0.5% DMSO in ultrapure water), 0.625 and 10 mg/L zinc oxide nanoparticle (ZnO NP) and 10 mg/L ZnO Bulk suspensions prepared in 0.5% DMSO, ultrapure water as measured by ICP-OES over different time points. Error bars represent ±SD, n=3. 76 Figure 3.4. 96 hpf zebrafish zinc oxide nanoparticle and zinc ion equivalent toxicity Larval zebrafish mortality 24 hours post exposure (hpe) to zinc oxide nanoparticle (ZnO NP) (n=24 per concentration) ZnO Bulk (n=24 per concentration) and Zn Ion Equivalent (n=32 per concentration) prepared in ultrapure water assuming ~48% nanoparticle dissolution. Exposures started when zebrafish were 96 hours post fertilization (hpf). 77 4. An orthotopic zebrafish xenograft assay to study novel human glioblastoma therapeutics targeting migration, invasion and proliferation Leah C. Wehmas, Alex Punnoose, Robert L. Tanguay, Juliet A. Greenwood In preparation for publication 78 4.1 Abstract Glioblastoma is an aggressive brain cancer requiring improved treatment options. Under existing methods of drug discovery and development, it will take years before new glioblastoma therapeutics become available to patients. The embryonic zebrafish xenograft models hold potential for studying human cancer, identifying new treatments and prioritizing drug development. We have developed an orthotopic zebrafish xenograft screening assay to discover and prioritize the testing of compounds that impact glioblastoma proliferation, migration and invasion. We illustrate the utility of our assay by evaluating the potential anti-cancer efficacy of zinc oxide nanoparticles (ZnO NP) and the selective phosphatidylinositide 3-kinase (PI 3-kinase) inhibitor LY294002, known to inhibit glioblastoma proliferation and influence migration in cell culture and rodent xenograft models. Contrary to expectations, ZnO NPs significantly enhanced glioblastoma proliferation by 15 to 23% and migration/invasion by 22 to 49% at the periphery of the cell mass (161+ µm) compared to vehicle control. Exposures of 3.125-6.25 µM LY294002 significantly decreased proliferation by up to 34% compared to control with trends toward concentration dependent effects. Exposure to 6.25 µM LY294002 significantly inhibited migration/invasion by 25 to 31% within the glioblastoma cell mass (0-80 µm) and by 23 to 48% in the next distance region (81-160 µm) compared to control. The results of this assay demonstrate that we have a short duration, relevant and sensitive embryonic zebrafish-based assay to aid glioblastoma therapeutic development. 4.2 Introduction Despite 30 years of extensive research into developing drug therapies, the median survival rate of patients diagnosed with glioblastoma remains bleak at ~15 months (DeAngelis, 2001; Hegi 79 et al., 2005). This poor prognosis is due to a combination of the highly invasive nature and heterogeneous mutational spectrum of this deadly form of primary brain tumor making complete surgical resection virtually impossible and adjuvant therapies ineffective (TCGA, 2008; DeAngelis, 2001). There is a dire need to better understand the biological processes contributing to glioblastoma invasion and progression to aid in the discovery of novel glioblastoma therapeutics that more effectively treat this aggressive disease. Further complicating new glioblastoma drug development is that studying invasion in an intact brain microenvironment can be especially difficult in traditional mammalian models. The opacity of the mammalian head makes directly observing how potential therapeutics influence individual invading glioblastoma cells problematic (Geiger et al., 2008; Haldi et al., 2006; Lal et al., 2012; Marques et al., 2009; Nicoli et al., 2007; Stoletov et al., 2007). Yet, research suggests that migrating cells will drastically alter morphology and mechanisms of movement in three-dimensional versus two-dimensional environments and receive signals from the microenvironment that dictate direction making conducting studies on migration and invasion in an intact brain desirable (Webb and Horwitz, 2003). While investigating therapeutic efficacy in mammalian models is an important step in the drug development pipeline, testing during the early stages of discovery can be challenging. This is especially true in the expanding field of nanomedicine where compound availability may be limited (Fako and Furgeson, 2009). Zebrafish xenograft models hold potential for studying human cancer progression, migration, invasion, metastases and microenvironment interactions to aid in identifying new treatments (Geiger, Fu and Kao, 2008; Haldi, Ton, Seng and McGrath, 2006; Lal, La Du, Tanguay and Greenwood, 2012; Nicoli, Ribatti, Cotelli and Presta, 2007; Stoletov et al., 2010). The embryonic zebrafish model has proved a useful in quickly identifying and prioritizing the 80 screening of promising new pharmaceuticals (Zon and Peterson, 2005). The small size, high fecundity and transparency of the embryonic zebrafish makes it amenable to conducting exposures in multi- well plates and studying cancer progression non-invasively through microscopy (Geiger, Fu and Kao, 2008; Haldi, Ton, Seng and McGrath, 2006; Lal, La Du, Tanguay and Greenwood, 2012; Nicoli, Ribatti, Cotelli and Presta, 2007; Stoletov, Kato, Zardouzian, Kelber, Yang, Shattil and Klemke, 2010). Furthermore, embryonic zebrafish lack a fully functional adaptive immune system until ~28 days making it possible to inject human cells without rejection (Lam et al., 2004). Existing embryonic zebrafish xenograft models have already demonstrated that human cancer cells, including glioma, can grow, divide, metastasize and induce angiogenesis in zebrafish similarly to rodent xenograft models (Geiger, Fu and Kao, 2008; Haldi, Ton, Seng and McGrath, 2006; Lee et al., 2005b; Lee et al., 2009; Marques, Weiss, Vlecken, Nitsche, Bakkers, Lagendijk, Partecke, Heidecke, Lerch and Bagowski, 2009; Nicoli, Ribatti, Cotelli and Presta, 2007; Yang et al., 2013). A particular advantage of the zebrafish xenograft model is that only a small number of cancer cells are required for xenotransplantation, which better recapitulates the earlier stages of cancer progression (Haldi, Ton, Seng and McGrath, 2006; Nicoli, Ribatti, Cotelli and Presta, 2007). Previous embryonic zebrafish xenograft glioma models, often involve transplanting the cells into the yolk sac or perivitelline space (Geiger, Fu and Kao, 2008; Haldi, Ton, Seng and McGrath, 2006; Marques, Weiss, Vlecken, Nitsche, Bakkers, Lagendijk, Partecke, Heidecke, Lerch and Bagowski, 2009; Yang, Cui, Gu, Xu, Yu, Li, Cui, Zhang and Bian, 2013). These transplant locations lack the complex brain microenvironment, which is filled with glial cells, neuronal processes, extracellular matrix, and functional blood brain barrier important for studying brain cancer (Lal, La Du, Tanguay and Greenwood, 2012). By transplanting glioblastoma cells 81 into the 48-72 hour post fertilization zebrafish brain, which possess a functioning blood brain barrier similar to mammalian models (Jeong et al., 2008), our laboratory has developed an efficient and relevant assay using high content imaging to study glioblastoma progression and prioritize the development of new glioblastoma therapies. Our previous studies revealed that genetic knockdown of a protein important in glioblastoma invasion (calpain 2) reduces glioblastoma invasion by ~90% (Jang et al., 2010). Implanting these modified cells in the zebrafish brain microenvironment further demonstrated that knockdown of calpain 2 reduced glioblastoma invasion by 2.9 fold, which was similar to the reduction observed in organotypic mouse brain tissues (2.3 fold) (Lal, La Du, Tanguay and Greenwood, 2012). In this report, we expand upon previous research by developing a robust screening assay to determine if treatment of the zebrafish xenograft model with exogenous compounds could significantly impact glioblastoma proliferation, migration and invasion. We illustrate the utility of our assay by testing zinc oxide nanoparticles (ZnO NPs), which demonstrate selective toxicity toward cancer cells in vitro, for anti-cancer efficacy in vivo (Hanley et al., 2008). We also evaluate the selective phosphatidylinositide 3-kinase (PI 3-kinase) inhibitor LY294002, known to inhibit glioblastoma proliferation and influence migration in cell culture and rodent xenograft models, for effectiveness in this refined zebrafish xenograft assay (Han et al., 2010; Joy et al., 2003; Su et al., 2003). 4.3 Materials and Methods 4.3.1 Zebrafish husbandry Adult 5D Tropical strain zebrafish (Danio rerio) were reared at Sinnhuber Aquatic Research Laboratory utilizing standardized procedures in accordance with Institutional Animal 82 Care and Use Committee protocols at Oregon State University (Reimers et al., 2006). Embryos were staged according to Kimmel et al. and at ~4 hours post fertilization, the chorion was enzymatically digested using pronase (63.6 mg/ml, >3.5 U/mg, Sigma Aldrich: P5147, St. Louis, MO) assisted by a custom automated instrument (Kimmel et al., 1995; Mandrell et al., 2012). Embryos were maintained in 1x strength E2 embryo medium sans methylene blue (ZIRC protocols, http://zebrafish.org/documents/protocols/pdf/Fish_Nursery/E2_solution.pdf) under a 14h light:10h dark photoperiod at 28±1°C. To inhibit pigment formation, 1 day post fertilization (DPF) zebrafish embryos were treated with 0.003% w/v N-phenylthiourea (Sigma Aldrich, St. Louis, MO), which was renewed daily until xenotransplantation occurred. Upon completion of experiments, zebrafish were euthanized by overdose to buffered Tricaine (MS-222, Sigma Aldrich, St. Louis, MO). 4.3.2 U87MG maintenance and fluorescent labeling Human U87MG glioblastoma cells were purchased from the American Type Culture Collection (Manassas, VA) and grown in Dulbecco’s Modified Eagles Medium (DMEM; CellGro, Manassas, VA) supplemented with 10% fetal bovine serum (Sigma Aldrich, St. Louis, MO) and 1% L-glutamine (CellGro, Manassas, VA). Cells were incubated at 37°C with 5% CO2 and 95% air in a humidified chamber. Chloromethylbenzamido (CellTrackerTM CM-DiI; Invitrogen, Grand Island, NY), a fluorescent cell membrane intercalating dye, was used to label the U87MG cells according to manufacturer’s directions. Briefly, a 50 µg/µL stock was prepared in dimethyl sulfoxide (DMSO; Sigma Aldrich, St. Louis, MO), and diluted in phosphate buffered saline to a working concentration of 2 µM. U87MG cells were incubated in 2 µM CM-DiI for two minutes 83 at 37°C followed by 15 minutes at 4°C. Cells were resuspended in serum free DMEM at a concentration of ~10-20 million cells/mL. 4.3.3 Glioblastoma transplantation procedure Borosilicate capillary tubes with an outer diameter of 1.14 mm and an inner diameter of 0.5 mm (World Precision Instruments, Sarasota, FL) were used to prepare microinjection needles on a Model P-97 micropipette puller (Sutter Instrument Co., Novato, CA). Prior to transferring the fluorescently labeled U87 cells to the microinjection needle, phenol red (Sigma Aldrich, St. Louis, MO) was added to the cell solution at a 1:10 dilution (v/v). At 2 or 3 DPF, dechorionated zebrafish larvae were anesthetized in 200 mg/L buffered Tricaine, positioned on an 2% agarose gel (Figure 4.1) and injected with ~50-100, U87MG glioblastoma cells into the hindbrain ventricle (Figure 4.1.C.) using a ASI MPPI-2 air-driven pressure injector (Applied Scientific Instruments, Eugene, OR). Background control zebrafish were injected with the same volume of DMEM mixed with phenol red minus the U87MG cells. Following xenotransplantation, zebrafish were transferred to fresh embryo medium and kept in a dark, 33±1°C incubator. Active xenografts exhibiting no phenotypic malformations, such as edema or fin, axial or craniofacial abnormalities one day post injection were used for the subsequent assays which ended at 7 DPF. 4.3.4 Imaging and analysis of U87MG behavior Xenografts were anesthetized in 200 mg/L buffered tricaine for imaging. This concentration of anesthetic was selected based on Kaufmann et al. for complete immobilization of zebrafish for several hours (Kaufmann et al., 2012). Anesthetized xenografts were transferred to a 96 well imaging plate (Greiner BioOne, Monroe, NC) at one fish per well and embedded in 0.1 84 mL of 0.8% (w/v) low melt agarose (Promega, Madison, WI) containing 200 mg/L tricaine. Before agarose solidified, xenograft heads were centered, dorsal side down, at the bottom of the well (Figure 4.2.A.). To minimize the duration in low melt agarose and reduce stress, xenografts were immobilized, embedded and imaged in groups of 20-24 fish at a time. Images were acquired on an ImageXpress Micro (Molecular Devices, Sunnyvale, CA) using a 10x objective. The image view frame focused on the most anterior portion of the head to the developing pharyngeal arches. All 10x images were acquired and analyzed using this frame of view for consistency (Figure 4.2.B.). The TRITC filter (excitation 543/22 nm, emission 593/40 nm) was used to locate the U87MG cells and focus on the cancer cell mass. One brightfield image was acquired for locational reference prior to capturing a TRITC z-stack. Typically, a 24 slice zstack at 8 µm per slice was of sufficient breadth within the z plane of the zebrafish brain to image all U87MG cells. Fluorescent z-stacks were acquired with 30 ms exposures and 2x2 pixel binning (Figure 4.2.B.). Zebrafish xenografts and background control zebrafish were imaged at 3 or 4 DPF and 7 DPF using identical acquisition settings. All images were analyzed using MetaXpress High Content Image Acquisition and Analysis Software Version 5 (Molecular Devices, Sunnyvale, CA). Each z-stack was processed with proprietary best focus stack arithmetic similar to maximum projection to create one fluorescent image (Figure 4.3). The images were analyzed using the Multi-Wavelength Cell Scoring Module to obtain cell counts. Individual cells were identified based on an image intensity of 100 gray levels above background with a minimum cell diameter of 4 µm and maximum cell diameter of 10 µm (Figure 4.3.A.). For cell migration and invasion, individual cells were identified using MultiWavelength Cell Scoring using the same parameters as stated above. A custom MetaXpress journal located the centroid of the image based on the locations of all identified cells and calculated the 85 distance from the image centroid to all cells. Then the number of cells located in concentric circles between 0-80, 81-160, 161-240, 241-320 and 321+ µm were quantified (Figure 4.3.B.). The change in cell count obtained from each concentric circle in the final image (7 DPF) of each xenograft was normalized to the total cell count of the initial image (3 or 4 DPF) to quantify changes in cell migration/invasion. No autofluorescence signal was identified as cells during the analysis of the background control zebrafish (Figure 4.3.C.). 4.3.5 Xenograft exposure assay After imaging, zebrafish were carefully removed from the low melt agarose, rinsed in 1x embryo medium and transferred to a sterile polystyrene 96-well tissue culture, flat bottom plate (Falcon, Manassas, VA) at one fish per well. Each well was pre-loaded with 0.1 mL of 1x embryo medium at 0.003% PTU for the LY294002 exposure or sterile, deionized water (ultrapure water; Invitrogen, Grand Island, NY) at 0.003% PTU for the ZnO NP exposure. Any xenograft exhibiting damage from imaging or transfer was euthanized and excluded from the experiment. The timeline of each assay is presented in Figure 4.4. Prior to conducting the xenograft assay, exposure concentrations were selected based on the results of an initial concentration response test. Briefly, un-injected, age matched, larval zebrafish were exposed to a range of compound under conditions mimicking the xenograft assay to identify a maximum tolerable exposure concentration, which resulted in insignificant mortality or phenotypical malformations compared to the vehicle control. The maximum tolerable concentration was used to set the upper limit of the concentration response series for the xenograft assay. 86 4.3.5.1 Phosphatidylinositol 3 kinase inhibitor LY294002. The selective pan PI 3-kinase inhibitor LY294002 (Enzo Life Sciences, Farmingdale, NY) was selected as a positive control for the inhibition of U87MG proliferation in the xenograft assay. LY294002 was dissolved in DMSO to prepare a 16.2 mM stock. A two-fold dilution series was prepared at 2x (25-6.25 µM LY294002) with PTU and DMSO maintained at 0.003% and 1% respectively, and 0.1 mL was transferred to the 96 well plate contain the xenografts. This resulted in a 4 day static nonrenewal, exposure to 1x (12.5-3.125 µM) LY294002 with 0.003% PTU and vehicle control of 0.5% DMSO. 4.3.5.2 Zinc oxide nanoparticle. ZnO NPs with a primary particle size of 8.37 nm were synthesized using forced hydrolysis as described previously in Wehmas et al (Wehmas et al., 2015). One gram of zinc acetate dehydrate and 99.5:0.5 mL diethylene glycol:nanopure water mix were heated to 160°C for 90 minutes followed by multiple ethanol rinses and separation using centrifugation for 20 minutes at 20,000 rpm after each rinse. Immediately prior to exposure, an aliquot of ZnO NP and ZnO bulk material control were suspended in 100% DMSO at a concentration of 10 mg/mL and water bath sonicated (Ultrasonik NDI; NEY, Inc., Bloomfield, CT) for 20 minutes at room temperature. The ZnO bulk material acted as a size control because the primary particle size is in the micrometer range as opposed to the size traditionally defined as nano (possessing at least one dimension between 1- 100 nm) for the ZnO NPs. A two-fold dilution series was prepared in sterile, deionized water (ultrapure water; Invitrogen, Grand Island, NY) at 2x for NP and bulk (0.3125, 0.625 1.25 and 2.5 mg/L) with PTU and DMSO maintained at 0.003% and 1% respectively. 0.1 mL of the 2x NP and bulk was transferred to the 96 well plate contain the xenografts preloaded in 0.1 mL deionized water at 0.003% PTU. This resulted in a three day static nonrenewal, exposure to 1x (0.156-1.25 mg/L) ZnO NP and ZnO bulk control with 0.003% 87 PTU and vehicle at 0.5% DMSO (Wehmas, Anders, Chess, Punnoose, Pereira, Greenwood and Tanguay, 2015). To minimize agglomeration with salts present in zebrafish embryo medium, the ZnO NP exposures were conducted in ultrapure water (Kim et al., 2013; Wehmas, Anders, Chess, Punnoose, Pereira, Greenwood and Tanguay, 2015). As previously reported in Wehmas et al., this ZnO NP has a mean hydrodynamic diameter on the order of microns when prepared in zebrafish embryo medium whereas its mean hydrodynamic diameter is ~400 nm and zeta potential is ~20.2 mV when prepared in ultrapure water (Wehmas, Anders, Chess, Punnoose, Pereira, Greenwood and Tanguay, 2015). Following compound addition, the 96 well plates were sealed with Parafilm, wrapped in aluminum foil to block incidental light and maintained in a 33±1°C incubator until 7 DPF. At 7 DPF, xenografts were assessed for mortality and phenotypic malformations. Living 7 DPF xenografts were re-imaged to obtain U87MG proliferation and dispersal data as described in section 4.3.4. 4.3.6 Statistical methods Mortality data analyzed using Fisher’s Exact Test comparing each treatment to the vehicle control. Zebrafish xenograft proliferation and migration/invasion data were analyzed by One-Way Analysis of Variance using Tukey’s multiple comparison procedure. If assumptions of normality and equal variance were violated, data was analyzed by Kruskal-Wallis One Way Analysis of Variance on Ranks using a Dunn’s multiple comparison procedure. Analyses were completed using SigmaPlot version 11 software and significance was defined as p value < 0.05 (SigmaPlot 11.0, San Jose, CA). 88 4.4 Results 4.4.1 Transplantation conditions support glioblastoma growth Our previous studies demonstrated the utility of using an orthotopic zebrafish xenograft model of glioblastoma to study invasion in real time (Lal, La Du, Tanguay and Greenwood, 2012). We also established the importance of injection location for studying human glioblastoma cells by demonstrating that glioblastoma cells implanted in the zebrafish yolk sac do not invade as they do when transplanted into the brain (Lal, La Du, Tanguay and Greenwood, 2012). To adapt the model for compound screening against glioblastoma, we decided to inject the glioblastoma cells into the zebrafish hindbrain between 2-3 DPF. At this time, minimal mortality was observed due to injection (~1 and ~20% for 2 and 3 DPF respectively) and most major organ systems are fully developed during this time period including a rudimentary blood brain barrier allowing us to more closely simulate tests conducted in mammalian models (Jeong, Kwon, Ahn, Kang, Kwon, Park and Kim, 2008; Kimmel, Ballard, Kimmel, Ullmann and Schilling, 1995). Based on work by others, we maintained our xenografts at 33°C, which is lower than the standard 37°C for culturing glioblastoma cells but higher than the typical 28°C for zebrafish maintenance (Geiger, Fu and Kao, 2008; Yang, Cui, Gu, Xu, Yu, Li, Cui, Zhang and Bian, 2013). This temperature caused no observable zebrafish toxicity yet resulted in adequate human glioblastoma growth and migration/invasion over the 3-4 day assay period to detect exposure dependent differences between treatment groups. Control xenografts maintained at 33°C from 4 to 7 DPF typically demonstrated ~1.6 fold increases in glioblastoma proliferation whereas controls maintained at the same temperature for 3 to 7 DPF typically demonstrated ~1.3 to 2 fold increases growth (Figures 4.5.A. & 4.7.A. controls). Cell migration/invasion for experiments conducted from 3 or 4 to 7 DPF display greater movement 89 (between 0.66 to 0.84 fold increases compared to control) near the main cell mass (0-80 µm), which tapers off (between 0.21 to 0.34 fold changes compared to control) as distance from the center increases to 161-240 µm (Figures 4.6 & 4.8 controls). The relative change in cell spread for distances 241+ µm were insignificant (less than 0.06 fold) and not depicted in figures. 4.4.2 Zinc oxide nanoparticle enhances U87MG proliferation and dispersal Using the 3 day xenograft assay, we tested a putative nanotherapeutic (ZnO NPs) that significantly and preferentially inhibit cancer cell proliferation in the presence of normal human cells in culture (Hanley, Layne, Punnoose, Reddy, Coombs, Coombs, Feris and Wingett, 2008). The minimal quantity of compound needed for assessment in our assay made it ideal for evaluating systemic toxicity as well as the cancer specific efficacy of these ZnO NPs in vivo. Exposure to ZnO NP and bulk ZnO did not result in significant lethality, but there was a slight material dependent increase in mortality at ~19% and 6% respectively compared to the vehicle control (Table 4.1). Exposure of xenografts to ZnO NP slightly enhanced glioblastoma proliferation by 15 to 23% compared to the vehicle control (Figure 4.5). ZnO NP exposure also tended to augment glioblastoma migration/invasion slightly in both experiments across all distance increments compared to vehicle and ZnO bulk controls; however, significant increases were only observed near the perimeter of the cell mass (161-240 µm) (Figure 4.6). At this distance, exposure to ZnO NP enhanced migration/invasion by 22 to 49% compared to vehicle and by 25 to 59% compared to the ZnO bulk across the two experiments (Figure 4.6). 90 4.4.3 LY294002 inhibits U87MG proliferation and dispersal To further confirm the utility of our assay, we evaluated the PI 3-kinase inhibitor LY294002, which is a well-studied compound known to inhibit glioblastoma proliferation, migration and invasion in cell culture and mammalian models (Han, Yang, Yue, Huang, Liu, Pu, Jiang, Yan, Jiang and Kang, 2010; Kubiatowski et al., 2001; Shingu et al., 2003; Su, Mayo, Donner and Durden, 2003). Exposure of zebrafish xenografts to 3.125-12.5 µM LY294002 resulted in significant decreases in glioblastoma proliferation compared to the vehicle control (Figure 4.7). We observed some concentration dependent decreases in proliferation. While exposure to 12.5 µM LY294002 caused significant mortality (Table 4.2), 3.125-6.25 µM LY294002 resulted in minimal xenograft mortality and up to ~33% reduction in glioblastoma proliferation compared to the control (Figure 4.7). LY294002 significantly reduced cell migration/invasion in a concentration dependent manner nearer the main cell mass (0-160 µm) with less influence at further distances (161+ µm) (Figure 4.8). Within the distance range of 0-80 µm, 6.25 µM LY294002 significantly diminished cell spread by 25 to 31% compared to control across all three experiments (Figure 4.8). The inhibitory effects of 6.25 µM LY294002 on migration/invasion were more variable at 81-160 µm with decreases in fold change ranging from 23 to 48% compared to control (Figure 4.8). While 3.125 µM exposure did not always significantly reduce migration/invasion compared to control, a trend is apparent across all experiments for all distance increments depicted (Figure 4.8). 91 4.5 Discussion 4.5.1 Orthotopic zebrafish xenograft assay supports study of glioblastoma biology The main objective of this study was to create a robust orthotopic zebrafish xenograft assay for the prioritization of putative anticancer compounds to advance glioblastoma drug development. Using this assay, we demonstrate the U87MG glioblastoma cells proliferate and disperse well in the zebrafish brain microenvironment over the assay period. We observed a 1.3 to 2 fold increase in growth over a 3 to 4 day period under control conditions (Figure 4.5 and 4.7). Proliferation was quantified by counting individual cells based on size and fluorescent signal above background using image-based software analyses. While this automation increases the throughput of measuring proliferation, migration and invasion in our zebrafish xenograft assay, compression of z-stacks needed for the image-based analysis likely underestimates the growth and migration of glioblastoma cells due to a loss of information in the z plane. Despite this limitation, other researchers have observed similar growth (~1.5 fold) over 4 days using U251 glioblastoma cells in a different embryonic zebrafish xenograft model (Geiger, Fu and Kao, 2008). However, the 1.5 fold increase assumes that the U251 growth directly corresponds to a 1.5 fold increase in relative fluorescence as the U251 cells were labeled by stable transfection with a red fluorescent protein construct (Geiger, Fu and Kao, 2008). Under control experimental conditions, the U87MG cells also disperse from the main cancer cell mass (Figure 4.6 and 4.8), which we quantify as a surrogate for invasion and migration. Measurements of migration and invasion in embryonic zebrafish xenograft models has typically involved qualitative scoring or simply counting the number of cells to move away from the initial cell mass with no information on distance (Lee, Rouhi, Dahl Jensen, Zhang, Ji, Hauptmann, Ingham and Cao, 2009; Marques, Weiss, Vlecken, Nitsche, Bakkers, Lagendijk, Partecke, 92 Heidecke, Lerch and Bagowski, 2009; Yang, Cui, Gu, Xu, Yu, Li, Cui, Zhang and Bian, 2013). Our method provides a quantitative method to measure changes in cell dispersal over concentric distances from the center of the cancer mass. This approach is similar to Zhang et al. who measured chemical inhibition of leukemia stem cell migration in a zebrafish xenograft model (Zhang et al., 2014). However, Zhang et al. reported the migration results in a way in which the distance information was lost making it impossible to tell how far the cells metastasized from the main mass (Zhang, Shimada, Kuroyanagi, Umemoto, Nishimura and Tanaka, 2014). These approaches make it difficult to compare our results to others reported in the literature except to say that migration and invasion are observed in some zebrafish xenograft models. However, our migration/invasion results differ from those reported by Geiger et al. where no migration or invasion of U251 cells was observed (Geiger, Fu and Kao, 2008). This may be partially explained by differences in injection site locations between the two experiments (Geiger, Fu and Kao, 2008). Geiger et al. implanted U251 cells in the embryonic zebrafish yolk sac and Lal et al. reported that glioblastoma cells do not migrate or invade when injected into the zebrafish yolk compared to the brain (Lal, La Du, Tanguay and Greenwood, 2012). Differences in cell types used between the two experiments do not justify the results by Geiger et al. as ongoing experiments in our laboratory demonstrate that U251 cells grow, migrate and invade similarly to U87MG cells (data not shown). Another group studying glioblastoma invasion in an embryonic zebrafish xenograft model only observed invasion of U87 cells implanted in the zebrafish yolk sac after injecting a subpopulation enriched for stem cells (Yang, Cui, Gu, Xu, Yu, Li, Cui, Zhang and Bian, 2013). This work further exemplifies the importance of injection site location and microenvironment in influencing realistic glioblastoma behavior (Yang, Cui, Gu, Xu, Yu, Li, Cui, Zhang and Bian, 2013). 93 4.5.2 Application of orthotopic zebrafish xenograft assay assists drug prioritization Our embryonic zebrafish xenograft model supports reproducible glioblastoma proliferation and dispersal beneficial to studying the biological processes controlling this deadly disease. We also illustrate how the assay can be applied to screening potential nanotherapeutic (ZnO NPs) and chemotherapeutic agents (LY294002) targeting glioblastoma proliferation, migration and invasion. The subsequent sections illustrate how this short assay successfully combines the rapid economy of high throughput in vitro assays with the relevance of slower in vivo mammalian assays for efficient advances in drug development. 4.5.3 Nanotherapeutic assessment Metal oxide NPs like ZnO NPs initially drew interest in the biomedical community for their intrinsic antimicrobial effects (Adams et al., 2006; Brayner et al., 2006; Huang et al., 2008; Reddy et al., 2007; Wei et al., 1994). Researchers quickly realized that the unique physiochemical properties of metal oxide NPs also demonstrated specific toxicity toward human cancer cells compared to normal cell controls (Hanley, Layne, Punnoose, Reddy, Coombs, Coombs, Feris and Wingett, 2008; Ostrovsky et al., 2009; Thevenot et al., 2008). Work by Hanley et al. identified that ZnO NPs could selectively kill several human cancer cell types with ~28 to 35 fold preferential toxicity to cancerous T cells relative to normal peripheral blood mononuclear cells in vitro (Hanley, Layne, Punnoose, Reddy, Coombs, Coombs, Feris and Wingett, 2008). This group hypothesized that selective toxicity was due to surface-charge interactions with the cancer cells (Hanley, Layne, Punnoose, Reddy, Coombs, Coombs, Feris and Wingett, 2008). However, it was not known if this selective toxicity would be conserved in vivo. Because scaling up the production of nanomaterials can be challenging during the early stages of discovery, we utilized our orthotopic 94 zebrafish xenograft assay of glioblastoma, which requires ~1-2 µg quantities of material per assay, to assess the anticancer efficacy these ZnO NPs compared to ZnO bulk material control. ZnO NPs demonstrated relatively high toxicity to zebrafish when prepared in a stable suspension medium like water (Wehmas, Anders, Chess, Punnoose, Pereira, Greenwood and Tanguay, 2015). At the non-lethal exposure concentrations tested in our xenograft assay, the ZnO NPs significantly enhanced glioblastoma proliferation and migration/invasion compared to the vehicle control (Figure 4.5 & 4.6), which is the opposite of what we hypothesized would occur based on the in vitro data. However, we also identified that the ZnO NP agglomerated and underwent considerable dissolution (~47-50%) when prepared in water (data previously published (Wehmas, Anders, Chess, Punnoose, Pereira, Greenwood and Tanguay, 2015)). Therefore, we cannot distinguish whether this increase in glioblastoma proliferation is due to a nanoparticle effect, an ionic effect or a combination of both. Research in breast and prostate cancer cells with overexpression of zinc ion importers demonstrates that exposure to small amounts of ionic zinc can enhance cancer cell proliferation and invasion (Kagara et al., 2007; Li et al., 2007). Lin et al. identified several zinc ion importers with increased expression in malignant glioma samples and waterborne exposure of embryonic zebrafish to zinc can result in distribution to the brain (Brun et al., 2014; Lin et al., 2013). Furthermore, invasion of glioblastoma cells is partly controlled by matrix metalloproteinases (MMP) which require zinc as cofactor. Malignant gliomas often possess upregulation of MMP2 and MMP9 (Nakagawa et al., 1994; Nakano et al., 1995). Based on this data, we hypothesize that the ZnO NP exposure could be delivering enough zinc to the glioblastoma in the zebrafish brain to enhance growth, migration and invasion. Our short, three day assay allowed us to identify that 95 this negatively charged, ~400 nm, uncoated ZnO NP is not a good candidate for future pre-clinical assessment in mammalian models. 4.5.4 Chemotherapeutic assessment The results of the ZnO NP exposure demonstrated that our assay could detect exposureinduced increases in glioblastoma proliferation and migration/invasion. To prove that the assay was sensitive to exposure-induced decreases in glioblastoma proliferation, the PI 3-kinase inhibitor LY294002 was tested. LY294002 works as a model anti-proliferative and anti-invasive agent because glioblastomas frequently possess a genomic mutation that results in the loss of tumor suppressor PTEN expression, thereby escalating PI 3-kinase activation. The PTEN mutation is present in 30 to 40% of malignant gliomas and U87MG cells (Li et al., 1997; Smith et al., 2001; Wang et al., 1997). In normal cells, PTEN acts by dephosphorylating phosphatidylinositol (3,4,5)­ trisphosphate (PtdIns (3,4,5)-P3) mediated activation of serine/threonine kinase (AKT), which is involved in cell proliferation and survival (Cantley and Neel, 1999). Amplified AKT phosphorylation by PI 3-kinase also augments migration and invasion of glioblastoma (Joy, Beaudry, Tran, Ponce, Holz, Demuth and Berens, 2003; Kubiatowski, Jang, Lachyankar, Salmonsen, Nabi, Quesenberry, Litofsky, Ross and Recht, 2001). Inhibiting PI 3-kinase activity with LY294002, thereby decrease glioblastoma proliferation, migration and invasion. For the LY294002 experiments, we injected the glioblastoma cells into the zebrafish one day earlier to increase the assay duration and sensitivity (Figure 4.4.B.). Exposure to 3.125-6.25 µM LY294002 inhibited glioblastoma proliferation up to ~33% (Figure 4.7) and up to 31 and 48% at distances between 0-80 and 81-160 µm respectively (Figure 4.8). Several in vitro and in vivo experiments demonstrate LY294002 inhibits glioblastoma cell proliferation, migration and 96 invasion (Han, Yang, Yue, Huang, Liu, Pu, Jiang, Yan, Jiang and Kang, 2010; Kubiatowski, Jang, Lachyankar, Salmonsen, Nabi, Quesenberry, Litofsky, Ross and Recht, 2001; Shingu, Yamada, Hara, Moritake, Osago, Terashima, Uemura, Yamasaki and Tsuchiya, 2003; Su, Mayo, Donner and Durden, 2003). Our proliferation results are similar to in vivo work by Su et al. where dosing orthotopic mouse xenografts with LY294002 resulted in ~40% inhibition of glioblastoma growth compared to controls after 5 days. However, the repeated dosing regimen of Su et al. differed from our experiment (Su, Mayo, Donner and Durden, 2003). Another mouse study using a subcutaneous glioblastoma xenograft model identified intra-tumoral administration of LY294002 significantly reduced tumor volume by ~50% after 12 days (Han, Yang, Yue, Huang, Liu, Pu, Jiang, Yan, Jiang and Kang, 2010). Besides directly impacting the growth of the glioblastoma cell, LY294002 can influence the surrounding environment through antiangiogenic effects, which can also reduce glioblastoma proliferation (Su, Mayo, Donner and Durden, 2003). The ~33% reduction in glioblastoma proliferation by LY294002 in our xenograft assay could be due to both direct PI 3-kinase inhibition as well as indirect reduction in angiogenesis. Despite assay and model differences, the zebrafish xenografts absorb sufficient LY294002 to significantly inhibit glioblastoma proliferation similar to mammalian models. Moreover, in vitro research reveals LY294002 exposure reduces the number of glioblastoma cells that migrate by 20 to 50 at 5-10 µM, which is not much different from the 31 to 49% reductions in migration/invasion observed upon 6.25 µM exposure from our assay (Han, Yang, Yue, Huang, Liu, Pu, Jiang, Yan, Jiang and Kang, 2010; Lee et al., 2005a). Interestingly, Joy et al. demonstrated that migrating glioblastoma cells become more resistant to apoptosis compared to migration restricted cells. This suggests that identifying therapeutics that inhibit glioblastoma migration and invasion will be extremely important in treatment (Joy, Beaudry, Tran, Ponce, Holz, Demuth and Berens, 2003). 97 Glioblastoma is an aggressive brain cancer requiring improved treatment options to increase patient survival. Under existing drug development paradigms, any new glioblastoma drugs will typically require several years to transition from discovery phase to approved human use, which demonstrates a dire need to accelerate the drug development process. Incorporation of embryonic zebrafish assays into the drug development pipeline already promises to enhance discovery and prioritization of novel pharmaceuticals including nanomaterials. The results of this assay demonstrate that we have a short duration, relevant and sensitive embryonic zebrafish-based assay to identify and prioritize novel glioblastoma therapeutic agents. 4.5.5 Future directions Ongoing research is determining whether typical aggressive/invasive glioblastoma behavior (i.e. growth patterns, migration and invasion) are conserved using other glioblastoma cell types in our orthotopic zebrafish xenograft model. Future research will investigate whether ionic zinc, at exposure concentrations comparable to the dissolved zinc present in the ZnO NP experiments, significantly enhances glioblastoma proliferation and dispersal like ZnO NP. Additional research will involve identifying a compound that strictly targets glioblastoma migration/invasion without the confounding effects of proliferation inhibition. This will be useful as a control in future assays and in classifying potential therapeutics targeting migration and invasion. Some matrix metalloproteinase inhibitors have proven effective in selectively inhibiting glioblastoma dispersal in other zebrafish xenograft assays (Yang, Cui, Gu, Xu, Yu, Li, Cui, Zhang and Bian, 2013). Use of transgenic fli1:eGFP zebrafish with fluorescent vasculature will aid in distinguishing between migrating and invading glioblastoma cells. Furthermore, incorporation of fli1:eGFP zebrafish and high-resolution confocal imaging will help identify compounds that affect 98 angiogenesis as well as glioblastoma proliferation, migration and invasion in real time. Threedimensional reconstruction of confocal images will augment the sensitivity of the zebrafish xenograft model by providing information about movement and proliferation of cells in the z plane of the head. Increasing the incubation temperature of the xenografts to 35°C or incorporating heat tolerant transgenic zebrafish so that xenografts can be maintained at 37°C may increase the sensitivity of this assay by enhancing glioblastoma growth. Acknowledgments The author thanks Jane LaDu and Dr. Sangeet Lal for helping establish the zebrafish xenograft model, members of the Punnoose laboratory for supplying ZnO NPs and the Sinnhuber Aquatic Research Laboratory for providing zebrafish. Thanks also goes to Dr. Josephine Bonventre for assistance with manuscript editing. Conflicts of Interest The authors declare no conflict of interest. The authors alone are responsible for the content and writing of the paper. This research was funded by NSF1134468 and NIH T32 ES07060 and P30 ES000210. 99 Table 4.1. Mortality associated with zinc oxide nanoparticle (NP) exposures Treatment (mg/L) N Mortality (%) Date 0 Bulk (0.312 - 1.25) NP (0.312 - 1.25) 0 Bulk (0.312 - 1.25) NP (0.312 - 1.25) 26 32 32 14 32 32 0 6.25 18.75 0 6.25 18.75 7/1/2013 100 11/30/2012 Table 4.2. Mortality associated LY294002 exposures Treatment (µM) N Mortality (%) Date 0 3.125 6.25 12.5 0 3.125 6.25 12.5 0 3.125 6.25 33 33 33 33 28 27 27 27 23 24 24 6.06 6.06 3.03 45.45** 0 14.81 0 51.85*** 4.35 0 8.33 1/8/2015 12.5 ** p value < 0.01 *** p value < 0.001 24 29.17 101 12/12/2014 12/3/2014 102 Figure 4.1. Microinjection setup, zebrafish placement and glioblastoma implantation site A) Microinjector setup. B) Placement of anesthetized two or three days post fertilization (DPF) zebrafish on 2% agarose gel for microinjection of human U87MG glioblastoma cells. C) Close up drawing depicting 2 dpf zebrafish brain (upper) and whole embryo (lower) showing the injection site (red line) in the hindbrain ventricle near midbrain junction. e – eye, hb – hindbrain, fb – forebrain and mb – midbrain. 103 Figure 4.2. Position of embryonic zebrafish for image acquisition A) Xenograft placement in 96-well plate at 2x with heads centered and positioned dorsal side down in well using dissecting microscope. Images acquired using molecular devices high content imager with 2x objective. B) Representative image of three day post fertilization (DPF) xenograft (left: fluorescent 24 slice (8 um per slice) z-stack acquired 30 ms exposure with 2x2 binning and combined into one all in focus image using best focus stack arithmetic and right: one brightfield image acquired at 61 ms exposure overlayed with fluorescent image) depicting frame of view that is acquired and analyzed at 10x for all fish at 3 or 4 DPF and 7 DPF. 104 Figure 4.3. Image analysis for proliferation, migration and invasion Representative 10x fluorescent images (top) with corresponding brightfield images showing position of cells in zebrafish head directly below. A) Glioblastoma injected zebrafish imaged at 3 days post fertilization with Multi-Wavelength Cell Scoring Mask (white) used to delineate and count individual cells. B) Same xenograft as image A with added concentric circles (yellow) used to quantify cell migration/invasion in 80 µm distances from the centroid of the cell mass (blue circle) C) Mock injected zebrafish imaged at 3 days post fertilization. No fluorescent cell count data obtained from zebrafish mock injection which consisted of cell medium only. 105 A B Figure 4.4. Diagram depicting the timeline of the orthotopic zebrafish xenograft assay A) Overview of three day zinc oxide nanoparticle assay. B) Overview of the four day LY294002 assay. 106 107 Figure 4.5. Comparison of the effects of exposure to zinc oxide nanoparticles (ZnO NP), bulk material control and vehicle control on the fold change in human glioblastoma (U87MG) cell count A) Consists of representative 10x images of four zebrafish imaged at 4 and 7 days post fertilization (DPF). Each image panel consists of a 10x monochromatic fluorescent image with MultiWavelength Cell Scoring mask (white) identifying individual cells (top) and a 10x monochromatic fluorescent image with brightfield overlay of the same xenograft showing injection placement in zebrafish brain (bottom). All images were selected with an initial cell count ranging from 51-59 cells. B) The fold change as determined by the fluorescent signal above background from the CMDiI dyed U87MG cell mass in each xenograft from each treatment group from initiation of the experiment at 4 and 7 DPF. The 0 treatment contained 0.5% DMSO which was maintained across all groups. The red plus indicates the overall mean of each treatment group. These values were determined from two independent experiments (n=14-30 per experiment). Significant differences for all pairwise comparisons between treatments indicated by letters A-B, p < 0.05. 108 109 Figure 4.6. Quantitative analysis of human glioblastoma (U87MG) cell spread following zinc oxide nanoparticle (NP), zinc oxide bulk (BULK), or vehicle control exposure The number of migrated cells within concentric 80 µm rings from the centroid of U87MG mass were measured. Data reported as relative number of cells migrated within each concentric circle normalized to the total number of cells at 4 DPF (days post fertilization). The 0 treatment contained 0.5% DMSO which was maintained across all groups. The red plus indicates the overall mean of each treatment group. These values were determined from two independent experiments (left and right panels). Note changes in y axis scale between the different distance ranges. Significant differences for all pairwise comparisons between treatments indicated by letters A-B, n=14-30 per experiment, p < 0.05. 110 Figure 4.7. Comparison of the effects of increasing exposure to LY294002 on the fold change in human glioblastoma (U87MG) cell count data A) Consists of representative 10x images of two zebrafish imaged at 3 and 7 days post fertilization (DPF). Each image panel consists of a 10x monochromatic fluorescent image with MultiWavelength Cell Scoring mask (white) identifying individual cells (top) and a 10x monochromatic fluorescent image with brightfield overlay of the same xenograft showing injection placement in 111 zebrafish brain (bottom). Each image was selected with an initial cell count of 45 and 54 cells. B) The fold change as determined by the fluorescent signal above background from the CM-DiI dyed U87MG cell mass in each xenograft from each treatment group from initiation of the experiment at 3 days post fertilization to the end at 7 days post fertilization. The 0 treatment contained 0.5% DMSO which was maintained across all groups. The red plus indicates the overall mean of each treatment group. These values were determined from three independent experiments (left, middle and right panels, n= 13-32 per experiment). Significant differences for all pairwise comparisons between treatments indicated by letters A-B, p < 0.05. 112 113 Figure 4.8. Quantitative analysis of human glioblastoma (U87MG) cell spread following LY294002 or vehicle control exposure The number of migrated cells within concentric 80 µm rings from the centroid of U87MG mass were measured. Data reported as relative number of cells migrated within each concentric circle normalized to the total number of cells at 3 DPF (days post fertilization). The 0 treatment contained 0.5% DMSO which was maintained across all groups. The red plus indicates the overall mean of each treatment group. These values were determined from three independent experiments (left, middle and right panels). Note changes in y axis scale between the different distance ranges. Significant differences for all pairwise comparisons between treatments indicated by letters A-B, n= 13-32 per experiment, p < 0.05. 114 5. Final Conclusions The numerous different types of nanomaterials and paucity of reliable in vivo information on their toxicity has resulted in enduring uncertainties associated with health and safety risks, thereby slowing progress in nanotherapeutic assessment and development (Fako and Furgeson, 2009; Oberdörster, 2010). Aggressive, lethal cancers like glioblastoma require advances in pharmaceutical development. The benefits of targeted drug delivery, selective toxicity, and blood brain barrier translocational applications of nanomaterial-based medicines hold promise in improving glioblastoma treatments and is necessary for increasing survival rates (Etheridge et al., 2013; Nie et al., 2007; Wohlfart et al., 2012; Wong et al., 2011). The studies included in this dissertation sought to advise nanomaterial environmental health and safety through efficiently evaluating toxicity while categorizing physicochemical properties (elemental composition, size, charge and surface functionalization) indicative of adverse biological response in the zebrafish embryo-larval assay. Through creation of a novel embryonic zebrafish xenograft assay, these studies also strove to advance applications in nanomedicine via economical in vivo assessment of nanoparticles demonstrating preferential cancer toxicity in culture. This chapter will summarize the major findings of the previous chapters in the context of addressing the challenges associated with nanotoxicology and therapeutic development while considering the specific aims of this dissertation: Aim 1. Evaluate two common classes of nanomaterials (MWNT and MO NPs) for toxicity using the embryo-larval zebrafish assay and prioritize further assessment. Aim 2. Identify physicochemical properties of MWNTs and MO NPs associated with zebrafish toxicity to inform safe design and predict nanotoxicity 115 Aim 3. Establish a novel orthotopic embryonic zebrafish xenograft assay to prioritize efficacy of nanotherapeutic agents for glioblastoma drug development. The genetic, anatomic and physiologic conservation between the embryonic zebrafish model and humans originally made it an advantageous model to study developmental biology and human disease (Driever et al., 1996; Driever et al., 1994; Haffter et al., 1996; Kimmel et al., 1995). Incorporation of the embryonic zebrafish into pharmaceutical discovery and toxicology testing has since demonstrated the medium to high-throughput adaptability and predictive power of this model (Fako and Furgeson, 2009; Hill et al., 2005; Zon and Peterson, 2005). Applying the model to nanotoxicology assessment enables rapid in vivo biologic readouts under consistent experimental conditions making comparative assessment and conclusions on nanomaterial­ biologic interactions streamlined. The results in Chapters 2 and 3 address Aim 1 of this dissertation through detailed application of the zebrafish embryo-larval assay toward efficient nanotoxicity assessment of MWNTs and MO NPs. Briefly, seven uncoated MO NPs made from CeO2, TiO2, SnO2 and ZnO and seven MWNTs (prepared from the same stock and systematically functionalized with oxygen groups) were tested. Most of the MO NPs and MWNTs caused little to no significant adverse response. Three MWNTs and one metal oxide (ZnO NP) caused significant toxicity (LC50 = 3.5-9.1 mg/L), and for the MWNTs, this only occurred at the highest exposure concentration tested (50 mg/L). Therefore, these nanomaterials were deemed of highest concern for further investigation in Aim 2. Unlike traditional toxicology assessments, nanotoxicology experiments must carefully consider the physical material properties as well as the chemical (Maynard et al., 2010; Oberdörster, 2010; Oberdörster et al., 2005). Drawing conclusions from the results of nanotoxicology studies can be extremely challenging due to variations in experimental design 116 including different exposure concentrations, routes of exposure, sources of nanomaterials, dispersal methods, etc. (Maynard, Warheit and Philbert, 2010; Oberdörster, 2010). The results in Chapters 2 and 3 attend to Aim 2 by contemplating the nanomaterial physicochemical properties within the assay to explain toxic response and develop associations between nanotoxicity and hazard. One major physicochemical trait influenced in the zebrafish embryo-larval assays was agglomeration. Significant agglomeration occurred in MWNT and MO NP assessments, a major caveat in interpreting nanotoxicity results in general (Maynard, Warheit and Philbert, 2010; Oberdörster, 2010). Agglomeration likely limited the bioavailability of MWNTs and MO NPs, although opportunities for contact-dependent toxicity still existed in the assay (Bai et al., 2010). Therefore, low bioavailability may explain the low biologic response for a majority of nanomaterials assessed. Use of a low ionic strength exposure medium in the MWNT and MO NP experiments was important in partially addressing the agglomeration problem by creating more stable suspensions. This highlights the importance of considering experimental conditions in nanomaterial experiments. For instance, if only the typical high ionic strength zebrafish embryo medium was used in the MO NP exposures, we may have erroneously concluded that none of the MO NPs were toxic. Another physicochemical property influencing the toxicity of MWNTs included total surface oxygen/point of zero charge. The three MWNTs that demonstrated significant toxicity using the zebrafish embryo larval assay possessed total surface oxygen greater than 3.5% (point of zero charge < ~6). Multivariate statistical modeling and additional experiments confirmed that total surface oxygen and the highly related parameter, point of zero charge, best predicted MWNT induced zebrafish mortality. Understanding the properties controlling MO NP toxicity was more challenging. The surfaces were neither functionalized nor coated; therefore, all agglomerated to 117 some extent even in the low ionic strength exposure medium. Of all the MO NP, three (CeO2:QK055, TiO2:TC009 and ZnO) created stable exposure suspensions in low ionic strength medium. These three MO NPs possessed similar positive charges and hydrodynamic sizes. However, only ZnO NP caused toxicity, making it feasible to conclude that positive charge, size and surface area are not the physicochemical properties predictive of MO NP adverse response. This conclusion is contrary to some theories present in nanomaterial literature suggesting positively charged nanomaterials are more toxic than negatively charged or neutral nanomaterials (Goodman et al., 2004; Harper et al., 2011; Xia et al., 2006; Xia et al., 2008). However, additional controversy surrounds interpretation of soluble nanomaterial, like ZnO NP, toxicity results (Borm et al., 2006; Brunner et al., 2006). This controversy pertains to elucidating whether the toxicity is due to a nanomaterial specific effect or dissolution of the ion (Bai, Zhang, Tian, He, Ma, Zhao and Chai, 2010; Brun et al., 2014; Franklin et al., 2007; Zhu et al., 2009). Coating can influence dissolution and potentially changes the physicochemical properties of the nanomaterial, which is why all the MO NPs remained uncoated (Blinova et al., 2010; Keller et al., 2010; Nel et al., 2006). The ZnO NPs dissolved extensively when prepared in low ionic strength medium. Exposures to equivalent amounts of ionic zinc resulted in similar toxic response in the zebrafish assay indicating dissolution as the cause of toxicity. The insolubility and lack of toxicity from the other MO NPs (SnO2, CeO2 and TiO2) rendered the release of toxic ions from those materials not a major concern. Additional investigation revealed higher ZnO NP toxicity in larval zebrafish exposures around the time of gill development compared to embryonic exposures. The gill is a known target of ionic zinc insult and may explain the life-stage dependent ZnO toxicity (Handy et al., 2008). The embryonic life stage is considered the most sensitive (OECD); therefore, many zebrafish embryo-larval assays begin during embryonic development (6-8 hpf). However, limiting 118 nanotoxicity assessment to starting during the embryonic life stage may miss sensitive routes of toxicity, potentially misclassifying nanomaterials like ZnO NP as less of a concern. This dissertation recommends that embryo-larval nanotoxicity assays incorporate additional tests at later larval life stages, especially with potentially soluble nanomaterials, to better characterize hazard. ZnO demonstrated some of the major challenges associated with nanotoxicology assessments including how experimental conditions, dissolution, agglomeration, uptake, etc. can significantly influence experimental outcome. Therefore, very careful characterization (charge, size, agglomeration, dissolution, surface modifications including functionalization or surfactant coating, redox capabilities, etc.) of the nanomaterials in the exposure environment remains challenging but necessary. Unfortunately, in some instances, existing analytical techniques are not sufficient to fully answer questions about processes like nanomaterial uptake and localization especially with soluble nanomaterials. Obtaining adequate characterization data for the MO NPs and measuring MWNT and MO NP absorption could have helped determine the extent to which bioavailability influenced biologic response. Despite these problems, the combined phenotypic screening results, in conjunction with examining in situ nanomaterial charge, size and dissolution potential led to the conclusion that agglomeration/bioavailability, dissolution potential and surface functionalization with a highly electronegative groups like oxygen are the physicochemical properties of the tested nanomaterials with greatest influence on zebrafish toxicity. Nonetheless, the results and conclusions generated during this dissertation will help inform and improve nanomaterial design. Understanding nanomaterial physicochemical properties will be important in synthesizing nanomaterials targeting diseases for successful advancements in the field of nanomedicine. 119 Years of glioblastoma research have resulted in only modest increases in median survival rates (Van Meir et al., 2010). Nanomedicine holds promise for improving disease diagnosis and treatment of highly lethal cancers such as glioblastoma. Both MO NPs and MWNTs demonstrate applications in the field of nanomedicine including imaging, targeted drug delivery and selective toxicity toward cancer (Cheng et al., 2011; Hanley et al., 2008; Nie, Xing, Kim and Simons, 2007; Thevenot et al., 2008). The interest in assessing MO NPs for toxicity and safety in the zebrafish embryo-larval assay began when research on ZnO NP demonstrated selective toxicity toward cancer cells in culture (Hanley, Layne, Punnoose, Reddy, Coombs, Coombs, Feris and Wingett, 2008). Under existing pharmaceutical development, it will take years of pre-clinical assessment before novel nanotherapeutics like ZnO NP are adequately tested for safety and efficacy to improve treatment of glioblastoma (Fako and Furgeson, 2009; Zon and Peterson, 2005). The results in Chapter 4 address Aim 3 of this dissertation by creating and optimizing an orthotopic zebrafish xenograft assay to quickly assess and prioritize potential glioblastoma therapeutics in vivo. The results demonstrate that U87MG glioblastoma cells proliferate and migrate/invade in the zebrafish brain microenvironment with growth increases similar to other zebrafish xenograft models of glioblastoma (Geiger et al., 2008). Implantation of the glioblastoma cells within the brain microenvironment results in realistic migration and invasion not observed in other zebrafish xenograft models in which cells are implanted in the yolk or perivitelline space (Geiger, Fu and Kao, 2008; Lal et al., 2012). Therefore, this assay can identify nanotherapeutics agents targeting invasion and migration in addition to proliferation for prioritization of drug development. Assessment of ZnO NP revealed that it unexpectedly enhanced glioblastoma proliferation and migration/invasion significantly. These results revealed that the ZnO NP is not a good candidate for future drug development. Fortunately, the quick turnaround of this assay 120 provides feedback to material scientists that can be incorporated into better nanomaterial design and synthesis advancing nanotherapeutic creation. To further establish the utility and relevance of the orthotopic zebrafish xenograft assay, the model PI 3-kinase inhibitor LY294002, known to inhibit glioblastoma proliferation, migration and invasion in rodent models, was also evaluated (Han et al., 2010; Joy et al., 2003; Su et al., 2003). Exposure to 6.25 uM LY294002 significantly inhibited glioblastoma proliferation, migration and invasion demonstrating that the embryonic zebrafish xenograft model is predictive and sensitive at detecting exposure dependent decreases in glioblastoma progression. The LY294002 exposure demonstrates that the model is efficacious in chemotherapeutic prioritization as well as nanotherapeutic. Within 3-4 days, compounds can be evaluated for efficacy, thereby bridging economical fast in vitro testing with low throughput in vivo mammalian assays. Some of the same challenges associated with assessing nanotoxicity exist for assessing nanotherapeutic efficacy in the zebrafish xenograft assay. Agglomeration and dissolution affect nanomaterial bioavailability. However, experimental conditions can be maintained across the toxicity and therapeutic efficacy assessments, which is very important for understanding the results of nanomaterial testing. Future research will focus on determining the mechanisms of nanomaterial toxicity, which is needed to make the results translatable to other species. These studies will require incorporating methods of quantifying nanomaterial uptake to ascertain targets of toxicity. Incorporating systems biology approaches to learn about nanomaterial effects at the transcriptional, protein and metabolic level will also aid in understanding the mode of action. This information will improve the mathematical model predicting nanomaterial toxicity. Furthermore, the mathematical model can be applied toward investigating the influence of positively charged functional groups, aspect ratio, 121 shape or other systematically altered physicochemical properties on biological response to predict nanotoxicity. This structure activity based data will be useful in customizing nanomaterials for medical applications to reduce adverse systemic effects while enhancing targeted cancer toxicity. To enhance the translational relevance of the orthotopic zebrafish xenograft model, future research will require confirming that other glioblastoma cell types respond similarly to U87MG. Transplanting primary glioblastoma stem cells in the zebrafish brain will also enhance the utility of the xenograft assay. Applying CRISPR/Cas9 to not only genetically manipulate the expression of proteins hypothesized to be important in human glioblastoma progression, but also to manipulate the expression of endogenous zebrafish proteins will also help us understand how microenvironment is contributing to glioblastoma progression and contributing to therapeutic resistance. Overall, this dissertation demonstrates how novel methodologies incorporating the zebrafish model can be used to quickly and efficiently advance applications in nanomedicine by bridging toxicity and therapeutic efficacy assessments. 122 Bibliography Abbott, N. J., Patabendige, A. A. K., Dolman, D. E. M., Yusof, S. R., and Begley, D. J. (2010). Structure and function of the blood–brain barrier. Neurobiol. Dis. 37(1), 13-25. Adams, L. K., Lyon, D. Y., and Alvarez, P. J. J. (2006). Comparative eco-toxicity of nanoscale TiO2, SiO2, and ZnO water suspensions. Water Res. 40(19), 3527-3532, http://dx.doi.org/10.1016/j.watres.2006.08.004. Adenuga, A. A., Truong, L., Tanguay, R. L., and Remcho, V. T. (2013). Preparation of water soluble carbon nanotubes and assessment of their biological activity in embryonic zebrafish. International Journal of Biomedical Nanoscience and Nanotechnology 3(1-2), 38-51, doi:10.1504/IJBNN.2013.054514. Akhtar, M. J., Ahamed, M., Kumar, S., Khan, M. M., Ahmad, J., and Alrokayan, S. A. (2012). Zinc oxide nanoparticles selectively induce apoptosis in human cancer cells through reactive oxygen species. Int J Nanomedicine 7, 845-57, 10.2147/IJN.S29129. Amsterdam, A., Nissen, R. M., Sun, Z., Swindell, E. C., Farrington, S., and Hopkins, N. (2004). Identification of 315 genes essential for early zebrafish development. Proc Natl Acad Sci U S A 101(35), 12792-7, 10.1073/pnas.0403929101. Aruoja, V., Dubourguier, H.-C., Kasemets, K., and Kahru, A. (2009). Toxicity of nanoparticles of CuO, ZnO and TiO< sub> 2</sub> to microalgae< i> Pseudokirchneriella subcapitata</i>. Sci. Total Environ. 407(4), 1461-1468. Asharani, P. V., Serina, N. G., Nurmawati, M. H., Wu, Y. L., Gong, Z., and Valiyaveettil, S. (2008). Impact of multi-walled carbon nanotubes on aquatic species. Journal of nanoscience and nanotechnology 8(7), 3603-9. Ashley, C. E., Carnes, E. C., Phillips, G. K., Padilla, D., Durfee, P. N., Brown, P. A., Hanna, T. N., Liu, J., Phillips, B., Carter, M. B., Carroll, N. J., Jiang, X., Dunphy, D. R., Willman, C. L., Petsev, D. N., Evans, D. G., Parikh, A. N., Chackerian, B., Wharton, W., Peabody, D. S., and Brinker, C. J. (2011). The targeted delivery of multicomponent cargos to cancer cells by nanoporous particle-supported lipid bilayers. Nat Mater 10(5), 389-397, http://www.nature.com/nmat/journal/v10/n5/abs/nmat2992.html#supplementary­ information. Auffan, M., Rose, J., Wiesner, M. R., and Bottero, J. Y. (2009). Chemical stability of metallic nanoparticles: a parameter controlling their potential cellular toxicity in vitro. Environ Pollut 157(4), 1127-33, 10.1016/j.envpol.2008.10.002. Bae, K. H., Lee, K., Kim, C., and Park, T. G. (2011). Surface functionalized hollow manganese oxide nanoparticles for cancer targeted siRNA delivery and magnetic resonance imaging. Biomaterials 32(1), 176-84, 10.1016/j.biomaterials.2010.09.039. Bai, W., Zhang, Z., Tian, W., He, X., Ma, Y., Zhao, Y., and Chai, Z. (2010). Toxicity of zinc oxide nanoparticles to zebrafish embryo: a physicochemical study of toxicity mechanism. J. Nanopart. Res. 12(5), 1645-1654, 10.1007/s11051-009-9740-9. Bar-Ilan, O., Louis, K. M., Yang, S. P., Pedersen, J. A., Hamers, R. J., Peterson, R. E., and Heideman, W. (2012). Titanium dioxide nanoparticles produce phototoxicity in the developing zebrafish. Nanotoxicology 6(6), 670-9, 10.3109/17435390.2011.604438. Baun, A., Hartmann, N. B., Grieger, K., and Kusk, K. O. (2008). Ecotoxicity of engineered nanoparticles to aquatic invertebrates: a brief review and recommendations for future toxicity testing. Ecotoxicology 17(5), 387-95, 10.1007/s10646-008-0208-y. 123 Bian, S.-W., Mudunkotuwa, I. A., Rupasinghe, T., and Grassian, V. H. (2011). Aggregation and dissolution of 4 nm ZnO nanoparticles in aqueous environments: influence of pH, ionic strength, size, and adsorption of humic acid. Langmuir 27(10), 6059-6068. Blinova, I., Ivask, A., Heinlaan, M., Mortimer, M., and Kahru, A. (2010). Ecotoxicity of nanoparticles of CuO and ZnO in natural water. Environ. Pollut. 158(1), 41-47, http://dx.doi.org/10.1016/j.envpol.2009.08.017. Borm, P., Klaessig, F. C., Landry, T. D., Moudgil, B., Pauluhn, J., Thomas, K., Trottier, R., and Wood, S. (2006). Research strategies for safety evaluation of nanomaterials, part V: role of dissolution in biological fate and effects of nanoscale particles. Toxicol. Sci. 90(1), 23­ 32. Bozich, J. S., Lohse, S. E., Torelli, M. D., Murphy, C. J., Hamers, R. J., and Klaper, R. D. (2014). Surface chemistry, charge and ligand type impact the toxicity of gold nanoparticles to Daphnia magna. Environ. Sci.: Nano 1, 260-270. Brayner, R., Ferrari-Iliou, R., Brivois, N., Djediat, S., Benedetti, M. F., and Fiévet, F. (2006). Toxicological Impact Studies Based on Escherichia coli Bacteria in Ultrafine ZnO Nanoparticles Colloidal Medium. Nano Lett. 6(4), 866-870, 10.1021/nl052326h. Brown, D. M., Kinloch, I. A., Bangert, U., Windle, A. H., Walter, D. M., Walker, G. S., Scotchford, C. A., Donaldson, K., and Stone, V. (2007). An in vitro study of the potential of carbon nanotubes and nanofibres to induce inflammatory mediators and frustrated phagocytosis. Carbon 45(9), 1743-1756, http://dx.doi.org/10.1016/j.carbon.2007.05.011. Brun, N. R., Lenz, M., Wehrli, B., and Fent, K. (2014). Comparative effects of zinc oxide nanoparticles and dissolved zinc on zebrafish embryos and eleuthero-embryos: Importance of zinc ions. Sci. Total Environ. 476–477(0), 657-666, http://dx.doi.org/10.1016/j.scitotenv.2014.01.053. Brunner, T. J., Wick, P., Manser, P., Spohn, P., Grass, R. N., Limbach, L. K., Bruinink, A., and Stark, W. J. (2006). In Vitro Cytotoxicity of Oxide Nanoparticles: Comparison to Asbestos, Silica, and the Effect of Particle Solubility†. Environ. Sci. Technol. 40(14), 4374­ 4381, 10.1021/es052069i. Cantley, L. C., and Neel, B. G. (1999). New insights into tumor suppression: PTEN suppresses tumor formation by restraining the phosphoinositide 3-kinase/AKT pathway. Proceedings of the National Academy of Sciences 96(8), 4240-4245, 10.1073/pnas.96.8.4240. Cecchelli, R., Berezowski, V., Lundquist, S., Culot, M., Renftel, M., Dehouck, M. P., and Fenart, L. (2007). Modelling of the blood-brain barrier in drug discovery and development. Nature reviews. Drug discovery 6(8), 650-61, 10.1038/nrd2368. Chan, C. K., Peng, H., Liu, G., McIlwrath, K., Zhang, X. F., Huggins, R. A., and Cui, Y. (2008). High-performance lithium battery anodes using silicon nanowires. Nat Nano 3(1), 31-35, http://www.nature.com/nnano/journal/v3/n1/suppinfo/nnano.2007.411_S1.html. Cheaptubes (2014). Multi walled carbon nanotubes. Available at: http://www.cheaptubesinc.com/default.htm. Accessed September 2014. Chen, Q., Saltiel, C., Manickavasagam, S., Schadler, L. S., Siegel, R. W., and Yang, H. (2004). Aggregation behavior of single-walled carbon nanotubes in dilute aqueous suspension. J. Colloid Interface Sci. 280(1), 91-7, 10.1016/j.jcis.2004.07.028. Chen, T.-H., Lin, C.-Y., and Tseng, M.-C. (2011). Behavioral effects of titanium dioxide nanoparticles on larval zebrafish (Danio rerio). Mar. Pollut. Bull. 63(5–12), 303-308, http://dx.doi.org/10.1016/j.marpolbul.2011.04.017. 124 Cheng, J., Chan, C. M., Veca, L. M., Poon, W. L., Chan, P. K., Qu, L., Sun, Y. P., and Cheng, S. H. (2009). Acute and long-term effects after single loading of functionalized multi-walled carbon nanotubes into zebrafish (Danio rerio). Toxicol. Appl. Pharmacol. 235(2), 216-25, 10.1016/j.taap.2008.12.006. Cheng, J., and Cheng, S. H. (2012). Influence of carbon nanotube length on toxicity to zebrafish embryos. Int J Nanomedicine 7, 3731-9, 10.2147/IJN.S30459. Cheng, J., Flahaut, E., and Cheng, S. H. (2007). Effect of carbon nanotubes on developing zebrafish (Danio rerio) embryos. Environmental toxicology and chemistry / SETAC 26(4), 708-16. Cheng, J., Gu, Wang, Cheng, S. H., and Wong (2011a). Nanotherapeutics in angiogenesis: synthesis and in vivo assessment of drug efficacy and biocompatibility in zebrafish embryos. International Journal of Nanomedicine doi: 10.2147/ijn.s20145, 2007, 10.2147/ijn.s20145. Cheng, J., Gu, Y. J., Wang, Y., Cheng, S. H., and Wong, W. T. (2011b). Nanotherapeutics in angiogenesis: synthesis and in vivo assessment of drug efficacy and biocompatibility in zebrafish embryos. Int J Nanomedicine 6, 2007-21, 10.2147/IJN.S20145. Collett, D. (1991). Modelling Binary Data. Chapman and Hall, London, UK. Connors, K. A., Voutchkova-Kostal, A., Kostal, J., Anastas, P. T., Zimmerman, J. B., and Brooks, B. W. Reducing aquatic hazard of industrial chemicals: Probabilistic assessment of sustainable molecular design principles. Environ. Toxicol. Chem. In Press(In Press). De Volder, M. F. L., Tawfick, S. H., Baughman, R. H., and Hart, A. J. (2013). Carbon Nanotubes: Present and Future Commercial Applications. Science 339(6119), 535-539, 10.1126/science.1222453. DeAngelis, L. M. (2001). Brain tumors. New Engl. J. Med. 344(2), 114-23, 10.1056/NEJM200101113440207. Deng, X., Luan, Q., Chen, W., Wang, Y., Wu, M., Zhang, H., and Jiao, Z. (2009). Nanosized zinc oxide particles induce neural stem cell apoptosis. Nanotechnology 20(11), 115101. Detrich, H. W., Westerfield, M., and Zon, L. I. (1999). The zebrafish biology. In Methods Cell Biol. (L. Wilson, and P. Matsudaira, Eds.), Vol. 59, pp. 391. Academic Press, San Diego. Donaldson, K., Aitken, R., Tran, L., Stone, V., Duffin, R., Forrest, G., and Alexander, A. (2006). Carbon Nanotubes: A Review of Their Properties in Relation to Pulmonary Toxicology and Workplace Safety. Toxicol. Sci. 92(1), 5-22, 10.1093/toxsci/kfj130. Driever, W., Solnica-Krezel, L., Schier, A. F., Neuhauss, S. C., Malicki, J., Stemple, D. L., Stainier, D. Y., Zwartkruis, F., Abdelilah, S., Rangini, Z., Belak, J., and Boggs, C. (1996). A genetic screen for mutations affecting embryogenesis in zebrafish. Development 123, 37-46. Driever, W., Stemple, D., Schier, A., and Solnica-Krezel, L. (1994). Zebrafish: genetic tools for studying vertebrate development. Trends Genet. 10(5), 152-9. Endo, M., Strano, M., and Ajayan, P. (2008). Potential Applications of Carbon Nanotubes. In Carbon Nanotubes (A. Jorio, G. Dresselhaus, and M. Dresselhaus, Eds.), Vol. 111, pp. 13­ 62. Springer Berlin Heidelberg. EPA, U. (2014). Risk management sustainable technology: nanotechnology. Available at: http://www.epa.gov/nrmrl/std/nanotech.html. Accessed September 2014. Etheridge, M. L., Campbell, S. A., Erdman, A. G., Haynes, C. L., Wolf, S. M., and McCullough, J. (2013). The big picture on nanomedicine: the state of investigational and approved 125 nanomedicine products. Nanomedicine : nanotechnology, biology, and medicine 9(1), 1­ 14, 10.1016/j.nano.2012.05.013. Fairbairn, E. A., Keller, A. A., Mädler, L., Zhou, D., Pokhrel, S., and Cherr, G. N. (2011). Metal oxide nanomaterials in seawater: Linking physicochemical characteristics with biological response in sea urchin development. J. Hazard. Mater. 192(3), 1565-1571, http://dx.doi.org/10.1016/j.jhazmat.2011.06.080. Fako, V. E., and Furgeson, D. Y. (2009). Zebrafish as a correlative and predictive model for assessing biomaterial nanotoxicity. Adv. Drug Del. Rev. 61(6), 478-486, 10.1016/j.addr.2009.03.008. Faria, M., Navas, J. M., Soares, A. M. V. M., and Barata, C. (2014). Oxidative stress effects of titanium dioxide nanoparticle aggregates in zebrafish embryos. Sci. Total Environ. 470– 471(0), 379-389, http://dx.doi.org/10.1016/j.scitotenv.2013.09.055. Farokhzad, O. C., Cheng, J., Teply, B. A., Sherifi, I., Jon, S., Kantoff, P. W., Richie, J. P., and Langer, R. (2006). Targeted nanoparticle-aptamer bioconjugates for cancer chemotherapy in vivo. Proc Natl Acad Sci U S A 103(16), 6315-20, 10.1073/pnas.0601755103. Feitsma, H., and Cuppen, E. (2008). Zebrafish as a cancer model. Molecular cancer research : MCR 6(5), 685-94, 10.1158/1541-7786.MCR-07-2167. Figueiredo, J. L., Pereira, M. F. R., Freitas, M. M. A., and Orfao, J. J. M. (1999a). Modification of the surface chemistry of activated carbons. Carbon 37, 1379-1389. Figueiredo, J. L., Pereira, M. F. R., Freitas, M. M. A., and Órfão, J. J. M. (1999b). Modification of the surface chemistry of activated carbons. Carbon 37(9), 1379-1389, http://dx.doi.org/10.1016/S0008-6223(98)00333-9. Fox, J. (1997). Applied Regression Analysis, Linear Models, and Related Methods. Sage Publications, Thousand Oaks, CA. Franklin, N. M., Rogers, N. J., Apte, S. C., Batley, G. E., Gadd, G. E., and Casey, P. S. (2007). Comparative Toxicity of Nanoparticulate ZnO, Bulk ZnO, and ZnCl2 to a Freshwater Microalga (Pseudokirchneriella subcapitata): The Importance of Particle Solubility. Environ. Sci. Technol. 41(24), 8484-8490, 10.1021/es071445r. Fubini, B., Ghiazza, M., and Fenoglio, I. (2010). Physico-chemical features of engineered nanoparticles relevant to their toxicity. Nanotoxicology 4(4), 347-363, doi:10.3109/17435390.2010.509519. García, A., Espinosa, R., Delgado, L., Casals, E., González, E., Puntes, V., Barata, C., Font, X., and Sánchez, A. (2011). Acute toxicity of cerium oxide, titanium oxide and iron oxide nanoparticles using standardized tests. Desalination 269(1–3), 136-141, http://dx.doi.org/10.1016/j.desal.2010.10.052. Geiger, G. A., Fu, W., and Kao, G. D. (2008). Temozolomide-Mediated Radiosensitization of Human Glioma Cells in a Zebrafish Embryonic System. Cancer Res. 68(9), 3396-3404, 10.1158/0008-5472.can-07-6396. George, S., Pokhrel, S., Xia, T., Gilbert, B., Ji, Z., Schowalter, M., Rosenauer, A., Damoiseaux, R., Bradley, K. A., and Mädler, L. (2009). Use of a rapid cytotoxicity screening approach to engineer a safer zinc oxide nanoparticle through iron doping. ACS Nano 4(1), 15-29. George, S., Xia, T., Rallo, R., Zhao, Y., Ji, Z., Lin, S., Wang, X., Zhang, H., France, B., and Schoenfeld, D. (2011). Use of a high-throughput screening approach coupled with in vivo zebrafish embryo screening to develop hazard ranking for engineered nanomaterials. ACS Nano 5(3), 1805-1817. 126 Gilbertson, L. M., Goodwin, D. G., Taylor, A. D., Pfefferle, L., and Zimmerman, J. B. (2014a). Toward Tailored Functional Design of Multi-Walled Carbon Nanotubes (MWNTs): Electrochemical and Antimicrobial Activity Enhancement via Oxidation and Selective Reduction. Environ. Sci. Technol. 48(10), 5938-5945, 10.1021/es500468y. Gilbertson, L. M., Goodwin, D. G., Taylor, A. D., Pfefferle, L. D., and Zimmerman, J. B. (2014b). Toward tailored functional design of multi-walled carbon nanotubes (MWNTs): Electrochemical and antimicrobial activity enhancement via oxidation and selective reduction. Environ. Sci. Technol. 48(10), 5938-5945. Goodman, C. M., McCusker, C. D., Yilmaz, T., and Rotello, V. M. (2004). Toxicity of gold nanoparticles functionalized with cationic and anionic side chains. Bioconj. Chem. 15(4), 897-900, 10.1021/bc049951i. Gopalan, R. C., Osman, I. F., Amani, A., De Matas, M., and Anderson, D. (2009). The effect of zinc oxide and titanium dioxide nanoparticles in the Comet assay with UVA photoactivation of human sperm and lymphocytes. Nanotoxicology 3(1), 33-39, doi:10.1080/17435390802596456. Gradishar, W. J., Tjulandin, S., Davidson, N., Shaw, H., Desai, N., Bhar, P., Hawkins, M., and O'Shaughnessy, J. (2005). Phase III Trial of Nanoparticle Albumin-Bound Paclitaxel Compared With Polyethylated Castor Oil–Based Paclitaxel in Women With Breast Cancer. J. Clin. Oncol. 23(31), 7794-7803, 10.1200/jco.2005.04.937. Gref, R., Minamitake, Y., Peracchia, M. T., Trubetskoy, V., Torchilin, V., and Langer, R. (1994). Biodegradable long-circulating polymeric nanospheres. Science 263(5153), 1600-3. Griffitt, R. J., Luo, J., Gao, J., Bonzongo, J. C., and Barber, D. S. (2009). Effects of particle composition and species on toxicity of metallic nanomaterials in aquatic organisms. Environ. Toxicol. Chem. 27(9), 1972-1978. Guo, L., Morris, D. G., Liu, X., Vaslet, C., Hurt, R. H., and Kane, A. B. (2007). Iron Bioavailability and Redox Activity in Diverse Carbon Nanotube Samples. Chem. Mater. 19(14), 3472­ 3478, 10.1021/cm062691p. Gurr, J.-R., Wang, A. S. S., Chen, C.-H., and Jan, K.-Y. (2005). Ultrafine titanium dioxide particles in the absence of photoactivation can induce oxidative damage to human bronchial epithelial cells. Toxicology 213(1–2), 66-73, http://dx.doi.org/10.1016/j.tox.2005.05.007. Haffter, P., Granato, M., Brand, M., Mullins, M. C., Hammerschmidt, M., Kane, D. A., Odenthal, J., van Eeden, F. J., Jiang, Y. J., Heisenberg, C. P., Kelsh, R. N., Furutani-Seiki, M., Vogelsang, E., Beuchle, D., Schach, U., Fabian, C., and Nusslein-Volhard, C. (1996). The identification of genes with unique and essential functions in the development of the zebrafish, Danio rerio. Development 123, 1-36. Haldi, M., Ton, C., Seng, W. L., and McGrath, P. (2006). Human melanoma cells transplanted into zebrafish proliferate, migrate, produce melanin, form masses and stimulate angiogenesis in zebrafish. Angiogenesis 9(3), 139-51, 10.1007/s10456-006-9040-2. Han, L., Yang, Y., Yue, X., Huang, K., Liu, X., Pu, P., Jiang, H., Yan, W., Jiang, T., and Kang, C. (2010). Inactivation of PI3K/AKT signaling inhibits glioma cell growth through modulation of beta-catenin-mediated transcription. Brain Res. 1366, 9-17, 10.1016/j.brainres.2010.09.097. Handy, R. D., Henry, T. B., Scown, T. M., Johnston, B. D., and Charles, R. T. (2008). Manufactured nanoparticle : their uptake and effects on fish-a mechanistic analysis. Ecotoxicology 17(5), 396-409. 127 Hanley, C., Layne, J., Punnoose, A., Reddy, K. M., Coombs, I., Coombs, A., Feris, K., and Wingett, D. (2008). Preferential killing of cancer cells and activated human T cells using ZnO nanoparticles. Nanotechnology 19(29), 295103, 10.1088/0957-4484/19/29/295103. Harper, S. L., Carriere, J. L., Miller, J. M., Hutchison, J. E., Maddux, B. L. S., and Tanguay, R. L. (2011a). Systematic Evaluation of Nanomaterial Toxicity: Utility of Standardized Materials and Rapid Assays. ACS Nano 5(6), 4688-4697, 10.1021/nn200546k. Harper, S. L., Dahl, J. A., Maddux, B. L. S., Tanguay, R. L., and Hutchison, J. E. (2008). Proactively designing nanomaterials to enhance performance and minimise hazard. International Journal of Nanotechnology 5(1), 124-142, 10.1504/ijnt.2008.016552. Hayat, M. (2011). Tumors Of The Central Nervous System, Volume 2: Gliomas: Glioblastoma (Part 2) Author: MA Hayat, Publisher: Springer Pa doi. Hegi, M. E., Diserens, A.-C., Gorlia, T., Hamou, M.-F., de Tribolet, N., Weller, M., Kros, J. M., Hainfellner, J. A., Mason, W., Mariani, L., Bromberg, J. E. C., Hau, P., Mirimanoff, R. O., Cairncross, J. G., Janzer, R. C., and Stupp, R. (2005). MGMT Gene Silencing and Benefit from Temozolomide in Glioblastoma. New Engl. J. Med. 352(10), 997-1003, doi:10.1056/NEJMoa043331. Heinlaan, M., Ivask, A., Blinova, I., Dubourguier, H. C., and Kahru, A. (2008). Toxicity of nanosized and bulk ZnO, CuO and TiO2 to bacteria Vibrio fischeri and crustaceans Daphnia magna and Thamnocephalus platyurus. Chemosphere 71(7), 1308-16, 10.1016/j.chemosphere.2007.11.047. Hilding, J., Grulke, E. A., Zhang, Z. G., and Lockwood, F. (2003). Dispersion of carbon nanotubes in liquids. J. Disper. Sci. Technol. 24(1), 1-41. Hill, A. J., Teraoka, H., Heideman, W., and Peterson, R. E. (2005). Zebrafish as a Model Vertebrate for Investigating Chemical Toxicity. Toxicol. Sci. 86(1), 6-19. Hong, H., Shi, J., Yang, Y., Zhang, Y., Engle, J. W., Nickles, R. J., Wang, X., and Cai, W. (2011). Cancer-Targeted Optical Imaging with Fluorescent Zinc Oxide Nanowires. Nano Lett. 11(9), 3744-3750, 10.1021/nl201782m. Hood, J. D., Bednarski, M., Frausto, R., Guccione, S., Reisfeld, R. A., Xiang, R., and Cheresh, D. A. (2002). Tumor regression by targeted gene delivery to the neovasculature. Science 296(5577), 2404-7, 10.1126/science.1070200. Howe, K., Clark, M. D., Torroja, C. F., Torrance, J., Berthelot, C., Muffato, M., Collins, J. E., Humphray, S., McLaren, K., and Matthews, L. (2013). The zebrafish reference genome sequence and its relationship to the human genome. Nature 496(7446), 498-503. Huang, Z., Zheng, X., Yan, D., Yin, G., Liao, X., Kang, Y., Yao, Y., Huang, D., and Hao, B. (2008). Toxicological effect of ZnO nanoparticles based on bacteria. Langmuir 24(8), 4140-4, 10.1021/la7035949. Ispas, C., Andreescu, D., Patel, A., Goia, D. V., Andreescu, S., and Wallace, K. N. (2009). Toxicity and developmental defects of different sizes and shape nickel nanoparticles in zebrafish. Environ Sci Technol 43(16), 6349-56. Jang, H., Lal, S., and Greenwood, J. (2010). Calpain 2 is Required for Glioblastoma Cell Invasion: Regulation of Matrix Metalloproteinase 2. Neurochem. Res. 35(11), 1796-1804, 10.1007/s11064-010-0246-8. Jeong, J.-Y., Kwon, H.-B., Ahn, J.-C., Kang, D., Kwon, S.-H., Park, J. A., and Kim, K.-W. (2008). Functional and developmental analysis of the blood–brain barrier in zebrafish. Brain Res. Bull. 75(5), 619-628, 10.1016/j.brainresbull.2007.10.043. 128 Johnston, H. J., Hutchison, G. R., Christensen, F. M., Peters, S., Hankin, S., Aschberger, K., and Stone, V. (2010). A critical review of the biological mechanisms underlying the in vivo and in vitro toxicity of carbon nanotubes: The contribution of physico-chemical characteristics. Nanotoxicology 4(2), 207-246, doi:10.3109/17435390903569639. Jones, C. P., Jurkschat, K., Crossley, A., and Banks, C. E. (2008). Multi-walled carbon nanotube modified basal plane pyrolytic graphite electrodes: Exploring heterogeneity, electrocatalysis and highlighting batch to batch variation. JICS 5(2), 279-285, 10.1007/bf03246119. Joy, A. M., Beaudry, C. E., Tran, N. L., Ponce, F. A., Holz, D. R., Demuth, T., and Berens, M. E. (2003). Migrating glioma cells activate the PI3-K pathway and display decreased susceptibility to apoptosis. J. Cell Sci. 116(Pt 21), 4409-17, 10.1242/jcs.00712. Kagan, V. E., Tyurina, Y. Y., Tyurin, V. A., Konduru, N. V., Potapovich, A. I., Osipov, A. N., Kisin, E. R., Schwegler-Berry, D., Mercer, R., Castranova, V., and Shvedova, A. A. (2006). Direct and indirect effects of single walled carbon nanotubes on RAW 264.7 macrophages: role of iron. Toxicol. Lett. 165(1), 88-100, 10.1016/j.toxlet.2006.02.001. Kagara, N., Tanaka, N., Noguchi, S., and Hirano, T. (2007). Zinc and its transporter ZIP10 are involved in invasive behavior of breast cancer cells. Cancer Sci 98(5), 692-7, 10.1111/j.1349-7006.2007.00446.x. Kane, A. B., and Hurt, R. H. (2008). Nanotoxicology: The asbestos analogy revisited. Nat Nano 3(7), 378-379. Kang, S., Herzberg, M., Rodrigues, D. F., and Elimelech, M. (2008a). Antibacterial Effects of Carbon Nanotubes: Size Does Matter! Langmuir 24(13), 6409-6413, 10.1021/la800951v. Kang, S., Mauter, M. S., and Elimelech, M. (2008b). Physicochemical Determinants of Multiwalled Carbon Nanotube Bacterial Cytotoxicity. Environ. Sci. Technol. 42(19), 7528­ 7534, 10.1021/es8010173. Kang, S., Pinault, M., Pfefferle, L. D., and Elimelech, M. (2007). Single-Walled Carbon Nanotubes Exhibit Strong Antimicrobial Activity. Langmuir 23(17), 8670-8673, 10.1021/la701067r. Kao, Y. Y., Chen, Y. C., Cheng, T. J., Chiung, Y. M., and Liu, P. S. (2012). Zinc oxide nanoparticles interfere with zinc ion homeostasis to cause cytotoxicity. Toxicol Sci 125(2), 462-72, 10.1093/toxsci/kfr319. Kato, T., Yashiro, T., Murata, Y., Herbert, D., Oshikawa, K., Bando, M., Ohno, S., and Sugiyama, Y. (2003). Evidence that exogenous substances can be phagocytized by alveolar epithelial cells and transported into blood capillaries. Cell Tissue Res. 311(1), 47-51, 10.1007/s00441-002-0647-3. Kaufmann, A., Mickoleit, M., Weber, M., and Huisken, J. (2012). Multilayer mounting enables long-term imaging of zebrafish development in a light sheet microscope. Development 139(17), 3242-7, 10.1242/dev.082586. Keller, A. A., Wang, H., Zhou, D., Lenihan, H. S., Cherr, G., Cardinale, B. J., Miller, R., and Ji, Z. (2010). Stability and Aggregation of Metal Oxide Nanoparticles in Natural Aqueous Matrices. Environ. Sci. Technol. 44(6), 1962-1967, 10.1021/es902987d. Kim, K. T., Truong, L., Wehmas, L., and Tanguay, R. L. (2013). Silver nanoparticle toxicity in the embryonic zebrafish is governed by particle dispersion and ionic environment. Nanotechnology 24(11), 115101, 10.1088/0957-4484/24/11/115101. 129 Kimmel, C. B., Ballard, W. W., Kimmel, S. R., Ullmann, B., and Schilling, T. F. (1995). Stages of embryonic development of the zebrafish. Dev. Dyn. 203(3), 253-310, 10.1002/aja.1002030302. Knecht, A. L., Goodale, B. C., Truong, L., Simonich, M. T., Swanson, A. J., Matzke, M. M., Anderson, K. A., Waters, K. M., and Tanguay, R. L. (2013). Comparative developmental toxicity of environmentally relevant oxygenated PAHs. Toxicol. Appl. Pharmacol. 271(2), 266-275, http://dx.doi.org/10.1016/j.taap.2013.05.006. Kolosnjaj-Tabi, J., Hartman, K. B., Boudjemaa, S., Ananta, J. S., Morgant, G., Szwarc, H., Wilson, L. J., and Moussa, F. (2010). In Vivo Behavior of Large Doses of Ultrashort and FullLength Single-Walled Carbon Nanotubes after Oral and Intraperitoneal Administration to Swiss Mice. ACS Nano 4(3), 1481-1492, 10.1021/nn901573w. Kostal, J., Voutchkova-Kostal, A., Anastas, P. T., and Zimmerman, J. B. (2013). Identifying and designing chemicals with minimal acute aquatic toxicity. Proc. Natl. Acad. Sci. doi: 10.1073/pnas.1314991111, 10.1073/pnas.1314991111. Kubiatowski, T., Jang, T., Lachyankar, M. B., Salmonsen, R., Nabi, R. R., Quesenberry, P. J., Litofsky, N. S., Ross, A. H., and Recht, L. D. (2001). Association of increased phosphatidylinositol 3-kinase signaling with increased invasiveness and gelatinase activity in malignant gliomas. J. Neurosurg. 95(3), 480-8, 10.3171/jns.2001.95.3.0480. Kundu, S., Wang, Y., Xia, W., and Muhler, M. (2008). Thermal stability and reducibility of oxygen-containig functional groups on multiwalled carbon nanotube surfaces: A quantitative high-resolution XPS and TPD/TPR study. J. Phys. Chem. C 112, 16869­ 16878. Kutikova, L., Bowman, L., Chang, S., Long, S., Thornton, D., and Crown, W. (2007). Utilization and Cost of Health Care Services Associated with Primary Malignant Brain Tumors in the United States. J. Neurooncol. 81(1), 61-65, 10.1007/s11060-006-9197-y. Lal, S., La Du, J., Tanguay, R. L., and Greenwood, J. A. (2012). Calpain 2 is required for the invasion of glioblastoma cells in the zebrafish brain microenvironment. J. Neurosci. Res. 90(4), 769-81, 10.1002/jnr.22794. Lam, C.-w., James, J. T., McCluskey, R., Arepalli, S., and Hunter, R. L. (2006a). A Review of Carbon Nanotube Toxicity and Assessment of Potential Occupational and Environmental Health Risks. Crit. Rev. Toxicol. 36(3), 189-217, doi:10.1080/10408440600570233. Lam, C.-W., James, J. T., McCluskey, R., and Hunter, R. L. (2004a). Pulmonary Toxicity of Single-Wall Carbon Nanotubes in Mice 7 and 90 Days After Intratracheal Instillation. Toxicol. Sci. 77(1), 126-134, 10.1093/toxsci/kfg243. Lam, S. H., Chua, H. L., Gong, Z., Lam, T. J., and Sin, Y. M. (2004b). Development and maturation of the immune system in zebrafish, Danio rerio: a gene expression profiling, in situ hybridization and immunological study. Dev. Comp. Immunol. 28(1), 9-28. Lam, S. H., Wu, Y. L., Vega, V. B., Miller, L. D., Spitsbergen, J., Tong, Y., Zhan, H., Govindarajan, K. R., Lee, S., Mathavan, S., Murthy, K. R., Buhler, D. R., Liu, E. T., and Gong, Z. (2006b). Conservation of gene expression signatures between zebrafish and human liver tumors and tumor progression. Nat Biotechnol 24(1), 73-5, 10.1038/nbt1169. le Cessie, S., and van Houwelingen, J. C. (1991). A goodness-of-fit test for binary regression models, based on smoothing methods. Biometrics 47(4), 1267-1282. Lee, H., Yu, M. K., Park, S., Moon, S., Min, J. J., Jeong, Y. Y., Kang, H. W., and Jon, S. (2007a). Thermally cross-linked superparamagnetic iron oxide nanoparticles: synthesis and 130 application as a dual imaging probe for cancer in vivo. J. Am. Chem. Soc. 129(42), 12739­ 45, 10.1021/ja072210i. Lee, H. C., Park, I. C., Park, M. J., An, S., Woo, S. H., Jin, H. O., Chung, H. Y., Lee, S. J., Gwak, H. S., Hong, Y. J., Yoo, D. H., Rhee, C. H., and Hong, S. I. (2005a). Sulindac and its metabolites inhibit invasion of glioblastoma cells via down-regulation of Akt/PKB and MMP-2. J. Cell. Biochem. 94(3), 597-610, 10.1002/jcb.20312. Lee, J. H., Huh, Y. M., Jun, Y. W., Seo, J. W., Jang, J. T., Song, H. T., Kim, S., Cho, E. J., Yoon, H. G., Suh, J. S., and Cheon, J. (2007b). Artificially engineered magnetic nanoparticles for ultra-sensitive molecular imaging. Nat Med 13(1), 95-9, 10.1038/nm1467. Lee, K. J., Browning, L. M., Nallathamby, P. D., and Xu, X. H. (2013). Study of charge-dependent transport and toxicity of peptide-functionalized silver nanoparticles using zebrafish embryos and single nanoparticle plasmonic spectroscopy. Chem. Res. Toxicol. 26(6), 904­ 917. Lee, K. J., Nallathamby, P. D., Browning, L. M., Osgood, C. J., and Xu, X. H. N. (2007c). In vivo imaging of transport and biocompatibility of single silver nanoparticles in early development of zebrafish embryos. ACS Nano 1(2), 133-143. Lee, L. M., Seftor, E. A., Bonde, G., Cornell, R. A., and Hendrix, M. J. (2005b). The fate of human malignant melanoma cells transplanted into zebrafish embryos: assessment of migration and cell division in the absence of tumor formation. Dev. Dyn. 233(4), 1560-70, 10.1002/dvdy.20471. Lee, S. L., Rouhi, P., Dahl Jensen, L., Zhang, D., Ji, H., Hauptmann, G., Ingham, P., and Cao, Y. (2009). Hypoxia-induced pathological angiogenesis mediates tumor cell dissemination, invasion, and metastasis in a zebrafish tumor model. Proc Natl Acad Sci U S A 106(46), 19485-90, 10.1073/pnas.0909228106. Li, J., Yen, C., Liaw, D., Podsypanina, K., Bose, S., Wang, S. I., Puc, J., Miliaresis, C., Rodgers, L., McCombie, R., Bigner, S. H., Giovanella, B. C., Ittmann, M., Tycko, B., Hibshoosh, H., Wigler, M. H., and Parsons, R. (1997). PTEN, a putative protein tyrosine phosphatase gene mutated in human brain, breast, and prostate cancer. Science 275(5308), 1943-7. Li, M., Zhang, Y., Liu, Z., Bharadwaj, U., Wang, H., Wang, X., Zhang, S., Liuzzi, J. P., Chang, S.-M., Cousins, R. J., Fisher, W. E., Brunicardi, F. C., Logsdon, C. D., Chen, C., and Yao, Q. (2007). Aberrant expression of zinc transporter ZIP4 (SLC39A4) significantly contributes to human pancreatic cancer pathogenesis and progression. Proceedings of the National Academy of Sciences 104(47), 18636-18641, 10.1073/pnas.0709307104. Li, Q., Mahendra, S., Lyon, D. Y., Brunet, L., Liga, M. V., Li, D., and Alvarez, P. J. (2008). Antimicrobial nanomaterials for water disinfection and microbial control: potential applications and implications. Water Res 42(18), 4591-602, 10.1016/j.watres.2008.08.015. Liang, W., Shores, M. P., Bockrath, M., Long, J. R., and Park, H. (2002). Kondo resonance in a single-molecule transistor. Nature 417(6890), 725-729. Lin, S., Zhao, Y., Nel, A. E., and Lin, S. (2013a). Zebrafish: An In Vivo Model for Nano EHS Studies. Small 9(9-10), 1608-1618, 10.1002/smll.201202115. Lin, W., Huang, Y. W., Zhou, X. D., and Ma, Y. (2006). Toxicity of cerium oxide nanoparticles in human lung cancer cells. Int J Toxicol 25(6), 451-7, 10.1080/10915810600959543. Lin, Y., Chen, Y., Wang, Y., Yang, J., Zhu, V. F., Liu, Y., Cui, X., Chen, L., Yan, W., Jiang, T., Hergenroeder, G. W., Fletcher, S. A., Levine, J. M., Kim, D. H., Tandon, N., Zhu, J.-J., and Li, M. (2013b). ZIP4 is a novel molecular marker for glioma. Neuro-oncology doi: 10.1093/neuonc/not042, 10.1093/neuonc/not042. 131 Liong, M., Lu, J., Kovochich, M., Xia, T., Ruehm, S. G., Nel, A. E., Tamanoi, F., and Zink, J. I. (2008). Multifunctional inorganic nanoparticles for imaging, targeting, and drug delivery. ACS Nano 2(5), 889-96, 10.1021/nn800072t. Liu, S., Wei, L., Hao, L., Fang, N., Chang, M. W., Xu, R., Yang, Y., and Chen, Y. (2009). Sharper and Faster “Nano Darts” Kill More Bacteria: A Study of Antibacterial Activity of Individually Dispersed Pristine Single-Walled Carbon Nanotube. ACS Nano 3(12), 3891­ 3902, 10.1021/nn901252r. Liu, Y., Zhao, Y., Sun, B., and Chen, C. (2013). Understanding the toxicity of carbon nanotubes. Acc. Chem. Res. 46(3), 702-713. Lutterotti, L., Matthies, S., and Wenk, H. (1999). MAUD: a friendly Java program for material analysis using diffraction. IUCr: Newsletter of the CPD 21(14-15). Ma, H., and Diamond, S. A. (2013). Phototoxicity of TiO2 nanoparticles to zebrafish (Danio rerio) is dependent on life stage. Environ. Toxicol. Chem. 32(9), 2139-2143, 10.1002/etc.2298. Mandrell, D., Truong, L., Jephson, C., Sarker, M. R., Moore, A., Lang, C., Simonich, M. T., and Tanguay, R. L. (2012). Automated zebrafish chorion removal and single embryo placement: optimizing throughput of zebrafish developmental toxicity screens. Journal of laboratory automation 17(1), 66-74, 10.1177/2211068211432197. Marques, I. J., Weiss, F. U., Vlecken, D. H., Nitsche, C., Bakkers, J., Lagendijk, A. K., Partecke, L. I., Heidecke, C. D., Lerch, M. M., and Bagowski, C. P. (2009). Metastatic behaviour of primary human tumours in a zebrafish xenotransplantation model. BMC Cancer 9, 128, 10.1186/1471-2407-9-128. Maynard, A. D., Warheit, D. B., and Philbert, M. A. (2010). The New Toxicology of Sophisticated Materials: Nanotoxicology and Beyond. Toxicol. Sci. doi: 10.1093/toxsci/kfq372, 10.1093/toxsci/kfq372. Mayo, L. D., Dixon, J. E., Durden, D. L., Tonks, N. K., and Donner, D. B. (2002). PTEN protects p53 from Mdm2 and sensitizes cancer cells to chemotherapy. J Biol Chem 277(7), 5484-9, 10.1074/jbc.M108302200. McFadden, D. (1974). Conditional logit analysis of qualitative choice behavior. Academic Press. McKenzie, L. C., and Hutchison, J. E. (2004). Green nanoscience: An integrated approach to greener products, processes, and applications. Chemistry Today doi. Mitchell, L. A., Gao, J., Wal, R. V., Gigliotti, A., Burchiel, S. W., and McDonald, J. D. (2007). Pulmonary and systemic immune response to inhaled multiwalled carbon nanotubes. Toxicol Sci 100(1), 203-14, 10.1093/toxsci/kfm196. Montes-Morán, M. A., Suárez, D., Menéndez, J. A., and Fuente, E. (2004). On the nature of basic sites on carbon surfaces: an overview. Carbon 42(7), 1219-1225, http://dx.doi.org/10.1016/j.carbon.2004.01.023. Morgan, B. J. T. (1992). Analysis of quantal response data. 1 ed. Springer US. Muller, J., Huaux, F., Moreau, N., Misson, P., Heilier, J.-F., Delos, M., Arras, M., Fonseca, A., Nagy, J. B., and Lison, D. (2005). Respiratory toxicity of multi-wall carbon nanotubes. Toxicol. Appl. Pharmacol. 207(3), 221-231, http://dx.doi.org/10.1016/j.taap.2005.01.008. N.N.I. (2011). National Nanotechnology Initiative Environmental, Health, and Safety Reserach Strategy. Composed by the National Science and Technology Council Committee on Technology and the Subcommittee on Nanoscale Science, Engineering, and Technology. N.R.C. (2012). A Research Strategy for Environmental, Health, and Safety Aspects of Engineered Nanomaterials. 132 Nakagawa, T., Kubota, T., Kabuto, M., Sato, K., Kawano, H., Hayakawa, T., and Okada, Y. (1994). Production of matrix metalloproteinases and tissue inhibitor of metalloproteinases­ 1 by human brain tumors. J. Neurosurg. 81(1), 69-77, 10.3171/jns.1994.81.1.0069. Nakano, A., Tani, E., Miyazaki, K., Yamamoto, Y., and Furuyama, J. (1995). Matrix metalloproteinases and tissue inhibitors of metalloproteinases in human gliomas. J. Neurosurg. 83(2), 298-307, 10.3171/jns.1995.83.2.0298. Nanolab (2011). Products: carbon nanotubes and nanomaterials. Available at: http://www.nano­ lab.com/cooh-functionalized-nanotubes.html. Accessed September 2014. Nel, A., Xia, T., Mädler, L., and Li, N. (2006). Toxic Potential of Materials at the Nanolevel. Science 311(5761), 622-627, 10.1126/science.1114397. Nel, A., Xia, T., Meng, H., Wang, X., Lin, S., Ji, Z., and Zhang, H. (2013). Nanomaterial toxicity testing in the 21st century: Use of a predictive toxicological approach and high-throughput screening. Acc. Chem. Res. 46(3), 607-621. Nicoli, S., Ribatti, D., Cotelli, F., and Presta, M. (2007). Mammalian tumor xenografts induce neovascularization in zebrafish embryos. Cancer Res. 67(7), 2927-31, 10.1158/0008­ 5472.CAN-06-4268. Nie, S., Xing, Y., Kim, G. J., and Simons, J. W. (2007). Nanotechnology applications in cancer. Annu Rev Biomed Eng 9, 257-88, 10.1146/annurev.bioeng.9.060906.152025. NNI (2011). National Nanotechnology Initiative Environmental Health and Safety Research Strategy. NNI (2015). Nanotechnology timeline. Available at: http://www.nano.gov/timeline. Accessed June 2015. Noh, J. S., and Schwarz, J. A. (1989). Estimation of the point of zero charge of simple oxides by mass titration. J. Colloid Interface Sci. 130(1), 157-164, http://dx.doi.org/10.1016/0021­ 9797(89)90086-6. NSET (2014). National Nanotechnology Initiative Strategic Plan. In (doi. O'Neal, D. P., Hirsch, L. R., Halas, N. J., Payne, J. D., and West, J. L. (2004). Photo-thermal tumor ablation in mice using near infrared-absorbing nanoparticles. Cancer Lett. 209(2), 171­ 176, http://dx.doi.org/10.1016/j.canlet.2004.02.004. Oberdörster, G. (2010). Safety assessment for nanotechnology and nanomedicine: concepts of nanotoxicology. Journal of Internal Medicine 267(1), 89-105. Oberdörster, G., Oberdörster, E., and Oberdörster, J. (2005). Nanotoxicology: an emerging discipline evolving from studies of ultrafine particles. Environ. Health Perspect. 113(7), 823. Oberdörster, G., Sharp, Z., Atudorei, V., Elder, A., Gelein, R., Kreyling, W., and Cox, C. (2004). Translocation of Inhaled Ultrafine Particles to the Brain. Inhalation Toxicol. 16(6-7), 437­ 445, doi:10.1080/08958370490439597. Oberdürster, G. (2000). Toxicology of ultrafine particles: in vivo studies. OECD Test No. 210: Fish, Early-Life Stage Toxicity Test. OECD Publishing. Ostrom, Q. T., Gittleman, H., Liao, P., Rouse, C., Chen, Y., Dowling, J., Wolinsky, Y., Kruchko, C., and Barnholtz-Sloan, J. (2014). CBTRUS Statistical Report: Primary Brain and Central Nervous System Tumors Diagnosed in the United States in 2007–2011. Neuro-oncology 16(suppl 4), iv1-iv63, 10.1093/neuonc/nou223. Ostrovsky, S., Kazimirsky, G., Gedanken, A., and Brodie, C. (2009). Selective cytotoxic effect of ZnO nanoparticles on glioma cells. Nano Research 2(11), 882-890. 133 Özel, R. E., Alkasir, R. S. J., Ray, K., Wallace, K. N., and Andreescu, S. (2013). Comparative Evaluation of Intestinal Nitric Oxide in Embryonic Zebrafish Exposed to Metal Oxide Nanoparticles. Small 9(24), 4250-4261, 10.1002/smll.201301087. Pardridge, W. M. (1998). CNS Drug Design Based on Principles of Blood-Brain Barrier Transport. J. Neurochem. 70(5), 1781-1792, 10.1046/j.1471-4159.1998.70051781.x. Park, J., Pasupathy, A. N., Goldsmith, J. I., Chang, C., Yaish, Y., Petta, J. R., Rinkoski, M., Sethna, J. P., Abruna, H. D., McEuen, P. L., and Ralph, D. C. (2002). Coulomb blockade and the Kondo effect in single-atom transistors. Nature 417(6890), 722-725. Pasquini, L. M., Hashmi, S. M., Sommer, T. J., Elimelech, M., and Zimmerman, J. B. (2012). Impact of Surface Functionalization on Bacterial Cytotoxicity of Single-Walled Carbon Nanotubes. Environ. Sci. Technol. 46(11), 6297-6305, 10.1021/es300514s. Pasquini, L. M., Sekol, R. C., Taylor, A. D., Pfefferle, L. D., and Zimmerman, J. B. (2013a). Realizing comparable oxidative and cytotoxic potential of single- and multiwalled carbon nanotubes through annealing. Environ. Sci. Technol. 47(15), 8775-8783. Pasquini, L. M., Sekol, R. C., Taylor, A. D., Pfefferle, L. D., and Zimmerman, J. B. (2013b). Realizing Comparable Oxidative and Cytotoxic Potential of Single- and Multiwalled Carbon Nanotubes through Annealing. Environ. Sci. Technol. 47(15), 8775-8783, 10.1021/es401786s. Patel, V. (2011). Global carbon nanotubes market-industry beckons. Available at: www.nanowerk.com. Accessed February 5 2014. Paterson, G., Ataria, J. M., Hoque, M. E., Burns, D. C., and Metcalfe, C. D. (2011). The toxicity of titanium dioxide nanopowder to early life stages of the Japanese medaka (Oryzias latipes). Chemosphere 82(7), 1002-1009, http://dx.doi.org/10.1016/j.chemosphere.2010.10.068. Perrault, S. D., Walkey, C., Jennings, T., Fischer, H. C., and Chan, W. C. W. (2009). Mediating Tumor Targeting Efficiency of Nanoparticles Through Design. Nano Lett. 9(5), 1909­ 1915, 10.1021/nl900031y. Petosa, A. R., Jaisi, D. P., Quevedo, I. R., Elimelech, M., and Tufenkji, N. (2010). Aggregation and deposition of engineered nanomaterials in aquatic environments: Role of physicochemial interactions. Environ. Sci. Technol. 44(17), 6532-6549. Poland, C. A., Duffin, R., Kinloch, I., Maynard, A., Wallace, W. A. H., Seaton, A., Stone, V., Brown, S., MacNee, W., and Donaldson, K. (2008). Carbon nanotubes introduced into the abdominal cavity of mice show asbestos-like pathogenicity in a pilot study. Nat Nano 3(7), 423-428, http://www.nature.com/nnano/journal/v3/n7/suppinfo/nnano.2008.111_S1.html. Popov, V. N. (2004). Carbon nanotubes: properties and application. Materials Science and Engineering: R: Reports 43(3), 61-102, http://dx.doi.org/10.1016/j.mser.2003.10.001. Powers, K. W., Palazuelos, M., Moudgil, B. M., and Roberts, S. M. (2007). Characterization of the size, shape, and state of dispersion of nanoparticles for toxicological studies. Nanotoxicology 1(1), 42-51, doi:10.1080/17435390701314902. Poynton, H. C., Lazorchak, J. M., Impellitteri, C. A., Smith, M. E., Rogers, K., Patra, M., Hammer, K. A., Allen, H. J., and Vulpe, C. D. (2010). Differential Gene Expression in Daphnia magna Suggests Distinct Modes of Action and Bioavailability for ZnO Nanoparticles and Zn Ions. Environ. Sci. Technol. 45(2), 762-768, 10.1021/es102501z. Prasad, R. Y., Wallace, K., Daniel, K. M., Tennant, A. H., Zucker, R. M., Strickland, J., Dreher, K., Kligerman, A. D., Blackman, C. F., and DeMarini, D. M. (2013). Effect of Treatment 134 Media on the Agglomeration of Titanium Dioxide Nanoparticles: Impact on Genotoxicity, Cellular Interaction, and Cell Cycle. ACS Nano 7(3), 1929-1942, 10.1021/nn302280n. Premanathan, M., Karthikeyan, K., Jeyasubramanian, K., and Manivannan, G. (2011). Selective toxicity of ZnO nanoparticles toward Gram-positive bacteria and cancer cells by apoptosis through lipid peroxidation. Nanomed. Nanotechnol. Biol. Med. 7(2), 184-192, 10.1016/j.nano.2010.10.001. R_Core_Team (2013). R: a language and environment for statistical computing. Available at: http://www.R-project.org/. Accessed September 2014. Rahman, Q., Lohani, M., Dopp, E., Pemsel, H., Jonas, L., Weiss, D. G., and Schiffmann, D. (2002). Evidence that ultrafine titanium dioxide induces micronuclei and apoptosis in Syrian hamster embryo fibroblasts. Environ. Health Perspect. 110(8), 797. Reddy, K. M., Feris, K., Bell, J., Wingett, D. G., Hanley, C., and Punnoose, A. (2007). Selective toxicity of zinc oxide nanoparticles to prokaryotic and eukaryotic systems. Appl. Phys. Lett. 90(21), 213902, 10.1063/1.2742324. Reimers, M. J., La Du, J. K., Periera, C. B., Giovanini, J., and Tanguay, R. L. (2006). Ethanoldependent toxicity in zebrafish is partially attenuated by antioxidants. Neurotoxicol. Teratol. 28(4), 497-508, http://dx.doi.org/10.1016/j.ntt.2006.05.007. Rizzo, L. Y., Golombek, S. K., Mertens, M. E., Pan, Y., Laaf, D., Broda, J., Jayapaul, J., Mockel, D., Subr, V., Hennink, W. E., Storm, G., Simon, U., Jahnen-Dechent, W., Kiessling, F., and Lammers, T. (2013). In vivo nanotoxicity testing using the zebrafish embryo assay. Journal of Materials Chemistry B 1(32), 3918-3925, 10.1039/c3tb20528b. Sakamoto, Y., Nakae, D., Fukumori, N., Tayama, K., Maekawa, A., Imai, K., Hirose, A., Nishimura, T., Ohashi, N., and Ogata, A. (2009). Induction of mesothelioma by a single intrascrotal administration of multi-wall carbon nanotube in intact male Fischer 344 rats. J. Toxicol. Sci. 34(1), 65-76. Sanders, K., Degn, L. L., Mundy, W. R., Zucker, R. M., Dreher, K., Zhao, B., Roberts, J. E., and Boyes, W. K. (2012). In Vitro Phototoxicity and Hazard Identification of Nano-scale Titanium Dioxide. Toxicol. Appl. Pharmacol. 258(2), 226-236, http://dx.doi.org/10.1016/j.taap.2011.10.023. Saxena, R. K., William, W., McGee, J. K., Daniels, M. J., Boykin, E., and Gilmour, M. I. (2007). Enhanced in vitro and in vivo toxicity of poly-dispersed acid-functionalized single-wall carbon nanotubes. Nanotoxicology 1(4), 291-300. Sayes, C. M., Wahi, R., Kurian, P. A., Liu, Y., West, J. L., Ausman, K. D., Warheit, D. B., and Colvin, V. L. (2006). Correlating nanoscale titania structure with toxicity: a cytotoxicity and inflammatory response study with human dermal fibroblasts and human lung epithelial cells. Toxicol Sci 92(1), 174-85, 10.1093/toxsci/kfj197. Schaefer, D. W., Zhao, J., Brown, J. M., Anderson, D. P., and Tomlin, D. W. (2003). Morphology of dispersed carbon single-walled nanotubes. Chem. Phys. Lett. 375(3–4), 369-375, http://dx.doi.org/10.1016/S0009-2614(03)00867-4. Schubert, D., Dargusch, R., Raitano, J., and Chan, S.-W. (2006). Cerium and yttrium oxide nanoparticles are neuroprotective. Biochem. Biophys. Res. Commun. 342(1), 86-91, http://dx.doi.org/10.1016/j.bbrc.2006.01.129. Scown, T. M., van Aerle, R., and Tyler, C. R. (2010). Review: Do engineered nanoparticles pose a significant threat to the aquatic environment? Crit. Rev. Toxicol. 40(7), 653-670, doi:10.3109/10408444.2010.494174. 135 Sharma, V., Shukla, R. K., Saxena, N., Parmar, D., Das, M., and Dhawan, A. (2009). DNA damaging potential of zinc oxide nanoparticles in human epidermal cells. Toxicol. Lett. 185(3), 211-218. Shingu, T., Yamada, K., Hara, N., Moritake, K., Osago, H., Terashima, M., Uemura, T., Yamasaki, T., and Tsuchiya, M. (2003). Growth inhibition of human malignant glioma cells induced by the PI3-K-specific inhibitor. J. Neurosurg. 98(1), 154-61, 10.3171/jns.2003.98.1.0154. Smith, A. M., and Nie, S. (2010). Semiconductor nanocrystals: structure, properties, and band gap engineering. Acc Chem Res 43(2), 190-200, 10.1021/ar9001069. Smith, A. M., and Nie, S. (2011). Bright and Compact Alloyed Quantum Dots with Broadly Tunable Near-Infrared Absorption and Fluorescence Spectra through Mercury Cation Exchange. J. Am. Chem. Soc. 133(1), 24-26, 10.1021/ja108482a. Smith, J. S., Tachibana, I., Passe, S. M., Huntley, B. K., Borell, T. J., Iturria, N., O'Fallon, J. R., Schaefer, P. L., Scheithauer, B. W., James, C. D., Buckner, J. C., and Jenkins, R. B. (2001). PTEN mutation, EGFR amplification, and outcome in patients with anaplastic astrocytoma and glioblastoma multiforme. J. Natl. Cancer Inst. 93(16), 1246-56. Song, W., Zhang, J., Guo, J., Zhang, J., Ding, F., Li, L., and Sun, Z. (2010). Role of the dissolved zinc ion and reactive oxygen species in cytotoxicity of ZnO nanoparticles. Toxicol. Lett. 199(3), 389-397. Stoletov, K., Kato, H., Zardouzian, E., Kelber, J., Yang, J., Shattil, S., and Klemke, R. (2010). Visualizing extravasation dynamics of metastatic tumor cells. J. Cell Sci. 123(13), 2332­ 2341, 10.1242/jcs.069443. Stoletov, K., Montel, V., Lester, R. D., Gonias, S. L., and Klemke, R. (2007). High-resolution imaging of the dynamic tumor cell vascular interface in transparent zebrafish. Proc Natl Acad Sci U S A 104(44), 17406-11, 10.1073/pnas.0703446104. Stupp, R., Mason, W. P., van den Bent, M. J., Weller, M., Fisher, B., Taphoorn, M. J., Belanger, K., Brandes, A. A., Marosi, C., Bogdahn, U., Curschmann, J., Janzer, R. C., Ludwin, S. K., Gorlia, T., Allgeier, A., Lacombe, D., Cairncross, J. G., Eisenhauer, E., and Mirimanoff, R. O. (2005). Radiotherapy plus concomitant and adjuvant temozolomide for glioblastoma. New Engl. J. Med. 352(10), 987-96, 10.1056/NEJMoa043330. Su, J. D., Mayo, L. D., Donner, D. B., and Durden, D. L. (2003). PTEN and phosphatidylinositol 3'-kinase inhibitors up-regulate p53 and block tumor-induced angiogenesis: evidence for an effect on the tumor and endothelial compartment. Cancer Res. 63(13), 3585-92. TCGA. (2008). Comprehensive genomic characterization defines human glioblastoma genes and core pathways. Nature 455(7216), 1061-8, 10.1038/nature07385. Thevenot, P., Cho, J., Wavhal, D., Timmons, R. B., and Tang, L. (2008). Surface chemistry influences cancer killing effect of TiO2 nanoparticles. Nanomedicine : nanotechnology, biology, and medicine 4(3), 226-36, 10.1016/j.nano.2008.04.001. Trevisan, R., Delapedra, G., Mello, D. F., Arl, M., Schmidt, É. C., Meder, F., Monopoli, M., Cargnin-Ferreira, E., Bouzon, Z. L., Fisher, A. S., Sheehan, D., and Dafre, A. L. (2014). Gills are an initial target of zinc oxide nanoparticles in oysters Crassostrea gigas, leading to mitochondrial disruption and oxidative stress. Aquat. Toxicol. doi: http://dx.doi.org/10.1016/j.aquatox.2014.03.018(0), http://dx.doi.org/10.1016/j.aquatox.2014.03.018. Truong, L., Harper, S. L., and Tanguay, R. L. (2011). Evaluation of embryotoxicity using the zebrafish model. Methods Mol Biol 691, 271-9, 10.1007/978-1-60761-849-2_16. 136 Truong, L., Zaikova, T., Richman, E. K., Hutchison, J. E., and Tanguay, R. L. (2012a). Media ionic strength impacts embryonic responses to engineered nanoparticle exposure. Nanotoxicology 6(7), 691-9, 10.3109/17435390.2011.604440. Truong, L., Zaikova, T., Richman, E. K., Hutchison, J. E., and Tanguay, R. L. (2012b). Media ionic strength impacts embryonic responses to engineered nanoparticle exposure. . Nanotoxicology 6(7), 691-699. Usenko, C. Y., Harper, S. L., and Tanguay, R. L. (2007). In vivo evaluation of carbon fullerene toxicity using embryonic zebrafish. Carbon 45(9), 1891-1898, 10.1016/j.carbon.2007.04.021. Valant, J., Drobne, D., Sepcic, K., Jemec, A., Kogej, K., and Kostanjsek, R. (2009). Hazardous potential of manufactured nanoparticles identified by in vivo assay. J. Hazard. Mater. 171(1-3), 160-5, 10.1016/j.jhazmat.2009.05.115. Van Hoecke, K., Quik, J. T., Mankiewicz-Boczek, J., De Schamphelaere, K. A., Elsaesser, A., Van der Meeren, P., Barnes, C., McKerr, G., Howard, C. V., Van de Meent, D., Rydzynski, K., Dawson, K. A., Salvati, A., Lesniak, A., Lynch, I., Silversmit, G., De Samber, B., Vincze, L., and Janssen, C. R. (2009). Fate and effects of CeO2 nanoparticles in aquatic ecotoxicity tests. Environ Sci Technol 43(12), 4537-46. Van Meir, E. G., Hadjipanayis, C. G., Norden, A. D., Shu, H. K., Wen, P. Y., and Olson, J. J. (2010). Exciting new advances in neuro-oncology: the avenue to a cure for malignant glioma. CA. Cancer J. Clin. 60(3), 166-93, 10.3322/caac.20069. Vecitis, C. D., Zodrow, K. R., Kang, S., and Elimelech, M. (2010). Electronic-StructureDependent Bacterial Cytotoxicity of Single-Walled Carbon Nanotubes. ACS Nano 4(9), 5471-5479, 10.1021/nn101558x. Voutchkova-Kostal, A., Kostal, J., Connors, K. A., Brooks, B. W., Anastas, P. T., and Zimmerman, J. B. (2012). Toward rational molecular design for reduced chronic aquatic toxicity. Green Chem. 14, 1001-1008. Wang, H., Wingett, D., Engelhard, M. H., Feris, K., Reddy, K. M., Turner, P., Layne, J., Hanley, C., Bell, J., Tenne, D., Wang, C., and Punnoose, A. (2008). Fluorescent dye encapsulated ZnO particles with cell-specific toxicity for potential use in biomedical applications. J. Mater. Sci. Mater. Med. 20(1), 11-22, 10.1007/s10856-008-3541-z. Wang, S. I., Puc, J., Li, J., Bruce, J. N., Cairns, P., Sidransky, D., and Parsons, R. (1997). Somatic mutations of PTEN in glioblastoma multiforme. Cancer Res. 57(19), 4183-6. Webb, D. J., and Horwitz, A. F. (2003). New dimensions in cell migration. Nat Cell Biol 5(8), 690-692. Wehmas, L. C., Anders, C., Chess, J., Punnoose, A., Pereira, C. B., Greenwood, J. A., and Tanguay, R. L. (2015). Comparative metal oxide nanoparticle toxicity using embryonic zebrafish. Toxicology Reports 2(0), 702-715, http://dx.doi.org/10.1016/j.toxrep.2015.03.015. Wei, C., Lin, W. Y., Zainal, Z., Williams, N. E., Zhu, K., Kruzic, A. P., Smith, R. L., and Rajeshwar, K. (1994). Bactericidal Activity of TiO2 Photocatalyst in Aqueous Media: Toward a Solar-Assisted Water Disinfection System. Environ Sci Technol 28(5), 934-8, 10.1021/es00054a027. Wohlfart, S., Gelperina, S., and Kreuter, J. (2012). Transport of drugs across the blood–brain barrier by nanoparticles. J. Controlled Release 161(2), 264-273, http://dx.doi.org/10.1016/j.jconrel.2011.08.017. 137 Wong, C., Stylianopoulos, T., Cui, J., Martin, J., Chauhan, V. P., Jiang, W., Popović, Z., Jain, R. K., Bawendi, M. G., and Fukumura, D. (2011). Multistage nanoparticle delivery system for deep penetration into tumor tissue. Proceedings of the National Academy of Sciences 108(6), 2426-2431, 10.1073/pnas.1018382108. Xia, T., Kovochich, M., Brant, J., Hotze, M., Sempf, J., Oberley, T., Sioutas, C., Yeh, J. I., Wiesner, M. R., and Nel, A. E. (2006). Comparison of the abilities of ambient and manufactured nanoparticles to induce cellular toxicity according to an oxidative stress paradigm. Nano Lett. 6(8), 1794-1807. Xia, T., Kovochich, M., Liong, M., Madler, L., Gilbert, B., Shi, H., Yeh, J. I., Zink, J. I., and Nel, A. E. (2008a). Comparison of the mechanism of toxicity of zinc oxide and cerium oxide nanoparticles based on dissolution and oxidative stress properties. ACS Nano 2(10), 2121­ 34, 10.1021/nn800511k Xia, T., Kovochich, M., Liong, M., Zink, J. I., and Nel, A. E. (2008b). Cationic polystyrene nanosphere toxicity depends on cell-specific endocytic and mitochondrial injury pathways. ACS Nano 2(1), 85-96, 10.1021/nn700256c. Xiong, D., Fang, T., Yu, L., Sima, X., and Zhu, W. (2011). Effects of nano-scale TiO2, ZnO and their bulk counterparts on zebrafish: Acute toxicity, oxidative stress and oxidative damage. Sci. Total Environ. 409(8), 1444-1452, http://dx.doi.org/10.1016/j.scitotenv.2011.01.015. Yang, H., Liu, C., Yang, D., Zhang, H., and Xi, Z. (2009). Comparative study of cytotoxicity, oxidative stress and genotoxicity induced by four typical nanomaterials: the role of particle size, shape and composition. J. Appl. Toxicol. 29(1), 69-78, 10.1002/jat.1385. Yang, X. J., Cui, W., Gu, A., Xu, C., Yu, S. C., Li, T. T., Cui, Y. H., Zhang, X., and Bian, X. W. (2013). A novel zebrafish xenotransplantation model for study of glioma stem cell invasion. PLoS ONE 8(4), e61801, 10.1371/journal.pone.0061801. Yang, Z., and Xie, C. (2006). Zn< sup> 2+</sup> release from zinc and zinc oxide particles in simulated uterine solution. Colloids Surf. B. Biointerfaces 47(2), 140-145. Ye, S. F., Wu, Y. H., Hou, Z. Q., and Zhang, Q. Q. (2009). ROS and NF-kappaB are involved in upregulation of IL-8 in A549 cells exposed to multi-walled carbon nanotubes. Biochem. Biophys. Res. Commun. 379(2), 643-8, 10.1016/j.bbrc.2008.12.137. Yeager, E. (1984). Electrocatalysts for O2 reduction. Electrochim. Acta 29(11), 1527-1537. Yeo, M.-K., and Kang, M. (2012). The biological toxicities of two crystalline phases and differential sizes of TiO2 nanoparticles during zebrafish embryogenesis development. Molecular & Cellular Toxicology 8(4), 317-326, 10.1007/s13273-012-0039-z. Yu, L.-p., Fang, T., Xiong, D.-w., Zhu, W.-t., and Sima, X.-f. (2011). Comparative toxicity of nano-ZnO and bulk ZnO suspensions to zebrafish and the effects of sedimentation, [radical dot]OH production and particle dissolution in distilled water. J. Environ. Monit. 13(7), 1975-1982, 10.1039/c1em10197h. Yu, M. K., Park, J., Jeong, Y. Y., Moon, W. K., and Jon, S. (2010). Integrin-targeting thermally cross-linked superparamagnetic iron oxide nanoparticles for combined cancer imaging and drug delivery. Nanotechnology 21(41), 415102, 10.1088/0957-4484/21/41/415102. Zhang, B., Shimada, Y., Kuroyanagi, J., Umemoto, N., Nishimura, Y., and Tanaka, T. (2014). Quantitative phenotyping-based in vivo chemical screening in a zebrafish model of leukemia stem cell xenotransplantation. PLoS ONE 9(1), e85439, 10.1371/journal.pone.0085439. Zhang, H., Ji, Z., Xia, T., Meng, H., Low-Kam, C., Liu, R., Pokhrel, S., Lin, S., Wang, X., Liao, Y. P., Wang, M., Li, L., Rallo, R., Damoiseaux, R., Telesca, D., Madler, L., Cohen, Y., 138 Zink, J. I., and Nel, A. E. (2012). Use of metal oxide nanoparticle band gap to develop a predictive paradigm for oxidative stress and acute pulmonary inflammation. ACS Nano 6(5), 4349-68, 10.1021/nn3010087. Zhao, X., Wang, S., Wu, Y., You, H., and Lv, L. (2013). Acute ZnO nanoparticles exposure induces developmental toxicity, oxidative stress and DNA damage in embryo-larval zebrafish. Aquat Toxicol 136-137, 49-59, 10.1016/j.aquatox.2013.03.019. Zhu, L., Chang, D. W., Dai, L., and Hong, Y. (2007). DNA damage induced by multiwalled carbon nanotubes in mouse embryonic stem cells. Nano Lett 7(12), 3592-7, 10.1021/nl071303v. Zhu, X., Wang, J., Zhang, X., Chang, Y., and Chen, Y. (2009). The impact of ZnO nanoparticle aggregates on the embryonic development of zebrafish (Danio rerio). Nanotechnology 20(19), 195103, 10.1088/0957-4484/20/19/195103. Zhu, X., Zhu, L., Duan, Z., Qi, R., Li, Y., and Lang, Y. (2008). Comparative toxicity of several metal oxide nanoparticle aqueous suspensions to Zebrafish (Danio rerio) early developmental stage. Journal of Environmental Science and Health Part A 43(3), 278-284. Zon, L. I., and Peterson, R. T. (2005). In vivo drug discovery in the zebrafish. Nature reviews. Drug discovery 4(1), 35-44, 10.1038/nrd1606. 139 APPENDICES 140 Appendix A A.1 Methods A.1.1 MWNT Characterization. TGA was used to determine the purity of the acid treated starting material and ensure negligible contribution of any residual metal catalysts to the observed zebrafish response using a Setsys 16/18 system under flowing air in the temperature range of 200-1000 °C (10 °C/min ramp rate). A high degree of purity and minimal redox activity was observed for both starting material samples.(Gilbertson et al., 2014) XPS was utilized to measure the total surface oxygen content. Method details are outlined elsewhere.(Gilbertson et al., 2014) A PHI 5600 XPS system (1253.6 eV) with a high energy electron energy analyzer, operating at constant pass-energy (58.7 eV), scan rate of 0.125 eV/step (50 ms/step), and consistent spot size was used to collect data at multiple locations on the prepared sample. Commercially available CasaXPS software and peak integration was used for quantification of total oxygen. Light scattering techniques enabled quantification of the dispersed aggregate size distribution and morphology, as the fractal dimension, in solution. Although the data was collected in DI water rather than the biological media, it has been previously shown that the relative trend of both aggregate size and fractal dimension is maintained in increased ionic strength solvents.(Pasquini et al., 2013) The relative trend of these properties is more important to inform the statistical model rather than the absolute value. Details of sample preparation and data collection are described elsewhere.(Pasquini et al., 2013, Pasquini et al., 2012) Briefly, a multidetector ALV-Gmbh goniometer was used to collect both DLS (90°) and SLS (17-153°) data. For DLS, 500 10-second measurements were collected for each sample and the raw correlation 141 functions exported and analyzed in MATLAB and Fortran using the CONTIN algorithm.(Pasquini et al., 2013) The most probable aggregate size (Table 2) was determined from the peak of the resulting probability distribution as previously described by Pasquini, et al.(Pasquini et al., 2012) For SLS data collection, multiple iterations were performed for each sample to optimize the linear fit of the data and the fractal dimension determined from the slope of the best fit line according to the known relationship between the scattered light intensity, I, and the wave vector, q, such that ሑዦሑወ ሗሳ ሥኣ .(Pasquini et al., 2013, Pasquini et al., 2012) The electrochemical activity was determined by measuring the potential for the MWNTs to promote the reduction of oxygen using the RDE method. Details of this method are outlined elsewhere.(Gilbertson et al., 2014, Pasquini et al., 2013) Briefly, a sample MWNT ink was prepared based on literature methods and deposited onto a glassy carbon electrode (GCE). Experiments were carried out in triplicate or quadruplicate in oxygen saturated alkaline media using various electrode rotation rates (400, 625, 900, 1600 and 2500 rpm) and a 5 mV s-1 scan rate. The measured current was plotted against the potential to produce a polarization curve. The polarization curve was used to determine the half-wave potential (E1/2), which is representative of the MWNT activity towards the reduction of oxygen. The compiled characterization results (Table 2) were used to develop a logistic model that explains the observed trend in embryonic zebrafish response to these various MWNT samples. 142 Table A.1. Developmental and toxic endpoints measured at either 24 or 120 hours post fertilization (hpf). Italicized endpoints were chosen to develop the statistical model Abbreviation Effect Description Time Point (hpf) MO24 DP24 Mortality at 24 hpf Delayed development progression at 24 hpf 24 24 SM24 NC24 MORT Abnormal spontaneous movement at 24 hpf Notochord Malformations at 24 hpf Mortality at 120 hpf 24 24 120 TOTAL MORT Total mortality 120 YSE_ Yolk Sac Edema 120 AXIS EYE_ SNOU Axis Malformation Eye Malformations Snout Malformations 120 120 120 JAW_ OTIC PE_ Jaw Malformations Otic Vessicle Malformations Pericardial Edema 120 120 120 BRAI Brain Malformations 120 SOMI Somite Malformations 120 PFIN CFIN PIG_ Pectoral Fin Malformations Cuadal Fin Malformations Abnormal Pigmentation 120 120 120 CIRC TRUN Abnormal Circulation or Circulatory Malformations Shortened Trunk 120 120 SWIM Abnormal Swim Bladder 120 NC_ Notochord Malformations at 120 hpf 120 TR_ Abnormal Touch Response 120 ANY Any Malformation TOTAL AFFECTED Total Mortality Combined with Any Malformation 120 120 143 Figure A.1. Pearson correlations between the five measured MWNTs properties Point of zero charge (PZC) and percent surface oxygen (Oxygen) measurements are highly correlated (R > 0.9). Due to the linearity between PZC and surface oxygen concentration, only one of the measures was used as a model predictor. Smaller correlations are observed between PZC and % oxygen with morphology, aggregate radius (Radius), and electrochemical activity (HWP). 144 Appendix B Figure B.1. Representative TEM images of each metal oxide nanoparticle synthesis method Abbreviations: ZnO = zinc oxide, CeO2 = cerium dioxide, SnO2 = tin dioxide, TiO2 = titanium dioxide. 145 Figure B.2. Heat map of metal oxide nanoparticle toxicity Heat map displaying the percent prevalence of malformations and mortality resulting from a fiveday embryonic zebrafish exposure to a five-fold concentration response series ranging from 0 50 mg/L metal oxide nanoparticles, bulk controls, and, in the case of zinc, a dissolved zinc equivalent (0–99 mg/L) ionic control (n = 32 except ZnO NP in water where n = 96). Exposures were conducted in ultrapure water or embryo medium (EM). The color scale above the heat map indicates the percent prevalence of a particular endpoint assessed in the zebrafish at 24 h post fertilization (hpf) or 120 hpf. Abbreviations for endpoints assessed at 24 hpf: MO24 = mortality, DP = delayed developmental progression, SM = reduced or excessive frequency of zebrafish 146 spontaneous tail coiling, and NC24 = notochord malformation. Abbreviations for endpoints assessed at 120 hpf: YSE = yolk sac edema, AXIS = abnormal body axis curvature, EYE = eye malformation, SNOU = snout malformation, JAW = jaw malformation, OTIC = otic vesicle malformation, PE = pericardial edema, BRAIN = brain malformation, SOMI = abnormal somite development, PFIN = malformed pectoral fins, PIG = hypo or hyper pigmentation, CIRC = abnormal circulation or circulatory vasculature, TRUN = shorted body axis, SWIM = abnormal swim bladder development, NC = notochord malformation, MORT = total mortality, and AFTD = total dead and malformed larvae. 147 Figure B.3. Zebrafish exposed to zinc oxide nanoparticle Representative scanning electron microscopy images of 96 hpf zebrafish exposed to zinc oxide nanoparticle (ZnO NP) and control prepared in ultrapure water for ዣ1–2 h prior to fixation. 148