Nanomedicine: Nanotechnology, Biology, and Medicine 12 (2016) 1663 – 1701 nanomedjournal.com Ultrasmall inorganic nanoparticles: State-of-the-art and perspectives for biomedical applications Kristof Zarschler, PhD a,⁎, Louise Rocks, PhD b , Nadia Licciardello, PhD a, c, d , Luca Boselli, PhD b , Ester Polo, PhD b , Karina Pombo Garcia, MSc a , Luisa De Cola c, d , Holger Stephan, PhD a , Kenneth A. Dawson b a Institute of Radiopharmaceutical Cancer Research, Helmholtz-Zentrum Dresden - Rossendorf, Bautzner Landstraße 400, Dresden, Germany Centre For BioNano Interactions (CBNI), School of Chemistry and Chemical Biology, University College Dublin, Belfield, Dublin 4, Ireland c Laboratoire de Chimie et des Biomatériaux Supramoléculaires, Institut de Science et d’Ingénierie Supramoléculaires (ISIS), 8 allée Gaspard Monge, Strasbourg, France d Institut für Nanotechnologie (INT), Karlsruher Institut für Technologie (KIT) Campus North, Hermann-von-Helmholtz-Platz 1, Eggenstein-Leopoldshafen, Germany Received 26 October 2015; accepted 15 February 2016 b Abstract Ultrasmall nanoparticulate materials with core sizes in the 1-3 nm range bridge the gap between single molecules and classical, largersized nanomaterials, not only in terms of spatial dimension, but also as regards physicochemical and pharmacokinetic properties. Due to these unique properties, ultrasmall nanoparticles appear to be promising materials for nanomedicinal applications. This review overviews the different synthetic methods of inorganic ultrasmall nanoparticles as well as their properties, characterization, surface modification and toxicity. We moreover summarize the current state of knowledge regarding pharmacokinetics, biodistribution and targeting of nanoscale materials. Aside from addressing the issue of biomolecular corona formation and elaborating on the interactions of ultrasmall nanoparticles with individual cells, we discuss the potential diagnostic, therapeutic and theranostic applications of ultrasmall nanoparticles in the emerging field of nanomedicine in the final part of this review. © 2016 Elsevier Inc. All rights reserved. Key words: Ultrasmall nanoparticles; Nanomedicine; Pharmacokinetics; Protein corona; Active targeting; Cancer; Renal excretion Since few decades, the immense potential of nanoparticles (NPs) especially in the field of nanomedicine leads to widespread interest and attention together with knowledge and expertise about nanosized objects. Despite the growing interest, the understanding that nanoparticles could have clearance problems for in vivo This article is part of the “Targeted Nanosystems as Therapeutic and Diagnostic Tools” papers. The financial support by the Helmholtz Virtual Institute Nano-Tracking (Agreement Number VH-VI-421) is gratefully acknowledged. This study is part of a research initiative “Technologie und Medizin – Multimodale Bildgebung zur Aufklärung des in vivo Verhaltens von polymeren Biomaterialien” of the Helmholtz-Portfoliothema. Financial support through European Union’s Horizon 2020 Research and Innovation Programme (Nanofacturing, grant agreement No 646364) is gratefully acknowledged. There are no conflicts of interest. ⁎Corresponding author at: Helmholtz-Zentrum Dresden - Rossendorf (HZDR), Institute of Radiopharmaceutical Cancer Research, Bautzner Landstr. 400, Dresden, Germany. E-mail address: k.zarschler@hzdr.de (K. Zarschler). http://dx.doi.org/10.1016/j.nano.2016.02.019 1549-9634/© 2016 Elsevier Inc. All rights reserved. application or being limited in the crossing of biological membranes, spins off the growth of ultrasmall nanoparticles (USNPs) of dimensions of small biological objects. 1 By definition, the core size of USNPs ranges from 1 to 3 nm with the majority of its atoms located at the surface. 2-4 Both, the specific surface area and the number of atoms at the surface increase drastically when the core diameter decreases towards the ultrasmall range (Figure 1). For instance, more than 70% of the atoms forming a 2-nm USNP will be located on its surface. This increased surface/ volume ratio leads to unique properties that diverge from their microscopic species or from the bulk material itself. 4 As a consequence, USNPs fill the gap between small molecules and conventional, larger-sized NPs, not only in terms of size, but also as regards physicochemical and pharmacokinetic properties. Their core size in the low single-figure nanometer range represents a necessary, but by no means sufficient precondition for their rapid elimination via the renal pathway upon intravenous administration. 5 In other words, not all USNPs can per se be cleared renally, as their surface 1664 K. Zarschler et al / Nanomedicine: Nanotechnology, Biology, and Medicine 12 (2016) 1663–1701 Figure 1. The specific surface area as well as the number of atoms at the surface increases drastically when the core diameter decreases towards the ultrasmall range. charge, shape and surface composition influences their pharmacokinetics in addition to their size. 6-8 The widely used term “ultrasmall nanoparticles” originating from the field of material science is therefore in no way synonymous with the pharmacological term “renal excretable nanoparticles”. In fact, their biodistribution as well as blood clearance depends primarily on their in vivo hydrodynamic diameter that can be substantially larger than their in vitro diameter due to the unspecific adsorption of serum component including proteins and lipids. 9 This formation of a biomolecular corona has been observed for a wide range of different NP platforms. As a result, many nanosized objects are scavenged by the mononuclear phagocyte system (MPS) and adequate surface modifications need to be made to counter this issue and to render NPs more suitable for nanomedical applications. 10 This review will focus specifically on inorganic USNPs and attempts to summarize comprehensively the relevant literature regarding metallic and non-metallic USNPs (e.g. gold and carbon), oxide USNPs (e.g. iron oxide and silica) as well as ultrasmall semiconductor quantum dots (QD) and rare earth based USNPs including upconverting nanophosphors. These different NP species will be successively discussed, describing in detail their synthesis and properties as well as their characterization, surface modification and toxicity. Subsequently, the current state of knowledge regarding pharmacokinetics and biodistribution of USNPs with a main focus on their elimination pathways is summarized and targeting strategies for USNPs are examined. Before the potential diagnostic, therapeutic and theranostic applications of USNPs in the emerging field of nanomedicine are discussed in the final part of this review, the issue of biomolecular corona formation is addressed and the very limited knowledge about the interactions of USNPs with individual cells is specified. Metallic nanoparticles Gold nanoparticles Due to the high chemical inertness, broad variety of surface functionalization and facile synthesis, gold NPs have been considered for a long period as ideal candidates for many biological and medical applications, e.g. cell imaging, ultrasensitive detection, transfection, drug transport and delivery systems, antiviral agents and efficient materials for photothermal ablation. 11-13 Particularly, in recent years considerable effort has been directed towards ultrasmall gold particles (AuNPs). 14-20 AuNPs can be synthesized by the cluster beam method in the gas phase 21 or in solution. Typically, the reduction of a dissolved Au(III) salt or Au(I) complex to Au(0) is performed by a suitable reducing agent in presence of Lewis base ligands. The most common ligands are carboxylic acids, amides, phosphines and thiols. Reducing agents are mainly sodium borohydride or diborane, but also citrate or hydroquinone, depending on the polarity of the solvent as well as the intended size range. Modestly monodisperse AuNPs about 10 nm can be obtained by the Turkevich method using citrate as reducing agent for chloroauric acid in boiling water. 22,23 One of the most feasible routes to achieve ultrasmall AuNPs (b 5 nm) was developed by Brust and Schiffrin. HAuCl4 is reduced by NaBH4 in a biphasic water/toluene system containing an alkylthiol for stabilization and tetraoctylammonium bromide as phase transfer catalyst. 24 By variation of thiols, uniform-sized AuNPs can be tailor-made.15 The thiol-containing tripeptide glutathione provides highly stable AuNPs b 3 nm. 25 Colloidal stable 3-6 nm-sized AuNPs can be also obtained in aqueous solution by reduction of chloroauric acid with NaBH4 dissolved in NaOH. These particles are suitable precursors for subsequent hydrophobic and hydrophilic coating as well. 26 Monodisperse ultrasmall AuNPs are meanwhile also available by ATP capping 27, stabilization with polymers 28, fabrication in aminecontaining ionic liquids 29 and template synthesis using dendrimers 30. Biodistribution and toxicity studies of gold NPs are recently summarized in an excellent review. 31 Many of AuNPs investigated in vitro and in vivo have hydrodynamic diameters larger than 10 nm. However, ultrasmall materials are gaining more and more in importance. To stabilize AuNPs in biological systems, thiolterminated poly(ethylene)glycol (PEG-SH) is very often applied. Furthermore, peptides (glutathione), proteins, carbohydrates, hydrophilic phosphine and thiol ligands are used. Interestingly, in vivo experiments reveal that AuNPs b 10 nm, even 1.4 nm, were mainly found in the liver of rats. This finding is probably arisen from insufficient colloidal stability. 32-34 On the other hand, the X-ray contrast agent Aurovist™ (1.9 nm) is rapidly cleared from the blood via the renal pathway and ultimately found in the bladder. 35 The synthesis of luminescent Au-thiolate nanoclusters with a size below 2 nm was described by Xie and colleagues in 2012, 36 and in later in vitro and in vivo studies similar materials showed good biocompatibility, strong radiosensitizing effects, passive tumor accumulation and efficient renal clearance. 37,38 Zheng and co-workers synthesized renal clearable ∼ 2 nm glutathione coated Au-NPs and demonstrated that this particular zwitterionic coating minimizes nonspecific MPS uptake in balb/c mice. Further pharmacokinetics studies showed that these particles rapidly distribute in this animal model and circulate with a blood-elimination half-life of 12.7 h. Due to this long blood retention time, these ultrasmall GS-AuNPs possess the ability to passively target tumors in MCF-7 tumor-bearing nude mice. 39-41 By direct comparison of these zwitterionic Au-NPs with their PEGylated counterparts, differences in renal clearance, K. Zarschler et al / Nanomedicine: Nanotechnology, Biology, and Medicine 12 (2016) 1663–1701 1665 Figure 2. Pharmacokinetics and biodistribution of 2, 6, and 15 nm gold nanoparticles. (A) Blood elimination profiles of gold following a single intravenous injection of gold nanoparticles at a dose of 5 mg gold/kg in tumor-bearing mice. Data represent mean ± SD (n = 3). (B) Gold content in tumor, heart, liver, spleen, lung, brain, and kidney 24 h after iv injections of gold nanoparticles at 5 mg gold/kg. Data represent mean ± SD (n = 3) (C) representative TEM micrographs of tumor tissue taken 24 h after the administration of gold nanoparticles. Reprinted with permission from ACS Nano, Size-dependent localization and penetration of ultrasmall gold nanoparticles in cancer cells, multicellular spheroids, and tumors in vivo. Volume 6, Issue 5, 2012, pp 4483-4493, K. Huang, H. Ma, J. Liu, S. Huo, A. Kumar, T. Wei, X. Zhang, S. Jin, Y. Gan, P. C. Wang, S. He, X. Z., and X. J. Liang, Fig. 5.44 Copyright (2012) American Chemical Society. pharmacokinetics and passive tumor targeting in nude mice became apparent. 42 Passive tumor targeting in athymic BALB/c nude mice was also observed for ultrasmall Au nanoclusters stabilized with BSA. These non-toxic materials with a hydrodynamic size of ∼ 2.7 nm emitted an intense red fluorescence can therefore be utilized for in vivo tumor NIR fluorescence imaging. 43 Recently, it was demonstrated that ultrasmall AuNPs (2 nm) coated with N-(2-mercaptopropionyl)glycine are superior over 6 and 15 nm particles with respect to cancer cell penetration and in vivo tumor accumulation (Figure 2). 44 PET studies of 64 Cu-labeled Cu-Au alloy clusters stabilized with PEG-SH permit reliable information of pharmacokinetic properties. It was shown that smaller particles (5 nm) are significantly faster cleared into the bladder and feces than larger ones (7 nm). 45 In vitro and in vivo nanotoxicity screening has shown that surface functionalization as well as particle size remarkably influences the cytotoxicity and cellular response. 46-48 For example, recent studies, using a zebrafish model, have shown that 1.4 nm AuNPs coated with triphenylphosphine exhibit hepatotoxicity, but GSH-coated did not. 47 Notably, AuNPs with zwitterionic surfaces are low-toxic. 49 Zero serum protein adsorption can be achieved for AuNPs equipped with amino acids cysteine and lysine or sulfobetaines on the surface. 50,51 Very recently, pH responsive zwitterionic AuNPs have been developed, showing high cellular uptake and cytotoxicity at pH b 6.6. 52 Silver nanoparticles Over the last decade, efficient synthetic methods for the fabrication of other noble metals such as silver, palladium and platinum have been developed. 4 Ultrasmall AgNPs show high antimicrobial activity and unique fluorescent properties. 15,53-56 However, investigations with respect to biocompatibility and particularly biodistribution studies are in its infancy. 1-2 nm-sized AgNPs capped with dihydrolipoic acid (DHLA) are prone to bind proteins on the surface. AgNPs covered with human serum albumin showed lower cellular uptake and reduced cytotoxicity compared to the pristine particles in HeLa cells. 57 GSH-capped AgNPs (2 nm) were used for fluorescence imaging 1666 K. Zarschler et al / Nanomedicine: Nanotechnology, Biology, and Medicine 12 (2016) 1663–1701 of epithelial lung cancer cells (A549), achieving quantum yields N 65%. 58 Near-infrared emitting silica-coated silver sulfide NPs (1.5 and 9 nm) equipped with integrin-targeting peptides show specific uptake into cancer cells and high tumor accumulation in vivo. 59 Copper-based ultrasmall nanoparticles Ultrasmall copper-based NPs have recently received attention for biomedical applications. Metallic CuNPs (4 nm) can be prepared in aqueous solution by EDTA-assisted reduction of Cu(OH)2 with KBH4. Polyvinylpyrrolidone (PVP) is used for the stabilization of the CuNPs. 60 Reduction of copper citrate with N,N,N’,N’-tetramethyl-p-phenylenediamine in the presence of single-walled carbon nanotubes (SWNT) yielded 2 nm-sized CuNPs. 61 64Cu-labeled CuNPs shielded with bovine serum albumin (3 nm) were predominantly excreted using the renal pathway. Conjugation of tumor-specific peptides to the BSA shell allow for clear visualization of A549 lung tumors. 62 With regard to in vitro and in vivo applications, copper sulfide nanomaterials are more suitable. 6 nm-sized CuS nanoclusters coated with PEG-SH are highly stable over some month in aqueous solution and show anticancer as well as antibacterial activity. 63 A comparative in vivo study of 64Cu-labeled CuS nanodots (ND) covered with PVP (19 and 5.6 nm) revealed that the 5.6 nm-sized particles are much faster cleared than the larger ones in mice. About 95% of 5.6 nm-sized particles are excreted intact through the renal-urinary system within 24 h. The ultrasmall CuS NDs passively accumulate in 4T1 tumors, reaching tumor-to-muscle ratios N 10 at 2 h after injection and near-infrared light irradiation permits efficient tumor ablation (Figure 3). 64 Oleylamine-capped CuS NDs (b 5 nm) stabilized in aqueous solution using PEGylated phospholipids are proposed for photoacoustic imaging-guided photothermal therapy. 65 Cobalt nanoparticles Cobalt has in the bulk a ferromagnetic behavior, but it is reported that ultrasmall cobalt nanoparticles (Co NPs) can display superparamagnetic properties. 66-68 Magnetic metallic NPs, such as Co NPs, usually possess higher saturation magnetization than metal oxides such as ferrite or iron oxides and, therefore, a smaller quantity of nanoparticles could be sufficient to display the same magnetic properties of oxides. 69 However, toxicity and instability have limited the bioapplications of Co NPs in the past. It has been shown that cobalt nanoparticles have a high toxicological effect in many cell lines in vitro. 70 Al Samri et al show that C/Co/SiO2 and C/Co3O4/ SiO2 nanoparticles increase caspase activity and alter the structure of lungs, but the presence of a silica shell could improve the biocompatibility of Co NPs. 71 The surface modification of cobalt nanoparticles with a silica shell is attracting increasing attention because it renders Co NPs less toxic and facilitates surface functionalization. 72,73 Ultrasmall Co NPs can be prepared by several bottom-up methods and, playing with parameters of the reaction, it is possible to tune particles size, shape and composition. 69,74,75 Often high temperatures and inert atmosphere are necessary conditions. In Figure 4, four examples of bottom-up synthesis are reported. Co NPs can be obtained by three main different typologies of reaction: high temperature liquid phase synthesis; 69,75,76 reduction at room temperature of cobalt salts in reverse micelles; 66,77 reduction or thermal decomposition of cobalt salts using templates. 78,79 The high temperature liquid phase synthesis includes either the thermal decomposition of Co2(CO)8 in organic solvents, in the presence of a polymer, a peptide or an aluminium alkyl compound, 80,81 or the reduction of cobalt salts by means of superhydrides or polyalcohols in the presence of a trialkylphosphine. 76,82,83 One of the challenges of the preparation of Co NPs is to avoid the formation of cobalt oxide, to tune particle size and to stabilize the final particles. In this direction, the group of Bönnemann et al reported on the synthesis of Co NPs (size 5 to 10 nm) by thermal decomposition of Co2(CO)8 in the presence of aluminium alkyl compounds (AlR3). 84-86 This technique produces long-time air-stable cobalt nanoparticles thanks to the step of smooth oxidation, which creates a thin cobalt oxide layer around particles preventing further oxidation. Particles size can be tuned by changing the length of the alkyl chain in the AlR3 compound or by varying the molar ratio between Co2(CO)8 and AlR3. Chen et al obtained ultrasmall Co NPs with a size of 1.8-4.4 nm by reducing CoCl2 with NaBH4 under inert atmosphere in toluene inside reverse micelles of the surfactant didodecyldimethyl ammonium bromide (DDAB). 66 Finally, an example of Co NPs fabrication taking advantage of hard templates was described by Escalera and coworkers. The authors reported on the production of Co NPs (2-4 nm) by the reduction of a cobalt salt with NaBH4 inside the pores of mesoporous silica. The silica material acts as a template and is removed through dissolution with NaOH after the reaction is completed. 78 Cobalt ferrites, cobalt complexes, cobalt doped iron oxide and mixed cobalt/metal NPs find several applications in magnetic resonance imaging (MRI), but for pure Co NPs coated with carbon or silica few applications are described until now. 87-89 For example, Balla et al conjugated carbon coated Co NPs (≈ 30 nm) with a β-cell-specific single-chain antibody fragment and investigated the suitability of these ferromagnetic probes for MRI. In particular, they successfully performed in vivo visualization of single native pancreatic islets, the sites of insulin production, in the pancreas of mice. However, these particles accumulated also in the organs of the MPS most likely due to their size and surface properties. 90 Oxide nanoparticles Iron oxide nanoparticles Depending on their size as well as their intrinsic characteristics, iron oxide NPs can generally be classified into superparamagnetic iron oxide nanoparticles (SPIONs) with a mean particle diameter of N 50 nm, and ultrasmall superparamagnetic iron oxide nanoparticles (USPIONs) with smaller hydrodynamic diameters. 91 The relative large size of SPIONs accompanied by unfavorable pharmacokinetic behavior impairs their current in vivo applications, since they rapidly accumulate in the liver and spleen as a result of opsonization and scavenging by the K. Zarschler et al / Nanomedicine: Nanotechnology, Biology, and Medicine 12 (2016) 1663–1701 1667 Figure 3. Pharmacokinetics, biodistribution, and microPET/CT imaging of [ 64Cu]CuS nanodots and [ 64Cu]CuS nanoparticles in mice. Time-activity curves of blood (A) and biodistribution pattern at 24 h after i.v. injection (B) of the 5.6 nm [ 64Cu]CuS nanodots and the 19 nm [ 64Cu]CuS nanoparticles in blood (n = 5-6) in female Swiss mice (n = 5). (C,D) Representative co-registration of PET and CT (μPET/CT) maximum intensity projection images after i.v. injection of 5.6 nm [ 64Cu]CuS nanodots (C) and 19 nm [ 64Cu]CuS nanoparticles (D) into tumor-free Swiss mice (n = 3). (E,F) Representative μPET/CT 2D section images obtained at 10 min after i.v. injection of 5.6 nm [ 64Cu]CuS nanodots, showing significant accumulation of the nanodots in the kidneys (E) and the bladder (F). Left to right: transverse, coronal, and sagittal views; p values in (B) were calculated by a Student’s t test (**P b 0.001 or *P b 0.01). Reprinted with permission from ACS Nano, CuS nanodots with ultrahigh efficient renal clearance for positron emission tomography imaging and image-guided photothermal therapy. Volume 9, Issue 7, 2015, pp 7085-7096, M. Zhou, J. Li, S. Liang, A. K. Sood, D. Liang, and C. Li, Fig. 2.64 Copyright (2015) American Chemical Society. MPS. 92,93 In contrast, USPIONs are generally less prone to MPS trapping compared to their larger counterparts due to a reduced degree of opsonization, and therefore they exhibit longer half-lives in the circulatory system. 94,95 Iron oxide NPs are composed of an iron oxide crystal core surrounded by a hydrophilic polymer coating. 95,96 For their fabrication a number of different chemical methods has been described including co-precipitation 97-103, laser pyrolysis 104-106, thermal decomposition 107-119 and polyol reduction process. 120-125 Co-precipitation of ferrous and ferric salts in aqueous solution represents a straightforward, facile and efficient synthesis strategy to obtain iron oxide NPs on a large scale. A wide variety of experimental parameters, such as pH, ionic strength, reaction temperature, and concentration ratios of Fe II/ Fe III were described to influence size, shape, magnetic characteristics, and surface properties of the NPs, which have to be carefully monitored in order to obtain consistent synthetic outcome. 93,96,126 Since co-precipitation reactions are 1668 K. Zarschler et al / Nanomedicine: Nanotechnology, Biology, and Medicine 12 (2016) 1663–1701 Figure 4. Four examples of bottom-up synthesis of ultrasmall cobalt nanoparticles (R = CH3, C2H5, C8H17; trialkylphosphine = tributyl- or trioctylphosphine; DDAB = didodecyldimethyl ammonium bromide). 66,76,78,79,82-86 thermodynamically driven, the control of particle size distribution and crystallinity is limited. Alternatively, highly crystalline and monodispersed USPIONs can be synthesized by high-temperature decomposition of organometallic precursors (e.g. iron cupferronate, ferric triacetylacetonate or iron pentacarbonyl) using high-boiling organic solvents and surfactants. 127 The size and morphology of the USPIONs can be precisely controlled by tuning experimental parameters including temperature of decomposition, the reaction time, as well as the nature of precursors, solvents and surfactants. In 2011, Hyeon and coworkers reported an optimized synthesis of uniform and extremely small-sized iron oxide NPs by thermal decomposition of iron-oleate complexes in presence of oleyl alcohol at a relatively low temperature, where the oleyl alcohol acts as a mild reductant and lowers the reaction temperature, producing a large number of nuclei. The large number of nuclei coupled with the limited amount of reduced iron leads to a controlled growth process that results in uniform 1.5-3 nm USPIONs. 107 However, NPs produced from this non-aqueous method are soluble only in organic solvents, which necessitate post-preparative ligand-exchange procedures to render them water-soluble and biocompatible. 128 Recently, thermal decomposition and polyol methods directly resulting in water-soluble USPIONs have been described. 109,111,115,120,129-131 Perquisites for the successful biomedical use of NPs are their colloidal stability and biocompatibility in biological environments. The surface of iron oxide NPs has iron atoms on the surface that can coordinate with molecules or get protonated/ deprotonated. For these reasons, modifying the surface is essential to provide stability and hydrophilic properties for extensive biomedical applications. The reactive surface properties of iron oxide also facilitate reactivity with many functional groups of both inorganic and organic shells. Organic shells such as monomeric ligands (dopamine, phosphoric acid), multimeric ligands and zwitterionic ligands can be introduced by ligand exchange. Furthermore, embedding the surface of the NPs with polymers has also been widely used. On the other hand, inorganic shells mainly consist on gold, silica and tantalum (V) oxide layers. 93,96,132,133 Titanium dioxide nanoparticles TiO2 NPs are of particular interest for a wide range of applications including photocatalysis and photoelectric conversion. Water-dispersible and biocompatible ultrasmall TiO2 NPs for biological applications with a core diameter of 5 nm and coated with aspartic acid or mercaptosuccinic acid were described by Cheyne et al. 134 However, the future will show to what extent TiO2 NPs will be applied in the field of nanomedicine, e.g. as anticancer drugs, 135 despite an overwhelming number of reports highlighting their toxicity. 136,137 This also applies to nanomaterials composed of nickel oxide that induce programmed cell death by an increased production of reactive oxygen species. 138 K. Zarschler et al / Nanomedicine: Nanotechnology, Biology, and Medicine 12 (2016) 1663–1701 Hafnium oxide nanoparticles Nanocrystals composed of HfO2 possess appealing physical attributes for local cancer therapy and are at the same time described to show chemically inert behavior in cellular and subcellular systems. 139,140 Due to their high electron density, crystalline HfO2 NPs offer the possibility to deposit high amounts of energy within the cancer cells when activated by ionizing radiation. 141,142 However, there have been published very few studies on the production sub-10 nm HfO2 NPs 143-147 and, to the best of our knowledge, only a single one describing their in vitro analysis. 143 This particular report describes a precipitation method relying on the precipitation of hafnium tetrachloride in an aqueous solution of sodium hydroxide with continuous stirring. Interestingly, the size of the particles could be adjusted by tuning the stirring time of the reaction. Cytotoxicity studies using mouse fibroblast cells revealed cytocompatibility at concentrations up to 500 μg/mL and size-dependent differences in the cell viability upon exposure to higher concentrations. Zirconia nanoparticles The utilization of sub-5 nm fluorescent biocompatible lanthanide-doped zirconia NPs as sensitive probe for timeresolved (TR) fluorescence resonance energy transfer (FRET) and optical imaging agent has been highlighted by Liu et al. 148 These monodisperse materials were synthesized by a solvothermal procedure in combination with a subsequent ligand exchange reaction using 2-aminoethyl dihydrogen phosphate. Due to the free amine groups on the surface, these agents became water-dispersible and possessed a positive ζ-potential as well as a size of ∼ 5 nm. Manganese oxide nanoparticles Nanoparticulate contrast agents for MRI on the basis of ultrasmall manganese oxide NPs have been described recently by several groups, 149-152 whereby different synthesis strategies were applied. The thermal decomposition technique in a nonpolar organic solvent requires the post-synthetic separation of organo-soluble NPs from the solvent before subsequent coating procedure via ligand exchange. 149,150 The resulting MnO NPs dispersed in chloroform were coated with dimercaptosuccinic acid (DMSA) and polyethylene glycol (PEG). In contrast, the process described by Baek et al combines particle synthesis and coating with the biocompatible and hydrophilic ligand D-glucuronic acid in one pot. 151 In vitro and vivo investigations of these agents possessing size-dependent relaxation properties resulted in high contrast T1-weighted MR images, illustrating their particular suitability as sensitive T1 MRI contrast agents. Silica nanoparticles Silica nanoparticles (SiO2 NPs) can be found in a wide range of industrial applications such as paints, cosmetics, food, additives, as well as in numerous studies in the nanomedicine field, mainly for medical diagnostic and therapeutic purposes. 153,154 SiO2 NPs can be presented crystalline, amor- 1669 phous and mesoporous forms, and can be prepared in a broad range of sizes, morphologies and surface chemistry. Features such as high surface area, easy synthesis and surface functionalization, high stability and biocompatibility, and the capacity of efficient immobilization/encapsulation of high amount of drug molecules or biomolecules (e.g. enzymes or peptides) make SiO2 NPs promising candidates as drug delivery systems. 155 Several examples in the literature have shown the potential application of smart mesoporous silica delivery carriers (50-200 nm), as stimuli-responsive systems after incorporation of other types of nanomaterials in their structure. 156 Moreover, fluorescence labelled amorphous SiO2 NPs below 50 nm have been described as good candidates for bioimaging and active targeting, due to the high capacity of incorporating active molecules on their surface and efficiently encapsulation of organic dyes. 157 SiO2NPs have shown high biocompatibility, presenting toxicity at concentrations up to 200 μg/mL in vitro (which is above the effective particle concentration required for most therapeutics treatments), and at dosage of 100 mg/kg in mice. 158,159 The low toxicity of SiO2 NPs is due to the capability of these NPs to be dissolved, under physiological conditions, into smaller SiO2 NPs which can be eliminated via renal excretion. 160-162 However, larger SiO2 NPs can present instability in biological media; if the NPs need a long time to be completely dissolved, particle agglomeration may occur, leading to organ accumulation and therefore to possibility of long term toxicity. 161 These major drawbacks and the difficulty to reach the specific target, due to the low circulating time associated with bigger NPs sizes, are the main reasons to synthesize particles in the small nanosized regime (b 20 nm). 163 Furthermore, is well known that particles in the nanosized range can present new physicochemical properties (including optical, thermal, mechanical and catalytic properties). In a 5 nm SiO2 NP half of the Si atoms are located on the NPs surface, leading to an increase of the catalytic properties due to the huge availability of active silanol groups. The increase in the number of silanol groups also enables a variety of chemical surface modifications that permits conjugation of a variety of organic molecules. 164 Numerous procedures have been described in the literature to synthesize SiO2 NPs with a specific size, porosity, crystallinity and morphology. The main synthesis routes of SiO2 NPs are based on sol–gel processes, reverse microemulsion, and flame synthesis, with the sol–gel technique being the most common used. Following the sol–gel process, the Stöber method produces SiO2 NPs with the desired size distribution ranging from 10 to 2000 nm. 165 The polymerization of silicates from a precursor, generally an organosilane such as TEOS tetraethyl orthosilicate, leads to a formation of small colloidal particles after the hydrolysis and condensation process. Increasing the rate of TEOS addition and controlling the solvent/TEOS ratio, a decrease in size distribution till 10 nm in diameter can be achieved in the synthesis of SiO2 NPs. 166 Many efforts have been made in recent years to produce nanosilica particles. Following the Stöber method that allows to obtained monodispersed spherical SiO2 NPs with a specific size by tuning the reaction parameters, Rahman et al obtained homogenous and highly dispersed stable SiO2 NPs of 7 nm. 167 Hartlen et al 1670 K. Zarschler et al / Nanomedicine: Nanotechnology, Biology, and Medicine 12 (2016) 1663–1701 described a simple and robust synthetic route to produce highly monodisperse small SiO2 NPs, by using peptides such as L-arginine or lysine, to catalyze nucleation and growth of SiO2 NPs between 10 and 30 nm. 168,169 Moreover, in addition to small amorphous SiO2 NPs (b 10 nm) have been reported, ultrasmall mesoporous SiO2 NPs with narrow size distribution between 2 and 10 nm, named Cornell dots or C-dots have been developed by Wiesner and co-workers. 157 Fluorescent core-shell mesoporous silica have been prepared by one-pot synthesis, in which the shell corresponds to a polyethylene glycol coating layer and the core corresponds to a single pore size mesoporous silica that can incorporate molecules such as dyes (NIR dye such as Cy5.5) or radioiodine. 170 The polyethylene glycol coating acts as a protecting layer, increasing the stability in biological fluids, decreasing the unspecific adsorption of proteins and improving the in vivo circulating time of the nanosystem by providing longer half-life in the blood streams. 161,171 This ultrasmall Cornell-dot system was approved for a first clinical trial for melanoma cancer targeting, which is described in more detail in the chapter “Active targeting”. 172 Generally, SiO2 NPs have extremely low toxicity and are amongst the very few particle platforms approved by the American Food and Drug Administration (FDA). However differential cellular toxicity of the amorphous nanosilica particles has been reported in literature depending on the particle’s size, shape, solubility, surface charge and functional groups. 173 Several studies had shown particle size-dependent cytotoxicity induced by small silica particles. 174,175 Also, latent risk in hemolysis due to the presence of silanol groups has been revealed. 176 Still no conclusive information on their toxicity is reported, and therefore biocompatibility, biodegradation and clearance of the SiO2 NPs need to be further clarified. Rare earth based nanoparticles Over recent years considerable effort has been directed towards the design and synthesis of lanthanide based nanomaterials for biomedical applications. This is due to a large structural and compositional versatility, providing a manifold of intriguing properties, such as bright fluorescence, unique redox and magnetic behavior. The paramagnetic properties of lanthanide oxides have been utilized for the development of new contrast agents for MRI purposes. Particularly but not exclusively ultrasmall Gd2O3 NPs were developed in this direction. 177-180 Materials consisting of gadolinium, an element with a high atomic number, are also very attractive for their application as efficient radiosensitizer. 181 Ceria NPs, showing free radical scavenging activity, are considered as protective material against ischemic stroke. 182 Currently, there is a burgeoning rush to utilize so-called upconverting nanophosphors (UCNPs) for biomedical applications. 183-193 Due to their unique feature to convert longer wavelength radiation (typically NIR) into higher energetic visible light (“upconverters”), these lanthanide-doped inorganic NPs are very appealing particularly in bioimaging. On one hand, their excitation with NIR diode lasers permits a deep tissue penetration. On the other, the induced bright luminescence provides high-contrast images in the biological window between 700 and 900 nm. Park et al developed a synthetic route for fabrication of nearly monodisperse and highly water-soluble manganese oxide (MnO) and gadolinium oxide (Gd2O3) NPs with average particle diameters ranging from 1 to 3 nm in a polyol solvent. Their one-pot synthesis resulted in hydrophilic and biocompatible ligand-coated paramagnetic or superparamagnetic metal oxide NPs, whereas the Gd2O3 NPs turned out to be ideally suited for T1 MRI contrast agents. 123,194 These water-dispersible rare earth oxides with high colloidal stability were fabricated by PEGylation, silica coating and stabilization with carboxylic acid and phosphate groups. The D-glucuronic acid coated ultrasmall gadolinium oxide NPs (∼ 1 nm) were proven to be non-toxic in vitro. These particles showed renal excretion and allowed for high contrast in vivo T1 MR images of rat brain tumors. 194 Two years later, this group described the one-pot polyol synthesis of D-glucuronic acid coated ultrasmall Ln2O3 (Ln = Eu, Gd, Dy, Ho, and Er) NPs with average particle diameters ranging from 2.0 to 3.0 nm, whereas the gadolinium oxide NPs were identified as potential candidates for a T1 MRI contrast agent and the dysprosium oxide NPs showed negative contrast enhancement in T2 MR images, respectively. 195,196 The same coating was used by this group to generate different water-soluble ultrasmall Ln2O3 nanoparticles (Ln = Ho and Er). 197,198 Furthermore, this group also reported on the synthesis of MnO surface doped Gd2O3 (Gd2O3@MnO) NPs 199 as well as mixed gadolinium-europium oxide NPs. 200 Both ultrasmall, lactobionic acid coated NP species turned out to be potential T1 and T2 MRI contrast agents, whereas gadolinium-europium oxide NPs were also suitable to some extent for in vivo fluorescence imaging. The synthesis of these MRI contrast enhancing gadolinium oxide NPs can be modified to generate multimodal imaging agents 201,202 and - once colloidal stabilized by coating with PEG - applied for in vivo imaging as well as cell labeling and subsequent in vivo tracking. 203-207 Very recently, Tegafaw et al reported on the synthesis, characterization and in vivo application of ultrasmall D-glucuronic acid coated paramagnetic mixed lanthanide oxide NPs (∼1 nm). These water-soluble and biocompatible materials composed of gadolinium-dysprosium oxide enhance the positive as well as negative contrast in T1 and T2 MR images, respectively and thus can act as a dual-mode T1 and T2 MRI contrast agents. 208 The team of Perriat and Tillement investigated the synthesis, stabilization, pharmacokinetics and theranostic potential of ultrasmall gadolinium-based hybrid NPs. 181,209-216 After producing ∼ 3 nm-sized Gd2O3 cores by alkaline hydrolysis (NaOH) of GdCl3 in diethylene glycol at elevated temperature, they were encapsulated in polysiloxane shells containing organic dyes, such as fluorescein, rhodamine B and Cy5. Upon PEGylation, the obtained 10 nm-sized NPs circulate in mice for at least 3 h and were eliminated by renal excretion. 209 Furthermore, this team developed a new kind of ultrasmall rigid NPs consisting of fragmented multifunctional silica-based rigid platforms. The 3-4 nm-sized particles contain Cy5.5 fluorophores and the macrocycle DOTA capable of binding metal ions such us Gd III (MRI) and 111In III (SPECT). Complementary techniques (MRI, SPECT, CT and fluorescence imaging) prove without a doubt the renal pathway of these particles with completely evade uptake by the MPS (Figure 5). 210,211 Recently K. Zarschler et al / Nanomedicine: Nanotechnology, Biology, and Medicine 12 (2016) 1663–1701 1671 Figure 5. (A) In vivo SPECT/CT imaging from 15 to 60 min after intravenous injection of silica-based small and rigid platforms (SRPs) on a male c57Bl/6J mouse. Left to right: maximum intensity projection (MIP), sagittal, coronal, and transversal views centered on the right kidney. (B) 111In-SRP biodistribution at 3 h and 24 h p.i. (for the bladder, the uptake at 3 h corresponds to the bladder and the urine collected since the beginning of the experience, while at 24 h it corresponds to the bladder only). (C) Black squares: 111In-SRP accumulation in the bladder from 15 min to 3 h p.i. (average uptake on 8 animals); red circles: 111In-SRP accumulation in the bladder and in the kidney from 15 min to 3 h p.i.; green triangles: remaining ID in the blood system from 15 min to 3 h p.i. Reprinted with permission from Angewandte Chemie International Edition, Ultrasmall rigid particles as multimodal probes for medical applications. Volume 50, Issue 51, 2011, pp. 12299-12303, F. Lux, A. Mignot, P. Mowat, C. Louis, S. Dufort, C. Bernhard, F. Denat, F. Boschetti, C. Brunet, R. Antoine, P. Dugourd, S. Laurent, L. Vander Elst, R. Muller, L. Sancey, V. Josserand, J. L. Coll, V. Stupar, E. Barbier, C. Rémy, A. Broisat, C. Ghezzi, G. Le Duc, S. Roux, P. Perriat, and O. Tillement, Fig. 4.210. the team analyzed the radiosensitizing properties of ultrasmall gadolinium NPs with the commercial gadolinium contrast agents Magnevist® and DOTAREM® in comparative studies. 217,218 The group of Shi reported recently on the successful fabrication of ultrasmall NaGdF4 nanodots (∼ 2 nm) by pyrolysis. Conversion of the hydrophobic nanomaterials into hydrophilic with PEG and subsequent functionalization with the chelator DTPA resulted in a hydrodynamic size of 16 nm. Further investigations showed that these NaGdF4 nanodots are especially suitable as T1 MRI contrast agents for angiography. 219 The same group described very recently the development of NaHoF4 NPs with varied particle sizes ranging from ∼ 3 to ∼ 30 nm as dual-modality contrast agents for ultra-high field MR and CT imaging. PEGylation of these particles led to hydrodynamic diameters of ∼ 13 to ∼ 56 nm and excellent biocompatibility. 220 Ultrasmall LaF3:Eu III/Tb III NPs (∼ 3 nm) were obtained by thermosolvolysis. Stabilization by citric acid and addition of 1,2,4,5-benzenetreacarboxylic acid as sensitizer provide NPs with enhanced luminescent properties. 221 Highly luminescent Y2O3:Eu III NPs with a size of about 5 nm were prepared by hydrothermal treatment of yttrium and europium chloride in the presence of H3PW12O40. 222 Precipitation of Ln(NO3)3 (Ln = Gd, Eu, Tb) and [(C4H9)4N)3][Mo(CN)8] dissolved in methanol in the presence of the biopolymer chitosan yielded 3-4 nm magneto-luminescent NPs. 223 Monodisperse ultrasmall CeO2 NPs (2-3 nm) can be prepared by ammonia precipitation of cerium nitrate in aqueous glycol solution, 224 in ethylenediamine solution 225 and via reverse micelle-mediated synthesis. 182,226 Ultrasmall ceria NPs show protective effects against reactive oxygen species (ROS) induced cell death in vitro (CHO-K1). Importantly, they are able to permeate ischemic brain tissue in vivo, most likely due to breakage of the blood–brain-barrier and can thus protect against ischemic stroke. 182 In contrast to rare earth oxides/fluorides discussed vide supra, the preparation of more complex compounds such as UCNPs 1672 K. Zarschler et al / Nanomedicine: Nanotechnology, Biology, and Medicine 12 (2016) 1663–1701 with sizes b 3 nm is fairly challenging. 227 For this reason, also NPs smaller than 10 nm are discussed in this chapter. In 2010, Chen et al reported the preparation of UCNPs consisting of NaYF4:Yb III/Er III. The 7-10 nm-sized particles were obtained by a co-thermolysis method with oleic acid/ oleylamine as capping agents. 228 The luminescent yield can be significantly enhanced by infrared-laser-induced annealing. 229 Thermal decomposition of precursor salts in the presence of stabilizing agents such as oleylamine, oleic acid and octadecene is the most applied method for the preparation of UCNPs. The size of the particles can be influenced by controlling the temperature course. Sub-10 nm lanthanide-doped NaLuF4:Gd III/ Yb III/Tm III/Er III UCNPs have been presented as sensitive in vivo bioimaging agents. 115 To make them water-soluble, the oleylamine surface groups were replaced by citric acid, yielding in 11 nm-sized nano-objects. Johnson et al reported potential bimodal (MRI and fluorescence imaging) probes based on NaGdF4:Yb III/Tm III to show MRI contrast enhancement. 230 The size of the hydrophobic oleic acid-stabilized particles is in the range of 2.5 to 8 nm and increases in aqueous solution to 11 nm after stabilization with polyvinylpyrrolidone. Further hydrophobic sub-10 nm UCNPs consisting of NaYF4:Yb III/Tm III 231 and Na(K)GdF4:Yb III/Er III 232,233 have been reported. KGdF4:Yb III/ Er III has been dispersed in water by forming a PEG-phospholipid shell whereby the fluorescence decreased comparing to the hydrophobic stabilized UCNPs. The luminescence yield can be enhanced by varying the dopants 234 and relative proportions as well as the fabrication of core-shell particles. 230,233 Very recently, Cao et al described the synthesis of oleic acid-capped KGdF4 NPs by a modified hydrothermal route. These hydrophobic NPs were converted into hydrophilic by a ligand exchange procedure using polyacrylic acid resulting in an increase of the hydrodynamic diameter from ∼ 4.9 nm to ∼ 30 nm. Doping with Yb 3 +/Tm 3 + resulted in the ability to convert longer wavelength radiation of 980 nm into higher energetic visible light (“upconversion luminescence”), while doping with Eu 3 + and exciting at 393 nm leads to “downconversion luminescence”. 235 Altogether, only a few examples of ultrasmall and hydrophilic UCNPs have been reported. 230,233,236 In vivo imaging of a black mouse by subcutaneous injection of citrate-stabilized NaLuF4based UCNPs, excited with 980 nm laser light, was proven and the particles could be detected even in 2 cm depth (Figure 6). These particles show low toxicity toward cell proliferation in KB cells. 236 Adequate information and conclusive results about biodistribution, pharmacokinetics and formation of protein corona is still missing for ultrasmall UCNPs. Semiconductor quantum dots For the last two decades, QDs composed of semiconductor elements, e.g. CdSe, CdS, CdTe, PbS, PbSe, PbTe, SnTe, InAs and InP, have attracted enormous attention in cell and molecular imaging as well as cancer medicine. 237-239 QDs exhibit optimal photophysical characteristics for biomedical applications such as bright fluorescence in the near-infrared region, high quantum yield and high resistance towards photo-bleaching. 240,241 The typical size ranges from 1 to 10 nm that can be precisely Figure 6. In vivo imaging of a black mouse by subcutaneous injection of cit-Lu6-Tm and cit-Y1-Tm with detection from (A) the chest side and (B) from the back side (λex = 980 nm, λem = 800 ± 10 nm). Reprinted with permission from ACS Nano, Sub-10 nm hexagonal lanthanide-doped NaLuF4 upconversion nanocrystals for sensitive bioimaging in vivo. Volume 133, Issue 43, 2011, pp. 17122-17125, Q. Liu, Y. Sun, T. Yang, W. Feng, C. Li, and F. Li, Fig. 4.236 Copyright (2011) American Chemical Society. controlled by the duration, temperature, and use of appropriated ligand molecules in the synthesis. 242,243 Traditionally, trioctylphosphine oxide (TOPO) and trioctylphosphine (TOP) were used as solubilizing and stabilizing agents for QDs at elevated temperatures to produce hydrophobic particles. 244,245 However, hydrophilic coating of QDs is compulsory for biomedical purposes. There are different strategies available to fabricate biocompatible QDs such as capping with hydrophilic thiols, phosphines, carboxylic acids, dendrons, polymers, phospholipids as well as peptide and antibody coating. 238,239,246 However, until now the inherent toxicity hampers the clinical application of QDs. 247-251 One way to circumvent the problem of toxicity is the use of cadmium-free QDs. 252,253 Reduced toxicity could be demonstrated in vivo for ultrasmall QDs consisting of CuInS2/ZnS. Whilst CdTeSe/CdZnS QDs caused inflammation of mice lymph nodes in lower picomolar range, CuInS2/ZnS QDs did not up to 100 pmol. 253 In parallel, highly stable hydrophilic coating should prevent or at least reduce the toxicity of QDs. The evaluation of toxicity aspects is of outstanding interest and requires reliable methods, including assays testing the hemocompatibility. 254,255 Many of QDs that are discussed as probes for fluorescence imaging and diagnostic assays as well therapeutic applications such as photodynamic therapy have sizes beyond 10 nm. 256 However, in the last decade a great amount of effort has been devoted to the fabrication and characterization of ultrasmall semiconductor QDs. In this respect, pioneering work has been undertaken by the groups of Frangioni and Bawendi. In 2007, renal clearable QDs composed of CdSe (ZnCdS) have been presented, 257,258 which were coated with dihydrolipoic acid (DHLA), cysteamine, cysteine and DHLA-connected PEG, respectively. The most promising properties showed zwitterionic-coated (cysteine) QDs. The hydrodynamic diameter of these NPs was in the range of 4 and 9 nm. Interestingly, serum protein adsorption was prevented. The smaller QDs (4.4 nm) were excreted via the renal pathway whilst high liver uptake was observed for the larger particles (8.7 nm). However, cystein-coated QDs tend to aggregate over the time K. Zarschler et al / Nanomedicine: Nanotechnology, Biology, and Medicine 12 (2016) 1663–1701 due to oxidation of cysteine. Substitution of cysteine by penicillamine yielded QDs (b 5.5 nm) with high chemical stability and resistance to oxidation. 259 Penicillamine-coated QDs were taken up by HeLa cells mainly via clathrin-mediated endocytosis and to a smaller extent by macropinocytosis. 260 CdS NPs (b 5 nm) stabilized with mercaptoacetic acid and ammonia have been described to show reasonable high quantum yields. 261 Cu-doped CdZnS QDs with NIR-fluorescence emission, an ultrasmall size (∼ 3.5 nm) and long-decay (lifetime up to ∼ 1 μs) were introduced by recently by Chen et al as lifetime-based pH nanosensors for in vivo imaging. 262 Ultrasmall ZnS and iron-doped ZnS QDs can be stabilized with mercaptoethanol in aqueous solution. 263 These NPs form strong complexes with bovine serum albumin. Mercaptopropionic acid-coated InAs/InP/ZnSe QDs (b 10 nm) showed high tumor uptake in mice, moderate renal clearance and considerable liver accumulation. Tumor uptake can be significantly enhanced when QDs additionally coated with human serum albumin. The presented data do not allow drawing conclusions about the chemical and in particular in vivo stability of QDs stabilized with mercaptopropionic acid. 252 Hydrophilic QDs stabilized with mercaptopropionic acid can be meanwhile prepared by aqueous one-pot synthesis. 264,265 In vivo tumor targeting has been demonstrated with mercaptopropionic acid-coated CdTe/CdS QDs equipped with folic acid as targeting vector. 265 Gadolinium-doped CdTe QDs (5 nm) stabilized in aqueous solution by glutathione have been proven for dual imaging of mice tumors by MRI and fluorescence imaging. 266 However, compounds with two thiolane groups like DHLA are more suitable than monodentate ligands. Dual modal ultrasmall nanoprobes have been reported based on gadolinium-functionalized CdHgTe/ZnS core-shell QDs coated with DHLA and DHLA-PEG. 267 QDs stabilized with DHLA-sulfobetaine ligands have been utilized for functional live-cell imaging. 268,269 Interestingly, the hydrodynamic diameters of zwitterionic QDs were even smaller than those functionalized with DHLA alone. 270 The limited long-term stability of QDs coated with bidentate monozwitterionic ligands observed in vitro can be considerably improved by tetradentate monozwitterionic as well as multidentate polyzwitterionic ligands. 271,272 PEG-thiolate protected CdSe QDs (b 2 nm) possess unique solubility properties and can be applied for intracellular imaging as demonstrated for fibroblasts. 273 CdS QDs (2-3 nm) have been coated with the biopolymer chitosan that was covalently conjugated with an anti-CD-20 polyclonal antibody. 274 These QDs-immunoconjugates showed binding affinity in vitro to CD20 overexpressed in lymphocyte-B cancer cells. Water-soluble InAs/CdZnS, CdSe/CdS and CdSe/CdZnS QDs (∼10 nm) have been fabricated by coating with sulfo- and carboxybetaine-functionalized poly(imidazole) ligands. Detailed in vitro and in vivo studies demonstrated that zwitterionic-coated QDs exhibit weak nonspecific binding to serum proteins. In contrast, PEGylated QDs show virtually no binding to serum proteins. Interestingly, zwitterionic-coated QDs were significantly faster cleared through liver and spleen than the PEGylated QDs. 275 Very recently the group of Zhang and Huang introduced ultrasmall black phosphorus QDs that they synthesized from bulk crystals by different methods. 276,277 Using a simple liquid exfoliation technique combining probe as well as bath sonication, they obtained nanosheets with a lateral size of ∼ 2.6 nm and a 1673 thickness of ∼ 1.5 nm. Their stability in physiological medium and biocompatibility was enhanced by PEGylation and their high potential as photothermal agents upon NIR excitation was impressively demonstrated. 276 Silicon nanoparticles Ultrasmall silicon nanoparticles (Si NPs) are attracting increasing interest because of their properties and their biocompatibility. Si NPs represent a good alternative to classical semiconductor QDs since they retain the properties of semiconductors, bright tunable luminescence and high resistance against photobleaching, but, at variance of classical QDs, they are highly biocompatible. 278 It has been already reported that porous silicon nanoparticles are biodegradable and the degradation products are easily cleared through the kidneys in mice. 279-281 Photoluminescence properties of Si NPs are strongly dependent both from quantum confinement and surface functionalization effects. 282 The first evidence that silicon emits when its size shrinks to the nanoscale, is reported in the work of Canham et al who observed red emission in silicon nanowires in 1990. 283 Many efforts have been done to understand deeply the nature of this luminescence and the debate on the explanation of emission properties in silicon nanoparticles is still open and sometimes controversial. The deepest reason of the emission properties of silicon nanoparticles is attributed to the quantum confinement effect, but fluorescence can be strongly influenced also from defects in the structure of the particles, 284,285 from surface functionalization effects and from the synthetic route followed for the preparation of the NPs. 282,286-289 Silicon nanoparticles are characterized also by an excellent photophysical and chemical stability and a great advantage relies on the possibility to exploit the well-known chemistry of silicon surfaces by functionalizing the particles with different groups through a very stable Si-C bond. The preparation of ultrasmall Si NPs is still challenging and the purification is a critical step. Silicon nanoparticles can be prepared by several different methods. 290,291 In particular they can be obtained by several chemical, physicochemical or physical methods, involving either top-down or bottom-up approaches. Usually, top-down methods can produce high pure samples but, with bottom-up techniques the control of the size and the surface termination of the particles is much higher. Physical and physicochemical methods include top-down techniques such as ball milling, 292,293 electrochemical etching, laser ablation as well as gas phase reactions and pyrolysis techniques. 291,294,295 Here we will focus mainly on bottom-up techniques which can be divided in four main different kinds of synthesis: the reduction of a silicon precursor, 296-306 the oxidation of a silicon precursor, 307-311 microwave-assisted reductions or oxidations 312-314 and high temperature thermal reduction of silsesquioxanes 282,315-319. An example for each kind of synthesis is shown in Figure 7. All these methods are based on the reduction or oxidation, under inert atmosphere, of a silicon precursor, either in the presence or the absence of a surfactant, to produce hydrogen or halogen-terminated Si NPs. In most of the reactions, the obtained NPs are further 1674 K. Zarschler et al / Nanomedicine: Nanotechnology, Biology, and Medicine 12 (2016) 1663–1701 Figure 7. Four examples of bottom-up synthesis of ultrasmall silicon nanoparticles: reduction of a silicon source (X = OMe, Cl, Br; reducing agent = LiAlH4, NaBH4, LiBH4 or superhydride; surfactant = tetraoctyl ammonium bromide (TOAB), pentaethylene glycol monododecyl ether (C12E5), tetrabutyl ammonium bromide (TBAB), cetyltrimethyl ammonium bromide (CTAB), didodecyldimethyl ammonium bromide (DDAB), dodecyltrimethyl ammonium bromide (DTAB) or tetradodecyl ammonium bromide (TDAB); R = amine, alkyl chain, epoxy group, alkenyl chain) 297-302; oxidation of a silicon source (R = alkyl chain, alkenyl chain) 307,311; microwave-assisted synthesis 312; thermal decomposition of hydrogen silsesquioxanes (R = amine, alkyl chain, epoxy group, alkenyl chain). 282,315-319 functionalized through a hydrosilylation step, catalyzed by a Pt catalyst or by UV irradiation, or through the reaction with alkyllithium reagents. Both, the kind of surfactant and/or the reducing agent used influence dramatically the final size obtained. In conclusion bottom-up techniques give the opportunity to functionalize the surface of the particles with several different groups ranging from alkyl or alkenyl chains to amine-, epoxy-, alkoxy-, and azide-groups. Usually the size of the particles obtained with these methods is very small, but the emission properties can change from blue to red according to the synthetic method used. Several are the in vitro experiments reported with Si NPs and here we will report only about few examples. The group of Ruckenstein 320 and the group of Tilley 298 were the first to test ultrasmall Si NPs in vitro reporting, respectively, that polyacrylic acid coated red-emitting Si NPs are interacting with the surface of Chinese hamster ovary (CHO) cells and that blue-emitting amine-terminated Si NPs are taken up by HeLa cells and distributed uniformly inside the cytosol. Si NPs were, later, tested through MTT (3-(4,5-dimethylthiazol-2-yl)2,5-diphenyl tetrazolium bromide) assay to show how different surface functionalization can influence the cytotoxicity of these nanoparticles. 321-324 In these studies, it has been found that amine-terminated Si NPs, that are usually positively charged, are more toxic, if compared with their neutral and carboxylic-terminated analogues. Yamaguchi et al show how internalization in cells is influenced by surface functionalization and size of Si NPs. 325 Two kind of functional groups (allylamine and block copolymer Pluronic F127) and two different sizes (few tens of nanometers and N 100 nm) of Si NPs were incubated in live and fixed human umbilical vein endothelial cells (HUVECs). When using live HUVECs, amine-terminated nanoparticles always aggregate selectively in lysosomes independently from their size. Instead, F127-functionalized Si NPs selectively label either the endoplasmatic reticulum (ER) or the lysosomes, depending on their size. Si NPs have been also coupled with single-strand DNA 326-328, folic acid 329 or carbohydrates 330,331. Sugar-terminated Si NPs exhibit very low cytotoxicity in comparison with amine-terminated Si NPs and are more readily internalized by cancer cells than by healthy cells. 330 Very recently, ultrasmall sugar-capped SiNPs were utilized to analyze low-affinity interactions between cancer-associated glycosphingolipids by surface plasmon resonance measurements and confocal fluorescence microscopy. 331 K. Zarschler et al / Nanomedicine: Nanotechnology, Biology, and Medicine 12 (2016) 1663–1701 Kauzlarich et al doped Si NPs with iron or manganese to obtain a multimodal agent both for magnetic and optical imaging. 332-334 Manganese doped Si NPs functionalized with dextran can be used as a dual imaging probe, both for MRI and near-infrared, excited two-photons imaging. These NPs are non-toxic for mammalian cells and accumulate, in specific way, in the macrophages. This is an important result since atherosclerotic plaques that are vulnerable to rupture are usually associated with a high density of macrophages. The group of Kauzlarich was also the first to perform in vivo biodistribution experiments on ultrasmall Si NPs. 333 Indeed, the authors report on positron emission tomography (PET) of mice using dextran coated manganese doped Si NPs that are functionalized with a 64Cu complex. The particles are rapidly excreted by renal filtration, but they also accumulate in liver. This is probably due to the distribution of sizes in the sample: smaller particles are rapidly excreted and bigger ones accumulate in the liver. Erogbogbo et al described the preparation of Si NPs, by laser pyrolysis of silanes, with different sizes (from 2 to 8 nm) and a range of photoluminescence wavelength from 450 to 900 nm. 335 The Si NPs obtained were subsequently encapsulated in phospholipidic micelles and conjugated with RGD peptides which are highly specific for integrins overexpressed in the tumor vasculature. Micelle-encapsulated RGD-Si NPs and micelle-encapsulated Si NPs were injected through tail vein in tumor bearing mice and the in vivo fluorescence imaging at different post-injection times is shown in Figure 8. The luminescence intensity in the tumor site increases with time when RGD-particles are used, but in the case of particles without RGD functionalization, no uptake was observed. With the same kind of particles, the authors were able also to perform mapping of sentinel lymph nodes and multicolor near-infrared imaging in live mice. Carbon-based nanoparticles The peculiar properties of carbon based nanoobjects as graphene, nanotubes, fullerene and nanodiamond have, especially in the last decade, attracted the attention of many scientists and most recently the carbon “quantum” dots (CQDs) or carbon dots (CDs), are conquering the biomedical scene. These quantum-sized (b 10 nm) luminescent carbon particles, could represent in the future a valid alternative to the “conventional” semiconductor QDs, with the advantage that CDs normally do not present the undesirable toxicity known for classic QDs (e.g. CdSe, ZnS, etc.…), eliciting great interest for possible biomedical applications. As reported for other nanomaterials, two kind of strategies can be applied to obtain CDs: the “top-down” approach, breaking down other larger carbon structures (e.g. graphite, nanotubes, etc.…) or the “bottom-up” approach where the CDs are formed from smaller precursor, molecular components (e.g. citrate, carbohydrate, ascorbic acid, etc.). 336-338 Xu and co-workers were investigating an electrophoretic purification method of single-walled nanotubes obtained by arc-discharge soot, when they isolated for the first time this new class of nanomaterial as a side product. This mixture of luminescent NPs was the first example of CDs. 339 Sun et al in 1675 2006 prepared CDs via laser ablation of a carbon target in the presence of water vapor with argon as carrier gas, followed by an acid-treatment with nitric acid. The so-prepared sample was a mixture of non-emissive NPs with size around 5 nm, however after surface passivation by using diamine-terminated oligomeric polyethylene glycol (PEG), the CDs exhibited bright luminescence emission. 340 Interesting 3 nm CDs were prepared by electrochemical shocking of multi wall carbon nanotubes by Zhou et al. 341 The “bottom-up” approach has some advantages, such as giving a more controlled composition and physicochemical properties. In the last years, several synthesis methods have been reported to prepare CDs, the majority involving the carbonization of organic or other carbon rich precursors. 336,338,342 Bourlinos and co-workers synthesized CDs via thermal decomposition of different ammonium citrate salts. 342 Peng and Travas-Sejdic synthesized 5 nm CDs by dehydrating carbohydrates with concentrated sulfuric acid, followed by breaking the carbonaceous materials into individual particles with nitric acid, and finally passivating with amine-terminated compounds (4,7,10-trioxa-1,13-tridecanediamine). 343 Also several “green” synthesis have been recently reported starting from biocompatible precursors as biomass, 344 candle soot, 345 orange juice, 346 ascorbic acid, 347 etc. mainly using hydrothermal/solvothermal treatment or microwave irradiation. 336-338 While some “naked” CDs can be luminescent, in general CDs with efficient surface passivation present stronger and more stable luminescence properties. Wang et al for example reported the synthesis of 4 nm CDs with oligomeric PEG diamine (PEG1500N) exhibiting bright green luminescence with emission quantum yield close to 60%. 348 N-doped 349-352 in particular, but also S-doped 353 and P-doped 354 CDs (and doping with other heteroatoms) can significantly enhance the emission performances. However, at the moment CDs exhibiting high quantum yield are still rare. Numerous reports show the potential of CDs in biomedicine as in vitro/in vivo bioimaging (straightforward cell imaging to specific tissue targeting), 338,346,349,355,356 biosensing (e.g. for pH variation, detection of heavy metals or other different kind of ions), 357-361 drug release 362 and as photodynamic therapy agent 342. However, some significant problems related to their uncertain structure composition and to difficulties in obtaining a “clean”, unique, well defined product have to be solved in order to give them a concrete future in nanomedicine. Pharmacokinetics of ultrasmall nanoparticles Despite the enormous potential of NPs as multimodality agents with both diagnostic and therapeutic capabilities, challenges for extended biological and medicinal applications remain. Primarily, this includes particle toxicity and biocompatibility as well as unfavorable pharmacokinetics and biodistribution interfering with diagnostic imaging. Developing agents with ideal pharmacokinetic behavior will reduce toxicity risks due to minimized exposure times as a consequence of rapid removal from the body. A combination of key factors including size, shape, composition, surface chemistry and charge affects tremendously the pharmacokinetics and biodistribution of NPs in vivo. For detailed information and secondary references, we highly recommend the excellent review articles by 1676 K. Zarschler et al / Nanomedicine: Nanotechnology, Biology, and Medicine 12 (2016) 1663–1701 Li et al, Moghimi et al and Lin et al, whereas the latter clearly summarizes the pharmacokinetics of different inorganic NPs. 6,363,364 During systemic circulation after intravenous administration, NPs encounter blood as a highly complex fluid composed of a wide variety of substances including salts, sugars, proteins as K. Zarschler et al / Nanomedicine: Nanotechnology, Biology, and Medicine 12 (2016) 1663–1701 well as amino acids that can destabilize NPs and can cause their aggregation. Depending on the surface properties of the NPs, biological macromolecules, such as serum proteins and lipids, adsorb non-specifically and a dynamic biomolecular corona is formed. This opsonization consequently leads to NP recognition as well as uptake by mononuclear phagocytic cells, to removal from the circulation and - despite their very small size - to accumulation in the organs of the MPS such as liver and spleen. 33,257 In addition to this increased scavenging by the MPS, corona formation alters the effective size of intravascular NPs and results in an in vivo NP diameter, which may be significantly larger than the corresponding in vitro diameter. On one hand, the decoration of the NP surface with biocompatible polymers preventing undesirable adsorption of biological macromolecules and phagocyte uptake represents a successful strategy to minimize the interaction with the MPS. In particular, the surface modification with charge-neutral, highly hydrophilic, anti-fouling polymers, such as the attachment of polyethylene glycol chains (PEGylation), has been extensively investigated and widely used. Additionally, several zwitterionic materials have been studied recently as alternative biocompatible coating materials for different NP platforms. For detailed information on these aspects and secondary references, we direct the interested reader to several comprehensive review articles. 10,365 On the other hand, the size, shape and charge of intravascular NPs massively influence the interaction with the MPS as well as enormously impact the circulatory lifetimes and excretion pathways in vivo. 92,94,366 Renal clearance Upon intravenous injection, circulating NPs distribute in the body and flow along with the blood stream into the kidneys. 5,367,368 These organs possess a myriad of microscopic filtration units called renal corpuscles, each of which is composed of a dense capillary network (glomerulus) and a Bowman’s capsule (Figure 9). The endothelium of the glomerular capillaries possesses pores (fenestrae) and is surrounded by the highly negatively charged glomerular basement membrane (GBM). Around the capillaries, a squamous epithelium with characteristic extensions is formed by epithelial cells (podocytes). During the ultrafiltration process, glomerular fluid leaves the blood, passes first through the fenestrae, across the GBM and then through the slit pores formed by spaces between podocyte extensions. Since fenestrae and slit pores have a maximal diameter, glomerular filtration is highly dependent on molecule size. 369 As a consequence, USNPs with an in vivo hydrodynamic diameter of b 6 nm are filtered charge-independently, while those N 8 nm bypass the filtration process, remain in the circulation and exit the glomerulus via the efferent 1677 arterioles. NPs within the 6-8 nm range are filtered through the glomerular capillary wall depending on their charge. Particles with cationic surfaces are more readily filtered than their equally sized counterparts possessing anionic surfaces due to electrostatic repulsion by negative charges of the GBM. After transglomerular passage into the Bowman’s space, NPs may be reabsorbed within the proximal tubule, transported from the lumen to the renal interstitium and further into the circulatory system. Also accumulation of nanomaterials in kidney cells was observed that may lead to nephrotoxicity. 370,371 NPs remaining in the non-reabsorbed filtrate (tubular fluid) pass through to the collecting duct to form urine, which finally exits the kidneys, enters the bladder through the ureters and is excreted via the urethra. While renal elimination minimizes the residence time of NPs in the body, it is nonetheless considered as the preferred route for the removal of non-biodegradable materials. In particular, renal clearance is a highly desirable trait for diagnostic NPs in order to reduce retention in non-targeted tissue, to achieve reasonable signal-to-background ratios shortly after injection by efficient excretion of unbound probe from the body and to minimize NP toxicity. Landmark work addressing the issue of renal NP clearance was carried out by Choi and colleagues. 257,372 Upon intravenous administration of coated (CdSe)ZnS core-shell QDs with welldefined hydrodynamic diameters ranging from 4.36 to 8.65 nm into rodents as a model system, they precisely defined an absolute value for the kidney filtration threshold of ∼ 5.5 nm. Furthermore, the charge of the coating had a severe effect on the non-specific binding of serum proteins and on the hydrodynamic diameter of the QDs. By now, considerable numbers of publications reporting on renal clearable NPs composed of different materials 64,373-375 including gadolinium-, 194,199,213 gold- 39-41,376-380 and silica- 210,211,381 based NPs as well as CDs 382 and QDs 258,383,384 have been published that essentially confirm the fundamental findings of Choi et al. While these rules generally apply for spherical NPs, they appear to be not true for nanomaterials with different shapes and high aspect ratios such as carbon nanotubes. Several groups observed immediate and efficient urinary elimination of single walled carbon nanotubes, although these structures largely exceed the structural sizes of glomerular pores. 385,386 Very recently, Liang et al systematically investigated the biodistribution of anionic ultrasmall QDs with a hydrodynamic diameter of ∼ 3.7 nm after intravenous injection. Also being smaller than the kidney filtration threshold, these USNPs failed to be renally excreted most likely due to the repulsion between the negatively charged particles and the anionic GBM. Consequently, they gradually accumulate in the kidneys, while cationic QDs of similar size were excreted into urine. 387 Figure 8. Time-dependent in vivo luminescence imaging of Panc-1 tumor bearing mice (left shoulder, indicated by white arrows) injected with ∼ 5 mg of micelle-encapsulated RGD-Si NPs (A-E) and of micelle-encapsulated Si NPs (K-O). The autofluorescence and the Si NPs signals are in green and red respectively. Images (F-J) and images (P-T) correspond to the luminescence images (A-E) and (K-O), respectively. In (U,W) ex vivo images and in (V,X) luminescence images of tumours at 40 h post-injection in mice treated with micelle-encapsulated RGD-Si NPs (U,V) or with micelle-encapsulated Si NPs (W,X). Reprinted with permission from ACS Nano, In vivo targeted cancer imaging, sentinel lymph node mapping and multi-channel imaging with biocompatible silicon nanocrystals. Volume 5, Issue 1, 2011, pp. 413-423, F. Erogbogbo, K. T.Yong, I. Roy, R. Hu, W. C. Law, W. Zhao, H. Ding, F. Wu, R. Kumar, M. T. Swihart, and P. N. Prasad, Fig. 2.335 Copyright (2011) American Chemical Society. 1678 K. Zarschler et al / Nanomedicine: Nanotechnology, Biology, and Medicine 12 (2016) 1663–1701 Figure 9. Renal clearance of ultrasmall nanoparticles. Circulating nanoparticles of different size (yellow b6 nm; green 6-8 nm; red N8 nm) enter the Bowman’s capsule via the afferent arteriole. During ultrafiltration, particles with an in vivo hydrodynamic diameter of b6 nm (yellow) pass the glomerular capillaries through the fenestrations of their endothelium and across the negatively charged glomerular basement membrane (GBM). Finally, these particles permeate through the slit pores formed by spaces between podocyte extensions into the Bowman’s space. Nanoparticles N 8 nm (red) bypass the filtration process, remain in the circulation and exit the glomerulus via the efferent arterioles. Positively charged nanoparticles with intermediate in vivo diameter of 6-8 nm (green) are more readily filtered than their equally sized counterparts possessing anionic surfaces due to electrostatic repulsion by negative charges of the GBM. After ultrafiltration, nanoparticles reach the proximal tubule, the site of reabsorption. The non-reabsorbed filtrate passes through to the collecting duct to form urine, which finally exits the kidneys. The particle size reduction below the kidney filtration threshold often implicates the alteration or loss of their unique features and functionalities 388, such as the fluorescence properties of QDs, the brightness of upconversion materials or the superparamagnetic properties of iron oxide NPs. A promising approach to retain these valuable characteristics while ensuring fast clearance kinetics through renal excretion is the fabrication of biodegradable inorganic NPs. Upon their controlled in vivo disassembly into smaller non-toxic fragments, they are rapidly cleared via kidney, bladder and urine. Sailor and co-workers successfully pursued this strategy by creating luminescent porous Si NPs with a mean hydrodynamic diameter of N 100 nm that disintegrate in the liver and spleen into soluble silicic acid within a few days. 280,389 At least since the publication of these successful studies, research activities investigating the potential of biodegradable inorganic nanomaterials in the field of nanomedicine have gained momentum. 390-394 However, it is beyond the scope of this review to discuss topic of biodegradable inorganic nanocomposites in detail. In summary, renal ultrafiltration is a size-, charge- and shape-dependent process due to the unique architecture and structure of the glomerular capillaries. Intravascular particles with an in vivo diameter of around 5-6 nm or less are able to efficiently pass through the pores of the glomerulus in the kidneys and are thus rapidly cleared from the circulatory system via bladder and urine. NPs with intermediate in vivo diameter of up to 8 nm are filtered depending on their surface charge, whereas positive ones are eliminated faster than negative or neutral ones. For larger non-biodegradable particles, the hepatobiliary system represents the only alternative mode of elimination. Hepatic clearance NPs bypassing the renal filtration process will inevitably end up in the spleen and in the liver. 5,367 The latter organ has a dual vascular supply, whereas it receives oxygenated, arterial blood from the hepatic artery as well as blood that have previously passed through the intestine and spleen via the hepatic portal vein (Figure 10). Both, venous as well as arterial blood is mixed in the liver capillaries (sinusoids) and then exits the liver through the hepatic veins. The hepatic sinusoids are lined mainly by liver sinusoidal endothelial cells (LSECs) and resident liver macrophages (Kupffer cells). Both cell types, also collectively referred to as scavenger cells, are responsible for most of the liver uptake of intravascular NPs. 395-398 The very thin LSECs act as a filter between the lumen of the hepatic sinusoids and the surrounding hepatocytes, which is achieved by the presence of numerous transcellular pores in LSECs (fenestrae). In addition to the number of fenestrae, also their diameter varies from species to species. For example, diameters ranging from 50-300 nm have been described for humans. 399 Soluble substances and NPs smaller than these pores pass from the sinusoids into a sub-endothelial space (space of Disse) and come directly in contact with underlying hepatocytes. These specialized epithelial cells, which represent the most abundant type of cell in the liver, have many microvilli projecting into this space for maximized absorption of material from the blood. Upon internalization by hepatocytes, NPs are subjected to intracellular enzymatic breakdown potentially leading to the disruption of the surface coating, dissolution of ions out of the inorganic crystal core as well as release of toxic metals. 249,251,400-403 After being slowly degraded by these cells, NP metabolites are potentially secreted by hepatocytes into the bile and finally excreted with the faces. 404,405 As mentioned above, Kupffer cells and LSECs represent the major cell types responsible for liver uptake and metabolism of NPs. Bargheer and co-workers studied the distribution of radiolabeled QDs in the liver and demonstrated their colocalization with LSECs as well as with Kupffer cells, but not with K. Zarschler et al / Nanomedicine: Nanotechnology, Biology, and Medicine 12 (2016) 1663–1701 Figure 10. Hepatobiliary excretion of nanoparticles. Circulating nanoparticles come in contact with liver sinusoidal endothelial cells (LSECs) and Kupffer cells, collectively referred to as scavenger cells. Both types of cells effectively eliminate nanoparticles from the blood circulation, whereas these materials are endocytosed and lysosomally metabolized if possible. Nanoparticles smaller than the transcellular pores of LSECs pass into the space of Disse and are internalized by hepatocytes. After being slowly enzymatically degraded, nanoparticle metabolites are secreted into the bile and finally excreted with the faces. hepatocytes. 398 In accordance with these results, both cell populations exhibit similar uptake patterns and metabolism rates of SPIONs, whereas the material was taken up via scavenger receptor-mediated endocytosis and digested in the lysosomes. 402,406-409 The uptake and accumulation of non-degradable can stimulate free radical release which may result in cell damage and inflammation. 410-415 If the NPs are transferred into the lysosomal compartment but are not biodegradable, they potentially accumulate there and trigger cell death. 416-419 Targeting of ultrasmall nanoparticles Passive targeting Nanoparticulate materials with in vivo hydrodynamic diameters above the glomerular filtration threshold and blood residence times of at least 6 h substantially accumulate and retain in tumors through the enhanced permeability and retention (EPR) effect (Figure 11). 420-423 This passive targeting depends on the pathophysiological vascular architecture of many tumors, whereas the tumor microvascular endothelium possesses increased permeability to nanomaterials as well as minimal lymph drainage. 422,424 Being an accumulative process, this passive extravasation favors nanomaterials with long blood retention time. 425,426 Renal clearable USNPs with short blood half-lives are therefore less prone to passive tumor targeting as they rapidly diffuse back to the vasculature and re-enter the systemic circulation, which results in only transient intratumoral presence without substantial retention. However, Zheng and co-workers observed considerable passive in vivo tumor targeting of 1679 Figure 11. Size-restricted penetration of a solute through porous membranes. The ordinate (A/A0) indicates relative effective area for penetration in porous membranes, where A0 indicates the whole area of pore surfaces. The solid and broken lines assume the pore radius of 50 nm and 300 nm, respectively. As the radius of a solute increases, its permeation becomes more restricted depending on the pore radius. Reprinted from Advanced Drug Delivery Reviews, Pharmacokinetic considerations for targeted drug delivery. Volume 65, Issue 1, 2013, pp. 139-147. F. Yamashita and M. Hashida, Fig. 2.423 Copyright (2013) with permission from Elsevier. ultrasmall luminescent gold NPs due to their relatively long elimination half-life of 8.5 h and slow renal elimination. 41,42,427 To prevent the rapid efflux of passively accumulated USNPs from the tumor by increasing the interactions between NPs and tumor cells as well as by improving cellular NP uptake, the strategy of active or ligand-mediated targeting is pursued. Active targeting This approach in general is based on the attachment of targeting molecules to the NP surface, for which a multitude of bioconjugation methods are available. 365 These targeting molecules enable NPs to selectively recognize certain membrane receptors or antigens on target cells and they can facilitate cellular internalization through specific interactions such as receptor-mediated endocytosis. 420 As the molecular targets of actively-targeted NPs are usually located in the extravascular space of the tumor, ligand-mediated targeting relies to a large extend on passive extravasation. Only after leaving the leaky tumor vasculature and upon penetration into the interstitium, these NPs are able to bind to and interact with tumor cells. Subsequent efficient internalization may lead to prolonged retention in the malignant tissues by preventing rapid efflux from the tumor. 420,428 A variety of targeting molecules including small organic molecules, peptides, aptamers, carbohydrates as well as proteins, antibodies and their fragments have been exploited for active targeting of nanomaterials so far. 429 However, in order to maintain the hydrodynamic diameter below the kidney filtration threshold, large targeting molecule such as whole antibody molecules are not taken into account for renal excretable USNPs (Figure 12). In this context, it should always be carefully considered that the biodistribution of the actively-targeted USNPs might be altered or even dominated by relatively large targeting moieties. 1680 K. Zarschler et al / Nanomedicine: Nanotechnology, Biology, and Medicine 12 (2016) 1663–1701 Figure 12. Targeting molecules for ultrasmall nanoparticles include small organic molecules (e.g. folate), peptides (e.g. bombesin), aptamers as well as proteins of low molecular weight (e.g. nanobodies and affibodies). The hydrodynamic diameter of the targeting molecules add to a greater or lesser extent to the overall size of the nanoparticulate conjugate, which has been considered when aiming for the creation of renal clearable materials. The structure of the nanobody was adapted from PDB structure 3DWT. 532 Peptidic targeting units One of the most popular strategies to actively target USNPs involves the covalent attachment of small molecules such as cyclic peptides containing the Arg-Gly-Asp (RGD) amino acid sequence. 430 These peptides display a strong affinity and selectivity to cell adhesion integrin αvβ3 that is abundant on tumoral endothelial cells as well as on various cancer cells. 431-435 The covalent conjugation of RGD peptides to ultrasmall QDs, 59,436-439 SiO2, 172,440,441 iron oxide, 442-446 silicon, 447 and gold NPs 448 resulted in their considerable accumulation in αvβ3-positive tumor cells. A substantial body of work has been carried out by the team of Wiesner designing ∼ 6 to 7-nm multimodal core-shell SiO2 NPs termed Cornell dots or C-dots. 381,449 These FDA-approved particles were PEG-coated, surface-functionalized with cyclic RGD peptides and radiolabeled with iodine-124. After demonstrating the binding affinity and specificity to αvβ3-overexpressing cells in vitro, tumor-selective targeting of these particles was shown in vivo using xenografted αvβ3-overexpressing and αvβ3-nonexpressing tumors. 172 Two years later, this group described the utilization of such particles for image-guided intraoperative sentinel lymph node mapping. 440 In a first-in-human clinical trial these αvβ3targeting probes were administered to patients with metastatic melanoma. After single-dose injection, particle biodistribution and tumor uptake were analyzed using positron emission tomography. Results obtained during this pilot clinical trial point to largely renal elimination of functionalized particles with estimated whole-body clearance half-times of 13-21 h and show some accumulation of the particle tracer at the lesion sites of several patients. 441 High selective tumor uptake upon injection of ultrasmall silver sulfide QDs functionalized with cyclic RGD into a αvβ3overexpressing murine tumor model was observed by Tang et al very recently. Moreover, the authors impressively demonstrated rapid extravasation of these agents as well as in vitro and in vivo receptor-specific cellular internalization (Figure 13). 59 Alternative molecular targets addressable by small peptidic molecules include the somatostatin receptors, gastrin-releasing peptide receptors, melanocortin receptors, neurotensin receptors, glucagon-like peptide-1 receptors, and different growth factor receptors as well as the cholecystokinin receptors. 450-454 Although the somatostatin tetradecapeptide binds to its receptors with high affinity, it possesses only a limited practical value due to its short biological half-life of less than three minutes. For that reason peptide analogs with improved in vivo stability and thus with prolonged circulation time were developed K. Zarschler et al / Nanomedicine: Nanotechnology, Biology, and Medicine 12 (2016) 1663–1701 1681 Figure 13. Representative in vivo fluorescence imaging of luminescent silver sulfide (Ag2S) functionalized with the cyclic peptide, arginine-glycine-aspartic acid-(D)phenylalanine-lysine (cRGDfk) in 4T1luc tumor-bearing Balb/c mouse at different time points after intravenous administration. Circles indicate bilateral subcutaneous tumor locations. Red color: quantum dot fluorescence. Reprinted with permission from ACS Nano, Tunable ultrasmall visible-to-extended near-infrared emitting silver sulfide quantum dots for integrin-targeted cancer imaging. Volume 9, Issue 1, 2015, pp. 220-30, R. Tang, J. Xue, B. Xu, D. Shen, G. P. Sudlow, and S. Achilefu, Fig. 6.59 Copyright (2015) American Chemical Society. by circularization and introduction of D-amino acids. As a result, stabilized eight amino acid analogs termed octreotide and octreotate containing the bioactive core sequence were successfully created and intensively studied for tumor targeting. 453,455-457 Consequently, also the generation of NPs conjugated with different somatostatin derivatives has been described, 458-463 however, satisfactory in vivo data of ultrasmall inorganic counterparts is according to the authors' knowledge still missing. The tetradecapeptide bombesin of amphibian origin as well as its human equivalent, the 27-amino-acid gastrin-releasing peptide, bind strongly and specifically to their molecular target, which is overexpressed in various human tumor entities including breast, prostate, small cell lung and pancreatic cancer. Based on these peptides, various different analogs have been developed 464-466 and utilized for active NP targeting 467-474, whereas only a few of these inorganic NP conjugates were investigated in vivo. 470,471,474 Very recently, Jafari et al functionalized dextran-coated iron oxide NPs with bombesin analogs resulting in sub-10 nm bioconjugates that were utilized for diagnostic in vivo targeting of breast tumors by MRI. 474 Compared to more complex targeting units such as antibodies, antibody fragments or other proteins, small molecule targeting units often suffer from in vivo instability. In particular, peptides are extremely sensitive to peptidases and are rapidly degraded due to cleavage of peptide bonds by a variety of proteolytic enzymes present in most tissues. Their utilization as targeting units thus necessitates the design of metabolically stable derivatives with prolonged in vivo half-life, e.g. by cyclization. 453,475 However, such considerable attempts can significantly influence the biodistribution as well as the binding to a molecular target and even result in a loss of affinity. 476-478 Other small molecule targeting units Besides peptidic targeting units, folic acid represents a well-known and intensively used molecule to achieve active tumor targeting nanomaterials. 479-481 The expression of the corresponding receptor is selectively upregulated in many human malignancies including ovarian carcinomas as well as carcinomas of the kidney, endometrium, lung, breast, bladder, and pancreas. 482,483 Because of its very small size, folate appears to be a very attractive targeting unit in particular for USNPs. 265,484-487 For instance Chen et al took advantage of this small molecule to design targeting ultrasmall CdTe/CdS near-infrared-emitting QDs for the detection folate-receptor-positive tumors by in vivo fluorescence imaging. Four hours after intravenous injection of the optical imaging probe, the tumor was distinguishable from neighboring tissues due to the accumulation of the QDs at the target site and the emission of a bright fluorescence. 265 The team of Babich designed a series of small molecule inhibitors to target the extracellular domain of prostate-specific membrane antigen in prostate cancer cells and tissue 488 that they used after radiolabeling for the in vivo localization of PSMA expressing tumors by SPECT/CT imaging. 489 These lowmolecular-weight lysine-urea-glutamate analogues (Figure 12) were shown to bind specifically and with high affinity to PSMA-positive cells with subsequent cellular internalization. Moreover, high selectivity for PSMA-expressing tissues was confirmed by SPECT/CT imaging using PSMA-positive and PSMA-negative xenografts. 489 Hrkach et al took advantage of a constituent of these novel PSMA-ligands termed ACUPA (S,S-2-[3-[5-amino-1-carboxypentyl]-ureido]-pentanedioic acid) for the preclinical development and clinical translation of PSMA-targeted polymeric NPs 490 that are currently undergoing evaluation in a phase 2 clinical trial in patients with non-small cell lung cancer (designated BIND-014, Accurin). 491 Based on the Glu-NH-CO-NH-Lys pharmacophore, PSMA inhibitors for PET imaging and endoradiotherapy of prostate cancer were developed at the German Cancer Research Center Heidelberg (DKFZ) and successfully applied in patients. 492-498 1682 K. Zarschler et al / Nanomedicine: Nanotechnology, Biology, and Medicine 12 (2016) 1663–1701 Notwithstanding these successes and the significant progress already achieved, 499 small PSMA inhibitors have barely been investigated with regard to active targeting of USNPs. Recently Felber et al functionalized the surface of gold NPs with a lysine-urea-glutamate containing PSMA inhibitor, but observed only minimal tumor uptake and massive accumulation in liver and spleen, most likely due to the negative surface charge of the NPs and their hydrodynamic diameter of ∼ 14 nm. 500 Moderate PSMA-specific tumor accumulation of 68Ga-labeled iron oxide nanoparticles functionalized with lysine-urea-glutamate moieties was observed by PET/MR imaging. However, also substantial MPS trapping of the ∼ 11 nm-sized imaging probes was detectable already 1 h after tail vein injection into PSMA-positive and PSMA-negative xenografts. 501 Proteinaceous targeting units Due to their innate high molecular weight well above the kidney filtration threshold, large proteins such as whole antibody molecules (≥ 150 kDa), transferrin (∼ 80 kDa) and albumin (∼ 67 kDa) are obviously unsuitable to achieve targeting, renal clearable USNPs. In contrast, the compact dimensions of a variety of antibody fragments and small proteins allow their utilization as targeting units for this family of nanomaterials. Affibodies represent a new group of robust target-specific binding agents derived from staphylococcal protein A. The amino acid sequence of these low molecular weight (6-7 kDa) molecules can be randomized in order to create large libraries, from which binders with high affinity to a desired molecules can be selected using phage display technology. 502 By implementing this strategy, Orlova and colleagues obtained several HER2binding affibody molecules with dissociation equilibrium constants in the picomolar range. 503,504 Although several groups highlighted the very promising development of nanoparticleaffibody bioconjugates for molecular imaging of EGFR- and HER2-positive tumors, 505-511 there is according to the author’s knowledge no report describing the utilization of affibodies as targeting units for USNPs so far. Unlike affibodies, nanobodies specifying the unique antigenbinding domains of heavy-chain antibodies, 512 are generated by immunization of camelids. After cloning the coding sequences of the produced single-domain antigen-binding fragments into appropriate phage-display vectors, nanobodies are selected by consecutive rounds of phage display and panning on solid-phase coated antigens. 513,514 Their small size, high in vivo stability, excellent shelf life and solubility as well as their economic high level production and purification represent the most striking advantages of nanobodies over conventional antibodies. 513 Due to their dimensions in the low nanometer range far below the renal cutoff for glomerular filtration, these molecules can be used as highly specific diagnostic tools for molecular imaging applications 515,516 and as novel therapeutic agents. 517-519 For example, the team of Lahoutte revealed the translational potential of these antibody fragments in their recent phase I study using anti-HER2-nanobodies labelled with 68Ga. 520 Furthermore, their capability to act as tumor targeting unit for a variety of inorganic nanomaterials has been impressively demonstrated several times. 521-532 However, up to now, no in vivo data on nanobody-functionalized USNPs is available. Of particular interest in this context are the findings of Sukhanova et al: the oriented conjugation of QDs possessing a hydrodynamic diameter of 8.8 nm with nanobodies resulted in bioconjugates with a hydrodynamic diameter of 11.9 nm. 525 This increase in size provoked by attachment of these 14-15 kDa targeting units of 3.1 nm must be taken into consideration when aiming for the creation of renal clearable NPs. The conjugation of 6-7 kDa affibodies likewise resulted in an increase in the hydrodynamic diameter of 4.2 and 4.6 nm for iron oxide NPs 510 and gold-iron oxide NPs 509, respectively. Nucleic acid based targeting units Aptamers are single-stranded oligonucleotides, either of deoxyribonucleic acid or ribonucleic acid composition, with unique tertiary conformations due to intramolecular WatsonCrick interactions. These non-toxic and non-immunogenic nucleic acid probes bind to target antigens with high affinity and specificity with dissociation equilibrium constants in the nanomolar to picomolar range, comparable to those of monoclonal antibodies. Moreover, aptamers can be produced rapidly and reproducibly by automated synthesis as well as chemically modified in many different ways. 533,534 These merits enable aptamers to operate as targeting units of diverse NP platforms for different medical applications including cell sorting and sensing as well as targeted imaging and therapy. 535,536 Among the molecular targets of anti-tumor aptamer-functionalized inorganic NPs for cancer diagnosis and therapy are the prostate-specific membrane antigen, 537-543 cell surface nucleolin, 544-550 the epidermal growth factor receptor 551-553 as well as the transmembrane glycoprotein mucin 1. 554-557 Noteworthy, sub-10 nm fluorescent QDs functionalized with DNA aptamers specific for mucin 1 were designed by Zhang et al. 556 Their specific interaction with the respective molecular target as well as their strong binding to mucin 1-positive cells was confirmed in vitro and in vivo by confocal microscopy and fluorescence imaging, respectively. A direct comparison between aptamer- and antibody-conjugated NPs with respect to binding affinity and selective targeting of the epidermal growth factor receptor was made by Melancon et al. 553 After radiolabeling with indium-111, pharmacokinetics and biodistribution of the equally sized particles were investigated in tumor-bearing nude mice. These experiments as well as micro-SPECT/CT imaging studies indicate that aptamer-coated NPs possess shorter blood circulation time, faster systemic clearance and higher tumor uptake than their antibody-conjugated counterparts. Despite enormous potential, the suitability of aptamers as targeting unit for nanoparticulate probes is questionable for several reasons including their in vivo stability and effectiveness, the considerable costs for their large-scale production, the negative charge of their sugar-phosphate backbone as well as their spatial dimensions in the range of proteins adding to the intrinsic size of the respective core particles. 420,535 Since the latter aspects can have tremendous effects on the pharmacokinetic profile of prospective nanomaterials, these key issues need to be addressed in order to step forward from the preclinical proof-of-principle to clinical development stages. K. Zarschler et al / Nanomedicine: Nanotechnology, Biology, and Medicine 12 (2016) 1663–1701 1683 Figure 14. Schematic drawing of the structure of nanoparticle-protein complexes in plasma: the “core” nanoparticle is surrounded by the protein corona composed of an outer weakly interacting layer of protein (left, full red arrows) rapidly exchanging with a collection of free proteins and a “hard” slowly exchanging corona of proteins (right). Reprinted with permission from the Journal of the American Chemical Society, What the cell "sees" in bionanoscience. Volume 132, Issue 16, 2010, pp. 5761-5768, D. Walczyk, F. B. Bombelli, M. P. Monopoli, I. Lynch, and K. A. Dawson, Fig. 1b. 587 Copyright (2010) American Chemical Society. (Un)importance of active targeting for nanoparticle delivery From the large number of studies conducted to create and investigate actively targeting nanomaterials, no definitive conclusions have been drawn regarding the relative contributions of active versus passive targeting in NP delivery. Moreover, there is an ongoing controversial debate concerning the influence of ligand-mediated targeting on total NP accumulation in a solid tumor. 420,428,558 Since the EPR effect for renal clearable USNPs with a short residence time in the body is less a decisive factor, their intracellular uptake and tumor retention can be attributable mainly to active targeting. Therefore, future intensive research on these designer agents will indicate the extent to which ligand-mediated targeting contributes to total NP accumulation in malignant tissues. Corona formation The Vroman effect has been observed when NPs are suspended in biological fluids such as human serum (or blood). 559,560 The biomolecules such as proteins present in biofluids, entering into contact with the NPs surface, can be adsorbed forming the so-called protein corona. The bio-corona may play a key role in the in vivo biological fate establishing the bio-identity of the NPs. 9,561,562 Differential protein adsorption can potentially lead, for example, to different organ distribution by interacting with different tissue specific receptors or recognized by different macrophage subpopulations (concept of “differential adsorption”). 563 The protein corona can normally be divided in two component called hard corona and soft corona (Figure 14). The hard corona consists in proteins interacting with the NPs in a relatively strong way, bonded to the surface; the soft corona is the dynamic component concerning the proteins that interact with the hard corona, but are subjected to exchange with the surrounding proteins present in the biological fluid according to their abundance and their binding affinities to the NPs surface, determined by biokinetics rules. 564 It has also been observed that different materials and of course different surface functionalization can lead to the formation of different protein corona. 565-567 The size differences can be a discriminative parameter concerning the interaction of the NPs with the environmental proteins. 565-567 The curvature changing of the surface of NPs can also influence the arrangement of the protein structure exposing, for example different epitopes that can activate different receptors. 568,569 So far several studies have been performed identifying the corona composition of “bigger” NPs (from 10 to 200 nm), however just a very few reports are present in literature investigating bio-nano interaction of sub-10 nm NPs. Considering that most of plasma proteins present a hydrodynamic diameter of about 3-15 nm, the corona of NPs b 3 nm could be dramatically different respect of the classical model described for bigger particles. Kreyling et al reported the investigation of the corona proteins of 5, 15 and 80 nm gold NPs functionalized with bis-sulfonatedtriphenylphosphine. 570 After 24 h of incubation in mouse serum, the corona proteins were isolated and treated with sodium dodecyl sulfate (SDS) and separated using SDS-polyacrylamide gel electrophoresis (SDS-PAGE). Interestingly, after staining the gel showed decreasing amount of protein per NP with the increasing of the NPs size. At the same total of surface areas (30 cm 2), 80 nm AuNPs bound the smallest fraction of total protein which is less than 10% in respect of the 15 nm AuNPs and less than 30% in respect of 5 nm AuNPs. In this example, the higher is the surface curvature, the higher the protein binding capacity per surface area. 571 On the other hand, Benetti and co-worker, investigating the corona formed in human blood for different sizes of AuNPs (10, 60 and 200 nm), found a highest total amount of bound proteins for the bigger NPs (200 nm). 572 The study reported by Mahmoudi and collaborators concern SPIONs incubate in fetal bovine serum (FBS), including ultrasmall sizes with a core between 3.5 and 15 nm. 573 In this 1684 K. Zarschler et al / Nanomedicine: Nanotechnology, Biology, and Medicine 12 (2016) 1663–1701 case, proteins with low molecular weights were preferentially adsorbed onto the surface of smaller NPs and vice-versa larger proteins with larger NPs. At the moment the results reported on the bio-corona of ultrasmall NPs are still rare and sometimes controversial. To precisely define the bio-corona of a NP is highly complex, especially in the ultrasmall range; however it represents a crucial step in order to obtain engineered nanomedicine for concrete future applications. Nanoparticle interaction with cells NPs possess an appropriate size to engage with the endogenous cellular machinery, thus permitting uptake through active energy processes. 574,575 Depending on their surface chemistry, NPs have the potential to trigger cellular pathways, however this is also dependent on the exposure conditions and the dose accumulated in cells. 576-578 The role of adsorbed biomolecules derived from the environment significantly modifies the NP surface in such a manner that the bionanointeractions are radically different from those suggested by the bare material itself (Figure 15, A). 579,580 Furthermore, the presence of physiologically relevant protein concentrations reduces the NP dose and thus modulates NP induced cytoxicity. 561,581,582 It is now recognized that most non-targeting NPs and the adsorbed corona proteins enter the cells and accumulate in the lysosomes (Figure 15, B). 583 A cytometry-based method has been developed to distinguish between NP degradation, export and effects of cell division. In many instances, the NPs are not exported and continue to accumulate in the lysosomes without acute toxic response, with the internalized load diluting over time as the cell divides. 584,585 However, some NPs have been shown to induce cell death. Amino-modified polystyrene particles have been studied for their toxic impacts. Lysosomal degradation of the corona proteins can lead to lysosomal damages, cytosolic release of the lysosomal content and ultimately apoptosis. 351 At lower doses, cell death levels remain low while cell cycle progression is arrested. 586 In an effort to determine biological outcomes, current targeting strategies involve the conjugation of bio-functional moieties to NPs. However, NP grafting of targeting molecules (even where the protein remains functional) does not simply imply recognition by the corresponding receptors. Requisite surface characterization is still considered to be one of the main limiting factors in the practical understanding of how functionalized nanomaterials interact with biological assemblies. It has been established that in the increased complexity of a biological environment NPs are exposed to fluid characteristics which can greatly lower targeting efficiency, such as adsorptive events (protein corona), competition for molecular recognition at target receptors, as well as possible agglomerating conditions. 9,565,587 Functionalization to specifically interact with selected receptor targets, while avoiding non-specific interactions, has proven to be complex issue when moving beyond serum free in vitro conditions to more realistic protein rich biological environments. Different targeting vectors may be affected in different ways by the biological environment, ranging from Figure 15. The protein corona screens the positive charges of amino modified polystyrene nanoparticles (PS-NH2) and delays their impact on cells. (A) Propidium iodide (PI) permeability of 1321N1 cells treated with 50 μg/mL PS-NH2-S in the absence and presence of proteins (sfDMEM and cDMEM, respectively). PI permeability was used as indicator of plasma membrane integrity, and showed that in serum free conditions strong effects could be detected on membrane permeabilization, already after 1 h. However, the early membrane permeabilization was not observed when the nanoparticles were suspended in cDMEM and cell death was observed only at later times. (B) Schematic representation of the impact of PS-NH2 nanoparticles exposed to cells in different conditions: as shown by the results in panel A, in the absence of serum (left), the PS-NH2 nanoparticles damage the cell membrane leading to quick cell membrane permeabilization; in the presence of serum (right) PS-NH2 nanoparticles are covered by a protein corona which screens their positive charges, and is retained during nanoparticle uptake and until trafficked to the lysosomes. In the lysosomes the corona is degraded and this is followed by lysosomal membrane permeabilization and ultimately cell death.Reprinted with from Nanomedicine: Nanotechnology, Biology and Medicine, The biomolecular corona is retained during nanoparticle uptake and protects the cells from the damage induced by cationic nanoparticles until degraded in the lysosomes. Volume 9, Issue 8, 2013, pp. 1159-1168, F. Wang, L. Yu, M. P. Monopoli, P. Sandin, E. Mahon, A. Salvati, K. A. Dawson, Fig. 5.583 Copyright (2013) with permission from Elsevier. complete loss of specificity to partial loss. 530,562 Thus there is a need to understand more effectively why and, if possible, to provide design prompts for future conjugation strategies, including more advanced characterization approaches and subsequent in vitro testing performed in media containing relevant molecules to ensure that the exposure is meaningful. Furthermore, the interaction between proteins within the corona and cell receptors may give rise to “non-specific” or K. Zarschler et al / Nanomedicine: Nanotechnology, Biology, and Medicine 12 (2016) 1663–1701 non-targeted uptake and clearance of the NPs from the circulation by the liver. Although it is clear that NP size and shape are key factors in determining uptake, it is suggested that biological recognition is driven those biomolecules taken from the biological milieu, and that this is expected to dominate cellular uptake and ultimately such issues as biodistribution. However, for new materials these ideas will have to be significantly evolved. Application of ultrasmall nanomaterials in nanomedicine The exceptional nature of all sorts of nanomaterials has without any doubt opened up a multitude of imaginable applications in the field of nanomedicine and nanobiology ranging from drug and gene delivery, biomarker mapping, molecular sensing and separation to isolation, tracking and manipulation of biological molecules and cells as well as diagnostic imaging and treatment of diseases. 588,589 Due to their specific pharmacokinetic properties and good tissue penetration, renal excretable USNPs qualify for special purposes for which NPs with long retention time in the body are not suitable. These included first and foremost their diagnostic application as molecular imaging agents since this requires fast and specific accumulation at target sites within few hours. Combined with rapid excretion from non-targeted tissues, this allows faster imaging after injection and results in high signal-to-background ratios. 7,590 Owing to these obvious advantages, various USNPs have been proposed as exogenous contrast agents for different imaging modalities. A considerable body of literature has been accumulated particularly on T1 and T2 contrast agents for MRI including ultrasmall superparamagnetic Co NPs, 68 USPIONs, 96,100,102,108,109,116,118,121,123, 124,127,132 MnO NPs, 1 5 0 - 1 5 3 and lanthanide-based 195-203,209,210,213,219 . Near-infrared absorbing NPs have NPs been considered for photoacoustic imaging, 34,65 while near-infrared emitting ultrasmall Au 41-43 and Ag NPs 58,59 as well as UCNPs, 234 semiconductor QDs 250, 263-265,439 and fluorescent dye labeled USNPs 170,381,440,441,484,591 have been developed as optical imaging probes. Additionally, some of these ultrasmall nanoparticulate probes have been utilized as intraoperative visualization tools during image-guided surgical and interventional procedures. 439,440,591 Depending on the attached or incorporated radiolabel, USNPs can be either applied for SPECT 40,211 or PET 45,62,64,172,235,441 imaging. For example, Zhou et al synthesized radioactive [ 198Au]AuNPs with a core size and hydrodynamic diameter of ∼ 2.6 nm and ∼ 3.0 nm, respectively, by one-step thermal reduction of 197Au and 198Au ions in the presence of glutathione. Since these renal clearable particles emit in addition to gamma rays also near-infrared light upon excitation at 470 nm, they are proposed as dual-modality imaging probes for optical and SPECT imaging. 40 Although direct integration of radionuclides into the structure of the nanomaterials allows chelator-free radiolabeling, 592 it requires complete chemical resynthesis whenever the respective NPs are needed due to the nuclear decay of the radioisotopes. 40,45,62,64,235 Depending on the complexity of the synthesis, this might necessitate special 1685 technical equipment as well as professional chemical competence and could hinder their clinical translation. In contrast, chelator functionalized NPs can be synthesized in reasonable amounts prior to their application, distributed and stored depending on their shelf life and radiolabeled on demand by a clinical technician in a standard nuclear medicine laboratory. 102,530,593 In addition to diagnostic molecular imaging, ultrasmall paramagnetic gadolinium oxide NPs and USPIONs have been applied for direct cell labeling and tracking experiments. 98,99,204-206 This technique in principle involves the incubation of cells such as endothelial, stem or tumor cells ex vivo with appropriate NPs and subsequent implantation by local or systemic injection. As cell tracking allows the noninvasive monitoring of cells at anatomical resolution as well as the assessment of their distribution and migration in vivo over a short period of time, it has become a valuable tool in preclinical research on various diseases. 594,595 In a recent study, Di Corato et al used ultrasmall iron oxide and gadolinium oxide NPs to simultaneously image and track endothelial cells and stem cells, respectively, at cellular level in vitro and in vivo. 204 The former kind of USNPs is known as negative contrast agents reducing the T2 relaxation time, which eventually leads to quenching or even loss of the MRI signal. Vice versa, paramagnetic gadolinium oxide NPs belong to the group of positive contrast agents reducing the T1 relaxation time, thereby enhancing the MRI signal. Consequently, cells labeled with USPIONs appear as dark spots in T2-weighted images, whereas those containing gadolinium oxide NPs appear white on T1-weighted images. This dual labeling approach allows noninvasive tracking of different cell types at high resolution and the manipulation of their localization by application of an external magnetic field. Besides their applications as nanodiagnostics, USNPs have been discussed as nanotherapeutics for the treatment of diseases, primarily cancer, through nanomaterial-enabled radiosensitization, 3 7 , 3 8 , 1 8 1 , 2 1 2 , 2 1 5 - 2 1 8 , 5 9 6 photothermal therapy, 64,65,276,597,598 photodynamic therapy, 599 magnetic hyperthermia 89 and drug delivery 600,601. USNPs containing chemical elements with a high atomic number (high Z elements) such as Au, Gd, Hf, Ag, Pt or Bi can act as radiosensitizers that scatter and/or absorb incident radiation (gamma or X-rays) and reemit radiation energy in the form of photons or electrons. Auger electrons, for example, induce the formation of ROS by radiolysis of water molecules and thereby cause oxidative damage to surrounding cells and tissues. 602 Sancey et al summarized recently experimental data regarding the radiosensitizing effect of ultrasmall gadolinium-containing NPs. Since these non-toxic nanoparticulate materials have been identified not only as adequate MRI agents for tumor diagnosis but also as efficient radiosensitizers for cancer therapy, they possess without a doubt significant potential as theranostic agents. 603 Summary and conclusions A vast number of nanoparticulate materials have been intensively investigated and proposed for a variety of medicinal applications within the last decade, in particular for diagnosis and therapy of cancer, due to the unique properties of these 1686 K. Zarschler et al / Nanomedicine: Nanotechnology, Biology, and Medicine 12 (2016) 1663–1701 7 materials. Recently, boosting research has been devoted to USNPs as these materials display properties, such as size as well as physicochemical and pharmacokinetic characteristics, which are at the interface between molecules and larger particles. 4 This review has provided a comprehensive overview of the current scenario of preparation, surface modification, characterization and biomedical applications of the most thoroughly investigated and emerging inorganic USNP platforms. Of particular importance is their potential systemic clearance via the renal pathway once they possess appropriate surface characteristics and their size is below the kidney filtration threshold. As not all USNPs can per se be cleared renally, we recommend using the pharmacological term “renal excretable nanoparticles” to differentiate them in the future from standard NPs as too large for renal elimination. Although a tremendous amount of outstanding research has been published on this particular subset of nanomaterials, a wide variety of issues remain unexplored, unclear or unexplained. This concerns in particular the interactions of USNPs with individual cells including intracellular trafficking and precise targeting of certain cellular organelles e.g. mitochondria. As mentioned before, future research should furthermore shed light on the extent to which ligand-mediated targeting contributes to total NP accumulation at the pathological site. With regard to the application of renal excretable NPs in the field of nanomedicine, it has to be stated that extremely exciting and sophisticated ideas have been conceived. However, their clinical translation often fails due to unresolved regulatory challenges. Here primarily a scalable, controlled and reproducible synthesis procedure resulting in defined, highly monodisperse and uniform products under GMP conditions is an essential prerequisite. This problem commonly faced also for bigger NPs get exacerbated in the ultrasmall range where even small differences in size and shape have a tremendous impact on blood circulation time, biodistribution and elimination of NPs. Another major issue is related to the characterization: the available techniques to characterize NPs are often not suitable for USNPs, due to instrumental limit of detection. Moreover, a lack of a precise surface characterization, once again lead to deeper consequences for USNPs resulting in inconsistent outcomes in in vivo and in vitro tests. Perfectly reproducible USNPs samples are therefore a challenging goal and, in order to achieve this objective, it will be necessary to radically improve the synthesis methods as well as find alternative characterization protocols and methods. This issue is of fundamental importance for a meaningful study of biological interactions and pharmacokinetics of renal excretable NPs. Finally, clear benefits of renal excretable nanoparticulate materials over conventional probes and drugs already in clinical practice are only rarely demonstrated yet. Thus, many critical studies addressing the pros and cons of these materials have to be conducted in the future to deploy their full medical potential and to increase the clinical impact of renal excretable nanodiagnostics and nanotherapeutics. References 1. Kharissova OV, Kharisov BI, Jimenez-Perez VM, Munoz Flores B, Ortiz Mendez U. Ultrasmall particles and nanocomposites: State of the art. RSC Adv 2013;3:22648-82. 2. Nützenadel C, Züttel A, Chartouni D, Schmid G, Schlapbach L. Critical size and surface effect of the hydrogen interaction of palladium clusters. Eur Phys J D 2000;8:245-50. 3. McBride JR, Dukes III AD, Schreuder MA, Rosenthal SJ. On ultrasmall nanocrystals. Chem Phys Lett 2010;498:1-9. 4. Kim BH, Hackett MJ, Park J, Hyeon T. Synthesis, characterization, and application of ultrasmall nanoparticles. Chem Mater 2014;26:59-71. 5. Longmire M, Choyke PL, Kobayashi H. Clearance properties of nanosized particles and molecules as imaging agents: Considerations and caveats. Nanomedicine (Lond) 2008;3:703-17. 6. Lin Z, Monteiro-Riviere NA, Riviere JE. Pharmacokinetics of metallic nanoparticles. Wiley Interdiscip Rev Nanomed Nanobiotechnol 2015;7:189-217. 7. Baetke SC, Lammers T, Kiessling F. Applications of nanoparticles for diagnosis and therapy of cancer. Br J Radiol 2015:20150207. 8. Albanese A, Tang PS, Chan WC. The effect of nanoparticle size, shape, and surface chemistry on biological systems. Annu Rev Biomed Eng 2012;14:1-16. 9. Monopoli MP, Åberg C, Salvati A, Dawson KA. Biomolecular coronas provide the biological identity of nanosized materials. Nat Nanotechnol 2012;7:779-86. 10. Pombo Garcia K, Zarschler K, Barbaro L, Barreto JA, O'Malley W, Spiccia L, et al. Zwitterionic-coated "stealth" nanoparticles for biomedical applications: Recent advances in countering biomolecular corona formation and uptake by the mononuclear phagocyte system. Small 2014;10:2516-29. 11. Giljohann DA, Seferos DS, Daniel WL, Massich MD, Patel PC, Mirkin CA. Gold nanoparticles for biology and medicine. Angew Chem Int Ed Engl 2010;49:3280-94. 12. Duncan B, Kim C, Rotello VM. Gold nanoparticle platforms as drug and biomacromolecule delivery systems. J Control Release 2010;148:122-7. 13. Dreaden EC, Alkilany AM, Huang X, Murphy CJ, El-Sayed MA. The golden age: Gold nanoparticles for biomedicine. Chem Soc Rev 2012;41:2740-79. 14. Leifert A, Pan-Bartnek Y, Simon U, Jahnen-Dechent W. Molecularly stabilised ultrasmall gold nanoparticles: Synthesis, characterization and bioactivity. Nanoscale 2013;5:6224-42. 15. Shang L, Dong SJ, Nienhaus GU. Ultra-small fluorescent metal nanoclusters: Synthesis and biological applications. Nano Today 2011;6:401-18. 16. Leifert A, Pan Y, Kinkeldey A, Schiefer F, Setzler J, Scheel O, et al. Differential hERG ion channel activity of ultrasmall gold nanoparticles. Proc Natl Acad Sci U S A 2013;110:8004-9. 17. Jin R. Quantum sized, thiolate-protected gold nanoclusters. Nanoscale 2010;2:343-62. 18. Dreaden EC, Mackey MA, Huang X, Kang B, El-Sayed MA. Beating cancer in multiple ways using nanogold. Chem Soc Rev 2011;40:3391-404. 19. Patra CR, Bhattacharya R, Mukhopadhyay D, Mukherjee P. Fabrication of gold nanoparticles for targeted therapy in pancreatic cancer. Adv Drug Deliv Rev 2010;62:346-61. 20. He Z, Zhong A, Zhang H, Xiong L, Xu Y, Wang T, et al. In situ formation of dual-phase thermosensitive ultrasmall gold nanoparticles. Chemistry 2015;21:10220-5. 21. Schmid G. Metal-Clusters and Cluster Metals. Polyhedron 1988;7:2321-9. 22. Turkevich J, Stevenson PC, Hillier J. A study of the nucleation and growth processes in the synthesis of colloidal gold. Discuss Faraday Soc 1951:55 [&]. 23. Kimling J, Maier M, Okenve B, Kotaidis V, Ballot H, Plech A. Turkevich method for gold nanoparticle synthesis revisited. J Phys Chem B 2006;110:15700-7. 24. Brust M, Fink J, Bethell D, Schiffrin DJ, Kiely C. Synthesis and reactions of functionalised gold nanoparticles. J Chem Soc Chem Commun 1995:1655. K. Zarschler et al / Nanomedicine: Nanotechnology, Biology, and Medicine 12 (2016) 1663–1701 25. Link S, Beeby A, FitzGerald S, El-Sayed MA, Schaaff TG, Whetten RL. Visible to infrared luminescence from a 28-atom gold cluster. J Phys Chem B 2002;106:3410-5. 26. Martin MN, Basham JI, Chando P, Eah SK. Charged gold nanoparticles in non-polar solvents: 10-min synthesis and 2D self-assembly. Langmuir 2010;26:7410-7. 27. Zhao WA, Gonzaga F, Li YF, Brook MA. Highly stabilized nucleotidecapped small gold nanoparticles with tunable size. Adv Mater 2007;19:1766 [+]. 28. Tsunoyama H, Tsukuda T. Magic numbers of gold clusters stabilized by PVP. J Am Chem Soc 2009;131:18216-7. 29. Wang ZJ, Zhang QX, Kuehner D, Ivaska A, Niu L. Green synthesis of 1-2 nm gold nanoparticles stabilized by amine-terminated ionic liquid and their electrocatalytic activity in oxygen reduction. Green Chem 2008;10:907-9. 30. Kim YG, Oh SK, Crooks RM. Preparation and characterization of 1-2 nm dendrimer-encapsulated gold nanoparticles having very narrow size distributions. Chem Mater 2004;16:167-72. 31. Khlebtsov N, Dykman L. Biodistribution and toxicity of engineered gold nanoparticles: A review of in vitro and in vivo studies. Chem Soc Rev 2011;40:1647-71. 32. De Jong WH, Hagens WI, Krystek P, Burger MC, Sips AJ, Geertsma RE. Particle size-dependent organ distribution of gold nanoparticles after intravenous administration. Biomaterials 2008;29:1912-9. 33. Semmler-Behnke M, Kreyling WG, Lipka J, Fertsch S, Wenk A, Takenaka S, et al. Biodistribution of 1.4- and 18-nm gold particles in rats. Small 2008;4:2108-11. 34. Poon W, Heinmiller A, Zhang X, Nadeau JL. Determination of biodistribution of ultrasmall, near-infrared emitting gold nanoparticles by photoacoustic and fluorescence imaging. J Biomed Opt 2015;20:066007. 35. Hainfeld JF, Slatkin DN, Focella TM, Smilowitz HM. Gold nanoparticles: A new X-ray contrast agent. Br J Radiol 2006;79:248-53. 36. Luo Z, Yuan X, Yu Y, Zhang Q, Leong DT, Lee JY, et al. From aggregation-induced emission of Au(I)-thiolate complexes to ultrabright Au(0)@Au(I)-thiolate core-shell nanoclusters. J Am Chem Soc 2012;134:16662-70. 37. Zhang XD, Chen J, Luo Z, Wu D, Shen X, Song SS, et al. Enhanced tumor accumulation of sub-2 nm gold nanoclusters for cancer radiation therapy. Adv Healthc Mater 2014;3:133-41. 38. Zhang XD, Luo Z, Chen J, Song S, Yuan X, Shen X, et al. Ultrasmall glutathione-protected gold nanoclusters as next generation radiotherapy sensitizers with high tumor uptake and high renal clearance. Sci Rep 2015;5:8669. 39. Zhou C, Long M, Qin Y, Sun X, Zheng J. Luminescent gold nanoparticles with efficient renal clearance. Angew Chem Int Ed Engl 2011;50:3168-72. 40. Zhou C, Hao G, Thomas P, Liu J, Yu M, Sun S, et al. Near-infrared emitting radioactive gold nanoparticles with molecular pharmacokinetics. Angew Chem Int Ed Engl 2012;51:10118-22. 41. Liu J, Yu M, Zhou C, Yang S, Ning X, Zheng J. Passive tumor targeting of renal-clearable luminescent gold nanoparticles: Long tumor retention and fast normal tissue clearance. J Am Chem Soc 2013;135:4978-81. 42. Liu J, Yu M, Ning X, Zhou C, Yang S, Zheng J. PEGylation and zwitterionization: Pros and cons in the renal clearance and tumor targeting of near-IR-emitting gold nanoparticles. Angew Chem Int Ed Engl 2013;52:12572-6. 43. Wu X, He X, Wang K, Xie C, Zhou B, Qing Z. Ultrasmall near-infrared gold nanoclusters for tumor fluorescence imaging in vivo. Nanoscale 2010;2:2244-9. 44. Huang K, Ma H, Liu J, Huo S, Kumar A, Wei T, et al. Size-dependent localization and penetration of ultrasmall gold nanoparticles in cancer cells, multicellular spheroids, and tumors in vivo. ACS Nano 2012;6:4483-93. 45. Zhao Y, Sultan D, Detering L, Luehmann H, Liu Y. Facile synthesis, pharmacokinetic and systemic clearance evaluation, and positron 1687 64 46. 47. 48. 49. 50. 51. 52. 53. 54. 55. 56. 57. 58. 59. 60. 61. 62. 63. 64. 65. emission tomography cancer imaging of Cu-Au alloy nanoclusters. Nanoscale 2014;6:13501-9. Pan Y, Neuss S, Leifert A, Fischler M, Wen F, Simon U, et al. Sizedependent cytotoxicity of gold nanoparticles. Small 2007;3:1941-9. Pan Y, Leifert A, Graf M, Schiefer F, Thoroe-Boveleth S, Broda J, et al. High-sensitivity real-time analysis of nanoparticle toxicity in green fluorescent protein-expressing zebrafish. Small 2013;9:863-9. Rizzo LY, Golombek SK, Mertens ME, Pan Y, Laaf D, Broda J, et al. In vivo nanotoxicity testing using the zebrafish embryo assay. J Mater Chem B Mater Biol Med 2013;1:3918-25. Kim CK, Ghosh P, Pagliuca C, Zhu ZJ, Menichetti S, Rotello VM. Entrapment of hydrophobic drugs in nanoparticle monolayers with efficient release into cancer cells. J Am Chem Soc 2009;131:1360-1. Moyano DF, Saha K, Prakash G, Yan B, Kong H, Yazdani M, et al. Fabrication of corona-free nanoparticles with tunable hydrophobicity. ACS Nano 2014;8:6748-55. Murthy AK, Stover RJ, Hardin WG, Schramm R, Nie GD, Gourisankar S, et al. Charged gold nanoparticles with essentially zero serum protein adsorption in undiluted fetal bovine serum. J Am Chem Soc 2013;135:7799-802. Mizuhara T, Saha K, Moyano DF, Kim CS, Yan B, Kim YK, et al. Acylsulfonamide-functionalized zwitterionic gold nanoparticles for enhanced cellular uptake at tumor pH. Angew Chem Int Ed Engl 2015;54:6567-70. Lee HJ, Do MA, Kim EJ, Yeum JH, Ghim HD, Choi JH. Novel synthesis of ultra-small silver nanoparticles with high antimicrobial activity. Multi-Functional Materials and Structures, Pts 1 and 2, 47– 50; 2008. p. 1080-3. Zheng KY, Yuan X, Goswami N, Zhang QB, Xie JP. Recent advances in the synthesis, characterization, and biomedical applications of ultrasmall thiolated silver nanoclusters. RSC Adv 2014;4:60581-96. Raino G, Stoferle T, Park C, Kim HC, Topuria T, Rice PM, et al. Plasmonic nanohybrid with ultrasmall Ag nanoparticles and fluorescent dyes. ACS Nano 2011;5:3536-41. Luo Z, Zheng K, Xie J. Engineering ultrasmall water-soluble gold and silver nanoclusters for biomedical applications. Chem Commun (Camb) 2014;50:5143-55. Shang L, Dorlich RM, Trouillet V, Bruns M, Nienhaus GU. Ultrasmall fluorescent silver nanoclusters: Protein adsorption and its effects on cellular responses. Nano Res 2012;5:531-42. Le Guevel X, Spies C, Daum N, Jung G, Schneider M. Highly fluorescent silver nanoclusters stabilized by glutathione: A promising fluorescent label for bioimaging. Nano Res 2012;5:379-87. Tang R, Xue J, Xu B, Shen D, Sudlow GP, Achilefu S. Tunable ultrasmall visible-to-extended near-infrared emitting silver sulfide quantum dots for integrin-targeted cancer imaging. ACS Nano 2015;9:220-30. Cheng ZP, Zhong H, Xu JM, Chu XZ, Song YZ, Xu M, et al. Facile fabrication of ultrasmall and uniform copper nanoparticles. Mater Lett 2011;65:3005-8. Brege JJ, Hamilton CE, Crouse CA, Barron AR. Ultrasmall copper nanoparticles from a hydrophobically immobilized surfactant template. Nano Lett 2009;9:2239-42. Gao F, Cai P, Yang W, Xue J, Gao L, Liu R, et al. Ultrasmall [ 64Cu]Cu nanoclusters for targeting orthotopic lung tumors using accurate positron emission tomography imaging. ACS Nano 2015;9:4976-86. Wang HY, Hua XW, Wu FG, Li B, Liu P, Gu N, et al. Synthesis of ultrastable copper sulfide nanoclusters via trapping the reaction intermediate: Potential anticancer and antibacterial applications. ACS Appl Mater Interfaces 2015;7:7082-92. Zhou M, Li J, Liang S, Sood AK, Liang D, Li C. CuS nanodots with ultrahigh efficient renal clearance for positron emission tomography imaging and image-guided photothermal therapy. ACS Nano 2015;9:7085-96. Mou J, Li P, Liu C, Xu H, Song L, Wang J, et al. Ultrasmall Cu2-x S nanodots for highly efficient photoacoustic imaging-guided photothermal therapy. Small 2015;11:2275-83. 1688 K. Zarschler et al / Nanomedicine: Nanotechnology, Biology, and Medicine 12 (2016) 1663–1701 66. Chen JP, Sorensen CM, Klabunde KJ, Hadjipanayis GC. Magnetic properties of nanophase cobalt particles synthesized in inversed micelles. J Appl Phys 1994;76:6316-8. 67. Khanna SN, Linderoth S. Magnetic behavior of clusters of ferromagnetic transition metals. Phys Rev Lett 1991;67:742-5. 68. Parkes LM, Hodgson R, Lu le T, Tung le D, Robinson I, Fernig DG, et al. Cobalt nanoparticles as a novel magnetic resonance contrast agent – relaxivities at 1.5 and 3 Tesla. Contrast Media Mol Imaging 2008;3:150-6. 69. Lu LY, Yu LN, Xu XG, Jiang Y. Monodisperse magnetic metallic nanoparticles: Synthesis, performance enhancement, and advanced applications. Rare Metals 2013;32:323-31. 70. Sengupta J, Ghosh S, Datta P, Gomes A, Gomes A. Physiologically important metal nanoparticles and their toxicity. J Nanosci Nanotechnol 2014;14:990-1006. 71. Al Samri MT, Silva R, Almarzooqi S, Albawardi A, Othman AR, Al Hanjeri RS, et al. Lung toxicities of core-shell nanoparticles composed of carbon, cobalt, and silica. Int J Nanomedicine 2013;8:1223-44. 72. Kobayashi Y, Horie M, Konno M, Rodriguez-Gonzalez B, Liz-Marzan LM. Preparation and properties of silica-coated cobalt nanoparticles. J Phys Chem B 2003;107:7420-5. 73. Batail N, Clémençon I, Legens C, Chaumonnot A, Uzio D. Controlled synthesis and high oxidation stability of cobalt nanoparticles encapsulated in mesoporous silica using a modified Stöber approach and a pseudomorphic transformation. Eur J Inorg Chem 2013;2013:1258-64. 74. Margeat O, Amiens C, Chaudret B, Lecante P, Benfield RE. Chemical control of structural and magnetic properties of cobalt nanoparticles. Chem Mater 2005;17:107-11. 75. Zhang S, Lee J, Sun S. Controlled synthesis of monodisperse magnetic nanoparticles in solution phase. Open Surf Sci J 2012;4:26-34. 76. Sun SH, Murray CB. Synthesis of monodisperse cobalt nanocrystals and their assembly into magnetic superlattices. J Appl Phys 1999;85:4325-30. 77. Yang HT, Shen CM, Su YK, Yang TZ, Gao HJ, Wang YG. Selfassembly and magnetic properties of cobalt nanoparticles. Appl Phys Lett 2003;82:4729-31. 78. Escalera E, Ballem MA, Cordoba JM, Antti ML, Oden M. Synthesis of homogeneously dispersed cobalt nanoparticles in the pores of functionalized SBA-15 silica. Powder Technol 2012;221:359-64. 79. Baaziz W, Florea I, Moldovan S, Papaefthimiou V, Zafeiratos S, BeginColin S, et al. Microscopy investigations of the microstructural change and thermal response of cobalt-based nanoparticles confined inside a carbon nanotube medium. J Mater Chem A 2015;3:11203-14. 80. Thanh NTK, Puntes VF, Tung LD, Fernig DG. Peptides as capping ligands for in situ synthesis of water soluble Co nanoparticles for bioapplications. In: Pankhurst Q, editor. Fifth International Conference on Fine Particle Magnetism. London, England: IOP Publishing LTD, Dirac House, Temple Back, Bristol BS1 6BE, England, Univ Coll London; 2005. p. 70-6. 81. Thomas JR. Preparation and magnetic properties of colloidal cobalt particles. J Appl Phys 1966;37:2914 [&]. 82. Osorio-Cantillo C, Santiago-Miranda AN, Perales-Perez O, Xin Y. Size- and phase-controlled synthesis of cobalt nanoparticles for potential biomedical applications. J Appl Phys 2012;111:07B324. 83. Murray CB, Sun S, Doyle H, Betley T. Monodisperse 3d transitionmetal (Co, Ni, Fe) nanoparticles and their assembly into nanoparticle superlattices. MRS Bull 2012;26:985-91. 84. Bönnemann H, Brijoux W, Brinkmann R, Matoussevitch N, Waldöfner N, Palina N, et al. A size-selective synthesis of air stable colloidal magnetic cobalt nanoparticles. Inorg Chim Acta 2003;350:617-24. 85. Bönnemann H, Brijoux W, Brinkmann R, Matoussevitch N, N. W.. Monodispersable magnetic nanocolloids having an adjustable size and method for the production thereof; 2003 [Germany]. 86. Behrens S, Bönnemann H, Matoussevitch N, Dinjus E, Modrow H, Palina N, et al. Air-stable Co-, Fe-, and Fe/Co-nanoparticles and ferrofluids. Z Phys Chem 2006;220:3-40. 87. Klostergaard J, Seeney CE. Magnetic nanovectors for drug delivery. Nanomedicine 2012;8(Suppl 1):S37-50. 88. Scarberry KE, Dickerson EB, McDonald JF, Zhang ZJ. Magnetic nanoparticle-peptide conjugates for in vitro and in vivo targeting and extraction of cancer cells. J Am Chem Soc 2008;130:10258-62. 89. Fantechi E, Innocenti C, Zanardelli M, Fittipaldi M, Falvo E, Carbo M, et al. A smart platform for hyperthermia application in cancer treatment: Cobalt-doped ferrite nanoparticles mineralized in human ferritin cages. ACS Nano 2014;8:4705-19. 90. Balla DZ, Gottschalk S, Shajan G, Ueberberg S, Schneider S, HardtkeWolenski M, et al. In vivo visualization of single native pancreatic islets in the mouse. Contrast Media Mol Imaging 2013;8:495-504. 91. Benderbous S, Corot C, Jacobs P, Bonnemain B. Superparamagnetic agents: Physicochemical characteristics and preclinical imaging evaluation. Acad Radiol 1996;3(Suppl 2):S292-4. 92. Almeida JP, Chen AL, Foster A, Drezek R. In vivo biodistribution of nanoparticles. Nanomedicine (Lond) 2011;6:815-35. 93. Gupta AK, Gupta M. Synthesis and surface engineering of iron oxide nanoparticles for biomedical applications. Biomaterials 2005;26:3995-4021. 94. Ernsting MJ, Murakami M, Roy A, Li SD. Factors controlling the pharmacokinetics, biodistribution and intratumoral penetration of nanoparticles. J Control Release 2013;172:782-94. 95. Zhao X, Zhao H, Chen Z, Lan M. Ultrasmall superparamagnetic iron oxide nanoparticles for magnetic resonance imaging contrast agent. J Nanosci Nanotechnol 2014;14:210-20. 96. Laurent S, Forge D, Port M, Roch A, Robic C, Vander Elst L, et al. Magnetic iron oxide nanoparticles: Synthesis, stabilization, vectorization, physicochemical characterizations, and biological applications. Chem Rev 2008;108:2064-110. 97. Zhang C, Wängler B, Morgenstern B, Zentgraf H, Eisenhut M, Untenecker H, et al. Silica- and alkoxysilane-coated ultrasmall superparamagnetic iron oxide particles: A promising tool to label cells for magnetic resonance imaging. Langmuir 2007;23:1427-34. 98. Wang YXJ, Quercy-Jouvet T, Wang HH, Li AW, Chak CP, Xuan SH, et al. Efficacy and durability in direct labeling of mesenchymal stem cells using ultrasmall superparamagnetic iron oxide nanoparticles with organosilica, dextran, and PEG coatings. Materials 2011;4:703-15. 99. Li Z, Yi PW, Sun Q, Lei H, Zhao HL, Zhu ZH, et al. Ultrasmall watersoluble and biocompatible magnetic iron oxide nanoparticles as positive and negative dual contrast agents. Adv Funct Mater 2012;22:2387-93. 100. Sun S, Zeng H, Robinson DB, Raoux S, Rice PM, Wang SX, et al. Monodisperse MFe2O4 (M = Fe, Co, Mn) nanoparticles. J Am Chem Soc 2004;126:273-9. 101. Park JY, Daksha P, Lee GH, Woo S, Chang Y. Highly waterdispersible PEG surface modified ultra small superparamagnetic iron oxide nanoparticles useful for target-specific biomedical applications. Nanotechnology 2008;19:365603. 102. Pombo Garcia K, Zarschler K, Barreto JA, Hesse J, Spiccia L, Graham B, et al. Design, synthesis, characterisation and in vitro studies of hydrophilic, colloidally stable, 64Cu(II)-labelled, ultra-small iron oxide nanoparticles in a range of human cell lines. RSC Adv 2013;3:22443-54. 103. Bumb A, Brechbiel MW, Choyke PL, Fugger L, Eggeman A, Prabhakaran D, et al. Synthesis and characterization of ultra-small superparamagnetic iron oxide nanoparticles thinly coated with silica. Nanotechnology 2008;19:335601. 104. Martinez G, Malumbres A, Mallada R, Hueso JL, Irusta S, BomatiMiguel O, et al. Use of a polyol liquid collection medium to obtain ultrasmall magnetic nanoparticles by laser pyrolysis. Nanotechnology 2012;23:425605. 105. Costo R, Bello V, Robic C, Port M, Marco JF, Puerto Morales M, et al. Ultrasmall iron oxide nanoparticles for biomedical applications: Improving the colloidal and magnetic properties. Langmuir 2012;28:178-85. K. Zarschler et al / Nanomedicine: Nanotechnology, Biology, and Medicine 12 (2016) 1663–1701 106. Malumbres A, Martinez G, Mallada R, Hueso JL, Bomati-Miguel O, Santamaria J. Continuous production of iron-based nanocrystals by laser pyrolysis. Effect of operating variables on size, composition and magnetic response. Nanotechnology 2013;24:325603. 107. Kim BH, Lee N, Kim H, An K, Park YI, Choi Y, et al. Large-scale synthesis of uniform and extremely small-sized iron oxide nanoparticles for high-resolution T1 magnetic resonance imaging contrast agents. J Am Chem Soc 2011;133:12624-31. 108. Hu F, Jia Q, Li Y, Gao M. Facile synthesis of ultrasmall PEGylated iron oxide nanoparticles for dual-contrast T1- and T2-weighted magnetic resonance imaging. Nanotechnology 2011;22:245604. 109. Li Z, Wei L, Gao MY, Lei H. One-pot reaction to synthesize biocompatible magnetite nanoparticles. Adv Mater 2005;17:1001-5. 110. Redl FX, Black CT, Papaefthymiou GC, Sandstrom RL, Yin M, Zeng H, et al. Magnetic, electronic, and structural characterization of nonstoichiometric iron oxides at the nanoscale. J Am Chem Soc 2004;126:14583-99. 111. Li Z, Chen H, Bao H, Gao M. One-pot reaction to synthesize watersoluble magnetite nanocrystals. Chem Mater 2004;16:1391-3. 112. Farrell D, Majetich SA, Wilcoxon JP. Preparation and characterization of monodisperse Fe nanoparticles. J Phys Chem B 2003;107:11022-30. 113. Jana NR, Chen Y, Peng X. Size- and shape-controlled magnetic (Cr, Mn, Fe, Co, Ni) oxide nanocrystals via a simple and general approach. Chem Mater 2004;16:3931-5. 114. Li Y, Afzaal M, O'Brien P. The synthesis of amine-capped magnetic (Fe, Mn, Co, Ni) oxide nanocrystals and their surface modification for aqueous dispersibility. J Mater Chem 2006;16:2175-80. 115. Xiao L, Li J, Brougham DF, Fox EK, Feliu N, Bushmelev A, et al. Water-soluble superparamagnetic magnetite nanoparticles with biocompatible coating for enhanced magnetic resonance imaging. ACS Nano 2011;5:6315-24. 116. Hyeon T, Lee SS, Park J, Chung Y, Na HB. Synthesis of highly crystalline and monodisperse maghemite nanocrystallites without a size-selection process. J Am Chem Soc 2001;123:12798-801. 117. Taboada E, Rodriguez E, Roig A, Oro J, Roch A, Muller RN. Relaxometric and magnetic characterization of ultrasmall iron oxide nanoparticles with high magnetization. Evaluation as potential T1 magnetic resonance imaging contrast agents for molecular imaging. Langmuir 2007;23:4583-8. 118. Park J, An K, Hwang Y, Park JG, Noh HJ, Kim JY, et al. Ultra-largescale syntheses of monodisperse nanocrystals. Nat Mater 2004;3:891-5. 119. Guardia P, Perez N, Labarta A, Batlle X. Controlled synthesis of iron oxide nanoparticles over a wide size range. Langmuir 2010;26:5843-7. 120. Hu F, MacRenaris KW, Waters EA, Liang T, Schultz-Sikma EA, Eckermann AL, et al. Ultrasmall, water-soluble magnetite nanoparticles with high relaxivity for magnetic resonance imaging. J Phys Chem C 2009;113:20855-60. 121. Jia X, Chen D, Jiao X, Zhai S. Environmentally-friendly preparation of water-dispersible magnetite nanoparticles. Chem Commun (Camb) 2009:968-70. 122. Wan J, Cai W, Meng X, Liu E. Monodisperse water-soluble magnetite nanoparticles prepared by polyol process for high-performance magnetic resonance imaging. Chem Commun (Camb) 2007:5004-6. 123. Park JY, Choi ES, Baek MJ, Lee GH, Woo S, Chang Y. Water-soluble ultra small paramagnetic or superparamagnetic metal oxide nanoparticles for molecular MR imaging. Eur J Inorg Chem 2009;2009:2477-81. 124. Cai W, Wan J. Facile synthesis of superparamagnetic magnetite nanoparticles in liquid polyols. J Colloid Interface Sci 2007;305:366-70. 125. Gonçalves RH, Cardoso CA, Leite ER. Synthesis of colloidal magnetite nanocrystals using high molecular weight solvent. J Mater Chem 2010;20:1167-72. 126. Babes L, Denizot B, Tanguy G, Le Jeune JJ, Jallet P. Synthesis of iron oxide nanoparticles used as MRI contrast agents: A parametric study. J Colloid Interface Sci 1999;212:474-82. 1689 127. Tartaj P, Morales MP, Veintemillas-Verdaguer S, Gonzalez-Carreño T, Serna CJ. Synthesis, properties and biomedical applications of magnetic nanoparticles. In: Buschow KHJ, editor. Handbook of magnetic materials. Amsterdam, The Netherlands: Elsevier; 2006. p. 403-82. 128. Quarta A, Curcio A, Kakwere H, Pellegrino T. Polymer coated inorganic nanoparticles: Tailoring the nanocrystal surface for designing nanoprobes with biological implications. Nanoscale 2012;4:3319-34. 129. Li Z, Sun Q, Gao M. Preparation of water-soluble magnetite nanocrystals from hydrated ferric salts in 2-pyrrolidone: Mechanism leading to Fe3O4. Angew Chem Int Ed Engl 2004;44:123-6. 130. Hu F, Li Z, Tu C, Gao M. Preparation of magnetite nanocrystals with surface reactive moieties by one-pot reaction. J Colloid Interface Sci 2007;311:469-74. 131. Shen LH, Bao JF, Wang D, Wang YX, Chen ZW, Ren L, et al. Onestep synthesis of monodisperse, water-soluble ultra-small Fe3O4 nanoparticles for potential bio-application. Nanoscale 2013;5:2133-41. 132. Ling D, Hyeon T. Chemical design of biocompatible iron oxide nanoparticles for medical applications. Small 2013;9:1450-66. 133. Colombo M, Carregal-Romero S, Casula MF, Gutierrez L, Morales MP, Böhm IB, et al. Biological applications of magnetic nanoparticles. Chem Soc Rev 2012;41:4306-34. 134. Cheyne RW, Smith TA, Trembleau L, McLaughlin AC. Synthesis and characterisation of biologically compatible TiO2 nanoparticles. Nanoscale Res Lett 2011;6:423. 135. Seo JW, Chung H, Kim MY, Lee J, Choi IH, Cheon J. Development of water-soluble single-crystalline TiO2 nanoparticles for photocatalytic cancer-cell treatment. Small 2007;3:850-3. 136. Czajka M, Sawicki K, Sikorska K, Popek S, Kruszewski M, KapkaSkrzypczak L. Toxicity of titanium dioxide nanoparticles in central nervous system. Toxicol In Vitro 2015;29:1042-52. 137. Shi H, Magaye R, Castranova V, Zhao J. Titanium dioxide nanoparticles: A review of current toxicological data. Part Fibre Toxicol 2013;10:15. 138. Ahamed M, Ali D, Alhadlaq HA, Akhtar MJ. Nickel oxide nanoparticles exert cytotoxicity via oxidative stress and induce apoptotic response in human liver cells (HepG2). Chemosphere 2013;93:2514-22. 139. Garcia-Saucedo C, Field JA, Otero-Gonzalez L, Sierra-Alvarez R. Low toxicity of HfO2, SiO2, Al2O3 and CeO2 nanoparticles to the yeast, Saccharomyces cerevisiae. J Hazard Mater 2011;192:1572-9. 140. Field JA, Luna-Velasco A, Boitano SA, Shadman F, Ratner BD, Barnes C, et al. Cytotoxicity and physicochemical properties of hafnium oxide nanoparticles. Chemosphere 2011;84:1401-7. 141. Marill J, Anesary NM, Zhang P, Vivet S, Borghi E, Levy L, et al. Hafnium oxide nanoparticles: Toward an in vitro predictive biological effect? Radiat Oncol 2014;9:150. 142. Maggiorella L, Barouch G, Devaux C, Pottier A, Deutsch E, Bourhis J, et al. Nanoscale radiotherapy with hafnium oxide nanoparticles. Future Oncol 2012;8:1167-81. 143. Jayaraman V, Bhavesh G, Chinnathambi S, Ganesan S, Aruna P. Synthesis and characterization of hafnium oxide nanoparticles for biosafety. Mater Expr 2014;4:375-83. 144. De Roo J, De Keukeleere K, Feys J, Lommens P, Hens Z, Van Driessche I. Fast, microwave-assisted synthesis of monodisperse HfO2 nanoparticles. J Nanopart Res 2013;15:1-11. 145. Dahal N, Chikan V. Synthesis of hafnium oxide-gold core-shell nanoparticles. Inorg Chem 2012;51:518-22. 146. Tang J, Fabbri J, Robinson RD, Zhu Y, Herman IP, Steigerwald ML, et al. Solid-solution nanoparticles: Use of a nonhydrolytic sol–gel synthesis to prepare HfO2 and HfxZr1-xO2 nanocrystals. Chem Mater 2004;16:1336-42. 147. Rauwel P, Rauwel E, Persson C, Sunding MF, Galeckas A. One step synthesis of pure cubic and monoclinic HfO2 nanoparticles: Correlating the structure to the electronic properties of the two polymorphs. J Appl Phys 2012;112:104107-1 to 104107-8. 1690 K. Zarschler et al / Nanomedicine: Nanotechnology, Biology, and Medicine 12 (2016) 1663–1701 148. Liu Y, Zhou S, Tu D, Chen Z, Huang M, Zhu H, et al. Aminefunctionalized lanthanide-doped zirconia nanoparticles: Optical spectroscopy, time-resolved fluorescence resonance energy transfer biodetection, and targeted imaging. J Am Chem Soc 2012;134:15083-90. 149. Na HB, Lee JH, An K, Park YI, Park M, Lee IS, et al. Development of a T1 contrast agent for magnetic resonance imaging using MnO nanoparticles. Angew Chem Int Ed Engl 2007;46:5397-401. 150. Letourneau M, Tremblay M, Faucher L, Rojas D, Chevallier P, Gossuin Y, et al. MnO-labeled cells: Positive contrast enhancement in MRI. J Phys Chem B 2012;116:13228-38. 151. Baek MJ, Park JY, Xu W, Kattel K, Kim HG, Lee EJ, et al. Watersoluble MnO nanocolloid for a molecular T1 MR imaging: A facile onepot synthesis, in vivo T1 MR images, and account for relaxivities. ACS Appl Mater Interfaces 2010;2:2949-55. 152. Seo WS, Jo HH, Lee K, Kim B, Oh SJ, Park JT. Size-dependent magnetic properties of colloidal Mn3O4 and MnO nanoparticles. Angew Chem Int Ed Engl 2004;43:1115-7. 153. Martinez HP, Kono Y, Blair SL, Sandoval S, Wang-Rodriguez J, Mattrey RF, et al. Hard shell gas-filled contrast enhancement particles for colour Doppler ultrasound imaging of tumors. MedChemComm 2010;1:266-70. 154. Slowing II, Trewyn BG, Giri S, Lin VSY. Mesoporous silica nanoparticles for drug delivery and biosensing applications. Adv Funct Mater 2007;17:1225-36. 155. Barbé C, Bartlett J, Kong L, Finnie K, Lin HQ, Larkin M, et al. Silica particles: A novel drug-delivery system. Adv Mater 2004;16:1959-66. 156. Baek S, Singh RK, Khanal D, Patel KD, Lee EJ, Leong KW, et al. Smart multifunctional drug delivery towards anticancer therapy harmonized in mesoporous nanoparticles. Nanoscale 2015;7:14191-216. 157. Ow H, Larson DR, Srivastava M, Baird BA, Webb WW, Wiesner U. Bright and stable core–shell fluorescent silica nanoparticles. Nano Lett 2005;5:113-7. 158. Lu J, Liong M, Li Z, Zink JI, Tamanoi F. Biocompatibility, biodistribution, and drug-delivery efficiency of mesoporous silica nanoparticles for cancer therapy in animals. Small 2010;6:1794-805. 159. Tao Z, Morrow MP, Asefa T, Sharma KK, Duncan C, Anan A, et al. Mesoporous silica nanoparticles inhibit cellular respiration. Nano Lett 2008;8:1517-26. 160. Chen K, Zhang J, Gu H. Dissolution from inside: A unique degradation behaviour of core-shell magnetic mesoporous silica nanoparticles and the effect of polyethyleneimine coating. J Mater Chem 2012;22:22005-12. 161. He Q, Zhang Z, Gao F, Li Y, Shi J. In vivo biodistribution and urinary excretion of mesoporous silica nanoparticles: Effects of particle size and PEGylation. Small 2011;7:271-80. 162. Kumar R, Roy I, Ohulchanskky TY, Vathy LA, Bergey EJ, Sajjad M, et al. In vivo biodistribution and clearance studies using multimodal organically modified silica nanoparticles. ACS Nano 2010;4:699-708. 163. Alexis F, Pridgen E, Molnar LK, Farokhzad OC. Factors affecting the clearance and biodistribution of polymeric nanoparticles. Mol Pharm 2008;5:505-15. 164. Rahman IA, Vejayakumaran P, Sipaut CS, Ismail J, Chee CK. Sizedependent physicochemical and optical properties of silica nanoparticles. Mater Chem Phys 2009;114:328-32. 165. Stöber W, Fink A, Bohn E. Controlled growth of monodisperse silica spheres in the micron size range. J Colloid Interface Sci 1968;26:62-9. 166. Park SK, Kim KD, Kim HT. Preparation of silica nanoparticles: Determination of the optimal synthesis conditions for small and uniform particles. Colloids Surf A Physicochem Eng Asp 2002;197:7-17. 167. Rahman IA, Vejayakumaran P, Sipaut CS, Ismail J, Bakar MA, Adnan R, et al. An optimized sol–gel synthesis of stable primary equivalent silica particles. Colloids Surf A Physicochem Eng Asp 2007;294:102-10. 168. Hartlen KD, Athanasopoulos APT, Kitaev V. Facile preparation of highly monodisperse small silica spheres (15 to N 200 nm) suitable for colloidal templating and formation of ordered arrays. Langmuir 2008;24:1714-20. 169. Yokoi T, Sakamoto Y, Terasaki O, Kubota Y, Okubo T, Tatsumi T. Periodic arrangement of silica nanospheres assisted by amino acids. J Am Chem Soc 2006;128:13664-5. 170. Ma K, Sai H, Wiesner U. Ultrasmall sub-10 nm near-infrared fluorescent mesoporous silica nanoparticles. J Am Chem Soc 2012;134:13180-3. 171. Lin Y-S, Abadeer N, Haynes CL. Stability of small mesoporous silica nanoparticles in biological media. Chem Commun (Camb) 2011;47:532-4. 172. Benezra M, Penate-Medina O, Zanzonico PB, Schaer D, Ow H, Burns A, et al. Multimodal silica nanoparticles are effective cancer-targeted probes in a model of human melanoma. J Clin Invest 2011;121:2768-80. 173. Napierska D, Thomassen LC, Lison D, Martens JA, Hoet PH. The nanosilica hazard: Another variable entity. Part Fibre Toxicol 2010;7:39. 174. McCarthy J, Inkielewicz-Stępniak I, Corbalan JJ, Radomski MW. Mechanisms of toxicity of amorphous silica nanoparticles on human lung submucosal cells in vitro: Protective effects of fisetin. Chem Res Toxicol 2012;25:2227-35. 175. Napierska D, Thomassen LCJ, Rabolli V, Lison D, Gonzalez L, KirschVolders M, et al. Size-dependent cytotoxicity of monodisperse silica nanoparticles in human endothelial cells. Small 2009;5:846-53. 176. Yu T, Malugin A, Ghandehari H. Impact of silica nanoparticle design on cellular toxicity and hemolytic activity. ACS Nano 2011;5:5717-28. 177. Zhu D, Liu F, Ma L, Liu D, Wang Z. Nanoparticle-based systems for T1-weighted magnetic resonance imaging contrast agents. Int J Mol Sci 2013;14:10591-607. 178. Kim TJ, Chae KS, Chang Y, Lee GH. Gadolinium oxide nanoparticles as potential multimodal imaging and therapeutic agents. Curr Top Med Chem 2013;13:422-33. 179. Comby S, Surender EM, Kotova O, Truman LK, Molloy JK, Gunnlaugsson T. Lanthanide-functionalized nanoparticles as MRI and luminescent probes for sensing and/or imaging applications. Inorg Chem 2014;53:1867-79. 180. Park JY, Chang Y, Lee GH. Multi-modal imaging and cancer therapy using lanthanide oxide nanoparticles: Current status and perspectives. Curr Med Chem 2015;22:569-81. 181. Mowat P, Mignot A, Rima W, Lux F, Tillement O, Roulin C, et al. In vitro radiosensitizing effects of ultrasmall gadolinium based particles on tumour cells. J Nanosci Nanotechnol 2011;11:7833-9. 182. Kim CK, Kim T, Choi IY, Soh M, Kim D, Kim YJ, et al. Ceria nanoparticles that can protect against ischemic stroke. Angew Chem Int Ed Engl 2012;51:11039-43. 183. Chen NT, Cheng SH, Liu CP, Souris JS, Chen CT, Mou CY, et al. Recent advances in nanoparticle-based Förster resonance energy transfer for biosensing, molecular imaging and drug release profiling. Int J Mol Sci 2012;13:16598-623. 184. Liu Y, Tu D, Zhu H, Chen X. Lanthanide-doped luminescent nanoprobes: Controlled synthesis, optical spectroscopy, and bioapplications. Chem Soc Rev 2013;42:6924-58. 185. Min YZ, Li JM, Liu F, Padmanabhan P, Yeow EKL, Xing BG. Recent advance of biological molecular imaging based on lanthanide-doped upconversion-luminescent nanomaterials. Nanomaterials 2014;4:129-54. 186. Sun LD, Wang YF, Yan CH. Paradigms and challenges for bioapplication of rare earth upconversion luminescent nanoparticles: Small size and tunable emission/excitation spectra. Acc Chem Res 2014;47:1001-9. 187. Gorris HH, Wolfbeis OS. Photon-upconverting nanoparticles for optical encoding and multiplexing of cells, biomolecules, and microspheres. Angew Chem Int Ed Engl 2013;52:3584-600. 188. Zhou J, Liu Z, Li F. Upconversion nanophosphors for small-animal imaging. Chem Soc Rev 2012;41:1323-49. 189. Chen G, Qiu H, Prasad PN, Chen X. Upconversion nanoparticles: Design, nanochemistry, and applications in theranostics. Chem Rev 2014;114:5161-214. K. Zarschler et al / Nanomedicine: Nanotechnology, Biology, and Medicine 12 (2016) 1663–1701 190. Cheng L, Wang C, Liu Z. Upconversion nanoparticles and their composite nanostructures for biomedical imaging and cancer therapy. Nanoscale 2013;5:23-37. 191. Haase M, Schäfer H. Upconverting nanoparticles. Angew Chem Int Ed Engl 2011;50:5808-29. 192. Wang F, Banerjee D, Liu YS, Chen XY, Liu XG. Upconversion nanoparticles in biological labeling, imaging, and therapy. Analyst 2010;135:1839-54. 193. Lee DE, Koo H, Sun IC, Ryu JH, Kim K, Kwon IC. Multifunctional nanoparticles for multimodal imaging and theragnosis. Chem Soc Rev 2012;41:2656-72. 194. Park JY, Baek MJ, Choi ES, Woo S, Kim JH, Kim TJ, et al. Paramagnetic ultrasmall gadolinium oxide nanoparticles as advanced T1 MRI contrast agent: Account for large longitudinal relaxivity, optimal particle diameter, and in vivo T1 MR images. ACS Nano 2009;3:3663-9. 195. Kattel K, Park JY, Xu W, Kim HG, Lee EJ, Bony BA, et al. A facile synthesis, in vitro and in vivo MR studies of D-glucuronic acid-coated ultrasmall Ln2O3 (Ln = Eu, Gd, Dy, Ho, and Er) nanoparticles as a new potential MRI contrast agent. ACS Appl Mater Interfaces 2011;3:3325-34. 196. Kattel K, Park JY, Xu W, Kim HG, Lee EJ, Bony BA, et al. Paramagnetic dysprosium oxide nanoparticles and dysprosium hydroxide nanorods as T2 MRI contrast agents. Biomaterials 2012;33:3254-61. 197. Kattel K, Park JY, Xu WL, Kim HG, Lee EJ, Bony BA, et al. Watersoluble ultrasmall Eu2O3 nanoparticles as a fluorescent imaging agent: In vitro and in vivo studies. Colloids Surf A Physicochem Eng Asp 2012;394:85-91. 198. Kattel K, Kim CR, Xu W, Kim TJ, Park JW, Chang Y, et al. Synthesis, magnetic properties, map images, and water proton relaxivities of Dglucuronic acid coated Ln2O3 nanoparticles (Ln = Ho and Er). J Nanosci Nanotechnol 2015;15:7311-6. 199. Choi ES, Park JY, Baek MJ, Xu W, Kattel K, Kim JH, et al. Watersoluble ultra-small manganese oxide surface doped gadolinium oxide (Gd2O3@MnO) nanoparticles for MRI contrast agent. Eur J Inorg Chem 2010;2010:4555-60. 200. Xu W, Park JY, Kattel K, Bony BA, Heo WC, Jin S, et al. A T1, T2 magnetic resonance imaging (MRI)-fluorescent imaging (FI) by using ultrasmall mixed gadolinium-europium oxide nanoparticles. New J Chem 2012;36:2361-7. 201. Ahrén M, Selegård L, Klasson A, Soderlind F, Abrikossova N, Skoglund C, et al. Synthesis and characterization of PEGylated Gd2O3 nanoparticles for MRI contrast enhancement. Langmuir 2010;26:5753-62. 202. Petoral RM, Söderlind F, Klasson A, Suska A, Fortin MA, Abrikossova N, et al. Synthesis and characterization of Tb 3 +-doped Gd2O3 nanocrystals: A bifunctional material with combined fluorescent labeling and MRI contrast agent properties. J Phys Chem C 2009;113:6913-20. 203. Faucher L, Tremblay M, Lagueux J, Gossuin Y, Fortin MA. Rapid synthesis of PEGylated ultrasmall gadolinium oxide nanoparticles for cell labeling and tracking with MRI. ACS Appl Mater Interfaces 2012;4:4506-15. 204. Di Corato R, Gazeau F, Le Visage C, Fayol D, Levitz P, Lux F, et al. High-resolution cellular MRI: Gadolinium and iron oxide nanoparticles for in-depth dual-cell imaging of engineered tissue constructs. ACS Nano 2013;7:7500-12. 205. Faucher L, Guay-Begin AA, Lagueux J, Cote MF, Petitclerc E, Fortin MA. Ultra-small gadolinium oxide nanoparticles to image brain cancer cells in vivo with MRI. Contrast Media Mol Imaging 2011;6:209-18. 206. Söderlind F, Fortin MA, Petoral RM, Klasson A, Veres T, Engström M, et al. Colloidal synthesis and characterization of ultrasmall perovskite GdFeO3 nanocrystals. Nanotechnology 2008;19. 207. Guay-Begin AA, Chevallier P, Faucher L, Turgeon S, Fortin MA. Surface modification of gadolinium oxide thin films and nanoparticles using poly(ethylene glycol)-phosphate. Langmuir 2012;28:774-82. 1691 208. Tegafaw T, Xu W, Ahmad MW, Baeck JS, Chang Y, Bae JE, et al. Dual-mode T1 and T2 magnetic resonance imaging contrast agent based on ultrasmall mixed gadolinium-dysprosium oxide nanoparticles: Synthesis, characterization, and in vivo application. Nanotechnology 2015;26:365102. 209. Bridot JL, Faure AC, Laurent S, Riviere C, Billotey C, Hiba B, et al. Hybrid gadolinium oxide nanoparticles: Multimodal contrast agents for in vivo imaging. J Am Chem Soc 2007;129:5076-84. 210. Lux F, Mignot A, Mowat P, Louis C, Dufort S, Bernhard C, et al. Ultrasmall rigid particles as multimodal probes for medical applications. Angew Chem Int Ed Engl 2011;50:12299-303. 211. Mignot A, Truillet C, Lux F, Sancey L, Louis C, Denat F, et al. A topdown synthesis route to ultrasmall multifunctional Gd-based silica nanoparticles for theranostic applications. Chemistry 2013;19:6122-36. 212. Miladi I, Duc GL, Kryza D, Berniard A, Mowat P, Roux S, et al. Biodistribution of ultra small gadolinium-based nanoparticles as theranostic agent: Application to brain tumors. J Biomater Appl 2013;28:385-94. 213. Sancey L, Kotb S, Truillet C, Appaix F, Marais A, Thomas E, et al. Long-term in vivo clearance of gadolinium-based AGuIX nanoparticles and their biocompatibility after systemic injection. ACS Nano 2015;9:2477-88. 214. Roux S, Tillement O, Billotey C, Coll JL, Le Duc G, Marquette CA, et al. Multifunctional nanoparticles: From the detection of biomolecules to the therapy. Int J Nanotechnol 2010;7:781-801. 215. Miladi I, Aloy MT, Armandy E, Mowat P, Kryza D, Magne N, et al. Combining ultrasmall gadolinium-based nanoparticles with photon irradiation overcomes radioresistance of head and neck squamous cell carcinoma. Nanomedicine 2015;11:247-57. 216. Le Duc G, Miladi I, Alric C, Mowat P, Brauer-Krisch E, Bouchet A, et al. Toward an image-guided microbeam radiation therapy using gadolinium-based nanoparticles. ACS Nano 2011;5:9566-74. 217. Le Duc G, Roux S, Paruta-Tuarez A, Dufort S, Brauer E, Marais A, et al. Advantages of gadolinium based ultrasmall nanoparticles vs molecular gadolinium chelates for radiotherapy guided by MRI for glioma treatment. Cancer Nanotechnol 2014;5:4. 218. Taupin F, Flaender M, Delorme R, Brochard T, Mayol JF, Arnaud J, et al. Gadolinium nanoparticles and contrast agent as radiation sensitizers. Phys Med Biol 2015;60:4449-64. 219. Xing H, Zhang S, Bu W, Zheng X, Wang L, Xiao Q, et al. Ultrasmall NaGdF4 nanodots for efficient MR angiography and atherosclerotic plaque imaging. Adv Mater 2014;26:3867-72. 220. Ni D, Zhang J, Bu W, Zhang C, Yao Z, Xing H, et al. PEGylated NaHoF4 nanoparticles as contrast agents for both X-ray computed tomography and ultra-high field magnetic resonance imaging. Biomaterials 2016;76:218-25. 221. Li S, Zhang X, Hou Z, Cheng Z, Ma P, Lin J. Enhanced emission of ultrasmall-sized LaF3:RE3+ (RE = Eu, Tb) nanoparticles through 1,2,4,5benzenetetracarboxylic acid sensitization. Nanoscale 2012;4:5619-26. 222. Huang H, Zhang HC, Zhang WS, Lian SY, Kang ZH, Liu Y. Ultrasmall sized Y2O3:Eu 3 + nanocrystals: One-step polyoxometalateassisted synthesis and their photoluminescence properties. J Lumin 2012;132:2155-60. 223. Chelebaeva E, Larionova J, Guari Y, Ferreira RAS, Carlos LD, Trifonov AA, et al. Nanoscale coordination polymers exhibiting luminescence properties and NMR relaxivity. Nanoscale 2011;3:1200-10. 224. Sreeremya TS, Thulasi KM, Krishnan A, Ghosh S. A novel aqueous route to fabricate ultrasmall monodisperse lipophilic cerium oxide nanoparticles. Ind Eng Chem Res 2012;51:318-26. 225. Kar S, Patel C, Santra S. Direct room temperature synthesis of valence state engineered ultra-small ceria nanoparticles: Investigation on the role of ethylenediamine as a capping agent. J Phys Chem C 2009;113:4862-7. 226. Yu T, Moon J, Park J, Park YI, Na HB, Kim BH, et al. Various-shaped uniform Mn3O4 nanocrystals synthesized at low temperature in air atmosphere. Chem Mater 2009;21:2272-9. 1692 K. Zarschler et al / Nanomedicine: Nanotechnology, Biology, and Medicine 12 (2016) 1663–1701 227. Gong LJ, Yang JC, Li YY, Ma M, Xu CF, Ren GZ, et al. Solvothermal synthesis and upconversion emission of monodisperse ultrasmall SrYbF5 nanocrystals. J Mater Sci 2013;48:3672-8. 228. Chen G, Ohulchanskyy TY, Kumar R, Agren H, Prasad PN. Ultrasmall monodisperse NaYF4:Yb3+/Tm3+ nanocrystals with enhanced near-infrared to near-infrared upconversion photoluminescence. ACS Nano 2010;4:3163-8. 229. Bednarkiewicz A, Wawrzynczyk D, Gagor A, Kepinski L, Kurnatowska M, Krajczyk L, et al. Giant enhancement of upconversion in ultra-small Er 3+/Yb 3+:NaYF4 nanoparticles via laser annealing. Nanotechnology 2012;23:145705. 230. Johnson NJJ, Oakden W, Stanisz GJ, Prosser RS, van Veggel FCJM. Size-tunable, ultrasmall NaGdF4 nanoparticles: Insights into their T1 MRI contrast enhancement. Chem Mater 2011;23:3714-22. 231. Chen GY, Qiu HL, Fan RW, Hao SW, Tan S, Yang CH, et al. Lanthanide-doped ultrasmall yttrium fluoride nanoparticles with enhanced multicolor upconversion photoluminescence. J Mater Chem 2012;22:20190-6. 232. Ryu J, Park HY, Kim K, Kim H, Yoo JH, Kang M, et al. Facile synthesis of ultrasmall and hexagonal NaGdF4: Yb 3+, Er 3+ nanoparticles with magnetic and upconversion imaging properties. J Phys Chem C 2010;114:21077-82. 233. Wong HT, Vetrone F, Naccache R, Chan HLW, Hao JH, Capobianco JA. Water dispersible ultra-small multifunctional KGdF4:Tm 3+, Yb 3+ nanoparticles with near-infrared to near-infrared upconversion. J Mater Chem 2011;21:16589-96. 234. Chen D, Yu Y, Huang F, Wang Y. Phase transition from hexagonal LnF3 (Ln = La, Ce, Pr) to cubic Ln0.8M0.2F2.8 (M = Ca, Sr, Ba) nanocrystals with enhanced upconversion induced by alkaline-earth doping. Chem Commun (Camb) 2011;47:2601-3. 235. Cao X, Cao F, Xiong L, Yang Y, Cao T, Cai X, et al. Cytotoxicity, tumor targeting and PET imaging of sub-5 nm KGdF4 multifunctional rare earth nanoparticles. Nanoscale 2015;7:13404-9. 236. Liu Q, Sun Y, Yang T, Feng W, Li C, Li F. Sub-10 nm hexagonal lanthanide-doped NaLuF4 upconversion nanocrystals for sensitive bioimaging in vivo. J Am Chem Soc 2011;133:17122-5. 237. Bentolila LA, Michalet X, Pinaud FF, Tsay JM, Doose S, Li JJ, et al. Quantum dots for molecular imaging and cancer medicine. Discov Med 2005;5:213-8. 238. Michalet X, Pinaud FF, Bentolila LA, Tsay JM, Doose S, Li JJ, et al. Quantum dots for live cells, in vivo imaging, and diagnostics. Science 2005;307:538-44. 239. Medintz IL, Uyeda HT, Goldman ER, Mattoussi H. Quantum dot bioconjugates for imaging, labelling and sensing. Nat Mater 2005;4:435-46. 240. Hild WA, Breunig M, Goepferich A. Quantum dots - nano-sized probes for the exploration of cellular and intracellular targeting. Eur J Pharm Biopharm 2008;68:153-68. 241. True LD, Gao X. Quantum dots for molecular pathology: Their time has arrived. J Mol Diagn 2007;9:7-11. 242. Alivisatos AP. Semiconductor clusters, nanocrystals, and quantum dots. Science 1996;271:933-7. 243. Sharma P, Brown S, Walter G, Santra S, Moudgil B. Nanoparticles for bioimaging. Adv Colloid Interface Sci 2006;123–126:471-85. 244. Walling MA, Novak JA, Shepard JR. Quantum dots for live cell and in vivo imaging. Int J Mol Sci 2009;10:441-91. 245. Harrell SM, McBride JR, Rosenthal SJ. Synthesis of ultrasmall and magic-sized CdSe nanocrystals. Chem Mater 2013;25:1199-210. 246. Zhelev Z, Bakalova R, Ohba H, Jose R, Imai Y, Baba Y. Uncoated, broad fluorescent, and size-homogeneous CdSe quantum dots for bioanalyses. Anal Chem 2006;78:321-30. 247. Tsay JM, Michalet X. New light on quantum dot cytotoxicity. Chem Biol 2005;12:1159-61. 248. Shiohara A, Hoshino A, Hanaki K, Suzuki K, Yamamoto K. On the cytotoxicity caused by quantum dots. Microbiol Immunol 2004;48:669-75. 249. Kirchner C, Liedl T, Kudera S, Pellegrino T, Muñoz Javier A, Gaub HE, et al. Cytotoxicity of colloidal CdSe and CdSe/ZnS nanoparticles. Nano Lett 2005;5:331-8. 250. Tan X, Jin R. Ultrasmall metal nanoclusters for bio-related applications. Wiley Interdiscip Rev Nanomed Nanobiotechnol 2013;5:569-81. 251. Derfus AM, Chan WCW, Bhatia SN. Probing the cytotoxicity of semiconductor quantum dots. Nano Lett 2004;4:11-8. 252. Gao J, Chen K, Xie R, Xie J, Lee S, Cheng Z, et al. Ultrasmall nearinfrared non-cadmium quantum dots for in vivo tumor imaging. Small 2010;6:256-61. 253. Pons T, Pic E, Lequeux N, Cassette E, Bezdetnaya L, Guillemin F, et al. Cadmium-free CuInS2/ZnS quantum dots for sentinel lymph node imaging with reduced toxicity. ACS Nano 2010;4:2531-8. 254. Tarantola M, Schneider D, Sunnick E, Adam H, Pierrat S, Rosman C, et al. Cytotoxicity of metal and semiconductor nanoparticles indicated by cellular micromotility. ACS Nano 2009;3:213-22. 255. Samuel SP, Santos-Martinez MJ, Medina C, Jain N, Radomski MW, Prina-Mello A, et al. CdTe quantum dots induce activation of human platelets: Implications for nanoparticle hemocompatibility. Int J Nanomedicine 2015;10:2723-34. 256. Barreto JA, O'Malley W, Kubeil M, Graham B, Stephan H, Spiccia L. Nanomaterials: Applications in cancer imaging and therapy. Adv Mater 2011;23:H18-40. 257. Choi HS, Liu W, Misra P, Tanaka E, Zimmer JP, Itty Ipe B, et al. Renal clearance of quantum dots. Nat Biotechnol 2007;25:1165-70. 258. Liu W, Choi HS, Zimmer JP, Tanaka E, Frangioni JV, Bawendi M. Compact cysteine-coated CdSe(ZnCdS) quantum dots for in vivo applications. J Am Chem Soc 2007;129:14530-1. 259. Breus VV, Heyes CD, Tron K, Nienhaus GU. Zwitterionic biocompatible quantum dots for wide pH stability and weak nonspecific binding to cells. ACS Nano 2009;3:2573-80. 260. Jiang X, Rocker C, Hafner M, Brandholt S, Dorlich RM, Nienhaus GU. Endo- and exocytosis of zwitterionic quantum dot nanoparticles by live HeLa cells. ACS Nano 2010;4:6787-97. 261. Raevskaya AE, Stroyuk OL, Solonenko DI, Dzhagan VM, Lehmann D, Kuchmiy SY, et al. Synthesis and luminescent properties of ultrasmall colloidal CdS nanoparticles stabilized by Cd(II) complexes with ammonia and mercaptoacetate. J Nanopart Res 2014;16. 262. Chen C, Zhang P, Zhang L, Gao D, Gao G, Yang Y, et al. Long-decay near-infrared-emitting doped quantum dots for lifetime-based in vivo pH imaging. Chem Commun (Camb) 2015;51:11162-5. 263. Khani O, Rajabi HR, Yousefi MH, Khosravi AA, Jannesari M, Shamsipur M. Synthesis and characterizations of ultra-small ZnS and Zn(1-x)Fe(x)S quantum dots in aqueous media and spectroscopic study of their interactions with bovine serum albumin. Spectrochim Acta A Mol Biomol Spectrosc 2011;79:361-9. 264. Xuan T, Wang S, Wang X, Liu J, Chen J, Li H, et al. Single-step noninjection synthesis of highly luminescent water soluble Cu + doped CdS quantum dots: Application as bio-imaging agents. Chem Commun (Camb) 2013;49:9045-7. 265. Chen LN, Wang J, Li WT, Han HY. Aqueous one-pot synthesis of bright and ultrasmall CdTe/CdS near-infrared-emitting quantum dots and their application for tumor targeting in vivo. Chem Commun (Camb) 2012;48:4971-3. 266. Zhang F, Sun TT, Zhang Y, Li Q, Chai C, Lu L, et al. Facile synthesis of functional gadolinium-doped CdTe quantum dots for tumor-targeted fluorescence and magnetic resonance dual-modality imaging. J Mater Chem B 2014;2:7201-9. 267. Gao D, Zhang P, Jia J, Li M, Sheng Z, Hu D, et al. Ultrasmall paramagnetic near infrared quantum dots as dual modal nanoprobes. RSC Adv 2013;3:21247-50. 268. Muro E, Pons T, Lequeux N, Fragola A, Sanson N, Lenkei Z, et al. Small and stable sulfobetaine zwitterionic quantum dots for functional live-cell imaging. J Am Chem Soc 2010;132:4556-7. 269. Muro E, Fragola A, Pons T, Lequeux N, Ioannou A, Skourides P, et al. Comparing intracellular stability and targeting of sulfobetaine quantum dots with other surface chemistries in live cells. Small 2012;8:1029-37. 270. Susumu K, Oh E, Delehanty JB, Blanco-Canosa JB, Johnson BJ, Jain V, et al. Multifunctional compact zwitterionic ligands for preparing K. Zarschler et al / Nanomedicine: Nanotechnology, Biology, and Medicine 12 (2016) 1663–1701 271. 272. 273. 274. 275. 276. 277. 278. 279. 280. 281. 282. 283. 284. 285. 286. 287. 288. 289. 290. robust biocompatible semiconductor quantum dots and gold nanoparticles. J Am Chem Soc 2011;133:9480-96. Zhan N, Palui G, Safi M, Ji X, Mattoussi H. Multidentate zwitterionic ligands provide compact and highly biocompatible quantum dots. J Am Chem Soc 2013;135:13786-95. Giovanelli E, Muro E, Sitbon G, Hanafi M, Pons T, Dubertret B, et al. Highly enhanced affinity of multidentate versus bidentate zwitterionic ligands for long-term quantum dot bioimaging. Langmuir 2012;28:15177-84. Lawrence KN, Dolai S, Lin Y-H, Dass A, Sardar R. Enhancing the physicochemical and photophysical properties of small (b2.0 nm) CdSe nanoclusters for intracellular imaging applications. RSC Adv 2014;4:30742-53. Mansur AA, Mansur HS, Soriano-Araujo A, Lobato ZI. Fluorescent nanohybrids based on quantum dot-chitosan-antibody as potential cancer biomarkers. ACS Appl Mater Interfaces 2014;6:11403-12. Han HS, Martin JD, Lee J, Harris DK, Fukumura D, Jain RK, et al. Spatial charge configuration regulates nanoparticle transport and binding behavior in vivo. Angew Chem Int Ed Engl 2013;52:1414-9. Sun Z, Xie H, Tang S, Yu XF, Guo Z, Shao J, et al. Ultrasmall black phosphorus quantum dots: Synthesis and use as photothermal agents. Angew Chem Int Ed Engl 2015;54:11526-30. Zhang X, Xie H, Liu Z, Tan C, Luo Z, Li H, et al. Black phosphorus quantum dots. Angew Chem Int Ed Engl 2015;54:3653-7. Cheng X, Lowe SB, Reece PJ, Gooding JJ. Colloidal silicon quantum dots: From preparation to the modification of self-assembled monolayers (SAMs) for bio-applications. Chem Soc Rev 2014;43:2680-700. Peng F, Su Y, Zhong Y, Fan C, Lee ST, He Y. Silicon nanomaterials platform for bioimaging, biosensing, and cancer therapy. Acc Chem Res 2014;47:612-23. Park JH, Gu L, von Maltzahn G, Ruoslahti E, Bhatia SN, Sailor MJ. Biodegradable luminescent porous silicon nanoparticles for in vivo applications. Nat Mater 2009;8:331-6. Tasciotti E, Liu X, Bhavane R, Plant K, Leonard AD, Price BK, et al. Mesoporous silicon particles as a multistage delivery system for imaging and therapeutic applications. Nat Nanotechnol 2008;3:151-7. Dasog M, Yang Z, Regli S, Atkins TM, Faramus A, Singh MP, et al. Chemical insight into the origin of red and blue photoluminescence arising from freestanding silicon nanocrystals. ACS Nano 2013;7:2676-85. Canham LT. Silicon quantum wire array fabrication by electrochemical and chemical dissolution of wafers. Appl Phys Lett 1990;57:1046-8. Sugimoto H, Fujii M, Imakita K, Hayashi S, Akamatsu K. Allinorganic near-infrared luminescent colloidal silicon nanocrystals: High dispersibility in polar liquid by phosphorus and boron codoping. J Phys Chem C 2012;116:17969-74. Sugimoto H, Fujii M, Imakita K, Hayashi S, Akamatsu K. Codoping nand p-type impurities in colloidal silicon nanocrystals: Controlling luminescence energy from below bulk band gap to visible range. J Phys Chem C 2013;117:11850-7. Dohnalova K, Poddubny AN, Prokofiev AA, de Boer WDAM, Umesh CP, Paulusse JMJ, et al. Surface brightens up Si quantum dots: Direct bandgap-like size-tunable emission. Light Sci Appl 2013;2:e47. Siekierzycka JR, Rosso-Vasic M, Zuilhof H, Brouwer AM. Photophysics of n-butyl-capped silicon nanoparticles. J Phys Chem C 2011;115:20888-95. Llansola Portolés MJ, Pis Diez R, Dell’Arciprete ML, Caregnato P, Romero JJ, Mártire DO, et al. Understanding the parameters affecting the photoluminescence of silicon nanoparticles. J Phys Chem C 2012;116:11315-25. Romero JJ, Llansola-Portolés MJ, Dell’Arciprete ML, Rodríguez HB, Moore AL, Gonzalez MC. Photoluminescent 1-2 nm sized silicon nanoparticles: A surface-dependent system. Chem Mater 2013;25:3488-98. Kang Z, Liu Y, Lee ST. Small-sized silicon nanoparticles: New nanolights and nanocatalysts. Nanoscale 2011;3:777-91. 1693 291. Veinot JG. Synthesis, surface functionalization, and properties of freestanding silicon nanocrystals. Chem Commun (Camb) 2006:4160-8. 292. Sun H, Miyazaki S, Tamamitsu H, Saitow K. One-pot facile synthesis of a concentrated Si nanoparticle solution. Chem Commun (Camb) 2013;49:10302-4. 293. Heintz AS, Fink MJ, Mitchell BS. Silicon nanoparticles with chemically tailored surfaces. Appl Organomet Chem 2010;24:236-40. 294. Chinnathambi S, Chen S, Ganesan S, Hanagata N. Silicon quantum dots for biological applications. Adv Healthc Mater 2014;3:10-29. 295. Gonçalves HMR, Esteves da Silva JCG. A new insight on silicon dots. Curr Anal Chem 2012;8:67-77. 296. Heath JR. A liquid-solution-phase synthesis of crystalline silicon. Science 1992;258:1131-3. 297. Wilcoxon JP, Samara GA, Provencio PN. Optical and electronic properties of Si nanoclusters synthesized in inverse micelles. Phys Rev B 1999;60:2704-14. 298. Warner JH, Hoshino A, Yamamoto K, Tilley RD. Water-soluble photoluminescent silicon quantum dots. Angew Chem Int Ed Engl 2005;44:4550-4. 299. Shiohara A, Prabakar S, Faramus A, Hsu CY, Lai PS, Northcote PT, et al. Sized controlled synthesis, purification, and cell studies with silicon quantum dots. Nanoscale 2011;3:3364-70. 300. Rosso-Vasic M, Spruijt E, van Lagen B, De Cola L, Zuilhof H. Alkylfunctionalized oxide-free silicon nanoparticles: Synthesis and optical properties. Small 2008;4:1835-41. 301. Rosso-Vasic M, Spruijt E, Popovic Z, Overgaag K, van Lagen B, Grandidier B, et al. Amine-terminated silicon nanoparticles: Synthesis, optical properties and their use in bioimaging. J Mater Chem 2009;19:5926-33. 302. Linehan K, Doyle H. Size controlled synthesis of silicon nanocrystals using cationic surfactant templates. Small 2014;10:584-90. 303. Baldwin RK, Pettigrew KA, Ratai E, Augustine MP, Kauzlarich SM. Solution reduction synthesis of surface stabilized silicon nanoparticles. Chem Commun (Camb) 2002:1822-3. 304. Bley RA, Kauzlarich SM. A low-temperature solution phase route for the synthesis of silicon nanoclusters. J Am Chem Soc 1996;118:12461-2. 305. Yang CS, Bley RA, Kauzlarich SM, Lee HWH, Delgado GR. Synthesis of alkyl-terminated silicon nanoclusters by a solution route. J Am Chem Soc 1999;121:5191-5. 306. Baldwin RK, Pettigrew KA, Garno JC, Power PP, Liu GY, Kauzlarich SM. Room temperature solution synthesis of alkyl-capped tetrahedral shaped silicon nanocrystals. J Am Chem Soc 2002;124:1150-1. 307. Pettigrew KA, Liu Q, Power PP, Kauzlarich SM. Solution synthesis of alkyl- and alkyl/alkoxy-capped silicon nanoparticles via oxidation of Mg2Si. Chem Mater 2003;15:4005-11. 308. Cho B, Baek S, Woo HG, Sohn H. Synthesis of silicon quantum dots showing high quantum efficiency. J Nanosci Nanotechnol 2014;14:5868-72. 309. Nolan BM, Henneberger T, Waibel M, Fassler TF, Kauzlarich SM. Silicon nanoparticles by the oxidation of [Si4] 4 −- and [Si9] 4 −containing Zintl phases and their corresponding yield. Inorg Chem 2015;54:396-401. 310. Neiner D, Chiu HW, Kauzlarich SM. Low-temperature solution route to macroscopic amounts of hydrogen terminated silicon nanoparticles. J Am Chem Soc 2006;128:11016-7. 311. Liu Q, Kauzlarich SM. A new synthetic route for the synthesis of hydrogen terminated silicon nanoparticles. Mater Sci Eng B-Solid State Mater Adv Technol 2002;96:72-5. 312. Zhong Y, Peng F, Bao F, Wang S, Ji X, Yang L, et al. Large-scale aqueous synthesis of fluorescent and biocompatible silicon nanoparticles and their use as highly photostable biological probes. J Am Chem Soc 2013;135:8350-6. 313. Atkins TM, Thibert A, Larsen DS, Dey S, Browning ND, Kauzlarich SM. Femtosecond ligand/core dynamics of microwave-assisted 1694 314. 315. 316. 317. 318. 319. 320. 321. 322. 323. 324. 325. 326. 327. 328. 329. 330. 331. K. Zarschler et al / Nanomedicine: Nanotechnology, Biology, and Medicine 12 (2016) 1663–1701 synthesized silicon quantum dots in aqueous solution. J Am Chem Soc 2011;133:20664-7. Atkins TM, Louie AY, Kauzlarich SM. An efficient microwaveassisted synthesis method for the production of water soluble amineterminated Si nanoparticles. Nanotechnology 2012;23:294006. Hessel CM, Henderson EJ, Veinot JGC. Hydrogen silsesquioxane: A molecular precursor for nanocrystalline Si-SiO2 composites and freestanding hydride-surface-terminated silicon nanoparticles. Chem Mater 2006;18:6139-46. Henderson EJ, Kelly JA, Veinot JGC. Influence of HSiO1.5 sol–gel polymer structure and composition on the size and luminescent properties of silicon nanocrystals. Chem Mater 2009;21:5426-34. Mastronardi ML, Hennrich F, Henderson EJ, Maier-Flaig F, Blum C, Reichenbach J, et al. Preparation of monodisperse silicon nanocrystals using density gradient ultracentrifugation. J Am Chem Soc 2011;133:11928-31. Mastronardi ML, Maier-Flaig F, Faulkner D, Henderson EJ, Kubel C, Lemmer U, et al. Size-dependent absolute quantum yields for sizeseparated colloidally-stable silicon nanocrystals. Nano Lett 2012;12:337-42. Mastronardi ML, Henderson EJ, Puzzo DP, Ozin GA. Small silicon, big opportunities: The development and future of colloidally-stable monodisperse silicon nanocrystals. Adv Mater 2012;24:5890-8. Li ZF, Ruckenstein E. Water-soluble poly(acrylic acid) grafted luminescent silicon nanoparticles and their use as fluorescent biological staining labels. Nano Lett 2004;4:1463-7. Ruizendaal L, Bhattacharjee S, Pournazari K, Rosso-Vasic M, de Haan LHJ, Alink GM, et al. Synthesis and cytotoxicity of silicon nanoparticles with covalently attached organic monolayers. Nanotoxicology 2009;3:339-47. Bhattacharjee S, de Haan LH, Evers NM, Jiang X, Marcelis AT, Zuilhof H, et al. Role of surface charge and oxidative stress in cytotoxicity of organic monolayer-coated silicon nanoparticles towards macrophage NR8383 cells. Part Fibre Toxicol 2010;7:25. Bhattacharjee S, Rietjens IM, Singh MP, Atkins TM, Purkait TK, Xu Z, et al. Cytotoxicity of surface-functionalized silicon and germanium nanoparticles: The dominant role of surface charges. Nanoscale 2013;5:4870-83. Cheng X, Lowe SB, Ciampi S, Magenau A, Gaus K, Reece PJ, et al. Versatile "click chemistry" approach to functionalizing silicon quantum dots: Applications toward fluorescent cellular imaging. Langmuir 2014;30:5209-16. Ohta S, Shen P, Inasawa S, Yamaguchi Y. Size- and surface chemistrydependent intracellular localization of luminescent silicon quantum dot aggregates. J Mater Chem 2012;22:10631-8. Ruizendaal L, Pujari SP, Gevaerts V, Paulusse JM, Zuilhof H. Biofunctional silicon nanoparticles by means of thiol-ene click chemistry. Chem Asian J 2011;6:2776-86. Wang L, Reipa V, Blasic J. Silicon nanoparticles as a luminescent label to DNA. Bioconjug Chem 2004;15:409-12. Intartaglia R, Barchanski A, Bagga K, Genovese A, Das G, Wagener P, et al. Bioconjugated silicon quantum dots from one-step green synthesis. Nanoscale 2012;4:1271-4. Erogbogbo F, Swihart MT. Imaging pancreatic cancer with folic acid terminated luminescent silicon nanocrystals. In: Borsella E, editor. Bonsai project symposium: Breakthroughs in nanoparticles for bioimaging. Amer Inst Physics, 2 Huntington Quadrangle, Ste 1no1, Melville, Ny 11747–4501 USARome, ITALY: ENEA Res Ctr Frascati; 2010. p. 35-9. Ahire JH, Behray M, Webster CA, Wang Q, Sherwood V, Saengkrit N, et al. Synthesis of carbohydrate capped silicon nanoparticles and their reduced cytotoxicity, in vivo toxicity, and cellular uptake. Adv Healthc Mater 2015;4:1877-86. Lai CH, Hutter J, Hsu CW, Tanaka H, Varela-Aramburu S, De Cola L, et al. Analysis of carbohydrate-carbohydrate interactions using sugar-functionalized silicon nanoparticles for cell imaging. Nano Lett 2016;16:807-11. 332. Singh MP, Atkins TM, Muthuswamy E, Kamali S, Tu C, Louie AY, et al. Development of iron-doped silicon nanoparticles as bimodal imaging agents. ACS Nano 2012;6:5596-604. 333. Tu C, Ma X, House A, Kauzlarich SM, Louie AY. PET Imaging and biodistribution of silicon quantum dots in mice. ACS Med Chem Lett 2011;2:285-8. 334. Tu C, Ma X, Pantazis P, Kauzlarich SM, Louie AY. Paramagnetic, silicon quantum dots for magnetic resonance and two-photon imaging of macrophages. J Am Chem Soc 2010;132:2016-23. 335. Erogbogbo F, Yong KT, Roy I, Hu R, Law WC, Zhao W, et al. In vivo targeted cancer imaging, sentinel lymph node mapping and multichannel imaging with biocompatible silicon nanocrystals. ACS Nano 2011;5:413-23. 336. Lim SY, Shen W, Gao Z. Carbon quantum dots and their applications. Chem Soc Rev 2015;44:362-81. 337. Wang Y, Hu A. Carbon quantum dots: Synthesis, properties and applications. J Mater Chem C 2014;2:6921-39. 338. Luo PG, Sahu S, Yang S-T, Sonkar SK, Wang J, Wang H, et al. Carbon “quantum” dots for optical bioimaging. J Mater Chem B 2013;1:2116-27. 339. Xu X, Ray R, Gu Y, Ploehn HJ, Gearheart L, Raker K, et al. Electrophoretic analysis and purification of fluorescent single-walled carbon nanotube fragments. J Am Chem Soc 2004;126:12736-7. 340. Sun Y-P, Zhou B, Lin Y, Wang W, Fernando KS, Pathak P, et al. Quantum-sized carbon dots for bright and colorful photoluminescence. J Am Chem Soc 2006;128:7756-7. 341. Zhou J, Booker C, Li R, Zhou X, Sham T-K, Sun X, et al. An electrochemical avenue to blue luminescent nanocrystals from multiwalled carbon nanotubes (MWCNTs). J Am Chem Soc 2007;129:744-5. 342. Li H, He X, Kang Z, Huang H, Liu Y, Liu J, et al. Water-soluble fluorescent carbon quantum dots and photocatalyst design. Angew Chem Int Ed Engl 2010;49:4430-4. 343. Peng H, Travas-Sejdic J. Simple aqueous solution route to luminescent carbogenic dots from carbohydrates. Chem Mater 2009;21:5563-5. 344. Krysmann MJ, Kelarakis A, Giannelis EP. Photoluminescent carbogenic nanoparticles directly derived from crude biomass. Green Chem 2012;14:3141-5. 345. Liu H, Ye T, Mao C. Fluorescent carbon nanoparticles derived from candle soot. Angew Chem Int Ed Engl 2007;46:6473-5. 346. Sahu S, Behera B, Maiti TK, Mohapatra S. Simple one-step synthesis of highly luminescent carbon dots from orange juice: Application as excellent bio-imaging agents. Chem Commun (Camb) 2012;48:8835-7. 347. Zhang B, Cy Liu, Liu Y. A novel one-step approach to synthesize f l uo r e sc e n t c a r b on n a n o p a r t i c l e s . E u r J I n o r g C h e m 2010;2010:4411-4. 348. Wang X, Cao L, Yang ST, Lu F, Meziani MJ, Tian L, et al. Bandgaplike strong fluorescence in functionalized carbon nanoparticles. Angew Chem Int Ed Engl 2010;122:5438-42. 349. Zhu S, Meng Q, Wang L, Zhang J, Song Y, Jin H, et al. Highly photoluminescent carbon dots for multicolor patterning, sensors, and bioimaging. Angew Chem Int Ed Engl 2013;125:4045-9. 350. Yang Y, Cui J, Zheng M, Hu C, Tan S, Xiao Y, et al. One-step synthesis of amino-functionalized fluorescent carbon nanoparticles by hydrothermal carbonization of chitosan. Chem Commun (Camb) 2012;48:380-2. 351. Wang F, Bexiga MG, Anguissola S, Boya P, Simpson JC, Salvati A, et al. Time resolved study of cell death mechanisms induced by aminemodified polystyrene nanoparticles. Nanoscale 2013;5:10868-76. 352. Zhou J, Yang Y, C-y Zhang. A low-temperature solid-phase method to synthesize highly fluorescent carbon nitride dots with tunable emission. Chem Commun (Camb) 2013;49:8605-7. 353. Sun D, Ban R, Zhang P-H, Wu G-H, Zhang J-R, Zhu J-J. Hair fiber as a precursor for synthesizing of sulfur-and nitrogen-co-doped carbon dots with tunable luminescence properties. Carbon 2013;64:424-34. 354. Prasad KS, Pallela R, Kim DM, Shim YB. Microwave-assisted one-pot synthesis of metal-free nitrogen and phosphorus dual-doped K. Zarschler et al / Nanomedicine: Nanotechnology, Biology, and Medicine 12 (2016) 1663–1701 355. 356. 357. 358. 359. 360. 361. 362. 363. 364. 365. 366. 367. 368. 369. 370. 371. 372. 373. 374. 375. 376. nanocarbon for electrocatalysis and cell imaging. Part Part Syst Charact 2013;30:557-64. Yang S-T, Cao L, Luo PG, Lu F, Wang X, Wang H, et al. Carbon dots for optical imaging in vivo. J Am Chem Soc 2009;131:11308-9. Li W, Zhang Z, Kong B, Feng S, Wang J, Wang L, et al. Simple and green synthesis of nitrogen-doped photoluminescent carbonaceous nanospheres for bioimaging. Angew Chem Int Ed Engl 2013;52:8151-5. Yan F, Zou Y, Wang M, Mu X, Yang N, Chen L. Highly photoluminescent carbon dots-based fluorescent chemosensors for sensitive and selective detection of mercury ions and application of imaging in living cells. Sens Actuat B Chem 2014;192:488-95. Zhang S, Wang Q, Tian G, Ge H. A fluorescent turn-off/on method for detection of Cu 2+ and oxalate using carbon dots as fluorescent probes in aqueous solution. Mater Lett 2014;115:233-6. Dong Y, Shao J, Chen C, Li H, Wang R, Chi Y, et al. Blue luminescent graphene quantum dots and graphene oxide prepared by tuning the carbonization degree of citric acid. Carbon 2012;50:4738-43. Kong B, Zhu A, Ding C, Zhao X, Li B, Tian Y. Carbon dot-based inorganic–organic nanosystem for two-photon imaging and biosensing of pH variation in living cells and tissues. Adv Mater 2012;24:5844-8. Wee SS, Ng YH, Ng SM. Synthesis of fluorescent carbon dots via simple acid hydrolysis of bovine serum albumin and its potential as sensitive sensing probe for lead (II) ions. Talanta 2013;116:71-6. Wang Q, Huang X, Long Y, Wang X, Zhang H, Zhu R, et al. Hollow luminescent carbon dots for drug delivery. Carbon 2013;59:192-9. Li SD, Huang L. Pharmacokinetics and biodistribution of nanoparticles. Mol Pharm 2008;5:496-504. Moghimi SM, Hunter AC, Andresen TL. Factors controlling nanoparticle pharmacokinetics: An integrated analysis and perspective. Annu Rev Pharmacol Toxicol 2012;52:481-503. Nam J, Won N, Bang J, Jin H, Park J, Jung S, et al. Surface engineering of inorganic nanoparticles for imaging and therapy. Adv Drug Deliv Rev 2013;65:622-48. Toy R, Peiris PM, Ghaghada KB, Karathanasis E. Shaping cancer nanomedicine: The effect of particle shape on the in vivo journey of nanoparticles. Nanomedicine (Lond) 2014;9:121-34. Wang B, He X, Zhang Z, Zhao Y, Feng W. Metabolism of nanomaterials in vivo: Blood circulation and organ clearance. Acc Chem Res 2013;46:761-9. Liu J, Yu M, Zhou C, Zheng J. Renal clearable inorganic nanoparticles: A new frontier of bionanotechnology. Mater Today 2013;16:477-86. Deen WM, Lazzara MJ, Myers BD. Structural determinants of glomerular permeability. Am J Physiol Renal Physiol 2001;281:F579-96. Yamagishi Y, Watari A, Hayata Y, Li X, Kondoh M, Yoshioka Y, et al. Acute and chronic nephrotoxicity of platinum nanoparticles in mice. Nanoscale Res Lett 2013;8:395. Sebekova K, Dusinska M, Simon Klenovics K, Kollarova R, Boor P, Kebis A, et al. Comprehensive assessment of nephrotoxicity of intravenously administered sodium-oleate-coated ultra-small superparamagnetic iron oxide (USPIO) and titanium dioxide (TiO2) nanoparticles in rats. Nanotoxicology 2014;8:142-57. Choi HS, Ipe BI, Misra P, Lee JH, Bawendi MG, Frangioni JV. Tissueand organ-selective biodistribution of NIR fluorescent quantum dots. Nano Lett 2009;9:2354-9. Liu F, He X, Zhang J, Zhang H, Wang Z. Employing tryptone as a general phase transfer agent to produce renal clearable nanodots for bioimaging. Small 2015;11:3676-85. Zhou Z, Wang L, Chi X, Bao J, Yang L, Zhao W, et al. Engineered iron-oxide-based nanoparticles as enhanced T1 contrast agents for efficient tumor imaging. ACS Nano 2013;7:3287-96. Bonitatibus Jr PJ, Torres AS, Goddard GD, FitzGerald PF, Kulkarni AM. Synthesis, characterization, and computed tomography imaging of a tantalum oxide nanoparticle imaging agent. Chem Commun (Camb) 2010;46:8956-8. Alric C, Miladi I, Kryza D, Taleb J, Lux F, Bazzi R, et al. The biodistribution of gold nanoparticles designed for renal clearance. Nanoscale 2013;5:5930-9. 1695 377. Zhang XD, Wu D, Shen X, Liu PX, Fan FY, Fan SJ. In vivo renal clearance, biodistribution, toxicity of gold nanoclusters. Biomaterials 2012;33:4628-38. 378. Balogh L, Nigavekar SS, Nair BM, Lesniak W, Zhang C, Sung LY, et al. Significant effect of size on the in vivo biodistribution of gold composite nanodevices in mouse tumor models. Nanomedicine 2007;3:281-96. 379. Simpson CA, Salleng KJ, Cliffel DE, Feldheim DL. In vivo toxicity, biodistribution, and clearance of glutathione-coated gold nanoparticles. Nanomedicine 2013;9:257-63. 380. Hirn S, Semmler-Behnke M, Schleh C, Wenk A, Lipka J, Schäffler M, et al. Particle size-dependent and surface charge-dependent biodistribution of gold nanoparticles after intravenous administration. Eur J Pharm Biopharm 2011;77:407-16. 381. Burns AA, Vider J, Ow H, Herz E, Penate-Medina O, Baumgart M, et al. Fluorescent silica nanoparticles with efficient urinary excretion for nanomedicine. Nano Lett 2009;9:442-8. 382. Huang X, Zhang F, Zhu L, Choi KY, Guo N, Guo J, et al. Effect of injection routes on the biodistribution, clearance, and tumor uptake of carbon dots. ACS Nano 2013;7:5684-93. 383. Fischer HC, Liu L, Pang KS, Chan WCW. Pharmacokinetics of nanoscale quantum dots: In vivo distribution, sequestration, and clearance in the rat. Adv Funct Mater 2006;16:1299-305. 384. Ma N, Marshall AF, Gambhir SS, Rao J. Facile synthesis, silanization, and biodistribution of biocompatible quantum dots. Small 2010;6:1520-8. 385. Ruggiero A, Villa CH, Bander E, Rey DA, Bergkvist M, Batt CA, et al. Paradoxical glomerular filtration of carbon nanotubes. Proc Natl Acad Sci U S A 2010;107:12369-74. 386. Mulvey JJ, Feinberg EN, Alidori S, McDevitt MR, Heller DA, Scheinberg DA. Synthesis, pharmacokinetics, and biological use of lysine-modified single-walled carbon nanotubes. Int J Nanomedicine 2014;9:4245-55. 387. Liang X, Wang H, Zhu Y, Zhang R, Cogger VC, Liu X, et al. Short- and long-term tracking of anionic ultrasmall nanoparticles in kidney. ACS Nano 2016;10:387-95. 388. Zhang XD, Yang J, Song SS, Long W, Chen J, Shen X, et al. Passing through the renal clearance barrier: Toward ultrasmall sizes with stable ligands for potential clinical applications. Int J Nanomedicine 2014;9:2069-72. 389. Gu L, Hall DJ, Qin Z, Anglin E, Joo J, Mooney DJ, et al. In vivo timegated fluorescence imaging with biodegradable luminescent porous silicon nanoparticles. Nat Commun 2013;4:2326. 390. Chou LY, Zagorovsky K, Chan WC. DNA assembly of nanoparticle superstructures for controlled biological delivery and elimination. Nat Nanotechnol 2014;9:148-55. 391. Yang S, Sun S, Zhou C, Hao G, Liu J, Ramezani S, et al. Renal clearance and degradation of glutathione-coated copper nanoparticles. Bioconjug Chem 2015;26:511-9. 392. Cassano D, Rota Martir D, Signore G, Piazza V, Voliani V. Biodegradable hollow silica nanospheres containing gold nanoparticle arrays. Chem Commun (Camb) 2015;51:9939-41. 393. Tam JM, Tam JO, Murthy A, Ingram DR, Ma LL, Travis K, et al. Controlled assembly of biodegradable plasmonic nanoclusters for nearinfrared imaging and therapeutic applications. ACS Nano 2010;4:2178-84. 394. Hon NK, Shaposhnik Z, Diebold ED, Tamanoi F, Jalali B. Tailoring the biodegradability of porous silicon nanoparticles. J Biomed Mater Res A 2012;100:3416-21. 395. Sadauskas E, Wallin H, Stoltenberg M, Vogel U, Doering P, Larsen A, et al. Kupffer cells are central in the removal of nanoparticles from the organism. Part Fibre Toxicol 2007;4:10. 396. Sørensen KK, McCourt P, Berg T, Crossley C, Le Couteur D, Wake K, et al. The scavenger endothelial cell: A new player in homeostasis and immunity. Am J Physiol Regul Integr Comp Physiol 2012;303:R1217-30. 1696 K. Zarschler et al / Nanomedicine: Nanotechnology, Biology, and Medicine 12 (2016) 1663–1701 397. Smedsrød B. Clearance function of scavenger endothelial cells. Comp Hepatol 2004;3(Suppl 1):S22. 398. Bargheer D, Giemsa A, Freund B, Heine M, Waurisch C, Stachowski GM, et al. The distribution and degradation of radiolabeled superparamagnetic iron oxide nanoparticles and quantum dots in mice. Beilstein J Nanotechnol 2015;6:111-23. 399. Braet F, Wisse E. Structural and functional aspects of liver sinusoidal endothelial cell fenestrae: A review. Comp Hepatol 2002;1:1. 400. Caballero-Díaz E, Pfeiffer C, Kastl L, Rivera-Gil P, Simonet B, Valcárcel M, et al. The toxicity of silver nanoparticles depends on their uptake by cells and thus on their surface chemistry. Part Part Syst Charact 2013;30:1079-85. 401. Kreyling WG, Abdelmonem AM, Ali Z, Alves F, Geiser M, Haberl N, et al. In vivo integrity of polymer-coated gold nanoparticles. Nat Nanotechnol 2015;10:619-23. 402. Lartigue L, Alloyeau D, Kolosnjaj-Tabi J, Javed Y, Guardia P, Riedinger A, et al. Biodegradation of iron oxide nanocubes: Highresolution in situ monitoring. ACS Nano 2013;7:3939-52. 403. Levy M, Luciani N, Alloyeau D, Elgrabli D, Deveaux V, Pechoux C, et al. Long term in vivo biotransformation of iron oxide nanoparticles. Biomaterials 2011;32:3988-99. 404. Kolosnjaj-Tabi J, Javed Y, Lartigue L, Volatron J, Elgrabli D, Marangon I, et al. The one year fate of iron oxide coated gold nanoparticles in mice. ACS Nano 2015;9:7925-39. 405. Estevanato LL, Lacava LM, Carvalho LC, Azevedo RB, Silva O, Pelegrini F, et al. Long-term biodistribution and biocompatibility investigation of dextran-coated magnetite nanoparticle using mice as the animal model. J Biomed Nanotechnol 2012;8:301-8. 406. Briley-Saebo K, Bjørnerud A, Grant D, Ahlstrom H, Berg T, Kindberg GM. Hepatic cellular distribution and degradation of iron oxide nanoparticles following single intravenous injection in rats: Implications for magnetic resonance imaging. Cell Tissue Res 2004;316:315-23. 407. Pouliquen D, Le Jeune JJ, Perdrisot R, Ermias A, Jallet P. Iron oxide nanoparticles for use as an MRI contrast agent: Pharmacokinetics and metabolism. Magn Reson Imaging 1991;9:275-83. 408. Gu L, Fang RH, Sailor MJ, Park JH. In vivo clearance and toxicity of monodisperse iron oxide nanocrystals. ACS Nano 2012;6:4947-54. 409. Weissleder R, Stark DD, Engelstad BL, Bacon BR, Compton CC, White DL, et al. Superparamagnetic iron oxide: Pharmacokinetics and toxicity. AJR Am J Roentgenol 1989;152:167-73. 410. Pan Y, Leifert A, Ruau D, Neuss S, Bornemann J, Schmid G, et al. Gold nanoparticles of diameter 1.4 nm trigger necrosis by oxidative stress and mitochondrial damage. Small 2009;5:2067-76. 411. AshaRani PV, Low Kah Mun G, Hande MP, Valiyaveettil S. Cytotoxicity and genotoxicity of silver nanoparticles in human cells. ACS Nano 2009;3:279-90. 412. Soenen SJ, Manshian B, Montenegro JM, Amin F, Meermann B, Thiron T, et al. Cytotoxic effects of gold nanoparticles: A multiparametric study. ACS Nano 2012;6:5767-83. 413. Lee HM, Shin DM, Song HM, Yuk JM, Lee ZW, Lee SH, et al. Nanoparticles up-regulate tumor necrosis factor-alpha and CXCL8 via reactive oxygen species and mitogen-activated protein kinase activation. Toxicol Appl Pharmacol 2009;238:160-9. 414. Panas A, Marquardt C, Nalcaci O, Bockhorn H, Baumann W, Paur HR, et al. Screening of different metal oxide nanoparticles reveals selective toxicity and inflammatory potential of silica nanoparticles in lung epithelial cells and macrophages. Nanotoxicology 2013;7:259-73. 415. Park EJ, Park K. Oxidative stress and pro-inflammatory responses induced by silica nanoparticles in vivo and in vitro. Toxicol Lett 2009;184:18-25. 416. Lunov O, Syrovets T, Röcker C, Tron K, Nienhaus GU, Rasche V, et al. Lysosomal degradation of the carboxydextran shell of coated superparamagnetic iron oxide nanoparticles and the fate of professional phagocytes. Biomaterials 2010;31:9015-22. 417. Lunov O, Syrovets T, Buchele B, Jiang X, Rocker C, Tron K, et al. The effect of carboxydextran-coated superparamagnetic iron oxide nano- 418. 419. 420. 421. 422. 423. 424. 425. 426. 427. 428. 429. 430. 431. 432. 433. 434. 435. 436. 437. 438. 439. particles on c-Jun N-terminal kinase-mediated apoptosis in human macrophages. Biomaterials 2010;31:5063-71. Chattopadhyay S, Dash SK, Kar Mahapatra S, Tripathy S, Ghosh T, Das B, et al. Chitosan-modified cobalt oxide nanoparticles stimulate TNF-alpha-mediated apoptosis in human leukemic cells. J Biol Inorg Chem 2014;19:399-414. Lovric J, Cho SJ, Winnik FM, Maysinger D. Unmodified cadmium telluride quantum dots induce reactive oxygen species formation leading to multiple organelle damage and cell death. Chem Biol 2005;12:1227-34. Bertrand N, Wu J, Xu X, Kamaly N, Farokhzad OC. Cancer nanotechnology: The impact of passive and active targeting in the era of modern cancer biology. Adv Drug Deliv Rev 2014;66:2-25. Maeda H. The enhanced permeability and retention (EPR) effect in tumor vasculature: The key role of tumor-selective macromolecular drug targeting. Adv Enzyme Regul 2001;41:189-207. Iyer AK, Khaled G, Fang J, Maeda H. Exploiting the enhanced permeability and retention effect for tumor targeting. Drug Discov Today 2006;11:812-8. Yamashita F, Hashida M. Pharmacokinetic considerations for targeted drug delivery. Adv Drug Deliv Rev 2013;65:139-47. Nakamura H, Jun F, Maeda H. Development of next-generation macromolecular drugs based on the EPR effect: Challenges and pitfalls. Expert Opin Drug Deliv 2015;12:53-64. Matsumura Y, Maeda H. A new concept for macromolecular therapeutics in cancer chemotherapy: Mechanism of tumoritropic accumulation of proteins and the antitumor agent smancs. Cancer Res 1986;46:6387-92. Kiessling F, Mertens ME, Grimm J, Lammers T. Nanoparticles for imaging: Top or flop? Radiology 2014;273:10-28. Yu M, Zheng J. Clearance pathways and tumor targeting of imaging nanoparticles. ACS Nano 2015;9:6655-74. Lammers T, Kiessling F, Hennink WE, Storm G. Drug targeting to tumors: Principles, pitfalls and (pre-) clinical progress. J Control Release 2012;161:175-87. Bazak R, Houri M, El Achy S, Kamel S, Refaat T. Cancer active targeting by nanoparticles: A comprehensive review of literature. J Cancer Res Clin Oncol 2015;141:769-84. Ruoslahti E. Peptides as targeting elements and tissue penetration devices for nanoparticles. Adv Mater 2012;24:3747-56. Danhier F, Le Breton A, Preat V. RGD-based strategies to target αVβ3 integrin in cancer therapy and diagnosis. Mol Pharm 2012;9:2961-73. Haubner R, Maschauer S, Prante O. PET radiopharmaceuticals for imaging integrin expression: Tracers in clinical studies and recent developments. Biomed Res Int 2014;2014:871609. Cai H, Conti PS. RGD-based PET tracers for imaging receptor integrin αVβ3 expression. J Labelled Comp Radiopharm 2013;56:264-79. Liu Z, Wang F. Development of RGD-based radiotracers for tumor imaging and therapy: Translating from bench to bedside. Curr Mol Med 2013;13:1487-505. Gaertner FC, Kessler H, Wester HJ, Schwaiger M, Beer AJ. Radiolabelled RGD peptides for imaging and therapy. Eur J Nucl Med Mol Imaging 2012;39(Suppl 1):S126-38. Choi HS, Liu W, Liu F, Nasr K, Misra P, Bawendi MG, et al. Design considerations for tumour-targeted nanoparticles. Nat Nanotechnol 2010;5:42-7. Lu Y, Zhong Y, Wang J, Su Y, Peng F, Zhou Y, et al. Aqueous synthesized near-infrared-emitting quantum dots for RGD-based in vivo active tumour targeting. Nanotechnology 2013;24:135101. He H, Feng M, Hu J, Chen C, Wang J, Wang X, et al. Designed short RGD peptides for one-pot aqueous synthesis of integrin-binding CdTe and CdZnTe quantum dots. ACS Appl Mater Interfaces 2012;4:6362-70. Li Y, Li Z, Wang X, Liu F, Cheng Y, Zhang B, et al. In vivo cancer targeting and imaging-guided surgery with near infrared-emitting quantum dot bioconjugates. Theranostics 2012;2:769-76. K. Zarschler et al / Nanomedicine: Nanotechnology, Biology, and Medicine 12 (2016) 1663–1701 440. Bradbury MS, Phillips E, Montero PH, Cheal SM, Stambuk H, Durack JC, et al. Clinically-translated silica nanoparticles as dual-modality cancer-targeted probes for image-guided surgery and interventions. Integr Biol (Camb) 2013;5:74-86. 441. Phillips E, Penate-Medina O, Zanzonico PB, Carvajal RD, Mohan P, Ye Y, et al. Clinical translation of an ultrasmall inorganic optical-PET imaging nanoparticle probe. Sci Transl Med 2014;6:260ra149. 442. Kiessling F, Huppert J, Zhang C, Jayapaul J, Zwick S, Woenne EC, et al. RGD-labeled USPIO inhibits adhesion and endocytotic activity of αVβ3-integrin-expressing glioma cells and only accumulates in the vascular tumor compartment. Radiology 2009;253:462-9. 443. Lin RY, Dayananda K, Chen TJ, Chen CY, Liu GC, Lin KL, et al. Targeted RGD nanoparticles for highly sensitive in vivo integrin receptor imaging. Contrast Media Mol Imaging 2012;7:7-18. 444. Xie J, Chen K, Lee HY, Xu C, Hsu AR, Peng S, et al. Ultrasmall c(RGDyK)-coated Fe3O4 nanoparticles and their specific targeting to integrin αVβ3-rich tumor cells. J Am Chem Soc 2008;130:7542-3. 445. Liu C, Liu DB, Long GX, Wang JF, Mei Q, Hu GY, et al. Specific targeting of angiogenesis in lung cancer with RGD-conjugated ultrasmall superparamagnetic iron oxide particles using a 4.7T magnetic resonance scanner. Chin Med J (Engl) 2013;126:2242-7. 446. Luo Y, Yang J, Yan Y, Li J, Shen M, Zhang G, et al. RGDfunctionalized ultrasmall iron oxide nanoparticles for targeted T1weighted MR imaging of gliomas. Nanoscale 2015;7:14538-46. 447. Song C, Zhong Y, Jiang X, Peng F, Lu Y, Ji X, et al. Peptide-conjugated fluorescent silicon nanoparticles enabling simultaneous tracking and specific destruction of cancer cells. Anal Chem 2015;87:6718-23. 448. Poon W, Zhang X, Bekah D, Teodoro JG, Nadeau JL. Targeting B16 tumors in vivo with peptide-conjugated gold nanoparticles. Nanotechnology 2015;26:285101. 449. Choi J, Burns AA, Williams RM, Zhou Z, Flesken-Nikitin A, Zipfel WR, et al. Core-shell silica nanoparticles as fluorescent labels for nanomedicine. J Biomed Opt 2007;12:064007. 450. Accardo A, Aloj L, Aurilio M, Morelli G, Tesauro D. Receptor binding peptides for target-selective delivery of nanoparticles encapsulated drugs. Int J Nanomedicine 2014;9:1537-57. 451. Ferro-Flores G, Ramirez Fde M, Melendez-Alafort L, Santos-Cuevas CL. Peptides for in vivo target-specific cancer imaging. Mini Rev Med Chem 2010;10:87-97. 452. Miao Y, Quinn TP. Peptide-targeted radionuclide therapy for melanoma. Crit Rev Oncol Hematol 2008;67:213-28. 453. Fani M, Maecke HR. Radiopharmaceutical development of radiolabelled peptides. Eur J Nucl Med Mol Imaging 2012;39(Suppl 1):S11-30. 454. Dash A, Chakraborty S, Pillai MR, Knapp Jr FF. Peptide receptor radionuclide therapy: An overview. Cancer Biother Radiopharm 2015;30:47-71. 455. Hofland LJ, van der Hoek J, Feelders R, van der Lely AJ, de Herder W, Lamberts SW. Pre-clinical and clinical experiences with novel somatostatin ligands: Advantages, disadvantages and new prospects. J Endocrinol Invest 2005;28:36-42. 456. Maecke HR, Hofmann M, Haberkorn U. 68Ga-labeled peptides in tumor imaging. J Nucl Med 2005;46(Suppl 1):172S-8S. 457. Laznicek M, Laznickova A, Macke HR, Eisenwiener K, Reubi JC, Wenger S. Octreotide and octreotate derivatives radiolabeled with yttrium: Pharmacokinetics in rats. Cancer Biother Radiopharm 2002;17:527-33. 458. Surujpaul PP, Gutierrez-Wing C, Ocampo-Garcia B, Ramirez Fde M, Arteaga de Murphy C, Pedraza-Lopez M, et al. Gold nanoparticles conjugated to [Tyr3]octreotide peptide. Biophys Chem 2008;138:83-90. 459. Mendoza-Nava H, Ferro-Flores G, Ocampo-Garcia B, SermentGuerrero J, Santos-Cuevas C, Jimenez-Mancilla N, et al. Laser heating of gold nanospheres functionalized with octreotide: In vitro effect on HeLa cell viability. Photomed Laser Surg 2013;31:17-22. 460. Sreenivasan VK, Kim EJ, Goodchild AK, Connor M, Zvyagin AV. Targeting somatostatin receptors using in situ-bioconjugated fluorescent nanoparticles. Nanomedicine (Lond) 2012;7:1551-60. 1697 461. Feng Q, Yu MZ, Wang JC, Hou WJ, Gao LY, Ma XF, et al. Synergistic inhibition of breast cancer by co-delivery of VEGF siRNA and paclitaxel via vapreotide-modified core-shell nanoparticles. Biomaterials 2014;35:5028-38. 462. Zhu J, Chin J, Wangler C, Wangler B, Lennox RB, Schirrmacher R. Rapid 18F-labeling and loading of PEGylated gold nanoparticles for in vivo applications. Bioconjug Chem 2014;25:1143-50. 463. Li X, Du X, Huo T, Liu X, Zhang S, Yuan F. Specific targeting of breast tumor by octreotide-conjugated ultrasmall superparamagnetic iron oxide particles using a clinical 3.0-Tesla magnetic resonance scanner. Acta Radiol 2009;50:583-94. 464. Smith CJ, Volkert WA, Hoffman TJ. Radiolabeled peptide conjugates for targeting of the bombesin receptor superfamily subtypes. Nucl Med Biol 2005;32:733-40. 465. Schottelius M, Wester HJ. Molecular imaging targeting peptide receptors. Methods 2009;48:161-77. 466. Schroeder RP, van Weerden WM, Bangma C, Krenning EP, de Jong M. Peptide receptor imaging of prostate cancer with radiolabelled bombesin analogues. Methods 2009;48:200-4. 467. Montet X, Weissleder R, Josephson L. Imaging pancreatic cancer with a peptide-nanoparticle conjugate targeted to normal pancreas. Bioconjug Chem 2006;17:905-11. 468. Martin AL, Hickey JL, Ablack AL, Lewis JD, Luyt LG, Gillies ER. Synthesis of bombesin-functionalized iron oxide nanoparticles and their specific uptake in prostate cancer cells. J Nanopart Res 2009;12:1599-608. 469. Hosta-Rigau L, Olmedo I, Arbiol J, Cruz LJ, Kogan MJ, Albericio F. Multifunctionalized gold nanoparticles with peptides targeted to gastrin-releasing peptide receptor of a tumor cell line. Bioconjug Chem 2010;21:1070-8. 470. Mendoza-Sánchez AN, Ferro-Flores G, Ocampo-García BE, MoralesAvila E, de M Ramírez F, De León-Rodríguez LM, et al. Lys3bombesin conjugated to 99mTc-labelled gold nanoparticles for in vivo gastrin releasing peptide-receptor imaging. J Biomed Nanotechnol 2010;6:375-84. 471. Chanda N, Kattumuri V, Shukla R, Zambre A, Katti K, Upendran A, et al. Bombesin functionalized gold nanoparticles show in vitro and in vivo cancer receptor specificity. Proc Natl Acad Sci U S A 2010;107:8760-5. 472. Jimenez-Mancilla N, Ferro-Flores G, Santos-Cuevas C, OcampoGarcia B, Luna-Gutierrez M, Azorin-Vega E, et al. Multifunctional targeted therapy system based on 99mTc/ 177Lu-labeled gold nanoparticles-Tat(49–57)-Lys 3 -bombesin internalized in nuclei of prostate cancer cells. J Labelled Comp Radiopharm 2013;56:663-71. 473. Suresh D, Zambre A, Chanda N, Hoffman TJ, Smith CJ, Robertson JD, et al. Bombesin peptide conjugated gold nanocages internalize via clathrin mediated endocytosis. Bioconjug Chem 2014;25:1565-79. 474. Jafari A, Salouti M, Shayesteh SF, Heidari Z, Rajabi AB, Boustani K, et al. Synthesis and characterization of Bombesin-superparamagnetic iron oxide nanoparticles as a targeted contrast agent for imaging of breast cancer using MRI. Nanotechnology 2015;26:075101. 475. Reubi JC. Peptide receptors as molecular targets for cancer diagnosis and therapy. Endocr Rev 2003;24:389-427. 476. Raposinho PD, Xavier C, Correia JDG, Falcão S, Gomes P, Santos I. Melanoma targeting with α-melanocyte stimulating hormone analogs labeled with fac-[ 99mTc(CO)3] +: Effect of cyclization on tumor-seeking properties. J Biol Inorg Chem 2008;13:449-59. 477. von Guggenberg E, Sallegger W, Helbok A, Ocak M, King R, Mather SJ, et al. Cyclic minigastrin analogues for gastrin receptor scintigraphy with Technetium-99m: Preclinical evaluation. J Med Chem 2009;52:4786-93. 478. Quinn T, Zhang X, Miao Y. Targeted melanoma imaging and therapy with radiolabeled alpha-melanocyte stimulating hormone peptide analogues. G Ital Dermatol Venereol 2010;145:245-58. 479. Kolhatkar R, Lote A, Khambati H. Active tumor targeting of nanomaterials using folic acid, transferrin and integrin receptors. Curr Drug Discov Technol 2011;8:197-206. 1698 K. Zarschler et al / Nanomedicine: Nanotechnology, Biology, and Medicine 12 (2016) 1663–1701 480. Franzen S. A comparison of peptide and folate receptor targeting of cancer cells: From single agent to nanoparticle. Expert Opin Drug Deliv 2011;8:281-98. 481. Tu Q, Zhang Y, Liu R, Wang JC, Li L, Nie N, et al. Active drug targeting of disease by nanoparticles functionalized with ligand to folate receptor. Curr Med Chem 2012;19:3152-62. 482. Weitman SD, Lark RH, Coney LR, Fort DW, Frasca V, Zurawski Jr VR, et al. Distribution of the folate receptor GP38 in normal and malignant cell lines and tissues. Cancer Res 1992;52:3396-401. 483. Parker N, Turk MJ, Westrick E, Lewis JD, Low PS, Leamon CP. Folate receptor expression in carcinomas and normal tissues determined by a quantitative radioligand binding assay. Anal Biochem 2005;338:284-93. 484. Das M, Mishra D, Dhak P, Gupta S, Maiti TK, Basak A, et al. Biofunctionalized, phosphonate-grafted, ultrasmall iron oxide nanoparticles for combined targeted cancer therapy and multimodal imaging. Small 2009;5:2883-93. 485. Jalilian AR, Hosseini-Salekdeh SL, Mahmoudi M, Yousefnia H, Majdabadi A, Pouladian M. Preparation and biological evaluation of radiolabeled-folate embedded superparamagnetic nanoparticles in wildtype rats. J Radioanal Nucl Chem 2011;287:119-27. 486. Qiao J, Mu X, Qi L, Deng J, Mao L. Folic acid-functionalized fluorescent gold nanoclusters with polymers as linkers for cancer cell imaging. Chem Commun (Camb) 2013;49:8030-2. 487. Yin Q, Jin XY, Yang GC, Jiang CH, Song ZK, Sun GY. Biocompatible folate-modified Gd 3+/Yb 3+-doped ZnO nanoparticles for dualmodal MRI/CT imaging. RSC Adv 2014;4:53561-9. 488. Maresca KP, Hillier SM, Femia FJ, Keith D, Barone C, Joyal JL, et al. A series of halogenated heterodimeric inhibitors of prostate specific membrane antigen (PSMA) as radiolabeled probes for targeting prostate cancer. J Med Chem 2009;52:347-57. 489. Hillier SM, Maresca KP, Femia FJ, Marquis JC, Foss CA, Nguyen N, et al. Preclinical evaluation of novel glutamate-urea-lysine analogues that target prostate-specific membrane antigen as molecular imaging pharmaceuticals for prostate cancer. Cancer Res 2009;69:6932-40. 490. Hrkach J, Von Hoff D, Mukkaram Ali M, Andrianova E, Auer J, Campbell T, et al. Preclinical development and clinical translation of a PSMA-targeted docetaxel nanoparticle with a differentiated pharmacological profile. Sci Transl Med 2012;4:128ra39. 491. Nie G, Bai Z, Yu W, Chen J. Electrochemiluminescence biosensor based on conducting poly(5-formylindole) for sensitive detection of Ramos cells. Biomacromolecules 2013;14:834-40. 492. Eder M, Schäfer M, Bauder-Wüst U, Hull WE, Wängler C, Mier W, et al. 68Ga-complex lipophilicity and the targeting property of a ureabased PSMA inhibitor for PET imaging. Bioconjug Chem 2012;23:688-97. 493. Eder M, Neels O, Müller M, Bauder-Wüst U, Remde Y, Schäfer M, et al. Novel preclinical and radiopharmaceutical aspects of [ 68Ga]GaPSMA-HBED-CC: A new PET tracer for imaging of prostate cancer. Pharmaceuticals (Basel) 2014;7:779-96. 494. Kratochwil C, Giesel FL, Eder M, Afshar-Oromieh A, Benešová M, Mier W, et al. [ 177Lu]Lutetium-labelled PSMA ligand-induced remission in a patient with metastatic prostate cancer. Eur J Nucl Med Mol Imaging 2015;42:987-8. 495. Benešová M, Schäfer M, Bauder-Wüst U, Afshar-Oromieh A, Kratochwil C, Mier W, et al. Preclinical evaluation of a tailor-made DOTA-conjugated PSMA inhibitor with optimized linker moiety for imaging and endoradiotherapy of prostate cancer. J Nucl Med 2015;56:914-20. 496. Haberkorn U, Kopka K, Hadaschik B. Positron emission tomographycomputed tomography with prostate-specific membrane antigen ligands as a promising tool for imaging of prostate cancer. Eur Urol 2016;69:397-9. 497. Afshar-Oromieh A, Hetzheim H, Kratochwil C, Benešová M, Eder M, Neels OC, et al. The theranostic PSMA ligand PSMA-617 in the diagnosis of prostate cancer by PET/CT: Biodistribution in humans, radiation dosimetry, and first evaluation of tumor lesions. J Nucl Med 2015;56:1697-705. 498. Liolios CC, Schäfer M, Haberkorn U, Eder M, Kopka K. Novel bispecific PSMA/GRPr targeting radioligands with optimized pharmacokinetics for improved PET imaging of prostate cancer. Bioconjug Chem 2016;27:737-51. 499. Haberkorn U, Eder M, Kopka K, Babich JW, Eisenhut M. New strategies in prostate cancer: Prostate-specific membrane antigen (PSMA) ligands for diagnosis and therapy. Clin Cancer Res 2016;22:9-15. 500. Felber M, Bauwens M, Mateos JM, Imstepf S, Mottaghy FM, Alberto R. 99mTc radiolabeling and biological evaluation of nanoparticles functionalized with a versatile coating ligand. Chemistry 2015;21:6090-9. 501. Moon SH, Yang BY, Kim YJ, Hong MK, Lee YS, Lee DS, et al. Development of a complementary PET/MR dual-modal imaging probe for targeting prostate-specific membrane antigen (PSMA). Nanomedicine 2015;12:871-9. 502. Nord K, Gunneriusson E, Ringdahl J, Stahl S, Uhlen M, Nygren PA. Binding proteins selected from combinatorial libraries of an alphahelical bacterial receptor domain. Nat Biotechnol 1997;15:772-7. 503. Orlova A, Magnusson M, Eriksson TL, Nilsson M, Larsson B, HöidenGuthenberg I, et al. Tumor imaging using a picomolar affinity HER2 binding affibody molecule. Cancer Res 2006;66:4339-48. 504. Tolmachev V, Tran TA, Rosik D, Sjöberg A, Abrahmsen L, Orlova A. Tumor targeting using affibody molecules: Interplay of affinity, target expression level, and binding site composition. J Nucl Med 2012;53:953-60. 505. Alexis F, Basto P, Levy-Nissenbaum E, Radovic-Moreno AF, Zhang L, Pridgen E, et al. HER-2-targeted nanoparticle-affibody bioconjugates for cancer therapy. ChemMedChem 2008;3:1839-43. 506. Kinoshita M, Yoshioka Y, Okita Y, Hashimoto N, Yoshimine T. MR molecular imaging of HER-2 in a murine tumor xenograft by SPIO labeling of anti-HER-2 affibody. Contrast Media Mol Imaging 2010;5:18-22. 507. Gao J, Chen K, Miao Z, Ren G, Chen X, Gambhir SS, et al. Affibodybased nanoprobes for HER2-expressing cell and tumor imaging. Biomaterials 2011;32:2141-8. 508. Jokerst JV, Miao Z, Zavaleta C, Cheng Z, Gambhir SS. Affibodyfunctionalized gold-silica nanoparticles for Raman molecular imaging of the epidermal growth factor receptor. Small 2011;7:625-33. 509. Yang M, Cheng K, Qi S, Liu H, Jiang Y, Jiang H, et al. Affibody modified and radiolabeled gold-iron oxide hetero-nanostructures for tumor PET, optical and MR imaging. Biomaterials 2013;34:2796-806. 510. Satpathy M, Wang L, Zielinski R, Qian W, Lipowska M, Capala J, et al. Active targeting using HER-2-affibody-conjugated nanoparticles enabled sensitive and specific imaging of orthotopic HER-2 positive ovarian tumors. Small 2014;10:544-55. 511. Satpathy M, Zielinski R, Lyakhov I, Yang L. Optical imaging of ovarian cancer using HER-2 affibody conjugated nanoparticles. Methods Mol Biol 2015;1219:171-85. 512. Muyldermans S, Lauwereys M. Unique single-domain antigen binding fragments derived from naturally occurring camel heavy-chain antibodies. J Mol Recognit 1999;12:131-40. 513. Muyldermans S. Nanobodies: Natural single-domain antibodies. Annu Rev Biochem 2013;82:775-97. 514. Desmyter A, Spinelli S, Roussel A, Cambillau C. Camelid nanobodies: Killing two birds with one stone. Curr Opin Struct Biol 2015;32C:1-8. 515. Vaneycken I, D'Huyvetter M, Hernot S, De Vos J, Xavier C, Devoogdt N, et al. Immuno-imaging using nanobodies. Curr Opin Biotechnol 2011;22:877-81. 516. De Vos J, Devoogdt N, Lahoutte T, Muyldermans S. Camelid singledomain antibody-fragment engineering for (pre)clinical in vivo molecular imaging applications: Adjusting the bullet to its target. Expert Opin Biol Ther 2013;13:1149-60. 517. Saerens D, Ghassabeh GH, Muyldermans S. Single-domain antibodies as building blocks for novel therapeutics. Curr Opin Pharmacol 2008;8:600-8. K. Zarschler et al / Nanomedicine: Nanotechnology, Biology, and Medicine 12 (2016) 1663–1701 518. D'Huyvetter M, Xavier C, Caveliers V, Lahoutte T, Muyldermans S, Devoogdt N. Radiolabeled nanobodies as theranostic tools in targeted radionuclide therapy of cancer. Expert Opin Drug Deliv 2014;11:1939-54. 519. Kijanka M, Dorresteijn B, Oliveira S, van Bergen en Henegouwen PM. Nanobody-based cancer therapy of solid tumors. Nanomedicine (Lond) 2015;10:161-74. 520. Keyaerts M, Xavier C, Heemskerk J, Devoogdt N, Everaert H, Ackaert C, et al. Phase I study of 68Ga-HER2-nanobody for PET/CT assessment of HER2 expression in breast carcinoma. J Nucl Med 2016;57:27-33. 521. Iqbal U, Albaghdadi H, Luo Y, Arbabi M, Desvaux C, Veres T, et al. Molecular imaging of glioblastoma multiforme using anti-insulin-like growth factor-binding protein-7 single-domain antibodies. Br J Cancer 2010;103:1606-16. 522. Van de Broek B, Devoogdt N, D'Hollander A, Gijs HL, Jans K, Lagae L, et al. Specific cell targeting with nanobody conjugated branched gold nanoparticles for photothermal therapy. ACS Nano 2011;5:4319-28. 523. Zaman MB, Baral TN, Jakubek ZJ, Zhang J, Wu X, Lai E, et al. Singledomain antibody bioconjugated near-IR quantum dots for targeted cellular imaging of pancreatic cancer. J Nanosci Nanotechnol 2011;11:3757-63. 524. Tomanek B, Iqbal U, Blasiak B, Abulrob A, Albaghdadi H, Matyas JR, et al. Evaluation of brain tumor vessels specific contrast agents for glioblastoma imaging. Neuro Oncol 2012;14:53-63. 525. Sukhanova A, Even-Desrumeaux K, Kisserli A, Tabary T, Reveil B, Millot JM, et al. Oriented conjugates of single-domain antibodies and quantum dots: Toward a new generation of ultrasmall diagnostic nanoprobes. Nanomedicine 2012;8:516-25. 526. Fatehi D, Baral TN, Abulrob A. In vivo imaging of brain cancer using epidermal growth factor single domain antibody bioconjugated to nearinfrared quantum dots. J Nanosci Nanotechnol 2014;14:5355-62. 527. Hafian H, Sukhanova A, Turini M, Chames P, Baty D, Pluot M, et al. Multiphoton imaging of tumor biomarkers with conjugates of singledomain antibodies and quantum dots. Nanomedicine 2014;10:1701-9. 528. Brazhnik K, Nabiev I, Sukhanova A. Oriented conjugation of singledomain antibodies and quantum dots. Methods Mol Biol 2014;1199:129-40. 529. Zarschler K, Zscheppang K, Kapplusch F, Cordes N, Stephan H. Single-domain antibodies: Next-generation targeting vectors for molecular imaging. Nucl Med Biol 2014;41:628. 530. Zarschler K, Prapainop K, Mahon E, Rocks L, Bramini M, Kelly PM, et al. Diagnostic nanoparticle targeting of the EGF-receptor in complex biological conditions using single-domain antibodies. Nanoscale 2014;6:6046-56. 531. Rousserie G, Grinevich R, Brazhnik K, Even-Desrumeaux K, Reveil B, Tabary T, et al. Detection of carcinoembryonic antigen using singledomain or full-size antibodies stained with quantum dot conjugates. Anal Biochem 2015;478:26-32. 532. Vincke C, Loris R, Saerens D, Martinez-Rodriguez S, Muyldermans S, Conrath K. General strategy to humanize a camelid single-domain antibody and identification of a universal humanized nanobody scaffold. J Biol Chem 2009;284:3273-84. 533. Hu M, Zhang K. The application of aptamers in cancer research: An upto-date review. Future Oncol 2013;9:369-76. 534. Sun H, Zhu X, Lu PY, Rosato RR, Tan W, Zu Y. Oligonucleotide aptamers: New tools for targeted cancer therapy. Mol Ther Nucleic Acids 2014;3:e182. 535. Xiao Z, Farokhzad OC. Aptamer-functionalized nanoparticles for medical applications: Challenges and opportunities. ACS Nano 2012;6:3670-6. 536. Reinemann C, Strehlitz B. Aptamer-modified nanoparticles and their use in cancer diagnostics and treatment. Swiss Med Wkly 2014;144:w13908. 537. Bagalkot V, Zhang L, Levy-Nissenbaum E, Jon S, Kantoff PW, Langer R, et al. Quantum dot-aptamer conjugates for synchronous cancer imaging, therapy, and sensing of drug delivery based on bifluorescence resonance energy transfer. Nano Lett 2007;7:3065-70. 1699 538. Wang AZ, Bagalkot V, Vasilliou CC, Gu F, Alexis F, Zhang L, et al. Superparamagnetic iron oxide nanoparticle-aptamer bioconjugates for combined prostate cancer imaging and therapy. ChemMedChem 2008;3:1311-5. 539. Javier DJ, Nitin N, Levy M, Ellington A, Richards-Kortum R. Aptamer-targeted gold nanoparticles as molecular-specific contrast agents for reflectance imaging. Bioconjug Chem 2008;19:1309-12. 540. Walter JG, Petersen S, Stahl F, Scheper T, Barcikowski S. Laser ablation-based one-step generation and bio-functionalization of gold nanoparticles conjugated with aptamers. J Nanobiotechnol 2010;8:21. 541. Kim D, Jeong YY, Jon S. A drug-loaded aptamer-gold nanoparticle bioconjugate for combined CT imaging and therapy of prostate cancer. ACS Nano 2010;4:3689-96. 542. Yu MK, Kim D, Lee IH, So JS, Jeong YY, Jon S. Image-guided prostate cancer therapy using aptamer-functionalized thermally cross-linked superparamagnetic iron oxide nanoparticles. Small 2011;7:2241-9. 543. Demeritte T, Fan Z, Sinha SS, Duan J, Pachter R, Ray PC. Gold nanocage assemblies for selective second harmonic generation imaging of cancer cell. Chemistry 2014;20:1017-22. 544. Lian S, Zhang P, Gong P, Hu D, Shi B, Zeng C, et al. A universal quantum dots-aptamer probe for efficient cancer detection and targeted imaging. J Nanosci Nanotechnol 2012;12:7703-8. 545. Tang L, Yang X, Dobrucki LW, Chaudhury I, Yin Q, Yao C, et al. Aptamer-functionalized, ultra-small, monodisperse silica nanoconjugates for targeted dual-modal imaging of lymph nodes with metastatic tumors. Angew Chem Int Ed Engl 2012;51:12721-6. 546. Hu H, Dai A, Sun J, Li X, Gao F, Wu L, et al. Aptamer-conjugated Mn3O4@SiO2 core-shell nanoprobes for targeted magnetic resonance imaging. Nanoscale 2013;5:10447-54. 547. Alibolandi M, Abnous K, Ramezani M, Hosseinkhani H, Hadizadeh F. Synthesis of AS1411-aptamer-conjugated CdTe quantum dots with high fluorescence strength for probe labeling tumor cells. J Fluoresc 2014;24:1519-29. 548. Latorre A, Posch C, Garcimartin Y, Celli A, Sanlorenzo M, Vujic I, et al. DNA and aptamer stabilized gold nanoparticles for targeted delivery of anticancer therapeutics. Nanoscale 2014;6:7436-42. 549. Dam DH, Culver KS, Odom TW. Grafting aptamers onto gold nanostars increases in vitro efficacy in a wide range of cancer cell types. Mol Pharm 2014;11:580-7. 550. Hwang DW, Ko HY, Lee JH, Kang H, Ryu SH, Song IC, et al. A nucleolin-targeted multimodal nanoparticle imaging probe for tracking cancer cells using an aptamer. J Nucl Med 2010;51:98-105. 551. Li N, Larson T, Nguyen HH, Sokolov KV, Ellington AD. Directed evolution of gold nanoparticle delivery to cells. Chem Commun (Camb) 2010;46:392-4. 552. Choi J, Park Y, Choi EB, Kim HO, Kim DJ, Hong Y, et al. Aptamerconjugated gold nanorod for photothermal ablation of epidermal growth factor receptor-overexpressed epithelial cancer. J Biomed Opt 2014;19:051203. 553. Melancon MP, Zhou M, Zhang R, Xiong C, Allen P, Wen X, et al. Selective uptake and imaging of aptamer- and antibody-conjugated hollow nanospheres targeted to epidermal growth factor receptors overexpressed in head and neck cancer. ACS Nano 2014;8:4530-8. 554. Savla R, Taratula O, Garbuzenko O, Minko T. Tumor targeted quantum dot-mucin 1 aptamer-doxorubicin conjugate for imaging and treatment of cancer. J Control Release 2011;153:16-22. 555. Sa LT, Pessoa C, Meira AS, da Silva MI, Missailidis S, Santos-Oliveira R. Development of nanoaptamers using a mesoporous silica model labeled with 99mTc for cancer targeting. Oncology 2012;82:213-7. 556. Zhang C, Ji X, Zhang Y, Zhou G, Ke X, Wang H, et al. One-pot synthesized aptamer-functionalized CdTe:Zn 2 + quantum dots for tumor-targeted fluorescence imaging in vitro and in vivo. Anal Chem 2013;85:5843-9. 557. Lin Z, Ma Q, Fei X, Zhang H, Su X. A novel aptamer functionalized CuInS2 quantum dots probe for daunorubicin sensing and near infrared imaging of prostate cancer cells. Anal Chim Acta 2014;818:54-60. 1700 K. Zarschler et al / Nanomedicine: Nanotechnology, Biology, and Medicine 12 (2016) 1663–1701 558. Pirollo KF, Chang EH. Does a targeting ligand influence nanoparticle tumor localization or uptake? Trends Biotechnol 2008;26:552-8. 559. Jansch M, Stumpf P, Graf C, Ruhl E, Muller RH. Adsorption kinetics of plasma proteins on ultrasmall superparamagnetic iron oxide (USPIO) nanoparticles. Int J Pharm 2012;428:125-33. 560. Maffre P, Brandholt S, Nienhaus K, Shang L, Parak WJ, Nienhaus GU. Effects of surface functionalization on the adsorption of human serum albumin onto nanoparticles – a fluorescence correlation spectroscopy study. Beilstein J Nanotechnol 2014;5:2036-47. 561. Lesniak A, Fenaroli F, Monopoli MP, Åberg C, Dawson KA, Salvati A. Effects of the presence or absence of a protein corona on silica nanoparticle uptake and impact on cells. ACS Nano 2012;6:5845-57. 562. Salvati A, Pitek AS, Monopoli MP, Prapainop K, Bombelli FB, Hristov DR, et al. Transferrin-functionalized nanoparticles lose their targeting capabilities when a biomolecule corona adsorbs on the surface. Nat Nanotechnol 2013;8:137-43. 563. Docter D, Westmeier D, Markiewicz M, Stolte S, Knauer SK, Stauber RH. The nanoparticle biomolecule corona: Lessons learned – challenge accepted? Chem Soc Rev 2015;44:6094-121. 564. Walkey CD, Chan WC. Understanding and controlling the interaction of nanomaterials with proteins in a physiological environment. Chem Soc Rev 2012;41:2780-99. 565. Lundqvist M, Stigler J, Elia G, Lynch I, Cedervall T, Dawson KA. Nanoparticle size and surface properties determine the protein corona with possible implications for biological impacts. Proc Natl Acad Sci U S A 2008;105:14265-70. 566. Gunawan C, Lim M, Marquis CP, Amal R. Nanoparticle–protein corona complexes govern the biological fates and functions of nanoparticles. J Mater Chem B 2014;2:2060-83. 567. Saptarshi SR, Duschl A, Lopata AL. Interaction of nanoparticles with proteins: Relation to bio-reactivity of the nanoparticle. J Nanobiotechnol 2013;11:26. 568. Deng ZJ, Liang M, Monteiro M, Toth I, Minchin RF. Nanoparticleinduced unfolding of fibrinogen promotes Mac-1 receptor activation and inflammation. Nat Nanotechnol 2011;6:39-44. 569. Tenzer S, Docter D, Rosfa S, Wlodarski A, Kuharev J, Rekik A, et al. Nanoparticle size is a critical physicochemical determinant of the human blood plasma corona: A comprehensive quantitative proteomic analysis. ACS Nano 2011;5:7155-67. 570. Schäffler M, Semmler-Behnke M, Sarioglu H, Takenaka S, Wenk A, Schleh C, et al. Serum protein identification and quantification of the corona of 5, 15 and 80 nm gold nanoparticles. Nanotechnology 2013;24:265103. 571. Kreyling WG, Fertsch-Gapp S, Schäffler M, Johnston BD, Haberl N, Pfeiffer C, et al. In vitro and in vivo interactions of selected nanoparticles with rodent serum proteins and their consequences in biokinetics. Beilstein J Nanotechnol 2014;5:1699-711. 572. Benetti F, Fedel M, Minati L, Speranza G, Migliaresi C. Gold nanoparticles: Role of size and surface chemistry on blood protein adsorption. J Nanopart Res 2013;15:1-9. 573. Mahmoudi M, Sheibani S, Milani AS, Rezaee F, Gauberti M, Dinarvand R, et al. Crucial role of the protein corona for the specific targeting of nanoparticles. Nanomedicine (Lond) 2015;10:215-26. 574. Rejman J, Oberle V, Zuhorn IS, Hoekstra D. Size-dependent internalization of particles via the pathways of clathrin- and caveolae-mediated endocytosis. Biochem J 2004;377:159-69. 575. Salvati A, Åberg C, dos Santos T, Varela J, Pinto P, Lynch I, et al. Experimental and theoretical comparison of intracellular import of polymeric nanoparticles and small molecules: Toward models of uptake kinetics. Nanomedicine 2011;7:818-26. 576. Mitragotri S, Lahann J. Physical approaches to biomaterial design. Nat Mater 2009;8:15-23. 577. Petros RA, DeSimone JM. Strategies in the design of nanoparticles for therapeutic applications. Nat Rev Drug Discov 2010;9:615-27. 578. Decuzzi P, Godin B, Tanaka T, Lee SY, Chiappini C, Liu X, et al. Size and shape effects in the biodistribution of intravascularly injected particles. J Control Release 2010;141:320-7. 579. Ge C, Du J, Zhao L, Wang L, Liu Y, Li D, et al. Binding of blood proteins to carbon nanotubes reduces cytotoxicity. Proc Natl Acad Sci U S A 2011;108:16968-73. 580. Hu W, Peng C, Lv M, Li X, Zhang Y, Chen N, et al. Protein coronamediated mitigation of cytotoxicity of graphene oxide. ACS Nano 2011;5:3693-700. 581. Lesniak A, Salvati A, Santos-Martinez MJ, Radomski MW, Dawson KA, Åberg C. Nanoparticle adhesion to the cell membrane and its effect on nanoparticle uptake efficiency. J Am Chem Soc 2013;135:1438-44. 582. Kim JA, Salvati A, Aberg C, Dawson KA. Suppression of nanoparticle cytotoxicity approaching in vivo serum concentrations: Limitations of in vitro testing for nanosafety. Nanoscale 2014;6:14180-4. 583. Wang F, Yu L, Monopoli MP, Sandin P, Mahon E, Salvati A, et al. The biomolecular corona is retained during nanoparticle uptake and protects the cells from the damage induced by cationic nanoparticles until degraded in the lysosomes. Nanomedicine 2013;9:1159-68. 584. Kim JA, Aberg C, Salvati A, Dawson KA. Role of cell cycle on the cellular uptake and dilution of nanoparticles in a cell population. Nat Nanotechnol 2012;7:62-8. 585. Åberg C, Kim JA, Salvati A, Dawson KA. Theoretical framework for nanoparticle uptake and accumulation kinetics in dividing cell populations. EPL (Europhys Lett) 2013;101:38007. 586. Kim JA, Åberg C, de Cárcer G, Malumbres M, Salvati A, Dawson KA. Low dose of amino-modified nanoparticles induces cell cycle arrest. ACS Nano 2013;7:7483-94. 587. Walczyk D, Bombelli FB, Monopoli MP, Lynch I, Dawson KA. What the cell “sees” in bionanoscience. J Am Chem Soc 2010;132:5761-8. 588. Doane TL, Burda C. The unique role of nanoparticles in nanomedicine: Imaging, drug delivery and therapy. Chem Soc Rev 2012;41:2885-911. 589. Caruso F, Hyeon T, Rotello VM. Nanomedicine. Chem Soc Rev 2012;41:2537-8. 590. Frangioni JV. New technologies for human cancer imaging. J Clin Oncol 2008;26:4012-21. 591. Bradbury MS, Pauliah M, Zanzonico P, Wiesner U, Patel S. Intraoperative mapping of sentinel lymph node metastases using a clinically translated ultrasmall silica nanoparticle. Wiley Interdiscip Rev Nanomed Nanobiotechnol 2015. 592. Sun X, Cai W, Chen X. Positron emission tomography imaging using radiolabeled inorganic nanomaterials. Acc Chem Res 2015;48:286-94. 593. Pant K, Gröger D, Bergmann R, Pietzsch J, Steinbach J, Graham B, et al. Synthesis and biodistribution studies of 3H- and 64Cu-labeled dendritic polyglycerol and dendritic polyglycerol sulfate. Bioconjug Chem 2015;26:906-18. 594. Kircher MF, Gambhir SS, Grimm J. Noninvasive cell-tracking methods. Nat Rev Clin Oncol 2011;8:677-88. 595. Kiessling F. Noninvasive cell tracking. Handb Exp Pharmacol 2008:305-21. 596. Klein S, Dell'Arciprete ML, Wegmann M, Distel LV, Neuhuber W, Gonzalez MC, et al. Oxidized silicon nanoparticles for radiosensitization of cancer and tissue cells. Biochem Biophys Res Commun 2013;434:217-22. 597. Zhu X, Chi X, Chen J, Wang L, Wang X, Chen Z, et al. Real-time monitoring in vivo behaviors of theranostic nanoparticles by contrastenhanced T1 imaging. Anal Chem 2015;87:8941-8. 598. Tian Q, Hu J, Zhu Y, Zou R, Chen Z, Yang S, et al. Sub-10 nm Fe3O4@Cu2-xS core-shell nanoparticles for dual-modal imaging and photothermal therapy. J Am Chem Soc 2013;135:8571-7. 599. Bechet D, Auger F, Couleaud P, Marty E, Ravasi L, Durieux N, et al. Multifunctional ultrasmall nanoplatforms for vascular-targeted interstitial photodynamic therapy of brain tumors guided by real-time MRI. Nanomedicine 2015;11:657-70. 600. Yoo B, Ma K, Zhang L, Burns A, Sequeira S, Mellinghoff I, et al. Ultrasmall dual-modality silica nanoparticle drug conjugates: Design, synthesis, and characterization. Bioorg Med Chem 2015;23:7119-30. 601. Zhang X, Chibli H, Mielke R, Nadeau J. Ultrasmall gold-doxorubicin conjugates rapidly kill apoptosis-resistant cancer cells. Bioconjug Chem 2011;22:235-43. K. Zarschler et al / Nanomedicine: Nanotechnology, Biology, and Medicine 12 (2016) 1663–1701 602. Kwatra D, Venugopal A, Anant S. Nanoparticles in radiation therapy: A summary of various approaches to enhance radiosensitization in cancer. Transl Cancer Res 2013;2:330-42. 1701 603. Sancey L, Lux F, Kotb S, Roux S, Dufort S, Bianchi A, et al. The use of theranostic gadolinium-based nanoprobes to improve radiotherapy efficacy. Br J Radiol 2014;87:20140134.