Detailed Materials and Methods Nanocomposite copper oxide (CuO) particles (nanocrystallite form with a diameter of 210 nm according to the manufacturer’s data Supplement Table S4) were from NanoScale Material Inc. (USA). All chemicals and biological materials were purchased from Sigma Aldrich unless stated otherwise. PARTICLE CHARACTERISATION: Nanoparticle hydrodynamic diameter and zeta potential were measured on a Malvern Nanosizer ZS at CuO NP concentration of 0.017 mg/ml. Size and zeta potential measurements were measured over a 6 h period and were averaged results from 3 runs at 37°C in deionized water, cell culture medium without serum (CCMFBS-) and cell culture medium with 2% (v/v) fetal bovine serum (CCMFBS2%) which was used in the study for exposing the cells to CuO NP. Ex vivo oxidative potential of CuO NP was measured by ascorbic acid depletion assay according to Kelly et al.1. Briefly, 160 µL NP suspension (3.125 µg/mL) were added to UVtransparent 96-well flat-bottomed plates (Greiner bio-one) and pre-incubated for 10 min at 37°C in a plate reader (Spectra Max 190). Ascorbic acid solution 1 mM was prepared in Chelex® water pH 7, 40 µL was added to each well and ascorbic acid absorbance was recorded every 2 min for a period of 2 h by measuring the absorbance at 265 nm. After subtracting background absorption from the particles, ascorbic acid concentration (mol) was plotted against time (s) and the initial rate oxidation was determined by linear regression at t=0-7200 s. The experiment was performed in triplicate and values expressed as mean ± sd nM s-1 oxidation of ascorbic acid (Supplement Table S5). IN VITRO TOXICOLOGY EXPERIMENTS: Human alveolar epithelial cells (A549, ATCC, USA) were cultured in an oxygen cabinet (Don Whitely Scientific, UK) under normoxic conditions (13% O2) and in a separate incubator under hyperoxic conditions (21% O2). Oxygen tension in the medium prior to use was confirmed by OxyMini Oxygen Meter (WPI Inc., Hertfordshire, UK). The cells were cultured using CCMFBS10% in a humidified incubator at 37°C and 5% CO2. All experiments were performed on cells seeded at a density of 30,000 cells/cm2 in CCMFBS2% (Fig 2a). For all experiments, particles were sterilized by dry heat sterilization at 180°C for 20 min (Memmert, Schwabach, Germany) and then suspended at 1.7 mg/mL in CCMFBS2%. The suspension was sonicated for 5 min using a probe sonicator at 40 Hz (Vibra Cell 1 Sonics Material Inc. Danbury, CT, USA) and immediately diluted with CCMFBS2%. NP surface area doses ranging from 0.002 – 2.0 cm2/cm2 (0.08 - 80 μg/ml) were chosen based on the findings of Faux and co-workers2 who demonstrated that 1 cm2/cm2 is a critical threshold dose at which non-specific particle-induced inflammation occurs. BIOCHEMICAL ASSAYS: Intracellular GSH was measured by an adaptation of the original method described by Senft et al.3. Briefly, A549 cells were cultured on 6-well plates and exposed to varying concentration of CuO NP for 6 h after which the supernatant was removed and the cells washed twice with ice cold PBS before addition of 6.5% v/v trichloroacetic acid (TCA) for 10 min on ice. The TCA extract was collected for glutathione (GSH) measurement, mixed with O-phthaldialdehyde (OPA) and the fluorescence from the GSH-OPA adduct was measured using a Hidex Chameleon fluorometer (Hidex, Turku, Finland) at a λexcitation of 350 nm and λemission of 420 nm. The cells were then lysed by incubation with 0.5 M sodium hydroxide (NaOH) for 1 h at room temperature and the NaOH extract was collected for total protein measurement. Total protein was measured using the bicinchoninic acid method4. The fluorescence per mg protein was calculated and the results were plotted as nmol intracellular GSH per mg protein. ROS generation was assessed over a 4 h NP incubation period. Intracellular ROS levels were measured using dihydrorhodamine -123 (DHR-123, non-fluorescent), a redox sensitive dye which enters living cells passively where it is oxidised by ROS (peroxide and peroxynitrite) to the fluorescent compound rhodamine-123 (R-123), which is then targeted to mitochondria. R-123 fluorescence was measured in live cells using an atmosphere-controlled plate reader (BMG Labtech), so as not to alter O2 levels while making the measurements. ROS was measured by methods described by Henderson et al. and Royall et al.5,6, using dihydrorhodamine-123 at a final concentration of 20 µM (DHR-123 Sigma Aldrich, UK). Live cell fluorescence was measured using an atmospheric controlled fluorescence plate reader every hour at a λexcitation of 490 nm and λemission of 530 nm up to 4 h. Total protein was measured in cell lysates at the end of the experiment using the bicinchoninic acid method4. The fluorescence per mg protein was calculated and the results were presented as % ROS generated relative to the medium control for each concentration of CuO NP. To obtain a 2 more robust assessment of the temporal generation of intracellular ROS, an area under the curve value representing the % ROS generation above baseline over 4 h (unit: % h) was calculated for each nanoparticle concentration. The effect of CuO NP on cellular metabolic activity/viability was measured by a reduction in metabolic activity was assessed using the 3-(4,5-dimethylthiazol-2-yl)-2,5diphenyltetrazolium bromide (MTT) assay7. It should be noted that Wang et al.8, showed that NP-induced intracellular superoxide generation was also able to reduce tetrazolium salts to produce artificially high quantities of formazan end products measured in the MTT assay. In our study, NP-treated cells cultivated at physiological alveolar O2 concentration (13%) showed increased levels of ROS (Figure 3), which likely resulted in artificially high formazan quantities measured in the MTT analysis of these cells, while the MTT results for cells cultivated at 21% O2 may not have been as heavily influenced by excess ROS, due to the increased levels of GSH present in those cells. qRT-PCR: A549 cells were seeded in 6-well plate at 30,000 cells/cm2, were cultured in 13% O2 and 21% O2 and were treated with medium only (no NP), 8 µg/ml and 40 µg/ml of CuO NP. After 24 h exposure to NP the supernatant was removed and cells were washed 2 times with cold (4°C) PBS. Total RNA extraction from cells was performed using RNeasy® kits (Qiagen) following the manufacturer’s instructions, and quantified with a Nanodrop® 1000 (Thermo Scientific). The High Capacity RNA-to-cDNA reverse transcription kit (Applied Biosystems) was employed for reverse transcription of RNA into cDNA. Q-RT-PCR was carried out using the Applied Biosystems 7900HT Fast PCR system with TaqMan® probes for specific genes of interest. The housekeeping genes used for cycle thresholds normalization were Beta Cytoskeletal Actin (ACTB), Glyceraldehyde-3-Phosphate Dehydrogenase (GAPDH) and Polymerase (DNADirected), Delta Interacting Protein 3 (POLDIP3). However, only POLDIP3 was used as the reference gene for normalization of cycle thresholds as ACTB and GAPDH showed high variance. A hot start at 95°C for 10 min was followed by 40 cycles at 95°C for 15 s and 65°C for 1 min. Amplification data were analysed using thermal cycler SDS 2.4 and DataAssist (V3) software packages. 3 The comparative cycle threshold method (ΔCT) 9 was employed for data analysis. The CT values for all the genes of interest (GOI) were normalized against the CT value of the housekeeping gene (HKG) (POLDIP3), i.e. ΔCT (GOI) = CT [GOI] – CT [HKG]. For the control cells (medium only, no NP treatment) ΔΔCT value of cells cultured in 13% O2 relative to cells cultured in 21% O2 was calculated, i.e. ΔΔCT (GOI) = [ΔCT (GOI 13% O2) - ΔCT (GOI 21% O2)]. This was used to calculate fold change (FC) of control cells cultured in 13% O2 relative to cells cultured in 21% O2 (FC = 2ΔΔCt ). Statistical significance of normalised expression level (ΔCT) GOI 13% O2 relative to that of GOI 21% O2 was considered for P < 0.05 using a paired, two tailed Student’s t-test. For the NP-treated cells (0.02 and 1 cm2/cm2) ΔΔCT value of cells cultured under each O2 condition was calculated relative to their respective control, i.e. ΔΔCT (GOI) = [ΔCT (GOI NP treatment) - ΔCT (GOI control)]. This was used to calculate FC of NP treated cells relative to control cells for each O2 condition (FC = 2- ΔΔCt). This FC of each GOI from cells cultured in 13% O2 was plotted as percentage of FC of each GOI from cells cultured in 21% O2, i.e. % FC in GOI relative to 21% = (FC GOI 13% O2 /FC GOI 21% O2) X 100. Statistical significance of FC GOI NP treatment relative to FC in GOI control was considered for P < 0.05 using a paired, two tailed Student’s t-test. VOLCANO PLOT: The volcano score which takes into account both the magnitude of transcript regulation (FC) and the statistical significance of the change (p-value) was calculated for each GOI cultured under the two O2 conditions using the FC and p-values calculated above for NP treatment relative to their respective control. The volcano score is defined as v = log (FC) X log (p-value) and transcripts were considered potentially dysregulated after NP treatment when v ≤ -0.103 when FC = 1.2 and p = 0.05. The volcano plot was prepared according to the method of Glaves et. al.10. TEM AND EDX-HAADF TEM: A549 cells were grown to confluence on 13 mm diameter glass coverslips. For TEM, cells on coverslips were fixed by replacing the medium with 2.5% (v/v) glutaraldehyde in 0.1 M phosphate buffer and incubation for 2 h at 4°C. After fixation the coverslips were rinsed several times with 0.1 M phosphate buffer followed by treatment with 1% (w/v) osmium tetroxide in 0.1 M phosphate buffer (pH 7.3) for 20 min at 4°C. The coverslips were rinsed (10 min) in phosphate buffer and 4 dehydrated in a graded series of ethanol 0 to 100%. The coverslips were then flooded with TAAB epoxy resin and left to infiltrate for 4 hours at room temperature. To section in the plane of the monolayers, the coverslips were embedded by inverting them (monolayer side down) onto a capsule (TAAB) overfilled with resin and then polymerized for 24 h at 70°C. Ultrathin sections (70-90 nm) were prepared using a Reichert-Jung Ultracut E ultramicrotome, mounted on 150 mesh copper grids, contrasted using uranyl acetate and lead citrate and examined on a FEI Tecnai 12 transmission microscope operated at 120 kV. Images were acquired with an AMT 16000M digital camera. At least 6 images from each condition were acquired and analysed using ImageJ 1.47 software. Features of cellular apoptosis were assessed by visual inspection of the 6 representative TEM images, based on the presence of nuclear condensation (pyknosis) and fragmentation (karyorrhexis), the loss of the nuclesomes, the presence of apoptotic bodies and evidence of crescent shaped condensed chromatin lining the nuclear membrane. Autophagic vacuoles were identified as double membranous vacuoles containing morphologically intact cytoplasmic materials11. DATA ANALYSIS: A Student’s t-test and one-way ANOVA were used to perform the statistical analysis. Graphical and statistical analysis was performed by using GraphPad Prism 5 software and IBM SPSS Statistic 20. 5 Supplementary Results Figure S1 Representative TEM images of A549 cells cultured at 13% (top panel) and 21% (bottom panel) O2. 6 Figure S2 Figures to illustrate the effect of different culture conditions on ROS generation in A549 cells over 4 h exposure to CuO nanoparticles surface area dose (A to E; 0.0002 to 2 cm2/cm2). The data represent duplicate experiments of n=3 and this was used to calculate the area under curve to obtain respective AUC values (% h) of ROS generation in cells cultured under atmospheric vs. physiological oxygen levels. 7 Figure S3 Effect of hydrogen peroxide and diethyl maleate on ROS generation and glutathione depletion respectively. Top panel – A549 cells were treated with 2.5 µM hydrogen peroxide for 4 h and intracellular ROS production was measured using an atmosphere-controlled plate reader (BMG Labtech). Bottom panel – A549 cells were treated with 100 µM diethyl maleate for 2 h and GSH concentration was measured in the lysates. The data represent duplicate experiments of n=3. 8 Table S1: Review of studies comparing the impact of culturing cells under atmospheric and physiologic oxygen tensions. Author Reference Key findings 12 THP-1 cells were culture at 5% O2 and 18% O2 and the authors found an increase in metabolic activity at 5% compared to 18%, significantly decreased phagocytic activity of differentiated THP-1 cells and significant attenuation of NFκB activation. Neuroblastic cells (SH-SY5Y) cultured at 2-5% oxygen exhibited low ROS production mimicking levels in primary human cortical neurons. SH-SY5Y cells cultured at 5% oxygen also exhibited a greater sensitivity to rotenone than those cultured at atmospheric oxygen concentrations. Human nucleus pulposus cells grown 5% oxygen had reduced ROS generation compared with those cultured under atmospheric oxygen. Culturing mouse primary mesenchymal stem cells at 5% oxygen reduced ROS production, increased cell viability and promoted cell proliferation relative to cells maintained at atmospheric oxygen. Gene expression patterns in primary glioma cultures at 5% oxygen closely paralleled those seen in patient tumors in situ. Culturing these cells at 21% resulted in a drift from the physiologic gene pattern, which could be restored by cell transfer back to 5% oxygen. Primary rat neurons cultured at physiological oxygen (5%) demonstrated higher polarization, lower ROS production, and altered mitochondrial morphology. When these cells were challenged with HIV virotoxin increased cell death was observed, whilst cells maintained at 21% oxygen became hyperpolarized with no increase in cell death. Mouse primary hepatocytes were cultured at 10% and 21% oxygen and challenged with acetaminophen for 6 h and 15 h. The authors found that the cells cultured at 21% showed an increase of the mitochondrial oxidant stress, the subsequent decline of the mitochondrial function, and cell death appeared to be accelerated and more amplified under 21% oxygen. Culturing human embryonic stem cells at 5% oxygen induced cell proliferation and pluripotency compared with cells maintained at atmospheric oxygen. Human embryos and oocytes maintained at 5% oxygen throughout the pre-implantation period demonstrated an increased blastulation rate, with a higher proportion of optimal embryos for subsequent implantation, compared with those incubated at atmospheric oxygen. Culturing primary T cells at 21% oxygen decreased intracellular glutathione levels compared with cells at 5%, indicative of increased cellular oxidative stress. Cells cultured at 21% displayed increased rates of proliferation. Culturing mouse embryos at 5% oxygen resulted in a global gene expression pattern that closely resembled that seen in vivo control embryos. Murine zygotes at 5% oxygen showed enhanced embryo development compared with those cultured under atmospheric Grodzki, A. C. et al., 2013 Villeneuve, L, et al., 2013 Nasto, L.A, et al., 2013 Boregowda , S.V et al., 2012 13 14 15 Olin, M.R et al., 2011 16 Tiede, L.M et al., 2011 17 18 Yan, H.M. et al, 2010 Forristal, C.E et al., 2010 Kovacic, B & Vlaisavljevic, V, 2008 Atkuri, K.R et al., 2007 Rinaudo, P.F, et al., 2006 Orsi, N.M and Leese, H.Y, 2001 19 20 21 22 23 9 Zhou, L, et al., 2000 24 Alaluf. S et al., 2000 25 Sato, A et al., 2000 26 oxygen. Atmospheric oxygen inhibited proliferation of human microvacsular endothelial cells and reduced synthesis of a range of proteins (Type IV collagen, platelet endothelial cell adhesion molecule, von Willebrand factor) compared to cells maintained at 5% oxygen. Atmospheric oxygen induced human dermal fibroblasts to switch from a mitotic to a post-mitotic phenotype; a response which was largely absent in cells cultured under physiological oxygen (4%). This effect could be impaired by addition of antioxidants, suggesting oxidative stress was involved in the cellular transition. Mouse peritoneal macrophages were cultured at 2% and 20 % oxygen and challenged with LPS. The authors showed that both LPS and oxygen strongly induce the expression of xCT mRNA without significantly altering γ-GCS mRNA levels. This increased the cystine transport activity resulting in increased intracellular GSH level. 10 Table S2: Details of the genes selected to examine the hierarchical response of airways cells to oxidative stress, together with previous reports that they are responsive to nanoparticulate challenge. . Genes GCLC GSTK1 HMOX1 KEAP1 Adaptation PLAA MT2A SOD1 CYP1A1 GPX1 CAT NQO1 CHUK Inflammation Full name Glutamate—cysteine ligase catalytic subunit Glutathione S-transferase kappa 1 Heme Oxygenase 1 Kelch-like ECH-associated protein 1 Phospholipase A2-activating protein Metallothionein 2A Cu,Zn Superoxide Dismutase Cytochrome P450, family 1, subfamily A, polypeptide 1 Cellular Glutathione Peroxidase Catalase NAD(P)H:Quinone Oxidoreductase 1 Conserved Helix-Loop-Helix Ubiquitous Kinase Interleukin-8 IL8 MIF NOS2 RefSeq# Function NM_001498 Glutathione synthesis NM_015917 NM_002133 Cellular detoxification Haeme catabolism Nanoparticle Responsive 27, 28 29 X 28, 30, 31 28, 32 X NM_012289 Nrf2 regulation Possible tumor NM_001031689 suppressor NM_005953 Metal chelation NM_000454 Antioxidant defense Xenobiotic NM_000499 metabolism NM_000581 NM_001752 NM_000903 NM_001278 NM_000584 Macrophage Migration Inhibitory Factor Inducible Nitric Oxide Synthase Regulatory elementsa Nrf2 AP1 NfkB P53 X X NM_002415 NM_000625 Antioxidant defense Antioxidant defense Xenobiotic metabolism NFκB regulation Inflammatory chemokine Pro-inflammatory cytokine Induced nitric oxide production. X X X X X 33 32, 33 34 X 35 X X 36 28 X 37, 38 X X 31 X X 39 X X 40 11 IL6 TNF LTA Interleukin-6 Tumor Necrosis Factor Lymphotoxin Alpha Ataxia Telangiectasia Mutated ATM Cell cycle arrest and cell death Growth Arrest And DNAGADD45B Damage-Inducible, Beta Annexin A5 ANXA5 Caspase 1 CASP1 X-Ray Repair CrossXRCC1 Complementing Protein 1 Checkpoint kinase 2 CHEK2 Mouse Double Minute 2, Human Homolog Of; P53MDM2 Binding Protein NM_000600 NM_000594 NM_000595 Inflammatory cytokine Inflammatory cytokine NM_001154 NM_033292 Activation of DNA repair Cell growth and apoptosis Exocytosis and endocytotosis. Apoptosis NM_006297 NM_007194 DNA repair Cell cycle arrest NM_000051 NM_015675 X X X X X X X X X X 31, 41 41, 42 41 43 X 33 X 44 45 X X NM_002392 46 47 Regulation of p53 The presence of transcription binding sites for Nrf2, AP-1, NFkB and p53 (X) within a region 20kB upstream of the gene of interest was assessed using the SABiosciences text mining application and the UCSC genome browser: http://www.sabiosciences.com/chipqpcrsearch.php?app=TFBS. In addition a detailed search of the literature was conducted for the presence of antioxidant response elements (ARE), 12-O-Tetradecanoylphorbol-13-acetate (TPA) response elements, kB sites and p53 response elements upstream of the genes, as well as evidence of induction by known inducers of the various transcription factors. 12 Table S3: The statistical significance for the change in gene expression between cells cultured under 13% and 21% oxygen following CuO nanoparticle treatment compared against their respective medium controls (no NP treatment). Baseline comparisons in unchallenged cells cultures under the two oxygen concentrations are also illustrated. Statistical analysis was carried out using Student’s t-test (paired, two tailed). # P<0.10, * P<0.05, ** P<0.01, *** P<0.001, ns = not significantly different. 13 Table S4 Properties of CuO NP as supplied by manufacturer. Properties NanoActive® Copper Oxide Appearance/Color Black Powder Specific Surface Area(BET) (m2/g) ≥ 65 Crystallite Size (nm) ≤8 Average Pore Diameter (Å) 85 Total Pore Volume (cc/g) ≥ 0.1 Bulk Density (g/cc) 1.65 True Density (g/cc) 5.7 Mean Aggregate Size, d0.5 (μm) 6 Moisture Content (%) ≤4 Loss on Ignition (%) ≤4 Content (Based on Metal) (%) > 99.6 Table S5: Particle size of copper oxide nanoparticles in water or cell culture medium containing no fetal bovine serum (FBS) or at concentrations of 2% v/v (CCM FBS2) over a period of 6 h. The size was measured at 37°C every 30 minutes. Oxidative potential was measured by ascorbic acid depletion. Data represent the mean ± SD; n=3. Material Suspension Medium CuO Zeta Potential Oxidative Potential (mv) nmol/second Particle Size (nm) 0h 6h Deionized water -31 ± 3 11 ± 1 852 ± 291 2264 ± 2263 CCMFBS- - - 783 ± 41 7203 ±4071 CCMFBS2% -11 ± 1 - 283 ± 23 251 ± 3 14 References 1. Kelly, F.; Anderson, H. R.; Armstrong, B.; Atkinson, R.; Barratt, B.; Beevers, S.; Derwent, D.; Green, D.; Mudway, I.; Wilkinson, P. The Impact of the Congestion Charging Scheme on Air Quality in London. Part 2. Analysis of the Oxidative Potential of Particulate Matter. Res. Rep. Health. Eff. Inst. 2011, 73–144. 2. Faux, P. S. In Vitro Determinants of Particulate Toxicity: The Dose-Metric for Poorly Soluble Dusts; 2003. 3. Senft, A. P.; Dalton, T. P.; Shertzer, H. G. Determining Glutathione and Glutathione Disulfide Using the Fluorescence Probe O-Phthalaldehyde. Anal. Biochem. 2000, 280, 80–86. 4. Smith, P. K.; Krohn, R. I.; Hermanson, G. T.; Mallia, A. K.; Gartner, F. H.; Provenzano, M. D.; Fujimoto, E. K.; Goeke, N. M.; Olson, B. J.; Klenk, D. C. Measurement of Protein Using Bicinchoninic Acid. Anal. Biochem. 1985, 150, 76–85. 5. Royall, J. A.; Ischiropoulos, H. Evaluation of 2’,7'-Dichlorofluorescin and Dihydrorhodamine 123 as Fluorescent Probes for Intracellular H2O2 in Cultured Endothelial Cells. Arch. Biochem. Biophys. 1993, 302, 348–355. 6. Henderson, L. M.; Chappell, J. B. Dihydrorhodamine 123: A Fluorescent Probe for Superoxide Generation? Eur. J. Biochem. 1993, 217, 973–980. 7. Mosmann, T. Rapid Colorimetric Assay for Cellular Growth and Survival: Application to Proliferation and Cytotoxicity Assays. J. Immunol. Methods 1983, 65, 55–63. 8. Wang, S.; Yu, H.; Wickliffe, J. K. Limitation of the MTT and XTT Assays for Measuring Cell Viability due to Superoxide Formation Induced by Nano-Scale TiO2. Toxicol. In Vitro 2011, 25, 2147–2151. 9. Livak, K. J.; Schmittgen, T. D. Analysis of Relative Gene Expression Data Using RealTime Quantitative PCR and the 2(-Delta Delta C(T)) Method. Methods 2001, 25, 402– 408. 10. Glaves, P. D.; Tugwood, J. D. Generation and Analysis of Transcriptomics Data. Methods Mol. Biol. 2011, 691, 167–185. 11. Eskelinen, E.-L. To Be or Not to Be? Examples of Incorrect Identification of Autophagic Compartments in Conventional Transmission Electron Microscopy of Mammalian Cells. Autophagy 2008, 4, 257–260. 12. Grodzki AC, Giulivi C, Lein PJ. Oxygen Tension Modulates Differentiation and Primary Macrophage Functions in the Human Monocytic THP-1 Cell Line. PLoS One 2013;8:e54926. 13. Villeneuve L, Tiede-Lewis L, Morsey B, Fox H. Quantitative Proteomics Reveals Oxygen-Dependent Changes in Neuronal Mitochondria Affecting Function and Sensitivity to Rotenone. J Proteome Res 2013. 15 14. Nasto LA, Robinson AR, Ngo K, Clauson CL, Dong Q, St CC, Sowa G, Pola E, Robbins PD, Kang J, et al. Mitochondrial-Derived Reactive Oxygen Species (ROS) Play a Causal Role in Aging-Related Intervertebral Disc Degeneration. J Orthop Res 2013;31:1150-1157. 15. Boregowda SV, Krishnappa V, Chambers JW, Lograsso PV, Lai WT, Ortiz LA, Phinney DG. Atmospheric Oxygen Inhibits Growth and Differentiation of MarrowDerived Mouse Mesenchymal Stem Cells Via a P53-Dependent Mechanism: Implications for Long-Term Culture Expansion. Stem Cells 2012;30:975-987. 16. Olin MR, Andersen BM, Litterman AJ, Grogan PT, Sarver AL, Robertson PT, Liang X, Chen W, Parney IF, Hunt MA, et al. Oxygen Is a Master Regulator of the Immunogenicity of Primary Human Glioma Cells. Cancer Res 2011;71:6583-6589. 17. Tiede LM, Cook EA, Morsey B, Fox HS. Oxygen Matters: Tissue Culture Oxygen Levels Affect Mitochondrial Function and Structure As Well As Responses to HIV Viroproteins. Cell Death Dis 2011;2:e246. 18. Yan HM, Ramachandran A, Bajt ML, Lemasters JJ, Jaeschke H. The Oxygen Tension Modulates Acetaminophen-Induced Mitochondrial Oxidant Stress and Cell Injury in Cultured Hepatocytes. Toxicol Sci 2010;117:515-523. 19. Forristal CE, Wright KL, Hanley NA, Oreffo RO, Houghton FD. Hypoxia Inducible Factors Regulate Pluripotency and Proliferation in Human Embryonic Stem Cells Cultured at Reduced Oxygen Tensions. Reproduction 2010;139:85-97. 20. Kovacic B, Vlaisavljevic V. Influence of Atmospheric Versus Reduced Oxygen Concentration on Development of Human Blastocysts in Vitro: a Prospective Study on Sibling Oocytes. Reprod Biomed Online 2008;17:229-236. 21. Atkuri KR, Herzenberg LA, Niemi AK, Cowan T, Herzenberg LA. Importance of Culturing Primary Lymphocytes at Physiological Oxygen Levels. Proc Natl Acad Sci U S A 2007;104:4547-4552. 22. Rinaudo PF, Giritharan G, Talbi S, Dobson AT, Schultz RM. Effects of Oxygen Tension on Gene Expression in Preimplantation Mouse Embryos. Fertil Steril 2006;86:1252-65, 1265. 23. Orsi NM, Leese HJ. Protection Against Reactive Oxygen Species During Mouse Preimplantation Embryo Development: Role of EDTA, Oxygen Tension, Catalase, Superoxide Dismutase and Pyruvate. Mol Reprod Dev 2001;59:44-53. 24. Zhou L, Dosanjh A, Chen H, Karasek M. Divergent Effects of Extracellular Oxygen on the Growth, Morphology, and Function of Human Skin Microvascular Endothelial Cells. J Cell Physiol 2000;182:134-140. 25. Alaluf S, Muir-Howie H, Hu HL, Evans A, Green MR. Atmospheric Oxygen Accelerates the Induction of a Post-Mitotic Phenotype in Human Dermal Fibroblasts: the Key Protective Role of Glutathione. Differentiation 2000;66:147-155. 26. Sato H, Kuriyama-Matsumura K, Siow RC, Ishii T, Bannai S, Mann GE. Induction of Cystine Transport Via System X-c and Maintenance of Intracellular Glutathione Levels in Pancreatic Acinar and Islet Cell Lines. Biochim Biophys Acta 1998;1414:85-94. 16 27. Mulcahy RT, Wartman MA, Bailey HH, Gipp JJ. Constitutive and BetaNaphthoflavone-Induced Expression of the Human Gamma-Glutamylcysteine Synthetase Heavy Subunit Gene Is Regulated by a Distal Antioxidant Response Element/TRE Sequence. J Biol Chem 1997;272:7445-7454. 28. Zhang H, Liu H, Davies KJ, Sioutas C, Finch CE, Morgan TE, Forman HJ. Nrf2Regulated Phase II Enzymes Are Induced by Chronic Ambient Nanoparticle Exposure in Young Mice With Age-Related Impairments. Free Radic Biol Med 2012;52:20382046. 29. Zhao Y, Lin K, Zhang W, Liu L. Quantum Dots Enhance Cu2+ -Induced Hepatic L02 Cells Toxicity. J Environ Sci (China) 2010;22:1987-1992. 30. Xia T, Kovochich M, Brant J, Hotze M, Sempf J, Oberley T, Sioutas C, Yeh JI, Wiesner MR, Nel AE. Comparison of the Abilities of Ambient and Manufactured Nanoparticles to Induce Cellular Toxicity According to an Oxidative Stress Paradigm. Nano Lett 2006;6:1794-1807. 31. Lenz AG, Karg E, Brendel E, Hinze-Heyn H, Maier KL, Eickelberg O, Stoeger T, Schmid O. Inflammatory and Oxidative Stress Responses of an Alveolar Epithelial Cell Line to Airborne Zinc Oxide Nanoparticles at the Air-Liquid Interface: a Comparison With Conventional, Submerged Cell-Culture Conditions. Biomed Res Int 2013;2013:652632. 32. Singh A, Rangasamy T, Thimmulappa RK, Lee H, Osburn WO, Brigelius-Flohe R, Kensler TW, Yamamoto M, Biswal S. Glutathione Peroxidase 2, the Major Cigarette Smoke-Inducible Isoform of GPX in Lungs, Is Regulated by Nrf2. Am J Respir Cell Mol Biol 2006;35:639-650. 33. Hanagata N, Zhuang F, Connolly S, Li J, Ogawa N, Xu M. Molecular Responses of Human Lung Epithelial Cells to the Toxicity of Copper Oxide Nanoparticles Inferred From Whole Genome Expression Analysis. ACS Nano 2011. 34. Bonvallot V, Baeza-Squiban A, Baulig A, Brulant S, Boland S, Muzeau F, Barouki R, Marano F. Organic Compounds From Diesel Exhaust Particles Elicit a Proinflammatory Response in Human Airway Epithelial Cells and Induce Cytochrome P450 1A1 Expression. Am J Respir Cell Mol Biol 2001;25:515-521. 35. Garcon G, Zerimech F, Hannothiaux M, Gosset P, Martin A, Marez T, Shirali P. Antioxidant Defense Disruption by Polycyclic Aromatic Hydrocarbons-Coated Onto Fe(2)O(3) Particles in Human Lung Cells (A549). Toxicology 2001;166:129-137. 36. Vincent R, Goegan P, Johnson G, Brook JR, Kumarathasan P, Bouthillier L, Burnett RT. Regulation of Promoter-CAT Stress Genes in HepG2 Cells by Suspensions of Particles From Ambient Air. Fundam Appl Toxicol 1997;39:18-32. 37. Yamanaka Y, Karuppaiah K, Abu-Amer Y. Polyubiquitination Events Mediate Polymethylmethacrylate (PMMA) Particle Activation of NF-KappaB Pathway. J Biol Chem 2011;286:23735-23741. 38. Manna SK, Sarkar S, Barr J, Wise K, Barrera EV, Jejelowo O, Rice-Ficht AC, Ramesh GT. Single-Walled Carbon Nanotube Induces Oxidative Stress and Activates Nuclear Transcription Factor-KappaB in Human Keratinocytes. Nano Lett 2005;5:1676-1684. 17 39. Cha MH, Rhim T, Kim KH, Jang AS, Paik YK, Park CS. Proteomic Identification of Macrophage Migration-Inhibitory Factor Upon Exposure to TiO2 Particles. Mol Cell Proteomics 2007;6:56-63. 40. Juvin P, Fournier T, Grandsaigne M, Desmonts JM, Aubier M. Diesel Particles Increase Phosphatidylcholine Release Through a NO Pathway in Alveolar Type II Cells. Am J Physiol Lung Cell Mol Physiol 2002;282:L1075-L1081. 41. Shukla A, Timblin C, BeruBe K, Gordon T, McKinney W, Driscoll K, Vacek P, Mossman BT. Inhaled Particulate Matter Causes Expression of Nuclear Factor (NF)KappaB-Related Genes and Oxidant-Dependent NF-KappaB Activation in Vitro. Am J Respir Cell Mol Biol 2000;23:182-187. 42. van Eeden SF, Tan WC, Suwa T, Mukae H, Terashima T, Fujii T, Qui D, Vincent R, Hogg JC. Cytokines Involved in the Systemic Inflammatory Response Induced by Exposure to Particulate Matter Air Pollutants (PM(10)). Am J Respir Crit Care Med 2001;164:826-830. 43. Sanchez-Perez Y, Chirino YI, Osornio-Vargas AR, Morales-Barcenas R, Gutierrez-Ruiz C, Vazquez-Lopez I, Garcia-Cuellar CM. DNA Damage Response of A549 Cells Treated With Particulate Matter (PM10) of Urban Air Pollutants. Cancer Lett 2009;278:192-200. 44. Lee JH, Cha KE, Kim MS, Hong HW, Chung DJ, Ryu G, Myung H. Nanosized Polyamidoamine (PAMAM) Dendrimer-Induced Apoptosis Mediated by Mitochondrial Dysfunction. Toxicol Lett 2009;190:202-207. 45. Park EJ, Choi J, Park YK, Park K. Oxidative Stress Induced by Cerium Oxide Nanoparticles in Cultured BEAS-2B Cells. Toxicology 2008;245:90-100. 46. Okuda-Shimazaki J, Takaku S, Kanehira K, Sonezaki S, Taniguchi A. Effects of Titanium Dioxide Nanoparticle Aggregate Size on Gene Expression. Int J Mol Sci 2010;11:2383-2392. 47. Petkovic J, Zegura B, Stevanovic M, Drnovsek N, Uskokovic D, Novak S, Filipic M. DNA Damage and Alterations in Expression of DNA Damage Responsive Genes Induced by TiO2 Nanoparticles in Human Hepatoma HepG2 Cells. Nanotoxicology 2011;5:341-353. 18