In vivo evaluations conducted using embryonic zebrafish provide strong evidence indicating C
60 is a powerful oxidant in the absence of functionalization. Four lines of evidence presented herein point to oxidative stress as a primary pathway of C
60-induced toxicity. First, physiologic responses and cellular death were inhibited by the absence of light during solution preparation and throughout the exposure period. A reduction in light resulted in reduced mortality and malformations, except at the highest concentration. While photoactivation strongly indicates oxidative stress as a mechanism of action, the lack of complete protection when exposed in the dark indicates this may not be the only mechanism of action.
Lee et al. (2007) recently found that agglomeration size of C
60 affects the degree to which C
60 is able to mediate energy and electron transfer (
Lee et al., 2007). The large agglomeration sizes previously measured in our system indicate there could be a decrease in photoirradiation potential of C
60 at higher concentrations (
Kamat et al., 2000;
Yamakoshi et al., 2003). Kamat and others demonstrated that when photoexcited, both C
60 and hydroxylated C
60 can induce membrane damage in rat hepatic and tumor microsomes by generation of ROS in a time- and concentration-dependent manner (
Prat et al., 1999). Although these photoactivation characteristics may be undesirable for healthy cells, this activity could be exploited for applications in biomedical science (
Zhu et al., 2007). For example, targeted drug delivery to tumors may be achieved via encapsulation of chemotherapeutics in C
60 particles and subsequent illumination localized at the target site to activate C
60 and trigger release of the drug. Additionally, surface groups could be used to alter the photochemical properties of fullerenes since they are apparently less responsive to light with increased functionalization (
Kamat et al., 1998;
Sayes et al., 2005).
A second line of evidence is provided by the change in sensitivity of embryonic zebrafish to C
60 exposure that resulted from altered levels of the antioxidants GSH and ascorbic acid. Although administration of GSH itself did not have an effect on embryonic susceptibility, uptake of GSH into cells is thought to be limited requiring ATP for transport (
Wang et al., 1999). However, another study using embryonic zebrafish revealed that GSH co-exposure with tetrahydrofuran-C
60 (THF-C
60) increased survival when compared to THF-C
60 alone (
Bogdanovic et al., 2004). In this case, it may be that solubilization of C
60 with THF changed its physicochemical properties such that GSH interacted directly with THF-C
60 in the exposure solution and reduced C
60 uptake. Internal levels of GSH would need to be measured before and after waterborne GSH exposure to determine its uptake into biological systems.
Uptake limitations and uncertainties of GSH were overcome by using chemical that could deplete internal antioxidant pools. Depletion of antioxidants is one pathway through which nanomaterials could induce oxidative toxicity. When DEM and BSO were used to chemically inhibit glutathione production in embryonic zebrafish, the concentration-response curve shifted to the left; that is, a lower concentration of C
60 was required to induce the same effects observed at higher concentrations. This not only implicates oxidative stress as a mechanism of C
60 toxicity but also the highlights the importance of GSH in mediating the response. While DEM and BSO potentiated the effects of C
60, the addition of NAC offered protection from C
60-induced toxicity. NAC had been used in previous studies to increase GSH levels and protect organisms from oxidative stress (
Kamat et al., 1998;
Sayes et al., 2005). Similarly, our results demonstrated a significant reduction in mortality and pericardial edema in NAC co-incubated embryos. Fin malformations, however, were still present in all embryos exposed to concentrations of 200 ppb and 300 ppb. Co-exposure of embryos to C
60 and ascorbic acid resulted in a significant reduction in mortality, pericardial edema and fin malformations, though at 300 ppb C
60, vitamin C could no longer provide protection and 100% of the embryos died. Our results concur with previous studies that found ascorbic acid to protect against C
60-induced cell death and lipid peroxidation. Collectively, these results suggest C
60 has oxidative potential since depletion of antioxidants increased the sensitivity of zebrafish embryos to C
60 exposure while antioxidant enhancement decreased their sensitivity.
The lack of antioxidative function observed from both C
60 and C
60(OH)
24 when co-exposed with H
2O
2 provides the third line of evidence supporting an oxidative stress echanism of toxic action. Cell culture evaluations suggest that C
60 acts as a stronger antioxidant than vitamin E, protecting against 1 mM H
2O
2. Derivatives of C
60 have also been shown to exhibit antioxidant properties in numerous cell culture and whole animal studies (
Sayes et al., 2004;
Kamat et al., 1998;
Yamakoshi et al., 2003;
Sayes et al., 2005). Despite previous reports of antioxidant capabilities, neither C
60 nor C
60(OH)
24 demonstrated antioxidant properties in the embryonic zebrafish model. In fact, rather than offering protection from H
2O
2 exposure, both C
60 and its hydroxylated derivative significantly increased the deleterious oxidative effects. Delineation of those that possess antioxidant potential and those that do not should be addressed systematically since ‘fullerenes’ are already being marketed to consumers as antioxidants in cosmetics and night creams. Additionally, identification of fullerenes with antioxidant potential could be developed as therapeutic applications for central nervous system neurodegenerative diseases (i.e. Parkinson’s disease, Alzheimer’s disease, multiple sclerosis, amyotrophic lateral sclerosis, or Huntington’s disease), stroke, atherosclerosis, myocardial ischemia, myocardial reperfusion, diabetes, complications of diabetes, circulatory impairment, retinopathy, blindness, kidney disease, pancreas disease, neuropathy, gum disease, cataracts, skin disease, skin damage, radiation damage, damage caused by tobacco use, excessive angiogenesis, insufficient angiogenesis, hearing loss, collateral damage of chemotherapy, mucositis, senescence, hemorrhagic shock, distributive shock, septic shock, heat stroke, severe burn shock, or non-hemorrhagic trauma shock (
Hartnagel et al., 2006).
A final line of evidence indicates an oxidative stress mechanism of C
60 toxicity. A zebrafish microarray developed from commercially available oligonucleotides was used to determine important genes and pathways that play a role in the response to C
60 exposure. By analyzing two early time points during development, we were able to identify impacts that persist over multiple stages of development. Many of the genes known to be involved in an oxidative stress response were upregulated in embryonic zebrafish after exposure to C
60. In particular, two genes that were significantly up-regulated are directly related to glutathione activity: GST-
pi and GCLc. GCL is important for increasing GSH levels during oxidative stress, while GST is involved in the phase II metabolism conjugation of GSH to electrophilic xenobiotics. A study by Henry
et al. also found GST-
pi to be up-regulated; however, they attributed the up-regulation to the THF vehicle (
Henry et al., 2007). In our study, 1% DMSO was used as the vehicle, not THF, so the common alterations in gene expression were likely due to the C
60 and not the solvent vehicle.
Microarray results revealed increased expression of additional oxidative stress-responsive genes. An increase in α-tocopherol transfer proteins (TTP) transcript levels further implicates an oxidative stress response and is in accordance with the previous studies which found α-tocopherol protected cells in culture from C
60-induced injury (
Kamat et al., 1998;
Sayes et al., 2005). Ferritin is a critical protein in detoxifying oxidative stress that has been linked to an antioxidant response element (ARE) (
Iwasaki et al., 2006). Up-regulation of ferritin in response to C
60 exposure indicates a disruption in iron homeostasis and/or oxidative stress. Ferritin is regulated by levels of iron, cytokines, hormones and oxidative stress (
Zandman-Goddard and Shoenfeld, 2007). There is a chance that C
60 had direct effects on these factors and subsequent indirect effects on ferritin transcription; however, it is more likely that ferritin was up-regulated to bind iron and prevent propagation of the oxidative stress cascade. The role of iron and ferritin for oxidative stress responses is an important area of research, particularly with regards to their interbalance following a stroke and in neurodegenerative disorders such as Alzheimer’s disease (
Quitana et al., 2006).
Disparity among reports on C
60 oxidative potential could be attributed to the wide range of methods for solution preparation which likely have an impact on the biological activity and toxic potential of fullerenes. Our experimental design called for sonication of C
60 in 100% DMSO with dilution to final exposure concentrations of 1% DMSO. Granted, the use of such a solvent would increase potential uptake but we were interested in specifically detailing the interactions of fullerenes within biological systems, not assessing uptake from the environment into the system. Other methods of solubilization include the use of THF, ethanol, methanol or stirring for prolonged periods in direct sunlight (
Yamago et al., 1995;
Oberdorster, 2004;
Sayes et al., 2004;
Dhawan et al., 2006;
Levi et al., 2006;
Lovern and Klaper, 2006;
Zhu et al., 2006). It is important to recognize that extensive methods of solubilization may also alter the physicochemical properties of C
60, thereby altering the interaction within the biological system. For example, with increased hydroxylation, the photosensitivity of C
60 decreases. This could be of potential concern for protocols that require prolonged stirring of C
60 in direct sunlight.
Results presented herein are in agreement with the studies that show C
60 can act as a pro-oxidant and elicit a toxic response via oxidative stress (
Kamat et al., 1998;
Yamakoshi et al., 2003;
Oberdorster, 2004;
Sayes et al., 2005). Chemically increasing antioxidant levels
in vivo reduced adverse effects, while chemically inhibiting glutathione production increased sensitivity to C
60 exposure. Functionalization of C
60 may alter the biological response; however, there was no indication in this study to suggest that hydroxylation of C
60 imparts antioxidant properties. Future studies should be focused on the role surface functionalization and methods of C
60 preparation have on oxidative potential. The embryonic zebrafish has once again proven to be a valuable model for studying nanomaterial-biological interactions at multiple levels of biological organization, i.e. whole animal, cellular and molecular.