{"id":24159,"date":"2016-11-29T21:06:04","date_gmt":"2016-11-29T20:06:04","guid":{"rendered":"https:\/\/dana.ggiants.de\/nanoparticles-and-the-lung\/"},"modified":"2024-06-19T15:12:22","modified_gmt":"2024-06-19T13:12:22","slug":"nanoparticles-and-the-lung","status":"publish","type":"page","link":"https:\/\/materialneutral.info\/en\/safety\/body-barriers\/nanoparticles-and-the-lung\/","title":{"rendered":"Nanoparticles and the lung"},"content":{"rendered":"<p style=\"text-align: left;\">The air-blood barrier is a structure present in the lungs that controls gas exchange by means of pressure and <span class=\"glossaryLink\" aria-describedby=\"tt\" data-cmtooltip=\"cmtt_45d80826a67747ddf09fb37dfefb37ce\" data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex=\"0\" role=\"link\">concentration<\/span> gradients. However, all other foreign material in our breathing air will be inhaled too if it is small enough, such as bacteria, viruses including <span class=\"glossaryLink\" aria-describedby=\"tt\" data-cmtooltip=\"cmtt_b9e9395286233f41aea957abe9492004\" data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex=\"0\" role=\"link\">nanomaterials<\/span>. With this being a very thin barrier, the chance for nanoparticles to cross and enter the interior of our body is relatively high.<\/p>\n<p>&#xA0;<\/p>\n<figure id=\"attachment_5646\" aria-describedby=\"caption-attachment-5646\" style=\"width: 350px\" class=\"wp-caption alignleft\"><img fetchpriority=\"high\" decoding=\"async\" class=\"wp-image-5646\" title=\"Human respiratory system and Alveolus gas exchange. Image source &#xA9;designua \/ fotolia.com and &#xA9; blueringmedia \/ fotolia.com\" src=\"https:\/\/nanopartikel.info\/wp-content\/uploads\/2020\/11\/Lung-Function_Fotolia_EN.jpg\" alt=\"Human respiratory system and Alveolus gas exchange.\" width=\"350\" height=\"390\" srcset=\"https:\/\/materialneutral.info\/wp-content\/uploads\/2020\/11\/Lung-Function_Fotolia_EN.jpg 567w, https:\/\/materialneutral.info\/wp-content\/uploads\/2020\/11\/Lung-Function_Fotolia_EN-269x300.jpg 269w\" sizes=\"(max-width: 350px) 100vw, 350px\"\/><figcaption id=\"caption-attachment-5646\" class=\"wp-caption-text\">Human respiratory system and Alveolus gas exchange. Image source &#xA9;designua \/ fotolia.com and &#xA9; blueringmedia \/ fotolia.com<\/figcaption><\/figure>\n<p style=\"text-align: left;\">The adult human lung has a huge surface area of around 120m<sup>2<\/sup> to 140m<sup>2<\/sup> for gas exchange of oxygen and carbon dioxide. Anatomically it is made of a cascade of conducting airways, starting from the trachea, via the bronchi and bronchioli down to the gas exchange zone of the <span class=\"glossaryLink\"  aria-describedby=\"tt\"  data-cmtooltip=\"cmtt_52a2da23d7bb9b263aa23827973e9ba9\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex='0' role='link'>alveoli<\/span>. These very small &ldquo;air bubbles&rdquo; are formed by <span class=\"glossaryLink\" aria-describedby=\"tt\" data-cmtooltip=\"cmtt_4883858cf2fe12e8aeb6266342920211\" data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex=\"0\" role=\"link\">epithelial cells<\/span>, which are directly in contact on their interior side with <span class=\"glossaryLink\" aria-describedby=\"tt\" data-cmtooltip=\"cmtt_5a384a8e5d54e81d8b62e244edcf048d\" data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex=\"0\" role=\"link\">endothelial cells<\/span> forming the blood vessels. This alveolar barrier separates the blood within the blood vessels from the air inside the lung and can be very thin down to 200 &ndash; 500 <span class=\"glossaryLink\"  aria-describedby=\"tt\"  data-cmtooltip=\"cmtt_5b2fd8161c6fc3619afcfb9fcf641fb8\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex='0' role='link'>nm<\/span><sup> [1]<\/sup>.<\/p>\n<p style=\"text-align: left;\">As the breathing air contains a variety of different substances, like germs, dust particles or other contaminants, the lung has special <span class=\"glossaryLink\" aria-describedby=\"tt\" data-cmtooltip=\"cmtt_05ba412982c0fafd35594018ef9724d2\" data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex=\"0\" role=\"link\">clearance<\/span> mechanisms in place to handle such contaminations. Normal air contains 1.000 up to 10.000 microbes\/germs and 10 to 50 micrograms of fine and ultrafine dust particles per cubic meter. This means that an adult human who inhales 10.000 &#x2013; 15.000 litre of air per day is in fact inhaling more than 10.000 microbes and more than 10 billion particles each day.<\/p>\n<p style=\"text-align: left;\">The clearance mechanisms of the body consist of two different principles, namely the alveolar <span class=\"glossaryLink\" aria-describedby=\"tt\" data-cmtooltip=\"cmtt_2f2a9399a2d71a4eceda86531fffe39f\" data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex=\"0\" role=\"link\">macrophages<\/span> and the ciliated <span class=\"glossaryLink\" aria-describedby=\"tt\" data-cmtooltip=\"cmtt_499cd55c26043794b94697e17d026fe2\" data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex=\"0\" role=\"link\">mucociliary clearance<\/span> of the upper airways. Depending on their size, particles deposit in the different regions of the lung where they are engulfed by macrophages in the alveolar region, which move then upwards to the bronchioles and bronchi. Large particles are directly transported upwards via the mucociliary clearance, also called the mucociliary escalator. Afterwards this mucus, containing the foreign substance, is removed from the lung by coughing, swallowing or spitting.<\/p>\n<p style=\"text-align: left;\">The size of the <span class=\"glossaryLink\" aria-describedby=\"tt\" data-cmtooltip=\"cmtt_59030aa71a667d802f1435a0f189bffb\" data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex=\"0\" role=\"link\">particulate matter<\/span> (PM) is not only important for the <span class=\"glossaryLink\" aria-describedby=\"tt\" data-cmtooltip=\"cmtt_53969eeb55d73561d535bbcb1399ca20\" data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex=\"0\" role=\"link\">deposition<\/span> within the respiratory tract but also for the potential transfer into the blood stream. In this relationship, the <a title=\"World Health Organization (WHO) (1999). Hazard Prevention and Control in the Work Environment: Airborne Dust. WHO\/SDE\/OEH\/99.1\" href=\"http:\/\/www.who.int\/occupational_health\/publications\/airdust\/en\/\" target=\"_blank\" rel=\"noopener noreferrer\">Dust Definitions<\/a> of the <a title=\"World Health Organization (WHO)\" href=\"http:\/\/www.who.int\/en\/\" target=\"_blank\" rel=\"noopener noreferrer\">World Health Organization (WHO)<\/a> distinguish between inhalable, thoracic and respirable dust. Whereas inhalable dust is the fraction that can reach the upper airways such as the mouth, nose and throat (PM<sub>10<\/sub> &lt; 10 <span class=\"glossaryLink\"  aria-describedby=\"tt\"  data-cmtooltip=\"cmtt_4f7397be2d7c1e05b5666922f6512749\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex='0' role='link'>&micro;m<\/span>), the thoracic fraction is much smaller and can penetrate into the airways of the lung (bronchi and upper bronchioles) (PM<sub>2.5<\/sub> &lt;2.5 &micro;m). The respirable particulate dust fraction contains the smallest particles (PM<sub>1<\/sub> &lt; 1 &micro;m), which are able to enter the alveoli, the gas-exchange region, and there potentially cross the cell layers to penetrate into the blood stream <sup>[2,3,4]<\/sup>.<\/p>\n<p style=\"text-align: left;\">Actually there are evidences that a very small portion of the overall inhaled <span class=\"glossaryLink\"  aria-describedby=\"tt\"  data-cmtooltip=\"cmtt_d36a28054105689b80e1a46a42023f27\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex='0' role='link'>dose<\/span> (less than 1 per million) reaches the blood stream and ends up in secondary organs such as the kidneys, liver, heart, spleen, and others. It is discussed that particles may contribute to respiratory, <span class=\"glossaryLink\" aria-describedby=\"tt\" data-cmtooltip=\"cmtt_15f3295e0487b3d3caadfbdae8ed0777\" data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex=\"0\" role=\"link\">inflammatory<\/span> and cardiovascular diseases <sup>[5,6]<\/sup>. These effects are well known from dust <span class=\"glossaryLink\" aria-describedby=\"tt\" data-cmtooltip=\"cmtt_5bd815081aef5477a0b0a38216d0fcaa\" data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex=\"0\" role=\"link\">exposure<\/span> at the work places (such as mining) or during high exposure episodes in the environment like the <a title=\"BBC (18.12.2015). China smog: Beijing issues second ever pollution red alert (Last access date: 11\/2016)\" href=\"http:\/\/www.bbc.com\/news\/world-asia-china-35129258\" target=\"_blank\" rel=\"noopener noreferrer\">smog episodes 2015 in Beijing (China) <\/a>or the dramatic <a title=\"Wikipedia (EN): Great Smog of London 1952 (Last access date: 11\/2016)\" href=\"https:\/\/en.wikipedia.org\/wiki\/Great_Smog\" target=\"_blank\" rel=\"noopener noreferrer\">smog episode in 1952 in London (UK)<\/a>. In case of such a severe air pollution, the amount of particulates in the air can get as high as 1.000 micrograms of dust particles which equalises to 100.000 up to Millions of particles per cm<sup>3<\/sup> (1 millilitre).<\/p>\n<p>&#xA0;<\/p>\n<p style=\"text-align: left;\">Since nanoparticles fall into the same size category as the smallest PM-fraction (PM<sub>1<\/sub>), they should be able to cross the air-blood barrier in a similar manner. However, the majority of an applied dose will be recognised by macrophages and transported out of the lung <sup>[3,4]<\/sup>.<\/p>\n<p>&#xA0;<\/p>\n<p style=\"text-align: left;\">Nowadays nanomaterials are used in a huge variety of different products such as surface coatings, <a title=\"Nanoparticles in paint, cross-cutting topics, DaNa knowledge base\" href=\"https:\/\/nanopartikel.info\/en\/basics\/cross-cutting\/nanoparticles-in-paints\/\" rel=\"noopener noreferrer\">paints<\/a>, <a title=\"Nanoparticles in textiles, cross-cutting topics, DaNa knowledge base\" href=\"https:\/\/nanopartikel.info\/en\/basics\/cross-cutting\/nanoparticles-in-textiles\/\" rel=\"noopener noreferrer\">textiles<\/a> or technical equipment. Hence, inhalation of these nanomaterials is possible during the production but also during the products&#x2019; usage and disposal. Moreover, several medical diagnostic or therapeutic products are made of or contain nanoparticles to either directly treat the lung or other diseases via the lung (see cross-cutting article <a title=\"Nanomedicine, cross-cutting topics, DaNa knowledge base\" href=\"https:\/\/nanopartikel.info\/en\/basics\/cross-cutting\/nanomedicine\/\" rel=\"noopener noreferrer\">Nanomedicine<\/a>.<\/p>\n<figure id=\"attachment_5648\" aria-describedby=\"caption-attachment-5648\" style=\"width: 519px\" class=\"wp-caption alignright\"><img decoding=\"async\" class=\"wp-image-5648\" src=\"https:\/\/nanopartikel.info\/wp-content\/uploads\/2020\/11\/PM-And-Lung_Krug2011-EN-300x216.png\" alt=\"Possible transport pathway for particles differing in size in the lung.\" width=\"519\" height=\"374\" srcset=\"https:\/\/materialneutral.info\/wp-content\/uploads\/2020\/11\/PM-And-Lung_Krug2011-EN-300x216.png 300w, https:\/\/materialneutral.info\/wp-content\/uploads\/2020\/11\/PM-And-Lung_Krug2011-EN-1024x739.png 1024w, https:\/\/materialneutral.info\/wp-content\/uploads\/2020\/11\/PM-And-Lung_Krug2011-EN-768x554.png 768w, https:\/\/materialneutral.info\/wp-content\/uploads\/2020\/11\/PM-And-Lung_Krug2011-EN-1536x1108.png 1536w, https:\/\/materialneutral.info\/wp-content\/uploads\/2020\/11\/PM-And-Lung_Krug2011-EN.png 1572w\" sizes=\"(max-width: 519px) 100vw, 519px\"\/><figcaption id=\"caption-attachment-5648\" class=\"wp-caption-text\">Possible transport pathway for particles differing in size in the lung. Adapted with permission from Krug H.F., Wick P. (2011). Nanotoxicology: an interdisciplinary challenge. Angew Chem Int Ed Engl, 50(6): 1260-1278. Copyright &#xA9; 2016 John Wiley and Sons.<\/figcaption><\/figure>\n<p style=\"text-align: left;\">It is therefore important to discriminate between an intended exposure (medical treatment) and an unintended inhalation e.g. at the work place or during the use of the products. It is generally accepted that the lung is the most critical entry pathway for small particles into our body. This is the reason for specific regulatory and protection measures for workplaces with a high dust exposure probability. In Germany, the <a title=\"German Federal Institute for Occupational Safety and Health (BAuA)\" href=\"https:\/\/www.baua.de\/EN\/Home\/Home_node.html\" target=\"_blank\" rel=\"noopener noreferrer\">Federal Institute for Occupational Safety and Health (BAuA)<\/a> takes care of such regulations <sup>[7,8]<\/sup>.<\/p>\n<p style=\"text-align: left;\">Many studies have described that inhalation of high concentrations of metal oxides or other nanomaterials, which belong to the granular biopersistent particle fraction (GBP),could lead to lung inflammation <sup>[9,10]&gt;<\/sup>. Moreover, the geometric shape\/structure of particles is also a crucial factor that determines lung <span class=\"glossaryLink\" aria-describedby=\"tt\" data-cmtooltip=\"cmtt_cc620b51ff25781d3b94409bfe1fb7a5\" data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex=\"0\" role=\"link\">toxicity<\/span>. The structural similarities between mineral fibres and manufactured nanofibres including nanotubes, nanorods, and nanowires have been mentioned as a concern to have the same effects as <a title=\"Wikipedia (EN): Asbestos (last access date: 11\/2016)\" href=\"https:\/\/en.wikipedia.org\/wiki\/Asbestos\" target=\"_blank\" rel=\"noopener noreferrer\">asbestos fibres<\/a> under specific circumstances. It has been proven that only long and thin nanofibres and long asbestos fibres are responsible for long-term inflammation and extensive <a title=\"Wikipedia (EN): Fibrosis (last access date: 11\/2016)\" href=\"https:\/\/en.wikipedia.org\/wiki\/Fibrosis\" target=\"_blank\" rel=\"noopener noreferrer\">fibrosis<\/a> in lung tissues <sup>[5,11,12]<\/sup>.<\/p>\n<p>&#xA0;<\/p>\n<p style=\"text-align: left;\">In Germany, these interactions are addressed in projects funded by the Federal Ministry of Education and Research&#xA0;<a title=\"German Federal Ministry of Education and Research (BMBF)\" href=\"https:\/\/www.bmbf.de\/bmbf\/en\/home\/home_node.html\" target=\"_blank\" rel=\"noopener noreferrer\"> (BMBF)<\/a> such as <a title=\"CaNTser project, DaNa knowledge base\" href=\"https:\/\/nanopartikel.info\/en\/research\/projects\/cantser\/\" rel=\"noopener noreferrer\">CaNTser<\/a>, <a title=\"nanoCOLT project, DaNa knowledge base\" href=\"https:\/\/nanopartikel.info\/en\/research\/projects\/nanocolt\/\" rel=\"noopener noreferrer\">nanoCOLT<\/a>, and <a title=\"CarboTOX project, DaNa knowledge base\" href=\"https:\/\/nanopartikel.info\/en\/research\/projects\/carbotox\/\" rel=\"noopener noreferrer\">CarboTox<\/a>.<\/p>\n<p>&#xA0;<\/p>\n<p><strong>It is known from many epidemiological studies that the lung burden with ultrafine particles is directly correlated to some severe diseases especially after long-term inhalation. Thus, it is of utmost importance to investigate these effects in detail for engineered nanomaterials to avoid exposure to specifically hazardous nanomaterials.<\/strong><\/p>\n<p>&#xA0;<\/p>\n<p><br class=\"clear\"><span style=\"color: #000080; font-weight: bold; font-style: italic;\">Literature<\/span><\/p>\n<ol>\n<li style=\"text-align: left;\"><em>Gehr, P et al. (2006), <a title=\"Gehr, P et al. (2006), Paediatr Respir Rev, 7 Suppl 1S73-S75\" href=\"https:\/\/doi.org\/10.1016\/j.prrv.2006.04.169\" target=\"_blank\" rel=\"noopener noreferrer\">Paediatr Respir Rev, 7 Suppl 1S73-S75.<\/a> <\/em><\/li>\n<li style=\"text-align: left;\"><em>Krug, HF et al. (2011), <a title=\"Krug, HF et al. (2011), Angew Chem Int Ed, 50(6): 1260-1278\" href=\"https:\/\/doi.org\/10.1002\/anie.201001037\" target=\"_blank\" rel=\"noopener noreferrer\">Angew Chem Int Ed, 50(6): 1260-1278.<\/a><\/em><\/li>\n<li style=\"text-align: left;\"><em>Kreyling, WG et al. (2013), <a title=\"Kreyling, WG et al. (2013), Acc Chem Res, 46(3): 714-722\" href=\"https:\/\/doi.org\/10.1021\/ar300043r\" target=\"_blank\" rel=\"noopener noreferrer\">Acc Chem Res, 46(3): 714-722.<\/a><\/em><\/li>\n<li style=\"text-align: left;\"><em>Kreyling, WG et al. (2013), <a title=\"Kreyling, WG et al. (2013), ACS Nano, 8(1): 222-233\" href=\"https:\/\/doi.org\/10.1021\/nn403256v\" target=\"_blank\" rel=\"noopener noreferrer\">ACS Nano, 8(1): 222-233.<\/a><\/em><\/li>\n<li style=\"text-align: left;\"><em>Braakhuis, HM et al. (2014), <a title=\"Braakhuis, HM et al. (2014), Part. Fibre Toxicol, 11: 18\" href=\"https:\/\/doi.org\/10.1186\/1743-8977-11-18\" target=\"_blank\" rel=\"noopener noreferrer\">Part. <\/a><a title=\"Braakhuis, HM et al. (2014), Part. Fibre Toxicol, 11: 18\" href=\"https:\/\/doi.org\/10.1186\/1743-8977-11-18\" target=\"_blank\" rel=\"noopener noreferrer\">Fibre Toxicol, 11: 18.<\/a><\/em><\/li>\n<li style=\"text-align: left;\"><em>Saber, AT et al. (2014), <a title=\"Saber, AT et al. (2014), WIREs Nanomed Nanobiotechnol 2014, 6: 517&#x2013;531\" href=\"https:\/\/doi.org\/10.1002\/wnan.1279\" target=\"_blank\" rel=\"noopener noreferrer\">WIREs Nanomed Nanobiotechnol 2014, 6: 517&#x2013;531.<\/a><\/em><\/li>\n<li style=\"text-align: left;\"><em>German Federal Institute for Occupational Safety and Health (BAuA) &#x2013;<\/em><a title=\"German Federal Institute for Occupational Safety and Health (BAuA) &#x2013; Nanotechnology (last access date: 09\/2016)\" href=\"https:\/\/www.baua.de\/EN\/Topics\/Safe-use-of-chemicals-and-products\/Innovative-materials\/Innovative-materials_node.html\" target=\"_blank\" rel=\"noopener noreferrer\"><em> Nanotechnology <\/em><\/a><\/li>\n<li style=\"text-align: left;\"><em>IUTA\/BAuA\/BG RCI\/IFA\/TUD\/VCI (2011). Tiered Approach to an Exposure Measurement and Assessment of <span class=\"glossaryLink\" aria-describedby=\"tt\" data-cmtooltip=\"cmtt_3ddd56a982b62f20c8279dbc63e14262\" data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex=\"0\" role=\"link\">Nanoscale<\/span> <span class=\"glossaryLink\" aria-describedby=\"tt\" data-cmtooltip=\"cmtt_e87f9e6f6414cb192e14dd20de3a543c\" data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]' tabindex=\"0\" role=\"link\">Aerosols<\/span> Released from Engineered Nanomaterials in Workplace Operations <a class=\"extern\" title=\"Tiered Approach to an Exposure Measurement and Assessment of Nanoscale Aerosols Released from Engineered Nanomaterials in Workplace Operations\" href=\"https:\/\/www.vci.de\/vci\/downloads-vci\/tiered-approach.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">(PDF, 2 MB) <i class=\"dashicons-pdf\"><\/i><\/a>.<\/em><\/li>\n<li style=\"text-align: left;\"><em>Donaldson, K et al. (2012), <a title=\"Donaldson, K et al. (2012), Acc Chem Res, 46(3): 723-732.\" href=\"https:\/\/doi.org\/10.1021\/ar300092y\" target=\"_blank\" rel=\"noopener noreferrer\">Acc Chem Res, 46(3): 723-732.<\/a><\/em><\/li>\n<li style=\"text-align: left;\"><em>Committee on Hazardous Substances &#x2013; AGS Management- BAuA (2015). Assessment criterion (reference value) for granular biopersistent particles without known significant specific toxicity (nanoscaled GBP) (respirable dust) generated from manufactured ultrafine particles. Version 3, June 2015. (<a class=\"extern\" title=\"Committee on Hazardous Substances - AGS Management - BAuA (2015). Assessment criterion (reference value) for granular biopersistent particles without known significant specific toxicity (nanoscaled GBP) (respirable dust) generated from manufactured ultrafine particles. Version 3, June 2015 (PDF; 182 KB)\" href=\"https:\/\/www.baua.de\/DE\/Aufgaben\/Geschaeftsfuehrung-von-Ausschuessen\/AGS\/pdf\/Nanoscaled-GBP.pdf?__blob=publicationFile&amp;v=2\" target=\"_blank\" rel=\"noopener noreferrer\">PDF, 182 KB) <i class=\"dashicons-pdf\"><\/i><\/a><\/em><\/li>\n<li style=\"text-align: left;\"><em>Donaldson, K et al. (2013), <a title=\"Donaldson, K et al. (2013), Adv Drug Deliv Rev, 65(15): 2078-2086\" href=\"https:\/\/doi.org\/10.1016\/j.addr.2013.07.014\" target=\"_blank\" rel=\"noopener noreferrer\">Adv Drug Deliv Rev, 65(15): 2078-2086.<\/a><\/em><\/li>\n<li style=\"text-align: left;\"><em>Schinwald, A et al. (2012), <a title=\"Schinwald, A et al. (2012), Toxicol Sci, 128(2): 461-470\" href=\"https:\/\/doi.org\/10.1093\/toxsci\/kfs171\" target=\"_blank\" rel=\"noopener noreferrer\">Toxicol Sci, 128(2): 461-470.<\/a><\/em><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>The air-blood barrier is a structure present in the lungs that controls gas exchange by means of pressure and concentration [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":5685,"parent":24156,"menu_order":9,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-24159","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Nanoparticles and the lung - MANTRA<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/materialneutral.info\/en\/safety\/body-barriers\/nanoparticles-and-the-lung\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Nanoparticles and the lung - 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