<span class="paragraphSection"><div class="boxTitle">Abstract</div>Titanium dioxide nanoparticles (TiO<sub>2</sub>NPs) induce lung inflammation in experimental animals. In this study, we conducted a comprehensive toxicogenomic analysis of lung responses in mice exposed to six individual TiO<sub>2</sub>NPs exhibiting different sizes (8, 20 and 300nm), crystalline structure (anatase, rutile or anatase/rutile) and surface modifications (hydrophobic or hydrophilic) to investigate whether the mechanisms leading to TiO<sub>2</sub>NP-induced lung inflammation are property specific. A detailed histopathological analysis was conducted to investigate the long-term disease implications of acute exposure to TiO<sub>2</sub>NPs. C57BL/6 mice were exposed to 18, 54, 162 or 486 µg of TiO<sub>2</sub>NPs/mouse via single intratracheal instillation. Controls were exposed to dispersion medium only. Bronchoalveolar lavage fluid (BALF) and lung tissue were sampled on 1, 28 and 90 days post-exposure. Although all TiO<sub>2</sub>NPs induced lung inflammation as measured by the neutrophil influx in BALF, rutile-type TiO<sub>2</sub>NPs induced higher inflammation with the hydrophilic rutile TiO<sub>2</sub>NP showing the maximum increase. Accordingly, the rutile TiO<sub>2</sub>NPs induced higher number of differentially expressed genes. Histopathological analysis of lung sections on Day 90 post-exposure showed increased collagen staining and fibrosis-like changes following exposure to the rutile TiO<sub>2</sub>NPs at the highest dose tested. Among the anatase, the smallest TiO<sub>2</sub>NP of 8nm showed the maximum response. The anatase TiO<sub>2</sub>NP of 300nm was the least responsive of all. The results suggest that the severity of lung inflammation is property specific; however, the underlying mechanisms (genes and pathways perturbed) leading to inflammation were the same for all particle types. While the particle size clearly influenced the overall acute lung responses, a combination of small size, crystalline structure and hydrophilic surface contributed to the long-term pathological effects observed at the highest dose (486 µg/mouse). Although the dose at which the pathological changes were observed is considered physiologically high, the study highlights the disease potential of certain TiO<sub>2</sub>NPs of specific properties.</span>
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