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Small size - large impact - Nanowerk

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Science<br />

Paul J.A. Borm is Professor<br />

at the Centre of Expertise in<br />

Life Sciences (CEL) Heerlen<br />

and Department of Particle<br />

Toxicology/Institut für<br />

Unweltmedizinsische<br />

Forschung (IUF),<br />

Department of Particle<br />

Research at the University<br />

of Dusseldorf, Germany<br />

Opposite:<br />

Tree branch with leaves<br />

10 +0<br />

1 meter<br />

4<br />

Nanotechnology and human<br />

health: a risk-benefit analysis<br />

Paul J.A. Borm<br />

Introduction<br />

Recent years have witnessed unprecedented growth of research in the area of nanoscience<br />

and nanotechnology. There is increasing optimism that, as applied to medicine,<br />

nanotechnology will bring significant advances in the diagnosis and treatment of<br />

disease. Anticipated applications include drug delivery, diagnostics, nutraceuticals<br />

and production of biocompatible materials. Engineered nanoparticles (< 100 nm) are<br />

an important tool to realize a number of these applications. Nanoparticles (NP) are<br />

attractive for such purposes because of their key and unique features: their surface to<br />

mass ratio, which is much <strong>large</strong>r than that of other particles, their quantum properties<br />

and their ability to absorb and carry other compounds. Nanoparticles have a <strong>large</strong><br />

(functional) surface which is able to bind, absorb and carry other compounds such<br />

as drugs, probes and proteins. However, many challenges must be overcome if the<br />

application of nanotechnology is to realise the anticipated improved understanding<br />

of the patho-physiological basis of disease, bring more sophisticated diagnostic<br />

opportunities and yield improved therapies.<br />

One of the most challenging problems confronting nanotechnology is the research data<br />

about ultrafine particles generated by combustion processes (eg diesel exhaust particles,<br />

DEP). Research has demonstrated that exposure to these particles is associated with<br />

pulmonary inflammation (Donaldson et al, 2002), immune adjuvant effects (Granum<br />

and Lovik, 2002) and systemic effects, including blood coagulation and cardiovascular<br />

effects (review: Oberdorster, 2001; Borm & Kreyling, 2004). Since cut-off <strong>size</strong> for their<br />

definition (100 nm) is the same, both terms are now used synonymously. The meeting<br />

of nanoscience, with its engineered nanoparticles, and that of toxicology, with its<br />

understanding of ultrafines, has led to an impressive series of workshops over the past<br />

year. However, since little exchange of methods and concepts has taken place, the aim<br />

of this paper is to detail both opportunities and risks associated to applications of<br />

nanoparticles and materials in medical applications.<br />

15

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