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. 2021 Jul 23;13(8):1125. doi: 10.3390/pharmaceutics13081125

Table 5.

Cytotoxicity evaluations in in vitro studies induced by CNF- and CNF-based materials.

Material Cellulose Source Toxicological
Experiment
Cells
Lines
Toxicological Results Results and
Possible
Application
Ref.
CNF
CNF Bleached dissolving pulp Norway spruce (Picea bies) MTT assay
[3H]-thymidine uptake assay
L929;
Thymocytes
PBMNCs
CNFs were not cytotoxic;
CNC has non-inflammatory and on-immunogenic properties.
Implantable biomaterials TE [184]
CNF Pinus radiata
pulp
LDH assay
MTT assay
HEK
NHDF
No toxic effect for keratinocytes and fibroblasts;
Non-immunotoxic.
Wound dressings [208]
CNF
CNC
Wood pulp TB assay A549 CNF caused a significant decrease in cell viability, at 72 h;
Decrease in GSH levels after exposure to CNF.
CNC toxicity [185]
U-NFC
A-NFC
C-NFC
Never-dried bleached sulfite softwood dissolving pulp AB assay
LDH assays
HDF
MRC-5
THP-1
No cytotoxicity for treated NFC;
HDF and MRC-5 cells: the metabolic activity of the treated cells was comparable to that of the negative control;
THP-1 cells: a higher metabolic activity of the NFC-treated;
U-CNF has an inflammatory response, which was suppressed when surface charges were introduced on the CNFs.
Toxicity impacts on dermal, lung, and macrophage cells [187]
CNF Bleached Eucalyptus
Globulus kraft pulp
MTT assay A549
THP-1
Cytotoxic effect at the highest dose tested;
Genotoxic effects in A549 cells in the co-cultures;
No oxidative DNA damages.
TE [209]
CNF Curauá fibers (Ananas erectifolius L. B. Smith) Cytotoxicity assays
ISO 10993-5
Vero CNF shows no cytotoxicity and suitable biocompatibility;
The morphology and basic functions of the cells are not affected by the direct contact with the tested materials.
Scaffold
TE
[186]
CNF Softwood bleached kraft fiber LDH
assay
Caco-2,
HT-29MTX
Raji B
Minimal or no cytotoxicity in a cellular model of the intestinal epithelium (for CNC-25 at 0.75% and 1.5% w/w, as well as for CNF-50 at 0.75% w/w). Biocompatible material [210]
CNF Banana peel bran MTT assay Caco-2 CNF conc. < 500 mg/mL are not cytotoxic to Caco-2 cells;
Viability of Caco-2 decreased with increasing CNF conc.
Biocompatible material [211]
U-NFC
A-NFC
C-NFC
P-NFC
S-NFC
Never-dried bleached sulfite softwood dissolving pulp Resazurin Assay Caco-2 None of the NFCs inducing cytotoxic effects in the intestinal cells;
The differences in physics-chemical properties of the studied NFCs were not reflected in the Caco-2 response in terms of metabolic activity and cell membrane integrity.
Drug release in gastrointestinal tract (GIT) [188]
U-NFC
C-NFC
H-NFC
P-NFC
S-NFC
Never-dried bleached sulfite softwood dissolving pulp MTS Assay BEAS-2B No cytotoxicity for the highest tested dose (500 μg/mL) for any of the NFCs;
None of the NFCs induced genotoxic effects;
All samples were able to increase intracellular formation of ROS.
In vitro toxicity of NFCs [189]
c-CNF
cys-CNF
Never-dried bleached sulfite softwood dissolving pulp PB assay hDF cys-CNF did not induce toxic effects on hDF when tested at a concentration up to 0.5 mg/mL, nor did the starting material c-NF
cys-CNF presented a dual action in vitro: inhibition of metalloproteinase and radical scavenging activity.
Wound dressing [190]
CNF in nanocomposites
CNF
L-CNF
CNC
L-CNC
Dissolving pulp AB assay A549
THP-1
Cytotoxic and inflammatory responses were dependent on type, size, and hydrophobicity
Low or inexistent toxicity of all CNMs in A549 cells
Dose-dependent cytotoxic and inflammatory responses in THP-1 cells.
TE [199]
CNF /GEL/ApA Bleached birch pulp MTT assay MSCs CNFs and CNF-COOHs have no cytotoxicity;
CNF-COOH-ApA cells expressed a low level of stress, visible through lower cell density and the cell inclusions.
Bone TE [130]
NFC hydrogels crosslinked with Ca2+ Bleached sulfite softwood pulp AB assay hDF Cell viability about 78% indicates no toxic effects.
No inflammatory response of blood-derived mononuclear cells was observed in relation to the cytokines secretion.
Wound healing [27]
TEMPO-CNF
hydrogel
Bleached birch kraft pulp MTT assay hDF Nontoxicity effect and great hDF cells viability. Wound healing [172]
NFC/QCRs nanocomposites Brown algae MTT assay L929 Cells viability is higher than 80% (for 5 to 1000 μg/mL CNFs/QCRs), indicating that there is no cytotoxicity. Wound healing [119]

Abbreviations: PBMNC—Human peripheral blood mononuclear cells; HEK—Human epidermal keratinocytes; NHDF—Normal human dermal fibroblasts; A549—Human lung alveolar epithelial cells; HDF—Human dermal fibroblasts; MRC-5—Human lung fibroblast cell line; THP-1—Human monocytic leukemia cell line; A549—Human alveolar epithelial cell line; Caco-2—Human epithelial colorectal adenocarcinoma cells; BEAS-2B—Transformed human bronchial epithelial cells; hDF—Adult human dermal fibroblasts; MSCs—Mesenchymal stem cells; L929—Mouse fibroblast cells; GSH—Levels of glutathione (marker of oxidative stress); GIT—Gastrointestinal tract; MTT—Methylthiazolyldiphenyl-tetrazolium bromide; AB assay—Alamar blue assay; MTS assay—CellTiter-Glo luminescent cell viability assay; PB assay—Presto blue assay; AB assay—Alamar blue cell viability assay; U-NFC—Unmodified NFC; A-NFC—Carboxymethylated-NFC; C-NFC—Hydroxypropyltrimethylammonium-NFC; P-NFC—Phosphorylated NFC; S-NFC—Sulfoethylated NFC; C-NFC—Carboxymethylated-NFC; H-NFC—Hydroxypropyltrimethylammonium-NFC; c-CNF—Carboxylated CNF; cys-CNF—Cysteine-functionalized CNF; L-CNC—Lignin-coated-CNC; L-CNF—Lignin-coated-CNF.