Size-dependent in vivo toxicity of PEG-coated gold nanoparticles.

BACKGROUND: Gold nanoparticle toxicity research is currently leading towards the in vivo experiment. Most toxicology data show that the surface chemistry and physical dimensions of gold nanoparticles play an important role in toxicity. Here, we present the in vivo toxicity of 5, 10, 30, and 60 nm PEG-coated gold nanoparticles in mice.
METHODS: Animal survival, weight, hematology, morphology, organ index, and biochemistry were characterized at a concentration of 4000 μg/kg over 28 days.
RESULTS: The PEG-coated gold particles did not cause an obvious decrease in body weight or appreciable toxicity even after their breakdown in vivo. Biodistribution results show that 5 nm and 10 nm particles accumulated in the liver and that 30 nm particles accumulated in the spleen, while the 60 nm particles did not accumulate to an appreciable extent in either organ. Transmission electron microscopic observations showed that the 5, 10, 30, and 60 nm particles located in the blood and bone marrow cells, and that the 5 and 60 nm particles aggregated preferentially in the blood cells. The increase in spleen index and thymus index shows that the immune system can be affected by these small nanoparticles. The 10 nm gold particles induced an increase in white blood cells, while the 5 nm and 30 nm particles induced a decrease in white blood cells and red blood cells. The biochemistry results show that the 10 nm and 60 nm PEG-coated gold nanoparticles caused a significant increase in alanine transaminase and aspartate transaminase levels, indicating slight damage to the liver.
CONCLUSION: The toxicity of PEG-coated gold particles is complex, and it cannot be concluded that the smaller particles have greater toxicity. The toxicity of the 10 nm and 60 nm particles was obviously higher than that of the 5 nm and 30 nm particles. The metabolism of these particles and protection of the liver will be more important issues for medical applications of gold-based nanomaterials in future.

Introduction

Gold-based nanomaterials have been focused on in diverse biomedical applications due to their unique surface chemistry and optical properties.1,2 Because of their strong and size-tunable surface plasmon resonance, fluorescence, and easy surface functionalization, gold-based nanomaterials have been widely used in biosensors, cancer cell imaging, photothermal therapy, and drug delivery.3–9 Recently, gold nanoparticles have been suggested as a novel radiosensitizer technique in radiotherapy, because their strong photoelectric absorption and secondary electron caused by gamma or X-ray irradiation can accelerate DNA strand breakage.10–12 Therefore, it was necessary to investigate the toxicity of these materials.

The toxicity of gold-based nanomaterials has been reported in recent years.13–18 In general, their toxicity depends on particle size and surface coating. The biosafety of metallic gold is well known. Gold was used in vivo in the 1950s, but functionalized gold particles showed obvious cytotoxicity.19 Recently, the cytotoxicity of gold nanoparticles in human cells was studied in detail, and the results showed that these nanoparticles were nontoxic up to 250 mM, while ionic gold showed obvious cytotoxicity at 25 mM.20 Similar results were also reported recently using gold nanoparticles in radiotherapy experiments in vitro.21–28 However, in vitro systems cannot replicate the complexity of an in vivo system or provide meaningful data about the response of a physiological system to an agent. A case in point is carbon nanotubes.29 Manna et al29 found them to be toxic in vitro, whereas Schipper et al found no significant toxicity in vivo.30 Similarly, Sayes et al found that in vivo toxicology results for fullerenes were very different from in vitro data.31

Therefore, the in vivo toxicity of gold nanoparticles is important. Very recently, size-dependent organ distribution of gold nanoparticles has been investigated, and the results showed that small gold nanoparticles of 5–15 nm had a wider organ distribution than that of larger gold nanoparticles of 50–100 nm, with the liver and spleen being the dominant targeted organs.32–37 Meanwhile, it has been found that gold nanoparticles with a long blood circulation time can accumulate in the liver and spleen, and have obvious effects on gene expression.38–40 Furthermore, the toxicity and biodistribution of polyethylene glycol (PEG)-coated gold nanoparticles have also been investigated, and the results showed that 20 nm gold nanoparticles coated with TA-terminated PEG5000 were the most stable, and had the lowest toxicity among the 20, 40, and 80 nm gold nanoparticles coated with TA-terminated PEG5000.36,38,41,42 However, the PEG-coated gold nanoparticles had a very low zeta potential which was significantly different from that of naked gold nanoparticles. For example, it has been reported that 13.5 nm PEG-coated gold nanoparticles can damage the liver and that 100 nm particles can be cleared partially.36,38 Therefore, it is desirable to clarify what size of PEG-coated gold particle is safe.

In previous work, we evaluated the in vitro and in vivo toxicity of naked gold nanoparticles.43,44 Here, we investigate the in vivo toxicity of 5, 10, 30, and 60 nm PEG-coated gold nanoparticles by evaluating biodistribution, blood chemistry, biochemistry, and characteristics on transmission electron microscopy. The outcome of this research will determine which size would be suitable for photothermal therapy and radiotherapy. Furthermore, the relevant hematology parameters of organs were analyzed.

Materials and methods

Fabrication of gold nanoparticles

The gold nanoparticles were fabricated following the classical method devised by Turkevich et al.45 A 100 mL aliquot of 0.01% chloroauric acid (HAuCl4·4H2O) solution was refluxed, and 0.8, 1.3, and 5 mL of 1% sodium citrate solution was then added to the boiling solution. Reduction of gold ions by the citrate ions was complete after 5 minutes, and the solution was then boiled for a further 30 minutes and left to cool to room temperature. This method yielded spherical particles with an average diameter of about 10, 30, and 60 nm. The small-sized gold nanoparticles of 5 nm were reduced by NaBH4. Subsequently, PEG-SH (Sigma-Aldrich, St Louis, MO) 1 mg was mixed with the gold nanoparticles and stirred for 1 hour to modify the surface of the gold nanoparticles covalently with PEG. The resulting PEG-coated gold nanoparticles were collected by centrifugation at 16,000 rpm for 30 minutes and washed twice with distilled water. The PEG-coated gold nanoparticle solution was stored at 4°C in order to prevent aggregation. Although the mean size varied slightly for each preparation, the size distribution was always found to be less than 20% of the standard deviation shown in Figure 1.

Figure 1

Transmission electron micrographs and optical absorption of 5, 10, 30, and 60 nm PEG-coated gold particles.

The zeta potential for the gold nanoparticles was determined using a Nano Zetasizer particle analyzer (Malvern Instruments, Worcestershire, UK). Data in the phase analysis were acquired in the light scattering mode at 25°C, and sample solutions were prepared by diluting the gold nanoparticles in 10 mM phosphate-buffered saline solution (pH 7.0). The zeta potential of the 5, 10, 30, and 60 nm naked gold particles was −22.1, −28.23, −26.7, and −12.27 mV, respectively. Due to citric acid coating and the negative surface charge, PEG-SH coating decreased the zeta potential to −2.96, −1.55, −1.97, and −1.65 mV, respectively.

The size and morphology of the gold nanoparticles were analyzed by transmission electron microscopy using a Hitachi HF-2000 field emission high-resolution transmission electron microscope operating at 200 kV. The optical absorption spectra in a wavelength range of 200–850 nm was measured in a 5 mL glass cuvette using a DU800 spectrometer.

In vivo study design

The animals are purchased, maintained, and handled according to protocols approved by the Institute of Radiation Medicine, Chinese Academy of Medical Sciences. Male mice were obtained from the Institute of Radiation Medicine laboratory at 11 weeks of age and were housed on a 12-hour light/12-hour dark cycle, and had access to food and water ad libitum. In the size-dependent toxicology experiment, 30 mice were randomly divided into five groups (six mice in each group) comprising one control group and four experimental groups for administration of different sizes of gold nanoparticles. The mice received an intraperitoneal injection of approximately 200 μL of gold nanoparticle solution at a dose of 4000 μg/kg, based on the previously identified toxic dose in vivo.44 The mice were weighed following injection and assessed for behavioral changes every day for 28 days.

Hematology, biochemistry, and sample collection

Using a standard blood collection technique, blood was drawn from the saphenous vein into a potassium ethylenediamine tetra-acetic acid collection tube for hematology analysis. Analysis of standard hematological parameters was performed. For blood analysis, 300 μL of blood was collected from the mice. At 28 days, the mice were sacrificed by isoflurane anesthetic and exsanguinated with phosphate-buffered saline using an angiocatheter. One mouse from each treatment group was fixed with 10% buffered formalin following exsanguination. The liver, kidneys, spleen, heart, lungs, thyroid, lymph nodes, and bone marrow were then collected and weighed. The spleen and thymus indices (Sx) can be expressed as:

Transmission electron microscopic analysis

Bone marrow and blood cells were obtained after 28 days of administration of a nanoparticle dose of 4000 μg/kg. For the transmission electron microscopy analysis, the solution was centrifuged and the pellet fixed with 2.5% glutaraldehyde in 0.03 M potassium phosphate buffer (pH 7.4). The cells were postfixed with 1% osmium tetroxide in 0.1 M sodium cacodylate buffer, and 0.5% uranyl acetate in 0.05 M maleate buffer. Cells are then dehydrated in a graded series of ethanol and embedded in Epon resin. Ultrathin sections were cut and transferred onto 200 mesh uncoated copper grids, stained with uranyl acetate, counterstained with lead citrate, and observed using an Hitachi HF-2000 field emission high-resolution transmission electron microscope operating at 200 kV.

Results and discussion

Body weight and biodistribution

Figure 2 shows the variations in body weight of mice treated with different-sized gold nanoparticles. It can be seen that PEG-coated nanoparticles at a dose of 4000 μg/kg did not cause any deaths, and that body weight was slightly higher than in the control group during a 1-day observation period. The body weight of mice which received the 5 nm particles was slightly different from the other groups. During the study period, treatment with gold nanoparticles for 28 days did not cause obvious adverse effects on growth because no statistically significant differences in weight gain were observed between the gold nanoparticle-treated mice and the control mice. Furthermore, no abnormal clinical signs or behaviors were detected in either the controls and treated groups. Considered overall, treatment with gold nanoparticles did not induce any apparent toxicity in the mice. Necropsy at the end of the experiment did not show any macroscopic changes in the organs in any of the four treatment groups.

Figure 2

Body weight changes in mice for the 5, 10, 30, and 60 nm PEG-coated gold particles at a dose of 4000 μg/kg. The body weight of the treated mice was measured every 2 days. Each point represents the mean ± standard deviation of six mice. Data were analyzed using the Student’s t-test and the differences between the different doses and control group for each organ were not significant (P > 0.05).

To demonstrate the biodistribution of the PEG-coated gold nanoparticles, gold concentrations in the heart, liver, spleen, and kidney after 28 days are shown in Figure 3. It can be seen that concentrations of the 5, 10, 30, and 60 nm particles in the heart were 214, 18, 8.6, and 37 μg/kg, respectively, with the 5 nm particles showing the highest concentration. These gold concentrations are markedly higher than previous biodistribution results.42 For the liver, the gold concentrations achieved by the 5, 10, 30, and 60 nm particles were 1797, 2898, 21, and 432 μg/kg, respectively. It was found that the 5 nm and 10 nm particles had a very high concentration in the liver, which is in good agreement with previous work.42 For the spleen, the gold concentrations achieved by the 5, 10, 30, and 60 nm particles were 628, 138, 3363, and 721 μg/kg, respectively, with the 30 nm PEG-coated gold particles showing the highest gold concentration. Finally, we showed that the gold concentrations achieved by 5, 10, 30, and 60 nm particles in the kidney were 390, 48, 151, and 14 μg/kg, respectively, with the 5 nm particles showing the highest gold concentration. The 5 nm particles had the widest distribution, and the 60 nm particles showed the lowest concentration in all organs examined.

Figure 3

Biodistribution of body weight in mice for 5, 10, 30, and 60 nm PEG-coated gold particles at the dose of 4000 μg/kg after 28 days of treatment. Spleen and liver were the main target accumulation organs. The 5 nm particles had a wide distribution in live, heart, kidney, while the 10 and 30 nm particles preferentially stayed in the liver and spleen, respectively.

It is well known that the size and surface-capping of gold nanoparticles play an important role in their biodistribution in mice.36–41 It has been shown that naked gold can accumulate in the liver and spleen, and that the spleen and liver are the dominant target organs.32,33 Small-sized particles have a wider distribution, and larger-sized particles preferentially accumulate in the liver and spleen.34,35 Furthermore, the different surface charge on gold nanoparticles can influence their distribution. PEG-coated gold nanoparticles have a neutral charge, so their dynamic behavior in mice should be different from that of naked and alternatively coated gold nanoparticles.36–38 Therefore, we can conclude that the liver is the dominant target organ for 5 nm and 10 nm PEG-coated gold particles, and that the spleen is the dominant target organ for the 30 nm particles. The 60 nm PEG-coated gold particles, similar to previously reported 100 nm gold particles, have a low distribution in all organs,36 and our results show that 60 nm gold particles can be metabolized partially by the liver and kidney. However, the smaller-sized 5 nm and 10 nm gold nanoparticles showed high accumulation and were difficult to metabolize. Indeed, previous biodistribution and pharmacokinetic studies of PEGylated gold nanoparticles have demonstrated high colloidal stability, nonaggregation, and nontoxicity for 20 nm PEG-coated gold nanoparticles.41 Other recent work carried out by Cho et al showed that 13 nm PEG-coated gold nanoparticles could induce acute inflammation and apoptosis in the liver, and were found to accumulate in the liver and spleen for up to 7 days after tail vein injection and to have a long blood circulation time.38 The results reported by Cho et al demonstrated organ micropathology, indicating that gold nanoparticles potentially induce long-term organ damage and toxicity.38

Morphology of gold nanoparticles in blood and bone marrow cells

Figure 4 shows transmission electron microscopic images of 5, 10, 30, and 60 nm gold particles in blood and bone marrow cells after intraperitoneal injection at a dose of 4000 μg/kg for 28 days. The gold nanoparticles were found as monodispersed particles within the bone marrow cells. The 5 nm particles were found in bone marrow cells, with no significant decrease in size, demonstrating that the small particles did not undergo any obvious breakdown. The 10, 30, and 60 nm particles could be found easily in both the intracellular and extracellular environment, which indicates that these gold particles have a long time retention in the bone marrow, and is in good agreement with previous work.36,38 However, in the blood cells, the morphology of the gold particles is different from that in bone marrow cells. The 5 nm nanoparticles showed good aggregation and hybridization with macromolecules, and could form 10–20 nm compounds. A similar phenomenon was observed for the 10 and 60 nm gold particles but not the 30 nm particles. The gold nanoparticles could be found in the blood cells easily, because of surface chemistry and endocytosis. It is noteworthy that the gold nanoparticles could still be found in the blood cells 28 days after administration, which indicates that the gold nanoparticles have a long blood circulation time, and is again in good agreement with previous reports.38–40 It has been suggested that interaction between protein and the gold nanoparticles may be closely related to the toxicity of the latter.27 The surface of a PEG-coated gold nanoparticle probably has a low zeta potential, and cellular uptake of these nanoparticles is different from that of naked gold nanoparticles. The PEG-coated gold nanoparticles can also interact with the cell by endocytosis and a conformational change in the protein, although PEG-coated gold particles have a low charge in the surface.

Figure 4

Transmission electron micrographs of 5, 10, 30, and 60 nm PEG-coated gold particles in bone marrow and blood cells 28 days after intraperitoneal injection at a dose of 4000 μg/kg. In the bone marrow cells, the gold particles can be found as monodispersed particles, and aggregations of 10 nm and 60 nm particles are found in the blood cells.

Endocytosis plays an important role in the interaction between gold nanoparticles and cells, and the PEG-coated gold nanoparticles are different from naked gold nanoparticles. Recent quantitative evaluation revealed that the surface coating on gold nanoparticles could modulate endocytotic uptake pathways and cellular trafficking of the nanoparticles. The naked gold nanoparticles were shown to be taken up by macropinocytosis as well as by clathrin-mediated and caveolin-mediated endocytosis.46–48 The difference is due to interactions with different proteins or lipids, related to mechanisms of uptake and endocytosis. Increased transcytosis of PEG-coated gold nanoparticles has been observed and a significant number of PEG-coated gold nanoparticles were measured.49 Thus, further study is necessary to understand how the mechanism of endocytosis and the protein adsorption process changes the protein conformation and the tendency of 5 nm and 60 nm PEG-coated gold particles to aggregate.

Organ indices, hematology, and biochemistry results

Table 1 gives the organ weights of mice for the different nanoparticle sizes, and illustrates the effect of the PEG-coated gold nanoparticles on the organs. It can be seen that the weights of the heart, liver, spleen, lung, and kidneys showed no obvious variation at the dose of 4000 μg/kg. However, the weight of the thymus increased with increasing particle size, but no statistically significant differences were found in these data. To demonstrate the immune reaction in the organs further, the organ indices for the thymus and spleen are shown in Figure 5. The average values of the thymus and spleen indices in the control group were 2.3 and 3.3, respectively. The spleen indices of the mice treated with the 5, 10, 30, and 60 nm particles changed to 3.7, 4.1, 3.3, and 4.3, respectively, at a gold nanoparticle dose of 4000 μg/kg. The thymus indices for the mice treated with the 5, 10, 30, and 60 nm particles changed to 2.2, 2.7, 3.3, and 2.5, respectively, at a gold nanoparticle dose of 4000 μg/kg. There were still no statistically significant differences between the treated groups and the control group, showing that injections of PEG-coated gold nanoparticles of different sizes do not cause obvious immune effects in either the thymus or spleen. The thymus index increased for all sizes, except for 10 nm. The spleen index increased for all particle sizes. Combining the variations of body weight and biodistribution, it can be seen that the PEG-coated gold nanoparticles had only a slight influence on the mice compared with the naked gold nanoparticles. Moreover, the results imply that the spleen is one of the target organs for PEG-coated gold nanoparticles, which is in good agreement with previous work.32–42,50 The liver and spleen have been described as the two dominant organs for biodistribution and metabolism of gold nanoparticles.32–42

Table 1

Weights for the liver, lung, spleen, kidneys, heart, and thymus for 5, 10, 30, and 60 nm PEG-coated gold particles at a dose of 4000 μg/kg after 28 days

Dose (μg/kg)	Control	5 nm	10 nm	30 nm	60 nm
Heart (g)	0.137 ± 0.019	0.149 ± 0.013	0.139 ± 0.017	0.173 ± 0.019	0.122 ± 0.008
Liver (g)	1.496 ± 0.203	1.248 ± 0.102	1.748 ± 0.326	2.520 ± 0.544	1.787 ± 0.222
Spleen (g)	0.125 ± 0.034	0.126 ± 0.010	0.143 ± 0.038	0.196 ± 0.073	0.229 ± 0.055
Lung (g)	0.183 ± 0.004	0.192 ± 0.018	0.199 ± 0.008	0.195 ± 0.028	0.176 ± 0.014
Kidneys (g)	0.301 ± 0.037	0.335 ± 0.033	0.373 ± 0.100	0.456 ± 0.019	0.330 ± 0.035
Thymus (g)	0.008 ± 0.011	0.099 ± 0.015	0.095 ± 0.010	0.104 ± 0.013	0.095 ± 0.025

Notes: Data were analyzed by the Student’s t-test and the differences between the different doses for each organ were not significant (P > 0.05 vs controls). All values represent the mean ± standard deviation of six mice.

Figure 5

Size-dependent spleen and thymus indices of mice were calculated 28 days after 4000 μg/kg intraperitoneal injections.

Notes: All values are reported as the mean ± standard deviation. Data were analyzed using Student’s t-test. *Represents a significant difference from the control group (P < 0.05).

To quantify the toxicity of the PEG-coated gold nanoparticles, the next important step is assessment of standard hematology and biochemistry, which is very useful for toxicity.50–53 We selected standard hematology markers for analysis, ie, platelets, hematocrit, hemoglobin, red blood cells, white blood cells, mean corpuscular volume, mean corpuscular hemoglobin, and mean corpuscular hemoglobin concentration. Nanoparticle size-dependent hematology results are presented in Figure 6. The white blood cells in mice treated with 5 nm and 30 nm particles decreased significantly, while white blood cells from mice treated with 10 nm particles increased at a dose of 4000 μg/kg. Similarly, red blood cells from mice treated with 5 and 30 nm particles decreased significantly, while the red blood cells from mice treated with 10 nm and 60 nm particles increased. In addition, platelets, hematocrit, and hemoglobin from mice treated with 5 and 10 nm particles also increased, but this does not indicate a size-dependent trend associated with treatment. The mean corpuscular volume, platelets, mean corpuscular hemoglobin, and mean corpuscular hemoglobin concentration changed, but no statistically significant difference was found.

Figure 6

Size-dependent hematology results from mice treated with PEG-coated gold nanoparticles and control group 28 days after intraperitoneal injection at the dose of 4000 μg/kg. These results show mean and standard deviations of (A) white blood cells, (B) red blood cell, (C) hemoglobin, (D) mean corpuscular hemoglobin, (E) platelet, (F) hematocrit, (G) mean corpuscular volume, and (H) mean corpuscular hemoglobin concentration.

Notes: Bars represent mean ± standard deviation. Data were analyzed using the Student’s t-test. *Represents a significant difference from the control group (P < 0.05).

Abbreviations: WBC, white blood cells; RBC, red blood cell; HGB, hemoglobin; MCH, mean corpuscular hemoglobin; PLT, platelet; HCT, hematocrit; MCV, mean corpuscular volume; MCHC, mean corpuscular hemoglobin concentration.

White blood cells are sensitive to physiological responses in mice. The rise in white blood cells seen in mice treated with 10 and 60 nm particles indicate an inflammatory response, and the decrease in white blood cells seen in mice treated with 5 nm and 30 nm particles may be associated with infection. Red blood cells are derived from hemopoietic stem cells in the bone marrow. Following a series of maturation steps, and directed largely by the hormone erythropoietin, red blood cells enucleate and enter the circulatory system. Thus, any variation in red blood cell levels can be related to the hematopoietic system. The increase in red blood cells found in mice treated with 10 and 60 nm particles indicates that particles of this size have an effect on the hematopoietic system. The four sizes of gold nanoparticles used in this study could cause different reactions in the mice. The 10 and 60 nm particles caused a more serious toxic response than the 5 nm and 30 nm particles.

Finally, we investigated the biochemical effects of 5, 10, 30, and 60 nm PEG-coated particles, as shown in Figure 7, including for alanine transaminase, aspartate transaminase, blood urea nitrogen, globulin, creatinine, total protein, albumin, and total bilirubin. It was found that alanine transaminase and aspartate transaminase in mice treated with the 10 and 60 nm particles increased significantly, and globulin is decreased, indicating that the liver was damaged after injection of the nanoparticles. Creatinine levels in mice treated with the 60 nm particles decreased sharply, indicating kidney damage in the mice. Total protein and albumin in mice treated with the 10 and 60 nm particles also decreased after PEG-coated gold injection, while total bilirubin and blood urea nitrogen showed no significant change for any size of particles. These results show clearly that the 10 nm particles are highly toxic to the liver and that the 60 nm particles are toxic to both the kidney and liver. However, the 5 nm and 30 nm particles did not cause any significant liver and kidney damage.

Figure 7

Size-dependent biochemical results for mice treated with PEG-coated gold nanoparticles and control group 28 days after intraperitoneal injection at a dose of 4000 μg/kg. These results show mean and standard deviations of (A) alanine transaminase, (B) aspartate transaminase, (C) blood urea nitrogen, (D) globulin, (E) creatinine, (F) total protein, (G) albumin, and (H) total bilirubin.

Notes: Bars represent mean ± standard deviation. Data were analyzed by Student’s t-test. *Represents significant difference from the control group (P < 0.05).

Abbreviations: ALT, alanine transaminase; AST, aspartate transaminase; BUN, blood urea nitrogen, GLOB, globulin, CREA creatinine; TP, total protein; ALB, albumin; TBIL, total bilirubin.

Alanine transaminase and aspartate transaminase are mainly distributed in liver cells, and their levels rise with necrosis of liver cells. The levels of these enzymes correspond well with the extent of liver cell damage, and are commonly used indicators of liver function. These two enzymes are distributed differently among the liver cells. Alanine transaminase mainly exists in the cytoplasm of liver cells, whereas aspartate transaminase mainly exists in the cytoplasm and mitochondria of liver cells. Therefore, the increase in alanine transaminase in our mice treated with 10 and 60 nm gold nanoparticles indicates damage to liver cells. However, their biodistribution shows that the concentration reached by 60 nm gold particles in the liver was not as high as that reached by 10 nm particles, indicate that the liver damage caused by the 60 nm particles was due to metabolism of the gold nanoparticles. In contrast, the 5 nm particles also reached high concentrations in the liver, but liver function was not significantly affected, showing that the 5 nm particles did not caused direct damage to the liver. The 5 nm particles are promising for the treatment of liver cancer without liver damage, which is very important for further work.

Creatinine is another important indicator of kidney function. Endogenous human creatinine is a product of muscle metabolism. In muscle, creatine mainly generates creatinine slowly through nonenzymatic dehydration, which is then released into the blood, with excretion in the urine. The serum creatinine concentration depends on the glomerular filtration rate. However, serum creatinine is not entirely consistent with the creatinine clearance rate, and creatinine clearance is more sensitive than serum creatinine. In early renal dysfunction (decompensated), creatinine clearance rate and serum creatinine are normal. When the glomerular filtration rate rises to above 50% of normal, serum creatinine begins to rise rapidly. Therefore, when the serum creatinine is significantly higher than normal, kidney function is seriously damaged. The decrease in creatinine seen in mice treated with the 60 nm particles is closely related to kidney function, although the kidney is not the main target organ for gold distribution. The 5 nm particles did not induce any kidney damage, but the 10 nm particles caused some damage by decreasing total protein and globulin.

In summary, the 60 nm particles induced serious toxicity and damage to the liver and kidney, but had a relatively low distribution in the liver, spleen, and kidney. It is proposed that this toxicity may be due to the metabolism of PEG-coated gold particles, which is similar to that previously reported for 100 nm PEG-coated gold particles.36 The toxicity of the 10 nm particles was also high, due to liver and kidney damage, as well as an inflammatory response, and large amounts of gold can accumulate in the liver. The present results are in good agreement with the results of Cho et al, showing that 13.5 nm PEG-coated gold particles can induce serious toxicity.36,38 Our 5 nm and 30 nm particles showed low toxicity, although accumulation of 5 nm particles did occur in the liver and kidneys, and the 30 nm particles preferentially remained in the spleen. Therefore, we suggest that 10 nm PEG-coated gold particles are not sufficiently safe to be administered at a concentration of 4000 μg/kg. If we want to use these particles to encapsulate drugs for use in the clinical setting, metabolism must be considered. High accumulation of gold may induce long-term toxicity. The most important finding for the size-dependent toxicity of PEG-coated gold nanoparticles are that the 5 nm and 30 nm particles are safe, but the 10 nm and 60 nm particles are toxic, which is not consistent with previous in vitro findings, ie, the smaller the particle, the greater the toxicity.

Conclusion

A size-dependent in vivo toxicity study of PEG-coated gold nanoparticles in mice was carried out. In the study animals, survival, weight, hematology, biochemistry, and morphology were characterized 28 days after administration of the gold nanoparticles at a concentration of 4000 μg/kg. Biodistribution studies showed that the spleen and liver are two dominant target organs. Our results showed that the 5 nm and 10 nm particles mainly accumulate in the liver, and that the 30 nm particles preferentially accumulate in the spleen. The 60 nm particles had a wider distribution, with limited accumulation in the organs. Blood chemistry revealed that white blood cells were increased in mice treated with the 10 nm and 60 nm particles, while those treated with the 5 nm and 30 nm particles showed decreased white blood cells. Furthermore, alanine transaminase and aspartate transaminase increased in mice treated with the 10 and 60 nm particles, while creatinine decreased with the 60 nm particles, indicating that the 10 and 60 nm particles caused liver and kidney damage. The present work clearly shows that 10 and 60 nm PEG-coated gold nanoparticles are not sufficiently safe, and that the 5 and 30 nm particles have relatively low toxicity. These conclusions are very important for future cancer therapy, drug delivery, and diagnosis.