**2. Carbon nanotube**

nanomedicine including medicinal chemistry, imaging, vaccine delivery, etc. [1]. How these CNPs affect the living systems and the risks or benefits associated with their environmental, occupational, or therapeutic exposure is a matter of active research [2]. This chapter focuses on the interaction of an important component of innate immunity, the natural killer cells,

Natural killer (NK) cells are important effector cells of the innate immune system and constitute about 5–15% of peripheral blood lymphocytes [3]. NK cells originate from lymphoid progenitors in the bone marrow and require IL-15-mediated signaling for development and survival [4]. NK cells can be identified through a set of markers, such as NK1.1 in mice or CD56 and CD16 in humans [5, 6]. The absence of CD3 on NK cells is a useful marker to dif-

NK cells kill syngeneic or allogeneic cells through mechanisms that require neither a prior sensitization with target cells nor the presentation of antigen in association with MHC-I. NK cell functions through an array of germline-encoded inhibitory or activating receptors that recognize MHC-I expressed in steady state on normal cells or altered ligands on dysregulated cells, respectively. Killer inhibitory receptor (KIR) in humans, the lectin-like Ly49 molecules in mice, and CD94/NKG2A heterodimers in both species detect MHC-I molecules on normal cells [8]. Perturbations in expression of MHC-I molecules on viral-infected cells or malignant transformed cells lead to loss of inhibitory signals causing activation of NK cells. Additionally, NK cells also require signaling through activating receptors, such as NKp30, NKp44, NKp46, NKp65, and NKp80 to trigger effector functions, such as cytokine production and cytolytic activity. Stimulation with inflammatory cytokines, such as IL-2, IL-15, IL-12, or IL-18 evokes differentiation into effector NK cells. CD16 or constant Fcγ-receptor IIIa (FcγRIIIa) exerts antibody-dependent cell-mediated cytotoxicity (ADCC) against various antibody coated cellular targets, leading to the exocytosis of perforin and granzyme-loaded vesicles. By integrating activating and inhibitory signals, NK cells contribute to the elimination of stressed cells

Upon recognition, target cells can get killed by NK cells through one of two pathways: either via the perforin and granzyme secretion pathway or via membrane-bound death receptors. NK cells store preformed perforin and granzyme in secretory vesicles that when triggered by activating signals causes formation of microtubule-organizing center (MTOC) which guides the vesicles, containing perforin and granzyme, in a directed way toward the target cell to prevent damage to bystander cells. Perforin forms pores in the target cell membrane, disrupts membrane integrity, and allows the entry of the apoptosis-inducing granzymes. The importance of the lytic perforin/granzyme pathway is evident in perforin knockout animals that exhibit lesser efficiency in ADCC or tumor control after transplantation of tumor cells. Perforin-/granzyme-containing cytoplasmic vesicles express CD107a or lysosomal-associated membrane protein (LAMP-1). Upon degranulation, CD107a is transferred transiently on the surface of NK cells and protects NK cells from damage from their own perforin or granzyme

ferentiate between NK and natural killer T cells (NKT) [7].

expressing modified motifs while sparing healthy cells [9].

with carbon nanotube.

160 Natural Killer Cells

**1.1. Natural killer cells**

release [10].

Carbon nanotubes resemble rolled-up tubes of graphite sheet of sp2 hybridized carbon atoms. A single cylindrical form of CNTs is designated as single-walled nanotubes (SWCNTs) that are 0.4–3.0 nm in diameter and up to 1000 nm in length. CNTs display a unique combination of extraordinary mechanical, thermal, and electronic properties. CNTs, by virtue of their exceptional high aspect ratio (surface area to volume ratio), can carry high amounts of ligands on the outer as well as in inner surface of their tubular backbone for tissue-/cell-specific drug delivery. These are therefore conceptualized as nano-bullets capable of carrying different drugs for targeting multiple microorganisms or diseases simultaneously. However, the use of CNTs in biological system poses practical problems due to their inherent tendency to form aggregate as a result of high intermolecular hydrophobic force arising out of unit graphene rings. Within the aqueous phase of the biological system, the hydrophobic behavior of CNTs could result not only in poor biodistribution but also pose a serious challenge due to agglomeration and cause tissue lesions or granulomas. In order to circumvent hydrophobicity of CNTs so that it is rendered biocompatible, their backbone can be chemically modified with functional groups or linkers that impart solvable properties to CNTs. This process is known as functionalization of CNTs.

#### **2.1. Acid functionalization of SWCNT**

SWCNTs may be acid functionalized by suspension in sulfuric acid and nitric acid and subjecting to high-pressure microwave as described before [13–15]. As a result the side walls of SWCNTs are decorated with high density of various oxygen-containing groups (mainly carboxyl groups). The carboxyl groups impart negative charge to SWCNTs, which facilitate the separation of nanotube bundles into individual tubes and enhance their dispersibility in aqueous solutions. The carboxyl groups represent useful sites for covalent coupling of molecules, through the creation of amide or ester bonds, thereby facilitating further addition of wide range of bifunctional linker molecules, nucleic acids, peptides, or other nanoparticles, such as polyethylene glycol (PEG) [16].

The process of acid functionalization of CNTs is outlined in **Figure 1A**. Briefly, SWCNTs were suspended in equimolar ratio of nitric acid (HNO3 ) and sulfuric acid (H2 SO4 ) in high-pressure microwave digester that provide 450 W power for 3 min, resulting in an internal pressure of 20 ± 2 psi and temperature of 138–150°C. The suspension was cooled and dialyzed in excess milli-Q water till it attained neutral pH. Dialyzed suspensions of acid-functionalized SWCNTs (AF-SWCNTs) were lyophilized, weighed, and resuspended at the desired concentration in phosphate buffer saline (PBS) or water.

**Figure 1.** Functionalization of SWCNT and characterization of acid-functionalized SWCNT (AF-SWCNT): schematic overview of the process of acid functionalization of SWCNT is depicted in Panel A. Functionalization of SWCNT in the presence of equimolar H2 SO4 and HNO3 generates carboxyl and sulfonate groups on the backbone of SWCNT. Panel B shows that AF-SWCNT (1 mg/mL) homogenously dissolves in aqueous solution as compared to SWCNT. The physiochemical properties of AF-SWCNT were tested using fourier transmission infrared (FTIR) spectroscopy and Zetasizer. FTIR spectra of AF-SWCNT showed distinct bands in the range 1740 and 1350 cm−1, characteristic of carboxyl and sulfonate groups, respectively (Panel C). These groups are negatively charged and affect the electrical properties of AF-SWCNT. Data obtained from Zetasizer showed that the mean charge and size of AF-SWCNT were −55 mV (Panel D) and 350 nm (Panel E), respectively.

In comparison to SWCNTs that agglomerate in aqueous solution, AF-SWCNTs (1 mg/mL) remain stably suspended. The physiochemical properties of AF-SWCNTs are influenced mainly by the duration of acid functionalization. Increasing the duration of functionalization reaction resulted in smaller sized particles and decreased recovery of functionalized nanotubes due to oxidative degradation. The recovery of AF-SWCNTs was relatively better with lower acid concentrations; the size and charge distribution of the resultant particles were comparable. Particles generated under constant temperature for different time durations did not differ significantly in their size or zeta potential. The zeta potential provides an estimate whether the particles within a liquid will tend to flocculate or not. A high positive or negative zeta potential of particle corresponds to greater dispersibility within the liquid, while values close to zero correspond to greater aggregation potential. Zeta potential of the AF-SWCNTs depends on the suspension media. AF-SWCNTs suspended in water had the higher zeta potential than PBS followed by culture media. Greater dispersion of AF-SWCNTs in water is due to formation of electrical double layer in which ionic accumulation of few-angstrom thick prevents particle aggregation. For details of physiochemical properties of AF-SWCNTs, see **Figure 1C–E**.

#### **2.2. Attachment of fluorescent probes to AF-SWCNTs**

aqueous solutions. The carboxyl groups represent useful sites for covalent coupling of molecules, through the creation of amide or ester bonds, thereby facilitating further addition of wide range of bifunctional linker molecules, nucleic acids, peptides, or other nanoparticles,

The process of acid functionalization of CNTs is outlined in **Figure 1A**. Briefly, SWCNTs were

microwave digester that provide 450 W power for 3 min, resulting in an internal pressure of 20 ± 2 psi and temperature of 138–150°C. The suspension was cooled and dialyzed in excess milli-Q water till it attained neutral pH. Dialyzed suspensions of acid-functionalized SWCNTs (AF-SWCNTs) were lyophilized, weighed, and resuspended at the desired concentration in

**Figure 1.** Functionalization of SWCNT and characterization of acid-functionalized SWCNT (AF-SWCNT): schematic overview of the process of acid functionalization of SWCNT is depicted in Panel A. Functionalization of SWCNT in

Panel B shows that AF-SWCNT (1 mg/mL) homogenously dissolves in aqueous solution as compared to SWCNT. The physiochemical properties of AF-SWCNT were tested using fourier transmission infrared (FTIR) spectroscopy and Zetasizer. FTIR spectra of AF-SWCNT showed distinct bands in the range 1740 and 1350 cm−1, characteristic of carboxyl and sulfonate groups, respectively (Panel C). These groups are negatively charged and affect the electrical properties of AF-SWCNT. Data obtained from Zetasizer showed that the mean charge and size of AF-SWCNT were −55 mV (Panel D)

generates carboxyl and sulfonate groups on the backbone of SWCNT.

) and sulfuric acid (H2

SO4

) in high-pressure

such as polyethylene glycol (PEG) [16].

162 Natural Killer Cells

phosphate buffer saline (PBS) or water.

the presence of equimolar H2

and 350 nm (Panel E), respectively.

SO4

and HNO3

suspended in equimolar ratio of nitric acid (HNO3

CNTs, due to their nanosized structure, cannot be visualized using normal light microscope. The carboxylic groups generated on the AF-SWCNTs were exploited to attach fluorescent probes to the particles for the purpose of studying their uptake by cells [17]. **Figure 2A** shows the schematic overview of attachment of fluorescent probes to AF-SWCNTs. In our experiment, polydispersed AF-SWCNTs were treated with 1-ethyl 3-(3-dimethyl aminopropyl) carbodiimide (EDAC) and N-hydroxysuccinimide (NHS) in order to get succinimidyl intermediate. The mixture was continually shaken for 2 h and dialyzed in water using 3 kDa cutoff Centricon to remove excess NHS, EDAC, and urea by-product. AF-SWCNTs thus activated were incubated with Alexa Fluor 488/633 hydrazide in 1:1 ratio in the dark with continuous mixing for 12 h, followed by dialysis to remove free dye. Attachment of fluorescent probe to AF-SWCNTs can be confirmed using spectrophotometer or flow cytometer.

The interaction of fluorescently tagged AF-SWCNTs (FAF-SWCNTs) with cells could be easily quantified using flow cytometer (**Figure 2B**), and their localization within the cell can be visualized using confocal microscopy (**Figure 2C**). Although earlier studies on the uptake and localization of CNTs could be performed on fixed cells using transmission electron microscope (TEM), preparation of fluorescently tagged AF-SWCNTs was a significant step in this direction because it enabled us to directly observe the interaction of CNTs with live cells. Thus, FAF-SWCNTs in conjugation with organelle markers provided an important tool to observe the effect of CNTs on the cellular process like exocytosis, actin-myosin assembly, cell division, etc. For example, FAF-SWCNTs used in combination with LysoTracker and MitoTracker can be used to observe the actual interaction of CNTs with these organelles and the attendant effects on exocytosis and mitochondrial potential, respectively. Our studies showed that activated NK cells internalize higher amounts of AF-SWCNTs than resting NK cells. Our studies further indicated that internalized AF-SWCNTs are essentially localized in the cytoplasm of NK cells. Previous studies by our group on the uptake of diesel exhaust particles (another category of carbon nanoparticles) by macrophages and alveolar epithelial cells showed that

**Figure 2.** Attachment of fluorescent probe to AF-SWCNT. Panel A shows the schematic diagram of preparation of fluorescent-coupled AF-SWCNT (FAF-SWCNT). The carboxyl group provided a pivotal point to which amide containing fluorescent molecules could be attached. Flow cytometric data shows that 60% of AF-SWCNT particles got tagged with the fluorescence probe (denoted by green line). The interaction of NK1.1+ cells with AF-SWCNT was studied by incubating the IL-2-activated splenocytes with FAF-SWCNT. Panel B shows that NK1.1+ sorted cells sequestered FAF-SWCNT and generated positive signal for fluorescence. The localization of FAF-SWCNT in NK cells was visualized using confocal microscopy. NK1.1+ FAF-SWCNT+ cells were isolated using fluorescence-activated cell sorter and cultured on poly-l-lysine coated cover slips. Cells were fixed using 4% paraformaldehyde, incubated with DAPI (0.2 mg/mL) and examined microscopically. Panel C shows the DIC, DAPI, and merged image of FAF-SWCNT in NK1.1+ cells.

active uptake was blocked in the presence of Cytochalasin D, an inhibitor of actin-myosin assembly system [17]. Internalization of AF-SWCNTs has also been demonstrated in erythrocytes that lack membrane phagocytic functions [18]. Internalization of AF-SWCNTs in NK cells may therefore involve active transport, or by the virtue of their long needle-like structure, these nanoparticles may pierce cell membranes and enter into the cytoplasm.

### **3. Interaction of CNTs with NK cell**

CNTs act as adjuvant or haptens and allow formation of protein bio-corona on their surface. When proteins unfold, they reveal hidden epitopes that may act as nanomaterial-associated molecular patterns (NAMPs) [19]. These molecular signatures are recognized by pattern recognition receptors (PRPs) present on the surface of innate immune cells. The activation of PRPs may induce adaptive immune system causing inflammation, allergic reactions, complement activation, susceptibility to diseases, or autoimmune diseases [20, 21]. The prospects of CNTs as a magic bullet in cancer therapy are due to their ability to act passively or actively at site of tumor or for improving bioavailability of insoluble drugs. Besides, CNTs have unique anisotropic and spectroscopic properties that make them suitable for detection and radiation-guided ablation of tumors.

The ability of the immune system to successfully eliminate cancer cells or viral-infected cells is mediated mainly by cytotoxic T cells and NK cells. Therefore the inadvertent interaction of CNTs with NK cells in the body, particularly at site of tumor, cannot be ignored. This situation warrants extensive studies to assert that CNTs have minimal effect on the effector functions of NK cells so that the benefits achieved by the use of CNTs in cancer therapy are not outweighed by the toxic effect of CNTs on NK cells itself. The effects of nanoparticle on NK cell cytotoxicity should be examined to determine whether there is an association between NK cell activity and nanoparticle treatment. A decreased NK cell activity is often associated with chronic fatigue immune dysfunction syndrome (CFIDS), characterized by acute and chronic conditions that predispose individuals toward an immunocompromised state leading to AIDS [22].

Although the mechanistic details of NK-mediated killing of target cells is well established, little is known in literature about the interaction of NK cells with CNTs, and hence there is no consensus to evaluate immunomodulatory effects of CNTs on NK cells. We have established three models to assess the interaction of CNTs with NK cells and evaluate the effect of CNTs on effector function of NK cells *in vitro* and *in vivo*. *In vitro* assessment of the effect of CNTs on NK cells was performed using YT-INDY human NK cell line and IL-2-activated mouse spleen cells. *In vivo* effects of CNTs were studied in C57BL/6 inbred mice treated with poly I:C, a synthetic analogue of viral RNA. We have extensively used flow cytometry to assess these parameters because it provides accurate, reproducible, and quick quantitative estimation of cell subpopulations in the mixed culture of cells.

#### **3.1.** *In vitro* **assessment of effect of CNTs on a NK cell line**

YT-INDY, a NK cell line of human origin, proliferates continuously *in vitro* without being supplemented with cytokines or conditioned medium. *In vitro* assessment of the effect of CNTs on YT-INDY cells provides us preliminary estimation of dosage that may be deemed fit to explore on actual NK cells derived from primary cell cultures.

#### **3.2. Cell viability assay**

active uptake was blocked in the presence of Cytochalasin D, an inhibitor of actin-myosin assembly system [17]. Internalization of AF-SWCNTs has also been demonstrated in erythrocytes that lack membrane phagocytic functions [18]. Internalization of AF-SWCNTs in NK cells may therefore involve active transport, or by the virtue of their long needle-like struc-

**Figure 2.** Attachment of fluorescent probe to AF-SWCNT. Panel A shows the schematic diagram of preparation of fluorescent-coupled AF-SWCNT (FAF-SWCNT). The carboxyl group provided a pivotal point to which amide containing fluorescent molecules could be attached. Flow cytometric data shows that 60% of AF-SWCNT particles got

FAF-SWCNT and generated positive signal for fluorescence. The localization of FAF-SWCNT in NK cells was visualized

on poly-l-lysine coated cover slips. Cells were fixed using 4% paraformaldehyde, incubated with DAPI (0.2 mg/mL) and

cells with AF-SWCNT was studied

cells were isolated using fluorescence-activated cell sorter and cultured

sorted cells sequestered

cells.

CNTs act as adjuvant or haptens and allow formation of protein bio-corona on their surface. When proteins unfold, they reveal hidden epitopes that may act as nanomaterial-associated molecular patterns (NAMPs) [19]. These molecular signatures are recognized by pattern recognition receptors (PRPs) present on the surface of innate immune cells. The activation of

ture, these nanoparticles may pierce cell membranes and enter into the cytoplasm.

examined microscopically. Panel C shows the DIC, DAPI, and merged image of FAF-SWCNT in NK1.1+

tagged with the fluorescence probe (denoted by green line). The interaction of NK1.1+

FAF-SWCNT+

by incubating the IL-2-activated splenocytes with FAF-SWCNT. Panel B shows that NK1.1+

**3. Interaction of CNTs with NK cell**

using confocal microscopy. NK1.1+

164 Natural Killer Cells

Cell viability assays are used for screening nanoparticles in order to determine if these affect cell proliferation or show direct cytotoxic effects causing cell death. Trypan Blue assay was used for staining dead cells, and viability was determined by counting the unstained cells microscopically. As is evident from **Figure 3A**, exposure of AF-SWCNTs resulted in decrease of cell recovery although the effect was marginally less in SWCNT treatment. YT-INDY, which has a doubling time of nearly 42 h, shows decreased proliferation rate in the presence of SWCNTs, the effect being more enhanced with AF-SWCNTs.

Trypan Blue staining does not distinguish between the healthy cells and the cells that are alive but losing cell functions. MTT is a water-soluble yellow dye that is readily cleaved and converted into insoluble purple formazan by the activity of mitochondrial dehydrogenase of living cells [23]. Results in **Figure 3B** clearly indicate that AF-SWCNTs above 25 μg/mL reduce cell viability, whereas SWCNTs show the same effect above 50 μg/mL.

Reduced cell viability in the presence of CNTs could be attributed not only to reduction in proliferation of cells but also due to accumulation of dead cells in the culture. The activity of cytoplasmic enzyme, such as lactate dehydrogenase (LDH), released upon plasma membrane damage, can be detected in culture supernatant and correlates with the proportion of lysed or dead cells [23]. Results in **Figure 3C** show that AF-SWCNTs caused increase in LDH release from YT-INDY cells. These results of LDH assay complement the data obtained from MTT assay.

#### **3.3. Effect of CNTs on cell cycle**

Increase in doubling time of YT-INDY cells in the presence of AF-SWCNTs pointed to a possible alteration in cell cycle. The effect of SWCNTs or AF-SWCNTs on cell cycle of YT-INDY

**Figure 3.** Effect of SWCNT and AF-SWCNT on viability of NK cells *in vitro*. YT-INDY cells were cultured in the presence of 10, 25, and 50 μg/mL of SWCNT or AF-SWCNT. Panel A shows the cell recovery of viable cells using Trypan Blue exclusion assay. Panel B shows the results of MTT assay in terms of percent cell recovery. Panel C depicts the percent LDH released from nonviable cells in cultures treated with 10, 25, and 50 μg/mL of SWCNT or AF-SWCNT. \*p < 0.05, \*\*p < 0.01, \*\*\*p < 0.005 by Student's *t* test.

cells was examined. A fourfold decrease in proportion of cells in S-phase indicated that AF-SWCNT treatment caused cell cycle arrest in YT-INDY cells (**Figure 4**).

#### **3.4. Flow cytometric assessment of apoptosis using annexin V/7-AAD assay**

Cellular toxicity evokes sequential steps leading to apoptosis and ultimately causing cell death. Apoptotic and necrotic response of YT-INDY to AF-SWCNTs was examined by using annexin V/7-AAD stainings described before [24]. Results in **Figure 5A** show that the treatment of YT-INDY cells with SWCNTs or AF-SWCNTs led to an increase in apoptotic cell by twofold and threefold, respectively.

Apoptosis can be brought about by a loss of calcium (Ca2+) homeostatic control but can also be finely tuned, positively or negatively, by more subtle changes in Ca2+ distribution within intracellular compartments. An aberrant increase in intracellular calcium can trigger initiation of apoptosis. The levels of calcium in the cell have to be kept at an optimum level to maintain cellular homeostasis. Intracellular levels of calcium can be monitored using Fluo-3AM dye. The levels of calcium can be examined by flow cytometrically. Mean fluorescence intensity (MFI) values for Fluo-3AM signals gave an estimate of average levels of calcium per cell in the population of cells. AF-SWCNT treatment caused increased intracellular calcium indicating that they caused off of the signaling process that regulates apoptosis (**Figure 5B**).

#### **3.5. Generation of reactive oxygen species**

Trypan Blue staining does not distinguish between the healthy cells and the cells that are alive but losing cell functions. MTT is a water-soluble yellow dye that is readily cleaved and converted into insoluble purple formazan by the activity of mitochondrial dehydrogenase of living cells [23]. Results in **Figure 3B** clearly indicate that AF-SWCNTs above 25 μg/mL reduce

Reduced cell viability in the presence of CNTs could be attributed not only to reduction in proliferation of cells but also due to accumulation of dead cells in the culture. The activity of cytoplasmic enzyme, such as lactate dehydrogenase (LDH), released upon plasma membrane damage, can be detected in culture supernatant and correlates with the proportion of lysed or dead cells [23]. Results in **Figure 3C** show that AF-SWCNTs caused increase in LDH release from YT-INDY cells. These results of LDH assay complement the data obtained from MTT

Increase in doubling time of YT-INDY cells in the presence of AF-SWCNTs pointed to a possible alteration in cell cycle. The effect of SWCNTs or AF-SWCNTs on cell cycle of YT-INDY

**Figure 3.** Effect of SWCNT and AF-SWCNT on viability of NK cells *in vitro*. YT-INDY cells were cultured in the presence of 10, 25, and 50 μg/mL of SWCNT or AF-SWCNT. Panel A shows the cell recovery of viable cells using Trypan Blue exclusion assay. Panel B shows the results of MTT assay in terms of percent cell recovery. Panel C depicts the percent LDH released from nonviable cells in cultures treated with 10, 25, and 50 μg/mL of SWCNT or AF-SWCNT. \*p < 0.05, \*\*p < 0.01, \*\*\*p < 0.005

cell viability, whereas SWCNTs show the same effect above 50 μg/mL.

assay.

166 Natural Killer Cells

by Student's *t* test.

**3.3. Effect of CNTs on cell cycle**

Reactive oxygen species (ROS) are continuously generated in living cells and play a key role in cellular homeostasis. ROS is principally produced and regulated in mitochondria and may affect the mitochondrial health and activity in a cell. The production of ROS in the cell is regulated as excessive ROS production leads to cascade of signaling processes that may trigger cell

**Figure 4.** Effect of SWCNT and AF-SWCNT on cell cycle of YT-INDY cells. YT-INDY cells were cultured in the presence of SWCNT or AF-SWCNT. Cells were harvested, fixed with 70% ethanol, and treated with RNase. The fixed cells were stained with propidium iodide (2 μg/mL), and cell cycle was assessed flow cytometrically. Data shows percentage of cells in G1, S, and G2/M stages of cell cycle.

**Figure 5.** Effect of SWCNT and AF-SWCNT on apoptotic response in YT-INDY cells. YT-INDY cells were cultured in the presence of 50 μg/mL of SWCNT or AF-SWCNT for 48 h. Cellular apoptosis was assessed flow cytometrically by staining cells with annexin V and 7-AAD dye. Percent dead, necrotic and apoptotic cells obtained from cultures treated with SWCNT or AF-SWCNT are shown in Panel A. Increased levels of calcium in cells as an initiator for apoptotic response are assessed using Fluo-3AM dye. Intracellular levels of calcium in YT-INDY cells treated with SWCNT or AF-SWCNT (50 μg/mL) are assessed flow cytometrically (Panel B).

to undergo apoptosis, cell cycle arrest, and modulation in cytokine production [25]. Results shown in **Figure 6** indicate that control cells produce basal levels of ROS (MFI 198). A 63% increase in ROS generation is observed in the presence of AF-SWCNTs as compared to a 21% increase in the presence of SWCNTs. Generation of ROS is an indication of cellular stress that corresponds to greater toxic potential of AF-SWCNTs as compared to SWCNTs.

#### **3.6. Mitochondrial membrane potential**

Generation of ROS causes disturbance in mitochondrial membrane potential (Δ*ψ*). Mitochondrial potential is important for the proper functioning of mitochondria [26]. AF-SWCNTs being negatively charged could modulate the potential of mitochondria once it is taken up by cells. Effect of SWCNTs and AF-SWCNTs on mitochondrial potential in

**Figure 6.** Generation of reactive oxygen species in YT-INDY cells treated with SWCNT and AF-SWCNT. YT-INDY cells were cultured with or without SWCNT or AF-SWCNT (50 μg/mL) for 24 h and ROS levels assessed by using H2 DCFDA dye. Fluorescent signals due to basal level of ROS in control cells are depicted as open histogram.

YT-INDY cells was examined using dyes: JC-1 and MitoTracker. JC-1 is a dimeric molecule which is converted to a monomeric form upon change in mitochondrial membrane potential. Change of JC-1 from dimeric form to monomeric form can be estimated by a shift from red fluorescence to green fluorescence. Increase in green fluorescence is an indicator for decrease in mitochondrial potential. MitoTracker red stain mitochondria in live cell and its accumulation are dependent upon membrane potential. The MFI of MitoTracker red emission therefore gives an estimate of the overall accumulation of MitoTracker red in live cells.

to undergo apoptosis, cell cycle arrest, and modulation in cytokine production [25]. Results shown in **Figure 6** indicate that control cells produce basal levels of ROS (MFI 198). A 63% increase in ROS generation is observed in the presence of AF-SWCNTs as compared to a 21% increase in the presence of SWCNTs. Generation of ROS is an indication of cellular stress that

**Figure 5.** Effect of SWCNT and AF-SWCNT on apoptotic response in YT-INDY cells. YT-INDY cells were cultured in the presence of 50 μg/mL of SWCNT or AF-SWCNT for 48 h. Cellular apoptosis was assessed flow cytometrically by staining cells with annexin V and 7-AAD dye. Percent dead, necrotic and apoptotic cells obtained from cultures treated with SWCNT or AF-SWCNT are shown in Panel A. Increased levels of calcium in cells as an initiator for apoptotic response are assessed using Fluo-3AM dye. Intracellular levels of calcium in YT-INDY cells treated with SWCNT or AF-SWCNT

Generation of ROS causes disturbance in mitochondrial membrane potential (Δ*ψ*). Mitochondrial potential is important for the proper functioning of mitochondria [26]. AF-SWCNTs being negatively charged could modulate the potential of mitochondria once it is taken up by cells. Effect of SWCNTs and AF-SWCNTs on mitochondrial potential in

corresponds to greater toxic potential of AF-SWCNTs as compared to SWCNTs.

**3.6. Mitochondrial membrane potential**

(50 μg/mL) are assessed flow cytometrically (Panel B).

168 Natural Killer Cells

Results in **Figure 7** show that the treatment with SWCNTs or AF-SWCNTs resulted in an increase in JC-1 green fluorescence to 22 and 47%, respectively, indicating a significant decrease in mitochondrial potential. The corresponding reduction in MFI values of MitoTracker red fluorescence of SWCNTs and AF-SWCNTs culture were 20 and 54%, respectively.

Taken together, toxicity of SWCNTs and AF-SWCNTs was adjudged by a significant (p < 0.05) decrease in cell recovery, increased apoptosis, S-phase arrest in cell cycle, increased generation of ROS, poor mitochondrial health, and loss of cellular integrity.

**Figure 7.** Estimation of mitochondrial potential in YT-INDY cells treated with SWCNT or AF-SWCNT. YT-INDY cells cultured with SWCNT or AF-SWCNT were harvested, centrifuged, and rinsed twice with PBS, resuspended in 5 mM JC-1 or 10 mM MitoTracker red in serum-free media. Fluorescence emission was analyzed flow cytometrically (JC-1 monomers, excitation wavelength 488 nm, emission filter 530/30 nm; JC-1 aggregates, excitation wavelength 488 nm, emission filter 585/42 nm). Decrease in red fluorescence or increase in green fluorescence is indicative of depolarization of mitochondria. Panel A shows the percent increase in green fluorescence of JC-1 in YT-INDY cells treated with SWCNT or AF-SWCNT. The uptake of mitochondrial dye, MitoTracker, depends on membrane potential. Data in Panel B shows the mean fluorescent intensity (MFI) of MitoTracker red in control and SWCNT- and AF-SWCNT-treated cells.
