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Review

Clinical significance of metallothioneins in cell therapy and nanomedicine

, , , &
Pages 1477-1488 | Published online: 16 Apr 2013

Figures & data

Figure 1 (A) Transmission electron microscope (magnification 50,000×) image illustrating CB formation in the developing undernourished Purkinje neurons as a consequence of degeneration of mitochondrial membranes (a). These membranes are transformed in to multilamellar (usually pentalamellar or heptalamellar) electron-dense structures (b) to form mature CBs (c). The structural degradation of CBs occurs eventually due to increased lysosomal activity (d). Based on the transmission electron microscopy and electrophysiological studies, it is proposed that CBs are involved in desmosomal repair, autophagy, and increased afterhyperpolarization duration due to increased intracellular calcium ions (Ca2+) in the 15-day undernourished rat cerebellar Purkinje neurons. (B) Free radicals (indicated by dots) are generated as a byproduct of mitochondrial oxidative phosphorylation.

Notes: Toxic NPs, environmental toxins, chemicals, drugs, nutritional stress, and infections augment free radical overproduction, which may trigger CB formation. MTs serve as free radical scavengers to protect mitochondrial structural and functional integrity by inhibiting CB formation. CB formation is a transitory state between apoptosis and cell death and is a reversible process. (+) indicates activation; (−) indicates inhibition.

Abbreviations: CB, Charnoly body; MT, metallothionein; NP, nanoparticle.

Figure 1 (A) Transmission electron microscope (magnification 50,000×) image illustrating CB formation in the developing undernourished Purkinje neurons as a consequence of degeneration of mitochondrial membranes (a). These membranes are transformed in to multilamellar (usually pentalamellar or heptalamellar) electron-dense structures (b) to form mature CBs (c). The structural degradation of CBs occurs eventually due to increased lysosomal activity (d). Based on the transmission electron microscopy and electrophysiological studies, it is proposed that CBs are involved in desmosomal repair, autophagy, and increased afterhyperpolarization duration due to increased intracellular calcium ions (Ca2+) in the 15-day undernourished rat cerebellar Purkinje neurons. (B) Free radicals (indicated by dots) are generated as a byproduct of mitochondrial oxidative phosphorylation.Notes: Toxic NPs, environmental toxins, chemicals, drugs, nutritional stress, and infections augment free radical overproduction, which may trigger CB formation. MTs serve as free radical scavengers to protect mitochondrial structural and functional integrity by inhibiting CB formation. CB formation is a transitory state between apoptosis and cell death and is a reversible process. (+) indicates activation; (−) indicates inhibition.Abbreviations: CB, Charnoly body; MT, metallothionein; NP, nanoparticle.

Figure 2 Three types of NPs have been proposed (1) toxic, (2) protective, and (3) inert. NPs augmenting the zinc ion homeostasis could be neuroprotective, those inducing dyshomeostasis could be toxic, and those producing no significant change could be neutral or inert. Thus, metal ion speciation of MTs following NP exposure employing sensitive procedure such as inductively coupled plasma mass spectroscopy may provide a better understanding of the therapeutic potential of MTs in nanomedicine. At the ultrastructural level, protective NPs may prevent CB formation and toxic NPs will induce CB formation, whereas inert NPs will remain ineffective. Stem cells provide MT-mediated mitochondrial protection and inhibit CB formation to facilitate regenerative process. Any physical, physiological, and/or pharmacological intervention involving MT induction will inhibit CB formation and provide neuroprotection. Thus, MT induction and CB formation may be utilized as early and sensitive biomarkers of NPs safety, effectiveness, and toxicity for theranostic applications. (The specificity of these biomarkers may be explored in the future). Furthermore, toxic NPs and environmental stress may induce overproduction of free radicals (OH, NO) to cause lysosomal membrane destabilization and CB formation. Free radicals may induce lipases, proteases, and nucleases to cause membranolysis, proteolysis, and nuclear DNA depolymerization leading to apoptosis, necrosis, and even cell death. MTs may serve as free radical scavengers to inhibit CB formation and provide therapeutic effect in neurodegenerative disease and other disorders. (A) Transmission electron microscope picture (magnification 20,000×) demonstrating the cytoplasmic organization of Purkinje neuron from the undernourished rat cerebellar cortex demonstrating increased incidence of lysosomes (▼). (B) Multilamellar electron-dense membrane stacks (CB ■) in the 15-day undernourished rat Purkinje neurons (magnification 50,000×).

Notes: (+) indicates activation; (−) indicates inhibition.

Abbreviations: CB, Charnoly body; MT, metallothionein; NO, nitric oxide; NP, nanoparticle; OH, hydroxyl; ONOO, peroxynitrite; SI, α-synuclein index.

Figure 2 Three types of NPs have been proposed (1) toxic, (2) protective, and (3) inert. NPs augmenting the zinc ion homeostasis could be neuroprotective, those inducing dyshomeostasis could be toxic, and those producing no significant change could be neutral or inert. Thus, metal ion speciation of MTs following NP exposure employing sensitive procedure such as inductively coupled plasma mass spectroscopy may provide a better understanding of the therapeutic potential of MTs in nanomedicine. At the ultrastructural level, protective NPs may prevent CB formation and toxic NPs will induce CB formation, whereas inert NPs will remain ineffective. Stem cells provide MT-mediated mitochondrial protection and inhibit CB formation to facilitate regenerative process. Any physical, physiological, and/or pharmacological intervention involving MT induction will inhibit CB formation and provide neuroprotection. Thus, MT induction and CB formation may be utilized as early and sensitive biomarkers of NPs safety, effectiveness, and toxicity for theranostic applications. (The specificity of these biomarkers may be explored in the future). Furthermore, toxic NPs and environmental stress may induce overproduction of free radicals (OH, NO) to cause lysosomal membrane destabilization and CB formation. Free radicals may induce lipases, proteases, and nucleases to cause membranolysis, proteolysis, and nuclear DNA depolymerization leading to apoptosis, necrosis, and even cell death. MTs may serve as free radical scavengers to inhibit CB formation and provide therapeutic effect in neurodegenerative disease and other disorders. (A) Transmission electron microscope picture (magnification 20,000×) demonstrating the cytoplasmic organization of Purkinje neuron from the undernourished rat cerebellar cortex demonstrating increased incidence of lysosomes (▼). (B) Multilamellar electron-dense membrane stacks (CB ■) in the 15-day undernourished rat Purkinje neurons (magnification 50,000×).Notes: (+) indicates activation; (−) indicates inhibition.Abbreviations: CB, Charnoly body; MT, metallothionein; NO, nitric oxide; NP, nanoparticle; OH, hydroxyl; ONOO, peroxynitrite; SI, α-synuclein index.