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The Toxic Effect of Silver Nanoparticles on Nerve Cells: A Systematic Review and Meta-Analysis

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Reviews of Environmental Contamination and Toxicology Volume 257

Abstract

Despite the increasing use of silver nanoparticles in medical sciences, published studies on their interaction with nerve cells and evaluation of risks are dispersed. This systematic review and meta-analysis could be used to devise safety guidelines for the use of silver nanoparticles in industry and medicine to reduce adverse effects on the CNS.

After extensive searches, the full text of 30 related studies was reviewed and data mining completed. Data were analyzed by calculating the mean of different ratios between treated and untreated groups. Linear regression between variables was evaluated by meta-regression. Subgroup analysis was also performed due to heterogeneity.

Treatment with silver nanoparticles significantly reduced cell viability (SMD = −1.79%; 95% CI: −2.17 to −1.40; p < 0.0001). Concentration > 0.1 μg/mL could kill neurons, while lower concentration would not (SMD −0.258; 95% CI: −0.821 to 0.305; p = 369). In addition to the concentration, the coating, size of the nanoparticles, and cell type are also factors that influence SNP nerve cell toxicity. Measurement of apoptosis (SMD = 2.21; 95% CI: 1.62 to 2.80; p=0.001) and lactate dehydrogenase release rate (SMD = 0.9; 95% CI: 0.33 to 1.47; p < 0.0001) also confirmed the destructive effect of silver nanoparticles on nerve cells.

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Declarations

Funding FR was supported by IRAN University of Medical Sciences, Grants 97-3-75-13323.

MRH was supported by US NIH Grants R01AI050875 and R21AI121700.

Conflicts of Interest/Competing Interests MRH declares the following potential conflicts of interest. Scientific Advisory Boards: Transdermal Cap Inc., Cleveland, OH; BeWell Global Inc., Wan Chai, Hong Kong; Hologenix Inc. Santa Monica, CA; LumiThera Inc., Poulsbo, WA; Vielight, Toronto, Canada; Bright Photomedicine, Sao Paulo, Brazil; Quantum Dynamics LLC, Cambridge, MA; Global Photon Inc., Bee Cave, TX; Medical Coherence, Boston MA; NeuroThera, Newark DE; JOOVV Inc., Minneapolis-St. Paul MN; AIRx Medical, Pleasanton CA; FIR Industries, Inc. Ramsey, NJ; UVLRx Therapeutics, Oldsmar, FL; Ultralux UV Inc., Lansing MI; Illumiheal & Petthera, Shoreline, WA; MB Lasertherapy, Houston, TX; ARRC LED, San Clemente, CA; Varuna Biomedical Corp. Incline Village, NV; Niraxx Light Therapeutics, Inc., Boston, MA. Consulting; Lexington Int, Boca Raton, FL; USHIO Corp, Japan; Merck KGaA, Darmstadt, Germany; Philips Electronics Nederland B.V. Eindhoven, Netherlands; Johnson & Johnson Inc., Philadelphia, PA; Sanofi-Aventis Deutschland GmbH, Frankfurt am Main, Germany. Stockholdings: Global Photon Inc., Bee Cave, TX; Mitonix, Newark, DE.

Availability of Data and Material The data that support the findings of this study are available from the corresponding author (FR) on request.

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Correspondence to Mahmoud Yousefifard or Fatemeh Ramezani .

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Janzadeh, A. et al. (2021). The Toxic Effect of Silver Nanoparticles on Nerve Cells: A Systematic Review and Meta-Analysis. In: de Voogt, P. (eds) Reviews of Environmental Contamination and Toxicology Volume 257. Reviews of Environmental Contamination and Toxicology, vol 257. Springer, Cham. https://doi.org/10.1007/398_2021_67

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