Abstract Due to their unique physicochemical properties, the potential health effects of single-walled carbon nanotubes (SWCNTs) have attracted continuous attention together with their extensive application. In this study, we aimed to identify local and systemic health effects following long pulmonary persistence of SWCNTs. As expected, SWCNTs remained in the lung on 13-weeks after a single intratracheal instillation (50, 100, and 200 μg/kg). In the lung, the number of total cells and the percentages of lymphocytes and neutrophils were significantly raised at 200 μg/kg dose compared to the control, and Th1-polarized immune response was induced accompanying an enhanced expression of tissue damage-related genes and an increased release of chemokines. Additionally, SWCNTs enhanced the expression of antigen presentation-related proteins on the surface of antigen-presenting cells, but maturation of dendritic cells was inhibited by their long persistence. As compared to the control, the significant increase in the percentage of neutrophils in WBC and the remarkable decrease of BUN and potassium level were observed in the blood of mice treated with the highest dose accompanied by the down-regulation in the expression of antigen presentation-related proteins on splenocytes. Moreover, protein and glucose metabolism was disturbed with an up-regulation of fatty acid β-oxidation. Taken together, we conclude that SWCNTs may induce adverse health effects by disturbing the immune and metabolic regulation function in the body. Therefore, careful application of SWCNTs is necessary for the enforcement of safety in nano-industries.
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