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    Challenges facing sterilization and depyrogenation of nanoparticles: Effects on structural stability and biomedical applications Melissa A. Vetten Msc, Clarence S. Yah PhD, Tanusha Singh PhD, Mary Gulumian PhD PII: DOI: Reference:

S1549-9634(14)00135-X doi: 10.1016/j.nano.2014.03.017 NANO 925

To appear in:

Nanomedicine: Nanotechnology, Biology, and Medicine

Received date: Revised date: Accepted date:

11 December 2013 1 March 2014 29 March 2014

Please cite this article as: Vetten Melissa A., Yah Clarence S., Singh Tanusha, Gulumian Mary, Challenges facing sterilization and depyrogenation of nanoparticles: Effects on structural stability and biomedical applications, Nanomedicine: Nanotechnology, Biology, and Medicine (2014), doi: 10.1016/j.nano.2014.03.017

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ACCEPTED MANUSCRIPT Challenges facing sterilization and depyrogenation of nanoparticles: Effects on structural stability and biomedical applications 3,4

, Tanusha Singh (PhD)5,6, Mary Gulumian

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Melissa A Vetten (Msc)1,2, Clarence S. Yah (PhD)

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(PhD)1,2 *

Biochemistry and Toxicology Section, National Institute for Occupational Health, National

Department of Molecular Medicine and Haematology, School of Pathology, University of

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Health Laboratory Services, Johannesburg 2000, South Africa

the Witwatersrand, Johannesburg 2000, South Africa 3

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Human Sciences Research Council, Newton Park 6055, South Africa Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health,

Immunology & Microbiology Section, National Institute for Occupational Health, National

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Baltimore MD 21205, USA

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Health Laboratory Services, Johannesburg 2000, South Africa Department of Immunology, School of Pathology, University of the Witwatersrand,

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Johannesburg 2000, South Africa Corresponding author: Melissa Vetten P O Box 4788 Johannesburg 2000; Tel: +27 (11) 712-6428; Fax: +27 (11) 712-6429 E-mail: [email protected] Word count for abstract: 108 Word count for complete manuscript: 4890 Number of references: 34 Number of figures/tables: 4 tables 1

ACCEPTED MANUSCRIPT The authors acknowledge the financial support from the Department of Science and Technology, South Africa and the National Institute for Occupational Health.

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The authors declare that there are no competing interests.

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ACCEPTED MANUSCRIPT Challenges facing sterilization and depyrogenation of nanoparticles: effects on structural stability and biomedical applications

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Abstract

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This review outlines and compares techniques that are currently available for the sterilization of nanoparticles and addresses the topic of endotoxin contamination. Several techniques are available for

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the removal of microbial contamination from nanoparticles developed for use in nanomedicine applications. These techniques include filtration, autoclaving and irradiation, as well as formaldehyde, Of these sterilization methodologies, filtration may

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ethylene oxide and gas plasma treatments.

potentially remove microbial contamination without altering the physicochemical properties of the carrier nanoparticles, nor affecting their toxicity and functionality. However, no single process may be applied to all nanoparticle preparations and, therefore, it is recommended that each nanoparticle-drug

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system be validated on a case-by-case basis.

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Introduction

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Key words: nanoparticles, sterilization, endotoxin

The unique physical and chemical properties of nanoparticles (NPs) have resulted in substantial

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research being performed on their potential applications in various fields including biology and medicine. Nanomedicine applications include the development of “lab-on-chip” technology in order to assess biomarkers, drug and gene delivery, tissue engineering, and cancer therapy (1-2). Any nanoparticle-drug based formulation requires the solvent to be sterile and apyrogenic, in addition to being safe, non-toxic and non-irritating for both in vitro and in vivo applications. The term sterility refers to the absence of viable microorganisms that could pose a risk when administered. The current accepted sterility assurance level (SAL) is limited to10-6, that is to say not more than one viable microorganism in one million parts of final product is allowed (3). Manufacturers of medical devices are required to ensure that their products meet established quality requirements and specifications, including regulations regarding microbial contamination. Potential sources of microbial 3

ACCEPTED MANUSCRIPT contamination during production of pharmaceutics include the raw materials, equipment and processes used during production, in addition to the facility and personnel (4).

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Potential contaminating microorganisms include bacteria, fungi and mould; however the removal of endotoxins, the lipopolysaccharides in the cell membrane of Gram-negative bacteria, must also be addressed. Magalhães and colleagues (5) provided a review of endotoxins and their removal from

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biological preparations. They discussed the pathophysiological effects of endotoxins, as caused by

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activation of the immune system and release of pro-inflammatory mediators, which lead to endotoxin shock, tissue injury and sometimes death. Since the effects of endotoxin are related to the amount of endotoxin present, in the case of drug products, this would imply that the endotoxin limit would be dependent on the amount of drug product administered to the patient. The formula for the endotoxin

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limit provided by the Food and Drug Administration (FDA) is K/M; where K is 5.0 EU/kilogram, and M is the maximum recommended dose of product per kilogram of body weight administered in one

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hour (6).

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Although numerous well-established sterilization techniques exist, concerns have been rasied regarding the adverse effects that these techniques may have on the physicochemical characteristics of

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the nanoparticles. A change in these characteristics could potentially affect both the toxicity and the efficacy of the sterilized nanoparticles. This paper reviews various sterilization methodologies that have been assessed for the removal of microbial and endotoxin contamination from nanoparticle preparations with the aim of providing a possible recommendation on a suitable methodology for nanomedicine production and sterilization.

Methodologies implemented for the sterilization of nanoparticles A literature survey of publications obtained from reputable journals shows that several conventionally used methodologies such as filtration, autoclaving, irradiation, as well as treatment with

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ACCEPTED MANUSCRIPT formaldehyde, ethylene oxide and gas plasma, have been implemented for the sterilization of

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nanoparticles.

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Filtration

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Sterile filtration is a commonly used method for the physical removal of microorganisms from chemically and thermally sensitive liquids, through the use of 0.22 µm membrane filters. This

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technique has been shown to be widely applicable as it does not appear to have any adverse effects on the nanoparticles (Table 1). Poly(-caprolactone) (PEC) nanospheres of mean diameter below 200 nm were successfully sterilized by filtration with 0.2 μm cellulose acetate membrane filters without alteration of their size, morphology or concentration (7). Filter sterilization through 0.22 µm filters

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has also successfully been implemented for the sterilization of PEGylated poly(γ-benzyl-L-glutamate)

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(PBLG) NPs (8) and polyester NPs (9).

The use of 0.2 µm or 0.22 µm filters may not always be possible if the NPs are larger than, or close

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to, the pore size of the filters since clogging can occur resulting in a decreased yield (10-11). For

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example, filtration of 200-300 nm poly(DL-lactide-co-glycolide) (PLGA) nanospheres prepared using the standard Emulsion Solvent Diffusion (ESD) method resulted in less than 10% of the nanospheres passing through the membrane filter (12). This problem was circumvented by optimising the synthesis methodology to produce nanospheres with a particle diameter of 103-163 nm, of which 100-98% could pass through the membrane filter and successfully pass bacterial sterility tests. However adjusting the size of the nanoparticles in order to enable them to pass through a membrane filter may not always be feasible. Sterile filtration may therefore present itself as a reasonable method for the removal of bacterial contamination, provided that a sufficiently high percentage of nanoparticles can be recovered following filtration. 5

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Autoclaving Autoclaving kills microbes with high pressurized steam, at a minimum temperature of 121 °C, within

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15–20 minutes depending on the size of the load and the contents to be sterilized. This methodology has been shown to have a number of effects on the nanoparticles sterilized (Table 2). Fesharaki and colleagues synthesised selenium nanoparticles using Klebsiella pneumonia bacteria followed by

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recovery of the nanoparticles from the bacteria by autoclaving at 121 oC, 17 psi for 20 min. Energy-

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dispersive spectroscopy (EDS) confirmed chemical stability of the selenium nanoparticles before and after sterilization (13). On the other hand, autoclaving PBLG NPs at 121 °C for 20 min resulted in the aggregation and a drastic increase in size of these nanoparticles (8). Further investigation of the effect of autoclaving on aggregation was conducted on PEC nanospheres where it was shown to be

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dependent on the polymer or surfactant used during synthesis. Nanospheres prepared with Cremophor RH40 showed aggregation following autoclaving, whilst those prepared with Pluronic remained the

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same size (7). The manner of synthesis was also shown to influence effects of autoclaving on hydroxyapatite (Hap) nanoparticles, where nanoparticles synthesised using wet chemical synthesis

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(WCS) showed significant aggregation and morphology change following autoclaving, in comparison to the Hap nanoparticles produced by hydrothermal synthesis (HS) which showed no change (14). In

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addition, the surface charge of the HS Hap nanoparticles became less negative due to autoclaving, whilst the charge of the WCS Hap nanoparticles remained unchanged.

The effects of various sterilization techniques on the physicochemical properties of poly(ethylene glycol) (PEG) coated gold nanoparticles (PEG-AuNPs) and tiopronin coated gold nanoparticles (tiopronin-AuNPs) was determined by transmission electron microscopy (TEM), ultraviolet-visible (UV-Vis) spectroscopy, and Fourier transform infrared (FTIR) (15). Autoclaving of the PEG-AuNPs produced minor aggregation of particles and no changes in the PEG coating. In contrast, autoclaving of tiopronin-AuNPs resulted in the growth of the particles from approximately 2 nm to 5 nm, a process likely caused by a growth and recrystallization process known as Ostwald ripening. A 6

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increase

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particle

size

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autoclaving

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polybutylcyanoacrylate NPs (16).

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Amphiphilic β-cyclodextrin (β-CDC6) nanospheres and nanocapsules, in addition to their Tamoxifen citrate loaded counterparts, aggregated and increased in size, possibly due to heat-induced chemical modifications of β-CDC6 (10). This disruption of NP integrity resulted in a significant decrease in the

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quantity of Tamoxifen citrate entrapped by both the nanospheres and the nanocapsules. On the other

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hand, it has been reported that sterilization at 121°C of either drug-free or drug-loaded solid lipid nanoparticles (SLNs) had no significant effect on NPs (17).

Apart from physicochemical changes that may or may not arise during autoclaving, this method may

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also produce changes in the biological effects of the sterilized nanoparticles that should be investigated. Autoclaving of citrate-stabilized silver nanoparticles at 121°C for 30 min has been

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shown to have no significant effect on the size or morphology of the NPs, as determined by dynamic light scattering (DLS) and TEM. Despite this, the autoclaved NPs showed an increased tendency to

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cause platelet aggregation, a sensitive in vitro indicator of thrombogenicity (18). Dry and wet autoclaving of titanium dioxide (TiO2) nanotubes was also shown to differently affect the adhesion,

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proliferation and alkaline phosphatase activity of osteoblasts (19). Finally, in vitro cytotoxicity studies on Cyclosporine A-loaded SLNs, which were autoclaved at 110°C for 30 min, showed no toxicity, whereas nanoparticles autoclaved at 121°C for 15 min demonstrated significant toxicity. This increase in toxicity was explained to be due to release of the surfactant Tween 80 during sterilization at higher temperatures, which lead to cell damage (20).

The majority of literature reviewed on sterilization via autoclaving showed that the aggregation of nanoparticles, as well as changes in their biological activities, is of concern. Moreover, it would appear that these effects are not only dependent on the type of nanoparticles and their coating, but also on the methodology and reagents used during their synthesis. 7

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Irradiation Sterilization using irradiation can be achieved through gamma (γ) irradiation, electron beam (e-beam),

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X-rays, UV light irradiation or through the use of subatomic particles. The most common form used due to its high penetration is γ rays, which are generated by the self disintegration of Cobalt-60 (60Co) or Cesium-137 (137Cs). The advantages of this technique include its application for the sterilization of

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many materials since it is independent from chemicals or heat, and it leaves no residue after

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sterilization. E-beam sterilization is also commonly used where very high electron energy is used for a shorter duration than γ-irradiation. UV light irradiation is generally only used for sterilization of surfaces using a germicidal lamp (21). γ-rays and e-beams provide very efficient disinfection since they are able to penetrate through materials but both can cause damage to the material being sterilized

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(22). An irradiation dose of ≥15 kGy of either γ-irradiation or e-beam irradiation has been shown to be effective in the sterilization of poly(butyl cyanoacrylate) (PBCA) NPs that were deliberately

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contaminated with spore-forming bacteria (23).

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Despite the efficacy of this mode of sterilization to kill bacteria, various adverse effects have been observed on nanoparticles when irradiation was used for their sterilization (Table 3). Where both γ-

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and e-beam irradiation at 10, 15, 25, and 35 kGy were used to sterilize doxorubicin-loaded or empty shell PBCA NPs, no effect on size or molecular mass could be observed. Only the drug-loaded NPs sterilized by γ-irradiation at 35 kGy could show an increase in the molecular mass of PBCA and the polydispersity (23). In another study, a decrease in pH and an increase in molecular weight of PEC nanospheres could be observed, with no alteration in particle size when sterilized by γ-irradiation. Moreover, this sterilization method also caused the degradation of both the antimicrobial agent thimerosal and the anti-sedimentation agent hydroxyethyl-cellulose which had been added to the nanosphere formulation (7). A study of citrate-stabilized silver NPs demonstrated that γ-irradiation at 15, 25 and 50 kGy had a significant effect on the size and morphology of the NPs. Following γirradiation, NPs were shown to lose their typical polycrystalline structure and form both smaller 8

ACCEPTED MANUSCRIPT particulates and larger irregular aggregates (18). In addition, these γ-irradiated NPs exhibited a fourto five-fold increase in their ability to cause platelet aggregation and, therefore, γ-irradiation would

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not be suitable in the sterilization of these nanoparticles.

On the other hand, no significant changes in size were reported following γ-irradiation of either blank or Tamoxifen citrate loaded β-CDC6 nanospheres and nanocapsules. Although slight changes in zeta

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potential were observed, this did not result in any significant changes in nanoparticle properties. In

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addition, it had no effect on the amount of drug entrapped by the NPs or on the in vitro drug release profile, thereby demonstrating that γ-irradiation could be applied for the sterilization of these NPs (10). Other studies have also been conducted on the sterilization of microparticles developed as drug delivery systems. For example, a study investigating the effects of β- and γ-irradiation on gentamycin-

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loaded collagen/PLGA microparticle composites showed a decrease in molecular weight and glass transition temperature following sterilization. However, these changes did not influence the

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morphology or the gentamycin release profile from the composites (24). Similarly, a decrease in molecular weight of PLGA microspheres was observed after γ-irradiation without any changes in

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tetracycline-HCl content (25). Despite the changes observed following sterilisation in these examples, irradiation could still potentially be implemented for sterilization since the changes observed did not

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appear to adversely affect the attached drug, thereby maintaining the end-use function of the drug delivery system.

γ-irradiation could, however, be used for the sterilization of biosensors where, although γ-irradiation was shown to degrade polysilicon wire pH sensors covered with 3-aminopropyltriethoxysilane/silica NP nanocomposites, the authors found that the sensors could be restored following γ-irradiation using UV annealing (22). One study has used UV irradiation at room temperature for 12 h to sterilize PEGand tiopronin-AuNPs. Although effective at preventing bacterial growth, this sterilization approach could only be applied to PEG-AuNPs as the properties remained unaltered. The tiopronin-AuNPs displayed varying degrees of aggregation and coalescence of irregular shapes (15). 9

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The studies described above demonstrate that irradiation is possibly an option for sterilization of drugloaded nanoparticles. However, irradiation does often appear to have adverse effects on the NPs and it

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would therefore be necessary to individually validate each NP-drug system separately.

Formaldehyde Treatment

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Formaldehyde is an organic solution commonly used as a disinfectant and as a fixative. There is

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limited information concerning its use for sterilization of NPs for subsequent use in biomedical applications (Table 4). Formaldehyde sterilization is useful for materials that are sensitive to high temperature; however its major limitation arises from its toxicity and carcinogenicity (21). Formaldehyde treatment of lyophilized PBCA NP powders at 60°C showed increases in size and

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clumping following resuspension of the NPs (16). Formaldehyde treatment at 60°C for 1 hr showed slight aggregation of PEG-AuNPs, whilst tiopronin-AuNPs showed significant aggregation and the

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formation of larger, irregularly shaped particles (15). Exposure of the formaldehyde-sterilized tiopronin-AuNPs to human cell line U937 in vitro resulted in a significant decrease in cell viability.

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This was attributed either to the observed aggregation and changes in the shape of the nanoparticles, or to formaldehyde residues present following sterilization. Due to both these adverse effects,

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formaldehyde may not be recommended for sterilization of nanoparticles.

Ethylene Oxide Treatment Ethylene oxide (EO) treatment is widely used for the sterilization of medical devices. EO acts as a strong alkylating agent which denatures nucleic acids and functional proteins of microorganisms, thereby presenting itself as an excellent sterilization methodology (26). In terms of its disadvantages, EO is flammable and explosive, and EO and its residues are also toxic and carcinogenic (21, 26).

Not many studies have been conducted to order to investigate the effect of EO sterilization on nanoparticles (Table 4). It has been reported to be a good methodology for the decontamination of 10

ACCEPTED MANUSCRIPT copper/low-density polyethylene (Cu/LDPE) nanocomposite T-shaped intrauterine devices (IUDs), which contain 15.0 wt.% copper nanoparticles. The sterilization was performed at 50±5°C, with a relative humidity of 60%, and an EO concentration of 500 mg/L, for an exposure time period of 2 hr.

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This treatment did not affect the internal structure, the surface functional groups, the mechanical properties, or the release of cupric ions from the device when tested 14 days after sterilization (27).

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Similarly, PEG- and tiopronin-AuNPs sterilized with EO at 54°C for 60 min showed no alteration in

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the structure or size distribution, assessed by TEM and UV-Vis spectroscopy, or in the coating material determined by the vibration peaks of FTIR (15). However, EO sterilization of gentamycinloaded collagen/PLGA microparticle composites not only resulted in aggregation and changes in the gentamycin release profiles, but also produced chemical changes in the gentamycin (24). It is possible

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that the same mechanism that makes EO so highly efficient for sterilization may introduce changes in NPs and their associated drugs. The addition of alkyl groups during sterilization may render the

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microorganisms nonviable (26), however it may also introduce chemical and structural changes to

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NP-drug systems, thus removing EO as an ideal mode of sterilization of nanoparticles.

Gas Plasma Method

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Plasma can be defined as ionized gas that has properties of both gases and liquids, and has been shown to have a broad spectrum of antimicrobial effect. Although the mechanism of action of gas plasma sterilization still needs further research, it is believed that it is related to oxidation and reduction effects on microbial structures (28). Advantages of this methodology include its use at low temperatures and its non-toxicity (29). Effects on nanoparticles were observed in one study using this methodology (Table 4), where the effect of the gas plasma technique was investigated on PEG- and tiopronin-AuNPs. No structural changes of the tiopronin coating or the size and size distributions were observed. This same treatment, however, could cause aggregation, as confirmed by TEM, as well as alteration of the PEG coating, as confirmed by FTIR, possibly due to the highly oxidative nature of the gas plasma procedure (15). Gas 11

ACCEPTED MANUSCRIPT plasma sterilization may therefore not be an ideal method for sterilization of NPs because most of their bio-conjugates are prone to oxidation.

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Endotoxin contamination

Endotoxin contamination presents itself as a further challenge that must be addressed prior to administration of NPs to human subjects. Currently the in vitro limulus amoebocyte lysate (LAL) test

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is the assay of choice for the determination of endotoxin contamination. The LAL assay exists in three

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formats, namely chromogenic, turbidity, or gel-clot assessments. A study has shown that even when formal acceptance requirements for the validity for the LAL assay are met, dramatic differences in the results between two different LAL assays for the same nanoparticle can occur (30). Subsequently underestimation or overestimation of endotoxin concentration may be reported as a result of

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interference with the assay system. Nanoparticles could interfere with the reactivity of the endotoxin with the assay, with the LAL reaction itself due to the catalytic properties of the NPs, or with the

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detection of the reaction products due to NP absorbance, luminescence or fluorescence. It is therefore suggested that when results from different LAL assays differ by more than 25%, the results should be

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verified by the in vivo rabbit pyrogen test (30). Moreover, the inclusion of appropriate inhibition or enhancement controls are essential to help recognise whether negative results are due to absence of

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endotoxin, or inhibition of the assay (31).

Endotoxins will easily pass through a 0.22 µm membrane filter that relies exclusively on size exclusion as a retention mechanism. The pharmaceutical industry therefore makes use of several other techniques to remove endotoxin such as various types of chromatography and ultrafiltration, depending on the characteristics of the product to be sterilized (5). For example, polymyxin B affinity columns are very effective in removing endotoxin contamination due to their very high binding affinity for lipid A, which is the glycolipid component of lipopolysaccharide (LPS). It has however been observed that the use of polymyxin B columns to remove LPS contamination from nanoparticles may also lead to the loss of these nanoparticles, especially those that may have high surface binding 12

ACCEPTED MANUSCRIPT affinity to LPS (32). Nanoparticles have a large surface area to volume ratio which enhances their reactivity and affinity to bind contaminants on their surfaces. Smaller magnetite NPs (100 nm), due to their

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larger surface area (33).

The charge of the nanoparticles may also determine how they will interact with Polymyxin B affinity

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columns. Endotoxins are mainly negatively charged and therefore have been shown to have especially

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strong binding affinity for positively charged cyclic peptide Polymyxin B (34). Charges on the surface of nanoparticles will not only affect the binding of the endotoxin to the nanoparticle, but also alter the ability of the nanoparticle to pass through the positively charged Polymyxin B column.

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In summary, to date, no efficient technique has been established to remove endotoxin due to the complexity of LPS and nanoparticles. Among the challenges being discussed regarding the removal of

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LPS contamination from nanoparticles is the extreme heterogeneity of LPS in its composition and structure, differences in size, its thermostability, and its insensitivity to pH changes (32). The FDA

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recommendations of applying either high temperatures (250°C for 45 min) or high concentrations of acids or bases would be effective in removing LPS, but these conditions would most likely also affect

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the properties of nanoparticles. The ultimate choice would therefore be to keep the production process contaminant free in order to eliminate the problem of removing endotoxins from the nanoparticles. Such contaminant-free processes would involve the use of ultrapure water, gloves, fume hoods, and the cleaning of the work area and glassware with PyroCLEANTM prior to synthesis. By implementing these precautions, LPS contamination could be lowered by 16 - 24 fold in the production of spherical gold nanoparticles (32).

Conclusion This review has covered the sterilization methods used for various nanomaterials and the effects of the processes implemented on the properties of the NPs as well as on the attached drugs. The sterilization 13

ACCEPTED MANUSCRIPT methodologies discussed have been shown, where tested, to be effective in the removal or destruction of microbial contamination. However, they are frequently shown to alter the physicochemical properties of NPs, the stability of the attached drug, the drug-release profiles, and the toxicity of the

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sterilized NPs.

Filtration presents itself as a preferable option for sterilization, provided that sufficient NP can be

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recovered from the filtrate. Irradiation appears not to affect the drug release but seems to affect the

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physicochemical properties of the carrier NPs. Autoclaving resulted in aggregation of the NPs in most cases. The limited information available on formaldehyde, EO and gas plasma techniques suggest that they should not be used due to either their toxicity or their ability to alter the properties of the drugNP system. It is therefore of vital importance that the toxicity and functionality of the NPs following

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sterilization be assessed. From all the sterilization methodologies listed, no single process can equally

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be applied to all NPs and it is recommended that each NP-drug system to be validated individually.

Regarding the removal of endotoxins from NPs, the ideal situation would be to prevent contamination

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Disclaimer

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by maintaining a contaminant-free synthesis process.

The review reflects the views of the authors who are liable for the details and accuracy of the information herein and do not necessarily reflect the official views or policies of any institution or body. This article does not constitute standard specification nor is planned to design, construct, request for permit purposes. Any trade name used was solely for information and not for product endorsement.

Acknowledgements The authors acknowledge the financial support from the Department of Science and Technology, South Africa, and the National Institute for Occupational Health. 14

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List of Abbreviations 60

Cobalt-60

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Co

Cesium-137

AuNPs

gold nanoparticles

β-CDC6

Amphiphilic β-cyclodextrin

Cu/LDPE

Copper/low-density polyethylene

DLS

dynamic light scattering

e-beam

electron beam

EO

Ethylene oxide

EDS

Energy-dispersive spectroscopy

ESD

Emulsion Solvent Diffusion

FDA

Food and Drug Administration

FTIR

Fourier transform infrared

Hap

hydroxyapatite

HS

hydrothermal synthesis

LPS

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intrauterine devices

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IUDs LAL

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137

limulus amoebocyte lysate lipopolysaccharide

NP

nanoparticle

PBCA

poly(butyl cyanoacrylate)

PBLG

poly(γ-benzyl-L-glutamate)

PEC

poly(ɛ-caprolactone)

PEG

poly(ethylene glycol)

PEG-AuNPs

poly(ethylene glycol) coated gold nanoparticles

PLGA

poly(DL-lactide-co-glycolide)

SAL

sterility assurance level 15

solid lipid nanoparticles

TEM

transmission electron microscopy

TiO2

titanium dioxide

tiopronin-AuNPs

tiopronin coated gold nanoparticles

UV-Vis

ultraviolet-visible

WCS

wet chemical synthesis

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SLNs

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Nanoparticles Using Standard Gamma Irradiation Procedure Affects Particle Integrity and Biocompatibility. Nanomedicine & Nanotechnology. 2011;S:5.

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Oh S, Brammer KS, Moon K-S, Bae J-M, Jin S. Influence of sterilization methods on cell

RI P

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behavior and functionality of osteoblasts cultured on TiO 2 nanotubes. Materials Science and Engineering: C. 2011;31(5):873-9.

Gokce EH, Sandri G, Bonferoni MC, Rossi S, Ferrari F, Guneri T, et al. Cyclosporine A

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loaded SLNs: evaluation of cellular uptake and corneal cytotoxicity. Int J Pharm. 2008 Nov 19;364(1):76-86. 21.

Sílíndír M, Özer AY. Sterilization Methods and the Comparison of E-Beam Sterilization with

Gamma Radiation Sterilization. FABAD Journal of Pharmaceutical Sciences. 2009;34:43-53. Lin JJ, Hsu PY. Gamma-ray sterilization effects in silica nanoparticles/gamma-APTES

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nanocomposite-based pH-sensitive polysilicon wire sensors. Sensors (Basel). 2011;11(9):8769-81. Maksimenko O, Pavlov E, Toushov E, Molin A, Stukalov Y, Prudskova T, et al. Radiation

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sterilisation of doxorubicin bound to poly(butyl cyanoacrylate) nanoparticles. Int J Pharm. 2008 May

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Friess W, Schlapp M. Sterilization of gentamicin containing collagen/PLGA microparticle

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composites. Eur J Pharm Biopharm. 2006 Jun;63(2):176-87. Bittner B, Mader K, Kroll C, Borchert HH, Kissel T. Tetracycline-HCl-loaded poly(DL-

lactide-co-glycolide) microspheres prepared by a spray drying technique: influence of gammairradiation on radical formation and polymer degradation. J Control Release. 1999 May 1;59(1):23-32. 26.

Mendes GC, Brandao TR, Silva CL. Ethylene oxide sterilization of medical devices: a review.

Am J Infect Control. 2007 Nov;35(9):574-81. 27.

Xia X, Wang Y, Cai S, Xie C, Zhu C. Will ethylene oxide sterilization influence the

application of novel Cu/LDPE nanocomposite intrauterine devices? Contraception. 2009 Jan;79(1):65-70.

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ACCEPTED MANUSCRIPT 28.

Shintani H, Sakudo A, Burke P, McDonnell G. Gas plasma sterilization of microorganisms

and mechanisms of action. Exp Ther Med. 2010 Sep;1(5):731-8. Moisan M, Barbeau J, Crevier M-C, Pelletier J, Philip N, Saoudi B. Plasma sterilization.

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Methods and mechanisms. Pure Appl Chem. 2002;74(3):349-58.

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Dobrovolskaia MA, Neun BW, Clogston JD, Ding H, Ljubimova J, McNeil SE. Ambiguities

in applying traditional Limulus amebocyte lysate tests to quantify endotoxin in nanoparticle

Smulders S, Kaiser J-P, Zuin S, Van Landuyt KL, Golanski L, Vanoirbeek J, et al.

MA NU

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Contamination of nanoparticles by endotoxin: evaluation of different test methods. Particle and Fibre Toxicology. 2012;9(41). 32.

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of functionalized paramagnetic nanoparticles to bacterial lipopolysaccharides and DNA. Langmuir.

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Anspach FB. Endotoxin removal by affinity sorbents. J Biochem Biophys Methods. 2001 Oct

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30;49(1-3):665-81.

19

ACCEPTED MANUSCRIPT Table 1.Summary of the effects of filtration on nanoparticles Type of

Mean

Effect of sterilization

of filter

nanoparticle

approximate on nanoparticle

Authors

sterilization method

RI P

size Poly (-

130 nm; 160-

No aggregation and no

Not tested

(7)

caprolactone)

180 nm

effect on the

No change in size or

No detectable

(8)

polydispersity index.

growth of

Slight change in zeta

bacteria, yeast

potential.

or fungi

No clogging of the

No bacterial

membrane filters.

contamination

SC

0.2 µm

Outcome of

T

Pore size

nanoparticle

nanospheres

0.22 µm

PEGylated poly (γ-

50 nm

benzyl-Lglutamate)

Polyester

CE

nanoparticles

sub 200 nm

PT

0.22 µm

ED

nanoparticles

MA NU

morphology

Poly(DL-lactide-

size distribution

200-300 nm

co-glycolide) nanospheres

No significant change in particle size and

AC 0.2 µm

(9)

103-163 nm

Less than 10 % of

Passed

nanospheres passed

bacterial

through filter.

sterility test

(12)

100-98% of nanospheres passed through filter.

20

ACCEPTED MANUSCRIPT Table 2. Summary of the effects of autoclaving on nanoparticles. Mean

Effect of

and

approximate sterilization on sterilization

Duration of

size

nanoparticle

Aggregation of

RI P

Autoclaving

Authors

Poly (-caprolactone)

130 nm; 160-

min

nanospheres

180 nm; 220

method

Not tested

(7)

Massive

No

(8)

SC

121°C for 20

nanoparticles dependent on

MA NU

nm

Outcome of

T

Temperature Type of nanoparticle

polymer or surfactant. Decrease in pH

ED

observed.

121°C for 20

PEGylated poly (γ-

min

benzyl-L-glutamate)

aggregations of

detectable

nanoparticles

the

growth of

nanoparticles,

bacteria,

changes in

yeast or

polydispersity

fungi

AC

CE

PT

50 nm

index and zeta potential.

121°C for 20

Amphiphilic β-

All

min

cyclodextrin

nanoparticles

nanoparticles:

205 nm

showed



Blank nanosphere

290 nm

aggregation



Blank nanocapsule



Tamoxifen citrate

Not tested

(10)

and increased 235 nm

polydispersity

21

ACCEPTED MANUSCRIPT



310 nm

index.

Tamoxifen citrate

Significant

loaded nanocapsule

reduction of

RI P

Tamoxifen

T

loaded nanosphere

citrate

entrapment. Selenium nanoparticles

245 nm

Not tested

(13)

Not tested

(14)

No bacterial

(15)

stability

MA NU

min

Chemically

SC

121°C for 20

according to energydispersion

Hydroxyapatite

WCS:

WCS:

min

nanoparticles

needle-like

agglomeration,

synthesised by either

shape,

morphology

crystallite

change,

size 17 nm

crystallite

HS: rod-like

growth.

shape,

HS: no

crystallite

significant

size 38 nm

morphology

CE

PT

120°C for 20

ED

spectroscopy.

AC

WCS* or HS†

change, surface charge less negative.

134°C for 40

PEG-AuNPs‡

60 nm

Minor

22

ACCEPTED MANUSCRIPT min

aggregation of Tiopronin-AuNPs§

2 nm

growth

some PEG-

RI P

effect on

T

AuNPs. No

poly(ethylene

glycol) layers.

SC

Tiopronin-

MA NU

AuNPs were slightly bigger. No effect on tiopronin

ED

molecules.

Unloaded

Ranged from

min

poly(butylcyanoacrylate) 116-524 nm

increase in

nanoparticles

particle size.

CE

PT

121°C for 20

Significant

Solid lipid nanoparticles, Diameter in

Minor changes

min

with or without

water;

in size,

Diazepam

trehalose;

polydispersity



Acidan N12

Pluronic

index and zeta

nanoparticles

F38:

potential

Behenic acid

60 nm; 85

dependent on

nanoparticles

nm; 78 nm

lipid used and

Stearic acid

70 nm; 90

aqueous

nanoparticles

nm; 85 nm

solution.

55 nm; 56.5

Presence of

AC

121°C for 15





Not tested

(16)

Not tested

(17)

23

ACCEPTED MANUSCRIPT nm; 76 nm

diazepam did not influence stability.

Citrate-stabilized silver

20, 40, 60,

No significant

min

nanoparticles

and 80 nm

change in size

Not tested

(18)

Not tested

(19)

Not tested

(20)

RI P

T

121°C for 30

or morphology.

SC

Increased

MA NU

tendency to cause platelet aggregation in vitro.

Titanium dioxide

autoclaving

nanotubes

100 nm

PT

(Details not

30, 50, 70,

ED

Dry and wet

autoclaving methods result in changes in cell adherence

CE

provided)

Different

to the

AC

nanotubes, which was dependent on nanotube size

110°C for 30

Cyclosporine A loaded

min, or

solid lipid nanoparticles

225.9 nm

At 110°C, no changes in

121°C for 15

particle size or

min

polydispersity, and no toxicity observed using 24

ACCEPTED MANUSCRIPT Neutral Red assay.

RI P

increase in

T

At 121°C,

particle size and toxicity

MA NU

SC

was observed.

* WCS: wet chemical synthesis † HS: hydrothermal synthesis

AC

CE

PT

§ AuNPs: gold nanoparticles

ED

‡ PEG-AuNPs: poly(ethylene glycol) coated gold nanoparticles

25

ACCEPTED MANUSCRIPT Table 3. Summary of the effects of irradiation on nanoparticles

irradiation

Mean

Effect of

Outcome

Author

approxima

sterilization on

of

s

te size

nanoparticle

sterilizatio

T

Type of nanoparticle

RI P

Type of

n method

Poly(-caprolactone)

130 nm;

Decrease in pH. Not tested

(2.5 MRad)

nanospheres

160-180

Increase in

(7)

SC

γ-irradiation

AC

CE

PT

ED

MA NU

nm; 220 nm poly(ɛcaprolactone) molecular weight, however no change in nanoparticle diameter. Thimerosalcontaining formulations showed degradation. Hydroxyethylcellulose containing formulations showed depolymerisati on. 26

ACCEPTED MANUSCRIPT γ-irradiation

Amphiphilic β-cyclodextrin

All

at room

nanoparticles:

nanoparticles

temperature



Blank nanosphere

205 nm

showed:

to deliver a



Blank nanocapsule

290 nm

No effect on

dose of 1.88



Tamoxifen citrate loaded

T

RI P



size or 235 nm

nanosphere

polydispersity. Slight changes

Tamoxifen citrate loaded 310 nm

UV

PT

ED

MA NU

nanocapsule

PEG-AuNPs*

CE

irradiation at

temperature for

Tiopronin-AuNPs†

in zeta

potential. No significant change in drug entrapment or drug release profile.

60 nm

No effect on

No

PEG-AuNP

bacterial

2 nm

(15)

growth Aggregation of

AC

room

(10)

SC

kGy/h

Not tested

tiopronin-

approximate

AuNPs.

ly 12 hr γ-irradiation

Citrate-stabilized silver

20, 40, 60

Dramatic

at room

nanoparticles

and 80 nm

changes in the

temperature

size,

(20-23oC) to

morphology

deliver 15,

and

25, or 50

biocompatibilit

Not tested

(18)

27

ACCEPTED MANUSCRIPT kGy.

y of the nanoparticles.

γ-irradiation

Polysilicon wire pH sensors

Silica

Degradation

of a total

coated with 3-

particle

from γ

dose 25

aminopropyltriethoxysilane/si

size: 14 nm

irradiation

kGy,

lica nanoparticle

followed by

nanocomposite

(22)

No changes in

Sterilizatio

(23)

size of either

n of

particle. No

bacteria

changes in

achieved

molecular mass

with a

with doses up

dose ≥ 15

doses of 10,

to 25 kGy.

kGy

15, 25, 35

Irradiation at

irrespectiv

35 kGy lead to

e of type

increase in

of

molecular mass

irradiation.

MA NU

restored by UV

annealing at room temperature Empty poly(butyl

and e-beam

cyanoacrylate) nanoparticles

PT

ED

γ-irradiation

301 nm

irradiation at Doxorubicin-loaded

poly(butyl cyanoacrylate)

temperature

nanoparticles

AC

CE

ambient

kGy.

RI P

SC

could be

UV

to deliver

T

Not tested

245 nm

annealing.

and polydispersity of drug-loaded nanoparticles. 28

ACCEPTED MANUSCRIPT

T

* PEG-AuNPs: poly(ethylene glycol) coated gold nanoparticles

AC

CE

PT

ED

MA NU

SC

RI P

†AuNPs: gold nanoparticles

29

ACCEPTED MANUSCRIPT Table 4: Summary of the effects of sterilization on nanoparticles treated with formaldehyde, ethylene oxide, and gas plasma.

method

Mean

Effect of

Outcome of

Author

approximate

sterilization

sterilizatio

s

size

on

T

Type of nanoparticle

RI P

Sterilization

n method

Formaldehyd

PEG-AuNPs*

60 nm

60° for 60

Tiopronin-AuNPs†

2 nm

PT

ED

min

MA NU

e treatment at

SC

nanoparticle Minor

No bacterial

aggregation

growth

of some PEGAuNPs. Aggregation of tioproninAuNPs.

Unloaded

Ranged from

Powders

e treatment at

poly(butylcyanoacrylate

116-524 nm

showed

60°C

) nanoparticles

impaired

(lyophilized powder)

resuspension

CE

Formaldehyd

AC

(15)

Not tested

(16)

No effect on

No bacterial

(15)

either

growth

characteristic s and increase in size.

Ethylene

PEG-AuNPs

60 nm

oxide treatment at

Tiopronin-AuNPs

2 nm

Tiopronin-

54°C for 60

AuNPs or

min

PEG-AuNPs 30

ACCEPTED MANUSCRIPT morphologies or coatings.

Copper/low-density

Not specified.

No influence

ethylene

polyethylene

Nanocomposit

on the

oxide

nanocomposite

e intrauterine

internal

treatment at

devices

structure,

50±5°C, 60%

consisted of

humidity, for

45°C for 50 min

PT

CE

treatment at

PEG-AuNPs

Tiopronin-AuNPs

AC

Gas plasma

PEG-AuNP

No bacterial

(15)

aggregation.

growth

RI P

surface

15.0 wt%

functional

copper

groups,

nanoparticles.

mechanical

ED

2 hr

(27)

SC

MA NU

relative

Not tested

T

500 mg/L

property and cupric ion release rate of the devices.

60 nm

2 nm

Alterations of poly(ethylene glycol) layer. No effect on TioproninAuNPs

* PEG-AuNPs: poly(ethylene glycol) coated gold nanoparticles †AuNPs: gold nanoparticles

31

ACCEPTED MANUSCRIPT Graphical Abstract This review summarizes the techniques available for the sterilization of nanoparticles and outlines

T

their potential drawbacks. In addition, the matter of endotoxin contamination and the need for sterile

AC

CE

PT

ED

MA NU

SC

methodology can be applied across all nanoparticle types.

RI P

synthesis is addressed. Sterilization methods need to be validated on a case-by-case basis as no single

32