<?xml version="1.0" encoding="UTF-8" standalone="no"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v2.3 20070202//EN" "journalpublishing.dtd">
<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" article-type="research-article">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Pharmacol.</journal-id>
<journal-title>Frontiers in Pharmacology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Pharmacol.</abbrev-journal-title>
<issn pub-type="epub">1663-9812</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fphar.2018.00057</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Pharmacology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Zinc Oxide Nanoparticle Caused Plasma Metabolomic Perturbations Correlate with Hepatic Steatosis</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Zhang</surname> <given-names>Weidong</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="author-notes" rid="fn002"><sup>&#x2020;</sup></xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Zhao</surname> <given-names>Yong</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="author-notes" rid="fn001"><sup>&#x002A;</sup></xref>
<xref ref-type="author-notes" rid="fn002"><sup>&#x2020;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/414147/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Li</surname> <given-names>Fuli</given-names></name>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Li</surname> <given-names>Lan</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Feng</surname> <given-names>Yanni</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Min</surname> <given-names>Lingjiang</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Ma</surname> <given-names>Dongxue</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Yu</surname> <given-names>Shuai</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Liu</surname> <given-names>Jing</given-names></name>
<xref ref-type="aff" rid="aff4"><sup>4</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Zhang</surname> <given-names>Hongfu</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Shi</surname> <given-names>Tianhong</given-names></name>
<xref ref-type="aff" rid="aff5"><sup>5</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Li</surname> <given-names>Fuwei</given-names></name>
<xref ref-type="aff" rid="aff5"><sup>5</sup></xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Shen</surname> <given-names>Wei</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="author-notes" rid="fn001"><sup>&#x002A;</sup></xref>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup><institution>College of Life Sciences, Qingdao Agricultural University</institution>, <addr-line>Qingdao</addr-line>, <country>China</country></aff>
<aff id="aff2"><sup>2</sup><institution>State Key Laboratory of Animal Nutrition, Institute of Animal Sciences, Chinese Academy of Agricultural Sciences</institution>, <addr-line>Beijing</addr-line>, <country>China</country></aff>
<aff id="aff3"><sup>3</sup><institution>Qingdao Institute of Bioenergy and Bioprocess Technology, Chinese Academy of Sciences</institution>, <addr-line>Qingdao</addr-line>, <country>China</country></aff>
<aff id="aff4"><sup>4</sup><institution>Core Laboratories of Qingdao Agricultural University</institution>, <addr-line>Qingdao</addr-line>, <country>China</country></aff>
<aff id="aff5"><sup>5</sup><institution>Institute of Poultry Science, Shandong Academy of Agricultural Sciences</institution>, <addr-line>Jinan</addr-line>, <country>China</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: <italic>Eleonore Fr&#x00F6;hlich, Medical University of Graz, Austria</italic></p></fn>
<fn fn-type="edited-by"><p>Reviewed by: <italic>Jay Manoj Bhatt, University of Texas at El Paso, United States; M. Carmen Martinez-Bisbal, Universitat Polit&#x00E8;cnica de Val&#x00E8;ncia, Spain</italic></p></fn>
<fn fn-type="corresp" id="fn001"><p>&#x002A;Correspondence: <italic>Wei Shen, <email>shenwei427@163.com</email> Yong Zhao, <email>yzhao818@hotmail.com</email></italic></p></fn>
<fn fn-type="other" id="fn002"><p><sup>&#x2020;</sup><italic>Co-first authors</italic></p></fn>
<fn fn-type="other" id="fn003"><p>This article was submitted to Predictive Toxicology, a section of the journal Frontiers in Pharmacology</p></fn>
</author-notes>
<pub-date pub-type="epub">
<day>30</day>
<month>01</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="collection">
<year>2018</year>
</pub-date>
<volume>9</volume>
<elocation-id>57</elocation-id>
<history>
<date date-type="received">
<day>16</day>
<month>08</month>
<year>2017</year>
</date>
<date date-type="accepted">
<day>16</day>
<month>01</month>
<year>2018</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2018 Zhang, Zhao, Li, Li, Feng, Min, Ma, Yu, Liu, Zhang, Shi, Li and Shen.</copyright-statement>
<copyright-year>2018</copyright-year>
<copyright-holder>Zhang, Zhao, Li, Li, Feng, Min, Ma, Yu, Liu, Zhang, Shi, Li and Shen</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/"><p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p></license>
</permissions>
<abstract>
<p>Zinc oxide nanoparticles (ZnO NPs), known for their chemical stability and strong adsorption, are used in everyday items such as cosmetics, sunscreens, and prophylactic drugs. However, they have also been found to adversely affect organisms; previously we found that ZnO NPs disrupt pubertal ovarian development, inhibit embryonic development by upsetting &#x03B3;-H2AX and NF-&#x03BA;B pathways, and even disturb skin stem cells. Non-targeted metabolomic analysis of biological organisms has been suggested as an unbiased tool for the investigation of perturbations in response to NPs and their underlying mechanisms. Although metabolomics has been used in nanotoxicological studies, very few reports have used it to investigate the effects of ZnO NPs exposure. In the current investigation, through a metabolomics-based approach, we discovered that ZnO NPs caused changes in plasma metabolites involved in anti-oxidative mechanisms, energy metabolism, and lipid metabolism in hen livers. These results are in line with earlier findings that ZnO NPs perturb the tricarboxylic acid cycle and in turn result in the use of alternative energy sources. We also found that ZnO NPs disturbed lipid metabolism in the liver and consequently impacted blood lipid balance. Changes in plasma metabolomes were correlated with hepatic steatosis.</p>
</abstract>
<kwd-group>
<kwd>zinc oxide nanoparticles</kwd>
<kwd>plasma</kwd>
<kwd>metabolomics</kwd>
<kwd>perturbation</kwd>
<kwd>hepatic steatosis</kwd>
</kwd-group>
<counts>
<fig-count count="7"/>
<table-count count="0"/>
<equation-count count="0"/>
<ref-count count="41"/>
<page-count count="12"/>
<word-count count="0"/>
</counts>
</article-meta>
</front>
<body>
<sec><title>Introduction</title>
<p>Metabolomics is considered a useful tool for environmental risk assessment (<xref ref-type="bibr" rid="B27">Ryan and Robards, 2006</xref>; <xref ref-type="bibr" rid="B31">Taylor et al., 2010</xref>). Furthermore, non-targeted metabolomic analysis of biological organisms has been suggested as an unbiased tool for the investigation of perturbations in response to environmental toxicants and underlying mechanisms (<xref ref-type="bibr" rid="B6">Bundy et al., 2009</xref>; <xref ref-type="bibr" rid="B10">Garcia-Contreras et al., 2015</xref>; <xref ref-type="bibr" rid="B12">Gioria et al., 2016</xref>). Although metabolomics has been used in nanotoxicological studies (<xref ref-type="bibr" rid="B25">Parveen et al., 2012</xref>; <xref ref-type="bibr" rid="B23">Lv et al., 2015</xref>; <xref ref-type="bibr" rid="B4">Boyles et al., 2016</xref>; <xref ref-type="bibr" rid="B7">Carrola et al., 2016</xref>), its application has been limited to metabolites from exposure to TiO<sub>2</sub> and SiO<sub>2</sub> nanoparticles (NPs), and to a lesser extent, to silver, zinc, and copper NPs, and carbon nanotube (CNT) materials (<xref ref-type="bibr" rid="B23">Lv et al., 2015</xref>).</p>
<p>Zinc oxide (ZnO) NPs are commonly used due to their chemical stability and strong adsorption characteristics; they are the third most highly produced NPs in the world and are used in cosmetics, sunscreens, and as semiconductors and elements in medical or environmental science (<xref ref-type="bibr" rid="B34">Wang, 2008</xref>; <xref ref-type="bibr" rid="B39">Zhao et al., 2009</xref>). Moreover, ZnO NPs have been used in prophylactic drugs against bacterial diseases due to their antibacterial activity (<xref ref-type="bibr" rid="B36">Yan et al., 2012</xref>). Reports have shown, however, that they can adversely affect organisms such as mice (<xref ref-type="bibr" rid="B2">Bargheer et al., 2015</xref>; <xref ref-type="bibr" rid="B37">Yang et al., 2015</xref>) and rats (<xref ref-type="bibr" rid="B16">Hong et al., 2014a</xref>,<xref ref-type="bibr" rid="B17">b</xref>; <xref ref-type="bibr" rid="B8">Choi et al., 2015</xref>), and also human cells (<xref ref-type="bibr" rid="B18">Kim et al., 2013</xref>; <xref ref-type="bibr" rid="B32">Tuomela et al., 2013</xref>). In our previous reports, we have described how ZnO NPs disrupted pubertal hen ovarian development (<xref ref-type="bibr" rid="B22">Liu et al., 2016</xref>), inhibited chick embryonic development by upsetting the &#x03B3;-H2AX and NF-&#x03BA;B pathways (<xref ref-type="bibr" rid="B21">Liu et al., 2017</xref>), and even disturbed skin stem cells (<xref ref-type="bibr" rid="B11">Ge et al., 2017</xref>). Although metabolomics has been used in nanotoxicological studies, only a few researchers have investigated the effects of ZnO particle exposure. <xref ref-type="bibr" rid="B36">Yan et al. (2012)</xref> used this tool to reveal nephrotoxicity in rats after a 14-consecutive day oral administration of 50 nm ZnO NPs. Moreover, <xref ref-type="bibr" rid="B19">Lee et al. (2016)</xref> identified respiratory toxicology after ZnO NP inhalation. Even though these two studies investigated metabolome change after ZnO NP administration, the treatment time was relatively short (1&#x2013;14 days) and they only studied metabolomic alterations in the kidneys, lungs, and bronchoalveolar lavage fluid (BALF). Systemic metabolome perturbation in animal blood has not yet been studied.</p>
<p>In the current investigation, we aimed to explore metabolomic alterations following short-term (4 weeks) and long-term (24 weeks) exposure to different concentrations of orally administrated ZnO NPs. ZnSO<sub>4</sub> was used to further investigate the impact of ZnO NPs on metabolomes, to determine their origin from either Zn<sup>2+</sup> or intact NPs. The low molecular weight metabolites (LMWM) model and the lipoprotein lipid and albumin (LIPO) model were used to fully explore both large and small molecule metabolites disturbed by ZnO NPs. The secondary aim was to further investigate the possible molecular events underlying ZnO NP-induced systemic effects.</p>
</sec>
<sec id="s1" sec-type="materials|methods">
<title>Materials and Methods</title>
<sec><title>Characterization of ZnO NPs</title>
<p>Zinc oxide nanoparticles were synthesized by Beijing DK Nano Technology Co. Ltd. (Beijing, China) as reported previously (<xref ref-type="bibr" rid="B22">Liu et al., 2016</xref>, <xref ref-type="bibr" rid="B21">2017</xref>; <xref ref-type="bibr" rid="B40">Zhao et al., 2016a</xref>,<xref ref-type="bibr" rid="B41">b</xref>; <xref ref-type="bibr" rid="B11">Ge et al., 2017</xref>). The characteristics of ZnO NPs (morphology, size, agglomeration, etc.) were determined by transmission electron microscopy (TEM; JEM-2100F, JEOL Inc., Japan) and dynamic light scattering (DLS) particle size analyzer (Nano-Zetasizer-HT, Malvern Instruments, Malvern, United Kingdom).</p>
</sec>
<sec><title>Animal Study Design (Diets and Treatments) and Sample Collection</title>
<p>This investigation was performed in strict accordance with the recommendations in the Guide for the Care and Use of Laboratory Animals of the National Institutes of Health. The protocol (protocol number: QAU20161142) was approved by the Committee on the Ethics of Animal Experiments of Qingdao Agricultural University Institutional Animal Care and Use Committee (IACUC) (<xref ref-type="bibr" rid="B40">Zhao et al., 2016a</xref>,<xref ref-type="bibr" rid="B41">b</xref>; <xref ref-type="bibr" rid="B21">Liu et al., 2017</xref>). All hens (Jinghong-1 strain) were housed in a ventilated and conventional caged commercial poultry house with a lighting program of 16:8 light/dark and <italic>ad lib</italic> food and water. The formulation of the basal diet (corn&#x2013;soybean base) has been previously reported (<bold>Supplementary Table <xref ref-type="supplementary-material" rid="SM3">S1</xref></bold>) (<xref ref-type="bibr" rid="B40">Zhao et al., 2016a</xref>,<xref ref-type="bibr" rid="B41">b</xref>). There were seven treatments: (<xref ref-type="bibr" rid="B31">Taylor et al., 2010</xref>) Control treatment (no Zn added); (<xref ref-type="bibr" rid="B27">Ryan and Robards, 2006</xref>) ZnSO<sub>4</sub>-25 mg/kg; (<xref ref-type="bibr" rid="B12">Gioria et al., 2016</xref>) ZnSO<sub>4</sub>-50 mg/kg; (<xref ref-type="bibr" rid="B10">Garcia-Contreras et al., 2015</xref>) ZnSO<sub>4</sub>-100 mg/kg; (<xref ref-type="bibr" rid="B6">Bundy et al., 2009</xref>) ZnO-NP-25 mg/kg; (<xref ref-type="bibr" rid="B4">Boyles et al., 2016</xref>) ZnO-NP-50 mg/kg; and (<xref ref-type="bibr" rid="B7">Carrola et al., 2016</xref>) ZnO-NP-100 mg/kg. The concentrations of ZnO NPs or ZnSO<sub>4</sub> used in our studies were based on the diet. If the concentration of 100 mg/kg of diet was calculated based on animal body weight (BW), it was calculated to be around 10 mg/kg BW. Therefore, the current concentrations were lower than those used in other studies (100&#x2013;1000 mg/kg BW) (<xref ref-type="bibr" rid="B36">Yan et al., 2012</xref>; <xref ref-type="bibr" rid="B16">Hong et al., 2014a</xref>,<xref ref-type="bibr" rid="B17">b</xref>). A total of 420 hens were randomly assigned into the seven treatments, with three replicates per treatment and 20 hens per replicate. Experimental feeding started at 6 weeks (wks) of age. After 4 or 24 wks of exposure, 12 hens from each treatment were humanely slaughtered and blood (plasma) and tissue/organ samples were collected and stored at -80&#x00B0;C.</p>
</sec>
<sec><title>Detection of ZnO NPs in Liver Using Transmission Electron Microscopy (TEM) and Energy Disperse Spectroscopy (EDS)</title>
<p>Sample preparation procedures for detecting NPs have been reported in our recent publication (<xref ref-type="bibr" rid="B40">Zhao et al., 2016a</xref>,<xref ref-type="bibr" rid="B41">b</xref>; <xref ref-type="bibr" rid="B11">Ge et al., 2017</xref>; <xref ref-type="bibr" rid="B21">Liu et al., 2017</xref>). Briefly, tissue samples were collected and fixed for 2 h in 2% glutaraldehyde made in sodium phosphate buffer (pH 7.2). Specimens were then washed extensively to remove the excess fixative and subsequently post-fixed in 1% OsO<sub>4</sub> for 1 h in the dark. Specimens were then dehydrated in an increasingly graded series of ethanol and infiltrated with increased concentrations of Spur&#x2019;s embedding medium in propylene epoxide. Subsequently, the specimens were polymerized in embedding medium for 12 h at 37&#x00B0;C, 12 h at 45&#x00B0;C, and 48 h at 60&#x00B0;C. Fifty nanometer sections were cut on a Leica Ultracut E microtome equipped with a diamond knife (Diatome, Hatfield, PA, United States), and collected on form var-coated, carbon-stabilized Mo grids. The section containing grids were stained with uranyl acetate, air dried overnight, and imaged on a JEM-2010F TEM (JEOL Ltd., Japan). The presence of ZnO NPs in the tissues was confirmed by using X-Max<sup>N</sup> 80 TLE EDS (Oxford Instruments, United Kingdom).</p>
</sec>
<sec><title>NMR Spectroscopy</title>
<p>Nuclear magnetic resonance (NMR) analyses were performed as previously described with slight modifications (<xref ref-type="bibr" rid="B30">Soininen et al., 2009</xref>; <xref ref-type="bibr" rid="B19">Lee et al., 2016</xref>). Before the NMR spectroscopy, 200 &#x03BC;l plasma was mixed with 80 &#x03BC;l D<sub>2</sub>O solution containing sodium phosphate buffer (0.1 M, pH 7.4) and sodium 3-trimethylsilyl-2,2, 3,3-d4-propionate (TSP) as an internal standard (&#x03B4; = 0 ppm). The <sup>1</sup>H NMR spectra was acquired using a 600.13 MHz Bruker AV600 spectrometer (Bruker, Rheinstetten, Germany) with a 5-mm CryoProbe at 300 K. NOESY and a zg pulse sequence of <sup>1</sup>H NMR spectra and zggpr pulse sequence of J-resolved (JRES) NMR spectra were used to acquire the NMR information. In plasma NMR analyses, molecular identification and quantification are hampered by the complexity of plasma samples that contain a wide variety of molecules. To resolve this issue, we adopted an approach based on two molecular models, the LMWM model and the LIPO model, as previously described (<xref ref-type="bibr" rid="B30">Soininen et al., 2009</xref>). The LIPO model provides information on lipoprotein lipids and subclasses which are acquired through water-suppressed <sup>1</sup>H NMR spectrum of serum. Alternately, the LMWM model is acquired by suppression of most of the broad macromolecules and lipoprotein lipid signals; this improves the sensitivity of low-molecular-weight metabolites (<xref ref-type="bibr" rid="B24">M&#x00E4;kinen et al., 2008</xref>; <xref ref-type="bibr" rid="B30">Soininen et al., 2009</xref>; <xref ref-type="bibr" rid="B36">Yan et al., 2012</xref>; <xref ref-type="bibr" rid="B33">Wan et al., 2016</xref>). The LIPO window showing broad overlapping <sup>1</sup>H NMR resonances coming mainly from lipid molecules in various lipoprotein particles were recorded with 80 k data points after four dummy scans using eight transients acquired with an automatically calibrated 90&#x00B0; pulse and applying a Bruker NOESY presat pulse sequence with mixing time of 10 ms and irradiation field of 25 Hz to suppress the water peak. The acquisition time was 2.7 s and the relaxation delay 3.0 s. The 90&#x00B0; pulse was calibrated automatically for each sample. A constant receiver gain setting was applied for all the samples. The LMWM data were acquired using a <italic>T</italic><sub>2</sub>-relaxation-filtered pulse sequence which suppressed most of the broad macromolecule and lipoprotein lipid signals and enhanced the detection smaller molecules. The LMWM data were recorded with 64 k data points using 24 (or 16) transients acquired after four steady-state scans with a Bruker 1D CPMG pulse sequence with water peak suppression and a 78 ms <italic>T</italic><sub>2</sub>-filter with a fixed echo delay of 403 ms to minimize diffusion and J-modulation effects. The acquisition time was 3.3 s and the relaxation delay 3.0 s. Both LIPO and LMWM data were processed and phase corrected in an automated fashion. Prior to Fourier transformations to spectra, the measured free induction decays for both LIPO and LMWM windows were zero-filled to 128 k data points and then multiplied with an exponential window function with a 1.0 Hz line broadening.</p>
</sec>
<sec><title>NMR Spectral Processing and Analysis</title>
<p>The <sup>1</sup>H NMR spectra were processed by MestRe-C2.3 software (<xref ref-type="bibr" rid="B36">Yan et al., 2012</xref>). The spectra were binned with a unit of 0.005 ppm between 0.2 and 10.0 ppm, and then integrated spectral intensity for each bin. The regions of internal standard and water resonance were excluded before being normalized by the total spectral area. The binned data were adjusted by generalized log transformation and mean-centered before multivariate analysis.</p>
</sec>
<sec><title>Multivariate Analyses</title>
<p>The processed NMR datasets were examined by using principal component analysis (PCA) and partial least squares discriminant analysis (PLS-DA) by SIMCA-P10.0 software package (Version 10, Umetrics AB, and Umea, Sweden). PCA was used to reduce the complexity of the metabolomics data matrix without additional information and provides the visual performance of the original cluster for each group. PLS-DA connected the classified information and NMR dataset to determine the variance between the different treatment groups. Two-dimensional score plots were used to visualize the separation of the samples and the corresponding loading plots were applied to identify the spectral variable contribution to the position of the spectra that were altered by different treatments (<xref ref-type="bibr" rid="B36">Yan et al., 2012</xref>).</p>
</sec>
<sec><title>qRT-PCR</title>
<p>Total RNA was isolated as described previously (<xref ref-type="bibr" rid="B40">Zhao et al., 2016a</xref>). RNA concentration was determined by Nanodrop 3300 (ThermoScientific, Wilmington, DE, United States). Two micrograms of total RNA was used to make the first-strand complementary DNA (cDNA; in 20 &#x03BC;l) using RT2 First Strand Kit (Cat. No: AT311-03, Transgen Biotech, China) following the manufacturer&#x2019;s instructions. The generated first-strand cDNAs (20 &#x03BC;l) was diluted to 150 &#x03BC;l with double-deionized water (ddH<sub>2</sub>O). Then, 1 &#x03BC;l was used for one PCR reaction (in a 96-well plate). Each PCR reaction (12 &#x03BC;l) contained 6 &#x03BC;l of qPCR Master Mix (Roche, German), 1 &#x03BC;l of diluted first-stand cDNA, 0.6 &#x03BC;l primers (10 mM), and 4.4 &#x03BC;l of ddH<sub>2</sub>O. The primers for qPCR analysis were synthesized by Invitrogen and present in <bold>Supplementary Table <xref ref-type="supplementary-material" rid="SM4">S2</xref></bold>. The qPCR was conducted by the Roche LightCycler<sup>&#x00AE;</sup> 480 (Roche, German) with the following program &#x2013; step 1: 95&#x00B0;C, 10 min; step 2: 40 cycles of 95&#x00B0;C, 15 s; 60&#x00B0;C, 1 min; step 3: dissociation curve, step 4: cool down. Three or more independent experiment samples were analyzed (<xref ref-type="bibr" rid="B40">Zhao et al., 2016a</xref>,<xref ref-type="bibr" rid="B41">b</xref>).</p>
</sec>
<sec><title>Western Blotting</title>
<p>Liver samples were lysed in RIPA buffer containing a protease inhibitor cocktail from Sangon Biotech, Ltd. (Shanghai, China). Protein concentration was determined using a BCA kit (Beyotime Institute of Biotechnology, Shanghai, China) (<xref ref-type="bibr" rid="B21">Liu et al., 2017</xref>). The information for the primary antibodies (Abs) is present in <bold>Supplementary Table <xref ref-type="supplementary-material" rid="SM4">S2</xref></bold>. GAPDH and Actin were used as loading controls. Secondary donkey anti-goat Ab (Cat no. A0181) was purchased from Beyotime Institute of Biotechnology, and goat anti-rabbit (Cat no.: A24531) Abs were bought from Novex<sup>&#x00AE;</sup> by Life Technologies (United States). Fifty micrograms of total protein per sample was loaded onto 10% SDS polyacrylamide electrophoresis gels. The gels were transferred to a polyvinylidene fluoride (PVDF) membrane at 300 mA for 2.5 h at 4&#x00B0;C. Subsequently, the membranes were blocked with 5% bovine serum albumin (BSA) for 1 h at room temperature (RT), followed by three washes with 0.1% Tween-20 in TBS (TBST). The membranes were incubated with primary Abs (<bold>Supplementary Table <xref ref-type="supplementary-material" rid="SM5">S3</xref></bold>) diluted at 1:500 in TBST with 1% BSA overnight at 4&#x00B0;C. After three washes with TBST, the blots were incubated with the HRP-labeled secondary goat anti-rabbit or donkey anti-goat Ab, respectively, for 1 h at RT. After three washes, the blots were imaged. The images were quantified by Image J.</p>
</sec>
<sec><title>Statistical Analyses</title>
<p>The qRT-PCR data were statistically analyzed based on &#x0394;&#x0394;C<sub>t</sub> using proprietary software from SABiosciences online support<sup><xref ref-type="fn" rid="fn01">1</xref></sup>. Other data were statistically analyzed with SPSS statistics software (IBM Co., New York, NY, United States) using ANOVA. Comparisons between groups were tested by one-way ANOVA analysis and LSD tests. All groups were compared with each other for every parameter (mean &#x00B1; SD). Differences were considered significant at <italic>p</italic> &#x003C; 0.05.</p>
</sec>
</sec>
<sec><title>Results</title>
<sec><title>ZnO Nanoparticle Characterization</title>
<p>The ultra-structure of ZnO NPs used in this investigation has been published in our previous articles (<bold>Supplementary Figure <xref ref-type="supplementary-material" rid="SM1">S1</xref></bold>) (<xref ref-type="bibr" rid="B40">Zhao et al., 2016a</xref>,<xref ref-type="bibr" rid="B41">b</xref>; <xref ref-type="bibr" rid="B11">Ge et al., 2017</xref>; <xref ref-type="bibr" rid="B21">Liu et al., 2017</xref>). The particles (&#x223C;30 nm) were almost spherical with a milk-white color, a surface area of 50 m<sup>2</sup>/g, and a density of 5.606 g/cm<sup>3</sup>. Intact NPs were identified in the liver (<bold>Supplementary Figure <xref ref-type="supplementary-material" rid="SM1">S1</xref></bold>) by TEM and confirmed by energy dispersive spectroscopy (EDS) with Zn (<bold>Supplementary Figure <xref ref-type="supplementary-material" rid="SM1">S1</xref></bold>). Three standard Zn peaks were noted.</p>
</sec>
<sec><title>Effects of ZnO NPs on Plasma Metabolome</title>
<p>The LMWM <sup>1</sup>H NMR spectra, displaying metabolic fingerprints of small molecules from plasma metabolites of ZnO NP or ZnSO<sub>4</sub>-treated animals, are presented in <bold>Figure <xref ref-type="fig" rid="F1">1A</xref></bold>; while the LIPO <sup>1</sup>H NMR spectra, displaying metabolic fingerprints of large molecules from plasma metabolites of ZnO NPs or ZnSO<sub>4</sub>-treated animals, are presented in <bold>Figure <xref ref-type="fig" rid="F2">2A</xref></bold>. Peaks were assigned to specific metabolites based on chemical shift and peak multiplicity according to previous literature (<xref ref-type="bibr" rid="B24">M&#x00E4;kinen et al., 2008</xref>; <xref ref-type="bibr" rid="B30">Soininen et al., 2009</xref>; <xref ref-type="bibr" rid="B36">Yan et al., 2012</xref>; <xref ref-type="bibr" rid="B33">Wan et al., 2016</xref>). ZnSO<sub>4</sub> was used in this investigation to compare the effects of either Zn<sup>2+</sup> or intact particles because ZnSO<sub>4</sub> produces a sole Zn<sup>2+</sup> effect (<bold>Supplementary Figure <xref ref-type="supplementary-material" rid="SM2">S2</xref></bold>).</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption><p><sup>1</sup>H nuclear magnetic resonance (NMR) analysis of small molecule metabolites. <bold>(A)</bold> The NMR spectral characteristics and the metabolic contents of the low molecular weight metabolites (LMWM) model analysis. <bold>(B)</bold> The score plot of the principal component analysis (PCA) model from the analysis of <sup>1</sup>H NMR spectra of plasma from hens exposed to ZnO nanoparticles (NPs), ZnSO<sub>4</sub> (<italic>n</italic> &#x2265; 6 for each dose group) after a 4-week exposure. <bold>(C)</bold> The score plot of the PCA model from the analysis of <sup>1</sup>H NMR spectra of plasma from hens exposed to ZnO NPs, ZnSO<sub>4</sub> (<italic>n</italic> &#x2265; 6 for each dose group) after a 24-wk exposure.</p></caption>
<graphic xlink:href="fphar-09-00057-g001.tif"/>
</fig>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption><p><sup>1</sup>H NMR analysis of large molecule metabolites. <bold>(A)</bold> The NMR spectral characteristics and the metabolic contents of the lipoprotein lipid and albumin (LIPO) model analysis. <bold>(B)</bold> Score plot of the PCA model from the analysis of <sup>1</sup>H NMR spectra of plasma from animals exposed to ZnO NPs, ZnSO<sub>4</sub> (<italic>n</italic> &#x2265; 6 for each dose group) after a 4-wk exposure. <bold>(C)</bold> The score plot of the PCA model from the analysis of <sup>1</sup>H NMR spectra of plasma from animals exposed to ZnO NPs, ZnSO<sub>4</sub> (<italic>n</italic> &#x2265; 6 for each dose group) after a 24-wk exposure.</p></caption>
<graphic xlink:href="fphar-09-00057-g002.tif"/>
</fig>
<p>Partial least squares discriminant analysis was used to uncover latent biochemical information from the <sup>1</sup>H NMR spectra. In the LMWM model for small molecules, the score plots showed a clear separation between ZnO NPs and ZnSO<sub>4</sub> at 25, 50, and 100 mg/kg after 4 wks of exposure (<bold>Figures <xref ref-type="fig" rid="F1">1B,C</xref></bold>). Furthermore, there was a clear separation between ZnO NP treatment and the control group, but not between the ZnSO<sub>4</sub> treatment and the control. After 24 wks of exposure, there was no separation between ZnO NPs, ZnSO<sub>4</sub>, or the control (<bold>Figures <xref ref-type="fig" rid="F1">1B,C</xref></bold>). In the LIPO model for large molecules, the score plots showed an unclear separation between ZnO NPs, ZnSO<sub>4</sub>, and the control after 4 or 24 wks of exposure (<bold>Figures <xref ref-type="fig" rid="F2">2B,C</xref></bold>).</p>
<p>A number of perturbations in endogenous metabolites were observed in the <sup>1</sup>H NMR spectra of plasma samples in both the LMWM and LIPO models. <bold>Figure <xref ref-type="fig" rid="F3">3</xref></bold> presents prominent small molecule changes in the LMWM model analysis between ZnO NP exposure and the control, or between ZnSO<sub>4</sub> exposure and the control. Compared to the control, 23 metabolites were altered (<bold>Figure <xref ref-type="fig" rid="F3">3A</xref></bold>); of these, 12 amino acids: histidine, valine, isoleucine, tyrosine, glycine, alanine, arginine (lysine), methionine, phenylalanine, threonine, and glutamine were altered (<bold>Figure <xref ref-type="fig" rid="F3">3A</xref></bold>). The remaining 11 metabolites included fumarate, citrate, succinate, 3-hydroxybutyrate, acetate, pyruvate, formate, dimethylglycine, &#x03B1;-glucose, and &#x03B2;-glucose (<bold>Figure <xref ref-type="fig" rid="F3">3A</xref></bold>). After 4 wks of exposure, when compared to the control, ZnO NPs produced more profound metabolite changes than ZnSO<sub>4</sub> in a dose-dependent manner. Around half of the changed metabolites were reduced by ZnO NPs or ZnSO<sub>4</sub> treatments. After 24 wks of treatment, less significant changes were found for both ZnO NPs and ZnSO<sub>4</sub> exposure (<bold>Figure <xref ref-type="fig" rid="F3">3A</xref></bold>). However, most of the changed metabolites were elevated compared to the control by ZnO NPs or ZnSO<sub>4</sub>.</p>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption><p>Heatmap of the main small molecule metabolite variations in plasma samples. <bold>(A)</bold> Data from different concentrations of ZnO NPs or ZnSO<sub>4</sub> exposure compared to the control. <bold>(B)</bold> Data from different concentrations of ZnO NPs compared to ZnSO<sub>4</sub> (<sup>&#x2217;</sup><italic>p</italic> &#x003C; 0.05; <italic>n</italic> &#x2265; 6).</p></caption>
<graphic xlink:href="fphar-09-00057-g003.tif"/>
</fig>
<p>We also aimed to determine the effects of ZnO NPs on metabolites coming from Zn<sup>2+</sup> or intact particles. Therefore, changes in metabolites were compared between ZnO NPs and ZnSO<sub>4</sub> at different concentrations and different time points. Nineteen metabolites were differentially altered by ZnO NPs compared to ZnSO<sub>4</sub> (<bold>Figure <xref ref-type="fig" rid="F3">3B</xref></bold>). After 4 wks of exposure, about half of them showed a decrease and the other half were increased. The three most changed metabolites were isoleucine, tyrosine, and valine, which were dramatically elevated by ZnO NPs. After 24 wks of exposure, most metabolites were reduced by ZnO NPs (<bold>Figure <xref ref-type="fig" rid="F3">3B</xref></bold>); the most changed metabolites were glycine, dimethylglycine, citrate, and glucose (all decreased). The data here suggested that ZnO NPs were different from ZnSO<sub>4</sub> in that the intact NPs might play an important role in altering the levels of small molecule metabolites.</p>
<p><bold>Figure <xref ref-type="fig" rid="F4">4A</xref></bold> shows the prominent large molecule changes in the LIPO model analysis between ZnO NP exposure and the control or between ZnSO<sub>4</sub> exposure and the control. Compared to the control, six kinds of lipid molecules (Lipid-CH<sub>2</sub>CH=, Lipid-CH<sub>2</sub>CH<sub>2</sub>CO, Lipid-CH=CH-, Lipid=CHCH<sub>2</sub>CH=, HDL LDL VLDL(-CH<sub>2</sub>-), and -N(CH<sub>3</sub>)<sub>3</sub>] and one kind of protein (<italic>N</italic>-acetyl-glycoprotein) were changed by ZnO NPs or ZnSO<sub>4</sub> exposure (<bold>Figure <xref ref-type="fig" rid="F4">4A</xref></bold>). After 4 wks of exposure, ZnSO<sub>4</sub> produced more profound effects on these large metabolites than ZnO NPs. However, after 24 wks of exposure, ZnO NPs produced more profound effects on these large metabolites than ZnSO<sub>4</sub>. Compared to ZnSO<sub>4</sub>, ZnO NPs differentially altered the levels of these large metabolites at the two experimental time points (<bold>Figure <xref ref-type="fig" rid="F4">4B</xref></bold>). After 4 wks of exposure, ZnO NPs increased Lipid&#x2013;CH=CH&#x2013;, &#x2013;N(CH<sub>3</sub>)<sub>3</sub>, and <italic>N</italic>-acetyl-glycoprotein. After 24 wks of exposure, the 25 mg/kg ZnO NPs treatment increased Lipid&#x2013;CH=CH&#x2013;, Lipid=CHCH<sub>2</sub>CH=, Lipid&#x2013;CH=CH&#x2013;, and &#x2013;N(CH<sub>3</sub>)<sub>3</sub> compared to the 25 mg/kg ZnSO<sub>4</sub> exposure; however, Lipid&#x2013;CH<sub>2</sub>CH<sub>2</sub>CO, Lipid&#x2013;CH<sub>2</sub>CH=, and HDL LDL VLDL(&#x2013;CH<sub>2</sub>&#x2013;) were lower in the 100 mg/kg ZnO NP exposure than that in the 100 mg/kg ZnSO<sub>4</sub> exposure (<bold>Figure <xref ref-type="fig" rid="F4">4B</xref></bold>). The data here further indicated that the effect of ZnO NPs was different from that of ZnSO<sub>4</sub> in that the intact NPs might play an important role in changing the levels of large molecule metabolites.</p>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption><p>Heatmap of the main large molecule metabolite variations in plasma samples. <bold>(A)</bold> Data from different concentrations of ZnO NPs or ZnSO<sub>4</sub> exposure compared to the control. <bold>(B)</bold> Data from different concentrations of ZnO NPs compared to ZnSO<sub>4</sub> (<sup>&#x2217;</sup><italic>p</italic> &#x003C; 0.05; <italic>n</italic> &#x2265; 6).</p></caption>
<graphic xlink:href="fphar-09-00057-g004.tif"/>
</fig>
</sec>
<sec><title>ZnO NPs Altered Liver Metabolism Enzymes</title>
<p>In order to explore the underlying mechanisms of metabolomic changes caused by ZnO NPs, metabolic enzymes in the liver were investigated. Glutamate dehydrogenase (GLUD2) and aspartate aminotransferase (ASAT) are two important enzymes associated with amino acid metabolism. Compared to the control, 4 wks of 50 mg/kg ZnSO<sub>4</sub> exposure increased GLUD2; however, 50 and 100 mg/kg ZnO NP exposure decreased GLUD2 protein level (<bold>Figure <xref ref-type="fig" rid="F5">5</xref></bold>). After 24 wks, both 25 mg/kg ZnSO<sub>4</sub> and 100 mg/kg ZnO NPs increased GLUD2. ASAT was increased by 100 mg/kg ZnO NP exposure for 24 wks. AMP deaminase (AMPD) is a vital enzyme for AMP metabolism and plays a critical role in energy metabolism. GPT2 catalyzes a reversible transamination reaction to yield glutamate and pyruvate, and participates in amino acid metabolism and gluconeogenesis. AMPD was increased by the 100 mg/kg ZnO NP treatment after 24 wks of exposure. After 4 wks, GPT2 was elevated by the 25, 50, and 100 mg/kg ZnO NPs exposure. After 24 wks, GPT2 was stimulated by the 100 mg/kg ZnO NPs exposure (<bold>Figure <xref ref-type="fig" rid="F5">5</xref></bold>). Several other liver metabolism enzymes such as UGT, &#x03B2;-oxidation, CYP2A, CYP2B, and ACACA were analyzed, but they remained unaffected by either ZnSO<sub>4</sub> or ZnO NPs. The data here suggest that ZnO NPs differentially affected liver metabolism enzymes as compared to ZnSO<sub>4</sub>.</p>
<fig id="F5" position="float">
<label>FIGURE 5</label>
<caption><p>Stimulation of amino acid metabolism enzymes by ZnO NPs. <bold>(A)</bold> Elevation in GLUD2, ASAT, AMPD, and GPT2 by ZnO NPs using western blotting (WB) analysis. <bold>(B)</bold> WB quantitative data for GLUD2. <bold>(C)</bold> WB quantitative data for ASAT. <bold>(D)</bold> WB quantitative data for AMPD. <bold>(E)</bold> WB quantitative data for GPT2. Data present as average &#x00B1; SEM. a, b, c indicate a significant difference among different treatments (<italic>p</italic> &#x003C; 0.05; <italic>n</italic> &#x2265; 6).</p></caption>
<graphic xlink:href="fphar-09-00057-g005.tif"/>
</fig>
</sec>
<sec><title>Liver Histopathology</title>
<p>After periods of 4 or 24 wks exposure, no treatments affected BW. After 24 wks, ZnO NPs dose-dependently caused liver steatosis. As shown in <bold>Figure <xref ref-type="fig" rid="F5">5A</xref></bold>, liver histopathology in ZnSO<sub>4</sub> treatments was similar to that in the control group, while the grade of macrovesicular liver steatosis in the 50 and 100 mg/kg ZnO NP exposure groups was increased with an elevation of relative liver weight in these groups (<bold>Figure <xref ref-type="fig" rid="F6">6A</xref></bold>; <xref ref-type="bibr" rid="B14">Hanin et al., 2017</xref>).</p>
<fig id="F6" position="float">
<label>FIGURE 6</label>
<caption><p>Effect of ZnO NPs on liver lipid metabolism enzymes. <bold>(A)</bold> H&#x0026;E staining of liver sections showing the variable size of fat vacuoles in ZnO NP exposure groups after 24 wks of treatment. <bold>(B)</bold> Gene expression of lipid synthesis enzymes compared to the control. <bold>(C)</bold> Alteration in protein levels of the lipid synthesis enzyme FASN and SREBF1. <bold>(D)</bold> Elevation of hepatic lipase (LIPC) by ZnO NPs after 4 or 24 wks of exposure. Data present as average &#x00B1; SEM. a, b, c indicate a significant difference among different treatments (<italic>p</italic> &#x003C; 0.05; <italic>n</italic> &#x2265; 6).</p></caption>
<graphic xlink:href="fphar-09-00057-g006.tif"/>
</fig>
</sec>
<sec><title>ZnO NPs Disrupted Liver Lipid Metabolism Enzymes&#x2019; Gene or Protein Expression</title>
<p>It was suggested that liver lipid metabolism enzymes might be disturbed by ZnO NPs since plasma lipid levels were differentially altered. Therefore, gene expression of fatty acid synthesis enzymes and lipid synthesis enzymes were investigated. It was found that, after 4 wks, the 25 mg/kg ZnO NP exposure stimulated the gene expression of ELOVL1, ELOVL5, ELOVL6, ELOVL7, CYP51A1, GPAM, DHCRT, FASN, NSDH1, and DECRL, which matched the metabolomics data (<bold>Figure <xref ref-type="fig" rid="F6">6B</xref></bold>). However, after 24 wks, most of these genes were decreased by ZnO NP exposure compared to the control (<bold>Figure <xref ref-type="fig" rid="F6">6B</xref></bold>). The protein levels of important lipid synthesis enzymes were also investigated and it was found that FASN and SREBF1 were altered. After 24 wks, FASN was stimulated by the 25, 50, and 100 mg/kg ZnSO<sub>4</sub> treatments; however, it was only increased by the 25 mg/kg ZnO NPs. After 24 wks, SREBF1 was elevated by the 50 and 100 mg/kg ZnSO<sub>4</sub> exposure but not by ZnO NPs (<bold>Figure <xref ref-type="fig" rid="F6">6C</xref></bold>). Hepatic lipase (LIPC) was also explored. LIPC was elevated by the 50 and 100 mg/kg ZnO NP treatments after 4 and 24 wks of exposure. The data here suggested lipid degradation might be stimulated by ZnO NPs, and lipid synthesis might be decreased by ZnO NPs (<bold>Figure <xref ref-type="fig" rid="F6">6D</xref></bold>). The data in this section indicated that lipid metabolites in plasma might reflect lipid metabolism in the livers under ZnO NP treatment.</p>
</sec>
<sec><title>ZnO NPs Caused Liver Damage and Apoptosis</title>
<p>Liver damage and apoptosis were investigated because liver function was altered by ZnO NP treatment. We found that the apoptosis marker caspase 8 was elevated by the 25, 50, and 100 mg/kg ZnO NP treatments after 24 wks of exposure in a dose-dependent manner. Mitochondrial damage marker TRIB3 was increased by the 50 and 100 mg/kg ZnO NP treatments after 4 and 24 wks exposure (<bold>Figure <xref ref-type="fig" rid="F7">7</xref></bold>). Apoptosis markers caspase 3, Bcl-2, Bcl-xl, Bax, p53, and damage marker DDIT3 were also investigated; however, they remained unaltered by ZnO NPs. The data here suggest that the ZnO NPs might have caused the death of liver cells.</p>
<fig id="F7" position="float">
<label>FIGURE 7</label>
<caption><p>Liver cell damage and apoptosis caused by ZnO NPs. <bold>(A)</bold> WB image for cell damage marker TRIB3 and cell apoptosis marker caspase 8 in liver tissue. <bold>(B)</bold> Quantitative data for WB. Data present as average &#x00B1; SEM. a, b, c indicate a significant difference among different treatments (<italic>p</italic> &#x003C; 0.05; <italic>n</italic> &#x2265; 6).</p></caption>
<graphic xlink:href="fphar-09-00057-g007.tif"/>
</fig>
</sec>
</sec>
<sec><title>Discussion</title>
<p><xref ref-type="bibr" rid="B36">Yan et al. (2012)</xref> reported the metabolic effects of oral administration of ZnO NPs on rat kidneys, while <xref ref-type="bibr" rid="B19">Lee et al. (2016)</xref> demonstrated that the inhalation of ZnO NPs and fine-sized particles altered the metabolome in rat lungs and BALF using NMR-based metabolomics. In Yan&#x2019;s study, 50 nm ZnO NPs were administrated for 14 days and they disrupted energy metabolism and impaired cell membranes in rat kidneys. In Lee&#x2019;s study, fine-sized or ZnO NPs were administered by inhalation and acutely induced rat lung metabolic alterations. In these two studies, the treatments were short-term and metabolic changes in kidneys and lungs were investigated; however, the impact of these particles on the systemic metabolome of blood samples is, as yet, unknown. Furthermore, the effect of relative long-term exposure on metabolomes and the underlying mechanisms are not understood. In our previous studies, we found that pubertal hen&#x2019;s ovarian development was perturbed (<xref ref-type="bibr" rid="B22">Liu et al., 2016</xref>), chicken embryonic development was inhibited (<xref ref-type="bibr" rid="B21">Liu et al., 2017</xref>), and even skin stem cells were disturbed by 30 nm ZnO NPs (<xref ref-type="bibr" rid="B11">Ge et al., 2017</xref>). The adverse effects of ZnO may be due to both intact particles and Zn<sup>2+</sup>. In the current investigation, 30 nm ZnO NPs were orally administrated for 4 or 24 wks and differences in plasma metabolites were explored. At the same time ZnSO<sub>4</sub> was used to offer a comparison of the effects of ZnO NPs on the metabolome. It was found that the alteration in metabolites caused by ZnO NPs was different from that caused by ZnSO<sub>4</sub>, even though there was some overlap. This further confirms that the toxic effects of ZnO NPs come from both intact particles and released Zn<sup>2+</sup>.</p>
<p>After short-term exposure (4 wks), there was a greater change in small molecule metabolites due to ZnO NPs or ZnSO<sub>4</sub> exposure, as compared to the control group, than that after long-term exposure (24 wks; <bold>Figure <xref ref-type="fig" rid="F3">3</xref></bold>). In the PCA plots, ZnO NP treatment was clearly separated from ZnSO<sub>4</sub> or the control group after 4 wks of treatment; however, ZnO NPs, ZnSO<sub>4</sub>, and the control group were mixed together in the PCA plots after 24 wks of exposure (<bold>Figures <xref ref-type="fig" rid="F1">1B</xref></bold>, <bold><xref ref-type="fig" rid="F2">2B</xref></bold>). These data matched those of previous studies in that acute exposure caused extensive alteration to metabolomes, which may be because ZnO NPs produce stress on organisms. However, the organisms may have feedback mechanisms to compensate for such stresses.</p>
<p>When compared to the control, most of the altered small molecule metabolites were decreased by ZnO NPs or ZnSO<sub>4</sub> after 4 wks of exposure, while most of the altered small molecule metabolites were increased by ZnO NPs or ZnSO<sub>4</sub> after 24 wks of exposure (<bold>Figure <xref ref-type="fig" rid="F3">3</xref></bold>). When compared to ZnSO<sub>4</sub>, a greater number of small molecule metabolites were changed after 4 wks of ZnO NP exposure than after 24 wks of exposure and most of the altered small molecule metabolites were increased after the 4 wk ZnO NP exposure and were decreased after the 24 wk ZnO NP exposure.</p>
<p>Glutathione is a vital biological antioxidant which is formed by three amino acids glutamic acid, cysteine, and glycine (<xref ref-type="bibr" rid="B3">Biswas and Rahman, 2009</xref>). Glycine was decreased by 4 wks of ZnO NP exposure, which suggested that its production might be a protective response to oxidative stress cause by ZnO NPs. This was consistent with earlier observations that ZnO NPs might cause oxidative stress (<xref ref-type="bibr" rid="B35">Xia et al., 2008</xref>; <xref ref-type="bibr" rid="B15">Ho et al., 2011</xref>; <xref ref-type="bibr" rid="B26">Pujalte et al., 2011</xref>; <xref ref-type="bibr" rid="B19">Lee et al., 2016</xref>). However, the organism may use other feedback mechanisms in response to oxidative stress. Taurine, with its protective effects against oxidative stress, was elevated by 4 wks of ZnO NP exposure, compared to the control or ZnSO<sub>4</sub> (<xref ref-type="bibr" rid="B1">Banks et al., 1991</xref>; <xref ref-type="bibr" rid="B13">Gurer et al., 2001</xref>; <xref ref-type="bibr" rid="B29">Schuller-Levis and Park, 2003</xref>; <xref ref-type="bibr" rid="B28">Schaffer et al., 2009</xref>). The data indicated that ZnO NPs caused oxidative stress systemically and on the other hand the organism used anti-oxidative pathways to defend against stress (<xref ref-type="bibr" rid="B19">Lee et al., 2016</xref>).</p>
<p>Many energy-related metabolites were disturbed by ZnO NPs. In the current investigation, after 4 wks of treatment, blood glucose (a-glucose and b-glucose) and alanine were reduced which indicated that aerobic metabolism and the tricarboxylic acid (TCA) cycle were perturbed in the liver. It is reported that Zn<sup>2+</sup> released from ZnO NPs inhibits enzymes in the TCA cycle resulting in a reduction in citrate (<xref ref-type="bibr" rid="B36">Yan et al., 2012</xref>). We found similar results, that blood citrate was decreased after 24 wks of ZnO NP exposure compared to the control or ZnSO<sub>4</sub>. Isoleucine, valine, 3-hydroxybutyrate, and acetate are also related to energetic pathways in organisms. These four metabolites in blood were elevated by ZnO NPs compared to the control or ZnSO<sub>4</sub> exposure in the current investigation; this agreed with the findings of <xref ref-type="bibr" rid="B19">Lee et al. (2016)</xref>.</p>
<p>Branched chain amino acids (BCAA) are considered to be essential amino acids because they are not synthesized by animal bodies (<xref ref-type="bibr" rid="B38">Zhai et al., 2010</xref>), and any increase in BCAA may be due to increase in protein digestion. BCAA are also used as energy sources by organism (<xref ref-type="bibr" rid="B9">Fabisiak et al., 2011</xref>). Leucine, isoleucine, and valine were elevated by ZnO NPs compared to that in control or ZnSO4 after 4 or 24 wks of exposure in the current investigation. At the same time, the amino acid metabolism enzymes GLUD2 and ASAT in the liver were disrupted by ZnO NPs.</p>
<p>It has been reported by a few metal oxide toxicity studies that 3-hydroxybutyrate was increased in the serum or urine while glucose levels were reduced or the TCA cycle was disrupted (<xref ref-type="bibr" rid="B20">Lei et al., 2008</xref>; <xref ref-type="bibr" rid="B5">Bu et al., 2010</xref>; <xref ref-type="bibr" rid="B36">Yan et al., 2012</xref>). Moreover, 3-hydroxybutyrate, produced by the liver, is also considered as a marker of cell damage (<xref ref-type="bibr" rid="B9">Fabisiak et al., 2011</xref>). In the current investigation we found that plasma 3-hydroxybutyrate was elevated by ZnO NPs and at the same time apoptosis markers in the liver were elevated, as compared to the control or ZnSO<sub>4</sub> exposure. After 24 wks of treatment, ZnO NPs caused hepatic steatosis. In addition, most blood lipids were decreased by ZnO NPs as compared to the control or ZnSO<sub>4</sub> after 24 wks of exposure. Moreover, most lipid synthesis enzyme gene expression was decreased, even though the decrease was not significant. ZnSO<sub>4</sub> increased the lipid synthesis enzymes FASN and SREBF1 protein levels; however, these proteins were not altered by ZnO NPs. Levels of hepatic LIPC were increased by ZnO NPs. These data suggested that ZnO caused the accumulation of lipids in the liver in which fewer lipids were released into the blood.</p>
</sec>
<sec><title>Conclusion</title>
<p>In summary, through using a metabolomics-based approach, we discovered that ZnO NPs caused changes in the levels of metabolites involved in anti-oxidative mechanisms, energy metabolism, and lipid metabolism in hen livers. And the changes were more dramatic in a dose-dependent manner in the short exposure period (4 wks) than in the long exposure period (24 wks). These results agreed with earlier investigations that ZnO NPs perturbed the TCA cycle and, in turn, resulted in the use of alternative sources for energy production. <xref ref-type="bibr" rid="B19">Lee et al. (2016)</xref> found that ZnO NPs or fine-sized particles also disrupted lipid metabolism in lung tissue. Our study showed that ZnO NPs disturbed lipid metabolism in livers and consequently disturbed blood lipid levels; and plasma metabolome alterations were correlated with hepatic steatosis.</p>
</sec>
<sec><title>Author Contributions</title>
<p>WS, HZ, and YZ provided key intellectual input in the conception and design of these studies and aided in the writing of this manuscript. WZ, LL, and YF performed the animal experiments. LM, DM, SY, and JL performed the molecular experiments. FlL, FwL, and TS provided expertise for data explanation and contributed to the writing of the manuscript. All authors read and approved the final manuscript.</p>
</sec>
<sec><title>Conflict of Interest Statement</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
</body>
<back>
<fn-group>
<fn fn-type="financial-disclosure">
<p><bold>Funding.</bold> This work was supported by Agricultural Innovative Project of Shandong Academy of Agricultural Sciences (CXGC2017B02), Program for Natural Science Foundation of Shandong Province in China (ZR2015CL045), National Natural Science Foundation of China (31302166), and Qingdao Agricultural University Outstanding Research Foundation.</p>
</fn>
</fn-group>
<ack>
<p>We would like to thank Ms. Hui-Hua Zhou in Tsinghua University for helping on TEM and EDS analysis.</p>
</ack>
<sec sec-type="supplementary material">
<title>Supplementary Material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fphar.2018.00057/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fphar.2018.00057/full#supplementary-material</ext-link></p>
<supplementary-material xlink:href="Image_1.TIF" id="SM1" mimetype="image/tiff" xmlns:xlink="http://www.w3.org/1999/xlink">
<p><bold>FIGURE S1 &#x007C;</bold> ZnO NPs in liver. <bold>(A)</bold> TEM photograph of ZnO NPs and their characteristics. <bold>(B)</bold> TEM photograph of ZnO NPs in liver tissue is indicated by the white arrow. <bold>(C)</bold> EDS picture of ZnO NPs in liver, where three Zn peaks are shown (<xref ref-type="bibr" rid="B41">Zhao et al., 2016b</xref>).</p>
</supplementary-material>
<supplementary-material xlink:href="Image_1.TIF" id="S1" mimetype="image/tiff" xmlns:xlink="http://www.w3.org/1999/xlink"/>
<supplementary-material xlink:href="Image_2.TIF" id="SM2" mimetype="image/tiff" xmlns:xlink="http://www.w3.org/1999/xlink">
<p><bold>FIGURE S2 &#x007C;</bold> Effects of ZnO NPs and ZnSO<sub>4</sub> treatments on blood Zn content. <italic>Z</italic>-axis represents the content (mg/kg wet mass), and the <italic>Y</italic>-axis represents the treatment (concentration of Zn; mg/kg) (<sup>&#x2217;</sup><italic>p</italic> &#x003C; 0.05, compared to the control; <xref ref-type="bibr" rid="B41">Zhao et al., 2016b</xref>).</p>
</supplementary-material>
<supplementary-material xlink:href="Image_2.TIF" id="S2" mimetype="image/tiff" xmlns:xlink="http://www.w3.org/1999/xlink"/>
<supplementary-material xlink:href="Table_1.DOC" id="SM3" mimetype="application/msword" xmlns:xlink="http://www.w3.org/1999/xlink">
<p><bold>TABLE S1 &#x007C;</bold> Ingredient composition of the basal diet for the layers.</p>
</supplementary-material>
<supplementary-material xlink:href="Table_1.DOC" id="S3" mimetype="application/msword" xmlns:xlink="http://www.w3.org/1999/xlink"/>
<supplementary-material xlink:href="Table_2.DOCX" id="SM4" mimetype="application/vnd.openxmlformats-officedocument.wordprocessingml.document" xmlns:xlink="http://www.w3.org/1999/xlink">
<p><bold>TABLE S2 &#x007C;</bold> Primer sequences for q-RT-PCR.</p>
</supplementary-material>
<supplementary-material xlink:href="Table_2.DOCX" id="S4" mimetype="application/vnd.openxmlformats-officedocument.wordprocessingml.document" xmlns:xlink="http://www.w3.org/1999/xlink"/>
<supplementary-material xlink:href="Table_3.DOC" id="SM5" mimetype="application/msword" xmlns:xlink="http://www.w3.org/1999/xlink">
<p><bold>TABLE S3 &#x007C;</bold> Primary antibody information.</p>
</supplementary-material>
<supplementary-material xlink:href="Table_3.DOC" id="S5" mimetype="application/msword" xmlns:xlink="http://www.w3.org/1999/xlink"/>
</sec>
<ref-list>
<title>References</title>
<ref id="B1"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Banks</surname> <given-names>M. A.</given-names></name> <name><surname>Porter</surname> <given-names>D. W.</given-names></name> <name><surname>Martin</surname> <given-names>W. G.</given-names></name> <name><surname>Castranova</surname> <given-names>V.</given-names></name></person-group> (<year>1991</year>). <article-title>Ozone-induced lipid peroxidation and membrane leakage in isolated rat alveolar macrophages: protective effects of taurine.</article-title> <source><italic>J. Nutr. Biochem.</italic></source> <volume>2</volume> <fpage>308</fpage>&#x2013;<lpage>313</lpage>. <pub-id pub-id-type="doi">10.1016/0955-2863(91)90072-D</pub-id></citation></ref>
<ref id="B2"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Bargheer</surname> <given-names>D.</given-names></name> <name><surname>Giemsa</surname> <given-names>A.</given-names></name> <name><surname>Freund</surname> <given-names>B.</given-names></name> <name><surname>Heine</surname> <given-names>M.</given-names></name> <name><surname>Waurisch</surname> <given-names>C.</given-names></name> <name><surname>Stachowski</surname> <given-names>G. M.</given-names></name><etal/></person-group> (<year>2015</year>). <article-title>The distribution and degradation of radiolabeled superparamagnetic iron oxide nanoparticles and quantum dots in mice.</article-title> <source><italic>Beilstein J. Nanotechnol.</italic></source> <volume>6</volume> <fpage>111</fpage>&#x2013;<lpage>123</lpage>. <pub-id pub-id-type="doi">10.3762/bjnano.6.11</pub-id> <pub-id pub-id-type="pmid">25671156</pub-id></citation></ref>
<ref id="B3"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Biswas</surname> <given-names>S. K.</given-names></name> <name><surname>Rahman</surname> <given-names>I.</given-names></name></person-group> (<year>2009</year>). <article-title>Environmental toxicity, redox signaling and lung inflammation: the role of glutathione.</article-title> <source><italic>Mol. Aspects Med.</italic></source> <volume>30</volume> <fpage>60</fpage>&#x2013;<lpage>76</lpage>. <pub-id pub-id-type="doi">10.1016/j.mam.2008.07.001</pub-id> <pub-id pub-id-type="pmid">18760298</pub-id></citation></ref>
<ref id="B4"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Boyles</surname> <given-names>M. S.</given-names></name> <name><surname>Ranninger</surname> <given-names>C.</given-names></name> <name><surname>Reischl</surname> <given-names>R.</given-names></name> <name><surname>Rurik</surname> <given-names>M.</given-names></name> <name><surname>Tessadri</surname> <given-names>R.</given-names></name> <name><surname>Kohlbacher</surname> <given-names>O.</given-names></name><etal/></person-group> (<year>2016</year>). <article-title>Copper oxide nanoparticle toxicity profiling using untargeted metabolomics.</article-title> <source><italic>Part Fibre Toxicol.</italic></source> <volume>13</volume> <issue>49120</issue>. <pub-id pub-id-type="doi">10.1186/s12989-016-0160-6</pub-id> <pub-id pub-id-type="pmid">27609141</pub-id></citation></ref>
<ref id="B5"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Bu</surname> <given-names>Q.</given-names></name> <name><surname>Yan</surname> <given-names>G.</given-names></name> <name><surname>Deng</surname> <given-names>P.</given-names></name> <name><surname>Peng</surname> <given-names>F.</given-names></name> <name><surname>Lin</surname> <given-names>H.</given-names></name> <name><surname>Xu</surname> <given-names>Y.</given-names></name><etal/></person-group> (<year>2010</year>). <article-title>NMR-based metabonomic study of the sub-acute toxicity of titanium dioxide nanoparticles in rats after oral administration.</article-title> <source><italic>Nanotechnology</italic></source> <volume>21</volume> <issue>125105</issue>. <pub-id pub-id-type="doi">10.1088/0957-4484/21/12/125105</pub-id> <pub-id pub-id-type="pmid">20203358</pub-id></citation></ref>
<ref id="B6"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Bundy</surname> <given-names>J. G.</given-names></name> <name><surname>Davey</surname> <given-names>M. P.</given-names></name> <name><surname>Viant</surname> <given-names>M. R.</given-names></name></person-group> (<year>2009</year>). <article-title>Environmental metabolomics: a critical review and future perspectives.</article-title> <source><italic>Metabolomics</italic></source> <volume>5</volume> <fpage>3</fpage>&#x2013;<lpage>21</lpage>. <pub-id pub-id-type="doi">10.1002/etc.3218</pub-id> <pub-id pub-id-type="pmid">26771350</pub-id></citation></ref>
<ref id="B7"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Carrola</surname> <given-names>J.</given-names></name> <name><surname>Bastos</surname> <given-names>V.</given-names></name> <name><surname>Jarak</surname> <given-names>I.</given-names></name> <name><surname>Oliveira-Silva</surname> <given-names>R.</given-names></name> <name><surname>Malheiro</surname> <given-names>E.</given-names></name> <name><surname>Daniel-da-Silva</surname> <given-names>A. L.</given-names></name><etal/></person-group> (<year>2016</year>). <article-title>Metabolomics of silver nanoparticles toxicity in HaCaT cells: structure-activity relationships and role of ionic silver and oxidative stress.</article-title> <source><italic>Nanotoxicology</italic></source> <volume>10</volume> <fpage>1105</fpage>&#x2013;<lpage>1117</lpage>. <pub-id pub-id-type="doi">10.1080/17435390.2016.1177744</pub-id> <pub-id pub-id-type="pmid">27144425</pub-id></citation></ref>
<ref id="B8"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Choi</surname> <given-names>J.</given-names></name> <name><surname>Kim</surname> <given-names>H.</given-names></name> <name><surname>Kim</surname> <given-names>P.</given-names></name> <name><surname>Jo</surname> <given-names>E.</given-names></name> <name><surname>Kim</surname> <given-names>H. M.</given-names></name> <name><surname>Lee</surname> <given-names>M. Y.</given-names></name><etal/></person-group> (<year>2015</year>). <article-title>Toxicity of zinc oxide nanoparticles in rats treated by two different routes: single intravenous injection and single oral administration.</article-title> <source><italic>J. Toxicol. Environ. Health A</italic></source> <volume>78</volume> <fpage>226</fpage>&#x2013;<lpage>243</lpage>. <pub-id pub-id-type="doi">10.1080/15287394.2014.949949</pub-id> <pub-id pub-id-type="pmid">25674826</pub-id></citation></ref>
<ref id="B9"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Fabisiak</surname> <given-names>J. P.</given-names></name> <name><surname>Medvedovic</surname> <given-names>M.</given-names></name> <name><surname>Alexander</surname> <given-names>D. C.</given-names></name> <name><surname>Mcdunn</surname> <given-names>J. E.</given-names></name> <name><surname>Concel</surname> <given-names>V. J.</given-names></name> <name><surname>Bein</surname> <given-names>K.</given-names></name><etal/></person-group> (<year>2011</year>). <article-title>Integrative metabolome and transcriptome profiling reveals discordant energetic stress between mouse strains with differential sensitivity to acrolein-induced acute lung injury.</article-title> <source><italic>Mol. Nutr. Food Res.</italic></source> <volume>55</volume> <fpage>1423</fpage>&#x2013;<lpage>1434</lpage>. <pub-id pub-id-type="doi">10.1002/mnfr.201100291</pub-id> <pub-id pub-id-type="pmid">21823223</pub-id></citation></ref>
<ref id="B10"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Garcia-Contreras</surname> <given-names>R.</given-names></name> <name><surname>Sugimoto</surname> <given-names>M.</given-names></name> <name><surname>Umemura</surname> <given-names>N.</given-names></name> <name><surname>Kaneko</surname> <given-names>M.</given-names></name> <name><surname>Hatakeyama</surname> <given-names>Y.</given-names></name> <name><surname>Soga</surname> <given-names>T.</given-names></name><etal/></person-group> (<year>2015</year>). <article-title>Alteration of metabolomic profiles by titanium dioxide nanoparticles in human gingivitis model.</article-title> <source><italic>Biomaterials</italic></source> <volume>57</volume> <fpage>33</fpage>&#x2013;<lpage>40</lpage>. <pub-id pub-id-type="doi">10.1016/j.biomaterials.2015.03.059</pub-id> <pub-id pub-id-type="pmid">25913073</pub-id></citation></ref>
<ref id="B11"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ge</surname> <given-names>W.</given-names></name> <name><surname>Zhao</surname> <given-names>Y.</given-names></name> <name><surname>Lai</surname> <given-names>F.</given-names></name> <name><surname>Liu</surname> <given-names>J.</given-names></name> <name><surname>Sun</surname> <given-names>Y.</given-names></name> <name><surname>Wang</surname> <given-names>J.</given-names></name><etal/></person-group> (<year>2017</year>). <article-title>Cutaneous applied nano-ZnO reduce the ability of hair follicle stem cells to differentiate.</article-title> <source><italic>Nanotoxicology</italic></source> <volume>6</volume> <fpage>1</fpage>&#x2013;<lpage>10</lpage>. <pub-id pub-id-type="doi">10.1080/17435390.2017.1310947</pub-id> <pub-id pub-id-type="pmid">28326861</pub-id></citation></ref>
<ref id="B12"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Gioria</surname> <given-names>S.</given-names></name> <name><surname>Lobo Vicente</surname> <given-names>J.</given-names></name> <name><surname>Barboro</surname> <given-names>P.</given-names></name> <name><surname>La Spina</surname> <given-names>R.</given-names></name> <name><surname>Tomasi</surname> <given-names>G.</given-names></name> <name><surname>Urb&#x00E1;n</surname> <given-names>P.</given-names></name><etal/></person-group> (<year>2016</year>). <article-title>A combined proteomics and metabolomics approach to assess the effects of gold nanoparticles in vitro.</article-title> <source><italic>Nanotoxicology</italic></source> <volume>10</volume> <fpage>736</fpage>&#x2013;<lpage>748</lpage>. <pub-id pub-id-type="doi">10.3109/17435390.2015.1121412</pub-id> <pub-id pub-id-type="pmid">26647645</pub-id></citation></ref>
<ref id="B13"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Gurer</surname> <given-names>H.</given-names></name> <name><surname>Ozgunes</surname> <given-names>H.</given-names></name> <name><surname>Saygin</surname> <given-names>E.</given-names></name> <name><surname>Ercal</surname> <given-names>N.</given-names></name></person-group> (<year>2001</year>). <article-title>Antioxidant effect of taurine against lead-induced oxidative stress.</article-title> <source><italic>Arch. Environ. Contam. Toxicol.</italic></source> <volume>41</volume> <fpage>397</fpage>&#x2013;<lpage>402</lpage>. <pub-id pub-id-type="doi">10.1007/s002440010265</pub-id> <pub-id pub-id-type="pmid">11598776</pub-id></citation></ref>
<ref id="B14"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hanin</surname> <given-names>G.</given-names></name> <name><surname>Yayon</surname> <given-names>N.</given-names></name> <name><surname>Tzur</surname> <given-names>Y.</given-names></name> <name><surname>Haviv</surname> <given-names>R.</given-names></name> <name><surname>Bennett</surname> <given-names>E. R.</given-names></name> <name><surname>Udi</surname> <given-names>S.</given-names></name><etal/></person-group> (<year>2017</year>). <article-title>miRNA-132 induces hepatic steatosis and hyperlipidaemia by synergistic multitarget suppression.</article-title> <source><italic>Gut</italic></source> <pub-id pub-id-type="doi">10.1136/gutjnl-2016-312869</pub-id> <comment>[Epub ahead of print]</comment>. <pub-id pub-id-type="pmid">28381526</pub-id></citation></ref>
<ref id="B15"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ho</surname> <given-names>M.</given-names></name> <name><surname>Wu</surname> <given-names>K. Y.</given-names></name> <name><surname>Chein</surname> <given-names>H. M.</given-names></name> <name><surname>Chen</surname> <given-names>L. C.</given-names></name> <name><surname>Cheng</surname> <given-names>T. J.</given-names></name></person-group> (<year>2011</year>). <article-title>Pulmonary toxicity of inhaled nanoscale and fine zinc oxide particles: mass and surface area as an exposure metric.</article-title> <source><italic>Inhal. Toxicol.</italic></source> <volume>23</volume> <fpage>947</fpage>&#x2013;<lpage>956</lpage>. <pub-id pub-id-type="doi">10.3109/08958378.2011.629235</pub-id> <pub-id pub-id-type="pmid">22122307</pub-id></citation></ref>
<ref id="B16"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hong</surname> <given-names>J. S.</given-names></name> <name><surname>Park</surname> <given-names>M. K.</given-names></name> <name><surname>Kim</surname> <given-names>M. S.</given-names></name> <name><surname>Lim</surname> <given-names>J. H.</given-names></name> <name><surname>Park</surname> <given-names>G. J.</given-names></name> <name><surname>Maeng</surname> <given-names>E. H.</given-names></name><etal/></person-group> (<year>2014a</year>). <article-title>Prenatal development toxicity study of zinc oxide nanoparticles in rats.</article-title> <source><italic>Int. J. Nanomedicine</italic></source> <volume>9(Suppl. 2)</volume>, <fpage>159</fpage>&#x2013;<lpage>171</lpage>. <pub-id pub-id-type="doi">10.2147/IJN.S57932</pub-id> <pub-id pub-id-type="pmid">25565834</pub-id></citation></ref>
<ref id="B17"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hong</surname> <given-names>J. S.</given-names></name> <name><surname>Park</surname> <given-names>M. K.</given-names></name> <name><surname>Kim</surname> <given-names>M. S.</given-names></name> <name><surname>Lim</surname> <given-names>J. H.</given-names></name> <name><surname>Park</surname> <given-names>G. J.</given-names></name> <name><surname>Maeng</surname> <given-names>E. H.</given-names></name><etal/></person-group> (<year>2014b</year>). <article-title>Effect of zinc oxide nanoparticles on dams and embryo-fetal development in rats.</article-title> <source><italic>Int. J. Nanomedicine</italic></source> <volume>9(Suppl. 2)</volume>, <fpage>145</fpage>&#x2013;<lpage>157</lpage>. <pub-id pub-id-type="doi">10.2147/IJN.S57931</pub-id> <pub-id pub-id-type="pmid">25565833</pub-id></citation></ref>
<ref id="B18"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kim</surname> <given-names>A. R.</given-names></name> <name><surname>Ahmed</surname> <given-names>F. R.</given-names></name> <name><surname>Jung</surname> <given-names>G. Y.</given-names></name> <name><surname>Cho</surname> <given-names>S. W.</given-names></name> <name><surname>Kim</surname> <given-names>D. I.</given-names></name> <name><surname>Um</surname> <given-names>S. H.</given-names></name></person-group> (<year>2013</year>). <article-title>Hepatocyte cytotoxicity evaluation with zinc oxide nanoparticles.</article-title> <source><italic>J. Biomed. Nanotechnol.</italic></source> <volume>9</volume> <fpage>926</fpage>&#x2013;<lpage>929</lpage>. <pub-id pub-id-type="doi">10.1166/jbn.2013.1495</pub-id></citation></ref>
<ref id="B19"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lee</surname> <given-names>S. H.</given-names></name> <name><surname>Wang</surname> <given-names>T. Y.</given-names></name> <name><surname>Hong</surname> <given-names>J. H.</given-names></name> <name><surname>Cheng</surname> <given-names>T. J.</given-names></name> <name><surname>Lin</surname> <given-names>C. Y.</given-names></name></person-group> (<year>2016</year>). <article-title>NMR-based metabolomics to determine acute inhalation effects of nano- and fine-sized ZnO particles in rat lung.</article-title> <source><italic>Nanotoxicology</italic></source> <volume>10</volume> <fpage>924</fpage>&#x2013;<lpage>934</lpage>. <pub-id pub-id-type="doi">10.3109/17435390.2016.1144825</pub-id> <pub-id pub-id-type="pmid">27245357</pub-id></citation></ref>
<ref id="B20"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lei</surname> <given-names>R.</given-names></name> <name><surname>Wu</surname> <given-names>C.</given-names></name> <name><surname>Yang</surname> <given-names>B.</given-names></name> <name><surname>Ma</surname> <given-names>H.</given-names></name> <name><surname>Shi</surname> <given-names>C.</given-names></name> <name><surname>Wang</surname> <given-names>Q.</given-names></name><etal/></person-group> (<year>2008</year>). <article-title>Integrated metabolomic analysis of the nano-sized copper particle-induced hepatotoxicity and nephrotoxicity in rats: a rapid in vivo screening method for nanotoxicity.</article-title> <source><italic>Toxicol. Appl. Pharmacol.</italic></source> <volume>232</volume> <fpage>292</fpage>&#x2013;<lpage>301</lpage>. <pub-id pub-id-type="doi">10.1016/j.taap.2008.06.026</pub-id> <pub-id pub-id-type="pmid">18706438</pub-id></citation></ref>
<ref id="B21"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Liu</surname> <given-names>J.</given-names></name> <name><surname>Zhao</surname> <given-names>Y.</given-names></name> <name><surname>Ge</surname> <given-names>W.</given-names></name> <name><surname>Zhang</surname> <given-names>P.</given-names></name> <name><surname>Liu</surname> <given-names>X.</given-names></name> <name><surname>Zhang</surname> <given-names>W.</given-names></name><etal/></person-group> (<year>2017</year>). <article-title>Oocyte exposure to ZnO nanoparticles inhibits early embryonic development through the &#x03B3;-H2AX and NF-&#x03BA;B signaling pathways.</article-title> <source><italic>Oncotarget</italic></source> <volume>8</volume> <fpage>42673</fpage>&#x2013;<lpage>42692</lpage>. <pub-id pub-id-type="pmid">28487501</pub-id></citation></ref>
<ref id="B22"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Liu</surname> <given-names>X.</given-names></name> <name><surname>Zhang</surname> <given-names>H.</given-names></name> <name><surname>Zhang</surname> <given-names>W.</given-names></name> <name><surname>Zhang</surname> <given-names>P.</given-names></name> <name><surname>Hao</surname> <given-names>Y.</given-names></name> <name><surname>Song</surname> <given-names>R.</given-names></name><etal/></person-group> (<year>2016</year>). <article-title>Regulation of neuroendocrine cells and neuron-factors in ovary by zinc oxide nanoparticles.</article-title> <source><italic>Toxicol. Lett.</italic></source> <volume>256</volume> <fpage>19</fpage>&#x2013;<lpage>32</lpage>. <pub-id pub-id-type="doi">10.1016/j.toxlet.2016.05.007</pub-id> <pub-id pub-id-type="pmid">27215404</pub-id></citation></ref>
<ref id="B23"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lv</surname> <given-names>M.</given-names></name> <name><surname>Huang</surname> <given-names>W.</given-names></name> <name><surname>Chen</surname> <given-names>Z.</given-names></name> <name><surname>Jiang</surname> <given-names>H.</given-names></name> <name><surname>Chen</surname> <given-names>J.</given-names></name> <name><surname>Tian</surname> <given-names>Y.</given-names></name><etal/></person-group> (<year>2015</year>). <article-title>Metabolomics techniques for nanotoxicity investigations.</article-title> <source><italic>Bioanalysis</italic></source> <volume>7</volume> <fpage>1527</fpage>&#x2013;<lpage>1544</lpage>. <pub-id pub-id-type="doi">10.4155/bio.15.83</pub-id> <pub-id pub-id-type="pmid">26168257</pub-id></citation></ref>
<ref id="B24"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>M&#x00E4;kinen</surname> <given-names>V. P.</given-names></name> <name><surname>Soininen</surname> <given-names>P.</given-names></name> <name><surname>Forsblom</surname> <given-names>C.</given-names></name> <name><surname>Parkkonen</surname> <given-names>M.</given-names></name> <name><surname>Ingman</surname> <given-names>P.</given-names></name> <name><surname>Kaski</surname> <given-names>K.</given-names></name><etal/></person-group> (<year>2008</year>). <article-title>1H NMR metabonomics approach to the disease continuum of diabetic complications and premature death.</article-title> <source><italic>Mol. Syst. Biol.</italic></source> <volume>4</volume> :167. <pub-id pub-id-type="doi">10.1038/msb4100205</pub-id> <pub-id pub-id-type="pmid">18277383</pub-id></citation></ref>
<ref id="B25"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Parveen</surname> <given-names>A.</given-names></name> <name><surname>Rizvi</surname> <given-names>S. H.</given-names></name> <name><surname>Gupta</surname> <given-names>A.</given-names></name> <name><surname>Singh</surname> <given-names>R.</given-names></name> <name><surname>Ahmad</surname> <given-names>I.</given-names></name> <name><surname>Mahdi</surname> <given-names>F.</given-names></name><etal/></person-group> (<year>2012</year>). <article-title>NMR-based metabonomics study of sub-acute hepatotoxicity induced by silica nanoparticles in rats after intranasal exposure.</article-title> <source><italic>Cell Mol. Biol. (Noisy-le-grand)</italic></source> <volume>58</volume> <fpage>196</fpage>&#x2013;<lpage>203</lpage>. <pub-id pub-id-type="pmid">23273212</pub-id></citation></ref>
<ref id="B26"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Pujalte</surname> <given-names>I.</given-names></name> <name><surname>Passagne</surname> <given-names>I.</given-names></name> <name><surname>Brouillaud</surname> <given-names>B.</given-names></name> <name><surname>Treguer</surname> <given-names>M.</given-names></name> <name><surname>Durand</surname> <given-names>E.</given-names></name> <name><surname>Ohayon-Courtes</surname> <given-names>C.</given-names></name><etal/></person-group> (<year>2011</year>). <article-title>Cytotoxicity and oxidative stress induced by different metallic nanoparticles on human kidney cells.</article-title> <source><italic>Part Fibre Toxicol.</italic></source> <volume>8</volume>:<issue>10</issue>. <pub-id pub-id-type="doi">10.1186/1743-8977-8-10</pub-id> <pub-id pub-id-type="pmid">21371295</pub-id></citation></ref>
<ref id="B27"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ryan</surname> <given-names>D.</given-names></name> <name><surname>Robards</surname> <given-names>K.</given-names></name></person-group> (<year>2006</year>). <article-title>Metabolomics: the greatest omics of them all?</article-title> <source><italic>Anal. Chem.</italic></source> <volume>78</volume> <fpage>7954</fpage>&#x2013;<lpage>7958</lpage>. <pub-id pub-id-type="doi">10.1021/ac0614341</pub-id> <pub-id pub-id-type="pmid">17134127</pub-id></citation></ref>
<ref id="B28"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Schaffer</surname> <given-names>S. W.</given-names></name> <name><surname>Azuma</surname> <given-names>J.</given-names></name> <name><surname>Mozaffari</surname> <given-names>M.</given-names></name></person-group> (<year>2009</year>). <article-title>Role of antioxidant activity of taurine in diabetes.</article-title> <source><italic>Can. J. Physiol. Pharmacol.</italic></source> <volume>87</volume> <fpage>91</fpage>&#x2013;<lpage>99</lpage>. <pub-id pub-id-type="doi">10.1139/Y08-110</pub-id> <pub-id pub-id-type="pmid">19234572</pub-id></citation></ref>
<ref id="B29"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Schuller-Levis</surname> <given-names>G. B.</given-names></name> <name><surname>Park</surname> <given-names>E.</given-names></name></person-group> (<year>2003</year>). <article-title>Taurine: new implications for an old amino acid.</article-title> <source><italic>FEMS Microbiol. Lett.</italic></source> <volume>226</volume> <fpage>195</fpage>&#x2013;<lpage>202</lpage>. <pub-id pub-id-type="doi">10.1016/S0378-1097(03)00611-6</pub-id> <pub-id pub-id-type="pmid">14553911</pub-id></citation></ref>
<ref id="B30"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Soininen</surname> <given-names>P.</given-names></name> <name><surname>Kangas</surname> <given-names>A. J.</given-names></name> <name><surname>W&#x00FC;rtz</surname> <given-names>P.</given-names></name> <name><surname>Tukiainen</surname> <given-names>T.</given-names></name> <name><surname>Tynkkynen</surname> <given-names>T.</given-names></name> <name><surname>Laatikainen</surname> <given-names>R.</given-names></name><etal/></person-group> (<year>2009</year>). <article-title>High-throughput serum NMR metabonomics for cost-effective holistic studies on systemic metabolism.</article-title> <source><italic>Analyst</italic></source> <volume>134</volume> <fpage>1781</fpage>&#x2013;<lpage>1785</lpage>. <pub-id pub-id-type="doi">10.1039/b910205a</pub-id> <pub-id pub-id-type="pmid">19684899</pub-id></citation></ref>
<ref id="B31"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Taylor</surname> <given-names>N. S.</given-names></name> <name><surname>Weber</surname> <given-names>R. J. M.</given-names></name> <name><surname>White</surname> <given-names>T. A.</given-names></name> <name><surname>Viant</surname> <given-names>M. R.</given-names></name></person-group> (<year>2010</year>). <article-title>Discriminating between different acute chemical toxicities via changes in the daphnid metabolome.</article-title> <source><italic>Toxicol. Sci.</italic></source> <volume>118</volume> <fpage>307</fpage>&#x2013;<lpage>317</lpage>. <pub-id pub-id-type="doi">10.1093/toxsci/kfq247</pub-id> <pub-id pub-id-type="pmid">20719749</pub-id></citation></ref>
<ref id="B32"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Tuomela</surname> <given-names>S.</given-names></name> <name><surname>Autio</surname> <given-names>R.</given-names></name> <name><surname>Buerki-Thurnherr</surname> <given-names>T.</given-names></name> <name><surname>Arslan</surname> <given-names>O.</given-names></name> <name><surname>Kunzmann</surname> <given-names>A.</given-names></name> <name><surname>Andersson-Willman</surname> <given-names>B.</given-names></name><etal/></person-group> (<year>2013</year>). <article-title>Gene expression profiling of immune-competent human cells exposed to engineered zinc oxide or titanium dioxide nanoparticles.</article-title> <source><italic>PLOS ONE</italic></source> <volume>8</volume>:<issue>e68415</issue>. <pub-id pub-id-type="doi">10.1371/journal.pone.0068415</pub-id> <pub-id pub-id-type="pmid">23894303</pub-id></citation></ref>
<ref id="B33"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wan</surname> <given-names>Q.</given-names></name> <name><surname>He</surname> <given-names>Q.</given-names></name> <name><surname>Deng</surname> <given-names>X.</given-names></name> <name><surname>Hao</surname> <given-names>F.</given-names></name> <name><surname>Tang</surname> <given-names>H.</given-names></name> <name><surname>Wang</surname> <given-names>Y.</given-names></name></person-group> (<year>2016</year>). <article-title>Systemic metabolic responses of broiler chickens and piglets to acute T-2 toxin intravenous exposure.</article-title> <source><italic>J. Agric. Food Chem.</italic></source> <volume>64</volume> <fpage>714</fpage>&#x2013;<lpage>723</lpage>. <pub-id pub-id-type="doi">10.1021/acs.jafc.5b05076</pub-id> <pub-id pub-id-type="pmid">26714875</pub-id></citation></ref>
<ref id="B34"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname> <given-names>Z. L.</given-names></name></person-group> (<year>2008</year>). <article-title>Splendid one-dimensional nanostructures of zinc oxide: a new nanomaterial family for nanotechnology.</article-title> <source><italic>ACS Nano</italic></source> <volume>2</volume> <fpage>1987</fpage>&#x2013;<lpage>1992</lpage>. <pub-id pub-id-type="doi">10.1021/nn800631r</pub-id> <pub-id pub-id-type="pmid">19206442</pub-id></citation></ref>
<ref id="B35"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Xia</surname> <given-names>T.</given-names></name> <name><surname>Kovochich</surname> <given-names>M.</given-names></name> <name><surname>Liong</surname> <given-names>M.</given-names></name> <name><surname>Maedler</surname> <given-names>L.</given-names></name> <name><surname>Gilbert</surname> <given-names>B.</given-names></name> <name><surname>Shi</surname> <given-names>H.</given-names></name><etal/></person-group> (<year>2008</year>). <article-title>Comparison of the mechanism of toxicity of zinc oxide and cerium oxide nanoparticles based on dissolution and oxidative stress properties.</article-title> <source><italic>ACS Nano</italic></source> <volume>2</volume> <fpage>2121</fpage>&#x2013;<lpage>2134</lpage>. <pub-id pub-id-type="doi">10.1021/nn800511k</pub-id> <pub-id pub-id-type="pmid">19206459</pub-id></citation></ref>
<ref id="B36"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Yan</surname> <given-names>G.</given-names></name> <name><surname>Huang</surname> <given-names>Y.</given-names></name> <name><surname>Bu</surname> <given-names>Q.</given-names></name> <name><surname>Lv</surname> <given-names>L.</given-names></name> <name><surname>Deng</surname> <given-names>P.</given-names></name> <name><surname>Zhou</surname> <given-names>J.</given-names></name><etal/></person-group> (<year>2012</year>). <article-title>Zinc oxide nanoparticles cause nephrotoxicity and kidney metabolism alterations in rats.</article-title> <source><italic>J. Environ. Sci. Health A Tox. Hazard. Subst. Environ. Eng.</italic></source> <volume>47</volume> <fpage>577</fpage>&#x2013;<lpage>588</lpage>. <pub-id pub-id-type="doi">10.1080/10934529.2012.650576</pub-id> <pub-id pub-id-type="pmid">22375541</pub-id></citation></ref>
<ref id="B37"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Yang</surname> <given-names>X.</given-names></name> <name><surname>Shao</surname> <given-names>H.</given-names></name> <name><surname>Liu</surname> <given-names>W.</given-names></name> <name><surname>Gu</surname> <given-names>W.</given-names></name> <name><surname>Shu</surname> <given-names>X.</given-names></name> <name><surname>Mo</surname> <given-names>Y.</given-names></name><etal/></person-group> (<year>2015</year>). <article-title>Endoplasmic reticulum stress and oxidative stress are involved in ZnO nanoparticle-induced hepatotoxicity.</article-title> <source><italic>Toxicol. Lett.</italic></source> <volume>234</volume> <fpage>40</fpage>&#x2013;<lpage>49</lpage>. <pub-id pub-id-type="doi">10.1016/j.toxlet.2015.02.004</pub-id> <pub-id pub-id-type="pmid">25680694</pub-id></citation></ref>
<ref id="B38"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zhai</surname> <given-names>G.</given-names></name> <name><surname>Wang-Sattler</surname> <given-names>R.</given-names></name> <name><surname>Hart</surname> <given-names>D. J.</given-names></name> <name><surname>Arden</surname> <given-names>N. K.</given-names></name> <name><surname>Hakim</surname> <given-names>A. J.</given-names></name> <name><surname>Illig</surname> <given-names>T.</given-names></name><etal/></person-group> (<year>2010</year>). <article-title>Serum branched-chain amino acid to histidine ratio: a novel metabolomic biomarker of knee osteoarthritis.</article-title> <source><italic>Ann. Rheum. Dis.</italic></source> <volume>69</volume> <fpage>1227</fpage>&#x2013;<lpage>1231</lpage>. <pub-id pub-id-type="doi">10.1136/ard.2009.120857</pub-id> <pub-id pub-id-type="pmid">20388742</pub-id></citation></ref>
<ref id="B39"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zhao</surname> <given-names>J.</given-names></name> <name><surname>Xu</surname> <given-names>L.</given-names></name> <name><surname>Zhang</surname> <given-names>T.</given-names></name> <name><surname>Ren</surname> <given-names>G.</given-names></name> <name><surname>Yang</surname> <given-names>Z.</given-names></name></person-group> (<year>2009</year>). <article-title>Influences of nanoparticle zinc oxide on acutely isolated rat hippocampal CA3 pyramidal neurons.</article-title> <source><italic>Neurotoxicology</italic></source> <volume>30</volume> <fpage>220</fpage>&#x2013;<lpage>230</lpage>. <pub-id pub-id-type="doi">10.1016/j.neuro.2008.12.005</pub-id> <pub-id pub-id-type="pmid">19146874</pub-id></citation></ref>
<ref id="B40"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zhao</surname> <given-names>Y.</given-names></name> <name><surname>Feng</surname> <given-names>Y.</given-names></name> <name><surname>Li</surname> <given-names>L.</given-names></name> <name><surname>Zhang</surname> <given-names>H.</given-names></name> <name><surname>Zhang</surname> <given-names>Y.</given-names></name> <name><surname>Zhang</surname> <given-names>P.</given-names></name><etal/></person-group> (<year>2016a</year>). <article-title>Tissue-specific regulation of the contents and correlations of mineral elements in hens by zinc oxide nanoparticles.</article-title> <source><italic>Biol. Trace Elem. Res.</italic></source> <volume>177</volume> <fpage>353</fpage>&#x2013;<lpage>366</lpage>. <pub-id pub-id-type="doi">10.1007/s12011-016-0847-4</pub-id> <pub-id pub-id-type="pmid">27830451</pub-id></citation></ref>
<ref id="B41"><citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zhao</surname> <given-names>Y.</given-names></name> <name><surname>Li</surname> <given-names>L.</given-names></name> <name><surname>Zhang</surname> <given-names>P.</given-names></name> <name><surname>Liu</surname> <given-names>X.</given-names></name> <name><surname>Zhang</surname> <given-names>W.</given-names></name> <name><surname>Ding</surname> <given-names>Z.</given-names></name><etal/></person-group> (<year>2016b</year>). <article-title>Regulation of egg quality and lipids metabolism by zinc oxide nanoparticles.</article-title> <source><italic>Poult. Sci.</italic></source> <volume>95</volume> <fpage>920</fpage>&#x2013;<lpage>933</lpage>. <pub-id pub-id-type="doi">10.3382/ps/pev436</pub-id> <pub-id pub-id-type="pmid">26908885</pub-id></citation></ref>
</ref-list>
<fn-group>
<fn id="fn01"><label>1</label><p><ext-link ext-link-type="uri" xlink:href="http://www.SABiosciences.com">www.SABiosciences.com</ext-link></p></fn>
</fn-group>
</back>
</article>