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( A ) Overview of the exhaust emission exposure system with an example vehicle (scooter) on the chassis dynamometer ( 1 ), the rotating disk diluter ( 2 ), instrumentation for the characterisation of the particulate compounds ( 3 ) and the exposure box ( 4 ). ( B ) The exposure box with the vacuum pump at the end of the system ( 5 ) and the heated water chamber for the humidification ( 6 ). ( C ) Exposure (right) and reference (left) chambers for the exposure of cell cultures and the condition control measurement units ( 7 ) in the interior of the exposure box. Image adapted from Muller et al . (38). 

( A ) Overview of the exhaust emission exposure system with an example vehicle (scooter) on the chassis dynamometer ( 1 ), the rotating disk diluter ( 2 ), instrumentation for the characterisation of the particulate compounds ( 3 ) and the exposure box ( 4 ). ( B ) The exposure box with the vacuum pump at the end of the system ( 5 ) and the heated water chamber for the humidification ( 6 ). ( C ) Exposure (right) and reference (left) chambers for the exposure of cell cultures and the condition control measurement units ( 7 ) in the interior of the exposure box. Image adapted from Muller et al . (38). 

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... Since the use of animals, mainly rodents, in toxicological practices poses ethical and social concerns (Russell and Burch, 1959) and is not aligned with the 3 R principles, the development of new approach methodologies in inhaled particulate matter health assessment is of paramount importance in term toxicant-target interactions, fate and biological response (Lazaridis, 2023). The use of complex in vitro lung models offers a relevant alternative to in vivo studies for predicting the acute toxicity of inhaled substances (such as gases, volatile organic compounds, PAH and particulate matter including nanoparticles) (Müller et al., 2011;de Souza Carvalho et al., 2014a,b;Jaber and Billet, 2023). However, their suitability for representing the different part of the respiratory system, which comprises around forty different cell types is not widely accepted. ...
... In recent years, nanoparticles and nanocolloids have acquired greater interest due to their extensive application in numerous clinical and business fields, including pharmaceuticals, biosensors, magnetic equipment, printing industries, and similar areas. Nanoparticles have attracted a lot of attention due to their high surface free energy, strong chemical activity, high reactivity due to their small particle size, very high specific surface area, and large adsorption capacity (Pokropivny et al., 2007;Müller et al., 2011). ...
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... They observed a changed response of the model in a diseased state after NP exposure in comparison to the healthy cells by performing a transcriptomic analysis [110]. This experimental setup tries to simulate the particle concentration in the atmosphere more realistically than the calculation of particle concentration in dilution (LLI) [111]. Nevertheless, complex exposure experiments are still limited, due to technical restrictions as to simulating the highest dose of airborne particles and substances compared with surrounding contaminant concentration [112]. ...
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... The cells can form a pseudostratified airway epithelium composed of all in vivo relevant cell types found in the airway epithelium including rare types such as pulmonary neuroendocrine cells and ionocytes. 17 This type of model has proven to be particularly useful for toxicological assessment of aerosol particles, 18,19 drug discovery, 20 and more recently with the COVID-19 outbreak for viral infection studies. 21 Although these models offer significant advantages, their availability is limited to primary samples, which can significantly differ depending on the donor's genetic background and thus affecting the generated airway. ...
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... Aufderheide and Mohr 1999; Bitterle et al. 2006;Lenz et al. 2013;Lacroix et al. 2018;Tsoutsoulopoulos et al. 2019;Wang et al. 2019a;Wang et al. 2019b). These exposure systems range from those designed and used by individual research laboratories(Müller et al. 2011;Gualerzi et al. 2012;Amatngalim et al. 2015;Ji et al. 2017;Dwivedi et al. 2018) to widely available systems that are commercially marketed(Aufderheide and Mohr 1999;Okuwa et al. 2010;Li et al. 2012;Tsoutsoulopoulos et al. 2019) ...
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... Although it is the optimal exposure mode from a biological/toxicological standpoint, exposure at the air-liquid interface represents a considerable methodological challenge. First, it requires reliable methods for aerosol generation (e.g., smoking machines and standardized smoking protocols (Thorne and Adamson, 2013)) and application (i.e., aerosol exposure systems (Paur et al., 2011;Thorne and Adamson, 2013;Breheny et al., 2014;Muller et al., 2011;Fröhlich et al., 2013)). Second, aerosol constituents must be transferred from the aerosol into the liquid lining of a cell culture to exert an effect on the biological test system. ...
... The physical mechanisms underlying this transfer typically differ for small and large particles, for particles and volatile compounds, and for volatile compounds of different vapor pressure, polarity, and molecular mass (Pankow, 2001) (Fig. 1). In commonly used exposure systems (Thorne and Adamson, 2013;Breheny et al., 2014;Muller et al., 2011;Fröhlich et al., 2013;Paur et al., 2008), the transfer of large particles-and of chemical compounds adsorbed to or condensed on their surfaces or contained in their cores-is driven mainly by gravitation (and to a limited extent by inertial impaction). Brownian motion becomes more important with decreasing particle size (Von der Weiden et al., 2009), whereas the transfer of gaseous constituents relies primarily on diffusion (Pankow, 2001;Tippe et al., 2002;Davidovits et al., 2006). ...
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... As with our previous study, a multicellular in vitro human lung model, composed of epithelial lung cells (A549 alveolar type II-like cells) and two immune cell types (human blood monocyte-derived macrophages and dendritic cells) (Rothen-Rutishauser et al., 2005Blank et al., 2006) cultured at the air-liquid interface (ALI) (Blank et al., 2007) was used. This well-established model has been proven to be suitable for various exposures at the ALI (Fytianos et al., 2016;Müller et al., 2011), thus reflecting, in part, the realistic physiological conditions of a respiratory exposure. Further, human epithelial airway barrier models have previously accompanied hazard assessment studies of products of different engines and/or fuels using a sophisticated, well-characterised exhaust exposure system (Bisig et al., 2015Steiner et al., 2013a,b;Müller et al., 2012Müller et al., , 2011Müller et al., , 2010. ...
... This well-established model has been proven to be suitable for various exposures at the ALI (Fytianos et al., 2016;Müller et al., 2011), thus reflecting, in part, the realistic physiological conditions of a respiratory exposure. Further, human epithelial airway barrier models have previously accompanied hazard assessment studies of products of different engines and/or fuels using a sophisticated, well-characterised exhaust exposure system (Bisig et al., 2015Steiner et al., 2013a,b;Müller et al., 2012Müller et al., , 2011Müller et al., , 2010. Here, the multicellular model was directly exposed to gasoline emissions, followed by the addition of respirable volcanic ash and a second gasoline emissions exposure. ...
... The exhaust exposure experiments were performed at the exhaust gas control station of the Bern University of Applied Sciences in Nidau, Switzerland, as previously described (Bisig et al., 2015;Müller et al., 2010Müller et al., , 2011Morin et al., 2008). Briefly, the exhaust was diluted 1:10 in filtered air, based on previous work (Steiner et al., 2013a(Steiner et al., , 2013b and to enable comparison with previous gasoline exhaust studies (Bisig et al., 2015, where it was noted that it represents a highly-polluted site (i.e., a high dose exposure). ...
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Communities resident in urban areas located near active volcanoes can experience volcanic ash exposures during, and following an eruption, in addition to sustained exposures to high concentrations of anthropogenic air pollutants (e.g., vehicle exhaust emissions). Inhalation of anthropogenic pollution is known to cause the onset of, or exacerbate respiratory and cardiovascular diseases. It is further postulated similar exposure to volcanic ash can also affect such disease states. Understanding of the impact of combined exposure of volcanic ash and anthropogenic pollution to human health, however, remains limited. The aim of this study was to assess the biological impact of combined exposure to respirable volcanic ash (from Soufrière Hills volcano (SHV), Montserrat and Chaitén volcano (ChV), Chile; representing different magmatic compositions and eruption styles) and freshly-generated complete exhaust from a gasoline vehicle. A multicellular human lung model (an epithelial cell-layer composed of A549 alveolar type II-like cells complemented with human blood monocyte-derived macrophages and dendritic cells cultured at the air-liquid interface) was exposed to diluted exhaust (1:10) continuously for 6 h, followed by immediate exposure to the ash as a dry powder (0.54 ± 0.19 µg/cm2 and 0.39 ± 0.09 µg/cm2 for SHV and ChV ash, respectively). After 18 h incubation, cells were exposed again for 6 h to diluted exhaust, and a final 18-h incubation (at 37°C and 5% CO2). Cell cultures were then assessed for cytotoxic, oxidative stress and (pro-)inflammatory responses. Results indicate that, at all tested (sub-lethal) concentrations, co-exposures with both ash samples induced no significant expression of genes associated with oxidative stress (HMOX1, NQO1) or production of (pro-)inflammatory markers (IL-1β, IL-8, TNF-α) at the gene and protein levels. In summary, considering the employed experimental conditions, combined exposure of volcanic ash and gasoline vehicle exhaust has a limited short-term biological impact to an advanced lung cell in vitro model.
... These testing strategies will require both realistic lung models and proper dosimetry techniques. The need for in vitro models predictive of inhalation toxicity and lung disease formation in humans is well recognized by the respiratory research community (Oberd€ orster et al. 2005a(Oberd€ orster et al. , 2005bSayes et al. 2007;B erub e et al. 2009;Jones & Grainger 2009;Geiser & Kreyling 2010;Huh et al. 2010;M€ uller et al. 2011;Klein et al. 2013;Herzog et al. 2014;Grabinski et al. 2015). While traditional toxicity studies in vivo have the advantage of reconstituting organ-and organism-level functions, given the costs, ethical concerns, and questionable human relevance of animal studies, it is arguable that modern in vitro testing techniques may reduce and possibly replace certain animal tests if adequate systems are developed and correlated to the in vivo human response (Sayes et al. 2007;Jones & Grainger 2009;Nel et al. 2013;Bachler et al. 2015). ...
... The most easily measured and reported dose measurement, administered (exposure) dose, in AIC exposure refers to the measurement of nanoparticle mass, surface area, or number of particles that is added to the medium (air or liquid) during exposure. Although metrics in mass ) and surface area concentrations (Bitterle et al. 2006;Raemy et al. 2011;Lenz et al. 2013) have been reported, administered dose is most commonly reported in particle number concentrations measured using scanning mobility particle sizer/condensation particle counters (SMPS/CPC) (Bitterle et al. 2006;Savi et al. 2008;de Bruijne et al. 2009;Baber et al. 2011;M€ uller et al. 2011;Raemy et al. 2012;Asimakopoulou et al. 2013;Lenz et al. 2013). Occasionally, other online particle sizers are used, such as fast mobility particle sizer (FMPS) and diffusion size classifiers like the DiscMini (M€ uller et al. 2011;Raemy et al. 2012). ...
... Although metrics in mass ) and surface area concentrations (Bitterle et al. 2006;Raemy et al. 2011;Lenz et al. 2013) have been reported, administered dose is most commonly reported in particle number concentrations measured using scanning mobility particle sizer/condensation particle counters (SMPS/CPC) (Bitterle et al. 2006;Savi et al. 2008;de Bruijne et al. 2009;Baber et al. 2011;M€ uller et al. 2011;Raemy et al. 2012;Asimakopoulou et al. 2013;Lenz et al. 2013). Occasionally, other online particle sizers are used, such as fast mobility particle sizer (FMPS) and diffusion size classifiers like the DiscMini (M€ uller et al. 2011;Raemy et al. 2012). The average background concentration of airborne particles is on the order of 10 4 particles/cm 3 or 10 lg/m 3 (Wehner et al. 2002;He et al. 2004;Paur et al. 2011). ...
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Little consistency exists in the methodology for toxicological testing of aerosolized nanoparticles used in in vitro, air-interfaced culture (AIC) exposure systems for engineered nanoparticles (ENPs) risk-assessment, preventing inter-laboratory comparisons to identify dose thresholds for adverse effects. These inconsistencies result from heterogeneity in particle types, exposure durations, exposure systems, and dose metrics reported. We screened 10,241 studies in the literature for toxicological assessment of ENPs, resulting in 110 publications included after meeting eligibility criteria. In this review, we critically analyzed methodology within these studies to answer whether: (1) the administered dose or the deposited dose correlated better with biological response, (2) a difference existed between various AIC exposure systems when depositing the same dose, (3) consistent results were generated for nanomaterials with similar physico-chemical properties, (4) the deposited dose in vitro correlated to the deposited dose in vivo, and (5) AIC studies reliably modeled acute toxicity in vivo. Methods used in delivering, measuring, and reporting ENP aerosol doses in vitro are summarized. Dosimetry and biological response comparisons of AIC, conventional suspensions, and in vivo exposures are discussed through case studies on silver, zinc oxide, titanium dioxide, and multi-walled carbon nanotube exposures. Finally, based on these findings, recommendations are offered for design of future AIC experiments to aid standardization and comparisons of results.