ISSN: 2476- 2334
Review Article
International Journal of Nanotechnology & Nanomedicine
Graphene and its Health Effect
Awodele MK*, Adedokun O, Bello IT and Olusola Akinrinola
*
Corresponding author
Awodele MK, Department of Pure and Applied Physics, Ladoke Akintola
Department of Pure and Applied Physics, Ladoke Akintola University University of Technology, Ogbomoso, Nigeria, E-mail: mkawodele@lautech.
edu.ng
of Technology, Ogbomoso, Nigeria
Submitted: 06 Nov 2018; Accepted: 12 Nov 2018; Published: 30 Nov 2018
Abstract
This study is a review of risk-related information on graphene with the purpose of outlining potential environmental
and health risks. It is a guide to future risk-related research on graphene. The study will be based on the emissions,
environmental fate, and toxicity of graphene. It shows that graphene could exert a considerable toxicity, emission of
graphene from electronic devices and composites are possible in the future. It is known that graphene is both persistent
and hydrophobic. Although these results indicate that graphene may cause adverse environmental and health effects,
and that there are many risk-related knowledge gaps to be filled with the environment. Graphene can bind the cell
surface and cause physical and chemical damage to the cell membrane. It is known that graphene may interact with
protein and nucleic acids, altering their structure and function on the other hand, graphene may regenerate reactive
oxygen species (ROS) which can also cause disruption of membrane, lipids, proteins and nucleic acids. The toxicity
of graphene should be further studied.
Introduction
Graphene is a monolayer thick, 2-dimensional form of carbon atoms
linked together in a hexagonal lattice. The sp-2 hybridization of
all bonds across the sheet gives rise to its interesting and unique,
physical, mechanical, thermal and electrical properties. Thus
graphene can be considered to be a 2-dimensional form of its
analogue graphite. Importantly, the properties of graphene vary
significantly to the bulk material graphite, particularly in terms of
electron mobility, and these significant feature differences have
driven research in fields as diverse as electronics, materials, energy,
defense, security, water and health [1,2]. However to date, the bulk of
the material that is produced is geared toward research applications
or in composites production. Graphene is transparent, flexible, very
strong, and has already been used to create fast transistors.
Figure 1: An illustration of different allotropes of carbon arising
from a graphene sheet [3].
Int J Nanotechnol Nanomed, 2018
All carbon nanomaterial are based on variations of graphene, a one
atom thick honeycomb-like arrangement of carbon atoms. Graphene
can be stacked, wrapped or rolled to form graphite, football-like
‘buck balls’ or carbon nanotubes (CNTs). Research into the properties
and uses of graphene has rapidly expanded over the past decade.
Indeed, prior to the seminal paper by Geim, et al. which eventually
led to the 2009 Nobel Prize for physics, the potential of this material
was relatively underappreciated [4]. The use of graphene as the
load-bearing component in composites is highly beneficial. The
high tensile strength of graphene coupled with the ultra-high aspect
ratios that are possible using most particulate production methods
has led to the rapid uptake of this technology. Furthermore, the
potential for using graphene in thin film and coatings applications
is increasing, with the goal to produce modified surfaces with
improved structural integrity, better heat resistance, conductance,
transparency or protection from corrosion [5]. Recent studies
have also shown that graphene could be used in water purification
applications due to its high cation exchange capacity and its vast
available surface area, it can also be use for desalination. Other
potential applications of graphene include in sensor technology,
opto-electronic devices, high electron mobility transistors, super
capacitors, catalysis and photovoltaic (nano crystal solar cell).
Many of these uses for graphene will have significant economic
and environmental benefits however it is of great importance that the
possible downside effects of incorporating graphene into products
which may come into contact with the biosphere are accurately
known. A thorough understanding of the interaction with biological
material is essential prior to the uptake and utilization of graphene
on a wide scale, particularly if there is significant potential for it
to find its way into the environment and human body. Graphene is
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an attractive material for the development of membranes due to its
atomic thickness, mechanical strength and chemical stability. Pristine
sheets of graphene are thought to be impermeable to all atoms and
molecules. However, by forming nanometer-sized pores in the
material, it can potentially act as alter, allowing molecules smaller
than the pores to pass through while excluding larger species [6].
Potential biomedical applications for graphene have been suggested.
The low surface energy of graphene makes it an attractive substrate
for the delivery of hydrophobic drugs [7-8].
Figure 2: An illustration of various applications of graphene and
its derivatives [3].
The unique structure of graphene could allow for its use as a contrast
agent in biomedical imaging since the influence of particle size is
important in biomedical applications. Single layer graphene may
potentially sit in between the leaflets of a lipid bi-layer; it is unlikely
though that few layer graphene however could be incorporated.
Furthermore, the ability for cells to phagocytize graphene is largely
dependent upon particle dimensions [9]. Whilst cytotoxicity is hence
of a clear and present concern, graphene as a building block presents
a novel opportunity for designing and functionalizing systems and
products that can potentially transform the manner in which we live.
Hence there is a strong push for understanding the interaction of
graphene with cells and bacteria. Bacterial interaction with surfaces
is ubiquitous in nature. There are also countless examples where
biofilm formation leads to significant environmental and health
problems. For instance in a marine environment, biofilm formation
on ship hulls can lead to corrosion and increased drag as bacteria
colonization can lead to subsequent attachment of other organisms
such as barnacles. Whilst this can result in a substantial economic
cost, the health problems arising from bacteria attachment to medical
implants can be fatal if not properly dealt with in a timely fashion
[9-10]. However the possible health effects of graphene are both
positive and negative and it will be looked into so that the measures
to reduce or cancel the health risk of graphene can be discussed.
Positive Health Effects of Graphenes
Graphene can be used for environmental applications, such as
cleaning up hazardous materials and pollutants in contaminated
waters. While the potential use and safety of CNTs has been
investigated for some time, much less is known about graphene,
partly because of early difficulties in increasing its production and
because it is in an early stage of development [11]. Now, with
increasing research, the adoption of different types of graphene
materials in different industries will increase the likelihood of human
exposure to this material. The researchers are investigating the
physical and chemical characteristics of graphene as well as CNTs
to look at how both may affect health [12]. Existing knowledge and
experience from safety studies using CNTs was used to speculate on
the safety of graphene and the possible effects of graphene on human
Int J Nanotechnol Nanomed, 2018
health should be examined at the cellular, tissue and whole body
levels in comparison to CNTs. The extent and mechanism by which
cells interact and uptake graphene is considered critically important,
since once inside a living cell the material could interact with or
disrupt cellular processes and cause damage. Exposing the body to
carbon nanomaterial could result in either their accumulation in the
tissues or elimination through excretion. Accumulated nanomaterial
could pose a risk to organ function, and therefore to health [13].
There are two main safety factors to consider regarding exposure to
CNTs and graphene. The first is their ability to generate a response
by the body’s immune system and the second is their ability to cause
inflammation and cancer. Three generalised guidelines had been
developed from the existing evidence and if implemented, could
reduce the overall health risk to a minimum for workers involved in
developing graphene as well as graphene-based technologies. The
graphene sheets are small enough for immune cells to engulf and
can be removed from the site where they were found in the body. A
stable graphene sheet can be easily dispensed in water to minimise
clumping and aggregation in the body and chemically modified
graphene material can be cleared from or biodegraded in the body,
to prevent damage from chronic accumulation into the tissues [11].
Improving the Delivery of Chemotherapy
Graphene had been used as an alternative coating for catheters to
improve the delivery of chemotherapy drugs.
Figure 3: Use of graphene as an alternative coating for catheters
[14].
The research suggested that placing graphene which is an extremely
thin sheet of carbon atoms; on the internal surfaces of intravenous
catheters commonly used to deliver chemotherapy drugs into a
patient’s body will improve the efficacy of treatments, and reduce
the potential of the catheters breaking [14]. The study indicates
that damaging interactions can occur between the most commonly
used chemotherapy drugs, 5-Fluorouracil (5-Fu) and silver—one
of the most widely used coating materials in medical applications.
As a result of this damage it is believe that the drug may not deliver
the desired therapeutic effect in patients, and that chemotherapy
treatment may be compromised.
Moreover by-product of the reaction between 5-Fu and silver is
hydrogen fluoride (HF), a strong acid, may be injected into the
patient along with the treatment. Co-author of the study Justin Wells,
from the Norwegian University of Science and Technology, said:
“As far as we know, nobody has ever looked at the chemical reaction
between chemotherapy drugs and the materials they routinely come
into contact with, such as catheters and needles and their coatings. It
is just assumed that the drugs are delivered into the body intact. “We
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have shown that silver is catalytically degrading the chemotherapy
drugs, which means they are probably not being correctly delivered
into the patient. Our research indicates that one of the decay products
of this reaction is HF, which would be a worrying thing to inject into
a patient.” As a solution to this problem, the international teams of
researchers have proposed using graphene as an alternative coating
material for catheters. In their study, the researchers used a technique
known as x-ray photoemission spectroscopy (XPS) to study the
chemical composition of 5-Fu, as well as the drug’s reactions with
silver and graphene.
XPS is a technique used to measure the surface chemistry of a
particular material by firing a beam of x-rays at it and collecting
the electrons that are subsequently emitted from the very top layer
of the material. The researchers performed these measurements at
the Swedish national synchrotron laboratory—MAX IV Laboratory.
Their results showed that when 5-Fu comes into contact with silver,
reactions occur in which there is a massive loss of the element
fluoride from the drug, leading to the creation of HF. When the
researchers with 5-Fu repeat the experiment and graphene, they
found that these reactions completely disappeared and that graphene
caused no damage to the drug. Graphene is a biocompatible material
with low toxicity that has already been suggested as an external
coating for biomedical applications.
The fabrication of thin graphene coatings is technological feasible
and can even be grown on top of silver to maintain compliance
with existing fabrication methods. The understanding of the critical
interactions between drugs and medical coatings should be increased
with a view to make the knowledge freely available for all to use.
Having been demonstrated that the GO-Fe3O4 magnetic nanoparticle
hybrids are suitable for DDS carriers [15]. The loading capacity
of the drug, doxorubicin hydrochloride (DXR), was 1.08 mg/mg,
which was much higher than all other common drug carrier materials
(i.e., polymer micelles, hydrogel micro-particles, liposomes, and
carbon Nano-horns). These hybrid complexes can be congregated
and dispersed reversibly under different pH conditions. This
pH-triggered, controlled magnetic behaviour provides a unique
advantage as DDS carriers. Report on doxorubicin (DOX) loaded
GO, encapsulated with folic-acid-conjugated CS, as a drug carrier
[8]. This carrier showed better controlled, and prolonged, drug
release after encapsulation, compared to without encapsulation.
Furthermore, because the DOX were attached to GO by physical π−π
interactions, release was highly sensitive to pH under physiological
conditions. Intrinsic biomaterials can be used to modify graphene
to be more biocompatible. Report show that gelatine wrapped
graphene Nano-sheets (GNSs) exhibited no cytotoxicity. In acidic
environments, the complexes showed fast drug release, as well
as high loading capacity under other conditions [15]. The drug
delivery actions were demonstrated with complexes loaded with
the anticancer drug, DOX, which killed MCF-7 cells, while other
complexes without the drug did not interrupt growth of the cells.
Similarly, graphene could be modified with biocompatible CS.
A covalently grafted GO with CS (GO-CS), could be used as a
nano-carrier of camptothecin (CPT), an anticancer drug insoluble
in water. The release profile of the nano-carrier gradually increased
to 17.5% for 72 h. Cell toxicity of the carrier was tested by MTT
assay of human hepatic and cervical carcinoma cells (HepG2 and
HeLa). While GO-CS showed no toxicity up to 100 mg/L, GOCS-CPT showed a 50% growth inhibition concentration (IC50) at
a concentration of as little as 29 μM [16].
Drug Delivery
Drug delivery systems (DDS) have been devised to minimize the side
effects of bioactive drugs by restricting their functions to only the
desired sites. Such systems have also been used to prolong medicinal
effects or treatments. The current challenges in DDS research are
developing a smart delivery system for recognized targets, which is
called ‘targeted drug delivery,’ and a sustained and responsive release
system for the drugs. Realization of an optimal release system will
require controlling complex transport and surface phenomena (e.g.,
diffusion, degradation, swelling, release profiles, and adsorption of
DDS elements). In this context, I project that graphene will find vast
opportunities as a DDS carrier because of its exceptional versatility
and functionality.
One proven strategic route is that water insoluble hydrophobic
bioactive agents, can attached to the surface of a graphene by
physical bonding in the forms of hydrophobic, van der Waals,
or π−π stacking interactions. Graphene with bio agents may be
further modified to be soluble in aqueous conditions by grafting
water-soluble molecules onto them. Thus, the resulting graphene
complexes could facilitate the overall efficacy of the drug. It was
reported that a GO-PEG complex can be physically decorated with a
water insoluble aromatic SN38 (7-ethyl-10-hydroxy-camptothecin),
thus creating reservoir sites for hydrophobic drugs. Because of the
extremely hydrophobic nature of graphene crystal surfaces, SN38
adhered well to the complexes, and the whole complexes showed
controlled release of hydrophobic drugs in physiological serum
solutions. These GO-DDS complexes would be useful for broad
ranges of biomedical applications because of their safety and noncytotoxicity, which were confirmed by in vitro cell experiments.
Int J Nanotechnol Nanomed, 2018
Figure 4: Schematic illustration of a drug delivery system [17]
Use for Neural Interfaces
A neural interface is a communication system between a tissue in
a body and an external electrical device, which is mostly operated
by electrical signals. Due to the electrochemical signals between
a stiff, dry electrode and a soft, wet tissue, the challenges are not
just showing good physical properties and performance, but also
chronic biocompatibility and functional stability of the electrode.
A good neural electrodes must be biocompatibility to delay or avoid
immune responses by the body and the cell safety must be ensure
to prevent them from being damaged. Chemical or electrochemical
should be stable to bear changes within the body. The electrode
selectivity and sensitivity should be effective to measure electrical
signals [17]. A hard, rigid and stiff materials (e.g., ceramics
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and metals−platinum, iridium, and gold; silicon, and indium tin
oxides), are currently used for neural electrodes, softer electronic
materials are now receiving increasing attention to better adapt to
the difference in interfacial qualities of cells and electrodes. Some
conducting polymers, including polyaniline, polypyrrole and poly
(3,4-ethylenedioxythiophene (PEDOT), showed promising results
with improved biocompatibility and electrochemical impedances
over conventional metals. After discovery of the limitations of
functional durability of those conducting polymers after chronic
implantation, carbon nanomaterials are now being investigated
as new types of neural electrodes. Therefore graphene and other
carbonaceous materials (e.g., carbon nanotubes) are emerging as a
potential neural interface material. The graphene-coated composites
significantly lowered sheet resistance and enhanced attach mguyent
of primary cortical neurons onto the scaffolds the uncoated ones. It
means that high quality graphene can be used to interface with cells
directly, without other biomaterials [18]. The biocompatibility of
graphene can also be improved by appropriate physical treatments
instead of being coated with other non-conducting biomaterials. The
graphene deposited electrodes on a flexible microprobe could be used
as a retina prosthesis electrode. The graphene surface can be treated
with steam plasma in order to make the electrode hydrophilic as well
as biocompatible. This treatment ultimately resulted in an improved
signal-to-noise ratio during neural recordings from the axons of a
crayfish and the heart of a zebra fish. This noise may have been
caused by proximate contacts between the cells and electrodes [17].
Graphene electrodes are excellent electrochemically functional
materials, particularly for sensitive recording of biological signals
[19]. Measured an action potential directly from cardiomyocytelike HL-1 cells using arrays of graphene-based transistors. The
graphene-based solution-gated field-effect transistors (SGFETs) used
in their work were sensitive enough to record selective biological
signals, i.e., an S/N ratio of more than ten, which is analogous to
a state-of-the-art microelectrode array [20]. Also designed is the
graphene-silicon nanowire FETs interfaced with embryonic-chicken
cardiomyocyte. These graphene-FET in contact with spontaneously
beating cardiomyocyte cells provided regularly spaced peaks with
a frequency of about 1.1 Hz, and an S/N ratio of more than four,
for the conductance versus time measurement results [21]. GO is
use as a dopant of PEDOT films for neural electrodes. PEDOT-GO
exhibited a sharp decrease in electrical impedance of the Pt-Ir neural
electrode. As tested the PEDOT-GO surface with primary cortical
neurons, their neurites were extensively branched out, even within
a day of incubation. There was no significant difference in viability
between PEDOT-GO and PEDOT-PSS, but the cells on PEDOT-GO
showed longer neurite length than those on the PEDOT-PSS, which
is a clear benefit for application to neural electrodes. Furthermore,
laminin peptide could easily be grafted onto the GO so that its
coating surface showed much improved neurite outgrowth from
the cells [22-23].
Negative Health Effects of Graphene
Health Risk to Workers
Graphene is a two-dimensional carbon sheet that has a single atom
thickness; it is receiving a significant interest due to its unique
mechanical and electrical properties. It can be grown via chemical
vapour deposition from carbon-containing gases on the surface of
catalytic metals including Co, Pt, Pd, Ni and Fe. [23].
Int J Nanotechnol Nanomed, 2018
Studies had shown that graphene oxide in a solution mimicking
groundwater clumped and sank, and this suggests that it is not a
risk. But in the case of surface water like lakes and storage tanks for
drinking water graphene oxide stuck to the organic matter produced
by decomposing plants and animals and floated around. The mobility
of water increases the chances that animals and people could ingest
graphene oxide, and this shows toxicity in some early studies in
mice and human lung cells [24].
Investigations on toxicity of graphene nanosheets in both Grampositive and Gram-negative bacterial models have shown that
graphene damages bacterial cell membranes through direct contact
of the bacteria with extremely sharp edges of the nanowalls. When
tested in the respiratory tract, the graphene caused a milder toxicity
on the epithelial cells and luminal macrophages in comparison
to carbon nanotubes. Particle size, particulate state, and oxygen
content of graphene are key issues in its toxicity to human red
blood and skin fibroblasts. It is known that graphene oxide induces
cytotoxicity and genotoxicity in human lung fibroblasts through
generation of reactive oxygen species and apoptosis. The functional
groups density on the surface of graphene oxide sheets plays a
key role in its cellular toxicity. Though it is possible to reduce the
toxicity by manipulating the surface functional groups or masking
the oxygenated functional groups using a biocompatible polymer
or manipulating the surface functional groups [25]. The effects
of graphene oxide and polyvinylpyrrolidone modified graphene
oxide on human immune cells have been investigated in vitro and
showed that polyvinylpyrrolidone has a lower immunogenicity
than unadorned graphene oxide. Mogharabi, et al. Safety concerns
to application of graphene compounds in pharmacy and medicine
[26]. The modification can increase the anti-phagocytosis ability of
graphene oxide against macrophages with a significant improvement
in biocompatibility of graphene oxide [27]. Graphene oxide is able
to induce DNA cleavage, which raises the concerns about potential
toxicity of graphene oxide in human body [28]. The toxic effects
of graphene on shoot and root growth, cell death, biomass, shape,
and reactive oxygen species of several plants including cabbage,
tomato, red spinach, and lettuce have been already investigated.
The physiological and morphological analyses indicated that
exposure to graphene inhibits the plant growth and biomass through
overproduction of reactive free radicals [29].
Conclusion
Who would have thought that such beautiful physics was contained
in a simple pencil? Graphene is one of the hottest new materials in
physics today. Although it is still too early to predict its future, the
purity of the atomic monolayer is such that beautiful fundamental
physics will continue to be observed. Its commercial aspect will
only be made possible by the development of large scale processes
for graphene wafers or sheets, Nevertheless beautiful fundamental
physics has been and will be studied thanks to this discovery, and
a high predicted specimen surface area, together with the exotic
transport phenomena it exhibits make it a serious candidate for
numerous future studies. It is difficult to predict exactly the future
of this material.
For a few years, graphene research has exploded in some physical
application fields, particularly, in flexible electronics. However,
graphene research into bioengineering applications was relatively
moderate until recently. As the more fascinating properties of
graphene materials are revealed, and more interdisciplinary research
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efforts are attempted worldwide, more and more possibilities for
graphene as a biomaterial are now being actively discovered. Thus,
in this project work, comprehensively surveyed recent experimental
work related to tissue engineering and tissue regenerative medicine
utilizing graphene or graphene derivatives. The exceptional properties
of graphenes are now being incorporated into many functional
biological materials. Cell scaffolds, which modulate cell growth,
sitting patterns, and differentiation, are just one example of graphene
utilization towards better tissue regenerative medicine. Furthermore,
functional graphenes form biocompatible complexes with various
drugs that would otherwise be extremely difficult to deliver in
physiological solutions. These complexes can be designed to deliver
drugs to any desired site within bodily organs and tissues, because
of both their safety and functionality within living biological. In
addition, graphene, as a soft electronic material, could find distinct
roles in neural interface engineering. The examples introduced in the
review all corroborate the bright future of graphene for applications
in biological tissue engineering.
15.
16.
17.
18.
19.
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Copyright: ©2018 Awodele MK, et al. This is an open-access article
distributed under the terms of the Creative Commons Attribution License,
which permits unrestricted use, distribution, and reproduction in any
medium, provided the original author and source are credited.
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