“…The transient increase in ROS levels and activation of Nrf2 transcription factor for TiO 2 and to a lesser extent PAA correlates with the highest cytotoxicity of these two NPs and is in agreement with other studies, where it has been shown that TiO 2 and iron oxide NPs can induce apoptosis and other changes in vitro through ROS-mediated mechanisms [ 73 , 77 , 78 , 79 , 80 , 81 , 82 , 83 , 84 , 85 ]. Furthermore, mild oxidative stress activates phase II antioxidant enzymes through the activation of Nrf2 transcription factor, while high levels of ROS overwhelm a cell’s protective mechanisms and cause cell dysfunction and cell death [ 75 ].…”