Fullerenes represent a group of nanoparticles discovered in 1985. They are spherical molecules consisting entirely of carbon atoms (C x ) to which side chains can be added, furnishing compounds with widely different properties. Fullerenes interact with biological systems, for example, by enzyme inhibition, causing phototoxic reactions, being scavengers of reactive oxygen species and free radicals, in addition to being able to initiate free radical reactions. Absorption, distribution and excretion strongly depend on the properties of the side chains. The pristine C 60 has a very long biological half-life, whereas the most water-soluble derivatives are eliminated from the exposed animals within weeks. A long biological half-life raises concern about bioaccumulation and long-term effects. In general, the acute oral, dermal and airway toxicity is low. However, few relevant experimental studies of repeated dose toxicity, reproductive toxicity and carcinogenic effect are available. The data suggest that direct DNA damaging effects are low, but formation of reactive oxygen species may cause inflammation and genetic damage. Apparently, it is dose-dependent whether a beneficial or an adverse effect occurs.Nanoparticle-based technology is a rapidly growing area of interest [1,2], which takes advantage of the fact that the specific surface area increases dramatically at small-size particles, thus these particles may have properties that are different from corresponding particles with larger size [1][2][3]. This also applies for toxicity, which, among other factors, depends on surface area, chemical composition and shape [3]. Nanoparticles (<100 nm, at least in one dimension) comprise naturally occurring (e.g. combustion products) and engineered/ manufactured nanoparticles [3]. Nanoparticles are used, for example, in electronic equipments [1,2] In a recent publication from the German chemical industry, it appeared that the most commonly used manufactured nanoparticles are sialic acid, metal nanoparticles, metal oxides, silicate, carbon black, nanosilver, pharmaceutical products and other nanoparticles [7]. The similar bulk materials were used in the UK in addition to niche products such as fullerenes, carbon nanotubes, nanowires, quantum dots and other nanoparticles [2]. A large-scale production plant for fullerene has recently been opened in Japan, allowing a production of a high tonnage per year [2]. Due to the high electron affinity and superior ability to transport charge, fullerene-based solar cells are currently accepted as being the most effective for this purpose [8]. The in vivo biology and toxicology of fullerenes are the subjects of this MiniReview not only as fullerenes are interesting due to their technical properties, but also as they are considered candidates for new drugs, new antioxidants and new radicalscavenging compounds [5,9,10]. Further examples of in vitro effects are available from the recent review [10]. In vitro toxicity is only considered where assumed to contribute to the understanding ...