“…It is noteworthy that these experimental models have examined different administration routes, doses employed, time of exposure, and types of TiO 2 NPs [ 20 , 27 ]. Apart from quantitative effects, the qualitative effects of TiO 2 particles of different morphology and structure are very similar in terms of pro-inflammatory (i.e., ROS production, cytokine production, ingestion path) and cytotoxic activity [ 3 , 4 , 8 , 10 , 13 ], even independently of the administration route [ 4 , 12 , 13 , 20 , 27 ]. Interestingly, TiO 2 NPs and nanowires appear to be taken up by inflammatory and epithelial cells through two pathways: endocytosis and penetration, with the latter being suggested by the presence of free cytosolic TiO 2 NPs in the absence of a limiting endosome membrane [ 4 , 6 , 11 , 14 , 28 , 29 ].…”