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Joint Toxicity and Interaction of Carbon-based Nanomaterials with Co-existing Pollutants in Aquatic Environment: A Review

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29 July 2024

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30 July 2024

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Abstract
This review paper focuses on the joint toxicity and interaction of carbon-based nanomaterials (CNMs) with co-existing pollutants in aquatic environments. It explores the potential harmful effects of chemical mixtures on living organisms, emphasizing the importance of scientific mod-eling to predict mixed toxic effects. The study involved a systematic literature review to gather information on the joint toxicity and interaction between CNMs and various co-contaminants in aquatic settings. A total of 53 publications were chosen and analyzed, categorizing the studies based on the tested CNMs, types of co-contaminants, and the used species. Common test models included fish and microalgae, with zebrafish being the most studied species. The review under-scores the necessity of conducting mixture toxicity testing to assess whether the combined effects of CNMs and co-existing pollutants are additive, synergistic, or antagonistic. The development of in silico models based on the solid foundation of research data represents the best opportunity for joint toxicity prediction, eliminating the need in a great quantity of experimental studies.
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Introduction

Considering the great opportunity for carbon-based nanomaterials (CNMs) application, it is not surprising the global market of CNMs has been rapidly growing for the last two decades. Recent Report (August 2023) of analytical company Precedence Research Pvt. Ltd. (Canada and India) estimated the global CNMs market size at USD 3.6 billion in 2022 and predicted the rise to USD 40.71 billion by 2032 with a notable compound annual growth rate (CAGR) of 27.5% during the forecast period 2023 to 2032 (https://www.precedenceresearch.com/carbon-nanomaterials-market). The forecast assumed the most remarkable CAGR of 16.6% for carbon nanotubes (CNTs) during the analyzed period with the highest growth of CNMs application in the medical and healthcare segment (17.2% CAGR). The impressive extension of CNMs production and application will inevitably lead to an increase in the frequency and volume of contact between these materials and humans or the environment.
The aquatic environment undergoes the impact of natural CNMs released by dust storms, forest fires, volcanic activities, and different anthropogenic combustion processes. Engineered CNMs could appear in water intentionally for use in groundwater remediation or as a result of biomedical applications [1,2,3]. It is important to notice that the release of engineered CNMs into the environment could occur at each stage of the life cycle, such as production, storage, application, and disposal [4]. Moreover, the atmospheric release of nanomaterials, infiltration, and accumulation to the soil finally reach a water body with sedimentation and surface wash. From this point of view, aquatic ecosystems could be considered the most vulnerable environmental entity.
The problem of environmental risk assessment for nanomaterials, including CNMs, has been studied for more than two decades. However, understanding the toxicity and effective risk management required considering many properties of the materials, including multiple variations and possible combinations of that properties, environmental conditions, and different sensitivity of exposed species and organisms. Among these parameters, the interaction of CNMs with other chemicals and compounds in aquatic media represents one of the less studied issues.
The specific objective of this study was to systematically review the existing data on the interaction and joint toxicity of CNMs with other emerging aquatic contaminants, aiming to provide the background and present state of the art in this topic. The following sections of this paper will provide (1) an overview of CNMs’ history, application, and risk assessment challenges, (2) a discussion on predictive models for mixture toxicity assessment and their applicability to CNMs, (3) a collection and systematic review of currently available research data of CNMs interaction and joint toxicity with common aquatic pollutants, such as heavy metals, pesticides, organic contaminants, and other.

Carbon-Based Nanomaterials: History, Risks, and Challenges

2.History, Classification, and Application of Carbon-Based Nanomaterials

Natural carbon-based nanomaterials (CNMs) have been a part of the environment for billions of years. The sources of natural CNMs include incomplete combustion in forest fires and volcanic activity, earthquakes, wind erosion, and others [5]. Early human activities additionally bring into the environment incidental CNMs as combustion by-products of smoke and campfires, and the volume of these emissions rapidly increased since the beginning of the Industrial Revolution [6]. The next milestone was the rise of nanotechnology with the expansion of engineered nanomaterials, which could possess unique and tunable properties and had great opportunities to be involved in many areas of industry and daily life [7]. The comprehensive overview of prehistorical, ancient, medieval, and modern formation, production, and application of natural, incidental, and engineered nanomaterials, including their classification, properties, and associated risks provided in the work of Barhoum et al. (2022) [8].
Conventionally, graphite and diamond represented the most common and studied carbon allotropes. The discovery of fullerenes in 1985 by Kroto et al. [9], the clarification of carbon nanotube (CNT) structure by Sumio Iijima in 1991 [10], and the discovery of graphene by Geim and Novoselov in 2004 [11] and the exploration the properties of this material in the series of their works around 2010 [12,13,14] gained great excitement in the scientific community. Nowadays, despite graphene, CNTs, and fullerenes, the family of CNMs includes a variety of products with remarkable properties, such as carbon dots (CDs), nanodiamonds (NDs), nanohorns (CNHs), nanofibers (CNFs), etc [15]. The properties of novel materials depend on hybridization and bonding between C atoms, crystallinity, size, shape, structure, surface properties, and others. According to dimensional classification, the types of CNMs are divided into zero-dimensional (0D), one-dimensional (1D), or two-dimensional (2D) materials, where the number reflects the number of dimensions above 100 nm [16].
The group of 0D materials, such as fullerenes, CDs, and NDs have high solubility in water, contrary to the other types of CNMs which predominantly form unstable dispersions [15]. These materials have remarkable optic properties, such as photoluminescence, which can be tuned with surface modification [17].
The group of 1D materials is represented by CNTs, CNFs, and CNHs. Carbon nanotubes demonstrate unique electrical properties useful for advanced electronics, electrical transport, energy storage, biomolecular sensing, and many other aspects [18]. Moreover, great surface area and porous structure make CNTs a promising substrate for targeted drug delivery, photodynamic and contrast therapy, and surface functionalization can further extend the possible application [19,20]. Carbon nanohorns (also known as nanocones) compared to CNTs do not have potentially toxic metal catalysts in their synthesis and can be produced at room temperature, however, they have low symmetry and tend to aggregate into spherical clusters [21]. CNHs suggest more effective surface functionalization than CNTs and have a great variety of applications [21].
The group of 2D materials includes graphene and its derivatives, namely graphene oxide (GO), reduced graphene oxide (rGO), graphene nanoribbons, and graphitic multilayered nanosheets [15]. The rapid increase in graphene research became possible due to the relatively simple and cheap laboratory production of high-quality graphene with exceeded characteristics, including mechanical stiffness, strength and elasticity, and very high electrical and thermal conductivity, compared to any other material [22]. Alongside the other CNMs, graphene can successfully obtain a surface modification. Due to the presence of oxygen groups, GO can interact with various molecules and might be applied for the removal of toxic gases, and the absorption of metal ions for water purification. GO also finds biomedical applications in drug delivery and biosensing [23].

2.Environmental Safety and Risk Assessment of Carbon-Based Nanomaterials

Since the early 2000s, the rise of nanotechnology as an industry has been a cause of concern regarding the safety of nanoparticles [24,25]. In 2004, Donaldson et al. introduced a new subcategory of toxicology named ‘nanotoxicology’ [26], and then the family of Günter, Eva, and Jan Oberdörster made an important impact to define and formulate the main principles of this discipline [27,28]. It should be highlighted that the properties and safety of nanoparticles and bulk materials of the same chemical composition significantly differ, and even very subtle changes in size, morphology, surface properties, or other characteristics of nanosized particles could dramatically change their toxicological profile [29]. Thus, the problem of nanoparticle risk assessment appears a very challenging task, especially assuming the variety of different types and modifications of nanomaterials.
Several studies made their efforts to model and compute risks and existing aquatic contamination with CNMs. Hong et al. (2022) calculated the predicted environmental concentration of graphene and graphene-family nanomaterials for surface water in EU, and the obtained value would reach 1.4 ng/L by 2030 [30]. The used model stated that the concentration of graphene and graphene-family nanomaterials will increase more than 1000-fold between 2010 and Sun et al. (2014) obtained predicted environmental concentration of CNTs and fullerenes in surface water of EU, which was 4.0 and 0.11 ng/L, respectively [31]. The growth of the CNMs market will lead to an increase in risks for aquatic ecosystems. Moreover, it should be highlighted that the used calculations considered only background pollution, which did not include occasional releases.
For two decades classic approach of ecotoxicology was used to assess the effects of CNMs on representative species of aquatic biota [32,33]. Commonly used test species include bacteria, microalgae, crustacean, bivalves, the other aquatic invertebrates, and fish. Ecotoxicological effect of different CNMs in aquatic species have been overviewed in several works [4,32,33,34].
The main benefits of this body of research work include a definition of toxicity thresholds and possible modes of toxic action (MoE) for different types of CNMs in different aquatic species. After the testing of nanomaterials in multiple single-species tests, this data can be consolidated to generate species sensitivity distributions (SSDs), which model the range in sensitivities of different species [35] and allow further calculation of predicted no-effect concentrations (PNECs) for the whole biota [4]. For example, the PNEC values were reported for CNTs and fullerenes as 55.6 μg/L and 3.84 μg/L, respectively [36].
Despite the calculated PNECs considerably surpassing the predicted environmental concentration for the assessed materials (which is about several ng/L, as described above), there are possible risks associated with a variety of different nanomaterials, lack in knowledge of how the properties and characteristics of nanoparticles impact their toxicity, and possible enhancement of toxicity caused by interaction with other existing background contaminants.
The conventional approach of ecotoxicology often does not take account of real-life circumstances, such as transformation and aging of nanomaterials in aquatic media, the impact of background pollution and combined toxic action of nanomaterials with common aquatic pollutants. The listed aspects made risk assessment in aquatic nanotoxicology even more challenging and required careful examination.
Our previous work overviewed the main principles of physical, chemical, and biological transformation of CNMs in aquatic environment, including biodegradation and bioaccumulation [37]. Except physical and chemical characteristics of nanoparticles, the vital role in nanomaterials behavior have pH and ionic strength of the water, the presence and composition of natural organic matter (NOM), absorption of proteins and the formation of so-called “protein corona”. It is very important to take these processes into account for accurate risk assessment.
The other challenging problem in environmental risk assessment is evaluating the joint toxic action of multiple co-existing pollutants. The understanding of interaction and mixture toxicity of chemicals required strong theoretical base for the developments of mixture toxicity predictive models and the collection of big amounts of experimental data to improve, learn, and verify these predictive models. The principles of mixture toxicity prediction, applicability of the existing models to CNMs, and available experimental data of CNMs joint toxicity with the other aquatic contaminants will be overviewed in the following sections.

Predictive Models for Mixture Toxicity Assessment

3.The Main Principles of Mixture Toxicity Modeling

In ecotoxicology and pharmacology, the joint toxic effects of chemical mixtures can be described with the term additivity, synergism, and antagonism. Rodea-Palomares and co-authors (2015) in their work summarized existing definitions and described this concepts [38]. In general, additivity is the idea that the combined effect of different chemicals is equal to the sum of the effects of each individual component. Synergism is the situation where the joint effect is greater than that estimated for additivity, while antagonism is the situation in which combined toxic response is less than estimated for additivity. Hence, the additivity provides basis for the assessment of synergism and antagonism. Here, it should be highlighted that synergistic interactions represent the most harmful scenario, and even the chemicals considered as ‘safe’ could represent serious threat to living organisms in combination. In this point of view, interaction between individual pollutants required scientific based modeling to predict mixed toxic effect.
Based on the MoA of chemicals present in a mixture, the concept of additivity was expressed in two widely accepted mathematical models, namely Loewe’s model (similar MoA) also known as Concentration Addition (CA) [39] and Bliss’s model (different MoA) known as Independent Action (IA) [40].
Loewe’s CA model (Equation 1) anticipated that compounds with similar MoA behave as higher dose of a single compound or as simple dilutions of one another [41]. Subsequently, if the mixture effect is well predicted by CA model, MoA of chemicals can be considered similar [42]. The CA concept for “n” components expressed in the following equation:
i = 1 n C i D x , i = 1
where Ci is the concentration of chemical “i” in the mixture, Dx,i is the known concentration of “i” that causes “x” effect in individual exposure assay (LC50, EC50, EC10, NOEC and other endpoints can be used as “x”).
Bliss’s IA model (Equation 2) assumes that effects of chemicals with dissimilar MOE occur independently of each other and the overall effect can be predicted using the joint probability of occurrence for these effects [38,42,43]. The joint concentration of “n” components caused “x” effect can be predicted by IA model as follows:
D x , m i x = 1 i = 1 n ( 1 D x , i )
where ( 1 D x , i ) is the probability that “x” effect occurs through exposure to chemical “i”.
The important difference between these two models is that the total effect in CA model will be affected even if individual component is below their no-effect concentration (NOEC) as the total dose will be changed, but it would have no impact in IA model, because in this case the effect is null. Bliss’s IA model is more rarely used in ecotoxicological study because it cannot be used without quantification data of the concentration-response relationships and in real-life conditions independent action of chemicals is unrealistic [42].
The application of described models allows us to predict joined effect of the mixture based on known effects of individual components [42]. However, it is necessary to conduct mixture toxicity testing to evaluate whether the effect is additive or not. In case where the observed result satisfies used predictive model, the mixture effect is additive. Therefore, the interaction could be considered synergistic if observed effect is significantly higher than expected, and it would be antagonistic when observed effect is significantly lower than expected. Statistical testing method for determining whether the observed mixture effects significantly deviate from the one predicted by additive models described in the book of Masashi Kamo “Theories in Ecological Risk Assessment” (Chapter 7, 2023) [42]. The proposed method applies to any number of chemicals with provision the known concentration-response relationship and confidence interval for each substance.
According to the methodology presented above the only way to determine non-additive toxicity is through toxicity testing, however, it is unfeasible to test every possible combination of chemicals in specific environmental conditions. This obstacle is also relevant for real environmental conditions with many contaminants at low concentration. The solution for such a situation might be suggested by the funnel hypothesis which stated that non-additive effects (synergistic and antagonistic) can be observed only for mixtures with few chemicals, and additive effects dominate with increase of chemical number [44]. The funnel hypothesis assumes that in case of large number of chemicals the synergistic and antagonistic effects nullifies, and overall effect becomes additive [38,42,45]. However, this assumption is controversial and several studies have been suggested that synergistic effects are more likely to appear in multicomponent systems than additive [46,47,48].
Except classical CA and IA models, the toxicity of environmental contaminants can be predicted by the models based on quantitative structure–activity relationship (QSAR) techniques [43,44]. QSAR is the similarity-based statistical technique that identifies the mathematical relationship between the molecular properties (activity/toxicity/physical property) and structural features of molecules [49]. This approach aimed to overcome the limitations of conventional models, such as the lack of knowledge in the MoAs for many chemicals and inability to predict synergistic effects. Moreover, QSAR-based computational models can find relationships between theoretically derived molecular descriptors and empiric toxicological responses [50]. QSAR models have been used for the toxicity assessment of different nanomaterials, such as metal oxides, silica nanoparticles, and carbon nanotubes [54,55,56]. For instance, research has been conducted on multi-walled carbon nanotubes, fullerenes, and other CNMs to understand their potential toxic effects on living organisms and the environment [54]. Additionally, research by Buglak et al. (2019) discussed the application of QSAR in cytotoxicity studies of various engineered nanomaterials, including multi-walled carbon nanotubes, highlighting the effectiveness of QSAR models in toxicological assessments [56].
The successful development and application of QSAR-based modeling for mixture toxicity assessment will be further stimulated by the recent rise of computation capacity and the growing body of experimental data.

3.Applicability of Joint Toxicity Models for Carbon-Based Nanomaterials

While previous studies have successfully applied CA, IA, and QSAR-based models to mixtures of organic chemicals, there is a gap in predictive models for nano-mixtures. Currently, few studies have been applied predictive models to assess joint toxicity of CNMs with common contaminants, and there is a need for further research in this area.
CA and IA models was used for the prediction of joint toxicity of graphene, GO and five ionic liquids in freshwater green microalga S. obliquus [51]. The other work applied QSAR-based model to predict combined toxicity of graphene nanoplatelets with 3,4-dichloroaniline on microalgae S. obliquus and C. pyrenoidosa [52]. Zhang et al. (2021) in their work presented the integration of classic approaches to mixture toxicity assessment and in silico methods for forecasting the toxicity of a mixture of engineered nanoparticles [53]. The nano-mixture QSAR models with application of different machine learning techniques (i.e., random forest, neural network, support vector machine, and multiple linear regression) have been developed by Trinh et al. (2021) to predict joint toxicity of TiO2 nanoparticles and four metal ions in Daphnia magna [54]. This approach of nano-mixture QSAR modeling has good potential to be applied for CNMs.
Several works used QSAR models to predict adsorption of different contaminants by CNMs. Apul et al. (2013) developed predictive models based on QSAR and Linear Solvation Energy Relationship (LSER) techniques for adsorption of 29 aromatic contaminants by CNTs [55]. Lata and Vikas (2021) in their work proposed a quantum-mechanical model to predict the concentration-dependent adsorption coefficients of aromatic and aliphatic organic contaminants by graphene nanosheets [56].
These studies demonstrate the significance of QSAR models in forecasting the toxic interactions of CNMs with different contaminants, providing valuable insights for risk assessment and safe design of nanomaterials. Alongside with need in higher computational power, further progress in this area restricted with limited experimental data on joint toxicity of CNMs with different co-contaminants in aquatic species. The next section summarizes the existing research data on interaction and mixture toxicity of CNMs with common environmental pollutants.

Current Available Data of CNMs Interaction and Joint Toxicity with Emerging Aquatic Pollutants

This section gathers and discusses the main existing studies devoted to the interaction and aquatic toxicity of CNMs with common pollutants, such as heavy metals, pesticides, hydrocarbons and others.
Literature collection was performed in Google Scholar (scholar.google.com) using the keywords “carbon”, “graphene”, “nanomaterial”, “nanoparticle”, “mixture”, “joint toxicity”, and “aquatic species”. Each publication was carefully checked before collection. The gathered publications were annotated to provide the main results of joint toxicity and interaction between CNMs and assessed co-contaminants. The last search was conducted in July A total of 53 publications were sorted and listed in the tables in the following subsections according to used co-contaminants, such as (1) heavy metals, metal ions, and metal-based nanoparticles (24 studies), (2) pesticides (12 studies), (3) organic chemicals, including hydrocarbons (9 studies), and (4) other emerging pollutants (8 studies). Currently, the most studied CNM is GO (23 studies), followed by CNTs (20 studies), and graphene (11 studies). Among the used test models, the most common were fish and microalgae (18 studies for each). The most used species was zebrafish Danio rerio (12 studies).

4.Joint Toxicity of CNMs with Heavy Metals and Metal-Based Nanoparticles

Heavy metals in very low concentrations naturally represented in the earth’s crust and often have essential role in maintaining various biochemical and physiological functions in living organisms [57]. However, the human activities led to dramatic increase of the metal concentrations in water and provoked serious ecotoxicological risks for aquatic species [58,59]. Among heavy metals, essential elements include copper (Cu), selenium (Se), chromium (Cr), molybdenum (Mo), zinc (Zn) and iron (Fe), but these elements become toxic above certain threshold concentrations. Non-essential heavy metals are cadmium (Cd), lead (Pb), and mercury (Hg), and these elements can replace essential metals and exhibit high toxicity by accumulation at metabolically active sites [57].
The metals released into aquatic environment are distributed between aqueous phase and sediment. Suspended trace metals exist as free ions, as ions bound to different ligands, or ions absorbed to the surface of suspended particles and organic matter [60]. Moreover, the interaction with different compounds and other pollutants can alter the toxic effects of heavy metals.
According to their high surface area and porosity, CNMs have been considered as promising adsorbent for heavy metal ions removal [61]. Moreover, CNMs have great potential for functionalization which allows adjusting their surface properties for better absorption of specific pollutants [62]. The maximum sorption capacity of carbon materials for toxic metal removal was evaluated with the Langmuir isotherm and pseudo-second-order kinetic models, and CNMs were listed in the following order beginning from the highest sorption: carbon nanotubes > graphene > activated carbon > carbon quantum dots [63]. The adsorption processes are influenced by factors like pH, temperature, contact time, and dosage [61,63]. In general, the application of pure CNMs and CNMs-based adsorbents for removal of heavy metals and other pollutants from aqueous systems has demonstrated high efficiency in many laboratory-scale studies [64,65,66], but it required further testing in the conditions of real-life industrial wastewater which complicated by the presence of other pollutants and organic compounds. Moreover, there is a risk of secondary water contamination by CNMs with bounded metal ions which could cause significant threat to aquatic species.
It should be highlighted that the toxic level of most types of CNMs for aquatic species is relatively lower than that of heavy metal ions and metal-based nanoparticles [67,68]. Moreover, the toxicity varies depending on species sensitivity to the impact of different heavy metals [69,70,71] and different types of CNMs [72,73]. To date, a few studies have investigated joint toxicity of these pollutants in aquatic environment and the mechanisms of their combined toxic action are not fully understood. Most of the existing studies reported antagonistic interactions between CNMs and metal ions. The existing publications related to aquatic toxicity and interaction of CNMs with heavy metals, metal oxides and metal-based nanoparticles represented in Table 1.
Table. Summary of current studies on CNMs co-exposure with heavy metals, metal oxides and metal-based nanoparticles in aquatic species.
Table. Summary of current studies on CNMs co-exposure with heavy metals, metal oxides and metal-based nanoparticles in aquatic species.
CNMs Co-contaminant Species Toxicity endpoints Observed effects Reference
Studies used fish as a test-model
1. GN Two types of nanocomposite with Ni Danio rerio 3 h, 144 h post-fertilization embryo toxicity test, biochemical response, locomotor behavior assay, bioaccumulation neither of two GN/Ni nanocomposites presented lethal or developmental effects in zebrafish; both nanocomposites reduced the locomotion of zebrafish larvae; the differences in biochemical response were mostly associated with shape of nanoparticles than with their size Almeida et al. 2019 [74]
2. Multi-layer GN ZnO Capoeta fusca 96 h-LC50, histopathological and behavioural effects synergistic at 96 h acute exposure, antagonistic effect on the histopathological and behavioral disorders Sayadi et al. 2022 [75]
3. GO Zn, Cd Geophagus iporangensis 24 h metabolic rate, ammonia excretion GO intensified metabolic rise and ammonia excretion in fish caused by Zn, co-exposure of GO and Cd only decreased metabolic rate and did not affect ammonia excretion Medeiros et al. 2020 [76]
4. GO Cr6+ Danio rerio embryos 48 h exposure, embryo-larval toxicity, bioaccumulation, ROS generation, metabolic changes co-exposure increased lipid peroxidation in embryos compare to single exposure; GO adsorbed Cr6+ ions and enhanced contact between adsorbed Cr6+ and chorions; sharp edges of GO also facilitated Cr6+ uptake by embryos. Chen et al. 2022 [77]
5. GO Mixture of Cr, Cu, Ni, and Zn Salmo trutta (embryos and larvae) Bioaccumulation, survival, heart rate, genotoxicity, cytotoxicity, metallothionein levels, lipid peroxidation single and joint exposure had no impact on embryos survival, but lethality of the metal mixture on larvae was nullified in co-exposure with GO. The chorion of embryos was more attracted to GO than external tissues of larvae Jurgelėnė et al. 2022 [78]
6. MWCNTs ZnO NPs Cyprinus carpio 4 weeks of exposure, histopathology, bioaccumulation antagonistic effect at the low level of MWCNTs and synergetic effect at the high level of MWCNTs; MWCNTs significantly decreased ZnO accumulation in the intestine after four weeks of exposure Gao et al. 2024 [79]
7. O-MWCNTs Cd Danio rerio liver cell line 24 h exposure, DNA comet assay, ROS generation, enzyme activity synergistic effect; co-exposure increased the Cd content in the cells; two different exposure protocols tested, FBS serum in the culture medium changed the uptake of metal into cells Morozesk et al. 2020 [80]
Studies used mussels or clams as test-model
8. GO Cu Ruditapes philippinarum 29-day exposure, metabolism, and oxidative stress-related parameters demonstrated the dependence of the toxic response on pH, low pH showed increased electron transport system and glutathione-S-transferase activities and reduced glutathione levels under pollutants co-exposure Britto et al. 2020 [81]
Studies used shrimp or crustacean as a test-model
9. GO Zn, Cd Palaemon pandaliformis 96 h LC50, routine metabolism (oxygen consumption and ammonia excretion) GO increased the toxicity of Zn and Cd and impaired the routine metabolism of P. pandaliformis Batista de Melo et al. 2019 [82]
10. GO Cd2+ and BSA (for albumin corona formation) Daphnia magna 48 h-EC50 (immobilization) antagonistic effect; bare GO reduced cadmium toxicity by 110%, albumin coronated GO reduced cadmium toxicity by 238%, albumin corona formation dramatically increased colloidal stability of GO and adsorption capacity of Cd2+, Martinez et al. 2020 [83]
11. SWCNTs, MWCNTs, OH-MWCNTs, COOH-MWCNTs Cd Daphnia magna 24-h LC50 (immobilization), bioaccumulation all used CNTs enhanced the toxicity of Cd; the toxicity-increasing effect of SWCNTs and MWCNTs was mainly caused by catalyst impurities, while OH-MWCNTs and COOH-MWCNTs enhanced joint toxicity due to the greater adsorption of Cd Wang et al. 2016 [84]
Studies used microalgae as a test-model
12. GN, GO, GN-H Cd Scenedesmus obliquus 72 h EC50 (growth rate), Chl-a synthesis, cytotoxicity GN and GO enhanced the toxicity of Cd at all the used concentrations, while GN-H enhanced the toxicity of Cd only at the lowest used concentration (0.1 mg/L), the influence of graphene family NMs on the acute toxicity of Cd was in the order of GO > GN > GN-H (at GNMs concentration 0.1 mg/L to 1 mg/L) Zhang et al. 2020 [85]
13. GO Cu2= Scenedesmus obliquus 96 h EC50 (growth rate inhibition) 12-d subacute toxicity test antagonistic effects, GO reduced the toxicity of Cu even at low and environmentally relevant concentrations (1 mg/L) Hu et al. 2016 [86]
14. GO Cu2+ Chlorella pyrenoidosa 72 h EC50 (growth rate inhibition), ROS generation antagonistic effect; pristine GO and Cu2+ ions had significantly higher toxic effect than the same chemicals after 8 days of sunlight irradiation; Cu2+ ions suppressed the photo-transformation of GO, Cu2+ ions formed Cu-based nanoparticles on the photo-transformed GO Zhao et al. 2020 [87]
15. rGO nanocomposites with Au, Ag, Pd, Fe3O4, Co3O4, SnO2 Chlamydomonas reinhardtii, Scenedesmus obliquus 96 h acute exposure, ROS quenching, proteomic analysis, membrane damage microalgae with more hydrophobic cell surfaces had more metal ion adsorption, rGO nanocomposites with more heterointerfaces were more prone to induce cellular oxidative stress and membrane damage Yin et al. 2020 [88]
16. GNPs, rGO nZrO2 Chlorella pyrenoidosa 72h EC10, EC50 (growth rate inhibition) ROS generation, cellular membrane functional changes synergistic effect, rGO increased the cytotoxicity and intracellular ROS accumulation to a higher extent than GNPs Wang et al. 2021 [89]
17. GQDs ZnO Heterosigma akashiwo 96 h EC50 (growth rate) antagonistic effect at low concentrations, and synergistic effect at high concentrations; adsorption of released Zn2+ ions on GQDs, Wang et al. 2022 [90]
18. GQDs ZnO Gymnodinium sp. 96 h EC50 (growth rate inhibition), ROS generation antagonistic effect, due to aggregation and sedimentation interaction between nanoparticles; ZnO alone had no negative effect on the algae growth, while GQDs revealed dose-dependent growth rate inhibition Zhu et al. 2022 [91]
19. CNTs CuO Skeletonema costatum 96 h exposure, chlorophyll and photosynthetic efficiency (ΦPSII) antagonistic effect caused by adsorption of Cu2+ on CNTs and aggregation between nano-Cu and CNTs Zhang et al. 2018 [67]
20. CNTs Cu, Cd, Zn Scenedesmus obliquus 96 h EC10, EC50 (growth rate inhibition); 8 d exposure, biochemical response, photosynthetic activity antagonistic effect caused by inhibition of metal uptake by co-exposure with CNTs; CNTs in single exposure enhanced the photosynthetic activity of S. obliquus Sun et al. 2020 [92]
21. MWCNTs CuO Scenedesmus obliquus 96 h EC50 (growth rate inhibition) ROS generation, cell membrane damage MWCNTs were significantly more toxic than CuO NPs; at lower concentrations, CuO reduced cell membrane damage and ROS level caused by MWCNTs; highest concentrations of MWCNTs and CuO synergistically enhanced the ROS level Fang et al. 2022 [93]
Studies used bacteria as test-model
22. GO Cd2+, Co2+, Zn2+ Escherichia coli, Staphylococcus aureus 24 h acute exposure an antagonistic effect caused by metal ions adsorption on GO, an increase in the zeta potential and the size of GO aggregates, and a decrease in the sharpness of GO edge. Gao et al. 2018 [94]
23. MWCNTs, COOH-MWCNTs, OH-MWCNTs, NH2-MWCNTs, SWCNTs Cu, Cr microbial communities with dominant Bacillus sp. and Acidithiobacillus sp. 40 d exposure, population quantitation, microbial community structure, metal ions sorption co-exposure with metals decreased bacteria population after 10 d exposure, while after 40 d CNTs with Cu increased bacterial copy number;carboxyl- and hydroxyl-CNTs exhibited more toxicity than pristine SWCNTs, MWCNTs, and amino-functionalized MWCNTs Wang et al. 2015 [95]
Studies used multispecies test-model
24. GO ZnO Scenedesmus obliquus, Daphnia magna, Danio rerio EC/LC10, EC/LC50 (algae: 96 h growth rate; daphnids: 48 h immobilization; fish: 96 h lethality) the joint effects of ZnO NPs and GO NPs were additive to S. obliquus and D. magna but antagonistic to D. rerio. The impact of Zn2+-ions was limited due to the adsorption to the GO NPs Ye et al. 2018 [96]
GN, graphene; GO, graphene oxide; GN-H, amine-modified graphene; GNPs, graphene nanoplatelets; GQDs, graphene quantum dots; rGO, reduced graphene oxide; SWCNTs, single-walled carbon nanotubes; MWCNTs, multi-walled carbon nanotubes; O-MWCNTs, oxidized multi-walled carbon nanotubes; COOH-MWCNTs, carboxylated multi-walled carbon nanotubes; OH-MWCNTs, hydroxylated multi-walled carbon nanotubes; NH2-MWCNTs, amino-functionalized multi-walled carbon nanotubes; nZrO2, nano-zirconium oxide; BSA, bovine serum albumin.

4.Joint Toxicity of CNMs with Pesticides

Pesticides are broadly applied to increase agriculture production and to fight against disease-causing vectors. Pesticides generally include herbicides, insecticides, algaecides, antimicrobials, repellents, fungicides, and others [97]. Pesticides are chemically classified as organochlorines, organophosphate, carbamates, and substituted urea. Among these, organochlorines are the most hazardous class of pesticides, followed by organophosphorus and carbamates [98]. At the same time, pesticides or pesticide residues may cause various harmful effects on living organisms and the environment. Through spillage, industrial effluent, surface runoff, or pesticide-treated soils pesticides or pesticide residues are transported into the aquatic environment where aquatic organisms are extremely vulnerable to their toxicity [99,100].
The comprehensive review work of Hegde et al. (2024) summarized the state of the art in agricultural applications of CNMs, such as agrochemical sensing, agrochemical remediation, and fertilizer delivery [101]. Many research works demonstrated that CNMs can act as carriers, facilitating the entry of chemicals into organisms, which fit a phenomenon known as the ‘Trojan-horse effect’ [102]. This effect might have a positive outcome and is often applied intentionally for an enhancement of pesticide target reaching and lowering possible negative effects for other organisms [103]. At the same time, there are cases with opposite results.
Considering the diversity of pesticides, understanding the combined toxicity of CNMs and pesticides is crucial for assessing and mitigating their effects on the aquatic environment. The existing publications related to aquatic toxicity and the interaction of CNMs with pesticides are represented in Table 2.
Table. Summary of current studies on CNMs co-exposure with pesticides in aquatic species.
Table. Summary of current studies on CNMs co-exposure with pesticides in aquatic species.
CNMs Co-contaminant Species Toxicity endpoints Observed effects Reference
Studies used fish as a test-model
1. GO TDCIPP Danio rerio 3 d, 7 d developmental toxicity, mitochondrial function, proteomic assays antagonistic effect on the developmental toxicity (malformation, mortality, and heart rate), GO co-exposure promoted activation of the energy metabolisms in zebrafish and mitigated the adverse effects induced by TDCIPP Zou et al. 2020 [104]
2. MWCNTs, COOH-MWCNTs bifenthrin Danio rerio 42 d experiment (28 d exposure phase and 14 d elimination phase), gene expression, bioaccumulation MWCNTs and COOH-MWCNTs increased the impact of bifenthrin on zebrafish; the genes related to immunity, endocrine activity, and neurotoxicity showed enantioselective expression in different zebrafish tissues; sex-specific differences were observed Zhao et al. 2022 [105]
3. MWCNTs BDE-47 Danio rerio 2 h embryo, 96 h LC50; embryonic development, oxidative stress, apoptosis, DNA damage antagonistic effect, BDE-47 induced development inhibition, oxidative stress, and apoptosis in zebrafish; MWCNTs limited bioavailability of BDE-47, the levels of oxidative stress biomarkers, apoptosis, and DNA damage decreased in the presence of MWCNTs Wang et al. 2020 [106]
4. HNO3–MWCNT carbofuran Oreochromis niloticus 96 h LC50; oxygen consumption, swimming behavior synergistic effect, HNO3–MWCNT more than five-fold increased the acute toxicity of carbofuran; co-exposure caused a decrease in both oxygen consumption and swimming capacity Campos-Garcia et al. 2015 [107]
Studies used mussels or clams as test-model
5. GN TPP Mytilus galloprovincialis computational toxicology and multi-omics technology the down-regulated genes in graphene + TPP treatment were mainly associated with oxidative stress and energy metabolism; metabolic response indicated disturbances in energy metabolism and osmotic regulation under co-exposure Li et al. 2021 [108]
6. GN TPP Mytilus galloprovincialis embryo exposure, in silico toxicogenomic, metabolic pathway analysis, oxidative stress, developmental abnormality authors established a conceptual framework of developmental abnormality; co-exposure induced significant transcriptional inhibition, disturbed morphology and physiological parameters, increased deformity and mortality to induce the developmental abnormality Wang et al. 2023 [109]
7. GN TPP Mytilus galloprovincialis hemocytes hematotoxicity, genotoxicity, oxidative stress GN exposure caused oxidative stress and DNA damage in the hemocytes and these effects were significantly reduced after combined exposure with TPP; the up-regulated genes in the co-exposure group were mainly associated with reduced apoptosis and DNA damage Meng et al. 2020 [110]
Studies used shrimp or crustacean as a test-model
8. GO PYR, LCT Daphnia similis 48 h EC10, EC50 (immobilization), uptake synergistic effect, Trojan horse effect, GO increased toxicity up to 83% for PYR and 47% for LCT, pesticide adsorption on GO led to the stabilization of the suspensions; properties of the organic toxicants can influence the stability of graphene oxide suspensions and plays a fundamental role in the modulation of their toxicity de Paula et al. 2022 [111]
9. GDNPs TBZ Daphnia magna EC50 (48 h, immobilization) synergism at low concentrations (probably the ‘Trojan horse’ effect) and antagonism at high GDNPs doses caused by aggregation of GDNPs and reducing the bioavailability of adsorbed TBZ Martín-de-Lucía et al. 2019 [112]
10. HNO3-MWCNT carbofuran Palaemon pandaliformis 24 h exposure, metabolic rate (oxygen consumption), and ammonia excretion higher increase of metabolic rate and ammonia excretion after co-exposure (probably additive effect) Alves et al. 2022 [113]
Studies used bacteria as test-model
11. CNTs PCP Escherichia coli Bacterial growth inhibition, cell morphology changes, oxidative stress, transcriptional changes, bioaccumulation antagonistic toxicity; PCP decreased CNT bioaccumulation; CNTs attenuated the PCP-induced disturbances of gene expression in biosynthetic, protein metabolic, and small molecule metabolic processes Deng et al. 2019 [114]
12. O-CNTs PCP, CIP Bacillus subtilis 3-h EC50 (bacterial growth), ROS generation, metabolomic response additive effect with hydrophobic PCP and synergistic effect with hydrophilic antibiotic CIP because of ‘Trojan horse effect’; CNTs, PCP, and CIP had similar influences on the contents of fatty acids, amino acids, glycerol, galactosamine, and small molecular acids in bacteria Deng et al. 2021 [115]
GN, graphene; GO, graphene oxide; GDNPs, graphite-diamond nanoparticles; HNO3-MWCNT, multi-walled carbon nanotubes oxidized with HNO3; MWCNTs, multi-walled carbon nanotubes; COOH-MWCNTs, carboxylated multi-walled carbon nanotubes; O-CNTs, oxidized carbon nanotubes; CIP, ciprofloxacin; LCT, lambda-cyhalothrin; PCP, pentachlorophenol; PYR, pyriproxyfen; TBZ, thiabendazole; TDCIPP, tris(1,3–dichloro–2–propyl) phosphate; BDE-47, 2,2′,4,4′-tetrabromodiphenyl ether; TPP, triphenyl phosphate.

4.Joint Toxicity of CNMs with Organic Contaminants, Including Hydrocarbons

Hydrocarbon contamination, which includes compounds like aliphatic, monoaromatic (BTEX), polycyclic aromatic hydrocarbons (PAHs), phenols, and volatile organic compounds discharges into water bodies from sources like crude oil, petroleum-based products, and pesticides [116]. Petroleum industries contribute significantly to hydrocarbon contamination through oil spillage during exploration, transportation, storage, and refining processes.
Hydrocarbon contamination levels in water vary across different regions. Research on the Danube River and its branches in Hungary revealed concentrations of PAHs ranging from 25 to 1,208 ng/L in water samples and 8.3 to 1,202.5 ng/g in sediments, with pyrogenic sources identified as major contributors [117]. The total average concentrations of PAHs in seawater, surface sediment, and marine organisms of Haizhou Bay, China were 24.8 ng/L, 293.5 ng/g, and 392.6 ng/g, respectively [118]. Studies in Nigeria have shown elevated total petroleum hydrocarbon (TPH) concentrations in water, sediment, and fish samples, with the highest levels observed in sediment samples [119]. These findings underscore the urgent need for remediation efforts to mitigate hydrocarbon pollution in water bodies and protect both the environment and human health.
Different types of CNTs were reported in removing benzene, toluene, ethylbenzene, and xylene (BTEX) from an aqueous solution with better adsorption capacity for SWCNTs [120]. Purified CNTs with opened ends have more adsorption capacity [121]. The other effective method to enhance the performance of CNTs for BTEX adsorption is surface modification [122]. Graphene and GO nanosheets were described as effective adsorbents for PAH removal [123]. GO nanoparticles demonstrated higher adsorption affinity to PAHs compared to CNTs and C60 nanoparticles due to reduced aggregation and the high surface O-content of GO nanoparticles [124].
The existing publications related to aquatic toxicity and the interaction of CNMs with hydrocarbons and other organic contaminants are represented in Table 3.
Table. Summary of current studies on CNMs co-exposure with hydrocarbons and other organic contaminants.
Table. Summary of current studies on CNMs co-exposure with hydrocarbons and other organic contaminants.
CNMs Co-contaminant Species Toxicity endpoints Observed effects Reference
Studies used fish as a test-model
1. GO BPA Danio rerio embryo, larvae, and adult male fish 7d exposure, deep neural network modeling, molecular docking analysis, metabolic pathway analysis GO enhanced the endocrine disruption effects of BPA in the adult zebrafish by the significant reduction of testosterone and follicle-stimulating hormone levels, and lowering spermatozoa; co-exposure caused disturbance in three additional metabolic pathways and stronger perturbations on carbohydrate, lipid, and amino acid metabolism in adult fish; the opposite effect observed in zebrafish embryo and larvae Chen et al. 2022 [125]
2. SWCNT PFOS Danio rerio 24, 48, 72, and 96 h exposure, bioaccumulation, AChE activity, ROS generation, antioxidation enzymes enhanced the injury effect of PFOS on ROS, SOD, CAT, and AChE activity; PFOS was adsorbed by SWCNT, which reduced the bioconcentration in zebrafish tissue and enhanced that in skin Li et al. 2017 [126]
3. SWCNTs, MWCNTs a mixture of different-type CNTs, NOM Danio rerio 96 h survival, embryo development, oxidative stress, transcriptional effects embryonic chorions had a stronger barrier to the mixed-type CNTs than to the single-type CNTs, but the presence of NOM weakened this barrier; NOM reduced the antioxidant activity and the expression of genes involved in the antioxidant pathway Lu and Wang 2023 [127]
4. MWCNTs fluoranthene and NOM Pimephales promelas 16 h exposure, bioavailability, bioaccumulation bioavailability of fluoranthene was reduced after adsorption to MWNTs, from 60% to 90% of the fluoranthene was adsorbed to the MWNTs; fluoranthene was not desorbed from ingested MWCNTs; NOM influenced the adsorption of fluoranthene to MWNTs Linard et al. 2014 [128]
Studies used mussels or clams as test-model
5. GN TPP Mytilus galloprovincialis 7 d exposure, gene expression, enzyme activity TPP adsorption on GN could inhibit the surface activity of GN and reduce tissue damage and oxidative stress; GN in single up-regulated exposure the expression of the stress response, cytoskeleton, and reproductive genes, but these genes were significantly down-regulated after combined exposure Meng et al. 2019 [129]
6. GO B[a]P Mytilus galloprovincialis 7 d exposure, bioaccumulation, hemocyte response, enzyme activities in tissues, histopathology higher joint toxicity due to the “Trojan horse” effect, but bioaccumulation of BaP was reduced by GO nanoplatelets González-Soto et al. 2023 [130]
7. C60 B[a]P Mytilus galloprovincialis 72 h exposure, genotoxic and proteomic response the antagonistic effect at the genotoxic and proteomic level was observed based on a single concentration of C60 (further study is needed); co-exposure caused no difference in bioaccumulation and no Trojan horse effects Barranger et al. 2019 [131]
8. C60 fluoranthene Mytilus sp. 72 h exposure, oxidative stress, genotoxicity, histopathology, physiological effects co-exposure had rather additive than synergistic effects; co-exposure enhanced the levels of DNA strand breaks and elevated total glutathione levels indicating oxidative stress Al-Subiai et al. 2012 [132]
Studies used microalgae as a test-model
9. GN, GO, rGO HA Chlorella pyrenoidosa ROS generation antagonism between HA and all the three types of NMs; the degree of antagonism followed the order rGO > GO > GN; HA reduced membrane damage and in microalgae and NMs–algae heteroaggregation (for rGO and G) Zhao et al. 2019 [133]
GN, graphene; GO, graphene oxide; rGO, reduced graphene oxide; C60, fullerene; CNTs, carbon nanotubes; BPA, bisphenol A; PFOS, perfluorooctane sulfonate; NOM, natural organic matter; TPP, triphenyl phosphate; B[a]P, benzo(a)pyrene; HA, humic acid; AChE, acetylcholinesterase.

4.Joint Toxicity of CNMs with Other Co-Contaminants

This subsection summarizes the studies of CNMs’ interaction with other contaminants that have not been represented before. It includes chemical derivatives, antibiotics, and binary interaction between different CNMs. Table 4 listed the publications related to toxicity and interaction of CNMs with aquatic contaminants not represented in previous tables.
Table. Summary of current studies on CNMs co-exposure with the other emerging aquatic contaminants.
Table. Summary of current studies on CNMs co-exposure with the other emerging aquatic contaminants.
CNMs Co-contaminant Species Toxicity endpoints Observed effects Reference
Studies used fish as a test-model
1. C60, SWCNTs, MWCNTs, GO, GN As (III) Danio rerio 96 h acute exposure, As accumulation, biochemical responses GO and GN elevated accumulation and toxicity of As (III) in D. rerio, while the effect was marginal for co-exposure to SWCNTs, MWCNTs, and C60 Wang et al. 2021 [134]
2. C60, SWCNTs, MWCNTs, GO, GN As (V) Danio rerio 96 h acute exposure, As accumulation, biochemical responses C60 reduced the toxicity of As(V) probably due to coating As(V) ion channels and inhibition of total As accumulation; MWCNTs demonstrated a similar C60 effect, while accumulation and toxicity of As(V) had little or no change in the presence of SWCNTs, GO and GN Wang et al. 2024 [135]
Studies used microalgae and cyanobacteria as test-model
3. GN, GO Five ionic liquids Scenedesmus obliquus EC10, EC50 (96 h growth rate inhibition) additive effect at low concentrations of the mixtures but antagonistic at high concentrations; a combination of GO with ionic liquids had more severe joint toxicity than the binary mixtures with GN; the mechanism of the joint toxicity may be associated with the adsorption capability of the graphenes for the ionic liquids Wang et al. 2017 [51]
4. GO As (III), As (V) Chlorella pyrenoidosa 72 h EC50 (growth rate inhibition), ROS generation, membrane damage the synergistic toxic effect between GO and As (III, V) even at environmental concentrations of As (III, V), the adsorption capacity of GO for As (III) was higher than As (V) Cao et al. 2019 [136]
5. GO biologically treated wastewater Chlamydomonas reinhardtii 72 h-EC50 (growth rate), esterase activity, cytoplasmic membrane potential, ROS generation the antagonistic effect; joint exposure significantly reduced cytotoxicity due to the adsorption of toxic chemicals on the surface of GO nanoparticles and to the higher aggregation of GO in wastewater Martín-de-Lucía et al. 2018 [137]
6. GO FLO, ETM, OFL, CTC Synechocystis sp. 96 h exposure, ROS quenching, membrane permeability, malondialdehyde analysis, proteomic analysis additive effect with FLO, antagonistic effect with ETM, OFL, and CTC; combined exposure groups revealed increased membrane permeability due to downregulation of the proteins related to perceiving and transmitting the signals of hyperosmotic stress You et al. 2022 [138]
7. GO GOQD, C-SWCNT Microcystis aeruginosa 72 h, 7 d growth inhibition, ROS generation, metabolomic response antagonistic action of the GO+C-SWCNT mixtures and synergistic action for the GO+GOQD mixture; hormetic effect on microalgae proliferation was observed for GOQD and the GO+GOQD mixture Zhao et al. 2023 [139]
8. CNTs CAP, TC Synechocystis sp. 96 h acute exposure, ROS generation additive effect in CNTs+CAP co-exposure, CNTs mitigated the inhibition effect of CAP on protein biosynthesis, while CAP enhanced the upregulation of proteins induced by CNTs; antagonistic effect in CNTs+TC exposure due to the strong adsorption and catalytic degradation of TC by CNTs You et al. 2021 [140]
GN, graphene; GO, graphene oxide; C60, fullerene; SWCNTs, single-walled carbon nanotubes; MWCNTs, multi-walled carbon nanotubes; CNTs, carbon nanotubes; C-SWCNT, carboxylic acid-functionalized single-walled carbon nanotubes; GOQD, graphene oxide quantum dots; As (III), arsenite; As (V), arsenate; FLO, florfenicol; ETM, erythromycin, OFL, ofloxacin; CTC, chlorotetracycline; CAP, chloramphenicol; TC, tetracycline.

Conclusions and Future Prospects

An impressive rise of nanotechnology, including the growth in the production and application of CNMs, supports the development in optics, energy storage, healthcare, and other areas of industry and daily life. At the same time, the widespread application of CNMs includes risks to human health and the environment. Despite the safety of the most common CNMs, such as CNTs, graphene, or GO, which have been examined in different aquatic and terrestrial species for two decades, the mechanisms of their toxic action are not fully understood. Moreover, the risk assessment of nanomaterials is further complicated by the diversity of their types and modifications, environmental transformation, and interaction with other chemicals.
The existing body of research data reveals the lack of standardized assays which makes comparison of studies on CNMs mixture toxicity difficult. This review set out to provide and discuss state of the art in principles of combined toxicity assessment and joint toxic action of CNMs with other pollutants in aquatic species.
The developed surface area and the possibility of surface functionalization allow CNMs to effectively adsorb metal ions, pesticides, and other organic compounds. Alongside the possible application for water purification, it changes the bioavailability of the pollutants to aquatic species. Whether joint action will be antagonistic or synergetic to a large extent depends on the hydrophilic/hydrophobic properties of the CNMs and cell membrane properties of the exposed organism. For example, it was demonstrated that oxidized CNTs had additive toxicity with hydrophobic organochlorine pesticide pentachlorophenol and synergistic toxic effect with hydrophilic antibiotic ciprofloxacin in bacteria B. subtilis [115].
Moreover, CNMs could increase the uptake of adsorbed pollutants by the phenomenon called the “Trojan horse effect”. However, further toxic action depends on the ability of the CNM to release the adsorbed chemical. It was demonstrated that oxidized MWCNTs increased the uptake and toxicity of Cd in the D. rerio liver cell line [84], but GO reduced the toxicity of Cu2= to microalgae S. obliquus [90] and C. pyrenoidosa [87], and bacteria E. coli and S. aureus [98]. The other observed trend is synergistic action at low concentrations caused by a “Trojan horse effect” and antagonism at high doses of CNMs caused by aggregation of carbon nanoparticles which already adsorbed a pollutant [112]. However, the effect might be the opposite if the CNM has higher toxicity than the other chemical or material in the co-exposure [79].
This review work has also shown that the great variability of parameters that dramatically influence the real-life behavior and toxicity of CNMs cannot be considered in any experimental study. Thus, a risk assessment bioassay should focus on the attempt to find patterns in the interaction of different isolated parameters of the assay. In this point of view, further research studies with different aquatic species exposed to CNMs combined with various aquatic pollutants are needed to gather more evidence for further analytical processing.
The other suggestion for future study includes the development, adaptation, and improvement of in silico computation models for joint toxic action of CNMs in aquatic media. Despite several successful applications of QSAR-based models for combined toxicity [57] and adsorption [55,56] of CNMs with other compounds, this research area is in the very early stage of development. These models will allow the analysis of the existing in vivo risk assessment data and develop forecasting ability for untested combinations of pollutants.

Author Contributions

Conceptualization, K.P.; methodology, K.P.; data curation, S.A.J. and R.S.O.; writing—original draft preparation, K.P.; writing—review and editing, K.P.; supervision, K.G.; project administration, K.G.; funding acquisition, K.G.

Funding

The work was supported by the Russian Foundation for Basic Research (RFBR), project number 20-53-56041.

Institutional Review Board Statement

Not applicable.

Informed Consent Statement

Not applicable.

Data Availability Statement

Not applicable.

Conflicts of Interest

The authors declare no conflicts of interest.

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