“…As a result, in addition to the fact that even the smallest differences in NM physicochemical properties such as size, coatings, synthesis methods, structural defects, concentrations, exposure times, etc . may significantly affect the degree of cell–nano interactions and associated NM toxicity, research groups are employing different methodologies in attempt to evaluate NM toxicity in vitro , leading to discrepancies in published data and irreproducible results . NMs have also been shown to induce toxicity to different cell lines by a variety of mechanisms, either by ROS-mediated apoptosis ( via mitochondrial membrane potential disruption, DNA damage, or activation of MAPK and p53 signaling pathways), endoplasmic reticulum-mediated apoptosis, autophagy, or necrosis, rendering it even more difficult to understand the critical factors involved in their toxicity and to standardize assays, and calling for innovative solutions in the field of nanotoxicology …”