“…Since the first recognition of adverse health effects from WC-Co exposure in the 1960s (Trautmann, 1958; Bech et al , 1962; Heuer, 1962; Beritic et al , 1963; Joseph, 1968), there have been a number of reports regarding the toxicity of WC-Co in the literature both in vitro (Edel et al , 1990; Lison and Lauwerys, 1990; Lison and Lauwerys, 1992; Lison and Lauwerys, 1993; Lison et al , 1995; Anard et al , 1997; Antonini et al , 2000; Roesems et al , 2000; Fedan and Cutler, 2001; De Boeck et al , 2003b; Lombaert et al , 2008; Bastian et al , 2009; Ding et al , 2009; Kuhnel et al , 2009; Busch et al , 2010; Zhang et al , 2010; Lombaert et al , 2012) and in vivo (Kerfoot et al , 1975; Kitamura et al , 1980; Lasfargues et al , 1992; Huaux et al , 1995; Lasfargues et al , 1995; Adamis et al , 1997; Rengasamy et al , 1999; De Boeck et al , 2003a). While it is well established that composite WC-Co particles are more toxic than tungsten (W), tungsten carbide (WC) or cobalt (Co) alone, the potential contribution of WC-Co particle internalization toward observed toxicity and the mechanism by which WC-Co particles could be internalized by relevant cells has not been well-addressed.…”