“…reported a correlation between the concentration of free surface -SiOH groups and the hemolytic activity, while Murashov and co-workers claimed the density of the geminal silanol groups (two −OH groups linked to the same silicon atom), a minor feature of the silica surfaces, to be responsible for hemolysis. Other chemical treatments severely affecting the surface and consequently depressing the hemolytic activity have been ascribed to the involvement of silanols: adsorption of polymers (e.g., poly(2-vinylpyridine- N -oxide) (PVPNO)), , proteins, and lipids (e.g., albumin, lecithin, serum, plasma and corona), − chloroquine, , and aluminum compounds (e.g., AlCl 3 , aluminosilicate compounds, and aluminum lactate). ,, A decrease in hemolytic activity was also observed by replacing the hydroxyl groups with trimethylsilyl groups and by etching silica particles with hydrofluoric acid. , Recent studies on the porous structure of amorphous silica NPs revealed that mesoporosity for particles of similar size reduced their hemolytic activity because of the depletion of surface silanol groups accessible to the RBC membranes. − In addition, particle size appears to be related to hemolytic activity for both micro and nanosilicas. Considering micrometric-sized particles, the smaller quartz particles were found to be more membranolytic than the larger ones. , In contrast, hemolytic activity increased with increasing particle size with fumed silica, mesoporous silica, and colloidal amorphous silica NPs .…”