“…The instability of the dispersion can possibly modify the particle effects by lowering the effective blood concentration by aggregation at the injection site or at the first line of organ capillaries that can effectively filter the largest particles . This hindrance derives from the fact that the blood and isotonic perfusion buffersused in the ex vivo heart perfusion studiescontain relatively high concentrations of calcium, magnesium, and sodium cations − that can instantly precipitate GO in vitro and shortly after a tissue or vein injection. , The aggregation of GO was observed at similar to isotonic levels of bivalent calcium and/or magnesium , or monovalent sodium cations, despite a high dispersibility of GO in water and the initial stability of such dispersions. The colloid stability of GO is improved with the increasing number of oxygen-containing functional groups; it can be modified by other functionalization routes or by changing their pH-dependent ionization degree. , …”