Background: Hazard identification for risk assessment of nanoparticles (NPs) is mainly composed ofin vitrocell-based assays andin vivoanimal experimentation. The rapidly increasing number and functionalizations of NPs makesin vivotoxicity tests undesirable on both ethical and financial grounds, creating an urgent need for development ofin vitrocell-based assays that accurately predictin vivotoxicity and facilitate safe nanotechnology.Methods: In this study, we used 9 different NPs (CeO2, TiO2, carbon black, SiO2, NiO, Co3O4, Cr2O3, CuO, and ZnO). As anin vivotoxicity endpoint, the acute lung inflammogenicity in a rat instillation model was compared with thein vitrotoxicity endpoints comprising cytotoxicity, pro-inflammatory cytokine expression, or haemolytic potential. Forin vitroassays, 8 different cell-based assays were used including epithelial cells, monocytic/macrophage cells, human erythrocytes, and combined culture.Results: ZnO and CuO NPs acting via soluble toxic ions showed positive results in most of assays and were consistent with the lung inflammation data. When compared inin vitroassays at the same surface area dose (30 cm2/mL), NPs that were low solubility and therefore acting via surface reactivity had no convincing activity, except for CeO2NP. Cytotoxicity in differentiated peripheral blood mononuclear cells was the most accurate showing 89% accuracy and 11% false negativity in predicting acute lung inflammogenicity. However, the haemolysis assay showed 100% consistency with the lung inflammation if any dose, having statistical significance was considered positivity. Other cell-basedin vitroassays showed a poorer correlation within vivoinflammogenicity.Conclusions: Based on the toxicity mechanisms of NPs, two different approaches can be applied for prediction ofin vivolung inflammogenicity. Mostin vitroassays were good at detecting NPs that act via soluble ions (i.e., ZnO and CuO NP). However,in vitroassays were limited in detecting NPs acting via surface reactivity as their mechanism of toxicity, except for the haemolysis assay.