Asbestos Fibers and Other Elongate Mineral Particles: State of the ...
Asbestos Fibers and Other Elongate Mineral Particles: State of the ...
Asbestos Fibers and Other Elongate Mineral Particles: State of the ...
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80<br />
• Investigate mechanisms <strong>of</strong> EMP-induced<br />
pulmonary disease; <strong>and</strong><br />
• Determine whe<strong>the</strong>r cell proliferation in<br />
<strong>the</strong> lungs (terminal bronchioles <strong>and</strong> alveolar<br />
ducts) can be a predictive measure <strong>of</strong><br />
pathogenicity following brief inhalation exposure<br />
<strong>and</strong> use <strong>of</strong> <strong>the</strong> BrdU assay [Cullen et<br />
al. 1997].<br />
Exposure protocols for tracheal inhalation or<br />
instillation in an animal model for short-term<br />
in vivo studies using field-collected or laboratory-generated<br />
EMPs should address possible<br />
adulteration <strong>of</strong> EMP morphology (e.g., anomalous<br />
agglomeration <strong>of</strong> particles). This might<br />
be addressed in part by preconditioning EMPs<br />
in a delivery vehicle containing representative<br />
components <strong>of</strong> pulmonary hypophase fluids.<br />
Exposure protocols using pharyngeal aspiration<br />
as a delivery system should be considered,<br />
given <strong>the</strong> observations in studies with singlewalled<br />
carbon nanotubes that such a delivery<br />
system closely mimics animal inhalation studies<br />
[Shvedova et al. 2005, 2008].<br />
Studies evaluating <strong>the</strong> roles <strong>of</strong> biopersistence<br />
<strong>and</strong> dimension in <strong>the</strong> development <strong>of</strong> noncancer<br />
<strong>and</strong> cancer endpoints from exposure to EMPs<br />
are also needed. These studies should attempt to<br />
elucidate <strong>the</strong> physicochemical parameters that<br />
might affect bio-durability <strong>of</strong> EMPs <strong>of</strong> specific<br />
dimensions. Although short-term animal inhalation<br />
studies would be informative, companion<br />
in vitro assays should also be conducted to assess<br />
<strong>the</strong>ir validity for screening EMPs.<br />
3.4.2.2 Long-Term Animal Studies<br />
Chronic animal inhalation studies are required<br />
to address <strong>the</strong> impacts <strong>of</strong> dimension, morphology,<br />
chemistry, <strong>and</strong> biopersistence on critical<br />
disease endpoints <strong>of</strong> cancer induction <strong>and</strong><br />
nonmalignant respiratory disease. The EPA’s<br />
proposed testing guidelines should be considered<br />
as <strong>the</strong> criteria for establishing <strong>the</strong> testing<br />
parameters for chronic studies [EPA 2001].<br />
To date, chronic inhalation studies have been<br />
conducted with different animal species <strong>and</strong> different<br />
types <strong>of</strong> EPs. However, it remains uncertain<br />
which species <strong>of</strong> animal(s) best predict(s)<br />
<strong>the</strong> risk <strong>of</strong> respiratory disease(s) for workers<br />
exposed to different EPs. Chronic inhalation<br />
studies should be initiated to establish exposure/<br />
dose-response relationships for at least two animal<br />
species. The rat has historically been <strong>the</strong><br />
animal <strong>of</strong> choice for chronic inhalation studies<br />
with EPs, but <strong>the</strong> low incidence <strong>of</strong> lung tumors<br />
<strong>and</strong> meso<strong>the</strong>liomas in rats exposed to asbestos<br />
fibers suggests that rats may be less sensitive than<br />
humans. Therefore, any future consideration for<br />
conducting long-term animal inhalation studies<br />
should address <strong>the</strong> need for using a multispecies<br />
testing approach to help provide solid scientific<br />
evidence on which to base human risk assessments<br />
for a variety <strong>of</strong> EMPs <strong>of</strong> different durabilities<br />
<strong>and</strong> dimensions. For example, some recent<br />
studies suggest that <strong>the</strong> hamster may be a more<br />
sensitive model for meso<strong>the</strong>lioma than <strong>the</strong> rat.<br />
Validation <strong>of</strong> appropriate animal models could<br />
reduce <strong>the</strong> resources needed to perform longterm<br />
experimental studies on o<strong>the</strong>r EMP types<br />
[EPA 2001].<br />
Multidose animal inhalation studies with asbestos<br />
(probably a carefully selected <strong>and</strong> wellcharacterized<br />
chrysotile, because most <strong>of</strong> <strong>the</strong><br />
estimates <strong>of</strong> human risk have been established<br />
from epidemiological studies <strong>of</strong> chrysotile-<br />
exposed workers) are needed to provide an improved<br />
basis for comparing <strong>the</strong> potential cancer<br />
<strong>and</strong> noncancer risks associated with o<strong>the</strong>r<br />
types <strong>of</strong> EMPs <strong>and</strong> various types <strong>of</strong> syn<strong>the</strong>tic<br />
EPs. The asbestos fibers administered in <strong>the</strong>se<br />
animal studies should be comparable in dimension<br />
to those fibers found in <strong>the</strong> occupational<br />
NIOSH CIB 62 • <strong>Asbestos</strong>