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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>

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