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Asbestos Fibers and Other Elongate Mineral Particles: State of the ...

Asbestos Fibers and Other Elongate Mineral Particles: State of the ...

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to enable toxicity testing. Ano<strong>the</strong>r approach has<br />

used a fiber size classifier [Deye et al. 1999], but<br />

this has not provided large enough quantities <strong>of</strong><br />

EMPs for long-term inhalational exposure studies<br />

in animals. NIOSH researchers are currently<br />

evaluating <strong>the</strong> possibility <strong>of</strong> developing a fiber<br />

size classifier with increased output to generate<br />

much larger quantities <strong>of</strong> particles in restricted<br />

size ranges for toxicological testing.<br />

An outcome <strong>of</strong> <strong>the</strong> proposed research programs<br />

should be an underst<strong>and</strong>ing <strong>of</strong> <strong>the</strong> relationships<br />

between <strong>and</strong> among <strong>the</strong> results <strong>of</strong> human observational<br />

studies <strong>and</strong> in vitro, short-term in vivo,<br />

<strong>and</strong> long-term in vivo experimental studies.<br />

Any research undertaken should be designed<br />

to ensure that results can be interpreted <strong>and</strong><br />

applied within <strong>the</strong> context <strong>of</strong> o<strong>the</strong>r studies. For<br />

example, EMPs used in long-term animal inhalation<br />

studies should also be tested in in vitro/in<br />

vivo assay systems so that findings can be compared.<br />

The results <strong>of</strong> such experiments can help<br />

to develop <strong>and</strong> st<strong>and</strong>ardize in vitro/in vivo assay<br />

systems for use in predicting <strong>the</strong> potential toxicity<br />

<strong>of</strong> various types <strong>of</strong> EMPs.<br />

Government agencies, o<strong>the</strong>r organizations,<br />

<strong>and</strong> individual researchers have already recommended<br />

similar research strategies for evaluating<br />

<strong>the</strong> toxicity <strong>of</strong> mineral <strong>and</strong> syn<strong>the</strong>tic fibers<br />

[Greim 2004; ILSI 2005; Mossman et al. 2007;<br />

Schins 2002; Vu et al. 1996]. These published<br />

strategies should be used as a foundation for<br />

developing a research program.<br />

Some research <strong>and</strong> improvements in sampling<br />

<strong>and</strong> analytical methods used to routinely assess<br />

exposures to EMPs can be done in <strong>the</strong> short<br />

term, <strong>and</strong> because <strong>the</strong> results <strong>of</strong> <strong>the</strong> toxicological<br />

studies provide a clearer underst<strong>and</strong>ing <strong>of</strong> EMP<br />

characteristics that determine toxicity, it will be<br />

necessary to ensure that <strong>the</strong> measurement techniques<br />

used in evaluating workplace exposures<br />

NIOSH CIB 62 • <strong>Asbestos</strong><br />

incorporate <strong>the</strong> exposure metrics used in determining<br />

<strong>the</strong> dose-response effect found in animal<br />

studies. The development <strong>of</strong> such exposure measurement<br />

techniques should (1) reduce <strong>the</strong> subjectivity<br />

inherent in current methods <strong>of</strong> particle<br />

identification <strong>and</strong> counting, (2) closely quantify<br />

EMPs on <strong>the</strong> basis <strong>of</strong> characteristics that are important<br />

to toxicity, <strong>and</strong> (3) reduce cost <strong>and</strong> shorten<br />

turnaround times in comparison with current<br />

EM methods.<br />

Toxicological, exposure assessment, <strong>and</strong> epidemiological<br />

research should be conducted with<br />

<strong>the</strong> overarching goal <strong>of</strong> developing information<br />

necessary for risk assessments. Although<br />

a framework for mineralogical research is not<br />

provided in this Roadmap, research providing<br />

a better underst<strong>and</strong>ing <strong>of</strong> mineralogical<br />

physicochemical properties will help inform <strong>the</strong><br />

risk assessment process. Improved risk assessments<br />

<strong>and</strong> analytical methodology are needed<br />

to inform <strong>the</strong> development <strong>of</strong> new <strong>and</strong> revised<br />

occupational exposure limits for control <strong>of</strong> exposures<br />

associated with <strong>the</strong> production <strong>of</strong> EMPcaused<br />

disease.<br />

For those individuals who have an asbestosrelated<br />

disease or are at high risk <strong>of</strong> developing<br />

an asbestos-related disease, research is needed<br />

to improve methods <strong>and</strong> clinical guidance for<br />

screening, diagnosis, secondary prevention, <strong>and</strong><br />

treatment <strong>of</strong> EMP-caused diseases. The development<br />

<strong>and</strong> validation <strong>of</strong> biomarkers <strong>of</strong> disease<br />

<strong>and</strong> improved lung-imaging technologies can<br />

lead to earlier diagnosis <strong>of</strong> asbestos-related disease.<br />

It will also be important to advance knowledge<br />

on how to effectively treat EMP-caused<br />

diseases, especially malignant meso<strong>the</strong>lioma,<br />

which is fatal in most cases. Accomplishing <strong>the</strong><br />

goals <strong>of</strong> early diagnosis <strong>and</strong> development <strong>of</strong><br />

treatment options can improve <strong>the</strong> quality <strong>and</strong><br />

quantity <strong>of</strong> life for those who develop asbestosrelated<br />

disease.<br />

97

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