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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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or statistical power to permit a conclusion regarding<br />

<strong>the</strong> presence or absence <strong>of</strong> a causal association,<br />

or no data on cancer in humans are<br />

available” [IARC 1997]. On <strong>the</strong> basis <strong>of</strong> studies<br />

in rats, palygorskite (attapulgite) fibers longer<br />

than 5 mm were determined to be possibly carcinogenic<br />

to humans (Group 2B) [IARC 1997].<br />

In experimental animals <strong>the</strong> evidence was limited<br />

for <strong>the</strong> carcinogenicity <strong>of</strong> long sepiolite fibers<br />

(>5 µm) <strong>and</strong> inadequate to assess carcinogenicity<br />

<strong>of</strong> nonerionite fibrous zeolites (including<br />

clinoptilolite, mordenite, <strong>and</strong> phillipsite)<br />

<strong>and</strong> wollastonite (Group 3) [IARC 1997]. These<br />

Group 3 determinations highlight <strong>the</strong> need for<br />

additional research on nonasbestiform EMPs.<br />

2.9 Determinants <strong>of</strong> Particle<br />

Toxicity <strong>and</strong> Health Effects<br />

Current recommendations for assessing occupational<br />

<strong>and</strong> environmental exposures to asbestos<br />

fibers rely primarily on dimensional<br />

<strong>and</strong> mineralogical characteristics. Dimension,<br />

which influences <strong>the</strong> deposition <strong>of</strong> EMPs in <strong>the</strong><br />

lung, lung clearance mechanisms, <strong>and</strong> retention<br />

time in <strong>the</strong> lung, is an important determinant<br />

<strong>of</strong> toxicity. However, o<strong>the</strong>r particle characteristics,<br />

such as durability in lung fluids, chemical<br />

composition, <strong>and</strong> surface activity, may also<br />

play important roles in causing respiratory diseases.<br />

Research to elucidate what roles <strong>the</strong>se<br />

EMP characteristics play in causing biological<br />

responses may help to provide better evidence-based<br />

recommendations for asbestos fibers<br />

<strong>and</strong> o<strong>the</strong>r EMPs.<br />

2.9.1 Deposition<br />

Deposition <strong>of</strong> airborne particles in <strong>the</strong> respiratory<br />

system is defined as <strong>the</strong> loss <strong>of</strong> particles<br />

from <strong>the</strong> inspired air during respiration.<br />

Clearance pertains to <strong>the</strong> removal <strong>of</strong> deposited<br />

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

particles by diverse processes over time, whereas<br />

retention is <strong>the</strong> temporal persistence <strong>of</strong> particles<br />

within <strong>the</strong> respiratory system [Morrow 1985].<br />

The deposition <strong>of</strong> inhaled particles in <strong>the</strong> respiratory<br />

tract is a function <strong>of</strong> <strong>the</strong>ir physical characteristics<br />

(dimension <strong>and</strong> density), <strong>the</strong> anatomical<br />

<strong>and</strong> physiological parameters <strong>of</strong> <strong>the</strong> airways, <strong>and</strong><br />

<strong>the</strong> rate <strong>and</strong> depth <strong>of</strong> respiration [Yu et al. 1986].<br />

Although particle chemical composition does<br />

not play a role in deposition, respiratory clearance<br />

<strong>of</strong> all particle types is dependent on both physical<br />

<strong>and</strong> chemical characteristics <strong>of</strong> <strong>the</strong> particle.<br />

In addition, surface charge <strong>and</strong> hydrophilicity, as<br />

well as adsorbed materials (e.g., coatings on syn<strong>the</strong>tic<br />

fibers) <strong>and</strong> o<strong>the</strong>r physical <strong>and</strong> chemical factors,<br />

determine whe<strong>the</strong>r small particles <strong>and</strong> fibers<br />

will agglomerate into larger, nonrespirable masses<br />

[ILSI 2005].<br />

Depending on <strong>the</strong>ir physical characteristics, inhaled<br />

particles are differentially deposited in one<br />

<strong>of</strong> <strong>the</strong> following three respiratory system compartments:<br />

<strong>the</strong> extrathoracic region, consisting<br />

<strong>of</strong> <strong>the</strong> anterior <strong>and</strong> posterior nose, mouth, pharynx,<br />

<strong>and</strong> larynx; <strong>the</strong> bronchial region, consisting<br />

<strong>of</strong> <strong>the</strong> trachea, bronchi, <strong>and</strong> bronchioles down<br />

to <strong>and</strong> including <strong>the</strong> terminal bronchioles; <strong>and</strong><br />

<strong>the</strong> alveolar-interstitial region, consisting <strong>of</strong> <strong>the</strong><br />

respiratory bronchioles, alveolar ducts, <strong>and</strong> alveolar<br />

sacs.<br />

Important parameters for <strong>the</strong> deposition <strong>of</strong><br />

airborne particles are <strong>the</strong>ir aerodynamic <strong>and</strong><br />

<strong>the</strong>rmodynamic properties. Below a particle<br />

size <strong>of</strong> 0.5 µm aerodynamic equivalent diameter<br />

(AED), <strong>the</strong>rmodynamic properties prevail.<br />

The AED <strong>of</strong> EPs is mostly determined by<br />

<strong>the</strong>ir geometric diameter <strong>and</strong> density. Deposition<br />

<strong>of</strong> EPs in an airway is strongly related to<br />

<strong>the</strong> orientation <strong>of</strong> <strong>the</strong> particles with respect<br />

to <strong>the</strong> direction <strong>of</strong> <strong>the</strong> air flow <strong>and</strong> is affected<br />

by <strong>the</strong> interrelationship <strong>of</strong> four major deposition<br />

mechanisms: impaction, interception,<br />

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