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Table 1: Lung cancer risks in four cohort studies (from US EPA, 1986)<br />

Study<br />

Number of<br />

subjects<br />

Lung<br />

cancer<br />

deaths<br />

Lung cancer<br />

SMR<br />

90% confidence<br />

limits(CI)<br />

W. Virginia 1855 8 1.12 0.56, 2.02 8.5<br />

Ontario 495 37 8.71 6.49, 11.45 1.4<br />

Wales 967 145 5.28 4.58 – 6.03 1.2<br />

Norway 2247 82 3.73 3.08, 4.48 1.3<br />

* Note: the (SMR-1) is an estimate of excess relative risk<br />

Ratio of upper<br />

CI of (SMR-1)<br />

to (SMR-1) *<br />

The Ontario cohort study was determined to be the most appropriate for quantitative cancer risk<br />

assessment (CDHS, 1991). The main reason for choosing this cohort was that it was the only cohort<br />

with actual measurements of exposure associated with a relevant causal period with sufficient latency<br />

(available from 1948 on which is the most relevant period for the lung cancer deaths ascertained<br />

between 1963 and 1978).<br />

Animal Studies<br />

At the time that the CDHS (1991) report “Health Risk Assessment for Nickel” was written, inhalation<br />

exposure cancer bioassays had only examined insoluble forms of nickel for their carcinogenic potential.<br />

Likewise, only soluble forms of nickel had been evaluated by oral administration. Evidence of<br />

carcinogenic potential following inhalation exposure has been shown for nickel subsulfide (Ni 3 S 2 ) and<br />

suggested for nickel carbonyl. Inhalation exposure to metallic nickel resulted in very poor survival which<br />

was too short to properly evaluate carcinogenicity. Many rats exposed to metallic nickel by inhalation<br />

developed squamous metaplasia and peribronchial adenomatoses (Hueper and Payne, 1962).<br />

Exposure to metallic nickel by intratracheal instillation produced a significant increase in lung tumor<br />

incidence. Pott et al. (1987) administered nickel powder in a total intratracheal dose of 6 or 9 mg<br />

Ni/animal to female Wistar rats. Following treatment, animals were maintained for up to an additional<br />

2.5 years. The lung tumor incidence in the saline control, 6 mg Ni (0.3 mg Ni × 20), and 9 mg Ni (0.9<br />

mg × 10) treatment groups were 0%, 26% and 25%, respectively. The results from the nickel oxide<br />

(NiO) studies assessing the carcinogenicity of nickel oxide following inhalation exposure are negative in<br />

hamsters (Wehner et al., 1975, 1981) and inconclusive in rats (Takenaka et al., 1985; Glaser et al.,<br />

1986; Horie et al., 1985). These studies were also plagued by very poor survival rates. Intratracheal<br />

instillation of nickel oxide resulted in lung tumor induction. Female Wistar rats received a total dose of 0,<br />

50, or 150 mg Ni/animal. Animals were maintained for an additional 2.5 years. The lung tumor<br />

incidence in the saline control, 50 (5 mg Ni × 10) and 150 mg Ni (15 mg Ni × 10) were 0%, 27% and<br />

32%, respectively (Pott et al., 1987).<br />

Two studies produced positive results in evaluating the pulmonary tumorgenicity of nickel subsulfide,<br />

one utilizing inhalation exposure (Ottolenghi et al., 1974) and the other, intratracheal administration. In<br />

the Ottolenghi et al. study 122 male and 104 female Fischer-344 rats were exposed to 0.97 mg/m 3<br />

nickel subsulfide via inhalation for 78-80 weeks (6 hours/day, 5 days/week). The control group, 120<br />

379

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