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Occupational Exposure to Carbon Nanotubes and Nanofibers

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Table A–12. Effect level estimates in rats after subchronic (13-wk) inhalation exposure <strong>to</strong>multiwall carbon nanotubes (MWCNT)Effect level in ratsStudyLOAEL(mg/m 3 )NOAEL(mg/m 3 )BMC(mg/m 3 )BMCL(mg/m 3 )BMRMa-Hock et al. [2009] 0.1 nd 0.060 0.023 Granuloma<strong>to</strong>usinflammation(≥ minimum, severitygrade 1+)0.5 0.1 0.12 0.082 Granuloma<strong>to</strong>usinflammation(≥ mild, severitygrade 2+) *Pauluhn et al. [2010] 0.45 0.1 0.10 0.051 Alveolar septalthickening(≥ minimal, severitygrade 1+)1.5 0.45 0.87 0.45 Alveolar septalthickening (≥ mild,severity grade 2+)Abbreviations: NOAEL: No observed adverse effect level; LOAEL: Lowest observed adverse effect level; BMC: Benchmark concentration(maximum likelihood estimate) associated with 10% excess risk of specified BMR. BMCL: 95% lower confidence limit ofthe BMC; based on a multistage model, polynomial degree 2, P = 0.88); BMR: Benchmark response; nd: not determined*Same response proportion per dose, <strong>and</strong> therefore the same BMD(L) estimates, for alveolar lipoproteinosis.critical effect selected is the proportion of ratswith minimal (grade 1) or higher severity of pulmonaryinflammation or alveolar septal thickening(as reported by Ma-Hock et al. [2009] <strong>and</strong> Pauluhn[2010a]). In addition, grade 2 (slight/mild)or greater effects (as reported in the same studies)were also evaluated as a response endpoint sincethe interpretation of the his<strong>to</strong>pathology, for a sligh<strong>to</strong>r mild response, may be less variable than that fora minimal response, <strong>and</strong> may also be more relevant<strong>to</strong> a potential adverse health effect in humans.The critical effect levels in the main analysis are theBMD(L) estimates from the dose-response modelingof the rat estimated deposited or retainedlung dose <strong>and</strong> <strong>to</strong> the human-equivalent lung doseestimates. The working lifetime exposure concentrationthat would result in that equivalent lungdose was then calculated, assuming either particlesizespecific lung deposition only (assuming noclearance) or the estimated retained lung dose (assumingnormal spherical particle clearance).In the main risk analysis, BMD methods were selectedover NOAELs or LOAELs because of severalstatistical advantages (Section A.2). However,BMD(L) estimates may also be uncertain, for example,when the dose spacing is not optimal, asoccurred in the CNT subchronic studies (FiguresA–1 <strong>and</strong> A–4). In this sensitivity analysis, NOAELs<strong>and</strong> LOAELs reported in the subchronic inhalationstudies [Ma-Hock et al. 2009; Pauluhn 2010a] are130 NIOSH CIB 65 • <strong>Carbon</strong> <strong>Nanotubes</strong> <strong>and</strong> <strong>Nanofibers</strong>

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