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Gualtieri AF. Journey to the centre of the lung. The perspective of a mineralogist on the carcinogenic effects of mineral fibres in the lungs. JOURNAL OF HAZARDOUS MATERIALS 2023; 442:130077. [PMID: 36209608 DOI: 10.1016/j.jhazmat.2022.130077] [Citation(s) in RCA: 13] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/14/2022] [Revised: 09/23/2022] [Accepted: 09/26/2022] [Indexed: 06/16/2023]
Abstract
This work reviews the bio-chemical mechanisms leading to adverse effects produced when mineral fibres are inhaled and transported in the lungs from the perspective of a mineralogist. The behaviour of three known carcinogenic mineral fibres (crocidolite, chrysotile, and fibrous-asbestiform erionite) during their journey through the upper respiratory tract, the deep respiratory tract and the pleural cavity is discussed. These three fibres have been selected as they are the most socially and economically relevant mineral fibres representative of the classes of chain silicates (amphiboles), layer silicates (serpentine), and framework silicates (zeolites), respectively. Comparison of the behaviour of these fibres is made according to their specific crystal-chemical assemblages and properties. Known biological and subsequent pathologic effects which lead and contribute to carcinogenesis are critically reviewed under the mineralogical perspective and in relation to recent progress in this multidisciplinary field of research. Special attention is given to the understanding of the cause-effect relationships for lung cancer and malignant mesothelioma. Comparison with interstitial pulmonary fibrosis, or "asbestosis", will also be made here. This overview highlights open issues, data gaps, and conflicts in the literature for these topics, especially as regards relative potencies of the three mineral fibres under consideration for lung cancer and mesothelioma. Finally, an attempt is made to identify future research lines suitable for a general comprehensive model of the carcinogenicity of mineral fibres.
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Affiliation(s)
- Alessandro F Gualtieri
- Department of Chemical and Geological Sciences, University of Modena and Reggio Emilia, Via G. Campi 103, Modena I-41125, Italy.
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Cannizzaro A, Angelosanto F, Barrese E, Campopiano A. Biosolubility of high temperature insulation wools in simulated lung fluids. J Occup Med Toxicol 2019; 14:15. [PMID: 31114626 PMCID: PMC6518706 DOI: 10.1186/s12995-019-0235-z] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2019] [Accepted: 04/25/2019] [Indexed: 11/15/2022] Open
Abstract
OBJECTIVE Biosolubility is an important parameter in the understanding of mechanisms involved in pulmonary toxicity of fibrous materials. It can be studied in vitro using models of simulated lung fluids and observing the loss of structural molecules, expressed as dissolution constant (Kdis). The aim of this paper was the study of dissolution behaviour of four wools belonging to high temperature insulation wools (HTIW) in saline solutions simulating lung fluids. METHODS Four HTIW were studied in saline solutions at pH 7.4 (representative of the extracellular environment) and 4.5 (representative of the intracellular conditions): refractory ceramic fibers (RCF), two alkaline earth silicate wools (AES1 and AES2 with high calcium and magnesium content respectively), and polycrystalline wools (PCW). Size, morphological and chemical changes of fibers were observed by scanning electron microscopy (SEM) with energy-dispersive X-ray spectrometry (EDS) and inductively coupled plasma atomic emission spectrometry (ICP-AES). RESULTS RCF, AES2 and PCW did not show statistically significant diameter changes. AES1 size distribution shifted to a larger mean diameter suggesting that through dissolution there was a preferential loss of thin fibers at acid pH after 14 days of treatment.Both AES wools showed selective leaching of alkali/alkali earth oxides (incongruent dissolution) at pH 7.4: a fast and extensive selective leaching of calcium for AES1 with complete dissolution of fibers already after 14 days of treatment and a moderate selective leaching of magnesium for AES2. PCW showed some transversal breakage of the fibers in both pH environments (low congruent dissolution). For RCF, the treatment produced uncorroded fibers in both pH environments without chemical changes and fiber fragmentation (no dissolution).The estimated Kdis at physiological pH followed the sequence: AES1 > AES2 > PCW > RCF. All wools had a low Kdis at acid pH suggesting a low dissolution rate of short fibers. CONCLUSION The leaching process and transverse fragmentation play an important role in the biopersistence mechanisms and pathogenicity of fibers and the Kdis estimate is undoubtedly useful as a preliminary toxicological screening of fibers, especially for developing fibers.
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Affiliation(s)
- Annapaola Cannizzaro
- Department of Medicine, Epidemiology, Occupational and Environmental Hygiene, National Institute for Insurance against Accidents at Work-INAIL Research Area, Via Fontana Candida, 00078 Monte Porzio Catone, Rome Italy
| | - Federica Angelosanto
- Department of Medicine, Epidemiology, Occupational and Environmental Hygiene, National Institute for Insurance against Accidents at Work-INAIL Research Area, Via Fontana Candida, 00078 Monte Porzio Catone, Rome Italy
| | - Elena Barrese
- Department of Medicine, Epidemiology, Occupational and Environmental Hygiene, National Institute for Insurance against Accidents at Work, 88046 Lamezia Terme, Catanzaro, Italy
| | - Antonella Campopiano
- Department of Medicine, Epidemiology, Occupational and Environmental Hygiene, National Institute for Insurance against Accidents at Work-INAIL Research Area, Via Fontana Candida, 00078 Monte Porzio Catone, Rome Italy
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Insulation fiber deposition in the airways of men and rats. A review of experimental and computational studies. Regul Toxicol Pharmacol 2018; 94:252-270. [PMID: 29444452 DOI: 10.1016/j.yrtph.2018.01.021] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2017] [Revised: 01/07/2018] [Accepted: 01/24/2018] [Indexed: 12/22/2022]
Abstract
The typical insulation rock, slag and glass wool fibers are high volume materials. Current exposure levels in industry (generally ≤ 1 fiber/cm3 with a median diameter ∼1 μm and length ≥10 μm) are not considered carcinogenic or causing other types of severe lung effects. However, epidemiological studies are not informative on effects in humans at fiber levels >1 fiber/cm3. Effects may be inferred from valid rat studies, conducted with rat respirable fibers (diameter ≤ 1.5 μm). Therefore, we estimate delivery and deposition in human and rat airways of the industrial fibers. The deposition fractions in humans head regions by nasal (∼0.20) and by mouth breathing (≤0.08) are lower than in rats (0.50). The delivered dose into the lungs per unit lung surface area during a 1-day exposure at a similar air concentration is estimated to be about two times higher in humans than in rats. The deposition fractions in human lungs by nasal (∼0.20) and by mouth breathing (∼0.40) are higher than in rats (∼0.04). The human lung deposition may be up to three times by nasal breathing and up to six times higher by oral breathing than in rats, qualifying assessment factor setting for deposition.
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Lippmann M. Toxicological and epidemiological studies on effects of airborne fibers: coherence and public [corrected] health implications. Crit Rev Toxicol 2015; 44:643-95. [PMID: 25168068 DOI: 10.3109/10408444.2014.928266] [Citation(s) in RCA: 50] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Airborne fibers, when sufficiently biopersistent, can cause chronic pleural diseases, as well as excess pulmonary fibrosis and lung cancers. Mesothelioma and pleural plaques are caused by biopersistent fibers thinner than ∼0.1 μm and longer than ∼5 μm. Excess lung cancer and pulmonary fibrosis are caused by biopersistent fibers that are longer than ∼20 μm. While biopersistence varies with fiber type, all amphibole and erionite fibers are sufficiently biopersistent to cause pathogenic effects, while the greater in vivo solubility of chrysotile fibers makes them somewhat less causal for the lung diseases, and much less causal for the pleural diseases. Most synthetic vitreous fibers are more soluble in vivo than chrysotile, and pose little, if any, health pulmonary or pleural health risk, but some specialty SVFs were sufficiently biopersistent to cause pathogenic effects in animal studies. My conclusions are based on the following: 1) epidemiologic studies that specified the origin of the fibers by type, and especially those that identified their fiber length and diameter distributions; 2) laboratory-based toxicologic studies involving fiber size characterization and/or dissolution rates and long-term observation of biological responses; and 3) the largely coherent findings of the epidemiology and the toxicology. The strong dependence of effects on fiber diameter, length, and biopersistence makes reliable routine quantitative exposure and risk assessment impractical in some cases, since it would require transmission electronic microscopic examination, of representative membrane filter samples, for determining statistically sufficient numbers of fibers longer than 5 and 20 μm, and those thinner than 0.1 μm, based on the fiber types.
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Affiliation(s)
- Morton Lippmann
- Department of Environmental Medicine, New York University School of Medicine , Tuxedo, NY , USA
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5
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Campopiano A, Cannizzaro A, Angelosanto F, Astolfi ML, Ramires D, Olori A, Canepari S, Iavicoli S. Dissolution of glass wool, rock wool and alkaline earth silicate wool: Morphological and chemical changes in fibers. Regul Toxicol Pharmacol 2014; 70:393-406. [DOI: 10.1016/j.yrtph.2014.05.023] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2013] [Revised: 05/28/2014] [Accepted: 05/29/2014] [Indexed: 10/25/2022]
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Boulanger G, Andujar P, Pairon JC, Billon-Galland MA, Dion C, Dumortier P, Brochard P, Sobaszek A, Bartsch P, Paris C, Jaurand MC. Quantification of short and long asbestos fibers to assess asbestos exposure: a review of fiber size toxicity. Environ Health 2014; 13:59. [PMID: 25043725 PMCID: PMC4112850 DOI: 10.1186/1476-069x-13-59] [Citation(s) in RCA: 99] [Impact Index Per Article: 9.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2013] [Accepted: 07/10/2014] [Indexed: 05/06/2023]
Abstract
The fibrogenicity and carcinogenicity of asbestos fibers are dependent on several fiber parameters including fiber dimensions. Based on the WHO (World Health Organization) definition, the current regulations focalise on long asbestos fibers (LAF) (Length: L ≥ 5 μm, Diameter: D < 3 μm and L/D ratio > 3). However air samples contain short asbestos fibers (SAF) (L < 5 μm). In a recent study we found that several air samples collected in buildings with asbestos containing materials (ACM) were composed only of SAF, sometimes in a concentration of ≥10 fibers.L-1. This exhaustive review focuses on available information from peer-review publications on the size-dependent pathogenetic effects of asbestos fibers reported in experimental in vivo and in vitro studies. In the literature, the findings that SAF are less pathogenic than LAF are based on experiments where a cut-off of 5 μm was generally made to differentiate short from long asbestos fibers. Nevertheless, the value of 5 μm as the limit for length is not based on scientific evidence, but is a limit for comparative analyses. From this review, it is clear that the pathogenicity of SAF cannot be completely ruled out, especially in high exposure situations. Therefore, the presence of SAF in air samples appears as an indicator of the degradation of ACM and inclusion of their systematic search should be considered in the regulation. Measurement of these fibers in air samples will then make it possible to identify pollution and anticipate health risk.
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Affiliation(s)
- Guillaume Boulanger
- ANSES (French Agency for Food, Environmental and Occupational Health Safety), Maisons-Alfort, France
| | - Pascal Andujar
- INSERM, U955, Equipe 4, Créteil, France
- Université Paris Est, Faculté de Médecine, Créteil, France
- Centre Hospitalier Intercommunal de Créteil, Service de Pneumologie et Pathologie Professionnelle, Créteil, France
| | - Jean-Claude Pairon
- INSERM, U955, Equipe 4, Créteil, France
- Université Paris Est, Faculté de Médecine, Créteil, France
- Centre Hospitalier Intercommunal de Créteil, Service de Pneumologie et Pathologie Professionnelle, Créteil, France
| | | | - Chantal Dion
- Institut de recherche Robert-Sauvé en santé et en sécurité du travail du Québec (IRSST), Montréal, Québec, Canada
- Département de santé environnementale et santé au travail, Université de Montréal, Montréal, Québec, Canada
| | - Pascal Dumortier
- Hôpital Erasme, Université libre de Bruxelles, Bruxelles, Belgique
| | - Patrick Brochard
- Laboratoire Santé Travail Environnement LSTE, EA 3672, Université de Bordeaux II, Bordeaux, France
| | - Annie Sobaszek
- Université Lille 2, Lille, France
- CHRU Lille, Lille, France
| | | | | | - Marie-Claude Jaurand
- Université Paris Descartes, Sorbonne Paris Cité, Paris, France
- INSERM, UMR-674, Labex Immuno-oncology, Paris, France
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Boffetta P, Donaldson K, Moolgavkar S, Mandel JS. A systematic review of occupational exposure to synthetic vitreous fibers and mesothelioma. Crit Rev Toxicol 2014; 44:436-49. [DOI: 10.3109/10408444.2014.899558] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Wolf RE, Morman SA, Hageman PL, Hoefen TM, Plumlee GS. Simultaneous speciation of arsenic, selenium, and chromium: species stability, sample preservation, and analysis of ash and soil leachates. Anal Bioanal Chem 2011; 401:2733-45. [DOI: 10.1007/s00216-011-5275-x] [Citation(s) in RCA: 51] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2011] [Revised: 07/18/2011] [Accepted: 07/21/2011] [Indexed: 10/17/2022]
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Mossman BT, Lippmann M, Hesterberg TW, Kelsey KT, Barchowsky A, Bonner JC. Pulmonary endpoints (lung carcinomas and asbestosis) following inhalation exposure to asbestos. JOURNAL OF TOXICOLOGY AND ENVIRONMENTAL HEALTH. PART B, CRITICAL REVIEWS 2011; 14:76-121. [PMID: 21534086 PMCID: PMC3118517 DOI: 10.1080/10937404.2011.556047] [Citation(s) in RCA: 135] [Impact Index Per Article: 10.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
Abstract
Lung carcinomas and pulmonary fibrosis (asbestosis) occur in asbestos workers. Understanding the pathogenesis of these diseases is complicated because of potential confounding factors, such as smoking, which is not a risk factor in mesothelioma. The modes of action (MOA) of various types of asbestos in the development of lung cancers, asbestosis, and mesotheliomas appear to be different. Moreover, asbestos fibers may act differentially at various stages of these diseases, and have different potencies as compared to other naturally occurring and synthetic fibers. This literature review describes patterns of deposition and retention of various types of asbestos and other fibers after inhalation, methods of translocation within the lung, and dissolution of various fiber types in lung compartments and cells in vitro. Comprehensive dose-response studies at fiber concentrations inhaled by humans as well as bivariate size distributions (lengths and widths), types, and sources of fibers are rarely defined in published studies and are needed. Species-specific responses may occur. Mechanistic studies have some of these limitations, but have suggested that changes in gene expression (either fiber-catalyzed directly or by cell elaboration of oxidants), epigenetic changes, and receptor-mediated or other intracellular signaling cascades may play roles in various stages of the development of lung cancers or asbestosis.
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Affiliation(s)
- Brooke T Mossman
- Department of Pathology, University of Vermont College of Medicine, Burlington, Vermont 05405, USA.
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Gray JE, Plumlee GS, Morman SA, Higueras PL, Crock JG, Lowers HA, Witten ML. In vitro studies evaluating leaching of mercury from mine waste calcine using simulated human body fluids. ENVIRONMENTAL SCIENCE & TECHNOLOGY 2010; 44:4782-8. [PMID: 20491469 PMCID: PMC2883854 DOI: 10.1021/es1001133] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/12/2010] [Revised: 03/17/2010] [Accepted: 04/21/2010] [Indexed: 05/20/2023]
Abstract
In vitro bioaccessibility (IVBA) studies were carried out on samples of mercury (Hg) mine-waste calcine (roasted Hg ore) by leaching with simulated human body fluids. The objective was to estimate potential human exposure to Hg due to inhalation of airborne calcine particulates and hand-to-mouth ingestion of Hg-bearing calcines. Mine waste calcines collected from Hg mines at Almaden, Spain, and Terlingua, Texas, contain Hg sulfide, elemental Hg, and soluble Hg compounds, which constitute primary ore or compounds formed during Hg retorting. Elevated leachate Hg concentrations were found during calcine leaching using a simulated gastric fluid (as much as 6200 microg of Hg leached/g sample). Elevated Hg concentrations were also found in calcine leachates using a simulated lung fluid (as much as 9200 microg of Hg leached/g), serum-based fluid (as much as 1600 microg of Hg leached/g), and water of pH 5 (as much as 880 microg of Hg leached/g). The leaching capacity of Hg is controlled by calcine mineralogy; thus, calcines containing soluble Hg compounds contain higher leachate Hg concentrations. Results indicate that ingestion or inhalation of Hg mine-waste calcine may lead to increased Hg concentrations in the human body, especially through the ingestion pathway.
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Affiliation(s)
- John E Gray
- U.S. Geological Survey, P.O. Box 25046, MS 973, Denver, Colorado 80225, USA.
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11
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Berman DW. Comparing milled fiber, Quebec ore, and textile factory dust: has another piece of the asbestos puzzle fallen into place? Crit Rev Toxicol 2010; 40:151-88. [PMID: 20085481 DOI: 10.3109/10408440903349137] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Results of a meta-analysis indicate that the variation in potency factors observed across published epidemiology studies can be substantially reconciled (especially for mesothelioma) by considering the effects of fiber size and mineral type, but that better characterization of historical exposures is needed before improved exposure metrics potentially capable of fully reconciling the disparate potency factors can be evaluated. Therefore, an approach for better characterizing historical exposures, the Modified Elutriator Method (MEM), was evaluated to determine the degree that dusts elutriated using this method adequately mimic dusts generated by processing in a factory. To evaluate this approach, elutriated dusts from Grade 3 milled fiber (the predominant feedstock used at a South Carolina [SC] textile factory) were compared to factory dust collected at the same facility. Elutriated dusts from chrysotile ore were also compared to dusts collected in Quebec mines and mills. Results indicate that despite the substantial variation within each sample set, elutriated dusts from Grade 3 fiber compare favorably to textile dusts and elutriated ore dusts compare to dusts from mines and mills. Given this performance, the MEM was also applied to address the disparity in lung cancer mortality per unit of exposure observed, respectively, among chrysotile miners/millers in Quebec and SC textile workers. Thus, dusts generated by elutriation of stockpiled chrysotile ore (representing mine exposures) and Grade 3 milled fiber (representing textile exposures) were compared. Results indicate that dusts from each sample differ from one another. Despite such variation, however, the dusts are distinct and fibers in Grade 3 dusts are significantly longer than fibers in ore dusts. Moreover, phase-contrast microscopy (PCM) structures in Grade 3 dusts are 100% asbestos and counts of PCM-sized structures are identical, whether viewed by PCM or transmission electron microscope (TEM). In contrast, a third of PCM structures in ore dusts are not asbestos and only a third that are counted by PCM are also counted by TEM. These distinctions also mirror the characteristics of the bulk materials themselves. Perhaps most important, when the differences in size distributions and PCM/TEM distinctions in these dusts are combined, the combined difference is sufficient to completely explain the difference in exposure/response observed between the textile worker and miner/miller cohorts. Importantly, however, evidence that such an explanation is valid can only be derived from a meta-analysis (risk assessment) covering a diverse range of epidemiology study environments, which is beyond the scope of the current study. The above findings suggest that elutriator-generated dusts mimic factory dusts with sufficient reliability to support comparisons between historical exposures experienced by the various cohorts studied by epidemiologists. A simulation was also conducted to evaluate the relative degree that the characteristics of dust are driven by the properties of the bulk material processed versus the nature of the mechanical forces applied. That results indicate it is the properties of bulk materials reinforces the theoretical basis justifying use of the elutriator to reconstruct historical exposures. Thus, the elutriator may be a valuable tool for reconstructing historical exposures suitable for supporting continued refinements of the risk models being developed to predict asbestos-related cancer risk.
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Gualtieri AF, Foresti E, Lesci IG, Roveri N, Gualtieri ML, Dondi M, Zapparoli M. The thermal transformation of Man Made Vitreous Fibers (MMVF) and safe recycling as secondary raw materials (SRM). JOURNAL OF HAZARDOUS MATERIALS 2009; 162:1494-1506. [PMID: 18675512 DOI: 10.1016/j.jhazmat.2008.06.066] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/03/2008] [Revised: 06/10/2008] [Accepted: 06/10/2008] [Indexed: 05/26/2023]
Abstract
This work describes the high temperature reaction sequence of commercial Man Made Vitreous Fibers (MMVF) Cerafiber, Superwool, Rock wool and Glass wool which may be used as substitute for asbestos in some industrial applications. Knowledge of the reaction path and transformation sequence is very important to assess whether carcinogenic crystalline phases are formed during devitrification, which may occur when used as insulators. In addition, knowledge about the nature of the phases formed at high temperature is mandatory to assess if thermally transformed MMVF can be safely recycled as secondary raw material (SRM). In this scenario, this study provides useful information for the optimization of the industrial annealing process aimed to attain a safe, recyclable product. The results of this work show that one of the high-temperature products of Cerafiber and Superwool is cristobalite which is classified as a carcinogenic. It was possible to define the temperature interval at which Cerafiber and Superwool fibers can be safely used as thermal insulators (e.g. insulators in tunnel and/or roller kilns, etc.). As cristobalite is formed in both synthetic fiber products at temperatures higher than 1200 degrees C, their use should be limited to devices operating at lower temperatures. Rock and Glass wool melt upon thermal treatment. As far as the industrial process of inertization is concerned, a maximum firing temperature of 1100 and 600 degrees C is required to melt Rock wool and Glass wool, respectively, with the high-temperature products that can be safely recycled as SRM. Recycling of these products in stoneware tile mixtures were subsequently attempted. The addition of 1-2 wt.% of the melts of Rock and Glass wool gave promising results in terms of viscous sintering reactions and resistance to staining with the only weak characteristic being the color properties of the fired bodies which tend to worsen.
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Affiliation(s)
- A F Gualtieri
- Dipartimento di Scienze della Terra, Università degli Studi di Modena e Reggio Emilia, Via S. Eufemia 19, 41100 Modena, Italy.
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Berman DW, Crump KS. A meta-analysis of asbestos-related cancer risk that addresses fiber size and mineral type. Crit Rev Toxicol 2008; 38 Suppl 1:49-73. [PMID: 18686078 DOI: 10.1080/10408440802273156] [Citation(s) in RCA: 163] [Impact Index Per Article: 10.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
Quantitative estimates of the risk of lung cancer or mesothelioma in humans from asbestos exposure made by the U.S. Environmental Protection Agency (EPA) make use of estimates of potency factors based on phase-contrast microscopy (PCM) and obtained from cohorts exposed to asbestos in different occupational environments. These potency factors exhibit substantial variability. The most likely reasons for this variability appear to be differences among environments in fiber size and mineralogy not accounted for by PCM. In this article, the U.S. Environmental Protection Agency (EPA) models for asbestos-related lung cancer and mesothelioma are expanded to allow the potency of fibers to depend upon their mineralogical types and sizes. This is accomplished by positing exposure metrics composed of nonoverlapping fiber categories and assigning each category its own unique potency. These category-specific potencies are estimated in a meta-analysis that fits the expanded models to potencies for lung cancer (KL's) or mesothelioma (KM's) based on PCM that were calculated for multiple epidemiological studies in our previous paper (Berman and Crump, 2008). Epidemiological study-specific estimates of exposures to fibers in the different fiber size categories of an exposure metric are estimated using distributions for fiber size based on transmission electron microscopy (TEM) obtained from the literature and matched to the individual epidemiological studies. The fraction of total asbestos exposure in a given environment respectively represented by chrysotile and amphibole asbestos is also estimated from information in the literature for that environment. Adequate information was found to allow KL's from 15 epidemiological studies and KM's from 11 studies to be included in the meta-analysis. Since the range of exposure metrics that could be considered was severely restricted by limitations in the published TEM fiber size distributions, it was decided to focus attention on four exposure metrics distinguished by fiber width: "all widths," widths > 0.2 micro m, widths < 0.4 microm, and widths < 0.2 microm, each of which has historical relevance. Each such metric defined by width was composed of four categories of fibers: chrysotile or amphibole asbestos with lengths between 5 microm and 10 microm or longer than 10 microm. Using these metrics three parameters were estimated for lung cancer and, separately, for mesothelioma: KLA, the potency of longer (length > 10 microm) amphibole fibers; rpc, the potency of pure chrysotile (uncontaminated by amphibole) relative to amphibole asbestos; and rps, the potency of shorter fibers (5 microm < length < 10 microm) relative to longer fibers. For mesothelioma, the hypothesis that chrysotile and amphibole asbestos are equally potent (rpc = 1) was strongly rejected by every metric and the hypothesis that (pure) chrysotile is nonpotent for mesothelioma was not rejected by any metric. Best estimates for the relative potency of chrysotile ranged from zero to about 1/200th that of amphibole asbestos (depending on metric). For lung cancer, the hypothesis that chrysotile and amphibole asbestos are equally potent (rpc = 1) was rejected (p < or = .05) by the two metrics based on thin fibers (length < 0.4 microm and < 0.2 microm) but not by the metrics based on thicker fibers. The "all widths" and widths < 0.4 microm metrics provide the best fits to both the lung cancer and mesothelioma data over the other metrics evaluated, although the improvements are only marginal for lung cancer. That these two metrics provide equivalent (for mesothelioma) and nearly equivalent (for lung cancer) fits to the data suggests that the available data sets may not be sufficiently rich (in variation of exposure characteristics) to fully evaluate the effects of fiber width on potency. Compared to the metric with widths > 0.2 microm with both rps and rpc fixed at 1 (which is nominally equivalent to the traditional PCM metric), the "all widths" and widths < 0.4 microm metrics provide substantially better fits for both lung cancer and, especially, mesothelioma. Although the best estimates of the potency of shorter fibers (5 < length < 10 microm) is zero for the "all widths" and widths < 0.4 microm metrics (or a small fraction of that of longer fibers for the widths > 0.2 microm metric for mesothelioma), the hypothesis that these shorter fibers were nonpotent could not be rejected for any of these metrics. Expansion of these metrics to include a category for fibers with lengths < 5 microm did not find any consistent evidence for any potency of these shortest fibers for either lung cancer or mesothelioma. Despite the substantial improvements in fit over that provided by the traditional use of PCM, neither the "all widths" nor the widths < 0.4 microm metrics (or any of the other metrics evaluated) completely resolve the differences in potency factors estimated in different occupational studies. Unresolved in particular is the discrepancy in potency factors for lung cancer from Quebec chrysotile miners and workers at the Charleston, SC, textile mill, which mainly processed chrysotile from Quebec. A leading hypothesis for this discrepancy is limitations in the fiber size distributions available for this analysis. Dement et al. (2007) recently analyzed by TEM archived air samples from the South Carolina plant to determine a detailed distribution of fiber lengths up to lengths of 40 microm and greater. If similar data become available for Quebec, perhaps these two size distributions can be used to eliminate the discrepancy between these two studies.
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Abstract
In order to determine whether breakage of long vitreous fibers in the lung could be responsible for removing significant numbers of these fibers, an intratracheal instillation study was done with a preparation consisting of mostly long fibers of two different types. Following instillation of both fibers, laboratory rats were sacrificed at 6 times up to 14 days. The NK (conventional borosilicate glass) fiber preparation had about 20% short fibers (length < or = 15 microm) initially, and fibers recovered from the lungs remained at that proportion for the entire 14 days. But the HT (a new rock or stone wool) fiber preparation, which had about 5% short fibers initially, jumped to about 50% short fibers at 2 days and remained at that proportion for the rest of the study. The appearance of many short HT fibers where there were few initially is conclusive evidence that these long fibers break, and it explains their rapid removal from the lung. Since the HT fibers dissolve rapidly at acid pH, but slowly at the near neutral pH of the extracellular lung fluid, it is likely that acid attack by phagocytic cells is causing the long fibers to dissolve and break. The long NK fibers dissolve rapidly at neutral pH but slowly at acid pH and thus appear to clear by more or less uniform dissolution without apparent breakage. The long fibers of these two kinds are removed rapidly at about the same rate, but by a different mechanism.
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Suresh H. Moolgavkar, Robert C. Bro. BIOPERSISTENCE, FIBER LENGTH, AND CANCER RISK ASSESSMENT FOR INHALED FIBERS. Inhal Toxicol 2008. [DOI: 10.1080/08958370121106] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Bernstein DM, Morscheidt C, Grimm HG, Thévenaz P, Teichert U. Evaluation of Soluble fibers Using the Inhalation Biopersistence Model, a Nine-fiber Comparison. Inhal Toxicol 2008. [DOI: 10.3109/08958379609052913] [Citation(s) in RCA: 71] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Eastes W, Hadley JG. A Mathematical Model of fiber Carcinogenicity and Fibrosis in Inhalation and Intraperitoneal Experiments in Rats. Inhal Toxicol 2008. [DOI: 10.3109/08958379609052912] [Citation(s) in RCA: 36] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Maxim LD, Hadley JG, Potter RM, Niebo R. The role of fiber durability/biopersistence of silica-based synthetic vitreous fibers and their influence on toxicology. Regul Toxicol Pharmacol 2006; 46:42-62. [PMID: 16837114 DOI: 10.1016/j.yrtph.2006.05.003] [Citation(s) in RCA: 46] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2006] [Indexed: 11/25/2022]
Abstract
This work summarizes what is known about the role of fiber durability/biopersistence of silica-based synthetic vitreous fibers (SVFs) and their influence on toxicology. The article describes the key processes leading from exposure to biological effect, including exposure, pulmonary deposition, clearance by various mechanisms, accumulation in the lung, and finally possible biological effects. The dose-dimension-durability paradigm is used to explain the key determinants of SVF toxicology. In particular, the key role played by the durability/biopersistence of long (>20microm) fibers is highlighted. Relevant literature on the prediction of in-vitro dissolution rates from chemical composition is summarized. Data from in-vitro and in-vivo durability/biopersistence tests show that these measures are highly correlated for long fibers. Both durability and biopersistence are correlated with the outcome of chronic inhalation bioassays. A schematic approach is presented for the design and testing of new SVFs with lower biopersistence.
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Moore MA, Boymel PM, Maxim LD, Turim J. Categorization and nomenclature of vitreous silicate wools. Regul Toxicol Pharmacol 2002; 35:1-13. [PMID: 11846631 DOI: 10.1006/rtph.2001.1509] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
There is substantial interest among government agencies in categorizing fibers for hazard classification purposes, particularly the commercially important synthetic vitreous fibers (e.g., rock wool, slag wool, glass wool, and refractory ceramic fibers). The intent of this categorization is to partition the population of fibers into distinct categories, which are mutually exclusive, collectively exhaustive, easy to understand and implement, and homogeneous with respect to potential biological activity. This paper identifies criteria for categorization, summarizes historical systems for categorization (e.g., by origin, chemistry and structure, physical form and morphology, and application), analyzes the current categorization schemes used by the European Community (EC) and the International Agency for Research on Cancer (IARC), and proposes an improved partitioning method based upon biopersistence/durability. The proposed basis for categorization incorporates the best features of the EC and IARC methods, eliminates some of their inconsistencies, exploits available knowledge of fiber toxicology (much of which was developed in recent years), and is practical to implement.
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Affiliation(s)
- Martin A Moore
- Ceramics Division, The Morgan Crucible Company, plc, Stourport-on-Severn, DY13 8QR, England, United Kingdom
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Maxim LD, Mast RW, Utell MJ, Yu CP, Boymel PM, Zoitos BK, Cason JE. Hazard assessment and risk analysis of two new synthetic vitreous fibers. Regul Toxicol Pharmacol 1999; 30:54-74. [PMID: 10464047 DOI: 10.1006/rtph.1999.1314] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Isofrax and Insulfrax are two new synthetic vitreous fibers (SVFs) developed for high-temperature insulation (1800-2300 degrees F) applications. In an attempt to significantly reduce or eliminate the potential of adverse health effects, these two fibers were specifically designed to have high solubility and, thus, low in vivo biodurability. In this paper, we review the effects of chemical composition on biodurability, in vitro fiber dissolution rates (K(dis)), and the relevance and relationship of K(dis) to pulmonary fibrosis and lung tumors in chronic rat inhalation studies. We also examine the correlations between K(dis) and weighted in vivo half-life (t(0.5)) of long fibers (>20 microm) and their relation to pulmonary effects in chronic rat inhalation bioassays. Predictions for outcomes of inhalation bioassays and development of nonsignificant risk levels of exposure are provided. Additionally, justification for the use of inhalation versus noninhalation animal data is provided as is a brief review of human health effects of SVFs. We conclude, inter alia, that Isofrax and Insulfrax have low biodurability, would not be expected to produce either pulmonary fibrosis or lung tumors in a well-designed animal inhalation bioassay, have weighted half-lives beneath the threshold established by the European Union for classification as a carcinogen, and based on epidemiological data for SVFs would not be expected to result in incremental cancer in human cohorts. Finally, it is estimated that approximately 90% of workplace exposure concentrations of these materials would be beneath 1 f/cc. At a concentration of 1 f/cc, neither fiber would be expected to result in an incremental working lifetime cancer risk greater than 10(-5).
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Affiliation(s)
- L D Maxim
- Everest Consulting Associates, Inc., Cranbury, New Jersey 08512, USA
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Fayerweather WE, Bender JR, Hadley JG, Eastes W. Quantitative risk assessment for a glass fiber insulation product. Regul Toxicol Pharmacol 1997; 25:103-20. [PMID: 9185887 DOI: 10.1006/rtph.1997.1087] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
California Proposition 65 (Prop65) provides a mechanism by which the manufacturer may perform a quantitative risk assessment to be used in determining the need for cancer warning labels. This paper presents a risk assessment under this regulation for professional and do-it-yourself insulation installers. It determines the level of insulation glass fiber exposure (specifically Owens Corning's R-25 PinkPlus with Miraflex) that, assuming a working lifetime exposure, poses no significant cancer risk under Prop65's regulations. "No significant risk" is defined under Prop65 as a lifetime risk of no more than one additional cancer case per 100,000 exposed persons, and nonsignificant exposure is defined as a working lifetime exposure associated with "no significant risk." This determination can be carried out despite the fact that the relevant underlying studies (i.e., chronic inhalation bioassays) of comparable glass wool fibers do not show tumorigenic activity. Nonsignificant exposures are estimated from (1) the most recent RCC chronic inhalation bioassay of nondurable fiberglass in rats; (2) intraperitoneal fiberglass injection studies in rats; (3) a distributional, decision analysis approach applied to four chronic inhalation rat bioassays of conventional fiberglass; (4) an extrapolation from the RCC chronic rat inhalation bioassay of durable refractory ceramic fibers; and (5) an extrapolation from the IOM chronic rat inhalation bioassay of durable E glass microfibers. When the EPA linear nonthreshold model is used, central estimates of nonsignificant exposure range from 0.36 fibers/cc (for the RCC chronic inhalation bioassay of fiberglass) through 21 fibers/cc (for the i.p. fiberglass injection studies). Lower 95% confidence bounds on these estimates vary from 0.17 fibers/cc through 13 fibers/cc. Estimates derived from the distributional approach or from applying the EPA linear nonthreshold model to chronic bioassays of durable fibers such as refractory ceramic fiber or E glass microfibers are intermediate to the other approaches. Estimates based on the Weibull 1.5-hit nonthreshold and 2-hit threshold models exceed by at least a factor of 10 the corresponding EPA linear nonthreshold estimates. The lowest nonsignificant exposures derived in this assessment are at least a factor of two higher than field exposures measured for professionals installing the R-25 fiberglass insulation product and are orders of magnitude higher than the estimated lifetime exposures for do-it-yourselfers.
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Tran CL, Jones AD, Donaldson K. Evidence of overload, dissolution and breakage of MMVF10 fibres in the RCC chronic inhalation study. EXPERIMENTAL AND TOXICOLOGIC PATHOLOGY : OFFICIAL JOURNAL OF THE GESELLSCHAFT FUR TOXIKOLOGISCHE PATHOLOGIE 1996; 48:500-4. [PMID: 8954332 DOI: 10.1016/s0940-2993(96)80066-2] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
This paper describes (i) the evidence revealing the biological mechanisms underlying data from inhalation experiments at the Research and Consulting Company (RCC) (HESTERBERG et al. 1993); and (ii) the quantitative evaluation of the kinetic rates of these mechanisms using a mathematical model developed at the Institute of Occupational Medicine (IOM) (TRAN et al. 1994).
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Affiliation(s)
- C L Tran
- Institute of Occupational Medicine, Edinburgh, UK
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