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ENVIRONMENT AL RENE ARCH 24. 167-191 (1981)
Comparative Pulmonary Responses to Inhaled Inorganic Fibers with Asbestos and Fiberglass
K. P. Lee, C. E. Barras, F. D. Griffith, R. S. Waritz, and C. A. Lapin
Haskell Laboratory for Toxicology and Industrial Medicine. E. I. Du Pont De Nemours and Company fnc.. Wilmington. Delaware 19898
Received April 25, 1980
One group of rats, hamsters, and guinea pigs was exposed to amosite asbestos by inhala tion of fibers of lengths greater than 5 ^itn at 3.1 x 10*/liler, fiberglass at 0 7 x lOVWter, potassium octatitanate (Fybex, Du Font's registered trademark for inorganic reinforcing titanate fibers) at 2 9 x tOMiter, and pigmentary potassium titanate (PKT) at 2.0 x lOMiter, respectively, for 6 hr/day for 3 months. One group of animals exposed to air alone was used as control. In addition, three groups of rats, hamsters, and guinea pigs were exposed to Fybcx at 2.9 x tO^liter. 13.5 x 10*fliter, and 41.8 x 10*/lier. respectively, for 3 months. One group served as control. Asbestos. Fybex, and PKT produced essentially similar pulmonary re sponses but with marked differences in fibrogeniciiy and species differences. Asbestos was the most potent fibrogenic agent and was more than 10 times more fibrogenic than Fybex in terms of exposure concentration. Dose-related fibrogenic activity was found in the animals exposed to Fybex. PKT was the least fibrogenic and produced very minute pulmonary fibrosis in rats and hamsters but not in guinea pigs. Fine fiberglass particles were not fibrogenic. Rats revealed more fibrogenic pulmonary reactions than guinea pigs or hamsters A few pulmonary tumors developed in animals exposed to asbestos, Fybex, and fiberglass, but their numbers were too small to allow any conclusions on carcinogenicity to be drawn. Fybex produced mesotheliomas in a few hamsters and its possible carcinogenic potential cannot be ruled out.
INTRODUCTION
The literature concerning the hazardous effects of asbestos exposure has been well reviewed by the U.S. Environmental Protection Agency (1971), the U.S. Department of Health, Education and Welfare (1972, 1976), the World Health Organization (1973), and recently by Becklake (1976) and Kannerstein et a!. (1977). The most common detrimental health effects were pulmonary fibrosis, pleural plaque, bronchogenic carcinoma, mesothelioma, and possibly gastroin testinal carcinoma.
Although animal experiments on asbestos have progressed in 40 years, little is known concerning the pathogenicity of pulmonary fibrosis and carcinogenesis. Asbestos carcinogenesis was thought to be related to trace metals, polycyclic aromatic hydrocarbons, other organic materials, and carcinogenic agents ab sorbed on asbestos. Recently, however, physical factors such as fiber length and diameter were considered to play an important role in carcinogenesis. Stanion et at. (1977) induced pleural sarcoma and mesotheliomas in rats by implanting fi brous dust particles of fiberglass, attapulgite, dawsonite, aluminum oxide, silicon carbide, and potassium titanate. Other ammal experiments indicated that the car-
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cinogenicity of dust particles depended on the size and physical configuration rather than physiochemical properties (Maroudas ei at., 1973, Smith et at., 1972; Pott and Friedrichs, 1972; Wagner et at., 1976). Fibrogenicity of asbestos and fiberglass was also related to the dimensional configuration. Short fibers (<5 p.m in length) produced only a macrophage reaction without fibrosis while longer fibers produced foreign body granuloma with fibrosis (Webster, 1970; Kuschnerer at., 1976).
Since the test compounds in the present study are similar to the asbestos fiber in size, diameter, and shape, the potential risk of pulmonary fibrosis and lung cancer cannot be ruled out. To the best of our knowledge, there were no reports of long-term inhalation experiments for these inorganic fibers, and their fibrogenicity and carcinogenicity are unknown. This investigation describes the pulmonary response to inorganic fibers in comparison to asbestos and fiberglass by inhalation exposure in experimental animals.
MATERIALS AND METHODS
Dust Characterization
The test compounds were potassium octatitanate (Fybex),' pigmentary potas sium litanate (PKT), fiberglass, and amosite of UICC standard reference asbestos sample. Detailed fiber length distribution of the test compounds is shown in Table 1. Fiber lengths were measured by a method described by Johnson and Rosen (1978). Fiber diameters were determined from scanning electron micrographs. Fybex had an average size of 6.7 x 0.2 ^m (Fig. 1), PKT averaged 4.2 x 0.2 (Fig. 2), and amosite asbestos averaged 5.0 x 0.4 (Fig. 3). Fiberglass (Fig. 4) was ball milled to prepare fine respirable dust particles. The size distribution of the original fiberglass sample is shown in Table 1 and that of airborne fiber is presented in Fig. 5. The dust particles had an average diameter of 1.2 /xm and most particles were less than 2 ^m in length (Fig. 5). Only 7% of the dust particles had an aspect ratio of 3/1 or greater and could be considered fibrous in shape. Marked variation in diameter distribution was observed in both the asbestos (0.18-8 ftm)
Test material Om)
<3.0 3.0-4.9 5.0-6.9 7 0-9.9
10.0-14.9 15.0-19 9 20.0-29.9 30 0>
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TABLE 1 Distribution of Fibers Longer than 3 ixm
Fybex
209 (19.196) 260 123.8%) 207 (18.9%) 221 (20.2%) 146 (13.4%)
34 (3.1%) 15 (1.4%)
1 (0.1%)
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1632 (45.8%) 894 (25.1%) 456 (12.8%) 365 (10.2%) 171 (48%)
31 (0.9%) 12 (0.3%) 0
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382 (24.2%) 441 (27.9%) 208 (13.2%) 188(11.9%) 254 (16.1%)
75 (4.7%) 30 (1.9%)
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815 (38.1%) 633 (29.6%) 259 (12.1%) 220 (10.3%) 128 (6 0%)
41 (1.9%) 38 (1.8%)
4 (0.2%)
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'Fybex is DuPont's registered trademark for inorganic reinforcing liianale fibers.
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' Fig 4. Fiberglass fibers showing large diameter and marked variation in bcih the diameter and
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FIKD UIKTH (UICNON) Fic. S. Fiber lenglb distribution of ballmilled fiberglass obtained from measuring 833 fibers by a particle analyzer (Zeiss TGZ-3). Most fibers are shorter than 2 jim in length.
and fiberglass (0.2-6.5 jrm) samples. Fybex diameter distribution varied moder ately (0.12-0.7 /am) while PKT was relatively uniform (0.12-0.4 pm). Asbestos fibers showed longitudinal splitting, and, consequently formed fine needle-shaped fibers (0.18 pm in diameter) while the inorganic fibers exhibited horizontal frac tures. Dusi Generation
The dust reservoir was conical in shape with a flattened base (Fig. 6). Carrier air was introduced through inlet jets which were located near the top of the reservoir, positioned tangentially, and pointed slightly downward. Smaller inlet ports lo cated at right angles to, and on the lower half of, the reservoir could be used to introduce pulses of air when needed to keep the material from packing.
The top of the reservoir had a centrally located port for filling and an outlet port located near its perimeter. A soft rubber tube was connected to this outlet through
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which the dust, mostly as agglomerates, passed to the venturi. Here a second jet of air broke up the agglomerates and drew diluting air in from the room. This dust-Inden atmosphere was blown into the flared end of a 4-in.-diameter pipe leading to the chamber. Since the venturi-delivery connection was open so that ' additional makeup air could be drawn from the room, a trap was designed to avoid room air contamination in the event of an exhaust system failure. It consisted of an open acrylic box which encased the connection. The top was covered with a low-pressure-drop fiberglass filtering material.
Dust Concentration and Size Analysis
Five-cubic-meter exposure chambers were used for Fybex, PKT, and asbestos, and two one-cubic-meter chambers for fiberglass. Two atmospheric sampling methods w ere employed. Samples for gravimetric analysis were taken two to four times during each exposure. All filters were dried in a desiccator for at least 24 hr prior to use and after sampling. For each sample, a known volume of chamber air was drawn through a tarcd fiberglass filter. Time, sample volume, and pressure drop over the filter were recorded for each sample. Barometric pressure (BP) was also recorded daily. After drying in a desiccator, the filters were weighed and gravimetric concentrations were calculated as follows:
Cone, (mgfliter) = sampled filter (mg) - tared filter (mg) volume samples (liter) x {BP - &P)IBP
Samples for fiber size and concentration were taken one to two times during each exposure. For each sample, a known volume of chamber air was drawn through a cellulose acetate filter. Time, sampling rate, and duration were recorded for each sample. Preparation of filter sections and enumeration of fibers by phase contrast microscopy were carried out following the procedure of Edward and Lynch (1968). Concentrations of total fibers, fibers >5 pm < 10 pm, and fibers >10 pm were calculated using the formula
avg. fibers/field. x -a-r-e--a--i-nter t-m---m- --*t
Cone, (fibers/liter) =
area field (mm1)
volume samples (I)
All analytical data was tabulated for statistical analysis.
Experimental Design
Experiment I. A total of 230 young adult male rats (Charles River, CaesarianDerived Sprague-Dawley) were divided into five equal groups of 46. The groups were exposed to fibers greater than 5 pm in length in concentrations of 3.1 x 10*/liter (asbestos), 0.7 x I0*/Iiter. (fiberglass), 2.9 x 10*/Iiter (Fybex), and 2.0 x 10*/Iiter (PKT). Details of dust concentrations based on fiber length are shown in Table 2. Gravimetric concentrations were 0.3 mg/liter (asbestos), 0.4 mg/liter
(fiberglass), 0.07 mg/liter (PKT), and 0.08 mg/liler (Fybex). One group of 46 rats exposed to air served as a control. Similarly, 167 albino male guinea pigs were divided into five groups: 32 were exposed to fiberglass; 35 to asbestos, Fybex, and PKT, respectively; and 30 were used as a control. A total of 170 hamsters were
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divided into five equal groups of 34 and exposed to the test compounds, with one group serving as control. The exposure time was 6 hr/day, 5 days/week for 90 days. Actual exposure numbers are shown in Table 3.
Four rats from each group were killed at 20 days of exposure and five animals per species of each group were killed at 50 and 90 days of the exposure period. At ' the end of the exposure, the remaining animals were placed in holding rooms. Subsequently, animals per species were killed at 6, 12, 18, and 24 months postexpo sure as shown in Table 3. In addition, some animals which were killed in extremis or died during the exposure or postexposure periods were added to the number of animals killed at the regular sacrifice schedule.
Experiment 2. A total of 160 male rats were divided into four equal groups of 40, three groups were exposed to Fybex (fiber length > 5 at exposure concentra tions of 2.9 x lOVliter, 13.5 x 10*/liter, and 41.8 x 10/liter. One group was used as a control. Dust concentrations according to fiber length are shown in Table 2. Gravimetric concentrations were 0.04 mg/liter, 0.08 mg/liter, and 0.37 mg/liter. Similarly, 139 guinea pigs were divided into four groups. Two groups of 35 guinea pigs were each exposed at the two lower levels, respectively, one group of 34 was exposed at the highest level, and one group of 35 served as control. A total of 146 hamsters were divided into four groups; two groups of 37 were each exposed at the two lower levels, respectively, with one group of 36 at the highest level and one group of 36 serving as control. The exposure time was 6 hr/day, 5 days/week for 3 months. On test Day 35 (25 exposure number), the exposure was interrupted for I week because of problems with the exhaust systems in the exposure cham bers but was then resumed. The exposure was extended to 95 days (63 exposure number) as opposed to 90 days used in Experiment 1. Since animals at the highest exposure level showed high incidences of weight loss and mortality on 74 days of testing, the exposures were reduced to 4 days/week for the remainder of the exposure period (Table 4).
The animal sacrifice schedule was similar to Experiment 1 except the first animal sacrifice started on exposure Day 50 and animal numbers at various sac rifice schedules are shown in Table 4.
After gross examination, the lungs were filled with Bouin's fixative by intra tracheal instillation at low pressure. The paraffin sections were prepared according to routine histologic techniques. The sections were stained by hematoxylin and eosin, modified trichrome, silver impregnation, periodic acid-Schiff (PAS), and Perl's stain.
RESULTS
General Observation
In Experiment 1, the mean body weights for all exposed groups were signifi cantly less than control values during the exposure period. Rats exposed to as bestos had the lowest weights that persisted for 15 weeks after the last exposure. After the end of the exposure, the other test groups had body weights similar to controls. Hamsters exposed to asbestos had a greater mortality than controls.
In Experiment 2, during exposure to various concentrations of Fybex, all species had a dose-related decrease in body weight gain. After the end of the
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exposure, body weights for all groups were similar to controls. A high mortality rate was observed in the rats and guinea pigs exposed to Fybex at 41.8 x IO*/liter during the 50-day exposure. Subsequently, rats and guinea pigs showed a doserelated increase in mortality.
Gross Pathology
In Experiment 1. the lungs of some rats exposed to fiberglass revealed numer ous miliary gray foci throughout the visceral pleura at 90 days exposure. The gray foci were much less prominent in hamsters than in rats, but none were seen in guinea pigs. The gray foci had disappeared by 6 months postexposure. The hilar and satellite lymph nodes of all animals were swollen and studded with tiny gray foci during the entire recovery period. No gross changes were found in animals exposed to Fybex or PKT. Some rats exposed to asbestos revealed tiny em physematous plaques which were more prominent when the lungs collapsed after releasing a string lied to the trachea and which persisted throughout the recovery period. The white plaques were not remarkable in the hamsters but were not seen in guinea pigs. The hilar and satellite lymph nodes of animals exposed to asbestos, Fybex, and PKT were swollen and mottled but much less than those of animals exposed to fiberglass. In Experiment 2, the gross findings of animals exposed to Fybex at 41.8 x 10*/liier were occasional emphysematous plaques in rats, fewer in hamsters, and none in guinea pigs. No remarkable gross findings were observed in the lungs of animals at lower exposure levels.
Histopathology
It was difficult to identify tiny fiberglass dust particles in the macrophages because they had a refractive index similar to the microscopic slide or cover glass and were neither refractive nor polarized. In contrast, Fybex and PKT were readily recognized as dark brown, needle-shaped fibers and birefringent under polarized microscopic examination, while asbestos fibers were pale yellow, transparent, and birefringent. The fiber length of asbestos was markedly longer than Fybex and the shortest fiber was PKT. In Experiment 1, asbestos, Fybex, and PKT produced essentially similar pulmonary reactions but significant differences in magnitude of tissue responses. There were some species differences in the response to inhaled dust particles. In contrast, the pulmonary reactions to fi berglass were different from other test compounds. In Experiment 2, the pulmo nary responses of animals exposed to Fybex were dose-related pulmonary re sponses. A comparison of the pulmonary response to each of the test compounds is shown in Table 5. At 20 days exposure, inhaled dust particles were mostly phagocytized within intraalveolar macrophages and foreign body giant cells in the respiratory bronchiolar region. Most dust cells were free within the alveoli which were lined by hyperplastic alveolar lining cells. The giant-cell reaction was most prominent in asbestos, much less in Fybex, and least prominent in the PKT exposure. Some alveoli adjacent to the terminal bronchioles were lined with ciliated columnar epithelium (bronchiolarization) (Fig. 7). In contrast, fiberglass provoked numerous neutrophils and foamy dust cells but no giant-cell reaction or
bronchiolarization. On Day SO of the exposure, the dust cell, giant cell, and
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TABLE 5 StMMAflY Of CO'IPARsmE Pi l MOS sRS ReSPOSSES TO IsH ALE O Dl ST Par 1 1C l E S
Pathological lesions
Test material and groups
FG AB PKT
FB(i)
FB(2)
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hyperplastic granular pneumocytes increased slightly. Some alveolar air spaces were occluded with dust cells, giant cells, hyperplastic alveolar cells, fibroblasts, and inflammatory cells. The respiratory bronchioles were thickened with dust cells and proliferating fibroblasts. Areas of asbestos accumulation showed a reticulin fiber network with thick wavy collagenous fibers. Obliterative bronchiolitis was observed in rats and hamsters exposed to Fybex at 41.8 x IO*/liter but not in guinea pigs. Slightly increased dust cell and alveolar cell hyperplasia was found in the animals exposed to fiberglass.
On exposure Day 90, rats and hamsters exposed to fiberglass revealed marked hyperplastic granular pneumocytes and dust-cell reactions which extended to the peripheral alveoli far from the respiratory bronchioles. In contrast, guinea pigs showed no remarkable dust-cell reactions. The dust cells were heavily concen trated in the respiratory bronchiolar region. Some dust cells disintegrated and re leased granular cellular debris and dust particles. The alveoli were filled with eosinophilic granular material which was PAS positive with diastase resistance (Fig. 8) and stained light green with trichrome stain. The microscopic findings were consistent with the alveolar proteinosis. There was no collagenized fibrosis in the dust-accumulated sites.
In asbestos-exposed rats, the respiratory bronchiolar regions showed patchy thickening due to foreign-body granulomas with marked proliferation of fibro blasts and fibrocytes (Fig. II). The granulomas contained loosely interwoven collagenous and reticulin fibers. The fibroblast proliferation of granulomas in duced by Fybex at 41.8 x io6/liter was much less prominent than in asbestos
granuloma (Fig. 12). The granulomatous lesions induced by Fybex at various exposure levels were dose related (Figs. 9, 10). The alveolar cell hyperplasia and dust-cell reaction with minute collagen fiber deposition were observed in the respiratory bronchiolar region. The bronchiolarization of alveoli adjacent to the
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Fig. 7. The alveolar walls (arrows) adjacent lo ihe terminal bronchiole are lined with ciliated columnar epithelium (bronchiolariiation). Rat, Fybex (41.8 x 10"liler), 90 days exposure, HAE stain, x 700.
Fig. 8. The alveolar air spaces are filled with PAS-positive granular material. Rat. fiberglass (0 7 x lOVliter), 90-days exposure, PAS method, x 300
Fig. 9. Low-power micrograph illustrating dense Fybex fiber accumulation (arrows) mainly in the respiratory bronchiolar region (R). Rat. Fybex (41.8 x I0*/Iiter). 90 day s exposure. HAE stain, x 30.
FlO. 10. Low power micrograph show ing dose related dust deposition (arrows) mainly in the respi ratory bronchiolar region (R) Rat, Fybex (2.9 x 10* liter). 90 day s exposure. H&E stain. x30.
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terminal bronchioles was increased (Fig. 7). By the 90-day exposure, there was no significant increase in PKT dust cells when compared with the 50-day inhalation. The pulmonary response was mainly dust cell and alveolar cell hyperplasia and was less than that seen in Fybex exposure at 2.9 x lO'VIiter. Marked species differences were observed among animals exposed to asbestos, Fybex, and PKT at the 90-day exposure. In rats, some dust-laden giant cells in the alveoli were partially or completely integrated into either bronchiolar or adjoining alveolar walls with proliferating fibroblasts and hyperplastic alveolar lining cells (Figs. 11, 12). In contrast, most dust-laden giant cells were free in alveolar spaces and sur rounded by hyperplastic alveolar lining cells in the hamsters and guinea pigs (Figs. 13, 14). The hamsters showed marked neutrophil infiltration in comparison with
rats or guinea pigs. By 6 months postexposure, fiberglass-laden dust cells and eosinophilic granular
material in the alveoli were markedly reduced in the rats and hamsters, but the granular material was absent in the guinea pigs. There was no collagenized fibrosis in the fiberglass dust-deposited sites. Asbestos or Fybex granulomas revealed a marked reduction in cellularity by the disappearance of fibroblasts and inflamma tory cells but increased collagen deposition. Free inuaalveolar dust cells were markedly reduced in number, and most hyperplastic granular pneumocytes in the alveoli were replaced by flattened epithelial cells. Some of the alveoli that en closed the dust particles showed bronchiotarizaiion and were adenomatous in appearance. The respiratory bronchioles and alveolar ducts revealed patchy thick
ening with dust cells and collagenization. The dust-free alveoli were restored to normal structure. The dust-laden granulomas in the rats reduced cellularity markedly with increased collagen deposition while hamsters and guinea pigs showed still active cellular granulomas with markedly proliferating fibroblasts, inflammatory cells, and hyperplastic alveolar lining cells. Collagen deposition of granuloma was slightly more prominent in hamsters than in guinea pigs but less prominent in rats. PKT induced markedly fewer fibrotic lesions than Fybex at 2.9 x 10*/liter. PKT exposure induced minute collagenized fibrosis in rats and occa sionally in hamsters but not in guinea pigs.
At 1 year postexposure, foamy fiberglass-laden macrophages were tightly packed within the alveoli that were lined with hyperplastic granular pneumocytes. Dust cells were sharply localized in the respiratory bronchiolar region. The eosinophilic granular material had disappeared from all exposed animals. There were no remarkable differences in the pulmonary responses to asbestos, Fybex, and PKT when compared with those seen at 6 mo postexposure. The cellularity of the granulomas and the number of dust cells decreased slightly while collagen deposition became slightly more prominent.
By 2 years postexposure, most fiberglass-laden dust cells were eliminated from the alveoli and some were sharply aggregated in the alveoli showing hyperplastic granular pneumocytes adjacent to the respiratory bronchioles and alveolar ducts. Negligible collagenous deposition was found occasionally in the interstitium
Where dust cells were trapped. The asbestos- or Fybex-laden granulomas in rats
were replaced with collagenized fibrotic lesions in the respiratory bronchiolar region (Figs. 15, 16. 17). The collagenized fibrosis (Fig. 16, 19) of Fybex at 41.8 x 10*/liter was slightly less than that of asbestos (Figs. 15, 18). The Fybex-laden
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Fic. II. Asbestos-laden giant cells (G) are surrounded by markedly proliferating fibroblasts and inflammatory cells, mainly lymphocytes in the respiratory bronchiolar region (Rb) Terminal bron chiole (Tb). ral, asbestos (3.1 * 10*/Iiter). 90 days exposure, H&E stain. >300.
Fig. 12. Fybex-laden giant cells (G) are enclosed by mostly proliferating alveolar lining cells and
inflammatory cells. Note fibroblast proliferation is not as remarkable as that shown in Fig. 11. Dust cel) accrcg.ites (arrow) in the alveolar air space are surrounded by hyperplastic alveolar lining cells and
obliterate the air spaces. Tcrminjl bronchiole tTb), ral, Fybcx (41 8 < lCf'litcr). 90 days exposure.
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PULMONARY RESPONSE TO INORGANIC FIBER
181
collagenized fibrosis was dose related. No distinct cotlagenized fibrosis was found in hamsters or guinea pigs exposed to PKT, but rats showed some occasional slight collagenized fibrosis in the respiratory bronchiolar region. In asbestos- or Fybcx-exposcd guinea pigs, most dust-laden giant cells were free in the alveolar air spaces and were surrounded by a few inflammatory cells, proliferating fibro blasts, and hyperplastic granular pneumocytes (Fig. 20). Hamsters (Fig. 21) showed tissue responses similar to those of guinea pigs. Collagenized fibrosis in the respiratory bronchiolar region was slightly more marked in hamsters than in
guinea pigs but less than in rats (Fig. 19). In fiberglass exposures, ferruginous bodies were Hrst detected by the 6th month
postexposure in hamsters and by the 12lh month postexposure in guinea pigs. The number of ferruginous bodies increased markedly after 12 months postexposure. Ferruginous bodies from asbestos had already developed at 50 days exposure in hamsters and had increased markedly after 90 days exposure in guinea pigs. Both Fybex and PKT formed ferruginous bodies at 90 days exposure. The number of ferruginous bodies in the Fybex group was dose related, though they were much less numerous than those in the asbestos group. No typical ferruginous bodies were found in rats exposed to any test compounds.
The dust particles were already apparent in the tracheobronchial lymph nodes by 50 days exposure and increased gradually thereafter in all animals. Most parti cles were less than 2 jim and fiberglass dust deposition was most prominent of all test compounds. Fibrosis was observed in dust-deposited areas of the lymph
nodes. The incidence of lung tumors and pleural mesothelioma in animals exposed to
the test compounds is shown in Tables 3 and 4. In Experiment 1, after 18 and 24 months postexposure, 2 of 19 rats exposed to fiberglass developed bronchioloal veolar adenomas. Three of 16 rats exposed to asbestos showed lung tumors. Two of three had bronchioloalveolar adenomas and one had epidermoid carcinoma. Oneof2l ratsexposedto Fybex developed bronchioloalveolar adenoma. None of the 20 rats exposed to PKT nor any of the 19 control rats had any primary lung tumors. One of 12 hamsters exposed to Fybex in Experiment I developed an epithelial type of pleural mesothelioma. No lung tumor was found in the other groups. The mesothelioma nodules were scattered throughout the pleural sur faces of the lungs, thoracic wall, and diaphragm. The tumor nodules consisted of a central core of collagenized connective tissue surrounded by layers of hyperplastic or pleomorphic mesothelial cells. Dust-laden macrophages and in flammatory cells infiltrated the tumor nodules.
In Experiment 2, after 18 and 24 months postexposure to Fybex, 3 of 25 rats in group 3 (13.5 x 10/liter) had lung tumors. Two of three were bronchioloalveolar adenomas and the other was an adenocarcinoma. One of 19 rats in group 4 (41.8 x
Fic. 13 Alveolar air spaces adjoining the respiratory bronchiole iRb) are obliterated by Fybexladen cells (arrows), hyperplastic alveolar lining cells, and inflammatory cells, mostly neutrophils. Note absence of proliferating fibroblasts at dust-deposited sites. Hamster. Fybex (41.8 * l0*/1iter). 90
days exposure. H&E stain, *300. Fig. 14. Alveolar air space* adjacent to the respiratory bronchiole (Rb) contain free dust cells
(arrows) and the alveolar walls arc lined with proliferating alveolar lining cells. Fibroblast proliferation is not remarkable Guinea pig. Fybex (41.8 x lOVliter), 90 days exposure. H&E stain. *300.
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arrows) mainly in the respiratory bronchiole < Rb >. alveolar ducts (Ad), and alveoli (A). Note collageni-
zalion is not as remarkable as that 5h0wn in Fig. I5. Dust-accumulated areas (anows) show dark
staining due to pigmented fibers and resemble collagem/aiton Terminal bronchiole (Tb). rat. Fybex
(41 & x 10*/liter). 2 years posietposure. silver impregnation technique, x 100.
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PULMONARY RFSPONSE TO INORGANIC FIBER
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10*/Iiter) had an epidermoid carcinoma. No lung tumors were found in either control or group 2 (2.9 x |0*/liter). Two of 17 guinea pigs in the control group revealed bronchioloalx eolar adenomas, but there were no lung tumors in the Fybex-exposed groups. One of 13 hamsters in group 3 developed a biphasic pleural mesothelioma consisting of mesenchymal and epithelial cells. Of 16 ham sters in group 4, 1 exhibited a pleural mesothelioma (Figs. 22, 23, 24, 25) and 1 had a bronchioloalveolar adenoma. No lung tumors were found in either the control or group-2 hamsters. The pleural mesotheliomas spread throughout the thoracic wall, pericardium, diaphragm, and mediastinal adipose tissue. One case of mesothelioma showed a metastasis in the mediastinal lymph nodes. The mesotheliomas were infiltrated with dust-laden macrophages. Fybex-exposed hamsters showed a high incidence of fibrotic pleuritis with dust cells and variable mesothelial hyperplasia when compared to rats or guinea pigs (Table 6).
DISCUSSION
Although considerable understanding of the biological effects of asbestos has been achieved during the last four decades, the basic mechanisms of pulmonary fibrosis and carcinogenesis is still an enigma. The biological effects of asbestos are thought to be related not only to physical properties (Stanton and Wrench, 1972) but also to trace metals (Cralley and Lainhart, 1973), polycyclic aromatic hy drocarbons (Shabad et at., 1974), and other carcinogenic substances (Dixon et at., 1970) adsorbed on the asbestos fibers during mining, handling, and milling The carcinogenicity of asbestos is markedly enhanced by cofactors such as smoking (Selikoff et at., 970).
Recently, however, the importance of the physical dimensions of fibrous dust has been widely acknowledged for induction of pulmonary fibrosis and lung tumors. Asbestos fibers with an average length of less than 5 /urn are devoid of fibrogenic potential (Webster, 1970) as well as carcinogenic potential (Smith et at.. 1972; Maroudas et at.. 1973). In contrast, long asbestos fibers are not only car cinogenic but also fibrogenic in experimental asbestosis. Similarly, fiberglass and other man-made fibers revealed size-related carcinogenic potential (Stanton and Wrench, 1972; Stanton et at.. 1977; Davis, 1976; Pott et at.. 1976) and fibrogenic potential (Kuschner and Wright, 1976). Fibers less than 1.5 (im in diameter and greater than 8 pim in length produced the highest carcinogenic potential and fibers less than 5 pim in length provoked mainly a macrophage reaction (Stanton et at.. 1977; Pott et at.. 1976).
There was no marked difference between the length of asbestos and Fybex based on the fiber length analysis of individual fibers (Table 1). However, the asbestos fibers were significantly longer than Fybex fibers in the tissue sections and often reached more than 100 ^m. Asbestos fibers also showed marked varia tions in length and diameter in comparison to those of Fybex or PKT. The long asbestos fibers produced prominent giant-cell reaction and severe pulmonary fi-
brosis. Fractured asbestos fibers exhibited polyfilamentous structure, longitudinal
splitting, and adhesion of fine split fibers. The split fibers were not completely separated from the thick fibers and therefore extended the overall fiber length by dislocation or adhesion (Fig. 2). The persistence of numerous long fibers in the
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186
1 EE ET AL.
lung dina mon leng
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Fic 18. The respiratory bronchiole (Rb), and adjacent alveoli (A), show prominent collagenization. Dust laden giant cells (G) and macrophages are embedded in the collagen with scanty fibrocytes. Note markedly decreased cellularily in the collagenized area in comparison to that of the 90-day exposure (Fig. II). Rat. asbestos (3.1 * lOMitcr), 2 years postevposure. H&E stain. x300.
Fig. 19. The coilagenizaiion of alveola/ walls is not as prominent as that shown in Fig. 18. Note markedly reduced cellularily of collagenized area in comparison to that of the 90-day evposure shown in Fig 12. Rat. Fybe* (41.8 x I0*/Iiter). 2 years posic\posure. H&E slam, x 300.
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PULMONARY RESPONSE TO INORGANIC FIRFR
187
lung tissue seems to be related with the unique polyfilamentous structure, longitu dinal splitting, and adhesion. In contrast, Fybex and PKT fibers showed monofilamentous structure and transverse fracture with reduction of the fiber length when the fibers were broken (Figs. 3, 4).
In our experiments, asbestos was the most potent fibrogenic fiber. In terms of collagenized fibrosis at 2 years postexposure, the fibrogenicity of asbestos at 3.1 x 10/liter was slightly more severe than that of Fybex at 41.8 x 10*/liter. PKT was the least fibrogenic and only minimal fibrosis was observed in rats and hamsters but not in guinea pigs. Large asbestos granuloma contained longer fibers (up to 100 /xm) whereas Fybex granulomas were smaller and contained shorter fibers than asbestos granuloma. Short PKT fibers mainly produced a macrophage reac tion with minimal giant-cell granuloma. Fine fiberglass dust particles provoked only a macrophage reaction and no giant-cell response.
The exposure concentration of Fybex at 41.8 x 10*/liter was so high that the lungs were literally loaded with dust, especially in the respiratory bronchiolar regions, causing obliterative bronchiolitis and high mortality in rats and hamsters but not in guinea pigs during the 50-day exposure. On the ba s of the microscopic findings and high mortality, this dust concentration was unrealistically high and overloaded the lung-clearing mechanisms.
Although the gravimetric concentrations of asbestos and Fybex (group 4) were similar, 0.3 and 0.37 mg/liter, respectively (Table 2), the total number of Fybex fibers per liter of air was 7.7 limes that of asbestos, containing 13.5 times more fibers longer than 5 /am and 16.8 times more fibers longer than 10 /am. The weight of an average-length (6 pm) asbestos fiber was approximately 15 x 1 O'"g while the weight of an average-length (10 pm) Fybex fiber was 0.9 x 10"11 g. Theoreti cally, at least 10- 15 times more Fybex fibers would be collected from air con taining equal weights of asbestos and Fybex fibers. Based on the severity of the pulmonary fibrosis observed at various exposure concentrations, asbestos fibers appeared to be at least 10 times more fibrogenic than Fybex fibers.
Kuschnerand Wright (1976) reported that the giant-cell reaction and pulmonary fibrosis developed when the guinea pigs were instilled with longer glass fibers (50% of fibers >10 pm in length) with a thin diameter. Short fibers (<5 pm in length and <1 pm in diameter) produced only a dust-cell reaction but no fibrosis. In our experiments, animals exposed to fine fiberglass particles (mostly <2 pm) at 420 mg/m3 revealed a macrophage reaction with hyperplastic granular pneumocytes and slight alveolar proteinosis which appeared at 90 days exposure but disappeared by 1 year postexposure. Massive dust-cell reactions with subsequent disintegration and releasing of dust particles, ingested surfactant, and cellular
Fic,. 20 The alveolar collagenuaiion of ibe guinea pig is similar io that of the hamster (Fig. 21) but much less than lhai of the rat (Fig 19). Guinea pig. Fybex (41.8 x I0*/Iiter). 2 years post-exposure, HAE stain, x300.
Fic. 21 The alveolar collagcnization of the hamster is not as remarkable as that shown in the rat in
Fig 19 The alveolar air spaces are patent, but the alveolar walls are thickened due to slight collagen
deposition. Note most dust cells (arrows! are free in the alveolar air spaces and reduced cellularity in comparison to the 90-day exposure (Fig 13) Respiratory bronchiole (Rb), hamster. Fybex (41.8 x lOMiter), 2 years postexposure. HAF. slain, x300.
1 'i f
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188
lee et al.
Fig. 22. White glistening tumor nodules (an-o*s) are scattered throughout the visceral pleura of the
lung. Hamster, Fybex (41.8 x lOVtiier), 18 months pos(espo>ure.
Fig. 23 Same hamster shown in Fig 22. WeU-circum'cnbed uhite glistening tumor nodules (ar-
rows! are distributed throughout the
pleura of the thoracic ^all (T) and diaphragm (D).
Fig. 24. Same hamster shown in Fig. 22. The pleural surface (Pi is covered with tumor nodules
showing collageniied connective tissue (C) adjacent to the pleura and neoplastic mesothclial cells <M).
Note collapsed lung parenchyma (L) s free of tumor invasion. Hamster. Fybex (41 8 x 10*/Iiler). 18
rr.onihi pOMexposure, trichrome slam, x30
boi (^j-,
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190 I FE ET AL.
crocidolite followed by amosile. chrysotilc. and anthophyllile (McDonald and McDonald. 1977). Since amosite and crocidolite are similar in chemical composition, the physical characteristics of crocidolite appeared to be associated with a high incidence of pleural mesothelioma (N10SH, 1976).
REFERENCES
Becklake. M. R. (1976). Asbestos-related disease of ihe lung and oiher organs: Their epidemiology and implications for clinical practice. Amrr. Rev. Resp. Ois. 114, 187-227.
Cralley. L. J.. and Lamhart, W. S. (1973) Are trace metals associated with asbestos fibers responsible for the biological effects attributed to asbestos'' J. Occup. Med. IS, 262-266.
Davis, J. M G (1976). Pathological aspects of the injection of glass fiber into the pleural and pentoneal cavities of rats and mice. In `Occupational Exposure to Fibrous Glass. Proceedings of a Symposium. College Park, Maryland. 26-27 June. 1974," pp. 141 - 149. HEW Publications No. (NIOSH) 76-151. U S. Department of Health. Education, and Welfare. Washington. D C.
Dixon. J. R., Lowe. D. B.. Richards, E. E.. Cralley. L. J.. and Strokmger. H. E. (1970). The role of trace metals in chemical carcinogenesis: Asbestos cancers. Cancer Res. 30, 1068- 1074.
Edward. G. H.. and Lynch, J. R. (1968). The method used by the U.S Public Health Service for enumeration of asbestos dust on membrane filters. Ann. Occup. Hyg. 11, I -6.
Gross. P.. Kaxchak. M.. Tolker. E. E.. Babyak, M. A., and DeTreville. R. T. P. (1970). The pulmo* nary reaction to high concentrations of fibrous glass dust. Arch. Environ. Health 20, 696 - 704.
Johnson. J. E.. and Rosen, L. J. (1978). Particle characterization using the photoscan. Powder Technol. 14, 195-201.
Kannerstein. M.. Churg. J., McCaughey. W T. E.. and SelikofT, I. J. (1977). r.thogenic effects of asbestos. Arch Pathol. Lab. Med. 101. 623-628.
Kuschner. M . and Wright, G W. (1976). The effects of intratracheal instillation of glass fiber of varying size in guinea pigs. In "Occupational E xposure to Fibrous Glass. Procee dings of a SympoMum. College Park. Maryland. 26-27 June, 1974," pp. 151-168. HEW Publications No. (NIOSH) 76-151. U.S. Department of Health, Education, and Welfare. Washington. D.C.
Lee. K P.. B.irras. C. E . Griffith. F. D.. and Waritz. R. S. (1979) Pulmonary response to glass fiber by inhalation exposure. Lab. Invest. 40, 123- 133.
Maroudas. N. G . O Neill. C H.. and Stanton. M. F. (1973). Fibroblast anchorage in carcinogenesis by fibres. Lancet 1. 807-809.
McDonald. A D. and McDonald, J. C. (1978) Mesothelioma after crocidolite exposure during gas mask manufacture. Environ. Res. 5, 380-392.
Pott, F., and Friedrichs. K H. (1972). Tumoren der Ratte nach IP Injektion faserforminger Slaube. S'atuns i.sscnschaften 59, 318.
Pott, F.. Huth. F., and Friedrichs, K. H. (1976). Results of animal carcinogenesis studies after appli cation of fibrous glass and their implications regarding human exposure in occupational exposure to fibrous glass. In "Occupational Exposure to Fibrous Glass. Proceedings of a Symposium, College Park. Maryland. 26-27 June. 1974." pp. 183-191. HEW Publications No. (NIOSH) 76-151 U S. Department of Health. Education, and Welfare. Washington. D.C.
Reeves. A. L.. Puro, H. E . Smith. R G . and Volwakt. A J. (1971). Experimental asbestos car cinogenesis /n iran. Res. 4. 496 -511.
SelikofT, I. J.. Hammond. E. C . and Churg. J (1970). Mortality experiences of asbestos insulation workers. In "Proceedings. International Conference on Pneumoconiosis, Johannesburg. 1969" (H A Sh.iptro. Ed ). pp. 180- 186 Oxford Univ. Press, New York.
Shahad. L. M.. Pylev. L. N.. Krivovheeva. L. V . Kulagina. L F.. and Nemenko. B. A. (1974). Expenmemal studies on asbestos carcinogenicity. J. Hat. Can* cr Inst. 52, 1175-1187.
Sluis-Cremer. G. K., and Webster, I. (1972). Acute pleurisy in asbestos-exposed persons. Em iron. Res. 5, 380-392.
Smith. W. E.. Hubert, D. D . and Badollet. M. S. (1972). Biologic differences in response to long and short asbestos fibers. Amer. Ind. H\g Assoc. J 33, A162.
Stanton. M. F.. Layard. M . Tergcris. A.. Miller. M.. May, M., and Kent. E. (1977). Carcinogenicity of fibrous glass Pleural response in the rat in relation to fiber dimension, J. Hat. Cancer Inst. 58,
587 -603.
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PULNIONARV RESPONSE TO INORGANIC FIBER
189
TABLE 6 INCIDENCE OF FlBBOTIC PlEDBITIS IN Anisims EXPOSED TO
Fybfn at 18 Months Postf tposl bf
Group, exposure concentration
Rat
Hamster
Guinea pig
Control 2 (2 9 x I0*<liter) 3 (1) 5 x 10* liter) 4 (418 x |0* liter)
(y2) 1/21 0/25 yi9
0/10 0(18 4/13 8/16
0/17 1/17 2/18 2/16
debris into the air spaces appeared to play an important role in inducing alveolar proteinosis (Lee ef al., 1979). At 2 years postexposure, our experimental animals exposed to fine fiberglass particles satisfied the criterion of a biologically inert dust (Gross ef al., 1970).
Of the 10 lung tumors in rats exposed to fiberglass, asbestos, and Fybex at 2 years postexposure, 7 were bronchioloalveolar adenomas, 2 were epidermoid carcinomas, and l was an adenocarcinoma (Tables 3. 4). The incidence of lung tumors in Charles River C-D Sprague - Dawley-derived rats used as controls in our laboratory over the 10 years (1962-1972) is 4 bronchioloalveolar adenomas and 2 adenocarcinomas in 365 male rats, and only 1 bronchioloalveolar adenoma in 365 female rats_The number of_animals exposed to the test compounds at the 2-year postexposure sacrifice was too small to draw any meaningful concTusuJfre" for carcinogenic potential (Tables 3, 4). In the guinea pigs expoiecTto fiberglass at~ 24 months postexposure, 2 out of 7 developed bronchioloalveolar adenoma while no lung tumors were found in 5 control animals in Experiment 1 (Table 3). Two of 14 control guinea pigs, however, showed bronchioloalveolar adenoma at 24 months postexposure in Experiment 2 (Table 4).
It is noteworthy that intrapleural injections of asbestos or fibrous dust particles produced mostly fibrosarcomatous mesothelioma (Stanton and Wrench, 1972; Stanton et at.. 1977; and Reeves et al., 1971). Neither fibrosarcomatous nor adenomatous features were found in our experimental hamsters exposed to Fybex. Two cases of mesothelioma were the epithelial type and there was one case of biphasic mesothelioma consisting of mesenchymal and epithelial cells. There were no other primary tumors in other organs which could cause a serosal spread in all three cases of mesotheliomas. Considering the fact that the natural incidence of mesothelioma in hamsters is relatively rare and considering the high incidence of fibrolic plcuritis with hyperplastic mesothelium and dust-laden mac rophage infiltration (Table 6), the possibility that the mesothelioma is related to the Fybex exposure cannot be ruled out. It is well known that a chronic pleurisy of both the visceral and parietal pleura was common in asbestos patients (SluisCremer and Webster, 1972). The different mineral types of asbestos fiber have
different mesothelioma-producing potential. The one with the most potential was
Fic. 25. Note migrated Fybex Fibers (arrows) in the collagenized pleura (P) with hyperplastic mesolheltal cells. Lung parenchyma (L), mesothelioma (Ml. hamster. Fybex (41.8 x lCT/liler), 18
months poslesposure. HAE stain. x500.
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PULMONARY RESPONSE TO INORGANIC FIBER
191
Stanton. M. F . and Wrench. C (1972). Mechanism* of mesothelioma induction with avbcstos and fibrous glass. J. A'at. Cancrr Inst. 48, 797-821.
U.S. Depanmem of Health. Education, and Welfare. HEW (1972). "Occupational E\po*ure to As bestos.'* HEW Publications No. (NIOSH) HSM 72-10262, Washington. D.C.
U S. Department of Health. Education, and Welfare, HEW Public Health Service Center for Disease
Control. NIOSH (1976). `Revised Recommended Asbestos Standard.** p. 39. HEW Publications No. (NIOSH) 273-965. Washington. D C. U.S. Environmental Protection Agency (1971). "Asbestos and Air Pollution. Annotated Bibliogra
phy." U.S. Environmental Protection Agency.
Wagner. J C.. Berry, G.. and Skidmore. J. W. (1976). Studies of the carcinogenic effects of fiberglass of different diameters following intrapleural inoculation in experimental animals. In ' Occupa tional Exposure to Fibrous Glass. Proceedings of a Symposium, College Park. Maryland. 26-27 June. 1974. pp. 193-197. HEW Publication* No. (NIOSH) 76-151. Washington, D C.
Webster. F. (1970). The pathogenesis of asbestos, fn "Proceedings. International Conference on Pneumoncontosis. Johannesburg. 1969" (H. A. Shapiro. Ed.), pp. 117- 119. Oxford Univ. Press. New York.
World Health Organization (1973). "Biological Effects of Asbestos" (P. Bogovski, J. C. Gilson, V. Timbrell. and J. C. Wagner. Eds.), IARC Scientific Publications No. 8. WHO. Lyon. France.
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