United States
                     Environmental Protection
                     Agency
 Health Effects Research
 Laboratory
 Research Triangle Park NC 2771 1
                     Research and Development
EPA-600/S1-83-008 Sept. 1983
oEPA          Project  Summary
                     Microwaves,   Hyperthermia,  and
                     Human   Leukocyte  Function

                     Norbert J. Roberts, Jr., Shin-Tsu Lu, and Sol M. Michaelson
                      Studies were performed to deter-
                     mine whether human leukocytes are
                     affected  by exposure to  microwave
                     energies that  equal or even exceed
                     current safety standard recommenda-
                     tions. There were no detectable effects
                     on viability or function of human mono-
                     nuclear leukocytes resulting from ex-
                     posure to microwave energy at specific
                     absorption rates up to 4 mW/ml. In
                     contrast to studies in other laboratories,
                     results were highly reproducible and
                     provided  no evidence that current
                     safety standard recommendations are
                     inappropriate insofar as leukocyte func-
                     tion is concerned.
                      This Project Summary was developed
                     by EPA's Health Effects Research Lab-
                     oratory, Research Triangle Park, NC, to
                     announce key findings of the research
                     project that is fully documented in a
                     separate report of the same title (see
                     Project Report ordering information at
                     back).

                     Introduction
                      All  individuals are exposed  to  radio-
                     frequency/microwave energies to variable
                     degrees. Studies by several investigators
                     have raised the possibility that the immuno-
                     competent cells of humans are particularly
                     susceptible to microwaves. These studies
                     were admitted to be poorly reproducible
                     and  nonquantitative. Nonetheless,  they
                     are frequently cited, and have provided the
                     limited data  available,  on  exposure of
                     human leukocytes, to be used by those
                     individuals and agencies that develop en-
                     vironmental health standards. Many ani-
                     mal systems  have been studied, but the
                     species, microwave power intensities,
                     environmental conditions and other fac-
                     tors have been so varied that extrapolation
                     to humans would be exceedingly difficult,
                     even if appropriate.
  The studies reported  here were per-
formed to determine whether human
leukocytes are affected  by exposure to
microwave energies  that equal or even
exceed current safety standard recom-
mendations. Exposure to microwave ener-
gy at specific absorption rates up to 4
mW/ml resulted in no detectable effects
on viability, or unstimulated or stimulated
DNA, RNA, total  protein  or mterferon
synthesis by human mononuclear leuko-
cytes. In  contrast  to the earlier studies
cited above,  results  were  highly repro-
ducible and provided no evidence that
current safety standard recommendations
are inappropriate.


Materials and Methods
  Human  mononuclear leukocytes were
exposed in a waveguide system to 2450
MHz (CW) microwaves  for 2 hours at
specific absorption rates (SARs) from 0.5
to 4  mW/ml. The safety standard limit
proposed  by  Committee C-95.4 of the
American  National  Standards Institute is
0.4 mW/g, which  is  equivalent in these
cultures to 0.4 mW/ml. This standard
incorporates a ten-fold safety factor rela-
tive to bioeffects reported  using animal
models. The waveguide exposure system
and methods  of preventing temperature
mhomogeneity, and methods of determin-
ing specific absorption rates (SARs) have
been described previously (EPA-600/S1-
81-041). In addition to leukocyte cultures
enclosed within waveguides for exposure
or sham-exposure, we included control
cultures located within the same incubator
but external to the waveguides. No at-
tempt was made to  counteract microwave-
induced heating of  the leukocyte cultures
since we wished to observe any potential
microwave-induced effects, thermal or
otherwise.

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  Viability was determined  by  total  cell
counts and percent of cells able to exclude
trypan blue  dye and  ethidium  bromide.
DNA, RNA  and total protein synthesis
were measured by cellular incorporation
of tritiated thymidine, urinde, or leucine,
respectively, using established methods.
Unstimulated and mitogen-stimulated pre-
cursor incorporation  were assayed from
immediately to 5 days after exposure. The
mitogen  phytohemagglutmin (PHA) was
added at a concentration shown to yield
optimum responses with normal mono-
nuclear leukocytes, as well as at several
suboptimal concentrations.   Responses
(mean cpm ± S.E.) are shown in Results
for unstimulated and optimal PHA-stimu-
lated leukocytes.

Results
  Exposure of the leukocytes at SAR=4
mW/ml produced no significant changes
in cell viability for up to one week after
exposure (Table 1). Results were similar
with exposures at lower SARs.
  Unstimulated and  mitogen-sttmulated
DNA, RNA  and total protein synthesis
were examined after exposure of  the
mononuclear leukocytes to microwaves at
SARs of 4 mW/ml or less. There were no
significant differences  between micro-
wave (4mW/ml)-exposed, sham-exposed,
and  control  leukocytes  in  unstimulated
DNA synthesis,  or in responses of  the
leukocytes to an optimal concentration of
mitogen (Figure 1). Results were similar
using suboptimal concentrations of mito-
gen,  and using lower SARs (0.5 and  1.0
mW/ml)  for the microwave-exposed cul-
tures (data  not  shown).  Results were
similar with  measurements of RNA and
total  protein synthesis.  Microscopic in-
spection  of Wnght-Giemsa-stained cyto-
spin  preparations did  not reveal any dis-
crepancies between morphologic lymph-
ocyte blastogenesis (used in some of the
studies cited earlier)  and determinations
using incorporation of the radiolabelled
precursors.
  In addition to determinations of total
protein  synthesis, we  measured spon-
taneous  production of  interferon (none
detected in any cultures), and production
of influenza virus-induced  interferon-a
and  PHA-induced interferon-y, at 1 and 3
days after induction. Virtually all detect-
able virus-induced mterferon-a was present
by 24 h, with equivalent amounts produced
by microwave-exposed (SAR=4mW/ml),
sham-exposed, and control  leukocytes
(Figure 2A). PHA-mduced  interferon-y,
usually produced by 48-72  h, was  not
detected in any culture  supernatant fluid
at 24 h. By 72 h, interferon-y was detected
Table 1.
Exposure
Total Viable Mononuclear Leukocytes after Exposure to Microwave Energy at
SAH=4 mW/ml

                           Days After Exposure8
Microwave
Sham
Control
58±7b
65+11
54±6
60+9
63±15
56±6
41+4
39±2
41±8
47±16
72+36
46+13
39±10
4J±9
36±7
40±W
37+8
38+ Tl
aInsufficient numbers of observations (<5) were available 3 days after exposure. Viability was
 assessed by the ability of the cells to exclude trypan blue dye and ethidium bromide.
bData represent mean total number of viable cells (total cells x percent viable) x TO'4, + S.E.
                Unstimulated
   0.6

   04

   °2
 I
    36
           D
     PHA -Stimulated

     Microwave-Exposed

     Sham-Exposed

      Control
                                                                     I
o
s-
S  32
.c
   28

   24

|  20
s
>  16
C:
   ?2
               01          2345

                                Days After Exposure

Figure 1.    DNA Synthesis by microwave (mW)-exposed, sham-exposed, and unexposed
            /control) human mononuclear leukocytes SAR = 4 mW/ml DNA synthesis by
            unstimulated cells and by cells stimulated by an optima/ concentration of
            PHA  (160 g/ml) are  shown.  Columns indicate mean cpm tritiated thymidine
            incorporated + S.E., from immediately to 5 days after exposure.
in all PHA-mduced cultures, with no signif-
icant differences between the microwave-
exposed (SAR=4mW/ml), sham-exposed,
and control leukocytes (Figure 2B).  Re-
sults were similar with exposures to micro-
waves at lower SARs.

Discussion
  The current  studies provide the first
clear,  reproducible data regarding exposure
of human leukocytes to microwave ener-
gies  relevant to current public safety
recommendations. Direct extrapolation to
                               the in vivo setting with many physiological,
                               homeostatic,  integrated systems is  not
                               appropriate. However, these data do sug-
                               gest that earlier reports of possible micro-
                               wave effects on  human  leukocytes, at
                               such energy levels, remain poorly repro-
                               ducible and should not form a basis for the
                               resetting of safety standards. Most studies
                               of environmental physical factors examine
                               effects on  resting cell  populations even
                               though, under normal conditions, man is
                               commonly  exposed  to more  than one
                               environmental stress at a time.   Thus,

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           SA) Virus-Induced
     12 h
     10
                                  L
                                      (B)PHA -Induced

                                             Microwave-Exposed


                                        K/   Sham-Exposed


                                        I  I  Control
Figure 2.
                                    Cell Cultures
Interferon-a and  mterferon-y  synthesis  by microwave (mW)-exposed, sham-
exposed, andunexposed(control)humanmononuclearleukocytes. SAR = 4mW/ml
(A) Interferon-a tilers present 24 hours after induction with influenza virus, and (Bj
Interferon- y liters present 72 hours after induction with PHA are shown Columns
indicate mean log? units/ml ± S.E
these results are notable further for indi-
cating that human leukocytes exposed to
microwaves, as a potential physical stress
factor, can respond normally to  a second
biological  factor, such as the commonly
encountered  infectious  agent,  influenza
virus.
  The current studies do not exclude the
existence  of  microwave-induced effects
on human leukocytes resulting  from ex-
posures at greater SARs. Such exposures
commonly produce effects that can be
related to the degree and/or the rate of
heating  of the cell cultures or tissues in
vivo. Furthermore, the current studies do
not completely exclude potential microwave-
induced effects resulting from exposure at
similar SARs,  but applied by almost in-
numerable different possible wave forms
(frequencies,  modulations, etc.).

Recommendations
  The ubiquitous distribution of micro-
wave energy and the potential differences
between animal models and humans sug-
gest that further investigations with human
leukocytes and other cells  may be  war-
ranted.  The   literature  regarding micro-
waves includes animal studies reporting
deleterious effects of exposure and animal
studies reporting beneficial effects, over a
broad range  of  SARs.  Potential  health
hazards for  humans should  be further
defined  and  limited, and potential health
benefits, such as the use of microwave-
induced hyperthermia in the treatment of
cancer,  should be further defined and
expanded.
                                            NorbertJ. Roberts, Jr., Shin- TsuLu, and Sol M. Michaelson are with the University
                                              of Rochester School of Medicine, Rochester, NY 14642
                                            Ralph J. Smialowicz is the EPA Project Officer (see below).
                                            The complete report, entitled "Microwaves, Hyperthermia, and Human Leukocyte
                                              Function," (Order No. PB 83-225 375; Cost: $7.00, subject to change} will be
                                              available only from:
                                                    National Technical Information Service
                                                    5285 Port Royal Road
                                                    Springfield, VA 22161
                                                    Telephone: 703-487-4650
                                            The EPA Project Officer can be contacted at:
                                                    Health Effects Research Laboratory
                                                    U.S. Environmental Protection Agency
                                                    Research Triangle Park, NC 27711
                                                                                          
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