United States Environmental Protection Agency Health Effects Research Laboratory Cincinnati OH 45268 EPA-600 1-78-069 December 1978 Research and Development &EPA Fate of Ingested Chrysotile Asbestos Fiber in the Newborn Baboon ------- RESEARCH REPORTING SERIES Research reports of the Office of Research and Development, U.S. Environmental Protection Agency, have been grouped into nine series. These nine broad cate- gories were established to facilitate further development and application of en- vironmental technology. Elimination of traditional grouping was consciously planned to foster technology transfer and a maximum interface in related fields. The nine series are: 1. Environmental Health Effects Research 2. Environmental Protection Technology 3. Ecological Research 4. Environmental Monitoring 5. Socioeconomic Environmental Studies 6. Scientific and Technical Assessment Reports (STAR) 7. Interagency Energy-Environment Research and Development 8. "Special" Reports 9. Miscellaneous Reports This report has been assigned to the ENVIRONMENTAL HEALTH EFFECTS RE- SEARCH series. This series describes projects and studies relating to the toler- ances of man for unhealthful substances or conditions. This work is generally assessed from a medical viewpoint, including physiological or psychological studies. In addition to toxicology and other medical specialities, study areas in- clude biomedical instrumentation and health research techniques utilizing ani- mals — but always with intended application to human health measures. This document is available to the public through the National Technical Informa- tion Service, Springfield, Virginia 22161. ------- EPA-600/1-78-069 December 1978 FATE OF INGESTED CHRYSOTILE ASBESTOS FIBER IN THE NEWBORN BABOON by William H. Hallenbeck Kusum Patel-Mandlik School of Public Health University of Illinois Chicago, Illinois 60680 Order No. CA-7-3159-J Project Officer James R. Millette Exposure Evaluation Branch Health Effects Research Laboratory Cincinnati, Ohio 45268 HEALTH EFFECTS RESEARCH LABORATORY OFFICE OF RESEARCH AND DEVELOPMENT U. S. ENVIRONMENTAL PROTECTION AGENCY CINCINNATI, OHIO 45268 ------- DISCLAIMER This report has been reviewed by the Health Effects Research Laboratory, U. S. Environmental Protection Agency, and approved for publication. Approval does not signify that the contents necessarily reflect the views and policies of the U. S. Environmental Protection Agency, nor does mention of trade names or commercial products constitute endorsement or recommendation for use. ii ------- FOREWORD The U. S. Environmental Protection Agency was created in response to in- creasing public concern about the dangers of pollution to the health and wel- fare of the American people and their environment. The complexities of en- vironmental problems originate in the deep interdependent relationships be- tween the various physical and biological segments of man's natural and social world. Solutions to these environmental problems require an integrated pro- gram of research and development using input from a number of disciplines. The Health Effects Research Laboratory was established to provide sound health effects data in support of the regulatory activities of the EPA. Eval- uating man's exposure to environmental health hazards is a key segment in developing such a data bank. Studies of exposure require indentification, characterization, and quantification of physical, chemical, and biological agents found in the environment. In addition, exposure assessment involves the determination of conditions that cause agents to be released into the environment, the study of the routes and pathways to man, and research into the body's ability to prevent the entrance of environmental hazards. This report presents the results of a study to determine if ingested as- bestos fibers can penetrate the gastrointestinal tract and be transported to other tissues in the body. An understanding of how the body handles asbestos is important in determining the potential health effects of asbestos in drink- ing water. R. J. Garner Director Health Effects Research Laboratory iii ------- ABSTRACT The objective of this research was to determine if orally administered chrysotile asbestos fibers can penetrate through the gastrointestinal tract of the neonate baboon and be recovered in selected tissues. A neonate baboon was given a cumulative dose of 3 x lO1^ chrysotile fibers per kilogram. At the end of a 9-day feeding period test and control animals were sacrificed. The following tissues were collected: kidney, liver, spleen, heart, lymph nodes, urine, blood, and gastrointestinal tract. Many methodological problems were encountered in preparing tissues for evaluation by electron microscopy. After developing a satisfactory preparation technique, tissue samples of kidney cortex, kidney medulla, spleen, and liver were analyzed. Definitive data are presented which demonstrate the recovery of chrysotile asbestos from kidney cortex tissue. Data concerning the kidney medulla, spleen and liver tissues must be considered preliminary as more de- finitive work is in progress concerning these and other tissues. This report was submitted in fulfillment of Contract No. W00112 by the School of Public Health, University of Illinois Medical Center under the spon- sorship of the U. S. Environmental Protection Agency. This reports covers the period September 8, 1977 to September 15, 1978 and work was completed Sep- tember 15, 1978. iv ------- CONTENTS Foreword ill Abstract iv Figures vi Tables vii Acknowledgment viii 1. Introduction 1 2. Conclusions 2 3. Materials and Methods 3 Tissue preparation and analysis techniques 3 Calculation of fibers per ug dry weight of tissue and detection limit 5 4. Results and Discussion 6 References 14 ------- FIGURES Number Page 1 Photomicrograph (600x) of a preparation of neonate baboon spleen taken near the edge of a TEM grid 7 Photomicrograph (600x) of a preparation of neonate baboon spleen taken in the center area of a TEM grid Photomicrograph (800x) of a preparation of neonate baboon spleen taken in the intermediate zone of a TEM grid .... vi ------- TABLES Number Page 1 Frequency Distribution of Fiber Lengths of U.I.C.C. Canadian Chrysotile and Chrysotile Fibers Found in the Kidney Cortex ........................... 4 2 Blank Data .......................... 10 3 Results of Preliminary Scanning of Selected Tissues of Neonate Baboons ...................... H Preliminary Fiber Concentrations in Selected Tissues of Neonate Baboons ...................... 12 Final Analysis of Kidney Cortex Tissue of Neonate Baboon for Chrysotile Asbestos .................. 13 Length, Diameter, and Aspect Ratio Data for Chrysotile Fibers Found in the Kidney Cortex of the Neonate Baboon ...... 13 vii ------- ACKNOWLEDGEMENTS The authors wish to acknowledge Patrick J. Clark and James R. Millette, of the Health Effects Research Laboratory, for their assistance in providing size characterization of the asbestos fibers. viii ------- SECTION 1 INTRODUCTION Asbestos is being ingested by the general population with the primary route of exposure being drinking water.1"6 An important environmental health question concerns whether or not chronic exposure to ingested asbestos can cause cancer at one or more sites. Recent studies indicate that ingested asbestos fibers can penetrate through the gastrointestinal tract and migrate to various organs.7 Fiber penetration is a matter of concern because trans- located fibers may induce cancer at susceptible sites anywhere in the body. Possible sites include the lung, gastrointestinal tract, plura, peritoneum, and other sites.8 17 The main objective of the present study was to determine if fibers could be recovered from various tissues of a neonate baboon which had been admin- istered chrysotile asbestos in milk suspension. This protocol represents a departure from all previous animal ingestion experiments which used a rat or mouse mode. With the exception of the study by Cunningham, et al,7 previous animal ingestion studies have provided inconclusive answers to the question of fiber penetration of the gut wall. See Hallenbeck and Hesse18 for a review of animal ingestion experiments which were published before 1976. In light of Cook and Olson's (personal communication) work with humans, it became im- portant to test the hypothesis of fiber penetration in a controlled animal experiment which employed a species closely related to man. Hence the baboon was selected primarily for phylogenetic reasons. In addition, the neonate baboon can be taken from the mother at birth and readily bottle-fed a known concentration of asbestos fibers suspended in milk formula. ------- SECTION 2 CONCLUSIONS The findings of this study strongly indicate that orally administered chrysotile asbestos fibers penetrate through the gut wall of the neonate baboon and that migration to the kidney cortex occurs. Also it appears that fibers with a wide range of lengths penetrate through the gastrointestinal tract of the neonate baboon and that no selection mechanism is operative. Further work is in progress which involves the in-depth analysis of kidney medulla, liver, spleen, and other tissues from the same test and control animals sacrificed in the present study. ------- SECTION 3 MATERIALS AND METHODS GENERAL PROCEDURES Two neonate baboons (Papio anubis), born exactly 8 days apart, were used as control and test animals. Each animal was maintained in an Isolette infant incubator under conditions of controlled temperature, humidity and air supply. The test animal weighed 920 grams and was bottle fed with a suspension of UICC Canadian chrysotile in milk formula. See Table 1 for the frequency distri- bution of UICC fiber lengths. The suspension was prepared by swirling 10 mg of asbestos in 500 ml of distilled water which had been previously filtered through a 0.1 ym Millipore membrane. It was mixed 1:1 with concentrated milk formula (Similac, Ross Laboratories) prior to feeding to give 10 mg of chryso- tile per liter. Assuming 106 fibers per nanogram, the feeding suspension contained 1013 fibers per liter (f/£). A total of 2.8 liters was provided ad libitum over a period of 9 days beginning 24 hours after birth. Therefore, the total dose for the test animal was 3.0 x 1013 F/kg. The control animal weighed 961 g and was bottle-fed with a one to one mixture of concentrated milk formula and distilled, filtered water; 2.6 liters were consumed over 9 days. Both animals were sacrificed at the end of the 10-day trial. The following tissues were collected from each animal after perfusion and bleeding: gastrointestinal tract, spleen, liver, kidney, urine, lymph nodes, blood, and heart. Tissues preparation and analysis technique 1. Comparable weights of control and test tissues were dried in a vacuum oven at 90°C until weights became constant. 2. Dried tissue was ashed in a low temperature plasma asher at 80 watts for 3 hours. 3. The resultant ash was suspended in 10 ml of 1% acetic acid and ultra- sonicated at 50 kHz for 1 minute to obtain dispersion without breakage. Treatment with acid improved the removal of organics in the subsequent ashing step. A check using reference UICC Canadian chrysotile indicated that acid treatment did not disturb the morphology or diffraction pattern under transmission electron microscopy (TEM). 4. The suspension was filtered through a 0.1 ym Nucleopore membrane and the latter was ashed in the plasma unit at 80 watts for 3 hours. The residue was suspended in 5 ml of filtered (0.2 ym Fluoropore) acetone and soni- cated for one minute. ------- TABLE 1 FREQUENCY DISTRIBUTION OF FIBER LENGTHS OF U.I.C.C. CANADIAN CHRYSOTILE AND CHRYSOTILE FIBERS FOUND IN THE KIDNEY CORTEX Length range (in ym) 0.2-0.5 0.5-1 1-2 2-5 5-10 10-25 25-50 50-100 100-200 u.i.c.c.20 % 30.6 33.4 19.8 13.2 1.76 0.93 0.24 0.07 0.00 Kidney cortex % 37.6 26.6 23.0 5.5 3.7 2.7 0.9 0 0 5. 6 yl were immediately withdrawn and deposited on a carbon and Formvar coated TEM grid. Rapid drying was effected by the use of an infrared lamp (250 watts at 5 inches from the grid). 6. Chrysotile fibers were identified by morphology, and randomly selected area electron diffraction (SAED) patterns were obtained with a Philips 300 TEM. Grids were scanned at a magnification of 19,000 and in all cases an equal number of test and control grid holes were scanned. Calculation of concentration and detection limit The concentration of fibers per mg day weight of tissue was calculated using the following equation: Fibers/mg dry weight of tissue = ¥ x A1 x V1 = 7 x 1()5 ^ A2 x V2 x M M where F = average number of fibers per grid square Ax = 0.07 cm2 = area of a 200 mesh TEM grid A2 = 8 x 10 5 cm2 = area of one grid square Vi = 5 ml = volume of sample suspension ------- V2 = 0.006 ml = volume of suspension deposited on grid M = mass of tissue prepared (mg dry weight) The detection limit of this analytical technique can be calculated by sub- stituting F = 0.1 and a particular dry weight, say M = 100 mg, in the above equation. This substitution yields a detection limit of 700 fibers per mg (dry weight) of tissue. ------- SECTION 4 RESULTS AND DISCUSSION Kidney, spleen, and liver tissues from control and test neonates were prepared for TEM analysis. The preparation technique described above resulted in a uniform distribution of particles on the grid surface; this can be seen in the photomicrographs of the edge, intermediate, and center areas of one grid (see Figures 1-3). Also, analysis of blank data revealed no chrysotile fibers in 10 grid squares. See Table 2 for a description of blank data. Preliminary screening of kidney, spleen and liver tissues (see Tables 3 and 4) indicated that the concentration of fibers in the kidney cortex was significantly greater than its control (P = 0.005). The statistical evaluation of data such as that shown in Table 3 has been discussed by Hallenbeck, et al.2 In order to make a final analysis of the kidney cortex preparation, an ad- ditional 62 grid squares were scanned and the results are shown in Table 5. Final analysis of the kidney cortex preparations revealed a statistically sig- nificant excess of fibers in the test preparation as compared to control pre- paration (P < 0.005). See Tables 1 and 6 for detailed information concerning the length, diameter, and aspect ratio of fibers found in the kidney cortex. It can be seen in Table 1 that there is very little difference in the frequency distributions of fiber lengths of UICC Canadian chrysotile and fibers found in the kidney cortex. Hence, there appears to be no fiber selection process oc- curring in the gastrointestinal tract of the neonate baboon. Additional data is being collected on kidney medulla, spleen, liver, and other tissues in order that final analyses can be made concerning the level of chrysotile fibers in these tissues. ------- Figure 1. Photomicrograph (600x) of a preparation of neonate baboon spleen taken near the edge of a TEM grid. Note the uniform distribution of particulates. The same preparation was used in Figures 1-3. ------- Figure 2. Photomicrograph (600x) of a preparation of neonate baboon spleen taken in the center area of a TEM grid. Note the uniform distri- bution of particulates. The same preparation was used in Figures 1-3. , ------- Figure 3. Photomicrograph (800x) of a preparation of neonate baboon spleen taken in the intermediate zone of a TEM grid. Note the uniform dis- tribution of particulates. The same preparation was used in Figures 1-3. ------- TABLE 2. BLANK DATA Grid square number 1 2 3 4 5 6 7 8 9 10 Total fibers Blank 1* 0 0 0 0 0 0 0 0 0 0 0 Blank 2* 0 0 0 0 0 0 0 0 0 0 0 Blank 1 was prepared by placing 6 yl of acetone (previously filtered through a 0.2 ym Fluoropore membrane) on a TEM grid with a carbon coated Formvar substrate. Blank 2 was prepared by placing 6 yl of an acetone suspension (5 ml) of an ashed Nucleopore membrane (0.1 ym) on a TEM grid with a carbon coated Formvar substrate. 10 ------- TABLE 3. RESULTS OF PRELIMINARY SCANNING OF SELECTED TISSUES OF NEONATE BABOONS Number of chrysotile fibers Grid square number 1 2 3 4 5 6 7 8 9 10 Total fibers Kidney cortex ca 0 0 0 0 0 0 0 0 0 0 0 T3 0 0 0 0 0 1 6 2 0 1 10C Kidney C 0 0 0 0 0 0 0 0 0 0 0 medulla T 2 0 0 0 2 0 0 0 0 0 4d Liver C 0 0 0 0 0 0 0 0 0 0 0 T 0 0 0 0 0 0 0 0 0 0 0 Spleen C 0 0 0 0 0 0 0 0 0 0 0 T 0 0 0 0 0 0 b 1 0 0 0 1 T = test neonate; C = control neonate ""The single fiber observed in the spleen of the test neonate was composed of a bundle of 40-50 fibrils. :P = 0.005 *P = 0.10. 11 ------- TABLE 4. PRELIMINARY FIBER CONCENTRATIONS IN SELECTED TISSUES OF NEONATE BABOONS Kidney Spleen Liver Medulla Cortex CS Ta C T C T C T Dry weight (mg) 38 57 133 158 168 168 297 328 Chrysotile fibers/ing , dry weight BD 2,456 BD 4,430° BD 417 BD BD C = control neonate; T = test neonate, bottle-fed a total dose of 3.0 x 1013 chrysotile fibers/kg body weight in a suspension of milk formula. BD = below detection CP = 0.005 r = 0.10. Because of the low mass of medullar tissue 12 yl were deposited on the TEM grid rather than 6 yl. 12 ------- TABLE 5. FINAL ANALYSIS OF KIDNEY CORTEX TISSUE OF NEONATE BABOON FOR CHRYSOTILE ASBESTOS No. of grid squares scanned No. of chrysotile fibers found Dry weight (mg) Chrysotile fibers/mg dry weight Control Tissue 70 0 133 BDb Test Tissue 72 119a 158 7,3223 P <0.005 BD = below detection TABLE 6. LENGTH, DIAMETER, AND ASPECT RATION DATA FOR CHRYSOTILE FIBERS FOUND IN THE KIDNEY CORTEX OF THE NEONATE BABOON Average Standard deviation Maximum Minimum Median Geometric mean Length ym 1.7 4.38 35 0.24 0.5 0.73 Width ym 0.04 0.04 0.34 0.03 0.03 0.04 Aspect ratio 39.5 89.5 800 5 16.7 20.4 13 ------- REFERENCES 1. Asbestos in the Great Lakes Basin, with Emphasis on Lake Superior. A re- port to the International Joint Commission from the Great Lakes Research Advisory Board, 1975, p. 35. 2. A Study of the Problem of Asbestos in Water. The American Water Works As- sociation Research Foundation, Denver, Colorado, J. Am. Water Works Assoc. (2):l-22, 1974. 3. Cunningham, H.M., Pontefract, R.: Asbestos fibers in beverages and drink- ing water. Nature. 232:332-333, 1971. 4. Durham, R.W., Pang, T.: Asbestos fibers in Lake Superior, Water Quality Parameters, ASTM STP 573, American Society for Testing and Materials. 1975, pp. 5-13. 5. Cook, P.M., Glass, G.E., Tucker, J.H.: Asbestiform amphibole minerals detection and measurement of high concentrations in municipal water sup- plies. Science. 185:853-855, 1974. 6. Kay, G.H.: Asbestos in drinking water. J. Amer. Water Works Assoc. 66:513-514, 1974. 7. Cunningham, H.M., Moodie, E., Lawrence, G., and Pontefract, R.D.: Chronic effects of ingested asbestos in rats. Arch. Environ. Contain. Toxicol. 6:507, 1977. 8. Selikoff, I.J., Hammond, E.G., Seidman, H.: Cancer risk of insulation workers in the United States. Bogovski, P., Timbrell, V., Gilson, J.C., Wagner, J.C., Davis, W. (ed): The proceedings of the conference on the Biological Effects of Asbestos, Lyon, France, International Agency for Research on Cancer, WHO, 1972, pp. 209-216. 9. Selikoff, I.J.: Epidemiology of gastrointestinal cancer. Environ. Health Perspect. 9:299-305, 1974. 10. Enterline, P., DeCoufle, P., Henderson, V.: Mortality in relation to oc- cupational exposure in asbestos industry. J. Occ. Med. 14(12): 897-903, 1972. 11. Newhouse, M.L.: Cancer among workers in the asbestos textile industry. Bogovski, P., Timbrell, V., Gilson, J.C., Wagner, J.C., Davis, W., (ed): The proceedings of the conference on the Biological Effects of Asbestos, Lyon, France, International Agency for Research on Cancer, WHO, 1972, pp. 203-208. 14 ------- 12. Newhouse, M., Berry, G., Wagner, J.C., Turok, M.E.: A Study of the mor- tality of female asbestos workers. Br. J. Ind. Med. 29:134-141, 1972. 13. Enterline, P.E.: Mortality among asbestos products workers in the United States. Ann. N.Y. Acad. Sci. 132:156-165, 1965. 14. McDonald, J.C.: Cancer in chrysotile mines and mills. Bogovski, P., Timbrell, V., Gilson, J.C., Wagner, J.V., Davis, W. (ed): The proceedings of the conference on the Biological Effects of Asbestos, Lyon, France, International Agency for Research on Cancer, WHO, 1972, pp. 189-194. 15. Enterline, P.E., and Kendrick, M.A.: Asbestos dust exposures at various levels and mortality. Arch. Environ. Health. 15:181, 1967. 16. Hammond, E.G., Selikoff, I.J., and Churg, J.: Neoplasia among insulation workers in the United States with Special reference to intra-abdominal newplasia. Ann. N.Y. Acad. Sci. 132:519, 1965. 17. Selikoff, I.J., Churg, J., and Hammond, E.G.: Asbestos exposure and neo- plasia. J. Amer. Med. Assoc. 188:22, 1964. 18. Hallenbeck, W.H., Hesse, C.S.: A review of the Health Effects of ingested asbestos. Reviews on Environmental Health. 2:157-166, 1977. 19. Hallenbeck, W.H., Chen, E.H., and Wolff, A.H.: Precision of analysis for waterborne chrysotile asbestos by transmission electron microscopy. Bull. Environ. Contam. Toxicol. 17:551-558, 1977. 20. Rendall, R.E.G.: The data sheets of chemical and physical properties of the U.I.C.C. standard reference samples. In Pneumonconiosis Proceedings of the International Conference. (Johannesburg), edited by Shapiro, H.A., Oxford University Press, pp. 23-27, 1970. 15 ------- TECHNICAL REPORT DATA (Please read Instructions on the reverse before completing) REPORT NO. EPA-600/1-78-069 2. TITLE AND SUBTITLE Fate of Ingested Chrysotile Asbestos Fiber in the Newborn Baboon REPORT DATE December 1978 6. PERFORMING ORGANIZATION CODE AUTHOR(S) William H. Hallenbeck and Kusum Patel-Mandlik 8. PER PERFORMING ORGANIZATION NAME AND ADDRESS School of Public Health University of Illinois Chicago, IL 60680 10. PROGRAM ELEMET 6l4B(d) 11. CONTRACT/GRANT NO. Order No. CA-7-3159-J 12. SPONSORING AGENCY NAME AND ADDRESS Health Effects Research Laboratory - Cinn, OH Office of Research and Development U.S. Environmental Protection Agency Cincinnati, Ohio 45268 . 13. TYPE OF REPORT AND PERIOD COVERED Final - 9/8/77-9/15/78 14. SPONSORING AGENCY CODE EPA/600/10 15. SUPPLEMENTARY NOTES To be submitted to: J. of Environmental Pathol. Toxicol 16. ABSTRACT The objective of this research was to determine if orally administered chrysotile asbestos fibers could penetrate through the gastrointestinal tract of the neonate baboon and be recovered in selected tissues. A neonate baboon was given a cumulative dose of 3 x 1013 chrysotile fibers per kilogram. At the end of a 9-day feeding period test and control animals were sacrificed. The following tissues were collected kidney, liver, spleen, heart, lymph nodes, urine, blood, and gastrointestinal tract. Many methodological problems were encountered in preparing tissues for evaluation by electron microscopy. After developing a satisfactory preparation technique, tissue samples of kidney cortex, kidney medulla, spleen, and liver were analyzed. Definitive data are presented which demonstrate the recovery of chrysotile asbestos from kidney cortex tissue. Data concerning the kidney medulla, spleen and liver tissues must be considered preliminary as more definitive work is in progress concerning these and other tissues. 17. KEY WORDS AND DOCUMENT ANALYSIS DESCRIPTORS b.lDENTIFIERS/OPEN ENDED TERMS c. COSATI Field/Group Asbestos, Serpentine, Ingestion (biology), Laboratory animals, Potable water Health Effects 06 F 18. DISTRIBUTION STATEMENT RELEASE TO PUBLIC 19. SECURITY CLASS (This Report) UNCLASSIFIED 20. SECURITY CLASS (This page) UNCLASSIFIED 21. NO. OF PAGES -24 22. PRICE EPA Form 2220-1 (Rev. 4-77) PREVIOUS COITION is OBSOLETE o US. SMJOMDITrarrBGOfflCL B79 -657-060/1545 ------- |