&EPA
            United States
            Environmental Protection
            Agency
            Office of Environmental Processes and
            Effects Research
            Washington, D.C. 20460
EPA-600/7-79-121
December 1979
           Research and Development
Health Effects
Research  Program
Summary Reportfor
Fiscal Years
1974-1978

Federal Interagency
Energy/Environment
R&D Program
Report

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                 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 INTERAGENCY ENERGY-ENVIRONMENT
 RESEARCH AND DEVELOPMENT series.  Reports in this series result from the
 effort funded under the 17-agency Federal Energy/Environment Research and
 Development Program. These studies relate to EPA's mission to protect the public
 health and welfare from adverse effects of pollutants associated with energy sys-
 tems. The goal of the Program is to assure the rapid development of domestic
 energy supplies in an environmentally-compatible manner by providing the nec-
 essary environmental data and control technology. Investigations include analy-
 ses of the transport of energy-related  pollutants and their health and ecological
 effects; assessments of, and development of, control technologies for energy
 systems; and integrated assessments of a wide range of energy-related environ-
 mental issues.
This document is available to the public through the National Technical Informa-
tion Service, Springfield, Virginia 22161.

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                                             EPA 600/7-79-121
                                             DECEMBER 1979
        FEDERAL INTERAGENCY ENERGY/ENVIRONMENT
           RESEARCH AND DEVELOPMENT PROGRAM

           HEALTH EFFECTS RESEARCH PROGRAM
               Fiscal Years 1974-1978
                       Summary
                          by

                   Richard D.  Thomas
                   Alexis D. Taylor
                   Judith G. Gordon

                 The MITRE Corporation
                    Metrek Division
                McLean, Virginia  22102
                Contract No.  68-01-5051
                    Project Officer

                     Gerald Rausa
                Energy Effects Division
Office of Environmental Processes and Effects Research
OFFICE OF ENVIRONMENTAL PROCESSES AND EFFECTS RESEARCH
          OFFICE OF RESEARCH AND DEVELOPMENT
        U.S. ENVIRONMENTAL PROTECTION AGENCY
               WASHINGTON, D.C.  20460

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                             DISCLAIMER
     This report has been reviewed by the Office of Research and
Development, 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 consti-
tute endorsement or recommendation for use.
                                 ii

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                              FOREWORD
     The U.S. Environmental Protection Agency (EPA) was established
as a single organizational entity to administer federal environmental
legislation.  Such legislation requires EPA to protect and enhance
the nation's environment through control and abatement of environ-
mental pollution.

     The Office of Research and Development is the principal scien-
tific component of EPA.  Its fundamental role is to produce the
scientific data and technical tools needed to develop a national
policy for effective control of environmental pollution through
development of appropriate guidance or regulation.

     This report presents a comprehensive summary to date of the
results of energy-related health research funded by the interagency
energy/environment program which is coordinated by the Energy Effects
Division of the Office of Research and Development.

     The objectives of this interagency research program are to pro-
vide the techniques and data necessary to:  (1) determine the quali-
tative and quantitative effects of energy-related agents on human
health; (2) assess the human health risks associated with all aspects
of energy production and utilization; (3) provide guidance for energy
systems-related control and abatement programs; and (4) provide reli-
able information requested for the establishment of regulations per-
taining to exposures to energy-related agents.
                                 ill

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                               ABSTRACT

     The Federal Interagency Energy/Environment Research and Develop-
ment Program which is coordinated by the U.S. Environmental Protection
Agency was initiated in the latter half of fiscal year 1974 to ensure
that health and environmental problems related to energy resource de-
velopment would be anticipated and evaluated.  This document provides
an overview of the Interagency-supported health effects research
program from an administrative as well as various technical perspec-
tives.  In this updated program review, which is based on the indivi-
dual task progress reports available for fiscal years 1974 through
1978, the research projects are reviewed and discussed according to
King-Muir objectives and selected scientific discipline, biological
endpoint, and agent/pollutant categories.
                                iv

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                              CONTENTS
Foreword
Abstract
Figures
Acknowledgments

  1.0  Summary                                                      1
  2.0  Introduction                                                 3
  3.0  Summary of Accomplishments of the Health Effects
       Research Program                                             9
            3.1  Accomplishments Review from the Perspective of
                 the King-Muir Objectives                           9
                 3.1.1  King-Muir Objective #1                     10
                 3.1.2  King-Muir Objective #2                     11
                 3.1.3  King-Muir Objective #3                     13
                 3.1.4  King-Muir Objective #4                     16
                 3.1.5  King-Muir Objective #5                     18
            3.2  Accomplishments Review from the Perspective of
                 Scientific Disciplines                            21
                 3.2.1  Cellular Toxicology                        21
                 3.2.2  Animal Toxicology                          25
                 3.2.3  Human Health Studies                       30
                 3.2.4  Risk Assessment                            33
            3.3  Accomplishments Review from the Perspective of
                 Biological Endpoints                              33
                 3.3.1  Carcinogenesis                             34
                 3.3.2  Mutagenesis                                34
                 3.3.3  Teratogenesis                              35
                 3.3.4  Dysfunction:  Physiological Damage         37
                 3.3.5  Dysfunction:  Metabolic Effects            38
                 3.3.6  Dysfunction:  Cytotoxic Response           40
                 3.3.7  Morbidity/Mortality                        41
  4.0  Program Review from the Perspective of King-Muir
       Objectives                                                  42
            4.1  Identification of Hazardous Agents                43
            4.2  Dose and Damage Indicators                        46
            4.3  Metabolism of Hazardous Agents                    49
            4.4  Evaluation of Hazards                             50
            4.5  Damage, Repair, and Recovery Mechanisms           53

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                        CONTENTS (concluded.)
                                                                 Page

  5.0  Program Review from the Perspective of Scientific
       Disciplines                                                 56
            5.1  Cellular Toxicology                               58
                 5.1.1  Biological Screening                       59
                 5.1.2  Development of Screening Methods           62
                 5.1.3  Toxicity and Damage Indicators             64
                 5.1.4  Damage and Repair Mechanisms               66
                 5.1.5  Metabolism Studies                         67
            5.2  Animal Toxicology                                 69
                 5.2.1  Toxicologic Testing and Screening          70
                 5.2.2  Development of Testing and Screening
                        Methods                                    72
                 5.2.3  Toxicity and Damage Indicators             74
                 5.2.4  Damage and Repair Mechanisms               76
                 5.2.5  Metabolism Studies                         77
            5.3  Human Health Studies                              78
                 5.3.1  Epidemiological Studies                    79
                 5.3.2  Clinical Studies                           80
                 5.3.3  Toxicologic Studies                        81
                 5.3.4  Support/Other                              82
            5.4  Risk Assessment                                   85
            5.5  General Support                                   86
  6.0  Program Review from the Perspective of Biological
       Endpoints                                                   88
            6.1  Carcinogenesis                                    90
            6.2  Mutagenesis                                       91
            6.3  Teratogenesis                                     92
            6.4  Dysfunction                                       94
                 6.4.1  Physiological Damage                       9Zt
                 6.4.2  Metabolic Effects                          97
                 6.4.3  Cytotoxic Response                        100
            6.5  Morbidity/Mortality                              101
            6.6  Multiple                                         103
            6.7  Not Applicable                                   104
  7.;0  Program Review from the Perspective of Agents/Pollutants   105
            7.1  Organic Pollutants                               106
            7.2  Inorganic Pollutants and Agents                  110
            7.3  Elemental Pollutants                             113
            7.4  Physical Agents                                  114
            7.5  Energy-Related Pollutants                        116
            7.6  Multiple Pollutants                              118
            7.7  Not Applicable                                   119

Appendix

     List of Projects in the Health Effects Research Program      121

                                 vi

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                               FIGURES






Number                                                           Page




  1     Funding of Projects by King-Muir Category                 44




  2     Funding of Projects by Scientific Discipline Category     57




  3     Funding of Projects by Biological Endpoint Category       89




  4     Funding of Projects by Agent/Pollutant Category          107
                                vii

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                          ACKNOWLEDGMENTS

     This overview of the Federal  Interagency Energy-Related Health
Effects Research Program is an update of a previous  summary review*
that was prepared for the Office of Energy, Minerals and  Industry
within the Office of Research and  Development of  the U.S. Environ-
mental Protection Agency (EPA) under Contract No. 68-01-3539.  Some
material from the previous report  is incorporated in this document.

     The support and helpful comments provided by Gerald Rausa, the
EPA Project Officer, are gratefully acknowledged.  The technical
assistance of Rebecca Meadows and  Yasuko Anglin and the editorial
assistance of Pamela Miller are appreciated.
*J. Dorigan and H.  Mahar.   "Health Effects Research Program, Fiscal
 Years 1975-1977,  Summary."  MTR-7630.  The MITRE Corporation, Metrek
 Division, McLean,  Virginia.   August 1977.

                               viii

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                              SECTION 1




                               SUMMARY






     Under the auspices of the Federal Interagency Energy/Environ-




ment Research and Development (R&D) Program, approximately 58 million




dollars have been funded during the past four and one-half years to




support health research efforts.  The purpose of this research is to




ascertain the potential health effects associated with this country's




accelerated energy resource development.  This document summarizes




the continuing energy-related health effects R&D effort in a manner




that succinctly conveys the status and direction of the Federal




Interagency Energy-Related Health Effects Research Program to date.




     More than 280 energy-related health effects research projects




have been supported by the Federal Interagency Energy/Environment




R&D Program since its inception.  All of these research projects are




discussed in this summary which is based on available project docu-




mentation, primarily the three-year summary reports.  The accomplish-




ments of the research projects in the program are reviewed from the




perspectives of the King-Muir objectives and selected scientific




discipline and biological endpoint categories.  The program is




reviewed from the perspectives of King-Muir objectives and selected

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scientific discipline, biological endpoint, and agent/pollutant




categories.




     The projects in the research program are listed in the Appendix.

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                             SECTION 2

                            INTRODUCTION


     Health and environmental problems arising from intensified

domestic energy development and increased energy use are becoming

increasingly important.  As a consequence of the first oil embargo in

1973, the Chairman of the Atomic Energy Commission, Dixie Lee Ray,

organized a committee to survey federal and private energy-related

research activities and to recommend an energy research and develop-

ment (R&D) program for the nation.  Specific goals and recommenda-

tions were conveyed in the December 1973 report of the Ray Committee

(The Nation's Energy Future).  This report led to a special Congres-

sional appropriation for environmental and health research related to

energy development which ultimately resulted in the establishment of

the Federal Interagency Energy/Environment R&D Program.

     Two federal Interagency Working Groups* representing 23

departments and agencies were convened to ensure that major health

and environmental problems related to energy resource development

would be anticipated and evaluated on a schedule compatible with
*The Interagency Working Group on Health and Environmental Effects
 of Energy Use and the Interagency Working Group on Environmental
 Control Technology for Energy Systems.

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energy technology development and commercialization.  These Working




Groups developed the program structure for a federal interagency




research and development effort that would assess potential health




and environmental effects of accelerated energy development and would




perfect pollution-control measures in order to minimize the asso-




ciated environmental impacts.  In addition, the Working Groups also




defined specific goals and recommendations for the Federal Inter-




agency Energy/Environment Research and Development Program.




     The Federal Interagency Energy/Environment R&D Program is admin-




istered and coordinated by the U.S. Environmental Protection Agency




(EPA).  Program monitoring was previously the responsibility of the




Office of Energy, Minerals and Industry (now the Office of Environ-




mental Engineering and Technology) within the Office of Research and




Development, but this responsibility was recently assigned to the




Energy Effects Division in the Office of Energy Processes and Effects




Research (previously the Environmental Effects Division in the Office




of Air, Land and Water Use).   In order to maximize useful output, the




program utilizes an extramural implementation approach, with EPA




relying heavily on expertise  available within other federal agencies.




Research activities are performed by more than a dozen federal agen-




cies in addition to EPA.  The overall effort consists of two major




parts:

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     •  R&D on effects of pollutants, including health effects,
        ecological effects, pollutant characterization and mea-
        surement, pollutant transport and fate, and integrated
        assessment of all types of effects

     •  R&D on technological measures for controlling the release
        of pollutants to the environment, including changes in the
        processes of energy extraction, conversion and utilization
        as well as end-of-system pollution-control measures

     The R&D program initiates research in order to develop the

health and ecological effects data base that is needed to support

environmental quality standards and source discharge regulations

for energy technologies, many of which will not be commercially

available before 1985 or 1990.  The health and environmental effects

component of the Federal Interagency Energy/Environment R&D Program

incorporates an implementation strategy that addresses short-,

intermediate-, and long-term research needs:  the short-term need to

support regulatory actions, the intermediate-term need to define the

problem areas, and the long-term need to prevent, rather than merely

to regulate, health and environmental damage.  The criteria for de-

termining research priorities include:

     •  the potential magnitude and importance of the health/
        environmental impacts

     •  the nature and potential utility of the technology
 *Described in the Final Report of the Interagency Working Group on
  Health and Environmental Effects of Energy Use (King-Muir Report),
  prepared for the Office of Management and Budget and the Council
  on Environmental Quality, November 1974.
**Described in the Final Report of the Interagency Working Group on
  Environmental Control Technology for Energy Systems (Gage Report),
  prepared for the Office of Management and Budget and the Council
  on Environmental Quality, November 1974.

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     •  the expected rate of development/utilization of the
        technology

Within this framework, the R&D program must provide the clearest

possible statement of the nature and extent of actual and potential

changes in the human environment that will be associated with ongoing

and proposed energy development.

     Four federal agencies are participating in the health-effects

component of the Federal Interagency Energy/Environment R&D Program—

EPA, the Department of Energy (DOE), the National Institute of Envi-

ronmental Health Sciences (NIEHS), and the National Institute for

Occupational Safety and Health (NIOSH).  The Federal Interagency R&D

Program was designed with the base research program of each partici-

pating agency in mind; and, therefore, the additional funding from

the Interagency Program (often referred to as the "EPA 'Pass-Through1

Program") supports energy-related research that complements the

existing research efforts of each participating agency.  Health

effects research areas not only reflect the current priorities

assigned to the various energy technologies but also the perspectives

of the participating agencies as defined by their legislative

mandates.

     The Federal Interagency Energy-Related Health Effects Research

Program examines the health problems associated with fossil fuel

combustion (both conventional and advanced), coal conversion, and

energy conservation efforts.  Problems associated with alternative

energy sources are also being considered; some of the research effort

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is directed to generally applicable methods development and




fundamental research.




     This summary of the Federal Interagency Energy-Related Health




Effects Program was limited by several constraints.  The information




used to prepare this document was derived primarily from three-year




project summary reports.  Other information sources that were used




when necessary/available include project progress reports and




quarterly, semiannual, annual and three-year project status reports.




The number of reports available for each research project varied




considerably, ranging from a general project description to a full




complement of progress reports accompanied by publication reprints.




These reports were prepared by the principal investigator, the pro-




ject officer, and/or the program coordinator.  The perspectives of




the authors differed, and the type of information and the level of




detail provided in the reports differed greatly.




     This document provides a general overview of the Federal




Interagency Energy-Related Health Effects Research Program from four




perspectives.  The more than 280 individual research projects that




comprise the research program are reviewed and discussed from the




perspectives of the King-Muir objectives and selected scientific




disciplines, biological endpoints, and agents/pollutants.

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     This report is an update of and incorporates some material from

a previous summary* that was prepared for the Office of Energy,

Minerals and Industry within the EPA Office of Research and Develop-

ment under Contract No. 68-01-3539.
*J. Dorigan and H. Mahar.  "Health Effects Research Program, Fiscal
 Years 1975-1977, Summary."  MTR-7630.  The MITRE Corporation, Metrek
 Division, McLean, Virginia.  August 1977.


                                  8

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                              SECTION 3




                  SUMMARY OF ACCOMPLISHMENTS OF THE




                   HEALTH EFFECTS RESEARCH PROGRAM









     Many of the projects in the Interagency Energy-Related Health




Effects Research Program are long term, and many were funded only




recently.  Nevertheless, it is possible to identify accomplishments




that have been made to date.  In this section, the accomplishments of




the research program,  as determined from the most recent reports




available for the individual projects, are discussed from the per-




spectives of the King-Muir objectives, the scientific disciplines,




and the biological endpoints of the research.




3.1  ACCOMPLISHMENTS REVIEW FROM THE PERSPECTIVE OF THE KING-MUIR




OBJECTIVES




     Each research project in the program was reviewed from the per-




spective of the five King-Muir objectives—Identification of Hazard-




ous Agents; Dose and Damage Indicators; Metabolism of Hazardous




Agents; Evaluation of Hazards to Man; and Damage, Repair, and




Recovery Processes.  The accomplishments and research findings within




each category are discussed and summarized.

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3.1.1  King-Muir Objective #1




     Most of the efforts in this part of the program, the Identifica-




tion of Hazardous Agents, were devoted to:  developing new assay sys-




tems, adapting proven assays to specific needs, validating assays,




determining optimum conditions, and establishing protocols for test-




ing/screening samples.  Two new mutagenicity/carcinogenicity




screening techniques are adaptations of the Ames testr-one allows




liquid culture and the other is the well test that greatly reduces




sample size.  Other mutagenic assay systems that were developed




include a multiple marker assay that uses Chinese hamster ovary (CHO)




cells, an assay in which mutations are produced in mouse germ and




somatic cells, a DNA-repair assay, and a bacteriophage system in




which replication is inhibited.  Methods developed for toxicity




assays include the use of cellular ATP level as an early indicator of




particle toxicity to rabbit alveolar macrophages (RAM) and an




automated testing system to detect behavioral changes in monkeys.   A




new technique that may be useful in determining reproductive and




teratogenic  effects of energy-related substances is the automated,




quantitative measurement of changes in sperm size and shape.




     The energy-related products that have been tested include stack




emission condensates from eastern and western coals;  crude products




and fractions thereof from coal gasification, coal liquefaction,  and




in situ retorting of shale oil; fibrous minerals;  and various partic-




ulates.  Efforts were devoted to obtaining, characterizing,  frac-




tionating, and preparing the test samples.  For example,  a cyclone





                                10

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system was developed that produces size-segregated particles, and




methods were devised to prepare and to characterize specific partic-




ulate systems (e.g., metal oxides, pesticides, and fibrous amphibole




minerals).




     Samples are tested with the various assay systems in order to




identify the hazards associated with these materials.  Stack emis-




sions condensates from combustion of eastern and western coal samples




are being characterized and tested.  It was determined that the




different fractions of the various energy products differ in degree




of hazard and that, for example, the basic fraction of Synfuel A-3 is




the most mutagenic fraction.  The chlorides and sulfates of various




metals were ranked for toxicity to RAM cells:  mercury, cadmium, and




vanadium are most toxic; copper and zinc have moderate toxicity; and




manganese and nickel are least toxic.  In a study of the effects of




simultaneous exposures to these compounds, it was found that the less




toxic metals decrease the toxicity of the more toxic by competing for




the same sites.




3.1.2  King-Muir Objective #2




     The initial efforts in this part of the program, Dose and Damage




Indicators, were also devoted primarily to developing assay systems




and selecting appropriate test organisms/organs/cells.  Some screen-




ing of energy-related substances was accomplished during testing of




the assay systems.




     Various assay systems were developed, improved, and/or tested




for use  in  studies of the different harmful effects  (carcinogenicity,







                                  11

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mutagenicity, teratogenicity, toxicity) that can result  from exposure




to the energy-related substances.  In work on assay systems pertain-




ing to cell transformation, a bioassay system for transformation of




lymphocytes was established, an improved method of scoring oncogenic




transformations in mouse embryo cells was perfected, and cytochemical




markers for cell transformation were developed.  Progress was made in




developing techniques for point mutation assays, multiple loci




screening for mutations, and detection of inversions.  Other test




methods that were worked on include measurement of DNA repair,




automatic screening for aberrant sperm, and a sulfite oxidase assay




for detecting presence of sulfite in plasma after exposure to sulfur




dioxide.  A computer automated pattern recognition system for




detecting and assessing neurobehavioral changes in monkeys is now




complete and functional.




     Other accomplishments are related to development of equipment,




techniques, and test organisms.   Some of the test systems required




development of new equipment such as special tanks for long-term




experiments involving exposure of fish to carcinogens.  A method of




providing slow release of test substances into experimental animals




was perfected; tracheal implants of beeswax pellets that contain




carbon particles coated with the chemical being tested are suitable




for this purpose.   New mouse strains were developed that have




increased sensitivity to induction of point mutations.  New cell




lines were established in continuous culture (e.g.,  two human
                                 12

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lymphocyte lines and a raurine myeloma line) for use in specific




assays.




     Substances that were tested include:  the effects of cadmium on




spermatogonia and CHO cells; the effects of trace metals on pulmonary




macromolecular metabolism, particularly with reference to enzyme




inhibition and interference with collagen synthesis; the effects of




lead on cultured liver cells (i.e., the mechanism of inhibition of




heme synthesis) and on cell shape; and the effects of in vivo




exposure of rats to sulfur dioxide on the immunoglobulin fraction of




serum proteins and the amine levels in brain and plasma.




     The foundations were laid for establishment of a National Envi-




ronmental Specimen Bank.  Material was selected for use in the sample




containers; sample handling and preparation techniques were estab-




lished; and analytical techniques were standardized.




     A workshop was held  on Screening Systems  for Alternate Energy




Effluents.




3.1.3  King-Muir Objective #3




     The objective of research projects  in this part of the program—




Metabolism of  Hazardous Agents—is to elucidate  the mechanism  of




toxicity by examining routes of exposure  to hazardous agents;  by




determining how  these agents are  incorporated, metabolized, and




eliminated in/by various  tissues  and organs;  and by studying the




effects on tissues  and  organs and their  functions.  Many of the




projects  in this category were  funded only recently,  and it is




therefore  too  soon  to report on accomplishments.







                                  13

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     In this category as  in other parts of the research program,  some




of the initial work was devoted to developing and testing equipment




and models  that would be  used  in the research efforts.  For  example,




equipment was developed and methods perfected for generation of




ultrafine aerosols of ammonium sulfate and sulfuric acid for inhala-




tion studies; metal aerosols were developed for in vivo and  in vitro




studies of  lung metabolism; and a special aerosol sampling system for




use in inhalation studies was designed, constructed, tested, and




modified as necessary.  An NMR spectrometer that has improved capa-




bilities for characterizing bonding modes of organic and inorganic




compounds is now operational.  Equipment and techniques that have




been developed for study of respiratory tract deposition include




casts of the upper respiratory system and various aerosol deposition




models.  Computer simulation models for predicting body burden were




completed for, e.g., lead.  A carbon monoxide metabolism model accu-




rately predicts absorption and elimination.




     The effects of fly ash from coal combustion and coal gasifica-




tion processes have been studied in ingestion as well as inhalation




experiments.  It was demonstrated that fly ash in the diet does not




affect the metabolism and toxicity of cadmium, manganese,  or mercury




in rats.  Loss in body weight that occurs when the diet contains 10




percent ash is greater in male than in female rats.   Toxicity of fly




ash particles on RAM cells in tissue culture is a function of par-




ticle size as well as composition (toxicity ranking  in decreasing




order is lead, nickel, manganese).







                                 14

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     Respiratory tract deposition models have demonstrated that the




primary mechanism of deposition is particle inertia in the nasal




chamber.  Use of casts of the upper respiratory system revealed a




close correlation between aerosol deposition sites in specific airway




branches and the observed sites of primary bronchial cancer.




     The specific effects of some hazardous agents have been  eluci-




dated.  Findings include, for example, that exposure to acid




atmospheres in vivo decreases the rate of ciliary beating and alters




the morphology of the tracheal epithelium. Selenium accumulates in




liver, kidney, lung, gastrointestinal tract, blood, and bone  and is




cleared from internal organs in 10 to 35 days (half-time).  Vanadium




inhibits biosynthesis of unsaturated phosphatidyl choline and




therefore would interfere with phagocytosis, the primary defense




mechanism of the lung.  Cadmium absorption is affected by the amounts




of calcium and phosphorus present in the diet, and the rate of




gastrointestinal absorption is age-related (greater in young  than in




old rats and guinea pigs).  Exposure to microwave radiation for three




months causes significant differences in serum electrolytes and rat




behavior, differences that disappear after a one-month recovery




period.




     An Environmental Teratology Information Center was established.




This data bank now includes 14,000 references and 3000 chemical




agents that are listed by CAS number, molecular formula, synonyms,




trade names, and generic name.







                                 15

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3,1,4  King-Muir Objective I'M




     In accordance with King-Muir Objective #4, Evaluation of Hazards




to Man, most of the projects in this part of the research program are




exploring the health effects of exposures to combinations of pollu-




tants from energy-related processes and activities.  The techniques




used include in vivo and in vitro animal studies as well as epidemio-




logical studies of exposed human populations.




     Many of the studies examined the effects of various air pollu-




tants, alone and in combination.  These pollutants include particu-




lates (fly ash, carbon particles, and metals), gases (sulfur and




nitrogen oxides and ozone), and aerosols (acid mists).




     It was found, for example, that inhalation of fly ash produces




an immunosuppression response in the mouse and reduced lung and body




weights in the guinea pig.  Inhalation of a mixture of respirable




carbon particles and acid mists causes greater adverse effects in the




hamster than either of the individual pollutants, and exposure to the




mixture reduces the ability of both hamsters and mice to resist res-




piratory infections.




     Various epidemiological studies were initiated, and they are now




in different stages of completion ranging from selection of subjects




and design of questionnaires to data analysis.  Several studies




involve the general population, e.g., people exposed to air pol-




lution in Chicago, to pollution from coal combustion in Cleveland,




and to pollution from fossil fuel power generation in selected U.S.




counties.  Other epidemiological studies are examining health data on




                                  16

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workers in various industries for correlation with industrial hygiene




practices and occupational exposure to various pollutants that are




energy-related.




     In some of the projects, especially those that were funded more




recently, accomplishments to date are primarily in the realm of ini-




tial preparatory work for the experiments.  Different types of equip-




ment (e.g., exposure chambers, aerosol analyzers, particulate




monitors) were developed, calibrated, and/or evaluated.  Some new




experimental methods were developed and tested, e.g., a more




sensitive method of determining mucopolysaccharide histochemically, a




quantitative assay of monamine oxidase types A and B, the use of pica




as a quantifiable behavioral assay of toxicosis, and a system for




detecting inactive enzyme mutations and electrophoretic mobility




mutations in the same loci.  Statistical techniques were developed




for low-dose extrapolation and for analysis of dose-response data.




     Two air quality monitoring systems are now in operation after




the component parts were evaluated, selected, and calibrated, and




operation and maintenance procedures were established.  The CHAMP




system now includes mobile as well as stationary units, and data on




air quality are being collected.  A survey was conducted of the




CLEANS/CLEVER system to develop a quality assurance system.




     Various support projects are now in operation or in the final




planning stages.  The Chemical Repository for Alternate Energy Source
                                  17

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Material  received  108  samples  from  five  coal  liquefaction or purifi-




cation  processes,  two  coal  gasification  processes,  three  shale  oil




recovery  processes,  and  four coal combustion  sources.   The Repository




then distributed 110 samples to  22  investigators  for use  in their




research  projects.   Methodology  was established  for use by the




National  Environmental Specimen  Bank in  analysis  of tissues and other




samples.  The Environmental Mutagen Information Center  had 22,100




bibliographic entries  in its information system as  of March 1978 and




21,000  of these had  been cross-indexed for rapid  identification of




the chemicals by GAS number, formula, generic and trade names,  etc.




3.1.5   King-Muir Objective #5




     King-Muir Objective #5—Damage, Repair, and Recovery  Processes—




is the  determination of the damage,  repair, and recovery  processes in




biological systems exposed to hazardous agents associated  with  energy




technologies.  With many of the  projects in this part of  the  research




program,  initial efforts were devoted to preliminary work  such  as




determining baseline data and developing equipment  and  assay  systems.




Various hazardous agents have been  tested in animal systems (in vivo




%i}d in vitro) to ascertain the damage, repair, and  recovery




processes.  In other projects,  the  emphasis was on  immediate




practical application of the findings through the development of




health and safety guidelines for particular energy-related




occupations and industries.
                                 18

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     Determination of baseline data is essential so that adverse




effects of hazardous agents can be recognized and quantified.   Among




the data ascertained so far are the normal values for immunochemistry




in rats and hamsters, various baseline data for mouse lung tissue,




and data on the histopathology, cell cycle kinetics,  and ultra-




structure of the hamster lung.




     Special equipment, techniques, and assays were developed,




tested, and/or calibrated or validated for use in some of the proj-




ects.  Types of equipment include an ozone reaction chamber and a




cell sorter for separating cell types involved in immune response.




Among the specialized techniques developed in these projects are




those for flow analysis, aerosol generation, in vitro stimulation of




blastogenesis in hamster lymphocytes, preparation of nanogram samples




of DNA by quantitative precipitation, and quantitative measurement of




lead distribution in tissues by X-ray spectrometry.  The assay




systems that were developed or validated include an assay for




immunologic competence, an enzyme activity test in pulmonary tissue,




and the use of ethane and pentane as an index of lipid peroxidative




lung damage.




     The studies of the damage and repair processes induced by vari-




ous hazardous agents are on-going, but some definitive findings have




been reported.  For example, during exposure to sulfur dioxide,




ATPase activity in RAM cells is increased and the levels of




intracellular and secreted lysozyme are reduced.  Exposure of




hamsters to nitrogen dioxide causes lesions in the terminal




                                  19

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bronchiole area; multiple exposures induce fewer lesions than a




single exposure, which may indicate an adaptive process.  The fate of




injected lead in mice depends on the compound (i.e., lead acetate or




lead citrate); at physiological pH, lead citrate remains soluble in




tissues whereas lead acetate is hydrolyzed and then taken up by




reticuloendothelial tissues.  Studies with marmosets demonstrated




that polychlorinated biphenyls (PCBs) and dimethylhydrazine (DMH)




affect the platelet-forming system; DMH causes thrombocytopenia




whereas PCB causes thrombocytosis and anemia. The presence or lack of




Vitamin E in the diet has no effect on the phoapholipid or fatty acid




composition of mouse lung tissue, but high levels of dietary vitamin




E reduce the ozone-induced changes in lung fatty acids.  Dietary




vitamin A is important in the repair of respiratory tract injury




induced by nitrogen dioxide.  The thiol compound WR-2721 provides




protection against the adverse effects of cadmium, decreasing the




mortality rate in rats exposed to cadmium oxide by inhalation (if it




is administered just prior to the inhalation exposure) and reducing




hemolysis of rat erythrocytes in saline containing cadmium oxide.




     Two sets of health and safety guidelines that have been pub-




lished are "Recommended Health and Safety Guidelines for Coal Gasifi-




cation Plants" and "National Plan for the Safety and Health of Divers




in Their Quest for Subsea Energy."  A seminar was held on recircula-




tion of industrial exhaust air; the objective of studies on this




subject is the development of guidelines for exhaust air




recirculation.



                                  20

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3.2  ACCOMPLISHMENTS REVIEW FROM THE PERSPECTIVE OF SCIENTIFIC
     DISCIPLINES

     In the review of the Interagency Energy-Related Health Effects

Research Program, the individual research projects were examined from

the perspective of various scientific disciplines.  This summary of

program accomplishments is presented from the perspective of four

scientific disciplines—Cellular Toxicology, Animal Toxicology, Human

Health Studies, and Risk Assessment.

3.2.1  Cellular Toxicology

     Research projects that involve study of the adverse effects of

pollutants at the organ, tissue, cellular, and subcellular levels are

classified under the scientific discipline of Cellular Toxicology.

Many of the projects involve the respiratory system whereas others

examine the effects of pollutants on the  immune system and the

reproductive system.  Other projects are  concerned with the subcellu-

lar  level  of activity  (i.e., cell transformations  and mutations).

     Studies of  the respiratory system use  tissue  cultures of  lung

and  tracheae as  well as  alveolar macrophages to ascertain the  effects

of exposure by  inhalation.  In  experiments  using  lung organ cultures,

it was determined  that many trace metals  affect enzyme systems;  for

example,  the synthesis of  collagen  is reduced as  the result of enzyme

inhibition by cadmium, copper,  mercury,  nickel, ruthenium,  and zinc.

     The  rate of ciliary activity in  epithelial cells of tracheal

rings  is  not affected  by carbon particulates but  ia decreased by

exposure  to  sulfuric  acid  mist  and  to sulfuric  acid mist combined


                                  21

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with carbon particles.  A tracheal implant system was developed that




provides a useful technique for screening agents; it was found that




both benzo(a)pyrene (BaP) and dimethylbenzanthracene (DMBA) induce




hyperplasia in the epithelium and marked changes in the submucosa.




     Cultures of RAM cells are being used to assess the toxicity of,




for example, fly ash particles and various metals.  It was found that




particle size is an important factor in the toxicity of fly ash




particles; the composition of the particle is also important with the




toxicity of metals being (in decreasing order):  lead, nickel,




molybdenum.  The RAM system was also used to determine the relative




toxicities of various metal sulfates; they are (in order of




decreasing toxicity):  mercury, cadmium, vanadium, copper, zinc,




manganese, nickel, sodium.




     Most of the studies involving the immune system reported prelim-




inary accomplishments.  These include the establishment of lympho-




cyte cell lines from various mammalian species in continuous culture,




development of techniques for reproducible cloning and stimulation of




in vitro blastogenesis, and development of an assay for immunologic




competence.




     In studies of the effects of agents on the reproductive system,




it was found, for example, that CHO cells concentrate cadmium which




stimulates the production of M-RNA polysotne (whereas it is decreased




by exposure to X-ray).  A multiple marker assay for mutagens that
                                22

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uses CHO cells has been developed.  Tissue cultures of endometrial




cells are being used to explore the effects of hormones on chemical




carcinogenesis;  it was found that progesterone conveys protection




when it is added to the culture medium simultaneously with DMBA, but




the cytotoxic effect is increased when progesterone is added first.




     A variety of cell lines and tissue cultures are used in other




studies.  For example, cultured brain cells were used to ascertain




the effects of lead on the offspring of pregnant rats administered




lead in drinking water; the level of glycerol phosphate dehydrogenase




was suppressed in pup brain cells.  Rat liver cell lines were




developed for use in the study of induction of metallothionein by




heavy metals.  Lead-resistant and cadmium-resistant rat cell lines




(e.g., liver, glial cells) were isolated  that will be valuable  for




the study of metal  toxicity.  It was confirmed that the 7,8-dihydro




diol 9,10-epoxide of BaP, a mutagen, is a major metabolite of BaP in




a variety of cells  and tissues.




     Achievements relating to carcinogenesis have been primarily in




the realm of technique and assay development and validation.  Tech-




niques that were  developed include  an  improved method of scoring




oncogenic transformations in mouse  embryo cells, plating techniques




for transformed cells, a microfluorophotometry method for analyzing




single cells  and  a  flow  cytometry  technique  to distinguish between




normal and  transformed cells.  It was  found  that when suspended  rat
                                  23

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hepatocytes are treated in vitro with carcinogens, the number of




binucleate cells decreases while there is an increase in the number




of mononucleate cells.




     Much of the progress in the work on mutagenesis is also related




to the development of techniques and assay systems.  The Ames test




has been modified in various ways to meet particular needs (e.g., a




"well test" that greatly reduces sample size and a liquid culture




method that was used to analyze mutagenic urinary metabolites of




carcinogens).  Conditions were established for a liver cell mutagen-




esis assay in continuous rat liver cell lines.  The sensitivity of a




multiple loci screen for mutations in mammalian cells was validated




by examining clones exposed to ultraviolet light.  An assay system




was developed which is based on the induction of inactive enzyme




mutations and electrophoretic mobility changes in the same loci in




two inbred mouse strains.  New mouse strains were developed for use




in studies of induction of point mutations.  Air samples from various




sites were tested for mutagenicity.  In tests of specific substances,




it was found that six synthetic fuel oil samples had no significant




mutdgenic activity; cyclophosphamide increases the rate of chromosome




aberrations in six human lymphoid cell lines; and the mutagenicity of




fluorene compounds is inhibited by other fluorene compounds.




     Some of the research projects pertain to DNA damage and repair.




The induction of unscheduled DNA synthesis in mouse germ cells pro-




vides an in vivo assay for DNA repair.  DHBA does not induce






                                 24

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unscheduled DNA synthesis in males; furthermore, BaP binds to sperm




heads and to liver DNA.  Of 15 carcinogens tested, 3 induce




unscheduled DNA synthesis directly and 8 require prior metabolic




activation.  Lead and mercury induce base error into DNA.




Ultraviolet and near-ultraviolet light differ in their effects on DNA




damage and repair.  A method of quantitatively preparing small




samples of DNA was developed that should be able to provide material




for direct studies of DNA.




     In some of the projects, special equipment, techniques, and




assays were developed.  For example, a cyclone system for producing




large quantities of size-segregated particles was calibrated.




Automated flow systems were adapted to provide single-cell




suspensions from hamster  lung epithelium by lavage.  An  ozone




reaction chamber for cultured cells was constructed and  tested.




Methods involving assays  of enzyme activity and electron microscope




examination were developed for assessing toxicity in cultured RAM




cells.  An RAM assay system was developed that  is based  on the




cellular ATP level as  the earliest indicator of particle toxicity.




3.2.2  Animal Toxicology




     In animal toxicology studies, animals are  exposed  in vivo  to




hazardous  agents  in order to  ascertain  the effects  of  the exposure.




The  test animals are usually  mammals although bacteria,  insects, and




fish are also used.  In most  of  these research  projects, the  route  of




exposure was inhalation,  the  principal means by which man is  exposed
                                 25

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to energy-related agents, while in other projects the route of




exposure was ingestion or injection.  In some studies, exposure was




to physical agents such as radiation.




     Inhalation studies include exposures to fly ash and other par-




ticulates and to various gases and mists.  It was demonstrated that




fly ash inhalation increases lysozymic and protease activity in




guinea pigs, causes an immunosuppression response in mice, and re-




sults in deposits of granular dust in the alveoli, subpleural and




peribronchiolar lung areas in hamsters.  In studies of inhalation of




metal aerosols, it was found that:  the moat common atmospheric forms




of selenium are readily soluble in biological fluids, and selenium




accumulates in liver, kidney, lung, gastrointestinal tract, blood,




and bone; vanadium inhibits the biosynthesis of unsaturated phospha-




tidyl choline and therefore would interfere with phagocytosis, the




lung cells' primary defense mechanism; and cadmium chloride causes




severe damage to lung tissue and enzymatic responses in the airways.




When mice and hamsters were exposed to respirable carbon particles




and/or acid mists and infectious agents, it was found that the




pollutant mixture had a greater effect than either of the individual




pollutants and that exposure to the mixture decreased resistance to




respiratory infection.




     Inhalation of sulfur dioxides causes, a temporary increase in




ATPase activity, alters the immunoglobulin function of serum




proteins, changes araine levels in brain and plasma, and decreases the






                                 26

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rate of ciliary beating.   Both sulfates and sulfites are cleared




rapidly from the respiratory system,  with the clearance rate  for




sulfates being greater;  prior inhalation of ferric  oxide retards




bronchial clearance initially and then accelerates  it.   Inhalation of




sulfur dioxide or crude air particulate changes the rate at which BaP




is metabolized in the lung.  Inhalation of nitrogen dioxide increases




the rate of mitosis in alveolar raacrophages, the surfactant level in




the lung, and the level of pulmonary phosphatidyl choline.  Dietary




vitamin A is important in the repair of respiratory tract injury




induced by nitrogen dioxide inhalation.  Inhalation of ozone causes




lung damage, the extent of which is age-related (older rats,  for




example, are more susceptible) and also enhanced by lack of dietary




vitamin E; another effect of ozone is decreased rate of bacterial




ingestion by alveolar macrophages.  Many of the effects of inhaled




nitrogen dioxide and ozone are similar; for example, both cause a




temporary increase in metabolic activity that disappears after a




recovery period.  After rats were exposed to aerosolized lead




nitrate, distribution studies determined that lead is absorbed very




rapidly from the lung—about 65 percent of the lead is located in the




gastrointestinal tract within 6 hours after exposure and is then




excreted in the feces within 24 hours; lead is cleared rapidly from




soft tissues but accumulates in bone.




     In most of the studies of metal  toxicity, the substances were




administered by ingestion or injection.  The function of metallo-
                                  27

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thionein in heavy metal metabolism is being investigated, and the




time course for induction of metallothionein and chelation in rat




liver in vivo was studied for cadmium, copper, and zinc.  In studies




of cadmium toxicity, it was determined that the rate of absorption




depends on the levels of calcium and phosphorus in the diet and also



on the age of the animal (being greater in the young); cadmium




stimulates the movement of iron into serosal fluid; and cadmium is




bound by serum proteins.  The age factor in susceptibility was




elucidated in various experiments with lead.  Lead injected into




pregnant rats is maternal- and embryotoxic, causing hemorrhage in the




central nervous system and the fetoplacental unit and teratogenesis.




Lead acetate fed to rat pups from birth induces lead encephalopathy




whereas lead carbonate fed to 18-day-old rats causes toxic,effects




but no encephalopathy.




     Various organic compounds were also administered by ingestion or




injection in order to ascertain their effects.  It was found,  for




example, that when BaP is administered at the maximum tolerated dose,




it reduces the mating ability of male mice and causes females  to




produce fewer litters with fewer mice per litter.   Dose-dependent




vertebral abnormalities and reduced birth weight in mice are also




effects of BaP.  The effects of PCBs were studied in different




animals.  The ability to metabolize PCBs varies with the animal




species (it is greater in the dog than the monkey or rat)  and  the




molecular structure of the compound.  Tetrachlorobiphenyl  is
                                 28

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fetotoxic, teratogenic, and neurotoxic in mice.  Marmosets are




particularly sensitive to PCBs and DMH, both of which affect the




platelet-forming system, the former inducing thrombocytosis and




anemia and the latter thrombocytopenia.  Other organic compounds were




also studied.  Hexabromobiphenyl adversely affects mice and rats,




depressing body weight, open field activity, forelimb grip strength,




and reflexes.  Dipterex has teratogenic effects, the severity of




which varies with the species (rat > hamster > mouse).  Synfuel and




its fractions cause dominant-lethal mutations in mouse oocytes and




spermatozoa.




     The effects of electric fields were studied in different




species.  A DC electric field induces a sex-linked lethal mutation in




male Drosophila and frameshift mutation in Salmonella TA-98, and




confers upon Photobacterium fisheri the ability to grow in the




presence of normally inhibitory concentrations of tetracycline.




Sixty-hertz electric fields have little effect on rats, but sinusoi-




dal electric fields decrease calcium efflux from cerebral tissue.




Exposure to microwave radiation (918 MHz) induces biochemical and




behavioral changes in rats that disappear after one month of




recovery.




     Many of the projects  in this category, as in the other cate-




gories, required preliminary work.  Exposure chambers and techniques




for generating and characterizing aerosols were developed for the




inhalation experiments.  A computer-automated pattern recognition
                                 29

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system for detecting and assessing behavioral changes in monkeys was




completed and is now functional.  New and improved assay methods that




were developed include quantitative determination of monamine oxidase




Types A and B, histochemical determination of mucopolysaccharide with




increased sensitivity, automated quantitative determination of aber-




rant sperm cells, and a mouse oocyte system that is a good monitor of




chemical toxicity because it is a highly sensitive in vivo system.




3.2.3  Human Health Studies




     The projects in the Human Health Studies category are all




directly related to the effects on human health of energy-related




agents.  Most of the projects involve epidemiological studies of




general populations exposed to air pollutants or of workers exposed




occupationally to energy-related agents.  Some of the projects




pertain to industrial hygiene studies and the development of safety




and health guidelines for various energy-related industries.  Other




projects are more general in nature, being concerned with model




development and the establishment of national information centers.




     One experiment with human subjects was a study of the effects of




exposure to nitrogen dioxide at rest and during moderate exercise.




There were no physiologically significant changes in cardiovascular,




metabolic, or pulmonary function that were attributable to nitrogen




dioxide exposure.




     Epidemiological studies of general populations exposed to air




pollution from fossil fuel power generation are in progress in







                                  30

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Chicago, Cleveland, and selected U.S.  counties.  Air monitoring




stations are in operation, the subjects are undergoing medical tests,




and health and emissions data are being collected and analyzed.  The




CHAMP air quality monitoring system was developed and placed in




operation.  The CLEANS/CLEVER system is also operating, and a survey




of the quality assurance system was conducted.




     Various epidemiological studies have been started of workers




occupationally exposed to energy-related agents.  These include




studies of workers at TVA coal-fired power plants and oil shale




workers as well as workers in nonenergy industries who were exposed




to nitrogen oxides, sulfuric acid, ozone, and various mineral fibers




(e.g., mineral wool, clay fiber, attapulgite clay, and fibrous




glass).  Study groups have been selected, medical examinations




administered, and data collected; these efforts as well as data




analysis are continuing.




     Several of the research projects are concerned with the working




environment and industrial hygiene at different energy-related facil-




ities.  Information on coal gasification and liquefaction facilities




and on other energy technologies (oil shale, tar sands, geothennal,




solar, nuclear, and electric power transmission) was collected by




literature searches and site visits.  Medical and operating standards




for divers were published, and work practices were recommended to




protect Alaskan pipeline workers from cold stress and to provide for




the occupational safety and health of workers in coal gasification
                                  31

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pilot plants.  In work on  the recirculation of  industrial exhaust air




feasibility studies were completed, a seminar was held, guidelines




are being developed, and in-plant evaluation has begun.




     Progress was made in  developing a method of using teeth as indi-




cators of human exposure to toxic elements.  More than 1500 teeth




have been collected and analyzed and correlation analysis of environ-




mental data, case histories, and chemical analysis data was started.




     Various models have been developed that are now in different




stages of testing and validation.  These include respiratory tract




deposition models, the trumpet model of aerosol deposition, and casts




of the upper tracheobronchial tree.  These models have demonstrated




that the primary mechanism of aerosol deposition is particle inertia




in the nasal chamber, that air mixing can occur in the deep lung,




that aerosol concentrations in the airway and alveoli differ, that




electrostatic charge enhances the deposition of smaller particles,




and that there is a close correlation between deposition sites in




specific airway branches and the observed locations of primary




bronchial cancer.  Some computer simulation models for body burden




have been completed, including those for lead and the alkaline earth




metals.   A carbon monoxide metabolism model accurately predicts




absorption and elimination.




     The Environmental Teratology Information Center was established;




as of February 1979, the system contained 14,000 references and




listed 3000 chemical agents.  The Environmental Mutagen Information






                                 32

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Center contained 22,100 bibliographic entries as of March 1978.   In

both information systems, chemicals are listed by CAS number,

molecular formula, generic name, synonyms, and trade names.

3.2.4  Risk Assessment

     The projects in the Risk Assessment category involve statistical

and modeling techniques that are used in the estimation of risks

associated with energy processes and energy-related agents, individu-

ally and in combination.  Progress was made in developing and testing

these methodologies.

     Statistical methodology based on the Armitage-Do11 multistage

model for carcinogens was developed.  When this methodology was used

to analyze dose-response data from animal experiments, it was found

that the response curves for most carcinogens are essentially linear

at low dose levels.

     Other efforts were devoted to the development of statistical and

modeling techniques for estimation of the public health hazards

associated with energy technologies.  These techniques can also be

used to evaluate alternative approaches to the question of competing

risks.



3.3  ACCOMPLISHMENTS REVIEW FROM THE PERSPECTIVE OF BIOLOGICAL
     ENDPOINTS

     Each research project in the Interagency Energy-Related Health

Effects Research Program was reviewed from the perspective of the
                                 33

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biological endpoint.  The research findings are summarized below for
each of the following endpoints:  Carcinogenesis, Mutagenesis, Tera-
togenesis, Dysfunction:  Physiological Damage, Dysfunction:
Metabolic Effects, Dysfunction:  Cytotoxic Response, and Morbidity/
Mortality.
3.3.1  Care inogenes is
     Much of the effort in carcinogenesis research has involved the
identification of morphological, cytological, and biochemical changes
that lead to neoplastic cell transformations.  Morphological trans-
formations which lead to tumorigenic response have been identified
for a number of mammalian cell lines.  For example, research has
identified the histological changes in lung tissue that lead to an
increased incidence of tumors following multiple exposures to car-
cinogens combined with irritating mists and gases.  The morphological
transformations are being correlated with alterations in cell bio-
chemical pathways.
     The tumorigenic potential of many energy-related substances has
been determined.  For many substances, testing required the develop-
ment of new techniques, laboratory equipment, and model testing
systems.  The new testing systems developed have specific genetic
characteristics that are ideally suited for carcinogenicity
screening.
3.3.2  Mutagenesis
     There is considerable overlap in the research efforts on car-
cinogenesis and mutagenesis.  As in carcinogenesis, much of the work
                                 34

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in mutagenests has led to the development of new model test systems.




Current test systems have been validated, and multiple loci test




systems have been developed.  A major problem in testing industrial




products and wastes is their complexity.   Through newly developed




fractionation procedures, crude industrial samples can now be




screened for mutagenic potential with reliability.  The components of




many complex mixtures have been chemically identified.  The mutagenic




activity of many crude mixtures has been found to correlate with the




mutagenic potential of individual components.  Mutagenic synergism




has been recognized for a few complex mixtures, though for most




mixtures the subtraction activity is approximately additively equal




to the total activity for the whole mixture.




     Baseline data have been established for cytogenic aberrations




(e.g.» translocation, deletion, inversion, sister exchange) in a




number of cell lines (e.g., human lyphoid, Escherichia coli, CHO,




Syrian hamster embryo, rat hepatocyte).  Validation of these cell




lines for selective mutagens has been completed.  A few testing




techniques (e.g., heritable translocation test and the Ames test)




have been integrated to provide for more efficient testing




procedures.




3.3.3  Teratogenesis




     Baseline information is being collected concerning the types of




damage observed during periods of differentiation in developing
                                 35

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embryos that are caused by exposure to energy-related agents.  As




with other types of toxic effects, some animal species are more




sensitive to teratogenic damage than others.  For example, sensitiv-




ity to the teratogenic potential of dipterex decreases in the follow-




ing order:  rat, hamster, mouse.  In addition to pronounced and




distinct abnormalities in the newborn, other features such as sternal




variation, reduction in birth weight, and mortality in newborn are




being correlated with exposure.  The factors influencing cross-




placental transfer of such agents as metallic pollutants are being




determined.  The distribution of lead over time in the fetus and the




placenta of laboratory animals has been determined.




     Chromosomal aberrations in mouse germ cells induced by coal




conversion products have been determined.  Some carcinogenic agents




are toxic to oocytes.  3-Methylcholanthrene is a powerful mouse




oocyte toxin.  A number of agents have been tested for mouse oocyte




killing activity.  The mouse oocyte system is highly sensitive to




toxic substances, and it can now be used for comparison with other,




in vitro test systems for screening toxic substances.




     Another new test examines sperm for shape abnormalities.  Many




energy-related agents have been tested in hamsters, mice, and rabbits




by screening for abnormal sperm shape.  New automatic quantitative




techniques have been developed for measuring these abnormalities.




The ability to measure sperm size has greatly improved the sensitiv-




ity of the sperm assay.  Changes in size are found at concentrations




well below those that would induce shape abnormality.



                                 36

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3.3.4  Dysfunction;   Physiological Damage




     Since the lung is a major route of exposure to toxic chemical




agents, much research has focused on lung damage mechanisms.  New




test systems have been developed to screen toxic materials for lung




damage potential.  An in vitro model uses tracheal rings to measure




the effect of agents on ciliary escalator action, an important upper




respiratory tract clearance mechanism.  Molybdenum, barium, and lead,




and chromium sulfate do not affect this clearance mechanism; however,




mercury, zinc, nickel, manganese, and cadmium cause considerable




damage to the ciliary function.




     An infectivity test uses mice and hamsters to screen toxic




agents for their potential to hinder resistance to disease.  Sulfuric




acid mist and carbon particulates both reduce the animals'  ability to




resist respiratory infection.




     Work has been completed on  theoretical computerized models to




predict aerosol depositions in various parts of the lung.  The models




are able to predict particle deposition efficiencies and patterns in




the human nasal passages, tracheobronchial tree, and alveoli.  There




is  a close  correlation between aerosol deposition sites  in  specific




airways and the observed locations of primary bronchial  cancer.




     In testing the neuro- and behavioral toxicity of energy-related




agents, an  automated behavioral  testing system  for monkeys  has been




developed.  It  is a computerized, automated pattern recognition
                                 37

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system using television cameras*  The "seeing computer" is more




reliable than trained observers in scoring behavior after agent




exposure.




3.3.5  Dysfunction;  Metabolic Effects




     Extensive metabolic studies are being conducted on the effects




of trace metals including their effects on the biosynthesis of




pulmonary connective tissue.  A number of metals inhibit enzymes,




thereby causing severe toxic effects.  For example, lead is strongly




toxic in the lung because it inhibits creatine phosphokinase by




irreversibly binding to the enzyme.  The structure of the enzyme is'




then drastically altered.  This type of biochemical reaction, which




interferes with collagen synthesis in lung organ cultures, provides a




new sensitive biochemical tool for the in vitro evaluation of the




toxicity of pollutants by monitoring collagen levels in organ




cultures.




     The metabolism of a number of energy-related agents in various




laboratory animals has been determined.  Their metabolism in some




animals differs from that in others.  The rate of metabolism can also




differ among species.  For example, the dog metabolizes PCBs better




than either the monkey or the rat.  This has important implications




with respect to the monkey's susceptibility to cancer.




     In the in vitro test systems, care must be taken to ensure




formation of the proper metabolites of the agents being tested.
                                38

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In many instances, the metabolites are carcinogenic and the original




test material is not.   A principal carcinogenic metabolite of BaP was




isolated from Syrian hamster embryo cells, in vitro bovine and human




tnucosa incubations, mouse 10T 1/2 cells, and in vivo human skin.  New




in vitro cell lines were developed that have the ability to metabo-




lize potential carcinogens to active metabolites.




     Age plays an important role in metabolism.  The ability of




younger animals to metabolize toxic substances is quite different




from that of older animals.  Younger animals absorb much larger




amounts of many substances from the gastrointestinal tract than older




animals.  There are also differences in the metabolism of various




chemical forms of a substance.  When both lead acetate and lead




citrate were injected into mouse tissues, there were considerable




differences in the deposition rates of the two compounds.




     The metabolism of cadmium chloride, chromium, selenium, and




vanadium in the lung was determined.  At the same time, mechanisms of




toxicity have been clarified.  Vanadium inhibits the biosynthesis of




unsaturated phosphatidyl choline; this interferes with phagocytosis,




hindering the lung cells' primary defense mechanisms.  Cadmium




chloride causes acute inflammation and severe damage to lung tissue,




disrupting enzymatic mechanisms in the lung airways.  The competing




nutritional factors affecting cadmium uptake were determined.   The




rate of gastrointestinal absorption of cadmium in the rat and guinea




pig is  age-related.  Transport studies of cadmium and lead show that






                                  39

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lead intoxication disrupts the transport of calcium at the




blood-brain tissue barrier (choroid plexus).  Calcium is necessary




for proper nerve function.




3.3.6  Dysfunction:  Cytotoxic Response




     The cellular toxicity of metallic sulfates was determined using




RAM cells and human lung fibroblasts.  The most toxic metals—as




determined by these two in vitro models—are mercury, cadmium, and




vanadium.  Copper and zinc have moderate toxicity, and manganese and




nickel have low toxicity.  Many metals seem to compete for the same




sites of toxic action.  Modifications in toxicity were observed when




combinations of metals were added to cell cultures.  For example,



vanadium toxicity is reduced when copper sulfate is added.  Zinc




sulfate reduces cadmium sulfate toxicity, and sodium selenite




protects against the toxicity of both cadmium sulfate and mercury




sulfate.  Some metals also increase fibrous collagen in human lung




fibroblasts while others produce severe morphological changes in the




macrophages.




     The effects of cadmium on the karyotype stability of CHO cells




is being investigated.  CHO cells exposed to nontoxic levels of cad-




mium seem to become more resistant to its toxicity.  Some metal salts




and oxides are more soluble than others and therefore can be more




toxic;  however, some are not toxic because they are not  soluble in




the culture media or are not able to penetrate the cell  wall.
                                  40

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     In cytogenetic studies of lung cells, the epithelial cells




lining small airways and alveoli showed greater susceptibility to




nitrogen dioxide injury than cells lining bronchi or tracheae.




Nitrogen dioxide stimulates lung cell and alveolar macrophage




division in hamsters; however, no chromosome aberrations were induced




at the levels used for exposure.




3.3.7  Morbidity/Mortality




     Many of the studies examining morbidity and mortality as an end-




point are new research projects that have not yet produced results.




Those projects that have been active for a longer period have identi-




fied and assembled the necessary personal health and medical records




and have identified the cohort populations to be examined in the




studies.  In a few, data analysis is currently being completed and




results should be reported soon.
                                 41

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                              SECTION 4

     PROGRAM REVIEW FROM THE PERSPECTIVE OF KING-MUIR OBJECTIVES


     The Federal Interagency Energy/Environment R&D Program was

originally established to address the objectives defined in the

King-Muir Report.  The health effects research program component of

the total R&D program is reviewed in this section from the perspec-

tive of the five King-Muir categories.  These correspond to the five

objectives defined in the King-Muir Report, namely:

     Objective #1:   Identification of hazardous agents—to utilize
                    simple, inexpensive and reliable biological assay
                    systems to detect the presence of toxic, carcino-
                    genic, mutagenic, and/or teratogenic agents
                    associated with energy-related activities.

     Objective #2:   Dose and damage indicators—to develop more
                    rapid and sensitive biological methods to detect
                    and quantify early, sublethal, reparable changes
                    in various target organs or systems.

     Objective #3:   Metabolism of hazardous agents—to define the
                    routes and rates of incorporation, metabolism,
                    deposition and elimination of hazardous agents
                    in order to specify tissues, organs, and func-
                    tions at risk.

     Objective #4:   Evaluation of hazards to man—to quantitatively
                    evaluate short- and long-term hazards to man
                    (normal, susceptible and stressed populations)
                    through simultaneous exposures to combinations
                    of stresses associated with energy activities.
                                 42

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     Objective #5:   Damage, repair, and recovery processes—to deter-
                    mine the processes of damage, repair,  recovery,
                    protection, and amelioration in biological sys-
                    tems exposed to hazardous agents associated with
                    energy technologies.

The funding provided each King-Muir category through fiscal year 1978

is indicated in Figure 1.

4.1  IDENTIFICATION OF HAZARDOUS AGENTS

     Research that is being performed for King-Muir Objective #1,

Identification of Hazardous Agents, involves the use of existing and

new biological screening and testing systems to determine the pre-

sence of carcinogenic, mutagenic, teratogenic, and physiologically or

metabolically toxic agents associated with energy technologies.

Research projects in this category are concerned with identifying the

specific fractions or subfractions of energy-related products,

aqueous effluents, and atmospheric emissions that are responsible for

toxicologic effects.

     The various biological screening and testing systems that are

used include microbial assays  (e.g., Ames test), in vitro studies

using specific cell lines  (e.g., Chinese hamster ovary cells) or

tissue cultures (e.g., rat hepatocytes), and in vivo studies  (e.g.,

rat intratracheal studies  and  golden hamster inhalation studies).

The purpose of these studies is  to detect biochemical alterations,

metabolic changes, cellular toxicity, carcinogenesis, mutagenesis,

teratogenesis, system dysfunction  (e.g., pulmonary effects),  and/or
                                 43

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Identification of
  Hazardous Agents
Dose and Damage
  Indicators
Metabolism of
  Hazardous Agents
Evaluation cf
  Hazards to Man
Damage, Repair,
  and Recovery
  Processes
      (15%)'
    (13%)
  (11%)
(9%)
                      (52%)
                     I  I  I   I  I  I  I  I  I A   I  I  I   I  I  I

                     1    3    5    7    9  V   27   29  31
                             Millions of  Dollars
  Percentages  indicate portion of total effort.
                          FIGURE 1
       FUNDING OF PROJECTS BY KING-MUIR CATEGORY

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whole animal effects (e.g., behavioral effects in primates and so-




matic mutations in mice).




     Objectives of these research projects include determination of




the effects of airborne respirable particulates on the phagocytic




activity of rabbit alveolar macrophages and investigation of hormo-




nal regulation of the effects of chemical carcinogens on endometrial




cells.



     Different agents or pollutants associated with various energy




technologies are being subjected to biological screening and test-




ing systems.  These include crude effluents from alternate energy




sources, coal conversion by-products, emission condensates, fractions




and subfractions of complex mixtures  from energy-related technologies




(e.g., Synthoil, Synthane), airborne  respirable particles and gases,




fibrous minerals associated with the  extraction of ores, trace ele-




ments  (e.g., thallium),  and particulates (e.g., metal-coated fly ash




particles  from coal combustion,  fluidized bed combustion, and coal




gasification).   Some  of  the projects  involve  separation, classifica-




tion,  and  characterization of  the samples prior to testing.  Emis-




sions  from combustion of eastern and  western  coals are  being




characterized, and  their toxicologic  effects  are being  compared.




      Research  projects  pertaining to  King-Muir Objective #1 were




funded at  approximately $8.5 million  through  fiscal  year  1978, or




about 15  percent of the total  expenditures  for  the Health Effects
                                  45

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Research Program.  Allocations for individual research projects in




this category ranged from $64,000 to $530,000.




4.2  DOSE AND DAMAGE INDICATORS




     King-Muir Objective #2, Dose and Damage Indicators, entails the




development of the techniques needed for evaluation of the conse-




quences of human exposure to energy-related toxic substances.  The




research projects in this category are concerned with improving ana-




lytical indicators of exposure, developing techniques for estimating




damage, or developing more rapid and more sensitive techniques for




determining adverse biological activity.  Biological activity can be




determined by examining subtle metabolic and biochemical changes in




cells, tissues, or whole animals.




     In some cellular studies, rabbit alveolar macrophage cells




are being used to examine the toxic properties of trace metals and




particulate material.  Response indices include cell viability, ATP




content, functional integrity, and various metabolic enzyme changes.




     Heavy metals (e.g., lead and cadmium) are applied to cell




cultures derived from nerve, liver, muscle, and lung tissue.  The




effects of metals on general growth, DNA and protein synthesis,




metabolism, and expression of differentiated functions such as re-




production are being examined in cells from various animal species.




Some metals seem to interfere with the synthesis of important macro-




molecules like collagen, a component of the connective tissue.  The
                                 46

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lack of proper synthesis of collagen could explain the damage some




metals cause to tissue structure.  The ability to measure biochemical




changes such as the level of collagen synthesis in the human body may




aid in quantifying the levels of specific metal pollutants to which




the person had been exposed and the subsequent damage.




     Bioindicators of exposure to sulfur and nitrogen oxides, ozone




and hydrocarbons are being sought.  Selected mammalian cell lines




(e.g., Chinese hamster ovary, Syrian hamster embryo, and mammalian




lymphoid cells) as well as human fibroblast and lymphocyte cells are




used to detect mutation and other biological changes.  Some of the




changes being examined as possible bioindicators include synthesis




and repair of DNA, alterations related to mutagenesis, carcinogene-




sis and teratogenesis, and reproductive effects.  Newly developed




bioindicators will aid in determining the genotoxic nature of energy~




related pollutants.




     A variety of epithelial cell lines from various animal species




are being tested to determine the neoplastic transformation potential




of specific pollutants.  Because most human tumors are derived from




epithelial tissues, epithelial cell lines are highly relevant as bio-



logical screening tools.




     A number of new cell lines that possess particular sensitivity




for certain types of agents are being developed for use in mutagene-




sis screening.  The new cell lines will be used as cellular models.
                                 47

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They should provide estimates of exposure and the relative toxicities




of a variety of agents.




     The toxicity of energy-related compounds to spermatogonia and




other germ cells is being investigated in mice.  Mutations in sperm




cells of mouse and man that are caused by toxic agents constitute an




important indicator of human susceptibility.  New computerized scan-




ning procedures are being developed to detect aberrant sperm cells.




These new procedures should improve the accuracy in detecting aber-




rant cells and should decrease the counting time so that more test




samples can be examined.




     Techniques are being developed for examining behavioral changes




in rats and monkeys following exposure to sulfur dioxide, sulfuric




acid, auto exhaust particulates, and coal conversion pollutants.




Behavioral changes could become important new indicators of the




consequences of exposure to pollutants.  However, the ability to




estimate damage and toxicity from behavioral changes is very limited




at present.




      Research projects for King-Muir Objective #2 received approxi-




mately 7.6 million dollars in funding through fiscal year 1978.  This




sum amounts to 13 percent of the total expenditures for the Health




Effects Research Program.  Allocations for individual projects ranged




from $25,000 to $730,000.

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4.3  METABOLISM OF HAZARDOUS AGENTS




     In the research projects funded under King-Muir Objective #3,




Metabolism of Hazardous Agents, the metabolism of energy-related




toxic substances is being studied.  The mechanisms and kinetics of




uptake, distribution, and excretion of toxic agents are being exam-




ined as well as the relationship between metabolism and toxicity.




Knowledge of the mechanisms for metabolizing and detoxifying toxic




pollutants is probably the single most important piece of information




necessary for an understanding of the toxicity of substances.




     Methods are being developed to determine the concentrations  of




toxic  agents and their metabolites in various body  tissues and  or-




gans.  The uptake and accumulation of lead  in brain tissue is being




investigated to determine the  effect of lead on  calcium transport at




the blood brain barrier.  The  mechanisms  of toxicity and detoxifica-




tion of heavy metals such as lead are being determined.  The  effect




of heavy metals on  the detoxification of  sulfide by sulfide oxidase




in  tissues  is under investigation.  New techniques  being developed




for determining the concentrations of toxic substances in tissues




and body  fluids include  innovative uses of  radioactively labeled




compounds  and new  spectrographic  procedures.




     Much  of  the  research  effort  on  the  toxicology  of  energy-related




agents focuses  on  the  pulmonary  system because most pollutants  will




enter  the  body  through the  lungs.  New techniques  are  being  used to




examine the physical and deposition  characteristics of pollutants
                                  49

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such as fly ash in the lung.  These characteristics are then associ-




ated with morphological changes and damage in the lungs.  Topics of




investigation include the biochemical mechanisms of toxicity for




pollutants such as sulfur and nitrogen oxides.  The effects of pol-




lutants on the uptake of antioxidants (e.g., vitamin E) and on blood




and liver enzymes are also under study.  The effect of toxic agents




on the alveolar macrophage metabolism  of carcinogens is being cor-




related with lung cancer induction.  Various biochemical mechanisms




that relate lung disease to chemical exposure are being investigated.




     Mathematical, physical, and animal models are being developed to




predict the levels and rates of deposition of particulates in various




regions of the lung.   These models will be used to correlate the




deposition of particulates in specific regions of the lung with the




sites at which cancer and other diseases are initiated.  Compartmen-




tal models are also being developed for use in predicting total body




burdens of various energy-related pollutants.




     Approximately $6.4 million was obligated through fiscal year




1978 to the research projects funded under King-Muir Objective #3.




This funding constitutes 11 percent of the total expenditures for the




Health Effects Research Program.  Funding for individual projects in




this category ranged from $20,000 to $610,000.




4.4  EVALUATION OF HAZARDS TO MAN




     Research projects funded under King-Muir Objective #4, Eval-




uation of Hazards to Man, are concerned with the development of
                                 50

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techniques for correlating animal study findings with human diseases.




Epidemiological and clinical studies of selected human populations




are used to determine the frequency of various disease states in man.




These studies may also indicate the potential causes of some of the




diseases, even though their etiology is not clear and the mechanisms




of disease production are unknown.  Selected cellular and animal




models can assist in determining the mechanisms and etiology of




disease and, finally, acceptable human exposure levels.




     The effects of energy-related agents on human respiratory func-




tion are receiving considerable attention.  The effects on the lung




of acid sulfates, sulfates, nitrogen dioxide, nitric acid, nitrates,




ozone, carbon monoxide, hydrogen sulfide and various carcinogens such




as 1,2-benzanthracene are being determined.  The deposition of these




agents in the lung and their metobolism are being examined.  Clear-




ance, defense, damage, and repair mechanisms in the  lung are being




studied.  The interaction of two or more agents is being investi-




gated; for example, the  interactions of diesel exhaust and coal dust




are  being examined in laboratory animals.




     The effects of pollutants on other organs are also under study.




These studies include the effects of nitrogen dioxide and ozone on




cardiac, pulmonary and peripheral circulatory function in adult men




who  are  experiencing heat stress at various activity levels.  The




long-term effects of acute and chronic exposures to  pollutants  and




radiation on  the development of  the rat brain and nervous systems are






                                 51

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being studied in a project that examines rat offspring for a number




of generationso  Prenatal exposure to microwaves, electric fields,



and metallic pollutants is being used to determine the effects of




such exposures on the developing nervous system and the development



of latent behavioral changes0  The neurochemical effects of these




exposures are also being examined°




     The genetic effects of energy-related agents are being investi-



gated, and selective teratogenic test systems are being developed.



Mutagenic, carcinogenic, and reproductive effects are being studied




in laboratory animals and cellular test models„  Species-to-species



carcinogenesis extrapolation techniques are being developed for the




comparison of data on various animals and mane  Risk assessment



methods involving more complex factors are being developed,.  The



development of statistical methodology using computer techniques for




low dose extrapolation from the high doses used in laboratory testing




should provide better correlation among cellular models, animal mod-



els, and maiio




     Epidemiclogical studies of the effects of pollutants on selected




human populations are in progress0  Occupational exposures to acid



sulfates, sulfur dioxide, sulfates, nitric acid, nitrogen dioxide and



nitrates are being studied„  Epidemiological studies can be made of




people living near fossil fuel-fired power plants0  With continuous



air quality monitoring, the deterioration in air quality that is



caused by these plants can be determined and correlated with the






                                 52

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health effects data.  People are being examined for adverse health




effects attributable to water supplies that originate in coal extrac-




tion areas.  Workers in the shale oil, coal gasification, coal lique-




faction, mineral wool fiber, and insulation industries are being




studied for occupational diseases.




     A chemical repository for alternate source materials and a




national environmental specimen bank are being organized.  Establish-




ment of these repositories necessitates development of sampling,




storage, chemical analysis, and standardization methods.




     The sum of approximately $30.3 million constitutes the Inter-




agency funding through fiscal year 1978 for the research projects




designed to meet King-Muir Objective #4.  This level of funding




amounts to 52 percent of the total expenditures for the Health




Effects Research Program.  Allocations for individual research




projects in this category ranged from $8000 to about $1.6 million.




4.5  DAMAGE, REPAIR, AND RECOVERY PROCESSES




     King-Muir Objective #5—Damage, Repair, and Recovery Processes—




concerns the determination of these processes in biological systems




that are exposed to hazardous agents associated with energy technolo-




gies.  Many research projects in this category involve establishing




quantitative methodologies that relate mechanisms of toxicity to




agent exposure.  Cell models used in studying the damage, repair, and




recovery mechanisms include blood platelets; cultured nerve, heart




muscle, and endometrial cells; and lung fibroblasts and tnacrophages.







                                 53

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Methods of evaluation include examining the changes that occur in the



viability, morphology, plasma and organelle membrane characteristics,



locomotion, and biochemical constituents of the eelIs„




     The cellular regulatory processes involved in the metabolism



of polycyclic aromatic hydrocarbons (PAH) are under study,,  The role




of free radical intermediates formed during PAH metabolism is being




investigated by electron spin resonance spectroscopyo  In vivo DMA




repair assays are being conducted in mice; the germ cells are



examined to determine the ability of PAH to induce unscheduled DNA




synthesiso  In addition, the mechanism by which light (ultraviolet



and visible) synergizes the tumorigenicity of PAH on skin is being



investigated.




     The effects of metals (e.go, selenium, beryllium, and iron)



on regulatory processes in damaged cells, specifically their ability



to inhibit induction by hormonal regulators, are being studied0  The




interaction of heavy metal ions found in the effluents from oil shale



processing (e<>go, copper and cobalt) with human plasma and tissue



proteins is being investigatedo  The uptake of cadmium by pulmonary



alveolar macrophages, the intracellular distribution of cadmium,



and alterations in macrophage function caused by cadmium are being



studied in rabbits,,




     .Research is being conducted on the effects of atmospheric pol-



lutants (e0g0, sulfur and nitrogen dioxides) on alveolar macrophages.



Studies in progress are attempting to demonstrate that the toxicities






                                 54

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of ozone and nitrogen dioxide are related to the ability of these




compounds to initiate peroxidation of unsaturated fatty acids; and




that vitamin E as an antioxidant can minimize lung damage.  The role




of vitamin A in cell cycle kinetics of the hamster respiratory tract




resulting from exposure to nitrogen dioxide is being investigated;




dietary vitamin A appears to be an important nutritional factor in




the repair of nitrogen-dioxide-gas-induced injury of the respiratory




tract.




     Research projects funded under King-Muir Objective #5 received




approximately $5.6 million through fiscal year 1978.  This allocation




represents 9.5 percent of the total expenditures for the Health




Effects Research Program.  Funding for individual research projects




in this category ranged from about $9000 to $920,000.
                                  55

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                             SECTION 5

               PROGRAM REVIEW FROM THE PERSPECTIVE OF
                       SCIENTIFIC DISCIPLINES
     In this section, the Health Effects Research Program in the

Federal Interagency Energy/Environment R&D Program is reviewed from

the perspective of the scientific discipline of research emphasis.

For the purpose of this review, the following scientific discipline

categories were selected:  Cellular Toxicology, Animal Toxicology,

Human Health Studies, Risk Assessment, and General Support.  The

funding through fiscal year 1978 in each scientific discipline

category is indicated in Figure 2.

     The Health Effects Research Program component of the Federal

Interagency Energy/Environment R&D Program is designed to examine the

potential for adverse impacts on human health of energy-related

agents and pollutants.  The cellular toxicology discipline involves

the use of cell and tissue cultures as screening models for the eval-

uation of the potential toxicity of various pollutants.  When adverse

effects are observed in cellular systems, more complex tissue, organ,

and whole animal systems can be used to determine more definitively

the types of toxic effects that might occur in humans.
                                 56

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Cellular
  Toxicology
Animal Toxicology
Human Health
  Studies
Risk Assessment
                                         (33%)'
                                        (32%)
                                 (27%)
(1%)
General Support
      (7%)
                   I  I   I I  I  I  I  I  I  I  I   I  I  I  I  1  1  I   I  I
                   1    3    57    9    11   13   15
                                Millions of Dollars
        t'ercentages indicate portion  of total effort.
                                   17  19   21
                              FIGURE 2
      FUNDING OF PROJECTS BY SCIENTIFIC DISCIPLINE CATEGORY
                                  57

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     Human health studies are a pivotal part of  the program.  The




data obtained from environmental, occupational,  and experimental




exposures of humans to energy-related pollutants and agents are




compared with data from the cellular and animal  toxicology studies.




From these comparisons, the risks to human health from exposure to




various energy-related agents can be asessed.




5.1  CELLULAR TOXICOLOGY




     The Cellular Toxicology discipline involves the development and




use of cell and tissue cultures as screening tools for the evaluation




of potentially toxic agents.  Toxicity and damage indicators are mon-




itored in various cultures to evaluate the biological effects of spe-




cific types of toxic agents on cellular structure and function.  The




ability of a damaged cell to repair itself and metabolize and detoxi-




fy an invading agent is essential to the cell's continued survival




and its ability to deal with the insult of a toxic agent.  For these




reasons, the damage and repair mechanisms in cells are under study,




and the metabolism of toxic agents in cellular systems is being




investigated.




     Research  in the Cellular Toxicology discipline is of five major




types:   Biological Screening,  Development of Screening Methods,




Toxicity and Damage Indicators, Damage and Repair Mechanisms, and




Metabolism Studies.   Cellular methods alone cannot definitively




assess the effects that toxic agents will have on man; however,




they do provide an indication of potential toxicity and help






                                 58

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determine the relative toxicities of various energy-related agents.




The cellular toxicology discipline, therefore, complements the animal




toxicology efforts and the human health studies.




     Funding for research in the Cellular Toxicology discipline was




about $19.1 million through fiscal year 1978.  This sum represents 33




percent of total expenditures for the Health Effects Research Pro-




gram.  Funding for individual research projects in this category




ranged from $20,000 to $1.5 million during this period.




5.1.1  Biological Screening




     The research projects that pertain to biological screening are




designed to provide qualitative and semiquantitative information on




the adverse health impacts of energy-related activities.   In the




bioscreening program, cell and tissue cultures  are used as rapid,




accurate, and inexpensive biological assay systems to examine large




numbers of energy-related materials in order  to identify  potentially




toxic agents and to estimate relative toxicities.  Crude  complex




pollutant mixtures, isolated fractions, and purified substances are




screened.  The crude mixtures are  identified  chemically and physi-




cally before testing, although  the  components  are  not necessarily




separated and purified.




     The bioscreening program uses  several response  indices to  assess




the  biological activity  of a particular substance—the substance's




carcinogenic, mutagenic,  teratogenic, and  toxic properties, and its




effects on reproduction.  The biological activity  of a substance  is







                                 59

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sometimes implied indirectly (e.g., rautagenic screening is used to




identify potential carcinogenicity).



     A variety of energy-related air pollutants is being tested for




carcinogenic potential using the CH3/10T 1/2 and BALB/c 3T3 neoplas-




tic transformation bioassays.  The sensitivity of the assay systems




is improved by the introduction of metabolic activation preparations




to activate materials being tested.  Morphological transformations




and biochemical changes are being monitored as indicators of neoplas-




tic cellular changes.  The neoplastic transformation potential of




specific agents on epithelial cell lines of hamsters, rats and mice




is being determined.  Since most human tumors are derived from epi-




thelial tissues, these cell lines are highly relevant as screening




tools.




     Agents obtained from coal and oil shale processes are being




screened for their ability to enhance carcinogenesis (i.e., as co-




carcinogens) and to induce other adverse biological activity.  The




use of rodent cell lines in bioassay systems provided indications




that induction of some DNA lesions occurs differently in rodent and




human cell lines.  These findings demonstrate the need for caution in




extrapolating research results from animal to human cell lines.




     Agents from low-BTU industrial gasifiers and coal liquefaction




operations are being examined to determine their potential for in-




ducing DNA lesions or changes such as chromosome breaks, chromatid
                                 60

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exchanges and nondisjunctions in DNA repair synthesis in polymorpho-




nuclear leukocytes (PMN).




     The mutagenic potential of numerous energy-related pollutants is




being determined using several microbial test systems (e.g.,




Salmonella typhimurium histidine-deficient strains).  Because the




mutagenic agents are in many cases the metabolites of the test agents




rather than the test agents themselves, metabolic activation prepara-




tions are added to the test systems along with the agent that is




being tested.  Structure-activity relationships are being sought and




have been demonstrated for some chemical categories of pollutants.




     Selected mammalian cell lines (e.g., Chinese hamster ovary




[CHO], Syrian hamster embryo [SHE] , and mammalian lymphoid cells) are




being used to detect point mutations that are caused by exposure to




selected energy-related pollutants.  Mutagenic screening involving




multiple loci tests uses electrophoretic methods to determine loci




changes.  The multiple loci systems are used to test crude and




fractionated hydrocarbon samples and heavy metals generated in coal




conversion and oil shale processes.




     Some cellular toxicity screening studies use rabbit alveolar




macrophages (RAM) for testing the effects of metallic-oxide-coated




and uncoated fly ash and selected metal ions.  The  response indices




used in these studies include cell viability, ATP content, functional




integrity, and various enzyme activities.
                                 61

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5.1.2  Development of Screening Methods




     A number of research projects in the Cellular Toxicology dis-




cipline were designed for the development of screening methods.




Screening methods are needed that will provide accurate and reliable




data for estimating the hazards of toxic agents.  Many techniques




that are used at present require standardization and additional




development. New screening methods are needed to investigate a wide




variety of biological indicators and to screen specific classes of




agents that cannot be screened by methods now available.  There are




many new types of crude mixtures and individual substances that must




be screened for biological activity, and current screening methods




will need modification before they can be used effectively with many




of these substances.  Furthermore, the practical application of




cellular screening methods necessitates the development of new




equipment and instrumentation.




     Microbial screening systems that are under development (e.g.,




Escherichia coli K12 and Coliphage T4) will introduce new types of




biological response indicators in addition to those found in the




present testing systems.  The microbial screening systems now in use




(e.g.,  Salmonella typhimurium and Saccharomyces cerevisiae) are being




modified to screen selected air pollutants as either complex mixtures




or individual components.   Multiple-marker assays are being developed




to measure the frequency of induced forward mutation.  Some systems




are being modified to test human urine for carcinogenic metabolites
                                62

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that may have originated from alternative energy sources.  Various




synthetic fuel oil samples are being screened in specially modified




microbial systems.




     Screening methods that use mammalian somatic cell lines (e.g.,




CHO, SHE, mouse embryo [C34/10T 1/2], and V-79CH lung cells) are




being developed.  Neoplastic transformation response is being deter-




mined by identifying morphological, biochemical, and growth changes




that occur after the cells are exposed to carcinogenic agents.




Improved methods are being developed for determining cell transforma-




tions; these include detection of cytochemical markers by microfluor-




ometry, and flow system analysis.  Improved methods of sorting normal




and transformed cells will increase the number of cells  that can be




handled and will  improve  sorting accuracy.  Multiple site screening




methods for mutations are being developed for use with somatic cells




when electrophoretic shifts  are examined.




     Rabbit alveolar macrophage cells are being  examined as sensitive




indicators of  the  toxic effects of airborne  particulate  materials.




It was  found that ATP content  is an  especially sensitive indicator of




phagocytosis and  particle  toxicity.  Selected air pollutants are




being examined for  genotoxic effects using cultured liver cells




(hepatocytes)  from mice.




     Epithelial cell  lines  are being developed  for  screening pur-




poses.   Cultured  human  lymphocytes and hamster  lymphocytes  are being
                                 63

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used in modified host-mediated assay systems and a variety of other




mutagenesis testing systems.  Alterations in metabolic, enzymatic,




and growth properties, rates of chromosome exchange, and other char-




acteristics are being determined.  The effects of chemical exposure




on the cellular immune system of hamster lymphocytes are under




study.  Quantification of immune system inhibition by toxic agents




would be an important screening tool.  Enzyme profile changes in




mouse embryo and human lung fibroblasts caused by exposure to toxic




agents are being determined.  Flow cytometry can now discriminate




between normal and transformed human lung fibroblasts.




5.1.3  Toxicity and Damage Indicators




     In the Cellular Toxicology research projects that pertain to tox-




icity and damage indicators, the respiratory tract and skin receive




major consideration because these are generally the principal routes




by which man is exposed to energy-related pollutants.  Indicators of




respiratory tract damage focus on the alveolar macrophage because it




represents the primary means of defense against inhaled materials




and on the lung epithelium because of its rapid mitotic rate and




proclivity to develop cancer.




     Developments in the macrophage system include the addition of




enzymatic, morphological, and functional indices of damage to the




existing cell viability measurements.  The ability to monitor the




functional integrity of the alveolar macrophage is important because




of its involvement in lung clearance mechanisms.
                                64

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     Much effort is being expended to determine the mechanisms in-




volved in damage and preneoplastic changes after chemical insult.




Studies use various epithelial lesions to determine potential markers




for preneoplasia.  Lung epithelial cells demonstrate increased cell




turnover in response to irritation, and studies are now underway to




determine whether the turnover rate can be used as an indication of




early damage and progression to latent disease including cancer.




     The biochemical mechanisms of pulmonary injury and the biochem-




ical response to energy-related pollutants are being investigated.




The effect of agents on antiviral mechanisms are being correlated




with the general immunological competence of lung cells so that de-




creases in cell viability can be correlated with chemical insult as




indicators of potential damage.




     Research is being done on the mechanisms involved in skin tumor




induction by chemical carcinogens.  Skin and liver  cell cultures are




used in attempts to detect cytological and biochemical changes that




correlate in time with the promotion  and progression of cancer.




     At the molecular level, molecular damage to DNA and various




proteins caused  by metals, metal  ions, and organic  compounds  asso-




ciated with fuel and energy production is being investigated.  For




example, it was  found that lead and mercury inhibit DNA  synthesis




and  induce base  error in DNA.  The mechanisms  involved in muta-




tions  are being  determined.   The  control  of frame  shift mutation can




be achieved by using a competitive agent  that  competes  for the  same







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site as the agent that causes mutation.  Emphasis is being placed on




the DNA damage that results from simultaneous exposure to chemicals




and physical agents.




5.1.4  Damage and Repair Mechanisms




     Another aspect of the Cellular Toxicology discipline category is




the study of damage and repair mechanisms.   Substantial effort is




being directed toward evaluating the basic  mechanisms of pollutant




interaction at the cellular and subcellular levels.  At the molecular




level, the mechanisms of damage may transcend mammalian species dif-




ferences and thereby aid in extrapolating information from experi-




mental animals to man.  Recent studies with carcinogenic polynuclear




hydrocarbons indicate that exposure to these chemicals in the acti-




vated state results in DNA binding according to first order kinetics.




Similar kinetics have been demonstrated for gene mutations and the




initiation phase of carcinogenesis caused by several of the same




hydrocarbons.  Studies are being made of the mechanisms involved in




DNA damage and repair in various germ cell stages of mammals.  Exci-




sion repair and unscheduled DNA synthesis are two repair mechanisms




that are receiving considerable attention.




     Pulmonary epithelial cell biology is being examined in order




to attain a more thorough understanding of repair, replication, and




other mechanisms.  The effect of toxic agents on the enzyme synthesis




necessary for cell recovery after damage is being studied.  All regu-




latory processes in damaged cells are important to the cell's ability







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to recover from chemical insult and to remain viable.   The interac-




tions between damage and repair mechanisms also provide a better




understanding of neoplastic cell transformations.




     Because of their sensitivity and proliferative activity, stem




cells tend to magnify injuries.  Consequently, the immune and




hematopoietic systems, both of which contain stem cells, have been




suggested as good indices of pollutant toxicity.  Humoral and cell-




mediated immunity are being examined in rabbits exposed to poly-




nuclear hydrocarbons  that were derived from coal gasification and oil




shale processes.




     Although some progress has been made in studies of repair in




prokaryotic organisms, there is a need for more work with mammalian




cells, especially human cells.  Such work is just beginning  and is




hampered by the lack  of repair-deficient mutants, except for cells




obtained from people with xeroderma pigmentosum.  Efforts are




underway to develop such mutants.




5.1.5  Metabolism Studies




     The last subcategory of research projects  in the  Cellular




Toxicology discipline consists of metabolism studies.   The bio-




chemical and metabolic  functions of a cell are  basic in determining




the  effects  that  toxic  agents  will have  on cellular integrity.




The  metabolic alterations of energy-related substances can lead to




either  detoxification or  increased toxicity.  Many  substances  are




not  in  themselves carcinogenic although  their metabolites can  be






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carcinogenic.  The carcinogenic potential of a pollutant may very well




depend on the ability of the exposed organism to metabolize the pollu-




tant  into a carcinogenic metabolite(s).  An understanding of the




biochemical changes that occur in cells following insult by a toxic




substance is critical to understanding neoplastic changes in cells,




tumorigenesis in organs and tissues, and other pathological changes.




      Biochemical changes that occur in the lung are receiving consid-




erable attention because of the importance of the lung in pollutant




exposure.  The reactions of atmospheric contaminants with receptors in




lung  tissue are being studied.  The effects of pollutants on pul-




monary function are being determined.  Of particular interest are the




molecular interactions of pollutants (e.g., organometallic compounds)




with membrane constituents and the subsequent effects on membrane




properties.   Free radical formation during lung metabolism that leads




to superoxide formation and auto-oxidation of lipids and lung surfac-




tants is being studied.  The interactions of metal ions such as cad-




mium with pulmonary alveolar macrophages are under study.  It was




determined that serum proteins play an important role in the uptake




and binding of cadmium by macrophages.




     Toxic agent metabolism in cultured cells is being correlated




with metabolism in animals so that more metabolically effective cell




lines can be used in screening systems.  Some cellular screening




systems totally lack the ability to metabolize pollutants and, there-




fore, metabolic activation preparations must be added to the cellular
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systems.   The improvement of metabolic activation preparations  for




cellular testing is vitally important to the success and worth  of the




systems in predicting adverse human health effects.




5.2  ANIMAL TOXICOLOGY




     Animal toxicologic studies use animal test systems for screening




pollutants for possible toxic effects and for estimating dose-




response relationships.  Animal studies are short term (e.g., screen-




ing tests and acute exposure studies) or mid-to-long term (e.g.,




metabolism, chronic exposure, and carcinogenesis studies).  Some




chronic exposure studies last the lifetime of the laboratory animal.




Animal studies provide important information for assessing the




potential short- and long-term hazards to man of energy-related




substances.




     Although a major disadvantage of whole animal  testing is  the




difficulty in extrapolating  findings  from animals to man, those  tests




provide many advantages over human health studies.  Ethical considera-




tions  restrict  the  testing  of hazardous  substances  in  people.  Animal




tests  are quicker and  less  expensive  than human  toxicologic studies.




Human  subjects  are  highly variable and  are  difficult to  control  under




test protocols, whereas animal environments and  experimental condi-




tions  can  be  tightly controlled  and  test protocols  judiciously fol-




lowed  in experimental  studies.   Specific animal  species  with unique




characteristics are used  to provide  particular  types of  information




for  predicting  human effects.  New strains  of  laboratory animals have







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been developed for examining specific  types of toxic actions or




specific classes of substances.  Metabolism studies in whole animals




provide important clues as  to why certain substances react as they do




in man to produce toxic effects and diseases.




     Research projects in the Animal Toxicology discipline category




were divided into five groups:  Toxicologic Testing and Screening,




Development of Testing and  Screening Methods, Toxicity and Damage




Indicators, Damage and Repair Mechanisms, and Metabolism Studies.




Review of this scientific discipline is presented below in terms of




these five subcategories.




     Funding through fiscal year 1978 for the research projects in the




animal toxicology discipline category amounted to approximately $18.8




million.  This sum constitutes about 32 percent of the total funding




for the Health Effects Research Program.  Individual research projects




in this category received allocations that ranged from $29,000 to




$921,000.




5.2.1  Toxicologic Testing and Screening




     Some  of the research projects in the Animal Toxicology category




involve toxicologic testing and screening using whole animals.   In




most of these studies, pollutant exposure is by inhalation.




     The inhalation studies include detailed studies of the struc-




tural,  biochemical,  and functional changes in the lung that result




from pollutant exposures.   Pollutants under consideration include
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sulfur-containing compounds,  nitrogen oxides,  oxidants,  metals,  and




selected hydrocarbons.




     Biochemical indicators of damage and adverse effects in animal




systems are being used  as endpoints in the screening protocols.   The




various laboratory methods used to monitor these indicators include




flow system analysis, cell separation, spin-labeling, spectroscopic,




and mass balance techniques.   Tissue samples are examined for physio-




logical, structural, biochemical, and immunological changes.  Early




deviations in one or more of these or other factors can be used as




indicators of toxicity.  Many of these indicators can be related




directly to the development of damage and disease caused by toxic




agents.




     A series of studies on the effects of synfuels and specific coal




conversion products on the mouse reproductive system are underway to




identify chemically induced chromosomal aberrations in germ cells and




to detect cell death in mouse oocytes.  The tests used include domi-




nant lethal and heritable  translocation tests.  The mouse  specific-




locus method is used to quantify chemically induced gene mutations




that are caused by exposure to energy-related substances.




     The neurotoxicity and potential  for behavioral modification in




monkeys of sulfur-containing  compounds, hexabrominated biphenyls, and




other hydrocarbon pollutants  are being determined.  The behavioral




effects of radiation from  microwaves, electrical  fields, and  triti-




ated water are being studied  in monkeys, rats,  and  other laboratory




animals.   In addition  to  nervous  system effects,  the effects  on




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reproduction, organ  function and structure, and biochemistry are being




monitored.




     Fruit flies (Drosophila) and fish  (Poecilia formosa) are used in




nonmammalian animal  screening systems.  Drosophila are used to screen




a number of environmental pollutants for genotoxicity which is




manifested, for example, by chromosomal aberrations that can block




inheritance of specific traits by offspring flies.  Fish are used for




quantitative evaluation of the carcinogenicity of coal conversion




products.




5.2.2  Development of Testing and Screening Methods




     The development of testing and screening methods is an important




subcategory of the Animal Toxicology scientific discipline.  New tests




and screening methods are needed that can be performed quickly and




relatively inexpensively using laboratory animals.  The variations in




response induced in different animal species by the same pollutant is




a complexity of animal testing that requires further investigation.




Application of the findings from whole animal testing to the estima-




tion of human risk from toxic agents has many uncertainties that need




clarification.  Proper modification of animal testing protocols fol-




lowing the development of new methods will increase the usefulness of




animal test data in predicting human risk from energy-related agents.




     Much of the emphasis in developing new techniques and testing




systems centers on the lungs.  Indicators of biochemical and immuno-




logical changes in various types of lung cells after animals are
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exposed to sulfur and nitrogen dioxide and specific hydrocarbons are




being investigated.  Dose-response curves based on the exposure levels




to specific agents and the resultant biochemical changes could contri-




bute much to the understanding of pulmonary toxicity that results from




pollutant inhalation.  Methods using tracheal transplants and grafts




for examining neoplastic cell transformations are being developed:




the trachea is removed from a rat or hamster, pellets containing toxic




substances are placed in the trachea which is transplanted into




another animal of the same species, and changes in the transplanted




tracheal epithelium are then monitored.  New methods are being devel-




oped to produce aerosols from substances such as fly ash so that more




effective inhalation studies can be performed with particulate pollu-




tants.




     Another area receiving considerable attention is neurotoxicity




and behavioral changes that are induced by toxic agents.  Automated




computer pattern recognition systems using closed-circuit television




are being developed  for use in the  study of primate behavior.  After




baseline data on normal primate behavior are compiled, monkeys will be




exposed to pollutants and  the "seeing  computer" will be used  to




monitor changes  in pattern recognition,  spontaneous behavior,  learning




and memory abilities, and  stimulus  response.  Monkeys will be exposed




to  thallium, methyl  mercury, and  hydrocarbons  from coal conversion  and




synfuel production.




     New strains  of  mice  that have  marked  chromosomal inversions  are




being  developed  for  use  in studying the  effects  of chemically induced




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 point mutations  on  the  offspring  of  exposed  animals.   The  development




 of  electrophoretic  methods  to  detect enzyme  variants  in new mouse




 strains  should maximize  the  sensitivity  of  the  point  mutation  assay.




 The effects  of point mutations  on offspring  are being investigated  in




 a number of  animal  species  (e.g.,  dogs,  rats, and mice).   An under-




 standing of  the  mutagenic effects  on offspring  of known mutagens  will




 help in  the  development  of new  screening methods.




     Reproductive studies are examining  the  effects of pollutants on




 mouse oocyte death  and sperm morphology.  Sperm shape variation as  an




 indication of sperm damage is being investigated in hamsters,  rabbits,




 and  other animals including man.   These  studies should lead to faster,




 more efficient,  and less costly methods of determining the reproduc-




 tive effects of  energy-related  agents.




 5.2.3  Toxicity  and Damage Indicators




     Much of the effort  in the  research projects that pertain  to




 toxicity and damage indicators  is  directed toward investigation of




 indicators of lung  disease.  Many  energy-related pollutants cause lung




 damage that  can  lead to  lung disease.  Early indicators of potential




 damage are being detected in current studies; these might help to




 avoid the damage resulting from pollutant exposures that could lead




 eventually to lung disease in man.




     The early indicators of damage resulting from the inhalation of




 sulfur acids, nitric acids in aerosols, and particulates that contain




metals (e.g., cadmium) and oxides of metals (e.g.,  lead,  mercury, and
                                 74

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cadmium) are being determined.  Alveolar and bronchial clearance




mechanisms are being studied to determine their ability to protect the




lung against foreign agents.  Biochemical, morphological, and




physiological indicators of lung damage are being correlated with




agent exposure.




     Of special importance are the lung's defense mechanisms against




infectious invasion.  The effects of coal gasification products on the




pulmonary defense mechanisms are being determined.  Pulmonary




bactericidal responses, cell population changes, and the role of




alveolar macrophages in the lung defense mechanisms are being




examined.  Substances that might offer protection against damage from




exposure to toxic agents are being studied.  The interactions of known




pulmonary carcinogens with lung-irritating pollutants are being




determined in inhalation studies with pollutant and carcinogen mix-




tures.  These studies should  lead to better understanding of the early




mechanisms that are involved  in the induction of lung disease by toxic




agents.




     The effects  of sulfur dioxide and carbon monoxide-sulfur dioxide




mixtures on  the development of  the conceptus during gestation are




being determined  in mice and  rabbits.  The  offspring are examined  for




external and  internal alterations just before birth.  Factors that




affect  the cross-placental  transfer and  teratogenicity of various




metallic pollutants are being  sought.  For  example, the  kinetics  of




lead distribution are being studied.  The effects of  cadmium on the







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ultrastructure  of mouse  spermatogonia  are  being determined as well  as




the effects of  environmental pollutants on specific reproductive tract




functions.




5.2.4  Damage and Repair Mechanisms




     Another aspect of the Animal Toxicology discipline is the study




of damage and repair mechanisms.  Of particular concern are the damage




and repair mechanisms of the lung because most animal testing entails




inhalation studies.  Once the lung is  injured, its ability to repair




itself is of considerable importance if the lung is to remain viable.




If, for some reason, the lung is not able  to repair itself properly




and to a sufficient extent, then pulmonary disease is likely to




develop.   For this reason, the mechanisms  involved in lung repair are




being investigated.




     Laboratory animals are exposed to specific pollutants that cause




different degrees of lung damage and the immune and repair systems are




then examined.   The effectiveness of substances such as vitamin E in




preventing oxidative damage and the effects of vitamin A on cell cycle




kinetics  are being determined.   For example,  vitamin A deprivation in




animals causes  a lack of cell reproduction so that damaged cells are




not replaced and the necessary adaption of the lung to air pollution




does not  proceed correctly.




     The  immune system is also monitored during the development of




respiratory carcinogenesis.   Studies of toxic trace metals require




the development of new methods  of tissue analysis.    Therapeutic







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procedures are being developed that can be used to reduce metal




concentrations in tissues effectively.




5.2.5  Metabolism Studies




     An understanding of the metabolism of toxic agents in animals




will help explain the deleterious effects that many pollutants have in




man.  With many pollutants, it is not the substance itself but rather




its metabolites that are toxic.  If the formation of toxic metabolites




can be prevented and/or if levels of  toxic agents in the tissues can




be effectively reduced, the deleterious effects of many pollutants




could be prevented.  Metabolism studies involve measuring concentra-




tions of pollutants  in animal/human tissues and fluids and determining




uptake, distribution, excretion, and  the various metabolic pathways of




energy-related agents in laboratory animals and man.  Once these




metabolic data are obtained,  the toxic action  of pollutants can be




better understood and possibly prevented.




     Methods  are being developed to use gas chromatographic-mass




spectrographic systems to  determine the  levels of  specific energy-




related substances  in human  tissue, blood, and various body fluid




samples  from  adults  and  children.  The metabolism  of  inhaled  trace




metal  emissions  from combustion  processes  is being investigated.




Levels  of  trace metals  in  biological  fluids, vital  organs, and bone




are being  determined.  The metabolism and  mode of  action of nitrogen




dioxide  and hydrocarbon  solvents  in  the  lung are  being  studied.   Lead
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 metabolism in the immature brain of young rats is being investigated




 in order to better understand the mechanisms involved in lead toxicitv




 to the brain.  The effects of competing agents on the metabolism of




 the host animals are being determined; for example,  the effects of




 endogenous antioxidants on the metabolism and toxicity of nitrogen




 dioxide in the lung are being studied in hamsters.   Pollutant-caused




 immunological changes that might hinder defense mechanisms  against




 chemical insult  are receiving considerable attention.




      Using metabolic data,  pharmacokinetic models  are  being  devel-




 oped  that will predict  distribution,  tissue  concentrations,  and




 excretion rates  of  specific pollutants.   Special emphasis  is  being




 placed  on species sensitivity to the  bioaccumulation of energy-




 related  compounds such  as  polychlorinated  biphenyls  (PCBs).




 5.3   HUMAN HEALTH STUDIES




      The research projects pertaining  to Human  Health  Studies were




 grouped  in four  subcategories—Epidemiological  Studies, Clinical




 Studies,  Toxicologic  Studies, and Support/Other—for the purposes  of




 this  program review.




     The  Human Health Studies discipline category received approxi-




mately $15.3 million  in funding  through fiscal year 1978, about 27




percent  of  the total  expenditures for  the Health Effects Research




Program.  Allocations during this period to individual research




projects  in this category ranged from $8000 to about $1.6 million.
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5.3.1  Epidemiological Studies




     Research involving epidemiological studies includes investi-




gation of the occurrence and effects of occupational exposure to




various agents, the morbidity/mortality that results from energy-




related work environments, and the industrial hygiene practices at




various energy-related facilities.  Research projects include such




diverse studies as determining the adverse health effects caused by




drinking water contaminated with by-products of energy production, and




assessing the effects of inhaling insulation material substances.




     With regard to the energy-related work environment, health




effects studies are being conducted on workers in oil shale, coal




gasification and liquefaction, solar energy, coal-fired power,




coal-cleaning, and petroleum product facilities.  In other occupa-




tional health studies, miners and deep-sea divers are being examined.




For  example, as part  of the oil shale worker study, oil shale workers




at the Anvil Points facility were identified,  death certificates of




former employees were reviewed, and oil shale  workers and control




subjects were given medical examinations.




     Pollutant-specific research  is being conducted on workers ex-




posed  to sufuric acid, sulfur dioxide, sulfates, nitric acid, nitro-




gen  dioxide, nitrates, ozone, and insulation materials  (e.g., clay,




small  glass, and mineral wool fibers).  In one study, 300 salt miners




who  worked  in  five mines, all of  whom had been exposed  to nitrogen-




containing  gases  from diesel  fumes, were examined by  chest X-rays  and







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pulmonary function tests and were surveyed by questionnaires on




respiratory dysfunction.  In addition, research is being conducted to




detect chromosomal abnonnalties in the peripheral blood lymphocytes of




welder trainees who are occupationally exposed to ozone.




     Other studies involve determining acute and chronic oral toxi-




cities from exposure to coal gasification emissions and emission




fractions.  The levels of toxic elements in various organs of the




workers in coal gasification plants are being measured.  Human teeth




are being analyzed by atomic absorption spectrophotometry to deter-




mine the exposure histories of people who live near energy-related




facilities.




5.3.2  Clinical Studies




     Clinical human health studies usually involve the direct obser-




vation of patients in clinical situations.  Other research projects in




this group involve teeth analysis and method development.




     The effects of nitrogen dioxide on pulmonary function in pa-




tients with asthma and chronic bronchitis are being investigated by




studying physiological changes in cardiorespiratory parameters.




Similar research is in progress to determine human biochemical and




physiological responses to acute photochemical air pollution expo-




sures; the short-term effects of photochemical oxidants on asthmatics,




chronic bronchitics, athletes and outdoor workers are being measured.




     The childhood health effects of infant exposure to polychlori-




nated biphenyls (PCBs) are being investigated.  The extent to which
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residues of persistent, fat-soluble PCBs, and chlorinated hydrocarbon




pesticides are present in mothers'  breast milk is being determined.




Cohorts of breast- and formula-fed children are being established for




follow-up studies.




     The objective of one on-going research project is to develop a




simple, rapid, and inexpensive method of determining trace concentra-




tions of toxic energy-related elements in the human body.  In another




study, more than 1000 teeth from several hundred donors and deceased




individuals (including Egyptian mummies) were analyzed for trace and




heavy metals; the data are being analyzed statistically for correla-




tions and trends.




5.3.3  Toxicologic Studies




     Human toxicologic studies usually involve determining the effects




of energy-related pollutants on people under controlled laboratory




conditions.  Effects on the human pulmonary and nervous systems are




currently being investigated.




     The effects of various pollutants on human respiratory function




are being determined in subjects who are exposed to the pollutants in




exposure chambers.  After exposure, the  subjects are tested for




pulmonary function (e.g., spirometry, plethysmographic determination




of  specific  airway conductance, and functional residual capacity),




cardiac  function, and  peripheral circulatory  function.  The pollu-




tants  used in  these  experiments are sulfuric  acid  aerosols, respir-




able sulfates, and low levels of nitrogen dioxide  and  ozone.   In  some






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experiments, factors that might affect toxicity (e.g., temperature,




humidity, duration of exposure) are varied for comparison.  In other




studies, subjects are exposed to trace elements by aerosol inhalation.




The pharmacokinetics of pulmonary uptake, deposition, and metabolism




of these elements are then studied.




     The effects of microwave radiation on neural response and the




central nervous system are being studied.  Research efforts involve




identifying peripheral and central receptor mechanisms that mediate




the effects of microwave radiation on brain (e.g. , auditory nerve)




activity.  Electrophysiological and neurochemical methods are being




used in this study.




5.3.4  Support/Other




     The subcategory of the Human Health Studies discipline that is




designated as Support/Other consists of projects that support human




health research (i.e., the epidemiological, clinical, and toxicologic




studies).  Included in this group are projects that entail information




gathering, establishment of computerized data bases, development of




predictive models, and establishment and maintenance of air-monitoring




systems.




     The air quality monitoring systems (e.g., CHESS, CHAMP) that were




set up under the program are being maintained.  These systems support




community human health studies by collecting air samples.  They are




also important in providing the opportunity to evaluate various




pollutant monitors and analyzers.  In the CLEANS/CLEVER program,
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stationary and mobile facilities are maintained for the development of




a physiological data acquisition system to study the effects of




environmental contaminants on human health.




     Other support projects involve development of indicators, recom-




mendations, standards, and safety plans.  For example, there is




research to develop reliable biological indices (e.g., sulfate oxi-




dase enzyme measurement) for use in epidemiological studies.  Work is




in progress to develop appropriate health-monitoring and testing pro-




cedures for personnel in energy-related industries.  Other on-going




projects should result in recommendations for work practices to pro-




tect Alaskan pipeline workers from cold stress, medical and operat-




ing safety standards for divers in offshore oil exploration, and




occupational exposure to microwave and radio frequency radiation.




     Other studies involve establishing computerized data bases,




collecting published information (e.g., by literature searches),




assessing work practice procedures, and developing programs and




models.  The Environmental Teratology Information Center (ETIC)




maintains a computerized data base that contains more than 14,000




reprints pertinent to the teratogenic potential of environmental




agents or contaminants.   Work is continuing on the Environmental




Mutagen Information Center (EMIC), another computerized data base.




EMIC contains more than 22,000 bibliographic entries on the mutagenic




effects of energy-related pollutants and 21,000 abstracts that are




indexed by agent, organism, and Chemical Abstract Service Registry






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(CAS) number.  Literature searches are being conducted for various

programs in order to:  (1) enumerate energy-related occupational

health problems; (2) assess energy-related occupational safety and

health problems; (3) identify the major health effects, pollutants,

and risks from oil shale, tar sands, and geothermal, solar, nuclear,

and electric power transmission processes; (4) characterize the indus-

trial hygiene of coal-gasification pilot plants;  (5) assess safety in

fossil fuel-fired electric power-generating stations (particularly

relevant to fire and explosions); and (6) determine the health effects

of increased indoor air pollution resulting from energy conservation

strategies.

     Other support studies involve the development of models.   Models

now under development include:

     •  respiratory tract models for determining regional deposition
        of inhaled particles in smokers, patients with obstructive
        pulmonary diseases, and various animal species

     •  physiological kinetic models (compartmental) for carbon mon-
        oxide,  the lead-calcium system, and the cadmium-zinc system
        that use nonlinear regression techniques  for experiments on
        uptake  and elimination

     •  stochastic models for external dosage of  carbon monoxide and
        lead and for prediction of body-burden estimates for lead
        and the alkaline earth metals

     •  models  for assessing the general population health effects
        that would result from a change in air pollution caused by
        changing energy requirements so that changes in acute  and
        chronic health conditions can be predicted and correlated
        with changes in air pollution.
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5.4  RISK ASSESSMENT




     The scientific discipline of Risk Assessment includes risk




assessment research such as identifying problems associated with risk




assessment methodologies, performing species-to-species comparisons,




and developing low-dose extrapolation techniques.




     Research is being conducted to identify the probabilistic and




mathematical-statistical problems encountered in the estimation of




public health hazards associated with nuclear generator construction,




synergistic effects with binary response variables, and competing




risks.  Studies on species-to-species extrapolation of carcinogenic




risk entail quantifying species differences in relation to exposure to




particular carcinogenic agents (e.g., dimethylnitrosamine and vinyl




chloride).  Development of low-dose extrapolation methodology—i.e.,




estimation of low-dose toxic effects from high-dose experimental




data—is based on  the Armitage-Doll multistage model for carcino-




genesis. This model is being used to analyze dose-response data from




experiments in which animals are exposed to various chemical




compounds.




     The Federal Interagency Energy/Environment R&D Program provided




about $750,000 in  funds through fiscal year 1978 to the research pro-




jects that are included in the scientific discipline of Risk Assess-




ment.  This sum constitutes 1.3 percent of the total expenditures




during this period for the Health Effects Research Program.  Funding




for individual research projects in this category ranged  from  $17,000




to $234,000.





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5.5  GENERAL SUPPORT




     The General Support category consists of projects that provide




support for the research endeavor in the various scientific dis-




ciplines.  Typical support projects include the collection and




preparation of environmental samples for toxicologic testing, the




development of an environmental specimen bank, and scientific workshop




meetings.




     Several projects involve the procurement (e.g., CHAMP air moni-




toring stations) and preparation of energy-related agents.  Other




studies are conducted primarily to characterize samples prior to




testing (e.g. , determination of the nucleation properties of respir-




able coal dust, development of nuclear magnetic resonance spectro-




scopic methods for characterizing specific bonding modes of organic




and inorganic  compounds, and study of photodegradation of absorbed




polycyclic arenes).




     Projects  pertaining to establishment of a National Environmental




Specimen Bank  include researching analytical methodologies and evalu-




ating methods  of sampling,  preparing,  transporting, and storing bio-




logical specimens which might reflect  contamination from developing




energy technologies.   Plans are underway for a chemical repository to




store source material from oil shale and coal gasification and lique-




faction facilities and particulate effluents from power stations for




future chemical analysis.   These materials  will be available in the




future to researchers for  use in comparative studies.






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     Various energy-related workshops have been conducted.  Workshop




topics include discussion and evaluation of aneuploidy assay systems,




screening systems for alternate energy aqueous effluents, and health




problems related to recirculation of industrial process exhaust air.




     Funding for General Support research projects totaled approxi-




mately $3.8 million through fiscal year 1978.  This sum constitutes




about 7 percent of the total funding for the Health Effects Research




Program that was provided during this period by the Federal Inter-




agency Energy/Environment R&D Program.  Individual research projects




in this category received allocations ranging from $4500 to $627,000.
                                 87

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                              SECTION 6

               PROGRAM REVIEW FROM THE PERSPECTIVE OF
                        BIOLOGICAL ENDPOINTS
     Review of the Health Effects Research Program from the

perspective of the biological endpoints of the research projects

provides a different view of this component of the Federal Inter-

agency Energy/Environment R&D Program.  Each research project was

assigned to one of the following Biological Endpoint categories:

Carcinogenesis, Mutagenesis, Teratogenesis, Dysfunction, Morbidity/

Mortality, Multiple, and Not Applicable.  Figure 3 depicts the level

of funding and the related level of effort provided each Biological

Endpoint category.

     Some research projects are designed specifically to examine the

types of changes that lead to specific biological endpoints (e.g.,

carcinogenesis).  This is also true of those projects that pertain

to biological screening methods, including the development of new

screening methods.  Other research seeks to correlate disease states

and various types of dysfunction with agent exposure so that the

factors leading to dysfunction and disease can be determined and

preventive measures can be taken to avoid the adverse biological

effects of energy-related agents.
                                 88

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Care inogene sis
Mutagenesis
    (5%)'
Teratogenesis
Dysfunction
Morbidity/
  Mortality
Multiple
Not Applicable
                (16%)
 (3%)
                                          (39%)
           (12%)
(2%)
                        (23%)
                 I  I  I  I  I  I  I  I I  1  I I I   I I  I   II I  I  I  I  I  I
                 1   3   5    7   9   11   13   15   17  19   21  23  25
                             Millions of Dollars
  Percentages indicate portion of total effort.
                             FIGURE3
    FUNDING OF PROJECTS BY BIOLOGICAL ENDPOINT CATEGORY
                                89

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6.1  CARCINOGENESIS




     The research projects in the Carcinogenesis category use cells,




organs, and whole animals to investigate the morphological, cytolog-




ical, and biochemical changes that lead to neoplastic transforma-




tions.  Many of the carcinogenesis screening tests use mutagenesis




cellular screening techniques (see Section 6.2 on Mutagenesis).




     Much effort is devoted to identifying markers and indicators of




preneoplastic transformations.  For example, markers of preneoplasia




in the respiratory epithelium are being identified, and antigenic




responses to squamous carcinomas are being determined.




     The mechanisms of tumor production are being investigated, spe-




cifically the mechanisms involved in the induction and production of




skin tumors by weak and strong carcinogens.  The initiation of car-




cinogenesis by specific energy-related compounds such as benzo(a)-




pyrene (BaP) is being investigated.  The role of irritant gases in




organ susceptibility to tumor production (e.g., in the lung) and in




initiation of carcinogenesis is being studied.




     The tumorigenic potential of a number of energy-related sub-




stances is being determined.  New systems are being developed for




determining the transforming activity of pollutants.  Cloned fish of




the species Poecilia formosa (Amazon molly) are being developed for




use as screening models.  Development of rodent cell lines for use in




screening to determine the neoplastic potential of energy-related




substances is continuing.







                                 90

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     The Carcinogenesis biological endpoint category received about




$3.1 million in funding through fiscal year 1978,  or about 5 percent




of the total expenditure for the Health Effects Research Program.




Funding for individual research projects in this category ranged from




$85,000 to $524,000 during this period.




6.2  MUTAGENESIS




     Mutagenesis is the biological endpoint of many of the research




projects funded by this Federal Interagency Energy/Environment R&D




Program.  Energy-related agents are being screened by a variety of




test systems (e.g., Trandescantia, CHO cells, mouse specific-locus)




to detect mutations.  In addition, mutagenesis  screening techniques




are often used to screen substances for potential carcinogenicity




because mutagenic alterations  in DNA are considered precursors of




neoplastic cell transformations.




     Mammalian cell mutagenesis assays are used to  screen in situ




coal gasification effluents and fractionated  coal-conversion by-




products.  The effects  of coal  and oil shale  conversion  products on




CHO cell cycle kinetics and chromatin  structure are being investi-




gated.  Research  is also  being  conducted to  detect  chromosomal aber-




rations that can  be correlated  with exposure  to photochemical air




pollutants  and ozone.




      Other  research projects  involve  attempts to  modify  or  to develop




methodologies  for mutagenesis screening  and  research.   Screening
                                 91

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methods under development  include a  polygenic assay  for point muta-
tions in mice and methods  to detect  lethal mutations in mice, to
validate short-term mutagenicity tests as predictors of carcinogenic
activity, and to modify the host-mediated assay system by using human
lymphoid cells.
     Mutagenesis studies in the Health Effects Research Program
received approximately $9.4 million  in funding through fiscal year
1978 from the Federal Interagency Energy/Environment R&D Program.
This sum constitutes about 16 percent of the total expenditure for
health effects research that was funded by this interagency pro-
gram.  Allocations to individual research projects in this category
ranged from $25,000 to $1.5 million.
6.3  TERATOGENESIS
     Teratogenesis is the biological endpoint of some of the research
projects in the Health Effects Research Program.  These projects
pertain to the screening of energy-related substances for teratogenic
effects.
     The distribution of various pollutants in the mother and the
fetus and the subsequent effects on mother and fetus are being deter-
mined in mice, rats, and hamsters.   The factors that affect cross-
placental transfer of metallic pollutants and other agents in rats
are being determined.  The effects  of gestational exposure to pollu-
tants on the development of the conceptus are being studied in mice
and rabbits by examining structural abnormalities in offspring just
before birth.
                                 92

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     New screening systems being developed will make it possible to




predict the teratogenic potential of various pollutants from altera-




tions in the reproductive process.  One of the most sensitive is the




mouse oocyte system which is very sensitive to chemical toxicity.




     The DNA damage and repair in specific germ cell stages of mam-




mals is being studied.  Chemical induction of chromosomal aberrations




in mouse germ cells by coal-conversion products is being investi-




gated.  Spermatogonia and related cells from the basement membrane of




the  testes are very sensitive to toxic substances.  Changes in the




ultrastructure of mouse spermatogonia following pollutant exposure is




being correlated with the teratogenic potential of  these substances.




Abnormalities in sperm shape induced by energy-related hydrocarbons




are  being studied in  laboratory animals as well as man.  Defective or




abnormal morphology of sperm cells  can be  linked to specific  terato-




logical changes  in offspring.




     Teratogenesis studies  received $2 million through fiscal year




1978 in funding  provided  by the  Federal Interagency Energy/Environ-




ment R&D Program.  This  sum represents about  3 percent of  the total




funding of  the Health Effects Research Program component of  the




interagency  program.  Allocations  for  individual research  projects  in




this category ranged  from $25,000 to $340,000 through  fiscal  year




1978.
                                  93

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6.4  DYSFUNCTION




     The Dysfunction category consists of those research projects




that pertain to pollutant-caused dysfunction in an organism.  The




subcategories of Physiological Damage, Metabolic Effects, and Cyto-




toxic Response reflect the different levels at which dysfunction is




manifested.




     The sum of $22.6 million was expended through fiscal year 1978




in support of energy-related health effects research projects in the




Dysfunction biological endpoint category.  This level of funding




constitutes 39 percent of the total expenditure for the Health




Effects Research Program.  Allocations for individual research




projects in this category ranged from $20,000 to $921,000 through




fiscal year 1978.




6.4.1  Physiological Damage




     Damage to an organism that hinders its vital functions or the




function of a vital organ is termed physiological damage.  The damage




that leads to dysfunction is usually related directly to cellular




damage in the affected organ.  The research projects grouped in this




subcategory deal specifically with organ dysfunction and the changes




in the vital functions of people and laboratory animals that are




caused by exposure to toxic agents.




     Most of the research on physiological damage is concerned with




developing methods of detecting the types of changes that might be
                                 94

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preliminary indicators of chemically induced physiological change/




damage.  The types of damage indicators being examined include




behavioral, structural, biochemical, and immunological.




     Many of the research projects in the physiological damage sub-




category pertain to the pulmonary system.  The effects of air pollu-




tants on lung structure are being determined by scanning electron




microscopic (SEM) examination.  Pulmonary tissues are also examined




by histopathological methods.  Regional deposition of inhaled parti-




cles  in  the human lung  is being determined, and predictive models




that  use the patterns  of the human  tracheobronchial tree  are under




development.  Functional changes  in the  lung are  being correlated




with  the onset  of chronic diseases  such  as  asthma and bronchitis.




      Upper  respiratory tract  clearance mechanisms are  being  examined




in hamster  tracheal  rings exposed to metallic  dusts;  from the  data,




mathematical models  to predict  lung function changes  are being




developed.   The effects of  coal-gasification products,  especially




particulates,  on the defense  systems of lungs  are being  investigated.




For  example,  the ability of the lung clearance mechanisms to remove




metal particulates  is being related to the lung's susceptibility to




bacterial  and  viral infectious diseases; the objectives  are to




 correlate pneumonia-induced mortality with specific forms of air




 pollution and  diseases in general with environmental conditions.




 Mathematical models are under development that will predict changes
                                  95

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in acute and chronic health conditions on the basis of changes in air




pollution using various health and environmental data.  Changes in




health conditions would be predicted not only for the pulmonary




system but also for other vital systems.




     The interactions of specific pollutants are being studied to




determine additive or synergistic effects.  Interactions of vital




systems such as the cardiac and pulmonary systems following agent




insult at various levels are being analyzed.  The effects on the




cardiac and pulmonary systems, with special emphasis on the




peripheral circulatory function in adults, are being determined for




exposures to nitrogen dioxide and ozone at low concentrations.  The




acute and chronic effects of the inhalation of fly ash and mixtures




of carbon monoxide and sulfur and nitrogen dioxides are being




determined.




     The effects on mammalian brain development of generations of




exposure to low-level radiation are being ascertained.  Postnatal




development and function of the central nervous system in monkeys




after their exposure to tritiated water during the period from




conception to birth and weaning are being assessed.




     Neurotoxicology is a rapidly developing field that needs new




testing and screening methods.  One new method uses "seeing




computers"—i.e., computer-based on-line closed circuit television




monitors that feed behavioral response patterns in experimental




animals into a computer for analysis and comparison with baseline






                                  96

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response data from control animals.  Studies are being made of be-




havioral changes that result from exposure to metal dusts, coal con-




version products, hydrocarbons and other pollutants.  With such




automated systems, behavioral testing is less time-consuming and more




reliable.  Behavioral testing and other neurotoxicologic studies of




the effects of exposure to chemical agents, electrical fields, and




microwave radiation are being conducted.  For example, the behavioral




effects of prenatal exposure to microwaves and the effects of micro-




wave radiation on brain activity involving the peripheral and central




receptor mechanisms are being investigated.




6.4.2  Metabolic Effects




     All the research projects that involve metabolism studies are




grouped into the metabolic effects subcategory.  The functions of




cells, organs, and living organisms all depend on chemical reactions,




i.e., metabolism.  These chemical reactions allow cells to perform




life-sustaining functions such as reproducing, obtaining nourishment,




growing, expressing genetic characteristics, and providing defense.




This is true for all living things including man; the only difference




is  that usually the more complex the organism, the more complex the




chemical reactions involved.  Many substances occur naturally in




living organisms and are necessary for  the organism to remain viable.




However, energy-related technology introduces substances into the




environment  that affect the chemical reactions necessary for  life.




Changes  in metabolic reactions caused by environmental agents are




receiving considerable  attention.



                                  97

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     The biochemical effects on the macromolecular metabolism of the




lung of trace metals such as cadmium, nickel, lead, and arsenic are




being investigated.  The effects of metals on membrane constituents




of the lung and other organs are of special interest.  Also being




studied are the effects of hydrocarbons, sulfur dioxide, and related




fossil fuel pollutants on lung membranes, particularly during devel-




opment from birth to adulthood.  The metabolism and accumulation of




hazardous agents in lung tissues explains the level of damage seen in




lungs following exposure and often also the degree of toxicity of the




agent.  The molecular mechanisms involved in the initiation of cancer




and other diseases by specific energy-related pollutants are being




investigated.  Repair and recovery mechanisms are also being studied;




if these mechanisms remain active and viable after chemical insult,




the organ may recover and may construct defense mechanisms against




future pollutant insult.




     Methods are being developed to quantify the levels of various




pollutants in tissues, fluids, fat, and other biological samples.




These data provide information that is necessary for determining




metabolic pathways.  Factors such as diet that affect metabolic




pathways in various organs are being assessed; diet might affect the




gastrointestinal absorption of cadmium, for example.  Sites that




store chemical agents are being analyzed so that storage information




can be used in determining exposure histories.  In one study, teeth




are being analyzed for lead to determine the history of lead exposure







                                  98

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levels in the community.  Radioactively labeled compounds are being




synthesized for use in animal metabolism studies so that  concentra-




tions of these compounds in body tissues and fluids can be determined




accurately and body clearance rates can be estimated.




     Metabolic activation of specific classes of substances is being




studied because many agents require metabolic activation before they




can exhibit toxicity.  The enzymatic characteristics of the process




of metabolic activation of carcinogens and subsequent  DNA binding are




being investigated.  The relationship between the metabolism of car-




cinogens in alveolar macrophages and the induction of lung cancer is




being determined.  The potential synergism of two pollutants such as




nitrogen dioxide and ozone are being investigated so that the mode of




toxic action of nitrogen dioxide can better be understood.




     Receiving special consideration are the metabolic pathways of




metals, their  sites  of localization, and transfer mechanisms.  For




example, the biochemistry of methyl mercury and its ability  to bind




to DNA are being investigated.  The neurotoxicity of metals  is being




studied from the aspect of their metabolism and their effects on




brain biochemistry.  The metabolism of metals  and other  pollutants  in




various cell  lines  is being  investigated.  New  epithelial cell lines




are  being  developed;  these  cell lines  have  special  characteristics




and  can activate specific  classes  of energy-related agents and thus




should  prove useful  in  future  screening  programs.
                                  99

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6.4.3  Cytotoxic Response




     The research projects that are grouped in the cytotoxic response




subcategory deal with cellular toxicity (cytotoxicity).  Cells repro-




duce, grow, and die, and during their lifespan they may undergo gene-




tic alterations that affect the function of the metabolic, damage,




and repair mechanisms.  These mechanisms and other cellular reactions




can be monitored for evidence of cytotoxic response to exposure to




toxic substances.




     Cellular systems provide an important screening tool for deter-




mining the relative toxicities of pollutants because they are less




complex than whole animal models.  Many studies are directed toward




developing new cell lines and cellular systems for screening.  Others




are improving present screening procedures and developing new method-




ologies that will improve their efficiency and reliability.  Auto-




mated flow systems are being developed to perform chromosomal analy-




sis, to check for karyotype stability in cell lines, to profile




cytochemical markers, and to detect other early cell changes.  These




new techniques will shorten analysis time in screening procedures.




Scanning electron microscopic (SEM) procedures are being developed to




examine alveolar macrophage cultures for cytological changes that




constitute the effects of air pollutants on the pulmonary system.




Hyperplastic, metaplastic, and neoplastic changes in epithelial cell




lines caused by toxic chemicals can be detected by microscopic exami-




nation.  These cytotoxic responses are important for determining the




hazards of specific environmental agents.




                                 100

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     The effect of toxic agents on the regulatory macromolecules of




mammalian cells is of special interest.  Molecular damage to DNA,




auto-oxidation of lipids in biomembranes, the effects of enzyme al-




terations and inhibitions on the synthesis of protein, phagocytic




activity, and collagen synthesis are all being studied.  Efforts are




being made to determine the ability of cells to metabolize foreign




agents such as metals and to estimate  the agents' rates of binding to




various cell components.  Specifically,  the cofactors involved in the




conjugation of carcinogens with DNA and  other regulatory macromole-




cules are being determined.  The effects on the cell  of combinations




of agents such as ultraviolet  light and  polycyclic aromatic hydrocar-




bons are being studied.  The effects of  toxic agents  on neuronal com-




munication  in  the central nervous  system are being investigated  by




studying neurons  in  tissue culture.  The promoting role of estrogens




in  the hormonal  regulation of  chemical carcinogenesis is being  inves-




tigated  so  that  the  induction  of endometrial adenocarinoma by  estro-




gens can be better  understood.




6.5  MORBIDITY/MORTALITY




     The Morbidity/Mortality biological endpoint category contains




research projects  that  are concerned  with human morbidity and  mortal-




 ity related to the  energy industries.   Many of  these studies  pertain




 to  occupational  safety  and health.




      The subjects of occupational  health studies include oil  shale




 workers; deep-sea divers; Alaskan pipeline  workers;  petroleum







                                   101

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production workers; miners; coaL-cLeaning workers; solar energy

workers; Tennessee Valley Authority employees; and workers in the

sulfuric acid, sulfate, nitrate, clay fibers, fibrous glass, mineral

wool, and coal liquefaction and gasification industries.

     In these studies of workers in energy-related fields, the

workers' occupational histories are recorded, physical examinations

are conducted on a routine basis, and death certificates are

examined.  More specifically, petroleum production workers, miners,

and coal-cleaning workers are being examined for evidence of physical

and chemical skin irritation.  Workers exposed to insulation

materials (e.g., clay, glass, and mineral wool fibers) are being

studied for lung dysfunction and disease.  Alaskan pipeline workers

are being examined to determine the health effects of cold stress.

     In addition, acute and chronic toxicities to humans and the safe

exposure levels of several energy-related hazardous materials are

being estimated.

     Epidemiological studies include studies of the health effects

resulting from the deterioration in air quality that is attributable

to fossil fuel power generation, the health effects of increased

indoor air pollution, and the childhood health effects' of infant

exposure to PCBs in mothers' milk.  A survey of people using water
                                          \
supplies that originate in areas used for coal extraction is in

progress.
                                 102

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     Morbidity/Mortality studies received approximately $6.8 million


in funding through fiscal year 1978, or about 12 percent of the fund-


ing for the energy-related health effects research that was provided


by the Federal Interagency Energy/Environment R&D Program.  Alloca-


tions through fiscal year 1978 for individual research projects in


this category ranged from $8000 to nearly $1 million.


6.6  MULTIPLE


     A few research projects have been grouped in the Multiple bio-


logical endpoint  category.  Each of these projects examines various


effects of given  energy-related pollutants and, therefore, deals with


more than one biological  endpoint.


     These projects include studies of the hematologic  and mutagenic


effects of arsine,  the  teratogenic  and mutagenic  effects  of  trace


metals, and  the mutagenic and  carcinogenic effects of  hydrocarbons on


cultured mammalian  cells.   In  other studies,  the  chemistry,  cytotoxic-


ity, mutagenicity,  and  pulmonary effects  of  stack emission condcn-


sate  samples are  being  determined.


     Funding for  the Multiple  biological  endpoint category  amounted


to about  $1  million through fiscal  year  1978.  This  level of funding


constitutes  about 2 percent of the  total  expenditure for  the Health


Effects  Research  Program.  Individual research  projects in this

                                          \
category received allocations  that  ranged from  $36,000 to $475,000.
                                  103

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6.7  NOT APPLICABLE




     Those health effects research projects that do not involve




specific biological endpoints are grouped in the Not Applicable




category.  These projects are usually supportive in nature.  Some




entail information gathering, establishing computerized data bases,




or developing predictive models.




     The objectives of other projects in this category are to estab-




lish a national environmental specimen bank, organize workshops,




develop risk assessment methodologies and safety recommendations, and




prepare environmental samples for testing.  Some projects involve




maintaining air quality monitoring stations (e.g., CHESS and CHAMP)




in support of human health studies and maintaining stationary and




mobile facilities (e.g., CLEANS/CLEVER) for developing a physio-




logical data acquisition system.




     The Not Applicable category of research projects received




approximately $13.1 million through fiscal year 1978, a level of




funding that represents about 23 percent of the total support for




the Health Effects Research Program.  Expenditures for individual




research projects in this category ranged from $4500 to about $1.6




million.
                                 104

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                              SECTION 7

      PROGRAM REVIEW FROM THE PERSPECTIVE OF AGENTS/POLLUTANTS


     In this section,  the Health Effects Research Program component

of the Federal Interagency Energy/Environment R&D Program is  reviewed

in terms of the agents and pollutants that derive from the various

energy technology processes.  For the purposes of this review, seven

agent/pollutant categories were selected:

     •  Organic—includes substances such as hydrocarbons, sodium
        acetate, and methyl mercury

     •  Inorganic—includes inorganic compounds and substances such
        as fly ash, particulates, fibers, and asbestos

     •  Elemental—includes elements such as metals (e.g., iron,
        lead, and molybdenum) and oxygen (i.e., ozone)

     •  Physical—includes physical agents such as radiation (e.g.,
        ultraviolet, microwave, and radio frequency) and temperature

     •  Energy-related—includes nonspecified substances derived
        from energy technologies

     •  Multiple—includes substances such as mixed carcinogens and
        photochemical air pollutants

     •  Not Applicable—for those research projects that are not
        concerned with any specific agent or pollutant as a test
        substance (e.g., occupational safety studies, workshops,
        data bases, and specimen banks).

Each research project was assigned to the appropriate agent/pollutant

category.
                                  105

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     The funding provided each agent/pollutant category through

fiscal year 1978 and the relative levels of effort are indicated in

Figure 4.

7.1  ORGANIC POLLUTANTS

     Organic substances are classically defined as those that contain

carbon.  For the purposes of this discussion, all carbon-containing

substances including organometallic compounds are classified as

organic pollutants.  Many of the products and by-products of energy-

related technology processes are organic in nature, and they are

used/tested in many of the health effects research projects. These

studies involve developing testing methods, screening suspected toxic

substances, determining relationships between agents, and determining

the mode of toxication.

     Polycyclic aromatic hydrocarbons (PAH) are derived from several

energy technologies, and many are carcinogenic.  These compounds are

being subjected to a variety of tests.  Research is in progress to

develop screening systems suitable for PAH.  These include a tracheal

graft model system and a bacteriophage system for evaluating the

toxicity and carcinogenicity of PAH.  In other PAH research projects,

the investigators are trying to identify the susceptible positions on

PAH substrates that react with nucleic acids, to determine the damage
                                         i
and repair mechanisms for DNA in specific germ cell stages of mammals

following _in vivo exposure to PAH, and to determine other biological

damage mechanisms of PAH.  The carcinogenicity of PAH and the



                                106

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Organic
Inorganic
Elemental
Physical
 Energy-
  Related
 Multiple
 Not Applicable
               (15%)'
                      (21%)
(4%)
         (10%)
                    (19%)
                               (27%)
                        LL1  I  I  1  I  1  1 I   I  r I   I  I
                 13    5    7    9   11   13   15
                          Millions of Dollars
                                 17   19
 Percentages indicate portion of total effort.
                            FIGURE4
     FUNDING OF PROJECTS BY AGENT/POLLUTANT CATEGORY
                               107

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regulatory role of estrogens and other hormones in the induction of




carcinogenesis are being studied.




     Several studies pertain to halogenated hydrocarbons.  Research




on PCBs involves examination of mother's milk for PCBs, determination




of the childhood health effects of PCB exposure in infancy, and study




of the pharmacodynamics of PCBs.  Studies of hexabrominated biphenyls




involve determination of their neurotoxicity to mice and rats.




     Benzo(a)pyrene (BaP) is being studied in several research proj-




ects.  One involves research on carcinogenesis initiation and its




analogy to other biological responses such as mutations.  A pulmonary




carcinogenicity testing system is being used to ascertain whether




there is a correlation between cell proliferation and lung tumor




susceptibility and whether susceptibility to BaP is age dependent in




mice.  The metabolic capability of in vitro test systems to produce




the same metabolically active carcinogenic metabolites of BaP as are




formed in vivo is being examined.  The structure of BaP metabolites




bound to DNA of Salmonella is being determined.




     Polycyclic arenes are under study, specifically their photo-




degradation.  The effects of carbon monoxide on neurons in tissue




culture are being studied.  Research projects dealing with organo-




metallic compounds include studies of the effects of cadmium acetate




on the ultrastructure of type A spermatogonia and the binding of




methyl mercury with DNA.




     A number of organic substances and mixtures are being subjected




to toxicologic screening.  For example, potential air pollutants are




                                 108

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being screened for carcinogenicity with the BALB/C3T3 and C3H/10T 1/2


bioassay systems, for gene mutations in mouse germ cells (in vitro),


and for carcinogenesis and virus activation (in vitro).  Organic


products and by-products of coal and oil utilization are being


studied to determine the functional and quantitative changes that


they induce in immunocompetent cells.  Environmental chemicals are


being tested to detect their genotoxic effects on cultured liver


cells.


     Other research projects on nonspecified organic substances


involve the development of testing methodologies and the determina-


tion of response relationships.  These studies include development of


a modified host-mediated assay using human lymphoid cells, develop-


ment of a DNA repair system for monitoring human health effects, and


determination of the relationship between carcinogen metabolism in


the alveolar macrophage and the induction of lung cancer.  Coal


conversion and utilization products are being tested in monkeys; an


automated behavioral testing system is being developed for evaluation


of the toxicity of these products on the central nervous  system.


Environmental mutagenic agents are being screened by both in vitro


and in vivo testing methods.  The study of environmental  carcinogens


will be aided by the development of permanent epithelial  cell lines
                                          i

for use in determining toxic/carcinogenic effects.


     Some research projects are concerned with the  combined effects


of both organic and nonorganic substances.  Those that combine



                                 109

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organic and inorganic substances include the following studies:

determination of the effects of whole animal exposure to acid mists

on pulmonary metabolism of BaP in isolated perfused rabbit lung;

development of faster, more efficient, and less costly methods of

determining teratogenic changes that result from exposure to dipterex

and asbestos; determination of the role of irritant gases on the

susceptibility of respiratory tract epithelium to tumor induction;

and assessment of the effects of mixed pollutants (e.g., sulfur and

nitrogen dioxides and formaldehyde) on alveolar macrophages by bio-

physical and biochemical techniques.  The chemical toxicity of PAH,

chloroform, sodium sulfite, lead and platinum is being monitored by

the mouse oocyte system.  One research project is screening organic

substances and physical agents by teratology test systems.  A study

of metal-binding components of emissions from mobile and stationary

energy sources is characterizing them chemically and determining

their toxicity.

     The Organic pollutants category received approximately $8.7

million through fiscal year 1978, or 15 percent of the funding for

the Health Effects Research Program.  Expenditures for individual

research projects in this category ranged from $25 ,006 to $719,000.

7.2  INORGANIC POLLUTANTS AND AGENTS
                                          i
     For the purposes of this review, the Inorganic pollutants and

agents category includes agents such as fly ash, particulates, and

fibers in addition to inorganic compounds.


                                 110

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     Various inorganic sulfur compounds are being studied.  One re-



search project is a study of the effects of respirable sulfates and


sulfuric acid mists on the respiratory function of normal human sub-


jects.  Occupational exposures to sulfuric acid and sulfur dioxide


are being examined in epidemiological studies.  The effects of hydro-


gen sulfide on neurons in tissue culture are being examined in


another study.


     Nitrogen compounds—nitrogen dioxide in particular—are being


examined in various research projects.  Epidemiological studies are



in progress of persons who are/were occupationally exposed to nitric


acid and to nitrogen dioxide from fossil fuel sources.  The effects


of nitrogen dioxide on the lung are being examined in several re-


search projects; these include studies  of the auto-oxidation of lung


biomembrane lipids and surfactants that is initiated by nitrogen



dioxide and its  inhibition by antioxidants, the  effects of vitamin A


on lung cell kinetics, and the alteration of nitrogen dioxide  toxic-


ity by vitamin E and  lipids.  The effects of  nitrogen oxides on


membranes  (e.g.,  liposomes,  lecithin multilayers,  and bioraembranes)


are being  determined  by electron spin  resource spectrometry.



     A  few of the health  effects research  projects pertain  to  inor-
                                                     <•

ganic metal compounds.  The  cytotoxicity of selected metallic


sulfates is being  assessed.  Metal oxides tare  present in  emissions


from  fossil  fuel combustion, and the  role  of  alveolar macrophages  in



the  distribution of  inhaled  metal oxides  is being studied.  The


hematologic  and  tnutagenic effects of  arsine are  being determined,



                                 111

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     Several research projects pertain to airborne particulate


matter.  Particulate samples are being procured, prepared, and


characterized for toxicologic testing.  Particulate material is


screened for potential hazard by an alveolar macrophage test system.


Models are being developed to predict the deposition of inhaled


particles in regions of the human lung.  The effects of prolonged


inhalation of nickle-enriched fly ash are being investigated in


Syrian golden hamsters.


     Mineral wool fibers, small fibrous glass fibers, and clay fibers


in insulating materials are the agents under study in several proj-


ects.  Occupational exposure, mortality, and industrial hygiene


studies are being conducted of workers in these industries.


     Some of the research projects are examining the effects of


simultaneous exposure to pollutants/agents from more than one cate-


gory.  Those that involve inorganic and organic pollutants were


discussed under Organic pollutants (Section 7.1).  Two other projects


involve one other category in addition to Inorganic pollutants.  In


one of these, the effects of nitrogen dioxide and environmental trace


metals (i.e., elemental pollutants) on lung metabolism are being


investigated.  In the other, the effects of nitrogen dioxide during
                                                     <•

heat stress (a Physical agent) are being assessed by monitoring the


cardiac, pulmonary, and peripheral circulatory functions in  adult


male volunteers.


     Funding for research projects in the Inorganic pollutants and


agents category was approximately $12.2 million through fiscal year


                                 112

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1978.  This sum constitutes 21 percent of the total funding for the




Health Effects Research Program that was provided by the Federal In-




teragency Energy/Environment R&D Program.  The level of funding for




individual research projects in this category ranged from $35,000 to




$692,000.




7.3  ELEMENTAL POLLUTANTS




     For the purpose of this review, unconjugated metals and elemen-




tal compounds such as ozone are grouped in the Elemental pollutants




category.




     Several research projects pertain to lead.  Among these are




studies of the concentration of lead in the teeth of children and the




interaction of lead with body tissues and fluids.  Lead is usually




included when a group of metals is under study (see below).  The com-




bined toxic effect of lead and platinum with several compounds is




being studied (see discussion under Organic pollutants, Section 7.1).




     Cadmium is the object of study in several research projects.




These include determination of the effects of cadmium on karyotype




stability in CHO cells and on growth and metabolism of CHO cells




exposed to low levels of cadmium.  The interactions of cadmium with




pulmonary alveolar macrophages are being studied.




     Some projects involve screening or testing various metals.  For




example, methods are being developed for the use of teeth as indica-




tors of the tissue dose of various metals.  Cadmium, mercury, nickel,




arsenic, lead, and platinum are being studied to determine their bio-




chemical effects on pulmonary macromolecular metabolism.



                                113

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     Ozone is the subject of several health effects studies.  One, a




study of occupational exposure of welder trainees to ozone, entails




examination of peripheral blood lymphocytes for chromosomal aberra-




tions.  In a study of ozone toxicity to lung lipids, the effects of




vitamin E on this toxicity are being examined.  The combined effect




of ozone and trace metals on lung metabolism is the subject of




another study.  One research project pertains to the effects on adult




males of exposure to ozone during heat stress, as monitored by




changes in their cardiac, pulmonary, and peripheral circulatory




functions.




     Funding for the research projects that are grouped in the




Elemental pollutants category amounted to approximately $2.3 million




through fiscal year 1978.  This sum constitutes 4 percent of the




total funding for the Health Effects Research Program.  Expenditures




for individual research projects in this category ranged from $35,000




to $921,000.




7.4  PHYSICAL AGENTS




     The Physical agents that are being studied in the Health Effects




Research Program are radiation and temperature.  Several types of




radiation—microwave, electrical field, radio frequency, light, and




radioisotope—are being studied.  Temperature studies include the




effects of both cold and heat stress.




     Several research projects pertain to microwave radiation and its




effect on the central nervous system.  Investigators are examining
                                 114

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the effect of microwave radiation on neural response; its effects on




the behavior and reproduction of monkeys, rats, and other animals;




and the peripheral and central receptor mechanisms that mediate the




effects of microwave radiation on brain activity.  A criteria docu-




ment for occupational exposure to microwave and radio-frequency




radiation was developed; it presents recommendations on the control




of hazards associated with these exposures.




     Research on the effects of electrical field radiation includes




behavioral testing, neurotoxicologic studies, and monitoring of




reproductive and biochemical effects.  In addition,  the genetic




effects of electrical field radiation are being studied by assessing




the frequency of chromosomal aberrations in offspring of exposed




Drosophila.




     Research on light involves both visible and ultraviolet light.




The role of visible and ultraviolet light  in synergism with PAH  is




under study.  In particular, the mechanisms of skin  tumor initiation




are being  investigated.




     Radioisotope studies use  tritiated  water  to expose monkeys  to




radiation  during the period from conception to birth and weaning.




Postnatal  development and function  of the  central ner\jous system are




monitored  in the offspring.




     The effects of temperature extremes are being studied in  two




research projects.  One, involving  cold  stress, is an industrial




hygiene study that was designed to  determine the work practices
                                  115

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needed to protect Alaskan pipeline workers.  The other is a study of




heat stress; specifically, the effects on adult males of exposure to




nitrogen dioxide, ozone, and ambient air during heat stress.  The




cardiac, pulmonary, and peripheral circulatory functions of the




subjects are being monitored.




     Expenditures for the research projects that involve Physical




agents amounted to $2.1 million through fiscal year 1978.  This sum




represents about 4 percent of the total funding for the Health




Effects Research Program.  The level of funding for individual




research projects in this category ranged from $9000 to $891,000.




7.5  ENERGY-RELATED POLLUTANTS




     The general, undefined pollutants that are derived from energy-




related sources are included in this category.  Although a few are




nonspecific, some are defined as the by-products present in the




emissions and effluents from alternate energy technology processes.




     Crude material from nonspecified alternate energy sources will




be screened for potential carcinogenesis using bacterial mutagenesis




testing methods that are now under development.  The effects of coal




and oil shale conversion products on cell cycle kinetics and chroma-




tin structure are being determined.  Several research projects in-




volve testing effluents and emissions from alternate energy techno-




logy processes.  For example, studies are being conducted with




products released from coal conversion (e.g., gasification and lique-




faction) processes in order to determine mammalian cell mutagene-




sis, evaluate dose-response relationships for immune system enzyme



                                 116

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levels, determine molecular damage to DNA and proteins, assay the




mutagenicity of fractionated coal conversion products, and develop a




nonmammalian (fish) model for quantitative evaluation of carcino-




genicity.




     Cocarcinogenic agents produced during coal and oil shale pro-




cessing and from low-Btu gasifiers are being screened by in vitro




methods.  The effects of chemical toxicants associated with the pro-




duction and consumption of fuel on the physiology and pathophysiology




of phagocytic cells are being determined.  Undefined pollutants from




various energy technology processes are being subjected to quantita-




tive mutagenesis testing in mammalian cellular systems.  The inter-




actions of various undefined pollutants and their relationship to the




causation of pulmonary disease are being  investigated.




     Several projects involve energy-related air pollutants.  The




effects of exposure to photochemical air  pollutants  are being studied




by examining the resultant  chromosomal aberrations in  peripheral




lymphocytes of man.   In vitro screening of  selected  air pollutants




for  potential  carcinogenicity uses microbial  systems.   Individual




pollutant particles in lung  tissue are being  analyzed  by multimode




scanning electron  microscopy.  Emissions  from power  plants  that  burn




eastern and western coals  are being  characterized, evaluated  toxico-




logically, and compared.




      Projects  in the  category of Energy-Related  pollutants  received




approximately  $6.1 million in  funds  through fiscal year 1978.   This






                                  117

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sum constitutes about 10 percent of the total funding provided for




the Health Effects Research Program.  The level of funding for




individual research projects in this category ranged from $30,000 to




$530,000.




7.6  MULTIPLE POLLUTANTS




     The Multiple pollutants category consists of nonspecific




pollutants (e.g., environmental mutagens) and mixtures of pollutants




(e.g., air pollutants).




     The effects of environmental mutagens on the genotypes of higher




animals are being monitored.  The tumor response evoked by exposure




to mixed carcinogens is being studied to determine the synergistic




action of these substances.  DNA is being exposed to chemical




carcinogens and radiation for study of synergistic effects and the




DNA repair mechanisms.




     Pollutants present in drinking water are being studied.  Areas




where drinking water supplies are contaminated with energy produc-




tion by-products are being identified, an epidetniological study of




the people using these water supplies is in progress, and morbidity/




mortality information and water quality data are being correlated to




identify any adverse health effects that are attributable to the




energy-related pollutants.




     Various research projects pertain to air pollutants.  The pul-




monary effects of exposure to toxic gases and particulates are being
                                 118

-------
investigated through studies of the biochemical mechanisms of pulmon-




ary injury and the biology and pathobiology of pulmonary epithelial




cells.  The effects of acute exposure to petrochemical air pollutants




on biochemical and physiological responses in man are being deter-




mined by investigating the interaction of atmospheric contaminants




with respiratory system components and receptors at both the bio-




chemical and functional levels.  Changes in air pollution that will




result from changing energy requirements are being determined, and




models are being developed for use in predicting the health effects




that such changes in air pollution will produce in the general popu-




lation.  The effects of increased indoor air pollution on human




health are being studied; these changes in air pollution  levels are




attributable to energy conservation measures.  The effects of ambient




air (compared with exposures to nitrogen dioxide and ozone) during




heat  stress are being studied  in adult volunteers.




     Approximately $10.9 million was funded to research projects  in




the Multiple pollutants category through  fiscal year 1978.  This




level of funding constitutes about 19 percent  of the total funding




for the Health Effects Research Program.  Expenditures  for individual




research projects in  this category ranged  from $8000 £o $1.5 million.




7.7  NOT APPLICABLE




      The Not Applicable category consists'of  those health  effects




research projects  in  which  no  specific  agent  or  pollutant is being




tested  or  studied.  Many  of these  projects involve information-




gathering  tasks  that  include  the  establishment of computerized data



                                 119

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bases, establishment and maintenance of air quality monitoring sta-




tions, and maintenance of data acquisition systems.




     Other projects provide different types of support for the Health




Effects Research Program.  Some of these involve the continued de-




velopment of risk assessment methodologies and mathematical models.




Other projects entail the development and/or improvement of labora-




tory techniques for use in research; among these techniques are iden-




tification of markers for preneoplasia in respiratory epithelium,




detection of point mutations in somatic cells, scoring of chemical




transformation in C3H/10T 1/2 cells, and detection of early changes




in lung cell cytology by flow-systems analysis.




     Funding for research projects in the Not Applicable category




amounted to approximately $15.6 million through fiscal year 1978,




which is 27 percent of the total funding for the Health Effects




Research Program.  The level of funding for individual research




projects in this category ranged from $4500 to $2.6 million.
                                 120

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                                                       APPENDIX

                                LIST OF PROJECTS IN  THE HEALTH EFFECTS RESEARCH PROGRAM
                                                 K1NC-MUIR  CATEGORY #1
Chemical Characterization and Toxicity of Metal-
Binding Components of Emissions from Mobile and
Stationary Energy Sources


from Power Plants Using Eaatern vs.  Western Coals

Determination of the Influence of Materials Concerned
with the Extraction of Ores
 Wentif y Hazardous Agents Associated with Nonnuclear
 Energy Technologies Using New and Available Biologi-
 cal Screening and Test Systems

 Cellular Toxicity of Selected Metallic Sulfates:
 Studies on the Rabbit Alveolar Macrophages In Vitro

 Implementation of Screening Tests for Potentially
 Hazardous Airborne Participate Materials Using
 Alveolar Macrophage Test System

 Calibrate Cyclone Used to Obtain Large Quantities of
 Size-Segregated Particulate

 Field  Testing—Application of  Improved Combustion
 Technology to Power Generation Combustion  Systems

 Comparison of Pulmonary Carcinogenic!ty of Known
 Carcinogens  with  and without Added  HjSQi, Mists,
 Airborne  Respirable Particles  and Gases

 Development  of Methods  for Determination of Carcino-
 genesis  by Bacterial Mutagenesis Employing Crude
 Material  from Alternate  Energy Sources

 Studies  to  Improve  the  Reliability  and Sensitivity
 of Bacterial Mutageneaia  as  a  Screen for Environ-
 mental Carcinogens

 Development  of  Automated  Behavioral Testing Method-
 ologies for  Study of  Effects of  Coal Conversion and
 Utilization  Products
                                                                 PRINCIPAL
                                                                INVESTIGATOR
                                                                  Palekar/Carter
Campbell
Manny


Laskin/Sellakumar



Commoner
University of Cincinnati



University of Cincinnati


Northrop Services


Northrop Services/Oak Ridge



Northrop Services


Northrop Services



Southern Research  Institute


Exxon  R &  E


New  York University



Washington University



Washington University



 Iowa State University
                                                           121

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                                           K1NC-MUIK CATtXUIKY *l  (Continued)
PRINCIPAL
PKOJtlCT INVESTIGATOR


!.»(.• Kiwiroim.-nt.il Contaminants for Biological
Experimental ion
Chemical Char--u:U>ri*at um and Specinu-o Preparation Walia/Yamante

Airborm1 Part i dilates

Chemicals in Cultured Liver Cells
The Need for Combined In Vitro and In Vivo System* in Legator
Carcinogens
Teat System
In Vivo Methods for Assessing Neurotoxicity Borachein
Determine the Relative Cellular Toxicity of Selected
Compounds Including Xetallic CMorid.es, Sutfates,
Samples Obtained from Stationary Sources and
Ambient Air
Systems
Gasification Effluents
Hydrocarbons and Indus tr ial Chemicals
AFFILIATION

IIT Research Institute



Brookhaven National
Laboratories
University of Cincinnati
Northrop Services
Lawrence l.ivemore
Laboratory
Lawrence Live more
Laboratory
Laboratory
A Bacceriophage System for Screening of Carcinogenic
Polycyclic Aromatic Hydrocarbons

Effects of En^rgy-Related Pollutants on Careinogenesis
or Assessment of Carcinogenic Risk from Energy-Related
Environmental Pollutants--Rodent Model

Development of in VJUo Screening Assay for Cocarcino-
gt'nic Agents Produced during Co.it and Oil Shale
Detect ion of Early Chanjje.s in
Flow-Systems Analysis Techni
-------
KIKG-MUIK CATEGORY  fl (Concluded)
PRINCIPAL
PROJECT INVESTIGATOR


Products

Polycyclic Aromatic Hydrocarbons
in Mouse Germ Cells by Coal Conversion Produces
Biological Screening Study of Low BTU Industrial
Gas i tiers
Biological Screening Study of H-Coal Liquefaction
AFFILIATION

Laboratory
Laboratory
Laboratory
Nuclear Medicine and
Radiation Biology
Laboratory
Department of Energy
Department of Energy
              123

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                                                   KINOMUIH  CATEGORY »2
PROJtXT

Spermatogoni.i
Development .it Lt-lUUr Motto 1 System to Determine
l)i'vt>l»pmt>nt ul Birtindicatorfl ot S02 and NC-2 Exposure



y

Workshop on "Screening Systems for Alternate Energy
Effluents11
and Heopiaatic Transforraat ion--Improved Scoring ot
Chemical Transformation ot C3H/IOT' Cells
Development of Methods for Determination of Potential
Employing Crude Material from Alternate Energy Sources
PRINCIPAL
INVESTIGATOR

Bhatnag.-r
Bower a
Bol linger^Ce I ler
Rajagopalan
Ueinstein


Lloyd
Aldridge
Schrechtman
Cooper
AEM: IATION

University of California
Rockefeller University

Duke University
Co t umb ia University



Kappa System, Inc.
California
Microbiological Associates
University of Cini_innati
During Long-Term Continuous Exposure to S02 and Particu-
late Matter

Chronosomal Aberrations in Peripheral Lymphocytes of Man
as a Function of Exposure to Photochemical Air Pollutants

ChromoBomal Abnormalities Araonjj Welder Trainees

To Evaluate- Existing and Improved Methods for Sanpting.
Transport, Storage, and Analysis of Biological Specimens
Which Might Serve as Indicators of Contamination by
Eifluents from Energy Technologies

Development of CytachemLcaL Markers for Cell Transforma-
tion and Carcinogenesis

EHecCs of Products of Coal and Oil Shale Conversion on
Cell Cycle Kinetics and Oiromatin Structure
Development and Use of Diffe
Developtnent ot Permanent KpithelUl Cfll Line for Study-
ing Toxic/Carcinogenic Effect! of tnvi rorawntal Carcino-
gens
Hayall


Tobey


CerflchensoTi




SeUirk/Kenney
                             university of Utah


                             Columbia University


                             Standards
Lawrence Livermore
Laboratory
Los Alamos Scientific
Laboratory
Development of Method for Utilizing Tteth
ot Tissue Dose tor Trace and Heavy Metals
UCLA Laboratory of Nucl,
Medicine and Radiation
Biology

Oak Ridge National
Laboratory
                             Brookhaven National
                             Laboratory
                                                          124

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                                            KINC-MUIR  CATEGORY »2 (Concluded)
PROJECT
Development of Nonmammalian (Fish) Model for Quantitative


Germinal Cells
Mice
Development of a New Mouse Strain to Maximize the Sensi-
tivity of a Point Mutation Assay
Amplification of Point Mutation System: Characterization
of Mouse Esterases by Isoelectric Focusing
Development of a Polygenic Assay for Point Mutations in
Mice
Detection of Point Mutations in Somatic Cells
Development of Faster, More Efficient and Leas Costly
Methods for Determining Teratogenic Changes
Mutageaesia in Cultured Lymphocytes
Development of DNA Repair for Monitoring Human Health
A Modified Host-Mediated Assay Using Human Cells
Developmental Toxicology Indicators
Carcinogenesis of Fossil Fuel Related Combustion
PRINCIPAL
INVESTIGATOR
Set low
Creisemer/Pal
Mailing
Roderick
Roderick
Mien
Crenshaw
Nute
Johnson
Bloom
Siciliano
Mitchell
Huang
Dixon
Nettesheim
AFFILIATION
Brookhaven National
Laboratory
Oak Ridge National
Laboratory
NI&HS
The Jackson Laboratory
Medical University of South
Carolina
Technology
University of Washington
Research Triangle Institute
Columbia University
University of Texas Cancer
Center
New York State Department
of Health
NIEHS
NIEHS
Products

Validation of Short-Term Tests  for Mutagenicity as
Predictors of Potential  Carcinogenic Activity

DNA Repair Capacity and  the  Mutagenic and Carcinogenic
Effects of Chemicals in  Eukaryotes

Mutagenic Mechanisms

Aneuploidy Workshop
Drake

de Serres
                                                          125

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                                                   KING-MUIR CATEGORY »3
                                                                 PRINCIPAL
                                                                INVESTIGATOR
                                                                                                    AFFILIATION
fctfects of fcnvi ronmental  Pollutants in R.-lation to Agi
Toxicity of Compounds Emitted fro* Coal Gasification
Scanning Electron Microscopic Examination ol the tffe
of Air Pollutants an Pulmonary Systems
Studies on the Relationship between Carcinogen Metabo
lism in the Alveolar Macrophage
Investigation of Effects of Prolonged Inhalation of
Nickel-Enriched Fly Ash in Syrian Golden Hamsters
                               lament ot Fly
The Effects of HO2 Exposure »n the Disposition and
Metabolism ol Certain Endogenous Antioxidants of
the Mammalian System

Interactions uf Various Pollutants on Causation of
Pulmonary Disease

effects of Alternate Energy Material on Whole Animal
                                                                  Lunan/Brandt
Fenters/Ehrlich
                             Institute tor Mvdi.:-tl
                             Research and Occupational
                             Health,
                             Zagreb, Yugoslavia

                             IIT Research Institute
                                                                                               Northrop Services
                             Battelte, Pacific Horthwest
                             Laboratories
                                                                                               Huntington Research
                                                                                               Corporation
                                                                                               Stanford Research Institute
                             1IT Research Institute
Effect of Trace Elements and Heavy Metal on the Detoxi
fieat ion of Sulfite by SuLfite Oxidase

Deposition, Retention and Dosiraetry of Inhaled Reactio
Products Which May Result from SC^ Particle Reactions

Metabolism of Inhaled Trace Metal Effluents from Corn-
Influence of Diet on the Gastrointestinal Absorption
of Cadmium

Synthesis of Labeled Organic and Organometallie Com-
pounds for Use in Metabolism and Catabolisn Studies

Metabolism and Disposition of Selected Radio-labelled
Hydrocarbon* and Some of Thevt ChemicalLy Reactive
Epoxides by the Isolated, Perfused Rabbit Lung and by
Soiubilized, Reconstituted Pulmonary Biotransformat ion
System

Environmental Teratology Information Center (ETIC)
Regulation of Neural Distribution of Lead

Function of Metaltothionein  in Heavy Meta 1 Metabo

Mechanisms ot Heavy Metal Toxicity

Effects of Microwave Radiation on the Nervous Sy»
Snipes


Cuddihy


Ualburg


Wolf
Was8OB


O'Tauaa

Brady

Woods

Lovely
                             Duke University


                             Lovelace Foundation
                                                                                               Lov
                                                                                               University of Tennessee
                             Brookhaven National
                             Laboratory
Oak Ridge Hat {.ana I
Laboratory

University of Worth Carolina

University of South Dakota

NLEHS

University of Washington
                                                            126

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                                             KING-MUIK  CATEGORY  »3  (Concluded)
               PROJECT
                                                                 PRINCIPAL
                                                                INVESTIGATOR
                                                                                                       AFFILIATION
Biological Effects  of 60-Hertz Electric  Fields

Respiratory Tract Deposition Models

Respiratory Tract Deposition of Inhaled  Aerosols


Factors Affecting Irritant Potency of Gases and Aerosols


departmental Models for Body Burden of  Pollutant*

Trace Element Deposition in Ambient Aerosol Inhalation
Development of NHR Spectroscopic Method* for Character-
izing Specific Bonding (Electronic and Covalent Bond-
ing} Modes of Organica and Inorganics Associated with
Nonnuclear Energy Technologiea

Development of the Probability Matched Gas Chromato-
graphic Mass Spectrographic Systea to Screen Biological
Tissue from Mothers and Newborn Infanta for Energy-
Related Chemicals in the Environment

Biochemical Mechanisms of Pulmonary Injury

The  Interaction of Lead with Body Tissues and Fluids

Photodegradation of Absorbed Polycyclic Arenea

Interaction between Light and Environmental Agents

Lung Cell Conversion of PAH

Pharmacology of PCBs

Phimacokinetics of Pulmonary Uptake  and Metabolism

Relationship of Metabolism, Fate, and Toxicology of
Participates and Organic Compounds

Nucleation  Properties  of Reapirable Coal Dust

Cellular  Response to Coal  Iti Vitro

V/Q in Occupational Lung Disease—Basic  Development
Marino

Rasbe

Yu


Asrtur


Marcus

Winchester

Lipf»un


McKinney
 Hook/El ing

 McKinney

 Daisey



 Bend

 Matthew

 Wilson

 Bruckner


 Schoengerdt

 Christian

 Massaro
Research Foundation of SUNY



State University of New
York *t Buffalo

Harvard School of Public
Health

University of Maryland

Florida State University

New York University MediciI
Center
 M10SH


 Colorado School  of Mines

 University of Cincinnati

 University of Wisconsin
                                                           127

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                                                                  PRINCIPAL
                                                                  INVF.SriCATOK
                                                                                                          AFFILIATION
K-i feet ,)t Res pi r able  SuI fates  and  HoSO-,
tory Funftion  in  Normal  Human  Subjects
Energy  Sources on Upper Respiratory  Trace  Clearance
Mt>t ham smi
i>f Ambient Air  Pollution
Us inn Cellular Model Systems

Trachea 1 Organ Culture as Air  Pollution  Damage  Indicator
Effect of Material  t
Animal [>ef*na« Syste
K Meet a of Convent iunal and Advanced  Coat  Conversion j
Etfeets n f Chronic or  Intermittent  Exposuru  to  Ruapirable
('articles and Mists  in Moust-  Pulmonary  Infpctivity Model

Evaluation of Ni'onate Siiuirrcl Monkeys  Receiving Triti-
atoil Water t h rough nut Cestat ion

Inventvfcalion n( the Neoplaatic  and Life  Space  Effects  of
Potentially Sensitive Populatinna ^f  Rats  Chronically
Exposed to Tritiateil Water


mental Trace Metals on Lung Metabolism

Study of Metabolic and Physiologic  Measurements  in Popu-
lations with  Long-Term Exposure  to  Pollution  from  Coal
Combustion
Hion and Utilization t,> Whu'h Han  is Exposed  Orally  and
by Inhalation
              Study of People Using Water  Supplies  Or
                                                                   Hoschandreas
Schiif/Ehrlich

Cause


Aranyi


Ehr I ich/flradof/Fenter


Janes
                                                                                                 University of CaLiforni


                                                                                                 University of Maryland
                                                                                                 Univ
                                                                                                 Ball  State University
                                                                                                 Oak  Ridge  National
                                                                                                 Laboratory
                                                                                                 University  of  Illinois
                                                                                                 Pennsylvania State
                                                                                                 University
Southwest Research
foundation

IIT Research Institute


IIT Research Institute


Stanford Research Institute
                             Dawson  Research
                             Corporation
                             UCLA School of Medicine


                             University of Akron



                             Litton fiionetics
                                                           128

-------
                                            KINC-HUtk  CATEGORY #4  (Continued)
                                                                 PRINCIPAL
                                                                INVESTIGATOR
                                                                                                      AFFILIATION
Evaluate Che Influence of Inhalation  of  Ac U  Aerosols,
H2S04, 503, HNOj and Participates on  Production of
Chronic Lung Disease in Rats,  Guinea  Pigs and Primates

Effects of SOX Pollutants on Respiratory Function, Par-
ticle Deposition and Bronchial Clearance

CLEANS/CLEVER:

     Operation and Maintenance

     Quality Control for Assessment of Hunan Exposure

AeroaoL Addition to CLEANS
Stationary and Mobile Facilities for Study of Health
Effecta of Environmental Contaminants (CLEANS/CLEVER)
                                                                  Tyler
Lippoun
Vilcn
University of California



Mew York University




Rockwell International

Northtop Service*

Environments! Research and
Technology

Computer Science Corporation
     Continuous Air Quality Monitorinj for Community              Raphael
     Health  Studies

     Addition of Mobile Air Monitoring Field Stations             Raphael
     and  Portable Air  Pollution Monitors  to CHAMP System

     Operation,  Calibration and Maintenance of  Total              Raphael
     CHAMP  System

     Operation  and Maintenance of  the Community Health            Sullivan
     Air  Monitoring Program

 The Effect  of  Whole Animal Exposure to Acid Miata on             Warshavsky
 Pulmonary Metabolism  of  BenEo(a)pyrene in the  Isolated
 Perfused  Lung  Model

 An Environmental Health  Study of  Lead  in Teeth                   Wilkinson

 Maintain CHESS Stations  and Collect Data in Chattanooga          Decker
 Area

 Human  Biochemical  and Physiologic Response to  Acute Pho-          Pleah
 toehemical  Air Pollution Exposures

 The Effects of Low Levels of NOj, 03,  and Ambient  Air
 Separately and in Combination on Cardiac, Pulmonary, and
 Peripheral  Circulatory Function in Adult Males in Response
 to Heat  Stress at Rest and During Moderate Exercise

 Feaaibility Study on  the Mortality Effects of  Deteriora-          Shy
 tion  in  Air Quality Due to Fossil Fuel Power Generation

 Evaluation  and Research of Methodology for National Envi-         LaPleur/Rook
 ronmental Specimen Rank

 HematoLojic and Mutagenic Effects of Arsine
                              Rockwell  International


                              Rockwell  International


                              Rockwell  International


                              Xonicet Inc.


                              University of California



                              Delaware State College

                              Research Triangle Institute


                              Copley Internal tonal


                              University of California




                              University of North Carolina


                              National  Bureau of Standards
                              New York Univertity Medical
                              Canter
                                                            129

-------

HkOJECT
c i , st r , c n F u i h i c
Related Industry
ti>gt>nicity ol Metallic Pollutants
Lfv.'l .il Drosop^iU
Usi> ot the Muuat- Spec 1 1 i L--LOLUS Method to yuantity the


Levels ot Such Agents
The Mouse Oocyte System as a Monitor ot Chemical
J'oxu-ity
and Carcinogenic Hydrocarbons on Cultured Mammalian
Cells
Evaluate the ttt'eft ot Low Level Chronic Radiation on

N02, S02. an.i Fly Aah
Bioc hem i at ry
Effect of Acid SuHate particles and S02 on the Bac-
tn the Lung
Cardiopulmonary Injury and Repair after Inhaled Acid
Sulfate Aerosols
Effects ol Carbon Monoxide, Hydrogen Suit ide and Other
Knergy Products on Neurons vn Tisaue Culture
Functional Level »
Temporal Aspecta of Tumor Response to Individual
and Mixed Carcinogen Exposure
The Role of Irritant Gases on the Susceptibility

In Vivo to Polycyclic Hydrocarbons

PRINCIPAL
INVESTIGATOR
Brooks
Hackett
Humgate
Russel 1
Hsie
8u*sel i
Dot? s on
de Veil i«
Zaeenhof
Craig
Loscutof f
Hahn
Mauderly
Tobias
Morrow
Albert
Marchok

AFF 11.1 AT ION
Lovelace Fcuidati „

Laboratory
Laboratory
Oak Ridge Nat ional
Laboratory
Oak Ridge Nat ional
Laboratory
Oak Ridge National
Laboratory
t
t
Laboratory
UCLA Laboratory of Nuclear
Medicine and Radiat ion
Biology
UCLA Laboratory of Nuclear
Medicine and Radiat ion
Biology
Battelle, Pacific Northwest
Laboratory
Battelle, Pacific Northwest
Laboratory
Lovelace Foundation
Lawrence Live more
Laboratory
University of Rochester
Medical School
New York University
Oak Ridge National
Laboratory
Oak Ridge National
Laboratory

130

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                                             KING-MUIR  CATEGORY  #4  (Continued)
The Influence of Irritant Gases  on Lung Tumor Induction
in Mice Exposed to Uruthan«

Multi-Mode Scanning Electron Microscopic Analysis of
Individual Pol lutant Part ides in Lung

The Role o£  1,2-Benzanthracene in Enhancing Hepatic Tumor
Development  in Katfi

Animal Toxicology Studies of Effluent from Low BTU Gasi-
f iers

Animal Toxicology Studies of H-Coal Liquefaction Opera-
                                                                   PR1NCIPAL
                                                                  INVESTIGATOR
Jones/White


Hayes


Peraino
Lawrence Livenoore
Laboratory
Lawrence Liversiore
Laboratory
Effects of Environmental Agents on Male and Female Repro-
ductive Tract function

Effects of 60-Hz Fields on the Mammalian Central Nervous
System

Respiratory and Cardiovascular Functions in Pollutant-
Exposed Animals

Ettecta ot Cestat tonal Exposure

Arsine Toxicity:  A  Potential Environmental Hazard


Lead  Toxicity and Energy Metabolism  in  Immature  Brain

Binding ol Methyl Mercury, an Environmental Hazard, with
DNA

Neurochemical Correlates of  Behavioral  Toxicology

Nt'urotoxicological  Effects of Hexabrominated  Biphenyls

The  EC lotogy of  Pica in  the  Rat

Chemical  and Environmental Mutagen  Studies  Utilizing
the  Tradescantia Test System

Compilation  and  Tabular Abstraction of  Literature  on
Mutageruc  Effects  of Energy-Related Pollutant!  (EMIC)

 Electrophoresis  of  Mouse Tissue:   Testing  of  Offspring
 after Parental  Treatment with Energy-Related  Pollutants;

      Electrophortitic Mobility Hutation AnaLysia in Mam-
      male

      Chemically Induced Mutations at Biochemical Loci
      in Mice

 Monitoring Mutagens (ClastogensJ with Mammalian Chromo-
 somes

 Risk Assessment tor Environmental Carcinogena

 Development of Statistical Methodology for Low Dose
Davis


Adey


Vans tee


Staples

Goldstein
 Wilson

 Ti l«on

 Mitchell

 Van't Hof/ Sparrow


 Wasaam
Endocrine Labs  of Madison


UCLA


NIEHS


NIEHS

Hew York University  Kedical
Center

Stanford University

University  of California at
Davis

NIEHS

NIEHS

NIEHS

frrookhaven  National
Laboratory

Oak Ridge National
Laboratory

Research Triangle Institute
 Hoel

 Hoe W Crump
                              University of Texa* Cancer
                              Center
 NIEHS

 HIEHS
                                                           131

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                                             KINC-HUIK  CATEGORY  ff4  {Continued?
               CRUJtC'l




Statistical Studios ,11 problems of Health and Biology

Extrapolation of Holychlormated Biphenyl Deposition

Statistical Development of Multistage Carcinogenesis
Modi-18

Low Diisi' Toxicologies! Estimation

Hie Effects of Heavy Metals on Neurolransaitter Trans-
location
Lifelong Asse
                 nt of the Behavioral Effect* of Prena-
                 eavy Metals
I'dthugcn IL  Mechanism* in the Development of Emphyiesu
and Pnt'iimaconios ia

Biology and fathobiology of Pulmonary Epithelial Cell!

Effects tit  Exposure to Se lee ted Industrial Hydrocarbon
Solvents on PolycycLic Hydrocarbon Metaboli»» and Toxi-
city in Lungs

Childhood Health ttfecta of PCBs

           ot t,n.TKy Oi;.:updt itin4l Safety and Health
Frobl
     Man
     He a 1th Laboratory

     Enumurat ion of Energy Occupat tonal Hea 1th  Prob-


     Qiiifk Response Evaluation of Energy-Related Occu
     pational Safety and Health Problem*

Conduct Oil Shale Worker Studies:

     Hortality and Morbidity among Oil Shale Workers

     Study ol Health Effects ot Oil ShaU Workers


     Hfdith Eft>cta--Oil Shale Work»>rs--Epideaiology

     Health Eftccta--0il Shale Workers—Industrial
                                                                  PHI NCI PAL
                                                                 INVESTICATOR
                                                                   Uil 1 ia«

                                                                   Neynan

                                                                   Siple





                                                                   Hoe I

                                                                   Bondy
                                                                   Brody/Plopper


                                                                   Wu/DiAugustine

                                                                   Bend



                                                                   Rogan/McKinney/Mat thews
                                                                  Re»*n/Cost*Uo/ Jones
                                                                  Coatello

                                                                  Jo Ties
                                                                                                        AFFILIATION


                                                                                                American Health Foundation

                                                                                                University of California

                                                                                                University of Arizona

                                                                                                NIEHS


                                                                                                NIEHS
                                                                                                MIOSH


                                                                                                University of Utah Research
                                                                                                Institute


                                                                                                NIOSH


                                                                                                Stanford  Research Inatttute


                                                                                                NIOSH

                                                                                                NIOSH

                                                                                                University Of Utah Research
                                                                                                Institute

                                                                                                NIOSH

                                                                                                HIOSH
                                                           132

-------
                                             K1NG-MUIK  CATEGORY  *4  (Continued)
                                                                       PRINCIPAL
                                                                      INVESTIGATOR
                                                                                                     AFFILIATION
Studi<
                                                                  Knowles/Hearl/Selevan
     Gasification Pilot Plants

     Coal Liquefaction and Gasification Mortality
     Study

     Conduct Coal Liquefaction and Gasification
     Worker Health Effects Conference

Conduct Studies of Occupational Exposures to
Insulation Materials;

     Industrial Hygiene Studies of Mineral Wool
     Exposures

     Mineral Wool and Clay Fiber Hortality Study

     Mineral Wool fibers — Medical Aspects

     Mortality and Industrial Hygiene Study of
     Mineral Wool Workers

     Mortality Study of Small Fibrous Glass
     Workers

     Mortality and Industrial Hygiene Study of
     Clay  Fibers Workers

Conduct Studies of Occupational Exposure  to Sul-
fur ic  Acid, Sulfur Dioxide , Sulf at e» , Nitric Acid ,
Nitrogen Dioxide, and  Nitrates;

     Occupational Exposure  to Sulfuric Acid and
     Su If ates— Environmental

     Occupational Exposure  to H2S04  and  Sulfatea —
     Mortality

     Study of  S0x/N0x--Epidemiology

     Study of  SOx/NOy — Industrial  Hygiene
      Mortality and  Industrial  Hygiene  Study of
            and Sulfate  Workers
 Conduct  a Safety Study of  Energy  Industries:

      Assessing Safety  in Fossil  Fuel  Electric
      Power Generating  Plant

 Conduct  Studies of TVA Workers:

      Memorandum of Understanding  Between NIOSH and
      TVA

      Epidemic-logical Mortality Study  ot TVA
      Employees

      Industrial Hygiene Studies of TVA Workers
      in Coal-Fired Power Plant
Denent/Bayless/Palmer





flayless

Palmer

Zunwalde


ftayless


Ness/Zuawalde
 Cassady


 Selevan


 Gamble

 Jones

 Cassady
 OrtBeyer
NIOSH


The Bend in Corporation


NIOSH


Office of Naval Research


NIOSH


Stanford Research  Institute


NIOSH

NIOSH

NIOSH


NIOSH
 NIOSH


 NIOSH

 NIOSH

 NIOSH


 The Bendix Corporation

 The Bendix Corporation


 TVA

 TVA
                                                           133

-------
                                              KINC-MUIR  CATEGORY  *4  (.Concluded)
                                                                   PRINCIPAL
                                                                  INVESTIGATOR
     Mt^Ju-al Study ut Divers  (Morbidity
     Hortdl ityj
l(,'s,n ratory Ktl.-tts o!  Insulation Materials--
Inhdlution ttfects

Oit-si- I  Kxliaiist and Coat  thist  Interaction (Diesel
                                                            134

-------
                                                     KING-MUIR  CATEGORY  *5


                                                                   PRINCIPAL
                 PROJECT                                          INVESTIGATOR                            AFFILIATION


Chemical and Molecular Interactions  of Pollutants                  Danyluk                      Argonne  National  Laboratory
with Key Biological Molecules

Molecular Damage to DNA and Protein* Caused by Haz-               Ward                         UCLA Laboratory of  Nuclear
ardoufl Metals, Metal lona,  and Organic Compounds                                               Medicine and Radiation
Associated with Coal and Oil Shale Technologies                                                Biology

The Study of Autoxidation of Lipida of Biomembranea               Head                         UCLA Laboratory of  Nuclear
and of Lung Surfactants Initiated by Oxidative                                                 Medicine and Radiation
Pollutants and  Its Inhibition by AntioxidantB                                                  Biology

Effect of Hydrocarbons, S02, and Related Fossil                   Snyder                       Oak Ridge Associated
Fuel Pollutants on the Biochemical Properties of                                               Universities
Lung Membranes  during Development

Effects of Hazardous Agents Associated with Coal and              Enger                        Los Alamos Scientific
Oil Shale Technologies on  Informational and Regula-                                            Laboratory
tory Macromolecules of Mammalian Cells

Damage  to DNA Synthesis by  Trace Metals and                       Popenoe                      Brookhaven National
Hydrocarbons                                                                                   Laboratory

Molecular Mechanisms  of Chemical Carcinogeneais                   Calvin                       Lawrence Livermore
                                                                                               Laboratory

Characterization and  Control  of  Frameshift                        Tinoco                       Lawrence Livemore
Mutation                                                                                       Laboratory

Characterization of Damage  to DNA Caused by Chemical              R«hn                         Oak Ridge  National
Agents:   Emphasis  on  Synergistic  Effects in Combi-                                             Laboratory
nation  with  Sunlight
Regulatory Processes in Damaged Cells
 Damage and Repair to DNA in Specific  Germ Cell  Stages
 ot Mammal* Following 1^\ Vivo Expomr* to  Product*
 Associated with Coal Conversion and Utilization

 Interactions between Damage (and Repair to Damage)
 Resulting from Hazardous Agents Associated with
 Coal and Oil Shale Technologies and Ultraviolet
 Damage

 Damage-Repair Studies Related to Cell Function  and
 Molecular Processes

 Repair of DNA Treated with Irradiation and Chemical
 Carcinogens

 Biological Damage Processes of Hydrocarbons:
 Molecular Activation and Binding Evaluated by EPR

 Reparative and Adaptive Mechanisms in Respiratory
 System" of Rodents and Monkeys Exposed to Sulfur
 Compound* and Particulatee
Kenney


Sega



Set low




Elkind


Goldthwait


Borg


Goldman
                                                                                               Oak  Ridge  National
                                                                                               Laboratory
                                                                                               Oak Ridge National
                                                                                               Laboratory
                                                                                               Brookhaven National
                                                                                               Laboratory
                                                                                               Argonne National
                                                                                               Laboratory
                                                                                               Case Western Reserve
                                                                                               Institute
                                                                                               Brookhaven National
                                                                                               Laboratory
                              University of  California,
                              Davit
                                                               135

-------
                                             KINC-ML'IH CATEGORY  »5  (Continued)
PRINCIPAL
1 KOJti, 1 I

Alveolar Clearance ot Inhaled Mrtal Oxide Sanders
Production and Consumption ot Ku,- I on th«- Physiol-
Kvaluat son ol tit..- Meohaiusras at Energy- He Laud Steinkarap
Fuju1 1 lonal and Quant i t-H i vt Changes in Immunocompe- Jaros low
tent Cells, Indi.c.'d by j Carcinogen Product .»f Coal
;ind Oi 1 lit i 1 izat i»n
Pr imat i-
io Determine the Processes by Which Laboratory Sfflith
Distillation with traphasis on the Sequence of
Lvaludijun of the Dos.--Et tec t Relationships tor Cram
Immune Response to Biologically Active Afctnts Asao-



AfTILIATION
Lovelace Foundation

Laboratory
University of Chicago
Los Alamos Scientific
Laboratory
Oak Ridge Associated
Un wecsit i«»
Los Alamos Scientific
Laboratory
Los Alamos Scientific
Laboratory
Argonne National Laboratory
Southwest Foundation for

Can Vitamin H or Lipid Alt*r N02 or  Oj Toxicity
Lung.'
                    Luns Cd 1 t  Kinetics alter N02
Thi- Int^iaction ot  Cadmium with the Pulmonary
Mveolar Macrophagc
Pulmonary Eti*;cts «f Environmental  Oxidant
Pollutants
Shale with Biological System
                                                                  U-enzeL

                                                                  Chignell
Duke University Medical
Center
                                                                                               Michigan State University

                                                                                               University of Vermont
University of California,
Davis
University of Kansas

N1EHS
pirdtory Epithelium
                                                           136

-------
                                             KING-MUIB CATEGORY #5  (Concluded)
                                                                 PRINCIPAL
                                                                INVESTIGATOR
Identification of Peripheral  and Central  Receptor
MechanUu Mediating the Effect! of Microwave
Radiation on Brain Activity

Effect* of Microwave Radiation on Neural  Reeponee
and the Central Narvoui Sy'tea

RecoBMnded Standard* Cor Coal Caaification and
Liquefaction Plant!

Develop Medical Protocol! for Energy Industrie!

Conduct Study of Becirculation of Exhaust Air:

     Development of Criteria for the Recirculetion
     of Industrial Exhaust Air

     Eecirculating Bxhauet Air Bympofiim

     Validation of Criteria for Recirculetion

     Validation of Criteria for Recirculation

Develop a Criterie Document for Occupational
Exposure to Microwave and RF Radiation

Stud; Work. Practice Deeded to Protect ALeakaa
Pipeline Worker* from Cold Street

Develop Count erneajurei  to Protect Divera Involved
in Offehore Oil Ezploratioo:

     DevelopMnt of a National Plan for tha Safety
     and Health of Divera  in the Queet for Sub-See
     Energy
     Develop Recaesaeoded Medical aad Operating
     Standards  for Divera
Jeneen


Pairchild


Shelling



Hamilton
                             Enviro Control. Inc.
Arthur D. Little, Inc.


Research TrUngle Institute

Envirex

Arthur D. Little, Inc.




HIOSH


N108H


Dndereee Medical Society



Tarry town La.be, Ltd.
 •Not  identified
                                                            137

-------
                                  TECHNICAL REPORT DATA
                           (Please read Instructions on the reverse before completing)
 REPORT NO.
   EPA 600/7-79-121
                             2.
             3. RECIPIENT'S ACCESSION NO.
 TITLE AND SUBTITLE
  Health Effects Research Program—Summary Report For
   Fiscal Years 1974-1978
                                                           5. REPORT DATE
                                                            riecember 1979
             6. PERFORMING ORGANIZATION CODE
 . AUTHOR(S)
                                                           8. PERFORMING ORGANIZATION REPORT NO.
 Richard D.  Thomas, Alexis D. Taylor,  Judith G. Gordon
              MTR  79W00100
 PERFORMING ORGANIZATION NAME AND ADDRESS
 The  MITRE  Corporation
 Metrek Division
 McLean, VA 22102
                                                           10. PROGRAM ELEMENT NO.
             11. CONTRACT/GRANT NO.

              68-01-5051
 2. SPONSORING AGENCY NAME AND ADDRESS
  U.S. Environmental Protection Agency
  Office of Environmental Processes and Effects Research
  Office of Research & Development
  Washington, D.C.  20460
             13. TYPE OF REPORT AND PERIOD COVERED
             Executive  Summary 74-78	
             14. SPONSORING AGENCY CODE
                  EPA/600/7
15. SUPPLEMENTARY NOTES
    This project is part  of the EPA-planned and  coordinated Federal Interagency
     Energy/Environment R&D Program.
16. ABSTRACT
      The Federal Interagency Energy/Environment Research and Development Program which
 is  coordinated by the U.S.  Environmental Protection  Agency was initiated in  the  latter
 half of fiscal year 1974  to ensure that health and environmental problems related to
 energy resource development would be anticipated  and evaluated.  This document provides
 an  overview of the Interagency-supported health effects research program from an admin-
 istrative as well as various technical perspectives.   In this updated program review,
 which is based on the individual task progress reports available for fiscal  years 1974
 through 1978, the research  projects are reviewed  and discussed according to  King-Muir
 objectives and selected scientific discipline, biological endpoint, and agent/pollutant
 categories.
                                KEY WORDS AND DOCUMENT ANALYSIS
a.
                  DESCRIPTORS
                                              b.lDENTIFIERS/OPEN ENDED TERMS
                             COS AT I Field/Group
  Ecology
  Environments
Ecological  Effects
Health Effects
Energy Resource Development
    97G
18. DISTRIBUTION STATEMENT

   Release to Public
19. SECURITY CLASS (ThisReport)
Unclassified
                                              20. SECURITY CLASS (Thispage)
                                              Unclassified
21. NO. OF PAGES

	145
                           22. PRICE
EPA Form 2220-1 (9-73)

-------