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Integrating Report A 0500/3047 21-Day Smoke Inhalation Study with Mainstream and Sidestream Cigarette Smoke of Standard Reference Cigarette Type 2r1 on Rats

Date: 29 Jul 1982
Length: 26 pages
2029190329-2029190354
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Abstract

This 1982 scientific paper from Philip Morris' biological research lab, INBIFO (Institut for biologlsche Forschung) in Cologne, Germany reports on experiments done on groups of rats who for 21 days were made to inhale either mainstream or secondhand smoke (called "sidestream" smoke in the report) from cigarettes obtained from Philip Morris (PM).

The study reports that secondhand smoke exposure was more irritating than mainstream smoke, and most particularly to the upper airways (nasal cavities, olfactory membranes, etc.):

(From Page 11 of the report):

"All of the examined sidestream-exposed rats showed slight to severe atrophic or necrotic lesions of the olfactory epithelium, in some cases together with reactive inflammation. The ciliated epithelium of all sidestream exposed rats showed squamous-cell metaplasia, with cornification in some cases."

"Generally spoken, sidestream exposure induced more frequent and more severe epithelial lesons in the olfactory and ciliated epithelium of the nasal cavity than mainstream of equal TPM [total particulate matter] concentration..."

"Sidestream exposure induced much stronger irritative changes in the mucosa of the nasal cavity than mainstream of equal TPM [total particulate matter] dose..."

and

"If one extrapolates from the experience of previous mainstream inhalation studies (b), the mainstream TPM concentration of this study would have to be increased by a factor of 3 to produce similar strong reactions than seen with sidestream exposure in this study."

The report was written by Wolf Reininghaus, general manager of contract research at INBIFO, to Ragnar Rylander, a Swiss scientist who contracted with Philip Morris). It shows that Philip Morris was well informed by 1982 that secondhand smoke had the propensity to inflict harm on nonsmokers.

Fields

Quotes

"In the present 21-day inhalation study on rats the subacute toxicity of sidestream cigarette smoke has been compared to the subacute toxicity of mainstream smoke..."

[From page 8, Bates No. 2029190336]

"As commonly seen in cigarette inhalation studies of this type, the rats resisted to the daily loading into the exposure tubes and continued to struggle inside the tubes right after the beginning of the exposure. By and large, the rats of the sidestream groups reacted more vigorously than those of the mainstream group. All rats showed general signs of exhaustion after the end of the daily exposure. In contrast to the rats of the mainstream group, which recovered by the next morning, the rats of the sidestream groups continued to show shaggy fur and some pronounced respiratory symptoms characterized by whistling and rattling sounds..."

(From Pp 10-11: 2029190338/0339)

"The nasal cavity of 53 rats (b) and the larynx and lungs of 20 rats (c) killed at dissection after 21 days of exposure were examined histopathologically...The nasal cavities (d) of the rats of the control group were without histopathological alterations...All of the examined sidestream-exposed rats showed slight to severe atrophic or necrotic lesions of the olfactory epithelium, in some cases together with reactive inflammation. The ciliated epithelium of all sidestream exposed rats showed squamous-cell metaplasia, with cornification in some cases."

"Generally spoken, sidestream exposure induced more frequent and more severe epithelial lesons in the olfactory and ciliated epithelium of the nasal cavity than mainstream of equal TPM concentration..."

"...The ciliated epithelium in the dorsal parts of the larynx showed squamous-cell metaplasia without cornification in 50 percent of the mainstream-exposed rats whereas all rats of the sidestream-exposed groups showed squamous-cell metaplasia with cornification."

(From Page 12-13: 2029190340/0341)

"Sidestream exposure induced much stronger irritative changes in the mucosa of the nasal cavity than mainstream of equal TPM dose...Sidestream smoke exposure invoked atrophy of the olfactory and metaplasia of the ciliated epithelium. Mainstream smoke produced some metaplasia of the olfactory epithelium..."

"These findings may be interpreted as a stronger inflammatory response of the lung to sidestream-smoke than to mainstream of equal TPM concentration..."

(From Page 15-18, under "Discussion, Conclusion," Bates Nos. 2029190343/0346)

"If one extrapolates from the experience of previous mainstream inhalation studies (b), the mainstream TPM concentration of this study would have to be increased by a factor of 3 to produce similar strong reactions than seen with sidestream exposure in this study."

"The strong irritative changes with sidestream exposure, seen at the olfactory and ciliated nasal and laryngeal epithelium, are presumably caused by low molecular, fast- absorbed irritative sidestream components.

The alkaline reactivity, together with the high buffer capacity of the sidestream gas/vapor phase, as well as the known excess of ammonia in sidestream smoke (a), point to ammonia as a key substance for the irritative capacity of sidestream smoke...Histopathological changes similar to those seen with sidestream exposure in the nasal mucosa could be evoked in rats by exposure to pure ammonia under comparable experimental conditions (b)."

Company
Philip Morris
Author
Gugel, H.
Reininghaus, Wolf (INBIFO, Gen. Mgr., Contract Research)
Institut fur Biologische Forschung, Cologne, Germany - (Philip Morris' offshore research lab).
Romer, E.
Schnell, P.
Speck, M.
Teredesai, A.
Tewes, F.
Walk, R.A.
Recipient
Rylander, Ragnar, M.D. (PM contractor, Environmental Hygienist, U of Gothenburg)
Professor of Environmental Hygiene, University of Gothenburg, Sweden. Worked on contract to Philip Morris overseeing biological laboratory work being performed at INBIFO, PM's biological labs in Cologne, Germany. PM paid Rylander $150,000 per year (salary determined from Bliley PM doc 2022850392, from 1992)
Region
Switzerland
Named Organization
Fach Tierarzt Fur Pathologie
INBIFO, Intitut Fur Biologische Forschung (Philip Morris' secret biological research lab in Europe)
"INBIFO" stands for Institut Fur Biologische Forschung, or Institute for Biological Research. It is located in Germany. Philip Morris acquired Inbifo on June 30, 1971. Its stated mission was "quantitative biological product evaluation" by using "comprehensive toxicological and physiological testing. Major activities are listed as: product evaluation and modifications, product ingredients and ETS-related technical knowledge and smoke components. Inhalation toxicology was a key feature of Inbifo. (Derived from Bates No. 2505235055/5088)
Litigation
STMN/Produced
Named Person
Corn
Type
SCRT, REPORT, SCIENTIFIC
CHAR, CHART, GRAPH, TABLE, MAPS
FOOT, FOOTNOTES
Subject
secondhand
secondhand smoke
secondhand smoke/health effects
Secondhand Smoke/Toxicity

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INBIFO Institut #Gr biofogische Forschung • KBin INTEGRATING REPORT A o5oo/3o47 RM9 (R) All PAGE 1-9 1 5o percent of the mainstream exposed rats showed mainly focal squamous-cell metaplasia of the olfactory epithelium limited to the anterior part of the nasal cavity. Slight atrophic changes of the olfactory epithelium were found in only 6 percent and slight basal or goblet cell hyperplasia of the ciliated epithelium were found in only 13 percent of these rats. All of the examined sidestream-exposed rats showed slight to severe atrophic or necrotic lesions of the olfactory epithelium, in some cases together with reactive inflammation. The ciliated epithelium of all sidestream exposed rats showed squamous-cell metaplasia, with cornification in some cases. Generally spoken, sidestream exposure induced more frequent and more severe epithelial lesons in the olfactory and ciliated epi- thelium of the nasal cavity than mainstream of equal TPM concen- tration. No histopathological changes were found in the larynx of control rats. Almost all rats of the main- and sidestream-exposed groups showed epithelial thickening (mostly basal cell hyperplasia) at the ventral depression and thickening with cornification of the stratified epithelium in the ventrolateral parts. Differences between all exposed groups were small. The ciliated epithelium in the dorsal parts of the larynx showed squamous-cell metaplasia without cornification in 5o percent of the mainstream-exposed rats whereas all rats of the sidestream-exposed groups showed squamous-cell metaplasia with cornification. Quanti- tatively the findings in rats exposed to puffed sidestream were slightly more pronounced than in rats exposed to nonpuffed side- stream (a). (a) The findings in the larynx are based on 3 and 4 rats of the respective sidestream group only, and should be interpreted with care. 28,lCW82
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1NBIFO lnstitut fiir biologische Forschung • K6in INTEGRATING REPORT A o5oo/3o47 RM9 (R) A12 PAGE 1-io The morphometrical evaluation of the laryngeal epithelium at the ventral depression, the ventrolateral lumen and the dorsal lumen showed, depending on the site, a 2 to 4 fold thickening of the epithelium of smoke-exposed rats relative to that of control rats. Between dose groups, the rats exposed to mainstream showed slightly thinner epithelium than the rats exposed to nonpuffed sidestream and the rats exposed to puffed sidestream displayed a slightly thicker epithelium than the latter. Almost all the lungs of control and dose groups showed pronounced histopathological changes such as mononuclear infiltrates around blood vessels and of the parenchyma, interstitial thickening with enlarged cells and hyperplasia of the bronchial epithelium. These changes are attributed to viral infections. They inhibit reliable histopathological evaluation of smoke-related changes in the lung. In summary, exposure to diluted side- and mainstream produced histopathological changes in the nasal cavity and in the larynx. Sidestream exposure induced much stronger irritative changes in the mucosa of the nasal cavity than mainstream of equal TPM dose.. Sidestream smoke exposure invoked atrophy of the olfactory and metaplasia of the ciliated epithelium. Mainstream smoke produced some metaplasia of the olfactory epithelium. The irritative changes, seen in the stratified or cuboidal laryn- geal epithelium were of the same magnitude for side- and mainstream exposure. In the ciliated epithelium however, sidestream smoke invoked metaplasia with cornification and mainstream smoke produced some metaplasia without cornification. 28. KWf32
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INBIFO Institut fiGr biologische Forschung • K61n INTEGRATING REPORT A o5oo/3o47 RM9 (R) A13 PAGE 1-11 , After 21 days of inhalation, free lung cells of 3 rats each out of the cage control group, the sham control group and the groups exposed to mainstream and puffed sidestream smoke were lavaged and analysed for cell type, cell concentration and viability. Mainstream exposed rats showed a 3 to 5-fold increase, and side- stream-exposed rats a 15-fold increase of the relative number of granulocytes as compared to the control groups. The proportions of macrophages and lymphocytes was reduced accordingly. The free lung cell preparations of sidestream exposed rats showed purulent exudate clusters with bacteria, epithelial cells and immature mononuclear cell types which were not normally observed in lavages from mainstream-exposed rats. These findings may be interpreted as a stronger inflammatory response of the lung to sidestream-smoke than to mainstream of equal TPM concentration. However, the mixed viral and bacterial infections of the lung, detected by histopathological and micro- biological investigations of the rats of this study, may have influenced these results. Furthermore the small number of investi- gated rats do not allow a statistical evaluation and valididation of these findings in future studies is necessary. In addition to calcium and magnesium free PBS, media with added newborn calf serum or bovine serum albumin (BSA) were used for lung lavages. In spite of the relatively small number of investigated rats - these investigations were done with sham- or mainstream- exposed rats only - the following trends were observed: Compared to lung lavage with calcium and magnesium free PBS, the addition of serum reduced the yield of alveolar macrophages. Those harvested, appeared to be less viable. On the other hand, addition of BSA increased the total number of macrophages harvested and seemed to increase their viability. 28 KW82
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INBIFO Institut fOr bioiogische Forschung • Min INTEGRATING REPORT A o5oo/3o47 RM9 (R) A14 PAGE 1-12 Lavage cycles 4 to lo yielded a higher number and a higher propor- tion of macrophages with better viability than cycles 1 to 3. For this reason, the use of PBS with BSA, in order to harvest free lung cells of cycles 4 to lo, seems to be advantageous for future functional tests with alveolar macrophages. During this study a microbiological quality control program was performed. It included the search for viral and bacterial infec- tions in rats and the regular screening for bacterial contamina- tions of laboratory, laboratory staff, animal diet, drinking water and cage bedding material. At the beginning of the study 5 rats were serologically examined. All were found to be free from antibodies against Sendai virus, Reo virus type 3 and mycoplasm. 3 rats showed a low positive antibody titer against pneumonia virus of mice (PVM). Low positive antibody titer against R-1 virus and Kilham rat virus were found only in 1 rat each. A repeated test at the end of the study resulted in a somewhat increased PVM titer in 4 of the same 5 rats. At the end of the inhalation period the organs of 2 rats were examined bacteriologically. Liver, lung, kidney, spleen and mesenterial lymph node were found to be free from bacteria or only lowly contaminated. Facultative pathogenic bacteria such as Staphylococcus aureus, Escherichia coli and in 1 case Klebsiella pneumoniae were isolated from colon content of both rats. Staphylo- coccus aureus was also isolated from the nasal cavity in high concentration. The surfaces and the conditioned input air of the laboratory unit as well as the fingerprints and face masks of the laboratory staff were found to be free from pathogenic bacteria. Samples from the exhaust air and 1 face mask however were found to contain the facultative pathogenic Staphylococcus aureus. 2$.KW82
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INBlFO lnsti#u# fur b9ologische Forschung • K6In INTEGRATING REPORT A o5oo/3o47 RM9 (R) A15 PAGE 1-13 The non-autoclaved diet was found to be free from Salmonella sp. All samples of the autoclaved food, drinking water and bedding material were found to be sterile with respect to pathogenic or f-acultative pathogenic bacteria. The detected antibody titer against pneumonia virus of mice and the occurence of Staphylococcus aureus in the nasal cavity may impair the interpretation of other bioassays in this inhalation study, although the histopathological finding in the respective organs did not correlate well. 1.4 Discussion, Conclusion With this study, the series of standard 21-day inhalation studies with diluted mainstream cigarette smoke on rats was extended to sidestream smoke exposure. Based on the results of bioassays for systemic and local responses of the exposed rats, the biological activities of diluted mainstream and sidestream from puffed and nonpuffed 2R1 cigarettes were compared. The TPM concentrations of these 3 smoke types were adjusted to be equal. Chemical analyses showed no remarkable differences between puffed and nonpuffed sidestream and no remarkable differences between particle phase components (a) of mainstream and sidestream smoke. However, all measured low molecular gas/vapor phase components, with the exception of hydrogen cyanide, had a distinctly higher concentration in both sidestream smoke types than in mainstream smoke. Most importantly, the gas/vapor phase of sidestream smoke was more alkaline (pH 8.7) and had a much stronger buffer capacity (26-fold) than the mainstream gas/vapor phase. (a) only nicotine, pH and buffer capacity zs.xwaz
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INB11=O lnstitut ftir biologische Forschung - KtSin INTEGRATING REPORT A o500/3047 RM9 (R) A16 PAGE 1-14 , The systemic toxicity of mainstream and sidestream smoke impaired the body temperature, food and water uptake, body weight develop- ment and increased mortality. All of these parameters correlated closely, which may implicate a - yet unknown (a) - common reason to have caused those reactions. Puffed and nonpuffed sidestream caused almost identical reactions, but the reaction to mainstream was much less pronounced than to sidestream exposure. If one extrapolates from the experience of previous mainstream inhalation studies (b), the mainstream TPM concentration of this study would have to be increased by a factor of 3 to produce similar strong reactions than seen with sidestream exposure in this study. ' The pronounced drop in body temperature, as well as some of the forementioned other reactions are considered to specific for small laboratory animals (c). (a) One possible hypothesis, which would be in agreement with these findings, assumes a quite unspecific impairment of the respira- tory gas exchange, either due to morphological, functional or behavioral changes. (b) i, e. A o5oo/3o16, 21 d aerosol inhalation study on male rats with 2R1 cigarettes, paraffin and DOS (PT) (c) Reactions on respiration and circulation are known to be triggered by nasal inhalation of irritants in rabbits and dogs. Mc Ritchie, R.J., White, W., Role of trigeminal, olfactory, carotid sinus and aortic nerves in the respiratory and circula- tory response to nasal inhalation of cigarette smoke and other irritants in the rabbits. Aust. J. exp. Biol. med Sci 52 (1) : 127-140. 2e.xwa2
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INBIFO Inst9tut ftir biologische Forschung • K6In INTEGRATING REPORT A o5oo/3o47 RM9 (R) A17 PAGE 1-15 Mainstream irritated the mucosa of the nasal cavity and of the larynx. In the nasal cavity, mainstream caused mainly focal squamous cell metaplasia, limited to the anterior parts of the olfactory epithelium. In the laryngeal epithelium, mainstream caused basal cell hyperplasia of the cuboidal, thickening with cornification of the stratified and some metaplasia without cornification of the ciliated epithelium. These histopathological leasons in the upper respiratory tract were seen in previous standard 21-day inhalation studies with diluted mainstream smoke (a). Additionally to the changes, seen with mainstream, sidestream - puffed or nonpu-ffed alike - caused more severe atrophic and necrotic leasons of the olfactory epithelium and frequent squamous cell metaplasia in the ciliated epithelium of the nasal cavity. In the stratified and cuboidal laryngeal epithelium, sidestream caused very similar changes, as seen with mainstream of the same TPM concentration. The ciliated laryngeal epithelium however, showed frequent metaplasia with cornification. Due to superimposed histopathological changes, attributed to a serologically confirmed viral infection of rats of all groups, possible smoke-related changes of the lower respiratory tract could not be evaluated. The evaluation of lung lavages, revealed a marked relative increase of granulocytes among free lung cells, which is thought to be indi- cative for inflamatory processes in the lower respiratory tract. (a) e. g. A-/3o15, olfactory epithelium (PT) A-/3o16, 21 d aerosol inhalation study on male rats with 2R1 cigarettes, paraffin and DOS (PT) 28.KWB2
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1NBIFO Ins#Itut fOr biologische Forschung • KtSIn INTEGRATING REPORT A o5oo/3o47 RM9 (R) A18 PAGE 1-16 The strong irritative changes with sidestream exposure, seen at the olfactory and ciliated nasal and laryngeal epithelium , are pre- sumably caused by low molecular, fast absorbed irritative side- stream components. The alkaline reactivity, together with the high buffer capacity of the sidestream gas/vapor phase, as well as the known excess of ammonia in sidestream smoke (a), point to ammonia as a key sub- stance for the irritative capacity of sidestream smoke. Histopathological changes similar to those seen with sidestream exposure in the nasal mucosa could be evoked in rats by exposure to pure ammonia under comparable experimental conditions (b). (a) Johnson, W. et al. The distribution of products between main- stream and sidestream smoke. Tobacco Sci. 17 : 141 (1973) (b) Richard, D. et al. Effects of ammonia gas continuously in- haled by rats and mice. Bull. Eur. Physiopathol Respir 14 (5) : 573-582 (1978) Broderson, J.R. et al. The Role of Environmental Ammonia in Respiratory Mycoplasmosis of Rats, Am. J. Pathology 85 (1) : 115 (1978). 28.KW82
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INBIFO Institut fiir biologische Forschung • K6In INTEGRATING REPORT A o5oo/3o47 RM9 (R) A19 GD PAGE 2-1 2 RESPONSIBILITY Study Director: •.••••••,••••••.. •.•••••. Dr.rer.nat. W. Reininghaus Physicist (Diplomphysiker) Analytical Chemistry: ••••••••••••• Dr.rer.nat. M. Speck Chemist (Diplomchemiker) Inhalation, Barrier: •••••••••••.•••••••••••••••• P. Schnell Engineer (Ing . grad. ) Biological Chemistry: •••••••••••••••••••••••••••• Dr.rer.nat. R.-A. Walk Biologist (Diplombiologe) and Biochemist Biometry: ...•...»•..................• H. Gugel Mathematician (Diplommathe- matiker) Pathology: ............................ Dr.med.vet. A. Teredesai Pathologist (Fach-Tierarzt fur Pathologie) Microbiology: •••..•. .•. .. •..••••..•. Dr.rer.nat. F. Tewes Biologist (Diplombiologe) Quality Assurance: ............................ E. Romer Biologist (Diplombiologe) aa.Kwa2
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INBIFO Institut fi]r biologische Forschung - Kdln INTEGRATING REPORT A o5oo/3o47 RM9 (R) A2o PAGE 3-1 3 CIGARETTES Type (cigarette code): Source: Number of cigarettes: Pnckncl i.nr1: 2R1, standard reference cigarette Philip Morris approx. 3oooo cnrtons with 2oo c,i.gnretten, io packages with 2o cigarettes/ package Date of receipt at INBIFO: 7.May 76 and lo.Oct.81 Storage Main storage: walk-in cold room R911, 1 to 3 degrees centigrade, relative humidity uncontrolled Laboratory storage: Selection: Specifications of cigarette (a): Physica3l properties and chemica3l composition of filler of cigarette (a): Composition of smoke components of cigarette (a): conditioning room R326, at least 8 days prior to smoking storage in opened packages temperature: 22 + 1 degrees centi- grade, relative humidity: 6o + 3 o/o no selection see TABLE B see TABLES C.1 and C.2 see TABLE D (a) specification provided by the supplier 28. KW82

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