Philip Morris
Lung Tissue Responses and Sites of Particle Retention Differ Between Rats and Cyanomolgus Monkeys Exposed Chronically to Diesel Exhaust and Coal Dust
Fields
- Author
- Avila, K.J.
- Griffith, W.C.
- Mauderly, J.L.
- Nikula, K.J.
- Griffith, W.C.
- Type
- PSCI, PUBLICATION SCIENTIFIC
- BIBL, BIBLIOGRAPHY
- Area
- CARCHMAN,RICHARD/OFFICE
- Litigation
- Iwoh/Produced
- Characteristic
- EXTR, EXTRA
- MARG, MARGINALIA
- Site
- R530
- Named Organization
- Volkswagen
- US Dept of Energy
- Itri
- Niosh, Natl Inst for Occupational Safety & Health
- US Dept of Energy
- Author (Organization)
- Fundamental + Applied Toxicology
- Inhalation Toxicology Research Inst
- Society of Toxicology
- Inhalation Toxicology Research Inst
- Named Person
- Burg, J.R.
- Green, Fhy
- Hahn, F.
- Lewis, T.R.
- Lynch, D.W.
- Moorman, W.J.
- Salomon, F.
- Snipes, M.B.
- Vallyathan, V.
- Green, Fhy
- Master ID
- 2063633486/4072
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Document Images
CHRONIC EXPOSURE TO DIESEL EXHAUST AND COAL DUST
FIG. 4.
Sites of particle retention and tissue responses in rats. (A) DE rat. Soot within macrophages in
alveolar septa (~rrows) and a small amount
in the perivascular interstitium (arrowheads). In rats, particulate material was found in these
interstitial compartments only in conjunction with particulate
material in alveoli. ×200. (B) CD rat. Particulate material within macrophages in the pleura
(arrowheads). In rats, particulate material was located in
the pleura in foei where particle-laden macrophages were located in adjacent alveolar lumens
(arrow). Note the locally intense alveolar epithelial
hyperplasia in conjunction with the maerophage aggregation. ×240.
(p < 0.001), but it was not possible to estimate an odds
ratio because none of the controls had particles scored in
the interstitium. There were no significant differences due
to type of particle exposure in rats (p = 1.0). In monkeys,
there was significantly more interstitial particulate material
in particle-exposed thaa in C monkeys (p < 0.001) with an
odds ratio of 84 (12, 570). There were no significant differ-
ences due to type of particle exposure in monkeys (p = 0.3).
Morphometry
In the rats, the me-an volume fraction of alveolar paren-
chyma (alveolar air and alveolar septa including calSillaries)
was 89% of the total lung, the mean volume fraction of air
was 79% of the parenchyma, and there were no differences
among controls or any of the exposure groups. These values
are similar to those reported for F344 rats of 82 and 85%
for the volume fractions of alveolar parenchyma in the lung
and air in the parenchyma, respectively (Pinkerton et al.,
1982). Although these results suggest that there was slightly
greater sampling of the parenchymia than the hilus, and that
the lungs were slightly less inflated than the lungs examined
by Pinkerton and co-workers (1982), the differences were
small. Because most of the particulate material is located in
the parenchyma of rats, the sampling and inflation of these
lung sections would tend to increase the value for the volume
density of particulate material (volume of particulate mate-
rial/volume of lung). However, any error would be small,
and it would be uniform across all exposure groups.
In monkeys, the mean volume fraction of alveolar paren-
chyma was 81% of the total lung, the mean volume fraction
of air was 75% of the parenchyma, and there were no differ-
ences among control or any of the exposure groups. Volume
fraction of alveolar parenchyma has not been reported for
cynomolgus or other macaque monkeys, but the volume frac-
tion of alveolar parenchyma is consistently 80-90% of the
total lung fixed under physiologic conditions for a large
range of mammals including rats (82%), dogs (85%), pigs
(86%), baboons (82%), and humans (85-90%) (reviewed

6~6889890~

CHRONIC EXPOSURE TO DIESEL EXHAUST AND COAL DUST
~.9
TABLE 5
Distribution of Histopathologic Severity Scores for Particles
in the Interstitium among Groups of Rats and Monkeys
Seve~tyscore"
Rats
Monkeys
Exposu~
gmu~ 0 1 2 3 0 1 2
C 15c 0 0 0 4 7 3
DE 0 14 I 0 0 ! 14
CD 0 14 1 0 0 I 12
DECD 0 14 1 0 0 0
1.5 m
~ Severity scores: 0, lesion not observed; 1, slight; 2, minimal; and 3,
mild.
~ Animals were exposed to filtered air as controls (C) or to diesel exhaust
(DE), coal dust (CD), or a combination of diesel exhaust and coal dust
(DECD) as described earlier. 15 rats examined in each group. 14 C, 15
DE, 14 CD, and 15 DECD monkeys were examined.
¢ Number of animals with each severity score.
by Pinkerton et al., 1992). The volume fraction of air in the
parenehyma is 78% in rhesus macaques (Kapanci et aL,
1969). These results suggest that the sampling was represen-
tative of the total monkey lung. The inflation may have been
slightly less than that of the rhesus monkeys examined by
Kapanci and co-workers (1969), but that the difference was
minimal. Overall, these results suggest that the values for
volume density of particulate material in the monkey lungs
can be accepted with confidence.
The relative volume density of particulate material was
greater in the DE than in CD and DECD rats (Fig. 6). These
differences in relative volume density were statistically sig-
nificant between the DE and DECD rats (p = 0.003), but
were not statistically significant between the DE and CD
rats (p = 0.065) or the CD and DECD rats (p = 0.16). In
the monkeys, the relative volume density of particles was
less in the DE than the CD and DECD monkeys (Fig. 6).
These differences in relative volume density were statisti-
cally significant between the DE and CD monkeys (p =
0.026), but not between the DE and DECD monkeys (p =
0.29), or the CD and DECD monkeys (p = 0.19). The rela-
tive volume density was also compared between rats and
monkeys for each type of exposure after adjustment for dif-
ferences between controls for each species. The CD and
Rat Monkey
\\\
\\\
\\\
\\\
0 ~
Air DE CD OECD Air DE CO DECD
Exposure Materials
FIG. 6. R~lativ~ volum~ d~nsiti~ of p~iculate mate~al in rat and
monkey lungs ~ ~e me~ volum~ percentage (+SE) for animals exposed
to air, diesel exhaust (DE), coal dust (CD), or diesel exhaust and coal dust
combined (DECD).
DECD monkeys had significantly greater relative volume
densities of particulate material than the CD and DECD rats,
respectively (p < 0.001). There w.as no significant difference
in the relative volume density of particulate material between
DE monkeys and rats (p = 0.024). As explained earlier,
interspecies comparisons of the relative volume density of
particulate material must be interpreted cautiously. However,
data for parenchymal and air volume fractions suggest that
sampling and fixation were adequate; if errors were intro-
duced, they would be small and would slightly increase the
values for volume density of particulate material in rat lungs.
These data correspond to the histopathologic observations
that (1) the monkey lungs contained more total particulate
material than the rat lungs, and (2) DE rat lungs seemed to
contain more particulate material, while DE monkey lungs
contained less particulate material, than the other exposure
groups within each species. The particulate material in the
control monkeys consisted of endogenous pigments, mite
debris in some monkeys, and miscellaneous particles. The
rare particulate material in control rats, which was seen at
the 1280× magnification used for morphometry but not in
FIG. 5. Sites of particle retention and tissue responses in monkeys. (A) DECD monkey. Particulate
material in alveolar septa (arrowheads). Contrast O'~
the scarcity of particulate material in alveolar lumens and the lack of epithelial hyperplasia or
other tissue responses with the photomicrographs from CO
rats. AD, lumen of alveolar duct. ×200. (B) DE monkey. Soot in alveolar maerophages in the pleural
connective tissue and lymphatics. Note the scarcity
of particulate material in adjacent alveoli and the lack of tissue reaction in contrast with 4B.
×240. (C) DECD monkey. Particulate material in the
interstitium of a respiratory bronchitic (RB). Macrophages containing particulate material are
aggregated at bronchiolar branching sites (arrows). ×60.
(D) DE monkey. Soot in the perivascular adventitia and lymphatics surrounding a pulmonary vein. Note
the lack of soot in the surrounding alveoli in
contrast with Fig. 4A. xl70.

50 NIKULA ET AL.
Rat
Monkey
AI. IP AL. IP
DE CD
AL IP AL, IP AL IP AI. IP
DECD DE CD OECD
Exposure Materials
FIG. 7. Volume percentages of particulate material in lumens of alveolar ducts and alveoli (AL)
versus interstitium and pleura (IP) as the mean
percentages of the total particulate material (+SE) for animals exposed to diesel exhaust (DE), coal
dust (CD), or diesel exhaust and coal dust combined
(DECD). The interstitial compartments with the greatest portion of the retained particulate material
in each species are shown. Key to interstitial
compartments: • alveolar septa, [] pleura, • perivascular interstitium, • interstitium of
respiratory bronchioles (monkeys only), [] other interstitial
compartments.
the histopathologic examination, consisted of endogenous
pigments.
Approximately 73% of the particulate material in exposed
rats was in the lumens of alveolar ducts and alveoli (Fig. 7).
A much lower portion, approximately 43%, of the particulate
material was in the lumens of alveolar ducts and alvcoli of
exposed monkeys (Fig. 7). Approximately 27 and 52% of
the particulate material in exposed rats and monkeys, respec-
tively, was in the interstitium. As shown in the figure, parti-
cles in the pleural lymphatics and connective tissue were
grouped with the interstitial particles for this analysis. Inter-
species comparison showed a significantly greater volume
percentage of the total particulate material in the lumens of
alveolar ducts and alveoli in the exposed rats than in the
exposed monkeys (p < 0.001). Conversely, a significantly
greater volume percentage of the total particulate material
was in the interstitium of exposed monkeys than in exposed
rats (p < 0.001). Within each species, there were no statisti-
cal differences between DE, CD, and DECD animals for the
volume percentage of the total particulate material in lumens
of alveolar ducts and alveoli or for the volume percentage
of the total particulate material in the interstitium. These
data correspond well to the histopathologic observations of
the relative distribution of the retained particles.
In the rats, the interstitial compartments with the greatest
portion of the retained particulate material, in descending
order of amount, were the alveolar and alveolar duct septa,
the pleura, and the perivascular interstitium (Figs. 4 and 7).
These compartments comprise 21% of the volume fraction
of the lung and contained 2 i% of the particulate material in
exposed rats. In monkeys, the interstitial compartments with
the greatest portion of the retained particulate material, in
descending order of amount, were the alveolar and alveolar
duct septa, the pleura, the interstitium of respiratory bronchi-
olcs, and the perivascular interstitium (Figs. 5 and 7). These
compartments comprised 27% of the volume fraction of the
lung and contained 47% of the particulate material in ex-
posed monkeys.
DISCUSSION
Both the histopathologic examination and the morphomet-
ric determination of the relative volume density of particulate
material suggested that a slightly, though not significantly,
greater amount of diesel soot than coal dust was retained in
the rat lungs. Although it was not possible to directly com-
pare the amount of material visible by light microscopy to
the amount of material determined by chemical analyses,
these results are consistent with particle type differences in
the lung burden data of Lewis et al. (1989). They determined
that the particulate content of rat lungs, expressed as a per-
centage of lung dry weight and corrected for analytib effi-
ciency of recovery, was 1.13 and 0.92% for diesel soot and
coal dust, respectively, at 24 months of exposure. In the
monkeys, the histopathologic examination and the morpho-
merry suggested that less diesel soot than coal dust was
retained. Lewis et al. (1989) did not report lung burden
data for the monkeys. Overall, both the histopathologic and
morphometric data suggested that relatively more particulate
material, regardless of type of exposure, was retained in

CHRONIC EXPOSURE TO DIESEL EXHAUST AND COAL DUST
51
the monkey lungs. The difference between the DE rats and
monkeys in amount of particulate material visible by light
microscopy was small and not statistically significant after
correcting for the particulate material in controls. The larger
interspeeies difference in the CD and DECD animals was
statistically significant after correcting for particulate mate-
rial in controls.
Both the histopathologie evaluation and the morphometry
showed clear differences between the rats and monkeys in
the predominant sites of particle retention. In rats, almost
three-fourths of the particulate material was retained in the
lumens of alveolar ducts and alveoli. In monkeys, the partic-
ulate material was almost equally divided between the lu-
mens of alveolar ducts and alveoli, and the interstitium, but
more of the material tended to be in the interstitium, and
the amount in the interstitium was disproportionate to the
size of the interstitial compartment. Within each species, the
predominant site of particle retention did not vary by expo-
sure material. The tendency for monkeys to retain particles
in the interstitium may be related to structural features of
the primate lung. For example, monkeys have respiratory
bronchioles, and particulate material collected in the intersti-
tium of the respiratory bronchioles. In primates, lymphatic
vessels exist at the alveolar level adjacent to the respiratory
bronehioles (Leak, 1977; Lauweryns and Baert, 1974).
Blockage of these lymphatics has been proposed as the pri-
mary event in formation of coal maeules in coal workers'
lungs (Heppleston, 1954). In rats, which lack respiratory
bronchioles, lymphatic vessels are located adjacent to the
terminal bronchioles, but they do not exist at the alveolar
level. Tl:le present findings, combined with the known ana-
tomical differences and data showing that primates clear
deposited particles more slowly than rats (Snipes, 1989,
1996), might suggest that a greater proportion of particles
or particle-laden macrophages penetrate the airway epithe-
lium and enter the interstitium in primates than in rats. Alter-
natively, during chronic exposure, particle-laden macro-
phages aggregated within alveoli of respiratory bronchioles
may become incorporated into the interstitium as these alve-
eli are obliterated (Heppleston, 1989; Green and Laquer,
1980). The particles in the interstitium may be cleared more
slowly than those cleared via mucociliary action. If the pres-
ence of respiratory bronchioles, the amount of interstitial
and pleurat tissue, and the thickness of the alveolar septa
are important determinants of the sites of particle retention,
the differences between rats and humans might be even
greater than the differences between rats and monkeys be-
cause human:.!.ungs have more extensive interlobular septa,
thicker pleura, and wider interstitial spaces in the alveolar
septa than monkeys (McLaughlin et aL, 1966; Weibel, 1970,
1979).
The response to particles, including alveolar epithelial hy-
perplasia, inflammation, and focal septal fibrosis, was sig-
nificantly greater in rats than monkeys. This difference was
due to two factors: (1) the particles in the alveoli elicited
much more of a response in the rats than monkeys, and (2)
the particles in the interstitium, the retention site of over
50% of the particulate material in the monkeys, did not elicit
proliferative or inflammatory responses in the monkeys at
this exposure concentration and resultant lung burden. Thus,
at equivalent exposure concentrations, both diesel soot and
coal dust elicited less response in monkeys than in rats,
despite the greater relative volume density of particulate
material, especially coal dust, in the monkeys. This finding
suggests that at equivalent lung burdens of coal dust, the
greater response of rats than of monkeys would have been
even more striking.
This is not the only case where chronic inhalation of par-
tieulate material resulted in different histopathology in rats
and monkeys. Sprague-Dawley rats exposed to aerosols of
petroleum coke dust developed accumulations of pigmented
macrophages, chronic pulmonary inflammation, bronchioli-
zation and adenomatous hyperplasia, sclerosis, squamous
metaplasia of alveolar epithelium, and keratin cysts. Identi-
cally exposed cynomolgus monkeys accumulated coke
within pulmonary macrophages, but ~they did not develop
the other lesions (Klonne et aL, 1987). MacFarland and co-
workers (1982) identically exposed F344 rats and cynomol-
gus monkeys to raw or processed shale dusts. All of the
rats developed proliferative bronchiolitis and alveolitis (i.e.,
inflammation with epithelial hyperplasia), and most devel-
oped chronic inflammation with nonprogressive fibrosis,
cholesterol clefts, and microgranulomas. The monkeys accu-
mulated pigment-laden macrophages in the bronchiolar and
alveolar walls more than in the alveolar lumens. The majority
of monkeys had no reaction to the accumulated material; a
minority had occasional foei of subacute inflammation. None
of the monkeys developed epithelial hy~erplasia or a fibrotic
reaction. Squirrel monkeys and two strains of rats (Charles
River-Caesarean derived and Greenacres Controlled Flora)
were identically exposed to bertrandite or beryl ore by
Wagner and co-workers (1969). Alveolar epithelial hyper-
plasia and chronic inflammation with granulomas were pres-
ent in rats exposed to both materials, and the incidence of
neoplasms increased in the beryl-exposed rats. No lesions
other than accumulations of particle-containing macrophages
and mononuclear cells around respiratory bronchioles and
blood vessels were present in monkeys. •
Epithelial hyperplasia concomitant with the aggregation
of particle-laden macrophages in alveolar lumens is a charac-
teristic response to many poorly soluble particles in the rat
lung, both at exposure concentrations that result in lung
tumors (Nikula et aL, 1995; NTP, 1993, 1994a,b) and at
exposure concentrations below those resulting in lung tu-
mors (Maudedy et al., 1987; NTP, 1993, 1994a,b). Hyper-
plasia of the surrounding epithelium in response to accumu-

NIKULA ET AL.
lation of particulate material in focal aggregatss of alveolar
macrophages was not characteristic of the response to diesel
soot or coal dust in monkeys in this investigation, nor is it
characteristic of coal workers' pneumoconiosis (Green and
Laqueur, 1980; Merchant et al., 1986; Kleinerman et al.,
1979), silicosis (Peters, 1986) or talc pneumoconiosis (Gam-
ble, 1986) in humans.
If human lungs respond to particles more like monkey
lungs than rat lungs, this investigation suggests that the pul-
monary response of rats to particles may not be predictive
of the response in human lungs at concentrations represent-
ing highoccupational exposures. Epidemiological studies
suggest that diesel exhaust may increase lung cancer risk
in heavily exposed humans (reviewed in Mauderly, 1992;
California EPA, 1994; Health Effects Institute, 1995), and
it is assumed that diesel soot-associated organic carcinogens
may be important to this response. However, it has been
shown that diesel-soot-associated organic carcinogens play
little role in the carcinogenicity of diesel soot in rats (Hein-
rich et al., 1992; Nikula et al., 1995). Therefore, the mecha-
nism of carcinogenicity in rats exposed at high concentra-
tions may differ from the potential mechanism in humans
exposed at lower concentrations. The present findings sug-
gest that perhaps the carcinogenicity data from rats exposed
to high concentrations of diesel exhaust, which greatly
ceed expected human exposure concentrations, should not
be used to quantitatively predict responses in humans
posed at lower rates because the inflammatory and epithelial
proliferative responses that seem critical to the rat response
to high concentrations of particles may not occur in primate
lungs exposed at environmental or occupational concentra-
tions.
ACKNOWLEDGMENTS
The substantial efforts of all the individuals who conducted the original
study, especially the authors, T. R. Lewis (decreased), F. H. Y. Green, W. J.
Moorman, J. R. Burg, and D. W. Lynch. arc gratefully acknowledged. The
authors express their appreciation to Drs. Val Vallyathan, Francis H. Y.
Green, and Frank Salomon of NIOSH, who facilitated our use of these
slides and provided additional information concerning the original study.
The authors thank Drs. Fletcher Hahn and M. Burton Shills of ITRI for
helpful discussions concerning pulmonary pathology and particle deposition
and clearance. The authors also thank the ITRI Technical Communications
staff for assistance in preparing this manuscript. This research was supported
by Volkswagen AG under a Funds-In-Agreement with the U.S. Department
of Energy under Contract No. DE-AC04-76EV01013.
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