Fiber biodurability and biopersistence: historical toxicological perspective of synthetic vitreous fibers (SVFs), the long fiber paradigm, and implications for advanced materials
Figure 1. Mechanisms by which respirable short or long fibers clear from or persist in the lungs and pose a risk of non-carcinogenic and carcinogenic health effects. Respirable long biodurable fibers accumulate and persist in the lungs because of reduced dissolution and breakage and evasion of direct or macrophage-mediated transport out of the lungs. Whereas respirable short fibers or respirable biosoluble fibers undergo dissolution and cellular/acellular transport mechanisms to clear from the lungs (in non-overload conditions) and not pose a risk pulmonary health effects.
Table 1. Summary of in vitro dissolution, in vivo retention and biological responses of SVFs.
Table 2. Glass SVF biological effects corresponding to in vitro dissolution at pH 7.4, lung retention following inhalation or intratracheal instillation in .
Figure 2. Mechanisms of dissolution SVFs depend on the length of the fiber and chemical composition. Irrespective of the composition, short fibers are cleared by direct or macrophage-mediated transport out of the lungs. For long glass SVFs, dissolution and subsequent breakage into shorter fibers occurs in extracellular space and neutral pH 7.4 of the lung lining fluid. In contrast, stone SVFs generally undergo minimal dissolution at neutral pH, but are readily dissolved and broken into shorter fiber segments in the acidic environment (pH 4.5) of the macrophages phagolysosome.
Figure 3. Correlation between in vitro dissolution at pH 7.4 (Kdis, ng/cm2/hr), in vivo clearance (WT1/2 fibers >20 µm in length) of glass SVFs, and corresponding biological effects (when available, ). The vertical dotted line represent the EU Note Q WT1/2 threshold (10 days for inhalation, 40 days for intratracheal instillation studies) requirement of exemption of classification for carcinogenicity. Glass SVFs (MMVF32, MMVF33) that demonstrated fibrotic and tumorigenic responses showed Kdis less than 100 ng/cm2/hr and WT1/2 (inhalation and/or intratracheal instillation) greater than 40–50 days. The confluence of the Kdis (>100 ng/cm2/hr, as illustrated by horizontal dotted line) and WT1/2 (>40–50 days) thresholds that are not associated with biological effects is represented by the blue shadowed area.
Figure 4. Correlation between in vitro dissolution at pH 4.5 (Kdis, ng/cm2/hr), in vivo clearance (WT1/2 fibers >20 µm in length) of stone SVFs, and corresponding biological effects (when available, ). The vertical dotted line represent the EU Note Q WT1/2 threshold (10 days for inhalation, 40 days for intratracheal instillation studies) requirement of exemption of classification for carcinogenicity. Stone SVF (MMVF21) that demonstrated the most significant fibrotic responses (tumorigenic responses were not significant) showed Kdis less than 100 ng/cm2/hr and WT1/2 (inhalation) greater than 40–50 days. The confluence of the Kdis (>100 ng/cm2/hr, as illustrated by horizontal dotted line) and WT1/2 (>40–50 days) thresholds that are not associated with biological effects is represented by the blue shadowed area. It is noteworthy that correlations were observed between in vitro Kdis at pH 4.5 (but not pH 7.4) and in vivo WT1/2 for stone SVFs, however limited data are available for in vitro dissolution at pH 4.5, in vivo clearance, and in vivo health effects () for a given stone SVF.
Figure 5. Correlation of fiber dissolution rate (Kdis, calculated) and fiber clearance from the lungs of animals (WT1/2, weighted half-life) for multiple SVF types show that a Kdis threshold of 100 ng/cm2/hr or greater for glass fibers was consistently associated with an in vivo half-life less than 40 days for fibers >20 µm in length. This is consistent with the Note Q threshold requirements for exemption of fibers for carcinogenicity classification in the EU. Some stone wool fibers were predicted to have a relatively fast Kdis (>100 ng/cm2/hr), but showed a relatively long half-life. While this disparity between calculated Kdis and in vivo clearance of some stone wool fibers needs to be further understood, it may be that actual measured in vitro dissolution of stone wool in buffered solution at pH 4.5 could better align with in vivo biopersistence. It is noteworthy that few SVF types would meet the Kdis 100 ng/cm2/hr and WT1/2 thresholds if WHO sized fibers were considered.
Table A1. Summary of intraperitoneal injection toxicology studies of SVFs.
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