A REPORT ON THE SOCIETY OF TOXICOLOGY MEETING, DALLAS, USA, ISTH-19TH FEBRUARY 1988 By: T.G. Mitchell 4 th March 1988 Distribution: Dr. R. Binns Copy No. 1 Mr. A.1- Heard 2 Mr. M.L. Reynolds 3,4 Dr. P.J. Dunn 5 Dr. S.R. Massey 6 Mr. R.G. Nicholls 7,8 Herm. E. Riftershaus 9 Dr. E- Kausch 10 Dr. C.J.P. de Siquaira 11 co BATCo document for Province of BritiSh Columbia 28 October 1999 TGWJP/46D 4 th March 1988 A REPORT ON THE SOCIETY OF TOXICOLOGY MEETING, DALLAS, USA, 15TH-19TH FEBRUARY 1988 The interest in this meeting was occasioned by the presentation of a series of papers by staff of R J Reynolds on their announced development of "the cigarette which heats, but does not burn tobacco". Detailed notes of the Reynolds data are provided as Appendix A, whilst some other reports of interest to us are reviewed as Appendix B. (a) Overview of the Reynolds Presentations There was no evidence that R J Reynolds had used this occasion for media publicity of their development, but instead had set out to give as much detail of results as possible to support independent evaluation. The interest attracted was greater than just by tobacco companies so it is presumed it has succeeded in its objective of providing a platform for toxico;ogical peer review. No information was provided or tendered in response to questions regarding samples, models or diagrams of the device itself. The presentations had been assembled in an orderly fashion and could be taken to represent part of an evaluation strategy with similar principles to those which we follow, e.g.: definition of materials; properties of materials themselves-, properties of the total product. (b) Nicotine A series of four papers were given to support the conclusion that nicotine from the new product behaved in the same way in the human body as nicotine from conventional cigarettes (Paper numbers 813, 815, 816, 817). Monitoring of human smoking behaviour was coupled with plasma and urine nicotine estimations to demonstrate comparability of uptake profile and eiiimination, by comparison with subjects'own brands. (c) Glycerol As the major additive known to be used, glycerol has been screened by a series of in vitro tests and 90 day inhalation study (411, 1015). It is questionable whether the slight reactions seen in the inhalation study have any great significance, but may well indicate the need for a more exhaustive study as 90 days is hardly a lifetime- C:) C) -10 CC) ~_n BATCo document for Province of British Columbia 28 October 1999 (d) Total Product Aerosol Aerosol condensate has been subjected to in vitro tests compared with cigarette smoke (410) and 90 day whole animal inhalation (1006-1014). Biochemical data and aspects of aerosol chemistry were also provided (1063). Presumably, to ensure data validation, contract studies had been made of both in vitro and in vivo work, despite the test designs being little more than duplication of in-house effort. (e) Conclusions Documented studies have been made by Reynolds which are demonstra- tive of their intent to prove the advances offered by their product. These are restricted to genotoxicity, inhalation toxicology and nicotine response. It is possible and even likely that other work is in progress to extend the studies, but at this time the biological endpoints have been restricted to cancer associated ones. It is known that a volunteer study on urinary mutagens will be described at the March EMS meeting in Charleston, USA, but further activities remain a speculation. As far as could be judged, the data were well received at the meeting, but reflection and individual interests are likely to combine to debate and critique them. Potential topics could include: (i) CO delivery - shown comparable with reference cigarettes in the papers; (ii) Nicotine - if acceptable delivered in this way, will it offer increased possibility of misuse? (iii) Glycerol - the dose to the consumer is much higher than from a conventional cigarette and it may be questioned whether a 90 day study is sufficient to validate use. There was some evidence that Reynolds may have attempted to construct a safety factor from testing by comparison with cigarette smoke, as this would be a very convenient parameter to use in publicity. (f) Implications Reynolds made no product claims at this meeting and the information on tobacco smoke was for the greater pad confirmatory of earlier data rather than new. The impact on existing products is not, therefore, particularly great except by it being drawn together and published by a tobacco company. This peer review by disinterested toxicologists at this meeting will be of much less significance than two other processes in the progress of this product - the development of the data to satisfy regulatory review relevant to its marketing, and the assembling and validation of claims to satisfy lay opinion with regard to non-injuriousness in the light of significant CO and wet condensate deliveries. CD 1.0 (Do BATCo document for Province of BritiSh Columbia 28 October 1999 A further complication of this development is the scale of testing which it has involved, albeit so far in limited areas. Of itself this must escalate the pressures to provide yet more detailed - and independent - proof of acceptance for future developments. The effect of this will be to cause increased competition for limited facilities and place greater need for foresight in planning their use. CO BATCo document for Province of BritiSh Columbia 28 October 1999 APPENDIX A: DATA FROM REYNOLDS PRESENTATIONS ON THE CIGARETTE THAT HEATS BUT DOES NOT BURN TOBACCO 4 ~s- C:) CD .10 00 --j I"i 00 BATCo document for Province of British Columbia 28 October 1999 410 Doolittle, D J et al. Genotoxicity of ci gaefte smoke and condensate from test cigarefte which does not burn tobacco. Comparison of cigarettes: Kentucky 1 R4F. 2 ultra-low tar products ex retail market, test product (does not burn tobacco), FTC conditions of smoking. Pads extracted with 1 ml DMSO to 10 mg TPM. Shaken 25 min at RT, stored at -70*C until tested. 1. Ames mutagenesis - Revertants per plate (25 pg upwards). TA 98 TA 100 Activated Non-activated Activated 1 R4F 43-462 14-31 163-303 Brand 1. 4mg tar 42-421 20-39 170-333 Brand 2. 2.2mg tar 44-436 18-33 162-335 Test product 13.3mg 41-45 19-15 161-148 tar 2. SCE - Increases Over Solvent Control Non- activated 1 R4F 10-75;lg 33-170%. Brand 1 15-75 Vg 12-87% Brand 2 15-75 pg 25,4,64,113 Test 25-100 pg 0,0,0,0 100 pg toxic. Dose levels v'. Activated 150-399 lig 35,51,92,70 32,45,29,48 21,32,45.44 0,2,0,0 CD 1.0 00 BATCo document for Province of British Columbia 28 October 1999 3. Chromosomes (% with alterations) Non-activated Activated 1 R4F 125-200gg 17.5,33,32,62 150-300gg 2.5,3,8,23.5 Brand 1 9,45.58,58 1.5,1.0,4.5, 10.5 Brand 2 27.5,60.5,65, 2,9.5,23,29 48.5 Test 1.5,1.5,3.0, 1,0.5,0,0 0.5 4. UDS - Increase in Net Nuclear Grain I R4F 25,50,75,125,150 0,8.2,8.3,13. 1,Toxic 49 Brand 1 25,50,75,100,125 7.3,4.2,11.5,13.5,Toxic 99 Brand 2 25,50,75,100 119 5.5,10.9,18.5,Toxic Test 25,50,75,100,125 0,0.5,0,0,0.1,Toxic 119 5. Mammalian Mutagenesis - Mutant Frequency / to, cells (negative in all cases) Non-activated Activated 100-300 pg 38,54,43,63,69 44,39,53,51,50 4 ~1j. CZ) CD 110 c0 L-4 CD BATCo document for Province of British Columbia 28 October 1999 411 Lee, C K et al Genotoxic testing of glycerol in vitro. Ln 3~U Tests of Givcerol 1. Ames test according to Maron & Ames, 1983. S9 ~) 5%. 2. SCE - Method of Perry & Wolff, 1974. 2h activation, 25.5h non-activa- tion. 3. Chromosome aberrations - Method of Galloway et aL, 1985. CHO cells, 10 & 14h exposure with no recovery time for non-activated system; 2 h + 10 & 1 4h recovery in activated system. 4. HGPRT Gene Mutation Assay - Method of O'Neill et aL, 1977, using CHO KI BH4 cells. 5. UDS - Method of Mitchell & Mirsalis. CID male rat, 18h. Results for SCE Non-activated Activated Negative Control 6.82 8.14 Positive Control 22.64 23.04 Glycerol 200-1000 gg Iml 6.88-7.44 8.4-9.6 Results for HGPRT Non-activated Cloning Mutants Mutants per ial cells efficiency Negative Control 86 2 2 Solvent Control 76 6 7 Positive Control 77 178 200 Glycerol 100-1000 gg 65-80 6,0,2,3,7,12 7,0,3,4,9,15 Activated Negative Control 4 1 5 Solvent Control 75-84 2 2 Positive Control f 122 153 Glycerol 100-1000 pLg 79-87 0,1,1,4,20,5 0,11,11.5,24,6 CD CD 1.0 co -14 LJQ BATCo document for Province of British Columbia 28 October 1999 8 813 Bates, L E et al Monitoring nicotine in pharmacokinetic studies Two methods of measuring nicotine in vivo were compared in rats and, overall, found to give comparable results. Data points for individual animals did show apparent substantial variation between methods, but these were believed to represent sample to sample variation. Summarised results were provided for plasma haff-life of nicotine in rats following a single Vv dose of 2.2 pmkg-, 1/2 life (min) n mole Animal A B A B 1 62.3 78.3 163 139 2 78.9 100.5 255 272 3 66.6 63.8 229 193 4 109.7 95.3 220 239 5 168.5 167 295 295 Mean 97.2 101 232 228 Method A: Ramona LS-4 radiometric HPLG Method 8: HPLC fraction collector 3 Nicotine n moles (mean) INI 50 350 Time C:) %~O CC) rQ BATCo document for Province of BritiSh Columbia 28 October 1999 815 Griffiths, D W eta[ Human smoking behaviour and cigarette yields Used 10 port machine, driven simultaneously. (a) 5 subjects normally smoking full flavour low tar brand: VVTPM Nicotine mg Tar mg mg Same brand 11.62 0.826 8.45 (mean) Range 5.9-17.6 4.54-11.3 FTC method 0.62 8.5 (b) Puffing behaviour, 19 subjects, using regular brands: Mean s.d. Range Number puffs 12.5 4.3 8-23 Volume 44.1 12.1 12.5-63.2 Max. draft pres- 372 100 193-516 sure (nww,o) Puff duration 1.84 0.49 0.9-2.6 Frequency (secs) 33.2 13.4 14.1-61.4 CD CD co BATCo document for Province of BritiSh Columbia 28 October 1999 10 (c) Individual nicotine yields, regular brands and 'TEST' cigarette Subject FI-Cnicotine Nicotine(mg) `TEST'nic- (mg) regular regular brand otine (mg) brand 1 0.62 0.67 0.47 2 0.62 1.07 0.91 3 - 1.26 0.76 4 0.62 1.15 0.75 5 0.65 0.88 0.88 6 - 0.86 0.80 7 1.2 1.31 1.00 8 1.14 2.49 1.06 9 0.62 0.79 0.89 10 0.70 1.49 0.88 11 1.14 1.44 0.68 12 0.92 1.98 0.95 Conclusion: Individuals smoking a test cigarette which heats but does not burn tobacco exhibited different puffing behaviours from those whilst smoking regular brands. Differences in nicotine yields were also observed which could not be determined from measurements of the puffing patterns without ma- chine replication of the smoking profiles. BATCo document for Province of BritiSh Columbia 28 October 1999 816 Robinson, J H et al Nicotine yields during human smoking Procedure: 11 pm previous night - no more smoking. 8.30 am next day - start test. Cannulate vain. Smoke 1 cigarette every 30 min, up to 7 cigarettes. Monitor puffing, breathing. Baseline samples: -2 and 0 mins. Cigarefte-related samples 1-6:5.5, 7.5,10,15 & 30 mins. Cigarette-related sample 7: 5.5, 7.5, 10, 15, 30, 45, 60, 90,120 & 180 mins. Subiects: 4 males, average age 28, height 176cm, weight 76kg. Cigarettes per day: 30 Regular brand IFTC figures: Tar 14.2. nicotine 0.96, CO 13.1, CO, 43.3 Mg. Average puffing parameters Number puffs: 11.6 Puff volume: 53.9 ml Puff frequency: 28 secs Puff duration: 2.35 secs Total puff volume: 615 ml Time alight: 299 Average max. flow, .1 41.7 Average max. draft, nintH.0 460.6 Fyoerimental clQarette: deliveries Nicotine mg Go mg CO, mg IFTC HMSM 0.71 1.7 12.5 24.6 36.5 58.3 Average breathing patterns Number of breaths: 11.5 Inspiratory volume: 713 ml Inspiratory time: 1.7 secs % Inspiratory time: 36.2 Expiratory volume: 778 ml Expiratory time: 2.79 secs CD (Z) %D cc BATCo document for Province of BritiSh Columbia 28 October 1999 12 Plasma nicotine over 7 cigarettes ( ng Subject: 1 2 3 4 Cigarette 1 355 638 403 246 2 394 561 513 346 3 350 640 610 688 4 339 722 636 593 5 427 813 757 642 6 424 765 737 753 7 437 792 941 731 Average 389.6 704 657 571.3 C) 1%0 co BATCo document for Province of British Columbia 28 October 1999 13 817 de Bethizy, J D el al Nicotine availability from cigarette which does not burn tobacco 51 y* design: Controlled diet 6 days Tobacco withheld days 3-6 Nicotine bitartrate infusion day 6: 1.91,,/ /kg/min, 10 min Blood samples from cannulated veins: -2, 0. 2, 5, 7.5, 10-90 mins 2, 4, 5, 6, 8 hours Urine samples: 0, 1.5, 3, 4.5, 6, 8 hours Smokers: Average age 35.2 years, helight 178.3 cm, weight 85.9 kg. Average cigarette consumption 26.6/day, years smoked 15.9, Brand FTC tar 13.1 ;L 3.8 mg, nicotine 0.81 mg. Smokina Study: Tobacco withheld days 3-5 Blood samples taken via cannula 1 cigarette smoked per 30 minutes, up to 7 Products ComDared: Reference cigarette: Tar 8.8 mg (83.3%). Nicotine 0.66 mg (6.3%), Water 1.1 mg. 'TEST' cigarette: Water 6.8 mg (55.21/6), glycerol 4 mg (32.4%). Propylene glycol 0.3 mg (2.4%), Nicotine 0.34 mg (2.8%), Other 0.9 mg (7.3%). Results of i/v nicotine infusion (12 subjects) - mean response. "A\ too CD C:) c0 --J BATCo document for Province of British Columbia 28 October 1999 14 Smokino -Studies: 10 inhalers - mean plasma nicotine Curves were same shape and general response for reference and 7EST', with latter giving rather lower response in first run, but a second one being closer to the reference. In two non-inhalers, responses were flat for both reference and 7EST products, staying at around 2 ng/ml throughout the test period. Urinary nicotine values also showed an increased response in the second run with the 7EST'product: '%edt.' Or..A. Tone ^80'0t'~-e r< L .2 -S' F t-i, 3 : 2. C4 39 d~7 0 CD CD .10 CO L-4 00 BATCo document for Province of BritiSh Columbia 28 October 1999 15 Nicotine absorbed from 7th cigarette was estimated to be: Reference: 1024 gg ( 315) TEST : initial - 579 pg ( 198) (56% of reference) : after 39 days use - 705 pg ( 211) (69% of reference) Absorbed vs. yielded nicotine (7th cigarette) Referenc Test e Initial Post 39 days *Yielded ( pg 1659 754 780 Absorbed (pg 1024 579 705 % Absorbed 63 80 87 'By human mimic smoking machine Conclusion: New cigarette produces plasma profile very similar to reference. Nicotine yield from both was proportional to the amount of nicotine yielded by cigarettes when subjects smoked each cigarette for the first time. There were no differences in elimination of urine between reference and TEST. C) ~.O CO -_J BATCo document for Province of British Columbia 28 October 1999 16 1006 Hayes, A W et al 90 day study. experimental design Grows: 30 male, 30 female Sprague Dawley rats in each exposed nose-only 1 h per day, 5d per week, 13 weeks. Smoke exposure Low, Medium, High, doses based on nicotine. Cioarettes: Reference (RJR) matched TEST (cigarette which does not burn tobacco) on WTPM, CO, nicotine; therefore equivalent nicotine and also WTPM, CO. Use of nicotine as matching parameter based on plasma nicotine availability. Reversibilitv: High and sham groups, 10 animals of each sex, with 7 week period after conclusion of smoke exposure. Desionations: MC - Machine control RC - Room control TLD - TEST low dose - 5 ggli nicotine - Reference low dose RMD TMD - TEST medium dose - 15 pgll nicotine - Reference medium dose RMID THD - TEST high dose - 30 ggli nicotine - Reference high dose RHD Cigarette data (FrQ - both liftere Puffs WTPM mg CO mg Nicotine ~jg TEST 8 10.1 11 465 Reference 7.1 9.7 12.8 480 (made by RJR) IR4F 9.2 10.8 11.6 800 (not used in this study) Smoke machine allowed full operation of filters. Inhalation device: Nose only, age of smoke at nose 1-2 secs, no rebreathing. Continuous flow of aerosol at each port at rates well in excess of ventilatory C) requirement to minimise breath holding. CD %0 co _~j 41. C:) BATCo document for Province of BritiSh Columbia 28 October 1999 17 Bloloaical endooints: Blood CO +55", weeks 1. 4. 8.12, as check that potentially fatal level not reached. Nicotine +55", weeks 2, 5, 9, 13. Minute ventilation (also 10* pre-exposure) weeks 1. 5, 9, 13, throughout exposure. Target dosimetry achieved, particle sizes identical. Aerosols were inhaled differently because reference caused decrease in minute ventilation. TEST inhaled in much larger quantities with resultant higher plasma nicotine. A warming burner was required for use with the TEST cigarette. CD CD I'D CO BATCo document for Province of BritiSh Columbia 28 October 1999 18 1007,lames, R A et al 90 day study: smoke chemistry 'C"O w lei Ow rfte. M 0"1 Tdf VA co,4 -rg*L 4, ea e Chamber nicotine - TEST and reference essentially superimposed. &.0 L4 Weeks. 0-2- "0 - C:) C:) %~O CO BATCo document for Province of BritiSh Columbia 28 October 1999 19 1008Coggins, C RE et a/ 90 day study. Blood composition. Blood Collection: retroorbital sinus under 701/6 CO in air anaesthesia. CO: No difference between reference and TEST weeks 1,4,8,12, or between sexes, n = 37-40. COHb % Low Medium High TEST 12.2 25.2 40.6 Reference 9.46 22.5 39.4 Nicotine (ng/ml), n = 60-70 COHb % Low Medium High TEST 42.4 126 238 Reference 14.0 29.3 55.5 Cotinine (ng/ml) COHb % Low Medium High TEST 44.9 103 158 Reference 12.1 20.2 28.4 Cotinine: nicotin e ratios COHIJ % Low Medium High TEST 121 87.9 75.3 Reference 97.8 81.4 56.9 Nicotine inhaled and retained higher in test. Plasma nicotine in part due to reference depression of minute volume. These calculations reduced factor for test over reference from 4.53 to 1.96. Gotinine values and ratios showsmetabolism simile for TEST and refer- ence. Plasma nicotine and cotinine at necropsy 16-24h after last exposure essentially same (claimed but no figures provided) with no evidence of accumulation. High blood COHb relevant to increased heart weights. Clinical pathology endpoints - no changes, no value in discriminationi C) C) %4 CO BATCo document for Province of BritiSh Columbia 28 October 1999 20 BLOOD CAn130XYHEM0GLO81M CONCENTRATICtrS (SEXES COMBINE01 IN SA PLEr TAKEN AFTER 55 MINUTES OF EVIOSUPE TO S14OKE FROM TEST AND REFERENCE CIGARETTES. A5 30 Z TLO T.0 THD PLO RMO PLASMA Nrcorpe CONCE-RATIONS JsF)cES COMBI NED) IN SAMPLES TAKEN AFT R 55 MINUTES OF ExrOSURE 79 SMOKE FROM Te ST Atio REFFR9MCE CIGARETTES. 300. 200 100 0 TLD TMO 7.0 PLO AMD A.0 P ATIOISNIP ET.EE. ICOTT "E PPE-Sr.1E. A C, .~.ULTING PLASMA NICOTIME CON .,RATION. FOR BEST NO AEFEREtACE CIGAPETTE~. 250 200 150- TEST 100. c0 BATCo document for Province of British Columbia 28 October 1999 REFERENCE so 20 3. I.d 21 1009 Mosberg, A T et al 90 day study: Minute ventilation Whole body plethysmography. Flow signal analysis - Buxco irritation monitor. Four subjects simultaneously. WTpM NICOTINE co MEAN SID N MEAN SID MEAN SID TLD 115 13 68 5.23 0.75 144 27 TMID 325 24 68 15.2 1.8 394 75 THD 604 34 68 30.6 3.2 698 133 RLD 138 9 68 5-18 0.7 160 14 RMID 411 20 68 15.2 1.3 459 35 RHD 795 25 68 29.8 2.1 864 60 Calculated Total Inhaled Mass: WTPM NICOTINE CO TLD 1021 46.4 1406 TMD 2944 137.7 3926 THD 6306 319.5 8016 RLD 861 32.3 1098 RMD 1701 62.9 2098 RHD 3100 116.2 3706 C) C) 1.10 00 BATCo document for Province of British Columbia 28 October 1999 22 101OAyres, PH et al 90 day study: Body and organ weights Reference and test had same effect on body weight. Restraint causes stress - depression in sham smoked. Even low dose aEproached operational definition of maximum tolerated dose as defined y body weight 90% or less of control. Increase in heart we' hts reflected concentration of CO - similar effects r with CO alone in 14 Tay study - 527 ppm. CO caused significant increase in heart to brain weight ratio. All observed body and organ weight changes in smoke exposed groups were same as sham exposed groups at end of recovery period, indicating that these changes regress and are not progressive. C) co --4 X:.. BATCo document for Province of British Columbia 28 October 1999 23 1011 Burger, G T et al 90 day study: histopathology Scoring, etc. Nasal sections - levels 1, 11, 111 and IV of Young used. Lesion scoring - 1 minimal change, 2 mild change, 3 moderate, 4 marked, 5 severe. TL total examined. General: Most changes reversible within 7 week recovery period. Nasal: Reference - Chronic active inflammation, epithelial hyperplasia, squamous metaplasia and goblet cell hypertrophy 1. 11 - Atrophy of olfactory epithelium in high dose reference. Changes in reference high dose only partially reversible. Larynx: Reference - Squamous metaplasia ventral epithelium all reference, throughout organ. Normal "pseudostrafified" cuboidal to low columnar epithelium transformed to stratified squamous epithelium with typical progression of mat of basal cells to flattened layers of keratinized desqua- mating cell remnants. Test - Minimal squamous cell metaplasia only in high dose in a precise area at base of epiglottis. Conductina airways: Reference - Increase in Alcian Blue/PAS +ve goblet cells. No difference after reversability period. CD C) .10 00 BATCo document for Province of BritiSh Columbia 28 October 1999 24 MALES FEMALES NASALI - 1 2 3 TL - 1 2 3 TL MC 18 0 2 0 20 20 0 0 0 20 THD 20 0 0 0 20 19 0 0 0 19 RHD 4 2 14 0 20 2 7 9 1 19 After reversibility period - 1 2 3 TL - 1 2 3 TL MC 10 0 0 0 10 10 0 0 0 10 THD 10 0 0 0 10 10 0 0 0 10 RHD 8 1 1 0 10 8 1 1 0 10 NASALII - 1 2 3 TL - 1 2 3 TL MG 20 0 0 0 20 20 0 0 0 20 THD 20 0 0 0 20 19 0 0 0 19 RHD 14 3 3 0 20 13 1 5 0 19 After reversibility period - 1 2 3 TL - 1 2 3 TL MG 10 0 0 0 10 10 0 0 0 10 THD 10 0 0 0 10 10 0 0 0 10 RHD 10 0 0 0 10 8 0 0 0 8 C=) C) 1.0 CO CO BATCo document for Province of BritiSh Columbia 28 October 1999 25 1012 Wehner, A P et al 90 day Battelle study in rats. Groups: 34 Sprague-Dawley rats of each sex per group. Cigarettes: 1 R4F and TEST cigarette which does not burn tobacco at doses of 0, 0.12,0.35 and 0.64 mg/l TPM, 1 hour/day, 5 days/week, for 13 weeks. WTPM Nicotine CO MMAD mg 99 mg IL I R41F 0.122 0.013 6.4 0.9 0.146 35 0.55 0.347 0.025 19.9 1.8 0.413 96 0.61 0.632 0.035 37.7 3.4 0.733 102 0.60 TEST 0.119 0.015 2.5 0.5 0.187 43 0.68 0.349 0.03 8.3 1.2 0.505 98 0.66 0.62 0.056 16.4 2 0.870 117 0.63 Chemical: No effects by TEST or reference. Bodvweiaht: Lower than treated controls. Lower than sham in male medium and high reference and high test and in female high test. Haemoglobin elevated, also VPRC in female high test group. ReSDiratorv freauencv depressed in mid and high reference groups. CO BATCo document for Province of BritiSh Columbia 28 October 1999 26 1013 Henne, R A of at 90 day hamster study. Cioarettes: 1 R4F and TEST cigarette which does not burn tobacco, target exposures 0.12,0.35 and 0.64 mgA WTPM. Smoke dgl% WTPM Nicotine Glycerol CO MMAD mg\l vgll gg/I 11 1 R4F 0.123 0.013 7.2 0.5 11.1 141 141 0.68 0.323 0.04 17.9 2.2 28 5 432 0.65 0.665 0.007 41.2 0.7 61 851 0.56 TEST 0.124 0.001 3.4 0.4 89 4 125 0.75 0.358 8.6 0.8 251 3 394 0.74 0.657 0.011 17.4 0.5 443 2 772 0.75 Histooatholoqv: REFERENCE TEST Squarnous metaplasia, acanthosis, No effect on larynx. hyperkeratosis of epithelium at base of epiglottis, suppurative laryngitis. Aggregates of macrophages in pul- Aggregates of macrophages in monary alveoli largely regressed + 6 pulmonary alveoli, + 6 weeks re- weeks from end of exposure. Nu- gressed. Pigment rarely observed merous macrophages containing pig- at highest concentration. ment at highest concentration. Hyperplasia and squamous metapla- No effect on nose. sia of nasal respiratory epithelium. Degeneration of olfactory epithelium. All lesions regressed either partly or All lesions completely regressed 6 completely 6 weeks after finish of weeks after exposure. exposure. -Ch. C) C=) %.0 CO Ln CD BATCo document for Province of British Columbia 28 October 1999 27 INCIDENCE OF LESIONS + 6 weeks TEST Reference Un- Un- treatec TEST Reference treatec,, Sham .12.35.64.12.35.64 Sham .12.35.64.12.35.65 30 29 28 30 29 30 30 30 20 19 20 20 20 19 20 20 LARYNX Squamous 0 0 0 0 0 29 29 30 0 0 0 0 0 0 1 2 metaplasia Acanthosis 0 0 0 0 0 29 29 30 0 0 0 0 0 0 1 4 Hyperkera- tosis 0 0 0 0 0 14 12 19 0 0 0 0 0 0 0 1 Inflarnma- 0 0 0 0 0 26 26 20 0 1 0 0 1 1 4 8 tion _UNG PAM aggre- 4 8 13 11 18 15 20 24 2 2 4 0 0 5 2 6 gates NOSE Respiratory epithelium iyperplasia 1 0 1 0 0 2 30 30 0 0 0 0 0 0 0 0 Squamous 0 0 0 0 0 0 2 14 0 1 0 0 0 0 0 0 metaplasia Olfactory epithelium Degenera- 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 tion C:) CD 1.0 co BATCo document for Province of British Columbia 28 October 1999 28 Larynaeal histoDatholoov - Reference only - Incidence (%) 13 weeks 13 + 6 weeks recovery Concentration 0.12 0.35 0.64 (0.12) (0-35) (0.64) WTPM Number 30 30 30 19 20 20 Squamous meta- plasia Minimal 20 10 7 0 5 5 Mild 63 70 23 0 0 5 Moderate 13 17 43 0 0 0 Marked 0 0 27 0 0 0 Acanthosis Minimal 20 10 7 0 5 15 Mild 63 70 23 0 0 5 Moderate 13 17 43 0 0 0 Marked 0 0 27 0 0 0 Hyperkeratosis Minimal 43 40 33 0 0 5 Mild 3 0 27 0 0 0 Moderate 0 0 3 0 0 0 Marked 0 0 0 0 0 0 Suppurative In- flammation Minimal 37 33 3 5 10 15 Mild 50 53 43 0 10 20 Moderate 0 0 20 0 0 5 Marked 0 0 0 0 0 0 co _j Lri (Ij BATCo document for Province of British Columbia 28 October 1999 29 1014 Gerald, L e1 al Extended inhalation exposures An attempt was made to develop a procedure to increase smoke exposure in cigarette studies by extending the riod per day from 1 to 6 hours. At a level of 0.3 mg TPM11itre from 1 R4rigarettes for 6 hours, GOHb concentrations in rats were similar to those obtained after 0.6 mg TPM/litre for I hour. However, marked depression of body weight in the extended exposure group indicated poor tolerance to this regime after 10 days and, therefore, its inapplicability to a sub-chronic study. CD 110 CO U'l BATCO document for Province of BritiSh Columbia 28 October 1999 30 1015 Greenspan, B J et a/ Humectant aerosol study 2 week study Glycerol 2 week study Glycerol mixture 13 week study Glycerol Mean body weights: no effect Laryngeal histopathology: 2 week study Sham 4 mg Number 10 14 examined Squamous metaplasia Minimal 1 Mild 0 Target conc. Mean conc. MMAD ja mg/l 1 1.01 1.46 2 2.01 1.45 4 4.05 1.36 1 0.99 1.43 2 1.99 1.42 4 3.87 1.67 0.033 0.033 1.09 0.165 0.166 1.49 0.660 0.662 1.61 13 week study Sham 0.033 0.165 0.66 25 19 20 21 6 2 1 4 10 7 0 0 0 1 0.033 result similar to sham. Clara cells from high and sham did not show any proliferation of smooth endoplasmic reticulurn as found in mice given glycerol orally- .P. C) C) 1 ~0 00 Cn BATCo document for Province of BritiSh Columbia 28 October 1999 31 1063 Chang, M K et al Cytochrome P-450 Delivedes Reference TEST % Reduc- (per cigarette) tion in TEST Benzo(a)pyrene ng 9.2 0.1 98.9 Benm(a)anthracene ng 10.5 0.12 98.9 Nitrosamines 1 'INN ng 101 6.6 93.5 14 NK ng 84 3.8 95.5 MATB ng 114 11.4 90.0 Pherol ;,Lg 15 0.5 96.6 Cate-.hol lig 79 2-6 96.7 Aldenydes .Acetaldehyde l.Lg 627 34 94.6 Acrolein gg 73 10 86.3 Formaldehyde Rg 17 13 23.5 Inhaled doses - rats, 60 minutes. Total Inhaled Dose Plasma Nic- COHb otine Nicotine WTPM ng/ml % 99 mg TES-L 207.03 4.98 269.3 67.9 52 Reference 130.71 1.92 112.3 25.4 28.2 Effect on P450 Protein Cytochrome Cytochrome mg/g lung P450 C reductase nmole/m g nmole/mg protein protein/min Sha-n 3.42 0.1 26.14 Reference 4h 3.23 0.08 31.88 ReWence 24h 3.01 0.13 34.21 TES'T Or 3.33 0.08 24.92 TEST 24hr 3.1 0.13 23.82 Room control 3.35 0.13 26.80 Phenobarbitone 2.92 0.13 29.67 3-rrethylcholanthrene 3.19 0.11 35.7 Xb. resut: no significant effects. C:1 CD 00 Cri ~_n BATCO document for Province of BritiSh Columbia 28 October 1999 32 Effect on pulmonary P450 monooxygenase: BaP hydroxylase Ethoxyresorufin pmole/mg/min 0-deethylase pmole/mg/hr Sham 56.58 32.77 Reference 4h 149 207.03 Reference 24h 107 104.4 TEST4h 64.65 59 TEST 24h 60.8 28.8 Room control 76.8 35.7 Phenobarbitone 58.3 33.5 3-methylcholanthrene 497.2 527 Conclusion: reference caused significant induction of enzyme activity whilst TEST similar to controls. C:) CD %0 C7% BATCo document for Province of BritiSh Columbia 28 October 1999 33 APPENDIX B OTHER NOTES ON PAPERS PRESENTED AT DALLAS MEETING Jz~. C:) C:) .10 c0 -~j Ln -Ii BATCo document for Province of British Columbia 28 October 1999 34 (a) Cigarette smoke Three reports examined aspects of cigarette smoke: 412 - Ames muta- enicity; 96 - depression of immune response; 637 - haemoglobin adducts in 9 smokers. (b) Nicotine A paper on dermal nicotine absorbtion (489) nominally related to pesticide uptake. The half lives determined by this mute may be of interest for comparison. (c) Nitrosamines A study purported to relate toxic effects of nitrosamines to their carcino- genic action (573). (d) Genetic endpoints in respiratory tissue Two presentations (6, 678) indicated that some progress is being made on short term responses in respiratory tissue, and can be used to assess interactions between materials. (e) Symposium session Combined Exposures in Inhalation Toxicology. Essentially a position review. The accompanying notes were to record points of possible relevance to cigarette smoke. (f) Agricultural chemicals Note was made of 5 (571, 702, 699, 705, 405) of some interest to ourselves. (g) Vinyl acetate (646, 658, 969) Shown to be carcinogenic at high doses in animals by inhalation but not by mouth. (h) Cournarin (135) A biochemical study from BIBRA identifying the mechanism for differential toxicity of coumarin and dihydrocournarin in rat liver. C:) C:) %0 co Cn Co BATCo document for Province of BritiSh Columbia 28 October 1999 35 412 Chortyk, 0 T et a/ Mutagenicity of low tar cigarette smoke Ames activity of a range of US cigarettes was compared with that of a non-filter high tar King Size product (23 mg). Methodology used was to collect smoke using a modified Borgwaldt machine, using 2 acetone-chloroform traps in series for mainstream and 3 traps for sidestream. VACWV Tea,jo v AO.P. Solvent was removed under vacuum and the weighed condensate dissolved in DIVISO and tested against 2 strains - TA 1538, TA 100 - at concentrations from 50-200 gg ml Test system: 0.5 ml S-9, 0. 1 ml organism suspension, 0. 1 ml test solution, mixed, held 37* 20 min, mixed with 2 ml top agar - plated to minimal medium, incubated 37' 48h. Results obtained varied from 60 revertants up to 270 for 200 ~tg dose for mainstream smoke, compared with 200-300 revertants at 200 Ag for sidestream. Results given were: C) C) %D CO Ln BATCo document for Province of BritiSh Columbia 28 October 1999 36 Relative Mutagenicity Tip perf- TA1538 TA100 Cigarette FTC oration size (Mg) (rows) IVIS SS IVIS SS King 1 2 64 137 31 108 100 1 2 98 122 103 103 100 2 1 67 151 54 136 100 3 1 42 115 34 120 King 3 6 81 140 74 134 King 3 - 29 161 54 110 100 4 6 73 116 80 92 100 5 - 75 132 92 153 100 5 2 113 108 100 6 - 80 105 89 107 100 6 1 48 124 64 138 100 7 1 59 146 65 143 King 8 - 84 120 72 100 King 8 - 58 'I'll 73 102 King 9 1 72 108 60 86 100 10 - 83 100 52 106 CD c0 _,j C:) BATCO document for Province of BritiSh Columbia 28 October 1999 37 596 Chilukuri, R et al Effect of cigarette smoke on immune response The effect of cigarette smoke on immunogenic response was made using Kentucky reference cigarettes as smoke source with a dose calculated equivalent to I pack per day for man (? 6mg kg-, day.,). Details of smoke exposure were limited and monitoring of this was by COHb and chamber TPM only. Studies were made with anti-sheep RBC as the immune response measured, with effect expressed as PFC 10, (plaque forming counts?). Antigen Smoke Tissue Challenge Exposure (weeks) Intratracheal 16 LAL + footpad injec- PLN tion PFC.10-- % Inhibition by smoke 1 Sham Smoked 772 506 35 1182 1250 0 35 LAL 1718 744 57 PLN 1274 672 48 Footpad only 18 Spleen 686 640 6 39 Spleen 600 358 41 LAL - Lung Associated Lymph node; PLN - Peripheral Lymph Node Subsequent experiments showed no difference in T and B cell distribution from smoke exposure, no change in T cell subsets, nor on macrophage function. There was no evidence of altered response to T cell mitogens (PHA, Con A). A differential response to Brucella abortus antigen was also shown. It was concluded that effect of smoke was due to preferential effect on B cells. C) 110 CO BATCo document for Province of BritiSh Columbia 28 October 1999 38 637 Latriano, L et al Ethylene oxide and 4-aminobiphenyl haemoglobin adducts in smokers A study of ethylene oxide and 4-aminobiphenyl haemoglobin adducts has been made in smokers and non-smokers. The data summary is as follows: Adduct Mean value Ethylene oxide Range Number Mean value 4 Aminobiphenyl Range Number Smokers Non-smokers 596 264 46 27 188-982 26-101 13 7 142 38 28 13 75-178 11-44 13 7 Whilst the data showed an apparent clear difference between smokers and non-smokers, there was no obvious dose response with nominal variations in cigarette consumption. CD -10 CO BATCO document for Province of BritiSh Columbia 28 October 1999 39 489 Hall, L L et al Percutaneous penetration of nicotine This EPA study was made using labelled nicotine as a model to compare the effect of age of animal on rate of uptake. A related paper examined methylarsenatesl 100 or 200 gl of an acetone solution of nicotine was applied to clipped back areas of 33- and 82-day old rats, to provide a nicotine dose of 285 nmol cm, over 2.3% of body area. At 6h, penetration of activity was 46% in the young rats, compared with 26% for the adults. Half-lives for recovered activity were also significantly extended in adults: Young: 75% of recovered activity, half life 1.1 h 24% of recovered activity, half life 4.7h Adults: 72% of recovered activity, half life 2.6h 28% of recovered activity, half life 9.3h Residual body burden at 48h was 7% in adults compared with 3. 1 % in young. C) C) I'D CO ON BATCo document for Province of BritiSh Columbia 28 October 1999 40 678 Cosma, G N et al CNA protein crosslinks following formaldehyde and benzo(a)pyrene exposure A model system using rat tracheal implants has been employed to examne the interactive effects of formaldehyde and BaP. The end point is DN'k-protein crosslinking. which is measured against a control response in whdh the DNA is treated with 300 rads to give a standard elution profike. The degree to which this profile is altered is a measure of DNA-Protein cross-linking (DIRC). Formaldehyde gives a concentration dependent response in this system with detectable results at 0.005% and maximum at 0.2%. This is independent of using multiple or single exposures. At the highest dose, remcial of the DPC requires at least 3 days recovery. If the-9 is pre-exposure to BaP, the effect of formaldehyde is diminished, but is eventually lost with increasing concentrations of formaldehyde. An irEeresting pathological response to use of the 2 agents was seen, with an in7.eased epitheliall thickness compared to either alone. This was acco-npanied by focal areas of cell atypia with bizarre nuclei and abnormal mitoti; figures. C) CD I'D 00 BATCo document for Province of BritiSh Columbia 28 October 1999 41 6 Bond, J A at at DNA adducts and carcinoma following diesel soot exposure 30 month exposures of rats to diesel soot concentrations up to 7mg m, for 7 h.dFirl led to adenocarcinomas in the lung parenchyma at 24 months The a-stribution of DNA adducts in the respiratory tract was examined after 12 weeks exposure to diesel soot at 10 mg m-3, 7h day', 5 days week-,- In broad terms there was a relationship with ultimate carcinoma distributon. Small numbers of adducts were found in nasal tissue, negliable numbers (1 per 109 bases) in mainstern bronchi whilst about 200 per 1 CF1 bases were recovered in lung parenchyma. Two major adducts were :;resent in lung parenchyma, one of which is provisionally identified as 130 diol epoxide adduct. Pulmonary macrophages also contained signify-ant numbers of adducts compared with control non-exposed, but their pattern differed from that of the lung parenchyma samples. CD C) %D c0 __4 Un BATCo document for Province of British Columbia 28 October 1999 42 Symposium Session Combined exposures in inhalation toxicology (no abstracts provided) This session was rather disappointing in being little more than a review of current knowledge. Indeed, its most invigorating moments came with an attack from the floor of a presentation on strategies. essentially condemning current procedures and the people involved for rigidity in outlook and an obsession with use of the rat. Notes on individual presentations were as follows: Kennedy,A Radiation and chemicals. This was mainly a review of tobacco smoke/smoking interactions. Po,,. - equivalent of 1 pack/day exposure to tobacco smoke as source over 25 years, gives 10% turnours in animals. Radon - not good carcinogen in experimental animals, needing much higher dose than predicted from earlier radiation source studies - exposure requirement in dogs 13,000 working level months. Radon + smoke - smoking after radon dose increases turnorigenic response, smoke before radon greatly decreases response due to increased mucociliary clearance. Po,,,, + non-specific lung proliferation inducers (e.g. saline instillations) - much increased response. Mention was made of various studies designed to seek agents which protected against radiation-induced tumorigenesis - Vitamin C, retinoids and protease inhibitors. Bond,J Interactions with particulates - particular reference to carbon black and BaP. Dosing with BaP on carbon black increases lung covalent binding of BaP as much as 10x compared with BaP alone. DNA adducts increase over air, but no difference in total between with and without C particulate. However, use of particulate does induce extra btpes of adduct, also an increase in metabolism. Lipid solution is considered of more importance than metabolism. A different particulate effect is seen in the human bronchus, where no adducts form with bronchial tissue alone, but do In the presence of macrophages. C:) CD 00 -Ij C7% ON BATCo document for Province of BritiSh Columbia 28 October 1999 43 -A - Gases and particles. Mention was made of an assay of non-specific irritants in lung tissue which uses hydroxyproline incorporation into new protein (collagen), reputed to be responsive and useful. C) C:) %-0 00 cr% BATCo document for Province of British Columbia 28 October 1999 44 573 Sleight, S D and Rangga-Tabbu, C Toxic effects of nitrosamines 1, 10 and 100 mg of NDELA/kg were injected Vp into rats and compared with other nitrosarnines used at equirnolar concentrations. Effects on target organs were examined after 24h in nasal and liver tissues. Differential effects on tissue response and potency were observed using NDELA, NPYR, NMP, DEN and NNN, which it is hypothesized may be significant in determining turnorigenic effects. (It was difficult to rationalise the specific effects claimed in the abstract with those cited in the poster.) 4 ~b CD C=) 1.0 CO C7% CO BATCo document for Province of BritiSh Columbia 28 October 1999 45 571 Hurtt, M et at Methyl bromide and olfactory function Exposure of rats to 200 ppm methyl bromide for 6 hours led to severe destruction of the olfactory epithelium and loss of olfactory function. Recovery of function followed after 4-6 days despite extensive morphol- ogical damage remaining. A no-effect-level for this of 90 ppm was determined, compared with the current ACGIH control level of 5 ppm. C:) C:) %-D CO BATCo document for Province of BritiSh Columbia 28 October 1999 46 Agricultural Chemicals - Posters 702 McCarty, J D et al. Lifespan feeding studies with Ethion in mice and rats at levels up to 40 pprn produced no effects except for depression of cholinesterase activity. The no effect level was determined to be 4 ppm in rats and 1.5 pprn in mice. 699 Williamson, E G et al Fenvalerate was significantly more toxic (acute) when examined as the formulated product Pydrin by comparison with the technical grade chemical in corn oil. The data suggest a significant interaction between the parts of the formulated product, which are still under investigation. 705 Stott, W T et al An inhalation study of technical grade 1,3-dichloropropene determined ro-effect levels of 20 ppm and 5 ppm; in rats and mice. At 60 pprn there was an increased evidence of benign lung turnours in mice. 405 Shane, 8 S et al Monitoring of urinary mutagens as a means for detecting exposure to genotoxic agents was proposed in this paper. Observations in green- house workers identified an apparently clear relationship between pres- ence of urinary mutagens and exposure to genotoxic pesticides. With orthene (acephate), use of protective clothing during spraying had a clear and beneficial effect. C) CD 1.0 ca _Ij C:) BATCo document for Province of British Columbia 28 October 1999 47 Vinyl Acetate Three papers on this subject were presented by staff from Hazleton UK: - 646 - a 2 yr study in drinking water; 658 - a 2 yr inhalation study; and 969 - 2 generation reproduction study. There were no significant pathological effects in the feeding study and the no-effect level was 1000 ppm. For inhalation, the no-effect level was 50 ppm and an excess of nasal tumours occurred at 600 ppm. The reproductive study produced marginal evidence of a reduction in male fertility at 5000 ppm vinyl chloride. 135 Lake, B G et al Coumarin-hepatotixicity in rats. A biochemical study from BIBRA sup- ported by MAFF which has produced evidence for a difference in metabolism between coumarin and dihydrocournarin which it is believed is relevant to differences in hepatotoxicity. The results are consistent with coumarin 3,4-epoxide being the toxic intermediate. CD C:) 110 CO BATCo document for Province of BritiSh Columbia 28 October 1999