,L 265 9 SRE/PSD/46D-2 (BR Papers) 20th August, 1975 THE UTILIZATION OF CRS, WASTE AND LAMINA TOBACCO: A REVIEW OF THE TUMORIGENICITY OF CRS AND SOME RECONSTITUTED TOBACCO SHEETS SUMKARY AND CONCLUSIONS By (a) ignoring the evidence from the calibration groups, and (b) eliminating the high dose level groups, it is possible to determine the tumorigenic ratio of Janus sample B4 (50% CRS) with resoect to 30 (100% FC lamina). These results indicate that the -4rclu-S-ion c--F 501% CRS leads to a 3(YA reduction in tumorigenic activity. Examination of the provisional results from Experiment B11 shows that when a FIC blend (60% lamina/40% stem) is manufactured into PCL the activity is reduced by 20%, while manufacturing into SRT reduces condensate activity by 6M.. The TWG experiment shows that Schweitzer stem sheet, CRS and AMF stem (plus scrap and strips, ? "fines") sheet all have significantly lower activity than the standard experimental blend (SEB). Nevertheless, the TWG results are based on a ranking of blends using a likelihood ratio and it is not possible on the information available to assess any possible differences between the CRS and/or the sheet samples. Further, the RTS samples produced from the SEB included a variety of additives or no additive and were manufactured at various densities and it is not possible to rationalise these results at the present time. The information clearly shows that significant reductions in tumorigenicity can be achieved by the incorporation of CRS and even greater reductions achieved by the use of a paper reconstitut process. This information does not indicate, however, whether ster99D should be utilized as CRS or to produce PRT and no information is available to indicate the relative effect of the PRT process' on stem and/or fines compared with lamina. BATCo document for Province of British Columbia 2 November 1999 In the commercial situation it is obvious that waste tobaccos will be utilized in the manufacture of PRT even when PRT is manufactured at well above waste utilization levels. The questions to be answered may be stated as follows: (1) should stem be utilized in the blend as CRS (WT-S) or should all or part of the stem be incorporated into PRT along with the waste; (2) should some of the lamina be incorporated into PRT; and (3) should some of the lamina plus some or all of the stem be incorporated? It is proposed that (1) above should be examined in a promotion skin-painting experiment. Since an important principle is involved in (2) and (3) above and the materials can be defined more exactly, it is considered that the relative contributions of lamina and stem in PRT should be examined in a single long-term experiment. Proposals for both experiments will be circulated. C=) CO BATCo document for Province of British Columbia 2 November 1999 -3- A REVIEW OF THE TUMORIGENICITY OF CRS AND SOME RECONSTITUTED TOBACCO SHEETS The optimum method of using stem (i.e. as CRS or incorporated into a reconstituted tobacco) has been discussed on a number of occasions and at a previous BR meeting a request was made that the position should be reviewed. JANUS RESULTS A long-term mouse skin painting experiment (B4) has been undertaken to examine the effect of incorporating CRS at the 50%, level into the all-lamina blend used for experiment BO. In the report on experiment B4 (Report No. B32) the response of the B4 calibration groups was compared with that found in BO. This comparison showed that there were significant differences in response for the benzpyrene and dibenzanthracene groups used in these experiments. On this basis, the results of experiment B4 cannot be compared directly with those found in experiment BO. Some further analysis of these experiments has now been undertaken, An initial attempt to fit common Weibull parameters to the data from BO and B4 was not succes sful and reinforced the conclusion based on the calibration groups. It was considered, however, that the lack of fit could be due to differences in the "high dose anomaly" between the two experiments. On this basis, common k and w factors were fitted to the two lower dose groups from experiments BO and B4 and to the 50 mg dose level BO condensate group included in the B5 experiment. A satisfactory fit was obtained and it was also shown that for the 50 mg BO groups there was not a significant difference between experiments BO and the repeat experiment B5 (Report No. B33). C:) The tumorigenic ratio calculated on this basis for condensate B4 (50% FC lamina:50% CRS) with respect to BO condensate was 0.7 -C b BATCo document for Province of British Columbia 2 November 1999 -4- with 95% confidence limits of 0.63 and 0.76. Thus the tumorigenic response from I g B4 condensate is equivalent to that from 0.7 g BO (100% PC lamina) condensate. These results may be summarised together with the final provisional values from experiment Bll as set out below with the proviso that the "controls" (BO and Ell/1) which are both put equal to 1.0 cannot be eauated. Assumed Rankinq BO (flue-cured lamina) B4 (5014 FC lamina/50-- CRS) B11/1 (60% FC lamina/40% CRS) B11/2 (PCL made from Bll/l) B11/3 (SRT made from Bll/l) 1.0 1.0 0.7 0.7 1.0 (say) 0.80 0.81 0.65 0.41 0.33 From this summary it is obvious that the specific activity of SRT is much lower than that of a blend containing 501A CRS. if cross assumotions are made to equate the two experiments then the activity ratios for PCL and particularly SRT, manufactured from a blend containing 40% CRS, are reduced even further. Nevertheless the results, which indicate the probable advanta-ges of a paper reconstituted sheet process, do not give any indication as to whether the reduction is achieved by processing the lamina portion of the blend or the stem. RESULTS OBTAINED IN OTHER CENTRES (a) T.R.C. (Harroqate) In a single experiment condensatcs from FC lamina, CRS and RTS were_compared with a FC control blend. The lamina was slightly more active (1.12) than the control while the reduction C=:~ in activity for CRS (0.53) was slightly greater than that for the RTS sample (0.62), the latter being only just significant. U-1 These results must, however, be treated with some caution since (--4 N.) the experiment had to be terminated at week 88. <:> BATCo document for Province of British Columbia 2 November 1999 -5- (b) T.W.G. Experiment The provisional results of the first large TWG experiment provide some guide tothe activity of both CRS and reconstituted sheets. This assessment of the results is limited, however, to the "Ranking of Blends on Likelihood Ratio Chi-Squared Tests of Difference from the Combined Standard Experlimiental Blend". it will also be remembered that this ranking is made much more difficult in some cases because of the differences found for the lour and high dose groups. T'he TIIG results clearly show that condensate from CRS is very much less active than that from the blend and that from the lamina. The relative position of the lamina with respect to the blend cannot be interpreted; it is ranked more active at the low dose level and less active at the higher dose. The CRS processed into RTS without additives by Schweitzer produced condensate with the lowest activity in the series. The same CRS was also processed by AMF but the ingredients included 27% scrap and strip tobacco, invert sugar (5.3%) and glycerine: the results for this sample were also significantly less active than the standard blend (SEB) but were not ranked as high as CRS or the Schweitzer sheet (Table 1). rQ BATCo document for Province of BritiSh Columbia 2 November 1999 TABLE 1 T.W.G. RANKINGS SAMPLE Schweitzer sheet CRS AM Fsheet SEB Lamina RANIKING LOW DOSE HIGH DOSE 1 1 1 3 2 6 i 22 19 12 U1 L^j r".) r10 BATCo document for Province of British Columbia 2 November 1999 SRE/AIW/18.4.74 DARK TOBACCO CIGARETTES Summary Although a number of studies have been undertaken, there is relatively little-information on dark tobacco cigarettes. Apart from the interest in cigar tobaccos, this may be partly due to the local 'native' nature of dark tobaccos, which are often produced from local, or locally naturalised, seed lines. Mouse-skin studies show that condensate from dark tobaccos, including cigar tobacco manufactured into cigarettes, are at least as tumorigenic and often more tumorigenic than that from flue-cured Burley and oriental tobaccos. Following a long-term inhalation experiment, assessed on the basis of the severity of laryngeal lesions in hamsters, Dontenwill concluded that smoke from a "black" cigarette was biologically very much less active than smoke from the reference cigarette; the latter being a 'standard' German blend. It should be noted, however, that the reduction in biological activity could be accounted for almost entirely by a lower accumulated dose from the "black" cigarette due to a shorter exposure time 'and the lower delivery of smoke. A similar reason may also be advanced for the marked reductions found for filter tip versions of the reference blend. Because of the publicity which has surrounded the work of Passey and his colleagues, this must also be included in a 'consideration of dark tobacco cigarettes. Nevertheless, the studies, which were undertaken under poor experimental conditions, have been severely criticised and do not add materially to our knowledge of dark tobacco cigarettes. In conclusion, the hypothesis that smoke from dark cigarettes is "safer" than that from flue-cured or blended cigarettes is certainly not supported by the results of the mouse-skin painting experiments and the Dontenwill inhalation study appears to provide only shaky supporting evidence. On the present evidence, it is suggested that any concept of a lower risk attached to dark C:) cigarettes can, in a given population, only be associated with a %,o 110 reduced level of inhalation (accumulated dose) from such productsQn rIJ U-4 BATCO document for Province of BritiSh Columbia 2 November 1999 DARK TOBACCO CIGARFTTES a) Study of Cigar Tobacco Condensate Followi ng reports Afrom Croninger (1) and Homburger (2) which suggested, but di,3 not prove statistically, that cigar smoke condensate was more carcinogenic than that from cigarette smoke, Davies and Day (3) re-examined the position. The results obtained after 116 weeks showed that the condensate from the cigar was more carcinogenic than that of the cigarette manufactured from cigar tobacco or from flue-cured tobacco. There was no significant difference in carcinogenicity to mouse-skin of the condensates from the two cigarettes. The differences in mortality rates were small and the results were not affected by age-standardisation. b) Comparison of Tobacco TVpes In a further TRC experiment, a number of different types of tobacco, including an air-cured fermented (Paraguay) tobacco, were examined. The tumorigenic ratios and 95% confidence limits for the condensates from the various cigarettes compaied with the flue-cured "control" (TU were: Sample T16 Air-cured fermented 1.38 (1.14 - 1.65) T17 Burley 1.07 (0.89 - 1.29) T18 Oriental 1.11 (0.92 - 1.33) T19 Indian sun-cured 1.55 (1.29 - 1.90) T20 Indian flue-cured 1.22 (1.02 - 1.47) These results show that condensate from air-cured fermented tobacco is more tumorigenic than the flue-cured control. Condensate from Indian sun-cured is also more tumorigenic, while that from Indian flue-cured tobacco is just significantly more tumorigenic than the control. The differences for Burley and oriental tobaccos are not significant. Subsequently, Imperial Tobacco Ltd. have compared condensates from Gauloises and other continental brands with %-0 Embassy cigarettes. Full details are not available, but all 92 weeks, it was clear that condensate from Gauloises Caporal plain M-) 411. BATCo document for Province of Briti8h Columbia 2 November 1999 -2- was very much more tumorigenic than that of Embassy filter. The ranking was : Gauloises',~ Belga Rouge filter > Nazionali Esportazione Embassy c) Inhalation Study Dontenwill et al. (4) In this long-term experiment, smoke from a "black" cigarette manufactured from a blend of Burley (15%), Maryland (6%), and dark tobaccos was compared with a "standard" German blend and various other cigarettes. Comparison of the various cigarettes was based on the seveie laryngeal changes found following exposure of hamsters to 30 cigarettes twice a day for up to two years. On this basis, smoke from the "black" cigarette was found to have only 33%.(stage 5) or 12% (stage 6) of the activity of the reference cigarette, ie. a 67-88% reduction in activity . Apart from the absence of suitable methods for the analysis of such experiments, two main factors should be considerea in attempting to put these results into perspective. 1. Cellulose acetate or paper filter versions ot the reference cigarette also led to a considerable reduction in activity; 56-60% (stage 5) and 76-99% (stage 6) respectively. 2. The condensate delivery from the "black" cigarette was nearly 40% lower than that from the reference cigarette and the exposure time was also 20% lower. Similarly, condensate deliveries from the filter cigarettes were 30 and 33% lower than that"of the reference cigarette. Since the above reduction in condensate delivery.and expas7ure time for the "black" cigarette compared with the reference cigarette obviously reduce the total accumulated dose to the respiratory system, it is considered that the marked reduction in biological response should be treated with considerable,-.o caution.- C-n BATCo document for Province of British Columbia 2 November 1999 -3- Other Inhalation Studies Passey et al. (5) In two experiments, groups of 12 rats were exposed to smoke under what can rnly be considered as poor experimental conditions. In one exp,~riment, cigarette smoke was compared with smoke from cigarettes manufactured from cigar tobacco (TRC C2). A commercial cigar tobacco cigarette (Calypso) and a cigarette manufactured from Burley tobacco (TRC T17) were included in the second experiment. The rats exposed to smoke from flue-cured tobacco died early and with enlarged and severely diseased lungs. The conclusions drawnwere that smoke from flue-cured . cigarettes is more dangerous to man and to animals than that from air-cured tobaccos and that this is related to the method of curing (and the sugar content) of the tobaccos. These experiments have been criticised severely because the pathological findings of the rats which died suddenly could be related to an inflammatory condition not regularly encountered in man: Passey himself stated that chronic respiratory disease and bronchiectasis were endemic in the strain of rats used for their studies. Passey also undertook some limited mouse-skin painting experiments. Passey's studies have become linked to lung cancer (because of a limited mouse-skin study) and also to a theory of lung cancer induction advanced by Braven and Fenner M: the latter because of Passey's contc:ntion that the sugar conLent of the tobacco was an important factor. In the samte review (6), it is argued that, although the studies of Passey may conceivably have some relevance to chronic inflammatory lung disease in man, there are no groupds for regarding them as relevant to lung cancer. The link with sugar content and Braven and Fenner's work is also criticised, since there is no evidence that cystein offers protection from cancer inducing effects of chemical agents. 1%0 Ln SRE/AIW/19.4.74 Ld-4 rQ CN BATCo document for Province of British Columbia 2 November 1999 1. Croninger, .4.B. et Al. Cancer Res. 1958, 18, 1263 2. Homburger, F. et al 3. Davies R.F. et al. 4. Dontenwill, W. et al. 5. Passey, R.D. et al J. Watn. Cancer Inst. 1963, 31, 1445 Br. J. Cancer, 1969, 23, 363 J. Natn. Cancer Inst. 1973, 51, 1781 Br. med. J. 1971, IV, 198 6. Editorial 7. Braven, J. et al. B. Fenner, M.L. et al. Lancet, 1973, 187 Br. J. Cancer, 1967, 21, 623 Br. J. Cancer, 1968, 22, 474 BATCo document for Province of Brit!Sh Columbia 2 November 1999 APPENDIX Details of Cigarettes and Cigars'used in TRC Cigar StudY Table I Code 1 Length Circum Weight 1 1 Butt Puff I NVWSC (4) I Leng Lh No. (Mm) (mm) (g) (mm) (mg) C10) 83 33.7 1.86 25 19.8 37.8 C2 (, ) 70 25.1 0.94 20 8.4 19.4 T4(1) 70 25.3 1.09 20 10.9 26.3 (1) Composite blend cigar tobacco; granulated wrapper and binder of natural leaf. (2) Blend as Cl cut at 50 cpi for cigarette manufacture (3) Composite blend of flue-cured tobacco. (4) Non volatile whole smoke condensate. Smoking conditions : puf-Z volume 25 ml duration 2 seconds one puff per minute Table 2 Summary of results from Dontenwill Inhalation Study Sample Cundens ate Relative Laryngeal Changes Exposure Relative Potency Factor Dry Factor Stage 5 Stage 6 (mg/cig) Control (1) 33.7 1.0 1.0 1.0 1.0 "Black" (2) 20.9 0.62 0.8 0.33 0.12 Control 23 5 0.70 1.0 0.44 0.06 Acetate Filt . er Control 22.7 0.67 1.1 0.40 0.24 .Paper Filter (1) German blend: 55% flue-cured, 35% oriental and 10% Burley (2) Black cigarette: 15% Burley, 6% Maryland, 6% Java, 19% cigar tobacco, 54% other dark tobacco NO CO BATCo document for Province of BritiSh Columbia 2 November 1999