Davis J M, Addison J, Bolton R E, Donaldson K, Jones A D, Smith T
Br J Exp Pathol. 1986 Jun;67(3):415-30.
For many years it has been accepted that fibre dimensions are the most important factor in the development of asbestos related disease with long fibres being more dangerous than short for all types of asbestos. This information has been derived from in vitro experiments and injection or implantation experiments since the kilogramme quantities of specially prepared dusts that are necessary for long term inhalation have not been available. The present study has taken advantage of the availability of a sample of amosite produced so that almost all fibres were less than 5 micron in length. The effects of this dust were compared to dust prepared from raw amosite that contained a very high proportion of long fibres. Previous data from studies with UICC amosite, which was intermediate in length, were also available for comparison. At the end of 12 months of dust inhalation, significantly more short fibre amosite was present in the lung tissue compared to the long but while the long fibre dust caused the development of widespread pulmonary fibrosis, no fibrosis at all was found in animals treated with short fibre. One third of animals treated with long fibre dust developed pulmonary tumours or mesotheliomas but no pulmonary neoplasms were found in animals treated with short fibre dust. Following intraperitoneal injection, the long fibre amosite produced mesotheliomas in 95% of animals with a mean induction period of approximately 500 days. With short fibre dust, only a single mesothelioma developed after 837 days. In previous inhalation studies with UICC amosite, relatively little pulmonary fibrosis had developed and only two benign pulmonary tumours. This would suggest that to produce a significant carcinogenic response in rat lung tissue amosite fibres must be longer than those in the UICC preparation. Following the injection of UICC amosite, however, mesotheliomas developed in the same proportion of animals and with the same mean induction period as with long fibre dust. From this it would appear that while very short fibres exhibit little carcinogenicity to either lung or mesothelial tissues, mesotheliomas can be produced by dust preparations consisting of shorter fibres than are needed to produce tumours.
多年来,人们一直认为纤维尺寸是石棉相关疾病发展中最重要的因素,对于所有类型的石棉而言,长纤维比短纤维更危险。这些信息来自体外实验以及注射或植入实验,因为长期吸入所需的数公斤特制粉尘一直无法获取。本研究利用了一种铁石棉样本,该样本几乎所有纤维长度均小于5微米。将这种粉尘的影响与由含有很高比例长纤维的天然铁石棉制备的粉尘进行了比较。此前对长度处于中间水平的国际癌症研究机构(UICC)铁石棉进行研究的数据也可用于比较。在吸入粉尘12个月后,与长纤维相比,肺组织中短纤维铁石棉的含量明显更多,但长纤维粉尘导致了广泛的肺纤维化,而在接受短纤维治疗的动物中未发现任何纤维化。接受长纤维粉尘治疗的动物中有三分之一发生了肺部肿瘤或间皮瘤,但接受短纤维粉尘治疗的动物中未发现肺部肿瘤。腹腔注射后,长纤维铁石棉在95%的动物中诱发了间皮瘤,平均诱发期约为500天。对于短纤维粉尘,仅在837天后出现了一例间皮瘤。在之前对UICC铁石棉的吸入研究中,仅出现了相对较少的肺纤维化,且仅有两个良性肺部肿瘤。这表明,要在大鼠肺组织中产生显著的致癌反应,铁石棉纤维必须比UICC制剂中的纤维更长。然而,注射UICC铁石棉后,诱发间皮瘤的动物比例与长纤维粉尘相同,平均诱发期也相同。由此看来,虽然极短的纤维对肺组织或间皮组织几乎没有致癌性,但由比诱发肿瘤所需纤维更短的纤维组成的粉尘制剂也可诱发间皮瘤。