- Open Access
Pulmonary toxicity screening studies in male rats with TiO2 particulates substantially encapsulated with pyrogenically deposited, amorphous silica
© Warheit et al; licensee BioMed Central Ltd. 2006
- Received: 18 August 2005
- Accepted: 26 January 2006
- Published: 26 January 2006
The aim of this study was to evaluate the acute lung toxicity in rats of intratracheally instilled TiO2 particles that have been substantially encapsulated with pyrogenically deposited, amorphous silica. Groups of rats were intratracheally instilled either with doses of 1 or 5 mg/kg of hydrophilic Pigment A TiO2 particles or doses of 1 or 5 mg/kg of the following control or particle-types: 1) R-100 TiO2 particles (hydrophilic in nature); 2) quartz particles, 3) carbonyl iron particles. Phosphate-buffered saline (PBS) instilled rats served as additional controls. Following exposures, the lungs of PBS and particle-exposed rats were evaluated for bronchoalveolar lavage (BAL) fluid inflammatory markers, cell proliferation, and by histopathology at post-instillation time points of 24 hrs, 1 week, 1 month and 3 months.
The bronchoalveolar lavage results demonstrated that lung exposures to quartz particles, at both concentrations but particularly at the higher dose, produced significant increases vs. controls in pulmonary inflammation and cytotoxicity indices. Exposures to Pigment A or R-100 TiO2 particles produced transient inflammatory and cell injury effects at 24 hours postexposure (pe), but these effects were not sustained when compared to quartz-related effects. Exposures to carbonyl iron particles or PBS resulted only in minor, short-term and reversible lung inflammation, likely related to the effects of the instillation procedure.
Histopathological analyses of lung tissues revealed that pulmonary exposures to Pigment A TiO2 particles produced minor inflammation at 24 hours postexposure and these effects were not significantly different from exposures to R-100 or carbonyl iron particles. Pigment A-exposed lung tissue sections appeared normal at 1 and 3 months postexposure. In contrast, pulmonary exposures to quartz particles in rats produced a dose-dependent lung inflammatory response characterized by neutrophils and foamy (lipid-containing) alveolar macrophage accumulation as well as evidence of early lung tissue thickening consistent with the development of pulmonary fibrosis.
Based on our results, we conclude the following: 1) Pulmonary instillation exposures to Pigment A TiO2 particles at 5 mg/kg produced a transient lung inflammatory response which was not different from the lung response to R-100 TiO2 particles or carbonyl iron particles; 2) the response to Pigment A was substantially less active in terms of inflammation, cytotoxicity, and fibrogenic effects than the positive control particle-type, quartz particles. Thus, based on the findings of this study, we would expect that inhaled Pigment A TiO2 particles would have a low risk potential for producing adverse pulmonary health effects.
- TiO2 Particle
- Carbonyl Iron
- Titanium Dioxide Particle
- Intratracheal Instillation
- Quartz Particle
This study was designed as a preliminary screen to determine whether Pigment A TiO2 particles (TiO2 particles that have been substantially encapsulated with pyrogenically deposited, amorphous silica) impart significant toxicity in the lungs of rats, and more importantly, how the activity of this TiO2 formulation compares with other reference particulate materials. Thus, the aim was to assess in rats, using a well-developed, short-term pulmonary bioassay the acute pulmonary toxicity effects of intratracheally instilled, Pigment A TiO2 particle samples and to compare the lung toxicity of these samples with 2 low toxicity particulate-types (negative controls) and a cytotoxic particulate (positive control) sample; and 2) to bridge the results of these instillation studies with data previously generated from inhalation studies with quartz particles in the form of crystalline silica and with carbonyl iron particles as the inhalation/instillation bridge materials.
Groups of male Crl:CD®(SD)IGSBR rats (Charles River Laboratories, Inc., Raleigh, North Carolina) were used in this study. The rats were approximately 8 weeks old at study start (mean weights in the range of 240 – 255 grams). All procedures using animals were reviewed and approved by the Institutional Animal Care and Use Committee and the animal program is fully accredited by the Association for Assessment and Accreditation of Laboratory Animal Care (AAALAC).
Characterization of TiO2 and quartz particulates
1° particle size
General experimental design (see Additional file 1)
The fundamental features of this pulmonary bioassay are 1) dose response evaluation, and 2) time course assessments to determine the sustainability of any observed effect. Thus, the major endpoints of this study were the following: 1) time course and dose/response intensity of pulmonary inflammation and cytotoxicity; 2) airway and lung parenchymal cell proliferation; and 3) histopathological evaluation of lung tissue.
Groups of rats were intratracheally instilled with single doses of 1 or 5 mg/kg quartz (crystalline silica) particles, carbonyl iron particles, R-100 TiO2 particles, or Pigment A TiO2 particles. The intratracheal instillation route of entry technique is not a substitute for the more physiologically relevant inhalation method of exposure. It should be noted however, that pulmonary screening studies are not surrogates for more physiologically relevant, inhalation toxicity studies, such as 4-week inhalation, 90-day inhalation studies, or 2-year inhalation bioassay studies. However, the intratracheal instillation method of exposure can be a qualitatively reliable screen for assessing the pulmonary toxicity of particles [1, 2]. All particles were prepared in a volume of phosphate-buffered saline (PBS) and subjected to polytron dispersement. Groups of PBS-instilled rats served as controls. The lungs of PBS, and particle-exposed rats were evaluated by bronchoalveolar lavage fluid analyses at 24 hr, 1 week, 1 month and 3 months postexposure (pe). For lung cell proliferation and histopathology studies, additional groups of animals were instilled with the particle-types listed above as well as PBS.
For the bronchoalveolar lavage studies, 5 male rats/group were exposed via intratracheal instillation to 1) vehicle control – Phosphate-buffered saline (PBS); 2) carbonyl iron particles in PBS at 1 or 5 mg/kg; 3) hydrophilic R-100 TiO2 particles in PBS at 1 or 5 mg/kg; 4) hydrophilic Pigment A TiO2 particles in PBS at 1 or 5 mg/kg; or 5) Min-U-Sil crystalline quartz particles in PBS at 1 or 5 mg/kg (see Table 1 and Additional file 1).
For the lung tissue studies, additional groups of animals (4 rats/group) were instilled with the particle-types listed above plus the vehicle control, i.e., PBS. These studies and corresponding groups of rats were dedicated to lung tissue analyses but only the high dose groups (5 mg/kg) and PBS controls were utilized in the morphology studies. These studies consisted of cell proliferation assessments and histopathological evaluations of the lower respiratory tract. Similar to the BAL fluid studies, the intratracheal instillation exposure period was followed by 24-hour, 1-week, 1-month, and 3-month recovery periods.
The lungs of sham and particulate-exposed rats were lavaged with a warmed phosphate-buffered saline (PBS) solution as described previously. Methodologies for cell counts, differentials and pulmonary biomarkers in lavaged fluids were conducted as previously described [3, 4]. Briefly, the first 12 mL of lavaged fluids recovered from the lungs of PBS or particulate-exposed rats was centrifuged at 700 g, and 2 mL of the supernatant was removed for biochemical studies. All biochemical assays were performed on BAL fluids using a Roche Diagnostics (BMC)/Hitachi® 717 clinical chemistry analyzer using Roche Diagnostics (BMC)/Hitachi® reagents. Lactate dehydrogenase (LDH), alkaline phosphatase (ALP), and lavage fluid protein were measured using Roche Diagnostics (BMC)/Hitachi® reagents. Lactate dehydrogenase is a cytoplasmic enzyme and is used as an indicator of cell injury. Alkaline phosphatase activity is a measure of Type II alveolar epithelial cell secretory activity, and increased ALP activity in BAL fluids is considered to be an indicator of Type II lung epithelial cell toxicity. Increases in BAL fluid micro protein (MTP) concentrations generally are consistent with enhanced permeability of vascular proteins into the alveolar regions, indicating a breakdown in the integrity of the alveolar-capillary barrier.
Pulmonary cell proliferation studies
Groups of particulate-exposed rats and corresponding controls were pulsed 24 hrs after instillation, as well as 1 week, 1 and 3 months postexposure, with an intraperitoneal injection of 5-bromo-2'deoxyuridine (BrdU) dissolved in a 0.5 N sodium bicarbonate buffer solution at a dose of 100 mg/kg body weight. The animals were euthanized 6 hrs later by pentobarbital injection. Following cessation of spontaneous respiration, the lungs were infused with a neutral buffered formalin fixative at a pressure of 21 cm H2O. After 20 minutes of fixation, the trachea was clamped, and the heart and lungs were carefully removed en bloc and immersion-fixed in formalin. In addition, a 1-cm piece of duodenum (which served as a positive control) was removed and stored in formaldehyde. Subsequently, parasagittal sections from the right cranial and caudal lobes and regions of the left lung lobes as well as the duodenal sections were dehydrated in 70% ethanol and sectioned for histology. The sections were embedded in paraffin, cut, and mounted on glass slides. The slides were stained with an anti-BrdU antibody, with an AEC (3-amino-9-ethyl carbazole) marker, and counter-stained with aqueous hematoxylin. A minimum of 1000 cells/animal were counted each in terminal bronchiolar and alveolar regions. For each treatment group, immunostained nuclei in airways (i.e., terminal bronchiolar epithelial cells) or lung parenchyma (i.e., epithelia, interstitial cells or macrophages) were counted by light microscopy at × 1000 magnification [3, 4].
Lung histopathology studies
The lungs of rats exposed to particulates or PBS controls were prepared for microscopy by airway infusion under pressure (21 cm H2O) at 24 hours, 1 week, 1 and 3 months postexposure. Sagittal sections of the left and right lungs were made with a razor blade. Tissue blocks were dissected from left, right upper, and right lower regions of the lung and were subsequently prepared for light microscopy (paraffin embedded, sectioned, and hematoxylin-eosin stained) [3, 4].
For analyses, each of the experimental values were compared to their corresponding sham control values for each time point. A one-way analysis of variance (ANOVA) and Bartlett's test were calculated for each sampling time. When the F test from ANOVA was significant, the Dunnett test was used to compare means from the control group and each of the groups exposed to particulates. Significance was judged at the 0.05 probability level.
Lung weights of rats were enhanced with increasing age on the study (i.e., increased postexposure time periods following instillation). Lung weights in high dose quartz-exposed rats were slightly increased vs. controls at 1 week, and at 1 month and 3 months postexposure (data not shown).
Bronchoalveolar lavage fluid results
BAL fluid parameters
To summarize the results from BAL fluid biomarker studies, pulmonary exposures to quartz particles produced a sustained, dose-dependent, lung inflammatory response, concomitant with cytotoxic effects, measured from 24 hrs through 3 months postexposure. Exposures to R-100 particles (5 mg/kg) produced a small but transient pulmonary inflammatory response, but this effect was not sustained. Exposures to carbonyl iron particles or to Pigment A TiO2 particles produced a brief neutrophilic response at 24 hrs postexposure, however, this was likely related to the instillation exposure methodology.
Lung cell proliferation and histopathology studies
Cell proliferation results
Tracheobronchial cell proliferation rates (% immunostained cells taking up BrdU) were measured in high dose (5 mg/kg), particulate-exposed rats and corresponding controls at 24 hrs, 1 week, and 1 and 3 months postexposure (pe). Although increases in cell labeling indices were noted in R-100 and quartz-exposed animals at 24 hrs postexposure, these effects were not sustained (data not shown).
In summary, exposures to 5 mg/kg quartz particles produced increased tracheobronchial cell proliferation compared to PBS controls, but increases were statistically significant only at 24 hrs postexposure. However, exposures to 5 mg/kg quartz particles produced substantially greater lung parenchymal cell proliferation rates at all time points postexposure, suggesting a greater likelihood to result in lung cell mutations over time with continued exposures.
The objective of this study was to assess the acute lung toxicity of intratracheally instilled, hydrophilic Pigment A TiO2 particles in rats. Using pulmonary bioassay methodology, the pulmonary toxicity of instilled Pigment A TiO2 particles was compared with a positive control particle-type, quartz, as well as two negative control particle-types, carbonyl iron particles and R-100 TiO2 particles.
Pigment A TiO2, R-100 TiO2, or CI did not produce significant adverse pulmonary effects in any of the bioassays in this study (BAL inflammatory indicators, cell proliferation, or histopathology). These particle-types produced only a transient pulmonary inflammatory effect. Because this inflammatory effect was also observed in the PBS vehicle control group, one may assume that the effect is a result of the instillation process and not of the particles in the lung per se.
In contrast, quartz particles, particularly at the higher dose, produced significant adverse effects in pulmonary inflammation, cytotoxicity and lung parenchymal cell proliferation endpoints, all of which continued through the 3-month postexposure study period. Histopathological evaluation further demonstrated that quartz particles produced pulmonary inflammation, foamy macrophage and tissue thickening (as a prelude to fibrosis).
Based upon the data generated from this pulmonary bioassay, we conclude that hydrophilic Pigment A TiO2 particles do not cause significant pulmonary toxicity and the pulmonary effects measured are not significantly different from the effects produced by hydrophilic R-100 TiO2 particles.
In an earlier study, we assessed the acute pulmonary toxicity potential in rats of a series of intratracheally instilled TiO2 particle-types (2 or 10 mg/kg) possessing (1) no surface treatment, (2) an alumina-only surface treatment (~3.2 wt% Al2O3 equivalent) or (3) a combined alumina/silica surface treatment (~1.8–5.8 wt% Al2O3 equivalent, ~3.0–10.5 wt% SiO2 equivalent). Included in this study were hydrophilic TiO2 particles, codified as R-100, which possessed no inorganic surface treatment but did possess a small quantity of an organic surface treatment, namely, triethanolamine. Note that the inhalation toxicity potential of the pigment possessing limited treatment (i.e., 1% Al2O3) had previously been evaluated, a fact that allowed us to bridge the results of this evaluation with those derived from the above mentioned instillation toxicity study. During that study, saline-instilled rats served as controls. The lungs of sham and exposed rats were evaluated by bronchoalveolar lavage at 24 hr, 1 week, 1 and 3 months postexposure (pe). The results demonstrated that the high dose (10 mg/kg) pigment grade TiO2 particles possessing the greatest amount of inorganic surface treatment (Al2O3/SiO2 combination) produced a more intense lung inflammatory response relative to the other samples. This effect was measured only through 1 month but not the 3-month postexposure period, indicating that the effect of the heavily surface treated TiO2 particle (i.e., 84% TiO2, ~6% alumina and ~10% amorphous silica) was relatively minor when compared to the effects of quartz particles .
These results are similar to the findings in another previous study evaluating surface treatments, wherein we assessed the toxicity of pigment-grade titanium dioxide particles made hydrophobic by surface application of octyltriethoxysilane (OTES) . In similar-type pulmonary bioassay studies, at higher doses (2 and 10 mg/kg), the toxicity of OTES-coated TiO2 particles was not significantly different from the hydrophilic R-100 TiO2 particles. The R-100 has a mean particle size of 300 nm and a surface area of ~6 m2/g, while the OTES-treated TiO2 particle has a primary particle size of 230 nm and a surface area of ~8 m2/g.
Surface treatments on TiO2 particles have been a subject of interest over the past few years. The potential concern for the effects of hydrophobic coatings was initially raised by Pott and coworkers [6, 7]. These investigators reported that exposures to hydrophobic-coated, ultrafine (~20–30 nm) titanium dioxide particles (T-805 sample) produced unexpected lethality in intratracheally exposed rats [6, 7]. Pott reported that the first two rats which were treated with 6 mg hydrophobic ultrafine TiO2 particles (T-805) demonstrated immediate symptoms of respiratory distress when compared to the rats similarly exposed to other particulates; and they survived less than one-half hour; instillation of 3 mg T-805 particles also induced a fatal effect, and 1 mg doses were tolerated with some limitations. Subsequent studies were conducted with weekly intratracheal instillations of 0.5 mg doses of hydrophobic TiO2 (T-805), and still produced some mortality. In contrast, Pott reported that nearly all of the rats exposed to equivalent dosages of hydrophilic, ultrafine titanium dioxide particles (P-25 sample) (similar particle sizes) survived the intratracheal instillation exposures. A confounding factor of the Pott study which had not been addressed or properly controlled for was the potential toxicity of 1% Tween, which was added as a detergent selectively to the T-805 sample but not to the hydrophilic P-25 sample, creating an additional variable in the study. Thus, it was conceivable that the detergent significantly contributed to the toxic effects observed in the T-805-exposed rats.
It is important to note that the findings reported by Pott and colleagues have not been confirmed by a variety of other investigators who have compared the pulmonary hazard effects of hydrophilic and hydrophobic coated titanium dioxide particles. As discussed above, we have previously evaluated in rats the pulmonary toxicity of instilled hydrophilic vs. hydrophobic, pigment-grade TiO2 particles, using a pulmonary bioassay methodology. The results demonstrated that only the high-dose (10 mg/kg) hydrophilic, pigment-grade TiO2 particles and those with particle-types containing a surfactant, viz. Tween 80, produced a transient and reversible pulmonary inflammatory response, and this was resolved within 1 week postexposure. In that study, we concluded that the OTES hydrophobic coating on the pigment-grade TiO2 particle does not cause significant pulmonary toxicity.
Studies reported by other investigators have confirmed these results. In this regard, Hohr et al.  assessed the acute pulmonary inflammation in rats after intratracheal instillation of surface modified (hydrophilic and hydrophobic) fine (180 nm) and ultrafine (20–30 nm) TiO2 particles at equivalent mass (1 or 6 mg) or calculated surface area doses (100, 500, 600, and 3000 cm2). These investigators concluded that BAL fluid biomarkers of lung inflammatory responses correlated with the administered surface dose delivered to the lungs. Moreover, the hydrophobic-coated TiO2 particles produced decreased lung inflammation relative to hydrophilic-coated particulates, however, these minor effects were not significantly different between the two samples. The conclusions drawn from this study was that the surface area rather than the hydrophobic surface coating influences the acute pulmonary inflammatory response produced following intratracheal instillation of either fine grade or ultrafine-sized TiO2 particles.
In another study comparing effects of surface coatings, Oberdorster  exposed rats via intratracheal instillation to two different types of aggregated ultrafine TiO2 particle samples (particle size of both types reported to be ~20 nm) at doses of 50 or 500 μg. One type was silane-coated, making the particle surface hydrophobic, while the other particle sample was uncoated and hydrophilic. Hydrophobic-coated ultrafine TiO2 particles produced a reduced pulmonary inflammatory response at 24 hours postexposure when compared to identical doses of the uncoated, hydrophilic TiO2 particles. Oberdorster concluded that his findings appear to conflict with an earlier report by Pott and coworkers [6, 7], who, as discussed above, reported that larger doses of instilled hydrophobic- coated, but not uncoated ultrafine TiO2 particles were acutely toxic and produced mortality in rats.
Rehn and colleagues  investigated lung inflammation and genotoxic effects of two types of ultrafine titanium dioxide particles. The lungs of female rats were exposed by intratracheal instillation to a range of doses of uncoated (P-25) or hydrophobic-coated (T-805) ultrafine TiO2 particles and assessed at 3, 21 and 90 days following instillation exposures. Quartz particles (DQ12) and saline were utilized as positive and negative controls, respectively. Pulmonary inflammatory responses of sham and particle-exposed rats were assessed using bronchoalveolar lavage biomarkers and the genotoxic analyses were conducted by immunohistochemical assessments of 8-oxoguanine in lung tissue. Quartz exposures produced persistent lung inflammatory responses, measured through 90 days postexposure. In contrast, no pulmonary inflammation was evident in rats exposed to either form of TiO2 particle-types when measured 90 days postexposure. The investigators concluded that the both the uncoated and hydrophobic coated TiO2 produced no significant adverse pulmonary effects.
The results of numerous studies demonstrate that inhalation exposures to pigment-grade TiO2 particles or carbonyl iron particles in rats produces low pulmonary toxicity, and induces adverse inflammatory effects only at substantial particle overload concentrations [4, 11–15]. In the current study, the highest dose of instilled hydrophilic, Pigment A TiO2 particles (5 mg/kg) or carbonyl iron particles produced only a minor, transient lung inflammatory response, measured at 24 hrs postexposure, and this was related primarily to the route of exposure. Thus, the inhalation toxicity data and the instillation toxicity results for hydrophilic, R-100 TiO2 particles and carbonyl iron particles in rats are consistent – i.e., clearly demonstrating that pulmonary exposures produce few adverse lung effects. These lung toxicity results assessed following TiO2 particulate exposures in rats clearly contrast with the pulmonary effects measured following inhalation  or intratracheal instillation exposures in rats  to crystalline silica particles, which produce persistent pulmonary inflammatory responses leading to the development of lung fibrosis, in both inhalation and instillation models.
In summary, using a pulmonary bioassay and bridging methodology, the acute lung toxicity of intratracheally instilled hydrophilic, Pigment A TiO2 particulates was compared with a positive control particle-type, quartz, as well as with 2 negative control particle-types, namely carbonyl iron particles and hydrophilic, R-100 TiO2 particles. In addition, the results of these instillation studies were bridged with data previously generated from inhalation studies with quartz, carbonyl iron particles and pigment-grade R-100 hydrophilic titanium dioxide particles. The results presented herein demonstrate that intratracheally instilled, 5 mg/kg doses of Pigment A TiO2 particles do not produce significant lung toxicity in rats; results similar to those derived from R-100 titanium dioxide samples. At similar doses, exposures to quartz particles produces a sustained pulmonary inflammatory response in rats, leading to the development of pulmonary fibrosis and other adverse lung effects. Accordingly, based on the findings of this study, it is expected that inhaled Pigment A TiO2 particles would have a low risk potential for producing adverse pulmonary health effects.
This study was supported by DuPont Titanium Technologies.
Dr. Peter Jernakoff supplied the Pigment A TiO2 particulates. Denise Hoban, Elizabeth Wilkinson and William L Batton conducted the BAL fluid biomarker assessments. Carolyn Lloyd, Lisa Lewis, John Barr prepared lung tissue sections and conducted the BrdU cell proliferation staining methods. Don Hildabrandt provided animal resource care. We thank Drs. Peter Jernakoff, Kevin Leary and Brian Coleman for helpful comments on this manuscript.
- Driscoll KE, Costa DL, Hatch G, Henderson R, Oberdorster G, Salem H, Schlesinger RB: Intratracheal instillation as an exposure technique for the evaluation of respiratory tract toxicity: Uses and limitations. Toxicol Sci 2000, 55: 24–35. 10.1093/toxsci/55.1.24PubMedView ArticleGoogle Scholar
- Warheit DB, Brock WJ, Lee KP, Webb TR, Reed KL: Comparative pulmonary toxicity inhalation and instillation and studies with different TiO 2 particle formulations: Impact of surface treatments on particle toxicity. Toxicol Sci 2005, 88: 514–524. 10.1093/toxsci/kfi331PubMedView ArticleGoogle Scholar
- Warheit DB, Carakostas MC, Hartsky MA, Hansen JF: Development of a short-term inhalation bioassay to assess pulmonary toxicity of inhaled particles: Comparisons of pulmonary responses to carbonyl iron and silica. Toxicol Appl Pharmacol 1991, 107: 350–368. 10.1016/0041-008X(91)90215-ZPubMedView ArticleGoogle Scholar
- Warheit DB, Hansen JF, Yuen IS, Kelly DP, Snajdr S, Hartsky MA: Inhalation of high concentrations of low toxicity dusts in rats results in pulmonary and macrophage clearance impairments. Toxicol Appl Pharmacol 1997, 145: 10–22. 10.1006/taap.1997.8102PubMedView ArticleGoogle Scholar
- Warheit DB, Reed KL, Webb TR: Pulmonary toxicity studies in rats with triethoxyoctylsilane (OTES)-coated, pigment-grade titanium dioxide particles: bridging studies to predict inhalation hazard. Exp Lung Res 2003, 29: 593–606.PubMedView ArticleGoogle Scholar
- Pott F, Althoff GH, Roller M, Hohr D, Friemann J: High acute toxicity of hydrophobic ultrafine titanium dioxide in an intratracheal study with several dusts in rats. In Relationships Between Respiratory Disease and Exposure to Air Pollution. Edited by: Mohr U, Dungworth DL, Brain JD, Driscoll KE, Grafstrom RC, Harris CC. ILSI Press, Washington, D.C; 1998:270–272.Google Scholar
- Pott F, Roller M, Althoff GH, Hohr D, Friemann J: Acute lung toxicity of hydrophobic titanium dioxide in an intratracheal carcinogenicity study with nineteen dusts in rats. In Health Effects of Particulate Matter in Ambient Air. Proceedings of an International Conference sponsored by the Air and Waste Management Association and the Czech Medical Association Edited by: Vostal J. 1998, 301–307.Google Scholar
- Hohr D, Steinfartz Y, Schins RPF, Knaapen AM, Martra G, Fubini B, Borm PJA: The surface area rather than the surface coating determines the acute inflammatory response after instillation of fine and ultrafine TiO2 in the rat. Int J Hygiene Environ Health 2002, 205: 239–244. 10.1078/1438-4639-00123View ArticleGoogle Scholar
- Oberdorster G: Pulmonary effects of inhaled ultrafine particles. Int Arch Occup Environ Health 2001, 74: 1–8. 10.1007/s004200000185PubMedView ArticleGoogle Scholar
- Rehn B, Seiler F, Rehn S, Bruch J, Maier M: Investigations on the inflammatory and genotoxic lung effects of two types of titanium dioxide: untreated and surface treated. Toxicol Appl Pharmacol 2003, 189: 84–95. 10.1016/S0041-008X(03)00092-9PubMedView ArticleGoogle Scholar
- Lee KP, Henry Norman W III, Trochimowicz HJ, Reinhardt CF: Pulmonary response to impaired lung clearance in rats following excessive titanium dioxide dust deposition. Environmental Research 1986, 41: 144–167. 10.1016/S0013-9351(86)80177-3PubMedView ArticleGoogle Scholar
- Muhle H, Bellmann B, Creutzenberg O, Dasenbrock C, Ernst H, Kilpper R, MacKenzie JC, Morrow P, Mohr U, Takenaka S, et al.: Pulmonary response to toner upon chronic inhalation exposure in rats. Fundam Appl Toxicol 1991, 17: 280–299. 10.1016/0272-0590(91)90219-TPubMedView ArticleGoogle Scholar
- Hext PM: Current perspectives on particulate induced pulmonary tumours. Human Exper Toxicol 1994, 13: 700–715.View ArticleGoogle Scholar
- Vu VT: Use of hazard and risk information in risk management decisions: Solid particles and fibers under EPA's TSCA and EPCRA. Inhal Toxicol 1996,8(suppl):181–191.Google Scholar
- Bermudez E, Mangum JB, Asgharian B, Wong BA, Reverdy EE, Janszen DB, Hext PM, Warheit DB, Everitt JI: Long-term pulmonary responses of three laboratory rodent species to subchronic inhalation of pigmentary titanium dioxide particles. Toxicol Sci 2002, 70: 86–97. 10.1093/toxsci/70.1.86PubMedView ArticleGoogle Scholar
- Zhang DD, Hartsky MA, Warheit DB: Time course of quartz and TiO 2 particle induced pulmonary inflammation and neutrophil apoptotic responses in rats. Exp Lung Res 2002, 28: 641–670. 10.1080/01902140260426742PubMedView ArticleGoogle Scholar
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