52, 278 –288 (1999) Copyright © 1999 by the Society of Toxicology TOXICOLOGICAL SCIENCES Thirteen-Week Subchronic Rat Inhalation Toxicity Study with a Recovery Phase of Trivalent Chromium Compounds, Chromic Oxide, and Basic Chromium Sulfate Michael J. Derelanko,* William E. Rinehart,† ,1 Roger J. Hilaski,‡ Roger B. Thompson,‡ and Eckhard Löser§ *AlliedSignal, Inc., Morristown, New Jersey; †Industrial Health Foundation, Pittsburgh, Pennsylvania; ‡MPI Research, Mattawan, Michigan; and §Bayer AG, Wuppertal, Germany Received 22 January 1999; accepted 24 July 1999 The toxicity of trivalent chromium compounds, chromic oxide and basic chromium sulfate, was investigated in rats in a 13-week nose-only inhalation study that included a 13-week recovery period. Nose-only exposures to insoluble chromic oxide dust at 4.4, 15, or 44 mg/m 3 or soluble basic chromium sulfate dust at 17, 54, or 168 mg/ m 3 (trivalent chromium equivalent concentrations of 3, 10, and 30 mg/m 3 ) were carried out for 6 h/day, 5 days/week. No compound-related mortality occurred. General toxic effects, only observed with high-exposure levels of basic chromium sulfate, included sporadic signs of labored breathing and depressed body weights. No apparent compound-related effects were noted for sperm motility or morphology, for any concentration of either test material. Bronchoalveolar lavage fluid evaluations showed test material in mononuclear cells with chromic oxide and increased neutrophils, protein, lactic dehydrogenase and cellular debris with basic chromium sulfate. The principle effects for both materials were primarily to the respiratory tract. Chromic oxide caused pathological changes in the bronchial and mediastinal lymphatic tissue and lungs, consisting of the presence of pigmentladen macrophages, lymphoid and septal hyperplasia, and interstitial inflammation similar to that observed with other inert dusts. Basic chromium sulfate produced more severe and widespread effects in the nasal cavity, larynx, lungs, and mediastinal lymph node. Effects were characterized by accumulation of foreign material, infiltration of alveolar macrophages, septal cell hyperplasia, and granulomatous and chronic inflammation. Pigment was still present in chromic oxide and, to a lesser extent, in basic chromium sulfate-treated animals after the 13-week recovery period, with partial recovery of the pathological lesions. A NOAEL was not established for either test material, but 4.4 mg/m 3 was thought to be near the NOAEL level for subchronic exposure to chromic oxide. The results of this study indicate significant differences in toxicity to the respiratory tract between trivalent chromium compounds chromic oxide and basic chromium sulfate. These are likely related to differences in acidity and water solubility, rather than chromium concentration per se. This conclusion is substantiated by the lack of effect on other internal organs. 1 To whom correspondence should be addressed at Industrial Health Foundation, 34 Penn Circle West, Pittsburgh, PA 15206-3612. Fax: (412) 363-6605. Key Words: trivalent chromium; subchronic inhalation toxicity; chromic oxide; basic chromium sulfate; respiratory toxicity. Trivalent chromium is found in nature as the mineral chromite, which has direct uses as a refractory in industrial furnaces and for producing alloys and specific chemicals. The chemicals, in turn, find uses in metal finishing, pigment manufacture, and leather tanning. In its trivalent form, chromium is an essential nutrient for animals and humans. It plays an essential role in the metabolism of glucose, fat, and protein by potentiating the action of insulin (Anderson et al. 1981). Occupational exposures to trivalent chromium can occur from the aforementioned industries as well as to painters, dye makers, printers, rubber makers, and cement workers. Sources of trivalent chromium as a nutrient include drinking water and food. The recommended daily intake for adults for trivalent chromium is between 50 and 200 mg/kg/day (National Academy of Sciences, 1989). Data available on the toxicity of trivalent chromium compounds via the oral route suggest that these materials are much less toxic than are the hexavalent compounds, and that the toxicity varies with water solubility (Akatsuka and Fairhall, 1934; Ivankovic and Preussman, 1975; Mackenzie et al., 1958; Schroeder et al., 1965). These studies suggest that insoluble compounds are not absorbed systemically to any significant degree, as compared to soluble compounds. Investigations on the toxicological properties of chromium compounds by the inhalation route have largely centered on hexavalent chromium. Studies on trivalent chromium by the inhalation route are limited both in number and scope (Akatsuka and Fairhall, 1934; Henderson et al. 1979; Johansson et al, 1986), but suggest that the toxicity of trivalent chromium compounds is limited to the lungs, producing some biochemical and functional changes but little or no morphological alterations. Glaser et al. (1986, 1988) reported that exposure of rats for 22 h/day, 7 days/week for 18 months to a mixture of CrO 3 (a hexavalent compound) and Cr 2O 3 at 0.1 mg Cr/m 3 278 TRIVALENT CHROMIUM SUBCHRONIC TOXICITY produced interstitial fibrosis of the lungs. It is unclear to what extent, if any, this effect was related to the trivalent compound. Due to the limited animal data on repeated inhalation exposure to trivalent chromium, it was decided to investigate toxicity and dose-response relationships in animals in more detail, using 2 compounds of commercial importance, i.e., insoluble chromic oxide (Cr 2O 3) and soluble basic chromium sulfate (Cr 2 (OH) X (SO 4) y NaSO 4 2H 20). The results of these studies are presented in this paper. MATERIALS AND METHODS Test material. Chromic oxide (CAS No. 1308 –38 –9) and basic chromium sulfate (CAS No. 12336 –95–7), both dark green powders, were supplied by British Chrome Chemicals (Urlay Nook, Eaglescliffe, Cleveland, U.K.). Prior to the study, test article purity was determined to be greater than 99% Cr(III) as Cr 2O 3 and less than 0.0001% Cr(VI) (non-detectable) for chromic oxide, and 25% Cr(III) as Cr 2O 3 and less than 0.0003% Cr(VI)) (non-detectable) for basic chromium sulfate. The test articles were stored in separate, unused 1-m 3 chambers that were continuously purged with a low flow of dry compressed air. The test articles were selected as representative of insoluble and relatively soluble trivalent chromium compounds. Test animals and housing conditions. Male and female CDFt (Fischer 344)/Crl BR VAF/Plust rats, approximately 5 weeks of age, were obtained from Charles River Laboratories (Raleigh, NC). Following 3 days of group housing, animals were individually housed in stainless steel, suspended wiremesh cages and given free access to commercial laboratory feed (Purina Certified Rodent Chow No. 5002) and tap water during the non-exposure periods. Animal rooms were maintained on a 12-h light/dark cycle; temperature range was maintained at 21 6 2°C, and the relative humidity range was 43 6 11%. Inhalation exposure system. Rats were exposed in stainless steel and acrylic nose-only inhalation chambers operated with at least 12 chamber air changes per h. Generation of chromic oxide particles was accomplished with a modified low-output dust generator, using spinning glass beads over a packed cake of test material. However, basic chromium sulfate particles were generated using an auger dust feeder and an air micronizer. Chamber samples were determined once per h by standard gravimetric methods, with periodic analysis for Cr(III) and Cr(VI). Particle-size measurements were made from each exposure level using a cascade impactor once per day for the first two weeks and weekly thereafter. Experimental design. For the main study seven groups were established, each consisting of 15 rats of each sex. Animals were randomly assigned to groups based on body weight. One group served as a control. Three of the groups were exposed to 1 of 3 concentrations of chromic oxide (4.4, 15, or 44 mg/m 3) and the remaining 3 groups were exposed to 1 of 3 concentrations of basic chromium sulfate (17, 54, or 168 mg/m 3). The desired exposure levels were selected to be multiples of the threshold limit value (TLV) for trivalent chromium and set at chromium equivalents of 3, 10, and 30 mg/m 3 for each test article. Rats were 7 weeks of age at the start of the exposures. The animals were exposed for 6 h per day, 5 days per week for 65 exposures over 13 consecutive weeks. At the end of the exposures, 10 males and 10 females from each group were sacrificed. The remaining 5 males and 5 females from each group were maintained for an additional 13-week recovery period during which time they received no additional exposures. In order to evaluate bronchoalveolar lavage parameters, additional rats (5/sex/group) from those described above were exposed to the same concentrations of chromic oxide or basic chromium sulfate as the main study animals or served as controls. Exposures were limited to only 5 consecutive days, after which bonchoalveolar lavage analyses were performed on these animals and the animals were removed from the study. 279 Clinical observations. Animals were observed daily prior to and following each exposure for clinical signs of toxicity, and were observed twice daily for morbidity and mortality during the recovery period and on weekends. Individual body weights were recorded weekly during the exposure and recovery periods. All animals received an indirect ophthalmoscopic examination during the acclimation period and prior to terminal necropsy. Clinical pathology. Standard hematology, clinical biochemistry, and urinalysis determinations were conducted on animals, 10 per sex per group, designated for necropsy at the end of exposures. Animals were fasted overnight prior to blood sampling, with water available. Blood samples were obtained from the orbital sinus plexus. At necropsy, bone marrow smears were prepared and differential cell counts were evaluated. All clinical procedures were performed using automated instrumentation except bone marrow smears, which were examined microscopically. Urinalysis determinations were conducted on samples collected overnight in stainless-steel metabolism cages. Urinalysis determinations were performed by gross observation, microscopy, and automated clinical analyzer. Following urinalysis testing, aliquots of the remaining urine from 5 animals per sex from the control group, and the high-exposure level groups for both test articles were submitted for Beta 2 -microglobulin analysis. Pathology. Animals found dead or euthanized by design at study termination were necropsied. At necropsy the heart, lungs, liver, spleen, kidneys, brain, adrenal glands, thyroid/parathyroid glands, testes, and ovaries were weighed. Tissues typically harvested for subchronic studies were also removed and preserved. All tissues were placed in 10% neutral buffered formalin, except eye tissue, which was fixed in Davidson’s fixative. Microscopic evaluation was conducted on all hematoxylin and eosin-stained tissues from the control group and high-exposure-level groups of both test articles. The kidneys, livers, nasal tissues, trachea, lungs, larynx, mediastinal and mandibular lymph nodes, and gross lesions from all animals in the low- and mid-exposure level groups for both test articles were also examined. A formal peer review of the histopathologic findings was performed. Bronchoalveolar lavage evaluation. Bronchoalveolar lavage (BAL) analyses were conducted on 5 animals per sex per group exposed for 5 consecutive days with the main study animals. Rats were anesthetized by intraperitoneal injection of sodium pentobarbital. The lungs, heart, trachea, larynx, and tongue were removed en-block. Following tracheal cannulation, the airways were washed 3 successive times with warmed, physiological saline (30 ml per gram of body weight) and the resulting BALF was pooled. Nucleated cell counts were performed using a Neubauer hemocytometer, and cell differential counts were performed on Wright-Giemsa-stained smears. Chemical analyses performed spectrophotometrically included for lactate dehydrogenase (LDH), total protein, beta-glucuronidase, and glutathione reductase. LDH determination was based on the reduction of pyruvate to lactate with concurrent oxidation of NADH to NAD, measured by a decrease in absorbance. Total protein was measured by increased absorbance associated with pyrogallol red-molybdate complex with basic amino acids. Beta-glucuronidase activity was determined by enzymatic conversion to alcohol, D-glucuronate, and p-nitrophenol. Glutathione reductase activity was determined from the enzymatic reduction of oxidized glutathione and concurrent oxidation of NADPH to NADH. Sperm evaluation. At necropsy, sperm samples from the left caudal epididymis of 10 males per group were used for automated evaluation of sperm motility, count, and morphology. The concentration and morphology of the sperm were evaluated using visual methods. Two hundred intact sperm were evaluated from each animal for morphology. Intact sperm were evaluated as normal or abnormal. The number of disarticulated sperm in each field was also assessed. Statistics. Statistical analyses were performed of body weights, clinical pathology laboratory tests, BALF data, and organ weights using one-way analysis of variance. If the result was non-significant, no additional analysis was performed. If the result was significant, Bartlett’s test for homogeneity of variance was performed. If Bartlett’s test was non-significant, Dunnett’s t-test was used for pairwise comparisons. If Bartlett’s test was significant, the Welch 280 DERELANKO ET AL. toxicity observed in any other animals from this group. Clinical signs of toxicity were limited to sporadic labored breathing, noted during two of the weekly observations, in females exposed to the high concentration of basic chromium sulfate. No exposure-related effects were noted for either test article in the ophthalmologic evaluations or for sperm motility, morphology, or concentration. Body Weights FIG. 1. Mean body weights of male rats during 13 weeks of exposure to basic chromium sulfate. Body weights of the rats exposed to basic chromium sulfate at 17 mg/m 3 were not statistically different from controls at any time during the 13 weeks of exposure. Body weights of the groups exposed at 54 and 168 mg/m 3 were statistically different from controls at the first week and all subsequent weeks, with the exception of week 3 for the mid-exposure group. t-test with Bonferonni correction was used for pairwise comparisons. The Kruskal-Wallis analysis of variance, followed where appropriate by the MannWhitney U test, was used for those parameters where parametric analysis was inappropriate. The level for statistical significance was set at p # 0.05. RESULTS Chromic oxide. Male and female mean body weights during exposures to chromic oxide were not statistically different from the control group9s mean body weights in any week. Mean body weights of males exposed to the high concentration of chromic oxide were slightly lower than controls during the recovery period but weight gains for these animals were similar to controls. Basic chromium sulfate. Statistically significant, exposurerelated reduced mean body weights were observed in the males of the mid- and high-exposure groups and the females of the high-exposure group during the 13-week exposure period (Fig. 1). At the recovery sacrifice, the males from the same exposure groups continued to exhibit mean body weights that were significantly lower than the control group (Fig. 2) but body weight gains between the chromium-exposed and control groups were similar. The female mean body weights were comparable to the control group females in all treatment groups at the recovery sacrifice. Although quantitative food consumption data were not collected, no observable decreases in food consumption were noted during the study. Chamber Concentrations and Particle Sizes The mean aerosol concentrations and standard deviations over 13 weeks were 4.4 6 0.23, 15 6 1.2, and 44 6 3.7 mg/m 3 for chromic oxide and 17 6 4.3, 54 6 4.2 and 168 6 25.3 mg/m 3 for basic chromium sulfate. Mean particle size distribution data (MMAD in microns (GSD)) over 13 weeks (21 samples per test group) were 1.8 (1.93), 1.9 (1.84), and 1.9 (1.78) for chromic oxide and 4.2 (2.48), 4.2 (2.37), and 4.5 (2.50) for basic chromium sulfate for the low-, mid- and high-exposure groups, respectively. No hexavalent chromium was detected (detection limit 5 10 ng/ml). Clinical Observations/Mortality/Ophthalmology/Sperm Evaluation No compound-related mortalities occurred for either test article during the conduct of this study. Six animals died on exposure day 1 as a direct result of the restraint tubes, and they were replaced. One male from the basic chromium sulfate high-exposure (168 mg/m 3) group that died on exposure day 4 was not replaced. Although the specific cause of death was not identified, this death was not considered related to exposure to basic chromium sulfate, since there were no significant signs of FIG. 2. Mean body weights of basic chromium sulfate-exposed male rats during the 13-week recovery period (no exposures). Body weights of rats previously exposed to basic chromium sulfate at 17 mg/m 3 were not statistically different from controls. Body weights of the groups previously exposed to basic chrome sulfate at 54 and 168 mg/m 3 were statistically different from controls at all points from week 14 –26. 281 TRIVALENT CHROMIUM SUBCHRONIC TOXICITY TABLE 1 Bronchoalveolar Lavage Fluid Values for Rats following Five Days of Exposure to Basic Chromium Sulfate Nucleated cell Segmented Lymphocytes Mononuclear b-Glucuronidase Protein mg/ Lactic dehydrogenase Glutathione count per mm 3 neutrophils % % cells % mU/L dl U/L reductase U/L Males Control (n 5 5) 157 6 41.4 a 17 mg/m 3 (n 5 5) 49 6 11.3 ** 54 mg/m 3 (n 5 4) 76 6 13.7 ** 168 mg/m 3 (n 5 5) 86 6 34.9 * Females Control (n 5 5) 142 6 38.1 17 mg/m 3 (n 5 5) 46 6 11.2 ** 54 mg/m 3 (n 5 5) 51 6 14.1 ** 168 mg/m 3 (n 5 5) 64 6 26.5 ** 1 6 1.8 7 6 4.8 21 6 6.3 48 6 11.4 ** 3 6 6.2 1 6 1.1 0 3 6 3.9 0 10 6 5.0 47 6 18.8 45 6 17.6 0 1 6 0.8 2 6 1.8 3 6 3.1 96 6 7.8 92 6 4.9 79 6 6.1 48 6 13.8 ** 100 6 0.4 89 6 5.4 50 6 19.9 51 6 18.5 160 160 160 1 6 0.9 3.7 6 0.87 4.0 6 0.74 4.6 6 1.4 8.2 6 3.3 29 6 20.2 25 6 5.7 44 6 12.6 88 6 36.6 4 6 1.8 5 6 0.7 6 6 1.4 6 6 1.4 2 6 0.9 1 6 0.4 3 6 2.5 2 6 0.9 3.3 6 0.81 4.6 6 0.48 7.7 6 3.01 9.5 6 3.18 30 6 8.2 35 6 15.2 71 6 28.6 115 6 36.5 4 6 1.5 6 6 1.6 5 6 0.7 7 6 2.3 a Mean 6 standard deviation * Significantly different from control, p , 0.05. ** Significantly different from control, p , 0.01. Clinical Pathology Chromic oxide. After 13 weeks of exposure, none of the exposure groups, for either sex, exhibited a statistically significant difference from the control group for any hematological, serum biochemical, or urinalysis parameters. Beta- microglobulins were not detected in urine samples from any group. Basic chromium sulfate. Most hematology, serum biochemistry, and urinalysis values from all exposure groups were similar to the control group at the terminal sacrifice. Increased leukocytes associated with increased number of neutrophils, some statistically significant, were noted in the mid- and highexposure groups for males and females. Alkaline phosphatase was statistically elevated in high-exposure group females and serum cholesterol was statistically decreased in mid- and highexposure group females. Bronchoalveolar Lavage Evaluation Chromic oxide. None of the exposure groups demonstrated a statistically significant difference from the control group for any BAL parameter. A yellow intracytoplasmic, crystalline material was present within the mononuclear cells from all exposure groups. The relative amount of material and percentage of affected cells increased progressively with increasing exposure concentration. Small amounts of crystals were present in .90% of the cells observed from the low-exposuregroup animals and moderate to large amounts of crystalline material were noted in .99% of the cells observed in all high-exposure-group animals. The amount of crystals in the mid-exposure group was intermediate to the other 2 groups. Basic chromium sulfate. Evaluation of the BAL fluid from animals exposed to basic chromium sulfate demonstrated several compound-related effects (Table 1). Males and females at all exposure levels showed statistically reduced total nucleated cell counts. Segmented neutrophils increased while mononu- clear cells decreased, although not to a statistically significant degree, at all concentration levels. Non-statistical increases in protein and lactic dehydrogenase were also observed. Increased amounts of cell debris and lysed cells were noted at all exposure levels. Organ Weights Chromic oxide. Slight, yet statistically significant increases in mean absolute and relative lung/trachea weights occurred in high-exposure-level group males. (Table 2). Macroscopic and histologic changes were present to explain these organ weight changes. Lung weights were not affected in females. Other statistically significant increases were observed in the mean absolute and relative thyroid/parathyroid weights in the mid-exposure-group females and in the mean relative thyroid/parathyroid/body weight ratios in the high-exposuregroup females. These organ weight changes were very small and their biological importance could not be determined. At the recovery sacrifice, organ weights of all the exposure groups were comparable to the control group. Basic chromium sulfate. At the terminal sacrifice, the males and females in all treatment groups demonstrated compound-related, statistically significant increases in mean absolute and relative lung/trachea weights. These organ-weight changes corresponded to changes seen microscopically. Statistically significant changes in absolute and/or relative weights of some other organs, primarily in the high-level exposure group, were noted for brain (males), kidney (males), and thyroid/parathyroid (male and female). No microscopic tissue alterations were present to explain these organ weight changes. Other statistically significant terminal-sacrifice organ-weight changes were noted in the high-exposure-level group for liver (males), spleen (males and females), and testes. These changes were generally very small with no corresponding microscopic 282 DERELANKO ET AL. TABLE 2 Selected Organ Weight Changes at Terminal Sacrifice of Rats Exposed to Chromic Oxide Males Lung/trachea wt (g) wt/bw (% 3 10) Females Lung/trachea wt (g) wt/bw (% 3 10) Thyroid/parathyroid wt (mg) wt/bw (% 3 10 3) Control 4.4 mg/m 3 15 mg/m 3 44 mg/m 3 0.99 6 0.07 4.42 6 0.187 0.98 6 0.055 4.52 6 0.273 1.0 6 0.077 4.49 6 0.396 1.11 6 0.050 ** 4.98 6 0.228 ** 0.81 6 0.081 5.65 6 0.418 0.81 6 0.080 5.78 6 0.577 0.85 6 0.084 5.77 6 0.629 0.88 6 0.068 6.40 6 0.618 12 6 1.9 8.26 6 1.493 13 6 1.3 8.89 6 0.880 15 6 1.5 ** 10.10 6 1.147 * 14 6 2.3 10.04 6 1.346 * Note. Organ weight changes given as mean 6 SD; bw 5 body weight. Organ weights of exposed animals were not significantly different from control animals at recovery sacrifice. * p , 0.05; ** p , 0.01. pathology. Weight changes in these organs are typically observed with depressed body weights as had occurred in animals in the Auletta study (1995). At the recovery sacrifice, statistically significant increases in male and female mean absolute and relative lung weights continued for the mid- and highexposure level groups. Microscopic changes were present to explain the pulmonary weight increases. Other statistically significant organ weight changes not associated with microscopic changes included decreases in male mean absolute kidney weights and increased male mean relative brain/body weight ratios in the mid- and high-exposure level. Table 3 summarizes the organ weight changes. Gross anatomic pathology. Exposure-related macroscopic findings at the terminal and recovery sacrifices were observed in the lungs and mediastinal lymph nodes of most animals in this study. Green lung discoloration was observed in animals exposed to chromic oxide at all exposure levels. Gray lung discoloration was commonly observed in animals exposed to basic chromium sulfate at the mid- and high-exposure levels. The degree of discoloration with both materials increased with exposure level and was present both at the terminal and recovery sacrifices. Similar discoloration was observed in the mediastinal lymph nodes of animals exposed to chromic oxide (terminal and recovery sacrifices) or basic chromium sulfate (recovery sacrifice only). Mediastinal lymph-node enlargement was observed at the recovery sacrifice in animals exposed to chromic oxide (high exposure only) or basic chromium sulfate (all exposure levels). Tan focus/foci were observed in the lungs at the recovery sacrifice of a high percentage of males exposed to the high level of basic chromium sulfate. The tan focus/foci correlated well with the presence of alveolar macrophages, and mediastinal lymph node enlargement correlated well with histiocytosis described below. Additional macroscopic observations were few in number and considered incidental. Microscopic Pathology at Terminal sacrifice Chromic oxide. Randomly distributed foci or aggregates of pigmented macrophages filled with dense black pigment were observed within alveolar spaces adjacent to the junctions of terminal bronchioles and alveolar ducts and subjacent to the pleura in males and females from all chromic-oxide treatment groups. Similar black pigment was also observed at the tracheal bifurcation, in the peribronchial lymphoid tissue, and within the mediastinal lymph node. The pigment stained black with hematoxylin and eosin stain and was presumed to represent the test article. The presence of the pigment corresponded to the green discoloration seen macroscopically. Trace to mild chronic interstitial inflammation of the lung, characterized by an infiltration of inflammatory cells, was observed in alveolar septa surrounding aggregates of pigmented macrophages in some mid-exposure and high-exposure level males and females. Chronic interstitial inflammation was accompanied by septal cell hyperplasia (Type II pneumocytes) in some midand high-exposure level males. The microscopic changes were generally associated with the pigment and corresponded to the increased lung weight observed for the males in the highexposure-level group. Lymphoid hyperplasia of the node was also present in all exposure groups. No test article-related lesions were seen in the nasal cavities of animals exposed to chromic oxide at any exposure level. Figure 3 displays photomicrographs of selected respiratory tissues. Basic chromium sulfate. Chronic inflammation was observed involving the alveoli of all exposure-level groups, consisting of alveolar spaces filled with macrophages, neutrophils, lymphocytes, and cellular debris. Some foci exhibited quite intense inflammation and thickening of alveolar walls. Chronic interstitial inflammation was usually multifocally distributed and consisted of thickened alveolar septa caused by inflammatory cell infiltration and hyperplasia of alveolar septal cells 283 TRIVALENT CHROMIUM SUBCHRONIC TOXICITY TABLE 3 Selected Organ Weight Changes at Terminal and Recovery Sacrifices of Rats Exposed to Basic Chromium Sulfate Males Lung/trachea wt (g) wt/bw (% 3 10) Brain wt (g) wt/bw (% 3 10) Kidney wt (g) wt/bw (% 3 10) Liver wt (g) wt/bw (% 3 10) Thyroid/parathyroid wt (mg) wt/bw (% 3 10 3) Spleen wt/(g) wt/bw (% 3 10) Testes wt/(g) wt/bw (% 3 10) Females Lung/trachea wt (g) wt/bw (% 3 10) Thyroid/parathyroid wt (mg) wt/bw (% 3 10 3) Spleen wt (g) wt/bw (% 3 10) Control 17 mg/m 3 54 mg/m 3 168 mg/m 3 0.99 6 0.70 (1.32 6 0.113) 4.42 6 0.187 (3.89 6 0.214) 1.26 6 0.071 ** (1.52 6 0.132) 5.60 6 0.271 ** (4.66 6 0.373 **) 1.51 6 0.088 ** (1.95 6 0.068 **) 7.15 6 0.252** (6.37 6 0.298 **) 1.86 6 0.89 ** (2.67 6 0.144 **) 10.69 6 0.688 ** (8.77 6 .274 **) 1.79 6 0.087 8.02 6 0.380 1.82 6 0.055 8.12 6 0.374 1.76 6 0.061 8.38 6 0.473 1.71 6 0.069 * 9.83 6 0.518 ** 1.54 6 0.106 7.62 6 0.300 1.35 6 0.049 ** 7.28 6 0.207 1.62 6 0.085 7.30 6 0.283 1.64 6 0.082 7.78 6 0.350 ** 5.48 6 0.367 2.45 6 0.070 5.63 6 0.271 2.50 6 0.050 5.17 6 0.459 2.45 6 0.091 4.39 6 0.146 ** 2.53 6 0.120 14 6 2.5 6.21 6 1.052 15 6 2.9 6.64 6 1.475 14 6 1.8 6.74 6 1.021 15 6 3.5 8.76 6 2.074 * 0.45 6 0.038 1.99 6 0.149 0.48 6 0.036 1.91 6 0.132 0.40 6 0.040 * 1.89 6 0.125 0.32 6 0.035 ** 1.84 6 0.151 2.36 6 0.356 10.54 6 1.315 2.39 6 0.261 10.65 6 1.098 2.22 6 0.286 10.52 6 1.049 0.81 6 0.081 (0.93 6 0.079) 5.65 6 0.418) (4.74 6 0.384) 0.98 6 0.094 ** (1.08 6 0.120) 6.99 6 0.619 ** (5.75 6 0.315*) 1.29 6 0.164 ** (1.59 6 0.120 **) 9.24 6 1.036 ** (8.02 6 0.750 **) 2.18 6 0.215 12.53 6 1.238 ** 1.66 6 0.084 ** (2.45 6 0.120 **) 12.89 6 1.134 ** (13.34 6 0.614 **) 12 6 1.9 8.26 6 1.493 11 6 1.3 7.96 6 1.154 12 6 1.8 8.63 6 1.265 14 6 2.1 * 10.77 6 1.522 ** 0.33 6 0.037 2.32 6 0.268 0.31 6 0.033 2.19 6 0.212 0.30 6 0.033 2.17 6 0.162 0.28 6 0.033 ** 2.19 6 0.273 Note. Organ weight changes, values given as mean 6 SD; bw 5 body weight. Non-bracketed values 5 terminal sacrifice, bracketed values 5 recovery sacrifice. * p , 0.05; ** p , 0.01. (type II pneumocytes). Multifocal areas of granulomatous inflammation, characterized by infiltration of macrophages and multinucleated giant cells, was observed at all exposure levels and was closely associated with foreign material seen in the lung and presumed to be the test article. Trace to severe, multifocal to diffuse pulmonary infiltration of alveolar macrophages with foamy or granular appearing acidophilic cytoplasm was observed in the alveolar lumens and correlated with the gray discoloration of the lungs that was observed at necropsy. These changes corresponded to the increased lung weights observed in all the exposure groups. Green refractile foreign material was present in the lamina propria and submucosa of the larynx of animals in all treatment groups and was associ- ated with an infiltration of macrophages and multinucleated giant cells (granulomatous inflammation). Histiocytosis consisting of macrophages or histiocytes with abundant foamy cytoplasm and lymphoid hyperplasia observed in the peribronchial lymphoid tissue and mediastinal lymph node correlated with lymph node enlargement observed at necropsy. Changes in nasal tissues considered to be test article-related, were observed in males and females, and included acute inflammation, suppurative exudate, and mucoid exudate. One or more of these changes were seen in all 4 examined levels of the nasal cavity but were slightly more prevalent in the mid-posterior portion. All other microscopic findings were incidental and/or spontaneous and considered unrelated to the test article. Figure 4 displays photomicrographs of selected respiratory tissues. 284 DERELANKO ET AL. FIG. 3. Photomicrographs (5103) of selected respiratory tissues from male rats exposed to chromic oxide for 13 weeks at 44 mg/m 3 : (a) particle-laden macrophages on peribronchial alveoli, (b) accumulation of black pigment in the mediastinal lymph node, and (c) particle-laden macrophages in alveolar spaces with early septal cell hyperplasia. Recovery Sacrifice Chromic oxide. In the lung, trace to mild pigmented macrophages and black pigment in the peribronchial lymphoid tissue persisted in all treatment groups, males and females, at approximately equal incidence and severity, as seen in the terminal-sacrifice animals. Trace to mild septal cell hyperplasia and trace to mild chronic interstitial inflammation persisted in males of all treatment groups and females in the mid- and FIG. 4. Photomicrographs (5103) of selected respiratory tissues from male rats exposed to basic chromium sulfate for 13 weeks at 168 mg/m 3 : (a) granulomatous inflammation and foreign material in the lamina propria of the larynx, (b) granular macrophages in alveolar spaces with septal cell hyperplasia, and (3) histiocytes (macrophages) with granular cytoplasm in the mediastinal lymph node. TRIVALENT CHROMIUM SUBCHRONIC TOXICITY high-exposure-level groups. These lesions were the same or slightly increased in severity as compared to the terminalsacrifice groups. Trace to mild black pigment also persisted in mediastinal lymph nodes in all exposure groups, with an apparent increase in incidence in some males in the two lowestexposure groups as compared to the terminal-sacrifice group, suggesting pulmonary clearance via the lymphatic system. Most of the pathologic changes observed at the recovery sacrifice were of minimal severity. Basic chromium sulfate. Foreign material persisted in the lungs of some animals in all exposure groups, but with decreased incidence in most groups. Trace to moderate chronic inflammation of the alveoli, trace to moderate chronic interstitial inflammation, septal cell hyperplasia, and alveolar macrophages were approximately equal in incidence and severity at the mid- and high-exposure levels as compared to the terminalsacrifice animals, with severity slightly reduced at the lowexposure level. Peribronchial histiocytosis continued to be observed only in males and females of the mid- and highexposure groups. The incidence and severity in the mid-exposure group was approximately equal to the terminal sacrifice animals while the incidence in the high-exposure group increased in both males and females, suggesting clearing of the basic chromium sulfate via the reticuloendothelial system. Granulomatous inflammation of the lung decreased in incidence except in the males and females of the high-exposure group where the incidence was approximately equal to that of the terminal sacrifice animals of this group. In the larynx, foreign material and granulomatous inflammation was either not detected at the low-exposure (both sexes) or mid-exposure (males) or markedly decreased in incidence and severity in mid-exposure females and high-exposure groups (both sexes) as compared to the terminal-sacrifice animals. The incidence and severity of histiocytosis and lymphoid hyperplasia of the mediastinal lymph node generally remained at similar levels in both males and females of all treated groups in the terminal and recovery sacrifices. Nasal cavity findings were not detected except for trace suppurative exudate seen in the most anterior section in one or two animals from each treatment group. All other microscopic findings were incidental and/or spontaneous and considered unrelated to the test article. DISCUSSION The results of this study demonstrate that there are significant differences in the toxicity of trivalent chromium compounds, chromic oxide and basic chromium sulfate, to the respiratory tract following a 3-month subchronic inhalation exposure in rats. While for both materials the principle effects observed after 90 days of exposure were primarily noted in the respiratory tract, the type and location of effects observed were different between the two trivalent chromium compounds despite the animals being exposed to equivalent concentrations of trivalent chromium of 3, 10, or 30 mg/m 3. 285 Rats exposed to the insoluble chromic oxide developed changes in the bronchial and mediastinal lymphatic tissue and lung. The changes appeared to be directly associated with the presence of pigment, observed both macroscopically and microscopically, in the affected tissues. They are believed to have been a non-specific response to the physical presence of deposits of test material and not a direct toxic effect of the chromic oxide. Similar effects have been reported to occur with other inert, respirable particles of low toxicity. (Lee et al., 1986, 1989; Muhle et al., 1991; Warheit et al., 1997). The trachea and nasal cavities were generally unaffected following exposure to chromic oxide. The effects on the respiratory tract following 13 weeks of exposure to basic chromium sulfate were of a more severe nature and more widespread (including the nasal cavity and larynx in addition to the lungs and mediastinal lymph node) than observed for chromic oxide. Some of these effects could have been related to the acidity of the basic chrome sulfate, which readily forms acidic solutions (pH ' 2.8), presumably with the sulfate group. Waters and Gardner (1975) have previously demonstrated the effect of chromic chloride on rabbit macrophages exposed in vitro for 20 h to concentrations of 1–500 mg Cr/mL. The net number of viable cells was reduced to 50% of control at concentrations of about 200 –250 mg Cr/mL and the specific activity of acid phosphatase, a lysosomal enzyme, was proportionately decreased at similar concentrations. Important to their study was the effect of pH of the culture medium. Using hydrochloric acid as a positive control, no alterations were noted unless the pH was less than 6.03 versus the control value of 7.2. At lesser pH values, the effects from hydrochloric acid alone on macrophages were not significantly different from those produced by chromic chloride at the same pH level suggesting the effect was due to acid rather than chromium ion, per se. The more widespread distribution of lesions observed with basic chromium sulfate than seen with chromic oxide may have been due to the increased water solubility of basic chromium sulfate. Deposition in the respiratory tract is dependent on water solubility with the more water-soluble materials depositing higher in the respiratory tract (Newman, 1992). This may account for the concentrationrelated severity of effects seen in the nasal cavity and larynx with basic chromium sulfate. The difference in tissue reactions between chromic oxide and basic chromium sulfate are quite apparent when one considers the BALF results. Despite the presence of crystalline material within the mononuclear cells, no changes in BALF parameters were noted following exposure to chromic oxide. In contrast, basic chromium sulfate showed several treatmentrelated effects in BALF parameters. The National Toxicology Program (1996a,b) has shown similar differences for nickel sulfate (soluble) and nickel oxide (insoluble) in 13-week exposures of rats and mice. Whereas inflammatory lung lesions were noted in all exposed groups of nickel sulfate as low as 0.12 mg compound/m 3 or 0.03 mg 286 DERELANKO ET AL. Ni/m 3, similar inflammatory effects were not noted with nickel oxide at concentrations below 2.5 mg compound/m 3, although accumulation of black granular pigment was noted in macrophages. A significant amount of pigment was still present in the respiratory tract of chromic oxide-exposed animals after the 13-week recovery period along with the earlier observed pathological effects. Increased pigment in the lymphatic tissue suggests pulmonary clearance of the chromic oxide via the lymphatic system was occurring, albeit rather slowly. With basic chromium sulfate, foreign material was absent or decreased after the recovery period in the lungs, primarily at the low- and mid-exposure levels, and was no longer found in the larynx of low-exposure-level rats and mid-exposure level males. This suggests that basic chromium sulfate is most likely more rapidly cleared from the respiratory tract than chromic oxide, due to its increased water solubility. In a study of the distribution of trivalent chromium in guinea pigs after intratracheal instillation of chromium trichloride, 30% of the administered dose was still present in the lungs 30 days after instillation and 12% after 60 days (Baetjer et al, 1959). Qualitatively, this appears similar to what we observed with basic chromium sulfate, which, like chromium trichloride, is relatively soluble. The much slower clearance of chromic oxide from the lungs may have been due to its insolubility resulting in decreased systemic absorption and/or reduced clearance from the lung by normal clearance mechanisms. Many of the exposure-related changes observed with basic chromium sulfate continued after the 13-week recovery period, with approximately the same incidence and severity as observed immediately after the exposure period. However, granulomatous inflammation in the lungs was decreased or resolved in low- and mid-exposure-level rats and nasal cavity effects were resolved in all animals except for trace suppurative exudate randomly seen in a few rats. These findings suggest that some of the effects of basic chromium sulfate are reversible but the length of the recovery period was not sufficient to determine if complete recovery would be likely to occur with time. It is of interest that other than the localized effects on the respiratory tract, no evidence of systemic toxicity was observed with exposure to chromic oxide. Evidence of systemic toxicity observed with basic chromium sulfate was primarily limited to reductions in body weight not related to reduced food consumption during the 13 weeks of exposure. While there are no animal inhalation studies of similar exposure length available in the literature for comparison, the results of the current study tends to be in agreement with epidemiological studies of Korallus (1974a,b). This study reported no changes in hematology parameters or stomach or liver disorders in workers employed in two factories that produced trivalent chromium oxide or chromium sulfate. Foa et al. (1988) reported the absence of kidney effects in a population exposed to chromic oxide. Moreover, systemic effects have not been generally observed with oral administration of trivalent chromium compounds in several long-term drinking water and food studies in rats (Ivankovic and Preussmann, 1975; MacKenzie et al., 1958; Schroeder, 1965). In the Ivankovic and Preussmann study, no evidence of cardiotoxicity, hepatotoxicity, gastrointestinal toxicity or renal toxicity was found in rats given 1806 mg/kg trivalent chromium as chromium oxide 5 days per week for 90 days or 2 years. In addition, there is no evidence of systemic toxic effects from oral intake of trivalent chromium compounds in mineral supplements. It is of interest that females exposed to the mid- and high levels of basic chromium sulfate in our study showed a significant decrease in cholesterol after 13 weeks of exposure. In addition, chromium supplements have been reported to reduce cholesterol levels (Evans, 1989; Offenbacher and Pi-Sunyer, 1980). The absence of effects on sperm motility, morphology, and concentration in the current study lend support to the findings of Ivankovic and Preussman (1975), who saw no reproductive effects to male rats administered 1806 mg of trivalent chromium/kg/day as chromium oxide, 5 days/week for 60 days before breeding. Two studies have reported degeneration of seminiferous tubules and reduced sperm counts: one on trivalent chromium in a 7-week mouse-diet study of chromium sulfate (Zahid et al., 1990), and the other following intraperitoneal injection of chromium nitrate to rabbits for 6 weeks (Behari, 1978). Both have been criticized: the Zahid study on technical merit (Finley et al., 1993) and the Behari study because the ip route is not toxicokinetically relevant to routes of chromium exposure typically encountered. The lack of systemic toxicity, particularly with the soluble basic chromium sulfate, may be due to an inability of absorbed trivalent chromium to penetrate cell membranes (ATSDR, 1993). In addition, oral absorption of trivalent chromium compounds is known to be poor both in animals (Akatsuka and Fairhall, 1934) and humans (Anderson et al., 1993). Even when administered as chromium piccolinate to enhance absorption for dietary supplementation, trivalent chromium absorption has been estimated at only approximately 3% (Gargas et al., 1994). The identification of chromium in urine and serum of humans occupationally exposed to soluble trivalent compounds in air indicates that chromium can be absorbed from the lungs (ATSDR, 1993). However, absorption by the blood stream and mucociliary clearance is only 5–30% for trivalent chromium compounds following intratracheal injection (ATSDR [Agency for Toxic Substances and Disease Registry], 1993). Because of the microscopic effects observed in the respiratory tracts of some animals exposed to the low level of chromic oxide, a NOAEL was not established in this study. However, the low incidence and minimal severity of the pathological effects in the low-level animals suggests that 4.4 mg/m 3 is very near a NOAEL for subchronic exposure to chromic oxide. A NOAEL was not established for basic chromium sulfate in this study based on the pathological findings in the respiratory tract. The low level of chromic oxide and basic chromium sulfate TRIVALENT CHROMIUM SUBCHRONIC TOXICITY corresponds to 3 mg/m 3 of trivalent chromium. The current TLV is 0.5 mg/m 3 for trivalent chromium (ACGIH, 1996). Korallus et al. (1974b) found no increase in the prevalence of respiratory illness in a study of 128 workers from 2 factories producing chromic oxide or chromium sulfate. The same result was found in 106 workers at a factory that produced these compounds under workroom levels less than or equal to 1.99 mg trivalent chromium/m 3 (Korallus et al. 1974a). This suggests that trivalent chromium compounds may be more toxic to the rodent respiratory tract than to that of humans. In conclusion, the results of this study indicate that there are significant differences in toxicity to the respiratory tract between chromic oxide and basic chromium sulfate. These differences appear to be most likely related to the physical properties of the compounds, such as acidity and water-solubility, which affected deposition, tissue reactions and clearance. The acidic, water-soluble basic chromium sulfate cleared more quickly but produced more severe and widespread tissue reactions, while the insoluble chromic oxide was less reactive but cleared more slowly. This indicates that the toxicity of trivalent chromium compounds cannot be predicted based simply on the presence of trivalent chromium. Physical-chemical properties such as solubility and pH must be considered. Different TLVs have been established to account for differences in the toxicity of soluble versus insoluble hexavalent chromium compounds (ACGIH), as reviewed by Katz and Salem (1993). An oral reference dose (RfD) has been established specifically for insoluble chromium (Finley et al. 1996). In this regard, our study suggests that solubility of trivalent chromium compounds should also be considered in establishing permissible exposure levels for inhalation of trivalent chromium compounds. ACKNOWLEDGMENTS This study was supported by the Industrial Health Foundation Chromium Chemicals Health and Environmental Committee. The Authors wish to acknowledge the following individuals for their contributions to this study: C. Ulrich, B. Culp, E. Freytag, Dr. G. Walter of MPI Research for the technical conduct of the study; Dr. J. Hardisty of Experimental Pathology Labs for pathology consultation; and Mrs. R. Brown and R. Levy for help in preparing the manuscript. REFERENCES ACGIH. (1996). Threshold Limit Values and Biological Exposure Indices. American Conference of Governmental Industrial Hygienists, Cincinnati, Ohio. Akatsuka, K., and Fairhall, L. T. (1934). The toxicology of chromium. J. Ind. Hyg. 16, 1–24. Anderson, R. A. (1981). Nutritional role of chromium. Sci. Total Environ. 17, 13–29. Anderson, R. A., Colton, T., Doull, J., Marks, J. G., Smith, R. G., Bruce, G. M., Finley, B. L., and Paustenbach, D. J. (1993). Designing a biological monitoring program to assess community exposure to chromium: Conclusions of an expert panel. J. Toxicol. Environ. Health 40, 555–583. ATSDR. (1993). Toxicological Profile for Chromium. U.S. Department of Health and Human Services, publication no. PB93–182434. 287 Auletta, C. S., (1995). Acute, subchronic, and chronic toxicology. In CRC Handbook of Toxicology (M. J. Derelanko and M. A. Hollinger, Eds.), pp51–104. CRC Press, Boca Raton. Baetjer, A. M., Dmaron, C., and Budacz, V. (1959). The distribution and retention of chromium in men and animals. Arch. Ind. Health 20, 136 –150. Behari, J., Chandra, S. V., and Tandon, S. K. (1978). Comparative toxicity of trivalent and hexavalent chromium to rabbits. III. Biochemical and histological changes in testicular tissue. Acta. Biol. Med. Ger. 37, 463– 468. Evans, G. W. (1989). The effect of chromium picolinate on insulin-controlled parameters in humans. Int J. Biosocial Med. Res. 11, 163–180. Finley, B. L., Johnson, E. M., and Holsen, J. F. (1993 ). Comments on comparative effects of trivalent and hexavalent chromium on spermatogenesis of the mouse. Toxicol. Environ. Chem. 39,133–137. Finley, B. L., Scott, P. K., Norton, R. L., Gargas, M. L., and Paustenbach,D. J. (1996). Urinary chromium concentrations in humans following ingestion of safe doses of hexavalent and trivalent chromium: Implications for biomonitoring. J. Toxicol. Environ. Health 48, 479 – 499. Foa, V., Riboldi, L., Patroni, M., Zocchetti, C., Sbrana, C., and Mutti, A. (1988). Effects derived from long-term chromium exposure in ferro-alloy metallurgy: Study of absorption and renal function in workers. Sci. Total Environ. 71, 389 – 400. Glaser, U. D., Hochrainer, D., Kloppel, H., and Oldiges, H. (1986). Carcinogenicity of sodium dichromate and chromium (VI/III) oxide aerosols inhaled by male Wistar rats. Toxicology 42, 219 –232. Glaser, U. D., Hochrainer, D., and Oldiges, H. (1988). Investigations of the lung carcinogenic potentials of sodium dichromate and Cr VI/III oxide aerosols in Wistar rats. Environ. Hyg. 1, 111–116. Gargas, M. L., Norton, R. L., Paustenbach, D. J., and Finley, B. L. (1994). Urinary excretion of chromium by humans following ingestion of chromium picolinate. Drug Metab. Dispos. 22, 522–529. Henderson, R. F., Rebar, A. H., Pickrell, J. A, and Newton, G. J. (1979). Early damage indicators in the lung: III. Biochemical and cytological response of the lung to inhaled metal salts. Toxicol. Appl. Pharmacol. 50, 123–136. Ivankovic S., and Preussmann, R. (1975). Absence of toxic and carcinogenic effects after administration of high doses of chromic oxide pigment in subacute and long-term feeding experiments in rats. Food Cosmet. Toxicol. 13, 347–351. Johansson, A., Robertson, B., Curstedt, T., and Camner, P. (1986). Rabbit lung after inhalation of hexa- and trivalent chromium. Environ. Res. 41, 110 –119. Katz, A. S., and Salem, H. (1993). The toxicology of chromium with respect to its chemical speciation: A review. J. Appl. Toxicol. 13, 217–224. Korallus, U., Ehrlicher,H., Wustefeld, E. (1974a). Trivalent chromium compounds. Results of a study in occupational medicine. Arb. Soz. Prev. 9, 51–54 (German). Cited in: ATSDR. (1993) Toxicological Profile for Chromium. U.S Department of Health and Human Services, publication no. PB93–182434. Korallus, U., Ehrlicher, H., Wustefeld, E. (1974b). Trivalent chromium compounds. Results of a study in occupational medicine: II. Disease status analysis. Arb. Soz. Prev. 9, 76 –79 (German). Cited in: ATSDR (1993). Toxicological Profile for Chromium. U.S. Department of Health and Human Services, publication no. PB93–182434. Lee, K. P., Henry, N. W., III., Trochimowicz, H. J., and Reinhardt, C. F. (1986). Pulmonary response to impaired lung clearance in rats following excessiveTiO 2 dust deposition. Environ. Res. 41, 144 –167. Lee, K. P., Ulrich, C. E., Geil, R. G., and Trochimowicz, H. J. (1989). Inhalation toxicity of chromium dioxide dust to rats after two years exposure. Sci. Total Environ. 86, 83–108. MacKenzie, R. D., Byerrum, R. U., Decker, C. F., Hoppert, C. A., and Langham., R. F. (1958). Chronic toxicity studies: II. Hexavalent and trivalent chromium administered in drinking water to rats. Am. Med. Assoc. Arch. Ind. Health 18, 232–234. 288 DERELANKO ET AL. Muhle, H., Bellmann, B., Creutzenberg, O., Dasenbrock, C., Ernst, H., Kilpper, R., MacKenzie, J. C., Morrow, P., Mohr, U., Takenaka, S., and Mermelstein, R. (1991). Pulmonary response to toner upon chronic inhalation exposure in rats. Fundam. Appl. Toxicol. 17, 280 –299. National Academy of Sciences (1989). Recommended Dietary Allowances, 10th ed. National Academy Press, Washington, DC. National Toxicology Program (1996a). Toxicology and Carcinogenesis Studies of Nickel Oxide in F344/N Rats and B6C3F1 Mice (Inhalation Studies). NTP Technical Report No.451, NIH Publication 96 –3367. U.S. Department of Health and Human Services (NIEHS), Research Triangle Park, NC. National Toxicology Program (1996b). Toxicology and Carcinogenesis Studies of Nickel Sulfate Hexahydrate in F344/N Rats and B6C3F1 Mice (Inhalation Studies). NTP Technical Report No. 454, NIH Publication 96 –3370. U.S. Department of Health and Human Services (NIEHS), Research Triangle Park, NC. Newman, L. S. (1992). Pulmonary toxicology. In Hazardous Materials Toxicology, Clinical Principles of Environmental Health (J. B. Sullivan, Jr. and G. R. Krieger, Eds.), pp. 124 –144. Williams and Wilkins, Baltimore. Offenbacher, E. G., and Pi-Sunyer, X. (1980). Beneficial effect of chromiumrich yeast on glucose tolerance and blood lipids in elderly subjects. Diabetes 29, 919 –925. Schroeder, H. A., Balassa, J. J., and Vinton, H. H. (1965). Chromium, cadmium, and lead in rats: Effects on life span, tumors, and tissue levels. J. Nutr. 86, 51– 66. Also cited in Katz, A. S., and Salem, H. (1993). The toxicology of chromium with respect to its chemical speciation: A review. J. Appl. Toxicol. 13, 217–224. Warheit, D. B., Hansen, J. F., Yuen, I. S., Kelly, D. P., Snajdr, S. I., and Hartsky, M. A. (1997). Inhalation of high concentrations of low toxicity dusts in rats results in impaired pulmonary clearance mechanisms and persistent inflammation. Toxicol. Appl. Pharmacol. 145, 10 –22. Waters, M. D., and Gardner, D. E. (1975) Metal toxicity for rabbit alveolar macrophages in vitro. Environ. Res. 9, 32– 47. Zahid, Z. R., al Hakkak, Z. S., Kadhim, A. H. H., Elias, E. A., and al Jumaily, I. S. (1990). Comparative effects of trivalent and hexavalent chromium on spermatogenesis of the mouse. Toxicol. Environ. Health 25, 131–136.
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