Preparation of the test materials
Both VGCF™-H (Showa Denko K.K., Japan) and MWNT-7 (Bussan Nanotech Laboratories, Inc., Japan) were dispersed in the same method as the sub-chronic tests in [12], as described below. Both materials were dispersed in saline solution containing 0.3 % w/v Kolliphor P188 (KP188) (Sigma-Aldrich Japan Ltd., Japan) by a tabletop ultrasonic machine (M1800-J, Emerson Japan Inc., Tokyo, Japan); MWNT-7 was dispersed under deaeration (Vacuum Pump V-700, Japan Buchi Co., Ltd., Japan). The suspensions were sonicated with a probe-type ultrasonic generator (UD-201, TOMY SEIKO CO.,LTD., Japan) and then dispersed in a wet dispersion system (HJP-25001, SUGINO MACHINE LIMITED., Japan) to prepare solutions at the correct dosage. The prepared solutions were stored in the refrigerator until instillation, and both vehicle and VGCF™-H solution were redispersed for 10 min before intratracheal instillation with a tabletop ultrasonic machine (M1800-J, Emerson Japan Inc., Japan) and then mixed in a vortex mixer for several seconds. The MWNT-7 solution was deaerated and redispersed for 1 min using a vacuum pump (Vacuum Pump V-700, Japan Buchi Co., Ltd., Japan) and a tabletop ultrasonic machine, redispersed for a further 9 min without deaeration, and then the vessel was shaken and gently stirred. All dosing solutions were used within 1 h of redispersion and the solutions were gently mixed just before instillation to produce a homogeneous solution.
SEM
Test material solutions were diluted 100-fold with deionized water and filtered through a membrane filter (Whatman Nuclepore Track-Etch Membrane 111106 PC, Florham Park, USA) for observation with an electron microscope (JSM-7000F, JEOL Ltd., Japan). This membrane filter was subjected to plasma coating with osmium and observed with an electron microscope at an acceleration voltage of 5 keV.
Characterization of the test materials
The average hydrodynamic diameter of fibers in 0.4 mg/mL solution of saline containing 0.3 % w/v KP188 was measured using DLS (ELSZ-2000S, Otsuka Electronics Co., Ltd., Japan) at 25 °C. The hydrodynamic diameters obtained were the average of 8 measurements. The average hydrodynamic diameters did not change before and after passing through the microsprayer aerosolizer.
Iron contents of MWNT-7 and VGCF™-H fibers were determined by X-ray fluorescent analysis (RIGAKU RIX2100 and RIGAKU ZSX Primus II, Rigaku Corporation, Japan).
Animals and husbandry
Eight-week-old male and nine-week-old female pathogen-free F344/DuCrlCrlj rats were obtained from Charles River Laboratories Japan, Inc. (Kanagawa, Japan). The animals were housed in a barriered-system animal room under controlled conditions (temperature, 22±3 °C; humidity, 55±15 %; 12-h light-dark cycle) and were given the pellet diet CRF-1 sterilized with 30 kGy gamma irradiation (Oriental Yeast Co., Tokyo, Japan) and water ad libitum. After 14 days for male rats and 8 days for female rats, a quarantine and acclimation period was conducted after which the 10 week-old rats were randomized by body weight and assigned to groups (with 40 rats each in the untreated and the vehicle groups, and 50 in each of the VGCF™-H and MWNT-7 groups) on the day before the initial instillation. No significant differences in the average body weights were observed between the groups at the commencement of the study, as measured by the Bartlett and Tukey tests. In addition, no abnormalities were observed in the general condition of the animals during the quarantine period.
The study was approved by the Animal Experimental Committee at the DIMS Institute of Medical Science, Inc., and conducted in accordance with the “Law for the Humane Treatment and Management of Animals” (Law No. 46, May 2014), “Standards Relating to the Care and Management of Laboratory Animals and Relief of Pain” (Notice No. 84 of the Ministry of the Environment, September 2013), “Basic policies for the conduct of animal experiment in academic research institutions under the jurisdiction of the Ministry of Health, Labor, and Welfare” (Notice No. 0220-1 of the Ministry of Health, Labor and Welfare, February 2015), “Guidelines for Proper Conduct of Animal Experiments” (Science Council of Japan, June 2006), and “Standards for Care and Use of Laboratory Animals of DIMS Institute of Medical Science, Inc.” (June 1, 2016). This study was also conducted in accordance with GLP standards with reference to OECD TG451 [23].
Experimental design and treatment of intratracheal instillation
Animal handling during and after the intratracheal instillation was performed as described previously [5,24]. Briefly, rats were placed under isoflurane anesthesia using the NARCOBIT-E for small laboratory animals (Natsume Seisakusho Co., Ltd., Tokyo, Japan), and the instillation of the test material solution was performed intratracheally with a DIMS-type microsprayer aerosolizer (for rats) that was connected to a 1-mL disposable syringe (OSAKA CHEMICAL Co., Ltd., Osaka, Japan). The instillation of MWNT-7 and VGCF™-H was performed once a week for 8 weeks (8 times in total). The single doses for this study were set at 0 (control), 0.016, 0.08, and 0.4 mg/kg body weight with total doses set at 0.128, 0.64, 3.2 mg/kg body weight with reference to the 13-week subchronic toxicity study by the intratracheal instillation of VGCF™-H and MWNT-7 previously reported [12]. The volume of solution used in instillation was 2 mg/kg and was calculated for each individual animal based on the body weight at the time of instillation. The animals in the control group were instilled with vehicle solution and the nontreatment group did not undergo either isoflurane anesthesia or insertion of the microsprayer aerosolizer. Animals were then observed without further treatment until each sacrifice timepoint.
General observation, body weight, and examination of the animals
The general physical condition of all rats was checked three times on the day of intratrachial instillation; once immediately before and after instillation and once in the afternoon. All rats were observed twice per day until the end of the experimental period, except on instillation days.
All animals were individually weighted on the day of instillation and then weekly until the end of the experimental period. The body weight was also measured at the end of this study.
Collection of Pleural Lavage Fluid (PLF)
At 13-week and 104-week of the experimental period, 5 animals from each group were placed under deep isoflurane anesthesia and exsanguinated from the abdominal aorta. After blood collection, PLF was collected by a previously reported method [9].
Analysis of inflammatory cells and clinical chemistry in PLF
The residual PLF cell pellets were resuspended in 1 mL of sterilized buffered physiological saline and processed for WBC and differential leukocyte counts using an automatic multi-item blood cell analyzer (XT-2000i, Sysmex Corporation, Hyogo, Japan). The supernatants were analyzed for alkaline phosphate (ALP), lactate dehydrogenase (LDH), protein concentration (total protein), and albumin (ALB) using an automatic analyzer (Hitachi 7070, Hitachi, Ltd., Tokyo, Japan). Interleukin 8 (IL-8), a marker of neutrophil migration factor [25,26], was measured by an absorption reader (Model: Sunrise Rainbow RC, Tecan Japan Co., Ltd). The cell pellet was fixed by suspension in buffered 4 % paraformaldehyde at 4 °C overnight, then centrifuged at 1000 rpm for 10 min at 4 °C . The pellet was washed with saline and centrifuged at 1000 rpm at 4 °C for 10 min. Sodium alginate (0.5 mL of 1 %) and 20 μL of 1 M CaCl2 was added to the pellet, and the pellet was stored in 80 % ethanol prior to embedding in paraffin and processing for histopathology.
Measurement of number of MWNT-7 and VGCF™-H fibers in the lung and PLF
At weeks 13 and 104 of the experimental period, five animals that were not subjected to PLF in each of groups were exsanguinated from the abdominal aorta under deep isoflurane anesthesia. After blood collection, lung tissue, including trachea and bronchi, were weighed and then preserved in a 10 % buffered formalin solution for lung burden analysis. To measure the amount of VGCF™-H and MWNT-7 in the lung and PLF, fixed lung tissues and PLF sample were sent to the Japan Bioassay Research Center, Japan Organization of Occupational Health and Safety (Kanagawa, Japan).
Gross pathological examination and organ weight
For the carcinogenicity evaluation, rats that were not subjected to carbon fiber analysis in the lung were exsanguinated from the abdominal aorta under deep isoflurane anesthesia. All organs and tissues were weighed and then preserved in a 10 % buffered formalin solution for gross pathological examination.
Histopathological examination
For the histopathological examination, the heart, spleen, trachea, lungs (including bronchi), liver, kidney, diaphragm, peritoneum, vertical lymph nodes, and proliferative lesions were sliced into 5-mm-thick sections, embedded in paraffin, and then processed with hematoxylin and eosin (H&E) staining for histopathological examination. The terminology used in this study confirms to the INHAND Project [27] and the following documents [15,28–30].
Statistical analysis
For comparisons of the vehicle and treated groups, the homogeneity of variance was analyzed by Bartlett’s test (p<0.05). If homogeneous, the data were analyzed using the parametric Dunnett’s test (two-sided); if not homogeneous, the data were analyzed by the non-parametric Steel’s test (two-sided). For comparisons of the untreated group vs. the vehicle group and for comparisons between the two groups supplied with the same doses of VGCF™-H and MWNT-7, the means were analyzed using the F-test. If the differences in means were non-significant, a Student's t-test (two-sided) was used; however, if the differences in the means were significant in the F-test, a Welch’s t-test (two-sided) was used. For the histopathological analysis, Fisher's exact test (one-sided) was used to evaluate the frequency of occurrence, and Wilcoxon’s test (two-sided) was used to evaluate the degree. The P-values < 0.05 were considered statistically significant.