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hydrophobicity, cf. Chapter 9. Particle hydrophobicity is especially important for the adsorption and concomitant partial denaturation of the adsorbed
protein (e.g., serum albumin), which is a conditio sine qua non for the activation of phagocytic cells (Nairn et al., 1998). For the adsorption of IgG on
the other hand even adsorption onto hydrophilic, as well as onto hydrophobic
particles, can lead to phagocytic ingestion.
10.2
Polymer Adsorption
Most polymers and biopolymers readily adsorb to clay particles from aqueous
solution, see, e.g., (Theng, 1979) (general), (Parfitt and Greenland, 1970b),
for the adsorption of poly(ethylene glycol) (more usually named polyethylene
oxide) onto a Wyoming montmorillonite.
A number of authors have been interested in the adsorption of neutral polysaccharides (dextran and related polyglucosides), e.g., (Parfitt and
Greenland, 1970a; Olness and Clapp, 1973, 1975). The adsorption of neutral polysaccharides onto kaolinite as well as onto montmorillonite has been
studied (Chenu et al., 1987).
In soils and clays the most generally present biopolymers that naturally
occur in the adsorbed state on mineral and clay particles are "humic substances" , or "humic acids;" these are decomposition products of lignin, which
is the major non-cellulosic polymer in wood and other plant debris. Humic
acids (also called "allomelanins" (Merck Index, 1989)) are for the greater
part polyphenolic compounds, usually anionic polyelectrolytes, which can
complex metal ions, and are surface active and thus capable, upon adsorption onto mineral particles, to enhance their suspension stability in aqueous
media (Chheda and Grasso, 1994).
10.3
Protein Adsorption
For the interaction of clay and other mineral particles with and in biological, and especially mammalian systems, the propensity of these particles to
adsorb proteins is one of the most important factors. Hydrophobic as well
as hydrophilic clay and other mineral particles adsorb proteins from aqueous
solutions. However, the mechanisms of protein adsorption in these two cases
are entirely different.
10.3.1
10.3.2
10.3.3
The in vivo effects of protein adsorption onto solid surfaces are hard to follow,
because of the Vroman effect (Bamford et al, 1992). The Vroman effect is
the phenomenon whereby, when solid surfaces are exposed to mixtures of
blood plasma proteins, such surfaces adsorb different proteins sequentially,
so that with time, first one, then another, and then a third protein, etc.,
finds itself predominantly adsorbed
A few salient consequences of the adsorption of, inter alia, plasma proteins are outlined here, with a view to their connection with the pulmonary
pathogenesis of certain asbestos and other clay and mineral particles, discussed in the following section.
Adsorption of the three most abundant plasma proteins (albumin, fibrinogen, IgG) onto hydrophilic surfaces has no apparent effect on monocyte
activation, whereas the adsorption of the same plasma proteins onto an otherwise inert but strongly hydrophobic (e.g., silicone) surface, strongly activates
these phagocytic cells (Nairn et al., 1998).
Adsorption of the immunoglobulin, IgG, onto hydrophilic as well as onto
hydrophobic particles causes such particles, coated with (human) IgG, to be
ingested by phagocytic cells as a consequence of the fact that phagocytic
cells have surface receptors for the Fc moieties of the subclasses, IgGl and
IgG3, of IgG (Absolom et al., 1982).
Needle-shaped mineral particles such as the amphibole asbestos fibers
(crocidolite, amosite, tremolite) and the fibrous zeolite, erionite, having adsorbed IgG, but which have a low dissolution rate under intra-phagosomal
liquid conditions, are continuously, but largely unsuccessfully, attacked by
phagocytic cells, often for periods of years and even decades (van Oss et al.,
1999). This causes the fibers to become coated with a "ferruginous" layer
consisting of iron-containing proteins (e.g., ferric hemosiderin), as residues
of the iron-containing oxidases and peroxidases which are produce by phagocytic cells with a view to the oxidative destruction of ingested particles, such
as microbes (van Oss et al., 1999). Whether the thick ferruginous layers
around fibrous mineral particles, embedded in the lung or in the pleural
cavity, often during decades, are harmful or, on the contrary, whether they
lend a long-term (although in many cases not indefinite) protection against
10.4
Pulmonary Pathogenesis
10.4.1
In the normal course of events, the occasional inhalation of a few small (no dimensions much greater than a few /^m) clay or other mineral particles causes
no harm, as such particles become quickly engulfed by phagocytic cells in
the lung (mainly macrophages) and are dissolved by the phagosomes within
the phagocytes. Even when the rate of dissolution is exceedingly slow, as in,
e.g., hydrophobic talc particles, they are ultimately removed by phagocytemediated transport, ending usually in gradual elimination through the upper
respiratory system (Singer et al., 1972). The main problem with the inhalation of small particles (as defined above) arises when, e.g., workers or miners
are continuously exposed to such particles, over long periods of time. In such
cases phagocytic removal cannot keep up with the continuous re-supply and
the particle overload can then ultimately cause chronic pulmonary pathology. Silicosis is one example of such an outcome. It should be remarked
that, other factors being equal, hydrophobic particles are more dangerous
than hydrophilic particles. This is because they bind more protein, they
activate leukocytes more strongly and they dissolve more slowly intraphagosomally (van Oss et al., 1999). Now, usually silica particles are, rightly,
considered to be hydrophilic. However, when freshly ground, or when particles have otherwise been broken or have undergone diminution, silica and
most other mineral particles become hydrophobic (Wu et al., 1996). It was
found by Vallyathan et al. (1995) that the inhalation of freshly silica leads to
increased lung inflammation. Talc particles are among the most hydrophobic
ones (Giese et al., 1996) and its continuous use involving mucous surfaces and
particularly when inhaled (e.g., by babies), or used intravenously, can give
rise to severe respiratory disability (Hollinger, 1990; van Oss et al., 1999).
10.5
10.5.1
Clay and other mineral particles that are needle-shaped or fibrous, with a
long-axis length that is significantly greater than about 15 /xm will,upon inhalation, elicit engulfment by phagocytic leukocytes, which are however too
10.5.2
solubility rate). However, for long-term workers with chrysotile, who undergo
continuous exposure to the fibers, thus constantly replenishing the material
faster than their phagocytes can break it down, exposure to chrysotile remains dangerous, especially if they are smokers, which according to Selikoff
et al.(l9Q4) increases the danger 50-fold. It appears therefore much safer
(and cheaper) not to remove chrysotile asbestos from buildings, but rather
to encapsulate the material with a plastic resin, to safeguard the occupants
from even minor exposure, and the asbestos removers from further danger.
It is of course still essential to perform a prior analysis of the asbestos in
question to ensure that it consists of only chrysotile. This is because some of
the chrysotile mined, e.g., in Canada, may contain a small but non-negligible
proportion of the amphibole tremolite, which is dangerous, even after relatively brief exposure. For the lack of danger of occasional brief exposure to
chrysotile, see also Moss (1995).
The reason why needle-shaped amphibole asbestos fibers typically penetrate into the pleural cavity, whereas chrysotile fibers do not, lies in their
different morphology and pliability. Microscopic examination reveals that
amphibole asbestos fibers are indeed needle-like, rigid for their small diameter (typically only a few /mi), and straight. Chrysotile fibers on the other
hand are somewhat thinner, often longer, frequently curved, and even somewhat curly, which makes then less capable of piercing living tissue, so that
they are more prone to remain in situ, until digested.
10.5.3
A few proposed physical or chemical correlations with the pathogenicity of, e.g., amphiboles that turn out to be erroneous
b). In these studies signs of the ^-potentials of two chrysotile samples (of
unknown geographic origin) turned out to be positive, whilst the signs of
the ^-potentials of the amphiboles, crocidolite, amosite and anthophyllite
were negative. Now, positively charged mineral particles are, on the whole,
fairly rare (Giese et al., 1996). In another study (van Oss et al., 1999),
upon electrophoretic analysis of six chrysotile samples, it was found however
that three different samples (two from Quebec, one from Ontario, Canada)
were indeed positively charged, but three other chrysotile samples (two from
Arizona, one from Zimbabwe) were negatively charged. The amphiboles that
were tested (two crocidolites and one amosite sample) were also all negatively
charged. Thus the sign of charge of asbestos particles does not correlate with
the pathogenicity of the species.