Decreased Human Respiratory Absorption Factors of Aromatic...

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Environmental Science & Technology Letters is published by the American ChemicalSociety. 1155 Sixteenth Street N.W., Washington, DC 20036Published by American Chemical Society. Copyright © American Chemical Society.However, no copyright claim is made to original U.S. Government works, or worksproduced by employees of any Commonwealth realm Crown government in the courseof their duties.

Letter

Decreased Human Respiratory Absorption Factors of Aromatic Hydrocarbonsat Lower Exposure Levels: The Dual Effect in Reducing Ambient Air Toxics

Zhonghui Huang, Yanli Zhang, Qiong Yan, Zhaoyi Wang, Zhou Zhang, and Xinming WangEnviron. Sci. Technol. Lett., Just Accepted Manuscript • DOI: 10.1021/acs.estlett.7b00443 • Publication Date (Web): 23 Oct 2017

Downloaded from http://pubs.acs.org on October 24, 2017

Just Accepted

“Just Accepted” manuscripts have been peer-reviewed and accepted for publication. They are postedonline prior to technical editing, formatting for publication and author proofing. The American ChemicalSociety provides “Just Accepted” as a free service to the research community to expedite thedissemination of scientific material as soon as possible after acceptance. “Just Accepted” manuscriptsappear in full in PDF format accompanied by an HTML abstract. “Just Accepted” manuscripts have beenfully peer reviewed, but should not be considered the official version of record. They are accessible to allreaders and citable by the Digital Object Identifier (DOI®). “Just Accepted” is an optional service offeredto authors. Therefore, the “Just Accepted” Web site may not include all articles that will be publishedin the journal. After a manuscript is technically edited and formatted, it will be removed from the “JustAccepted” Web site and published as an ASAP article. Note that technical editing may introduce minorchanges to the manuscript text and/or graphics which could affect content, and all legal disclaimersand ethical guidelines that apply to the journal pertain. ACS cannot be held responsible for errorsor consequences arising from the use of information contained in these “Just Accepted” manuscripts.

1

Decreased Human Respiratory Absorption Factors of Aromatic Hydrocarbons 1

at Lower Exposure Levels: The Dual Effect in Reducing Ambient Air Toxics 2

Zhong-Hui Huang,†,‡

Yan-Li Zhang,†,§

Qiong Yan,‖

Zhao-Yi Wang,†,‡

Zhou 3 Zhang,

† and Xin-Ming Wang*,†,§

4

†State Key Laboratory of Organic Geochemistry and Guangdong Key Laboratory of 5

Environmental Protection and Resources Utilization, Guangzhou Institute of Geochemistry, 6 Chinese Academy of Sciences, Guangzhou 510640, China 7

‡University of Chinese Academy of Sciences, Beijing 100049, China 8

§Center for Excellence in Urban Atmospheric Environment, Institute of Urban Environment, 9

Chinese Academy of Sciences, Xiamen 361021, China 10

ǁDepartment of Respiratory Diseases, Guangzhou No.12 People’s Hospital, Guangzhou 11 510620, China 12

13

14

15 16

17

18

19

20

*Corresponding author: 21

Dr. Xinming Wang 22

State Key Laboratory of Organic Geochemistry 23

Guangzhou Institute of Geochemistry, Chinese Academy of Sciences 24

Guangzhou 510640, China 25

Tel.: +86-20-85290180; fax: +86-20-85290706. 26

E-mail: [email protected] 27

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ABSTRACT 28

Respiratory absorption factors (AFs) are important parameters for assessing human health 29

risks of long-term inhalation exposure to low-level hazardous air pollutants. However, it is 30

uncertain whether previously measured respiratory AFs for high-level exposures could be 31

directly applied. Here we measured real-time respiratory AFs using proton transfer reaction 32

time-of-flight mass spectrometry (PTR-TOF-MS) for 50 fifty subjects (aged 20-30; 24 33

females and 26 males) exposed in a normal office room with aromatic hydrocarbons (AHs) at 34

concentration levels of several part per billion by volume (ppbv). The mean respiratory AFs 35

of benzene, toluene, and C8-aromatics (ethylbenzene and xylenes) from all subjects were 36

28.2%, 63.3%, and 66.6%, respectively. No gender difference in the respiratory AFs of AHs 37

was observed. Correlation analysis revealed that exposure concentration, rather than 38

physiological parameters like body mass index (BMI) or body fat ratio (BFR), was the 39

dominant factor influencing the AFs of AHs. The results also demonstrated that respiratory 40

AFs decreased in a logarithmic way when lowering exposure levels of AHs. The decreased 41

respiratory AFs at lowered exposure levels suggest the dual effect of reducing ambient air 42

toxics like AHs on lowing human inhalation intake. 43

44

Keywords: Inhalation exposure; respiratory absorption factors; volatile organic compounds 45

(VOCs); hazardous air pollutants; PTR-TOF-MS 46

47

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� INTRODUCTION 55

There has been an increasing attention about volatile organic compounds (VOCs) in ambient 56

air, not only for their roles in forming tropospheric ozone and secondary organic aerosols 57

(SOA),1-4 but also for their potential carcinogenic and non-carcinogenic health effects on the 58

human population. Exposure to hazardous VOCs might be associated with respiratory, 59

cardiovascular, and neurological diseases including asthma, chronic obstructive pulmonary 60

disease (COPD), and leukemia.5-12 The inhalation intake of toxic VOCs, however, depends 61

not merely on the ambient levels of VOCs. Respiratory absorption factors (AFs), which 62

denote the percentages of inhaled toxicants retained authentically inside the human body, are 63

considered to be indispensable parameters in assessing daily intakes and health risks due to 64

exposure to toxic VOCs.13-18 65

The air we breathe contains a diverse range of low-level VOCs that can be taken up by the 66

body, and health endpoints related to long-term low-level exposure of air toxics is a 67

challenging issue in environmental health. Yet very little is known about the respiratory AFs 68

of low-level VOCs in indoor or outdoor environments. Results from the Total Exposure 69

Assessment Methodology (TEAM) studies conducted in the 1980’s indicated that higher 70

fractions of inhaled benzene concentrations are absorbed at very low doses.19, 20 Based on a 71

wide range of earlier studies concerning respiratory AFs of VOCs in very high levels (tens of 72

ppmv or even higher),21 AFs were assumed to be 90%,14-17, 22-25 100%18, 26-38 or most recently 73

to be 50-60%39, 40 when assessing health risks of inhalation exposure to toxic VOCs. It is 74

questionable whether these AFs can be applied to low-level exposure situations. Moreover, 75

AFs are regarded as constant to simplify the inputs in pharmacokinetic models studying the 76

fate of exogenous VOCs within the human body.41-44 In essence, these AFs are more likely to 77

be variable as they are affected by a multitude of factors including exposure concentrations, 78

physicochemical behaviors of VOCs and individual human physiological conditions.45 Hence 79

it is necessary to determine respiratory AFs of toxic VOCs particularly in the low-level 80

exposure environments. 81

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The most common aromatic hydrocarbons (AHs), namely benzene, toluene, ethylbenzene, 82

and xylenes (BTEX), were chosen as typical toxic VOCs in the present study. BTEX are a 83

major class of hazardous air pollutants: benzene is a well-known carcinogen causing leukemia, 84

and TEX may deteriorate developmental, nervous, and heart and blood vessel systems.13, 46 85

Additionally, BTEX are ubiquitous in both indoor and outdoor environments, particularly in 86

developing countries.47-53 Even at background sites in China ambient benzene levels might 87

exceed the limit set by European Union (EU).54 In this study, fifty volunteers were asked to 88

stay in a normal office room, and by using a homemade online breath sampling device 89

coupled to a proton transfer reaction time-of-flight mass spectrometry (PTR-TOF-MS), 90

real-time respiratory AFs were measured for all subjects exposed to indoor AHs at several 91

part per billion by volume (ppbv). The purposes of this study are: 1) to check if there is a 92

gender difference in the respiratory AFs of AHs; 2) to explore the relationship between AFs 93

and exposure levels under low-level exposure situations; and 3) to investigate if physiological 94

factors, such as body mass index (BMI) and body fat rate (BFR), influence the respiratory 95

AFs. 96

� MATERIALS AND METHODS 97

Subjects. First phase test: a total of fifty young volunteers, who were then all graduate 98

students studying in the Guangzhou Institute of Geochemistry, Chinese Academy of Sciences, 99

participated in this study. Every test subject was required to stay in a well-ventilated normal 100

office room for about half an hour during the test with PTR-TOF-MS. It should be noted that 101

this was not a human toxicity test because none of the BTEX were injected into the office 102

room. All subjects gave written informed consent prior to participation in the study. Subjects 103

completed a brief questionnaire concerning needed information regarding their gender, age, 104

height, weight, BMI, BFR, smoking/drinking status, and personal/familial past medical 105

history. These fifty subjects included 26 males and 24 females, aged 20-30 years old. They 106

were all non-smokers and non-drinkers. Demographic data of the subjects represented in the 107

study are summarized in Table S1 (Supporting Information). 108

Second phase test: in order to further verify the relationships between exposure 109

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concentrations and AFs of BTEX, one male and one female subjects were randomly selected 110

from volunteers participating the first phase test. They were asked to stay 4 h per day in the 111

same office room over 3 days for more tests of AFs with the variation of BTEX largely due to 112

ventilation. 113

Online Breath Sampling and Measurement. A homemade online breath sampling 114

device was used for sampling air inhaled and exhaled by subjects. Detailed description of the 115

sampling device can be found in our previous study.21 There is, however, an improvement 116

that a Swagelok plug valve was added between the left end of the tube and the nose interface 117

in the current study. 118

A commercial high-sensitivity PTR-TOF-MS (model 2000; Ionicon Analytik GmbH, 119

Innsbruck, Austria) was deployed to measure BTEX levels in the breath samples. The 120

measurement principle of PTR-TOF-MS has been described elsewhere in detail.55-57 The 121

PTR-TOF-MS acquired data at a 0.5 Hz time resolution with H3O+ reagent ion. The drift tube 122

of the instrument was operated at a voltage of 610 V, pressure of 2.20 mbar, and temperature 123

of 60°C, with an E/N ratio of about 139 Townsend (Td) (where E is the electric field strength 124

and N is the number density of a neutral gas; 1 Td = 10−17 V cm2). 125

Detailed online breath sampling and measurement steps were described in our 126

previous study.21 Briefly, indoor air, which was the air inhaled by subjects, was firstly 127

sampled and measured through the online breath sampling device. During the ensuing exhaled 128

air measurements, the subject steadily exhaled alveolar air into the sampling device, and then 129

closed the plug valve right after a complete expiration. The plug valve was blocked until the 130

exhaled air in the buffer tube was exhausted and hereafter the indoor air was extracted and 131

measured for several minutes. According to the above operating steps, the inhaled and 132

exhaled air for each subject was continuously measured to determine their respiratory AFs as: 133

�� =�����

��×100% (1) 134

where Ci and Ce (ppbv) were the concentrations of the target compound in the inhaled and 135

exhaled air, respectively. Isoprene was used as a breath tracer for identifying the expiratory 136

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and inspiratory phases in this study.21 137

Quality Assurance and Quality Control. Target VOCs were identified based on their 138

exact mass to charge ratio (m/z) and quantified by external calibration methods. Mass 139

calibration was performed using two ion peaks with known exact masses: hydronium ion 140

isotope (H318O+; m/z 21.022) and protonated 1, 2, 4-trichlorobenzene ((C6H3Cl3)H

+, m/z 141

180.937). The isomeric ethylbenzene and xylenes, all with a molecular mass of 106 amu, 142

cannot be distinguished by PTR-TOF-MS, and thus these C8-aromatics were reported as their 143

sum. 144

Background levels for target compounds were determined by introducing zero air into the 145

instrument. Multi-point calibration of the PTR-TOF-MS was carried out before the breath air 146

measurement using VOC standard mixtures (including isoprene, benzene, toluene, o-xylene) 147

that were dynamically diluted to five levels (2, 5, 10, 15, and 20 ppbv) from a certified 148

standard gas mixture (Ionicon Analytik GmbH; ~1 ppmv). The linear correlation coefficients 149

(R2) of calibration curves were 0.996–0.999 for BTEX compounds. Their sensitivities, 150

indicated by the ratio of normalized counts per second (ncps) to the levels of BTEX in ppbv, 151

were 27, 35, and 40 ncps/ppbv for benzene, toluene and C8-aromatics, respectively. The 152

method detection limits (MDL) for benzene, toluene, and C8-aromatics in 2 s integration time 153

were 0.055, 0.044, and 0.039 ppbv, respectively. The measurement precisions and accuracies 154

were determined by repeated analysis of a standard mixture (1 ppbv) seven times. The relative 155

standard derivations for BTEX were all < 5%, and the accuracies of BTEX were all within ± 156

10%. BTEX will accept a proton from H3O+, but their reaction with (H2O)2H

+ is 157

thermodynamically unavailable. Previous studies have shown no significant humidity 158

dependence on their sensitivities.58-61 To re-confirm this, three levels of standard mixtures in 159

the range of 0-10 ppbv were prepared at relative humidity (RH) of 20% and 95%, respectively. 160

RH was controlled as per the details provided in Kumar and Sinha.62 As shown in Figure S1, 161

no significant differences in the BTX sensitivities (ncps/ppbv) were observed between the 162

standard mixtures at RH of 20% and 95% probably due to a high proportion of H3O+ ion in 163

the drift tube with a high E/N ratio. Thus humidity effects in breath samples can be ignored 164

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when measuring BTEX by PTR-TOF-MS in the present study. 165

Statistical analysis. The Student’s t-test in the statistical software package SPSS (Version 166

19) was used to examine statistical differences in measured concentration levels. Two-tailed 167

tests of significance were used, and p < 0.05 indicated statistical significance. It was also used 168

as critical value for significant correlation. 169

� RESULTS AND DISCUSSION 170

Real-time AFs of BTEX. The measured BTEX exposure levels ranged from 0.19–3.26 171

ppbv for benzene, 0.35–8.72 ppbv for toluene, and 0.31–6.84 ppbv for C8-aromatics in the 172

first phase test. Five sets of inhaled and exhaled air for each subject were successively 173

measured to acquire the respiratory AFs of BTEX. The average respiratory AFs and their 174

standard deviations (SD) of benzene, toluene, and C8-aromatics from all 50 subjects were 175

28.2% (SD = 10.9%), 63.3% (SD = 12.7%), and 66.6% (SD = 10.6%), respectively (Figure 176

S2). The mean respiratory AFs of benzene was much lower than previously assumed or 177

measured 90%,14-17, 22-25 100%18, 26-38 or 50-60%21, 39, 40; for toluene and C8-aromatics, the 178

mean values were near that measured in our previous study,21 but still much lower than 179

previously assumed values of 90%14-17, 22-25 or 100%18, 26-38 when assessing inhalation health 180

risks. 181

The mean respiratory AFs of benzene, toluene and C8-aromatics were 28.0%, 57.6% and 182

63.4% for the female subjects; and 28.5%, 69.1% and 69.7% for the male subjects, 183

respectively. No significant difference (p > 0.05) was observed in the respiratory AFs between 184

the female and male subjects, implying no gender difference in the respiratory AFs. In our 185

previous preliminary tests with 7 subjects,21 the 3 female subjects had significantly higher 186

respiratory AFs of BTEX than the 4 male ones (p < 0.05). Probably the small numbers of 187

subjects for the test in our previous study statistically bias the gender difference discussion. 188

Influencing Factors of AFs. Three aspects of factors, i.e., physicochemical properties of 189

VOCs, individual human physiology, and environmental factors, govern the respiratory 190

AFs.45 In this study we only focused on BTEX and their mean respiratory AFs appeared to 191

increase with molecular weight, reflecting the influence of physicochemical properties of 192

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these compounds such as lipophilicity, solubility in blood, and blood/air partition 193

coefficients.41, 63, 64 194

Humans are incredibly diverse, and common individual physiological parameters such as 195

gender, age, health state, BMI, and BFR needed to be seriously considered for discerning the 196

crucial influencing factors of AFs.41, 65, 66 As mentioned above, gender was not a key factor 197

affecting the AFs. Regarding age and health state, all volunteers were healthy young people 198

aged 20-30 without any past personal or familial medical history (Table S1). BMI, defined as 199

a person’s weight in kilograms divided by the square of one’s height in meters (kg/m2), is a 200

universal standard introduced by the World Health Organization for assessing the body fat 201

levels and health state. BFR is another parameter of reflecting the percentage of body fat 202

content to the body weight (Table S1). Figure 1 shows scatter plots of the respiratory AFs 203

versus BMI and BFR. No significant correlations between AFs and BMI/BFR were observed, 204

either for all subjects or for female and male subjects individually. 205

Environmental factors including pre-exposure concentration, exposure concentration and 206

duration, also influence the absorbed dose of toxic VOCs.65, 67 Because all subjects were then 207

graduate students working and living in the same institute campus, they should have quite 208

similar pre-exposure experience. During our test, subjects were exposed to different levels of 209

BTEX in the normal office room due diurnal variations. The correlations between the AFs 210

and exposed BTEX concentrations for all volunteers are shown in Figure 2a-c. The highly 211

significant log-based (p < 0.001) correlations between the AFs and exposure levels of BTEX 212

suggested that exposure levels rather than individual physiological factors were responsible 213

for the AFs, consistent with the conclusions in some previous studies.65, 68-70 214

Relationship between Exposure Levels and AF. The second phase test with just one male 215

subject and one female subject for extensive measurements would eliminate the effects of 216

inter-individual physiological variations. The relationships between exposure levels and AFs 217

for the two subjects are illustrated in Figure 2d-i, confirming the highly significant 218

logarithmic correlations for all subjects as discussed above. 219

The mechanism for the logarithmic relationship remains unexplained so far. But the 220

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phenomenon is reasonable because at low-exposure levels the inhalation absorption process 221

of BTEX might be similar to the Langmuir isothermal adsorption process of VOCs on the 222

surface of adsorbents, in which the adsorption efficiencies would increase with the elevated 223

concentrations of VOCs until reaching a relatively stable value when concentrations of VOCs 224

exceed a certain level.71 As showed in Figure S3, the relationships between exposure levels 225

and AFs could be well fitted with Langmuir adsorption isotherms. 226

Our results, as showed in Figure 2, demonstrated that if BTEX concentrations go down to 227

about 2 ppb or even lower, respiratory AFs decrease rapidly, implying the dual effect in 228

lowering human inhalation dose by reducing BTEX concentration in ambient air: inhalation 229

uptake would further reduced by lower AFs at lower exposure levels. This is very important 230

for some air pollutants, such as benzene, that are carcinogenic to humans and no safe level of 231

exposure can be recommended, although the inhalation minimal risk level (MRL) of 3 ppbv 232

was recommended by the United States Environmental Protection Agency (USEPA) for 233

benzene,72 and an annual limit of 5 µg/m3 (or 1.6 ppbv at 25°C and 1 atm) was established by 234

the EU for benzene in ambient air.73 From our study, as showed in Figure 2a, if benzene 235

levels decrease from 1.0 ppbv to 0.5 ppbv, its AFs would decrease from ~70% to ~40%, 236

consequently the internal intakes would decrease by ~70%, more than the 50% expected due 237

to a decrease in exposure levels alone. 238

We observed that the AFs decreased in a logarithmic way with decreasing the exposure 239

levels of BTEX. The finding is valuable for rationally assessing human health risks of 240

long-term inhalation exposure and for evaluating the effects of control measures for BTEX. 241

Nonetheless, since in this study all subjects shared similar demographic characteristics (age, 242

weight, height, and etc.) and lived in the same area, it is of concern whether our conclusions 243

can be applied to the general population and this needs to be verified with more extensive 244

study in the future. 245

246

� ASSOCIATED CONTENT 247

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Supporting Information 248

Demographic data of subjects in this study (Table S1); Normalized sensitivities at 249

different relative humidity of 20% and 95% for benzene, toluene and o-xylene. Slopes 250

(i.e. sensitivities) are indicated by mean values ± standard errors (Figure S1); 251

Respiratory AFs of benzene, toluene, and C8-aromatics from fifty test subjects. The 252

columns and their error bars represent the mean values and standard deviations of the 253

respiratory AFs of BTEX, respectively (Figure S2); Extended Langmuir isotherms 254

between respiratory AFs and exposure concentrations of benzene (open squares), 255

toluene (open cycles), and C8-aromatics (open triangles) collected from all (blue, a-c), a 256

male (cyan, d-f) and a female (green, g-i) subjects, respectively. Curve-fitting equations 257

and their correlation coefficient (R2) and significance levels (p) were also presented 258

(Figure S3). 259

260

� AUTHOR INFORMATION 261

Corresponding Author 262

*Phone: +86-20-85290180. Fax: +86-20-85290706. E-mail: [email protected]. 263

ORCID 264

Zhong-Hui Huang: 0000-0003-0144-0852 265

Yan-Li Zhang: 0000-0003-0614-2096 266

Xin-Ming Wang: 0000-0002-1982-0928 267

Notes 268

The authors declare no competing financial interest. 269

270

� ACKNOWLEDGMENTS 271

This work was financially supported by the Natural Science Foundation of Guangdong (Grant 272

No. 2016A030313164), the Health and Family Planning Commission of Guangzhou 273

Municipality (Grant No. 20161A010050), and the Natural Science Foundation of China 274

(Grant No. 41530641/41571130031). The authors would like to express their sincere thanks 275

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to volunteers in Guangzhou Institute of Geochemistry, Chinese Academy of Sciences for their 276

supports. 277

278

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505

Figure 1. Scatter plots of respiratory AFs of benzene, toluene, and C8-aromatics versus BMI 506

and BFR, respectively. 507

508

509

510

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511

Figure 2. Regression analysis between respiratory AFs and exposure concentrations of 512

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Curve-fitting equations and their correlation coefficient (R2) and significance levels (p) were 515

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517 518 519 520 521 522 523 524 525 526 527 528 529 530 531 532

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For Table of Content Use Only 533

Decreased Human Respiratory Absorption Factors of Aromatic Hydrocarbons 534

at Lower Exposure Levels: The Dual Effect in Reducing Ambient Air Toxics 535

Zhong-Hui Huang,†,‡

Yan-Li Zhang,†,§

Qiong Yan,‖

Zhao-Yi Wang,†,‡

Zhou 536 Zhang,

† and Xin-Ming Wang*,†,§

537 538

539 540

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