Abstract
Exposure to windblown particulate matter (PM) arising from legacy uranium (U) mine sites in the Navajo Nation may pose a human health hazard due to their potentially high metal content, including U and vanadium (V). To assess the toxic impact of PM derived from Claim 28 (a priority U mine) compared with background PM, and consider the putative role of metal species U and V. Two representative sediment samples from Navajo Nation sites (Background PM and Claim 28 PM) were obtained, characterized in terms of chemistry and morphology, and fractioned to the respirable (≤ 10 μm) fraction. Mice were dosed with either PM sample, uranyl acetate, or vanadyl sulfate via aspiration (100 µg), with assessments of pulmonary and vascular toxicity 24 h later. Particulate matter samples were also examined for in vitro effects on cytotoxicity, oxidative stress, phagocytosis, and inflammasome induction. Claim 28 PM10 was highly enriched with U and V and exhibited a unique nanoparticle ultrastructure compared with background PM10. Claim 28 PM10 exhibited enhanced pulmonary and vascular toxicity relative to background PM10. Both U and V exhibited complementary pulmonary inflammatory potential, with U driving a classical inflammatory cytokine profile (elevated interleukin [IL]-1β, tumor necrosis factor-α, and keratinocyte chemoattractant/human growth-regulated oncogene) while V preferentially induced a different cytokine pattern (elevated IL-5, IL-6, and IL-10). Claim 28 PM10 was more potent than background PM10 in terms of in vitro cytotoxicity, impairment of phagocytosis, and oxidative stress responses. Resuspended PM10 derived from U mine waste exhibit greater cardiopulmonary toxicity than background dusts. Rigorous exposure assessment is needed to gauge the regional health risks imparted by these unremediated sites.
Keywords: uranium, vanadium, cytokines, immunotoxicology, inflammation, immunotoxicology, particulates, respiratory toxicology, cardiopulmonary, respiratory toxicology
Since the Cold War era, the Navajo Nation is home to over 500 abandoned uranium (U) mines, which remain potential sources of heavy metal contamination due to inconsistent or incomplete remediation (Dawson et al., 1997; DeLemos et al., 2009). Although U-containing minerals such as uraninite and carnotite are naturally occurring in this region (Stokes, 1951), mining operations that extracted these ores without proper reclamation have left areas of concern adjacent to Navajo residences. Consequently, the Navajo population has been subject to varying degrees of U, vanadium (V), and arsenic (As) exposure (Brugge et al., 2007; Hoover et al., 2017; Lewis et al., 2017). These metals have been shown to cause toxicity to kidneys, the nervous system, and cardiovascular tissues (Campen et al., 2001; Homma-Takeda et al., 2015; Nadadur et al., 2009; Ngwa et al., 2014; Poisson et al., 2014; Saint-Marc et al., 2016; Vicente-Vicente et al., 2010); however, the ultimate impact of chronic, low-level, mixed metals exposure on affected communities is unclear.
We recently observed that residential proximity to abandoned U mine sites was significantly associated with cumulative circulating inflammatory potential in the serum of local residents (Harmon et al., 2017). Although chronic exposure to mining-based metal mixtures could occur through multiple routes, including ingestion via food or drinking water, these findings linking inflammation and residential proximity suggested inhalation of resuspended particulate matter (PM) may be an underappreciated environmental risk for local communities (Harmon et al., 2017). Aeolian transport and dust storms in the Southwestern United States have been increasing in recent years due to climate change, and this environmental trend is projected to continue into the foreseeable future (Munson et al., 2011; Stovern et al., 2014). Health effects from U mining in this region have largely focused on cancers, in particular radiation-related lung cancer in miners subsequent to chronic occupational exposure (Brugge et al., 2005; Mulloy et al., 2001). Other disorders that have been heavily studied following U exposure include renal, developmental, reproductive, diminished bone growth, and DNA damage (Arfsten et al., 2001; Brugge et al., 2005).
However, in recent decades, there has been a notable increase in cardiovascular and metabolic disease in the Navajo population, with only limited inquiry into possible contributions from environmental contaminants (Gittelsohn et al., 2013; Harmon et al., 2016; Percy et al., 1997). Although many lifestyle and genetic factors contribute to cardiovascular disease, there is also a strong link between airborne PM exposure and both acute and chronic cardiovascular disease (Brook et al., 2010; Peters and Pope, 2002; Pope et al., 2003), and metallic components of PM are clear modifiers of toxicity (Bell et al., 2009; Dominici et al., 2007; Lippmann et al., 2006). In the desert Southwestern United States, metal-bearing PM from mine sites are of a markedly different chemical/mineralogical character than metal-bearing PM from more urbanized regions, especially near industrial sea port regions. Such mineralogical and chemical differences in PM-associated metals are relatively unstudied from a toxicological perspective.
Blake et al. (2015) recently reported elevated concentrations of U and V in water and solid from the Claim 28 U mine site in the Blue Gap Tachee chapter of Navajo Nation, showing substantial mobility of U and V in the region. This study also identified U-V-bearing solids in these mine wastes that are similar to the mineral carnotite [K2(UO2)2(VO4)2·3H2O]. Using samples derived from this region, we characterized the physicochemistry of respirable PM from sediments in this region and tested the respiratory and vascular toxicity thereof, as compared with a background PM not impacted by the mine site contamination. We hypothesized that residual U ore contaminants in the mine site soils would exhibit a potentiated toxicity relative to respirable PM derived from naturally occurring background sediments.
MATERIALS AND METHODS
PM10 Derivation From Regional Sediments
Sediment samples were procured from 2 locations: Claim 28 mine site and from the canyon floor approximately 2 km away in the Blue Gap Tachee Chapter of Navajo Nation (Figure 1). Claim 28 and its proximal watershed region have been recently characterized in terms of the occurrence and mobility of mining-related metals. Sediment samples were collected from the top 30 cm from the ground level of the Claim 28 mine site, as described previously (Blake et al., 2015). The background reference sample was collected from an area that is not impacted by historical mining activities or drainage from the mine site but may be influenced by windblown contaminants.
A next-generation impactor (NGI, model 170 NGI, MSP Corporation, Shoreview, Minnesota) fitted with preseparator and gravimetric cups was employed to collect fraction of grains from the mine waste and background sediment samples small enough to deposit in the respirable airways (ie, PM smaller than 4.46 µm mass mean aerodynamic diameter). Briefly, the mine waste and background samples were weighed and manually loaded into the hydroxypropyl methylcellulose capsules (VCaps, size 3, Capsugel, USA). A total of 10 capsules, each containing 100 mg of powder, were filled. Each capsule was placed in an Aerolizer and the sample was drawn through the induction port using a pump (Copley Scientific, Nottingham, UK) operated at a flow rate of 60 l/min for 4 s. Following aerosolization, powder deposition on each stage was determined gravimetrically. The powders deposited from stages 3 to 8 correspond to an aerodynamic particle size dae < 4.46 μm. These powders were reconstituted in dispersion media (DM) as the aqueous vehicle (0.6 mg/ml mouse serum albumin and 10 µg/ml 1, 2-dipalmitoyl-sn-glycero-3-phosphocholine in phosphate-buffered saline), with sonication for 5 min to ensure dispersion and used for pharyngeal aspiration in mice.
Chemical and Morphological Characterization of Mine Site-Derived PM10
Acid digestions were performed to measure the total acid extractable trace metal concentrations within the PM10 fraction of both mine waste and background samples. The acid digestion protocol involved addition of 3 ml of hydrochloric acid, 2 ml of nitric acid, and 2 ml of hydrofluoric acid into 50 ml digestion tubes containing up to 2 ml dispersions of respirable sediment fractions (< 10 µm) in DM at a 2 mg/ml concentration. The digestion tubes were then heated using a Digi prep MS SCP Science block digester at 95°C for 2 h, followed by dilution of acid extracts to 50 ml. The samples were then filtered using 0.45 μm filters to remove any suspended or undissolved solids and diluted accordingly for assessing the trace metal concentrations.
The assessment included measuring bulk and trace concentrations of U and its cooccurring metals (U, As, Cr, Cu, V, Ni, Pb, Cd, Al, Si, and Ca) using inductively coupled plasma—optical emission spectroscopy (ICP-OES; PerkinElmer Optima 5300DV) and mass spectroscopy (ICP-MS; PerkinElmer NexION 300D, Dynamic Reaction Cell). Both ICPs are calibrated with a 5-point calibration curve and QA/QC measures are taken to ensure quality results. To avoid spectral interference, arsenic oxide (AsO) was assessed at m/z 91.
High-resolution transmission electron microscopic (HR-TEM) analysis was conducted on the mine waste sample to observe the presence and crystallinity of U-V nanomineral phases in the respirable fraction of the Blue Gap/Tachee mine waste sediments using its energy dispersive spectroscopy (EDS) and selected area electron diffraction (SAED) capabilities. Transmission electron microscopic analysis was performed using a JEOL 2010 HR-TEM fitted with a GATAN Orius high-speed CCD camera and an Oxford INCA system with an ultra-thin window EDS detector. PM10 were allowed to deposit onto standard holey carbon film-covered copper TEM grids adhered to the collection plates of the NGI. These Cu grids were then fixed onto a regular TEM holder and loaded into the HR-TEM where the EDS detector was used to identify the U-V mineral phases by obtaining the elemental composition of a specific grain and SAED technique was used to provide information on its crystallinity.
In Vitro Assessments of Toxicity
Cell culture
Human peripheral blood monocyte cell line, THP-1 cells, were cultured, differentiated, and primed using procedures described previously (Xia et al., 2013). In brief, human monocyte THP-1 cells (ATCC No. TIB 202) were grown in RPMI-1640 media supplemented with 10% fetal bovine serum (FBS), 100 μg/ml Penicillin-Streptomycin, and 50 μM of beta-mercaptoethanol. NLRP3-deficient (defNLRP3) THP-1 cells were purchased from InvivoGen (San Diego, California) and grown in RPMI-1640 media supplemented with 10% FBS and 100 μg/ml Penicillin-Streptomycin, and 300 μg/ml hygromycin. THP-1 cells were differentiated into macrophages by treating them with vitamin D3 at 150 nM overnight and then 5 nM PMA for 12 h. As described (Xia et al., 2013) differentiated THP-1 cells were primed by coexposing PM with 10 ng/ml LPS to induce the transcription of pro-IL-1β.
Cytotoxicity, oxidative stress, caspase-1, high content, and electron microscopy
Membrane integrity of the cells after PM exposure was assessed using CytoTox-One homogenous membrane integrity assay (Promega, Madison, Wisconsin).
Active caspase-1 was quantified using a fluorochrome inhibitor of caspase-1 (FAM-YVAD-FMK) according to manufacturer’s recommendations (Immunochemistry Technologies LLC, Bloomington, Minnesota). Ten thousand THP-1 cells were plated and differentiated to macrophages on a glass bottom 96-well plate (Greiner Bio-One, Monroe, North Carolina). Cells were then challenged with PM10 (0–200 µg/ml) for 6 h, washed twice with PBS, and incubated with fresh media containing a cocktail containing Hoechst 33342 (1 μM) and FAM-YVAD-FMK for 30 min at 37°C. After incubation the 96-well plate was washed 3 times and imaged using a high content screening epifluorescence microscope Image-Xpress micro (Molecular Devices, Sunnyvale, California). Images were collected using DAPI and FITC filter/dichroic combinations to image Hoechst 33342 (blue) and FAM-YVAD-FMK (green), respectively, under ×20 magnification. The microscopic images were automatically analyzed by Meta-Xpress software. The caspase-1 positive percent or the intensity of caspase-1 was calculated based on the total cell number (Hoechst 33342 positive cells).
Reactive oxygen species (ROS) generated during particle exposure was evaluated using dihydroethidium (DHE, Molecular Probes, Eugene, Oregon). After challenging the cells with the PM10 (0–200 µg/ml) for 4 h, cells were fixed in formalin (10% in PBS, Fisher Scientific, Fair Lawn, New Jersey), rinsed with PBS, and incubated with 2.5 μmol/l DHE for 15 min. Cells were washed in PBS twice and mounted using ProLong Gold (Molecular Probes, Eugene, Oregon). As a secondary confirmation of the oxidative stress induced by particulate exposure, lipid peroxidation due to ROS, was evaluated using 4-hydroxynonenal (4-HNE). Cells were challenged with PM10 (0–200 µg/ml) for 24 h and fixed using 10% formalin for 15 min followed by a 5 min incubation with 10% formalin containing 0.3% Triton X-100. Cells were then rinsed in PBS and nonspecific adsorption was blocked by 2% BSA. 4-HNE was then tagged using anti–4-HNE antibody (ab46545, Abcam, Cambridge, UK) for 12 h, washed with PBS and fluorescently tagged using secondary antibody (Ab150077, Abcam, Cambridge, UK) for 45 min. Finally, cells were washed in PBS twice and mounted using ProLong Gold (Molecular Probes, Eugene, Oregon). Images were taken using an Olympus AX70 upright microscope, and quantification was performed using cellSens Dimension1.15 software (Olympus Corporation, Tokyo, Japan).
For obtaining electron microscopy images of THP-1 cells with PM10, THP-1 macrophages were exposed to PM10 at 100 µg/ml for 24 h. The cells were then washed twice with PBS and fixed with Karnovsky’s fixative buffered in 0.1 M sodium cacodylate. Cells were then postfixed in 1% osmium tetroxide, stained en bloc with 1% tannic acid and 0.5% filtered uranyl acetate, dehydrated with a graded series of ethanol, infiltrated with propylene oxide and LX-112 epon resin, and finally embedded in LX-112 epon. Sections were cut at 70 nm, placed on 200 mesh copper grids, and stained with 4% uranyl acetate and Reynolds’ lead citrate. Images were taken using a JEOL JEM 1400 TEM (JEOL USA) with an AMT XR-81M-B digital camera attachment.
IL-1β cytokine analysis
Interleukin (IL)-1β production in differentiated and primed THP-1 culture supernatants exposed to PM10 (0–200 µg/ml) for 24 h was determined using Human IL-1 beta/IL-1F2 Quantikine ELISA (Cat No. DLB50, R&D Systems, Minneapolis, Minnesota) following the manufacturers recommendation.
Phagocytosis functional assay
Modification in phagocytic capacity of macrophages exposed to PM10 was evaluated by challenging PM10-exposed macrophages with Escherichia coli GFP (ATCC No. 25922GFP). The differentiated and primed THP-1 cells were exposed to various concentrations of PM10 (0–200 µg/ml) for 24 h and were further challenged with fresh medium containing E. coli GFP at multiplicity of infection of 1:25. In order for the bacteria to reach the cells at the bottom of the well, the plate containing the cells and bacteria was centrifuged at 1000 × g for 10 min before placing them in an incubator at 37°C. After 2 h of challenge, the cells were washed with PBS, harvested by trypsinization and scraping, centrifuged at 1000 × g for 5 min, and resuspended in PBS. The cell-associated bacteria were quantified using a BD LSR II flow cytometer (BD Biosciences, San Diego, California). All experiments were performed using triplicate samples and at least 10 000 cells were analyzed per treatment. The mean fluorescence was determined using FlowJo (FlowJo LLC, Ashland, Oregon).
Aspiration Exposure
Male, 6- to 8-week-old C57BL/6 mice were purchased from Taconic Laboratories. Mice were held on a 12:12 h light:dark cycle in an AAALAC-approved facility with food and water available ad libitum. All studies were conducted with approval from the University of New Mexico Institutional Animal Care and Use Committee.
Immediately prior to oropharyngeal aspiration, particulate size in the DM vehicle was characterized and confirmed to be < 10 μm by dispersive light scattering. C57BL/6 mice were exposed to 100 μg of PM10 sample in 50 μl of vehicle using oropharyngeal aspiration, a technique that allows deep and even distribution of particulates into the lungs. Briefly, mice were anesthetized with low-dose isofluorane, removed from anesthesia, and suspended at an approximately 45° angle. The PM sample was then pipetted into the back of the throat with tongue extended to prevent swallowing and with nasal passages briefly manually occluded until the droplet of sample was fully aspirated, just as mice were awaking from anesthesia. Three exposure groups consisted of DM (control), Claim 28 PM10, or Background PM10 (100 µg/mouse).
In a secondary study, mice were aspirated with 0.22 μmol U or V in the form of dissolved uranyl acetate and vanadyl sulfate (VOSO4; Sigma-Aldrich, Saint Louis, Missouri). This concentration was chosen as analogous to the amount of U and V predicted in 100 µg of pure carnotite mineral, as a worst-case scenario. For both studies, mice were euthanized 24 h postaspiration and tissues were collected for remaining experiments.
Pulmonary Outcomes
A cannula was inserted through the trachea and phosphate-buffered saline was injected and withdrawn using a 1 ml sterile syringe to collect bronchoalveolar lavage fluid (BALF) and cells. Total cell counts and neutrophil counts were immediately obtained from 6 to 8 subjects per group. Bronchoalveolar lavage fluid samples from lungs that leaked excessively during the procedure were not included in the final analysis. Total protein was analyzed in the BALF using Bradford’s assay (Bradford, 1976). All assays were performed in triplicate, as previously described (Robertson et al., 2013). Cytokines interferon-γ (IFN-γ), IL-10, IL-12p70, IL-1β, IL-2, IL-4, IL-5, IL-6, keratinocyte chemoattractant/human growth-regulated oncogene (KC/GRO), and tumor necrosis factor-alpha (TNF-α) were measured in BALF and serum from 6 subjects per group using an electrochemiluminescence multiplex platform, according to manufacturer’s instructions (Meso Scale Diagnostics, Rockville, Maryland).
Ex Vivo Vasoreactivity
Twenty-four hours postoropharyngeal aspiration, aortic rings were cleaned and dissected from mice to assess serotonin-mediated vasoconstriction, as previously described (Aragon et al., 2016; Paffett et al., 2015). Ring segments (2–3 mm) were mounted on a myograph (610 M; DMT Inc, Atlanta, Georgia), submerged in physiological saline solution (PSS; 119 mM NaCl, 25 mM NaHCO3, 5.5 mM glucose, 4.7 mM KCl, 1.2 MgSO4, 1.2 mM KHPO4, 0.027 mM EDTA, 2.5 mM CaCl2) bubbled with carbogen (21%O2–6%CO2-balance N2) at 37°C. These aortic rings were then equilibrated in carbogen-bubbled PSS for 30 min at 2 g of tension. Afterwards, vessel normalization commenced by gradually increasing tension in 2 mN intervals over 5 min to eventually achieve a passive tension of 10 mN. Vessels then equilibrated in fresh PSS for 30 min. High potassium PSS (KPSS 64.9 mN NaCl, 25.0 mN NaHCO3, 5.5 mN glucose, 58.9 mN KCl, 1.2 mN MgSO4, 1.2 mN KH2PO4, 0.027 mN EDTA, 2.5 mN CaCl2) was applied to contract vessels and confirm viability. After an additional 30 min equilibration, vessels were gradually contracted with increasing concentrations of serotonin (10−9–10−5 M) over the course of 5 min intervals.
To test the endothelial effects of circulating compounds arising postexposure, naïve mice were anesthetized and aortic rings were dissected as described earlier. Following equilibration, vessels were constricted with 1% serum from mice exposed to either vehicle, Claim 28 PM10, or Background PM10. Acetylcholine (ACh) was then incrementally added in half-log concentration increases (10−9–10−5 M) at 5 min intervals. Data were acquired using a MacLab/4e analog-digital convertor displayed through LabChart software (AD Instruments, USA). Both contraction and relaxation data are expressed as a percentage of serum-induced contraction, with subtracted baseline tension.
In a second set of experiments, thoracic aortas were dissected from mice previously exposed to uranyl acetate (0.22 μmol) and vanadate sulfate (0.22 μmol). Using the aforementioned vasoreactivity assay, aortic rings were mounted and subject to U46619 (Cayman Chemical, Ann Arbor, Michigan) constriction for approximately 20 min and ACh vasorelaxation (10−9–10−5 M) over the course of 5 min intervals. Relaxation data were then expressed as a percentage of U46619 contraction, with subtracted baseline tension.
Lung and Heart Transcriptional Responses to PM10
Lungs and hearts from PM-aspirated mice were isolated, snap-frozen in liquid nitrogen and stored at −80°C and quantitative polymerase chain reaction (qPCR) methods were used to assess transcriptional changes (Aragon et al., 2015). Briefly, lung and heart samples were homogenized and isolation of RNA was performed using a QIAGEN RNA minikit (QIAGEN, Valencia, California). High-capacity cDNA reverse transcriptase was used to reverse transcribed RNA, immediately prior to qPCR. The target probes (serum amyloid A-3 [Saa-3], IL-1β, IL-6, and TNF-α) were amplified using TaqMan Universal Master Mix. TATA box-binding protein (TBP) was utilized as the housekeeping gene. The 2−ΔΔCT method (Livak and Schmittgen, 2001) was used to analyze relative gene expression and the relative amount of mRNA for each sample was normalized to TBP.
Statistics
Most assays were compared via ANOVA with Tukey’s multiple comparison test to consider differences between groups. In vitro studies utilized 2-factor ANOVAs, considering dose and particulate sample as the 2 factors, with Bonferroni post hoc testing to compare between Claim 28 and Background PM10. For vascular relaxation and contraction assays, a repeated measures 2-factor ANOVA, considering exposure and agonist (ACh or 5-HT) as those 2 factors, was used with Tukey’s post hoc multiple comparison test. p values < .05 were considered significant. Data presented in graphs are mean ± SEM.
RESULTS
Characterization of Mine Waste and Background Sediment and PM10
Sample mineralogy was assessed by HR-TEM for both the mine waste and background sediments and the resuspended, isolated respirable PM10 fractions. No measureable radiation (ie, above background) could be detected in either PM10 sample. High-resolution transmission electron microscopic and EDS analysis indicated that mineralogical crystals from Claim 28 mine waste contained high levels of U and V (Figure 2). This was present in both the original sediment samples (Figs. 2A and 2B) as well as the fractionated respirable (approximately 100 nm) particle sizes (Figs. 2C and 2D). Further morphological characterization of the carnotite grains in the PM10 fraction from Claim 28 revealed an unexpected nanoparticulate ultrastructure (Figs. 2E, 2F, and 2G). LPS was assessed.
Using several mine site samples sieved to a < 63 µm diameter, we determined that metallic grains tended to associate with the smaller size fraction, as for all samples there was a relative enrichment of numerous trace elements in the small grains relative to the complete sample (Figure 3A). Dispersive light scattering size distribution analysis confirmed that the majority of particles collected by the NGI and suspended in DM were < 10 μm with an average of size between 1.5 and 4 μm (Figure 3B). Following confirmation of a respirable PM10 size range, ICP-MS analysis confirmed that the respirable PM fraction from the Claim 28 mine site contained much higher levels of U (approximately 8-fold greater) and V (approximately 50-fold greater) than PM from background samples (Figure 3C). Zeta potential was also assessed in PBS and media for Claim 28 mine waste PM10 (−9.9 ± 0.5 mV and −8.3 ± 0.5 mV, respectively) and background PM10 (−6.9 ± 1.3 mV and −6.4 ± 1.3 mV, respectively). These samples were then used for aspiration toxicology studies.
In Vitro Cytotoxicity of Claim 28 Mine Waste-Derived PM10
Claim 28 mine waste-derived PM10 exhibited consistently greater toxicity to treated THP-1 cells compared with the Background PM10 (Figure 4). This was especially apparent for cellular LDH release (Figure 4A), which was significantly elevated at even the lowest concentrations of Claim 28 PM10 (1.5 µg/ml) and a sustained difference from background PM10 was evident out to high concentrations (200 µg/ml). We tested the extent to which this effect was driven by inflammasome activity using NLRP3-deficient THP-1 cells. LDH release induced by Claim 28 PM10 was partially dependent on NLRP3 mechanisms, suggesting that a more potent inflammasomal response may explain the differences between Claim 28 PM10 and background PM10. Interestingly, the inflammasome contribution appeared most consequential at the highest doses, suggesting that at low doses other mechanisms are driving the LDH release.
General oxidative stress, as measured by DHE staining in THP-1 cells, was dramatically enhanced in Claim 28 PM10-treated THP-1 cells compared with background PM10 (Figure 4B). Caspase 1 induction, both in terms of the percentage of cells expressing caspase 1 and the overall intensity of staining (Figure 4C), was elevated in Claim 28 PM10-treated THP-1 cells compared with background PM10. Claim 28 PM10 induced a mild increase in IL-1β release compared with background PM10, and this was abolished in NLRP3-deficient THP-1 cells (Figure 4D). Furthermore, Claim 28 PM10 had a negative impact on phagocytic activity at low concentrations, while background PM10 had no net effect (Figure 4D). Lastly, Claim 28 PM10 treatment produced greater lipid peroxidation, as indicated by 4-HNE staining, compared with background PM10 (Figure 4E).
Pulmonary Effects Following Claim 28 Mine Waste PM10 Oropharyngeal Aspiration
Bronchoalveolar lavage cellularity
Mice were treated with 100 µg of the Claim 28 PM10 or background PM10, and compared with DM controls at 24 h postexposure. Bronchoalveolar lavage fluid results indicate that neutrophil count and total cell count significantly increased in Claim 28 PM10-treated mice when compared with vehicle control and background PM10, and background PM10 induced a modest inflammatory response compared with control mice (Figs. 5A and 5B). Total macrophage numbers were unchanged between groups (data not shown, but reflected by the difference between total cells and neutrophil counts).
Bronchoalveolar lavage total protein and cytokines
Total protein content of lavage fluid, an indication of lung injury, was not significantly different between groups (Figure 5C). Interleukin-6 and KC/GRO levels in the BALF were significantly upregulated following Claim 28 PM10 exposure compared with both control (p < .01) and Background PM10-treated mice (p < .05; Figure 5D). Background PM10 treatment did elevate IL-6 and KC/GRO levels significantly above control (p < .05). Tumor necrosis factor-alpha, IL-1β, IL-10, IL-2, and IL-5 were also significantly upregulated (p < .05) following Claim 28 PM10 exposure compared with control; however, background PM10 did not cause significant increases in these 5 cytokines relative to control (Figs. 5D and 5E). Interleukin-12p70, IL-4, and IFN-γ were unchanged between treatment groups.
Lung and heart cytokine mRNA expression
Consistent with lavage data, qPCR results indicated that lungs showed significant upregulation of Saa-3 and TNF-α mRNA (p = .0191, p < .0001) in the Claim 28 PM10 group compared with vehicle control (Supplementary Figs. 1A and 1B). Lung IL-1β mRNA was significantly elevated in the Claim 28 PM10-treated group compared with control, while lung IL-1β mRNA in background PM10-treated mice was actually significantly suppressed relative to control (Supplementary Figure 1C). Lung IL-6 mRNA did not significantly vary between treatment groups (Supplementary Figure 1D). The heart appear unaffected by any exposure at 24 h postaspiration, with no significant findings for inflammatory markers Ccl2, Il6, Saa-3, and TNF-α, or for markers of intracellular stress, Nrf2, Hmox1, and NQO1 (Supplementary Figs. 2A–G).
Pulmonary Effects Following Uranyl Acetate and Vanadium Sulfate Oropharyngeal Aspiration
Because U and V were elevated in mine site PM samples compared with background and because these metals are specific to the ore carnotite, we tested whether U and V could independently recapitulate the cardiopulmonary effects of the Claim 28 PM10. Lung lavage contained significantly more total cells following uranyl acetate (p < .001) and V sulfate (p < .0001) exposure, with V exposure inducing a significantly greater effect than the equimolar dose of U (Figure 6A). Macrophages were significantly upregulated in the V-exposed group alone compared with the vehicle control and U groups (p < .001; Figure 6B). Neutrophils were significantly increased in both the U and V exposure groups (p < .001) compared with vehicle control, and again V had a greater effect than U (Figure 6C). Total protein was significantly upregulated in the uranyl acetate and V sulfate groups (p < .001) relative to control, and V was more potent than U, based on Dunnett’s post hoc test (Figure 6D).
Bronchoalveolar Lavage Fluid Cytokine Analysis
Several cytokine levels were elevated in the BAL following uranyl acetate and V sulfate aspirations. Interferon-γ and IL-10 were both significantly upregulated in the BAL of mice treated with either PM10 sample (Figs. 6E and 6F) and the effect for IL-10 was significantly greater for V than U. Interleukin-5 and IL-6 were both significantly upregulated by V treatment relative to control and U-treated mice, although U exposure alone did induce a modest IL-6 increase (Figs. 6G and 6H).
Several cytokines were more dramatically increased by U compared with the effects of V. This included IL-12p70 and IL-1β, where both metals induced significant effects relative to control but were not statistically different between treatments (Figs. 6I and 6J), as well as KC/GRO and TNF-α, where U effects were significantly and substantially greater than V (Figs. 6K and 6L).
Systemic Effects: Ex Vivo Vasoreactivity and Serum Cytokines
Aortic myography was performed to assess the extrapulmonary effects of the Claim 28 PM10 sample. Aortas obtained from mice exposed to Claim 28 PM10 exhibited significantly greater vasoreactivity to serotonin than aortas from mice exposed to the background PM10 or vehicle control (Figure 7A). As an additional test, we considered the antidilatory impact of serum components, as previously described (Aragon et al., 2015). Naïve aortas (ie, harvested from unexposed WT mice) incubated in the physiological saline bath with 1% serum from both background PM10- or Claim 28 PM10-exposed mice demonstrated significantly reduced ACh-mediated vasorelaxation compared with naïve aortas incubated with serum from vehicle-exposed mice (Figure 7B). An examination of the serum cytokines, using the sample assay panel described for the BAL samples (Figs. 5 and 6), revealed only modest increased in serum concentrations of IL-5 in Claim 28 PM10-exposed mice relative to controls (Figure 7C). All other measured serum cytokines (not shown) were not significantly altered by exposure.
Ex vivo aortic vasoreactivity indicated that both serum obtained from mice after uranyl acetate or V sulfate exposure caused significant impairments in vasorelaxation compared with vehicle control (Figure 8A). Serum IL-5 and IL-6 were profoundly upregulated in V-exposed mice (Figure 8B).
DISCUSSION
Recent findings suggesting that residential proximity to abandoned U mines associated with increased serum inflammatory potential (Harmon et al., 2017) led us to conduct this hazard identification investigation of the pulmonary toxicity of mine site dusts and the principal elemental features of that dust, U, and V. Mine site-derived PM10 contained U-V-bearing grains possessing a nanoscale ultrastructure; this observation of seemingly agglomerated, nanometer-sized U-V-bearing particulates was unexpected and is an important consideration for the interpretation of toxic outcomes. Mine waste PM10 samples exhibited enhanced cytotoxicity, elicited potentiated pulmonary inflammatory responses, and heightened aortic vasoconstriction to serotonin, compared with a background dust sample derived from the same region. Furthermore, those metals noted to be in higher concentrations in the mine site dust (U and V) were each able to induce many of these responses, independently. These studies support a possibility that windblown dusts derived from local surface mining operations may incur a greater cardiopulmonary health risk than normal background PM but further research is necessary to fully understand the net exposure dose and health risks in affected communities.
Investigations of Claim 28 mine waste-derived U and other metals suggest that U-V mineral phases similar to carnotite are prevalent in communities located in close proximity to abandoned mines (Blake et al., 2015). Respirable metallic grains isolated in this study appeared to include carnotite ore, based on the relative enrichment with U and V, and these carnotite grains often existed as agglomerated nanoparticles (Figure 2). Nanometer-sized particulates are understood to penetrate deep into the alveolar space (Lanone et al., 2009; Semmler-Behnke et al., 2007), where deposition is greater and retention is prolonged (Geiser and Kreyling, 2010). These particles also possess a greater surface area for reactions with biological materials. Although we were not able to quantify the prevalence of these agglomerated U-V-bearing nanoparticulates, the mine waste PM10 was highly cytotoxic compared on an equal mass basis with the background PM but it remains unclear if the morphological and/or chemical differences drive this effect. Furthermore, it remains unclear whether such morphology of the U-containing particulates is a natural phenomenon or a result of mining operations. We posit that repeated wetting and drying of sediments in an oxidative environment may lead to dissolution and recrystallization of these ores near the sediment surface, leading to the formation of nanoscale agglomerates.
Early studies regarding acute toxicity of carnotite ore dust demonstrated that inhalation exposure results in gross lung damage, renal tubular damage and increase in urinary protein following exposure to carnotite (Wilson et al., 1953). Beyond this study, pulmonary and vascular effects following inhaled naturally occurring U and V-containing mineral dusts have not been thoroughly characterized. V, however, has been studied extensively related to its occurrence in ambient PM, especially as a component of residual oil combustion, there is little information regarding the toxicity of U-V-enriched minerals, such as carnotite. High concentrations of V are able to induce pulmonary inflammation and drive adverse cardiovascular outcomes such as bradycardia and arrhythmia in rodents (Campen et al., 2001). Vanadyl sulfate specifically has been noted as a strong Fenton-like generator of free radicals, which may explain its acute toxic potency (Kadiiska et al., 1997). U, on the other hand, has not been extensively studied as an inhaled toxin. In this study, uranyl acetate and VOSO4 each produced inflammatory responses in the lung, although with somewhat dichotomous trends in the pattern of cytokines released. Uranyl acetate produced a classic innate immune response with increased pulmonary neutrophilia and elevated KC/GRO, IL-1β, and TNF-α. Pulmonary exposure to VOSO4, on the other hand, led to significant recruitment of macrophages to the airway and produced a cytokine pattern more consistent with a TH2-like response with elevated IL-5 and IL-6. Further research on the intracellular oxidation of U-V-containing PM within macrophages is needed to confirm whether uranyl-vanadate minerals actually dissociate in vivo, and if so, whether those isolated metal ions drive the observed toxicity.
In vitro assays revealed outcomes that were perhaps more profound than the in vivo effects. The dramatic cytotoxicity and cellular injury differences between Claim 28 and background PM10 at high concentrations (50–200 µg/ml) were driven by NLRP3-dependent inflammasomal pathways. Interestingly, cytotoxicity was observed at the lowest tested concentrations (1.5 µg/ml) for Claim 28 PM10 that appeared NLRP3 independent, suggesting additional mechanisms of toxicity not observed for background PM10. THP-1 cells were able to engulf particulates from both samples but phagocytic activity to a secondary challenge was reduced even at the lowest concentration of Claim 28 PM10 compared with background PM10. Although IL-1β release in THP-1 cells was only modestly different, we did observe profound differences in IL-1β mRNA expression (whole lung) and protein level (lavage) in Claim 28 PM10-treated lungs. More detailed cellular mechanistic work is needed to understand the impacts that carnotite-bearing PM may specifically have on phagocytic cells, as this could negatively impact host defense and immunological responses.
The physicochemical differences between these PM10 samples are numerous and this study only examined the possibility that U and/or V as soluble ions were principal drivers of toxicity. Parameters like surface area, reactivity, and composition all have the potential to contribute to the cellular and in vivo responses. Previous studies have utilized the approach of studying the soluble metal components to confirm a role for PM chemistry as a modifier of toxicity. Residual oil fly ash was notable for the presence of several highly soluble metals, including V, iron, and nickel, which could directly and independently drive pulmonary inflammation, hypothermia, and bradycardia/bradyarrhythmias (Campen et al., 2002; Costa and Dreher, 1997; Dreher et al., 1997; Kodavanti et al., 1998). Furthermore, interactive toxicity was noted for the combination of V and nickel (Campen et al., 2001). VOSO4 was specifically noted as a driver of Fenton-like radical generation, which is thought to be central to its pulmonary toxicity (Kadiiska et al., 1997). There are, however, considerable uncertainties in the use of soluble metal salts to reproduce the effects of particulate-bound metals. For one, we are uncertain of the chemical dissolution forms of U and V arising from carnotite ore, which is complicated even further by the anatomical location where dissolution occurs. Certainly, a phagolysosome will generate a complex mixture of solvents, including hydrogen peroxide and hypochlorite, in a reduced pH environment in an attempt to digest particulates; the influence of this intracellular process on carnotite (or other U ores) solubility is unknown. Additionally, the particulate form itself may mechanically interact with cellular scavenger receptors and other molecules to induce inflammatory responses and cytoskeletal rearrangements that would not be activated by soluble metals (Obot et al., 2002; Thakur et al., 2009; Wang et al., 2017). Studies with manual metal arc stainless steel welding fumes indicated that pulmonary inflammation and injury was dependent on both the soluble and insoluble metals (Taylor et al., 2003), while other in vitro studies with nickel-based welding fumes noted that soluble fractions drove most toxicity and could be abrogated with metal chelators (McNeilly et al., 2004). Thus, while the U and V results offer mechanistic clues as to how mine site-derived PM may exhibit enhanced toxicity, this is only a preliminary approach and more complex studies are needed to fully understand the in vivo mechanisms of pulmonary toxicity.
An important caveat to these studies is the high dose approach used, which, while not directly relevant to human environmental exposures, was vital to directly comparing the potency of respirable dusts from mine waste and background sediment samples. The clear pulmonary toxicity of mine site dusts was inherent to the hazard identification study design and must be put into the context of relevant environmental exposures. Currently, the magnitude of community exposure remains uncertain but the duration of residence is known to be longer than 30 years (Harmon et al., 2016, 2017). Efforts to model airborne exposures suggest that prevailing winds are sufficient to move contaminants but at low levels (Stovern et al., 2014). Aeolian resuspension in arid climates occur at fairly common wind speeds ranging from 6 to 10 m/s (13–20 mph), depending on the characteristics of sediment (Jugder et al., 2014). Similar studies have noted that PM10 arising during windstorms in mining regions leads to greater heavy metal contamination and more potent PM toxicity (Xiao et al., 2014). Furthermore, the size of the mine site relative to the surrounding affected territory is an additional factor in considering potential community exposures. Importantly, animal toxicology studies have certain value for identifying inhalational hazards and comparing PM toxicity but environmental protection policies have emphasized epidemiological relationships with ambient PM concentrations, due to the relative insensitivity of rodents to PM-associated health effects. Active air monitoring of the region with a relatively specific chemical tracer such as U should be an effective approach for exposure assessment, facilitating a more refined examination of mine-derived PM-associated health effects in the Navajo communities.
CONCLUSIONS
Abandoned or partially remediated surface U mine sites exist throughout the Navajo Nation and Rocky Mountain region of the United States and it is estimated that over 280 000 Native Americans live within 10 km of a U mine site (Lewis et al., 2017). Observations of enhanced in vitro and in vivo toxicity of PM10 containing residual U-V-bearing minerals with a nanoparticulate ultrastructure in sediments vulnerable to Aeolian transport raise concerns for windblown transport and community or occupational inhalational exposures, and bring into question the long-term effectiveness of past remediation efforts. Although the overall contribution to ambient PM is expected to be exceedingly low, local residents within a few kilometers of mine sites may have lived in their residence for many decades. A more thorough assessment of inhalational exposure is therefore warranted to better understand the potential health risks from this site and similar abandoned mines throughout the country.
SUPPLEMENTARY DATA
Supplementary data are available at Toxicological Sciences online.
Supplementary Material
ACKNOWLEDGMENTS
The authors sincerely thank Blue Gap Tachee, AZ community members Sadie Bill, Aaron Yazzie, and Christopher Nez, and the Navajo Nation for their continuing support of these studies. They also thank Sherri Friend and Diane Schwegler-Berry for their assistance with electron microscopy.
FUNDING
National Institute of Environmental Health Sciences (R01 ES026673, P42 ES025589); Academic Science Education and Research Training (ASERT) program (K12GM088021 to K.E.Z.). The findings and conclusions in this report are those of the authors and do not necessarily represent the views of the National Institute for Occupational Safety and Health.
AUTHOR CONTRIBUTIONS
K.E.Z. helped design the overall study and executed or provided oversight to most facets, including sample preparation, exposure, and data analysis. V.K. conducted in vitro studies, analyzed data, and helped write the article. M.H., C.R.T., B.S., and A.W. all contributed to executing the exposures, analyzing data, and editing the article. G.H. supported the exposures and collection/analysis of pulmonary inflammation data. S.A. and J.M.C. helped to prepare samples for exposure and conducted the chemical analysis and TEM imaging, as well as helped to write the article. N.K.K. and P.M. performed NGI collections of particulate fraction and characterized the distribution in the DM, as well as helped write and edit the article. C.S. identified the concerns of the Blue Gap Tachee Native American community, bringing this issue to the inhalation toxicology laboratory at UNM, provided collections of initial samples for research, and helped write the article. A.B. provided HR-TEM and XANES analysis of material and helped write the article. A.-M.A. Supported the analytical chemistry for ICP-MS and ICP-OES characterization of particulates and sediments and helped edit the article. Y.L. provided geospatial expertise to help locate samples of interest and provide illustrative descriptions of the locale, as well as provide edits for the article. M.S. supported the execution and analysis of in vitro studies, conducted zeta, and sizing characterizations of PM for in vitro studies and helped edit the article. A.E. consulted on the overall project, especially the design of in vitro toxicology assessments, provided funding, and helped write and edit the article. M.J.C. helped conceive the project and study design, obtained funding, analyzed data, and wrote/edited the article.
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