Presence of Stable Coal Radicals in Autopsied Coal Miners' Lungs and Its Possible Correlation to Coal Workers' Pneumoconiosis

"Stable coal radicals (SCRs) were detected by electron spin resonance (ESR) spectroscopy in the lung tissue of autopsied coal miners. The SCR concentrations were measured in the lung tissues from 98 coal miners with and without (a) coal workers' pneumoconiosis (CWP), (b) cancer, and (c) a history of cigarette smoking. Concentrations of SCRs were also determined in the lungs of nonminer controls. The SCR concentration was related to longer mining tenure, CWP disease severity, lung cancer, and cigarette smoking. The mean concentration of SCRs in the lung tissues of miners with 30 ± 1.4 y of coal mining exposure was 5.3 ± 1.3 x 10"" spins/g versus controls who had a nondetec¬table level (< 10 15 spins/g). An increase in disease severity was accompanied by a progressive increase in SCR concentration. A SCR concentration of 4.8 ± 0.7 x 10"" spins/g was found for simple CWP (with moderate coal macules) versus 7.8 ± 4.6 spins/g lung tissue for complicated CWP (with progressive massive fibrosis). Significantly higher (i.e., 10 x 10"") concentrations of SCR in the coal miners' lung tissues were associated with an exposure history in the anthracite regions of northeastern Pennsylvania. These results in¬dicate a possible role for SCRs in the disease process. Furthermore, ESR appears to be an adequate methodology for the quantitation of coal dust retained in the lung and for distinguishing exposures to anthracite and/or bituminous coal.THE PREVALENCE AND SEVERITY of coal workers' pneumoconiosis (CWP) differ markedly between geographic locations, mines, and coal fields irrespective of comparable levels of exposure to coal mine dust These differences cannot be fully explained by the presence of silica and other minerals in the coal mine dust.' Rank of coal is also an important factor in the pathogenesis of CWP. Equally important is that the prevalence of CWP decreases from east to west in the United States,' and South Wales miners develop more severe CWP than miners in Scotland.' However, there are conflicting reports that cast uncertainty on the influence of rank of coal in the development of CWP."" These problems are complicated but will be solved as new technology emerges and as more is learned about the disease process."