In an evaluation of carbon nanotubes (CNTs) for the IARC Monograph 111,
the Mechanisms Subgroup was tasked with assessing the strength of evidence on
the potential carcinogenicity of CNTs in humans. The mechanistic evidence was
considered to be not strong enough to alter the evaluations based on the animal
data. In this paper, we provide an extended, in-depth examination of the
in vivo and in vitro experimental studies
according to current hypotheses on the carcinogenicity of inhaled particles and
fibers. We cite additional studies of CNTs that were not available at the time
of the IARC meeting in October 2014, and extend our evaluation to include carbon
nanofibers (CNFs). Finally, we identify key data gaps and suggest research needs
to reduce uncertainty. The focus of this review is on the cancer risk to workers
exposed to airborne CNT or CNF during the production and use of these materials.
The findings of this review, in general, affirm those of the original evaluation
on the inadequate or limited evidence of carcinogenicity for most types of CNTs
and CNFs at this time, and possible carcinogenicity of one type of CNT
(MWCNT-7). The key evidence gaps to be filled by research include: investigation
of possible associations between in vitro and early-stage
in vivo events that may be predictive of lung cancer or
mesothelioma, and systematic analysis of dose–response relationships
across materials, including evaluation of the influence of physico-chemical
properties and experimental factors on the observation of nonmalignant and
malignant endpoints.