Neoplastic effects of vinyl chloride were studied in lungs of 27 mice exposed to vinyl chloride monomer at 2500 and 6000 ppm for 5 and 6 months (large doses and long-term exposure). Pulmonary tumors were observed in 26 of 27 experimental animals. Light microscopy showed the tumors to be multiple and arranged in either tubulo-papillary or adenomatous formations. Although occasional mitotic divisions and invaginations into the bronchiolar lumen were observed, no metastases were found. By electron microscopy, short microvilli, tight junctions between two adjacent cells, appearance of osmiophilic lamellar bodies, large mitochondria of irregular shape, well developed Golgi complexes, continuous or discontinuous basement membranes, occasional appearance of “sequestration” and of crystalloids and lack of both cilia and mucous secretory granules were observed as characteristic features of the neoplastic cells. Some of the cells were poorly differentiated and were equipped with poorly developed organoids, without formation of osmiophilic lamellar bodies. The pulmonary tumors corresponded to “alveologenic” tumors. It is suggested that the neoplastic cells were transformed from type II alveolar epithelium via its hyperplastic form.

Nonneoplastic effects of the chemical were also studied in the 27 mice. Major light microscopic alterations observed were proliferation and hypertrophy of the terminal bronchiolar cells, consisting of ciliated and Clara cells, hypersecretion of the epithelial mucin in the goblet cells of both the bronchial and the proximal bronchiolar epithelium, hyperplasia of alveolar epithelium, mobilization of alveolar macrophages and occasional presence of peribronchial or bronchiolar chronic inflammation. Electron microscopically, Clara cells of the terminal bronchiolar epithelium showed proliferation of the rough and smooth surfaced endoplasmic reticulum and appearance of large and abnormally shaped mitochondria. Similar alterations were found in the ciliated cells. Submicroscopic changes of pulmonary alveoli were represented by focal thickening of the basement membrane, multiple foci of hyperplastic type II cell (the precondition of the alveologenic tumor), active discharge of osmiophilic lamellar bodies from the type II cell and phagocytosis of the bodies by macrophages, appearance of cholesterol crystalloids in the macrophages, degeneration of alveolar septal cells and occasional appearance of a large nucleus with swelling of the capillary endothelium.

The neoplastic effect of vinyl chloride of smaller doses (100, 10, 1 and 0 [control] ppm) and shorter exposure (four weeks) was studied in lungs of 120 mice. Our preliminary observation indicated that sacrificed animals at 40 weeks after the exposure showed productions of the alveologenic tumor in 5 of 9 (100 ppm), 2 of 9 (10 ppm), 1 of 9 (1 ppm) and 0 of 10 (control = 0 ppm). A dose-response relation was considered in the incidence of the alveologenic tumor production of vinyl chloride. It is concluded that mouse lung is an extremely sensitive indicator of the oncogenicity of vinyl chloride.