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4 th International Conference On Building Energy, Environment Quantitative risk assessment of transient inhalation exposure using PBPK- CFD hybrid model with computer simulated person S. Yoo 1 and K. Ito 1 1 Faculty of Engineering Sciences, Kyushu University, Kasuga, Fukuoka 816-8580, Japan SUMMARY This study focused on the comprehensive estimation of indoor air quality targeting micro-climate around human body and respiratory area by applying PBPK (physiologically-based pharmacokinetic)-CFD (computational fluid dynamics) hybrid analysis with unsteady breathing condition. The overarching objective of this study is to predict the contaminant concentration distribution, doses of inhaled contaminant in the respiratory tissue, which could be applied for establishing a threshold concentration or a reference concentration (RfC). In this study, formaldehyde was assumed as a target contaminant, and flow field, sensible/latent heat and contaminant transfer analysis were conducted by using CFD simulation coupled with CSP (computer simulated person). Finally, inhaled formaldehyde concentration, maximum/peak concentration and adsorption flux at airway wall surface were estimated by PBPK-CFD analysis. INTRODUCTION Recently, the indoor environmental quality (IEQ) greatly influences on the public health. Especially, indoor air quality (IAQ) problem, i.e. sick house syndrome, directly affects human health. To create a healthy, comfortable and productive indoor environment with minimizing negative health impact, an accurate prediction method of indoor air quality problem and respiratory exposure risks is required at the architectural design stage. From the viewpoint of risk assessment of respiratory exposure, it is necessary to estimate a quantitative effect of inhaled contaminants on the human body. In this case, physiologically-based pharmacokinetic (PBPK) model could be used for the prediction of drug/contaminant transport phenomenon inside the human body. Pharmacokinetic models and their application in inhaled exposure based on numerical analysis (in silico) was first suggested on the basis of in vivo and in vitro experiments for analyzing the effect of medicinal substances on the human body and then the PBPK model was developed to estimate the human health risk caused by respiratory exposure. Subsequently, a PBPK-CFD hybrid model that can estimate the inhalation of aldehydes was suggested by Corley et al. A number of researches have reported the development and application of the human model or respiratory tract model coupled with CFD simulation for predicting contaminant distributions and their impact on the human body. However, a comprehensive analytical method that took into consideration indoor spaces and the respiratory tract, and that fully integrated the physiological model into the human body model with the respiratory tract has not been established. With this background, our previous study aimed to develop a comprehensive prediction method of indoor environmental quality based on the CFD analysis using computer simulated person (CSP) with numerical respiratory tract. The purpose of this study is to develop a hybrid model for assessment of health risk occurred by respiratory exposure. This hybrid model is established by integrating PBPK model with CFD analysis which was coupled with CSP. By applying PBPK model, contaminant adsorption flux at airway wall surface and reaction/diffusion phenomenon inside the tissue could be estimated. Figure 1. Outline of the computer simulated person Figure 2. Outline of the PBPK-CFD hybrid model (a) Model room (b) Grid design Figure 3. Outline and grid design of the analytical domain ISBN: 978-0-646-98213-7 COBEE2018-Paper146 page 417
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  • 4th International Conference On Building Energy, Environment

    Quantitative risk assessment of transient inhalation exposure using PBPK-CFD hybrid model with computer simulated person

    S. Yoo1 and K. Ito11Faculty of Engineering Sciences, Kyushu University, Kasuga, Fukuoka 816-8580, Japan

    SUMMARY This study focused on the comprehensive estimation of indoor air quality targeting micro-climate around human body and respiratory area by applying PBPK (physiologically-based pharmacokinetic)-CFD (computational fluid dynamics) hybrid analysis with unsteady breathing condition. The overarching objective of this study is to predict the contaminant concentration distribution, doses of inhaled contaminant in the respiratory tissue, which could be applied for establishing a threshold concentration or a reference concentration (RfC). In this study, formaldehyde was assumed as a target contaminant, and flow field, sensible/latent heat and contaminant transfer analysis were conducted by using CFD simulation coupled with CSP (computer simulated person). Finally, inhaled formaldehyde concentration, maximum/peak concentration and adsorption flux at airway wall surface were estimated by PBPK-CFD analysis.

    INTRODUCTION Recently, the indoor environmental quality (IEQ) greatly influences on the public health. Especially, indoor air quality (IAQ) problem, i.e. sick house syndrome, directly affects human health. To create a healthy, comfortable and productive indoor environment with minimizing negative health impact, an accurate prediction method of indoor air quality problem and respiratory exposure risks is required at the architectural design stage.

    From the viewpoint of risk assessment of respiratory exposure, it is necessary to estimate a quantitative effect of inhaled contaminants on the human body. In this case, physiologically-based pharmacokinetic (PBPK) model could be used for the prediction of drug/contaminant transport phenomenon inside the human body.

    Pharmacokinetic models and their application in inhaled exposure based on numerical analysis (in silico) was first suggested on the basis of in vivo and in vitro experiments for analyzing the effect of medicinal substances on the human body and then the PBPK model was developed to estimate the human health risk caused by respiratory exposure. Subsequently, a PBPK-CFD hybrid model that can estimate the inhalation of aldehydes was suggested by Corley et al.

    A number of researches have reported the development and application of the human model or respiratory tract model coupled with CFD simulation for predicting contaminant distributions and their impact on the human body. However, a comprehensive analytical method that took into consideration indoor spaces and the respiratory tract, and that fully integrated the physiological model into the human body model with the respiratory tract has not been established.

    With this background, our previous study aimed to develop a comprehensive prediction method of indoor environmental

    quality based on the CFD analysis using computer simulated person (CSP) with numerical respiratory tract.

    The purpose of this study is to develop a hybrid model for assessment of health risk occurred by respiratory exposure. This hybrid model is established by integrating PBPK model with CFD analysis which was coupled with CSP. By applying PBPK model, contaminant adsorption flux at airway wall surface and reaction/diffusion phenomenon inside the tissue could be estimated.

    Figure 1. Outline of the computer simulated person

    Figure 2. Outline of the PBPK-CFD hybrid model

    (a) Model room (b) Grid designFigure 3. Outline and grid design of the analytical domain

    ISBN: 978-0-646-98213-7 COBEE2018-Paper146 page 417

  • 4th International Conference On Building Energy, Environment

    METHODS Previously, we have developed computer simulated person by integrating 2 models: a virtual manikin (numerical human body model), a virtual airway (numerical respiratory tract model), for assessment of indoor environmental quality. Figure 1 shows the outline of the CSP. In order to apply CSP into the estimation of indoor thermal environmental quality, thermoregulation model (2-node model) was also adopted into CSP.

    Furthermore, a PBPK–CFD hybrid model shown in Figure 2 was adopted into virtual airway which was integrated into CSP. PBPK model is widely used for assessment of health risk of human body caused by respiratory exposure. Here, two-compartment type PBPK model, epithelium+mucus and sub-epithelium compartments, was applied into virtual respiratory tract. Finally, contaminant concentration distribution and airway tissue dosimetry inside human airway were estimated. Contaminant sorption/ transfer phenomenon from the airway lumen to a human body was also predicted quantitatively.

    Figure 3 shows the outline and grid design of the analytical domain of this study. The analytical domain including CSP and a simple model room was designed to enable comprehensive analysis targeting continuous area from indoor space to respiratory area via nasal/oral cavity. Inflow and outflow boundary of the target domain were set to reproduce displacement ventilation method which is widely used in indoor spaces. In this study, formaldehyde which is representative contaminant in indoor spaces was used as a target contaminant, and it was generated from floor material. Contaminant generation rate was set in accordance with the perfect mixing concentration which was intended (100.0μg/m3 in this study).

    (a) (b) (c) Figure 4. Flow field, temperature, and formaldehyde concentration distribution around the CSP

    (a) (b) Figure 5. Flow field and formaldehyde concentration distritrbution in human airway(at the moment of peak inhalation in the breathing cycle)

    Figure 6. Time-series of formaldehyde concentration at airway wall surface(0~3sec, [μg/m3])

    Figure 7. Formaldehyde (HCHO) concentration profile inside the airway tissue(peak concentration at the representative point in nasal cavity)

    Table 1. Summary of the numerical and boundary conditions in the PBPK-CFD hybrid analysis

    Target contaminant Formaldehyde (HCHO)

    Contaminant condition

    Fixed flux at the floor (Perfectly mixed concentration Cout = 100.0μg/m3)

    Algorithm SIMPLE(Unsteady calculation)

    Scheme Convection, Scalar transport equation : Second order upwind

    Boundary condition

    (PBPK side)

    Sub-epithelial surface : Gradient zero Side wall of the air, epithelium and sub-epithelium : free-slip

    Diffusion coefficient of

    Formaldehyde

    Da= 0.15 10-4 [m2/s] (Formaldehyde in Air) Dt= 8.08 10-10 [m2/s] (Tissue) Db = 1.62 10-9 [m2/s] (Blood)

    Metabolism Km1 = 2.01 105 [μg/ m3], Vmax1C = 0.196 [μg/ m3/s]

    Kf =1.8 10-2 [s-1]

    Non-specific binding Kb = 1.07 10

    -7 [s-1]

    Blood flow Qb = 9.86 10-5 [m3/s] (= 5920.6 [mL/min])

    Compartment 1 Vb = 3.4479 10-3 [m3] (Mucus + epithelium)

    Compartment 2 Vb = 0.7896 10-3 [m3] (Sub-epithelium)

    Thermoregulation Sensible and latent heat transfer analysis by 2-node model

    ISBN: 978-0-646-98213-7 COBEE2018-Paper146 page 418

  • 4th International Conference On Building Energy, Environment

    In this study, unsteady breathing cycle model (breathing flow rate of 7.5L/min) proposed by Gupta et al. was adopted into CSP in order to reproduce breathing process of the human.

    We meticulously followed the benchmark test guidelines for indoor CFD application to maintain quality control. We reported the validation results for the flow and convective heat transfer rate from our CSP using the findings of a wind tunnel test in a previous study. Grid independence of the flow field inside the airway for a numerical respiratory tract model was also carefully checked, and the prediction accuracy of the CFD analysis was also validated using experimental data (PIV results). However, direct validation procedure of our PBPK analysis results targeting human airway tissue has much difficulty because of ethical problem/limitations of experimental work for health risk assessment using real human body. For this reason, we carefully checked and applied each model parameter to the PBPK analysis, to which accuracies were validated.

    RESULTS AND DISCUSSION Figure 4 shows the flow field, temperature, and formaldehyde concentration distribution around the CSP. In this result, heat generation at skin surfaces and thermal plume near the CSP were found as a result of the thermoregulatory response. In addition, non-uniform distribution of the formaldehyde in indoor space was observed.

    Figure 5 indicates the time series analysis result of formaldehyde concentration distribution in the human airway and breathing zone. It was found that contaminant inhalation and exhalation could be reproduced by unsteady breathing cycle model. The peak concentration inhaled formaldehyde was approximately 75.3μg/m3, and it was reached into lungs via trachea and bronchus with the concentration of 33.8μg/m3. Figure 6 shows the time-series concentration distribution of inhaled formaldehyde at airway wall surface. It was revealed that predominant adsorption of the inhaled formaldehyde is located in the nasal cavity.

    Finally, formaldehyde concentration distribution in airway tissue was predicted by PBPK analysis shown in Figure 7. It was revealed that formaldehyde concentration at air-tissue interface boundary was fluctuating with the range of 0 ~ 5.3×10-2 [μg/m3] by the unsteady breathing cycle. We also found that almost the whole formaldehyde concentration was reacted at the epithelium+mucus layer, very low concentration of formaldehyde was reached to the subepithelial layer. As shown in Table 2, we revealed that saturable metabolic clearance was the predominant mechanism of the reduction of formaldehyde concentration in tissue.

    Through a demonstrative case study, the PBPK-CFD-CSP hybrid analysis proposed in this study was confirmed to be able to provide fundamental and quantitative information for health risk assessments of respiratory exposure in the design stage of indoor environment.

    CONCLUSIONS This study presents a comprehensive prediction method that integrates PBPK-CFD hybrid model with CSP, and its application to estimation of inhalation exposure in indoor spaces. The formaldehyde concentration distributions, doses of inhaled formaldehyde in the epithelial/sub-epithelial tissue was estimated in this study. We believe this PBPK-CFD-CSP hybrid model could contribute toward establishing a comprehensive prediction method for airway tissue dosimetry, and could applied for setting threshold concentration or a reference concentration (RfC) for indoor environmental design.

    ACKNOWLEDGEMENT This research was partly supported by a Grant-in-Aid for Scientific Research (JSPS KAKENHI, 15H04086). We express special thanks to the funding source.

    REFERENCES Yoo SJ and Ito K. 2017. “Numerical Prediction of Tissue

    Dosimetry in Respiratory Tract using Computer Simulated Person integrated with physiologically based pharmacokinetic (PBPK)-computational fluid dynamics (CFD) Hybrid Analysis”, Indoor and Built Environment, in Press (DOI: 10.1177/1420326X17694475)

    Corley RA et al. 2015. “Comparative Risks of Aldehyde Constituents in Cigarette Smoke Using Transient Computational Fluid Dynamics/Physiologically Based Pharmacokinetic Models of the Rat and Human Respiratory Tracts”, Toxicological Sciences, 1, 1–24

    Gupta JK, Lin CH, Chen Q. 2009. “Characterizing exhaled airflow from breathing and talking”, Indoor Air, 20, 31-39

    Li C, Ito K. 2014. “Numerical and experimental estimation of convective heat transfer coefficient of human body under strong forced convective flow”, Journal of Wind Engineering & Industrial Aerodynamics. 126, 107-117

    Ito K, Inthavong K, Kurabuchi T, Ueda T, Endo T, Omori T, Ono H, Kato S, Sakai K, Suwa Y, Matsumoto H, Yoshino H, Zhang W, Tu J., 2015. “CFD Benchmark Tests for Indoor Environmental Problems: Part 1, Isothermal/Non-Isothermal Flow in 2D and 3D Room Model”, International Journal of Architectural Engineering Technology. 2, 1-22.

    Ito, K., Inthavong, K., Kurabuchi, T., Ueda, T., Endo, T., Omori, T., Ono, H., Kato, S., Sakai, K., Suwa, Y., Matsumoto, H., Yoshino, H., Zhang, W., Tu, J., 2015. “CFD Benchmark Tests for Indoor Environmental Problems: Part 3, Numerical Thermal Manikins”, International Journal of Architectural Engineering Technology. 2, 50-75.

    Phuong N.L., Ito, K., 2015. “Investigation of flow pattern in upper human airway including oral and nasal inhalation by PIV and CFD”, Building and Environment. 94, 504-515

    Phuong, N.L., Yamashita, M., Yoo, SJ., Ito, K., 2016. “Prediction of convective heat transfer coefficient of human upper and lower airway surfaces in steady and unsteady breathing conditions”, Building and Environment. 100, 172-185

    Table 2. Dose of inhaled formaldehyde and contribution of each reaction term inside tissue(at the moment of peak inhalation, averaged by volume of whole airway tissue)

    Epithelium+mucus Subepithelium

    Saturable metabolic clearance

    1st order reaction

    1st order reaction

    Blood perfusion

    Reduction rate of HCHO [μg/m3 s] 8.55×10

    3 1.58 < 10-5 0.05

    ISBN: 978-0-646-98213-7 COBEE2018-Paper146 page 419


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