In this paper we discuss evidence regarding the basis of changes in the qua
rtz surface that relate to changes in the ability to cause key biological r
esponses such as inflammation and genotoxicity. Different samples of quartz
, coal and coal fly ashes were subjected to various acellular and biologica
l assays. In vivo endpoints included instillation of samples and measuremen
t of PMN numbers in bronchoalveolar lavage (BAL) and incidence of lung tumo
urs in rats. In vitro assays included cytotoxicity to epithelial cells, rel
ease of pro-inflammatory mediators from various cells and radical (generati
ng) activity of the particle surface as measured by electron spin resonance
(EPR). We demonstrate that amelioration of the quartz surface activity can
occur in workplace samples of quartz, such that they have very little infl
ammogenic activity, despite their ability to generate OH-radicals from thei
r surface. These effects, also shown in coal mine dusts and coal fly-ashes,
are due to minerals and organic compounds which can both decrease or enhan
ce biological activity and thus may contribute to toxicity in a complex way
that is not easily predicted. A broad programme of further research is nee
ded before we have a sound understanding of the mechanisms of quartz toxici
ty and can achieve differential standard setting for mixed-dusts containing
quartz.