6% by weight elemental content (Fig. 3a)./p> 1% wt.) elements, it was observed that the following elements were in trace amounts in engineered stones: Cu, P, S, Ni, Co, Cr, Sn, Zr and Cl (Fig. 3a). Elements Fe, Ca, Mg, and K were predominantly in minor distributions. Certain elements such as Ca, Mg, Na and Ti had a range of concentrations from minor to major elemental fields./p> 80% by weight crystalline silica and 8–20% resin21. Further characterisation of the RCS was undertaken on the basis that the crystalline structure of the minerals may exert an influence on their toxicity22. In our study, 9 out of 12 engineered stone respirable dust samples had a combination of quartz and cristobalite structures, although quartz was still the dominant structure, forming > 55% of the total mineralogy. Cristobalite was the second most common mineral, while albite and rutile were detected in smaller amounts. Quartz and cristobalite differ from one another in their mineralogy, surface characteristics and natural association with other elements23. Early studies comparing the dose response of quartz and cristobalite on pulmonary function in rats showed that both structures were similarly detrimental to the lungs, although cristobalite elicited a slightly faster response than quartz24. However, subsequent animal experiments and epidemiological studies discounted these findings, by showing no evidence for differences in the inflammatory and fibrogenic potentials of quartz and cristobalite23. Horwell et al.4 even showed that cristobalite-rich volcanic ash was less toxic than expected and posed less of a respiratory health hazard than quartz. They attributed this finding to the relative open structure of cristobalite compared to quartz, which allows the substitution of cations such as aluminium (Al3+) and sodium (Na+) in the Si tetrahedral, hence affecting cristobalite toxicity1,4. Taken together, these studies show insufficient evidence that either mineral is more toxic than the other. Nonetheless, the high concentration of crystalline silica in the respirable dust from engineered stones may be cause for concern as quartz and cristobalite are the only crystalline silica minerals recognised as Group 1 carcinogens—“carcinogenic to humans”—by the International Agency for Research on Cancer25./p> 85% quartz) had a bimodal distribution, with one mode in the same range as in this study (~ 500 nm), whereas the other was in the ultrafine particle (UFP) range, commonly defined as particles < 100 nm29. Although visually observed, UFPs were not measured in the present study, likely due to the limitations of the air sampling or particle size analysis techniques. We are currently exploring some real-time measurement of UFP using direct reading instrumentation for more precise dust exposure assessment during engineered stone fabrication tasks./p> 0.7) and particle imaging by SEM, the dust particles in our study were, in fact, heterogenous in shape, size and structure. Apart from particle size and morphology, the surface properties of quartz have been reported to also play an important role in cytotoxicity, suggesting that the specific surface area of engineered stones may be a useful parameter for characterisation and differentiation between engineered and natural stones26,31,32./p> 1%) quantities in the samples studied, possibly originating from the pigments and resins37,38. Although generally considered non-toxic, Ti (titanium dioxide, TiO2) has been shown to be an aetiological agent for lung inflammation, especially in the ultrafine fraction39,40. The possible role of metals in the toxicity of silica has been elicited before. For example, Clouter et al.41 (and references therein) suggested that the toxicity of quartz involves Fe. While the presence of Fe and Al has been considered for the potential reason for the differing zeta potentials of black granite and other natural stones, this could not explain the greater negative zeta potential of engineered stone compared to the black granite, since the concentration of Fe and Al is much lower in engineered stone. Several other elements not found in the natural stone samples were detected in the engineered stone ones, but only in trace quantities. Therefore, while we cannot exclude any role of metal ions in silica toxicity, it is unlikely that any such effect is mediated though the pathway linked with the generation of zeta potential./p>