United States         Office of Water        EPA 822-F-G7-OO8
Environmental Protection     4304           December 1997
Agency



Drinking Water Advisory:


Consumer Acceptability Advice


and Health Effects Analysis on


Methyl tertiary-Butyl Ether (MtBE)

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        Drinking Water Advisory:
Consumer Acceptability Advice and Health
            Effects Analysis on
   Methyl Tertiary-Butyl Ether (MtBE)
                December 1997
           U.S. Environmental Protection Agency
                  Office of Water
                 EPA-822-F-97-008

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                                TABLE OF CONTENTS



LIST OF ABBREVIATIONS.:....	..........	   I

FOREWORD	:	..	.'.....'	   ii

EXECUTIVE SUMMARY.......	...:	•	."...:	•	;..'   1

1.0.    INTRODUCTION	'.	:.,	'....'...:..„...„.   5
                                   \             --        ,             "

2.0.    MtBE IN THE ENVIRONMENT^	'.'.	,:...:	:...	:..    5

3.0.    CHEMICAL AND PHYSICAL PROPERTIES.......	.,	    6

4.0.    TOXICOKINETICS.....	:.	,...	•.	'.:   7
             4.1.   Dosimetry: Route-to-Route Extrapolation	    7
             4.2.   NSTC's Extrapolation of Dose from Inhalation Exposure.......     9

5.0.    HEALTH EFFECTS DATA..	.'.	   10
       5.1.   Human Studies....	   10
       5.2.   Animal Studies	....:	,	-....,•.   11
             ,5.2.1.  Noncancer Effects	.....'.	..........:.;.	    11
                    5.2.1.1.      Acute and Subchronic	'....	    11
                    5.2.1.2.      Reproductive and Developmental Studies.	    .13
                                 Reproductive Studies....	    13
                      ;           Developmental Studies	     14
                    5.2.1.3.      Neurotoxicity Studies	     15
                    5.2.1.4.      Mutagenicity Studies	     16
             5.2.2.  Cancer Effects	   16
                    5.2.2.1.     ' Studies of the Carcinogenicity of the
                                 Parent Compound (MtBE)	    16
                                 GavageStudy	    17
                                 Inhalation Studies........	..:...,	     17
                    5.2.2.2.      Studies of the Carcinogenicity of
               ,                  MtBE Metabolites	    21
                          ,       ternary-Butyl Alcohol	     21
                                 Formaldehyde.	'.	    21

6.0.    ORGANOLEPTIC PROPERTIES...,..,....:.....	-  22

7.0.    CHARACTERIZATION OF HAZARD AND DOSE RESPONSE	    23
       7.1.   Hazard Characterization	   23
       7.2.   Characterization of Organoleptic Effects........	    26

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      7,3.   Dose Response Characterization	
      7.4.   Comparison of Margins of Exposure with Potential
            Environmental Concentrations and Guidance on Taste and Odor.
26
28
8.0.   REFERENCES	   30

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                            LIST OF ABBREVIATIONS
DWEL       Drinking-Water-Equivalent-Level
HA          Health Advisory
kg      '     kilogram
L            liter
LOAEL      lowest-observed-adverse-effect level
MoE         margin of exposure
mg'  .        milligram
MtBE        Methyl tertiary-butyl ether
MTD        Maximum Tolerated Dose
NOAEL      no-observed-adverse-eflfect level
OFW        odor free water •    ;    ,
ppm         parts per million
Aig           microgram
TEA         tertiary-butyl alcohol
VOC,        volatile organic compound

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                                     FOREWORD
 EPA's Human Health and Criteria Division (HECD)of the Office of Water developed an Advisory
 document for methyl tertiary-butyl ether (MtBE).  This document is a non-regulatory document
 that analyses the currently available cancer and non-cancer data on this contaminant, as well as
 studies on its organoleptic (taste and odor) effects. The document is not a mandatory standard
 for action; however, this Advisory supersedes any previous drafts of drinking water advisories for
 this chemical.                                  '

 There are many uncertainties and limitations associated with the toxicity data base for this
 chemical. The animal tests available to date (1997) were hot conducted by exposing the animals
 to MtBE in drinking water, but rather by inhalation exposure or by introducing MtBE in oil
 directly to the stomach several tunes a week. Although useful for identifying potential hazards,
 limitations of the reported studies do not allow confident estimates of the degree of risk MtBE'
 may pose to humans from low-level drinking water contamination. The toxicokinetic models are
. also limited in helping to perform an adequate extrapolation from the inhalation data to actual oral
 exposure from drinking water intake. Additional research is needed to resolve these issues before
 a more complete health advisory can be issued. Therefore, given the needs of the States and
 Regions for an Office of Water (OW) position on MtBE contamination of drinking water, HECD
 developed this "Drinking Water Advisory: Consumer Acceptability Advice and Health Effects,
 Analysis on Methyl tertiary-Butyl Ether (MtBE)".

 MtBE is generally unpleasant in taste and odor. Studies have been conducted on the
 concentrations of MtBE in drinking water at which individuals can detect the odor or taste of the
 chemical. This Advisory recommends that keeping levels of contamination in the range of 20 to
 40 ug/L or below to protect consumer acceptance of the water resource would also provide a
 large margin of exposure (safety) from toxic effects.

 The Advisory discusses the limitations of the current database for estimating a risk level for this
 contaminant in drinking water and characterizes the hazards associated with this route of  •
 exposure. This document has been peer reviewed both internally in the Agency and externally by
 experts in the field before its release to the public.

Note:  In this Advisory, we use a risk characterization method called "Margin of Exposure (or
safety)" which is different from traditional slope factors and reference doses (RfDs) as estimates
of response to defined exposures.  The "margin" is how far the environmental exposure of interest
is from the lower end of the exposures at which animals or humans have shown some toxicity
effect The use of the margin of exposure approach is helpful in the following ways: 1. It allows
for comparison of exposures associated with carcinogenic potential to those associated with non
cancer health effects;  2. It  provides the risk manager with a quick check to decide if the margin
of exposure (safety) appears to be adequate even when mathematical extrapolation of data from
high to low dose cannot be done; and 3. It gives a better understanding of the degree of risk
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associated with extrapolation of exposure data from animal studies to humans. For example,
given the limited number of animals that usually can be used in experiments, they, at best, would
detect a one in ten response (1 x 10"1).  A common procedure for carcinogens is to mathematically
extrapolate from the exposure levels of animal tests to estimate risk at lower, environmental
exposure levels. If the extrapolation is done as a straight line, a risk estimate of
1 x 10"6 generally corresponds to a margin of exposure of 100,000.  If the true, but unknown,
relationship is downward sloping, not a straight line, the risk at a 100,000 margin of exposure
would be less than 1 x 10"6 and might be zero.
                          Health and Ecological Criteria Division
                             Office of Science and Technology
                                     Office of Water
                                           m

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    DRINKING WATER ADVISORY: CONSUMER ACCEPTABILITY ADVICE AND
                           HEALTH EFFECTS ANALYSIS ON
                     METHYL TERTIARY-BUTYL ETHER (MtBE)
 EXECUTIVE SUMMARY

 'MtBE'  "  •                   ,„       -               '        •  .        .   '  ,
         (          '
 MtBE is a volatile, organic chemical.  Since the late 1970's, MtBE' has been used as an octane
 enhancer in gasoline. MtBE promotes more complete burning of gasoline, thereby reducing
 carbon monoxide and ozone levels. Hence, MtBE is commonly used as a gasoline additive in
 localities that participate in the Winter Oxygenated Fuels program and/or the Reformulated
 Gasoline program to achieve or maintain compliance with the National Ambient Air Quality
 Standards. A limited number of instances of significant contamination of drinking water with
 MtBE have occurred due to leaks from underground and. above ground petroleum storage tank
 systems and pipelines. MtBE, due to its small molecular size and solubility in water, moves rapidly
 into groundwater, faster than other constituents of gasoline. Public and private wells have been
-contaminated in this manner. Non-point sources, such as recreational watercraft, are most likely
 to be the cause of small amounts of contamination of surface waters. Air deposition through
 precipitation of industrial or vehicular emissions may also contribute to surface and ground water
 contamination.  The extent of any potential for build-up in the environment from such deposition
 is uncertain.

 This Advisory

 The EPA Office of Water is issuing this Advisory to provide guidance for communities that may
 be exposed to drinking water contaminated with MtBE. The Advisory provides an analysis of
 current health hazard information and  an evaluation of currently available data on taste  and odor
 problems associated with MtBE contamination of water, as the latter affect consumer acceptance
 of the water resource. This Advisory does not recommend either a low-dose oral cancer risk
 number or a reference dose (RfD)1 due to certain limitations of available data for quantifying risk.
 Guidance is given on the concentrations at which taste and odor problems likely would be
 averted, and how far these are from MtBE concentrations at which toxic effects have been seen in
 test animals, (The 'measure used is called a "margin of exposure" or MoE. For instance, if a


    Reference Dose is defined as "an estimate (with uncertainty spanning approximately an order of magnitude) of a
 daily exposure to the human population (including sensitive subgroups) that is likely to be without appreciable risk of
 deleterious effects over a lifetime" (U.S. EPA,  1987).            .
                                                                   December 1997

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measured concentration is 100,000 times less than the range of observation of effects in test
animals, the margin of exposure is 100,000.

Conclusion and Recommendation

This Advisory recommends that keeping levels of contamination in the range of 20 to 40 ug/L or
below to protect consumer acceptance of the water resource would also provide a large margin of
exposure (safety) from toxic effects.

Taste and odor values are presented as a range, since human responses vary depending upon the
sensitivities of the particular individual and the site-specific water quality conditions. These
values are provided as guidance recognizing that water suppliers determine the level of treatment
required for aesthetics based upon the customers they serve and the particular site-specific water
quality conditions.

There are over four to five orders of magnitude between the 20 to 40 figfL range and
concentrations associated with observed cancer and noncancer effects in animals. There is little
likelihood that an MtBE concentration of 20 to 40 //g/TL in drinking water would cause adverse
health effects in humans, recognizing that some people may detect the chemical below this range.
It can be noted that at this range of concentrations, the margins of exposure are about 10 to 100-
times greater than would be provided by an EPA reference dose (RfD) for noncancer effects.
Additionally,  they are in the range of margins of exposure typically provided by National Primary
Drinking Water Standards under the Federal Safe Drinking Water Act to protect people from
potential carcinogenic effects.

When adequate data become  available, the Office of Water will publish another Advisory that
includes quantitative estimates for health risks. This Advisory gives practical  guidelines for
addressing contamination problems and supersedes previous draft advisories.  An Advisory does
not mandate a standard for action.

Studies of MtBE Effects

There are no  studies of effects on humans of long-term exposure to MtBE. All of the studies
available for hazard assessment are laboratory animal studies.

Cancer effects.  There are studies in rodents of the carcinogenicity of MtBE, as well as its
metabolites, tertiary- butyl alcohol (TBA) and formaldehyde.  The only oral cancer exposure
study was conducted by Belpoggi and coworkers (1995). They gave MtBE to Sprague-Dawley
rats (gavage in olive oil, at doses up to 1,000 mg/kg/day, 4 days per week for two years).
Exposure caused a dose-related increase in the incidence of combined leukemia and lymphomas in
the female rats and an increase in Leydig cell adenomas (benign testicular tumors) in the high-dose
male rats. Use of this study to quantitatively assess risks from drinking water exposure has
limitations. There are potential differences in bolus versus drinking water exposures and possible

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 vehicle (olive.oil) effects. Moreover, there are few details on the actual reported tumor response
 data provided in the report.  The lack of histopathological diagnoses and of individual animal data
 were reasons that the National Research Council panel recommended not using these tumor data
 in risk estimation until after a thorough peer review of this study.

 There  are two studies on the. potential carcinogenicity of MtBE after inhalation exposure.
 Chun et al. (1992) administered MtBE to F344 rats at concentrations up to 8,000 ppm for 2
 years.  Exposure to MtBE caused an increase in the incidence of combined renal tubular
 adenomas and carcinomas, as well as Leydig cell adenomas of the testes in the male rats. The
 mild induction of a-2u^globulin by MtBE suggested that this protein may have played a role in
 male rat kidney tumorigenesis.  The increase in the incidence of Leydig cell adenomas of the male
 rats in this study was not significantly different from the historical control value, although the
 difference from the concurrent controls was significant. Induction of Leydig cell tumors was also
 observed  in Sprague-Dawley rats after oral exposure by gavage (Belpoggi et al., 1995) and lends
 support to the conclusion that the appearance of the tumor in both studies is treatment-related.

 In the other inhalation study, Burleigh-Flayer et al. (1992) gave MtBE to CD-I mice at
 concentrations up to 8,000 ppm for 18 months. This exposure was associated with a statistically
 significant increase in the incidence of hepatocellular carcinomas in male mice and of
 hepatocellular adenomas in female mice., The Chun et al. (1992) and the Burleigh-Flayer et. al.
 (1992) studies currently cannot be used to calculate adequate hazard advisory values since we
 have no well-developed pharmacokinetic model for converting a chronic inhalation exposure of
 MtBE  to an equivalent  oral exposure. On-going work may support route-to-route extrapolation
 in the future.                       ,                                    ,            ,

 The potential carcinogenicity of two metabolites of MtBE, TBA and formaldehyde has also been
 examined. In F344 rats, TBA has provided some evidence of carcinogenic activity in the males
 (but not in the female rats).  In B6C3F1 mice, TBA exposure gave equivocal evidence of   .
 carcinogenic activity hi male mice based on marginally increased incidence of thyroid tumors, and
 some evidence of carcinogenicity in female mice, based on an increased incidence of follicular cell
 hyperplasia and follicular cell adenomas of the thyroid  gland.  Data for carcinogenic activity is
 ambiguous for drinking water exposure to formaldehyde.  A study by Soffiitti et al.  (1989)
 reported a dose-related increase in the incidence, of leukemia and intestinal tumors in Sprague-
Dawley rats. However, the experimental data presented in this publication was limited.  Another
 drinking water study on formaldehyde by Til and coworkers (1989), using Wistar rats, found no
 evidence of carcinogenicity.

The carcinogenicity .data support a conclusion that MtBE poses a potential for carcinogenicity to
humans at high doses. The data do not support confident, quantitative estimation of risk at low
exposure due to the limitations described above.

Noncancer toxicity. The collective evaluation of the reproductive and developmental studies of
MtBE in animals indicate that inhalation exposure can result in maternal toxicity and adverse

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effects on the developing fetus (Bushy Run Research Center, 1991, 1989a, 1989b; Conaway et
al., 1985). The fetal toxicity in the mouse developmental studies indicate that it may be more
sensitive to inhalation of MtBE vapors than the rat or rabbit during gestation.  However, it is
possible to conclude that, at low concentrations, MtBE does not cause a developmental or
reproductive hazard by inhalation in three different animal species.  This also suggests that
humans may not be at risk when exposed to very low concentrations of MtBE.

Effects on the kidney were observed in rats after oral and inhalation exposure to MtBE. The most
pertinent noncancer toxicity data come from a 90-day oral exposure study in rats. The authors
reported minimal effects on the kidneys at doses of 300 mg/kg/day and above (Robinson et al.,
1990). In these animals, the MtBE was given once a day, as a bolus dose in corn oil. A single oral
dose of MtBE in corn oil would not be considered representative of an intermittent exposure to
MtBE that one would normally obtain from drinking water containing MtBE. In a longer term
inhalation study, histopathological abnormalities were apparent (Chun et al., 1992).  Uncertainties
exist in quantifying risk from the oral data in the short-term study because of the bolus gavage
dosing regime and the less-than-lifetime duration of the study. The uncertainty in extrapolating
between routes affects the interpretation of the inhalation data.

The studies support a conclusion that MtBE can pose a hazard of noncancer effects to humans at
high doses.  The data do not support confident quantitative estimation of risk at low exposure.

Taste and Odor. Studies were conducted on the concentrations of MtBE in drinking water at
which individuals respond to the odor or taste of the chemical. Human responses vary widely in
this respect. Some who are sensitive can detect very low concentrations,  others do not taste or
smell  the chemical even at much higher concentrations. Moreover, the presence or absence of
other natural or water treatment chemicals can mask or reveal the taste or odor effects. Thus,
variable preexisting water conditions around the country will increase variability in the
acceptability of MtBE's presence in drinking water.
        *
The studies have not been extensive enough to completely describe the extent of human
variability, or to establish a population threshold of response. Nevertheless, the available studies
allow a conclusion that keeping concentrations in the range of 20 to 40 micrograms per liter
(|ig/L) of water or below will likely avert unpleasant taste and odor effects, recognizing that some
people may detect the chemical below this range.

Characterization Summary

Section 7.0 on hazard and dose response characterization summarizes the MtBE data. In this
section, a table (Table 1) presents the margins of exposure comparing animal effects and human
taste and odor data.

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                                        '...',.             December 1997

 1.0   INTRODUCTION

 The purpose of this Advisory is to support immediate needs for information by State and local
 drinking water facilities and public health personnel due to MtBE contamination of potable water.
 Ongoing research is anticipated to decrease some of the uncertainties in the current toxicity data
 as applied to the drinking water route of exposure.  A Health Hazard Advisory value will be
 issued when the data base is improved to allow greater confidence in the toxicity conclusions.
 Nevertheless, there are sufficient data to give a general picture of the ranges of exposure that may
 raise concerns for people. In addition, the taste and odor of MtBE affect the potability of water
 at levels that provide an additional basis for assessment of quality and usability of water resources.

 2.0    MtBE IN THE ENVIRONMENT

 MtBE is used as an octane enhancer to replace lead in gasoline. It also promotes more complete
 burning of gasoline, thereby reducing carbon monoxide and ozone levels in localities.which do not
 meet National Ambient Air Quality Standards (ATSDR, 1996; USGS, 1996). Almost all of the
 MtBE produced is used as a gasoline additive; small amounts are used by laboratory scientists
 (ATSDR, 1996). When used as a gasoline additive, MtBE may constitute up to 15% (v/v) of the
 gasoline mixture. MtBE production hi the United States was estimated at 6.2 billion kilograms in
 1994 and 21 billion kilograms in 1995 (NSTC, 1997 and 1996).

 In the Clean Air Act of 1990 (Act), Congress mandated the use of reformulated gasoline (RFG)
 in those areas of the country with the worst ozone or smog problems.  RFG must meet certain
 technical specifications set forth in the Act, including a specific oxygenate content.  Ethanol and
 MtBE are the primary oxygenates used hi the RFG program to meet the oxygen content
 requirement. MtBE is used in about 84% of RFG supplies. Currently, 32 areas in a total of 18
 states are participating in the RFG program, and RFG accounts for about 30% of the gasoline
 nationwide.  Studies have identified significant air quality and public health benefits that directly
 result from the use of oxygenated fuels. The refiners' 1995/96 fuel data submitted to EPA
 indicate that the national emissions benefits exceeded the required reductions.  The 1996 Air
 Quality Trends Report showed that toxic air pollutants, such as benzene, a known carcinogen,
 declined significantly between 1994 and 1995.  Early analysis indicates this progress may be
 attributable to the use of RFG. Starting in the year 2000, the required emission reductions are
 substantially greater, at about 27% for VOCs, 22% for toxics, and 7% for NOX:

About 40% of the U.S. population live hi areas where MtBE is used (USGS, 1996). MtBE is a
volatile chemical; therefore, in most areas, the major exposure to MtBE is from air. In some
instances, drinking water sources may be contaminated. Leaking underground storage tank
 systems and pipelines for gasoline products are the cause of reported ground water
contamination. According to the Toxic Chemical Release  Inventory published in 1995,
approximately 3% of the MtBE released from industrial sources enters surface water or publicly-

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                                                                   December 1997

owned treatment plants (ATSDR, 1996). Surface waters can also become contaminated as
noncombusted MtBE in gasoline is released into air and precipitated by rain and snow.

Unlike most gasoline components, MtBE is a small, highly water-soluble molecule. Therefore, it
it does not bind strongly to soils, but travels relatively rapidly to and through surface and
underground water.  In addition, MtBE appears to be resistant to chemical and microbial
decomposition in water (ATSDR, 1996).

MtBE has been reported in ground water and drinking water derived from ground water. Based
on monitoring data collected by the U.S. Geological Survey (USGS), it appears that wells most
susceptible to contamination are shallow ground water wells in urban areas (USGS, 1996).  There
is limited MtBE drinking water occurrence information.  The information available is insufficient
to characterize the extent of drinking water contamination on a nationwide'basis, because the
samples collected are generally from locations with known or suspected contamination (NSTC,
1996).

In air, MtBE may represent 5-10% of the volatile organic compounds that are emitted from
gasoline-burning vehicles, particularly in areas where MtBE is added to fuels as part of an
oxygenated fuel program (ARCO, 1995). There are no reliable data on MtBE levels in food, but
food should not be a significant source of exposure to MtBE. Limited  data suggest that MtBE
will not bioaccumulate in fish or food chains (ATSDR, 1996).

The recent report of the National Science and Technology Council (NSTC, 1997)  provides
extensive occurrence data for MtBE and other fuel oxygenates, as well as information'on
applicable treatment technologies. For additional information concerning MtBE in the
environment, this report can be accessed through the NSTC Home Page via link from the Office
of Science and Technical Policy (OSTP) at the following address:

Home Page at: http://www.wMtehouse.govAVH/EOP/OSP/html/OSTP_Home.html.

Information on analytical methods for determining MtBE in environmental media are compiled in
the ATSDR Toxicological Profile (1996) for this chemical.

3.0   CHEMICAL AND PHYSICAL PROPERTIES

MtBE is an aliphatic ether.  It is a colorless liquid with a characteristic odor.  It has a low
molecular weight (88.15 g/mole), high volatility (vapor pressure 245 mm Hg at 25° C), and high
water solubility (40-50 g/L; ATSDR, 1996). In its liquid or gaseous state, it is expected to be
readily absorbed into the blood stream.  It is moderately lipophilic with a log Kow of 1 24
(ATSDR, 1996), which will facilitate its absorption across the lipid matrix of cell membranes.

4.0   TOXICOKMETTCS

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                                                                      December 1997

There are no data on the absorption of MtBE in humans after ingestion; the uptake of MtBE via
inhalation has been reported to be rapid (Cain et al., 1994; Prah et al., 1994; Johanson et al.,
1995).  In animals, absorption of MtBE administered by oral, intraperitoneal, or inhalation routes
is rapid and extensive (Industrial Bio-Test Laboratories Inc., 1972a,b; Bio/dynamics,  1984;
Savolainen et al., 1985; Bio-Res Lab., 1990a,b,c,d; Miller et al., 1997) The extent of dermal
absorption in rats is slow and limited, but increases with increasing dose levels (Bio-Res Lab
1990a,b).

The metabolism and elimination of MtBE and its metabolites also proceed rapidly regardless of
the route of administration. After absorption, MtBE is demethylated to form TEA arid
formaldehyde by the 0-demethylase of the microsomal cytochrome P-450 system (Brady et  al.,
1990).  TBA is further metabolized to formaldehyde (in rodents) or conjugated with glucuronic
acid to form TBA-glucuronide, which is excreted in urine (Cederbaum and Cohen, 1980;
Williams, 1959).  Other oxidative metabolites of TBA include 2-methyl-l,2-propanediol and
alpha-hydroxy isobutyric acid (Bio-Res Lab., 1990b; Miller et al., 1997). Formaldehyde may be
reduced to methanol or oxidized to formic acid, which is further biotransformed to carbon
dioxide.

Since MtBE is rapidly absorbed into the circulation from inhalation and ingestion exposures, it is
expected that MtBE is  distributed to all major tissues. A large fraction of the MtBE in blood has
a very short half-life of 10-30 minutes. The minor long-term exponential decay component in
humans exposed to MtBE via inhalation suggests that a small amount of MtBE can deposit in the
tissues (Prah  et al., 1994; Johanson et al., 1995). Animal studies showed that 24-96 hours after
single short-term exposures, the total residual levels in various tissues (brain, muscle,  skin, fat,   •
liver, and kidney) were, in general, low regardless of route of exposure (Industrial Bio-Test
Laboratories Inc., 1972a, 1972b; Bio/dynamics,. 1984; Savolainen et al., 1985; Bio-Res Lab.,
1990a,b,c,d; Miller et al., 1997):  Several investigators (Borghoffet al., 1996; Rao and Ginsberg,
in press) are developing toxicokinetic models to derive concentrations in blood and brain for
rodents and humans after short-term exposure.  These models will be reviewed before being  used
for route-to-route extrapolation, especially when exposures are repeated or continuous.

4.1    Dosimetry: Route-to-Route Extrapolation

While there are few reports available on the effect of MtBE via ingestion, there are many on
inhalation exposure. Attempts have been made to crudely extrapolate inhalation dose-response to
an equivalent oral dose-response to offer a perspective on the possible oral hazard/risk suggested
by the inhalation data given that the available direct oral data are so limited  In so doing, one
must convert the inhalation dose to units of mg/kg-day, determine what assumptions are
reasonable for extrapolating this to an equivalent oral exposure in mg/kg-day, and then calculate a
related oral potency (slope factor) using the calculated oral dose and the inhalation response.

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                                                                      December 1997

There are several inherent uncertainties or limitations involved in the estimation of human
equivalent oral dose from animal inhalation data. Factors that impact absorption from the lungs
and thus dose include: 1) the physical properties of the chemical (e.g., aerosol or gas, including
the particle size), 2) respiration rate and minute volume of the experimental animal, and 3)
exposure conditions (continuous vs. intermittent exposures).  Factors that impact the interspecies
aspects of the conversion are: 1) allometric scaling between species to compensate for different
body sizes, 2) differences in respiratory system structure and physiology, and 3) the qualitative
and quantitative differences in absorption and biotransformation between species.
Another important uncertainty in the extrapolation is in establishing whether the parent toxicant
or its metabolite(s) is responsible for the biological activity. The absorbed dose via inhalation
exposure does not go through the same liver metabolism (the first-pass effect) as that via
ingestion. Many chemicals (e.g. formaldehyde) produce different toxic and carcinogenic effects
via different routes of exposure. This means that it is important to determine whether it is the
parent compound or a metabolite that is responsible for the observed effects.  Specific
uncertainties and limitations in the toxicokinetic data for MtBE are discussed below.

Most of the absorption data on MtBE were collected following short-term inhalation exposure.
Duration of exposure and the rate of respiration are two very important parameters which control
the absorption of MtBE. During the exposure period, a state of equilibrium is established
between the inhaled and  exhaled air; therefore,  the percent absorbed dose by inhalation is
influenced by the pharmacological properties of the toxicant.  For example, substances like MtBE
with an anesthetic effect at higher dose will slow down the respiratory rate and, thereby, slow
down the rate of absorption via the lungs into the blood.  Accordingly, overall absorption of
MtBE would be anticipated to be lower  at a higher dose because of its effect on the central
nervous system.  There is not enough information to estimate the exact absorbed dose in long-
term inhalation or oral exposure.

As already mentioned, via the inhalation route,  MtBE enters the blood without passing through
the gastrointestinal tract and the liver which is responsible for most of MtBE metabolism by way
of the hepatic cytochrome P-450 system. To what extent MtBE metabolism is influenced by the
gastrointestinal tract is not known. It is  likely that differences in the metabolism between
exposure routes do occur and affect toxicity. Using inhalation exposure to estimate the oral dose
ignores potential first-pass effects in the  liver. However,  the uncertainties in the route-to-route
extrapolation of dose for MtBE are mitigated by the fact that the metabolites  qualitatively appear
to be the same by differing routes, the distribution and excretion patterns are the same and the
tissues in which toxicity, including carcinogenicity, have been reported overlap between routes.
4.2    NSTC's Extrapolation of Dose from Inhalation Exposure

A number of the studies utilized for this Advisory involved the inhalation route of exposure.  At
present, there is no appropriate toxicokinetic model to convert an applied inhalation exposure

                                            8

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                                                                    December 1997

concentration to a dose in the target organ, although models are under development, at CHT
(Borghoffet al., 1996) and the University of Connecticut (Rao and Ginsberg, in press). In the
absence of a well-developed toxicpkinetic model, the inhalation exposure concentrations were
converted to dose values following the method used;by the interagency task force on MtBE
(NSTC, 1996; 1997). The NSTC (1996) conversion method assumes that for a given exposure
concentration of MtBE, the adjusted external human equivalent dose would be the same from
studies of any kind of animals, regardless of the species used.  The calculation also assumes 100%
absorption of MtBE, and appears to be a default value in the absence of reliable inhalation and
absorption data.

The equation used for the dbse conversion by the NSTC (1997) is presented as follows:
             Human Equivalent Dose (HED)-= C ppm x IP"6 ppm'1 x MM x RR x EC
                                                     MVxBW
       Where:                        .      ,
              C     = Atmospheric concentration
              MM   = Molar mass expressed in milligrams (88,150 mg for MtBE)
              MV   = Molar volume at 20°C (24.04 L)
              RR    =-Human respiration rate (20,000 L/day)
              EC    = Exposure condition (# hrs/24 hr) x (# days/week)
              BW   = Average human body weight (70 kg)

The value of W6 ppm'1 in the equation is a unit adjustment factor that expresses the amount of
the contaminant that is present in each unit of inspired air.

When the concentration of MtBE is 1 ppm, the exposure condition is continuous (24 hrs/day and
7 days per week), the EC is 1 and the HED is calculated as 1.05 mg/kg-day as follows:

          HED = 1 ppm x IQ^ppm'1 x 88.150 mg x 20.000 L/day  = 1  05 mg/lrg/Hay
                                   24.04Lx 70kg                  '          -

In cases where exposures are conducted for 6 hrs/day and 5 days per week, the EC is equal to
(6/24) (5/7) or 0.1786. Consequently, 1 ppm of MtBE is equivalent to 0.1875 mg/kg-day.

The Office of Water has presented the NSTC (1997) methodology for extrapolation of the
inhalation exposure doses to oral  doses in studies with MtBE in order to be consistent with the
risk assessment values of those provided in the NSTC (1997) report. The limitations of the
methodology generate significant uncertainties.
                                          9

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                                                                     December 1997

5.0    HEALTH EFFECTS DATA

5.1    Human Studies

There are very limited data on the effects of MtBE in humans by any route of exposure and no
data are available for the oral route. In cases where 37 or 43 human volunteers were exposed to
low levels of MtBE in air (1.39 or 1.7 ppm) for 1 hour (Cain et al., 1994; Prah et al., 1994), there
was no significant increase in symptoms of eye, nasal,  or pulmonary irritation when the results for
periods of exposure to MtBE were compared to results from exposure to ambient air. There
were also no significant effects on mood (determined by the Profile of Mood States test) or in the
results from several performance-based neurobehavioral tests. In both studies, the females ranked
the quality of the air containing MtBE lower than the control atmosphere. However, in the study
by Cain et al. (1994), where the subjects were also exposed to an atmosphere containing a 7.1
ppm mixture of 17 volatile organic compounds (VOCs) that are frequent air contaminants in areas
around gasoline stations, the air quality of the MtBE-containing atmosphere ranked higher than
that with the VOC mixture.

The results from studies of neurological effects (headache, dizziness, disorientation, fatigue,
emotional distress, etc.), gastrointestinal problems (nausea, diarrhea), and symptoms of
respiratory irritation in individuals exposed to MtBE vapors through MTBE-containing fuels are
inconclusive (Hakkola et al., 1996; Moolenaar et al., 1994; White et al.,  1995). The three studies
cited were different in their design and utilized slightly different parameters for monitoring effects.
All studies evaluated exposure to a MtBE-gasoline mixture and not MtBE.

The studies by Hakkola et al. (1996) and White et al. (1995) compared the effects in two groups
exposed to different concentrations of MtBE from treated gasoline because of their lifestyles.  The
moderately-exposed individuals either drove a gasoline delivery truck, worked in a gasoline
station or worked on car repairs. The minimally-exposed individuals merely used a gasoline-
powered vehicle to go to and from work or as part of their job. Hakkola et al. (1996) found that
there were no statistically-significant differences between the signs and symptoms reported by 101
drivers of tanker trucks in Finland (where the gasoline contains 10% MtBE) and 100 milk truck
drivers.  Blood concentrations of MtBE or its metabolites were not monitored. In the study by
White et al. (1995), the odds ratio was 8.9 (95% CI = 1.2-75.6) for the reporting of one or  more
symptoms when 11 individuals with blood MtBE levels of >2.4 //g/L were compared with 33
individuals with lower levels. The odds ratio increased to 21 (95% CI = 1.8-539) when
commuters were excluded from the population studied and 8 workers with blood levels of >3.8
ftjz/L were compared to 22 individuals with lower blood MtBE levels. All individuals lived  and
worked in the area around Stamford, Connecticut.

A study in Alaska (Moolenaar et al., 1994) compared effects and blood levels of MtBE from a
time period when oxygenated fuels were in use (Phase I) to those after the oxygenated fuels use
had Stopped (Phase IT). The subjects were volunteers  who were occupationally exposed to  motor

                                           10

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                                        .....'•        December 1997
                                                                              X
vehicle exhaust or gasoline fumes. Eighteen workers participated in Phase I and 22 in Phase EL
Twelve of those that participated in Phase I of the study also participated in Phase n.  A
questionnaire was used to gather information on signs and symptoms and blood samples were
collected for measurement of MtBE at the beginning and end of a typical work day. In Phase I,
the median post-shift MtBE level was higher than the pre^shift value (1.80 vs. 1.15 //g/L). During
Phase n, the values were more comparable (0.25 vs. 0.21 //g/L),  Median post-shift blood
measurements of TEA were higher during Phase I than in Phase n (5.6 vs.  3.9 //g/L).

Signs and symptoms that could be associated with MtBE exposure were reported more frequently
during Phase I than Phase n(Moolenaar et al.3 1994). During Phase I, 50% or more of the
participants reported headaches, eye irritations and nose and throat irritations. Reporting of these
symptoms occurred in less than 10% of the participants  during Phase n.  However, it is difficult
to evaluate if psychosomatic factors and individual sensitivity had influenced these results. The
volunteers may have chosen to participate because of their sensitivity to contaminants in the
atmosphere.                                           ,

Perfusion of MtBE through the bile duct and gallbladder was once used as a medical treatment for
gallstones.  During this procedure, some of the MtBE enters the blood stream and is distributed
systemically. Effects reported in patients treated by this procedure included sedation,
perspiration, bradycardia (slow heart beat) and elevation of liver enzymes (Allen et al., 1985;
Julian! et al., 1985, and Wyngaarden, 1986). These signs cannot be attributed totally to MtBE
because of the confounding effects of anesthesia and the infusion process itself.

5.2    Animal Studies

5.2.1  Noncancer Effects        .                   ,
                                                 '-    -          ^             •          ' •
5.2.1.1 Acute and Subchronic

Studies of the systemic effects of MtBE have been conducted in animals, but the majority involve
inhalation exposure.  Since this Provisional HA is mainly concerned with the effects of MtBE in
drinking water, it will focus on oral toxicity studies. From an acute standpoint, MtBE is not very
toxic. The oral LD50 in rats is 3.9 g/kg (3,900 mg/kg). Treated animals exhibit central nervous
system depression, ataxia and labored breathing (ARCO, 1980).

In a two-week study, Sprague-Dawley rats (10/sex/dose) were dosed daily with MtBE in corn oil
by gavage at 0, 537, 714, 1,071 or 1,428 mg/kg/day.  At the highest dose, anesthesia was
immediate, but recovery was complete within two hours. Although there was a. dose-related
decrease in body weight  gain, it was significant only in females at the highest treatment regimen.
Increases in relative kidney weights were noted in the males at 1,071 and at 1,428 'mg/kg/day and
in females at the 1,428 mg/kg/day dose.  There were no  gross lesions seen at any treatment level.
Based on the increases in relative kidney weight, a No-Observed-Adverse-Effect-Level (NOAEL)

                                         .11                   :

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                                                                     December 1997

of 714 mg/kg/day and a Lowest-Observed-Adverse-Effect-Level (LOAEL) of 1,071 mg/kg/day
are established by these experiments (Robinson et al., 1990).

Sprague-Dawley rats (10/sex/dose) were treated orally with MtBE in corn oil for 90-days at 0,
100, 300, 900 or 1,200 mg/kg/day.  Anesthesia was evident at the highest dose, but as in the 14-
day study, full recovery occurred in two hours. There was a significant decrease in final body
weight of females only at the highest level of treatment.  The diarrhea seen in the treated animals
was considered to be the consequence of the bolus dosing regime. In females, there were
increases in relative kidney weights at 300, 900 and 1,200 mg/kg/day, while in males, increases
were noted only at the two highest treatment levels.  Reductions in blood urea nitrogen, serum
calcium and creatinine were observed in males and a reduction in cholesterol in females was
reported, but there were no clear dose-dependent results. Based on the alterations in kidney
weights, a NOAEL and LOAEL of 100 and 300 mg/kg/day, respectively, are identified by this
study (Robinson et al., 1990).
                                 i
Sprague-Dawley rats (60 animals per sex, per dose group) were given 0, 250 or 1,000 mg/kg/day
MtBE in olive oil via gavage, 4 days per week, for 104 weeks.  This dosing regimen gives a 7-day
time-weighted average daily dose of 0,143 and 571 mg/kg/day. Survival appeared to be
decreased in female rats after 16 weeks, but no statistical treatments on data were reported.
There was no reporting of hematological, clinical chemistry or urinalysis parameters, or any
indication as to  whether or not these endpoints were evaluated. The authors did not observe any
differences in food consumption or final body weights in the various groups. In addition, they did
not report any noncancer histopatholpgical changes (Belpoggi et al.,  1995).  Due to the limited
scope, intermittent treatment schedule and scant data reporting in this study, it is not possible to
set a NOAEL or LOAEL.

The subchronic data from the study by Robinson et al. (1990) were used to develop a DWEL for
kidney effects from MtBE. The increase in kidney weights at doses of 300 mg/kg/day and higher
was considered  to be an adverse effect, since increases in organ weights are a marker for adverse
organ effects (Weil, 1970).  The diarrhea observed was considered to be a gastrointestinal
complication of the gavage dosing. Based on the NOAEL of 100 mg/kg/day, a DWEL for kidney
effects of 3,500 yug/L can be derived for  a 70 kg adult drinking 2 L of water per day, using an
uncertainty factor of 1,000. The uncertainty factor reflects a 10 for the less-than-lifetime duration
of the study, a 10 for interspecies variability and a 10 for intraspecies variability.

Kidney toxicity  was also observed in both males and females in the 2-year inhalation study in
F344 rats by Chun et al. (1992) discussed in the section on cancer effects.  In fact, EPA derived a
Reference Concentration of 3 mg/m3, based on the kidney and liver effects of MtBE  (U.S. EPA,
1993). These data support the conclusion that, after MtBE exposure, kidney toxicity is of
concern. However, the use of the Robinson et al. (1990) study for evaluation of kidney effects
has two significant uncertainties. One is that the study was for 90 days and not for a lifetime, and
the second is the extrapolation of dose from a single daily bolus dose in com oil to the continuous

                                           12

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                          ,                                    "        December 1997

  small doses from drinking water exposure.  In general, it would be anticipated that a 90-day
  exposure period would tend to underestimate the toxicity, while the bolus dose would be more
  likely to overestimate the toxic response. However, the relative effects of these two factors are
  uncertain.

  5.2.1.2 Reproductive and Developmental Studies

  Reproductive Studies

  Two inhalation studies in rats were available on the reproductive effects of MtBE. A two-
  generation reproduction study was conducted in Sprague-Dawley CD rats using target
  concentrations of 0, 400, 3,000 or 8,000 ppm of MtBE for 6 hours/day, 5 days/week for 10
  weeks before mating, during mating, gestation and lactation days 5-21  (Bushy Run Research
  Center, 1991;  Bevan et al, 1997b). Statistically-significant reductions  in body weight and body
'  weight gains in male and female Fx and F2 pups were rioted with the 3,000 ppm and 8,000 ppm
  exposures during the latter periods of lactation.  At 3,000 ppm, only transient body weight
  reductions were noted in Fa males and females during their premating period.  At 8,000 ppm, pup
  survival was significantly reduced (p < 0.01) in the Fj litters on lactation days 0-4 and in F2 Utters
  on postnatal day 4.  Clinical signs of toxicity were noted in both generations at 3,000 and 8,000
  ppm; this included hypoactivity and lack of startle reflex.  Ataxia and blepharospasm (eyelid
  twitching) were observed at 8,000 ppm. At necropsy, increased liver weights were reported in
  the F! generation at 3,000 and 8,000 ppm in both sexes, although no histopathological effects
  were noted. The NOAEL and LOAEL for both parental and pup toxicity were 400 and 3^000
  ppm, respectively.

  A one-generation study (Biles et al., 1987) in Charles River CD rats was carried out with two
  matings, using target concentrations of 0, 300, 1,300 or 3,400 ppm of MtBE vapor for 6
  hours/day, 5 days/week, prior to and during mating.  Exposure was continued during 5-day
  mating intervals. In males, exposure continued until the end of the second mating to produce the
  Flb litters. In females, exposure continued during the gestation period and lactation days 5 to 21,
  but not during the first 4 days of the lactation period. A NOAEL and a LOAEL may be identified
  at 300 ppm and 1,300 ppm, respectively, based on pup viability in the Flb litters. However, this
  study has limited usefulness in the evaluation of reproductive toxicity because of some noted
  flaws (e.g., the loss of one entire litter of 12 pups at birth in the mid-dose group remains
  unexplained).

  Developmental Studies

 Four inhalation studies were evaluated:  one in rats (Conaway et al., 1985), two in mice (Conaway
  et al., 1985; Bushy Run Research Center, 1989a; Bevan et al., 1997a) and one in rabbits (Bushy
 Run Research Center, 1989b; Bevan et al., 1997a).  The Conaway et al. studies in the rat and
 mouse were performed at target concentrations of 0, 250, 1,000 or 2,500 ppm of MtBE for 6 hrs

 •                  '                        13  .      '         "     •       •--.'•••'

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                                                                     December 1997

per day on days 6 to 15 of gestation.  Dams were sacrificed at gestation day 20 for rats and
gestation day 18 for mice. The concentrations for the Bushy Run studies in mice and rabbits were
0, 1,000,4,000 ppm or 8,000 ppm. Mice were exposed on days 6 to 15  of gestation and rabbits
were exposed on days 6 to 18 of gestation. Mice dams were sacrificed on gestation day 18 and
rabbits on gestation day 28.

In the rat study (Conaway et al., 1985), no effects were noted in rats at the highest dose tested,
2,500 ppm. Also, in the rabbit study (Bushy Run Research Center, 1989b; Bevan et al., ,1997a),
no developmental toxiciry was noted at the highest dose tested, 8,000 ppm, but maternal toxicity
was noted at 4,000 ppm and above.

For mice, in the Bushy Run study, maternal toxicity was noted at the two higher concentrations
(4,000 ppm and 8,000 ppm). Also, fetal skeletal variations and reduction in fetal weight were
noted at the higher doses. In the Conaway et al. (1985) mouse study, the most noted
developmental effect was a dose-related increase in the incidence of skeletal malformations per
litter with incidence of 7.4 percent in the control group compared to 11.5 percent, 16 percent and
22.2 percent in the 250, 1,000 and 2,500 ppm groups, respectively.  These malformations
included cleft palate, scrambled and fused sternebra and angulated ribs. Cleft palate occurred in
two fetuses of one litter in the control group; one fetus in the 1,000 ppm group; two fetuses, each
in a different litter of the 2,500 ppm group; and none in the 250 ppm group.  There were also 17,
11 and 17.3 percent resorptions in the 250,1,000 and 2,500 ppm groups, respectively, compared
to 9 percent in control.  Based on the incidence of skeletal malformations in these two mice
studies, a developmental NOAEL in mice can be projected in the range of 250 ppm to 1,000 ppm.
The collective evaluation of the two developmental mouse studies discussed above reflects a
NOAEL hi the range of 250 to 1,000 ppm for developmental toxicity. The NOAEL of 400 ppm
for parental toxicity in the rat two-generation reproductive study falls within the NOAEL range
for developmental effects. These values are projected as equivalent to doses of 65.6 mg/kg/day to
262.5 mg/kg/day, respectively.  Using these two values, the projected, no-effect-concentration in
drinking water for humans is in the range of 2.3 to 9.2 mg/L (2,300 to 9,200 //g/L). Since the
NOAEL in the reproductive study is also 400 ppm, exposure to MtBE hi drinking water within
this concentration range should not cause reproductive or developmental toxicity in humans. This
health range assumes that a 70 kg adult consumes 2 L of water per day.  An uncertainty factor of
1,000 was applied to the NOAEL.  This factor includes a 10-fold factor for interspecies
variability, 10 for intraspecies variability, and 10 to account for acute exposure and the limitation
associated with the conversion of the inhaled dose to an oral dose in the  absence of adequate
pharmacokinetic models.  The conservative use of the 10-fold factor for  acute exposure should
provide an additional margin of protection for potential effects on the developing fetus.
5.2.1.3 Neurotoxicity Studies

                                           14

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                                                                      December 1997

 Inhalation exposure of animals to high levels of MtBE is associated with depression of the central
 nervous system in the period immediately after exposure (Daughtrey et al., 1997).  Symptoms
 observed in groups of 22 male and 22 female F344 rats in the hour after a 6-hour exposure to an
 atmosphere containing 4,000 or 8,000 ppm MtBE included labored respiration, ataxia, decreased
 muscle tone, abnormal gait, impaired treadmill performance and decreased hind-limb grip
 strength. These effects were not noted 6 and 24 hours after the cessation of exposure.  There
 were no apparent effects from a single 6-hour exposure to 800 ppm MtBE.

 Subchronic exposures of groups of 15 male and 15 female rats under the same daily exposure
 conditions used for the acute study gave no indication that the repetition of exposure exacerbated
 the acute central nervous system response (Daughtrey et.al., 1997). There was a significant
 decrease in the absolute, but not the relative, brain weight in the high-dose group at the end of the
 13-week exposure period.  However, there were no significant changes in brain or peripheral
 nervous system histopathology that could be related to MtBE. These studies identified 800 ppm
 as a NOAEL and 4,000 ppm as a LOAEL for acute effects of MtBE on the central nervous
 system.                               :

 The 800 ppm NOAEL for acute neurotoxic effects is projected to be equivalent to a dose of 210
 mg/kg/day. Using this value, the projected no-effect concentrations in humans is 7.35 mg/L
 (7,350 //g/L) for a 70 kg adult drinking 2 L/day water. An uncertainty factor of 1,000 was used
for this calculation. The uncertainty factor includes a 10 for use of a frank effect, 10 for
interspecies variability and 10 for intraspecies variability.  The uncertainty factor does not include
an adjustment for the short-term duration, because the daily repetition of exposure had no
influence on the effects observed.
                                          15

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                                                                   December 1997

5.2.1.4 Mutagenicity Studies

Several studies were available to assess the mutagenicity of MtBE. With one exception, this
chemical has not exhibited genetic toxicity in a variety of in vitro and in vivo mammalian and non-
mammalian test systems.  Positive results were noted in a mouse lymphoma assay in the presence
of microsomal enzymes (ARCO, 1980).  The only positive response is due to the formaldehyde
produced from in vitro metabolism (Stoneybrook Laboratories Inc., 1993). The objective of the
mutagenicity studies is to determine whether MtBE's carcinogenic activity is associated with
positive in vivo genetic activity (Mckee et al., 1997). The weight of evidence from the
mutagenicity data summarized below indicated that MtBE is not mutagenic.

MtBE was negative in sex-linked recessive lethal test in the Drosophila melanogaster (Hazelton,
1989).  It was also negative in the Ames assays using Salmonella, both with and without
metabolic activation (ARCO,  1980; Life Science Research, 1989a).

Chromosome aberrations (ABS) or sister chromatid exchange (SCE) induction tests in Chinese
hamster ovary cells were negative with or without activation (ARCO, 1980).  MtBE did not cause
mutations in cultured Chinese hamster V79 cells (Life Science Research, 1989b). Inhalation of
MtBE at dose levels up to 8,000 ppm did not cause chromosomal aberrations in bone marrow
cells of F344 rats exposed 6 hours/day for 5 days  (Bushy Run Research Center, 1989c) or
micronuclei in bone marrow cells of CD-I  mice exposed for 6 hours/day for 2 days (Bushy Run
Research Center, 1993). MtBE was also negative for mutations at the hprt locus in lymphocytes
of CD-I mice (Ward et al., 1995).

No increase in unscheduled DNA synthesis was observed in the hepatocytes of CD-I mice that
were exposed to MtBE vapor concentrations of up to 8,000 ppm for 6 hours /day for two
consecutive days (Bushy Run Research Center, 1994). It did not cause DNA damage in the
primary rat hepatocyte culture test (Life Science Research, 1989c), nor was it clastogenic in a rat
in vivo cytogenetic assay (ARCO, 1980).

5.2.2  Cancer Effects

5.2.2.1 Studies of the Carcinogenicity of the Parent Compound (MtBE)

There are three chronic/cancer studies of MtBE in two rodent species (two inhalation studies, one
in mice and one in rats, and one gavage study in rats). High doses of MtBE were used in all of
the carcinogenicity studies and in some cases they have exceeded the Maximum Tolerated Dose
(MTD).
Gavage Study

                                          16

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  ..--,'                                                       December'1997

 When MtBE (99% pure) was administered orally to Sprague-Dawley rats (gavage in olive oil, at
 doses of 0, 250 or 1,000 mg/kg-day, 4 days/week for two years), no significant differences in'
 food/water consumption or body weight gain were observed.  The chemical caused a dose-related
 increase in the incidence of leukemia and lymphomas in females (2/58 in the controls, 6/51 in the
 low-dose group and 12/47 in the high-dose group) and an increase in the testicular interstitial
 Leydig cell adenomas in the high-dose males (18.3% vs. 3.3% in the controls and/or low-dose
 animals).  Survival was decreased 15 and 20% in the low- and high-dose females, respectively
 after 9 to 12 months of treatment (Belpoggi et al., 1995). There are some limitations in the
 reporting of the data as discussed.below (quoted from NSTC, 1997):

        The Belpoggi et al. study was published in the peer-reviewed literature. However,
        no detailed .technical report of the bioassay is available.  Lacking a detailed report'
        about the bioassay, the NRC panel (NRC, 1996)  identified a number of issues and
        questions which reflects upon the risk assessment use of these data.  The NRC
        noted that the morphological criteria used to classify histopathological findings for
       both the lymphoma-leukemia and interstitial cell tumor responses were not
        adequately described and that the study did not adequately address the impact on
       tumor outcomes or differences in survival between controls and dosed groups.
       NRC went on to say that 'because of the importance of this study for eventual use
       in risk assessment, the superficial reporting of the data and the nature of the
       observed lesions, the committee felt strongly that an independent in-depth review
       of the data, especially the pathology (microscopic slides) of the critical lesions is
       warranted (as was done with the inhalation studies) before the data are used for
       risk assessment'. While the NRC raised questions about survival differences arid
       the tumor outcome, it should be noted that Belpoggi et al.  included statistical
       analyses that adjusted for intercurrent mortality. Several attempts by the
       Interagency Oxygenated Fuels Assessment Steering Committee to arrange for a
       pathology review of the Belpoggi et al. study have not been successful, hence, the
       underlying concerns raised by NRC review cannot yet be resolved.

Inhalation Studies

In a report by  Chun et  al. (1992), F344 rats were exposed to 0, 400,  3,000,  or 8,000 ppm MtBE
by inhalation, 6 hrs/day, 5 days/week for 2 years. This study was recently published as Bird et al.
(1997). Survival time was statistically and significantly reduced in the exposed male rats in a
dose-related manner. The mean body weights of the 8,,000 ppm group (both sexes) were reduced
throughout the experiment. (The mean body weight was decreased 19% in the males at week 82
and 13% in the females at the end of the experiment). An'increase in chronic, progressive
nephropathy was observed in the exposed male and female rats. The combined incidence of renal
                                           17

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                                                                      December 1997

tubular adenomas and carcinomas2 was increased significantly in the male rats exposed to the mid-
dose (controls, 1/35; low-dose, 0/32; mid-dose, 8/31; high-dose, 3/20). The reduced survival rate
of the high-dose group may have decreased the sensitivity of the test to produce a dose-related
increase in tumors.

A study by GET (Prescott-Mathews et al., 1997) shows that MtBE caused a mild induction of a-
2u-globulin nephropathy and enhanced renal cell proliferation in F344 male rats, suggesting that
«-2u-globulin nephropathy may potentially play a role in male rat kidney tumorigenesis.

EPA (U. S. EPA, 1991) published three criteria for establishing whether cc-2u-globulin is
responsible for the kidney tumor in male rats: 1) increased number and size of hyaline droplets in
renal proximal tubule cells of treated rats, 2) accumulating protein in the hyaline droplets is cc-2u-
globulin, and 3) additional aspects of the pathological sequence of lesions associated with a-2u-
globulin nephropathy are present.  EPA's policy states that if experimental data do riot meet the
criteria in any one of the three categories, the a-2u-globulin alone is not considered responsible
for the renal tumor formation and the renal tumor may be used for risk assessment, both
qualitatively and quantitatively. Based on the available data, EPA concludes that the first criteria
has been met, but the second and third criteria have not been adequately satisfied.

The mechanism of action of MtBE kidney carcinogenesis in male rats is not fully understood at
the present time.  In this case, the identification of the full spectrum of a-2u-globulin-specific
nephropathy is complicated by a background of chronic progressive nephropathy (CPN) in both
male and female rats and the apparent absence of one or more key a-2u-globulin pathological
factors.  The apparent absence may be a true non a-2u-globulin consequence, it may be masked
by CPN, or it may be that the mild induction is insufficient to elicit the full a-2u-globulin
response. It is possible that other proteins related to cc-2u-globulin may also be involved (HEI,
1996). Ongoing research on the potential role of a-2u-globulin accumulation in male rat kidney
may improve our understanding of the carcinogenesis of MtBE and its metabolite, TBA, in the
kidney.
   ^end Tumor Incidence of F344 Male Rats After Inhalation Exposure to MtBE (Chun et al., 1992)

        Administered exposure   Human equiv. Dose*     Tumor     Survival-adjusted
             (ppm)              (mg/kg-day)         incidence*  Tumor incidence

               0                   0               1/50         1/35
              400                 75               0/50         0/32
              3000                562i5             8/50         8/31
              8000                1500.             3/50    ,     3/20

        •ftumor type: combined renal tubular cell adenomas and carcinomas
        * See section 4.2 NSTC's Extrapolation of Dose from Inhalation Exposure
                                            18

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                                                                  .      December 1997

  A statistically significant increased incidence of the interstitial testicular Leydig cell adenomas of
  the treated rats was detected in the Chun et al. (1992) study (32 in the controls, 35 in the low-
  dose, 41 in the mid-dose, and 47 in the high-dose). The increase in the incidence of Leydig cell
  adenomas of the male rats in this study (Chun et al., 1992; Bird et al., 1997) was not significantly
  different from the historical control value, although the difference from the concurrent controls
  was. significant. The concurrent control incidence was 64% and the historical control values
  ranged from 64 to 98% in the same laboratory (Bird et al., 1997). (Leydig cell adenomas occur,at
  a high spontaneous rate in the F344 strain of rats.) However, this type of tumor was also
  observed in another strain of rats, the Sprague-Dawley, upon oral exposure by gavage (Belpoggi
  et al., 1995). Since the Sprague-Dawley rat does not have a significant spontaneous background
  incidence for this  type of tumor, the conclusion that the appearance of the tumor in both studies is
  MtBE treatment-related is more confident                   v

  In a report by Burleigh-Flayer et al. (1992), CD-I mice were exposed to 0,  400, 3,000 or 8,000
  ppm MtBE by inhalation, 6 hrs/day, 5 days/week for 18 months.  Mortality was increased and ,the
  mean survival time was decreased in the high-dose mice compared to controls. The body weight
  gain was also decreased in the 8,000 ppm group compared to the controls (a decrease of 16% and
  24% for male and female mice, respectively), indicating that the high dose exceeded the MTD.  A
  statistically-significant increase was found in the incidence of hepatocellular carcinomas in male
 mice and of hepatocellular adenomas in female mice exposed to 8,000 ppm  of MtBE3. The
 hepatic tumors were only evidenced at the high dose. Since MtBE is generally negative in
 mutagenicity tests, and the hepatocellular tumors induced by MtBE in CD-I mice were detected
 only in the high-dose animals where the dose exceeded the MTD, the authors of the study
 (Burleigh-Flayer et al.,  1992; Bird et al., 1997) considered the mouse liver tumor finding not
 likely to be due to a direct-DNA acting phenomenon. The NAS panel (NRC, 1996) also
1 suggested that the non genotoxic, hormonally-related mechanisms are the most plausible
 explanation for the development of mouse liver tumors"

 Based on short-term studies in mice at CHT, Moser et al.  (1996) speculated that endocrine
 modulations may play a role^in the hepatocarcinogenic effect of MtBE. The CHT studies include:
        'Hepatocellular Tumors in Female Mice After Inhalation Exposure to MtBE .(Burleigh-Flayer et al,, 1992)

         Administered exposure       Human equiv. Dose            Tumor incidence
             (PPm)                (mg/kg-day)             Adenoma Carcinoma combined

               0                     0                     2/50   0/50   2/50
              •40°              •     75 '                    l/5'O   1/50   2/50
               3P°0              '    562.5                  2/50   0/50   2/50
               800P                  1500                   10/50  1/50  11/50

 In the male mice, the combined hepatocellular tumor incidence for the control, low-, mid- and high-dose groups are
 ,12/47,12/47,12/46 and 16/37, respectively.                                     .        &••*••

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                                                                      December 1997

a) inhalation exposure (approximately 8,000 ppm, 6 hrs per day, 5 days per week) of female
B6C3F1 mice to MtBE for 3 or 21 days, resulting in an increased relative liver weight, increased
P450 content and its activity, as well as a decreased relative uterus weight; b) gavage treatment of
B6C3F1 mice with MtBE (1,800 mg MtBE/kg body weight/day for 3 days) resulting in increased
estrogen metabolism in isolated mouse hepatocytes (Moser et al. 1996).

EPA has calculated three slope factors from the cancer studies which appeared in the NSTC
(1997) document.  These estimates of slope factors are not likely to underestimate risk for the
general population. The ability to calculate such an estimate does not imply greater confidence in
potential cancer hazard. True risk for most individuals in the  population is likely to be lower and
for some may even be nearly zero. Because there are uncertainties inherent in these values, they
should be used cautiously.

The first slope factor is based on the Belpoggi et al. (1995) gavage study. Using the combined
tumor incidence of lymphoma and leukemia in the female rats and a scaling factor of body weight
raised to the 2/3 power, a slope factor of 4 x 10'3 (mg/kg/day)"1 can be calculated by the
linearized, multistage model4.

The second slope factor is based on the Chun et al. (1992) data. Based on the combined renal
tubular cell adenomas and carcinomas in the male F344 rats,  using a scaling factor of body weight
raised to the 2/3 power, a slope factor of 6 x 10"4 per ppm can be calculated by the linearized,
multistage model.  Additional understanding of the mode of action of this response could
substantially alter these estimates or make them irrelevant.

The third slope factor is based on the Burleigh-Flayer et al. (1992) data.  Based on the liver tumor
incidence in the female CD-I mice, using a scaling factor of body weight raised to the 2/3 power,
a slope factor of 3 x 10"4 per ppm was calculated by the linearized, multistage model.
5.2.2.2 Studies of the Carcinogenicity of MtBE Metabolites

terfm/y-Butyl Alcohol

F344 rats were exposed to TBA via drinking water at concentrations of 0, 1.25, 2.5 or 5 mg/mL
for 2 years (the average delivered, daily doses of TBA were approximately 0, 85, 195, and 420
   *Based on the Proposed Guidelines for Carcinogen Risk Assessment (FR 61,17960, April 23,1996), with the
 same tumor data, using a sealing factor of body weight raised to the 3/4 power, an LEDi0 of 35.6 mg/kg-day and a slope
 factor of 2.8 x 10'3 (mg/kg-day)"1 are obtained. The drinking water concentration will be 12 ^g/L for a risk of one in a
 million using this slope factor.

                                            20

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                                                                     December 1997

 mg/kg-day for males and 0, 175, 330 and 650 mg/kg-day for females). There was some evidence
 of carcinogenic activity in male rats based on an increased incidence of renal tubular hyperplasia
 and renal tubular adenomas or carcinomas, and no evidence of carcinogenic activity in female rats
 (Cirvello et al., 1995; NTP, 1995).  Compared to controls, the survival was significantly lower for
 the high-dose animals, especially in the males. Increased nephropathy was also noted in all treated
 animals.

 B6C3F1 mice were exposed to TEA in drinking water at concentrations of 0, 5, 10 or 20 mg/mL
 for 13 0 weeks (the average daily delivered doses were 0, 53 5, 103 5 or 2065 mg/kg-day for males
 and 0, 510, 1015 or 2105 mg/kg-day for females). There was equivocal evidence of carcinogenic
 activity in male mice, based on marginally increased incidence of thyroid tumors and some
 evidence of carcinogenicity in female mice, based on an increased incidence of follicular cell
 hyperplasia and follicular cell adenomas of the thyroid gland. Survival of males in the high-dose
 group was significantly lower than that of the control group. Thus, the National Toxicology
 Program (NTP) studies of TEA show no clear evidence of carcinogenicity in either species.

 Formaldehyde

 There is sufficient evidence of carcinogenicity in animals by the inhalation route (IARC, 1995).
 Inhalation exposure of F344 rats to formaldehyde for 2 years at 14.3 ppm induced squamous cell
 carcinomas of the nasal cavity in both male and female F344 rats (the doses were: 0, 2, 5.6 or
 14.3 ppm, 6 hours per day, 5 days per week), but not in female B6C3F1 mice (same doses and
 exposure conditions)  (Kerns et al.,  1983). Lifetime inhalation studies of formaldehyde in
 Sprague-Dawley rats at 14 ppm (Sellakumar et al., 1985), and Wistar rats at 10 ppm (Woutersen
 et al., 1989) also produced nasal tumors.

 By the drinking water route of exposure, the evidence of carcinogenic activity for formaldehyde is
 somewhat ambiguous. One lifetime drinking water study of formaldehyde in Sprague-Dawley rats
 at concentrations of 0, 10, 50, 100, 1,000 or 1,500 ppm showed a dose-related increase in the
 incidence of leukemia and intestinal tumors (Sofiritti et al., 1989). Similar to the Belpoggi et al.
 (1995) study of MtBE (which was conducted by the same laboratory), the reporting of the study
 is somewhat limited and the pathology also lacks an independent review. Another 2-year drinking
 water study of formaldehyde using Wistar rats at doses ranging from 0, 1.2, 15 to 82 mg/kg/day
 for males and 0, 1.8, 21, to 109 mg/kg/day for females showed no evidence of carcinogenicity (Til
 et al., 1989).

 6.0    ORGANOLEPTIC PROPERTIES

Water contaminated with MtBE may have an unpleasant taste or odor. These characteristics,
often referred to as "organoleptic properties," cannot be used by EPA for developing primary'
drinking water standards, but are of concern and do play a role in the production of finished
drinking water, as most U.S. citizens would not drink "unpleasing" water. Taste and odor may

                     .    -    •             21            ' . •'                  '   •

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                                                                     December 1997

also alert consumers to the fact that the water is contaminated with MtBE and, therefore, were
considered in the development of this Advisory.

Not all individuals respond equally to taste and odor because of differences in individual
sensitivity. The taste and odor responses reported in observed individuals for MtBE are in the 15
to 180 Mg/L range for odor and the 24 to 135 itgfL range for taste (NSTC, 1997, Young et al.,
1996; API,  1993; Prah et al., 1994; Dale et al., 1997). The ranges are indicative of the variability
in individual response. The lower ends of the range for both taste and odor are the lowest
concentrations eliciting a response among 7 of 9 participants  in a study by Young et al. (1996).
In this study, the geometric mean for taste was 48 //g/L and that for odor was 34 //g/L.
Participants  in this study were selected for their above average sensitivity to basic tastes and
odors. In fact, 3 of the 7 participants detected the lowest odor concentration, while 4 of 9
participants  detected the lowest taste concentration. The homogeneity in the response among the
small group  of female subjects,  along with the geometric mean values support classification of the
subjects as sensitive.

A study commissioned by the American Petroleum Institute (API, 1993) and conducted by TRC
Environmental Corp.  used 6-7 individuals "chosen to represent a normal distribution of olfactory
sensitivity" to measure taste and odor thresholds of 97% MtBE in distilled water. Calculated
threshold values were 39 \igfL for taste, 45  ug/L for odor detection, and 55 ug/L for odor
recognition.  • The intensity of the odor of MtBE was also reported to be greater in water than in
air. The subjects described the taste of MtBE in water as "nasty", bitter, nauseating, and similar
to rubbing alcohol.

In a study by Prah et al. (1994), the concentration of MtBE in distilled water that was identified as
having an odor by 50% of the study participants (19 males and 18 females) was 180 //g/L  This
value is regarded as the high end. of the odor range even though it is a median response
concentration. There were undoubtedly individuals who could only detect the odor of MtBE at
even higher  concentrations.

The Metropolitan Water District of Southern California recently conducted a study on the taste
and odor thresholds and other characteristics of MtBE (Dale et al.,  1997).  They found that the
range for the 60% probability (± 1 SD) of correct taste detection of MtBE in odor-free water
(OFW) and untreated Colorado River water was 24 to 37 and 26 to 58 ug/L, respectively.  The
corresponding range for detecting the odor of MtBE in OFW was 43  to 71 ug/L. These tests
were conducted by having nine trained analysts undergo six "triangle tests" for several
concentrations, in which each analyst determined the odd case when blindly presented with either
two blanks and one spiked sample or one blank and two spiked samples. It cannot be determined
from this small, non-representative sample what percentage of the general population would be
able to detect MtBE in their drinking water at these concentrations. However, these taste and
odor threshold data are consistent with those reported by Young et al. (1996) and API (1993).
This study by Dale et al. (1997) found people more sensitive to taste than odor, which is

                                           22

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                                                                      December 1997

 consistent with the API (1993) findings for MtBE taste and odor thresholds, but in the opposite
 order to that found by Young et al. (1996). Collectively, these data support a range of 20 to 40
 ug/L as an approximate "threshold" for orgaholeptic responses. However, some subjects ha this
 study were able to detect MtBE at much lower concentrations; thus, in a general population,
 some unknown percentage of people will be likely, to detect the taste and odor of MtBE in
 drinking water at concentrations below 20 ug/L.

 The study by Dale et al. (1997) went beyond simply measuring taste and odor thresholds.  The
 investigators also asked four panelists to describe the taste and odor of MtBE hi OFW at
 concentrations ranging from 2 ug/L to 190 ug/L. At concentrations of 2-5 ug/L, the consensus
 judgment of the panelists was that the taste of MtBE in OFW could be described as "sweet." At
 concentrations of 21-190 ug/L, the characterization was either "solvent" or "sweet solvent."
 Similar characteristics applied at concentrations of 21-190  ug/L for the odor of MtBE hi OFW.
 The panelists were also asked to rate the intensity of the taste and odor, which can become
 "objectionable" at a.sufficiently high intensity.  The panelists considered the taste of MtBE in
 OFW objectionable at a cpncentration of approximately 50 ug/L and the odor objectionable at
 approximately 90-100 ug/L. It is noted that these tests were conducted with non-chlorinated
 water at 25 degrees C. Chlorination would likely raise the thresholds for the taste and odor of
 MtBE in water, and higher temperatures (e.g., for showering) would likely reduce these
 thresholds.
           *                   ""-'-,
 It is not possible to identify point threshold values for the taste and odor of MtBE in drinking
 water, as the concentration will vary for different uidividuals, for the same individuals at different
 tunes, for different populations, and for different water matrices, temperatures, and many other
 variables.  Nevertheless, it seems reasonable to offer a range of 20-40 ug/L as advisory guidance
 for helping to ensure consumer acceptance of the taste and  odor of MtBE in drinking water.

 7.0    CHARACTERIZATION OF HAZARD AND DOSE RESPONSE

 7.1    Hazard Characterization               y

 There are very few data on human responses to MtBE. In controlled studies, there were no
 observable responses to short-term (1 hour) exposures to low concentrations of MtBE in air,
 although women felt the ah- quality was substandard (Cain et al., 1994; Prah et al., 1994).  Other
 short-term human studies of MtBE are of limited value, because they evaluated effects under
 conditions where MtBE was combined with simultaneous exposures to other chemicals, such as
 gasoline, medicines and/or anesthesia (Allen et al., 1985; Hakkola et al., 1996; Juliani et al., 1985;
 Moolenaar et al., 1994; White et al., 1995; Wyngaarden 1986).  Studies of gasoline/MtBE'
 mixtures are inconclusive, but suggest that MtBE-containing gasoline vapors may be irritating to
 eyes, the respiratory system and the nervous system (Hakkola et al.,  1996; Moolenaar et al., 1994;
White et al., 1995). There have been no long-term studies of human exposure to MtBE.
                                           23

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                                                                     December 1997

Rodent studies identify the kidneys, brain and developing fetus as sensitive to MtBE.  The
neurotoxicity data from inhalation exposures in rats (Daughtrey et al., 1997) showed transient
CNS depression and decreased motor activity at high levels of MtBE (8,000 ppm).  However,
there are no data to support the hypothesis that MtBE dissolved in drinking water has adverse
effects on the nervous system in humans.

The collective evaluation of the reproductive and developmental studies of MtBE in animals
indicate that inhalation exposure can result in maternal toxicity and adverse effects on the
developing fetus (Bushy Run Research Center, 1991, 1989a, 1989b; Conaway et al., 1985). The
fetal toxicity in the mouse developmental studies indicate that it may be more sensitive to
inhalation of MtBE vapors than the rat or rabbit during gestation.  However, it is possible to
conclude that, at low concentrations, MtBE does not cause a developmental or reproductive
hazard by inhalation in three different animal species. This also -suggests that humans may not be
at risk when exposed to very low concentrations of MtBE.

Effects on the kidney were observed in rats after oral and inhalation exposure to MtBE.  After
short-term oral exposure, increases in kidney weights were noted (Robinson et al., 1990), while in
a longer term inhalation study, histopathological abnormalities were apparent (Chun et al.,  1992).
The oral data from the short-term study are confounded by the bolus gavage dosing regime and
the less-than-lifetime duration of the study, while the uncertainty in extrapolating between routes
affects the interpretation of the inhalation data.

The use of inhalation data to project effects from the oral exposures  is generally not desirable but,
in the case of MtBE, there is qualitative similarity in the effects observed with both routes.
However, when using the inhalation data to calculate a human equivalent dose for the risk
assessment calculations, additional uncertainty is introduced by the mathematical conversion.

In animals, there are two chronic inhalation studies available, one in rats causing increased
incidence of renal and testicular tumors (Chun et al., 1992) and one in mice inducing liver tumors
(Burleigh-Flayer et al., 1992). By the oral route, there is one gavage study in rats producing a
dose-related increase hi leukemia and lymphoma hi the females and an increase hi testicular
tumors in the males (Belpoggi et al., 1995). In addition, formaldehyde, a metabolite of MtBE, is
an animal carcinogen. By inhalation exposure, it induces nasal tumors in rats (Kerns et al., 1983).
By the drinking water route of exposure, one study shows a dose-related increase in leukemia
(Soffritti et al.,  1989) and another study shows no evidence of carcinogenicity (Til et-al., 1989).
In addition, there is some suggestive evidence of carcinogenicity of TEA (another MtBE
metabolite) — an increased incidence of renal tumors in rats and an increase in thyroid tumors hi
the female mice after drinking water exposure.

Most of the cancer studies of MtBE and its metabolites have limitations, such as high mortality
among the treated animals, limited reporting of pathology and of historical tumor incidence, etc.
In spite of the limitations, there are some consistent tumor findings for MtBE and its metabolites.

                                           24

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                                           r                            December 1997

 This consistency contributes to the overall weight of evidence. A statistically-significant increase
 in interstitial Leydig cell adenomas of the testes was detected in the exposed rats after both
 inhalation (Chun et al., 1992; Bird et al., 1997) and gavage exposures (Belpoggi et al., 1995). In
 addition, the elevation of kidney tumors in male F344 rats treated with TEA (a metabolite of
 MtBE), via drinking water (Cirvello et al., 1995; NTP, 1995) supports the increase of similar
 tumors in male rats after exposure to MtBE by inhalation (Chun et al., 1992; Bird et al., 1997).
 The similarity in the finding of a dose-related increase in leukemia of rats (Sprague-Dawley, male
 and female combined) after exposure to formaldehyde (also a metabolite of MtBE) via drinking
 water (Soffritti et al., 1989) and the increase of leukerma/lymphomas in female rats (same strain)
 after exposure to MtBE via gayage (Belpoggi et al., 1995), suggests a possible involvement of
 formaldehyde in the leukemogenic effect of MtBE. However, issues remain unresolved related to
 these studies, which were conducted by the same laboratory. Both studies provided limited
 reporting and no information on historical incidence of leukemia5.

 MtBE does not appear to be DNA reactive.  The chemical has been tested in an array of both in
 vitro and in vivo systems, and the results have been negative overall.  The possibility that the
 genesis of the rat kidney tumors involves the a-2u-globulin mechanism is being investigated, but,
 as yet, the evidence does not show that the mechanism accounts for the tumors satisfying all the
 EPA criteria (U.S. EPA, 1991).  The observation of nephropathy and toxicity in association with
 tumorigenicity in the rat kidney suggests that a number of factors, possibly including the a-2u-  '
 globulin mechanism, may be at work.  The observation of testicular tumors from MtBE and
 thyroid tumors from TBA suggest the need for examination of disruption of pituitary and thyroid
 hormone function, as such disruption is not uncommon with these tumors (Hill et al., 1989;
 USEPA, 1997). It has been suggested  that MtBE-induced mouse liver tumors also may be
 hormone-related (Moser et al., 1996; Bird et al, 1997).

 Although MtBE is not mutagenic, a nonlinear mode of action has not been established for MtBE.
 In the absence of sufficient mode of action information at the present time, it is prudent for EPA
 to assume a linear dose-response for MtBE.  Although there are no studies on the carcinogenicity
 of MtBE in humans, there are multiple  animal studies (by inhalation and gavage routes in two
 rodent species) showing carcinogenic activity and there is supporting animal carcinogenicity data
 for the metabolites. The weight of evidence indicates that MTBE is an animal carcinogen, and the
 chemical poses a carcinogenic potential to humans (NSTC, 1997, page 4-26).
   ^Jnlike NTP carcinogeniciry studies, the histopathology diagnoses from the inhalation studies of MtBE in rats and
mice have not been subject to a Ml peer-review. Also, there is a major difference between the oral and inhalation
carcinogenicity studies of MtBE. Lengthy reports of the inhalation studies of MtBE in rats and mice were submitted to
EPA. These reports (Burleigh-Flayer et al., 1990; Chun et al., 1992) provide significantly more information than what is
contained in the published peer-reviewed literature (Belpoggi et al.,  1995; Bird et al., 1997). Based on these reports, we
can conclude that the inhalation studies were conducted in conformance with Good Laboratory Practices, while there is a
lack of evidence to back up that the gavage study is also conducted in conformance with Good Laboratory Practices.


                     '        • '              25       '          •'.-'•'.     .     .

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                                                                     December 1997

7.2    Characterization of Organoleptic Effects

There have been several studies of taste and odor response by humans. There is typically
variation among individuals in these responses to a chemical, and this is the case for MtBE.  The
studies on MtBE have been of a few individuals each. Larger numbers of individuals might show
the full distribution of sensitivity of humans which remains uncharacterized. Nevertheless, the
existing studies were performed independently and show distributions that are consistent with one
another.  This lends confidence to the conclusion that sensitive individuals respond to odor and
taste at about 20 to 40 /*g/L.

Other influences on consumer perception and acceptance of the taste and odor of MtBE
contamination of water are as yet uncharacterized. These include development of tolerance,
exposure through food and beverage preparation or showering, and reaction to published reports
of contamination. Moreover, the presence or absence of other natural or water treatment
chemicals can mask or reveal the taste or odor effects. Thus, variable preexisting water conditions
around the country will increase variability in the acceptability of MtBE's presence in drinking
water.

7.3    Dose Response Characterization

There are no studies of long-term human exposure to MtBE; the pertinent data on potential
adverse effects are from rodent studies. The available data do not provide sufficient information
on the potential toxic effects from drinking water exposure  and support only an uncertain view of
the quantitative dose and response relationship.  For quantitative assessment of adverse health
effects from drinking water exposure, the preferred data would be from studies of effects of
episodic oral exposure through water or food.  For MtBE, the data are either from inhalation
studies or from daily, high dose (bolus), gavage studies, using vegetable oil as a vehicle.
Estimating drinking water dose equivalents based on inhalation studies or on bolus dosing studies
introduces significant uncertainties.

The results of the Robinson et al. (1990) study, supported by the inhalation exposure data of
Chun et al. (1992)  provide adequate support for the conclusion that MtBE may exert adverse
effects on the kidney.  However, EPA does not have high confidence in the use of the Robinson et
al. (1990) study, nor any other study presently available for quantitation of the potential
noncancer or cancer effects of MtBE.  Because of the lack  of confidence in quantitative
estimation of drinking water risk, this Advisory does not recommend either a low-dose oral
cancer risk number or a low end RfD.  Instead, the Advisory provides perspective by showing the
margins of exposure between observations of the range of animal effects and water
concentrations. Table 1 summarizes this margin of exposure information. A final health advisory
will be written when the data base is unproved sufficiently to allow greater confidence hi the
integration of data. Since the production of potable water is a prerequisite for its use, it is evident
that the organoleptic (taste and odor) effects of MtBE should be considered.  The available data

                                           26

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                                                                      December 1997

 (Prah et al. 1994; Young et al., 1996; Dale et al., 1997; NSTC, 1997) suggest that the lower
 range for the organoleptic effects of MtBE is 20 to 40 ug/L.

 The values in Table 1 show the lower end of ranges of observation of effects in animals tested for
 cancer and noncancer responses.  Table 1  also shows the MoEs (i.e., the ratios of the observed
 numbers to the sensitive range of human response to odor and taste (20 to 40 ug/L). The cancer
 LED10 are based on analyses of the Belpoggi et al. (1995), Chun et al. (1992), and Burleigh-
 Flayer et al. (1992) studies as described in section 5.2.2.1 above. The noncancer NOAEL values
 are based on  analyses recounted in section 5.2.1.: kidney effects in a subchronic gavage study on
 rats, reproductive/developmental effects from inhalation studies in rodents, neurotoxicity for
 frank, reversible effects in rats observed after short-term inhalation exposures. The ranges given
 for taste and  odor represent the low ends of the reported values for organoleptic responses to
 MtBE in water discussed in section 6.0. These available data provide an estimate that the lower
 range for the  organoleptic effects of MtBE is about 15 to 39 ug/L (taste and odor) from an
 empirical observation.

 Values are rounded to one significant number, 20 and 40 (odor and taste), to avoid the
 appearance of precision that use of two significant numbers would give.  Since characterization of
 tne full distribution of sensitivity is not provided by available data, the numbers should be
 regarded as approximate, not precise. For the same reason, a range is presented.  The data are
 used only to estimate sensitive range and should not be mistaken as defining thresholds of human
 response.  In  practice, the efforts of water suppliers to  satisfy consumers on the apceptability of
 taste and odor of water, also will be influenced by considering the effects of other chemical in
 local waters.                                                  '  '  *      '
7.4    Comparison of Margins of Exposure with Potential Environmental Concentrations
       and Guidance on Taste and Odor

Table 1 permits comparison of an. observed environmental concentration with the observed effects
levels for test animals to calculate a margin of exposure,by dividing the environmental
concentration into the value at the low end of the range for an effect displayed.

If the objective is to avoid unpleasant taste and odor, this Advisory recommends that a
concentration in the range of 20 to 40 ftgfL likely will protect sensitive members of a population.
At 20 /zg/L, the margin of exposure is approximately forty thousand (40,000) for cancer effects
and over one hundred thousand (100,000) for some noncancer effects. At 40 //g/L, the MoE is
approximately twenty thousand (20,000) for cancer effects and sixty thousand (60,000) for some
noncancer effects. In the case of noncancer critical effects, the lower end of the developmental
                                           27

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                                                                         December 1997

NOAEL-range was used as the minimum effect level in the MoE calculation; the cancer value was
calculated using the LED10 (95% lower bound of the dose for a 10% extra risk)6.

Comparison indicates that there are over four to five orders of magnitude between the 20 to
40 ;*g/L range and concentrations associated with observed ranges of effects in animals.  There is
little likelihood that an MtBE concentration of 20 to 40 /zg/L in drinking water would cause
adverse effects in humans, recognizing that some people may detect the chemical below this
range. It can be noted that at this range of concentrations, the margins of exposure are about 10
to 100 times greater than would be provided by an EPA reference dose (RfD)for noncancer
effects. Additionally, they are in the range of margins of exposure typically provided by National
Primary Drinking Water Standards under the Federal Safe Drinking Water Act to protect people
from potential carcinogenic effects.
   T3ased on the USEPA's recently proposed guidelines for carcinogen risk assessment (U.S. EPA, 1996), the
rationale supporting the use of the LED10 is that a 10% response is at or just below the limit of sensitivity for discerning
a significant difference in most long-term rodent studies. The NOAEL in most study protocols is about the same as an
LEDS or LED10 — the lower 95% confidence limit on a dose associated with a 5% or 10% increased effect. The MoE
value for cancer was obtained by dividing the concentration equivalent to the LEDi0 (23 mg/kg/day equivalent to
805,000 /^g/L) by 20 jug/L to obtain a MoE of 40,200. The MoE for noncancer effects was obtained by dividing the
concentration equivalent to the lower end of the NOAEL for the developmental toxicity range (65.6 mg/kg/day
equivalent to 2,292,500 f^g/L) by the environmental water concentration of 20 pg/L to obtain an MoE of 114,62,5. The
calculations assume a 70 kg body weight and 2 L/day water consumption.

                                              28

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                                                                                   December 1997
Table 1. Estimation of Margin of Exposure for MtBE on Water Concentration, 20-40 /^g/11
Endpoint ,
Noncancer
Kidney
Neurological
Reproductive/Developmental
Cancer2
Rat Lymphoma and
Leukemia (gavage) in
females
Rat Kidney Tumor
(inhalation) in males
Mouse Liver Tumor
(inhalation) in females
Parameter
NOAEL



LED103



Concentration4
Hg/L .

3,500,000
7,400,000
2,300,000 -
9,200,000

805,000
6,230,000
11,025,000
MoE
compared
to 40
"g/L

90,000
185,000
J^.60,000

20,000
160,000
280,000
MoE
compared
to 20 ug/L

180,000
370,000
^120,000

40,000
320,000
550,000
1 The margins of exposure is calculated by dividing the NOAELs for noncancer endpoints or LED,0 for cancer effects
by 40 /ig/L or 20 ^tg/L which is the low end of the taste and odor threshold, respectively.

2 The data from Belpoggi gavage study and the Chun and Burleigh-Flayer inhalation studies were used in the
calculation. Air concentration of MtBE in ppm was converted to. mg/kg-day by the NSTC method: 1 ppm = 1.05
mg/kg-day (NSTC, 1996, See also 4.2).                                -
                                                                                f
3 The LED10 is defined as the 95% lower bound on dose for a 10% extra risk which was calculated by  applying the
tumor incidence data to the multistage model. As indicated by the NSTC (1996), a lifetime adjustment factor of 2.37
[i.e., (24/18)3] was applied to the mouse liver tumor data to account for the short duration of the study  (18 months
instead of 24 months).  In addition, as done by NTIS, the rat kidney  tumor incidence in the highest exposure group
was excluded from the risk analysis because this exposure group was terminated at 82 weeks (not 102 weeks) due to
extremely high mortality.               --.-'•

4 The NOAEL and LED10 were initially calculated in mg/kg-day and then converted to jttg/L, assuming a body weight
of 70 kg and a water consumption rate of 2 liters  per day.
                                                   29

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                                                                   December 1997

8.0    REFERENCES

Allen, M.J., Borody, T.J., Bugliosi, T.F., May, GR., LaRusso, N.F., and J.L. Thistle. 1985.
Cholelitholysis using methyl tertiary-butyl ether. Gastroenterology 88:122-125.

API.  1993.  American Petroleum Institute. Odor threshold studies performed with gasoline and
gasoline combined with MtBE, EtBE and TAME.  Washington, DC: API # 4592

ARCO. 1980. ARCO Chemical Company. Methyl tertiary-butyl ether: acute toxicological
studies. Unpublished study for ARCO Research and Development, Glenolden, PA.

ARCO. 1995. ARCO Chemical Company. Methyl t-Butyl Ether (MtBE):  A status report of its
presence and significance in US drinking water. Presented to the Office of Water, U. S.
Environmental Protection Agency.  Presented by ARCO Chemical Company. June 8, 1995.

ATSDR. 1996. U.S. Department of Health and Human Services. Toxicological profile for
methyl tert-butyl ether.
                                                       '».
Belpoggi, F.} Soffiitt M., and C. Maltoni.  1995.  Methyl-tertiary-butyl ether (MtBE) — a
gasoline additive — causes testicular and lymphohaematopoietic cancers in rats. Toxicol. Ind.
Health 11:1-31.

Bevan, C., Tyl, R.W., Neeper-Bradley, T.L., Fischer, L.C., Panson, R.D., Kneiss, J.J., and L.S.
Andrews.  1997a.  Developmental toxicity evaluation of methyl tertiary-butyl ether (MTBE) by
inhalation in mice and rabbits. J.  Appl. Toxicol. 17(S1):S21-S30.

Bevan, C., Neeper-Bradley, T.L., Tyl, R.W., Fischer, L.C., Panson, R.D., Kneiss, J.J., and L.S.
Andrews.  1997b.  Two-generation reproductive study of methyl tertiary-butyl ether (MTBE) in
rats. J. Appl. Toxicol.  17(S1):S13-S20.

Biles, R.W., Schroeder, R.E., and C.E. Holdsworth.  1987.  Methyl tert-butyl ether inhalation in
rats: a single generation reproduction study. Toxicol. Ihd. Health.  34:519-534.

Bio/dynamics, Inc.  1984. The metabolic fate of methyl tertiary-butyl ether (MtBE) following
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                                                                      December 1997

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