EPA-540/1-86-058 of Emergency and Remedial Response Washington DC 20460 Off'ce of Research and Development Office of Health and Environmental Assessment Environmental Criteria and Assessment Office Cincinnati OH 45268 Superfund HEALTH EFFECTS ASSESSMENT FOR SELENIUM (AND COMPOUNDS) ------- EPA/540/1-86-058 September 1984 HEALTH EFFECTS ASSESSMENT FOR SELENIUM (AND COMPOUNDS) U.S. Environmental Protection Agency Office of Research and Development Office of Health and Environmental Assessment Environmental Criteria and Assessment Office Cincinnati, OH 45268 U.S. Environmental Protection Agency Office of Emergency and Remedial Response Office of Solid Waste and Emergency Response Washington, DC 20460 ------- DISCLAIMER This report has been funded wholly or In part by the United States Environmental Protection Agency under Contract No. 68-03-3112 to Syracuse Research Corporation. It has been subject to the Agency's peer and adminis- trative review, and H has been approved for publication as an EPA document. Mention of trade names or commercial products does not constitute endorse- ment or recommendation for use. 11 ------- PREFACE This report summarizes and evaluates Information relevant to a prelimi- nary interim assessment of adverse health effects associated with selenium (and compounds). All estimates of acceptable Intakes and carcinogenic potency presented in this document should be considered as preliminary and reflect limited resources allocated to this project. Pertinent toxlcologic and environmental data were located through on-line literature searches of the Chemical Abstracts, TOXLINE, CANCERLINE and the CHEMFATE/DATALOG data bases. The basic literature searched supporting this document is current up to September, 1984. Secondary sources of information have also been relied upon in the preparation of this report and represent large-scale health assessment efforts that entail extensive peer and Agency review. The following Office of Health and Environmental Assessment (OHEA) sources have been extensively utilized: U.S. EPA. 1980a. Ambient Water Quality Criteria for Selenium. Environmental Criteria and Assessment Office, Cincinnati, OH. EPA 440/5-80-070. PB 81-117814. U.S. EPA. 1983a. Reportable Quantity for Selenium (and Com- pounds). Prepared by the Environmental Criteria and Assessment Office, Cincinnati, OH, OHEA for the Office of Solid Waste and Emergency Response, Washington, DC. The intent in these assessments 1s to suggest acceptable exposure levels whenever sufficient data were available. Values were not derived or larger uncertainty factors were employed when the variable data were limited in scope tending to generate conservative (i.e., protective) estimates. Never- theless, the interim values presented reflect the relative degree of hazard associated with exposure or risk to the chemlcal(s) addressed. Whenever possible, two categories of values have been estimated for sys- temic toxicants (toxicants for which cancer is not the endpolnt of concern). The first, the AIS or acceptable intake subchronlc, is an estimate of an exposure level that would not be expected to cause adverse effects when exposure occurs during a limited time interval (i.e., for an Interval that does not constitute a significant portion of the Hfespan). This type of exposure estimate has not been extensively used or rigorously defined, as previous risk assessment efforts have been primarily directed towards exposures from toxicants in ambient air or water where lifetime exposure is assumed. Animal data used for AIS estimates generally Include exposures with durations of 30-90 days. Subchronlc human data are rarely available. Reported exposures are usually from chronic occupational exposure situations or from reports of acute accidental exposure. 111 ------- The AIC, acceptable Intake chronic, 1s similar 1n concept to the ADI (acceptable dally Intake). It 1s an estimate of an exposure level that would not be expected to cause adverse effects when exposure occurs for a significant portion of the lifespan [see U.S. EPA (1980b) for a discussion of this concept]. The AIC 1s route specific and estimates acceptable exposure for a given route with the Implicit assumption that exposure by other routes 1s Insignificant. Composite scores (CSs) for noncarclnogens have also been calculated where data permitted. These values are used for ranking reportable quanti- ties; the methodology for their development 1s explained 1n U.S. EPA (1983b). For compounds for which there Is sufficient evidence of cardnogenlcity, AIS and AIC values are not derived. For a discussion of risk assessment methodology for carcinogens refer to U.S. EPA (1980b). Since cancer Is a process that Is not characterized by a threshold, any exposure contributes an Increment of risk. Consequently, derivation of AIS and AIC values would be Inappropriate. For carcinogens, q-]*s have been computed based on oral and Inhalation data 1f available. 1v ------- ABSTRACT In order to place the risk assessment evaluation 1n proper context, refer to the preface of this document. The preface outlines limitations applicable to all documents of this series as well as the appropriate Inter- pretation and use of the quantitative estimates presented. The effects of oral selenium exposure have been studied relatively thoroughly 1n experimental animals and man. Evidence suggests that selenium 1s an essential element. An oral AIS of 0.224 mg/day and an oral AIC of 0.21 mg/day have been estimated based on animal and human data respectively. The AIC 1s In good agreement with NAS guidelines. A CS of 49 associated with Increased neonatal mortality by oral exposure was calculated. Data concerning Inhalation effects of selenium are limited. Human data suggest an AIC of 0.07 mg/day for Inhalation exposure. Data were inadequate to estimate an inhalation AIS. ------- ACKNOWLEDGEMENTS The Initial draft of this report was prepared by Syracuse Research Corporation under Contract No. 68-03-3112 for EPA's Environmental Criteria and Assessment Office, Cincinnati, OH. Or. Christopher DeRosa and Karen Blackburn were the Technical Project Monitors and Helen Ball was the Project Officer. The final documents 1n this series were prepared for the Office of Emergency and Remedial Response, Washington, DC. Scientists from the following U.S. EPA offices provided review comments for this document series: Environmental Criteria and Assessment Office, Cincinnati, OH Carcinogen Assessment Group Office of Air Quality Planning and Standards Office of Solid Waste Office of Toxic Substances Office of Drinking Water Editorial review for the document series was provided by: Judith Olsen and Erma Durden Environmental Criteria and Assessment Office Cincinnati, OH Technical support services for the document series was provided by: Bette Zwayer, Pat Daunt, Karen Mann and Jacky Bohanon Environmental Criteria and Assessment Office Cincinnati, OH The Initial draft of this report was prepared by Syracuse Research Corporation under Contract No. 68-03-3112. v1 ------- TABLE OF CONTENTS 1. 2. 3. 4. 5. 6. ENVIRONMENTAL CHEMISTRY AND FATE ABSORPTION FACTORS IN HUMANS AND EXPERIMENTAL ANIMALS . . . 2.1. ORAL 2.2. INHALATION TOXICITY IN HUMANS AND EXPERIMENTAL ANIMALS 3.1. SUBCHRONIC 3.1.1. Oral 3.1.2. Inhalation 3.2. CHRONIC 3.2.1. Oral 3.2.2. Inhalation 3.3. TERATOGENICITY AND OTHER REPRODUCTIVE EFFECTS. . . . 3.3.1. Oral 3.3.2. Inhalation 3.4. TOXICANT INTERACTIONS CARCINOGENICITY 4.1. HUMAN DATA 4.2. BIOASSAYS 4.3. OTHER RELEVANT DATA 4.4. WEIGHT OF EVIDENCE REGULATORY STANDARDS AND CRITERIA RISK ASSESSMENT 6.1. ACCEPTABLE INTAKE SUBCHRONIC (AIS) 6.1.1. Oral 6.1.2. Inhalation .Page 1 4 ... 4 7 . . . 8 , . . 8 ... 8 10 ... 10 ... 10 ... 15 , , , 16 ... 16 ... 17 ... 18 ... 22 ... 22 ... 22 ... 25 26 ... 28 ... 29 ... 29 ... 29 ... 30 ------- TABLE OF CONTENTS (cont.) Page 6.2. ACCEPTABLE INTAKE CHRONIC (AIC) 30 6.2.1. Oral 30 6.2.2. Inhalation 32 6.3. CARCINOGENIC POTENCY (q^) 32 6.3.1. Oral 32 6.3.2. Inhalation 33 7. REFERENCES 34 APPENDIX: Summary Table for Selenium (and compounds) 52 ------- LIST OF ABBREVIATIONS ADI Acceptable daily Intake AIC Acceptaole Intake chronic AIS Acceptable intake subchronic bw Body weight CAS Chemical Abstract Service CS Composite score EKG Electrocardiogram FAA N-2-fluorenyl-acetamide GI Gastrointestinal GSH-Px Glutathione peroxidase LOAEL Lowest-observed-adverse-effect level LOEL Lowest-observed-effect level MED Minimum effective dose NOAEL No-observed-adverse-effect level NOEL No-observed-effect level PCB Polychlorinated biphenyl ppb Parts per billion ppm Parts per million RVd Dose-rating value RVe Effect-rating value STEL Short-term exposure limit TLV Threshold limit value TWA Time-weighted average ix ------- 1. ENVIRONMENTAL CHEMISTRY AND FATE Selenium 1s an element belonging to Group VIA of the periodic table. Elemental selenium has a CAS Registry number of 7782-49-2. It exists 1n nature In several oxidation states: -2, 0, +4 and +6. Selected physical properties of a few environmentally significant selenium compounds are given 1n Table 1-1. Both natural and anthropogenic emissions are sources of selenium 1n the environment; however, the anthropogenic sources far outweigh the natural sources of selenium 1n the atmosphere. The main natural sources of selenium In the atmosphere are continental dust flux and volcanic dust and gas flux (Lantzy and MacKenzle, 1979). Coal combustion and copper production consti- tute -90% of the overall atmospheric anthropogenic sources of selenium. Glass manufacturing, selenium-recovery plants, burning of fuel oil, and refuse burning are the other Important anthropogenic sources of selenium 1n the atmosphere (NAS, 1976). A small fraction of selenium may exist 1n the gaseous state In the atmo- sphere; however, the predominant amount of atmospheric selenium 1s expected to be present In the partlculate form (NAS, 1976). Although chemical reac- tions 1n the troposphere may cause spedatlon of selenium, these processes may not be directly responsible for the removal of atmospheric selenium. Removal of selenium from the atmosphere may occur primarily through wet and dry deposition (NAS, 1976). The atmospheric residence time of selenium Is probably dependent on the partlculate diameter of selenium 1n the atmo- sphere. It has been determined by Natusch et al. (1974) that selenium emitted from coal-fired power plants (the primary source of atmospheric selenium) remains most concentrated 1n the smallest resplrable particles. -1- ------- TABLE 1-1 Selected Physical Properties of a Few Selenium Compounds3 ro i Element/Compound Formula Selenium hydride H?Se Selenium Se Cadmium selenlde CdSe Sodium selenlte Na2Se03«5H20 Sodium selenate Na2Se04 Selenium dioxide Se02 Molecular Weight 80.98 78.96 191.36 263.01 188.94 110.96 Specific Gravity/Density 2.004 for liquid at -41.5°C 4.81$° for hexa- gonal bluish gray metal 5.81J5 NA 3.213 g/cma at 17.4°C 3.95]f> Vapor Water Solubility Pressure (mm Hg) 3.77 g/100 ml 760 at at 4°C -41.l°C 1nsolubleb 1 at 356°C 1nsolubleb NA solubleb NA 84 g/100 ml NA at 35°C 38.4 g/100 ml 1 at 157°C at 14°C aSource: Weast, 1980 bNo further Information regarding solubility of these compounds Is available In Weast, 1980 NA = Not available ------- Therefore, the residence time of atmospheric selenium 1s expected to be a few hours to several days. The fate of selenium 1n aquatic media 1s dependent on the pH and oxida- tion-reduction potential of water. Under anaerobic conditions or low pH or both, Insoluble elemental selenium or metal selenlde Is formed. Under 2_ aerobic conditions or pH >6, water soluble selenlte (Se03 ) or selenate 2_ (SeO. ) Is formed. Sorptlon and copredpHatlon of the soluble sele- nlte and selenate onto hydrous Iron and manganese oxide control the mobility of the soluble selenium species. In a reducing aquatic environment, vola- tile H_Se may be formed. Microorganisms present in sediments in bodies of water may also convert selenium into volatile methylated products. The last two processes may cause mobilization of selenium from the aquatic to the atmospheric phase (Callahan et al., 1979). The bioconcentratlon factor for selenium 1n freshwater and marine fish is -400 (Callahan et al., 1979). The fate of selenium 1n soils 1s largely dependent on the pH and redox potential of the soil. In acidic and poorly aerated soil, heavy metal selenides are formed and exist 1n immobilized form 1n soil. In well aerated 2- 2- and alkaline soils, selenium may be converted to Se03 and SeO. . 2_ The selenites (SeO,, ) may be immobilized by adsorption or complexation or both with Iron and maganese hydroxides. The selenates, however, may leach from soils into groundwater (MAS, 1976). Page (1981) detected selenium at a median concentration of 2.0 ppb in all of the groundwater samples collected from New Jersey. -3- ------- 2. ABSORPTION FACTORS IN HUMANS AND EXPERIMENTAL ANIMALS 2.1. ORAL In a study of the GI absorption of selenium, Thomson and Stewart (1973) administered doses of ~5 yd [7SSe] selenomethlonine (<5 yg selenium) by gavage to groups of 20 female Wistar rats. GI absorption ranged from 91-93%. Another group of 20 rats received intragastric (~5 yg) doses of [75Se] selenite and GI absorption was estimated to range from 95-97%. Subsequently, Thomson et al. (1975) administered 5 yd [7sSe] seleno- cystine or ~2 yC.1 [75Se] selenomethionine to groups of 25 female Wistar rats by gavage. Each dose contained not more than 5 yg selenium. Esti- mated absorption factors from the GI tract were 81.1 and 86.4% for [75Se] selenocystlne and [75Se] selenomethionine, respectively. Thomson and Stewart (1974) measured GI absorption of selenium in three women aged 33, 21 and 25 years. While fasting, each received an oral dose of -10 yd [75Se] selenite containing <10 yg Se. Calculated GI absorption rates for the women were 70, 64 and 44%, respectively, indicating variation in absorption of selenite selenium. Currently, the concept of bloavallability is beginning to replace empirical estimates of GI absorption associated with trace elements and other nutrients. A biological endpoint, such as alleviation of an experi- mentally reproducible deficiency syndrome, is chosen, and various forms of a trace element are administered to test animals. The abilities of these test compounds to alleviate or protect against a deficiency syndrome, compared to the protective ability of a reference compound, are evaluated and the results are usually expressed as a percentage of the biological activity of the reference compound. -4- ------- Young et al. (1982) reviewed factors affecting bloavailabmty (hence, presumably, uptake) of various forms of selenium 1n animals and humans. Dietary factors Included the Intake level of the element and Its chemical form; the presence or absence of promoters or Inhibitors such as ascorbic add, phytate, fiber, sugars, fats and proteins; various mineral-mineral Interactions and m1neral-macronutr1ent Interactions; type and degree of food processing; and the concomitant 1ngest1on of certain drugs. They also sug- gested that physiological factors such as nutritional state, physiological states (growth, pregnancy, etc.) and pathological states can influence selenium utilization. Biological factors such as Infectious agents or social factors such as dietary habits also affect selenium uptake. Gabrielsen and Opstvedt (1980) compared the availability of three sources of selenium to restore GSH-Px activity In baby chicks, a particu- larly sensitive experimental biological system. The ability of equal quan- tities of selenium contained 1n fishmeal, soybean meal and selenomethionlne to restore GSH-Px activity were 48, 18 and 78%, respectively, wjien compared to GSH-Px activity restoration resulting from an equal amount of selenium from sodium selenlte. These data seem to Indicate that selenium in seleno- methionlne is much more readily absorbed than selenium in fishmeal or soybean meal. Apparent biological availability depends in part, on the biological endpolnt chosen. Young et al. (1982) reviewed the data of Cantor et al. (1975a,b) summarized in Table 2-1. From these data it 1s clear that selenlte is more effective than selenomethionine In protecting chicks from exudative diathesis but that selenomethionlne Is far more protective than selenlte against pancreatic flbrosls, another manifestation of selenium deficiency in chicks. It 1s impossible from these data to determine which -5- ------- TABLE 2-1 Comparison of Two Biological Endpolnts to Determine BloavallablHty of Selenium* Criterion: Protection Aqalnst Selenium Compound Selenlte Selenocystine Selenometh1on1ne Exudative Diathesis (bloavaHabllUy) 100 68-78 18-61 Pancreatic Flbrosls 100 -100 -400 *Source: Young et al., 1982 -6- ------- of the selenium compounds tested was absorbed most completely. It can be concluded that bloavailability tests reflect factors affecting metabolism and action at the target as well as absorption. Several studies of New Zealand women, summarized by Young et al. (1982), Indicated that absorption of [75Se] selenomethionine was greater (96%) compared to either [75Se] selenite (80%) or [7SSe] selenomethionine (79%) 1n food. Young et al. (1982) administered [7SSe]-labeled selenite to chickens by gavage periodically during a 42-day growing period. The chickens were killed and the resulting [74Se]-labeled chicken meat with or without additional selenium ([76Se]labeled selenite) was fed to four volunteers. Those consuming the [74Se]-labeled chicken meat received 13.4 yg selenium and absorbed 80^5%. Subjects who received the labeled chicken meat and added [76Se] selenite ingested 71.6 vq selenium and absorbed 30^11%. Thomson and Stewart (1973) and Thomson et al. (1975) indicated that GI absorption of selenium from selenite and selenomethionine was >86% in rats. In humans, Thomson and Stewart (1974) showed that absorption of selenium as selenite was quite variable, but considerably less than the absorption 1n rats. Apparently, 61 absorption of organic forms of selenium in humans is more complete than absorption of selenium as selenite. 2.2. INHALATION Pertinent data regarding pulmonary absorption of selenium following inhalation exposure could not be located in the available literature. The report by Glover (1967) associating urinary excretion of selenium with levels of selenium In workroom air (Section 3.2.2.) is Indicative of the absorption of selenium from the lung. -7- ------- 3. TOXICITY IN HUMANS AND EXPERIMENTAL ANIMALS 3.1. SUBCHRONIC 3.1.1. Oral. Selenium 1s an essential trace element In livestock (Under- wood, 1977), rat and chicken (U.S. EPA, 1980a) nutrition and 1s probably also essential to human health (U.S. EPA, 1980a; Frost and Llsh, 1975; Harr, 1978). Frost and Llsh (1975) cited Its possible role In preventing sudden Infant death syndrome, coronary heart disease, arthritis and cancer and Us ability to reduce the toxlcity of other heavy metals, such as cadmium and mercury. Flohe et al. (1973) found that selenium was associated with human GSH-Px, supporting the essential role of selenium to human health. The NAS (1980) determined an adequate and safe range for selenium Intake of 50-200 yg/day for an adult human. Elementary selenium 1n any of Its allotroplc forms 1s virtually Insol- uble 1n water and reportedly harmless 1f Ingested (Shapiro, 1973); however, other dietary constituents affect the toxldty of selenium compounds. Smith (1939) found that 10 ppm selenium was very toxic to rats when fed a 10% protein diet, but no signs of toxldty were noted when dietary protein was Increased by an additional 20%. Although the literature contains many references regarding the toxldty of selenium (Schroeder et al., 1970), few quantitative studies of subchronic oral toxldty of selenium compounds to humans or animals have been located that relate effects to dosages administered. The purpose of this document 1s to evaluate concisely only those studies that provide data useful for risk assessment. Anspaugh and Roblson (1971) stated that rats and dogs exposed to dietary levels of 5-10 yg selenlum/g may be expected to show evidence of chronic selenium toxldty, such as Hver atrophy or necrosis, cirrhosis and hemor- rhage, and a marked and progressive anemia with very low hemoglobin values. -8- ------- Vesce (1974) observed changes in endocrine glands, especially the ovaries, pituitary and adrenals, in guinea pigs exposed orally to 5-12.5 mg sodium selenide for two periods of 20 days each. No further descriptions of protocol were available for these studies. Tinsley et al. (1967) concluded that a dose of 0.5 rag/kg bw/day seemed to be the threshold that would affect longevity in rats. The authors calcu- lated that for a 200 g rat eating 10 g of feed/day, this intake constituted a dietary concentration of 10 ppm. Harr et al. (1967) reported that additions of 0.5-2 yg selenium/g of diet resulted in hepatomegaly in rats (duration of exposure not specified). Effects at the lower dietary levels were more pronounced when selenium was added to semi-purified rather than commercial diets, suggesting that interaction of selenium with other trace elements 1s Important In maintaining health. Harr and Muth (1972) stated that the MED for liver lesions was 0.25 vg selenium/g and the MED for effects on longevity and lesions of the heart, kidney and spleen was 0.75 vg/g. In these studies, chronic liver lesions (bile duct and parenchyma! hyperplasia) were more prevalent in rats fed an unsupplemented commercial diet than in those fed the purified (caseln-cerelose) diet supplemented with selenium. Interpretation of these results is, therefore, difficult. Halverson et al. (1966) fed weanling male Sprague-Dawley rats wheat based diets containing 1.6, 3.2, 4.8, 6.4, 8.0, 9.6 or 11.2 yg selenium (natural feedstuff and selenite)/g for 6 weeks. No effects were reported in rats on diets containing up to 4.8 ppm selenium. At the dietary level of 4.8 ppm selenium, a depression 1n growth rate was noted in rats receiving their selenium as selenite but not in rats receiving their selenium as -9- ------- natural selenium 1n selenlferous wheat. At dietary levels >6.4 ppm, reduced feed Intake, Increased mortality, splenomegaly, Increased pancreas size, reduced liver weight and anemia were reported. In this study the dietary level of 3.2 ppm selenium was designated a NOEL. Frost and L1sh (1975) administered a selenium-vitamin E combination by capsule to seven volunteers for a period of 10 weeks. Another group of seven volunteers received placebos. All 14 volunteers received placebos during a 1-week pretreatment observation period. Those receiving selenium received 0.5 mg Se/day for 3 weeks, 1.0 mg Se/day for the next 3 weeks and 2.0 mg Se/day for the remaining 4 weeks. The preparation presumeably contained 0.5 mg selenite selenium and 100 ID of d-alpha tocopherol acid succinate. Observations, which continued for another 6 weeks, consisted of weekly physical examinations and "a battery of laboratory [tests] designed to monitor vital organ function." No differences could be detected between the drug and placebo. 3.1.2. Inhalation. Pertinent data regarding subchronic inhalation expo- sure of humans or animals to selenium could not be located in the available literature. 3.2. CHRONIC 3.2.1. Oral. Chronic oral exposure of humans to toxic levels of selenium has occurred from well water or foodstuffs grown on selenlferous soils, particularly in South Dakota, Wyoming, Nebraska and the People's Republic of China. Additionally, it is expected that acute or chronic toxlcity may occur as a result of people medicating themselves with over-the-counter selenium preparations In an attempt to prevent cancer. -10- ------- 8eath (1962) described symptoms of lassitude, total or partial alopecia, discoloration of the skin and loss of fingernails 1n several people exposed to well water containing 9 mg selenium/8.. Discontinued use of the contam- inated water resulted 1n regrowth of the hair and nails and increased mental alertness. Assuming an Intake of 2 8. of water/day, the well water resulted 1n these effects at an intake of 18 mg/man/day. Smith et al. (1936) conducted an ep1dem1ological study of chronic selenium toxlcity In people living on selenlferous soil where animals had been diagnosed as having alkali disease. Clinical signs in these people Included bad teeth, jaundice, chloasma, vertigo, chronic GI disease, dermatitis, changes 1n nails (unspecified), arthritis, edema (location unspecified), lassitude and fatigue. Analysis of foodstuffs in the diets of these affected people revealed an Intake of selenium of 0.1-0.2 mg/kg/day. Nearly all urine samples of affected people contained measurable amounts of selenium and 45% of these samples contained 0.2-1.33 pg/ms.. Urinary content >0.2 yg/ma. correlated with severity of symptoms. Yang et al. (1983) reported outbreaks of selenium intoxication 1n several villages in the Hubei Province of the People's Republic of China. In five villages 1n which severe outbreaks occurred (totalling 248 inhabi- tants) the average Incidence was 49.2% with an incidence of 85.5% in the most severely affected village. Evacuation and the concomitant change 1n diet resulted 1n recovery. The cause of the selenosls appeared to be the presence of high levels of selenium in surface coal in the air, which was then leached from the coal into the soil and into surface and ground waters. The outbreak was apparently caused by the Increased consumption of selenium accumulating vegetables such as corn and turnip greens. Drinking water was considered to contribute negligibly to the intake of selenium. -11- ------- Symptoms observed Included brHtleness of nails, loss of nails and hair, prurKIs of the scalp, dermatitis characterized by hyperemla, edema and eruptive blistering, and nervous symptoms such as peripheral anesthesia, acroparesthesla and pain 1n the limbs. Eventually, exaggerated tendon reflexes, numbness, convulsions, motor dysfunction progressing to paralysis and hemlplegla developed. Mottled teeth and Increased tooth decay were also reported, but Interpretation of these findings Is difficult because the area was also found to be high 1n fluoride. These symptoms correlated with dally Intakes of selenium ranging from 3.20-6.69 mg/day with an average of 4.99 mg/day, computed based on analysis of components of the diet. An Increase In the Incidence of dental carles has been associated with toxic levels of selenium In humans. Hadjlmarkos and Bonhorst (1961) and Hadjlmarkos (1969) showed that urinary excretion of selenium was about twice as high 1n children with a high Incidence of dental carles compared with children with a low Incidence of carles. Other studies have shown an Incon- sistent (Huhleman and Konlg, 1964) or only marginally significant (Ludwlg and Biddy, 1969) relationship between prevalence of dental carles and dietary levels of selenium. Unfortunately, no exposure data were available 1n the secondary source (U.S. EPA, 1980a) from which these studies were summarized. An Increased Incidence of dental carles has been observed In children In selenlferous communities where urine selenium levels averaged 0.33 mg/a (Tank and Storvick, 1960). Bowen (1972) exposed young monkeys, Macaca 1rus. to drinking water containing 1 ppm selenium as sodium selenlte for 5 years. Carious lesions developed twice as frequently and 3 times faster 1n the selenium-treated monkeys as 1n the control group. Assuming monkeys weigh 3.5 kg and drink 450 ma of water/day, 1 ppm selenium 1n the drinking water corresponds to an Intake of 0.13 mg selen1um/kg/day. Buttner -12- ------- (1963) reported a positive correlation of dietary selenium with dental carles In rats. It 1s easier to control dietary factors 1n laboratory rats than 1n human populations, however, and other dietary factors may have been related to the Incidence of dental carles 1n humans. Several studies of chronic oral exposure of laboratory animals to selenium have been conducted. Franke and Potter (1935) fed groups of nine Wlstar rats diets containing 0, 22.3 or 33.5 ppm selenium as sodium sele- nite. At 33.5 ppm selenium in the diet, decreased food consumption and growth and Increased mortality (8/9 dead by day 359) were observed. At 22.3 ppm selenium in the diet, growth depression and increased mortality (5/9 dead by day 359) were noted. Necropsy of low-dose survivors revealed marked evidence of liver necrosis and degeneration. Nelson et al. (1943) fed diets containing 0 or 10 ppm added selenium as ammonium potassium selenlde to groups of 18 rats for 24 months. Excessive mortality (6/18 of controls, 12/18 of treatment rats) was reported. Schroeder (1967) and Schroeder and MHchener (1971a) treated groups of -100 Long-Evans BLU:LE rats with drinking water containing no added selenium (controls), 2-3 mg/a of sodium selenite or 2-3 mg/s, of sodium selenate. The experiment was Intended to continue throughout the Hfespan of the treated animals as a carcinogeniclty bioassay. Male rats were especially sensitive to selenium as selinlte and 50% of the males In the selenite group had died within 2 months. The remaining males in this group were given sodium selenate for the remainder of the experiment. Females in the sele- nite group were not similarly affected and remained on the sodium selenite treatment. No other parameters of toxiclty were reported. Fltzhugh et al. (1944) fed diets containing 5 ppm selenium as selenif- erous corn in a relatively protein-deficient diet to rats for 24 months. -13- ------- After 2 months and 1 year, respectively, mortality was 0 and 11% 1n the control rats and 11 and 17% In the treated rats. Although mortality In the treated rats after 1 year did not appear to differ significantly from mortality among control rats, after 2 months the Incidence of mortality was much higher among treated rats compared with controls. Since a high protein diet provides partial protection against selenium toxicity (Smith, 1939), these data suggest that the ability of a low protein diet to exacerbate toxldty of selenium may be manifested more during the period of maximal growth when dietary requirements for protein are high, rather than after maturity. Concurrently, FHzhugh et al. (1944) fed rats diets containing 10, 20 or 40 ppm selenium as ammonium potassium selenlde. The Incidence of mortality, liver cirrhosis and liver tumors was Increased In all treated rats compared with controls. The authors concluded, however, that selenlde selenium was only half as toxic as an equivalent dose of selenium from selenlferous corn. As mentioned previously, higher Intakes of selenium have been associated with an Increased Incidence of dental carles. In an unpublished experiment reported by Frost and L1sh (1975), selenium was given to monkeys by capsule at 0, 20, 64 or 200 yg/Kg/day. The preparation contained 0.5 mg selenium as the selenlte and 100 III vitamin E as d-alpha tocopherol add sucdnate. After treatment for 55 weeks, three males and two females from each group were sacrificed for macro- and microscopic pathological examinations. The remaining monkeys were treated until week 58 and were sacrificed at week 70. Physical examinations, behavioral observations, survival and body weight gains, EKG and blood pressure determinations, ophthalmologlc examinations, gross and microscopic pathological examinations, absolute and relative organ weights and a host of clinical chemistry and hematology parameters failed to reveal any signs of toxldty. -14- ------- 3.2.2. Inhalation. Hamilton (1974) reported chronic toxUHy 1n workers due to occupational exposure to selenium. Symptoms Including a strong garlic odor to the breath, sweat and urine, upper respiratory and GI Irrita- tion, cold-Uke symptoms, lacMmatlon and a metallic taste 1n the mouth were reported by workers exposed to selenium In a copper refinery. Hamilton (1974) also reported other cases of selenium toxldty related to Industrial exposure; however, the level of exposure was not quantHated 1n any of these reports. Bellies (1981) suggested that selenium dioxide may be responsible for toxldty In Industrial exposures. It 1s probably formed from heating selenium, and then forms selenlous acid 1n water or sweat. The acid Is Irritating and was probably the cause for the evacuation of all workers and the hospltallzatlon of two who experienced severe headache and respiratory discomfort as a result of exposure to fumes from an aluminum smelting opera- tion that had been charged with selenium-contaminated, used rectifier plates (Clinton, 1947). Glover (1967) measured urinary selenium concentration In workers at a selenium rectifier plant over a 5-year period. Workers were exposed to selenium 1n air at concentrations that varied with the particular process 1n which they were employed. Although the air concentrations were analyzed only sporadically, there seemed to be a correlation between air concentra- tions and urinary concentrations of selenium. Workers exposed to undeter- mined levels of airborne selenium complained of skin rashes (contact derma- titis), garlic odor of the breath, Indigestion and Indefinite sodopsycho- loglcal effects. Although data were few, mortality among the selenium exposed workers did not appeared to be different from mortality among the -15- ------- general population. Glover (1967, 1970) recommended a maximum allowable urinary concentration of selenium of 0.1 mg/i, which he believed to corre- spond approximately to an air concentration of 0.1 mg/m3. 3.3. TERATOGENICITY AND OTHER REPRODUCTIVE EFFECTS 3.3.1. Oral. Although no reports conclusively link teratogenicity of selenium or Its compounds to humans, Robertson (1970) suggested that sele- nium may be a teratogen 1n man. Rosenfeld and Beath (1964) suggested that malformed Infants of Indian women 1n Colombia may have resulted from Ingest- ing grains containing "toxic" levels of selenium. Robertson (1970) evalu- ated Information on the possible association between abnormal pregnancies and exposure of women to selenlte. Of one possible and four certain preg- nancies studied, one went to term and resulted 1n a bilateral clubfoot Infant. No Information on the other pregnancies was available. The chicken embryo Is extremely sensitive to selenium. HatchabUHy of eggs Is reduced by dietary concentrations of selenium too low to cause toxldty 1n other farm animals. The eggs are fertile but often produce grossly deformed embryos lacking eyes and beaks and having deformed wings and feet (Carlson et a!., 1951; Franke et al., 1936; Franke and Tully, 1935; Gruenwald, 1958; Palmer et al., 1973). Deformed embryos were also produced by Injection of selenlte Into the air cell of normal, fertile eggs of both chickens (Franke et al., 1936) and turkeys (Carlson et al., 1951). The consumption of selenlferous diets by rats (Franke and Potter, 1935; Rosenfeld and Beath, 1964), pigs (Wahlstrom and Olson, 1958), sheep (Rosen- feld and Beath, 1964) and cattle (Dlnkel et al., 1963) has been shown to Interfere with normal fetal development and to cause fetal malformations. -16- ------- These malformations are a part of the total syndrome designated "alkali disease" and, In general, seem to occur at dietary levels that cause other toxic manifestations (Underwood, 1977). These reports are not useful 1n risk assessment because no exposure data were given. In an attempt to shorten the time Involved 1n testing the chronic toxlc- 1ty of chemicals, Schroeder and Mltchener (1971b) performed a multigenera- tlon reproduction experiment 1n rats and mice using trace elements and other metals with known toxlclty. Groups of five pairs of Charles River CO mice were fed a purified diet containing minimal (0.056 ppm) selenium. Treat- ment, Initiated at weaning, was by the addition of 3 ppm selenium (as sele- nate) to doubly delonlzed drinking water. Control mice received the same diet and doubly delonlzed drinking water. Pairs of mice were allowed to breed to 6 months of age. The next generation was bred from F, , F,. and F, offspring. The F- generation was obtained from F- and F_. Utters. The experiment was terminated when it was obvious that the strain was dying out or when the 3rd generation had been weaned. Parameters of toxlclty evaluated were Intervals between Utters, age at which first Utter was produced, sex ratio at birth, number of runts, number of stillborn, failure to breed sucessfully, congenital abnormalities and maternal death. By these criteria, selenium was toxic to mice. The strain began to die out at the 3rd generation; seven pairs failed to breed; three that delivered produced a total of 23 offspring of which 16 were runts. In all, selenium In mice resulted 1n 93 runts of 389 offspring delivered live, one stillborn Utter, death of 23 offspring shortly after birth, a male to female ratio 1n individual offspring ranging from 1.27-1.65 and one maternal death. Congenital malformations were not reported for selenium. 3.3.2. Inhalation. Studies associating teratogenlcity with Inhalation exposure to selenium could not be located In the available literature. -17- ------- 3.4. TOXICANT INTERACTIONS Interactions between selenium and several toxic heavy metals have been demonstrated. Moxon (1938) alleviated the toxicity associated with 15 ppm dietary selenium (seleniferous grain, selenite or selenocystine) by provid- ing -5 mg arsenic as sodium arsenate/j. of drinking water. The presence of arsenic appeared to enhance excretion of selenium into the GI tract (Ganther and Baumann, 1962), at least in part by increasing biliary excretion (Levander and Baumann, 1966). Presumably, administration of selenium could protect against toxicity induced by arsenic. Selenium has been shown to protect against the toxic effects of cadmium upon various reproductive organs of rats. Kar et al. (1960) and Mason and Young (1967) demonstrated that testicular damage due to cadmium could be prevented by the simultaneous administration of selenium. Kar et al. (1959) and Parizek et al. (1968) found that selenium would prevent cadmium-induced damage to the non-ovulating ovary in the rat. Parizek et al. (1968) and Parizek (1964) found that administration of selenium prevented placental necrosis caused by exposure to small amounts of cadmium near parturition. The teratogenicity associated with cadmium and arsenic has been reduced by selenium (Holmberg and Perm, 1969; Perm, 1972). Parizek et al. (1968) and Gunn et al. (1968) greatly reduced the mortality rates of rats exposed to lethal doses of cadmium by the simultaneous administration of selenium. Selenium salts have been shown to protect the kidney and intestines of rats exposed to lethal doses (0.02 mmole/kg) of mercury (Levander and Argrett, 1969). [The protective effects of selenium appeared to be asso- ciated with decreased urinary excretion of mercury (Parizek et al., 1971).] -18- ------- Levander and Argrett (1969) reported that mercury Increased the retention of selenium In the blood, kidneys and spleen. Parlzek et al. (1971) found that transplacental movement of mercury 1n pregnant rats was decreased by sele- nium and In lactatlng rats less mercury was secreted Into the milk. Also, the bloavanabllity of selenium In rats was reduced by mercury. Dlplock (1976) and Grasso et al. (1969) produced toxic symptoms In rats and chickens fed vitamin E-defldent diets with 0.15% silver acetate In the drinking water. Rats suffered dystrophlc lesions and necrosis of the liver, and high mortality; chickens suffered a pro-exudative diathesis effect. Supplementation with the addition of 1 ppm selenium to the diet resulted 1n 55% protection against the toxic effects of silver. Liver lesions due to silver toxldty, and vitamin E and selenium toxldty were similar (Grasso et al., 1969). Hollo and Sztojcso (1960) demonstrated that death due to thallium poisoning could be prevented by parenteral administration of selenate. Ruslecki and Brzezinskl (1966) found that oral administration of selenate prevented thallium toxlcity and resulted 1n a greater thallium content in liver, kidney and bone than occurred in nonselenate-treated animals sub- jected to thallium toxidty. Levander and Argrett (1969) showed that subcu- taneous Injection of thallium acetate increased the retention of selenium in the liver and kidney of rats and reduced pulmonary and urinary excretions of selenium. Halverson and Monty (1960) demonstrated that dietary sulfate restored by >40% the growth rate depression 1n rats resulting from excessive dietary selenium as selenate or selenite. Sulfate, however, appeared to have no protective effect on liver degeneration associated with selenium. -19- ------- Moxon and Dubois (1939) reported that fluoride increased the toxlcity of selenium In rats. Adding 5 mg fluoride/8, to the drinking water of rats receiving 11 ppm dietary selenium as seleniferous grain resulted in in- creased mortality and decreased feed and water intake and rate of body weight gain. Hadjimarkos (1965, 1969), on the other hand, exposed rats to 3 mg selenium/5, of drinking water with and without the addition of 3 mg fluoride/2, of drinking water. No additional severity of toxlcity was observed in the group receiving both selenium and fluoride. Levander (1982) mentioned interactions between vitamin E and selenium. Several experiments show that these two nutrients can partially spare one another. For example, 0.05 ppm of dietary selenium was needed to prevent exudative diathesis in chicks fed a diet devoid of vitamin E, but only 0.01 ppm was needed when the diet contained 100 ppm vitamin E (Scott et al., 1967). The herbicide, paraquat, is thought to be toxic as a result of stimulat- ing Hpid peroxidation (Bus et al., 1974). Cagen and Gibson (1977) found that, when exposed to toxic amounts of paraquat, selenium-deficient rats suffered increased lung damage and selenium-deficient mice suffered in- creased hepatic injury, compared with control animals that were not defi- cient in selenium. Combs and Scott (1975) demonstrated that the addition of 50 ppm of PCB to the diets of chicks deficient in vitamin E and marginal in selenium resulted in an Increase in the incidence of exudative diathesis compared with the incidence in chicks on similar diets without added PCB. Selenium deficiency appears to protect against toxlcity from certain xenobiotics. Burk and Lane (1979) observed that selenium deficient rats suffered less severe hepatotoxicity than selenium-adequate rats when exposed to acetaminophen or iodipamide. -20- ------- Since under certain conditions cyanide Inhibited the activity of GSH-Px (Kraus and Ganther, 1980), 1t was suggested that cyanide may precipitate selenium deficiency. Rudert and Lewis (1978) showed that drenching with potassium cyanide did Increase the Incidence of myopathy, a common manifes- tation of selenium deficiency in lambs. Selenium toxldty 1n rats has been alleviated by cyanide (Palmer and Olson, 1979), and Unseed meal, long known to counteract selenium poisoning, has been shown to contain two cyanogenlc glycosldes (Palmer et a!., 1980). -21- ------- 4. CARCINOGENICITY 4.1. HUMAN DATA Evidence of a carcinogenic role for selenium In humans appears to be lacking. Although the occupational toxldty of selenium has been recognized since the early 1900s, no cases of malignancy attributable to exposure to the element have been reported (Schroeder et a!., 1970). Shamberger and Frost (1969) cite data suggesting that selenium may help protect the human population against cancer. In a 31 state area 1n which forages grown for livestock consumption averaged <0.06 ppm, the death rate In 1965 was lower than 1n a 17 state area and the District of Columbia, 1n which forages averaged <0.05 ppm. In a study of the concentration of selenium 1n the blood and the death rate due to cancer, a nearly perfect negative Pearson coefficient (r=-0.96, p<0.001) was found, Indicating that protection from death due to cancer Is associated with higher blood levels of selenium (Shamberger and Frost, 1969). In a review of selenium and cancer, Shapiro (1972) cited j_n vitro data suggesting an antlcancer role for selenium. In experimental therapy 1n humans, Welsburger et al. (1956) and Welsburger and Suhrlaud (1956a,b) applied selenium cystelne 1n the treatment of cysteine-dependent leukemlas. Chemical progress was Impressive, but therapy was terminated due to selenium toxldty. 4.2. BIOASSAYS Several Investigators have studied the carclnogenldty of orally admin- istered selenlferous compounds; however, none of these studies present reasonably consistent data that suggest a carcinogenic role for selenium. -22- ------- After a short-term range finding experiment. Nelson et al. (1943) exposed seven groups of 18 female Osborne-Mendel rats to 5, 7 or 10 ppm selenium In the diet using either selenlferous corn or wheat. In addition, another 10 ppm selenium group was treated with selenlte added to the diet. A control group of 18 rats was maintained. Mortality was high and tended to be proportional to the dietary level of selenium. Of 53 treated rats that survived to 18 months, 11 developed hepatocellular "adenomas or low grade carcinomas." Rats that died or were killed before 18 months exhibited cirrhosis starting as early as 3 months, but no tumors were found. The 14 control rats that survived to 18 months showed no evidence of neoplasla. There was no discussion of the statistical significance of these findings. Harr et al. (1967) and Tlnsley et al. (1967) assigned 1437 Wlstar rats to 34 different dietary groups. Dietary selenium levels ranged from 0.5-16 ppm (sodium selenlte and selenate) 1n rats maintained on high (22% casein) or low (12% casein with or without 0.3% DL-methlonine) protein diets. A known carcinogen, FAA, was fed at dietary levels of 50 or 100 ppm to some groups as a positive control. Mortality claimed many rats 1n the 8 and 16 ppm groups and caused early termination of these groups. Most rats lived <100 days; 175 lived >2 years. Necropsies were performed on 1126 of the original 1437 rats; 63 neoplasms were found, 43 In FAA-exposed rats and the other 20 randomly distributed among selenium-treated animals. No hepatomas were found. Although lifetime exposures to toxic levels of selenium were shown to produce serious pathological changes in the liver and other organs, no hepatic cancers were observed among selenium-exposed animals. The total number of cancers observed and their distribution in treated rats appeared similar to those observed 1n controls. -23- ------- Volgarev and Tscherkes (1967) reported the results of three experiments 1n which rats were fed diets containing variable levels of protein (12-30% casein) and selenium from selenate at 4.3 or 8.6 ppm. In the first experi- ment, 23/40 rats lived >18 months, 4 developed sarcomas, 3 hepatocellular carcinomas and 3 hepatocellular adenomas. Two of the rats with hepatocellu- lar carcinomas had metastases. In the second experiment Involving 60 rats, one hepatocellular carcinoma, one hepatocellular adenoma and three sarcomas were reported. Preneoplastlc lesions or carcinomas were not reported 1n the third experiment with 100 rats. Negative control rats were not Included 1n these experiments; hence, no conclusions can be made regarding the Incidence of these observed tumors. Schroeder (1967) and Schroeder and MHchener (1971a) exposed 418 wean- ling Long-Evans rats to 2-3 mg of sodium selenlte or sodium selenate, or 2 mg tellurite/2. of drinking water for lifetime. At 21 months of age, a virulent epidemic of pneumonia caused considerable mortality. Necropsy of -75% of the animals was performed at -28 months. H1stolog1cal examinations were performed only on selected Individuals. Control animals exhibited 11 malignant tumors and 20 were reported in the selenate-exposed rats. No statistical analyses of these data were reported. Few data regarding malig- nancies in the selenlte-exposed groups were given. Due to the toxlcity of selenlte, male rats were switched to selenate and, along with the females on selenlte, were terminated before the age of high tumor incidence. Schroeder and Mitchener (1972) repeated these studies in mice. Treat- ment of 3 mg selenium/1 of drinking water did not have a significant effect on the incidence of spontaneous tumor formations in mice. The U.S. EPA (1980a) reported the unpublished results of an NCI (1978) bioassay. B6C3F1 mice were divided into groups of 50 of each sex and were designated control, vehicle control, low-dose and high-dose groups. -24- ------- Low- and high-dose groups received 11.05 mg selenium/kg and 55.24 mg sele- nium/kg, respectively, as selenium dlsulflde 1n carboxymethyl cellulose by gavage for lifetime. It was apparent that this strain of mice had a high rate of spontaneous tumors of multiple anatomic sites. Among groups of male mice, exposure to selenium did not result In any statistically significant Increased Incidence of tumors. High-dose females, however, experienced a significantly higher (21/49) Incidence of hepatocellular carcinoma compared with controls (2/50) or vehicle controls (0/49). These data suggest that, at least 1n female mice, selenium disulflde 1s a carcinogen. Selenium dlsulflde, however, 1s not just another salt of selenium but a distinct compound which Is unlikely to be found 1n the environment as a pollutant. It cannot be assumed that these results suggest that Inorganic selenium (selenlte or selenate) would be carcinogenic 1n humans or animals (U.S. EPA, 1980a). 4.3. OTHER RELEVANT DATA Recent data concerning the mutagenlcHy of selenium or Its compounds could not be located 1n the available literature. The U.S. EPA (1980a) has summarized the data to 1980, which 1s presented here. Selenium 1n selenoamlno acid has been shown to reduce genetic crossing over 1n DrosophUa melanoqaster. Selenocystine at 2 mmol had a significant effect on crossing-over 1n the x-chromosome of I), melanogaster (T1ng and Walker, 1969; Walker and Bradley, 1969). Senteln (1967) found that selenates, selenltes and selenium dioxide caused similar effects on segmentation mitoses: polar dissociation with conserved dominance of the principal pole, stickiness and chromosomal clump- Ing. In another study, sodium selenlte was found to cause degenerative cell changes and decreased mltotlc activity In rabbit kidney tissue cultures (exposure unspecified) (Foklna and Kudryavtserla, 1969). -25- ------- No chromosomal aberrations were observed 1n human leukocyte or flbro- blast cultures exposed to at least two concentrations of sodium selenate or sodium selenlte for 24, 48 or 72 hours (Paton and Allison, 1972). 4.4. WEIGHT OF EVIDENCE From the studies reviewed In Section 4.2., 1t 1s apparent that the cardnogenldty of Inorganic selenium has not been unequivocally established and the question of the carclnogenlclty of Inorganic selenium will not be resolved without further Investigation. There 1s limited evidence, however, that selenium dlsulflde 1s a carcinogen In female mice, but none of the studies to date provide a weight of evidence or sufficient dose-response data for risk estimation. The NAS (1976) mentioned that selenium salts have been used both prophylactlcally and therapeutlcally 1n livestock husbandry for a number of years. Human exposure to selenium has Included Its Incorpo- ration Into shampoos and Us presence 1n Industrial plants. Epldemlologlc and demographic evidence from Us widespread use has failed to Implicate selenium as a carcinogen; 1n fact, H has been associated with a reduction 1n the Incidence of human ovarian cancer (Frost, 1971; Schroeder and MHchener, 1972; Anonymous, 1970; Shamberger and Rudolph, 1966; Shamberger et al., 1972, 1973; Shamberger and WHHs, 1971; Wedderburn, 1972). Several studies have demonstrated an Inhibitory effect on tumor Inci- dences 1n laboratory animals, complicating assessment of the carcinogenic role of selenium. Harr et al. (1972) noted an apparent decreased Incidence of 2-acetylam1nofluorene-1nduced mammary carcinomas and hepatomas 1n mice related to content of selenium In the diet. A 50% reduction In the Inci- dence of dlmethylamlnobenzene-lnduced liver tumors In rats was noted as the result of adding 5 ppm sodium selenlte to the diet (Clayton and Baumann, 1949). -26- ------- IARC (1975) concluded that the available animal data are insufficient for evaluation of the cardnogenldty of selenium compounds. The available human data do not suggest that selenium 1s carcinogenic in man, and "the evidence for a negative correlation between regional cancer deaths and sele- nium 1s not convincing" (IARC, 1975). Applying the criteria for evaluating the overall weight of evidence for the carcinogenicity of selenium (and compounds) for humans proposed by the Carcinogen Assessment Group of the U.S. EPA (Federal Register, 1984), selenium Is most appropriately designated a Group D - Not Classified chemical. -27- ------- 5. REGULATORY STANDARDS AND CRITERIA The ACGIH (1980) recommended a TWA-TLV for selenium 1n the workroom atmosphere of 0.2 mg/m3, primarily to protect against the Irritative effects of selenium. No STEL has been recommended. The ACGIH (1983) recom- mended a TWA-TLV of 0.2 mg/m3 selenium for selenium hexafluoMde. The OSHA standard for selenium has been set at 0.2 mg/m3 (Code of Federal Regulations, 1981). The U.S. EPA (1980a) concluded that the cardnogenlcHy of selenium has not been clearly demonstrated, and based the derivation of an ambient water quality criterion on the collective data of several short-term toxlcity studies in rats. Based on an estimated LOEL in rats, occurring at 0.5 ppm selenium in the diet, the U.S. EPA (1980a) recommended an ambient water quality criterion of 10 ng/fc. This value was chosen with the considera- tion that only 5-10% of the dally exposure to selenium should come from ingestion of water. The FDA ruled that sodium selenlte or sodium selenate may be added to the complete feed for swine and chickens up to 16 weeks of age not to exceed 0.1 ppm, and for turkeys, not to exceed 0.2 ppm (U.S. EPA, 1980a). -28- ------- 6. RISK ASSESSMENT 6.1. ACCEPTABLE INTAKE SUBCHRONIC (AIS) 6.1.1. Oral. Reports of toxlclty In humans with subchronic oral exposure to selenium could not be located in the available literature. Animal data concerning subchronic oral selenium toxicity are difficult to interpret. Harr et al. (1967) reported hepatomegaly in rats associated with 0.5 ppm selenium in the diet. Harr and Muth (1972) suggested that a dietary level of 0.25 ppm was the threshold associated with liver lesions and that 0.75 ppm was related to reduced longevity; however, artificially contrived purified diets were used that circumvented the normal interactions of trace elements and resulted in unusual apparent toxicity associated with selenium, and these data must be interpreted with caution. Anspaugh and Robison (1971) demonstrated liver atrophy in rats and dogs, and Vesce (1974) found "endocrine changes" in guinea pigs exposed to diets containing 5 ppm selenium. Halverson et al. (1966) fed diets containing 1.6 (intrinsic), 3.2, 4.8, 6.4, 8.0, 9.6 or 11.2 ppm. selenium to rats for 6 weeks. Dietary levels >6.4 ppm resulted in mortality, anemia and pathologic changes in liver, pancreas and spleen. A dietary level of 4.8 ppm was associated with reduced growth rate in some rats. In this study, 3.2 ppm selenium corre- sponding to an intake of 0.16 mg/kg bw/day, assuming rats eat food equiva- lent to 5% of their body weight/day, was a NOEL. From this animal dose, an AIS can be calculated by multiplying the animal dose (0.16 mg/kg bw/day) by 70 kg (body weight of man) and dividing by an uncertainty factor. The fact that selenium is a required nutrient for animals and presumably for humans (NAS, 1980) enters into the selection of an uncertainty factor. An uncer- tainty factor of 50 is chosen, a factor of 5 for interspecies extrapolation, because it seems reasonable that both rats and humans may have similar -29- ------- dietary requirements for selenium (U.S. EPA, 1980a) and a factor of 10 to provide additional protection for especially sensitive populations, such as people living 1n known selenlferous areas. The resultant AIS = 0.224 mg/day for subchronlc oral exposure. The NAS (1980) Food and Nutrition Board recommended a human dietary requirement of 10-200 yg/day for selenium and estimated that the average adult Ingests -130-150 yg of selenium/day from food. 6.1.2. Inhalation. Pertinent data regarding subchronlc Inhalation exposure of humans or laboratory animals to selenium could not be located 1n the available literature; hence, no Interim AIS for subchronlc Inhalation exposure can be calculated. 6.2. ACCEPTABLE INTAKE CHRONIC (AIC) 6.2.1. Oral. Beath (1962) reported symptoms of lassitude, alopecia, dis- coloration of skin, and loss of fingernails 1n people exposed to well water containing 9 mg selenium/8.. Assuming an Intake of 2 i of water/day, an average of -18 mg selen1um/man/day was Ingested. Smith et al. (1936) examined the diets of people farming selenlferous soils and reported that average dally Intakes of -7-14 mg of selenium were associated with symptoms similar to those described by Beath (1962). Several Investigators (Franke and Potter, 1935; Nelson et al., 1943; Fitzhugh et al., 1944) chronically exposed laboratory animals to selenium by the oral route, but the exposures used resulted 1n mortality and did not define NOELs, NOAELs or LOAELs that are useful to risk assessment. More recently, however, Bowen (1972) exposed young monkeys for 5 years to drink- Ing water containing 1 ppm selenium to study the Impact of a low level of selenium on the formation of dental carles. Carious lesions developed twice as frequently and 3 times faster in selenium-treated monkeys than 1n control -30- ------- monkeys. No other signs of selenium toxldty were reported. Assuming that monkeys weigh 3.5 kg and drink 450 ms. water/day, an Intake of 0.13 mg selenium/kg bw/day Is calculated. That the dose of 0.13 mg/kg bw/day associated with Increase in dental carles 1s below the threshold for other effects In monkeys Is supported by the data reported by Frost and Llsh (1975). In this study, no manifestations of toxldty were observed In monkeys given 200 yg/kg/day by capsule. Dental carles were not reported 1n this study at this dosage level but It Is not clear whether an oral examination was performed and this study ran for a much shorter period of time than the 5-year study of Bowen (1972). The epidemiology study of Yang et al. (1983) Is chosen rather than the monkey study of Bowen (1972) for derivation of an ADI because the LOAEL from the human study, 3.20 mg/day or 46 vg/kg bw/day, 1s lower than the NOEL of 200 yg/kg bw/day from the monkey study. Furthermore, the effects were carefully catalogued and care was taken In estimating the range of Intakes associated with selenosls. The uncertainties associated with animal to human extrapolation are also eliminated. The U.S. EPA (1985) derived an ADI for selenium based on the LOAEL of 3.20 mg/day associated with selenosls from the human ep1dem1olog1cal data (Yang et al., 1983). An uncertainty factor of 15 was applied to convert the LOAEL of 3.20 mg/day to an ADI. A factor of 15 rather than 10 was applied to reflect more efficient absorption from water than from the diet. An ADI of 0.21 mg/day was calculated for selenium. It Is suggested that this ADI be adopted as the oral AIC. This ADI Is similar to the ADI of 0.224 mg/day calculated for subchronlc exposure from the Halverson et al. (1966) study 1n rats. -31- ------- U.S. EPA (1983a) reviewed the data base for selenium and Its compounds and selected the multlgeneration study In mice (Schroeder and MHchener, 1971b) as being most appropriate for calculating a CS to most stringently represent the toxlcity of selenium compounds. Assuming that mice consume water equivalent to 17% of their body weight, an Intake of 0.51 mg/kg bw/day was calculated. The animal dose was multiplied by the cube root of the ratio of the body weight of mice (assumed to be 0.03 kg) to that of humans (assumed to be 70 kg) and multiplied by 70 kg to derive a human MED of 2.69 mg/day. This MED corresponds to an RV of 4.9 and the effect observed, Increased neonatal mortality, was assigned an RV of 10. The resulting CS, 49, was calculated as the product of RV. and RV . 6.2.2. Inhalation. Glover (1967) measured urinary concentrations of selenium 1n workers exposed to atmospheric selenium and found that a urinary concentration of 0.1 mg/a. corresponded to an air concentration of 0.1 mg/m.3, which he recommended as a maximum allowable concentration 1n work- room air. Lacking more definitive data on the effects of selenium by Inhalation, an AIC can be derived from these data as from a TLV. Assuming a worker Inhales 10 m3 of air during the workday, this exposure corresponds to a daily Intake of 1 mg/day during a 5-day workweek. An AIC Is calculated by multiplying by 5/7 to expand the exposure to a 7-day week and by dividing by an uncertainty factor of 10, intended to provide greater protection to members of the population unusually sensitive to selenium inhalation. The resultant AIC is 0.07 mg/day. 6.3. CARCINOGENIC POTENCY (q^) 6.3.1. Oral. Although the NCI (1978) bioassay indicated a possible carcinogenic role for selenium disulfide in female 86C3F1 mice, as was discussed in Section 4.4., the carclnogenicity of other selenium compounds -32- ------- 1s uncertain at the present time. The U.S. EPA (1980a), suggesting that the currently available Information does not warrant classification of selenium or Us compounds as carcinogenic and reviewing the conclusion of the MAS (1976) that selenium intake may be correlated with a reduction in the incidence of cancer, concluded that insufficient evidence was available from which to calculate a q * 6.3.2. Inhalation. Since no reports of carcinogenicity associated with inhalation exposure to selenium or Us compounds have been located in the available literature, no q,* for inhalation exposure can be calculated. -33- ------- 7. REFERENCES AC6IH (American Conference of Governmental Industrial Hygienists). 1980. Documentation of the Threshold Limit Values for Substances in Workroom Air, 4th ed. with supplements through 1981. Cincinnati, OH. p. 361-362. (Cited in U.S. EPA, 1983a) ACGIH (American Conference of Governmental Industrial Hygienists}. 1983. Threshold Limit Values for Chemical Substances and Physical Agents in the Workroom Environment with Intended Changes for 1984. Cincinnati, OH. Anonymous. 1970. Selenium and cancer. Nutr. Rev. 28: 75-80. (Cited in U.S. EPA, 1980a) Anspaugh, L.R. and W.L. Robison. 1971. Trace elements in biology and medicine. Prog. Atomic Med. 3: 63. (Cited in U.S. EPA, 1980a) . Beath, O.A. 1962. The story of selenium in Wyoming. University of Wyoming, Laramie. (Cited in U.S. EPA, 1980a) Bellies, R.P. 1981. Phosphorus, selenium and tellurium. In.: Patty's Industrial Hygiene and Toxicology, 3rd ed., Vol. IIA, G.D. Clayton and F.E. Clayton, Ed. John Wiley and Sons, Inc., NY. p. 2130-2140. Bowen, W.H. 1972. No title provided. J. Ir. Dent. Assoc. 18: 83. (Cited in Underwood, 1977; U.S. EPA, 1983a) -34- ------- Burk, R.F. and J.M. Lane. 1979. Ethane production and liver necrosis 1n rats after administration of drugs and other chemicals. Toxlcol. Appl. Pharmacol. 50: 467. {Cited In Levander, 1982) Bus, J.S., S.D. Aust and J.E. Gibson. 1974. Superoxlde- and singlet oxygen-catalyzed llpld peroxldatlon as a possible mechanism for paraquat (methyl vlologen) toxldty. Blochem. Blophys. Res. Commun. 58: 749. (Cited 1n Levander, 1982) Buttner, W. 1963. Action of trace elements on the metabolism of fluoride. J. Dent. Res. 42: 453. (Cited In U.S. EPA, 1980a) Cagen, S.Z. and J.E. Gibson. 1977. Liver damage following paraquat In selenium-deficient and dlethyl maleate-pretreated mice. Toxlcol. Appl. Pharmacol. 40: 193. (Cited 1n Levander, 1982) Callahan, M.A., H.W. SUmak, N.W. Gabel, et al. 1979. Water-related environmental fate of 129 priority pollutants. Vol. I. U.S. EPA, Office of Water Planning and Standards, Office of Water and Waste Management, Wash- ington, DC. EPA 440/4-79-0293. Cantor, A.H., H.L. Scott and T. Noguchl. 1975a. Biological availability of selenium 1n feedstuffs and selenium compounds for restoring blood plasma glutathlone peroxldase activity 1n selenium-depleted chicks. J. Nutr. 105: 96-105. (Cited 1n Young et al.. 1982) -35- ------- Cantor, A.M., M.L. Langevln, T. Noguchi and M.L. Scott. 1975b. Efficiency of selenium In selenium compounds and feedstuffs for prevention of pan- creatic flbrosls 1n chicks. J. Nutr. 105: 106-111. (Cited In Young et al., 1982) Carlson, C.W., et al. 1951. Some effects of selenium, arsenlcals and vitamin B12 on chick growth. Poultry Sd. 33: 768. (Cited In U.S. EPA, 1980a) Clayton, C.C. and C.A. Baumann. 1949. Diet and azo diet tumors; effect of diet during a period when the dye 1s not fed. Cancer Res. 9: 575. (Cited 1n U.S. EPA, 1980a) Clinton, M., Jr.. 1947. Selenium fume exposure. J. Ind. Hyg. 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Nutr. 35(5) 1076-1088. -51- ------- APPENDIX Summary Table for Selenium and Compounds Species Experimental Dose/Exposure Effect Acceptable Intake (AIS or AIC) Reference Inhalation AIS AIC human 0.1 mg/m3 none ND 0.07 mg/day Glover, 1967 Oral AIS AIC rat human Maximum mouse composite score 3.2 ppm diet (0.16 mg/kg/day) 3.2 mg/day from diet of selenlf- erous foodstuffs 3 ppm In drinking water (0.51 mg/kg/ day) for 3 genera- tions (RV,j-4.9) none loss of hair, nails, derma- titis nemo- muscular dysfunction Increased neo natal mortal- ity (RVe=10) 0.224 mg/day 0.21 mg/day 49 Halverson et al., 1966 Yang et al. 1983; U.S. EPA, 1905 Schroeder and MHchener, 1971b; U.S. EPA, 1983a ND = Not derived ------- |