-------
According to Bonse and Henschler (1976), 1,1-dichloroethylene oxide is extremely
unstable and could not be isolated during attempts at chemical synthesis,
although its expected rearrangement product, chloroacetyl chloride, was formed
after chemical oxidation of vinylidene chloride with m-chloroperbenzoic acid.
Metabolism of vinylidene chloride to this epoxide has not been directly demon-
strated, but rather is inferred by analogy with the metabolism of other chlori-
nated ethylenes (Leibman and Ortiz, 1977; Bonse and Henschler, 1976; Uehleke et
al., 1976) and from the observed metabolism of vinylidene chloride to monochloro-
acetic acid.
The metabolism of vinylidene chloride by hepatic cytochrome P—450 in micro-
somes from male Long-Evans rats was studied jLn vitro by Costa and Ivanetich
(1982) in an attempt to identify metabolites and detoxification pathways.
Vinylidene chloride was shown to be metabolized to dichloroacetaldehyde and to
monochloroacetic acid by hepatic microsomes, after binding to cytochrome P-450
in the presence of an NADPH-generating system. Certain forms of cytochrome P-450
appear to play minor roles in the metabolism of vinylidene chloride (such as the
phenobarbital-inducible form) while other forms may be more efficient.
Radioactively-labeled monochloroacetic acid has been identified in the
urine of rats after intragastric administration in corn oil of C-vinylidene
chloride (Jones and Hathway, 1978a), in rat livers perfused with C-vinylidene
chloride (Reichert and Bashti, 1976), and after incubation of 14C-vinylidene
chloride with 9000 x g supernatants from rat liver homogenates (Leibman and
Ortiz, 1977). Monochloroacetic acid is the expected product of rearrangement of
the epoxide to chloroacetyl chloride and subsequent hydrolysis (Bonse and
Henschler, 1976; Leibman and Ortiz, 1977). Alternatively, monochloroacetic acid
could result from metabolism of the epoxide by epoxide hydrase to the diol shown
10-7
-------
in Figure 10-1, followed by rearrangement to chloroacetyl chloride and
hydrolysis to monochloroacetic acid (Leibman and Ortiz, 1977).
The relative importance of the diol pathway is difficult to assess. Jones
and Hathway (1978b) suggested that conversion to the diol is not important
because C00, a possible degradation product, is found only in small amounts in
2. ~~
vivo. It is not known, however, whether the diol is metabolized to CO to a
L
significant extent. Leibman and Ortiz (1977) concluded that diol formation is
relatively unimportant in the metabolism of vinylidene chloride to monochloro-
acetic acid because, 1,1,l-trichloropropene-2,3-oxide and cyclohexene oxide
(inhibitors of epoxide hydrase) stimulated, rather than inhibited, the formation
of monochloroacetic acid in incubations of vinylidene chloride with 9000 x g
supernatants from rat liver homogenates. These two inhibitors react with gluta-
thione (Oesch and Daly, 1972). Thus the results of Leibman and Ortiz (1977)
could be explained by the depletion of glutathione, thereby resulting in the
accumulation of monochloroacetic acid. Furthermore, according to Oesch (1972),
there are two types of epoxide hydrase activity—one is tightly coupled with
mixed-function oxidase activity, whereas the other is not. The coupled form is
thought to be more important in detoxifying epoxides formed by mixed function
oxidases and is relatively resistant to inhibitors (Oesch, 1972).
Andersen et al. (1979a) investigated the metabolism of vinylidene chloride
by studing the rate of uptake of vinylidene chloride vapor by fasted male rats.
Uptake was determined from the disappearance of vinylidene chloride as a function
of time (usually plotted on linear coordinates) from a closed chamber, corrected
for nonspecific loss. The uptake of vinylidene chloride by fasted male rats was
biphasic; the initial rapid phase represented tissue equilibration (Section
10.1.1) and the slow phase represented metabolism. The slow phase of uptake was
relatively independent of concentration at higher exposure levels and dependent
10-8
-------
on concentration at lower exposures. A series of uptake experiments using
different initial concentrations of vinylidene chloride were performed. The
instantaneous rates of uptake were determined from tangents to the curves at 60
to 80 minutes of exposure, so that the contribution from the rapid phase was
negligible. Instantaneous rates plotted against actual chamber concentration
yielded a rectangular hyperbola typical of Michaelis-Menten kinetics, as would
be expected if the slow phase represented metabolism. V , the maximum velocity
at saturating exposure levels, was 132 ppm/kg/hr (equivalent to 15.87 mg of
vinylidene chloride metabolized/kg/hr). K , the exposure level that produced
half the maximum velocity, was 335 ppm (equivalent to a body burden of 5.43
mg/kg).
At an initial concentration of vinylidene chloride of 300 ppm in air (below
the K ), the rate constant of the slow phase was reduced 84, 92, and 65% by
pretreatment with pyrazole, carbon tetrachloride, and aminotriazole, respec-
tively, but was unaffected by pretreatment with SKF 525A or 2,3-epoxy-
propan-1-ol. These compounds, with the exception of 2,3-epoxypropan-l-ol, are
inhibitors of microsomal metabolism; all have been shown to affect the acute
toxicity of vinylidene chloride (Section 10.2) (Andersen et al., 1980). At high
initial concentrations of vinylidene chloride, the V was unaffected by
3 ' max J
pretreatment with phenobarbital or by using fed rather than fasted rats, and was
similar for immature and mature rats (Andersen et al., 1979a).
As determined by Andersen et al. (1979b), the acute toxicity of inhaled
vinylidene chloride was relatively independent of concentration and dependent on
duration of exposure at concentrations above 200 ppm (Section 10.2). In an
attempt to correlate metabolism with toxicity, Andersen et al. (1979a) calcu-
lated the two theoretical curves shown in Figure 10-2. The solid line is based
on the assumption that the product of exposure concentration times the duration
10-9
-------
5 —
oo
(N
4—
o
LO
H-
2 —
LT50(95%C. I.)
ppm X time = k.
1000
CONCENTRATION (ppm)
2000
Figure 10-2
Comparisons of Observed LT50 Data for Vinylidene Chloride
with Theoretical Curves Predicted for Two Different
Mechanisms of Toxicity. As indicated by the symbol in
upper right, data are given as LT50 and its 95% confidence
interval. (Andersen at al. , 1979a)
10-10
-------
of exposure required to produce a given effect is constant. The dashed line is
based on the assumption that the product of the rate of metabolism (at each
exposure concentration) times the duration of exposure required to produce a
given effect is constant. The experimentally determined LT50 (time required to
produce 50% mortality rate) of M.1 hours at a 200 ppm exposure concentration was
used to calculate the constant. The experimentally determined LT50 values
(Andersen et al., 1979b) fit the theoretical curve based on metabolism more
closely than they fit the theoretical curve based on exposure concentration,
suggesting that toxicity is a function of the amount of metabolite formed rather
than the concentration of vinylidene chloride (Andersen et al., 1979a).
Using an experimental protocol similar to that of Andersen et al. (1979a),
Filser and Bolt (1979) investigated the kinetics of metabolism of vinylidene
chloride in the male rat. Filser and Bolt (1979) focused on strict zero-order
and first-order kinetics, whereas Andersen et al. (1979a) focused on
Michaelis-Menten kinetics. Both groups of investigators, however, demonstrated
the saturable dose-dependent nature of vinylidene chloride metabolism. As
determined by Filser and Bolt (1979); the V „„ (velocity for zero-order metabo-
LuCiX
lism) was 100 jxraol/kg/hr (9.7 mg/kg/hr).
Reichert and Henschler (1978) reported that pretreatment of female rats
with an inducer of mixed-function oxidases, DDT, increased the uptake of vinyli-
dene chloride 3556, while direct addition of inhibitors (pyrazole and ethanol) of
mixed-function oxidases decreased the uptake of vinylidene chloride 35 to 405& in
isolated, perfused rat livers. Pretreatment with phenobarbital, or direct
addition of SKF 525A, 6-nitro-1,2,3-benzothiadiazole, and 5,6-dimethyl-1,2,3-
benzothiadiazole to the perfusate had little effect on uptake when low concentra-
tions of vinylidene chloride were used. The uptake of vinylidene chloride,
measured as the difference between prehepatic and posthepatic concentrations of
10-11
-------
vinylidene chloride under steady state conditions was taken to be equivalent to
metabolism. The authors stated that with a high concentration of vinylidene
chloride in the perfusate, pretreatment with phenobarbital elevated the uptake
of vinylidene chloride by approximately 30$. The results of Reichert and
Henschler (1978) for perfused livers of female rats are in general agreement with
the results of Andersen et al. (1979a) for intact fasted male rats except for the
stimulation of uptake (metabolism) by phenobarbital pretreatment noted by
Reichert and Henschler (1978). Pretreatment with ethanol for a 3 week period
enhanced the activity of rat liver drug-metabolizing enzymes six-fold in their
ability to convert vinylidene chloride (Sato et al., 1980). The authors
discussed the increased rate of vinylidene chloride metabolism and noted that
this may increase the toxicity of the compound if metabolites are the actual
causative agents.
A comparison of sex, age, and species differences in metabolism and toxicity
suggests that vinylidene chloride is metabolized to a toxic intermediate by
mixed-function oxidases. In general, raicrosomal oxidation of compounds was
found to be greater in male rats than in female rats (Kato, 1974). Male rats were
much more susceptible to the hepatotoxic effects of vinylidene chloride than were
female rats (Andersen and Jenkins, 1977). Microsomal oxidase activity reached a
maximum in the rat at 30 to 40 days of age (Kato et al., 1964), an age range which
corresponded to the size (100-150 g) of rats most susceptible to the toxicity of
vinylidene chloride in the report of Andersen and Jenkins (1977). All of the
studies reviewed in Section 10.1 of this report, however, were performed on
mature (180-350 g) rats and mature mice unless otherwise specified.
A greater percentage of an orally administered dose (50 mg/kg) of C-
vinylidene chloride was metabolized by mice than by rats, based on quantitation
of excreted radiolabeled metabolites and unchanged vinylidene chloride (Jones
10-12
-------
and Hathway, 1978b). Similarly, as presented in Table 10-2, mice metabolized
more vinylidene chloride per kg body weight than did rats after inhaling 10 ppm
14
C-vinylidene chloride in air for 6 hours (McKenna et al., 1977). The overall
pattern of excretion for mice and rats was similar. The concentration of
covalently bound radioactivity in liver and kidney was much higher in mice than
in rats, as shown in Table 10-3. Binding was measured as radioactivity that was
TCA-precipitable and 80% methanol-insoluble and thus represented radioactivity
covalently bound to protein and nucleic acid. As discussed in Section 10.4.1,
the 9000 x g supernatant from mouse liver was more active than the 9000 x g
supernatant from rat liver in metabolizing vinylidene chloride to mutagenic
substances. These observations of increased metabolism and covalent binding in
mice versus rats parallel the greater sensitivity of mice to the acute lethality,
hepatotoxicity, and renal toxicity of vinylidene chloride (Short et al.,
1977a,b). A brief review of the metabolism of vinylidene chloride by rats and
mice is presented by Cooper (1980).
Hypoxia (7% oxygen), which inhibits mixed-function oxidase activity,
decreased the hepatotoxicity of inhaled vinylidene chloride to fasted male rats
(Jaeger, 1978). Disulfuram, which has been reported to inhibit hepatic mixed-
function oxidases (Zemaitis and Green, 1976), protected male mice from the acute
lethal and hepatotoxic effects of inhaled vinylidene chloride (Short et al.,
1977a,b). Measured at 4 and 24 hours after intraperitoneal administration of
14
C-vinylidene chloride, covalent binding of radioactivity to protein in liver
and kidney was significantly reduced in mice fed disulfuram before and during
exposure (Short et al., 1977a,b). Additional studies dealing with the relation-
ship between the induction and inhibition of microsomal mixed function oxidases
and the toxicity of vinylidene chloride are discussed in Section 10.2.
10-13
-------
Table 10-2
14,
End-Exposure Body Burdens and Disposition of C-Activity in
Rats and Mice 72 Hours Following Inhalation Exposure to
10 ppm C-Vinylidene Chloride for 6 Hours3
Mice'
C
rag-Eq C-vinylidene chloride/kg
Percentage body burden
Source: McKenna et al., 1977
3X + SE, n = 4.
Rats
111
Body burden, rag-Eq C-vinylidene
chloride/kg
Total metabolized vinylidene chloride
5.30 ± 0.75
5.27 + 0.74
2.89 + 0.24
2.84 + 0.26
Expired vinylidene chloride
14
Expired CO
Urine
Feces
Carcass
Cage Wash
0.65 + 0.07
4.64 + 0.17
80.83 + 1.68
6.58 + 0.81
5.46 + 0.41
1.83 + 0.84
1.63 ± 0.14
8.74 + 3.72
74.72 + 2.30
9.73 ± 0.10
4.75 + 0.78
0.44 + 0.28
14,
Calculated from the total C-activity recovered (end-exposure body burden)
minus the C-vinylidene chloride exhaled from each rat
Mice were males of the Ha(ICR) strain.
eRats were males of the Sprague-Dawley strain.
10-14
-------
Table 10-3
ili
Covalently Bound C-Activity in Tissues 72 Hours
u Following Inhalation Exposure to 10 ppm
C-Vinylidene Chloride for 6 Hours (McKenna et al., 1977)
C-vinylidene chloride, [ig-Eq/g protein
(X + SE, n = U)
Liver Kidney
Mice 22.29 + 3-77 79.55+ 19.11
Rats 5.28 + 0.14 13.14 + 1.15
10-15
-------
The identification of methylthio-aeetylaminoethanol as a urinary metabolite
of vinylidene chloride suggested the alkylation of lipids by a reactive inter-
mediate (Reichert et al., 1979; Henschler and Hoos, 1981). The pathway of
formation of methylthio-aeetylaminoethanol has not yet been clarified. Reichert
et al. (1979) hypothesized that the first step could be the reaction of
chloroacetyl chloride with phosphatidyl ethanolamine (a constituent of lipid
membranes). This postulated pathway is illustrated in Figure 10-1.
10.1.2.2 Detoxification Pathways
10.1.2.2.1 Conjugation with Glutathione
Conjugation of vinylidene chloride or its metabolites with glutathione is
indicated because administration of C-vinylidene chloride (intragastrically or
by inhalation) to rats and mice produced several S-containing radioactive meta-
bolites. The major urinary metabolites of vinylidene chloride in rats have been
identified as thiodiglycolic acid (thiodiacetic acid) (Jones and Hathway,
1978a,b; Reichert et al., 1979; McKenna et al., 1977, 1978a,b) and mercapturic
acids: an N-acetyl-S-cysteinyl acetyl derivative shown in Figure 10-1 (Jones and
Hathway, 1978a,b), N-acetyl-S-(carboxymethyl)cysteine (Reichert et al., 1979),
and N-acetyl-S-(2-hydroxyethyl)cysteine (McKenna et al., 1977, 1978a,b). N-
acetyl-S-(2-hydroxyethyl)cysteine is not shown as part of the metabolic scheme
in Figure 10-1 because its .relationship to other metabolites of vinylidene
chloride is unclear. The major urinary metabolites of vinylidene chloride in
mice were dithioglycolic acid and an N-acetyl-S-cysteinyl acetyl derivative
shown in Figure 10-1 (Jones and Hathway, 1978b).
Vinylidene chloride itself does not appear to react with glutathione.
McKenna et al. (1977) stated that they were unable to demonstrate conjugation of
vinylidene chloride with glutathione either nonenzymatically or in the presence
of the soluble fraction (which contains glutathione S-transferases) of a rat
10-16
-------
liver homogenate. Conjugation with glutathione required the presence of a micro-
somal enzyme system, suggesting that vinylidene chloride was metabolized to a
reactive intermediate before conjugation with glutathione. Unfortunately, no
data or experimental details were presented.
Additional evidence that the S-containing metabolites (mercapturic and
thioglycolic acids) of vinylidene chloride arise from conjugation with gluta-
thione is as follows. The origin of the cysteine moiety in mercapturic acid
derivatives of many xenobiotics has been shown to be glutathione (Chasseaud,
1973). In y_ivo experiments with unlabeled vinylidene chloride, in which the
14
cysteine-cystine pools were labeled with C, resulted in the production of
labeled thiodiglycolic acid (Jones and Hathway, 1978a). Thus, at least part of
the carbon skeleton of thiodiglycolic acid must have been derived from cysteine.
Administration of vinylidene chloride to male or female rats in vivo, or
during perfusion of isolated rat livers, depleted the liver glutathione content
(Jaeger et al., 1974; Reichert et al., 1978; McKenna et al., 1977; McKenna,
1979). Depletion of glutathione was maximal at about 4 hours after oral adminis-
tration of vinylidene chloride to female rats and was dependent on the dose
administered (Reichert et al., 1978). Depletion of glutathione after inhalation
exposure of male rats was similarly dose dependent (McKenna et al., 1977;
McKenna, 1979).
Reichert et al. (1978) attempted to demonstrate a correlation between the
glutathione content of isolated, perfused livers from female rats and the rate of
metabolism of vinylidene chloride measured as uptake (see Section 10.1.2.1,
Reichert and Henschler, 1978). When the glutathione content was decreased 80% by
the prior addition of diethyl maleate to the perfusate, an 18% decrease in
vinylidene chloride metabolism was measured. A less pronounced decrease in
glutathione content, produced by prior fasting of the rats, was not associated
10-17
-------
with a decrease in vinylidene chloride metabolism; a slight increase (10$) was
observed; neither Ghange in metabolism was statistically significant. The
authors concluded that the glutathione content of liver becomes a limiting factor
in the metabolism of vinylidene chloride only when the glutathione content has
been severely depleted.
Evidence for the metabolic pathways shown in Figure 10-1 that involve
conjugation with glutathione has been obtained from the analysis of the urinary
111
metabolites resulting from the administration of C-labeled vinylidene
chloride, monochloroacetic acid, and other metabolic intermediates to rats and
mice. As shown in Table 10-4, the N-acetyl-S-cysteinyl acetyl derivative was
ill
detected only when rats were given C-vinylidene chloride and not when they were
given C-monochloroacetic acid. The N-acetyl-S-cysteinyl acetyl derivative
must therefore have come from conjugation of glutathione with a metabolite
arising prior to the formation of monochloroacetic acid (Jones and Hathway,
1978a).
ill ill
The administration of either C-vinylidene chloride or C-monochloroacetic
1U
acid gave rise to C-labeled S-(carboxymethyl)cysteine, N-acetyl-S-(carboxy
methyl)cysteine, thiodiglycolic acid, thioglycolic acid, and dithioglycolic acid
(Tables 10-4 and 10-5, Jones and Hathway, 1978a). These results suggest that
monochloroacetic acid is a key intermediate in the metabolism of vinylidene
chloride and the S-(carboxymethyl)glutathione can be metabolized to thioglycolic
acids or to a oiercapturic acid.
S-(CarboxymethylJcysteine was metabolized to thiodiglycolic acid and to COp
(Green and Hathway, 1977; Yllner, 1971; Jones and Hathway, 1978b). Because
labeled C0_ was detected only when the cysteine moiety of S-(carboxymethyl)-
cysteine was uniformly labeled with C (Jones and Hathway, 1978b) but not when
the carboxymethyl moiety was labeled (Yllner, 1971), C0? must have been produced
10-18
-------
Table 10-4
Relative Proportions of C Urinary Metabolites After Intragastric
Administration.jOf 350 mg/kg 1- C-Vinylidene Chloride or 50 mg/kg
C-Monochloroacetic Acid to Male Rats
(Adapted from Jones and Hathway, 1978a; Hathway, 1977*)
Vinylidene Chloride and
Chloroacetic Acid Metabolites
Thiodiglycolic acid
N-acetyl-S-cysteinyl-acetyl
derivative
Dithioglycolic acid
Thioglycolic acid
Chloroacetic acid
Urea
S- (Carboxymethyl )cysteine
N-acetyl-S-(carboxymethyl)cysteine
% of
Vinylidene
Chloride
37.0
48.0
5.0
3.0
3.0
0.5
0
—
Urinary Radioactivity
Chloroacetic
Acid
90.0
0
3.0
3.0
0
0.5
2.0
2.0*
10-19
-------
Table 10-5
Relative Proportions of C Excretory Products After Intragastric
Administration of 50 mg/kg of 1- -C-Vinylidene Chloride to
Male Rats or Mice (Jones and Hathway, 1978b)
C Excretory Products
C Expressed at Percent of Dose
Mice Rats
Unchanged vinylidene chloride
(pulmonary excretion)
Carbon dioxide (pulmonary
excretion)
Chloroacetic acid
Thiodiglycolic acid
Thioglycolic acid
Dithioglycolic acid
Thioglycolyloxalic acid
N-Acetyl-S-cysteinyl acetyl
(derivative)
N-Acetyl-S-(2-carboxymethyl)
cysteine
Urea
6
3
0
3
5
23
3
50
4
3
28
3.5
1
22
3
5
2
28
0
3.5
10-20
-------
from the decarboxylation of cysteine. ™C-Thiodiglycolic acid was converted to
thioglycolic acid, dithioglycolic acid, and thioglycolyloxalic acid, indicating
that these metabolites arise from B-thionase hydrolysis of thiodiglycolic acid
(Jones and Hathway, 19?8b), shown in Figure 10-1. As can be seen from the
relative proportions of thioglycolic acids in Table 10-5, 3-thionase conversion
occurred to a greater extent in mice than in rats (Jones and Hathway, 1978b).
Results of experiments with rats suggest that conjugation with glutathione
serves to detoxify reactive metabolites of vinylidene chloride. The hepato-
toxicity of vinylidene chloride _in vivo and in the isolated perfused liver was
greater if vinylidene chloride was administered when glutathione levels in the
liver had been diminished by fasting (Jaeger et al., 197^, 1975a; McKenna et al.,
1978a), diurnal variation (Jaeger et al., 1973a, 1975a), by pretreatment with
diethyl maleate (Jaeger et al., 1974, 1975a; Andersen et al., 1980), or by
pretreatment with thyroxine (Jaeger et al., 1977b). The degree to which
pretreatment with various epoxides or diethyl maleate exacerbated the acute
toxicity of vinylidene chloride was related to the degree to which these
compounds depleted glutathione (Andersen et al., 1980). Increasing the levels of
glutathione in the liver by chemical or surgical thyroidectomy protected against
the toxicity of vinylidene chloride (Jaeger et al., 1977b). Hypoxia, which
inhibited mixed- function oxidase activity, protected against the hepatotoxicity
of vinylidene chloride and concomitantly prevented depletion of liver gluta-
thione (Jaeger, 1978).
Additional evidence for the role of glutathione in detoxification can be
obtained from studies of covalent binding. Fasting and, hence, a low level of
ill
liver glutathione were associated with decreased total metabolism of C-vinyli-
dene chloride, increased covalent binding of radioactivity to liver macromole-
cules, and centrilobular hepatic necrosis in male rats (McKenna et al., 1978a,b).
10-21
-------
Data for intragastric and inhalation administration are shown in Tables 10-6 and
10-7, respectively. Binding was measured 72 hours after exposure, as radio-
activity that was TCA-precipitable and B0% methanol-insoluble, and thus repre-
sents radioactivity covalently bound to protein and nucleic acid. At the higher
exposure levels, fasted male rats had significantly greater concentrations of
bound radioactivity in their livers when the data were normalized to account for
differences in metabolism.
Jaeger et al. (1977a) studied the subcellular distribution of free and bound
radioactivity in livers from fed and fasted male rats exposed to C-vinylidene
chloride. The analyses were performed 30 minutes after the cessation of a 2-hour
inhalation exposure to vinyliciene chloride (initial concentration, 2000 ppm) in
a closed chamber. Significantly more radioactivity was found in all subcellular
fractions from fasted animals than was found in those from fed animals. In
livers from both fed and fasted rats, the radioactivity in the mitochondrial and
microsomal fractions was largely TCA-precipitable; radioactivity in the cyto-
plasmic fractions was largely TCA-soluble. Because substantial amounts of the
TCA-precipitable radioactivity of mitochondria and microsomes were soluble in
chloroform, the authors suggested that binding to lipid had occurred. As
discussed in Section 10.1.2.1, methylthio-acetylaminoethanol, a metabolite of
vinylidene chloride, is though to be a product of the alkylation of lipids by a
reactive intermediate of vinylidene chloride (Reichert et al., 1979; Henschler
and Hoos, 1981). The amounts (per mg protein) of radioactivity presumably
covalently bound to protein and nucleic acid (TCA-precipitable, chloroform-
insoluble material) and to lipids (TCA-precipitable, chloroform-soluble
material) were greater in mitochondrial and microsomal fractions from fasted
rats than in the corresponding fractions from fed rats. Similarly, fasted rats
10-22
-------
Table 10-6
14,
Metabolism of C-Vinylidene Chloride and Covalent Binding of C Activity
to Rat Hepatic Tissue after Intragastric Dose of C-Vinylidene Chloride3 (McKenna et al., 1978b)
ro
OJ
Dose n
1 mg/kg
Fed rats 4
Fasted rats 4
50 mg/kg
Fed rats 3
Fasted rats 3
A
Metabolized vinylidene
chloride (mg Eq of C-
vinylidene chloride/kg)
0.956 + 0.136°
0.924 + 0.032
39.08 + 3.58
31.86 ± 1.81
B
Covalently bound vinvlidene
chloride (^ig Eq of C-
vinylidene chloride/g of
liver protein) B/A
0.854 + 0.003 0.89 + 0.36
0.861 + 0.022 0.93 + 0.04
37.67 + 3.16 0.96 + 0.12
44.45 + 3.21 1.40 ± 0.08a
SA11 values represent the X + SE for the number of rats indicated in the table.
bCovalent binding data normalized to account for differences in metabolized vinylidene chloride.
Calculated from the total recovery of CO plus nonvolatile radioactivity from each animal.
Significant fed vs. fasted difference, p<0.05, Student's t test.
-------
Table 10-7
Metabolism of C-Viriylidene Chloride and Covalent Binding of C Activity to Rat Hepatic Tissue
after Inhalation Exposure to 10 or 200 ppm of C-Vinylidene Chloride (McKenna et al., 1978a)
Exposure con-
centration and
pre treatment
Body burden (mg of
C-vinylidene
chloride/kg)
Metabolized C-
vinylidene chloride
(mg Eq/kg)
Microgram equivalents of
C-vinylidene chloride
bound per gram of
liver protein
B/AC
o
1
ru
-tr
10 ppm
Fed
Fasted
200 ppm
Fed
Fasted
2.89 + o
2.30 + o
44.53 + 6
35.93 ± 0
.12b
.05
•05H
.30d
2.84 +
2.26 +
42.73 +
32.92 +
0.13°
0.06
3.18
0.32°
2
2
64
79
.49 +
.47 +
.18 +
.46 +
0.17
0.29
7.97
4.90
0
1
1
2
.88 +
.10 +
.49 +
.42 +
0.08
0.15
0.10 .
0.17d
Covalent binding data normalized to account for differences in metabolized vinylidene chloride.
All values represented the mean + SE for four rats.
Calculated from the total C activity recovered (end-exposure body burden) minus the C-vinylidene chloride
exhaled from each rat.
Significantly different from fed rats exposed to the same concentration of vinylidene chloride, p<0.05, Student's
t test.
-------
had greater amounts (per mg protein) of radioactivity bound to protein and
nucleic acid of the cytoplasmic fraction than did fed rats.
The relationship among glutathione depletion, total metabolism, and
covalent binding to macromolecules is not clear, as shown in Figure 10-3.
Immediately after a 6-hour inhalation exposure to C-vinylidene chloride, male
rats were sacrificed and hepatic glutathione and covalent binding of radio-
activity to protein and nucleic acids were measured. The total amount of vinyli-
dene chloride metabolized was apparently measured, as indicated in the legend to
Table 10-7. Glutathione depletion and metabolism of vinylidene chloride
displayed a similar, non-linear, dose dependence, whereas covalent binding
increased linearly with increased exposure concentrations (McKenna et al., 1977;
Dedrick, 1979; McKenna, 1979).
Suggestive evidence for an enhancement of hepatic lipid peroxidation _in
vitro after vinylidene chloride administration in vivo has been obtained in rats
under conditions designed to overwhelm the GSH conjugating capacity of the liver:
i.e., the rats were pretreated with phenobarbital to induce mixed-function
oxidases and were then treated with a very high dose of vinylidene chloride (500
mg/kg) (Siegers et al., 1982). This dose is higher than those used by other
investigators to produce hepatic damage in noninduced rats (Section 10.2.1). In
general, however, the hepatotoxic effects of vinylidene chloride are not thought
to be due to a lipoperoxidative mechanism of action (Section 10.2.1).
10.1.2.2.2 Minor Oxidative Pathway for Monochloroacetic Acid
Yllner (1971) demonstrated the oxidative degradation of C-monochloro-
acetic acid to glycolic acid, oxalic acid, and COp by mice after intraperitoneal
administration. S-(Carboxymethyl-1,2- Ocysteine was not metabolized to
appreciable amounts of labeled C02 anc* hence is not an intermediate in the
metabolism of monochloroacetic acid to COp (Yllner, 1971). Trace amounts of
10-25
-------
s
(N
CO
CM
100
3 2 2.5-,
ig uJ
S K
S O
cc
LU
2.0-
1.5-3
a
U
Q
1.0-
o
0-5—|
o
c
* 0
0
150
ppm 14C-VDC
200 250
(McKenna et al., 1977)
' I
) 50
I
100
1
150
' 1
200
1
250
EXPOSURE CONCENTRATION ( ppm)
(McKenna et_ a_l. , 1977, replotted by Dedrick, 1979)
Figure 10-3 Dose-Response Relationship for Hepatic Glutathione (GSH)
Levels, Total Metabolism of 1L+C-Vinylidene Chloride (VDC),
and Covalent Binding of Radioactivity to Hepatic
Macromolecules.
10-26
-------
14
labeled oxalic acid have been detected in experiments with C-monochloroacetic
acid in rats (Jones and Hathway, 1978a). Small amounts of labeled C0_ and urea
were identified as metabolites of 1 C-vinylidene chloride (see Table 10-5)
(Jones and Hathway, 1978b). Thus it appears that the metabolism of monochloro-
acetic acid to C0? is a minor pathway in the metabolism of vinylidene chloride.
10.1.3 Excretion
Vinylidene chloride and its metabolites are excreted fairly rapidly by
experimental animals. The influence of route of administration and size of dose
on the pattern of excretion of vinylidene chloride and its metabolites by male
rats is shown in Table 10-8 (Jones and Hathway, 19?8a). According to Jones and
Hathway (19?8a), f>Q% of the 0.5 mg/kg intraveous dose of C-vinylidene chloride
was expired unchanged within 5 minutes of injection; 80% was expired unchanged
within 1 hour. These results indicated an efficient arterial-alveolar transfer
of vinylidene chloride. With intragastric or intraperitoneal administration of
0.5 mg/kg of14C-vinylidene chloride, most of the radioactivity was excreted in
the urine within the first 2U hours, whereas with 350 mg/kg, most of the radio-
activity was expired as unchanged vinylidene chloride. The percentage of radio-
activity expired as C0? decreased with the higher dose of vinylidene chloride.
These changes in the pattern of excretion were attributed by Jones and Hathway
(1978a) to saturable drug metabolism and to the efficient transfer of vinylidene
chloride from systemic blood to the alveoli, leaving a relatively low concentra-
tion of vinylidene chloride available for metabolism in subsequent passes
through the liver.
Similar dose-related shifts in the relative proportion of radioactivity
excreted by various routes have been reported by Reichert et al. (1979) for
111
intragastric administration of C-vinylidene chloride (0.5, 5.0, and 50 mg/kg)
to female rats and by McKenna et al. (1978b) for intragastric administration of 1
10-27
-------
Table 10-8
11,,
Excretion of Radioactivity by Male Rats Given 0.5 rag/kg or 350 mg/kg C-Vinylidene Chloride Intragastrically,
Intravenously, or Intraperitoneally (Jones and Hathway, 1978a)
Radioactivity Excreted (Percent of Dose)a
Intragaatric
Size
of Time
Dose (h)
0.5 0-24
mg/kg
_ 24-48
0
r^o 48-72
oo
Total
150 0-24
mg/kg
24-48
48-72
Total
Exhaled
Vinylidene
Chloride
0.6+0.2
0.06
0.08
0.7+0.1
62.4+4.3
4.8+2.8
0.1
67.3+4.3
Air
Carbon
Dioxide
3.9+0.7
0.5+0.4
0.5+0.2
4.8+1.3
0.3
0.4
0.3
29.5+6.7
Intravenous Intraperitoneal
Exhaled Air Exhaled Air
Urine
71
5
3
80
17
10
1
1
.3+1
.2
.3+0.9
.6+1
.2+1
.6+4
.0+4
.9+1
.3+0
.7
.4
.4
.0
.0
.4
Vinylidene
Feces Chloride
5.1+0.7 80.0+4.0
2.7+0.9 0
0.6+0.2 0
8.3+0.1 80.0+4.0
0.4
0.5+0.3
0.4
Carbon Vinylidene
Dioxide Urine Feces Chloride
3.5+0.6 14.4+3.6 0.3 11.4+2.8
0 0.7+0.2 0.1 0.2
000 0.1
3.5+4.0 15.0+3.9 0.4 11.7+_2.8
90.5+2.9
0.6+0.3
0
91.1+3.2
Carbon
Dioxide
2.6+0.7
0.5+0.1
0.5+0.2
3.6+0.7
0.7+0.4
0.5+0.2
0.1
1.3+0.6
Urine
65.8+2.5
2.0+0.1
1.2+0.3
69.0+2.8
7.1+2.1
0.3
0.3
7.7+2.1
Feces
14.2+4
1.6+1
0.4
16.2+4
0.5+0
0.1
0.1
0.7+0
.4
.1
.5
.2
.3
Values shown are the Mean + Standard Deviation of those means (n=four per group).
-------
and 50 mg/kg C-vinylidene chloride to fed and fasted male rats. Fed and fasted
ili
male rats that inhaled 200 ppm C-vinylidene chloride exhaled a greater percen-
tage of their body burden as unchanged vinylidene chloride than did rats exposed
to 10 ppm, but this was the only significant dose-related change in excretion
(see Table 10-1) (McKenna et al., 1978a). After intragastric administration of
ill
50 mg/kg C-vinylidene chloride, fasted male rats exhaled a greater percentage
of the dose as unchanged vinylidene chloride and a lesser percentage in the urine
than did fed male rats (McKenna et al., 1978b). No such difference was apparent
with a dose of 1 mg/kg. These results indicate a reduced capacity for metabolism
of vinylidene chloride in fasted animals. Fed/fasted and species differences in
excretion that have already been noted in Section 10.1.2 will not be discussed
here.
Following intragastric administration of 350 mg/kg C-vinylidene chloride,
urinary excretion of radioactivity in intact male rats was approximately equal to
the sum of the separate urinary and biliary excretions in male rats with biliary
fistulae (Jones and Hathway, 19?8a). This finding suggests that the origin of
part of the urinary radioactivity was via the enterohepatic cycle.
Reported half lives of excretion for different nutritional states (fed
versus fasted) and dose levels are compiled in Table 10-9. The only difference
between fed and fasted rats was that fed rats excreted urinary metabolites more
rapidly during the first 48 hours after administration of 200 ppm than did fasted
rats (McKenna et al., 1978b). Changes in half-lives with increasing doses are
inconsistent. It is not known whether the inconsistencies could be due to normal
experimental variation, to an effect on more than one process, or to possible
toxic effects.
10.1.4. Summary of Pharmacokinetics. Vinylidene chloride is readily absorbed
by mammals following oral or inhalation exposure. Judging from excretion in the
10-29
-------
Table 10-9
Half-Lives of Excretion of C-Vinylidene Chloride, C0_, and
Radiolabeled Urinary Metabolites of C-Vinylidene Chloride
Dose
Excretion Route Amount
Pulmonary
Vinylidene intragastric 1 mg/kg
chloride 50 mg/kg
intragastric 0.5 mg/kg
5.0 mg/kg
50.0 mg/kg
O inhalation 10 ppm
^ 200 ppm
O
Carbon Dioxide intragastric 0.5 mg/kg
5.0 mg/kg
50.0 mg/kg
Urinary
Metabolites intragastric 1 mg/kg
50 mg/kg
intragastric 0.5 mg/kg
5.0 mg/kg
50.0 mg/kg
inhalation 10 ppm
200 ppm
200 ppm
Rates
Sex
male
male
female
female
female
male
male
female
female
female
male
male
female
female
female
male
male
male
Nutritional
Status
fed and fasted*
fed and fasted*
fed
fed
fed
fed and fasted*
fed and fasted*
fed
fed
fed
fed and fasted* .
fed and fasted*
fed
fed
fed
fed and fasted*
fed
fasted
Half-lives
Rapid
Phase
25 min
21 min
13 min
18 min
27 min
20 min
21 min
4 hr 30 min
4 hr 45 min
2 hr 15 min
6 hr
6 hr
4 hr 30 min
3 hr 1)5 min
5 hr 15 min
3.1 hr
4.5 hr
3.8 hr
Slow
Phase
117 min
66 min
381 min
217 min
133 min
35 hr
24 hr
20 hr 45 min
16.8 hr
16.8 hr
18 hr 30 min
14 hr
25 hr
19.3 hr
1 hr
23.9 hr
Reference
McKenna et al., 1978b
Reichert et al., 1979
McKenna et al., 1978a
Reichert et al., 1979
McKenna et al., 1978b
Reichert et al., 1979
McKenna et al., 1978a
fasted
-------
exhaled air and urine, most of an orally administered dose is absorbed through
the gastrointestinal tract. Data for retention (as a percent of the inhaled
concentration) during inhalation exposure were not encountered. Vinylidene
chloride is metabolized in the liver with a number of possible reactive inter-
mediates, including an epoxide, being formed. These reactive intermediates may
react with macromolecules, producing toxic effects, and are detoxified primarily
by conjugation with glutathione. Excretion of metabolites and parent compound
occurs primarily via the urine and the exhaled air, with greater percentages of
the dose being exhaled as unchanged vinylidene chloride at high doses/exposures.
Vinylidene chloride does not appear to be stored or accumulated in the tissues.
10.2 ACUTE, SUBACUTE, AND CHRONIC TOXICITY
10.2.1 Acute Exposure
As a class, the halogenated olefins and the chloroethylenes in particular
show many similarities in their biologic effects. Anesthesia, hepatotoxicity,
and nephrotoxicity are commonly measured indices of acute exposure in experi-
mental animals, although considerable differences exist in relative potency.
Factors that influence the toxicity of chloroethylenes include inherent chemical
reactivity, species, sex, diet, and exposure to exogenous chemicals that modify
drug-metabolizing enzyme activity. With the chloroethylenes (e.g., vinylidene
chloride, trichloroethylene, vinyl chloride, perchloroethylene), toxic effects
appear to be mediated by the metabolic formation of a critical intermediate,
which is probably an epoxide (Andersen and Jenkins, 1977; Andersen et al., 1979b;
Reynolds and Moslen, 1977; Jaeger, 1977).
Carpenter and coworkers (19*19) published the first report on the toxicity of
vinylidene chloride. They indicated that a single 4-hour inhalation exposure to
32,000 ppm was lethal to 2, 3, or 4 rats out of a group of 6 (exact number that
died was not specified) over a 14-day observation period. More subjective
10-31
-------
information on the acute inhalation toxicity of vinylidene chloride was
published in 1962 by Irish (1962) at the Dow Chemical Company. He reported that
exposures to 4000 ppm could rapidly produce stupor and unconsciousness, but noted
that complete recovery from the anesthetic effect was probable if duration of
exposure was brief. No-effect levels for experimental animals were estimated at
1000 ppm for up to 1 hour and 200 ppm for up to 8 hours. These values are in
reasonable agreement with the data of Siegel et al. (1971), indicating that the
4-hour LC50 for vinylidene chloride in rats is about 6350 ppm.
Over the past decade, several groups of investigators have explored the
biochemical mechanism of vinylidene chloride-induced hepatotoxicity in rats.
These studies were prompted by early observations that the toxicity of vinylidene
chloride was similar to that of carbon tetrachloride, a well documented hepato-
toxin (Jenkins et al., 1972). Initial studies involving the administration of
single oral doses (500 mg/kg) to rats established that vinylidene chloride
produced biochemical changes that were qualitatively similar to those produced
by carbon tetrachloride (Jenkins et al., 1972). These included depressed liver
glucose-6-phosphatase activity and increased activities of liver alkaline phos-
phatase and tyrosine transaminase, and of plasma alkaline phosphatase and
alanine aminotransferase. In addition, vinylidene chloride displayed greater
potency than did carbon tetrachloride in its effect on several of these bio-
chemical parameters. In contrast to carbon tetrachloride, however, the
biochemical alterations induced by vinylidene chloride were less pronounced in
female rats and were reduced by pretreatment of animals with phenobarbital, an
inducer of hepatic drug-metabolizing enzymes. On the other hand, Carlson and
Fuller (1972) demonstrated that enzyme inducers (phenobarbital and 3-methyl-
cholanthrene) as well as enzyme inhibitors (SKF 525A and Lilly 18947) increased
the lethality of vinylidene chloride by inhalation in rats, whereas the opposite
10-32
-------
effect was seen in rats receiving carbon tetrachloride. These results strongly
suggested a mechanism of toxic action for vinylidene chloride that differed from
that for carbon tetrachloride. Confirmation of this belief was provided by
Jaeger and coworkers (1973a,b), when they demonstrated that the hepatotoxic
effects of vinylidene chloride are not due to a lipoperoxidative mechanism of
action, as is the case with carbon tetrachloride.
Further studies on the hepatotoxicity of vinylidene chloride have focused
on the relationship of metabolism to acute toxicity, and the influence of nutri-
tional status, age, and sex on mortality. Jaeger and coworkers (1973a) observed
that the acute lethality of vinylidene chloride administered by inhalation in
male rats was greater during the period from 6:00 p.m. to 10:00 p.m. than during
the period 6:00 a.m. to 10:00 a.m. This pattern of sensitivity to vinylidene
chloride was correlated with the diurnal variation in hepatic glutathione
concentration, which is highest during the day and lowest during the night.
Thus, the hypothesis was offered that a glutathione-dependent pathway mediates
the detoxification of vinylidene chloride, a mechanism which is known to be
important in the detoxification of certain carcinogenic chemical intermediates
(e.g., epoxides) (Jaeger, 1979). The importance of adequate hepatic glutathione
concentrations in protecting against acute intoxication with vinylidene chloride
has subsequently been confirmed in studies using fasted animals that have reduced
hepatic glutathione levels (Jaeger et al., 1974; Andersen and Jenkins, 1977). In
male rats fasted for 18 hours, the 24-hour LC50 following a 4-hour inhalation
exposure to vinylidene chloride was 600 ppm, whereas in fed animals an estimated
LC50 of 15,000 ppm was obtained (Jaeger et al., 1974). The minimum lethal
concentration of vinylidene chloride was 200 ppm in fasted animals and 10,000 ppm
for fed animals. The functional state of the thyroid gland, which apparently
played a role in the regulation of glutathione levels in the liver, also
10-33
-------
influenced the hepatotoxicity of vinylidene chloride (Jaeger et al., 1977b;
Szabo et al., 1977). Chemical or surgical thyroidectomy was associated with an
increase in hepatic glutathione, and a concomitant decrease in the mortality and
hepatic necrosis caused by a 4-hour inhalation exposure of fasted male rats to
2000 ppm vinylidene chloride.
The studies of Jaeger (1977) and his coworkers (Jaeger et al., 1977a,b) led
to the hypothesis that the mechanism of toxicity for vinylidene chloride involved
damage to hepatic cellular mitochondria. This postulation was supported by
evidence showing biochemical alterations following exposure of fasted male rats
to vinylidene chloride (200-500 ppm for 1-24 hours); these alterations were
indicative of an inhibition of the tricarboxylic acid cycle. Among these changes
was a significant elevation of hepatic citric acid concentration in fasted (i.e.,
glutathione deficient) rats after 12 hours of exposure to 250 ppm vinylidene
chloride in air. Thus, the authors suggested that vinylidene chloride may induce
mitochondria-specific injury via the metabolic formation of monochloroacetic
acid, which may subsequently give rise to monochlorocitric acid.
Studies conducted by Reynolds et al. (1975) and Reynolds and Moslen (1977)
supported the theory that vinylidene chloride is a unique hepatotoxin in terms of
its rapid action and its effect on mitochondria. The acute hepatotoxicity of
chloroethylenes was shown to be, in decreasing order: vinylidene chloride >
trichloroethylene > vinyl chloride > perchloroethylene. Exposure of rats to
vinylidene chloride by inhalation (200 ppm, 4 hours) produced an abrupt hemorr-
hagic centrilobular necrosis. Parenchymal cell injury is characterized by
retracted cell borders with pericellular spaces forming that may contain red
blood cells and fibrin. Nuclear changes include the loss of perinucleolar
chromatin and the aggregation of chromatin along the nuclear perimeter against
the nuclear envelope. Within 2 hours after onset of exposure, swollen and
10-34
-------
ruptured mitochondria were observed in hepatic parenchymal cells, whereas the
rough and the smooth endoplasmic reticulum appeared normal. In contrast,
trichloroethylene, carbon tetrachloride, vinyl chloride, and perchloroethylene
all produced damage to the endoplasmic reticulum.
Reynolds et al. (1980) associated the biochemical changes in the liver, such
as sodium, potassium, calcium and glutathione (GSH) levels, with subsequent
histological changes in rats exposed to 200 ppm vinylidene chloride for 1 to 4
hours. By the end of the first hour of exposure, sorbital dehydrogenase (SDH)
activity was elevated and hepatic Na levels increased while GSH decreased. This
trend continued for the second hour of exposure. By the third and fourth hour
SDH, as well as serum alanine aminotransferase activity, and sodium and calcium
levels were greatly increased above controls. These increases remained high for
12 hours post-exposure. Histological injury included nuclear changes and
centrilobular necrosis. Ion changes were attributed to changes in the membrane
ion pumps, either directly or due to an adenosine triphosphate (ATP) deficiency.
Decreased levels of GSH were attributed to a conjugation reaction in the metabo-
lism of vinylidene chloride. Enzymatic activity increased during detoxification
(Reynolds et al., 1980).
Similarly, Chieco et al. (1982) combined histological and chemical analyses
to study the hepatotoxic effect of acute exposure to vinylidene chloride in rats.
Histochemical testing was conducted at 1, 2, 4, or 6 hours after oral doses of
50, 100, 150, or 200 mg vinylidene chloride. The degree of liver or hepato-
cellular damage was assessed by histology and by measurements of liver ion levels
(Na, Ca and K) and serum transaminase activity. Injury was noted in the form of
increased transaminase activity, decreased membrane adenosine triphosphatase
activity, decreased succinate dehydrogenase activity (on the inner mitrochon-
drial membrane) and corresponding changes in the plasma and mitochondrial
10-35
-------
membrane histology. The investigators (Chieco et al., 1982) concluded that
membranous organelles and membrane bound enzymes were the primary sites of hepa-
tocellular damage by vinylidene chloride. These changes in turn resulted in
secondary alterations in glutathione levels, cellular ion imbalances, and
cytoplasmic changes (Chieco et al., 1982).
Recently, vinylidene chloride has been shown to inhibit the activity of rat
liver microsomal calcium pumps in the presence of a NADPH-generating system. The
calcium pumps were not inhibited when vinylidene chloride was applied in vitro in
the absence of a NADPH-generating system (Moore, 1980; Ray and Moore, 1982).
Moore (1982) also reported inhibition of the liver endoplasmic reticulum calcium
pump activity by vinylidene chloride. The concomitant rise in liver calcium
levels occurred soon after vinylidene chloride administration and was attributed
to the inactivity of the calcium pumps. Calcium released from the endoplasmic
reticulum may serve as a trigger for the influx of extracellular calcium and,
ultimately, cytotoxicity (Moore, 1982).
Information regarding the acute toxicity of vinylidene chloride is not
restricted entirely to its effect on the liver. Jenkins and Andersen (1978)
recently reported a nephrotoxic action of vinylidene chloride following oral
administration to rats. Biochemical indices of kidney damage (plasma urea
nitrogen, plasma creatinine) were elevated in fasted male rats given a single
oral 400 rag/kg dose of vinylidene chloride (Table 10-10). Conversely, rats that
were not fasted were protected from the nephrotoxic effect. At doses below 400
mg/kg, no significant alterations were noted in plasma indicators of kidney
damage (Table 10-11). In addition, female rats were much less sensitive to the
effects of vinylidene chloride on the kidney. In both male and female rats,
however, histological evidence of renal damage was obtained at various times
following the administration of a single oral dose of 400 mg/kg vinylidene
10-36
-------
Table 10-10
Influence of 24-Hour Fasting on the Effect of Oral
Administration of Vinylidene Chloride (400 mg/kg)
in Corn Oil on Plasma Urea Nitrogen Concentration
in Male Rats (341 + 7 g)a
Status
Fasted
Fasted
Fed
Fed
Hours After
Challenge Challenge
Corn Oil 24
48
72
Vinylidene 24
chloride
48
72
Corn Oil 24
48
72
Vinylidene 24
chloride
48
72
Urea Nitrogen
(nig/ 100 ml)
21 ± 1b
20 + 1
22 + 1
51 + 16°
82 + 39°
50 + 3°
20 + 2
21 + 1
22 + 1
19 + 2
12±2d
15 + 1°
o
Source: Jenkins and Andersen, 1978
All data are expressed as mean + SE of groups of 3 to 6 rats.
Significantly higher (p<0.05) than fasted, corn oil-challenged controls
at the same time after challenge (method of analysis not mentioned).
Significantly lower (p<0.05) than fed, corn oil-challenged controls at
the same time after challenge.
10-37
-------
Table 10-11
Relationships of Plasma Indicators of Kidney Damage to Dose 24 Hours
After Oral Administration of Vinylidene Chloride to Male Rats
(289 + 9 g)a
Dose (rag/kg)
0
50
100
200
400
800
Urea Nitrogen
(mg/100 ml)
20 + 2b
23 ± 1
26 + 1
32 + 7
80 ± 1C
108 + 18°
Creatinine
(mg/100 ml)
0.76 + 0.06
0.61 + 0.11
0.62 + 0.06
0.80 + 0.06
2.33 + 0.05°
NDd
aSource: Jenkins and Andersen, 1978
All data are expressed as mean +_ SE of groups of two to six rats.
CSignificantly different from zero-dose control (p<0.05); however,
the method of analysis was not mentioned.
Not done
10-38
-------
chloride (Table 10-12). Since female rats showed the same, if not greater,
histologic damage to the kidney as did males, it was suggested that biochemical
parameters may not be sensitive indicators of kidney damage in females.
A single report has been published (Siletchnik and Carlson, 1974)
concerning the cardiac sensitizing effects of vinylidene chloride by acute
inhalation exposure in rats. Cardiac arrhythmias could not be produced by a
single 4 ng/kg injection of epinephrine to male rats; however, when rats inhaled
25,600 ppm vinylidene chloride for 80 minutes, doses of epinephrine as low as 0.5
jig/kg could elicit serious cardiac arrhythmias, which could be further enhanced
by pretreatment of rats with phenobarbital (50 mg/kg i.p. for 4 days).
Pulmonary damage has been observed in mice after either oral or intraperi-
toneal administration of vinylidene chloride (Forkert and Reynolds, 1982;
Krijgsheld et al. , 1983). At 6 hours after administration, a single oral dose of
100 mg/kg produced degeneration of the endoplasmic reticulum of the Clara cells
of the bronchiolar epithelium; a single oral dose of 200 mg/kg resulted in
necrosis of both ciliated and Clara cells, with exfoliation of the bronchiolar
epithelium (Forkert and Reynolds, 1982). Hypoxia (measured as a decrease in
oxygen partial pressure of arterial blood) was observed 24 hours after adminis-
tration of the higher dose, but the animals recovered and the bronchiolar epithe-
lium had regained a normal appearance by 7 days. Clinical chemistry indices of
liver damage (SGOT and SGPT levels) were greatly elevated even at the 100 mg/kg
dose, 24 hours after administration.
Twenty-four hours after intraperitoneal injection of mice with vinylidene
chloride at a dose of 125 mg/kg, microscopic examination of the lungs revealed
necrosis and sloughing of the Clara cells lining the bronchioles (Krygsheld et
al., 1983). Pulmonary cytochrome P-450 levels and related monoxygenase activi-
ties were decreased; the authors suggested that these decreases may have been a
10-39
-------
Table 10-12
Comparison of Prevalence of Histopathologic Effects of Oral Administration of
Vinylidene Chloride (400 mg/kg) in Male and Female Rat Kidneys (Jenkins and Andersen, 1978)
Time in
hours after
Vinylidene
Chloride
Treatment Sex
0
3 2
i
jr
O
4
8
24
48
72
M
F
M
F
M
F
M
F
M
F
M
F
M
F
Prevalence of Effect
Chronic Tubular
Normal Inflammation Pigment Dilitationc Necrosis Vacuolization6
6/8f 1/8
2/4 2/4
7/8
1/4 1/4
8/8
1/4
4/4
—
1/2
1/4
1/3
— —
— — __
—
1/8
—
1/8
3/4
—
3/4
• M «« B
4/4
1/2
3/4 1/4
2/3 2/3 1/3
2/4 — 3/4 1/4
2/3 3/3 1/3
3/4 3/4 4/4 1/4
-------
Table 10-12 (cont.)
Time in
hours after
Vinylidene
Chloride
Treatment
96
o 12°
i
4r
144
Prevalence of Effect
Sex Normal
M
F 1/4
M
F
M
F
Chronic
Inflammation3 Pigment
2/3
2/4
2/2
2/4
2/2
3/4
Dilitation0
1/2
1/4
1/2
1/4
1/2
4/4
Tubular
Necrosis Vacuolization
-
1/4 1/4
— —
1/4 1/4
— *. — —
— — ™ —
rocal collections of mononuclear cells were present.
^ew to several tubules contained blue-black amorphous material.
Q
Focally, the tubules were distended and lined by basophilic regenerated epithelium.
xhe tubular epithelium, chiefly proximal, showed eosinophilic coagulative necrosis with loss of cellular detail
and inflammatory cell infiltration.
Q
The lining epithelium of occasional tubules contained cytoplasmic vacuoles.
f
Number of tissues in which effect was seen per number of tissues examined.
-------
reflection of the destruction of the Clara cells, which are known to contain
relatively high levels of cytochrome P-450. The livers and kidneys of the
treated mice were relatively unaffected, as judged by microscopic appearance,
cytochrome P-450 content and monoxygenase activities.
10.2.1.1 Mechanisms of Toxicity
The acute toxicity of vinylidene chloride is altered by several factors in
addition to the effects on sensitivity produced by fasting. A series of time-
course and dose-response studies that explored mechanisms of toxicity for
vinylidene chloride have recently been published.
Chieco et al. (1981) examined the effect of the administration vehicle on
the toxicity and bioligical fate of vinylidene chloride in fasted and fed male
Sprague-Dawley rats. Vinylidene chloride was given at 200 mg/kg orally in corn
oil, mineral oil, or aqueous Tween-80 (0.5%; Sigma). Measurements of exhaled
vinylidene chloride (unchanged) were taken at 15 minute intervals for 5 hours
and rats were sacrificed at 6 hours for biochemical analyses as an assessment of
hepatic injury. The vehicle did not affect the overall amount of vinylidene
chloride exhaled, which ranged from 37 to 51% of the administered dose. The
nature of the administration vehicle did, however, alter the rate at which
vinylidene chloride was absorbed and exhaled. Aqueous Tween-80, which is readily
absorbed, allowed the vinylidene chloride to be readily absorbed and exhaled in a
shorter period of time. Corn oil was intermediate, while the poorly digested
and absorbed mineral oil prolonged absorption and exhalation times in fasted and
fed rats. Hepatic injury, measured as elevated glutamic oxalacetic transaminase
(GOT) and glutamic pyruvic transaminase (GPT) serum levels, was greatest in
fasted rats treated with vinylidene chloride in mineral oil or corn oil (up to
150-fold increase in GOT and GPT levels). Fasted rats treated with vinylidene
chloride in Tween-80 were moderately affected (15 to 18 times increase in GOT and
10-42
-------
GPT levels). In fed rats treated with vinylidene chloride in corn or mineral
oil, enzymatic activity was slightly elevated (2 to 5 times) above the enzymatic
activity in fed rats, while GOT was not different from control levels. Chieco et
al. (1981) in connection with results of this study suggested that decreased
hepatic injury in fed animals is due to the ability of these animals to detoxify
vinylidene chloride over a longer period of time than fasted animals.
Histologically, fasted rats fed vinylidene chloride in corn or mineral oil
showed massive hepatic necrosis, which was consistent with biochemical changes.
Only scattered necrotic hepatocytes were seen in fasted animals given vinylidene
chloride in aqueous Tween-80. Fasted animals given vinylidene chloride in corn
oil or mineral oil also had granular "heme" casts in Henle's loop of the kidney.
Concomitant high levels of free plasma hemoglobin and "pink urine" were noted in
these animals. No pathological abnormalities were observed in the heart, lungs,
spleen, adrenals, or duodenum in vinylidene chloride-treated animals (Chieco et
al., 1981).
Andersen and Jenkins (1977) observed that body size or the age of the animal
had a dramatic effect on the toxicity of vinylidene chloride when a single oral
dose was given to fasted male rats. Dose-response curves for vinylidene
chloride-induced mortality were constructed for animals of three different sizes
(Figure 10-4). Mortality among large animals (395 + 11 g) increased linearly
from 0 to 100? at doses between 800 and 2000 mg/kg; however, minimum lethal doses
were found to be as low as 50 mg/kg. In medium-sized rats (224 _+ 1 g), doses
between 50 and 800 mg/kg produced mortality which varied from 10 to 33%. The
most aberrant results were obtained in small rats (73 +• 1 g). Mortality
increased to 100? at a dose of 300 mg/kg, but then decreased with increases in
dose up to 800 mg/kg. The LD5Q values calculated from the data presented in
10-43
-------
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Figure 10-4 would appear to be widely variable as shown by dependence on body
size.
In an attempt to explain the effect of body size on acute mortality,
Andersen and Jenkins (1977) examined the relationship between hepatotoxicity
(indicated by plasma enzyme levels) and body size following the administration of
a. single oral 50 mg/kg dose of vinylidene chloride in corn oil. They found that
both mortality within the first 24 hours and plasma enzyme activities after 24
hours were greatest among rats weighing between 130 and 160 g. In animals of
this size, the estimated LD,_0 was less than 50 mg/kg, whereas in large rats, the
LD^0 would be 30 times greater. The unusual dose-mortality curve for immature
rats (see Figure 10-4) was partially explained by the fact that increases in
plasma transaminase activities paralleled mortality, and the retention of orally
administered vinylidene chloride reached a maximum at a total dose of 100 mg/kg
and then leveled off.
In comparison to fasted male rats, female animals were much less susceptible
to the effects of vinylidene chloride. Plasma transaminase levels were not
altered by a 50 mg/kg dose, regardless of body size. In female rats, the
threshold dose for expression of acute toxic effects (plasma transaminase eleva-
tion) was about 100 mg/kg. Based on their results and on analogy to other
halogenated hydrocarbons, Andersen and Jenkins (1977) postulated that vinylidene
chloride is metabolized by a saturable microsomal enzyme-mediated reaction to a
toxic intermediate that is probably an epoxide. A second enzyme-mediated
reaction that converts the toxic intermediate to a less toxic form was also
proposed. In young rats, this detoxification mechanism may be absent or present
at only low levels, thus accounting for increased susceptibility.
In subsequent studies, Andersen and coworkers (1978, 1979b) examined in
greater detail the relationship between vinylidene chloride metabolism and
10-45
-------
expression of toxic effects. Chemical modifiers of microsomal enzyme activity
were administered to fasted male rats followed by a single oral dose of vinyli-
dene chloride (Andersen et al., 1978). Phenobarbital pretreatment, which causes
microsomal enzyme induction, protected rats against the lethal effects of
vinylidene chloride. This protection by phenobarbital was opposite to that
observed by Carlson and Fuller (1972) following inhalation exposure of rats.
This protective action increased with increasing body size. Conversely, the
microsomal enzyme inhibitor SKF 525A greatly enhanced the lethality of vinyli-
dene chloride in large rats (261 + 2 g) but had little influence in immature rats
(88 + 2 g). In addition, pretreatment of rats with the metabolic inhibitors
pyrazole, aminotriazole, and carbon tetrachloride protected animals of all sizes
against the lethal action of vinylidene chloride. These results supported the
argument that two sequential enzyme-mediated reactions are involved in the
activation of vinylidene chloride. The first reaction, which is inhibited by
pyrazole, aminotriazole, and carbon tetrachloride, leads to formation of a toxic
intermediate. The second reaction, which is affected by phenobarbital and SKF
525A pretreatment, is a detoxification step that apparently exists at greater
levels in mature animals.
Subsequent studies by Andersen and coworkers (1979b) demonstrated that
mortality induced in rats by inhalation of vinylidene chloride failed to follow a
strict concentration x time relationship. Instead, mortality was more dependent
on time of exposure than on concentration once a threshold level (about 200 ppm)
had been reached (Figure 10-5). These data supported the involvement of a
saturable enzymatic reaction in the production of a metabolite that is respon-
sible for the expression of vinylidene chloride-induced toxicity. The authors
appropriately noted that, under conditions of exposure that produce enzyme
-------
3
I
O
CO
(N
4 HOUR EXPOSURES
n = 6/GROUP
250 500
CONCENTRATION (ppml
750
1000
Figure 10-5
Effect of Increasing Concentration of Vinylidene Chloride
on Mortality in Mature Male Rats (Anderson et_ al., 1978)
(Each point represents percentage mortality of a. group of
6 animals exposed for 4 hours.)
-------
saturation, misleading estimates of the LC5Q (inhalation) or LD^Q (oral and
parenteral) could result.
Studies by Short and coworkers (1977a,b) with rats and mice support the
conclusions reached by Andersen et al. (1978, 1979b). Non-fasted animals (groups
of 10) inhaled vinylidene chloride for 22 to 23 hours per day for up to 7 days.
Short et al. (1977a,b) found that male mice were more sensitive than were male
rats to lethal effects and hepatotoxic effects (measured by serum glutamic-
oxaloacetic transaminase and serum glutamic-pyruvic transaminase activities) of
vinylidene chloride (Table 10-13). Histopathologic examination revealed hepatic
and renal damage among male mice exposed to 15, 30, and 60 pptn vinylidene
chloride (1-5 days); hepatic damage only was seen in male rats exposed at 60 ppm
for 3 days. When mice were given disulfuram (0.10$ in feed 23 days before and
during exposure), or thiram (0.10$ in feed 3 days before and during exposure),
the acute lethality of vinylidene chloride was reduced. The authors observed
that these compounds are known to protect against drug-induced toxicity, and may
act by decreasing metabolic activation or increasing detoxification or both.
10.2.2 Subacute and Chronic Exposure
10.2.2.1 Inhalation Studies
Several groups of investigators have characterized the toxicity of vinyli-
dene chloride by repeated administration to experimental animals. Both inges-
tion and inhalation have been employed as routes of exposure. These studies
established that, in general, the target organs affected by chronic exposures
(i.e., liver and kidneys) are the same as those affected by acute administration
of vinylidene chloride.
The first published report regarding the chronic toxicity of vinylidene
chloride was a brief summary of inhalation studies conducted by the Dow Chemical
Company (Irish, 1962). Unspecified animals exposed to 100 ppm and 50 ppm vinyli-
10-48
-------
Table 10-13
Toxicity of 60 ppm Vinylidene Chloride in Male Mice and Rats
(Short et al., 1977b)
Days SCOT
Species Exposed (IU/1]
mouse 1 1946 +
2 751 ±
rat 1 74 +
2 263 +
\
270
150
6
33
SGPT
3045 + 209
1112 _+ 226
44 + 7
198 + 29
Ratio
Dead/Exposed
2/10
8/10
0/10
0/10
+ SE for 2 to 5 determinations
SCOT = Serum glutamic-oxaloacetic transaminase; SGPT = Serum glutamic-pyruvic
transaminase
10-49
-------
dene chloride (5 days per week, 8 hours per day for several months) developed
liver and kidney damage. Minimal lesions were also observed in the liver and
kidney of animals exposed at concentrations of 25 pptn.
Prendergast and coworkers (1967) published the first detailed account of
the chronic toxicity of vinylidene chloride. Groups of rats, rabbits, dogs, and
monkeys were exposed in one of two ways: 30 exposures, 8 hours per day, 5 days
o
per week to a concentration of 395 mg/nr (100 ppm) or 90 days of continuous
•a o o
exposure to a concentration of 189 mg/nr (48 ppm), 101 mg/nr (26 ppm), 61 mg/nr
(16 ppm), or 20 mg/m (5 ppm). The results of these studies are summarized in
Table 10-14. The most prominent effects observed included hepatic damage in
dogs, monkeys, and rats exposed to 189 mg/m ; this damage consisted of fatty
metamorphosis, focal necrosis, hemosiderin deposition, lymphocytic infiltration,
bile duct proliferation, fibrosis, and pseudo-lobule formation. Rats also
showed nuclear hypertrophy of the renal tubular epithelium when exposed to
vinylidene chloride at 189 mg/m .
Gage (1970) conducted limited studies in rats exposed to vinylidene
chloride by inhalation that support the previous observations of Prendergast and
coworkers (1967). Four male and 4 female rats received twenty 6-hour exposures
to vinylidene chloride at concentrations of 500 or 200 ppm. At the higher
concentration, retarded weight gain and nasal irritation were noted. Liver cell
degeneration was observed upon autopsy. Inhalation of 200 ppm vinylidene
chloride produced slight nasal irritation but no significant findings at
autopsy; however, the group size was very small.
Lee and coworkers (1977) exposed CD-1 mice (36 males and 36 females) to 55 ppm
of vinylidene chloride for 6 hours per day, 5 days per week, for up to 12 months.
Two male mice died on the 13th day of exposure, and revealed acute toxic hepa-
titis and tubular necrosis of the renal cortex. Hepatic hemangiosarcomas were
10-50
-------
Table 10-11
Effect on Experimental Animals of Long Term Inhalation of Vinylidene Chloride
(data from Prendergast et al., 196?)
Concentration
Schedule
Species
Mortality
Significant Findings
100 ppm
(395 + 32 mg/m3)
30 exposures,
8 hr/day,
5 days/ week
rat
guinea pig
rabbits
dog
monkey
0/15
0/15
0/3
0/2
0/3
None.
None.
Weight loss in treated animals.
None.
Weight loss in treated animals.
_, 48 ppm
-------
Table 10-14 (cont.)
o
!
U1
Concentration Schedule
26 ppm 90 days,
(101 + 4.4 rag/or*) 24 hr/day
16 ppm 90 days
(61 +5.7 mg/nr5) 24 hr/day
5 ppm 90 days
(20+2.1 mg/nr5) 24 hr/day
Control
Species
rat
guinea pig
rabbit
dog
monkey
rat
guinea pig
dog
monkey
rat
guinea pig
dog
monkey
rat
guinea pig
rabbit
dog
monkey
Mortality
0/15
3/15
0/3
0/2
2/3
0/15
3/15
0/2
0/9
2/45
2/45
0/6
1/21
7/304
2/314
2/48
0/34
1/57
Significant Findings
None.
Mortality occurred between
day 3 and day 5 of exposure.
Animals lost weight.
Animals lost weight.
Mortality occurred between
day 3 and day 6 of exposure.
Animals gained less weight
than controls.
Mortality occurred on day 3
and day 4.
None.
Animals lost weight.
Animals gained less
weight than controls.
None.
Animals lost weight.
None.
-------
observed in three exposed mice, and various hepatic lesions that included
enlarged and basophilic hepatocytes, enlarged nuclei with eosinophilic inclu-
sions, mitotic figures or polyploidy, microfoci of mononuclear cells, focal
degeneration, and necrosis were generally observed (specific incidences were not
given). Hepatic hemangiosarcomas were not observed in any of 72 control mice.
Bronchiolo-alveolar adenomas were observed in six exposed mice and one control
mouse.
Dow Chemical Company performed an inhalation toxicity study with vinylidene
chloride and interim results were published by Rampy and coworkers (1977). In a
90-day study, groups of 40 Sprague-Dawley rats (20 male and 20 female) were
exposed for 6 hours per day, 5 days per week, to vinylidene chloride at a
concentration of 25 or 75 ppm. Eight animals of each sex were sacrificed after
30 days, and the remainder killed after 90 days. Among animals exposed at both
concentrations, increased cytoplasmic vacuolation of hepatocytes was seen 30
days or longer after initial exposure. No other remarkable effects were attri-
buted to the vinylidene chloride exposure.
In another study, Rampy and coworkers (1977) exposed Sprague-Dawley rats
for 18 months (6 hours/day, 5 days/week) to vinylidene chloride at several
concentrations in air. For the first 5 weeks, rats (104 males and 104 females)
were exposed to levels of 10 or 40 ppm, after which the concentrations were
raised to 25 and 75 ppm, respectively, for the remainder of the 18-month exposure
period. Animals were maintained for an additional 6 months after termination of
exposure. Although male rats gained weight at a slightly slower rate than
controls, no clinical evidence of overt toxicity was seen during the study. Both
male and female rats sacrificed at an interim of 1 year, however, showed hepatic
lesions consisting of increased cytoplasmic vacuolation of hepatocytes. In
10-53
-------
addition, higher kidney weights were seen in female rats exposed at both
treatment levels of vinylidene chloride.
The final data of this 2-year inhalation study (interim results reported by
Rampy et al., 1977) were recently compiled and reported by McKenna et al.
(1982). Data were reported on hematologic parameters, urinalysis, clinical
chemistry, cytogenic changes in the bone marrow, body weight, major organ
weights, and histopathology following necropsy on all animals (either at interim
periods of 1, 6 , 12, or 18 months or at the termination of the experiment at 734
to 736 days). Statistical evaluations of data were made using analysis of
variance and Dunnett's test (body weight, hematology, urinalysis, clinical
chemistry, and organ weight data) or by the Fischer exact test (mortality rates,
gross and microscopic pathologies, and tumor incidence). The level of signifi-
cance was chosen as P<0.05.
Mortality figures for male rats exposed to vinylidene chloride at either
dose level did not reveal significant increases. Females exposed at 25 ppm
vinylidene chloride had increased mortality rates when compared to controls from
the 15th through 22nd months. Statistically significant increased mortality
rates in females exposed at 75 ppm vinylidene chloride were noted during months
15, 17, and 21 of the study. The earlier onset of mammary tumors and higher
incidences of pneumonia in treated groups may have contributed to these higher
mortality rates.
No consistent dose-related decrease in mean body weight for male rats
exposed to 25 or 75 ppm vinylidene chloride was observed. A general trend of
decreased body weight was noted in exposed males when compared to control males
but increased mean body weights were noted in the exposed groups sporadically
throughout the study. Generally, females exposed to either 25 or 75 ppm vinyli-
10-54
-------
dene chloride had higher mean body weights for the first 6 months but were
comparable to controls throughout the remainder of the study.
No significant dose-related effects in hematological, urinalysis, clinical
chemistry, or cytogenetic parameters were reported in any exposure group. The
only significant changes in organ weight were a decreased mean liver weight in
males exposed to 25 or 75 ppm vinylidene chloride at the 1-year interim sacrifice
and an increased mean kidney weight in both exposure groups of female rats at 1
year. Both organ weight changes were statistically significant when compared to
controls and considered to result from vinylidene chloride exposure (McKenna et
al., 1982).
Many gross and microscopic lesions were seen in control and vinylidene
chloride-exposed rats; most were spontaneously occurring, age-related changes
common to Sprague-Dawley rats. The incidence of lesions from chronic murine
pneumonia in exposed male and female rats was elevated, but lower levels in
controls were attributed to the physical separation of exposed and control groups
which deterred the spread of pneumonia. Chronic renal disease was the predomi-
nant cause of death in male rats of the study. Females had a high incidence of
subcutaneous tumors of the mammary gland region which was frequently the cause of
death. There was a statistically significant increase in the incidence of
hepatocellular fatty change in female rats exposed to 75 ppm during the 18 month
exposure period. These changes were reversed during the 6 month post-exposure
period, however. Females treated at 25 ppm showed a similar but non-significant
trend. This reversible and non-progressive liver change was noted in males at
the 6 and 12 months interim sacrifice but not at 18 months.
The incidence of pituitary adenomas was decreased in both dose groups of
male rats and the 25 ppm vinylidene chloride dose group of females. There were
fewer pancreatic islet cell adenomas and thyroid adenocarcinoma in male rats
10-55
-------
exposed to 75 ppm vinylidene chloride. Mammary adenocarcinomas were statis-
tically increased in female rats treated at 25 ppm vinylidene chloride.
Subcutaneous or mammary tumors were more prevalent in 75 ppm vinylidene chloride
treated females than in controls. The total number of rats with primary neo-
plasms was similar for both sexes at all dose groups, including controls. The
total number of rats with primary neoplasms was similar (ranging from 84 to 86)
for all 6 dose/sex groups. Summarizing the tumor incidence data, the authors
reported that none of the statistically significant differences were considered
to be direct effects of vinylidene chloride exposure.
10.2.2.2 Ingestion Studies
A single long-term study has been conducted with vinylidene chloride
administered in the drinking water of rats. This study was conducted by the Dow
Chemical Company for the Manufacturing Chemists' Association (Humiston et al.,
1978). Groups of 96 Sprague Dawley rats (48 males and 48 females) were exposed
for 2 years to vinylidene chloride incorporated into the drinking water at
nominal concentrations of 50, 100, and 200 ppm. These dose levels corresponded
to approximate daily intakes of vinylidene chloride in the range of 5-12, 8-20,
and 16-40 rag/kg at the 50, 100, and 200 ppm concentrations, respectively. In
comparison to control animals, vinylidene chloride-treated rats displayed no
significant or consistent differences in general appearance, body weight, food
consumption, water consumption, hematologic values, urinalysis, clinical
chemistry values, or organ weights. Gross and histopathologic examination of
tissues from treated rats, however, revealed a number of statistically signifi-
cant lesions. These are partially summarized in Table 10-15. The authors
considered the most important lesions to be the hepatocellular fatty change and
periportal hepatocellular hypertrophy which occurred in male rats at the 200 ppm
10-56
-------
Table 10-15
Pathologic Effects of Long-Term Ingestion of Vinylidene Chloride
Incorporated in the Drinking Water of Sprague-Dawley Rats
(data from Humiston et al., 1978)
Dose Level
50 ppm 100 ppm 200 ppm
Effect M F M F M F
Increased incidence of intra-abdominal fluid X
or blood in the abdominal cavity
Increased incidence in the total number of
rats with hepatocellular fatty change or
fatty degeneration XXX
Increased incidence of hepatocellular fatty
change with location in lobule not specified XXX
Increased incidence in periportal
hepatocellular fatty change X
Increased incidence of periportal
hepatocellular hypertrophy X XXX
Increased incidence of hepatic
centrilobular atrophy X
Increased incidence of mammary gland
fibroadenomas/adenofibromas X
M = male; F = female
10-57
-------
dose level and in females at all dose levels. The authors did not observe any
hepatocellular necrosis that could be considered treatment-related.
Results of this long-term, oral study with rats were subsequently published
in the open literature by Quast et al. (1983), along with results of a 97-day
oral study with dogs; the dog study was also conducted by the Dow Chemical
Company. Groups of four male and four female beagle dogs were administered
vinylidene chloride in doses of 0, 6.25, 12.5 or 25 mg/kg daily for 97 days. The
chemical or vehicle (peanut oil) was administered orally in a capsule once a day.
As compared with controls, the groups of treated dogs had no differences in
general appearance or demeanor, body weight, food consumption, hematologic and
clinical chemistry values, urinalysis, organ weights and gross and microscopic
appearance of the tissues.
10.2.3 Summary of Toxicity
The biologic activity of vinylidene chloride has been thoroughly studied in
experimental mammals; no information is available concerning the effects of
vinylidene chloride on domestic animals or wildlife.
The toxicity of vinylidene chloride varies with the age, sex, and species of
the animal exposed. In the most studied animal, rat, inhalation exposure to
32,000 to 6,350 ppm has proven to be fatal. In rats fasted prior to exposure, the
LC,-0 value was as low as 600 ppm. For oral adminstration of vinylidene chloride,
however, the determination of an LDj.,. value is difficult as a result of the
relatively flat dose mortality curve which possesses an extended plateau region.
The target organs affected by acute exposure to vinylidene chloride are the liver
and kidneys with evidence from studies of the liver to indicate that mitochondria
damage occurs. Both liver and kidney damage are also observed following
subchronic and chronic exposure to vinylidene chloride by either inhalation or
ingestion. Continuous inhalation exposure of rats to 5 ppm of vinylidene
10-58
-------
chloride has been shown to adversely affect body weight gain while ingestion of
vinylidene chloride by rats at 5 to 12 mg/kg/day produced fatty livers. A
no-observed effect level (NOEL) for inhalation exposure (<5 ppm) or ingestion (<5
mg/kg/day) has not been demonstrated.
10.3 TERATOGENICITY AND REPRODUCTIVE TOXICITY
Short et al. (1977c) performed an extensive investigation of the toxicity
during gestation of inhaled vinylidene chloride in mice and rats (approximately
20 animals in the exposed groups and 60 in the control groups). This study
examined toxicity to the dams, toxicity to the fetus, and teratogenic and
behavioral effects in the pup. In the initial part of the experiment, rats (18
to 20 per group) were exposed to 15, 57, 300, and 449 ppm vinylidene chloride,
and mice to 15, 30, 57, 144, and 300 ppm vinylidene chloride for 23 hours per day
from day 6 to 16 of gestation. In rats, appreciable deaths (over 25%} of the dams
occurred in the 300 to 449 ppm group, and maternal well being, as measured by
food consumption and weight gain, was adversely affected in the 15 ppm and above
groups. Similar results were observed in mice, with no pregnant mice surviving
at the 144 or 300 ppm levels, arid food consumption and weight gain being reduced
in all groups except the 15 ppm animals. Early resorptions were common in
exposed animals, with 100/& resorption in mice exposed to 30 and 57 ppm vinylidene
chloride (resorption in the 15 ppm groups was comparable to controls), and 49 and
64$ resorption in rats exposed to 57 and 449 ppm vinylidene chloride, respec-
tively. Dams that survived the exposure at other concentration levels had
resorption rates comparable to those of controls. There were no increases in
external gross abnormalitites noted in surviving pups in any of the exposed
groups of rats or mice; however, fetotoxicity was observed as soft tissue anoma-
lies in rats (none were observed in mice) and some skeletal ossificaton problems
in all groups of mice and rats. The authors concluded that these anomalies could
10-59
-------
not be evaluated in regard to teratogenic effects, since there were overt signs
of toxicity (reduced weight gain and food consumption) due to the treatment in
the dams. Abnormalities at a similar incidence to those observed in the treated
animals were also observed in a group of animals on a food-restricted diet.
The study was continued using only mice, with a group of 10 to 21* dams
exposed to a variety of concentrations of vinylidene chloride for different
periods of time during gestation (Table 10-16), in an attempt to alleviate
maternal toxicity as usually indicated by decreased maternal weight gain. By
shortening the exposure periods, the incidence of resorption was lessened;
however, treatment-related weight loss in the dams was still evident. It was
interesting to note that exposures starting on days 10 and 12 and ending on day
15 were associated with a higher resorption rate than that observed when expo-
sures were started on day 8 of gestation. This may have occurred because of some
adaptation of the animals as a result of the longer exposure prior to a critical
period during the latter part of gestation. Pups from vinylidene chloride-
exposed dams again had a variety of soft tissue and skeletal anomalies, but these
occurred only when maternal welfare had been adversely affected by the exposure
to vinylidene chloride. In addition, the behavioral studies demonstrated no
major adverse effect on pups exposed in utero to vinylidene chloride. These test
included: surface righting, pivoting, auditory startle, bar holding, righting
in air, visual placing, swimming ability, physical maturation, and activity
test. The authors concluded that vinylidene chloride was possibly a weak tera-
togen based on the increase in soft tissue anomalies although these anomalies
were not statistically significant. However, a conclusion of teratogenicity is
weakened by additional effects on the pups as a result of maternal toxicity at
nearly all concentrations of vinylidene chloride used.
10-60
-------
Table 10-16
Exposure Levels and Duration of Exposure to Vinylidene Chloride
During Gestation in Mice (Short et al.f 1977c)
Vinylidene
Chloride
ppm
54
74
54
41
54
54
112
81
56
1 12
81
56
112
81
56
112
81
56
nil
Days of Gestation
6 7 8 9 10 11 12 13 14 15
R _ -ic
8 ic
8 ic
in ic
i ••> 1 c
6__ __ Q
A Q
6 q
Q 1 p
9_____ ___.ip
9____ ____ip
ip 1C
1 p 1 c
1p ic
1C
IK
1C,
\-J~-
l^ai".ir*n of T?vnrtoiiv>o
16 17
.__ 17
________ 17
.____ _17
10-61
-------
Murray et al. (1979) exposed rabbits to vinylidene chloride by inhalation,
and rats by inhalation and by incorporating the compound into the drinking water
(Table 10-17). Exposure occurred during days 6-15 or 6-18 of gestation for rats
and rabbits, respectively. Inhalation exposure was for 7 hours/day to vinylidene
chloride which was 99 -5% pure and contained the polymerization inhibitor mono-
methylether of hydroquinone (MEHQ) at a level of 200 to 400 ppm. An exposure
level of 200 ppm was employed in the drinking water study using redistilled
vinylidene chloride containing only 1 to 5 ppm of residual MEHQ. On the termina-
tion of the observation period, on days 21 and 29 of gestation for rats and
rabbits, respectively, the dams were killed and examined for changes in liver
weight, and in non-pregnant animals for signs of conception. The fetuses were
measured, examined for external anomalies, and one-third of the animals were
dissected for soft-tissue alteration, while all fetuses were examined for
skeletal alterations.
In the inhalation study in rats, maternal weight gain was decreased in the
80 and 160 ppm groups during the exposure period and increased during the post-
exposure period, while no changes were observed in the 20 ppm groups or the
animals in the drinking water study. Food consumption followed similar trends.
Only in dams exposed to 160 ppm was there an increase in the liver to body weight
ratio, although the absolute liver weight was similar to control animals. Expo-
sure to vinylidene chloride did not affect the outcome of pregnancy as indicated
by number of implants, live fetuses, or resorption rates, nor were there changes
in fetal sex ratios or fetal body weights. There was a significant increase in
the crown-rump length in fetuses of rats receiving vinylidene chloride in the
drinking water. Although no increase in major malformations (taken individually
or collectively) was present, the fetuses of animals exposed in the 80 and 160
ppm groups showed an increased incidence of minor skeletal alterations (Table
10-62
-------
Table 10-17
Number of Animals and Exposure Levels Used to Study
the Teratogenicity of Vinylidene Chloride*
Route
inhalation
oral
Concentration
160
160
80
80
20
0
0
200
0
Species
rats
rabbits
rats
rabbits
rats
rats
rabbits
rats
rats
No. of Animals
30
18
30
22
44
20-47/group
16
26
24
"Source: Murray et al. (1979)
10-63
-------
10-18). The most common skeletal alteration was wavy ribs, which was observed to
be more severe at the higher exposure level. Wavy ribs and delayed ossification
were interpreted as feto- and embryotoxic manifestations of maternal toxicity at
the higher exposure levels. Rats receiving vinylidene chloride in the drinking
water were estimated (using data from metabolism studies) to have received the
equivalent of a 7-hour inhalation exposure to 120 ppm of vinylidene chloride. It
was speculated that a lack of toxic effects in the rats maintained on drinking
water containing 200 ppm vinylidene chloride as compared to the high dose inhala-
tion group may have resulted from diurnal variation in metabolism, although other
mechanisms are also possible.
In rabbits exposed to 160 ppm of vinylidene choride, there was a decrease in
body weight gain during exposure and an increase after termination of exposure.
Only dams exposed at 80 ppm had an increase in liver-to-body-weight-ratio. There
was also an increase in the resorption rate in the 160 ppm group, with resorption
associated with animals having the greatest weight loss. Similar to the study in
rats, exposure to vinylidene chloride produced no increase in major malforma-
tions, although there was an increase in minor skeletal alterations in the 160
ppm group (Table 10-19). Again, the fetal anomalies observed in rabbits were
attributed to maternal toxicity rather than to a teratogenic effect of vinylidene
chloride.
The effect of vinylidene chloride on reproduction and its teratogenic
potential when ingested in the drinking water was tested in a three generation
study in Sprague-Dawley rats (Nitschke et al., 1980; Nitschke et al., 1983). The
parental generation (f ), consisting of 10 male and 20 females in each of three
treatment groups, received 50, 100, or 200 ppm vinylidene chloride. No vinyli-
dene chloride was administered to a control group of 15 males and 30 females.
Equivalent doses for males ingesting 50, 100, or 200 ppm vinylidene chloride
10-64
-------
TABLE 10-18
Incidence of Fetal Alterations Among Rats Exposed to Vinylidene Chloride
By Inhalation or by Ingestion
Route of exposure15 (ppm vinylidene chloride)
External and skeletal
examination
Soft tissue examination
Bones of the skull
External examination
Multiple defects0
Omphalocele
Narrow head, point snout
Soft tissue examination
Diaphragmatic hernia
_» Ectopic ovaries (only)
o
I Skeletal examination
Si Missing one thoracic and
one lumbar vertebrae
Extra thoracic vertebrae
and pair of ribs
Vertebrae, delayed ossifica-
tion of centra of cervical
vertebrae
d
Wavy ribs
Type I1,
T
Type II1
Total
Skull, delayed ossification
Total malformed fetuses
0
470/40
162/40
308/39
1(1)
0
0
0
1(1)
0
0
34(17)
5(5)
4(4)
9(7)
42(17)
2(2)
20
462/40
158/40
304/39
0
0
0
0
0
0
0
58(19)
10(7)
3(2)
13(7)
36(18)
0
Inhalation
0
No. fetuses
230/20
77/20
153/20
No. fetuses
0
0
0
1(1)
0
0
0
24(14)
0
0
0
13(7)
1(1)
Drinking Water
80
examined/No.
292/27
103/27
189/26
0
litters examined
209/17
70/17
139/17
160
291/26
100/26
191/26
0
250/24
86/24
164/23
200
290/25
100/25
190/24
(litters) affected
0
1(1)
1(1)
0
0
0
0
47(17)
9(8)e
2(2)
11(9)
38(13)®
2(2)
1(1)
0
0
0
0
2(1)
1(1)
30(13)
2(1)
1(1)
3(1)
24(8)
4(2)
0
0
0
0
0
14(4)
0
107(20)e
9(5)
13(9)%
22(10)e
59(20)e
14(4)
0
0
0
0
0
0
0
46(16)
0
1(1)
1(1)
19(10)
0
0
0
0
0
0
0
0
72(18)
3(2)
0
3(2)
32(11)
0
aSource: Murray et al., 1979
bRats were exposed to 20, 80, or 160 ppm vinylidene chloride for 7 hours/day or were given drinking water containing 200 ppm of the compound from days
6 to 15 of gestation.
°Each of these fetuses had: short trunk, hypoplastic tail, ectopic ovaries, missing all lumbar and sacral vertebrae, and missing ribs.
^his alteration was considered to be a skeletal variant and was not included in the calculation of the total malformed fetuses.
eSignificantly different from control value by a modified Wilcoxon test, p<0.05
f
Type 1, gentle wave; Type II, callous or "U"-shaped bend in rib
-------
TABLE 10-19
Incidence of Fetal Malformation Among Litters of Rabbits
Exposed to Vinylidene Chloride3
Vinylidene Chloride (ppm)
80
0
160
External and skeletal
examination
Soft tissue examination
External examination
No malformation
observed
No. fetuses/No, litters examined
116/14 155/18 111/13 91/12
44/14 56/18 42/13 37/12
No. fetuses (litters) affected
Soft tissue examination
Dilated cerebral
ventricles
Thinning of ventri-
cular wall of heart
Skeletal examination
Missing ribs
Extra vertebrae
Hemivertebrae and
fused ribs
Total malformed fetuses
0
0
0
0
0
0
KD
0
0
1(1)
1(1)
3(3)
0
0
1(1)
KD
0
2(2)
0
KD
0
0
KD
2(2)
Source: Murray et al., 1979
DRabbits were exposed to 80 of 160 ppm Vinylidene chloride for 7 hr/day from
days 6 to 15 of gestation. No value differed significantly from the control
value by a modified Wilcoxon test, p<0.05.
10-66
-------
continuously in the drinking water were 6, 10, or 19 mg/kg/day, and 8, 13, or 26
mg/kg/day, respectively. Following 100 days of exposure to vinylidene chloride,
all groups of males and females (fQ) were mated (within dose groups), resulting
in the first filial (f.,.) generation. Due to the low fertility rate during this
initial breeding, the f rats were re-mated after a period of no less than 10
days after weaning of the f which produced the f1B offspring. The fQ genera-
tion rats were exposed to vinylidene chloride at the three respective doses for a
2-year toxicity study (Humiston et al., 1975). The f and f1B litters of all
dose groups were examined for reproductive indices (number of litter/number of
dams; survival of pups at 1, 7, 14, and 21 days). The animals to be raised as the
f1 generation adults were randomly selected from the f„ generation and continued
to be exposed to vinylidene chloride. All other f. and f-B rats were sacrificed
at 21-24 days of age for internal and external examinations.
At =110 days of age, the f adults were mated, producing the f2 progeny.
The f litters were examined similar to the previous litters, and randomly
selected males and females were maintained for f2 adults. The remaining f^
weanlings were terminated and examined for external and internal aberrations.
Adult f rats were mated at =110 days of age to produce the f^A gneration.
Survival of the f-,fl litters in all groups receiving vinylidene chloride was
J«
decreased so the f adults were re-mated after the f_A litters were weaned. To
determine if the decreased survival in the dose groups was due to prenatal or
postnatal exposure to vinylidene choride, one-third of the f_ litters born to
200 ppm vinylidene chloride-treated dams were exchanged with litters of
untreated dams. No dose-related decreased survival was noted in any groups of
the fog litter. At least 10 days after the f^g litters were weaned, the f2
parents were mated again to produce the f_c litters to determine survival rates
of this group. A selected number of male and female rats from each dose group of
10-67
-------
the f-,R litters were raised for 185-213 days as f~ adults. All remaining
weanling rats of the f^, f and f^ litters were sacrificed at 21-24 days of
age for external and internal examination (Nitschke et al., 1980).
The water containing the vinylidene chloride was available continuously
throughout this study to all treated rats. The first generation rats (f ) were
treated during their maturation, during mating periods, throughout gestation and
lactation for females, and were subsequently used in a 2-year toxicity study.
Pups were exposed prenatally and throughout their life until their sacrifice, or
longer if they were selected as breeders of that generation (Nitschke et al.,
1980).
The results of this study indicate few, if any, dose-related effects on
reproduction or the development of progeny in rats treated with vinylidene
chloride in the drinking water at the dose levels tested (Nitschke et al., 1980).
A slight decrease in the fertility (number of litters/number of mated dams) of
the f rats was noted in controls and the two highest dose groups (120 and 200
ppm) when compared to historical controls of Sprague-Dawley rats. Survival of f~
progeny was decreased in all treated groups but this response was not dose-
related since animals treated at 100 ppm vinylidene chloride showed the greatest
mortality, while groups treated at 50 and 200 ppm were similar. Decreased
survival during the lactation period in the f.,fl generation did appear dose-
jA
related, but survival in the f litters of dams given 100 and 200 ppm vinylidene
chloride was higher than controls. It was not possible to ascertain the cause,
whether it be prenatal or postnatal exposure to vinylidene chloride, of the
decreased survival in the f_. generation mice. No decrease in any group of the
jA
f.,B, including those cross-fostered (control gruop dams rearing 200 ppm progeny
and vice versa), was noted. The decreased survival of the f-. generation was
10-68
-------
negated since the similarly treated f generation showed no dose-related,
decreased survival.
Fetal survival, litter size, and growth rates of the neonates showed no
consistent dose-related effects for any generation during this study. At
necropsy, histopathological examination revealed hepatocellular fatty change and
pronounced hepatic lobular patterns in adult f rats treated with 100 or 200 ppm
vinylidene chloride. Fatty changes of the hepatocytes were also noted in adult
f females. Liver degeneration was noted in f adults treated with 100 or 200
ppm vinylidene chloride and at all dose levels in f_ adults. No dose-related
malformations or changes in organ weights were revealed after necropsy of wean-
lings in any dose group or generation (Nitschke et al., 1980).
In summary, the three generation study by Nitschke et al. (1980) indicated
that vinylidene chloride in drinking water of rats at 50, 100, or 200 ppm did not
adversely affect reproduction or neonatal development. Neonatal survival was
decreased in the f litters, but contradictory results were shown in the f-B and
Jr\ 3D
f litters. Histopathological examination revealed mild dose-related hepato-
JXj
toxic effects in adult rats treated with vinylidene chloride, but no dose-related
changes or malformations were seen in neonates. Reproductive capacities in
adults did not appear altered by vinylidene choride exposure (Nitschke et al.,
1980).
10.4 Mutagenicity
10.4.1. Mutagenicity in Bacteria
A variety of assay methods have been used to assess the mutagenic potential
of vinylidene chloride. These include the standard Salmonella typhimurium plate
incorporation assay of Ames, the liquid suspension assay, the host mediated
assay, as well as exposure of the bacteria to an atmosphere containing vinylidene
chloride. Due to the volatile nature of vinylidene chloride, the most commonly
10-69
-------
used assay method involves the exposure of the tester bacteria (in combination
with a mammalian metabolic activating system, if used) to a defined atmosphere of
vinylidene chloride in a desiccator. Following the exposure period, the bacteria
are incubated in petri dishes to allow the growth of mutant colonies.
Bartsch et al. (1975) exposed bacteria of S. typhimurium strains TA100 and
TA1530 to an atmosphere of 0.2, 2.0, or 20% vinylidene chloride (v/v) in air for
4 hours. The concentration of vinylidene chloride in the agar after 2 hours of
_ii _•?
exposure was shown by gas chromatography to be 3-3 10 , 3-3 x 10 , and 3-3 x
••)
10 M, respectively, with no further increases in the vinylidene chloride
concentration for up to 7 hours of exposure. In the presence of a metabolic
activation system prepared from the livers of mice pretreated with phenobarbital
(0.1/t in the drinking water for 7 days), both TA100 and TA1530 showed increases
in the number of revertant colonies. The maximum mutation rate occurred in TA100
with 2.0% vinylidene chloride ( = 11-fold); it was suggested that the higher
concentrations of vinylidene chloride caused inactivation of the activating
enzymes. Vinylidene chloride has recently been shown to inhibit the activity of
microsomal cytochrome P-H50 ir\ vitro (Poptawski-Tabarelli and Uehleke, 1982).
The same group of workers (Bartsch et al., 1975) have repeatedly demonstrated the
sensitivity of TA100 to the mutagenic effect of vinylidene chloride in a study
characterizing the stability of the metabolic activation system (Malaveille et
al., 1977). It was shown that these results were not due to the stabilizer
4-methoxyphenol present in the vinylidene chloride in these assays.
In more limited studies, other investigators have demonstrated the muta-
genic potential of vinylidene chloride following vapor phase exposure of S_.
typhimurium. In an investigation of suspected mutagenic compounds in drinking
water, Simmon (Simmon et al., 1977; Simmon, 1978) demonstrated a six-fold
increase (125 in controls to 650 in tested) in revertant colony number using
10-70
-------
tester strain TA100 in the presence of rat liver homogenate following exposure
for 9 hours to a 5% (v/v) atmosphere of vinylidene chloride. Also, Baden et al.
(1976) used a 3% atmosphere (exposure period of 8 hours) and Waskell (1978) used
a 5/6 atmosphere (exposure period of 4 hours) of vinyidene chloride as a positive
control in a study assessing the mutagenic potential of volatile compounds.
TA100 and TA98 showed a four-fold and 2.5-fold increase, respectively, compared
to controls in revertant colony number in the presence of a metabolic activation
system from Aroclor 1254-pretreated female BDV1 rats. In the absence of meta-
bolic activation, the number of revertants did not vary significantly from the
spontaneous controls.
The mutagenicity of vinylidene chloride (99.9? pure) has also been demon-
strated when the bacteria (E. coli or J3. typhimurium) were exposed to the
compound in sealed tubes in liquid media (liquid suspension assay). Greim et al.
(1975) used a strain of E_. coli K12 sensitive to back mutation (gal+, arg+, and
nad+) and one forward mutation system which leads to resistance to 5-methyl-DL-
tryptophan. Only the reverse mutation in the Arg+ strain showed an increased
number of revertant colonies (2.3-fold over control) following exposure of the
bacteria to 2.5 mM vinylidene chloride for 2 hours. A liver homogenate from
phenobarbital-pretreated mice was employed for metabolic activation. Baden and
coworkers (Baden et al., 1976, 1977, 1978) have used the liquid suspension assay
with S_. typhimurium to assess the mutagenicity of volatile anesthetics, and have
used vinylidene chloride as a positive control for these assays. Both tester
strain TA1535 and TA100 showed positive responses in the presence of a mammalian
metabolic activating system after a 1-hour exposure to vinylidene chloride at a
concentration that made the head space gas 3% vinylidene chloride.
An abstract (Cerna and Kypenova, 1977) reported vinylidene chloride to be
mutagenic in the host-mediated assay with J3. typhimurium strains TA1950, TA1951,
10-71
-------
and TA1952. Vinylidene chloride was administered to ICR mice at doses equal to
the LD,-Q and one-half the LD(-Q dose. There were fewer revertant colonies at the
higher exposure level. This assay has been demonstrated to have a poor correla-
tion with known genotoxic compounds (Simmon et al., 1979).
Many compounds (pro-mutagens) are inactive until metabolized by mammalian
enzyme systems to ultimate mutagens. Metabolism occurs in many cases via the
mixed-function oxidases associated with the microsomal fraction of a tissue
homogenate. Vinylidene chloride requires metabolic activation in order to
produce a mutagenic response in bacterial in vitro assays. In a single report in
which Vinylidene chloride was not mutagenic (using DNA repair-deficient 13.
subtilis and a comparison of zones of inhibition with the wild type and the
standard Ames plate incorporation assay), a metabolic activation system was not
employed (Laumbach et al.f 1977).
Livers from a variety of species have been used to metabolically activate
Vinylidene chloride. These include livers from mice, rats, and humans (Baden et
al., 1976; 1977). Of these species, the 9000 x g supernatant (S9) containing
microsomal and soluble enzymes from the livers of mice was most effective,
particularly when the enzyme systems were induced by pretreatment of the animals
with phenobarbital or Aroclor 125^. Liver biopsy samples from 4 humans were only
11, 16, 17, and 38$ as effective in activating Vinylidene chloride as was mouse
liver, as indicated by the relative numbers of revertant colonies in ,S.
typhimurium strains TA100 or TA1530 (Bartsch, 1976; Bartsch et al., 1979).
Bartsch et al. (1975) have demonstrated that S9 prepared from the liver, kidney,
or lung of OF-1 male mice was effective in activating Vinylidene chloride,
although the lung possessed only marginal activity (Table 10-20). The ability to
metabolically activate Vinylidene chloride may have wide tissue and species
10-72
-------
Table 10-20
Mouse Tissue Mediated Mutagenicity of Vinylidene Chloride in S. typhimurium
(modified from Bartsch et
Experiment
Number Species
1
2
3
4
S*
LO
6
7
8
9
10
11
12
OF-1 mouse/male
OF-1 mouse/male
OF-1 mouse/ male
OF-1 mouse/ male
OF-1 mouse/male
OF-1 mouse/ male
OF-1 mouse/ male
OF-1 mouse/ male
OF-1 mouse/ male
OF-1 mouse/ male
OF-1 mouse/ male
OF-1 mouse/male
Tissue
Pheno bar bi tone (9000 x g)
Pretreatment supernatant)3
Yes
Yes
No
No
Yes
Yes
No
No
Yes
Yes
No
No
liver
liver
liver
liver
kidney
kidney
kidney
kidney
lung
lung
lung
lung
al., 1975)
2% Vinylidene 20$ Vinylidene
Chloride in Air, Chloride in Air
his+ Revertant his* Revertants
Cofactors per plate0 per plate0
+ 500 + 23
23+10
+ 330 + 49
16 + 4
+ 147 + 15
31+7
+ 67 + 2
20 + 3
+ 34 + 4
5 + 4
+ 21+5
6 + 9
330 + 29
7 + 5
435 + 46
1 ± 3
173 + 5
17 + 2
125 + 5
16 + 1
48 + 5
10 + 1
37 + 3
14 + 8
Equivalent to 38 mg wet tissue per plate
NADP+ (2.0 (imol per plate) and glucose-6-phosphate (2.5 nmol per plate)
T^ean values +_ S.E. from 1-4 experiments, each using pooled tissue from 4 mice. The number of spontaneous mutations
per plate (49 + 2) has been subtracted from each value.
-------
distribution, but it is apparent that there is considerable variability in the
efficiency of activation by different S9 preparations.
There has been speculation as to the nature of the ultimate mutagen formed
during metabolic activation of vinylidene chloride. Barstch et al. (1975) have
suggested that an alkylating intermediate is formed, since mutations occur in jS.
typhimurium strain TA1530—which is reported by Ames et al. (1973) to be
specifically reverted by monofunctional alkylating agents. Nevertheless, an
alkylating compound was not identified in the trapping agent 4-(4f-nitrobenz)-
pyridine when a gas that contained vinylidene chloride was passed through a mouse
S9 activating system, even though this system provided activated metabolites
that mutated S. typhimurium strain TA100 (Barbin et al., 1978). It has also been
suggested that an unstable oxirane, possibly 1,1-dichloroethylene oxide, may be
formed during metabolism and that this metabolite plays a significant role in the
mutagenic activity of vinylidene chloride (Greim et al., 1975; Bonse et al.,
1975; Bartsch et al., 1979). Presently, however, there is little evidence
identifying the exact metabolic intermediate or intermediates that constitute
the ultimate mutagenic form of vinylidene chloride (see Section 10.1.2.1).
10.4.2 Mutagenicity in Plants and Yeast
The plant Tradescantia has been used as a detector of gaseous mutagens in
the laboratory and in tests conducted in the field. This assay system involves a
phenotypic change in flower color from blue to pink as a measure of mutagenic
pollutants in the atmosphere. The plants are highly sensitive and produce an
effect from contaminated ambient air. Collection and concentration of the
gaseous contaminants is not necessary. A mutation (or loss) of a dominant gene
(for blue color) results in the expression of recessive pink flower pigmentation.
In this assay system, vinylidene chloride exposure for 24 hours at 22 ppm was
sufficient to induce the mutagenic response. A maximum concentration at which no
10-74
-------
effects was observed after a 6-hour exposure was 1288 ppra (Van't Hof and
Schairer, 1982).
Bronzetti et al. (1981) reported that vinylidene chloride was mutagenic
with D7 yeast (Saccharomyces cerevisiae) only in the presence of a mammalian
activation system. When a mouse hepatic supernatant was included, vinylidene
chloride (above 20 mM) was effective in increasing point mutations and gene
conversions in a dose-related response. In an intrasanguineous host-mediated
assay, vinylidene chloride was mutagenic to yeast (injected into mice) which were
removed from the liver and kidneys after both acute (400 mg/kg by gavage to mice)
and subacute (100 mg/kg/day, 5 times/week for 23 administrations) vinylidene
chloride exposure.
10.4.3 Mutagenicity in Cultured Mammalian Cells
Drevon and Kuroki (1979) exposed V79 Chinese hamster cells in a desiccator
to an atmosphere of 2 or W% vinylidene chloride for 5 hours. Following expo-
sure, the cells were assayed for viability and mutations to 8-azaguanine, or
ouabain resistance. Dose-dependent toxicity was observed in cells exposed to
vinylidene chloride in the presence of a 15,000 x g supernatant from rat liver.
Cells exposed to vinylidene chloride in the presence of a 15,000 x g supernatant
from mouse liver or in the absence of a metabolic activating system showed no
apparent toxic effect. Both rats and mice were pretreated with 1.056 pheno-
barbital in drinking water for 7 days prior to sacrifice. There was no indica-
tion under any of the experimental conditions of an increase in 8-azaguanine or
ouabain resistance.
10.4.4 Mutagenicity In Vivo
Dominant lethal studies with vinylidene chloride have been performed in
male CD-1 mice (Anderson et al., 1977) and in CD rats (Short et al., 1977d). Male
mice (20 animals/group) were exposed to 10 and 30 ppm of vinylidene chloride for
10-75
-------
6 hours per day for 5 days. One group was exposed to 50 ppm for 6 hours per day
for 2 days; however, the poor survival of these animals precluded any assessment
of rautagenic damage. The male rats (11 animals) ware exposed to 55 ppm vinyli-
dene chloride for 6 hours per day, 5 days per week for 11 weeks. At the end of
these exposure periods, the animals were mated with nonexposed virgin females.
In neither rats nor mice did the treatment result in an excess of p re implantation
or postimplanatation losses. In the studies performed by Andersen et al.
(1977), a positive control of cyclophosphamide was included to assure the
sensitivity of this strain of mouse in the dominant lethal assay.
10.4.5 In Vivo DNA Repair
Reitz et al. (1980) used CD-1 male mice and Sprague-Dawley male rats to
study the effect of vinylidene chloride on DNA synthesis and repair in the liver
and kidneys. The mice were exposed at 10 ppm for 6 hours. Total DNA synthesis
•3
was measured by H-thymidine incorporation into DNA 48 hours after exposure. DNA
repair synthesis was measured immediately after exposure to vinylidene chloride
by H-thymidine incorporation into DNA in the presence of hydroxyurea. Hydroxy-
urea inhibits replicative DNA synthesis, but allows DNA repair synthesis to
occur. The ability of vinylidene chloride to alkylate DNA was also examined by
14
exposing the animals to C-vinylidene chloride followed by isolation and
analysis of the DNA from the liver and kidneys. Vinylidene chloride was most
efficient at alkylating the DNA in mouse kidney, with 30 alkylations/10 nucleo-
tides in animals exposed to 50 ppm vinylidene chloride and 11 alkylations/10
nucleotides in animals exposed to 10 ppm. In mouse liver, the values were 6.1
and 0.94 alkylations/10 nucleotides in the 50 and 10 ppm exposure groups,
respectively. In rats, the rate of alkylation was 2 and 0.87 alkylations/10
nucleotides in the kidney and liver, respectively. These alkylation rates were
considerably less than the 3000 to 4000 per 10 nucleotides observed in rats with
10-76
-------
the potent carcinogen dimethyInitrosamine (DMN). The elimination of alkylated-
nucleotides was rapid, with a biphasic elimination pattern. The first phase
occurred during the first 8 hours and the second phase continued for 192 hours.
The pattern of DNA repair synthesis was similar to that of alkylation. Some
repair synthesis was noted in both kidney and liver; however, only the synthesis
in the kidneys of mice exposed to the highest concentration was significantly
elevated over control levels. Although repair synthesis was increased only
marginally following vinylidene chloride treatment, total DNA synthesis was
increased markedly in the kidney of mice. This indicates that vinylidene
chloride caused cell damage and compensatory growth, but did not interact with
DNA directly and cause repair synthesis. The liver carcinogen DMN caused little
increase in total DNA synthesis, while dramatically increasing DNA repair
synthesis. The authors concluded that the kidney tumors in mice reported by
Maltoni et al. (1977) were not the direct result of a genetic effect of vinyli-
dene chloride, but may have been the result of an epigenetic effect following the
kidney toxicity.
10-77
-------
10.5 CARCINOGENICITY
10.5.1 Animal Studies
There have been a number of laboratory investigations of the carcinogenic
potential of vinylidene chloride (VDC). These studies have been performed
using rats, mice, and hamsters, with VDC administered by inhalation, gavage,
incorporation into drinking water, subcutaneous injection, and topical
applications. These results are summarized in Table 10-21, and have also been
summarized by Chu and Milman (1981). Of the studies performed, only the
results reported by Maltoni et al. (1977, 1980) indicated a positive
carcinogenic effect following VDC treatment.
Maltoni et al. (1980, 1977) exposed Sprague-Dawley rats, Swiss mice, and
Chinese hamsters to VDC (99.95% pure, Table 10-22) in an inhalation chamber
for 4 hours daily, 4 to 5 days a week for 12 months * The exposure
concentration used depended on the species' susceptibility to VDC's toxic
action; the highest tolerated dose in mice and rats was used as the maximum
concentration. The exposure level for hamsters was not selected on the basis
of achieving a maximum tolerated dose. Rats, initially 16 weeks old, were
exposed to VDC at 150, 100, 50, 25, and 10 ppm (Table 10-23), while mice,
initially 16 weeks or 9 weeks old, were chronically exposed to VDC at 25 and
10 ppm (Table 10-24), and hamsters, initially 28 weeks old, to a concentration
of VDC at 25 ppm (Table 10-25). In addition, rats, initially 9 weeks old, were
treated by gavage with 20, 10, 5, and 0.5 mg/kg/day of VDC dissolved in olive
oil (Table 10-26). Body weights were recorded every 2 weeks during treatment
and monthly thereafter. At the time of their 1980 report, the studies were
completed (137 weeks for the inhalation study in rats, 147 weeks for the
10-78
-------
TABLE 10-21. RESULTS OF CAPCINOGENICITY BIOASSAYS OF VINYLIDENE CHLORIDE
Species
Sprague-Dawley
rats
Swiss mice
Chinese hamsters
l— •
O
-------
TABLE 10-21. (continued)
H-1
O
1
00
O
Species
Fischer 344 rats
B6C3F1 mice
CD mice
CD rats
Ha:ICR Swiss
Ha:ICR Swiss
Sprague-Dawley
rats
Sprague-Dawley
rats
Dose
5 ml/kg of a 1000
or 200 ppm
solution
10 ml/kg of a
1000 or 200 ppm
solution
55 ppm, 5 days/
week 1, 3, or
6 months
55 ppm, 5 days/
week 1 , 3, 6, or
10 months
121 rag/mouse
2 rag/mouse
10, 25, 50, 100,
150 ppm
0.5, 5, 10, 20
mg/kg/day
Route of
administration
Gavage "> days/week
Gavage 5 days/week
Inhalation 6 hr/day
Inhalation 6 hr/day
Skin application,
3 times/week
Subcutaneous injection
once/week
Inhalation 4 to 5 days/
week
Gavage, 5 days/week
Total duration
of observation
103 weeks
103 weeks
13, 15, or 18
months
13, 15, 18, or 22
months
Lifetime
Lifetime
52 weeks
52-59 weeks
Findings
No statistically
significant increase
No statistically
significant increase
No statistically
significant increase
, No statistically
significant increase
No tumors
No tumors at site of
injection or in other
organs
No brain tumors
No brain tumors
Reference
NCI/NTP, 1981
NCI/NTP, 1981
Hong et al. , 1981
Hong et al. , 1981
Van Duuren et al. , 1980
Van Duuren et al. , 1980
Maltoni et. al. , 1982
Maltoni et al. , 1982
-------
TABLE 10-22. GAS CHROMATOGRAPHY ANALYSIS OF VINYLIDENE CHLORIDE
Compound Amount
Vinylidene chloride (1,1-Dichloroethylene) 999.5 g/kg
1,2-Dichloroethylene trans 0.4 g/kg
Acetone 0.1 g/kg
Methylene chloride 0.05 g/kg
Monochloroacetylene and Dichloroacetylene 0.02 g/kg
Paramethoxyphenol (as stabilizer) 200 ppm
Source: Maltoni et al., 1977
TABLE 10-23. EXPERIMENT DT401: EXPOSURE BY INHALATION TO VINYLIDENE
CHLORIDE (VDC) IN AIR AT 150, 100, 50, 25, 10 PPM,
4 HOURS DAILY, 4-5 DAYS WEEKLY, FOR 52 WEEKS
GROUP
NOS.
I
II
III
IV
V
VI
Total
(Sprague-Dawley
CONCENTRATION
200 (a) - 150 ppm
100 ppm
50 ppm
25 ppm
10 ppm
No treatment
Males
60
30
30
30
30
100
250
ANIMALS
rats, 16 weeks old at start)
Females
60
30
30
30
30
100
280
Total
120
60
60
60
60
200
560
(a) Two treatments only because of the high toxicity of this dose level.
Source: Maltoni et al.; 1980.
10-81
-------
TABLE 10-24. EXPOSURE BY INHALATION TO VINYLIDENE CHLORIDE (VDC) IN AIR
AT 200, 100, 50, 25, 10 PPM, 4 HOURS DAILY,
4-5 DAYS WEEKLY, FOR 52 WEEKS
RROIIP
NOS.
I
II
III
IV
IV bis (a)
V
VI
VII
Total
TRFATMFNT
Concentration
200 ppm
100 ppm
50 ppm
25 ppm
25 ppm
10 ppm
No treatment
(Controls) (b)
No treatment
(Controls) (c)
Length
2 days (d)
2 days (d)
1 week (d)
52 weeks
52 weeks
52 weeks
ANIMALS
Swiss mice 16 weeks old (groups I,
II, III, IV, V, VI) and 9 weeks old
(groups IV bis and VII)
Males
60
30
30
30
120
30
100
90
490
Females
60
30
30
30
120
30
100
90
490
Total
120
60
60
60
240
60
200
180
980
(a) The treatment started two weeks later than in other groups.
(b) Controls to the groups I, II, III, IV, V.
(c) Controls to the group IV bis.
(d) The treatment was interrupted because of the high toxic effects and high
mortality.
Source: Maltoni et al., 1980.
10-82
-------
TABLE 10-25. EXPERIMENT BT405: EXPOSURE BY INHALATION TO VINYLIDENE CHLORIDE
(VDC) IN AIR AT 25 PPM, 4 HOURS DAILY, 4-5 DAYS WEEKLY, FOR
52 WEEKS
GROUP
NOS. CONCENTRATION
I 25 ppm
II No treatment
(Controls)
Total
ANIMALS
(Chinese hamsters, 28 weeks old
Males
30
18
48
Females
30
17
47
at start)
Total
60
35
95
Source: Maltoni et al., 1980,
10-83
-------
TABLE 10-26. EXPERIMENT BT403: EXPOSURE BY INGESTION (STOMACH TUBE) TO
VINYLIDENE CHLORIDE IN OLIVE OIL AT 20, 10, 5 MG/KG BODY WEIGHT, ONCE DAILY
4-5 DAYS WEEKLY, FOR 52 WEEKS
GROUP
NOS.
I
II
III
IV
Total
(Sprague-Dawley
fONTFNTRATTO'M
20 mg/kg
10 mg/kg
5 mg/kg
None (olive oil alone)
(Controls)
Males
50
50
50
100
250
ANIMALS
rats, 9 weeks old at start)
Females
50
50
50
100
250
Total
100
100
100
200
500
EXPERIMENT BT404: EXPOSURE BY INGESTION (STOMACH TUBE) TO
VINYLIDENE CHLORIDE IN OLIVE OIL AT 0.5 MG/KG BODY WEIGHT, ONCE DAILY,
4-5 DAYS WEEKLY, FOR 52 WEEKS
GROUP
NOS.
I
II
Total
(Sprague-Dawley
rONPFMTRATTON
Males
0.5 mg/kg 50
None (olive oil 82
alone) (Controls)
132
ANIMALS
rats, 9 weeks old at start)
Females
50
77
127
Total
100
159
259
Source: Maltoni et al., 1980.
10-84
-------
ingestion study in rats, 121 weeks for the inhalation study in mice, and 157
weeks for the inhalation study in hamsters. Animals were allowed to survive
until spontaneous death. Each animal was necropsied, and tissues and organs,
as well as tumors and lesions, were examined histopathologically.
No treatment-related effect on body weights in rats was evident. Body
weight data for mice and hamsters were not reported, but no effect attribut-
able to treatment was noted.
There were no significant (P<0.05) differences in tumor development
between control and treated hamsters.
A number of neoplastic lesions were observed in control and treated rats,
with no treatment- or dose-related effect in evidence from either inhalation
exposure or gavage administration. The 1977 report by Maltoni et al.
presented interim (82 weeks) results showing an increased incidence of mammary
tumors in treated rats compared to controls in the inhalation study; however,
at that time, a clear dose-related effect was not evident, spontaneous mammary
tumor incidence in female controls was 32%, and histopathologic diagnosis of
the mammary tumors was ongoing. The final mammary tumor data for female rats
in this study, as described in the Maltoni et al. (1980) report and Table
10-27 herein, show statistically significant (P<0.05) increases in the total
number of tumor-bearing animals in the 10 ppm and 100 ppm groups compared to
controls, and in the number of animals with fibromas and fibroadenomas in each
treatment group compared to controls. However, there was no clear
dose-related increase in mammary tumor incidence, latency time for mammary
tumor formation was similar among all groups, there was a high (61%) incidence
of spontaneously formed mammary tumors in controls, and mammary carcinoma
10-85
-------
TABLE 10-27. EXPERIMENT BT401: EXPOSURE BY INHALATION TO VINYLIDENE CHLORIDE (VDC) IN AIR AT 150, 100, 50, 25, 10 PPM, 4 HOURS DAILY, 4-5 DAYS
FOR 52 WEEKS. RESULTS AFTER 137 WEEKS (END OF EXPERIMENT).
DISTRIBUTION OF THE DIFFERENT TYPES OF MAMMARY TUMORS
!
CO
MAMMARY TUMORS (b)
Histologically Examined
Histotype
ANIMALS
(Sprague-Dawley rats, 16
GROUP CONCEN- weeks old at start)
NOS.
I
II
III
IV
V
VI
TRATIONS
Sex
M
150 ppm F
M and F
M
100 ppm F
M and F
M
50 ppm F
M and F
M
25 ppm F
M and F
M
10 ppm F
M and F
No treat- M
ment F
(Controls) M and F
No. at
start
60
60
120
30
30
60
30
30
60
30
30
60
30
30
60
100
100
200
Corrected
number
(a)
60
60
120
30
30
60
30
30
60
28
30
58
29
30
59
87
99
186
To-
tal
No.
8
44
52
5
25*
30
1
23
30
4
21
25
3
28*
31
11
61
72
%
(c)
13.3
73.3
43.3
16.7
83.3
50.0
23.3
76.7
50.0
14.3
70.0
43.1
10.3
93.3
52.5
12.6
61.6
38.7
Average
latency
time
(weeks)
(d)
97+14
82+ 3
821 3
104+ 9
82+ 4
851 4
1061 5
791 4
86+ 4
103+10
861 4
881 4
81123
83+ 4
811 4
1151 6
871 2
911 3
No. of
tumors/
tumor-
hearing
animals
1.0
1.5
1.4
1.0
1.7
1.6
1.0
1.9
1.7
1.0
1.6
1.5
1.0
1.6
1.5
1.0
1.5
1.4
Fibromas and
fibroadenomas
To-
tal
No.
8
43
51
5
23
28
7
22
29
4
20
24
3
24
27
11
56
67
°f
fo
(e)
100.0
97.7
98.1
100.0
92.0
93.3
100.0
95.6
96.7
100.0
95.2
96.0
100.0
85.7
87.1
100.0
91.8
93.0
No.
6
38*
44
5
21*
26
7
21*
28
4
20*
24
3
24*
27
11
44
55
to
(f)
75.0
88.4
86.3
100.0
91.3
92.8
100.0
95.4
96.5
100.0
100.0
100.0
100.0
100.0
100.0
100.0
78.6
82.1
Average
latency
time
(weeks)
(d)
1091 8
83+ 3
861 3
1041 9
831 5
871 4
106+ 5
82+ 4
881 4
103110
87+ 4
90+ 4
81+23
851 4
851 4
115+ 6
881 3
93+ 3
No.
1
9
10
0
3
3
0
1
1
0
4
4
0
5
5
0
16
16
Carcinomas
%
(f)
12.5
20.9
19.6
.
13.0
10.7
4.5
3.4
.
20.0
16.7
.
20.8
18.5
28.6
23.9
Average
latency
time
(weeks)
(d)
26
78+ 8
73+ 8
.
102+10
102110
68
68
82+10
82+10
.
90+14
90114
951 5
951 5
Total
560
543
(a) Alive animals after 10 weeks, when the first tumor (a leukemia)
was observed.
(b) Two or more tumors of the same and/or different types (fibroadenomas,
carcinomas, sarcomas, carcinosarcomas) may be present in the same
animals. A carcinosarcoma was found in one male in the 150 ppm
group, and no animals were observed to have sarcomas.
(c) The percentages refer to the corrected numbers.
(d) Average age at the onset of the first mammary tumor per animal, detected
at the periodic control or at autopsy.
(e) The percentages refer to total numbers of animals bearing mammary
tumors.
(f) The percentages refer to total numbers of animals bearing mammary
tumors, histologically examined.
* Statistically significant increase compared to control by chi-square test
(P<0.05). Comparisons are made between numbers with tumors/corrected
numbers.
Source: Maltoni et al., 1980.
-------
incidence in treated groups was not significantly (P<0.05) different from and
was actually consistently less than that of controls. Hence, the evidence for
a carcinogenic effect of inhaled vinylidene chloride in female Sprague-Dawley
rats, as mammary tumors, in this study would appear to be inconclusive.
In male Swiss mice, kidney adenocarcinomas were observed following
inhalation exposure to VDC at 25 ppm (Table 10-28). In female Swiss mice,
mammary carcinoma incidence in both the 10 ppm and combined 25 ppm groups
compared to combined controls was significantly (P<0.01) increased, and a
small incidence of mammary carcinomas was evident in females exposed to VDC at
50, 100, or 200 ppm for 1 week or less (Table 10-28). The incidence of
pulmonary adenomas was significantly (P<0.01) increased in male and female
mice exposed to VDC at 10 and 25 ppm compared to controls (Table 10-28);
however, pulmonary carcinomas were not found in any of the mice.
Maltoni et al. (1980) concluded that the kidney tumors in male mice
developed in response to VDC treatment, particularly since no corresponding
spontaneous tumors were noted in the 190 control male mice. Maltoni (1977)
also concluded that the observed kidney tumors in Swiss mice were a
strain-specific phenomenon. It has been noted that male mice of several
strains are particularly sensitive to the toxic effects of VDC, and that a
direct relationship may exist between the degree of toxicity and the
carcinogenic effect of VDC (Maltoni et al. 1977; Maltoni 1977; Henck et al.
1980). These authors postulated that a metabolite is responsible for both
effects of VDC. Maltoni et al. (1977) noted that degeneration and necrotic
changes in kidneys, especially in the tubular region, in male Swiss mice which
died from exposure to 200 ppm VDC, 4 hours daily, for 2 days were observed as
10-87
-------
TABLE 10-28. EXPERIMENT BT402: EXPOSURE
BY INHALATION TO VINYLIDENE CHLORIDE (VDC) IN AIR AT 200, 100, 50, 25, 10 PPM, 4 HOURS DAILY, 4-5 DAYS
FOR 52 WEEKS. RESULTS AFTER 121 WEEKS (END OF EXPERIMENT).
DISTRIBUTION OF THE DIFFERENT TYPES OF MAMMARY TUMORS
1
ANIMALS WITH TUMORS
TREATMENT
GROUPS CONCEN-
NOS . TRATIONS LENGTH
I 200 ppm 2 days
II 100 ppm 2 days
III 50 ppm 1 week
M IV 25 ppm 52 weeks
O
oo
00
IV bis 25 ppm 52 weeks
V 10 ppm 52 weeks
No
VI treatment
(Controls)
No
VII treatment
(Controls)
ANIMALS (Swiss mice
16 weeks old
111,1V, V, VI)
old (Grs IV
at start)
Sex
M
F
M and F
M
F
M and F
M
F
M and F
M
F
M and F
M
F
M and F
M
F
M and F
M
F
M and F
M
F
M and F
(Grs I, II,
and 9 weeks
bis, VII)
No. at start
60
60
120
30
30
60
30
30
60
30
30
60
120
120
240
30
30
60
100
100
200
90
90
180
Kidney adenocarcinomas
Corrected
number
(a)
1
28
29
12
13
25
17
14
31
21
26
47
98
112
210
25
26
51
56
73
129
70
85
155
Average la-
tency time
No. % (weeks) (b)
0 -
0 -
0 -
0 -
0 -
0 -
1 5.9 64
0 - -
1 3.2 64
3C 14.3 71± 5
0 - -
3 6.4 71+ 5
256 25.5 75± 2
1 0.9 77
26 12.4 75± 2
0 -
0 -
0 -
0 - -
0 - -
0
0
0 - -
0
Corrected
number
(a)
6
53
59
21
28
49
27
28
55
29
30
59
117
118
235
30
30
60
92
97
189
80
88
168
Mammary Tumors
No.
0
1
1
0
3
3
0
2
2
°f
4f
4
1,
12f
13
Of
6f
6
1
2
3
0
1
1
Average la-
tency time
% (weeks )(b)
.
1.9
1.7
_
10.7
6.1
_
7.1
3.6
_
13.3
6.8
0.8
10.2
5.5
_
20.0
10.0
1.1
2.1
1.6
„
1. 1
0.6
.
87
87
_
46± 3
46± 5
-
39±13
39113
_
68+11
68+11
46
69+ 4
67± 4
_
63± 5
63+ 5
25
49+ 7
41± 9
_
83
83
A
Pulmonary adenomas"
Corrected
number
(a) No.
5
46
53
18
26
44
26
27
53
28
29
57
113
118
231
28
30
58
80
92
172
73
86
159
0
1
1
2
2
4
1
3
4
78
78
14
168
II8
27
II8
3g
14
3
4
1
3
2
5
Average la-
tency time
% (weeks) (b)
-
2.2
1.9
11.1
7.7
9.1
3.8
11.1
7.5
25.0
24.1
24.6
14.2
9.3
11.7
39.3
16.0
24.1
3.7
4.3
4.1
4.1
2.3
3.1
.
57
57
62+ 7
53+ 2 '
58+ 4 '
62
80+ 8 ,
75+ 7
73+ 6
85+ 6
30+ 4
77+ 3
78+ 6
77+ 3
71+ 5
68+ 4
70+ 4
66+ 7
56+ 4
60+ 4
56+11
75+12
64+ 8
(a) Alive animals when the first tumor was observed: kidney
adenocarcinoraa, 55 weeks; mammary tumor, 27 weeks; pulmonary
adenoma, 36 weeks. The percentages refer to the corrected
numbers.
(b) Average time from the start of the experiment to the detection (at
the periodic control or at autopsy).
(c) All mammary tumors in females were histologically diagnosed as
Carcinomas.
(d) Some pulmonary adenomas were cellular atypias.
(e) P < 0.01, combined 25 ppm (28/119) males vs. combined control males (0/196)
by chi-square test. Based on corrected numbers.
(f) P < 0.01 Combined control females (3/185) vs. 10 ppm females (6/30) and
vs. combined 25 ppm females (16/148). Based on corrected numbers.
(g) P < 0.01. Combined control males (6/153) vs. 10 ppm males (11/28) and vs.
combined 25 ppm males (29/294). Also, combined control females (6/178)
vs. 10 ppm females (3/30) and vs. combined 25 ppm females (18/147).
Source: Maltoni et al. (1980).
-------
a similar effect in the kidneys of mice which developed kidney adenocarcinomas
in the lifetime inhalation study.
The significant (P<0.01) increase in mammary carcinomas in treated female
Swiss mice would indicate evidence for the carcinogenicity of VDC in these
animals. However, Maltoni et al. (1980) concluded that a direct relationship
between induction of mammary tumors, as well as pulmonary adenomas, in mice
and vinylidene chloride exposure remains open and needs further clarification
because of reasons that include the following, as quoted from the Maltoni et
al. (1980) paper:
1) "There are some significant higher rates of mammary and pulmonary
tumors in VDC exposed groups when compared to the controls;"
2) "When the incidence of these tumors is adjusted for survival
rate, the relevance of the difference between treated and
control groups is reduced;"
3) "No dose-response relationship could be calculated either
during the total time of the experiment or in different
time intervals;" and
4) "Overall there was a clear fluctuation and imbalance of
this trend in the different groups."
The authors (1980) stated that survival of mice exposed to 10 and 25 ppm
VDC was higher than survival of the control groups. Numbers of mice surviving
10-89
-------
at 27, 36, and 55 weeks are given in Table 10-28, herein, and Maltoni et al.
(1977) observed an interim survival for female mice of: (1) 47% in the 25
ppm group (IV), 20% in the 10 ppm group (V), and 21% in the matched control
group (VI) when these groups were 98 weeks old, and (2) 40% in the 25 ppm
(Group IV bis) and 40% in the matched control group (VII) when these groups
were 91 weeks old. Maltoni et al. (1980) presented survival data and their
statistical analyses of pulmonary adenoma and mammary carcinoma data in mice
to support their conclusions quoted above. Their analyses include data
presented in Table 10-29 which were obtained from an appendix in the Maltoni
et al. (1980) report. The authors noted that "with one exception" slightly
higher mean survival times for the treatment groups were not significantly
(P < 0.05) different from those of their matched controls by a rank test of
Krauth. The significant (P < 0.05) differences shown in Table 10-29 for
survival include comparisons of Groups IV and V with Group VII, which was not
the matched control group for these two treatment groups, and Group IV bis
with Group IV, which were the two groups exposed to 25 ppm VDC; hence, the
authors (1980) indicated that "with one exception" significant differences in
mean survival were found only between groups which began their exposure at
different ages.
Statistically significant (P < 0.01) differences in tumor incidences
between control and treated mice shown in Table 10-28 were calculated using
the chi-square test by combining control and 25 ppm groups since, outside of
differences in age at the start of the study and the two week difference in
the starting times of the study (Table 10-24), similar tumor incidences for
the separate control and 25 ppm groups were found with the same protocol.
Maltoni et al. (1980) found statistically significant (P < 0.05) increases in
10-90
-------
TABLE 10-29. STATISTICAL ANALYSES OF SURVIVAL, MAMMARY CARCINOMA INCIDENCE
AND PULMONARY ADENOMA INCIDENCE FOR MALE AND FEMALE SWISS MICE IN A
CARCINOGENICITY STUDY OF VINYLIDENE CHLORIDE
(MALTONI ET AL. 1980)
Mean and Standard Deviation (in weeks) of lifetime
(Test of Krauth, one-sided)
Group
VII
VI
V
IV bis
IV
Tumor
N.
Group
VI
V
IV
VII
IV bis
Male
Animals Lifetime
at start Mean Stand. Dev.
90 70.7 C 22.58
100 75.4 C 22.08
30 83.7 x * 15.77
120 75.0 15.85
30 79.6 * 17.03
Female
Animals Lifetime
at start Mean Stand. Dev.
90 81.0 C 18.51
100 83.1 C 20.32
30 87.5 * 12.97
120 84.3 17.41
30 90.0 x * 18.40
incidence for MA and PA at the end of experiment; N.TU (respectively
MA, N.PA) is the number of animals with tumors (respectively MA, PA
(Exact Fisher Test, one-sided)
Male
Animals , ,
at start N.TU N.MA° N.PA
100 7 03
30 11 x 0 11 x
30 11 x 0 7 x
90 7 03
120 43 x 1 16 x
Tumor incidence for MA and PA at the end
N.PA) is the number of animals with MA
Group
VI
V
IV
VII
IV bis
Male
Animals
at start N.MA N.PA
100 0 3
30 0 11 x
30 0 7 x
90 03
120 1 16*
Female
Animals
at start N.TU N.MA N.PA
100 15 2 4
30 15 x 6 x 3
30 17 x 4 * 7 x
90 12 1 2
120 40 x 12 x 11 *
of experiment; N.MA (respectively
(respectively PA) (Logrank test)
Female
Animals
at start N.MA N.PA
100 2 4
30 6 x 3
30 4 7 *
90 1 2
120 12 * 11
VII - Matched control for Group IV bis, VI - Matched control for Groups V
and IV, V - 10 ppm VDC exposure, IV bis and IV - 25 ppm VDC exposure.
-i
"control
*P < 0.05
P < 0.01
N.TU -- Number of animals with tumors
p
N.MA -- Number of animals with mammary tumors
N.PA -- Number of animals with pulmonary tumors
10-91
-------
mammary carcinoma and pulmonary adenoma incidences in treated mice compared
to matched control mice by the Fisher exact test (Table 10-29); however,
their analysis of these data by the Log Rank test, to take into account
survival patterns, indicated a lower level of statistical significance for
these differences between control and treated mice. A dose-related increase
in tumor incidence in treated mice was not clearly apparent from the data in
Table 10-29-
In summary, the studies by Maltoni et al. (1977, 1980) show significant
(P<0.01) increases in the incidence of kidney adenocarcinomas in male Swiss
mice and mammary carcinomas in female Swiss mice chronically exposed to VDC.
However, the authors concluded that the relationship between VDC exposure and
mammary carcinoma induction in female mice remains open as discussed above.
There was a significant (P<0.05) increase in the incidence of fibromas and
fibroadenomas in each treated group of female Sprague-Dawley rats compared to
controls in the inhalation study; however, there were no significant (P<0.05)
increases in mammary carcinoma incidence between treated and control rats, and
there was no clear dose-response for induction of mammary tumor in treated rats.
A broader evaluation of the carcinogenicity of VDC by Maltoni et al.
(1977, 1980) might have been possible if exposure periods longer than 12
months had been used and if, at the beginning of treatment, younger animals,
such as weanlings, had been evaluated to cover the portion of their lifespans
during growth to adulthood. It does not appear that doses as high as those
maximally tolerated were used in the inhalation study in hamsters and the
gavage study in rats, in that neither toxicologic effects from VDC treatment
nor an attempt to select a maximally tolerated dose is indicated in the report
on these studies.
10-92
-------
Viola and Caputo (1977) exposed male and female Wistar strain rats
initially 2 months old in an inhalation chamber for 4 hours per day, 5 days
per week, to VDC at 200 ppm (99.8% pure) for 5 months, followed by an
additional 7 months of reduced exposure to VDC at 100 ppm to avoid toxicity.
All animals were observed until death (22 to 24 months). Thirty untreated
controls of each sex, 23 treated females, and 51 treated males were examined
for tumors. During the exposure period, a rapidly growing mass appeared in
the external ear duct of many of the animals, but on biopsy examination, only
signs of an inflammatory reaction were present with no indications of dermal
or epidermal neoplasia. Tumors of the abdominal cavity were present at the
same incidence in both experimental (23%) and control (25%) rats. Although
histology of the tumors was described, there was no mention of which organs,
if any, were routinely evaluated histologically for neoplastic or
pre-neoplastic changes. Furthermore, the 12-month exposure period was shorter
than potential lifetime exposures for laboratory rats. In a second study
using male and female Sprague-Dawley rats exposed to VDC at 100 and 75 ppm
(started in the summer of 1975) for an unspecified duration, there was again
no increased tumor incidence in the experimental animals as compared with the
controls. There were 30 rats in each control and 100 ppm group, and 21
females and 16 males in the 75 ppm group examined for tumors. At the time of
the report, only gross tumors were enumerated; results from microscopic
examination of the tissues from the Sprague-Dawley rats were to be reported
later.
Lee et al. (1978), in a study primarily concerned with chronic inhalation
exposure of CD-I mice and CD rats (Charles River), initially about 2 months
old, to vinyl chloride (99.8% pure), exposed a group of rats and mice (36
10-93
-------
males and 36 females) to a single 55 ppm concentration of VDC. Concurrent
control groups exposed to inhalation of air alone consisted of 36 males and 36
females. The exposure was for 6 hours daily, 5 days per week for 12 months,
at which time all surviving animals were terminated. Following sacrifice, the
brain, pituitary, thyroid, respiratory tract, alimentary canal, urogenital
organs, thyrous, heart, liver, pancreas, spleen, mesenteric lymph nodes, and
other organs with gross pathological lesions were histologically examined.
The incidence of tumors observed in both rats and mice is given in Table
10-30. There was no statistically significant (P<0.05, Fisher exact test)
increase in tumors at any of the sites examined as compared with control
animals. The short duration (12 months) of this study may have precluded
observing tumors that have a long latency period.
In a follow-up study, Lee and coworkers (Hong et al., 1981) exposed 8 to
12 CD-I mice of each sex and 4-16 CD rats of each sex, initially 2 months old,
to VDC vapors (99% pure) at a concentration of 55 ppm. The mice were exposed
6 hours/day, 5 days/week for a period of 1, 3, or 6 months (12 mice of each
sex were treated for 6 months), while the rats were exposed on the same
schedule for 1, 3, 6, or 10 months (16 rats of each sex were treated for 10
months). Concurrent controls exposed to inhalation of air alone consisted of
28 mice and 16 rats of each sex. All animals were observed for an additional
period of 12 months following exposure. Histologic examinations were
performed as described above in Lee et al. (1978). Focusing on males and
females, respectively, in the groups with the longest durations of exposure,
18 and 21% of control mice, 50 and 42% of treated mice, 38 and 44% of control
rats, and 79 and 56% of treated rats died before terminal sacrifice. Although
tumors were observed in some exposed and control animals, the incidence of
10-94
-------
TABLE 10-30. TUMOR INCIDENCE IN RATS AND MICE EXPOSED TO VINYLIDENE CHLORIDE
O
Species
CD-I mice
CD-I mice
CD-I mice
CD-I mice
CD-I mice
CD-I mice
CD rats
CD rats
Sex
M
F
M
F
M
F
M
F
Tumor type
Bronchioloalveolar adenoma
Bronchioloalveolar adenoma
Hemangiosarcoma of the liver
Hemangiosa rcoma of the liver
Heptoma
Heptoma
Hemangiosarcoma of any organ
except liver
Hemangiosarcoma of any organ
except liver
No. tumors/No, exposed
animals
(55 ppm vinylidene chloride)
6/35
0/35
2/35
1/35
2/35
1/35
2/36
0/35
No. tumors/No, control
animals
1/26
0/36
0/26
0/36
0/26
0/36
0/35
0/35
None of the tumor increases were statistically significant when compared to controls.
Source: Lee et al., 1978.
-------
these tumors was not significantly (P<0.05) increased over control levels
(Table 10-31). The small number of animals in each group weakens the ability
of this study to detect a tumorigenic response, and the exposure durations
were less than potential lifetime exposures. A broader evaluation could have
been made with additional exposure levels in each study.
Two studies have been performed for the Manufacturing Chemists
Association to assess the effects of chronic inhalation and ingestion (in
drinking water) of VDC. The studies were conducted in two phases, the first
for 90 days and the second for 2 years. Norris (1977) presented preliminary
results of these studies with a detailed final report of the drinking water
study presented by Humiston et al. (1978) and Quast et al. (1983). An
additional report of these two studies to the open literature was provided by
Rampy et al. (1977), and the final results of the inhalation study have been
presented by McKenna et al. (1982).
In the inhalation study (Rampy et al., 1977; McKenna et al., 1982),
Sprague-Dawley rats, with initial body weights of 250 to 300 g for males and
190 to 230 g for females, were exposed to VDC (S99% pure) for 6 hours per day,
5 days per week for a period of 18 months, and animals that survived the
treatment were observed for an additional 6 months. A total of 86 males and
86 females per group were used for each exposure group plus a concurrent
untreated control group. The animals were initially exposed to VDC at 10 or
40 ppm; however, after 5 weeks of exposure, an interim kill revealed no
effects of exposure, and the concentrations were raised to 25 and 75 ppm, with
these concentrations being used for the remainder of the experiment.
Analytical and nominal atmospheric concentrations of VDC in inhalation
10-96
-------
TABLE 10-31. TUMOR INCIDENCE IN RATS AND MICE EXPOSED TO VINYLIDENE CHLORIDE
Species
CD-I mice
CD-I mice
CD-I mice
CD-I mice
-------
chambers were equivalent. The overall evaluation of toxicity included
survival, body weights, organ weights, hematology, urinalysis, clinical
chemistry, cytogenetics, gross pathology, and histopathology.
There were no overt signs of toxicity shown by the overall evaluation in
the treated groups, and a significant (P<0.05) increase in mortality was
observed only in female rats exposed to 25 ppm during months 15 to 23 and 75
ppm at months 15, 17, and 21 (Tables 10-32 and 10-33). However, increases in
mortality in treated groups might have been influenced by histopathologically
diagnosed increases in chronic murine pneumonia incidence (number of rats with
pneumonia/cumulative number of animals examined) as follows: males - 0/86
control, 26/85 low dose, 24/86 high dose; females - 9/84 control, 21/86 low
dose, 22/84 high dose. Although control cages were in the inhalation chamber
room during exposures, control animals were not placed in the inhalation
chambers. Decreased body weights in both treated groups of male rats compared
to controls are indicated in Table 10-34, but the relationship to a direct
effect of VDC appears rather uncertain in that a consistent slight but
significant (P<0.05) decrease is evident only in the low-dose group of males,
no clear dose response is evident, and information on food consumption could
have shown whether this could have affected the body weight trends shown.
Body weights between control and treated female rats were similar
(Table 10-35).
Treatment-related induction pf non-neoplastic lesions was not apparent,
with the possible exception of ovarian cysts in high-dose females [6/84 in
controls; 8/86 in the low-dose group; 14/84, (P<0.05) in the high-dose group].
An increase in midzonal fatty changes in the livers of treated female rats was
10-98
-------
TABLE 10-32. VINYLIDENE CHLORIDE: A CHRONIC INHALATION TOXICITY
AND ONCOGENICITY STUDY IN RATS
CUMULATIVE PERCENT MORTALITY FOR MALE RATS
Exposure level
Months
on
Study
Number of rats
a
alive on day 0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16.
17
18
19
20
21
22
23
24
25
Terminals Kill
30-Day Interim Kill
6-Month Interim Kill
12-Month Interim Kill
26 Weeks Cytogenetic
Killb
Total Rats in Study
Excludes those rats
b „
Control
number dead
(%
1
1
1
1
1
3
4
5
5
5
6
8
9
10
14
19
23
27
32
39
49
54
63
72
73
13
4
5
5
4
104
in the
dead)
86
(1)
(1)
(1)
(1)
(1)
(4)
(5)
(6)
(6)
(6)
(7)
(9)
(11)
(12)
(16)
(22)
(27)
(31)
(37)
(45)
(57)
(63)
(73)
(84)
(85)
interim kills
_T _JJ_J
25 ppm
number dead
(%
3
3
3
4
4
4
4
5
5
6
6
7
8
8
8
17
18
25
36
47
50
58
65
72
72
13
4
5
5
3
103
and
dead)
85
(4)
(4)
(4)
(5)
(5)
(5)
(5)
(6)
(6)
(7)
(7)
(8)
(9)
(9)
(9)
(20
(21)
(29)
(42)
(55)
(59)
(68)
(77)
(85)
(85)
c
75 ppm
number dead
1
1
2
3
3
4
4
5
5
7
8
8
9
10
12
12
16
27
37
47
56
66*
71
74
78
8
4
5
5
4
104
the cytogenetic
_*_L _^~j-_
_ 4- ^ -_ 1
(% dead)
86
(1)
(1)
(2)
(4)
(4)
(5)
(5)
(6)
(6)
(8)
(9)
(9)
(11)
(12)
(14)
(14)
(19)
(31)
(43)
(55)
(65)
(77)
(83)
(86)
(91)
kill.
i- _ .C _«-..J_-
Includes one rat designated for cytogenetics study but not used due to
death six weeks prior to cytogenetic kill.
* Statistically different from control data when analyzed using Fisher's
Exact Probability test, P<0.05.
Source: McKenna et al., 1982.
18-99
-------
TABLE 10-33. VINYLIDENE CHLORIDE: A CHRONIC INHALATION TOXICITY
AND ONCOGENICITY STUDY IN RATS
CUMULATIVE PERCENT MORTALITY FOR FEMALE RATS
Exposure level
Months
on
study
Number of rats
o
alive on day 0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Terminal Kill
30-Day Interim Kill
6-Month Interim Kill
12-Month Interim Kill
26 Weeks Cytogenetic
KillD
Total Rats in Study
o
Excludes those rats
b T,
Control
number dead
(%
0
0
0
1
1
1
1
1
1
1
2
2
4
4
5
8
9
16
23
30
39
46
56
64
65
19
4
5
5
4
102
in the
1
dead)
84
(0)
(0)
(0)
(1)
(1)
(1)
(1)
(1)
(1)
(1)
(2)
(2)
(5)
(5)
(6)
(10)
(11)
(19)
(27)
(36)
(46)
(55)
(67)
(76)
(77)
interim kills
-» Til
25 ppm
number
dead
(% dead)
86
0
0
0
0
0
1
1
1
3
3
6
6
9
10
18*
19*
19*
29*
37*
49*
55*
59*
65
72
75
11
4
5
5
4
104
and the
(0)
(0)
(0)
(0)
(0)
(1)
(1)
(1)
(4)
(4)
(7)
(7)
(11)
(12)
(21)
(22)
(22)
(34)
(43)
(57)
(64)
(69)
(76)
(84)
(87)
0
0
0
0
0
1
1
1
1
1
1
5
6
7
13*
16
18*
20
29
41
51*
54
61
68
68
16
4
5
5
4
102
cytogenetic
75 ppm
number dead
(% dead)
84
(0)
(0)
(0)
(0)
(0)
(1)
(1)
(1)
(1)
(1)
(1)
(6)
(7)
(8)
(16)
(19)
(21)
(24)
(35)
(49)
(61)
(64)
(73)
(81)
(81)
kill.
Four rats per exposure level were added one month after start of study.
* Statistically different from control data when analyzed using Fisher's
Exact Probability test, P<0.05.
Source: McKenna et al., 1982.
10-100
-------
TABLE 10-34. VINYLIDENE CHLORIDE: A CHRONIC INHALATION TOXICITY
AND ONCOGENICITY STUDY IN RATS
MEAN BODY WEIGHT FOR MALE RATS
Study
Month
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
Time
Day
0
8
13
20
26
39
52
79
113
140
174
201
209
212
219
233
260
287
321
348
375
409
436
463
497
524
551
578
612
646
677
704
Controls
275.82
319.74
346.77
378.09
399.47
428.59
448.09
489.09
518.47
536.55
561.78
579.24
572.32
601.29
565.01
579.07
598.12
603.05
615.80
639.17
637.45
638.81
638.46
631.71
659.41
627.18
606.18
609.37
607.78
597.50
574.96
587.27
15 ppm
276.05
305 . 84*
340 . 06*
363.06*
385 . 93*
412.48*
431.80*
468.71*
500.00*
512.86*
528.74*
528.15*
528.50*
563.12*
535.02*
550.81*
555.11*
569.36*
586.04*
593.14*
611.82*
613.47
623.26
618.00
614.94*
585 . 60*
596.84
575.20
582.11
569.04
554.65
549.69
75 ppm
282.56*
328 . 20*
353.56*
375.61
396.02
423.88
447.24
488.15
518.94
539.54
549.27
556.47*
552.79*
557.76*
558.60
559.31*
565.36*
572.19*
588.57*
586.36*
625.81
639.74
645.81
635.24
628.62*
618.39
583.75
585.84
563.10*
541.85
536.13
529.55
Significantly different from control mean, p <.05.
Source: McKenna et al., 1982.
10-101
-------
TABLE 10-35. VINYLIDENE CHLORIDE: A CHRONIC INHALATION TOXICITY
AND ONCOGENICITY STUDY IN RATS
MEAN BODY WEIGHT FOR FEMALE RATS
Study
Month
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
Time
Day
0
8
13
20
26
39
52
79
113
140
174
201
209
212
219
233
260
287
321
348
375
409
436
463
497
524
551
578
612
646
677
704
Controls
210.24
230.20
238.48
252.87
259.52
269.89
278.78
294.14
311.28
322.03
332.67
336.18
337.11
332.63
331.73
338.73
339.60
343.67
356.89
367.94
376.74
379.60
386.38
390.53
406.30
396.26
395.10
414.86
443.06
412.23
420.33
427.00
25 ppm
212.58
221.38*
243 . 40*
246.59*
258.60
277.79*
280.84
301.51*
317.23
329.17
342 . 63*
331.11
334.58
335.27
335.80
338.93
348.01
362 . 06*
370 . 98*
377.14
375.25
386.23
391.36
397.31
411.39
419.26
429.48
405 . 68
411.72
435-19
460.71
462.67
75 ppm
203.22*
241.57*
247 . 40*
255.68
264.34
280.79*
289 . 26*
308.79*
325 . 10*
335.96*
342.12*
339.93
336.71
343.73*
340.29
340.23
348.26
356.57
368 . 90*
363.14
387.52
397.57*
402.62
397.10
419.64
426.13
421.21
413.13
448.65
457.27
469.91
438.62
Significantly different from control mean, p <.05.
Source: McKenna et al., 1982.
10-102
-------
evident [1/84 in controls; 6/86, (P>0.05) in the low-dose group; 8/84,
(P<0.05) in the high-dose group] which may be treatment-related. However,
these changes were mainly evident in females sacrificed at the end of exposure
at 8 months, and only 1 high-dose female had this midzonal fatty change in
liver during the 6-month post-exposure period. Furthermore, the total numbers
of females with any type of fatty change in liver were as follows: 15/84
controls, 13/86 low-dose rats, and 16/84 high-dose rats.
VDC exposure did not result in significant (P<0.05) increases in tumor
incidence in this study, except for the mammary tumor data discussed below.
Mammary tumor data are presented in Table 10-36 for comparison with mammary
tumor data on female Sprague-Dawley rats exposed to VDC in the inhalation
study by Maltoni et al. (1980; Table 10-27). The incidence of adenocarcinoma
without metastasis was significantly (P<0.05) increased in low-dose females
compared to controls; however, mammary adenocarcinoma incidence was not
significantly (P<0.05) increased in high-dose females, and adenocarcinoma
without metastasis was found in another control female, which causes the
adenocarcinoma incidence in low-dose females to lose significance (P>0.05).
The significant increase (P<0.05) in total mammary tumor incidence in
high-dose females compared to control females includes animals with both
benign and malignant tumors and according to the authors, total mammary tumor
incidence in the control group and in each treatment group is within the
historical control range for the Sprague-Dawley strain of rats at the
investigating laboratory. Thus, demonstration of an induction of mammary
tumor formation in female Sprague-Dawley rats under the conditions of the
study by McKenna et al. (1982) does not seem apparent. Overt toxicity of VDC
in Sprague-Dawley rats does not appear evident, and an attempt to use higher
10-103
-------
TABLE 10-36. VINYLIDENE CHLORIDE: A CHRONIC INHALATION TOXICITY AND ONCOGENICITY STUDY IN RATS
HISTOPATHOLOGIC DIAGNOSIS AND NUMBER OF TUMORS IN FEMALE RATS
Number of rats necropsied
during the time period
indicated
MAMMARY GLAND
Fib roadenoma/adeno fibroma
S-25
Fibroma
S-26
Adenocarcinoma with pulmonary
metastasis
S-40
Adenocarcinoma without metastasis
S-27
Leiomyosarcoma without metastasis
S-41
Carcinosarcoraa of the mammary
gland
S-43
Adenofibroma based on gross
examination only
S-44
Total number of animals with
a subcutaneous and/or
mammary gland tumor
S-02, S-05, S-25, S-26, S-27,
S-40, S-41, S-43, S-44
Number of rats with a malignant
tumor in mammary region or skin°
S-05, S-27, S-40, S-41, S-43
Control
25 ppm
75 ppm
Control
25 ppm
75 ppm
Control
25 ppm
75 ppm
Control
25 ppm
75 ppm
Control
25 ppm
75 ppra
Control
25 ppm
75 ppm
Control
25 ppm
75 ppm
Control
25 ppm
75 ppm
Control
25 ppm
75 ppm
Control
25 ppm
75 ppm .
0-6
Months
1
1
1
0
0
1/1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
7-12
Months
1
5
4
0
2/2
6/4
0
0
0
0
0
0
0
1/1
0
0
0
0
0
0
0
0
0
0
0
3
4
0
1
0
13-18
Months
14
23
15
17/10
40/20
17/14
0
0
0
0
0
0
0
2/2
2/2
0
0
0
0
0
0
0
0
0
10
20
14
0
2
2
19-24 Terminal
Months Kill
49
46
48
78/39
76/38
100/40
0
0
1/1
1/1
0
0
1/1
1/1
0
0
1/1
0
0
0
0
0
0
1/1
39
38
41
2
2
0
19
11
16
37/15
16/8
33/15
0
0
1/1
0
0
0
0
4/3
2/2
0
0
0
1/1
0
0
0
0
0
16
9
15
2
3
2
Cumulative
Results
85
86
85
U
132/64°
134/68^
157/74
0
g
2/2
l/lb
0
0
l/lb
8/7&'b
4/4b
0
1/1
0
l/lb
0
0
0
0 b
65
70
75a
4
8
4
Significantly different from control data when analyzed using Fisher's Exact Probability Test, P < 0.05.
Number of tumors/number of animals with tumors.
A subcutaneous fibroma was found in one female in the 75 ppm group, and a subcutaneous fibrosarcoma
without metastasis was observed in one female in the control group.
Source: McKenna et al., 1982.
10-104
-------
exposure levels in this study might have provided a broader evaluation for
carcinogenicity.
In the reports of Quast et al. (1983) and Humiston et al. (1978), male
and female Sprague-Dawley rats, initially 6 to 7 weeks old, were exposed to
VDC at 50, 100, and 200 ppm (99.5% pure) in drinking water for two years.
Because of the volatile nature of VDC, the water was made up at higher
concentrations, and the above figures reflect the average concentrations
during 24-hour periods. The actual VDC levels measured in the drinking water
were 68 ± 21, 99 ± 22, and 206 ± 33 ppm (mean ± S.D.). When taking into
account the water consumption of the rats, the time-weighted average dose was
equivalent to 7, 10, or 20, and 9, 14, or 30 mg/kg/day in males and females,
respectively. The VDC used in this study was distilled prior to making up the
test water in order to reduce to 1 to 5 ppm the concentration of the inhibitor
monomethyl ether of hydroquinone (this inhibitor would normally be at low
levels in copolymers used for food packaging applications). Each treatment
group consisted of 48 rats of each sex, and an untreated control group
consisted of 80 males and 80 females. Animals were evaluated for survival,
body weight, food and water consumption, hematology, clinical chemistry,
urinalysis, gross pathology, and histopathology. The animals were observed
until morbidity, or 24 months, at which time surviving animals were
sacrificed. The specific tissues examined are presented in Table 10-37. There
was no evidence of statistically significant (P<0.05) treatment-related
effects of VDC on the toxicologic endpoints evaluated in treated animals as
compared to controls. At least 50% of each group survived for approximately as
long as 20 months.
10-105
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TABLE 10-37.
REPRESENTATIVE TISSUE SPECIMENS OBTAINED AT NECROPSY
FROM ALL ANIMALS
esophagus
salivary glands
stomach
large intestine
pancreas
liver
kidneys
urinary bladder
prostate
accessory sex glands
epididymides
testes
ovaries
uterus
mammary tissue (females)
brain (cerebrum, cerebellum
with brain stem)
pituitary gland
spinal cord
peripheral nerve
trachea
lungs (bronchi)
nasal turbinates ,
sternum and sternal bone marrow
spleen
mediastinal lymphoid tissue
(thymus, mediastinal lymph nodes)
lymph nodes (mesenteric)
heart
aorta
skeletal muscle
adrenal glands
thyroid gland
parathyroid gland3
adipose tissue
skin
any gross lesion or mass
eyes
These tissues were evaluated histologically only to the extent that
they were included in the routine sections of adjacent larger organs.
Sternum and enclosed bone marrow were to be evaluated histologically
only if indicated by abnormal findings in the hematological studies.
p
Eyes were saved in formalin if the rat died or was culled from the
study. If the rat was from the terminal kill, a portion of these
were fixed in Zenker's fixative and the remainder in formalin. Only
selected animals had their eyes microscopically examined.
Source: Humiston et al., 1978
10-106
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A number of neoplastic lesions were observed in both control and experi-
mental animals. The total tumor incidence is given in Table 10-38. The tumor
frequency at specific sites, as reported by Quast et al. (1983), did not show
a treatment-related effect of VDC. The only statistically (P<0.05)
significant increase in a specific neoplasm was in female rats exposed to VDC
at 50 ppm. These animals had an increased incidence of mammary gland
fibroadenomas/adenofibromas (40/48 50 ppm females vs. 53/80 control females).
This tumor was not considered by the authors to be treatment-related, since
there was no dose relationship between tumor incidence, i.e., 36/48 100 ppm
females and 35/48 200 ppm females, and exposure to VDC. Also, the spontaneous
incidence of mammary tumors was high in this strain of rats, and the tumor
incidence observed in the 50 ppm females was within the limits for historical
controls at the testing laboratory. Four control, 1 low-dose, and 2 mid-dose
females had mammary carcinomas. No treatment-related effects of VDC on
non-neoplastic lesions were evident, except for minimal fatty change and
swelling in the livers of high-dose males and females in all treatment groups.
The dose of VDC ingested in the drinking water appeared low enough to produce
no overt toxic effects. The use of higher exposure levels might have provided
a stronger evaluation of the carcinogenic potential of VDC; however, the
authors indicated that 200 ppm, the maximum concentration of VDC in water used
in this study, was the highest concentration possible given the solubility of
VDC (2.25 g/Jl at 25°C) .
The National Cancer Institute/National Toxicology Program (NCI/NTP, 1982)
has prepared a report on a cancer bioassay of VDC (99% pure) performed on
Fischer 344 rats and B6C3F1 mice, initially 9 weeks old. Male and female rats
(50 animals of each sex) received VDC, dissolved in corn oil, by gavage at
10-107
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TABLE 10-38. TUMOR INCIDENCE FOLLOWING INGESTION OF VDC
Average number of
Total number of Total number of neoplasms/number
Concentration neoplasms rats in group of rats
UJ- VU\j
water (ppm)
0
50
100
200
Male
100
53
43
53
Female
187
132
120
124
Male
80
48
48
47
Female
80
48
48
48
Male
1.3
1.1
0.9
1.1
Female
2.3
2.8
2.5
2.6
Source: Humiston et al., 1978.
doses of 1 and 5 mg/kg, while male and female mice (50 animals of each sex)
received doses of 2 and 10 mg/kg. The animals were treated 5 days/week for a
total of 104 weeks. Animals were observed for gross signs of toxicity during
the exposure period, as indicated by food consumption patterns, body weight
gain, and mortality. The treated and control animals were killed after 104
weeks of exposure or when moribund, and the tissues indicated in Table 10-39
were examined histologically for both tumorigenic and non-tumorigenie pathology.
The survival (greater than 50% for the whole study for all groups) and
weight gain of rats were unaffected by treatment with VDC; however, 12 control
and 10 low-dose male animals were accidentally killed as a result of a 5-hour
exposure to 37°C on week 82 of the study. Including the male rats accidentally
killed, survival of rats at terminal sacrifice was as follows: 20/50 vehicle
control males, 24/50 low dose males, 37/50 high dose males, 27/50 vehicle
control females, 28/50 low dose females, and 29/50 high dose females. In
mice, only survival in the low-dose female group was adversely affected by
treatment. However, at least 64% of the mice in all groups survived the study
(33/50 vehicle control males, 35/50 low dose males, 36/50 high dose males,
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TABLE 10-39. TISSUES EXAMINED3 FOR HISTOLOGIC CHANGES IN THE NCI BIOASSAY
skin liver
lungs and bronchi pancreas
trachea stomach
bone and bone marrow small intestine
spleen large intestine
lymph nodes kidney
heart urinary bladder
salivary gland pituitary
adrenal mammary gland
thyroid prostate
parathyroid brain
seminal vesicles (male) uterus (female)
testis (male) ovary (female)
thymus larynx
esophagus
o
These tissues were examined in all animals, except where advanced autolysis
or cannibalism prevented meaningful evaluation.
Source: NCI/NTP, 1981.
40/50 vehicle control females, 32/50 low dose females, and 42/50 high dose
females). Body weight gain was slightly depressed in both dose groups of male
mice and in female mice of the low-dose group as compared to either the
corresponding high-dose or control animals (Table 10-40); however, a
dose-response was not evident, and body weight decreases were greater in
low-dose than in high-dose mice. Dose-related non-neoplastic lesions consisted
of liver necrosis in mice (male controls, 1/46, 2%; low-dose, 3/46, 7%;
high-dose, 7/49, 14%; female controls, 0/47, 0%; low-dose, 4/49, 8%;
high-dose, 1/49, 2%) and inflammation of the kidney in rats (male controls,
26/49, 53%; low-dose, 24/48, 50%; high-dose, 43/48, 90%; female controls,
3/49, 6%; low-dose, 6/49, 12%; high-dose, 9/49, 20%). It is noted in the NTP
(1982) report that chronic nephritis is a common lesion in aging rats. Other
histopathologic changes of a non-tumorigenic type were observed randomly in
control and treated animals, and were not considered treatment-related.
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TABLE 10-40.
MEAN BODY WEIGHT CHANGE (RELATIVE TO CONTROLS) OF MICE
ADMINISTERED VINYLIDENE CHLORIDE BY GAVAGE
Week No.
Mean body weight change
grams
Control Low dose High dose
Weight change rela-
tive to controls (a)
(percent)
Low dose High dose
Male
mice
Female
mice
0
1
20
40
60
80
100
0
1
20
40
60
80
100
28(b)
1
13
19
22
21
20
19(b>
2
9
12
17
19
24
24(b)
2
11
17
21
20
21
18
2
8
12
15
18
21
25(b)
2
13
19
23
22
21
18
3
9
13
18
14
24
+ 100
-15
-20
-5
-5
+5
0
-11
0
-12
-5
-13
+ 100
0
0
+5
+5
+5
+50
0
+8
+6
+35
0
(a)
Weight change relative to controls =
Weight change (dosed group) - Weight change (control group) x 100
Weight change (control group)
Initial weight
Source: NCI/NTP, 1981.
10-110
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In rats and mice, increased tumor incidences were observed in a number of
organs (Table 10-41). While unadjusted analyses of these data suggested that
some responses were marginally statistically significant at the P = .05 level,
such analyses do not take into account the multiple organs compared. As
indicated by NCI/NTP (1980) and discussed in greater detail by Gart et al.
(1979), it is more accurate to account for multiplicity of comparisons by the
Bonferroni correction when using the Fisher exact test, and to account for
differing patterns of mortality among the dose groups by time-adjusted
analyses. Making these corrections, the only statistically significant
(P<0.05) increased response was for lymphomas in the low-dose group female
mice compared to the matched controls using the Fisher exact test.
Furthermore, only lymphomas represent a statistical increase in malignant
tumors in Table 10-41. However, a similar increase in the high-dose group was
not noted, and the Cochran-Armitage test for linear trends was not significant.
Since the matched controls had a low incidence (4%) of lymphomas when compared
to the incidence (9.8%) in historical controls, this effect was not considered
to be treatment-related. Thus, the conclusion in the NTP (1981) report is
that VDC was not carcinogenic to F344 rats or B6C3F1 mice under the conditions
of this assay. Survival and body weight data suggest that higher doses of VDC
could have been given to rats and mice to more strongly challenge these
animals for carcinogenicity.
VDC was tested for its potential as a brain carcinogen on the basis that
t
vinyl chloride causes neuroblastomas in animal studies and is associated with
brain neoplasms in exposed humans (Maltoni et al., 1982). No increase in the
incidence of gliomas, meningiomas, or ependymomas was reported among Sprague-
Dawley rats exposed by inhalation to VDC at 10, 25, 50, 100, or 150 ppm for
10-111
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TABLE 10-41. TUMORS WITH INCREASED INCIDENCE IN RATS AND MICE, AS INDICATED
BY THE FISHER EXACT TEST OR THE COCHRAN-ARMITAGE TEST FOR
LINEAR TREND
Incidence
Species
rat
rat
rat
rat
rat
mice
(male)
(male)
(male)
(female)
(male)
(female)
Tumor
adrenal ,
pheochromocytomas
pancreatic islet-cell,
adenomas/carcinoma (a)
testes, interstitial-cell
pituitary, adenomas
subcutaneous, fibromas
lymphomas
Control
6/50
(P=0.
4/49
(P=0.
43/50
(P=0.
16/48
(P=0.
0/50
(P=0.
2/48
(12%)
01)*
(8%)
025)*
(86%)
013)*
(33%)
017)
(0%)
024)*
(4%)
Low
5/48
1/47
39/47
20/49
1/48
9/48
(P=0.
Dose
(10%)
(2%)
(83%)
(41%)
(2%)
(18%)
028)**
High
13/47
(P=0.
8/48
47/48
(P=0.
24/43
(P=0.
4/48
6/50
Dose
(28%)
045)**
(17%)
(98%)
034)**
(56%)
026)**
(8%)
(12%)
(a) All pancreatic tumors were carcinomas, except for adenomas in two
high-dose males. Carcinomas alone were not significant by the Cochran-
Armitage test.
* Significant for linear trend by Cochran-Armitage test (P < 0.05).
--''Significant by Fisher exact test (P < 0.05).
Source: NCI/NTP, 1982.
4 or 5 days weekly for 52 weeks. Male and female rats exposed by ingestion
(gavage) to 0.5, 5, 10, or 20 mg/kg of VDC for 5 days weekly for 52-59 weeks
did not show an increased incidence of brain tumors when compared to controls.
Ponomarkov and Tomatis (1980) assessed the carcinogenic potential of VDC
in BDIV rats exposed to the compound starting in utero and continuing to 120
weeks of age. Pregnant rats (24 animals) received a single 150 mg/kg dose of
VDC (99% pure) by gavage in corn oil on day 17 of gestation. Following birth,
10-112
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the pups (89 males and 90 females) received VDC by gavage at a dose of
50 rag/kg weekly for the duration of the study. The animals were killed at the
termination of the study or when moribund, and major organs and gross lesions
were examined histologically.
There was no treatment-related effect on the reproductive success of the
dams or on the survival or weight gain of the offspring of rats treated with
VDC. Non-tumorigenic lesions in the liver, consisting of degeneration of the
parenchymal cells, liver necrosis, and hemorrhage, were observed in treated
animals moribund after 80 weeks of treatment or killed at termination. In
cases of early death (30 weeks of treatment), lung and kidney congestion were
also observed in treated rats. The total tumor incidence in either the dams
or the offspring was not significantly increased by treatment (Table 10-42);
however, there was an increased incidence of meningiomas in male rats,
although this was also not significantly different from control levels.
Although slight differences in tumor incidence were observed following VDC
treatment, this study did not demonstrate a statistically significant effect
of VDC treatment on the induction of tumors in either the dams or their
offspring. Although liver lesions were seen, it appears that higher doses
could possibly have been used, since no effect was observed on survival and
body weight.
Skin application has been used to assay VDC for tumor initiation and
complete carcinogen action in lifetime studies using the two-stage
tuniorigenesis model in female Ha:ICR Swiss mice (Van Duuren et al., 1979). In
two-stage tumorigenesis, an initiator agent is applied in a single dose to the
skin of a mouse. The initiator does not produce tumors at the applied
10-113
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Table 10-42.
Tumor incidence in female BDIV rats treated with VDC on day 17 of pregnancy,
in their progeny treated weekly for life and controls (Ponomarkov and Tomatis, 1980)
Group
Females given VDC
Progeny treated weekly
with VDC
Males
Females
Females given olive oil
Progeny treated weekly
with olive oil
Males
Females
Effective Tumor
number of bearing
rats rats
23
81
90
1U
49
47
n
11
31
53
5
16
24
*
47.8
38.3
66.3
35.7
32.7
51.1
Number of
tumors
Total
14
35
64
7
16
29
per rat
0.6
0.4
0.8
0.5
0.3
0.6
Animals with
more than one
tumor
n J
3 13
4 4.9
11 13.8
2 14.3
-
5 10.6
-------
Table 10-42. (cont.)
Distribution of Tumors
oral
meninges cavity stomach liver
0
I—1
Ul
Group
Females given VDC
Progeny treated weelciy
with VDC
Males
Females
Females given olive oil
Progeny treated weekly
with olive oil
Males
Females
n > n
- 2
6 7.4 5
1
1
1 2.0 2
1
% n % n %
8.7 1 4.3
6.2 1 1.2 1 1.2
1.3 2 2.5 3 3.8
7.1 -
4.1 -
2.1 1 2.1 - -
soft
tissue
n I
-
9 11.1
7 8.8
1 7.1
4 8.2
mammary
gland
n %
8 34.8
1 1.2
39 48.8
4 28.6
. «.
22 46.8
ovary other
n J n
2 8.7 1b
12°
6 7.5 6d
- - 1e
- - 9f
3 6.4 2g
*
4.3
14.8
7.5
7.1
18.4
4.3
Liver
hyperpl .
nodules
%
2 8.7
2 2.5
6 7.5
-
_ _
-
The percentages and the number of tumors per rat are expressed in relation to the effective number of rats.
Survivors at the time the first tumors were observed.
°Urinary bladder papilloma; 1 lymphoma, 4 pituitary adenomas; 3 adrenal cortical adenomas; 1 spleen haemangioma; 1 lung sarcoma, pleomorphic; 1 skin
squamous cell carcinomas; 1 seminoma.
1 salivary gland carcinoma; 1 salivary gland adenoma; 1 lymphoma; 1 pituitary adenoma; 1 rectal adenomalous polyp; 1 uterine adenoma
eAdrenal cortical adenoma
1 osteosarcoma; 1 mediastinal sarcoma; 1 lung epidermoid carcinoma; 2 lymphomas; 1 spleen haemangioma; 2 pituitary adenomas; 1 adrenal cortical adenoma
g1 lymphoma; 1 uterine adenoma
-------
concentration, but predisposes the skin so that later repeated applications of
a promoter (an agent that by itself will not produce tumors) will cause the
formation of tumors. A complete carcinogen is one which, if applied in
sufficient concentrations, can produce tumors by itself. When VDC was applied
3 times each week at a dose of 121 mg/mouse to the shaved backs of 30 mice, no
tumors were observed; however, when a single dose of 121 mg/mouse of VDC was
applied to the skin of 30 mice, followed by repeated application of phorbol
myristate acetate (PMA) as the promoter, a significant increase (P<0.005) in
skin papillomas (8 mice with papillomas/9 total papillomas) was observed as
compared to controls. No skin papillomas were observed in 30 controls treated
with acetone, the dosing vehicle, and 100 untreated controls, whereas 9 mice
(10 total papillomas) of 120 mice given 0.0025 mg PMA and 6 mice (7 total
papillomas) of 90 mice given 0.005 mg PMA on the same schedule as that for
treated mice were found. Squamous cell carcinomas on the skin in the
initiation-promotion study were observed on one mouse in the VDC group, one
mouse in the low-dose PMA group, and 2 mice in the high-dose PMA group. A
positive control group of 30 mice in the initiation-promotion study given 0.02
mg/mouse of 7,12-dimethylbenz[a]anthracene as the initiating agent developed
papillomas in 29 mice (317 total papillomas) and local squamous cell
carcinomas in 14 mice. In the same study, VDC was also tested for complete
carcinogenic action in 30 female Swiss ICR/Ha mice by repeated subcutaneous
injection once a week at a dose of 2 mg/mouse. Following treatment for 548
days, no tumors were observed at the site of injection or at sites distant
from the site of injection. Although this study indicates that VDC is a tumor
initiator in mouse skin, it is not clear how this relates to the processes of
complete chemical carcinogenesis in other organs, or if tumor initiation as
observed here is a phenomenon solely restricted to the skin of mice. The
10-116
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relevance of positive results in this tumor initiation study with regard to
the assessment of human health effects is not clear, particularly since
complete carcinogenic activity could not be demonstrated. Maximally tolerated
doses, estimated from preliminary short-term tests, were used in the tests for
carcinogenicity performed by Van Duuren et al. (1979).
In summary, the evidence supporting the carcinogenicity of VDC is
limited. It has been shown that VDC is a mutagen in bacterial assay systems,
and Van Duuren et al. (1979) have demonstrated that VDC acts as a tumor
initiator in mouse skin; however, of the three animal species used to assess
the carcinogenicity of this compound-- rats, mice, and hamsters—only one
strain of mice developed a unique tumor type (kidney carcinomas) following
exposure to VDC. Maltoni (1977) and Norris (1982) suggested that the observed
increase in kidney tumors may be a species- and strain-specific effect, and
Maltoni et al. (1980) and Maltoni (1977) obtained experimental evidence for a
direct relationship between the sensitivity to acute toxic effects of VDC and
carcinogenic responses in the species and strains of rats and mice evaluated
for VDC carcinogenicity in their studies. Norris (1982) reviewed some of the
pharmacokinetic, toxicological, and carcinogenic data on the effects of VDC in
animals, and emphasized the unique susceptibility of Swiss mice to the toxic
and tumorigenic effects of this compound. A statistically significant
increase in mammary carcinomas was found in female Swiss mice by Maltoni et
al. (1982), but these investigators concluded that this evidence was not
conclusive due to reasons discussed in their report.
There have been a number of other carcinogenicity bioassays of VDC in
which no statistically significant increase in tumor incidence was observed
10-117
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(Table 10-21). From these studies, it could be concluded that VDC has not
been found to be carcinogenic in rats or hamsters, nor in mice when
administered by the oral or dermal route. The only published inhalation
studies in mice, except for the positive bioassay of Maltoni et al. (1977),
used either a shorter exposure period (Hong et al., 1981) or a shorter
observation period (Lee et al., 1978), although the level of exposure in both
studies was higher (55 ppm, 6 hours/day) than the high-dose group (25 ppm for
4 hours/day) used by Maltoni et al. (1977). Furthermore, higher doses
possibly could have been tested in several of the negative studies.
Nonetheless, in view of the present evidence for VDC carcinogenicity found in
one mouse strain in the inhalation study by Maltoni et al. (1980, 1977), the
available evidence regarding the carcinogenicity of VDC in animals is thus
seen to be limited and not sufficient for a firm conclusion on the potential
carcinogenicity of this compound in humans.
10.5.2 Epidemiologic Studies
Adequate data regarding the carcinogenic potential of VDC in humans are
lacking. One study, that of Ott et al. (1976) investigated 138 Dow Chemical
Company workers exposed primarily to VDC, and gave mortality data and the
results of health examinations. The authors noted that vinyl chloride is a
common contaminant of VDC monomer and that liquid VDC contained less than 0.2%
by weight of vinyl chloride in recent years prior to publication of their
study. In this study, time-weighted average (TWA) exposures were estimated
based on job descriptions and industrial hygiene surveys. Based on TWA
exposure estimates, each job initially fell into one of four categories: <10
ppm, 10 to 24 ppm, 25 to 49 ppm, and 50+ ppm. However, since operators in
10-118
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fiber production were the only workers with exposures above 25 ppm TWA, only
three concentration categories were used to calculate cumulative dose:
<10 ppm (5 ppm used for calculation); 10-24 ppm (17 ppm used for calculation);
^25 ppm (43 ppm used for calculation). Cumulative career exposures were
estimated by multiplying the TWA times the duration, in months, of potential
exposure (Table 10-43). As indicated in the table, the size of the population
having a lengthy duration of exposure or a long latency period since the
initial time of exposure was small. Moreover, it cannot be determined from
the data presented in the study report whether those individuals for whom the
greatest time had elapsed since initial exposure were also among the most
heavily exposed subjects. Thus, it is possible that for detection of
long-latency diseases such as cancer, the population examined in this study
may not be adequate.
Cohort mortality was compared with U.S. white male mortality for 1942,
1947, 1952, 1957, 1962, 1967, and 1971 by the indirect method. The most
recent health inventory for the cohort was compared with matched controls.
For the total cohort of 138 persons, 5 deaths were recorded. One death of an
individual with a 745 ppm cumulative dose was attributed to malignancy
(respiratory cancer); however, his smoking history was not known. The
expected respiratory cancer death rate was 0.3 for the total cohort; 0.2 for
the total cohort 15+ years after first exposure to VDC; and 0.2 for the cohort
with 500+ ppm months of exposure. An examination of company health inventory
records on this same cohort revealed no statistically significant (P<0.05)
clinical difference between the VDC-exposed group and matched (for age and
smoking) controls. Ott et al. (1976) mentioned that the cohort exposed to VDC
was also exposed to copolymers other than vinyl chloride, and that individuals
10-119
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TABLE 10-43. ESTIMATED CUMULATIVE DOSE, DURATION OF EXPOSURE AND DATE OF
FIRST EXPOSURE AMONG 138 INDIVIDUALS EXPOSED TO VINYLIDENE CHLORIDE
Exposure measures Total population
Estimated career dosage (TWA x months of exposure)
<500 ppm months 50
500-999 ppm months 28
1000-1999 ppm months 28
2000+ ppm months 32
Duration of exposure
<12 months 35
12-59 months 43
60-119 months 35
120+ months 25
Date of first exposure
1940-1949 9
1950-1959 74
1960-1969 55
Status as of January 1974.
Source: Ott et al., 1976.
in the matched control population might have been exposed to a number of other
chemicals.
10.5.3 Quantitative Estimation
This quantitative section deals with the unit risk for VDC in air, and
the potency of VDC relative to other carcinogens that the CAG has evaluated.
The unit risk estimate for an air pollutant is defined as the lifetime cancer
risk occurring in a hypothetical population in which all individuals are
exposed continuously from birth throughout their lifetimes to a concentration
3
of 1 |Jg/m of the agent in the air they breathe. Unit risk estimates are used
10-120
-------
for two purposes: 1) to compare the carcinogenic potency of several agents
with each other, and 2) to give a crude indication of the population risk
which might be associated with air or water exposure to these agents, if the
actual exposures are known.
10.5.3.1 Procedures for Determination of Unit Risk
The data used for the quantitative estimation of unit risk for VDC were
taken from a lifetime animal study. In animal studies it is assumed, unless
evidence exists to the contrary, that if a carcinogenic response occurred at
the dose levels used in the study, then responses would also occur at all
lower doses, at an incidence determined by an extrapolation model. However,
there is no solid scientific basis for any mathematical extrapolation model
that relates carcinogen exposure to cancer risks at the extremely low
concentrations that must be dealt with in evaluating environmental hazards.
For practical reasons, such low levels of risk cannot be measured directly
either by animal experiments or by epidemiologic studies. It is necessary,
therefore, to depend on current knowledge of the mechanisms of carcinogenesis
for guidance as to the correct risk model to use.
At the present time, the dominant view is that most cancer-causing
agents also cause irreversible damage to DNA. This position is reflected by
the fact that a very large proportion of agents that cause cancer are also
mutagenic. There is reason to expect that the quantal type of biological
response, which is characteristic of mutagenesis, is associated with a linear
non-threshold dose-response relationship. Indeed, there is substantial
evidence from mutagenicity studies with both ionizing radiation and a wide
10-121
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variety of chemicals that this type of dose-response model is the appropriate
one to use. This is particularly true at the lower end of the dose-response
curve; at higher doses, there can be an upward curvature, probably reflecting
the effects of multistage processes on the mutagenic response. The linear
non-threshold dose-response relationship is also consistent with the
relatively few epidemiologic studies of cancer responses to specific agents
that contain enough information to make the evaluation possible (e.g.,
radiation-induced leukemia, breast and thyroid cancer, skin cancer induced by
arsenic in drinking water, liver cancer induced by aflatoxins in the diet).
There is also some evidence from animal experiments that is consistent with
the linear non-threshold model (e.g., the initiation stage of the two-stage
carcinogenesis model in rat liver and mouse skin).
Because its scientific basis, although limited, is the best of any of
the current mathematical extrapolation models, the linear non-threshold model
has been adopted as the primary basis for risk extrapolation to low levels of
the dose-response relationship. The risk estimates made with this model
should be regarded as conservative, representing the most plausible upper
limit for the risk; i.e., the true risk is not likely to be higher than the
estimate, but it could be lower.
The mathematical formulation chosen to describe the linear non-threshold
dose-response relationship at low doses is the linearized multistage model.
This model employs enough arbitrary constants to be able to fit almost any
monotonically increasing dose-response data, and it incorporates a procedure
for estimating the largest possible linear slope (in the 95% confidence limit
sense) at low extrapolated doses that is consistent with the data at all dose
levels of the experiment.
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10.5.3.2 Description of the Low-Dose Animal Extrapolation Model
Let P(d) represent the lifetime risk (probability) of cancer at dose d.
The multistage model has the form
where
q.S 0, i = 0, 1, 2, ..., k
Equivalently,
2 k
P (d) = 1 - exp [q..d + q~d + ... + q d )]
where
- P(0)
1 - P(0)
is the extra risk over background rate at dose d.
The point estimate of the coefficients q., i = 0, 1, 2, ..., k, and
consequently, the extra risk function, P (d), at any given dose d, is
calculated by maximizing the likelihood function of the data.
The point estimate and the 95% upper confidence limit of the extra risk,
P (d), are calculated by using the computer program GLOBAL 79, developed by
Crump and Watson (1979). At low doses, upper 95% confidence limits on the
extra risk, and lower 95% confidence limits on the dose producing a given risk,
are determined from a 95% upper confidence limit, q*, on parameter q1.
Whenever q,>0, at low doses the extra risk P.(d) has approximately the form
Pf(d) = q^ x d. Therefore, q* x d is a 95% upper confidence limit on the
extra risk and R/q* is a 95% lower confidence limit on the dose, producing an
extra risk of R. Let Ln be the maximum value of the log-likelihood function.
The upper limit, q* is calculated by increasing q, to a value q* such that
10-123
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when the log-likelihood is remaximized subject to this fixed value q* for the
linear coefficient, the
satisfies the equation
linear coefficient, the resulting maximum value of the log-likelihood LI
2 (LQ - Lj) = 2.70554
where 2.70554 is the cumulative 90% point of the chi-square distribution with
one degree of freedom, which corresponds to a 95% upper limit (one-sided).
This approach of computing the upper confidence limit for the extra risk,
P (d), is an improvement on the Crump et al. (1977) model. The upper
confidence limit for the extra risk calculated at low doses is always linear.
This is conceptually consistent with the linear non-threshold concept
discussed earlier. The slope, q* is taken as an upper bound of the potency
of the chemical in inducing cancer at low doses. (In the section calculating
the risk estimates, P (d) will be abbreviated as P.)
In fitting the dose-response model, the number of terms in the polynomial
is chosen equal to (h-1), where h is the number of dose groups in the ex-
periment, including the control group.
Whenever the multistage model does not fit the data sufficiently well,
data at the highest dose is deleted and the model is refit to the rest of the
data. This is continued until an acceptable fit to the data is obtained. To
determine whether or not a fit is acceptable, the chi-square statistic
h (X. - N.P.)2
y2 - j i 11
A ~ L N.P. (1-P.)
10-124
-------
is calculated where N. is the number of animals in the i dose group, X. is
the number of animals in the i dose group, with a tumor response, P. is the
probability of a response in the i dose group estimated by fitting the
multistage model to the data, and h is the number of remaining groups. The
2
fit is determined to be unacceptable whenever X is larger than the cumulative
99% point of the chi-square distribution with f degrees of freedom, where f
equals the number of dose groups minus the number of non-zero multistage co-
efficients .
10.5.3.3 Calculation of Human Equivalent Dosages from Animal Data
Following the suggestion of Mantel and Schneiderman (1975), we assume that
mg/surface area/day is an equivalent dose between species. Since, to a close
approximation, the surface area is proportional to the 2/3 power of the
weight, as would be the case for a perfect sphere, the exposure in mg/day per
2/3 power of the weight is also considered to be equivalent exposure. In an
animal experiment this equivalent dose is computed in the following manner:
Let
L = duration of experiment
1 = duration of exposure
m = average dose per day in mg during administration of the agent
(i.e., during 1 ), and
W = average weight of the experimental animal.
Then, the lifetime average exposure is
10-125
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d _ 1 x m
~ «
L x W
e
Inhalation
When exposure is via inhalation, the calculation of dose can be considered
for two cases where 1) the carcinogenic agent is either a completely water-
soluble gas or an aerosol and is absorbed proportionally to the amount of air
breathed in, and 2) where the carcinogen is a poorly water-soluble gas which
reaches an equilibrium between the air breathed and the body compartments.
After equilibrium is reached, the rate of absorption of these agents is expected
to be proportional to the metabolic rate, which in turn is proportional to the
rate of oxygen consumption, which in turn is a function of surface area.
Case 1
Agents that are in the form of particulate matter or virtually completely
absorbed gases, such as sulfur dioxide, can reasonably be expected to be
absorbed proportionally to the breathing rate. In this case the exposure in
mg/day may be expressed as
m = I x v x r,
3 3
where I = inhalation rate per day in m , v = mg/m of the agent in air, and
r = the absorption fraction.
10-126
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The inhalation rates, I, for various species can be calculated from the
observations (FASEB, 1974) that 25 g mice breathe 34.5 liters/day and 113 g
rats breathe 105 liters/day. For mice and rats of other weights, W (in
kilograms), the surface area proportionality can be used to find breathing
3
rates in m /day, as follows:
For mice, I = 0.0345(W/0.025) ' m /day
2/3 3
For rats, I = 0.105 (W/0.113) ' m /day.
3
For humans, the values of 20 m /day* is adopted as a standard breathing rate
(1CRP, 1977).
2/3
The equivalent exposure in mg/W for these agents can be derived from
the air intake data in a way analogous to the food intake data. The empirical
factors for the air intake per kg per day, i = I/W, based upon the previously
stated relationships, are tabulated as follows:
Species W i = I/W
Man 70 0.29
Rats 0.35 0.64
Mice 0.03 1.3.
Therefore, for particulates or completely absorbed gases, the equivalent
2/3
exposure in mg/W is
m _ Ivr _ iWvr _ .yl/3
w2/3 w2/3 ~ w2/3 ~ 1W Vr
*From "Recommendation of the International Commission onJRadiological
Protection- p.~9. The average breathing rate is 10 cm per 8-hr, workday
and 2 x 20 cm in 24 hrs.
10-127
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In the absence of experimental information or a sound theoretical argument to
the contrary, the fraction absorbed, r, is assumed to be the same for all
species.
Case 2
The dose in mg/day of partially soluble vapors is proportional to the 02
consumption, which in turn is proportional to W and is also proportional to
the solubility of the gas in body fluids, which can be expressed as an absorp-
tion coefficient, r, for the gas. Therefore, expressing the 02 consumption as
2/3
0 = k W , where k is a constant independent of species, it follows that
, 2/3
m = kw xvxr
or
m
,
= kvr
As with Case 1, in the absence of experimental information or a sound
theoretical argument to the contrary, the absorption fraction, r, is assumed
to be the same for all species. Therefore, for these substances a certain
3
concentration in ppm or |Jg/m in experimental animals is equivalent to the
same concentration in humans. This is supported by the observation that the
minimum alveolar concentration necessary to produce a given "stage" of
anesthesia is similar in man or animals (Dripps et al. 1977). When the
animals are exposed via the oral route and human exposure is via inhalation or
vice versa, the assumption is made, unless there is pharmacokinetic evidence
to the contrary, that absorption is equal by either exposure route.
10-128
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10.5.3.4 Calculation of the Unit Risk from Animal Studies
2/3
The 95% upper limit risk associated with d mg/kg /day is obtained from
GLOBAL 79, and for most cases of interest to risk assessment, can be adequately
*
approximated by P(d) = 1 - exp-(q..d). A "unit risk" in units X is simply the
risk corresponding to an exposure of X = 1. This value is estimated simply by
2/3
finding the number of mg/kg /day corresponding to one unit of X and substituting
this value into the above relationship. Thus, for example, if X is in units
3 1/3 3 2/3
of (Jg/m in the air, we have that for case 1, d = 0.29 x 70 x 10 mg/kg /day,
3
and for case 2, d = 1, when |Jg/ra is the unit used to compute parameters in
animal experiments.
If exposures are given in terms of ppm in air, the following calculation
may be used:
- molecular weight (gas) mg/m3
-I ppffl — J. »jL X
molecular weight (air)
Note that an equivalent method of calculating unit risk would be to use mg/kg
for the animal exposures, and then to increase the jth polynomial coefficient by
(Wh/Wa)j/3 j = 1, 2, ..., k
and use mg/kg equivalents for the unit risk values.
10.5.3.5 Interpretation of Quantitative Estimates
For several reasons, the unit risk estimate based on animal bioassays is
only an approximate indication of the absolute risk in populations exposed to
10-129
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known carcinogen concentrations. First, there are important species
differences in uptake, metabolism, and organ distribution of carcinogens, as
well as species differences in target site susceptibility, immunological
responses, hormone function, dietary factors, and disease. Second, the
concept of equivalent doses for humans compared to animals on a tag/surface
area basis is virtually without experimental verification as far as
carcinogenic response is concerned. Finally, human populations are variable
with respect to genetic constitution and diet, living environment, activity
patterns, and other cultural factors.
The unit risk estimate can give a rough indication of the relative
potency of a given agent compared with other carcinogens. The comparative
potency of different agents is more reliable when the comparison is based on
studies in the same test species, strain, and sex, and by the same route of
exposure, preferably inhalation.
The quantitative aspect of carcinogen risk assessment is included here
because it may be of use in the regulatory decision-making process, e.g., in
setting regulatory priorities, evaluating the adequacy of technology-based
controls, etc. However, it should be recognized that with present technology,
only imprecise estimations are possible concerning cancer risks to humans at
low levels of exposure. At best, the linear extrapolation model used here
provides a rough but plausible estimate of the upper limit of risk, and while
the true risk is not likely to be more than the estimated risk, it could be
considerably lower. The risk estimates presented in subsequent sections
should not be regarded, therefore, as accurate representations of the true
cancer risks even when the exposures are accurately defined. The estimates
10-130
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presented may, however, be factored into regulatory decisions to the extent
that the concept of upper risk limits is found to be useful.
10.5.3.6 Alternative Methodological Approaches
The methods used by the CAG for quantitative assessment are consistently
conservative; that is, they tend toward high estimates of risk. The use of
the linear non-threshold extrapolation model tends to contribute to this con-
servatism. Other extrapolation models are available that would give lower
risk estimates. These alternative models have not been used by the CAG in the
following analysis because the limited available data show a positive response
at only one dose level. Thus only the background and linear parameters have
any meaning.
10.5.3.7 Estimation of Unit Risk Using the Maltoni Inhalation Study
The only animal study showing a significant increase in tumors is the
inhalation study of Maltoni et al. (1980), in which male Swiss mice developed
kidney adenocarcinomas. The long-term (52 weeks) exposure data from this
study are presented in Table 10-44. The two control groups were combined, as
well as the two groups treated at 25 ppm, since the responses within treatment
groups were not statistically different. Lacking information on early
mortality and scheduled sacrifice, the number surviving to the time of the
first kidney adenocarcinoma is used as the denominator.
Since VDC is only slightly soluble in water, it is considered a partially
soluble vapor in which the inhalation dose is proportional to 62 consumption.
10-131
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TABLE 10-44. DATA FROM MALTONI INHALATION STUDY ON MALE SWISS MICE
Dose ppm
daily for
12 months
0
0
10
25
25
Lifetime
continuous
equivalent
ppm
0
0
0.54
1.34
1.34
Number of
animals at
start
100
90
30
30
120
Kidney adenocarcinomas/
number surviving 55 weeks
from start
0/56*
0/70*
0/25
3/21(14.3%)**
25/98(25.5%)**
* Groups were combined since responses were not statistically different.
**These groups were combined, since responses using the same dose level were
not statistically different.
Furthermore, evidence by Dallas et al. (1983) indicates that the small un-
charged lipid-soluble molecule is easily absorbed across the lung membranes
into the systemic circulation, and that at low doses all of the chemical
presented to the animal will be retained until near-equilibrium is reached.
This behavior is considered similar to that of a water-insoluble anesthetic
gas. (As discussed in the methodology section on equivalent inhalation dose
(Case 2), exposure with these types of compounds to concentrations in ppm or
3
(Jg/m is considered equivalent between animals and humans) .
The lifetime continuous equivalent exposure is determined by dividing
total dose by total lifetime. In this experiment, inhalation exposure was 4
hours/day, 4-5 days/week for one year. On a continuous basis, this is
10 ppm x 4/24 x 4.5/7 x 1/2 = 0.54.
The calculation of the upper confidence level of risk by the multistage
model yields a slope factor of
10-132
-------
q* = 1.7 x 10 (ppm) .
In terms of risk, a lifetime exposure to VDC at 1 ppm corresponds to a
lifetime risk of induced cancer of
P = l-exp-(1.7 x 10"1) = 0.16.
3
To express the unit risk in terms of JJg/m , the following conversion is
used:
1 pg/m3 = l(pg/m3) x 10"3 (m3/l)/(l.2(g/l) x MW(VDC)/MW(air))
= 10~3/(1.2 x 97/28.8) jjg/g = 2.5 x 10~4 ppm.
For a lifetime continuous exposure to 1 |Jg/m3 of VDC, the corresponding
estimate is
-1 -4 -5
P = 1 - exp(-1.7 x 10 x 2.5 x 10 )= 4.2 x 10 .
10.5.3.8 Relative Potency
One of the uses of the concept of unit risk is to compare the relative
potency of carcinogens. To estimate the relative potency on a per mole basis,
the unit risk slope factor is multiplied by the molecular weight, and the
resulting number is expressed in terms of (mMol/kg/day) . This is called the
relative potency index.
Figure (10-6) is a histogram representing the frequency distribution of
potency indices of 53 chemicals evaluated by the CAG as suspect carcinogens.
The actual data summarized by the histogram are presented in Table (10-45).
10-133
-------
4th 3rd 2nd 1st
QUARTILElQUARTILElQUARTILEloUARTILE
2 4
LOG OF POTENCY INDEX
Figure 10-6. Histogram representing the frequency distribution of the potency
indices of 53 suspect carcinogens evaluated by the Carcinogen Assessment Group.
10-134
-------
TABLE 10-45. RELATIVE CARCINOGENIC POTENCIES AMONG 53 CHEMICALS EVALUATED
BY THE CARCINOGEN ASSESSMENT GROUP AS SUSPECT HUMAN CARCINOGENS ' '
Slope
Compounds (mg/kg/day)
Acrylonitrile
Aflatoxin B
Aldrin
Allyl Chloride
Arsenic
B[a]P
Benzene
Benzidine
Beryllium
Cadmium
Carbon Tetrachloride
Chlordane
Chlorinated Ethanes
1 ,2-dichloroethane
Hexachloroethane
1,1,2 , 2-tetrachloroethane
1,1, 1- trichloroethane
1 , 1 ,2-trichloroethane
Chloroform
Chromium
DDT
Dichlorobenzidine
1 , 1-dichloroethylene
0.24(W)
2924
11.4
1.19x10"
15 (H)
11.5
5.2xlO~2(W)
234(W)
4.86
6.65(W)
1.30X10"1
1.61
6.90x!0"2
1.42x!0"2
0.20
1.6xlO~3
5.73xlO~2
7xlO"2
41
8.42
1.69
1.47xlO"1(I)
Molecular
Weight
53.1
312.3
369.4
76.5
149.8
252.3
78
184.2
9
112.4
153.8
409.8
98.9
236.7
167.9
133.4
133.4
119.4
104
354.5
253.1
97
Potency
Index
lxlO+1
9xlO+5
4x1 0+3
9xlO-1
2xlO+3
3xlO+3
4x10°
4xlO+4
4xlO+1
7xlO+2
2xlO+1
7xlO+2
7x10°
3x10°
3xlO+1
2X10"1
8x10°
8x10°
4xlO+3
3xlO+3
4xlO+2
lxlO+1
Order of
Magnitude
Index
+1
+6
+4
0
+3
+3
+1
+5
+2
+3
+1
+3
+1
0
+ 1
-1
+1
+1
+4
+3
+3
+1
10-135
-------
TABLE 10-45. (continued)
Compounds
Dieldrin
Dinitrotoluene
Diphenylhydrazine
Epichlorohydrin
Bis (2-chloroethyl)ether
Bis (chloromethyl ) ether
Ethylene Dibromide (EDB)
Ethylene Oxide
Formaldehyde
Heptachlor
Hexachlorobenzene
Hexachlorobutadiene
Hexachlorocyclohexane
technical grade
alpha isomer
beta isomer
gamma isomer
Nickel
Nitrosamines
Dimethylnitrosamine
Diethylnitrosamine
Dibutylnitrosamine
N-nitrosopyrrolidine
N-nitroso-N-ethylurea
Slope
(mg/kg/day)
30.4
0.31
0.77
9.9x!0"3
1.14
9300(1)
8.51
0.63(1)
2.l4xlo"2(I)
3.37
1.67
7.75xlO~2
4.75
11.12
1.84
1.33
1.15CW)
25. 9 (not by q
43. 5 (not by q
5.43
2.13
32.9
10-136
Molecular
Weight
380.9
182
180
92.5
143
115
187.9
44.0
30
373.3
284.4
261
290.9
290.9
290.9
290.9
58.7
l) 74.1
}) 102.1
158.2
100.2
117.1
Potency
Index
lxlO+4
6xlO+1
lxlO+2
9X10"1
2xlO+2
lxlO+6
2xlO+3
3xlO+1
6X10"1
lxlO+3
5xlO+2
2xlO+1
lxlO+3
3xlO+3
5xlO+2
4xlO+2
7xlO+1
2xlO+3
4xlO+3
9xlO+2
2xlO+2
4xlO+3
Order of
Magnitude
(Iog10)
Index
+4
+2
+2
0
+2
+6
+3
+1
0
+3
+3
+1
+3
+3
+3
+3
+2
+3
+4
+3
+2
+4
-------
TABLE 10-45. (continued)
Compounds
N-nitroso-N-methylurea
N-nitroso-diphenylamine
PCBs
Phenols
2,4, 6-trichlorophenol
Tetrachlorodioxin
Tetrachloroethylene
Toxaphene
Trichloroethylene
Vinyl Chloride
Remarks:
1. Animal slopes are
Slope
(mg/kg/day)
302.6
4.92xlO~3
4.34
1.99x!0"2
4.25xl05
5.3lxlO~2
1.13
1.26x!0"2
1.75xlo"2(I)
95% upper-limit
Molecular
Weight
103.1
198
324
197.4
322
165.8
414
131.4
62.5
slopes based
Potency
Index
3xlO+4
1x10°
lxlO+3
4x10°
lxlO+8
9x10°
+2
5x10
2x10°
1x10°
Order of
Magnitude
lino
V -*- vo 1 f\ i
1 U )
Index
+4
0
+3
+1
+8
+1
+3
0
0
on the linearized
2.
3.
multistage model. They are calculated based on animal oral studies,
except for those indicated by I (animal inhalation), W (human
occupational exposure), and H (human drinking water exposure).
Human slopes are point estimates, based on the linear nonthreshold
model.
_ -i
The potency index is a rounded-off slope in (mMol/kg/day) and is
calculated by multiplying the slopes in (mg/kg/day) by the molecu-
lar weight of the compound.
Not all the carcinogenic potencies presented in this table represent
the same degree of certainty. All are subject to change as new
evidence becomes available.
10-137
-------
Where human data were available for a compound, they were used to calculate
the index. Where no human data were available, animal oral studies and animal
inhalation studies were used, in that order. Animal oral studies were
selected over animal inhalation studies because most of the chemicals have
been tested with animal oral studies, thus allowing potency comparisons by
route.
The potency index for VDC based on kidney adenocarcinomas in the Maltoni
(1980) inhalation biossay is 1.4 x 10 (mMol/kg/day) . This is derived as
-5 3 -1
follows: the slope estimate from the Maltoni study, 4.2 x 10 (pg/ffl ) > is
-1 3
first converted to units of (mg/kg/day) , assuming a breathing rate of 20 m
of air per day and a 70-kg person.
/ -, -i«~5 /• / ->3-l 1 day 1 ug
4.2 x 10 (|Jg/m) x •£ x ^- x 70 kg
20 m 10 mg
= 1.47 x 10"1 (mg/kg/day)"1.
Multiplying by the molecular weight of 97 gives a potency index of 1.4 x 10
Rounding off to the nearest order of magnitude gives a value of 10 , which is
the scale presented on the horizontal axis of Figure 10-1. The index of 1.4 x
10 lies at the bottom of the third quartile of the 53 suspect carcinogens.
Ranking of the relative potency indices is subject to the uncertainty of
comparing estimates of potency of differnt chemicals based on different routes
of exposure to different species using studies of different quality.
Furthermore, all the indices are based on estimates of low-dose risk using
linear extrapolation from the observational range. Thus, these indices are
not valide to compare potencies in the experimental or observational range if
linearity does not exist there.
10-138
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SUMMARY AND CONCLUSIONS
QUALITATIVE SUMMARY
The carcinogenicity of VDC was evaluated by inhalation exposure of both
sexes of Swiss mice and Sprague-Dawley rats to VDC concentrations as high as
those maximally tolerated (25 ppm for mice and 150 ppm for rats) for 12 months
followed by lifetime observation as well as in Chinese hamsters exposed to 25
ppm VDC (less than a maximally tolerated dose) for 12 months followed by
lifetime observation (Maltoni et al., 1980). A statistically significant
increase in kidney adenocarcinomas was found in male Swiss mice, and, although
a statistically significant increase in mammary carcinomas in treated female
Swiss mice was evident, the investigators concluded that a direct relationship
between this reponse in female mice and VDC treatment remains open, largely
due to stated results of their statistical analysis indicating a weaker
response when the data are adjusted for survival and lack of a dose-related
response over the course of the study. A carcinogenic effect of VDC in
Sprague-Dawley rats and Chinese hamsters was not apparent. The 12-month
exposure period used in this study was below lifetime exposures.
Additional inhalation exposure studies of VDC in animals have been done
(Table 10-21). Exposure of male and female Sprague-Dawley rats to 25 ppm and
75 ppm VDC for 18 months followed by 6 months of observation did not show a
carcinogenic effect (McKenna et al., 1982); however, the exposure levels used
did not appear to be overtly toxic, and use of additional higher exposure
levels might have provided a broader evaluation for carcinogenicity.
10-139
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No statistically significant increase in tumor formation in treated
animals was shown in any of the following separate studies of exposure to VDC:
(1) Male and female Wistar rats exposed to 200 ppm for 5 months and 100
ppm for 7 months followed by observation for an additional 12 months (Viola
and Caputo, 1977);
(2) MaLe and female Sprague-Dawley rats exposed to 75 ppm and 100 ppm
for an unspecified duration (Viola and Caputo, 1977);
(3) CD-I mice and CD rats exposed to 55 ppm and observed for a period of
12 months (Lee et al., 1978);
(4) CD-I mice exposed for 55 ppm for as long as 6 months and observed
for 12 additional months (Hong et al., 1981); and
(5) CD rats exposed to 55 ppm for as long as 10 months and observed for
an additional 12 months (Hong et al., 1981).
The known exposure periods of 12 months or less used in these studies were
shorter than potential lifetime exposure periods, and use of more than one
exposure level in the studies with CD-I mice and CD rats could have provided a
stronger evaluation of dose-response.
Several carcinogenicity studies in which VDC was administered orally to
experimental animals have been reported as negative. These studies include:
(1) Gavage administration of VDC in olive oil at doses as high as 20
mg/kg to male and female Sprague-Dawley rats for 12 months, followed by
lifetime observation (Maltoni et al., 1980);
10-140
-------
(2) Administration of VDC in drinking water at levels of maximum water
solubility (200 ppm) to male and female Sprague-Dawley rats for 2 years (Quast
et al., 1983; Humiston, et al., 1978).
(3) Gavage administration of VDC in corn oil to male and female Fischer
344 rats at 1 and 5 mg/kg and male and female B6CF1 mice at 2 and 10 mg/kg for
2 years (NCI/NTP, 1981);
(4) Gavage administration of 150 mg/kg of VDC in corn oil to pregnant
BDIV rats on day 17 of gestation, followed by weekly gavage doses of 50 mg/kg
of VDC to the pups for their lifetimes following birth (Ponomarkov and
Tomatis, 1980).
The 12-month exposure in Sprague-Dawley rats given VDC by gavage was
below the potential lifetime exposure, and a maximally tolerated dose does not
appear to have been selected. No clear effect on survival and body weight in
Fischer 344 and B6C3F1 mice given VDC in corn oil suggests that higher doses
could have been tested to challenge the animals more strongly for
carcinogenicity. A broader evaluation of VDC carcinogenicity in BDIV rats
might have been possible with the addition of more than the one dose level
used in the study, and with more than one treatment each week.
VDC was not carcinogenic in female ICR/Ha mice when applied to the skin
at 121 mg/mouse three times per week, or when injected subcutaneously at 2
mg/mouse once weekly at maximum tolerated doses in lifetime studies (Van
Duuren et al., 1980). When a single application of 121 mg/mouse of VDC was
followed by repeated application of the tumor-promoting agent phorbol
myristate acetate, skin papillomas resulted in ICR/Ha mice.
10-141
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One epidemiologic study on a population of 138 workers (Ott et al., 1976)
showed no carcinogenic effects attributable to VDC. At the time the study was
published in 1976, the dates of first exposures for 55 workers were between
1960 and 1969, thus indicating that nearly 40% of the workers had no more than
16 years latency since first exposure and that continued follow-up could
strengthen the evaluation for carcinogenicity.
Quantitative Summary
Only the Swiss mice inhalation study of Maltoni et al. (1980) provides
sufficient evidence for a quantitative cancer risk estimate for VDC. Based on
kidney adenocarcinomas in male mice, the 95% upper-limit unit risk estimate for
3
additional cancer from a lifetime of continuous exposure to l|Jg (VDC)/m (air)
is 4.2 x 10 . The relative potency of VDC, expressed in molar units, is 1.4
x 10 (mMol/kg/day) . Among 53 chemicals which the CAG has evaluated as
suspect carcinogens, VDC ranks at the bottom of the third quartile.
Conclusions
Evidence for the carcinogenicity of VDC in one strain of mice was found
in an inhalation study (Maltoni et al., 1980). Kidney adenocarcinomas were
diagnosed in treated male Swiss mice, and, although a statistically
significant excess of mammary carcinomas was evident in female Swiss mice, the
study investigators concluded that a direct correlation between this response
in female mice and VDC treatment could not be made. As discussed herein, VDC
has demonstrated mutagenicity in bacterial assay systems with metabolic activation
and can be metabolized to intermediates capable of reacting with cellular
10-142
-------
macromolecules. A 6-hour exposure of male CD-I mice and male Sprague-Dawley
rats to 10 or 50 ppm VDC was reported to produce minimal DNA alkylation and
DNA repair synthesis in liver and kidney, and increased DNA replication only
in mouse kidney.
Applying the International Agency for Cancer Research (IARC) approach for
classifying carcinogenic agents, this level of evidence can be considered to
be limited and not sufficient to make a firm conclusion regarding the
carcinogenicity of VDC in experimental animals. Applying IARC criteria for
evidence of human carcinogenicity, currently available data could also be
considered inadequate for making a judgment on the carcinogenicity of VDC in
humans. Based on the overall evidence, VDC would be, according to the IARC
method, a Group 3 chemical, by definition according to the IARC method, cannot
be classified as to its carcinogenicity to humans.
The kidney adenocarcinomas in male Swiss mice, however, provide data for
estimating an upper limit of potential human risk. This 95% upper-limit risk
-5 3
is 4.2 x 10 for a lifetime continuous exposure to l^g (VDC)/m air. Among
53 chemicals which the GAG has evaluated as suspect carcinogens, VDC would
rank at the bottom of the third quartile.
10-143
-------
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