United States
Environmental Protection
Agency
 Environmental Criteria and
 Assessment Office
 Cincinnati OH 45268
Research and Development
EPA/600/S8-82/001FApr. 1987
Project  Summary
Health  Assessment  Document
for  Carbon  Tetrachloride
Cynthia Sonich-Mullin
  The Office of Health and Environmen-
tal Assessment (OHEA), in consultation
with an Agency work group, has pre-
pared this hearth assessment to serve
as a "source document" for EPA use.
Originally the hearth assessment was
developed for use by the Office of Air
Quality Planning and Standards; how-
ever, at the request of the Agency Work
Group  on Solvents, the assessment
scope was expanded to address multi-
media aspects.
  In the development of this assess-
ment document, the scientific literature
has been inventoried, key studies have
been evaluated, and summaries and
conclusions have been prepared so that
the chemical's toxicity and related char-
acteristics are qualitatively identified.
Observed effect levels and dose-
response relationships are discussed
evaluating the potential toxicity of CCI4.
Unit risk estimates for cancer are calcu-
lated to provide a media-specific meas-
ure of toxicity. This information can
then be placed in perspective with ob-
served environmental levels.
  This Project Summary was devel-
oped by EPA's Environmental Criteria
and Assessment Office, Cincinnati, OH,
to announce key findings of the re-
search protect that is fully documented
in a separate report of the same title
(see Project Report ordering informa-
tion at back).

Summary
  Carbon tetrachloride (CCI4) is a rela-
tively nonpolar compound  that is
slightly soluble in water, soluble in alco-
hol  and acetone, and miscible in ben-
zene, chloroform and ether. Its density
is 1.59 g/me at 4°C which is greater than
the density of water. Thus, under favor-
able conditions, large amounts spilled
 into water may settle and not volatilize.
 However, the high vapor pressure of
 CCU 015.2  mm  Hg at  25°C) favors
 volatilization  from water to air.
  Carbon tetrachloride  is produced
 commercially from the chlorination of
 several chemicals such  as methane,
 propane, ethane propylene and carbon
 disulfide. In  1980, 3.22 x 108 kg were
 produced in the United States. A much
 smaller amount of CCI4  is generated
 during the production of vinyl chloride
 and perchloroethylene. The major use
 of CCI4 is in the production of chloroflu-
 orocarbons. A reduction in the demand
 for  CCI4 has resulted in a 3.5% decrease
 in production over the years 1970-1980.
 A continued 1.0% decline  in production
 is projected each year through 1985.
  Carbon tetrachloride can be detected
 in the environment using  media-
 specific analytical  methods. Levels de-
 tected in the environment are generally
 <0.01 mg/ein  water, <0.01 mg/m3 in air,
 and <0.01 mg/kg in food although
 higher levels have been detected  in
 urban air and  grain fumigated with CCI4.
 Food  products made from this grain
 also contain  residues of  CCI4. Natural
 sources of CCI4 are unknown so that
 most, if not all CCI4 present in the envi-
 ronment can  be accounted for by an-
 thropogenic activities.
  Carbon tetrachloride is extremely sta-
 ble  in the lower atmosphere and tropo-
 sphere; however,  once in the strato-
 sphere, photodissociation is rapid. Its
 presence in the stratosphere is of con-
cern due to its possible contribution to
ozone depletion and subsequent mod!
fication of UV-B radiation  flux. The ex-
tent of this contribution cannot pres-
ently  be estimated for  CCI4 due to
numerous significant uncertainties in
modeling and data. Increased UV-B ra-

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diation studies  in the laboratory have
shown adverse effects to a variety of
terrestrial plant species; for example, in
terms of depressed photosynthetic ac-
tivity, reduced growth rate, increased
somatic mutation rates, and inhibition
of seed germination. In laboratory stud-
ies, some aquatic organisms have also
been shown to be adversely affected.
Direct extension of these laboratory
findings to the natural environment
should not be made because of adapt-
ability potential to small changes in LIV-
ES flux. Indirect ecosystem effects asso-
ciated with increases in UV-B radiation
flux have been identified to include
changes  in genetic material and possi-
ble alterations in population composi-
tion. However, it is not known if these
laboratory findings apply to the natural
environment due to  observed adapta-
tions. The implication of increased UV-B
flux to human populations is that >90%
of skin cancer (other than melanoma) in
the United States is attributed to sun-
light in the UV-B region.
  When present in water in dilute con-
centrations, CCI4 is rapidly lost to the
atmosphere by volatilization. However,
large quantities  of CC!4 spilled  into
water may settle and persist, due to its
high specific gravity, low water solubil-
ity and high chemical stability. In such
cases its presence in ambient water or
drinking water may present a threat to
aquatic ecosystems or human health.
  Humans  are  potentially exposed to
CCI4 through various media.  For an
adult male, the typical exposure  is esti-
mated at 13 jig/day from inhalation,
9 M-g/day from fluid intake and 4 ^g/day
from food intake. Uptake from air ap-
pears to  be the major source of expo-
sure followed by liquids and food. For
this reason, the fate and transport of
CCI4 has  been most extensively studied
in air. Information on CCI4 soil contami-
nation is limited; consequently, its con-
tribution to human exposure is uncer-
tain.
  Ecological impacts have been moni-
tored to  a limited extent in freshwater
and saltwater  organisms. Only two
freshwater fish  and one invertebrate
species have been acutely tested; a 96-
hour LCgo has been determined  as low
as  27.3 mg/e in the  bluegill, Lepomis
macrochirus. Chronic toxicity data are
not available. However, reported bio-
concentration factors  are <30  so that
tissue residues are insignificant. The
only data on saltwater species  deals
with toxicity following acute exposures.
Effects have been identified at levels of
50.0 mg/e. It is noted that the toxic dose
for both freshwater and saltwater spe-
cies can be lower if more sensitive spe-
cies were tested.
  In mammals, CCI4 is readily absorbed
from  the lungs and gastrointestinal
tract.  Absorption also occurs through
the skin but at a much slower rate. Fol-
lowing absorption, CCI4  is distributed to
all  major organs.  Metabolism of the
compound occurs primarily in the liver
where it is reduced to a  trichloromethyl
radical and thought to be further metab-
olized and/or released as a free radical.
Excretion of CCI4 is primarily through
the lungs but also  occurs  in  the urine
and feces.  Quantitative estimates are
available only for inhalation absorption
efficiency; these range from 30-65%.
  Varying degrees of toxicity have been
reported in humans and  animals follow-
ing acute, subchronic and chronic expo-
sures via ingestion, inhalation or der-
mal administration. Such effects  can
occur systemically as well as locally. For
example, cirrhosis  of the liver has  re-
sulted from inhalation and dermal ex-
posures, whereas lung lesions have re-
sulted from oral ingestion. Animals
surviving acute doses have developed a
range of effects such as damage to the
liver, kidney, lung and central nervous
system as well as dermal  effects; bio-
chemical alterations were also noted.
Animals receiving subchronic and
chronic doses  have developed kidney
and liver damage and,  less frequently,
damage to the central nervous system.
It has been observed that exposure to a
higher concentration over a shorter pe-
riod of time produces a greater effect
upon the liver than  exposure to a lower
concentration over a longer  period of
time, even though the product of time
and concentration is  equal in both
cases.
  In an attempt to  verify the purity of
CCI4 used in the testing protocols of the
studies summarized in this document, it
was observed  that  CCI4 of impure or
technical grade was not reported; only
the use of pure CCI4 was reported.
  Adverse effects recorded for humans
following CCI4 exposure are similar to
those observed in animals. Damage to
the liver, kidney, lungs and central ner-
vous system has been  documented in
various case reports. Biochemical alter-
ations have been identified in case re-
ports and one epidemiological study.
  Exposure to  CCI4 did not  produce
skeletal or functional abnormalities but
did result in signs  of fetotoxicity. Rats
exposed in utero to CCI4 were noted to
have fatty infiltration of the liver from
days 1-4 after birth. Carbon tetrachlo-
ride has been shown to be transferred
to the neonate through mothers' milk.
Other adverse reproductive effects in-
clude changes  in testicular histology
eventually resulting in functional infer-
tility.

  Tests of the mutagenicity of CCI4 have
been consistently negative  in the
Salmonella assay. A positive mutagenic
response was seen in an  assay using
Saccharomyces cerevisiae; however,
there have been problems associated
with this study.

  Carbon tetrachloride has been found
to produce (1) carcinogenic or neo-
plastic responses  in the  liver of  six
strains of mice  (C3H, B6C3F1,  A, Y, C
and L);  (2) carcinomas in  the  liver of
three strains of rat (Osborne-Mendel,
Japanese, Wistar) and hyperplastic
nodules in a fourth rat strain (Buffalo) in
less than lifetime studies; (3) a small but
statistically significant (as compared to
pooled  controls) hepatocellular car-
cinoma  response in female Osborne-
Mendel  rats in lifetime experiments;
and (4)  hepatocellular carcinomas in
Syrian golden hamsters.

  Case reports  of  human  carcinomas
developing years after a history of high
CCI4  exposures are suggestive of but
not evidence for an association be-
tween human carcinogenic risk and  ex-
posure to CCI4.  Studies on groups  ex-
posed to CCI4 indicate that  further
research is necessary.

  If the criteria of the International
Agency  for Research on Cancer (IARC)
were used, this evidence would be clas-
sified as sufficient in animals and inade-
quate in humans for an overall rating of
28. Estimates of excess human cancer
risk from lifetime exposure  to CCI4 have
been extrapolated from the  cancer stud-
ies on animals. The recommended
upper limit estimates of unit risk are
from 3.1 x 10~7 to 3.4 x 10~5 for expo-
sure  to  1  (xg/f in water and from
1.2 x 10~6 to 1.4 x 10"4for exposure to
        in air.
  In assessing toxicity, carcinogenic!^
or any other harmful effect, compound!
that react synergistically or antagonist!
cally  with  CCI4 must be considered
Identified synergistic substances in
elude ethanol,  kepone, PCB and PBE
Antagonistic effects have been demon
strated with such compounds as chic
ramphenicol and catechol.

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Conclusions
  Carbon tetrachloride may contribute
to the long term, partial destruction of
stratospheric ozone. Several uncertain-
ties in the modeling and data preclude
quantitative estimation of ozone deple-
tion due to CCI4.
  Carbon tetrachloride causes damage
to the liver, lungs, kidneys and central
nervous system in humans. These ef-
fects are primarily the result of high oral
or inhalation exposures. Less severe ef-
fects such  as biochemical alterations,
nausea  and headache result from lower
exposures  or  are secondary to  the
major health  hazards attributed to
higher  exposures. Similar responses
have been demonstrated in  animals.
These animal studies provide  useful
dose/response  data, are well-defined
and can identify a causal relationship
between the CCI4 insult and the toxic
response.  Furthermore, the toxicity
from CCI4 is not only local but also sys-
temic.
  Absorption of CCI4  varies  with spe-
cies. Based upon both human and ani-
mal data, absorption coefficients of 40%
when route of exposure is via inhalation
and 100% when route of exposure is via
ingestion are recommended.
  The potential  exists  for embryotoxic-
ity, especially in males. Toxic effects
due to CCI4 have been demonstrated in
mammalian fetuses and  neonates  ex-
posed directly or indirectly via the pla-
centa or mothers' milk,  respectively.
Teratogenic effects have not been noted
following CCI4 exposure;  however,  de-
generative  changes in the testes and
subsequent infertility  of the offspring
have occurred.
  Definitive conclusions concerning
mutagenicity tests  cannot be reached.
Carbon  tetrachloride did exhibit a posi-
tive mutagenic response in an assay
using Saccharomyces  cerevisiae; how-
ever, due to problems associated with
the study and the lack of corroborative
studies,  the evidence is not adequate to
conclude whether or not CCI4 is geno-
toxic.
  Interactions  with other chemicals
must be considered in assessing the po-
tential health hazards of exposure to
CCI4. Chemicals have been  identified
that potentiate the effects of CCI4 as well
as those that inhibit the effects of CCI4.
  Carcinogenicity of CCI4 has been  ob-
served in three animal species. The pri-
mary  lesions are hepatic neoplasms.
Cirrhosis, necrosis and cholangiofibro-
sis have also been found and have been
suggested as initial lesions prior to tu-
morigenesis in liver. Human data on
carcinogenicity are restricted to case re-
ports and one preliminary epidemiolog-
ies I study. The animal data provide evi-
dence to indicate that CCI4 is a potential
human carcinogen. The combined evi-
dence of  animal  and human studies
would fall into IARC classification of 2B
if the IARC criteria were used. The IARC
description of this level of evidence is
that this compound is probably carcino-
genic for humans.
  Mechanism of action is an  important
issue in the assessment of the potential
carcinogenicity of CCI4 to humans  at
low doses.

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     This Project Summary was prepared by staff of EPA's Environmental Criteria
      and Assessment Office. Cincinnati. OH 45268.
     Cynthia Sonich-Multin is the EPA Project Officer (see below).
     The complete report,  entitled "Health  Assessment Document for  Carbon
      Tetrachloride—Final Report." (Order No. PB85-124 196; Cost: $30.95, subject
      to change) will be available only from:
            National Technical Information Service
            5285 Port Royal Road
            Springfield, VA 22161
            Telephone: 703-487-4650
     The EPA Project Officer can be contacted at:
            Environmental Criteria and Assessment Office
            U.S. Environmental Protection Agency
            Cincinnati, OH 45268
United States
Environmental Protection
Agent*.
Center for Environmental Research
Information
Cincinnati OH 45268
                                                                            . ,,—    \.,OH\0,
Official Business
Penalty for Private Use $300

EPA/600/S8-82/001F
              10032*

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