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                                 NOTICE
The report has been reviewed by the Office of Toxic Substances,
EPA, and approved for publication.  Approval does not signify
that the contents necessarily reflect the views and policies
of the Environmental Protection Agency, nor does mention of
trade names or commercial products constitute endorsement or
recommendation for use.
                                   ii

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                           TABLE OF CONTENTS
INTRODUCTION	      1

  I.   STRUCTURE and PROPERTIES	........      2

      A.   Chemical Structure	      2
      B.   Physical Properties  	      4
      C.   Principal Contaminants in Commercial Proper tie's  .  .      8

 II.'  PRODUCTION	  .      9

      A.   Quantity Produced	      9
      B.   Producers, Major Distributors, and Importers ....      9
      C.   Production Sites . . .	  .      9
      D.   Production Methods and Processes . .  .	     15
      E.   Market Price	     18

III:   USES	     19

      A.   Major Uses	     19

          1.  Aerosol Propellants	     19
          2.  Refrigerants 	  ......     22
          3.  Blowing Agents ..... 	  .     25
          4.  Solvents	     27
          5.  Intermediates  .		 .  .     27
          6.  Fire Extinguishing Agents	     27

      B.   Minor Uses	     28
      C.   Discontinued Uses	  .     28
      D.   Projected or Proposed Uses . .	     28
      E.   Possible Alternatives to Uses  .	  29

          1.  Refrigerants		     30
          2.  Aerosols	     31

 IV.   CURRENT PRACTICES	     33

      A.   Special Handling in .Use	     33
      B.   Methods of Transport and Storage	 .   . .  .     34
      C.   Disposal Methods ......... 	     34
      D.   Accident Procedure	     35
                                    iii

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                           Table of Contents
                             (continued)

                                                                   Page

   V.  ENVIRONMENTAL CONTAMINATION	    37

       A.  Contamination from Production	•  •  •    37
       B.  Contamination from Transport and Storage	    37
       C.  Contamination from Use   .... *	•  . •  •  •    38

           1.  Propellants  .	•    38
           2.  Refrigerants   ............... -  .  .    39
           3.  Solvents   	....'.'	    40
           4.  Blowing Agents	i- ......   40
           5.  Plastics   	 .....    41

       D.  Contamination from Disposal	    41
       E.  Fluorocarbon Contamination Levels in the Atmosphere  .    41

  VI.  CONTROL TECHNOLOGY	    50

       A.  Currently Used   	   '50
       B.  Under Development	    50

 VII.  MONITORING AND ANALYSIS		    51

       A.  Analytical Methods and Sensitivity 	  .    51
       B.  Current Monitoring	    53

VIII.  CHEMISTRY	•  •  •    58

       A.  Reactions Involved in Use	    58
       B.  Hydrolysis	    60
       C.  Oxidation	  .    62
       D.  Thermal Stability	    62
       E.  Photochemistry	    65
       F.  Other Chemical Reactions	  .  .    66

  IX.  BIOLOGY	    67

       A.  Absorption/Elimination	    67

           1.  Fluorocarbons in Expired Air   ..........    68
           2.  Fluorocarbon Blood Levels after
                 Nebulizer Administration	    73
           3.  Fluorocarbon Blood Levels after Inhalation
                 of Fluorocarbon-containing Ambient Air .....    82
           4.  Other Routes of Entry	    93
                                     iv

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                          Table of Contents
                            (continued)
      B.   Transport and Distribution 	    97
      C.   Metabolic Effects	   107
      D.   Metabolism	   Ill

  X.  ENVIRONMENTAL TRANSPORT AND FATE   ............   117

      A.   Persistence	117
      B.   Biological Degradation   	   117
      C.   Chemical Stability in the Environment	   118
      D.   Environmental Transport  	 	   118
      E.   Bioaccumulation	118

 XI.  HUMAN TOXIC1TY	119

      A.   Accidental Exposures and Misuse	119
      B.   Occupational Exposure and Normal Use 	   120
      C.   Controlled Human Studies 	   122
      D.   Epidemiology	125
                                                                  <
XII.  TOXICITY TO BIRDS AND MAMMALS	   127

      A.   Acute Toxicity   	127

          1.  Acute Inhalation Toxicity  	   127
          2.  Acute Oral Toxicity  	 .......   139
          e.  Acute Dermal Toxicity  	   141

      B.   Subacute Toxicity  . .	   142

          1.  Subacute Inhalation Toxicity 	 ...   L42
          2.  Subacute Oral Toxicity	148
          3.  Subacute Dermal Toxicity 	   148

      C.   Chronic Toxicity	150

          1.  Chronic Inhalation Toxicity	150
          2.  Chronic Oral Toxicity	154
          3.  Chronic Dermal Toxicity  	   156

      D.   Cardiovascular Effects of Fluorocarbons  	   157

          1.  Cardiac Sensitization to Exogenous Epinephrine
                Induced Arrhythmias  	  ....   157
          2.  Cardiac Sensitization to Endogenous
                Epinephrine Induced Arrhythmias  	   171

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                            Table of  Contents
                              (continued)
            3.   Cardiac Sensitization to Asphyxia
                  Induced Arrhythmia   	     176
            4.   Arrhythmias Not Associated with
                  Asphyxia or Epinephrine	 .  .  .     194
            5.   Cardiac Responses Related to Arrhythmias ....     202

        E.   Sensitization - Repeated Doses   .  .  .	     211
        F.   Teratogenicity	•  .  .  .     211
        G.   Mutagenicity . .	     212
        H.   Carcinogenicity  ....'..		     213
        I.   Behavioral Effects	     216
        J.   Possible Synergisms  	p .......     217

 XIII.   TOXICITY TO LOWER ANIMALS  .	     219
                                                       »
  XIV.   TOXICITY TO PLANTS	     219

   XV.   TOXICITY TO MICROORGANISMS	     219

  XVI.   CURRENT REGULATION ...................     223

 XVII.   CONSENSUS AND SIMILAR STANDARDS  ..'...	     224

XVIII.   FLUOROCARBONS: SUMMARY AND CONCLUSIONS ... 	     226

        References	     230
                                      vi

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                                     TABLES
Number
Title
I.        Major Commercial Fluorocarbons	     1
II.       Physical Properties of Fluorocarbon Compounds ........     3
III.      Typical Blends of Fluorocarbons with Non-Fluorocarbons  ...     4
IV.       Fluorocarbon Solubility Relationships ....... 	     6
V.        Swelling of Elastomers by Fluorocarbons and other Compounds .     7
VI.       Typical Analysis of Fluorocarbon-12 	     8
VII.      Production of Fluorocarbons in the U.S	    10
VIII.     Fluorocarbon Producers and Plant Capacities 	  ....    12
IX.       Foreign Fluorocarbon Producers  	  ....    13
X.        Fluorocarbon Production Sites 	    14
XI.       Market Value of Fluorocarbons	    18
XII.      Uses of Fluorocarbons	    20
XIII.     U.S. Aerosol End-Use Pattern  	    23
XIV.      World Aerosol Pattern	    24
XV.       Use of Fluorocarbon Refrigerants	    26
XVI.      Properties of the Hydrocarbon and Nonliqueiied
            Gas Propellants	    32
XVII.     Potential Hazards of Fluorocarbons  .... 	    33
XVIII.    Fluorocarbons Released to the Environment in 1972
            from U.S. Applications	    42
XIX.      Estimate of Average Concentration of Fluorocarbon 12
            in the Atmosphere	  .  .  i .    47
XX.       Electron-Capture Detector Response to Various
            Fluorinated Compounds 	 ..... 	    54
XXI.      Fluorocarbon Concentrations'in the Atmosphere 	    57
XXII.     Bond Energies of Chlorofluorocarbons	 .    58
XXIII.    Hydrolysis Rate in Water  	 .....    61
XXIV.     Thermal Stability of Fluorocarbon Compounds 	  ...    63
XXV.      Decomposition Values of Fluorocarbons at 400°F   	    64
XXVI.     Partition Coefficients of Various Fluorocarbons	    69
XXVII.    Elimination of Fluorocarbons as Measured in Expired Air ...    71
XXVIII.   Concentration of F-113 in Alveolar Air (ppm) After
            Exposure to 0.05% and 0.1% F-113	    72
XXIX.     Some Biochodilator Drugs and the Amount of Fluorocarbons
            Used as Propellants	    73
XXX.      Peak Arterial and Venous Blood Levels of Fluorocarbons
            in Dogs	    74
XXXI.     Absorption/Elimination Data in Various Mammalian Species
            after Inhalation of F-ll and F-12 from Nebulizers   ....    76
XXXII.    Concentration of F-ll and F-12 in Venous Blood of Three
            humand exposed to ten doses of 25.5 mg F-11/dose	    79
XXXIII.   Venous Blood Levels of F-ll and F-12 in Mice after three
            Inhalations from One dose of & Ventolin inhalater   ....    80
XXXIV.    Arterial Blood Levels of F-12 and F-114 in Monkeys	    85
XXXV.     H-1301 in Rat Blood Following a Single 50-Minute
            Exposure to a Vapor Concentration of 5%  (V/V)  .  . 	    86
                                       vii

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                                     Tables
                                   (continued)
XXXVI.    Blood Levels of H-2404 in Rats After a 30-Minute
            Exposure to 3.7% H-2402	..	     87
XXXVII.   Absorption/Elimination Data on Various Fluorocarbons
            after Inhalation	 . .     88
XXXVIII.  Arterial and Venous Blood Concentrations of F-ll in Dogs
            Exposed to 0.2% and 0.5% F-ll	     90
XXXIX.    Elimination of Fluorocarbons in Dogs Breath	     93
XL.       Concentration of F-ll in the Blood, Heart, Fat, Adrenals
            and Thymus of Rats at various times after Exposure
            to F-ll for 5 minutes	.......     98
XLI.   •   Concentration of F-12 in the Heart, Fat, and Adrenals of
            Rats at Various Times after Exposure to F-12 for 5 minutes     99
XLII.     Mean Tissue Concentrations of F-113 in Rats Exposed
            to 0.2% F-113 for 7 & 14 days   	'.•••,	    100
XLIII.  .  Tissue Concentrations of H-2404 in Rats after 30 minutes
            Exposure to 3.7% H-2404	    101
XLIV.     Tissue Distribution of Residual F-12 in Control Rats and in
            Rats Red 0.2% and 2.0% F-12 over a two-year period  ....    103
XLV.      Tissue Distribution of Residual F-12 in Control Dogs and
            Dogs Fed 0.03% and 0.3% F-12 over a two-year period ....    104
XLVI.     Recovery and Inhalation of F-ll and F-12 in Beagles   ....    112
XLVII.    Tissue Concentrations of Non-volatile Radioactivity in
            Beagles 24 hours after Inhalation of F-ll and F-12  ....    112
XLVIII.   Delayed Death After DCHFB Administration of Rabbits .....    115
IL.       Acute Inhalation Toxicity of Perhalomethanes in Laboratory
            Mammals	    129
L.        Acute Inhalation Toxicity of Halo-unsaturated Methanes
            in Laboratory Animals	    130
LI.       Acute Inhalation Toxicity of Perhaloethanes in
            Laboratory Mammals  ....... 	    131
LII.      Acute Inhalation Toxicity of Halo-unsaturated Ethanes
            in Laboratory Mammals	    132
LIII.     Acute Inhalation Toxicity of Bromofluoromethanes in
            Laboratory Mammals  	 ..........    133
LIV.      Acute Inhalation Toxicity of Bromofluoroethanes in
            Laboratory Mammals	    134
LV.       Acute Oral Toxicity of Various Fluoroalkanes in Rats  ....    139
LVI.      Acute Oral Toxicity of F-113 in Rats	    140
LVII.     Subacute Inhalation Toxicity of Various Fluorocarbons ....    143
LVIII.    Chronic Inhalation Toxicity of Various Fluorocarbons  ....    151
LIX.      Percent Reduction of the Surface of Burns in Control Rats
            and Burns Sprayed with Various Fluorocarbons  . . ... . .    156
LX.       Outline of a Procedure for Determining the Ability of
            Various Vapors to Sensitize the Heart to ...  .	    158
LXI.      Epinephrine Dosage Used in Determining the Effect of
            Fluorocarbons in cardiac Sensitization to
            Exogenous Epinephrine	    159
                                         viii

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                                     Tables
                                  (continued)
LXII.     Cardiac Responses to Mammals Exposed to Fluorocarbons
            and Challenge Injections of Epinephrine   	    161
LXIII.    Cardiac Responses of Dogs Exposed to F-12 for Varying
            Periods with Challenge Injections of Epinephrine  	    164
LXIV.     Percent of one and two Carbon Fluorocarbons Causing
            Arrhythmias in Dogs on Epinephrine Challenge....  	    165
LXV.      Blood Levels, Air Concentrations, and Exposure Periods
            of Various Fluorocarbons causing Cardiac Sensitization. .  .    166
LXVI.     Cardiac Responses of Dogs Exposed to Continuous Loud Noise
            & 80% Fluorocarbon/20% Oxygen for Thirty Seconds  	    172
LXVII.    Cardiac Responses of Dogs Exposed to Various Fluorocarbons
            While Running   .  .	    174
LXVHI.   Comparison of Results of Screening Experiments of
            Reinhardt e± a±. ,  1971 & Treadmill Experiments of
            Mullin et al., 1972   	    175
LXIX.     Responses of Mice to Asphyxia, Propellants, and
            Propellants plus Asphyxia 	    178
LXX.      Responses of Mice to Asphyxia	    181
LXXI.     Responses of Mice Exposed to "total" and "partial"
            Asphyxia	    183
LXXII.    Responses of Mice to Asphyxia	    185
LXXIII.   Percent change in the Heart Rates of Mice at 25 Seconds
            After Exposure to Various Fluorocarbon Propellants
            and Nitrogen with and Without Asphyxia. . ,	    187
LXXIV.    Number of Mice Which Experienced and Time to Onset of
            2:1 AV Block and Bradycardia	             188
LXXV.     Cardiac Responses of Dogs to a Mixture of F-ll and F-12
            from Antiseptic or Hair Spray	    195
LXXVI.    Effects of Nitrogen and Fluorocarbon Exposure on...	    196
LXXVII.   Cardiac Responses of Monkeys to Fluorocarbon Inhalation  . .  .    197
LXXVIII.  Individual Cardiac Responses of Three Monkeys Exposed
            Twice to Fluorocarbon Inhalation	    198
LXXIX.    Arterial Blood Levels of F-12 and F-114 at Time of Onset
            of Ventricular Premature Beats in Monkeys 	    198
LXXX.     Cardiac Responses of Dogs to Varying Concentrations of
            H-1301 in Oxygen	    199
LXXXI.    Cardiac Responses in Normal Cats and in Cats before, during
            and after H-1301 Exposure at 165 ft. sea water	    200
LXXXII.   Cardiac Responses of Dogs to H-1211	    201
LXXXIII.  Responses of Dogs to Exposure of H-1301 (70%) in Cross-
            circulation Experiments	    204
LXXXIV.   Conditions of Exposure of Rat Left Ventricular Papillary
            Muscles in Muscle Bath and Effect on Po2  .... 	    208
LXXXV.    Effects of Freon 12 Administered Orally ro the Parent
            Female and Male Rats on Fertilization, ati:	    212
LXXXVI.   Tumors Induced in Swiss Mice by Injection of "Freons"
            and Piperonyl Butoxide Shortly after Birth  	    213
                                          ix

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                                     Tables
                                  (continued)
LXXXVII.  Toxicity Induced in Swiss Mice by Neonatal and Perinatal
            Subcutaneous Injections of F-112 and F-113 Alone and
            in Combination with a 'Synergist1, Piperonyl Butoxide .  . .
LXXXVIII. Mean dose-response Curves for Halothane (HAL), F-22,
            and a Variety of Other Agents on Bioluminescence in
            Photobacterium phpsphoreum  	
LXXXIX.   Comparison of the ED_Qs of Bioluminescence inhibition in
    I        Bacteria and the AD" s in Mice for Halothane, F-22 and F-12
XC.       Underwriters' Laboratories Comparative Toxicity
            Classification of Refrigerants	'.••••
XCI.      TLVs and Underwriters' Laboratories Classification for
            Various Fluorocarbons 	
                                                                217


                                                                220

                                                                220

                                                                224

                                                                225
 1.
 2.
 3.
 4.

 5.
 6.

 7.
 8.

 9.

10.

11.

12.


13.


1-4.

15.

16.
17.
                          FIGURES

Pressure-Temperature Relationships of Freon Compounds ....     5
Production and Production Capacity of Fluorocarbons in the U.S.  11
Geographic Locations of Fluorocarbon Production Plants  ...    15
Flow Diagram of Fluorocarbon Manufacture from Chlorohydro-
  carbons	    17
Cross Section of Typical Aerosol Package	    21
Projections of Average Global and U.S. Atmosphere
  Concentration of Fluorocarbons 11, 12, and 22	    48
Hydrolysis Mechanism of Fluorocarbon 31   ..........    60
Concentrations of Some Halogenated Hydrocarbons in the
  Alveolar Air of Man after Varying Periods of Breath-holding    69
Retention Times of Halogenated Hydrocarbons Following
  Single Breath Administration in Man ............    70
Venous Blood Concentrations of Human Inhaling 86 mg F-ll
  and 258 mg F-ll from a Nebulizer	    77
Venous Blood Concentrations of F-ll in a Human
  Inhaling 50 mg F-ll	    77
Changes in Venous Blood Concentrations of F-ll in Dogs
  Exposed to (A) 1.25% and 0.65% F-ll for 30 minutes
  and (b) 0.55% F-ll for 20 minutes	    83
Changes in Venous Blood Concentrations of F-12 in Dogs
  Exposed to (A) 8% and 4% F-12 for 30 minutes and (B)
  1.18% for 20 minutes	    83
Changes in Venous Blood Concentrations of F-114 in Dogs
  Exposed to 10% and 5% F-114 for 30 minutes  ... 	    84
Increase in Fluorocarbons (FCC) Concentrations in rat
  Blood during inhalation of a combination of FCC's etc.  .  .    85
Freon 12 in Blood of Rabbit during 5% Atmospheric Exposure   .    86
Fluorocarbons in Blood of Rabbits during 5% Atmospheric
  Exposures	  .    86

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                                    Figures
                                  (continued)

Number                    Title                                           Page

18.       (A) Venous and Arterial Blood Concentrations of F-ll
            and (B) Arterial and Venous Differences in Dogs
            exposed to 0.1%, 0.5%, and 1.0% for 10 minutes	    92
19.       (A) Venous and Arterial Blood Concentrations of F-12
            and (B) Arterial and Venous Differences in Dogs
            exposed to 0.1%, 5.0% and 10% F-12 for 10 Minutes 	    92
20.       Blood Concentration of F-ll in Dog Following an Intra-
            venous Infusion of 28 rag F-ll   	    94
21.       Rat Brain and Heart Concentrations of CBrF  During
            and After. 5-minute Exposures to 71-76% CBrF- in 0_ etc. .   .   102
22.       Oxygen Consumption in Mitochondria from rats Exposed
            to Halocarbons	. . . ;	. .   .   107
23.       Oxidative Phosphorylation in Mitochondria from rats
            Exposed to Halocarbon	•   .   108
24.       The Effect of Freon-21 on Coupling Parameters of
            Rabbit Liver and Mung Bean Mitochondria.	   109
25.       Possible Metabolic Pathways for Halothane	   .   114
26.       Comparative Toxicity of Various Fluorocarbons 	   135
27.       Growth of Male and Female Rats Orally Administered F-12  . .   .   154
28.       Number of Arrhythmic Heart Beats in Responses to
            Different Doses of Epinephrine Administered during
            Exposure to 0.87% F-ll	   163
29.       The Minimal Blood Pressure Necessary to Trigger Arrhythmias
            Varied Inversely with the Concentration of CBrF»  .....   170
30.       Heart Rate Response of Mice Exposed to Compounds for
            Five Seconds Followed by Asphyxia	   181
31a.      Heart Rates during total Asphyxia of control mice and animals
            Exposed to nitrogen; as well as propellant alone, and
            propellant with isoproterenol     	   184
31b.      Ibid., propellant with isoproterenol, etc 	   184
32.       Percent Change in Heart Rate After Exposure to Asphyxia  . .   .   190
'33.       Percent Changes in pulmonary resistance' and heart rate   . .   .   203
34.       Decreased Myocardial Contractility in Dogs After Exposure
            to 50% and 75% H-1301 for Five Minutes  ..........   206
35.       Changes in Isometric Contraction in Rats During
            Exposure to H-1211	   206
36.       Effect of Exposures to Various Gases in vitro Mycardial
            Contractility 	 .....   209
37.       Dose-response Curves for the effects of dichloro-
            difluoromethane gas (F-12) on isometric developed
            force in 15 isolated rat papillary muscles etc	  .   210
                                        xi

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COMMERCIAL FLUOROCARBON AEROSOL PROPELLANTS, SOLVENTS, FIRE EXTINGUISHING
                        AGENTS AND REFRIGERANTS
                              INTRODUCTION

    This report reviews the potential environmental hazard from the com-
mercial use of large quantities of saturated, one and two carbon fluoro-
carbon compounds which are used for the most part as aerosol propellants,
                                                 »
solvents, fire extinguishing agents or refrigerants.  The major compounds
of interest in this report are listed in Table I.  Assessments of environ-
mental hazard for a broader spectrum of fluorocarbons are presented
elsewhere (Howard and Durkin, 1973; Lutz ejt al., 1967).

                                 Table I
                     Major Commercial Fluorocarbons
Chemical                         Formula              Fluorocarbon //
Trichlorofluoromethane           CC13F                     11
Dichlorodifluoromethane          CC12F2                    12
Chlorodifluoromethane            CHC1F2                    22
Trichlorotrifluoroethane         CC12F-CC1F2              113
Dichlorotetrafluoroethane        CC1F2-CC1F2              114
Chloropentafluoroethane          CC1F2-CF3                115
Bromotrifluoromethane            CBrF3                   13B1 (H1301)

Information on physical and chemical properties, production  methods and
quantities, commercial uses and factors affecting environmental contamina-
tion as well as information related to health and biological effects are
reviewed.

-------
    Throughout the report a shorthand numerical system will be used instead

of the cumbersome but more precise chemical nomenclature.  The most common

system used by industry and the system utilized in this report consists of

a 4-digit number—for example, fluorocarbon ABCD, where D is the number of

fluorine atoms in the molecule, C is 1 plus the number of hydrogen atoms

in the molecule, B is equal to the number of carbon atoms minus 1, and A

equals the number of double bonds in the molecule.  Whenever A or B

equal zero, the digits are omitted from the number.  This system works well

with low molecular weight chlorofluorocarbons which are the major commercial

products.  When bromine is substituted for chlorine, a B plus the number of

bromine atoms follows the number of fluorine atoms (e.g., CC1F3 is 13

whereas CBrF3 is 13B1).  The appropriate numbers for the seven commercially

important fluorocarbons are presented in Table I.  With the fire extinguisher

agents, such as bromotrifluoromethane, a different numbering system  (Halon

system) is frequently used which results in the number 1301 rather than 13B1:

ABCD signifying the number of carbon, fluorine, chlorine, and bromine atoms,
                                   v.                    •                -  .
respectively.  This numbering system is used in discussing  the toxicologic

literature on fire extinguishing agents.   Such numbers are  preceeded by an


"H" rather than an "F".

I.  Structure and Properties

    A.  Chemical Structure

        The fluorocarbons under review are saturated compounds containing

one or two carbon atoms and fluorine.  Chlorine, bromine, and hydrogen atoms

also may be present.  Although some refrigerant, solvent and aerosol

propellant formulations are mixtures of fluorocarbons, most of the commercial

products consist of a pure compound.  The chemical formula and molecular

weight of these chemicals and the frequently used azeotropic refrigerant

mixtures are listed in Table II.

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                                   Table II:   Physical Properties of Fluorocarbon Compounds
                             (DuPont,  1969a;  Allied Chemical,  no date (a);  Union Carbide, 1973-4)

                                                     Major  Commercial Products
nyroc-tfeg
Cbc»lc*l Fonuli
feUcmUz y«l«ht
»otLIfl« Faint « 1 M>
FnnUB Point
Critical Tn.ycr«turc
Critical Frc«iur«
ItaMltr. Liquid
*t 25-C <77'F)
»t lolllo* Point
S*«ClftC R«4t . Uqutd
(But &?•(.!::•> e
«t 25'e (!."F;
•pKlttc BMC. Vapor
tu »'C (771) to
Be*i 
?«poc (1 «u>)
s^n/^*i« " :s"= r7"n
•tetractlv* Index of ' Iquld
Dielectric Ci-nitir.-.
SolufcJlU. ,--! C -wfJumJ
25'C C7T-
S«I«*lli.v « i-'iT^r ID
^..,^.iw,-;.r. cu:r:. :..:
j03 1- J. .'. O" .. 3*3.91


li
CC1,F
117.37
*C 2J.82
*r 74.87
*C -111
*C 19«.0
• Ut 41.5
t'cc l.4;6
Ibc/co tt 92.14
I/I S.W
Iba/ce ft O.36?
.„<„<-« 0,0,
•i/(c>caa It, . ia*c
•/••IWfFl (100*F>
Ben/U> 77.'S8
cmttpotw 0.010*
IB
,.,7,
l:S»lZi ;
•-: I 0.11
ut : o.dii
BO,,^.,^,,
CCIFj'Sy Jel('.iJ

, CHjClj, C»cl»p«iit*.«)
12
«U2Fj
U0.92
-21.42 -
-15*
-252
112.0
UJ.*
40.6
1.111
81. H
6.13
0.395
0.212
0.145
19.47
71.0*
0.20
0.0125
9
1.287
•^•-
O.O:B
O.OC5




22_
CHCUj
s*.*;
-40.75
-41. 30
-16C
-25*
W.O
204. S
49.12
721.9
1.19*
74.S1
4.J2
0.295
0.100
O.li?
55.81
1O0.45
0.18
0.013
8
1.25*
6.11 t 24*C
:.<•«);; ^ 2j.4-c
O.JO
O.ll




ill
eel* F-CC: F;
187.3o
i.7. 57
117. t.J
-IS
-11
214.1
13.;
1.565
7.38
0.461
0.218
».i*i #(ltS.*r,
15.07
63.12
0.68
3.010
(0.1 UB)
17.3
,.».
,„,„
„.,.•:?;:.,.
0.0)1




Hi
CUlij-CtlF;
170.43
3.77
1A.78
-94
-137
143.7
294.)
32.2
473.1
1.456
90.91
7.83
0.489
0.141
0.170
12.51
58.33
0.1*
0.0112
12
1.7M
2.ib i IVC
0.013
O.wirt




us irt-mu i>J. u »o*
OClfj-CFj arfi CBjCBF- CC1T.
154.47 149.92 66.1 M>*.5 W.I
:S:1 :":« :":; -u":. -a.3
:15 :2" :!« -"Si -2»
8O.O t'.O 113^ 2S.9
17S.9 153.* 216.1 "-» "^
».» 19.1 *4-17
«1 5.'5 652 642
1.291 1.538 0.902
90.60 94.01 5*. 11
4,37 i.71 •
0.321 O.S44
0.285 0.208
0.164 0.112
30.11 28-3S
34.70 SI. 08
0.1* O.135 0.217
0.0127 0.0158
S 4
1. *!4 l.'TS
i.ocis s :?.-*;
o.ooe ;.oj
. o.*m<;o*n




s«;

111.61
:?«:"

82.2
179.» '
591.0
1.217
75.94
0.388
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74*. 18
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0.01)
8
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                                                                                                               0.68 (M'T) 0.44 (WO  0.»



                                                                                                               21.2 (Mf)  2J.! !75-n  1».2 t
                                                                                                               0.02 '.7i-F)  O.O2
1IVEA. 
-------
        The fluorocarbons may also be formulated with non-fluorocarbons.

Table III lists some typical blends of fluorocarbons with rion-fluorocarbon

chemicals.  In addition, stabilizers such as nitromethane are sometimes

added to alcohol-based aerosols (0.3% by weight).
   Table III:  Typical Blends of Fluorocarbons with Non-Fluorocarbons
                           (Union Carbide, 1973-74, P 28)
             Blend                                    Application

45% F-ll, 45% F-12, 10% isobutane                     Propellant

Azeotrope:  F-113 and Dichloroethane                  Solvent

Azeotrope:  F-113, CH2C12, cyclopentane               Solvent

Azeotrope:  F-113 and SDA-30 alcohol                  Solvent

Blend:  F-113 and Isopropanol                         Solvent
    B.  Physical Properties

        The fluorocarbons usually are characterized by high vapor pressures

(low boiling point), high density, low viscosity, low surface tension, low

refractive indices, and low solubility parameters.  The common physical

properties are tabulated in Table II.

-------
        The  degree of fluorine substitution greatly affects  Llie  physical.

properties.   Generally, as the number  of  fluorines replacing  chlorines

increases, the  vapor pressure goes  up,  but the boiling point,  the density

and the solubility parameter decrease.   Bromine atoms have a  tendency to

increase the density and lower the  vapor pressure.  The vapor pressure/

temperature  plots for various fluorocarbons given in  figure  1 illustrate

the fluorine substitution effect.   For example, in the  chlorofluoroethane

series, vapor pressures increase with fluorination:  112 <  113 < 114 < 115 <

116.
           1000p
             -1T78   -100
       Temperature                     "C
-80   -60  -40-20   0   20  40  60  80 100 1201«L
            0.3	

            01	
            -180 -130 -KO -120 -100 -80 -60 -40 -20 0 20 «) 60 80100 UO 180
                                  Temperature
                                220
260 300
  °F
                                 Figure 1

          Pressure-Temperature Relationships  of  Freon Compounds
                              (DuPont, 1969a)

-------
        The solvent power of the fluorocarbons ranges from poor for the

highly fluorinated compounds to fairly good for the less fluorinated com-

pounds (DuPont, 1969a).  Being typical nonpolar liquids they exhibit low

water solubility.  The highly fluorinated compounds are generally considered

both hydrophobic and oleophobic.  Some solubility relationships for fluoro-

carbons are shown in Table IV.  The kauri-butanol test consists of the

titration to a cloudy end-point of a kauri-resin dissolved in butanol.

The higher the kauri-butanol value, the higher the solvent power.
            Table IV:  Fluorocarbon Solubility Relationships
                      (DuPont, 1969a; Union Carbide, 1973-4)
Solubility of
Water at 32°F
Product . (0°C)j % by Wt.
11
12
21
22
113
114
502
113-C2H1+C12
113-CH2C12C5H10
•
0.0036
0.0026
0.055
0.060
0.0036
0.0026
0.022
0.02 (75°F)
0.02 (75°F)
Oil
Solutions
Miscible
Miscible
Miscible
*
Miscible
*
*
-
-
1
Kauri-butanol
Number !
1
60 ;
18
102
25
32
12
14 (est.)
51
98
*Two Liquid Phases at Low Temperatures.


The low solubility parameter for fluorocarbons allows their use around

elastomers without adverse effects of swelling.  Comparison of the linear

swelling of elastomers with the various fluorocarbons is presented in

Table .V.

-------
Table V:  Swelling of Elastomers by Fluorocarbons and Other Compounds
                                (DuPont, 1969a)
Product
"Freon" 11
"Freon" 12
"Freon" 13
"Freon" 21
"Freon" 22
"Freon" 113
"Freon" 114
"Freon" 115
"Freon" 502
"Freon" 13B1
"Freon" 114B2
"Freon" C-318
Methyl chloride
Methylene chloride
Per Cent Increase in Length at Room Temperature
Neoprene
GN
17
0
0
28
2
3
0
0
1
2
7
0
22
37
Buna N
(butadiene/
acrylonitrile)
6
2
1
48
26
1
0
0
7
1
7
. 0
35
52
Buna S
(butadiene/
styrene)
21
3
1
49
4
9
2
0
3
1
15
0
20
26
Butyl
(isoprene/
isobutylene)
41
6
0
24
1
21
2
0
1.6
2
22
0
16
23
Polysulf ide
Type
2
1
0
28
4
1
0
0.2
1.6
0
1
0
11
59
Natural Rubber
23
6
1
34
6
17
2
0
4
1
26
0
26
34

-------
     C.  Principal  Contaminants  in  Commercial Products
        The  commercial  fluorocarbons  rank  among  the highest purity  organic
 materials  sold  in  this  country  (Bower,  1973).  The purity of a  typical
 commercial product will commonly exceed 99.9%  (Hamilton, 1962).  This lack
 of  contaminants is a  result  of  several  carefully performed purification
 steps.  In most cases,  the starting material and by-products are separated
 by  fractional distillation followed by  basic washing and drying over a
 suitable desiccant.   A  typical  analysis of fluorocarbon-12 is presented
 in  Table VI.


             Table VI:  Typical Analysis of Fluorocarbon-12
                                    (Bower, 1973)
                Fluorocarbon                                           !
                   12                            99.96+ vol. %       i
                   13                            0.010
                   II                            0.002
                   21                            0.003
                 .22                            0.017
                   H20                           4.5  ppm
                   Non-volatile                  <0.01 vol. %

         The predominant isomers of the  ethane series  (113, 114)
. are the more symmetrical isomers, e.g. CC12F-CC1F;;>  and CC1F2-CC1F2.
 Fluorocarbon-113  usually contains no more than a few tenths of one percent
 of CC13-CF3, while fluorocarbon-114 usually contains no more than 7-10
 percent CC12F-CF3 (Hamilton, 1962).

-------
II.  PRODUCTION




     A.  Quantity Produced




         The reported total demand for all fluorocarbons in the U.S. in 1973




 was 880 x 106 Ibs.  (Chemical Marketing Reporter, 1973), or approximately




 0.5% of the total production of synthetic organic chemicals in the U.S.




 (Drysdale, 1971).  The historical trends of production are presented in numerical




 and graphic form in Table VII and Figure 2, respectively.  The world produc-




 tion of fluorocarbons is considered to be approximately twice the U.S.




 production (McCarthy, 1974).






     B.  Producers, Major Distributors, and Importers




         The major U.S. producers are listed in Table VIII along with the




 trade names and numbers of their fluorocarbon products and their total




 plant capacities.  Table IX presents a list of foreign manufacturers of




 fluorocarbons.




         In the U.S., the large manufacturers of the basic fluorocarbon com-




 pounds distribute the chemicals to large users such as aerosol packaging




 companies and refrigerator manufacturers.  For example, Allied Chemical




 sells its Genetron refrigerants through wholesalers located around the




 country (Allied Chemical, no date, a).






     C.  Production Sites




         The product plant locations are listed in Table X and their




 geographic positions are depicted on the map in Figure 3.

-------
                                                     Table VII

                                  Production of Fluorocarbons in the U.S.
               (U.S.  Tariff  Commission,  1961-1971;  Stanford Research Institute, 1973)
  Compound


Fluorocarbon
Chlorodifluoro-
  , methane
                   g)
                      22
  Dichloro-
difluorome thane
Trichlorofluoro-
    methane
                                                                 11
        (IO6 Ibs.)    (10? g)    (10s Ibs.)    (109 g)'    (iO6 Ibs.)
  Dichlorotetra-
  fluoroethane

       114
(IO3 g)     (IO6 Ibs.)
.  l-chloro-1,1-
  di£luoroethane

      142a
 (IO9 g)    (IO6 Ibs.)
1961
1962
1963
1964
1965
1966
1967
196s
1969
1970
197Lp
I972p
10
13
16
19
22
25
26
24
32
33
36
36
.9*
.2*
.3*
.5*
.7*
.4*
.3*
.9*
.?*'
.1*
.3*
.3*
24*
29*
36*
43*
50*
56*
59*
55*
71*
73*
80*
80*
78
94
98
103
122
129
140
i,r
ICc
170
1'6
i99
.5
.3
.4
.4
.9
.7
.6
.9
.*
.1
.9
.1
173
208
217
228
271
286
310
326
368
375
390
439
41
56
63
67
77
77
82
92
107
110
117
136
.3
.7
.5
.1
.1
.1
.6
. 5
.9
.7
.0
.1
91
125
140
148
170
170
182
204
238
244
258
300
4.1
5.0
5.4
5.9
10.0
•7.7
10.0
7.7




9
11
12
13
22
17*
22*
17*




                                                                                                          .091*
                                                                                                                      0.2*
    *Sales
    p - Preliminary

-------
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-------
        Table VIII:  Fluorocarbon Producers and Plant Capacities
          (Chemical Marketing Reporter, 1973; U.S. Tariff Commission, 1972)
Company                     Trade Name

Allied Chemical             Genetron
Corporation

E.I. duPont de              Freon
Nemours & Co.
Kaiser Aluminum and         Kaiser
Chemical Corporation

Pennwalt Chemical Corp.     Istron

Racon, Inc.

Union Carbide   ,  .         . UCON ,-
Corporation
  Total Plant
   Capacity
10b/yr. in 1973
      310
      500*



       50


      115

       20

      200**
Compounds
Produced

11, 12, 22,
113, 114, 152a

11, 12, 22,
113, 114, 115,
13B1, 152a

11, 12, 22
11, 12, 22

11, 12, 22

11, 12
  *A 500  x  106  Ibs./yr.  facility is  being  built  at  Corpus  Christi,  Texas  by
   DuPont and is  expected to be operating  at  full capacity by 1977  (Anon.,  1974b)
   DuPont is also building a 10 x 106 Ibs  capacity  plant for CBrFs  in Deepwater,
   N.J.,'which  should be operating in 1975 (Anon.,  1974c).

,**Anon., 1974a.
                                   12

-------
                Table IX:  Foreign Fluorocarbon Producers
                                    (Noble, 1972)
    Country
Argentina
Australia

Brazil

Canada

England

France

West Germany
Japan
Mexico
Netherlands
Italy
India

South Africa
Spain
Producer
Ducilo Siac
Australian Fluorine Chemicals PTY.
Pacific Chemicals Industries
DuPont Do Brazil
Fougra
Allied Ghemical of Canada, Ltd.
DuPont of Canada
Imperial Chemical Industries
Imperial Smelting
Ugine Kuhlman
Perchinery
Kali Chemie
Hoechst
Von Helyden
Chemishe Fabrik
UVI5 A.I fid Fluorowerke
Daikin
Mitsui Fluoro
Asaki Glass
Quimobasicos
Halocarbures
Zinc Organon
DuPont
Liquid Nitrogen Processing
Unichemie
Montecatini Edison
Everst Refrigerant
Naren Fluorine
African Exposives & Chem. Industries
Kali Chemie
Electro Quimica de Flix
Ugine
                                  13

-------
                 Table X:  Fluorocarbon Production Sites
                         (Chemical Marketing Reporter, 1973)
    Company
Allied Chemical Corporation
E.I. DuPont de Nemours & Co,
Kaiser Aluminum  &  Chemical Corp.
Pennwalt  Chemical  Corp.

Racon, Inc.
Union Carbide  Corp.
Location

Baton Rouge, La.
Danville, 111.
Elizabeth, N.J.
El Segundo, Calif.
Antioch, Calif.
Carney's Point, N.J.
Corpus Christi, Texas*
East Chicago, Ind.
Louisville, Ky.
Montague, Mich.
Gramercy, La.
Calvert City, Ky.
Thorofare, N.J.
Wichita, Kan.
Institute, W. Va.
^Construction  started  in  the  fall  of  1973.

-------
                                Figure 3
        Geographic Locations of Fluorocarbon Production Plants

    D.  Production Methods and Processes
        The most widely used method for commercial synthesis of the major
fluorocarbons consists of the catalytic displacement of chlorine from
chlorocarbons (commonly CCli^, CHCls, and C2Clg or C^Cl^ 4- Cl2) with fluorine
by reaction with anhydrous hydrogen fluoride (Hamilton, 1962).  A more recent
process developed by DuPont in the U.S. and Montecatini Edison in Italy uses
the direct reaction of methane with a mixture of chlorine and hydrogen fluoride.
It is reported that this process will be used by UuPont at the plant being
constructed in Corpus Christi, Texas (Noble, 1972), but few details are avail-
able on the process.  However, it has been noted that the process will produce
three times the amount of hydrochloric acid which will be converted back to
chlorine in a Kel-chlor plant (Noble, 1972).
                                  15

-------
        The several steps in the conventional chlorocarbon process are
shown in Figure 4.  The reaction phase uses antimony pentachloride as a
catalyst with the catalyst actually chemically entering the reaction
sequence.  Some chlorine gas is also added in order to maintain the
catalyst in its pentavalent rather than its trivalent state.

               SbCl5 •+ 3HF -> SbCl2F3 + 3HC1
               SbCl2F3 + 2CClit +SbCl5 + CC13F + CC12F2
        The reaction can be conducted in either liquid or vapor phases.
The liquid phase operation is carried out by feeding liquid HF and chloro-
carbon. to the reactor and simultaneously withdrawing HC1 and the desired
organic product as vapor from the top of the reflux condenser.  Reaction
conditions can vary from pressures of 0 to 500 psig, temperatures of
45 to 200°C, catalyst concentrations from 10 to 90 wt per cent, and take-
off temperatures of -30 to +100°C (Hamilton, 1962).  The liquid process
is characterized by simple and flexible operation.  The quick removal of
final product avoids over f luorination.
        The vapor phase process consists of. a heated tube filled with a
granular catalyst.  The feed is a vaporized mixture of HF and chloro-
carbons .  This process is frequently used for the production of the highly
fluorinated compounds.  In both processes, the proportion of the mixed
fluorinated products is determined by the chlorocarbon, and by the temper-
ature, pressure and time considerations.
        In all processes by-product hydrogen chloride results.  This can
be separated either by distillation or scrubbing.  The distilled product
                                    16

-------
    Chlorinated
    Hydrocarbon
CHC13, CCli,, C2C16
       H2S(V
   Recycled
 Intermediate
                              Reacter
                            Containing
                          SbCl5 Catalyst
                           Distillation
                              Column
                                    Product + KC
                           Distillation
                              Column
Drying
                           Distillation
                      Drying
                    Low Boiling
         Drying
      High Boiling
            Low Boiling Temp
                 Product
             No. 12, 22, 114
                        Hydrogen
                        Fluoride
                                                      Recycled
                                                      Chloro-
                                                      carbons
        High Boiling Temp
             Product
           No. ]2, 113
                              HCL
                              for sale or disposal
Spent acid to
  disposal
                             Figure 4

 Flow Diagram of  Fluorocarbon Manufacture from Chlorohydrocarbons
                    (Hamilton, 1962; Anon.,  1965)
                                  17

-------
HC1 has the advantage of being extremely pure and, therefore, can be used
directly in some associated synthesis, or packaged for sale.  It also
allows the recovery of urireacted hydrogen fluoride.
        Bromotrifluoromethane is made by a similar process, starting with
the tetrabromide.  However, it can also be made by the bromination of
trifluoromethane or by the replacement of chlorine in chlorotrifluoro-
methane by reaction with hydrogen bromide.
        The equipment is generally conventional in design, especially the
distillation columns, scrubbers and drying towers.  The reactors are
jacketed or tubular vessels made of carbon or stainless steel.  Since the
              f                                               •.
reaction is slightly endothermic, heat is supplied by steam, flue gas or
by electrical heaters.

    E.  Market Price
        Fluorocarbon-^12, with the largest sales volume, has the current
(1973) price in bulk of, 29c/lb.  Over the past ten years  this has fluctuated
between a high of .31c/lb. and a low of 24£/lb. (Chemical Marketing Reporter,
1973).  Table XI lists the major fluorocarbon products and their market
value

                Table XI:  Market Value of Fluorocarbons

                                          Value/Pound
            Compound                  	(dollars)	
            CHC1F2    22              0.49*        0.48**
            CC12F2    12              0.24*        0.34**
            CC13F     11              0.18*        0.30**
       *U.S. Tariff Commission, 1972.
      **Chemical Marketing Reporter, 1974b.
                                    18

-------
III.  USES

      A.  Major Uses

          Fluorocarbohs are commercially important because of their unique

  physicochemical properties and relatively low physiological activity.   The

  major applications include uses as aerosol propellants, refrigerants,

  solvents, blowing agents, fire extinguishing agents, and as intermediates

  for plastics.  Table XII lists the major uses, size of the market, as  well

  as the amount of each fluorocarbon utilized in each application.  Plastic

  intermediates are not included in Table XII since the production figures do

  not encompass this application.  The following paragraphs will briefly dis-

  cuss the major fluorocarbon applications.

          1.  Aerosol Propellants

              The largest commercial application of fluorbcarbons is for

  propellants in the aerosol* products industry (see Figure 5).  The idea of

  using aerosol propellants dates back to 1863 (Crossland, 1974), but its

  commercialization did not occur until after World War II.  The industry

  got its start when two USDA researchers found that combining insecticides

  with liquid refrigerant gases showed an extraordinary increase in insecti-
                   *        •             '                 •• '        .        '
  cide efficiency due to the dispersion as a true aerosol (Hamilton, 1962).

  During World War II literally millions of the aerosol "bug bombs" were

  produced.
  *"Self dispensing, pressured, self-propelling products, dispensed by
    the use of a liquefied, nonliquefied, or noncondensed gas"  (Sage,
    1963).
                                     19

-------
                                   Table XII:   Uses  of  Fluorocarbons
Fire
, Aerosol Foaming Extinguishing
Fluorocarbon Production Propellant Refrigerants Solvents Agent Agent
Number Formula 1972 %c Quantity Zc Quantity %C Quantity 2C Quantity 7.c Quantity
(106 Ibs.) (106 Ibs.) (106 Ibe.) (106 Ibs.) (106 Ibs.). (106 Ibs.)
11
12
22
113
114.
115
13B1
Total
% of Total
CC13F
CC12 F2
CHC1F2
CC1F2CFC12
CC1F2CC1F2
CC1F2CF3
CBrF3

Production
300a 82 246 3 9 15 15
439a 60 264 30 • 132 10 44 '.
80U(b 100 . 80
-50C 100 -50
J
-20C 95 19 5-1
10-90
-10C
5 • 95-4
-900 . 529 222 50 89 -4
59% 25% 5% 'lO%
^I.S. Tariff Commission,  1972.

bSales

CEstimates based upon discussions with  DuFont and Allied Chemical.

 The production figures  only  marginally consider amounts used in the manufacture of  fluorocarbon plastics.  Fluorocarbon 22,
 113, and 114 are used to synthesize  the plastics.  However, 13 million Ibs.  of  po.lytetraf luoroethylene was produced in 1972
 (U.S. Tariff Commission) from  fluorocnrbon 22, but that quantity is not reflected In  the  80 million  Ibs. sales figure.

 The Chemical Marketing  Reporter  (1973) reports the following percentage of  use:   propellants-50%; rcfrigerants-28%; plastica-
 10%; solventB-5%;  blowing .ip.ents, exports, mlscellanoous-7% on a 197'! total  production  of  B80 million Ibs.  The percentage-!:,
 reported in this table  are similar  IT  magnitude but quantitatively differ mostly lifcuusc;  u.lnsticu have not been included.
                                                        20

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                   OPERATES BY
                  PRESSING DOWN
          VALVE
             Frew*  g»
             lf*»MHH ttfnt.
             Bit* IITO?I
              Solution of
           Freon" propellent *nd
            active ingredients
                       Hgure 5

   Cross Section  of Typical  Aerosol Package
                    (Sage,  1963)

Permission granted  by John  Wiley & Sons,  Inc.
                        21

-------
             Civilian commercialization began in the early 1950's after


 low-pressure valves and nozzles were devised to function below 55 psia and



 ICC raised its regulations to apply only to containers of 55 psia or more,



 thus freeing the industry from elaborate control and regulation which are
              i


 required of high pressure vessels.  Today the world production is as much



I as 6 billion units with the U.S. accounting for approximately 50% of the



 total.  In 1973 the U.S. market grew by an estimated 3.5 to 4% while an



 increase of 21.4% was reported in the United Kingdom.  It is projected



 that the major growth in the future market will be overseas and a global



 output of 10 billion units is suggested (Chemical Marketing Reporter, 1974).



 An aerosol end use pattern in the U.S. is depicted in Table XIII and the
                                                                      i
                                                                      i

 global production pattern is displayed in Table XIV.  As can be seen ifrom



 Table XIV, the U.S. percentage of the world production has been steadily



 decreasing.           .



         2.  Refrigerants



             The fluorocarbons industry was first founded in the 1930*s as



 a result of a search for new refrigerant gases to replace the highly toxic



 refrigerant gases being used—e.g., sulfur dioxide and ammonia (Downing,



 1966; Crossland, 1973).  Their special properties, such as nonflammability,


 low toxicity, chemical stability, and good thermodynamic properties, made



 them ideal for use as refrigerants.



             This application can be divided into two major categories:



 (1) refrigeration - localized low temperature cooling; and (2) air-conditioning



 - cooling of rather large volumes of environmental air.  Within each of these
                                    22

-------
                Table XIII:  U.S. Aerosol End-Use Pattern
                         (Chemical Marketing Reporter, 1974)
                                1970
             1972
             1973
             1974
Household Products
   Cleaners
   Laundry Products
   Room Deodorants
   Waxes, Polishes
   Other
    Total
  630
  185
  185
  180
  100
   50
  700
  725
  750
Personal Products
   Colognes & Perfumes
   Deodorants
   Hair Care
   Medicinals
   Shave Creams
   Other
    Total
  145
  480
  490
   65
  150
   50
1,380
  135
  515
  460
   65
  165
   63
1,403
  140
  570
  460
   70
  180
   75
1,495
1,535
All Other
   Automotive
   Coatings
   Industrial
   Insecticides
   Other
    Total
   50
  230
   90
  120
   22
  512
    Grand Total (non-foods)    2,522
  620
            2,723
               85
              255
              130
              140
               40
  650
            2,870
  685
            2,970
Millions of units.  Source:  Chemical Specialties Manufacturers Association
and industry estimates.  Food aerosols total in excess of 100 million units
annually.
                                  23

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                    Table XIV:  World Aerosol Pattern
                         (Chemical Marketing Reporter, 1974)
                          US, Canada     W. Europe     Others*     World

'1974**	          3,185         1,850        765        5,800
»

1973**	          3,105         1,750        645        5,500
               i

1972	          2,983         1,620        597        5,200

1971	          2,695         1,600        550        4,845

1970	          2,756         1,425        507        4,690

1968	          2,400         1,030        370        3,800
Millions  of  units.   *Includes Australia, Japan,  Central  and  South America
and Africa,  but  excludes USSR and Russian  Bloc   countries.   Source:   The
Metal  Box Company,  Risdon Manufacturing Company  and  Chemical Specialties
Manufacturers  Association.   **Data  for 1973-1974 are Chemical Marketing
Reporter  estimates.
                                   24

-------
categories, a distinction can be made between prefabricated units, in




which the fluorocarbons are charged and sealed at the factory, and large




commercial units where the charging is done after the units are in place.




In  most  cases, the distinction corresponds to the size - smaller units




being prefabricated while the larger commercial units are filled after




placement.  The difference between prefabricated and large commercial units




is quite important in terms of environmental release because the prefabri-




cated units last an average of ten years, whereas the iarge commercial




units have to be recharged every five years (approximately 80% reclamation




of the original refrigerant).  Table XV divides the three major refrigerants




into the categories mentioned above.




        3.  Blowing Agents




            Blowing agents are used to produce a finished product in a



foamed or expanded form.  One technique commonly used in the plastics




industry consists of dissolving the blowing agent in a plastic and then




triggering the gasification by a change in temperature or by a sudden




release of a confining pressure (Hamilton, .1962) .




            Fluorocarbons were first used in the production of polyure-




thane foams because they impart a significant increase in the thermal




insulation properties.  They are also used to form open cell foams, in




which case the blowing agent is released after its use.  Fluorocarbons




are divided approximately equally into closed and open cell applications.
                                  25

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                                    Table XV:  Use of Fluorocarbon Refrigerants
                                                       (Hanavan, 1974)
N>
          Fluorocarbon;

         Formula   Number
        CC13F
        CC12F2
11
12
Quantity Used
     as
 Refrigerant
 (106 Ibs.)
                                Refrigeration
                       Prefabricated
                        %    Quantity
                            106  Ibs.
    132          45%    59
           (automobiles)
    Large
 Commercial
 %   Quantity
     106 Ibs.

72%     6
                 29%    38
                        Air  Conditioning
                                  Prefabricated
                                   %   Quantity
                                       106  Ibs.
                  7%
                                Large
                             Commercial
                             %   Quantity
                                 106 Ibs.

                            28%     3
                            19%    25
        CHC1F2
22
     80
    221
57%    46
41%
                                                 105

                                       % Prefabricated  =  52%

                                       % Large Commercial  =  48%
^3
77
2%    _2
      30

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        4.  Solvents




            Fluorocarbons find  use as a selective solvent for cleaning




precision equipment and for extractions of a variety of natural products.




With precision equipment, the fluorocarbons, usually 113, provide enough




solvent action to remove grease and dirt, but not enough action to swell




and damage the plastic and elastomeric components (see Section I).  With




extraction, the desirable component is separated from the undesirable.  A




variety of extractions have been reported, including the isolation of edible




oils of cotton seed, safflower and soy beans, as well as active ingredients




of perfumes, essential oils, spices, coffee and even fish (Hamilton, 1962).




        5.  Intermediates




            Some, plastic monomers are made from the basic fluorocarbon




compounds.  For example, fluorocarbon 22 can be pyrolyzed to form tetra-




fluoroethylene and hexafluoropropylene.  Dechlorination of fluorocarbon 113




yields chlorotrifluoroethylene.  The production figures in Table XII do not




consider quantities used as feedstocks for fluorocarbon resins.  The U.S.




Tariff Commission has reported that 13 million  Ibs. of polytetrafluoro-




ethylene was produced in 1972 (need 15 million  Ibs. of fluorocarbon 22




assuming 100% efficiency).  The Chemical Marketing Reporter (1973) suggests




that 10% of 825 million Ibs. produced in 1972 are used for plastics.  It




appears that for 1972 a more plausible figure is 50-100 million Ibs. over




and above the 900 million Ibs. reported in Table XII.




        6.  Fire Extinguishing Agents




            The use of fluorocarbons as fire extinguishing agents is a




considerably smaller application than those previously mentioned.  The
                                   27

-------
 compounds  are  commonly  used in confined areas where  it  is  believed that  the

 chemical acts  to extinguish the fire by chain  termination  of  the  free

 radical propagating mechanism of the fire  (Hamilton,  1962).   An added

 advantage  of  these materials is that they  present  a  relatively small threat

 to life at concentrations  and exposure periods  necessary to extinguish fires.

 JThe fluorocarbon extinguishing agents (collectively  referred  to as halons)

 find good  application in specialized situations, usually where the value

 density is high, such as in aircraft, mines, spacecraft, tanks, and computers

 (Jensen, 1972).   The most  widely used compound  is  fluorocarbon 13B1, CBrF3.



 :    B.   Minor  Uses

         Minor  applications of the fluorocarbons being reviewed include their

 use as dielectric fluids,  heat-transfer fluids, power fluids, cutting  fluids,

 pressurized leak-testing gases, gases in wind  tunnels and  bubble  chambers,

 and as  a drain opener propellent (DuPont,  1969a; Downing,  1966).



     C.   Discontinued Uses

         The fluorocarbon C318, octafluorocyclobutam:, was  used as an aerosol

 propellant with food products.  This has largely been replaced by the  use of

 fluorocarbon 115, which has been accepted  as a food  additive  by  the U.S. Food

 and Drug Administration (DuPont, 1969a) [see Section XVI , Current Regulations],
i


     D.   Projected or Proposed Uses

         There  are several  applications for the fluorocarbons  that could

 possibly develop into rather large markets for these materials.   Both

 Callighan  (1971) and Noble (1972) have noted  that  the market  for  the use of

 fluorocarbons  as heat and  power transfer fluid has great potential.  If  the
                                   28

-------
fluorocarbons were adopted for use in the Rankine cycle engine,  which uses


the same principle as the steam engine, the market would be extremely large,


perhaps as large as the total market that now exists (Noble, 1972).

                                                                     )
        Fluorocarbon-113 is being considered for use in the dry-cleaning


solvent market (Noble, 1972; Drysdale, 1971; Lutz £t al., 1967).  However,


it is relatively expensive compared to perchloro- and trichloroethylene and,


therefore, the market has not grown appreciably.


        Immersion freezing of food with fluorocarbon-12 has also been cited


as a potential growth market (Bucholz and Pigott, 1972; Drysdale, 1971;


Noble, 1972).  Tha boiling point of fluorocarbon-12 (-21.6°F) is ideal for


this application.


        Another application of possibly large magnitude is contact freezing


with brackish water as a desalination process (Stepakoff and Modica, 1973).


The hydrolysis rate of the fluorocarbon seems to be the important factor


determining whether this application will be commercially significant.



    E.  Possible Alternatives to Uses


        With every commercial chemical, there are two alternatives to its


use - (1) substitution with another chemical, or (2) elimination of the


use.  In order to understand the possibility of either of these two alter-


natives, one needs to understand what physical and/or chemical properties led


to the use of the present compound and what motivated the development of the


application.  This section will briefly discuss these parameters  for  the


two major applications of fluorocarbons.
                                   29

-------
        1.  Refrigerants




            The development of the refrigerant industry closely parallels




the development of the food preservation and air-cooling industries.  Many




compounds were evaluated for use as refrigerants but all had serious draw-




backs.  "Some, like ethylene, were flammable; others, like S(>2, were corrosive




and toxic; and still others, like ammonia, combined all three hazards"




(Hamilton, 1962).  Carbon dioxide was nearly ideal, but necessary high opera-




ting pressures made the equipment prohibitively bulky and expensive.  In




the 1920's a series of fatal accidents traceable to refrigerants led to a




development effort to synthesize new chemicals that would overcome the adverse




effects described above.  Fluorocarbon-12, the first fluorocarbon introduced,




was non-flammable and of low toxicity and had a convenient boiling point.




-30°C.  Thus, the fluorocarbons are used today because they are non-corrosive,




non-flammable, have convenient boiling points, and exhibit a low order of




toxicity, the last being perhaps the most important.  The possibility of




these chemicals being replaced by other compounds seems relatively remote.




            The possibility of eliminating the need for refrigerants also




seems remote.  Refrigeration of food is paramount to its preservation both




on the way to the consumer and in storage by the consumer.  Air condition-



ing is less a necessity than a convenience, although it was first developed




by a physician to cool the rooms of feverish patients.  It is a necessity




in hospitals and in many industrial operations', such as textiles, paper,




photographic film and precision machinery, where climate-controlled air  is a




requirement.  However, air conditioning for residential homes, office build-




ings, and automobiles is more of a luxury, although some people in tropical




and semi-tropical climates would still categorize it as a necessity.
                                  30

-------
        2.  Aerosols




            The first application of aerosol packaging with insecticides




resulted in an increase of efficiency of the active ingredient because it




was dispersed as a true aerosol.  However, for most products commercially




available today, aerosol packaging is not accompanied by an increase in




efficiency, and therefore, the packaging is more one of convenience than




necessity.  Recently, aerosol packaging has come under a great deal of




criticism (see Fritsch e£ _al., 1973 and Crossland, 1974).




            Fluorocarbons are used as propellants because of their rela-




tively low degree of acute toxicity, non-flammability, inertness toward the




active ingredients in aerosol products, and appropriate vapor pressures—




i.e., between 15 and 100 psig (Sage, 1963).  Table XVI provides a list of



possible alternatives to fluorocarbon propellant use.  In most cases, the




compounds are either flammable or do not have an appropriate vapor pressure.




            Other compounds such as methyl chloride, methylene chloride,




ethyl chloride, dichloroethylene, and vinyl chloride have been considered as




candidate aerosol propellants (Caujolle, 1964), but are considerably more




toxic than the commonly used fluorocarbons.  In fact, vinyl chloride was




shown to cause a rare form of liver cancer and its use in hair sprays and




pesticide products has been eliminated  (Crossland, 1974).  Thus, if one is




going to use aerosol packaging, the fluorocarbon compounds seem to be the




safest propellant to use.  However, exposure to high concentration of




fluorocarbons is not recommended (DuPont, 1969b) and the effects of long-




term exposure to fluorocarbons have not been completely defined (see




Sections XI and XII).
                                   31

-------
                  Table  XVI:   Properties of the Hydrocarbon and Nonliquefied Gas  Propellents
                                                 (Sage, 1963)
U)
NJ

chemical formula
molecular weight
boiling point, °F
freezing point, °F
vapor pressure, psig
70°F
130 °F
liquid density at 68°F,
g/ml
heat of vaporization,
Btu/lb
flammable limit, vol. %
in air
toxicity, UL rating
sys tern
solubility in water at
77°FC
Propane
CH3CH2CH3
44.1
-43.9
-275
110
260
0.5005

183.1

2.3-7.3

5

Isobutane
(CH3)2CHCH3
58.1
13.6
-229
31
96
0.5788

165.6

1.8-8.4

5

n-Butane
CH3(CH2)2CH3
58.1
30.9
-211
16
66
0.5571

157.5

1.6-6.5

5

Carbon
dioxide
C02
44.0
-109a

837





nonf lam

5
0.7
Nitrous
oxide
N20
44.0
-127

720





nonf lam


0.5
Nitrogen Air
N2 N2 + 02
28.0 29
-320

477b





nonf lam nonf lam
*
6 6
0.014 0.017
     f±
     Sublimes.


     At critical point, -233°F.


     volume of gas at atmospheric pressure soluble in one volume of water.

-------
IV.   CURRENT PRACTICES

      A.   Special Handling  in  Use

           Because the fluorocarbons  are commonly used under pressure,  the

 possibility of container  explosion always  exists.   For this  reason,  con-

 tainers,  especially aerosol  containers,  should not be exposed to  heat.

 Both  injury and death  have been  reported from exploding  aerosol containers

 that  were heated  (Fritsch et_ al.,  1973).                         ^

           Contact with  large concentrations  of  the  fluorocarbons should also

 be  avoided.   Over  200  deaths  from  the abusive use of  fluorocarbons  (getting

 "high") have  been  reported (Jritsch £t al.,  1973).  This  hazard as well

 as  some other general  hazards and  some preventive actions are summarized

 in  Table  XVII.
                                        Table  XVII

                         Potential  Hazards  of  Fluorocarbons
                                      (DuPont  1969a)
          Condition
                                       Pocential Hazard
                                                                        Sal t
   Vapors may decompose in flames ur in
   contact with hoc surf.'n es.
   Vapors are 4 to 5 MmM.a heavier than
   air.  High concentrations may tend
   to accumulate in low places.

   Deliberate inhalation to produce
   intoxication.
   Some fluorocarbon liquids tend  to
   remove natural oils from the skin.

   Lower boiling 1 iquidu may be splashed
   on skin.

   Liquids may be splashed into eyen.
   Contact with highly reactive metals.
Inhalation of t.oxic ducompciRl t ion
products.
Inhal.'U Ion of concent rated vapors
can be fatal.
Can be fatal.
Irritation of dry, oen-sitive skin.
Freezing.
Lower boil Ing 1iqulds may raust1
freezing*  HlKher boil ing liquids
may cause temporary irritation nnd
If other chemicals are didsolv.-d,
may cause serious damage.

Violent explosion may occur.
i'.HOCI vt-nr. 1 la l ion.  Tux 1 c dccompoai t ion
products KL-rvi' as warning agents.

Avoid misuse.
Kon-ed-air ventilation at the level of
vapor concentration.
Individual breathing devices with air
supply.
Lifelines when entering tanks or
other confined areas.
Do not administer ephinephrine or
other similar drugs.

Cloves and protective clothing.
                                    and protective clothing.
                                                                Wear <-ye protection. Get medical
                                                                ;it t ent ion .' Flush eyes for scvera 1
                                                                minutes with running water.
                                                                'IVst t-tiL1 proposed aysi ura and take
                                                                .-ijjpropr tat e safety precautions.
                                               33

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    B.  Methods of Transport and Storage
        The principal factor required for the transport and storage of the
major fluorocarbons is adequate design to meet the elevated pressures.
Interstate Commerce Commission Code gives detailed specifications covering
the major fluorocarbon chemicals and allowable containers for transport
purposes (Du  Pont,  1973).
        The products are shipped in a wide variety of pressure containers
ranging from 5 gallon drums to 20,000 gallon tank cars.  The range of sizes
and types of containers is as follows:
               Nonreturnable steel drums  -  5 to 55 gallon
               Steel and aluminum cylinders  -  1 to 2000 pounds
               Tank truck trailers  -  2000 to 5000 gallons
               Tank cars  -  6000 to 20,000 gallons                 j
        The containers are fitted with safety valves, rupture discs and
fusible plugs according to ICC specifications, as well as requirements
for labelling and for leak and pressure testing.  The loading or filling
limits are also specified for each fluorocarbon   in accordance with its
physical properties.  Procedures for transferring the products between
storage and transport facilities are well established by fluorocarbon
manufacturers for their own and their customers' operations (Allied Chemical,
1969).


    C.  Disposal Methods
        Disposal of the fluorocarbon products in other than intended purposes
(e.g., disposal from propellant use) results principally from the following:
                                  34

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        1.  Unreclaimed refrigerants in the cooling systems of scrapped



prefabricated type refrigeration and air conditioning units.  Disposal of



these old appliances is usually to scrap yards or waste dumps.  With this



fate,-the refrigerant eventually escapes to the environment by vaporiza-



tion as a result of corrosion, dismantling or destruction of the units.



        2.  Products accidentally contaminated in use by customers.  When



large refrigerator or air conditioner installations are involved, the



fluorocarbons are sometimes returned to the fluorocarbon manufacturer for



reprocessing, or are purified by the customer by distillation.



            Because of the high vapor pressure of all the products at



ambient temperature, eventual disposal from the foregoing, as well as from



accidental leakage, spillage and from all uses where the compounds are not



altered chemically, is to the atmosphere.
                                                                    i






    D.  Accident Procedure



        Accidental rupture can be almost completely eliminated by pro-



viding appropriate safety valves, rupture discs and fusible plugs.  However,



when an accident does occur, the following safety precautions should be



followed to avoid potential hazards from accidental leakage.



        1.  Because of their high density, fluorocarbon vapors or gases



can accumulate in low confined spaces when accidental releases occur.



Provisions for forced ventilation or for use of individual air hoses are



required to avoid suffocation or cardiac sensitization in otherwise poorly



ventillated areas.  Monitoring devices to detect high concentrations should



be provided for checking concentrations before entering unventillated areas.
                                   35

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        2.  To avoid injuries from direct exposure1 to the chemical escaping


from the system, protective clothing, gloves and safety glasses should be


used when repairing leaks.  The invisible nature of the escaping gas


necessitates special precautions.


        3.  Decomposition of the compounds into toxic chemicals (e.g.,


phosgene, HC1, HF) can occur if the leaking chemical contacts heated sur-
        0                                     '

faces, sparks or flames, such as occur during welding.  Good ventilation


and monitoring should be provided if exposure to high temperature is likely.


Contact with highly reactive metals should also be avoided as a potentially


explosive condition.
                                  36

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V.  ENVIRONMENTAL CONTAMINATION

    Because of the high volatility and chemical stability of the major

fluorocarbons, these chemicals are likely to be released to and persist

in the atmospheric environment.  Korte and Klein (1971) and Iliff (1972)

have briefly discussed the environmental pollution potential from fluoro-

carbons.  This section will  (1) estimate the quantities lost from pro-
                                              5
duction, transport and storage, use, and disposal; and (2) discuss the

general environmental contamination from fluorocarbons and project future

contamination levels.

    A.  Contamination from Production

        The production processes described in Section II D give very high

yields.  Losses are limited to small mechanical leakage, small amounts

leaving with byproduct hydrogen chloride, and miscellaneous venting.  The

total material loss is estimated to be, at the most, 1% (McCarthy, 1973)

for the production operations excluding transport and storage.  On this

basis, the annual losses of fluorocarbon chemicals to the environment from

manufacturing operations would be considerably less than 10 million Ibs.

at current production rates.

    B.  Contamination from Transport and Storage

        The fluorocarbon products are transported in containers having a

wide range of capacities (see Section IV B).  All containers are designed,

tested and labelled according to ICC specifications for pressurized uses.

Similarly, storage tanks both at producers' and customers' plants are

designed and operated to meet established specifications for the pressure .

conditions.  Procedures for transferring the products between storage and

transport facilities are well established (Allied Chemical, 1969).


                                  37

-------
        Loss of product during transport and storage is relatively minor

as a consequence of the completely closed system that is used.  Losses

are further controlled by monitoring discrepancies, if any, between product

billings and receipts.  In addition, the high cost of the products provides

an added incentive to control losses.  The total industry-wide loss in

transport and storage is judged to be less than 1% of the total quantity
                        3                                 •
of the product handled, or a loss of less than 10 million Ibs.

    C.  Contamination from Use

        The major loss of fluorocarbons to the environment is due to their

intentional or unintentional release while they are being used.  Estimates
i                      •                                .                 .
of loss from the major uses are derived in the following sections.     <

        1.  Propellants                                                ;

            The major loss of fluorocarbon products to the atmosphere

results from aerosol propellant applications.  Essentially, all fluoro-

carbons consumed by this application enter the atmosphere.  It is judged

that there is a one-year inventory lag and, therefore, at a growth rate of

6%, the current release is 6% less than production.  For 1972 (see Table XII),

the loss would be .94 x 529 x 106 Ibs.  =  496 x 106 Ibs.

            The predominant method of charging of aerosol containers is a

pressure method that is carried out at ambient temperatures.  The loss of

propellant, which occurs principally while sealing the container, amounts

to less than 1% (Harmon, 1974).  For 1972, this would amount  to a loss of

0.1 x 529 x 106 Ibs.  =  5.29 x 106 Ibs., a relatively insignificant amount

compared to the loss from the aerosol use.
I
                                   38

-------
        2.  Refrigerants
            Loss of fluorocarbons during use as refrigerants may occur in
the following ways:                                              •
                a.  charging the refrigerants into the
                    factory sealed prefabricated-type
                    units
                b.  Loss from abandoned, scrapped, or
                    junked prefabricated-type units
                c.  Recharging or replacing large commercial
                    and industrial installations with
                    refrigerants.
The loss from (a) is estimated to be about the same order as the mechanical
losses at production plants, namely 1%.  The demand for prefabricated units
is about 52% of the total refrigerant market (see Table XV) and, therefore,
the loss from (a) is approximately .01 x .52 x 221 x 106 Ibs.  =  1.15 x
106 Ibs.
            Refrigerants in abandoned prefabricated units (b) eventually
escape as the parts corrode or are destroyed.  The average life for these
appliances is at least 10 years, or annually about 10% of the total installed
units are scrapped (ASHRAE, 1972a, b, 1973).  The total installed units can
be calculated by assuming that the total demand is equal to the units lost
plus a 6% increase in new units
221 x 106 Ibs. x 0.52 (demand)  =  0.06A + .10A  (A  =  total installed units)
                  .     115 x 106 Ibs.     ,,,„   1fl6 ...
                  A  =  .06+ .10	  =  72° x 10  lbs'           "
Therefore, the amount lost from (b) is 720 x 106 lbs. x .10  =  72 x 106 lbs.
                                  39

-------
            The loss from (c) is judged to be annually about 4% of the total



installed units, based on the assumption that the units will be recharged



every 5 years and that 80% of the original refrigerant will be recovered.



Assuming 48% of the total refrigerant market consists of the large commer-



cial units and using similar reasoning to that described above, the total



installed large commercial units can be calculated.







221 x 106 Ibs. x 0.48 (demand)  =  0.06A + .04A  (A  =  total installed units)
Therefore, the loss from  (c) is  .04 x 1060 x 106 Ibs.  =  42.4 x 106 Ibs.



        3.  Solvents
                                                                     ;


            It is estimated that the industry-wide efficiency of the i



recovery systems used with fluorocarbon solvents is approximately 80%.



Using an annual growth rate of 6% and a 1972 solvent use quantity of



50 x 106 Ibs., the following loss calculation is possible.



                T         on [50 x 106 Ibs. 1      „£, c   In6 ,,
                Loss  =   .20 ^Q6 + >2Q - J   =  38.5 x 106 Ibs.




        4.  Blowing Agents



            As explained  in Section III A, the f luorocarbons used as blow-



ing agents are approximately equally divided between open cell and closed



cell applications.  Loss  from the closed cell foams should be negligible



while 100% of the f luorocarbons used for open cell foams should be immed-



iately lost.  Therefore,  the loss for 1972 should be >.50 x 89 x 106 Ibs. =•



44.5 x 106 Ibs.
                                   40

-------
        5.  Plastics




            Fluorocarbons used as intermediates for plastic monomers




probably experience some loss during transport and storage and in the




synthesis process.  Losses from transport and storage have been considered




previously.  The loss during synthesis is considered to be negligible.






    D.  Contamination from Disposal




        The release of fluorocarbons to the environment from disposal is




principally caused by scrapping prefabricated refrigeration and air con-




ditioning equipment.  This has been covered in the section on losses from




use.






    E.  Fluorocarbon Contamination Levels in the Atmosphere




        Table XVIII summarizes the fluorocarbon losses for 1972 described




in the previous sections.  It appears that a substantial amount of fluoro-




carbons are being released to the environment from use in the U.S.  World




losses could quite easily double the quantity released.




        The high vapor pressure of the major fluorocarbon compounds at




ambient temperatures (Section I), the high chemical stability and inertness




of the compounds (Section VIII), and the low solubility in aqueous media




suggest that a high fraction of the fluorocarbons that are released will




accumulate and persist in the atmosphere.  This suggestion combined with




the fact that sizable quantities of fluorocarbons are being released has




prompted a number of monitoring studies, the results of which have been




reviewed in Section VII B and are summarized in Table XXI of that section.
                                  41

-------
     Table XVIII:   Fluorocarbons Released  to the Environment in 1972  from U.S. Applications
                                        Losses From (106 Ibs.)
Fluorocarbon
11 CC13F
12 CC12F2
22 CHC1F2
113 CC1F2CFC12

114 CC1F2CC1F2



Production
3
4
.8
Transport
& Storage
3
4
.8
-.5 j -.5
!
-.2 ;. -.2
Uses
Propellants
231
247
.


18
1 i

r • • • .


Refrigerants
-4
-67
-41


-3



Solvents



38.5





Foaming
Agents
22.5
22







Total
263.5
344.0
42
40

22



Total
                                            496
115
              38.5
44.5
711

-------
        In this section the extent that the concentrations of fluorocarbon
chemicals may increase in the atmosphere during the next 50 years has been
projected.  In doing this, information on production and use (sections II
and III), monitoring data (Section III B), and information on the atmos-
pheric stability of the fluorocarbons (Section X) has been utilized.  The
projections are based upon the following assumptions:
        1.  The 1972 annual U.S. production for the several commercial
            fluorocarbons is approximately as follows:  (see Table XII)
                                                  106 Ibs.
            Fluorocarbon 11                         300
                         12                      ,   440
                         22                          80
                        113                          50
                        114                          20
                      115 & 13B1                     10
                       Total                        900
        2.  Distribution by uses are approximately as follows (Table XII
            combined with Table XV):
                               Percentage
Fluorocarbon
11
12
22
113
114
115
13B1
Aerosol
82
60


95
10

Refrigeration
Prefab.
Units

15.5
57




Large
Commercial
Units
3
14.5
43

5
90
5
Foaming
Agent
15
10





Solvent



100



Fire
Extinguishing
Agent






95
                                  43

-------
        3.  Annual growth of each compound has been taken uniformly at
6%.  Although the past growth rate has been about 8-10% (8.5% per year
for 1962-1972, Chemical Marketing Reporter, 1973), there are indications
that the rate is slowing in the U.S.
        4.  The world consumption has been projected at double the U.S.
production.  Although the ratio has been less up to the present, it in-
creased from 1.58 in 1968 to 1.75 in 1972 for aerosol use (see Table XIV).
        5.  Because of the uncertain data on the persistence or residence
time of each of the compounds (see Section X) , the projections have been
estimated only for an infinite residence time in order to give an upper
limit value for the concentration.
        6.  The rate of release of each compound, depends upon the use as
developed in the preceding sections.  These release factors are(J summarized
as follows:
    PropellantK    = immediate except for approximately one year lag
                     due to inventory.
    Refrigerants   = total loss after 10 years for prefabricated units;
                                                             42
                     for large commercial units the loss is -r^r = 40% of
                     the total production used in that application  (see
                     Section V, C, 2 annual loss calculation for  1972) .
    Foaming Agents = 50% is lost immediately  (open cell foams); 5.0% is
                     never lost (closed cell  foams) .
                     38 5
    Solvents       = — =•=— or 77% of the new production is lost immediately
                     (see Section V, C, 2 for the annual loss calculation
                     for 1972).
                                   44

-------
For example, if the total production of fluorocarbon 12 was 100 x 106 Ibs.,

the amount lost immediately would be:


100 x 106 Ibs.  x  [0.60  +    ^|£   +   (0.145) (0.40)]= 100 x 106 Ibs. X 0.708

                   amount    half of    amount        amount
                    used     amount     used for      lost
                    for      used for   large         from
                  aerosols   foams      commercial    large
                                        refrigeration commercial
                                                      refrigeration


and ten years later


                     100 x 106 Ibs. x .155

would be lost from prefabricated refrigeration units (see Table XIX for

the calculation of fluorocarbon 12).

        7.  The volume of the global troposphere is assumed to be 1.8 x 1020

ft.3 (5.09 x 1021+ ml), based on an average altitude of the troposphere of

30,000 to 35,000 feet, or near the lower limit of the reported range of

25,000-60,000 feet (Van Nostrand's Scientific Encyclopedia).  The surface

area of the planet was taken as 200 x 106 square miles.  The selected height

of the troposphere was used in order that the projected results will tend

to be conservatively high.  The concentration is calculated on a volume/

volume basis at standard temperature and pressure.

            For the U.S. concentration, the global volume is divided by 4:
                                                453.6 gms   1 mole    22,400 ml
Concentration in U.S.  CCl2F2 = Ibs. released X   1 Ib.   x 121 gm	1 mole
                                                          5.09 x
                                                                4

                         Ibs. released x 6.61 x 10~20

For the global concentration the quantity released is doubled and the total

global volume is used.

                                   45

-------
            Table XIX presents the calculations and projected concentra-




tions for fluorocarbon-12.  The results of calculations for fluorocarbons




11, 12 and 22, the major commercial products, are depicted in Figure 6.




It is felt that these projections are reasonable since the calculated values




correspond well with available monitoring data.  For example, the calculated




average global concentration for CClsF is 66 ppt.  Lovelock £t al. (1973)




has reported an average concentration of 48 ppt over the Atlantic Ocean.




Much higher values were observed (60-80 ppt) in the Northern Hemisphere.




The concentration of 97 ppt reported by Su and Goldberg (1973) for CC13F




in an air sample taken from a desert corresponds well with the calculated




U.S. background level of 133 ppt.  The slightly higher calculated value may




be attributed to the deliberate choice of factors (e.g., atmospheric:




volume, infinite stability) to project the upper limits of concentration.




However, the calculated values do conflict with the CCl2F2 concentration of




700 ppt measured by Su and Goldberg (1973) in the desert 100 km northeast




of San Diego.  We find it hard to believe that the 700 ppt concentration




is a background level, especially when this is the average concentration




for CC12F2 observed by Hester e± al.(1973) in the Los Angeles basin and




our upper limit calculated value is 133 ppt for the U.S.



            Su and Goldberg (1973) have suggested that a longer residence




time can explain the higher levels of fluorocarbon 12 than, fluorocarbon 11.




We have calculated some concentrations using residence times of 10 years




for CC12F2(Lovelock et al., 1973) and 30 years for CC13F (Su and Goldberg,




1973).  These residence times have almost no effect on 1972 concentrations




although they have some effect on future projections and, therefore, they do




not explain the discrepancy.






                                   46

-------
Table XIX:  Estimation of Average Concentrations
            of Fluorocarbori 12 in the Atmosphere
Year
1952
1957
1962
1967
1972
1977
1982
1987
1992
1997
2002
2007
2012
2017
2022
Annual
Production
Rate in U.S.
106 Ibs.
50
100
208
310
439
590
790
1055
1400
1890
2580 '
3400
4550
6100
8200
Total
Consumed
During
5-year
Period
106 Ibs.
200
300
750
1,200
1,750
2,480
3,320
4,450
5,950
7,900
10,700
14,300
19,200
25,500
34,000
Total
Consumed
to Date
in U.S.
106 Ibs.
200
500
1,250
2,450
4,200
6,680
10,000
14,450
20,400
28,300
39,000
53,300
72,500
98,000
132,000
Accumulated Quantity
Released to Atmosphere
in U.S. (106 Ibs.)
Immediate
0.708 xfT)
0
142
212
354
531
885
850
1,735
1.240
2,975
1.755
4,730
2.350
7,080
3.150
10,230
4,212
14,442
5.593
20,035
7.575
27,610
10.124
37,734
13.594
51,328
18.054
69,382
24.072
93,454
After 10 vears
.155 x(7)
10 years before
-
—
31
46
77
116
193
186
379
271
650
384
1,034
515
1,549
690
2,239
922
3,161
1.224
4,385
1.658
6,043
2.216
8,259
2.976
11.235
Total in
Atmosphere
no
degradation
142
354
916
1,812
3,168
5,109
7,730
11,264
15,991
22,274
30,771
42,119
57,371
77,641
104,689
Concentration
in Parts Per Trillion
(10-12) by volume
U.S.
Atmosphere
©
9
23
61
120
209
337
511
745
1057
1472
2034
2784
3792
5132
6920
Global
Atmosphere
©
5
12
30
104
168
254
371
526
733
o
1012
1385
1887
2554
3444

-------
                    0  FLUOROCARBON 11, C CI3 F
                    •  FLUOROCARBON 12, C CU F,
                    *  FLUOROCARBON 22, CH Cl f.
}
                                                       HIGHER VALUE UNITED STATES
                                                       AVERAGE CONCENTRATION
                                                       LOWER VALUE GLOBAL
                                                       AVERAGE CONCENTRATION
     5000-
     4000--
     3000- -
to
(N
o
 oc
     2000- -
     1000- -
1952      1962
                           1972       1982      1992

                                        YEARS
                                               2002
                                                                 2012
                                                                          2022
            Figure 6    Projections of Average Global and  U.S.
                         Atmosphere Concentration  of Fluorocarbons
                                    11, 12,  and 22
                                     48

-------
            The calculated values are only averages and, therefore, regional



fluctuations can be expected.  By comparing the variations in 1972-3 moni-



toring data, it is expected that highly populated centers may have average



concentrations 10-15 times the global concentrations (e.g., CClaF - global



48 ppt - highest average value measured 650 ppt, Hester e£ a^., 1973).  In



addition, for short periods of time, concentrations several thousand times



the background levels may be observed.  Thus, in the year 2000, the average



concentration in urban areas of fluorocarbon 11 would be approximately 10 ppb



with high fluctuations to possibly 10 ppm.

-------
 VI.   CONTROL TECHNOLOGY




      A.   Currently Used




          Control  technology  associated with production, storage,  and  trans-




  port takes the form  of  preventive maintenance  and monitoring  for leaks.




  The  industry  applies these  controls  for  its  own economic benefit.  By




1  controlling temperature and pressure a minimum of loss is possible.  The




  monitoring devices can  vary from the simplest  and oldest technique of




  using a  soap  solution to a  more  sophisticated  approach using  flame ioni-




  zation or electron capture  techniques.




          Loss  from use is the major source of fluorocarbon contamination.




  The  major loss is from  aerosol propellants and, by  its very nature,




  recovery is impossible.  When large  quantities of fluorocarbons  are  used




  in one place  such as in large commercial refrigeration applications  'or




  solvent  uses, considerable  amounts of the materials  are recovered by




  condensation  and redistillation.  For example, cooling coilings  were used




  to recover solvent loss from a degreaslng plant  (Greve, 1971).   Efficiencies




  of recovery are  kept as high as  possible because of  the high  price of  the




  materials involved.




      B.   Under Development



          No new control  technology is under development.
                                     50

-------
VII.  MONITORING AND ANALYSIS

      A.  Analytical Methods and Sensitivity

          Development of analytical techniques for determining fluorocarbons

  in trace amounts was first undertaken in order to allow the use of fluoro-

  carbons as a tracer of atmospheric dispersion.  Schultz (1957) found that

  dichlorodifluoromethane was a promising tracer chemical.  He used a modified

  ionization-type leak detector which was sensitive to a concentration of

  approximately 1 ppm; however he was plagued by non-reproducibility (Collins

  e£ al., 1965) .

          Marcali and Linch  (1966) reported a colorimetric method for per-

  fluoroisobutylene and hexafluoropropene in air samples capable of detecting

  these compounds at 0.1 ppm and 0.02 ppm, respectively.  The method is based

  on a chemical reaction between the fluorocarbon and pyridine and piperidine

  in methanol  (collection solvent) due to the unsaturated system (X-C=dCF2, X =

  halogen) and, therefore, is only good for unsaturated fluorocarbons.

          McFee and Bechtold (1971) studied a combined pyrolyzer-microcoulomb

  detector system as a continuous monitoring system.  The limits of detection

  for trichlorotrifluoroethane and tetrachlorodifluoroethane were 0.3 ppm and

  0.9 ppm, respectively.  The authors suggested that this instrument would be

  useful for testing air cleaning systems and for measuring toxicants with low

  threshold limit values.

          Shargel and Koss (1972) used a gas chromatographic method with
                                                                     e
  electron-capture detection for determining chlorofluorocarbons in dog blood.

  The method used a hexane extraction and the lower limits of quantification
                                      51

-------
were 3.3, 10, 40, and 80 yg/1 of blood for trichlorofluorometliane, dichloro-



difluoromethane, trichlorotrifluoroethane, and dichlorotetrafluoroethane,



respectively.



        Collins and Utley (1972) studied the possible use of mass spectrometry



for detection and identification of organic pollutants in the atmosphere.  They



used a silicone rubber membrane direct inlet system (similar to GC-MS inter-



faces) which allowed 1000 fold increases in minor components of air.  With
!


this system, they could detect trichlorotrifluoroethane at 0.1 ppm.



        Two techniques have been used to detect fluorocarbons in air at



ppb to ppt  (10~9 - 10~12) concentration ranges; (1) direct analysis of



air-fluorocarbon mixtures with gas chromatography with an electron-capture



detector (GC-EC), and (2) sampling tube concentration with gas chromatography



and flame ionization detection (GC-FI).  Collins ejt ail. (1965) used the GC-EC



technique to study the use of sulphur hexafluoride and dichlorodifluoro-



methane as gas air tracers.  They found the sensitivity for dichlorodifluoro-



methane to be only in the 50 to 100 ppb range.  Saltzman et^ _al. (1966) used



a similar GC-EC system with bromotrifluoromethane and octafluorocyclobutane.



A sensitivity of about 0.3 ppb was achieved without concentrating the sample.



        Gelbicova-Ruzickova et al. (1972) developed a method for determining



minute quantities of halothane (2-chloro-2-bromo-l,l,l-trifluoroethane) in


the air of operating theaters.  They used a porous polymer packing  (Porapak



P and Q) in a sampling tube to preconcentrate the sample.  Detection was



carried out with a flame ionization detector  (GC-FI).  Concentrations down


to 10 ppb could be determined.  These authors referenced a report that noted



a low stability of the electron capture detector if the electrodes are con-



taminated by large amounts of water vapor and oxygen.  However, Lovelock and



                                    52

-------
coworkers (Lovelock, 1971, 1972; Lovelock 
-------
                             TABLE XX

Electron-Capture Detector Response to Various Fluorinated Compounds
                  (Clemens and Altshuller, 1966)
Compound
SF6
CFC13
(CF3)2C=CF2
C1F2C-CFC12
CF2CF2CF2CF2
CF3Br
CF2C12
C1F2CCF2C1
CF2=CC12
CHFC12
CF3CF2C1
CF2-CFC1
CF3C1
CHF2C1
r.F
Fluorocarbon #
11
1218
113
C318
13B1
12
114
1112
21
115
1113
13
22
1A
Response Response
(sq.in. ppm) Flame-ionization
(sq.in. ppm)
(all compounds)
r r\r\
370
90
50
30-40
12-40
9
2


i



0.2 0.1-1.0
5 x ID"2
5 x 10-2
3 x 10~2
1 x KT3
3 x 10~3
•^ v in"1*





                                 54

-------
wind was blowing from the west (Atlantic Ocean) both the CC13F concentration




(10 ppb by volume) and the turbidity were less than when the wind came from




the European continent (CClsF concentration 190 ppb).   Lovelock (1972)




reported similar, but more detailed results of monitoring data in Ireland.




When the wind was blowing from the west the average concentration was about




50 ppt; when from the east, 100 ppt.  In 1973, Lovelock and coworkers (1973)




monitored CC^F above the Atlantic Ocean in both the Northern and Southern




Hemisphere.  A global mean concentration of 48 ppt was reported, with a high




in the Northern Hemisphere of 78 ppt and a low in the Southern Hemisphere




of 38 ppt.  Concentrations in the sea water ranged from 20-70 ppt.




        Su and Goldberg  (1973) monitored ambient levels of both CClaF and




CC12F2.  In La Jolla and San Diego, California, they found averages of




370 ± 560 ppt and 290 ±  249 ppt for CClsF and averages of 5800 ± 4600 ppt




and 3200 ± 1400 ppt for  CC12F2, respectively.  In a desert 100 km north-east




of San Diego, they reported 97 ppt and 700 ppt for CC13F and CC12F2, respec-




tively.




        Hester ejt al. (1973) monitored CCl^F and CC^Fj in ambient air




samples and in air samples from homes in the greater Los Angeles basin.  In




ambient air samples the  average readings were 560 ppt for CCl^F and 700 ppt




for CC12F2, but the concentrations varied by more than a factor of ten.




For each sample, the ratio of CC13F/CC12F2 was compared.  If the changes in




concentration were due only to dilution, the ratio should be fairly constant.




However, the ratios varied as much as the concentrations.  The average ratio




of CCl2F2/CCl3F (1.29) corresponded to a weight ratio of 1/1 gram CC12F2 to




1 gram of CClaF.   The effects of altitude clearly showed that the






                                    55

-------
fluorocarbons were trapped by an inversion layer (above inversion CC13F ^ 80 ppt;




CCl2F2= <100 ppt) as were the visable pollutants.  Concentrations of fluoro-




carbons near a cosmetic plant were only 3-4 fold over typical ambient levels




suggesting that the loss suffered in filling aerosol cans is small.  Monitoring




near a polyurethane plant showed similar low results suggesting small losses




'from closed-cell foaming operations.  The levels of both fluorocarbons 11 and




12 in homes, are, on the average higher than the typical ambient air samples.




In some cases, the concentrations were several thousand times higher (CC^F




range 220-1200 ppt; CC^Fa range 300-510,000 ppt).



        Simmonds jet al. (1974) also monitored CCl^F in the Los Angeles basin.




They reported an average level of 650 ppt and a lower concentration of 110 ppt




when the wind was blowing in from the Pacific.  The highest concentration




for CClsF was observed at 8 a.m., which the authors suggest is due to the




early morning use of aerosol propellants.  In a few measurements of CC12F2




the authors found similar variations in concentration with time, again



suggestive of aerosol dispensers as the source (many aerosols used a propellant




mixture of 50:50 CC13F/CC12F2).  Above an inversion, the authors found a




concentration of 260 ppt.




        The above monitoring data is summarized in Table XXI.
                                    56

-------
Table XXI.  Fluorocarbon Concentrations
            in the Atmosphere
            (ppt, 10~12, by volume)
Reference
Lovelock,
1971 (CC13F)
Lovelock,
1972 (CC13F)
Lovelock et al,
1973 (CC13F)


Su & Goldberg,
1973 (CC13F)



(CC12F2)



Hester et al.
1973 (CC13F)

(CC12F2)

Simmonds
et al., 1974
(CC13F)
Above
the
Ocean





Above
Land
Wind
from
Ocean

10

50

48 (aver)
78 high
38 low

































110
Above
Land
Rural

190

100





















Above
Land
Urban









aver.
370 ± 560
aver.
290 ±240
Aver. 5800
± 4600
Aver. 3200
± 1400

Aver. 560

Aver. 700



Aver. 650
Above
Land
Desert










97



700










In Homes


















220-
12,000
300 -
510,000



Above
an
Inversion


















^80

<100



260
                    57

-------
VIII.  CHEMISTRY
       A.  Reactions Involved in Use
           With the exception of their use as chemical intermediates, the
   fluorocarbon compounds being reviewed find applications due to their
   chemical stability rather than chemical reactivity.  This chemical
   stability is a result of the strength of the C-F bond and the increase
   in the bond energy of the C-C1 bond as the fluorine substitution in-
   creases.  This is illustrated in Table XXII.
              Table XXII:  Bond Energies of Chlorofluorocarbons
                               (Kcal/mole)(Bower, 1973)

   Compound             C-C                  C-Cl              C-F
   CClij                  -                    69                -
   CC13F                 -                    74                99
   CC12F2                -                    81               107
   CClFa                 -                    85               114
   C?n                   -                             .        122
   C2C16                 63                   68
   C2C15F                67                   69                97
                                              73
   C2ClkF2               72                   74                99
   C2C13F3               77                   75               106
                                              79
   C2C12F4               83                   80               100
                                                               108
   C2C1F5                88                   81               109
                                                               115
   C2F6                  94                   -                116
   The hydrolytic and thermal stability, which will be discussed in the
   following sections, closely parallels these bond energies.
                                     58

-------
        Although quite inert, the fluorocarbons do exhibit some chemical

reactivity in various applications.  Corrosion of aerosol cans due to the

decomposition of the propellants is commonly studied.  For example, tri-

chlorofluoromethane is considered unsuitable for water-based products

packaged in metal containers since some metals may catalyze the hydrolysis

of trichlorofluoromethane with liberation of acid.  Sanders (1960) has

demonstrated a free-radical reaction between trichlorofluoromethane and

alcohols resulting in dichlorombnofluoromethane and small amounts of

tetrachlorodifluoroethane.  The reaction is inhibited by high concentra-

tions of oxygen and, therefore, it is not likely that it will occur in

nature.  Similar corrosion studies of fluorocarbons 11 and 12 in aerosol

cans have been reported (Bohac, 1968; Minford, 1964).

        Most common construction metals can be used with the fluoro-

carbons at normal temperatures although at elevated temperatures they may

act as catalysts for the breakdown of compounds.  The general order of

thermal reactivity with metals is:  Least decomposition - Inconol

< 18-8 stainless steel < nickel < 1340 steel ' aluminum < copper < bronze

< brass < silver - Most decomposition.  The order of reactivity may vary

somewhat with individual compounds.  Magnesium alloys and aluminum con-

taining more than 2 percent magnesium are not recommended for use with

the fluorocarbons where water may be present (DuPont, 1969a).

        Some of the fluorocarbons under review are used to synthesize

ethylene monomers which are used in the synthesis of fluorocarbon resins

and elastomers.  The most important process commercially is the pyrolytic

dimerization of chlorodifluoromethane to form tetrafluoroethylene;

                 500 - 1000°C
        2CHC1F2  —	'	* CF2 • CF2 + 2HC.L.


                                   59

-------
        The perhalogenated ethanes can be dehalogenated by zinc  (also

magnesium and aluminum) in the presence of polar solvents:



                  CC12F - CC1F2 — — — > CC1F = CF2 + ZnCl2
                                Alcohol


    B.  Hydrolysis  ,

        The hydrolysis of the fluorocarbons has received a great deal  of

study due to its economic importance in the Hydrate Process for  desalina-

tion (Colten e_t al. , 1972; Stepakoff and Modica, 1973; Johnson et al. ,

1972).  The hydrolysis reaction is considered to be a first order reaction

with the rate determining step being the slow ionization of the  fluoro-

carbon to a carbonium ion and halide ion followed by a faster reaction of

the carbonium ion with water (Johnson e_t £]L . , 1972), as depicted for

fluorocarbon 31 in  Figure 7.


                 CH2C1F -- — >  CH2?+ + Cl~ (slow)
                 CH2F+ + H20   2 > CH2FOH + H+  (fast)

                 CH2FOH — ^-jf HCHO + HF  (faster than 1)
          Figure 7:  Hydrolysis Mechanism of Fluorocarbon  31
                              (Johnson e* al. ,  1972)


The carbon-chlorine bond is probably the first bond broken  in  the hydrolysis.

Experiments with l-chloro-3-fluoropropane indicate the  rate of hydrolysis

of the carbon-chlorine bond is 100 times faster than  the carbon-fluorine

bond (Bower, 1973).
                                  60

-------
          The fluorocarbons as a group exhibit a low rate of hydrolysis in

  comparison to other halogenated compounds.  Table XXIII presents some rates

  of hydrolysis in water.  When water alone is used, the rate is too low to
                                                        t
  be determined by the analytical method.  Johnson and coworkers  (1972) have .

  reported a half-life of 1.2 x 106 hr at 1 atm and 25°C for the hydrolysis

  of fluorocarbon 114 based on the first order model.  The rate of hydrolysis


                                                       H
                 Table XXIII:  Hydrolysis Rate in Water17
                             Grams/(liter of Water)(year)
                               (DuPont, 1969, no date b)
Compound
CH3C1
CH2C12
"Freon" 113
"Freon" 11
"Freon" 12
"Freon" 21
"Freon" 114
"Freon" 22
"Freon" 502
1 atm Pressure
86°F
Water Alone
*
*
<0,005
<0.005
<0.005
<0.01
<0.005
<0.01
<0.01t
With Steel
*
*
ca. 50**
ca. 10**
0.8
5.2
1.4
0.1
<0.1t
Saturation
Pressure
122°F
With Steel
110 '
55
40
28
10
9
3
*

1% Na2C03
Solution



0.12
0.04

0.01
0.6***

10% NaOH
Solution



100
40

3
955***

  //Grams of refrigerant hydrolyzed per liter of solution saturated with gas
  *Not Measured
 **0bserved rates vary
***grams/liter/day
  tEstimated
  is greatly affected by temperature and pressure and the presence of other

  materials.  For example, metals have a tendency to catalyze the hydrolysis

                                    61

-------
reaction.  The pH of the water also has an effect on the rate of hydrolr-




ysis of fluorocarbons containing hydrogen (e.g., fluorocarbon 22).




Under alkaline conditions, these compounds tend to hydrolyze more rapidly




than under neutral or acidic conditions.  The results depicted in Table




XXIII generally indicate the retarding effect of fluorine substitution on




the hydrolysis rate. ' This has also been demonstrated on a series of




chloromethanes (CH3C1, CH2FC1, CHF2C1) by Boggs and Mosher (1960).




        On theoretical grounds (bond strength of C-Br bond), bromotri-




fluoromethane should hydrolyze more rapidly than the chlorofluorocarbons.




However, Saltzman e_t^ al. (1966) found no detectable loss of the compound




in moist air mixtures which were aged for several days, but this may be




attributed to the lack of sensitivity of the technique used.





    C.  Oxidation




        The fluorocarbon compounds are highly resistant to attack by




conventional oxidizing agents at temperatures below 200°C (Bower, 1973;




Downing, 1966).  At elevated temperatures, air contamination can increase




the decomposition rates by 300 percent or more (Callighan, 1971).





    D.  Thermal Stability




        In general, the fluorocarbons exhibit a high degree of thermal



stability.  As noted earlier, the degree of stability is dependent upon




the degree of fluorine substitution (see discussion on bond energies in




section VIII A).  The stability of the compounds is dependent upon the




test conditions used and the materials to which the compound is exposed.
                                  62

-------
       Table XXIV:   Thermal Stability of Fluorocarbon Compounds
                               (DuPoht,  1969a)
Compound
11
113
12
114
22
502
13
Formula
CCljF
CC12F-CC1F2
CCljK2
CC1F2-CC1F2
CHC1F2
CHC1F2/CC1F2CF3
CC1F3
Maximum
Temperature for Continuous
Exposure In the Presence of
Oil, Steel and Copper,
°F
225
225
250
250
300
300
>300
Di.'compusl t i on
Rate at 400°F in Stet.1,
Per Cent/Year
2
6
<1
1
*
*
*
Temperature for
First Trace of Decomposition
In Quartz, °F
840
570
1000
*
»
550
*
if
 *Not measured
        Table XXIV presents some thermal stability data.  The recommended

maximum temperatures are based on laboratory tests, but have been in sub-

stantial agreement with field experience.  The decomposition rates are

determined from six-day exposures.

        Callighan (1971) has reviewed the available thermal stability data

on fluorocarbons 11, 12, 22, 113, 114, and 116 and converted the various

test results into "standard" percent per year values.  The results can vary

considerably depending upon the contaminants (e.g., water and air), exposure

time, and whether the experiment was run long enough to reach a steady state.

With this in mind, the following approximate decomposition rates were tabulated.
                                   63

-------
          Table XXV:  Decomposition Values of Fluorocarbons at 400°F
                                     (Callighan, 1971)
                                    Percent Per Year in Presence of
Fluorocarbon
    .114
    113
    11
    22
    12
       Fe Only             Fe + Cu -I- Al + oil (naphthenic)
Lower           Upper           Lower           Upper
Limit           Limit           Limit           Limit
0.055            1.0               9                 22
0.2              6               700            710,000
2.0             60               too high to estimate
0.1              9.0             0.35                 9
0.3              1.0            3500          7*100,000
stability rank
    highest
    lowest
114
 22
113
 12
 11
114
 12
113
 22
 11
 22
114
113
 12
 11
 22
114
113
 12
 11
                                        64

-------
In general, these results agree well with the fluorine substitution pattern.


The pyrolysis products usually include hydrofluoric and hydrochloric acid


and, if a source of water or oxygen is available, a small amount of phosgene.


Thermal dehydrohalogenation can occur with appropriate chlorofluoroethanes


to yield substituted ethylenes (Hyskins et_ al.*, 1951).



    E.  Photochemistry

                      o
        Sandorfy and coworkers (Doucet et^ ail., 1973)' have7examined the vacuum


ultraviolet spectra of a series of methane fluorocarbons  (13,  13B1, 22,  31,


21, 12 and 11) and have observed ho absorption above 200 nm  for the chloro-


fluorocarbons.  They have also completed studies with the ethane series


(fluorocarbon 113, 114 and 115) and these also exhibit no absorption above


200 nm (Doucet e_£ al., 1974).  Since the wavelength of sunlight at altitudes


below approximately 50 kilometers falls above 280 nm, there  is no mechanism


for direct photoalteration of these chemicals in the lower atmosphere.


Experimental results under atmospheric conditions uphold  this  postulated lack


of photochemical reactivity.  Japar et al. (1974) found no evidence of reaction


with fluorocarbons 11, 12, 22, 113, 114, 115  during irradiations (X>310  nm)


of mixtures of the fluorocarbons with olefins and nitrogen oxides in a long


path infrared cell reaction vessel.  Hester e_t^ al.  (1973) placed fluorocarbons


11 and 12 in ambient air samples and photolyzed them in a 20 liter pyrex car-


boy with 11 blacklight fluorescent lights for a period of almost 2 months.


No change was detected.  Also, Saltzman et__al. (1966) found  no photochemical


reactivity for bromotrifluoromethane (13B1) from irradiation with fluorescent


black lights.
                                    65

-------
        Photolysis of the fluorocarbons at altitudes above 50 kilometers,

where the high energy sunlight is not filtered out by the ozone layer, may

be a major decomposition route for the removal of the fluorocarbons from  the

atmosphere.  Doucet «*£ aJ^. (1973) suggests that the photochemical reactivity
                           *•
at these high energies should increase in the series CF3C1 -> CF2HC1 ->• CFH2C1

-*• CHsCl and the same is expected when the number of chlorine atoms is increased

or a chlorine is replaced with a bromine.


    F.  Other Chemical Reactions

        The carbon-fluorine bond is extremely resistant to almost all chemical

reagents.  Reduction with hydrogen does not occur until above 830°C and often

the C-C bond is also cleaved


          C6F12 + H2 >8306C> CF2H2


Strong reducing agents such as lithium aluminum hydride will reduce other

halogens but not the C-F bond

              CF2 - CFC1    _,..„            CF2-CFH
              CF2 — CFC1                     CFj-CFH
                                                                            *

In contrast, trlfluoromethyliodide will undergo a free radical type reduction

simply in the presence of a hydrogen donor  (Bower,  1973).

               CF3I + C6H11+ - * CF3H + C6H13I

        The fully halogenated  chlorof luorocarbons are inert  to halogenation,

but unsaturated compounds and  the compounds containing a hydrogen will  add

or substitute a halogen relatively easily (Bower, 1973) .

              CF2 - CF2 + Br2 - >• CF2Br-CF2Br

              CF3H  +     Br2 - »• CF3Br + HBr


        The fluorocarbons also will react violently with alkali and alkaline

earth metals such as sodium, potassium, and barium.


                                    66

-------
IX.  BIOLOGY




     A.  Absorption/Elimination




         Under normal conditions, the fluorocarbon propellants, solvents, and




 fire extinguishing agents have three routes of entry into terrestrial verte-




 brates: inhalation, ingestion, and dermal absorption.  However, because of




 the physical properties and uses of these compounds, inhalation is by far




 the most common route of entry and elimination.




         Many of these fluorocarbons have been extensively tested on both




 standard laboratory mammals and man to determine their absorption and




 elimination patterns during and after exposure. Generally, two types of




 exposure have been used: inhalation of air containing a known concentration




 of fluorocarbons (usually expressed as per cent by volume) and



 direct inhalation of propellants from  bronchodilator-type nebulizers




 (usually expressed as mg. of  fluorocarbon inhaled).  For  the most part, two




 techniques have been used for determining fluorocarbon retention: measurement




 of fluorocarbon blood levels  and measurement of fluorocarbons in expired air.




 Of these techniques, blood levels have been the more used because, in dealing




 with  fluorocarbon exposure, it is often desirable  to know or be able to




 predict the blood levels which will be reached under a given set of conditions




 e.g.  concentration, duration,  activity, species, etc.  However, the amount




 and rate of any gas absorbed  and/or eliminated during respiration will  depend




 on a  variety of factors such  as the physical and chemical properties of the




 gas,  concentration of the gas in inspired air, the breathing patterns of the




 animal, the size and surface  characteristics of the absorbing surface,  and




 the characteristics of the absorbing elements  (e.g. blood cells and plasma).
                                      67

-------
Consequently, blood levels of a gas under similar conditions of exposure may


vary with the species, individuals in the species, and a given individual at


differen^t activity levels.  Further, absorption and elimination are dynamic


processes involving equilibria states between the ambient air and blood,


between the blood and body tissues, and between the various body tissues


themselves.  Thus, fluorocarbon absorption data are often given as peak


blood levels for a given concentration x time exposure.  For those


concerned with long term exposures, these values are most instructive when


equilibria is reached.  Elimination data is similarly given as half-life,


time to total or partial elimination, or percent elimination at a given time


measured either as blood levels or percent eliminated in expired air.


        Although the various types of information available on fluorocarbon


absorption are not contradictory, they are nonetheless difficult to

                                                                       i
compare, either because of the units in which they are expressed or the!


experimental conditions under which they are obtained.  Therefore, three


types of information will be considered separately: 1) information derived


on fluorocarbon retention from concentrations in expired air; 2) fluorocarbon


blood levels after inhalation from nebulizer apparatus; and 3) fluorocarbon


blood levels after inhalation of fluorocarbon-containing ambient air.


    1.  Fluorocarbons in Expired Air


        The relative amounts of fluorocarbons F-ll, F-12, F-113, and F-114


absorbed by manhavebeen measured in breath holding experiments (Morgan


et_ al., 1972).  Such experiments involve having the subject inhale a known

                   •JQ
concentration of a   Cl-labelled fluorocarbon, then measuring the activity


in alveolar air after varying periods of breath holding.  The results are


given in Figure 8.
                                     68

-------
-2«o
r- «WO
5 80
t 70
S 60
7
6 so
u
;,' 4O
—
§ 3O
u.
0

* 20
UJ
U
IT
U
o.
cr 10
< *
u
< 7
-J 6
O
u 5
= 3
7.
O
5 2
cr
t-
z
u
Z
O I
U 'C
r \
\ \
" \ \
\ \
\ \
\ *\
\ ^»
\ \
V N. '
\ \^- •
: \ > :
. • •
*


1 F LUO-^OC All bott 12 ' 1
1 ~ "f L U O W O C A H 1>O II "i i'3 1 + j
F LUOROC AM [iON II j o I
1, 1,1,- TRICHLOROETHANT I • "1
1, 1,2 - TRICHLOROETHANE | 4 j


i i . i i i
) IO ?O 3O 4O 5O 6
                               BREATH HOLDIHC TIME (SECONDS)
           Figure 8:  Concentrations of Some Halogenated Hydrocarbons
                      in the Alveolar Air of Man after Varying Periods
                      of Breath-holding (Morgan et al., 1972)
                      Reprinted with permission from  A. Morgan,
                      Copyright 1972, Pergamon Press.

Qualitatively, these results agree well with other information on the amount

of fluorocarbons absorbed by the blood indicating the following order:

F-11>F-113>F-114~F-12.   As pointed out by the various Investigators refer-

enced in Table XXVI,    this order agrees well with the blood/gas partition

coefficients  for these compounds in blood, blood serum, and olive oil.

   Table XXVI: Partition Coefficients of Various Fluorocarbons
Compound
F-ll
F-12
F-113
F-114
Whole blood
(rat)1
1.4
0.2


Whole blood
(man) 2
0.87
0.15

0.15
Blood serum
(man) 3
0.9
0.2
0.8
0.2
Olive Oil3
27
3
32
5
       1 Allen and Hanburys Ltd., 1971
       2 Chiou and Niazi, 1973
       3 Morgan et al., 1972

-------
The values for olive oil compare reasonably well enough to those of blood


so that they might be indicative of blood/gas partition coefficients for


fluorocarbons.  Halothane (l-bromo-l-chloro-2,2,2-trifluoroethane), a potent


anesthetic, has a partition coefficient in human blood of 2.3 (Larson, 1962).


The blood gas partition coefficients for 1,1,1-trichloroethane and


1,1,2-trichloroethane (see Figure 8) are 7 and 56 respectively, indicating


that correlation of blood/gas partition coefficient to absorption may hold


for all volatile halocarbons.  When exposure is terminated and equilibria


forces are reversed, the more readily absorbed compounds are retained


longer.  This is demonstrated in Figure 9 for F-ll and F-12.
                           T)
                            
-------
The inverse relationship between ease of elimination and absorption is further

illustrated by data on percent retention after 30 minutes and the number of

respiratory cycles to total elimination as given in Table XXVII.
            Table XXVII.   Elimination of Fluorocarbons
                       as Measured in Expired Air
           Fluorocarbon      % Retained after       Number of Respiratqry
                              30 Minutes1           Cycles to 100%
           	       Mean (S.D.)              Elimination2	

               F-ll '         23.0 ± 2.2                   127

               F-12          10.3 ± 2.2                    41

               F-113         19.8 ±0.9                     -
               F-114         12.3 ± 4.1                    39


            1 Morgan et al.,  1972
            2 Paulet and Chevrier, 1969


 Additional data by Faulet and coworkers (1969) indicate that the differences

 between F-12 and F-114 are insignificant.   Thus, the retention of fluorocarbons

 after inhalation follows the same order as the amount absorbed during

 exposure: F-11>F-113>F-114=F-12.

         The above exposures, while useful in determining relative rates of

 absorption and elimination,  are obtained over relatively short periods

 of time and offer little information on long term exposure.  Reinhardt and

 coworkers (1971b) have conducted retention experiments on F-113 in man over

 occupationally relevant periods.  They measured the retention of F-113 as

 indicated by fluorocarbon concentration in expired air from human volunteers

 exposed to 0.05% and 0.1% F-113.  Exposure periods were three hours in the
                                       71

-------
morning and three hours in the afternoon.  Breath samples were taken before

the morning exposure (A.M. data) and after the afternoon exposure (P.M. data).

The results are given in Table XXVIII.
          Table XXVIII.  Concentration of F-113 in Alveolar Air (ppm) After
                         Exposure to 0.05%'and 0.1% F-113
                         (Reinhardt et al., 1971b).
Subject
I




II




III




IV




Day of
Week
M
T
W
T
F
M
T
W
T
F
M
T
W
T
F
M
T
W
T
F
500
a.m.
< 1
< 1
< 1
< 1
< 1
< 1
< 1
2.0
< 1
< 1
< 1
< 1
1.5
< 1
3.0
< 1
< 1
< 1
1.0
< 1
Exposure
ppm
p.m.
60
65
59
57
51
61
56
51
49
55
45
27
18
18
31
47
44
35
35
41
1000
a.m.
< 1
< 1
2.0
1.5
1.5
< 1
1.5
1.5
1.0
1.5
< 1
< 1
2.0
3.0
1.0
< 1
1.0
1.5
2.0
2.0
Post
Exposure
ppm
p.m. a.m.
113
88
71
105
93
115
85
102
79
103
88
66
57
54
60
84
67
56
60
71
< 1
< 1
—
—
— . ,
1.5
< 1 i
—
—
—
< 1
< 1
—
—
—
< 1
< 1
—
—
•W
          Note:  (—) Indicates not measured.

Although there is no indication of fluorocarbon accumulation, detectable  levels

were retained over night in  four  cases at 0.05% and in fourteen cases at

0.1% exposure levels.  In one instance, a detectable level was  found  on the

Monday morning after a two day weekend  following the final exposure to 0.1%
                                      72

-------
F-113 (Reinhardt et al.,  1971).   This  information would seem at least an

indirect indication of  tissue  storage  requiring a "wash out" period of over

60 hours.

    2.  Fluorocarbon Blood  Levels After Nebulizer Administration

        Studies of the  amount  of fluorocarbons in the blood have concentrated

on two types of exposures,  those resulting from inhalation of air with known

concentrations of the gases and those  from direct inhalation of propellants

from bronchodilator-type  nebulizers.   The analytical techniques used in these

experiments - headspace,  direct injection, and solvent extraction - are

discussed elsewhere  (Terrill,  1972a and b; Chiou and Niazi, 1973).

        Bronchodilator  drugs,  such as  isoproterenol are frequently provided

in nebulizers and propelled by various fluorocarbons.  With each depression

of the value or puff,  a fixed  amount of drug and fluorocarbon mixture is

released.  Some of these  drugs and the amounts of various fluorocarbons

released with each puff are given in Table XXIX.


       Table XXIX. Some Bronchodilator Drugs and the amount of
                   Fluorocarbons used as Propellants (Patterson
                                 et al., 1971).
Fluorocarbon content (rog.) per puff
Fluorocarbon
11
12
113
114
'Medlhaler Iso'
(iHoprcuallne)
8.57
17.14
0.35-
8.57
'Medlhaler Isoforte1
(isoprenaline)
8.62
16.55
0.35
8.27
'Alupent '
(orctprenaline)
15^30
35.92
2.45
15.30
of:
1 tsorais r. '
( Isop renal j ne)
28.0
40.0



'Ventolln1 "Thll65a*
(salbutamol)
25.0 28.7
65.0 41.0


   * Contains 1-(3,5-dihydroxypheny1)-l-hydroxy-2-l-(4-hydroxyphenyl)-Isopropy 1aminoethane.
                                       73

-------
These are given only as examples and may not reflect the precise amounts

currently used.  Typically, in experiments used to determine blood levels

from such administrations, various mixtures of propellants are used.  At

present, there is no definite indication that the presence of one propellant

influences the relative degree of absorption of another propellant.  This

is demonstrated in the work of Shargrel and Koss (1972) who have exposed

dogs to an equal weight mixture of F-ll, F-12, F-113, and F-114.  The dogs

were given five and ten doses containing 16.8 mg of each fluorocarbon per

dose.  The peak arterial and venous blood levels are given in Table XXX.
          Table XXX.  Peak arterial and Venous Blood Levels of
                      Fluorocarbons in dogs (Shargrel and Koss, 1972)
                                                             Peak Arterial
                                                               Level as
                                                             Percent of
                                                             Administered
                                                                Dose
                                                              10      5
                                                             Actu-  Actu-
                                                             ations ations
Fluorocarbon
    Peak Level,  ug ./ml.
10 Actuations    5 Actuations
F-ll
Arterial
Venous
F-12
Arterial
Venous
F-113
Arterial
Venous
F-114
Arterial
Venous

22.3 ±
6.22 ±

6.17 ±
1.54 ±

11.56 ±
2.96 ±

3.80 ±
0.87 ±

1.0
2.6

0.38
0.84

1.78
1.40

0.52
0.41

13.2 ±
2.45 ±

3.16 ±
0.56 ±

6.43 ±
0.79 ±

2.32 ±
0.26 ±

1.4
0.29

0.06
0.04

0.61
0.06

0.12
0

15.9 8.89
.

.4.41 4.51


8.26 9.19


2.71 3.31

                                      74

-------
These results are in agreement with the order of fluorocarbon absorption given




previously: F-11>F-113>F-12SF-114.  Considering only the above data, it is




tempting to speculate that the order generally follows the blood/gas partition




coefficients, with the smaller molecules being more readily absorbed in cases




where partition coefficients are approximately equal.  Data presented in Part 3




of this section seems to support this assumption (see page 85 ).  Special note




should be taken of the sharp drop in arterial/venous ratios seen in all of these



fluorocarbons indicating tissue absorption.  These data along with other




detailed kinetic studies of the arterial/venous drop are discussed in the




latter part of this section (see page 90  ff.).




        Further absorption and elimination data are available in F-ll and




F-12 for nebulizer administration and are summarized in Table XXXI followed



by a discussion of the more significant results.




        Dollery and  coworkers  (1970) measured the venous concentration of




F-ll in two human volunteers inhaling discharges from a nebulizer  adminis-




tering F-ll, F-12, and F-llA at 8.6 mg,  17.2 mg, and 8.6 rag per  dose,




respectively.  Volunteer A Inhaled ten doaes for a  total F-ll exposure of




86 rag and volunteer B inhaled thirty doses for a total F-ll exposure of




258 mg» resulting in peak venous blood concentrations of 0.3 ug/ml and




1.10 ug/ml, respectively.  Concentration-time plots for these two exposures




are given in Figure 10.
                                      75

-------
Table XXXI: Absorption/Elimination Data in Various  Mammalian Species
             After  Inhalation of  F-ll and F-12 from  Nebulizers
Amount Eli-
minated U)
Exposure Absorption °r Ven°'J' _.
Fluoro- r Blood Time to
carbon mg/puff Dosage Inualfd Peak Blood Levels (ug/ml) Half Life Levels Elimination
CCSF3 Human 8.6 x 10 86 mg 0.3
(F~lil 8.6 x 30 285 mg 1.10
8.6 x 3 JS.5 ng 1.7
Human 'U.L.J 8.6 x 6 51.5 rr.g 0.63
Hunans 25 x 2 50 mg 0.68 (30 sec)* 0.5
0.27 (75 sec)* 1.0
0.29 (90 sec)* 1.5
2.60 (30 sec)* 0.3
0.52 (69 sec)* 0.9
Humans 25.5 .< 10 -;40 ng 0.93 0.32 9
(0.51-1.20) (O.iS-0.47)

Dogs 75 x 25 1880 ng -.60-75 0.6 ± 0.10
initial
4.03 r 0.25
terminal
Dogs (S) 24 x 22-30 528-720 mg 22.8-75 3

Dogs (S) 24 x 25 600 mg 29.6-88.1
Dogs 16.8 x 5 84 ng. 13.2 ± 1.4 2.45 ± 0.29
16.8 x 10 168 mg. 23.3 ± 1.0 6.22 ± 2.6


Mice*(G) 24 mg/puff ? 6-97 (2.86- . i.15 15
11.48) 13.10-5.85)

* - '3 33 (8 0- '56
Mlce 24 mg/putf ' '20.0) ' u. o-2.o)
'.45 -,e 2.17 ' O.-i 9
CCU; F; husans - - (1.40-2.70)
(F-12)
Dogs (V 61 x 22-30 1342- 12.5-118.0
1S30 mg.
Dogs 16.8x5 64 mg 3.16 r 0.06 0.56^0.04
16.8 x 5 168 mg 6.17 i 0.38 1.54 - 0.84


Mice* 61 mg/puff . ? J2-2 (16.2-
56 . 4)

Cotsnents Reference
see Fig. 10 Dollery e£ al, 1970


Patterson et al, 1971



see Fig. 11
with F-12, see
Table XXXII Allen & Hanburvs Ltd.,
1971
with F-12 McClure, 1972



with F-12 Allen & Hanburvs .Ltd. ,
1971
with F-12
see Table JKX
with F-12, Shargel & Koss,
F-113, and 1972
F-114
see Table Allen & Hanburvs, Ltd.,
XXXIII 1971
with F-12
with F-12

with F-ll Allen 4 Hanburvs, Ltd.,
see Table 1971
XXXII
vith F-ll Allen & Hanburvs, 1971

see Table Shargel & Kosi, 1972
XXX
with F-ll,
F-113, and
F-114
See Table Allen & Hanburvs, Ltd..
XXXIII «'l
with F-ll
(.:>• = under atrusr.
(U.L.)-ubstructetl lung*
                              from spray as in Taylor and Harris, ".370:.
                          * = ' »me to peak
                           .' = 3 i nhalat ions

-------
JU
5:
0)
5
HTRATIOH FLUam
(ftg. per ml. )
O f
- 0
n ni


•X
A *^>^ Volunteer D
. 1 ^-— .

o Volunteer A
                              0  10  20 30 10 SO  60  70
                                       Minutes
           Figure 10.  Venous Blood  Concentrations  of human inhaling
                       86 mg F-ll  (Volunteer A)  and 258 mg F-ll
                       (Volunteer  B)  from a nebulizer (Dollery
                                   et al.,  1970).
               Permission granted by Little Brown, publishers.
However, in a different individual a dose of only  50 mg  F-ll resulted in a

peak venous blood concentration of 0.52  pg/tal  as indicated  in Figure 11.
                        01  2345676  9  10
           Figure  11.   Venous  Blood Concentrations of F-ll in a
                        Human Inhaling 50 mg F-ll (Patterson et al. ,
               Permission granted by Little Brown, publishers.
                                      77

-------
While the general patterns of the preceding figures are quite similar, showing




the same rapid initial rise in blood levels with dosing followed by an




initially rapid then slower decline in blood levels when exposure is terminated,




there is some evidence that the amount of fluorocarbons absorbed may vary




considerably among different individuals*  Dollery and coworkers (1970) noted




that a healthy individual inhaling 25.8 mg F-ll reached a maximum arterial




blood level of 1.7 yg/ml F-ll, while a patient with obstructed lungs inhaling




51.4 mg F-ll reached a maximum arterial blood level of only 0.63 yg/ml F-ll.




In this instance, the difference is probably attributable to diminished lung




capacity in the patient inhaling the higher dose.  Patterson and coworkers




(1971) noted a ten-fold difference in peak venous blood concentrations and




a  five-fold difference in F-ll blood half lives among five patients   ;




inhaling 50 mg F-ll (see Table XXXI).  This variation could not be explained by




differences  in lung capacity.     However, an inverse correlation is noted




between the venous peaks and the half-lives, indicating that wide variations




noted reflect different inhalation techniques - e.g. the individual breathing




most deeply reached the highest blood level (2.60 pg/ml) most quickly




(30 seconds) and eliminated the fluorocarbon most rapidly (t*i = 18 seconds),




with the converse being seen in the patients breathing most shallowly: peaks



of 0.27 and 0.29 yg/ml, time to peaks of 75 and 90 seconds,'half lives of




90 and 60 seconds, respectively.




        Experiments conducted at Allen and Hansbury Ltd.  (1971), noted




similar differences in maximum venous concentrations in three humans deeply




inhaling or not inhaling ten doses of F-ll (25.5 mg/dose) and F-12  (64.5 mg/




dose), one dose every six seconds sprayed into the mouth.  The  results are




given in Table XXXII.





                                     78

-------
         Table XXXII.
Concentration of F-ll and F-12 in venous blood
of three humans exposed to ten doses of 25.5 rag
F-11/dose and 64.5 mg F-12/dose, one dose every
six seconds (Allen and Hansbury Ltd., 1971).
Time after
exposure
(minutes)

0
1
2
5
10

0
1
2
5
10
yg/mg. Blood
Volunteer A U Volunteer B
Arcton 11

0.81
1.10
Arcton 12 Arcton 11
II
Deep Inhalation
1.60
2.40
No specimen
0.79
0.25

1.62
0.63
0.27
0.20
0.13
1.50
0.35
No Inhalat
2.07
0.80
0.25
0.15
0.08
1.18
1.20
0.96
0.80
0.47
ion
0.34
0.33
0.26
0.22
0.15
Arcton 12

2.45
2.70
2.00
1.25
0.60

0.47
0.40
0.28
0.20
0.13
Volunteer C
Arcton 11

0.31
0.51
0.49
0.39
0.25

0.93
1.24
1.07
0.93
0.64
Arcton 12

0.75
1.40
1.36
0.95
0.50

1.55
,1.58
1.07
0.95
0.68
The wide differences noted in blood concentrations, especially in volunteers

B and C, demonstrate the importance of inhalation technique on the absorption

of these fluorocarbons into the blood.   The  ratio of  administered
                                      79

-------
F-12 to F-ll in the above exposures is 2,58 to 1,  while  the  ratios  of

maximum levels found in the blood after deep inhalation are 2.18, 2.25, and

2.75 for volunteer A, B, and C, respectively.  Thus, F-ll seems to be more

readily absorbed than F-12 in volunteers A and B but not in volunteer C.

This might be seen as an indication that there is individual variation  not
  i
only in the amounts of fluorocarbons absorbed  but also in relative degrees

of absorption.  While F-ll is usually considered more readily absorbed than

F-12, volunteer C in Table XXXII presents an apparent exception.  Further

exceptions are apparent with studies on anesthetized mice (Allen and Hanbury

Ltd., 1971).  In this study, mice were allowed three inhalations from one

dose of a Ventolin inhaler.  A gauze filter was inserted into the mouth of

the nebulizer to screen out the active ingredients.  The amount of fluoro-

carbons in such a dose are 25 mg F-ll and 65 mg F-12 with a weight ratio of

F-12 to F-ll of 2.6 (Patterson e_t al., 1971).  The venous blood levels found

in these mice are given in Table XXXIII.
        Table XXXIII.  Venous blood levels of F-ll and F-12 in mice
                       after three inhalations from one dose of a
                       Ventolin inhaler (Allen and Hanbury Ltd., 1971)
Mouse
Number
1
2
3
4
5
6
yg./mg. Blood
Arcton 11
9.06
5.78
8.26
2.86
5.39
11.48
Arcton 12
16.2
47.3
56.4
18.9
26.6
27.8
Ratio
F-12 /F-ll*
1.8
8.2
6.8
6.6
4.9
2.4
         * F-12/F-11 in administered dose equals 2.6.
                                     80

-------
The ratios above 2.6 might seem to indicate that mice #2-5 absorbed F-12

more readily than F-ll.  An alternate explanation implied by the original

investigators is that the relatively non-volatile F-ll was preferentially

absorbed into the gauze and thus the actual dose of F-ll received by the

mice was lowered.  This is supported by the higher blood levels of F-ll

(8.0, 12.0, and 20.2 yg/ml) in mice exposed without gauze.

        In a similar series of experiments on hypoxic dogs, using the same

ratio of F-12 to F-ll (2.6), F-12/F-11 ratios in venous blood varied from

0.55 to 1.57, indicating preferential absorption of F-ll in all cases

but not uniformly so.  Thus, this series of studies seems to indicate that

while F-ll is more readily absorbed by mammals than F-12, the degree of

preferential absorption may vary among individuals.  Whether this difference

is actual or merely an artifact of the relatively high volatility of F-12
                                                       N
over F-ll has not been conclusively demonstrated.

        From the data presented on mice, dogs, and humans exposed to fluoro-

carbons from bronchodilator-type nebulizers, it would be desirable to

determine and quantify interspecific differences. Jack (1971), in discussing

the data presented by Allen and Hansbury's Ltd.  (1971), concluded that dogs

absorb fluorocarbons to a much greater extent than man.  For the most part,

this conclusion is supported by the data presented in Table XXXI for both F-ll

and F-12.  However, the wide variety of blood levels after  identical exposures

(e.g., Patterson et al., 1971) should not be minimized.  In one human receiving

50 mg F-ll, venous blood levels peaked at 2.60 ug F-ll/ml (Patterson et al.,

1971).  In dogs inhaling 84 mg F-ll, venous blood levels peaked at 2.45 ±

0.29 yg F-ll/ml (Shargrel and Koss, 1972).  Also, dogs have a much smaller
                                     81

-------
 respiratory volume than man.   Consequently,  an equal dose of fluorocarbons
   x'


 is less diluted in the alveolar air resulting in artificially higher blood  levels




 in dogs than in man.   Thus,  differences irf levels of absorption between man




 and dog might best be demonstrated in exposures to concentrations of fluoro-




 carbons in ambient air rather than direct administration from nebulizers.
                                                                           i



 The data on mice are  of little use in determining comparative absorption




 because the actual doses cannot be fixed.  These exposures relate more to




 experiments on fluorocarbon  sensitization to asphyxia induced arrhythmias



'(see Section XII, Part D-3).     Lastly, it is of interest to note that all




 of the blood levels obtained are well below'the level of halothane stage-3




 anesthesia, 173 yg/ml (Dollery et al., 1970).



         3.  Fluorocarbon Blood Levels after Inhalation of Fluorocarbon-

             containing Ambient Air




             Exposures to fluorocarbons at fixed concentrations in inspired  air



 generally reflect the same basic pattern as those seen for nebulizer



 exposures (see Figures 10 and 11). Changes in venous blood concentrations in




 dogs during and after exposure to F-ll have been measured at ambient concen-



 trations of 1.25% and 0.65%  for 30 minutes (Clark and Tinston, 1972a) and




 at 0.55% for 20 minutes (Blake and Mergner, 1974).  The results of these



 investigations are given in  Figure 12.
                                        82

-------
                                                                               B22968-U
         INHALATION
                         EXHALATION
                                                     INHALATION
                                                                     EXHALATION
                        • 1.25% FLUOROCARBON 11
                        O 0.63% FLUOROCARBON 11
         10     20
                    30     40
                  TIME (min.)
                     (a)
                               50
                                                    0   10    20    30    4D    SO    60
        Figure 12.    Changes  in Venous blood concentrations of  F-ll
                      in dogs  exposed to  (A)  1.25% and 0.63% F-ll for
                      30 minutes (Clark and Tinston,  1972a) and  (B)
                      0.55% F-ll for 20 minutes (Blake and Mergner,  1974)
Similar  studies have been conducted on  F-12 and F-114 and are  summarized  in

Figures  13 and 14.
         INHALATION
                          EXHALATION
                                                     INHALATION
                                                                     EXHALATION
  80--
                           • 8% FLUOROCARBON 12
                           o 4% FLUOROCARBON 12
                                                        10     20    30     40
                                                                 TIME (min.)
                                                                   (b)
                                                                              50    60
        Figure  13.    Changes  in Venous  Blood Concentrations  of F-12 in  dogs
                      Exposed  to (A)  8%  and 4% F-12 for 30 minutes (Clark and
                      Tinston, 1972a)  and (B) 1.18% for 20 minutes (Blake and
                                     Mergner, 1974)
                                            83

-------
                    ,i
• 1WFLUOHOCAHBON114
o 5% FLUOROCARRON 114
                   40--
      Figure 1A.   Changes in Venous Blood  Concentrations of F-114
                   in dogs exposed  to  10% and 5%  F-114 for 30 minutes
                              (Clark and Tinston, 1972a).
As in the studies usin,? expired  air  or blood levels  from nebulized adminis-

tration as indices of absorption,  the above  data indicate that F-ll is much

more readily absorbed and  retained than  either F-12  or F-114.   However, in

the data from Clark and Tinston  (1972a),  F-12 seems  appreciably better absorbed

than F-114, which seems to  reach an  equilibria concentration of 10% in inspired

air to 40 yg/ml in blood after ten minutes.

        In rats, the absorption  of F-12  also seems much greater than that of

F-114 as shown in a study  by  Ramus and  coworkers (1973) in which rats were

exposed to a mixture of F-ll, F-12,  and  F-114 (weight ratio of 1:2:1 respec-

tively).  As indicated in  FigurelS,  F-12 was absorbed about four times more

readily.
                                      84

-------
       300
     £ 200
     c
     u
     8
     u
     u
        too.
                                   Figure 15.  Increase of fluoro-
                                   carbons (FCC) concentrations in
                                   rat blood during inhalation
                                   of a combination of FCC's 11 (0), 12 (A)
                                   and 114 (0) (weight ratio 1:2:1, mean ±
                                   s.d., 6 rats) .(Rauws, et^ a±. , 1973);
                                   reprinted with permission from A.G. Rauws,
                                   Copyright 1973, Pharmaceutical Society of
                                   Great Britain.
               20     40
              Time (rnln)
A similar pattern is also seen in the work of Taylor and coworkers  (1971) who

have exposed monkeys to a mixture of 30% F-12 and 9% F-114 (ratio 3.3:1::F-12:

F-114) for varying periods.  The arterial blood levels monitored are given

in Table XXXIV.
     Table XXXIV.   Arterial blood levels of F-12 and F-114 in monkeys
                    exposed to 30% F-12 and 9% F-114 (3.3:1, v/v;
                    2.35:1, w/v)  [Taylor e£ al. , 1971].
Duration

35 sec.
42 sec.

45 sec.
                   Arterial Blood Cone,  (mg/100 ml.)

                   V-12        F-114           Ratio

                   5.5         1.8             3.06

                   6.3         2.3             2.74

                   6.5         2.2             2.96
In each instance,  the ratio  of F-12  to F-114  in  arterial blood  is higher

than the w/v ratio of exposure indicating that F-12  is  slightly better

absorbed than F-114.  Thus,  as mentioned previously, it seems reasonable
                          i                         '

to assume that ease of absorption for the fluorocarbon gases follow the

blood/gas partition coefficients, with the smaller molecules being more readily

absorbed in cases where partition coefficients are approximately equal.

        There is also some indication in these exposures of interspecific

differences in absorption.   Griffin  and coworkers  (1972) have exposed

rabbits to 5% F-12 for thirty-five minutes.   The  resulting venous blood

levels are summarized in Figure 16.
                                     85

-------
         10
20
         30  f   5
TIME, MINUTES   CNOOF
           FXPOSUBE
                                      Figure 16.   Freon 12 in blood of rabbit
                                      during 5% atmospheric exposure.  Blood
                                      samples were withdrawn from the animals
                                      before, during and after exposure to
                                      Freon 12 and the halocarbon concentra-
                                      tions determined by gas-liquid chromato-
                                      graphy. (Griffin.et al., 1972)
10
The peak blood  levels  (about 15  yg/ml)  are about 5 ug/ml below those noted

in dogs exposed to  4%  F-12  for 30  minutes (see Figure 13, Clark and Tinston,

1972a), indicating, that  dogs aay absorb  F-12 more  readily than rabbits,

        Information on the  absorption of F-116 and H-1301 are also available

on rabbits during 30 minute exposures to 5.0%  fluorocarbon.
Figure 17. Fluorocarbons  in blood  of
rabbits during 5%  atmospheric expo-
sures.  Blood samples were withdrawn
from the  animals before,  during and
after exposures to either H-1301
(open circles) or  F-116  (solid
circles).  Concentrations of  the
halocarbons in blood were determined
by gas-liquid chromatography
(Griffin  et al., 1972).
                                                        TIME, MINUTES  eN(J0,
                                                                  t XPOSuRE
An exposure  to 5% H-1301 for 50  minutes  resulted in a much lower blood

concentration in rats as  shown in Table  XXXV.
        Table XXXV.
      H-1301 in Rat Blood Following a Single  50-Minute
      Exposure to a Vapor Concentration  of  5% (V/V)
                (Griffin et al.,  1972).
                 Post-Inhalation
                   Time  (Hrs)

                         0
                       0.25
                       1.0
                       2.0
                       4.0
                             Venous Blood Level
                                   M8/g
                                   5.6
                                   0.62
                                   0.35
                                   0.05
                                   0.07
This would seem to indicate  that rats  absorb H-1301  less  readily than do
rabbits.
                                      86

-------
        Exposure of rats to 3.7% H-2402 for 30 minutes resulted in a much

higher blood concentration and correspondingly longer retention times as

shown in Table XXXVI, than the comparable exposure to H-1301 shown in Table XXXV.


        Table XXXVI.  Blood Levels of H-2402 in Rats After a 30-Minute
                      Exposure to 3.7% H-2402 (Griffin £t al.,  1972).

                 Post-Inhalation             Venous Blood Levels
                   Time (Hrs)                      pg/g

                        0                           87
                      1.5                            7°
                      3                              0.23
                     24                              0.22


        Data on these and other exposures are summarized in Table XXXVII.

        All of these exposures show a similar pattern, an initial rapid rise

in fluorocarbon blood levels at the onset of exposure followed by a slower

rise approaching equilibrium.

        In the above cited studies, air-blood equilibrium seems to have been

reached with 10% F-114 after ten minutes (Figure 14) and 4% or 5% F-12 after

a somewhat longer period (Figure 13 A and Figure 16).  However, complete

equilibrium would be demonstrated only by knowing both the arterial and

venous concentration (see discussion on tissue uptake at end of section).

The biphasic rates of absorption are paralleled by elimination rates after

termination of exposure.  Initially, a sharp drop in fluorocarbon blood

levels is seen followed by a much slower fall.  The dual rates of

elimination have been quantified by McClure (1972), as indicated in Table XXXVII

for F-ll.   These dual rate patterns of absorption and elimination would

seem to indiate that these fluorocarbons are deposited from the blood into

body tissues during exposure.
                                     C7

-------
            Table XXXVII: Absorption/Elimination Data on Various Fluorocarbons after  inhalation
Exposure Absorption Elimination


Fluorocarbon
(Code) Animal
CCIF3 (F-ll) Rats



• *
Rats

Dogs A
B
B
C
A
C
*
Dog D
D
Dogs
Dogs

Dogs

Dogs






! Concen-

Duration of
Exposure
(minutes)
5






5
5
5
5
5
5
5
5
20
30
30
5
5
10

10

10


t ration in
Air (I V/V)
or Dosage
Inhaled (mgl
0.231

0.61%


0.64%

0.11%
0.15%
0.47%
0.49%
0.91%
1.14Z
0.2%
0.5%
0.55%
0.65X


Peak Blood Levels (jjg/ml)
Arterial













6.40
32.25


1.25%
0.65%
1.25%
0.1/5 ilO.S (S.6-
Venous
11.25 (11.00-
11.70)
26.6 (22.3-
Jl.O)

14.06 (11.25-
16.87)
4.80
5.80
17.50
25.40
38.00
54.00
3.50
23.50
19.00
20.00
46.00
10.00
20.00
6.6(5.0-
| 12.0) | 9.8)
0.5% ;28.b U3.0-| 19.7 (13.8-
1 43.5)
l.QZ J53.. 2


24.0)
37.^
(34. 0-76. CM (31.0--3.0)
1


Half Life







3 nin.



















Blood Levels
After Exposure
(Hg/nl)
0.34 (0.17-0.52)

2.35 (2.00-2.70)


5.97 (55.55-6.40





















Blood
Level
Reduction
5 min.

5 min.


5 min.























Comments













See Table
XXXVIII, b.
See Fig. 12B
See Fig. 12 A



See Fig. 18






Reference
Allen & Hanburys, Ltd..
1971





Mien & hanburys, Ltd..
1971




Allen & Hanburys, Ltd.,
1971
Blake «& Mergner, 1974
Clark '& Tlnston, 1972a
1972b


Azar el_ al., 1973






oo
CO

-------
                Table XXXVII  (continued)
oo
VO
Exposure Absorption Elimination


Fluorocarbon
(Code) Animal
CC12F2 (F-i2) Bass*

Rabbit
Monkey



Dogs A
B
C
C
B
A






C.-.CvF,. (F-114)
Uogs

*
Monkeys


C2F6 (F-116) Rabbit
CCl¥;,Al (H-1211)
Dog


CF3Br (n-1301)
Rat

Rabbit
CrF,,Br; (H-2402)
Rats

1 Concen-

Duratlon of
Exposure
(minutes )
5

35 min.
0.59
0.70
0.75

5
5
5
5
5
5
20
30
30
10
10
10
30
30
0.5S
0.70
0.7?
30

1
2
5
50

30

30

t ration in
Air (2 V/V)
j or Dosage
1 oh a led (eg)
0.64Z

5Z
301
30Z
302

2.40S
2.522
2.72J
4.21Z
4.83Z
5.01Z
1.182
4.0Z
8.0Z
0.1Z
5.0Z
10.0%
5!.
10.02
o;
s«
*:;
5Z

8.0i
5.0*
2.0Z
5. OX

5.0t

3.r.


Peak Blood Levels (ug/ml)
Arterial



5.5
6.3
6.5










l.t
35.3
46.3


1.8
2 . 3
-•2










i
Venous
3.47 C2.80-
3.75)
"-15




25.00
25.00
20.65
44.20
46.25
32.75
1.14.5
"•33.0
1-65.0
0.9
22.8
39.8
-19.0
-40.0



<0.5

21
23
24
5.6

15.0

87


Half Life









~
























I
Blood Levels
After Exposure
(iJ& /ml)
0.62 (0.50-0.75)


































Blood
Level
Reduction
C




































Comments Reference
Allen & Hanbuzye Ltd. ,
1973.
See Fig. 16 Griffin et al. , 1972
See Table Taylor et al., 1971
XXXIV
with 9Z
F-114
Allen & Hanburys Ltd. ,
1971




See Fig. 13B Blake & Mergner, 1974
See Fig. 13A Clark & Tlnston, 1972a
See Fig. 13A
See Fig. 19 Arar et al. , 1973


See Fig. 14 Clark & Tiostoo. 1972a

See Table Taylor et al. , 1971
XXXIV with
F-12
See Fig. 17 Griffin e^ a_l. , 1972




See Table Griffin ct al. , 1972
XXXV
See Fig. 17

XXXVI

               anesthetized

-------
        Additional indications of body tissue storage comes from simultaneous

measurements of fluorocarbon concentration in venous and arterial blood.

Such differences have been noted previously in studies by Shargel and Koss

(1972) see Table XXX.  Similar differences have been noted by Allen and

Hansburys Ltd. (1971) and Azar and coworkers (1973).  The venous and arterial

blood levels during and after exposure of dogs to 0.2% and 0.5% F-ll is

summarized in Table XXXVIII.

       Table XXXVIII.  Arterial and Venous Blood Concentrations of F-ll
                       in Dogs Exposed to 0.2% and 0.5% F-ll
                         (Allen and Hanburys1 Ltd., 1971).
Concentration of
F-ll
0.2$
0.2$
0.2$
0.2$
0.2$
0.2$
0.2$
O.^o
. 0.5$
0.5"/o
0.5$
j
0.5#
0.5$
0.5$
Time
(minutes)
0
.2.5
5
10
15
20
25
«1
0
2.5
5
10
15
20
25
Time sample taken
Start of inhalation
After 2.5 minutes
After 5tO minutes
5 minutes after cess-
ation of inhalation
10 minutes after cess-
ation of inhalation
15 minutes after cess-
ation of inhalation
20 minutes after cess-
ation of inhalation
Start of inhalation
After 2.5 minutes
After 5.0 minutes
5 minutes after cess-
ation of inhalation
10 minutes after cess-
ation of inhalation
15 minutes after cess-
ation of inhalation
20 minutes after cess-
ation of inhalation
yg. F-ll /ml. Blood
Arterial
0,12
3.65
6.40
0.80
0.55
0,31
0.23
0,08
25.15
32.25
4.25
1.52
1.45
0.60
Venous
0.1?
3.25
3.50
0.79
0.69
0.35
0.36
0.06
20.50
23.50
5.52
3.09
1.78
0.97
                                     90

-------
As can be seen in both of the exposures summarized in Table XXXVIII,  F-ll is




cleared from the blood by tissue absorption during exposure (arterial con-




centration [Ca]>venous concentration  [Cv]) and cleared from tissues by the




blood after exposure (Ca blood and blood -»• tissue uptake after five minutes of exposure to 0.2%
                               t


and 0.5% concentrations given in Table XXXVIII.  The first step is calculated




from the following equation:

                                      C

                air ->- blood uptake  = — - —  X V
                C  - concentration of fluorocarbon in alveolar air  (yg/ml)
                 3



                V  = mean minute alveolar ventilation (15 breaths /minute

                 a                              x 120 ml/breath)




                V  = 0.68 V
                 a         a


                X  - blood/gas partition coefficient  (see Table XXXVI)
The second step ie calculated as:



                blood ->•  tissue uptake =  cardiac output  (C  - C  )
                                                         3i    V



        The cardiac output of the dog is assumed to be 1 liter/minute.  Thus,



the rates of air — >• blood uptake of F-ll at air concentrations of 0.2% and



0.5% is 5.6 mg/minute and 28.2 mg/minute, respectively; the rates of blood — *•



tissue uptake are 2 mg/minute and 5.4 mg/minute, respectively.




        Azar and coworkers (1973) have monitored both arterial and venous



concentrations during and after 10 minute exposures to 0.1%, 0.5%, and 1.0%



F-ll and 0.1%, 5.0%, and 10.0% F-12 in dogs.  The results are given in



Figures 18A and 18B for F-ll and Figures 19A and 19B for F-12.





                                     91

-------
                       •   « 1.0% ARTERIAL
                       <   * 0.5% ARTERIAL
                       *	* 0.1% ARTERIAL
                       o	o 1.0% VENOUS
                       »- _ -, 0.6% VENOUS
                       „	. 0.1% VENOUS
t
                       «- - -• 0.5*
                       »• - -» o i\
      0136;  10  I2H IB

             EXPERIMENTAL MINUTE
           -*-+••*-} t I t * | I I < ' j I t I I ) —
              10    1C   20   25

            EXPERIMENTAL MINUTE
      I—
      — r-,i --- 1
Figure 18,    (A)  Venous and Arterial  Blood  Concentrations  of F-ll
               and  (B)  Arterial and Venous Differences  in Dogs exposed
               to 0.1%, 0.5%, and  1.0%  for 10 minutes  (Azar  e£-al., 1973)
                     -« 10.0% ARTERIAL
                     -• 6.0% ARTERIAL
                     _v 0.1% ARTERIAL
                     -o 10.0% VENOUS
                     -4 5.0% VENOUS
                     _, 0.1% VENOUS
                        »   « 10.0%
                        •	-* 5.0%
                        «	-T 0.1%
                                                                /
      01357   10 12% .15     20

             EXPERIMENTAL MINUTE
           5    10   15    20    25
             EXPf HIMEMTAL MINUTE
     h-  '-«  H
              —^
Figure 19.     (A) Venous  and Arterial Blood Concentrations of  F-12
                and (B)  Arterial  and Venous  Differences in  Dogs  Exposed
                to 0.1%, 5.0%, and 10%  F-12  for  10 Minutes
                (Azar  et al., 1973).
                                92

-------
The data on the 5.0% exposure to F-12 illustrates the difference between
air «-»• blood equilibrium and blood «-»• tissue equilibrium.  While the blood
levels of F-12 remained constant after 3 minutes indicating an apparent
equilibrium between the air and blood, F-12 was still being absorbed by
body tissues as indicated by the positive arterial-venous difference.
Thus, actual equilibrium - air «-> blood •«-»• tissue - had not yet been,
attained.  When such an equilibrium is attained, the blood levels should
remain constant and the arterial-venous difference should equal zero.
        4.  Other Routes of Entry
            Although inhalation is the primary route of entry of the one and
two carbon fluorocarbons, other routes of entry have been studied, albeit
much less extensively.  Greenburg and Lester (1950) found no evidence for
the absorption of F-112 or F-112a across the gastrointestinal tract  in rats.
In long term feeding studies of F-12 to rats and dogs, however, Sherman
(1974) found tissue uptake indicating that some absorption does take place.
Regardless of the route of entry, fluorocarbon elimination seems restricted
almost exclusively to the respiratory tract.   Matsumoto and coworkers (1968)
have administered a mixture of F-12 and F-114 (30/70, v/v) intravenously,
intraperitoneally,  and directly sprayed onto an internal organ in dogs.  No
elimination was noted in the urine or feces.  Elimination in the breath is
described in Table XXXIX.

         Table XXXIX.   Elimination of Fluorocarbons in Dogs Breath
                           (Matsumoto ej: al. , 1968)  '."
                       Intravenous   Intraperitoneal .  Direct Spray
   Dosage                  0.5 cc         2.0 cc
Internal Before Onset
 of Elimination            3 sec.         5 min.           5 sec.
Duration of Elimination   12 hours       48 hours        12 hours
                                     93

-------
The four-fold increase in dosage and the corresponding increase in duration




of elimination going from intravenous to intraperitoneal administration




would seem to indicate that the half-life of fluorocarbons in the body is




relatively independent of route of administration.  The increased interval




before onset of elimination or intraperitoneal injection probably reflects




only the increased tiaie required for the fluorocarbons to enter the  circu-




latory system.




        Chiou and Niazi (1973) have conducted similar experiments in the




elimination of F-ll in dogs after intraveneous infusion using blood  levels




rather than fluorocarbon concentrations in expired air as an index in removal.





The result of one such experiment is given in Figure 20.
           3
            I

           n
                O
               o


               O
               o
                   500
10
               Figure 20.    Blood Concentration of F-ll

               in Dog following an Intravenous Infusion

               of 28 mg F-ll (Chiou and Niazi, 1973)
                                   TIME (Hri.)
                                     94

-------
The biphasic rates of elimination of F-ll from the blood stream on intra-

venous infusion are similar to those by inhalation [e.g. Figures 10-14].

        Dermal absorption in man has also been tested using F-113 (DuPont,

1968).  The hands and arms of two individuals were immersed in F-113 for

30 minutes and the portions of the scalp for 15 minutes.  Fluorocarbon uptake

was measured as F-113 in expired air.  Time to maximum concentration is

measured from termination of exposure.  The maximum concentrations rioted in

exposure of the hands and forearms were 9.6 ppm after 11.5 minutes for one

individual and 1.7 ppm after 23 minutes for the other.  The scalp, perhaps

because of its increased vascularity, seems somewhat more absorbent with
                               •
one individual reaching a maximum fluorocarbon concentration of 12.7 ppm

in 20.5 minutes and the other reaching 7.4 ppm after 18.5 minutes.  As with

the other exposures previously discussed, elimination was rapid.  After

90 minutes, F-113 concentration was below 0.5 ppm in all subjects.  In the

subject reading 1.7 ppm in the hand and forearm exposure, however, a trace

amount of about 0.1 ppm was detected 18 hours after exposure.

        In summary, the available data on fluorocarbon uptake and elimin-

ation indicate that fluorocarbons can be absorbed across the alveolar

membranes, gastrointestinal tracts, the skin, or internal organs.  On

inhalation, fluorocarbons are absorbed rapidly by the blood.  As the blood

concentration increases, the rate of absorption by the blood decreases.

Once  in the blood, fluorocarbons are absorbed by various tissues.  Current

information seems to indicate that blood —*• tissue absorption is the rate

limiting step.  If exposure is sufficiently long, blood levels will stabilize

indicating an apparent equilibrium between the air and the blood.  However, after

this  initial blood level stabilization, fluorocarbons are still absorbed by


                                     95

-------
body tissue and fluorocarbons continue to enter the body.  Actual equilibria -

air «->• blood «->• tissues - would be indicated by a zero level arterial-venous

blood level difference.  After exposure, fluorocarbons are eliminated rapidly

from the body through the expired air.  The relative order of absorption

seems to be F-11>F-113>F-12>F-114.  Although data on other fluorocarbons
 I
are less complete, H-1301 and H-1211 seem to be absorbed to about the same degree
                                                 o
as F-12.  Halon-2402 is absorbed to a greater extent than F-12 and may

approximate F-113 but does not exceed F-ll.  Fluorocarbon-116 is absorbed

very poorly.  Differences in the amounts of fluorocarbons absorbed by various

s'pecies seem evident but are too variable for even a tentative generalized

order.  Nebulizer administration - while not the preferred technique for
 i                   •'                                                  '.
demonstrating interspecific differences - seems to indicate that dogs absorb

fluorocarbons more readily than man.  However, individual differences are

most significant, the amounts of fluorocarbon being absorbed or eliminated

vary widely and this variety seems chiefly due to variations in breathing

patterns.
                                     96

-------
    B.  Transport and Distribution




        As described in  the previous section, kinetic studies on absorption




and elimination indicate that fluorocarbons are transported by the blood to




the various organs of the body and that some storage - at least temporarily -




occurs.  This is particularly evident in Table XXXyiU (Allen Hansburys Ltd., 1971)




where there is a noticeable decrease in fluorocarbons going from arterial to




venous concentrations during exposure but the reverse after exposure is




terminated.




        Allen and Hansburys Ltd.(1971) have studied the distribution in




rats of F-ll and F-12 at varying periods after administration.  The results




are summarized in Tables XL and XLI.




        Based on the kinetic data for F-ll and F-12  blood levels presented in



Figures 12 & 13, the tissue concentrations immediately after a five minute




exposure to Tables  XL and XLI  probably do not  represent  equilibrium concentrations.




These studies, however,  do indicate that both F-ll and F-12 are taken up




by heart, fat, and adrenal tissue.  Fluorocarbon-11, for which detailed




blood levels are available, is concentrated from  the blood to the greatest




extent in the adrenals followed by the fat, then  the heart.  A similar,




though less pronounced pattern,  is evident for F-12.  In agreement with




studies presented in the previous section, F-ll is absorbed and concentrated




in all of these tissues  to a much greater excent  than F-12.  The differences




in actual concentrations noted among the various  specimens studied may




represent differences in breathing patterns or actual differences in




individual ability to absorb these fluorocarbons.
                                      97

-------
    Table XL.  Concentration  of F-ll in the blood,  heart, fat,
      adrenals, and thymus of  rats at various  times after
                  exposure to F-ll for 5 minutes
          (modified from Allen  and Hanburys Ltd.,  1971)
Animal
No.
1
2
5
6
7*
*
8
3
4
7
8
*
9
10
11
12
1
2
3
4
1
2
3
4
1
2
Concentration
Arcton 11 (Z)
0.23
0.23
0.61
0.61
0.64
0.64
0.23
0.24
0.61
0.61
0.64
0.64
0.64
0.64
0.49
0.49
0.49
0.49
0.64
0.64
0..64
0.64
1.00
1.00
Time after
exposure
Immediate
Immediate
Immediate
Immediate
Immediate
Immediate
5 minutes
5 minutes
5 minutes
5 minutes
5 minutes
5 minutes
1 hour
1 hour
2 hours
2 hours
4 hours
4 hours
8 hours
8 hours
24 hours
24 hours
48 hours
48 hours
Ug. F-ll
Per ml.
Blood
11.00
11.70
22.30
31.00
16.87
11.25
0.52
0.17
2.70
2.00
5.55
6.40
0.32
0.12
0.13
0.09
0.03
0.02
0.007
0.014
0.006
0.006
0.002
0.003
Per g.
Heart
12.00
11.60
26.70
41.40
21.04
21.20
0.87
2.47
2.14
.4.00
6.87
6.86
0.15
0.28
0.05
0.11
0.03
0.01
0.006
0.008
0.011
0.012
0.002
0.005
Per g.
Fat
83.40
61.10
113.00
164.50
39.60
30.85
28.60
34.80
77.00
105.70
16.58
17.46
2.90
3.22
0.64
2.59
0.66
0.15
1.105
1.850
0.011
0.024
0.011
0.008
Per g.
Adrenals
•
-
-
222.0
246.3
-•
-
-
195.4
-
33.75
45.50
2.49
15.88
2.53
1.64
0.347
0.440
0.375
0.305
0.0.77
0.125
Per g.
Thymus
-
-
-
-
• ' - '
-
-
-
-
- -
-
-
0
.
-
0.013
0.027
0.025
0.021
0.005
0.007
* Rats anaesthetized with sodium pentobarbitone prior to exposure  to
  F-ll/Air mixture
                               98

-------
   Table XLI.    Concentration of  F-12  in the heart,  fat,  and
            adrenals of  rats  at various times after exposure
                     to  F-12  for 5 minutes
          (modified from Allen and Hansfcury Ltd.,  1971)
Animal
No.
9
10
5
6
1
2
*
2*
11
12
7
8
3
4
3*
4*
5
6
Concentration
Arcton 12 (%)
0.18
0.18
D. 68
0.68
0.70
0.70
0.64
0.64
0.18
0.18
0.68
0.68
0.70
0.70
0.64
0.64
0.64
0.64
Time after
exposure
Immediate
Immediate
Immediate
Immediate
Immediate
Immediate
Immediate
Immediate
5 minutes
5 minutes
5 minutes
5 minutes
5 minutes
5 minutes
5 minutes
5 minutes
1 hour
1 hour
yg- F-12
per g.
Heart
4.17
4.51
11.10
11.10
7.58
4.91
1.91
2.08
0.77
0.64
1.93
1.66
3.94
3.50
0.92
0.82
0.13
0.11
per g.
Fat
6.05
5.08
11.50
8.98
9.93
4.57
5.96
4.04
1.73
1.62
2.10
1.74
3.03
0.91
3.91
3.00
0.07
0.06
per g.
Adrenals
78.60
89.10
101.00
70.50
33.10
76.60
45.80
45.10
32.10
9.50
54.50
48.00
18.25
15.60
16.55
22.84
1.00
1.04
* Rats anaesthetized with sodium pentobarbitone prior to exposure to
       F-12/air mixture.
                                  99

-------
    Carter (1970) summarizes similar distribution data on F«-113 exposure in

rats given in Table XLII.
           Table XLII.   Mean tissue concentrations of F-^
                      in rats exposed to 0.2% F-113
                     for 7 and 14 days (Carter, 1970)
TISSUE
Brain ug/gm
Liver ug/gm
Heart ug/gm
Fat ug/gm
Adrenal ug
Thyroid ug
EXPOSURE
7 Day
22.73
(1.00)
15.77
(0.87)
16.59
(2.56
722.48
(71.29)
8.39
(2.61)
1.09
(0.46)
14 Day
22.65
(1.33)
16.40
(1.72)
15.03
(2.51)
659.24
(21.17)
3.47
(0.34)
0.94
(2.00)
POSTEXPOSURE
24 Hours
None
None
None
108.45
(33.62)
None
None
48 Hours
None
None
None
5.60
(2.94)
None
None
                          ( ) Standard Deviation
The major difference in these findings from those presented  for F-ll and

F-12 is that for F-113 almost all of the concentration occurs in  the fat

while adrenal levels are relatively low and even decrease as exposure

continues.  It must be emphasized that the exposures to F-ll and  F-12 were

only for five minutes.  The possibility of rapid uptake by the adrenals

during initial exposure followed by active elimination of fluorocarbons
                                      100

-------
from the adrenals during exposure may be worth, exploring.  That the various



other organ levels did not alter significantly from the seven to the fourteen-



day exposures is consistant with the idea that such concentrations will



stabilize as equilibria between ambient air concentration, blood level, and



tissue levels are reached.  However, there is- some indication that levels



of F-ll and F-12 in various tissues may alter during prolonged exposure as



less accessible tissues are reached (Blake and Mergner, 1974).
                                                     <3  .

        Similar tissue distribution studies have also been done on rats



with short term exposure to H-2402 (Griffen £t al., 1972).  The results



are given in Table XLIII.
        Table XL1II.  Tissue concentrations of H-2404 in rats

                after 30 minutes exposure to 3.7% H-2402

                           (Griffin et_ al. , 1972)
Tissue
Liver
Lung
Brain
Kidney
Heart
Muscle
Fat
Blood

0
258a
44
0.
82
24
73
365
87
Post- Inhalation
1-1/2
5
18
70 2.1
27
2.1
19
469
7
Interval (Hrs)
3
2
2
0.78.
23
2
2.8
410
0.23

24
0.28
0.18
0.36
0.33
1.1
1.0
11
0.22
      All values shown are in yg  -2402/g tissue.
                                      101

-------
Increase of H-24Q2 levels in the fat and brain tissue from immediately after

inhalation to one and a half hours after inhalation indicates that the

30 minute exposure period was not long enough for equilibrium to be reached.

Like F-ll, F-12 and F-113, large amounts of H-2402 are stored in fat tissue.

The most striking value, however, is the large amount found in the liver

immediately after inhalation and its rapid elimination after one and a half

hours.  Similar levels of liver uptake have not been noted for other fluoro-

carbons under discussion.  The anesthetic, halothane  (CHBrCl-CF-), however,

is transported to the liver where it is apparently metabolized to trifluoro-

acetic acid (Rosenburg, 1972; Cascorbi and Blake, 1971; Cohen, 1969).  A

similar pattern for H-2402 has not been proposed and would not seem indicated

although it cannot be ruled out - on the basis of what is known of its toxic

effects.

        Van Stee and Back  (1971a) have monitored the  levels of H-1301 in

blood, brain, and heart tissue during five-minute exposures to 71-76% H-1301.
The results are given  in Figure 21.
 Figure  21.  Rat  brain and heart
   concentrations  of  CBrF3 during
   and after 5-minute exposures to
   71-76%  CBrF3  in 02 (n=10,  mean
   ±  SD).  The A-»-A  line represent,-!
   blood concentrations  of CBrF3
   observed  during an experiment
   in which  the  conditions were
   similar to those of the brain-
   heart experiments  (n=l)
   (Van  Stee and Back, 1971a).
6^'N I MtAN • STANDARD DEVIATION
                                      102

-------
As Figure21 indicates,  H-1301 concentration in the brain increased  twice  as

rapidly  and reached levels 50% above those of the heart and blood.  Further,
                                                                            A,
                                                 o                           :
levels of  H^1301 two minutes following exposure were significantly  higher

in the brain than the heart.  This pattern probably reflects the  lipid

solubility of H-1301 which is more concentrated in the central nervous  system

than  the heart because of the high lipid concentration of the former  as

compared to the latter (Van Stee and Back, 1971a).

         Sherman (1974)  has studied tissue distribution of F-12 in rats  and

dogs  over  one and two years of oral administration.  A summary of the results

is  given  in Tables  XLIV and XLV.
            Table XLIV.   Tissue distribution of residual F-12
                 in control rats and in rats fed 0.2%  (w/v)
                 and 2.0% (w/v) F-12 over a two year period
                               (Sherman, 1974)
                             MALE
            Year
mg administered
  0      Low     High
                                    FEMALE
Adrenals
Blood
Bone Marrow
Brain
Fat .
Heart
Kidney
Liver
Muscle
1
2
1
2
1
2
1
2
1
2
1
2
1
2
1
2
1
2
< 0.06
1.22
< 0.01
< 0.04
0.05
< 0.01
< 0.01
< 0.06
< 0.01
< 0.02
< 0.02
< 0.02
< 0.02
< 0,01
< 0.01
< 0.01
< 0.03
< 0.01
< 0.04
0.35
< 0.01
< 0.04
< 0.03
0.49
< 0.01
< 0.06
< 0.01
< 0.01
< 0.02
< 0.02
< 0.02
< 0.01
< 0.01
< 0.01
< 0.03
< 0.01
< 0.04
2.11
< 0.01
< 0.05
< 0.03
0.74
< 0.01
< 0.10
0.13
0.17
< 0.02
< 0.02
< 0.02
< 0.01
< 0.01
< 0.01
< 0.03
< 0.01
< 0.06
1.34
< 0.04
< 0.05
< 0.03
0.56
< 0.01
< 0.12
2.28
0.86
< 0.02
< 0.02
< 0.02
< 0.01
0.05
0.02
< 0.03
< 0.01
mg administered
  0      Low     High
< 0.07
0.68
< 0.01
< 0.04
0.11
< 0.01
< 0.01
< 0.06
< 0.01
< 0.02
< 0.02
< 0.01
< 0.03
< 0.01
< 0.01
< 0.01
< 0.03
< 0.01
< 0.06
0.67
< 0.01
< 0.04
< 0.06
1.70
< 0.01
< 0.10
< 0.01
< 0.01
< 0.02
< 0.01
< 0.03
< 0.01
< 0.01
< 0.01
< 0.03
< 0.01
< 0.04
1.38
< 0.01
< 0.05
< 0.04
0.71
< 0.01
< 0.10
0.11
0.04
< 0.02
< 0.02
< 0.03
< 0.01
< 0.01
< 0.01
< 0.03
< 0.01
< 0.04
1.64
< 0.01
< 0.05
0.07
1.70
< 0.01
< 0.12
1.15
0.71
< 0.02
< 0.01
< 0.03
< 0.01
< 0.01
< 0.01
< 0.03
< 0.01
*  pptn » Hg/nil blood or Mg/g wet tissue.
                                      103

-------
            Table XLV.  Tissue distribution of residual F-12
                    in control dogs and dogs fed 0,03%
                   and 0.3% F-12 over a two year period
                              (Sherman, 1974)

                                  MALE
FEMALE

Adrenals
Blood
Bone Marrow
Brain
Fat
Heart
Kidney
Liver
Muscle
Year
1
2
1
2
1
2
1
2
1
2
1
2
1
2
1
2
1
2
ppm administered
0 300 3,000
< 0.01
1.04
< 0.01
< 0.04
< 0.08
0.47
< 0.01
< 0.09
< 0.01
' 0.02
< 0.02
< 0.01
< 0.01
< 0.01
< 0.01
< 0.01
< 0.03
< 0.01
1.23
< 0.04
0.45
< 0.09
0.23
< 0.01
< 0.01
< 0.01
< 0.01
< 0.01
0.88
< 0.01
< 0.04
< 0.07
0.65
< 0.01
< 0.09
0.25
0.12
< 0.02
< 0.01
0.01
< 0.01
< 0.01
< 0.01
< 0.03
< 0.01
ppm
0
< 0.01
1.73
< 0.01
< 0.02
< 0.05
0.50
< 0.01
< 0.09
< 0.01
0.15
< 0.02
< 0.01
< 0.01
< 0.01
< 0.01
< 0.01
< 0.03
< 0.01
administered
300 3,000
-
< 0.02
1.16
< 0.09
0.34
< 0.01
< 0.01
< 0.01
< 0.01
< 0.0.1
1.50
< 0.01
< 0.02
1.55
< 0.01
< 0.09
0.52
1.19
< 0.02
< 0.01
< 0.01
< 0.01
< 0.01
< 0.01
< 0.03
< 0.01
  ppm = |ag/ml blood or Hg/g wet tissue.
In rats, there seems to be some indication of tissue storage by the adrenals,

bone marrow, and fat.  However, the relatively high concentrations of a

compound with the same peak retention time found in control animals may

indicate either interference from an unrelated material or contamination of

the controls with F-12.  A similar pattern is seen in the results of dog

feeding studies.  Because the postulated interferring agent was not identified,

the quantitative significance of these findings is difficult to assess

(Sherman, 1974).
                                     104

-------
        From the information'presented on absorption, elimination, transport,




and distribution, the following general scheme of fluorocarbon uptake seems




evident.  Fluorocarbons are absorbed and transported by the blood.  Absorption




takes place primarily across the alveolar membranes * The amount and rate of




absorption depends upon a variety of factors including the physical and




chemical characteristics of the particular fluorocarbon, the concentrations




of the fluorocarbon in the ambient air, breathing patterns, and possibly




individual differences in ability to absorb these compounds.  If exposure




is sufficiently long, an equilibria is reached among ambient air, blood,




and tissue concentrations.  The fluorocarbons, being more lipid than water




soluble, seem to concentrate in areas of high lipid content.  All of the




studies monitoring fat tissue indicate some degree of concentration in fat.




The high adrenal levels of F-ll and F-12 (Allen and Hansbury Ltd., 1971)




and brain levels for H-1301 (Van Stee and Back, 1971a) do not represent




equilibrium values.  Carter (1970), however, in seven and fourteen-day




exposures did note higher concentrations of F-113 in the brain than in the




heart comparable to those for H-1301.  Similarly, Sherman (1974) in long




term feeding studies did note some degree of adrenal concentration for F-12




but its relevance to extremely high values noted by Allen and Hansbury, Ltd.




for F-ll and F-12 (1971) is limited.  Thus, until more information becomes




available on equilibria concentration of a wider variety of fluorocarbons,




the most that can be suggested concerning tissue distribution is that,




depending upon the lipid solubility of the fluorocarbon, tissues with a higher




lipid content than blood will probably concentrate fluorocarbons from the
                                      105

-------
blood.  The relative amounts of fluorocarbons absorbed by body tissue will




probably correspond to the relative order of absorption by blood from the




air as outlined in the section on absorption/elimination.
                                      106

-------
    C. Metabolic Effects

       The fluorlnated propellants,  solvents,  and fire extinguishing agents

are notable for their relatively  lovnliver toxicity when compared to other

halocarbons such as  carbon  tetrachloride and halothane (see Section XII,

Toxicity to Birds and Mammals).   Both  halothane and carbon tetrachloride

inhibit oxidative-phosphorylation in rat liver mitochondria (Snograss|and

Pinas, 1965).  The fluorocarbons  under consideration in this review do not,

for the most part, seem to  behave in this manner.

        As indicated in Figures 22 & 23,  Griffin and coworkers (1972) have

shown that a variety of fluorocarbons  do  not  markedly effect oxygen

consumption or oxidative phosphorylation in isolated mitochondria from rats

exposed to fluorocarbons prior to mitochondria! isolation.             \
           -^F-l RANGE Of CONTROLS
                                       LIVER
                                                            L.UNG
EXPOSURE CONDITIONS l0'
COMPOUND %INAlR TIME.MIN
HA
IIA
fK
fK
fK
4-
2-
n-
LON 2402 6.2 10
L.ON 1 301 6.8 30
EON 116 7.3 30
EON C 318 5.0 30
EON 12 7.6 30
BRAIN
[
g§§
.;>;. ;
P
m
&£
tasa
5-
10-
j J
n-





ffiffi

2402

P^
j]
SfiS

^p

1301 116 C-318
HEART

ssw
Sm
'•i-fS
•':
10-
1 V

12
20-
^
10-<
[

[
SS5

JgS

— — -- — —

-;.
m

?40? 1301 116 C-318 12
KIDNEY





             2402 1301  116 C318 12    "  24021301 116 C-318 12    "  2402 1301 116 C3I8  12
   FIGURE 22. Oxygen  consumption in mitochondria from rnf.s exposed  to  halo-
              carbons.   Mitochondria were isolated from  tissues  after  the
              rats  were  exposed under the indicated conditions.  Mitochon-
              dria  from  controls were assayed simultaneously with  the  ex-
              perimental groups and the range of activities includes data
              from  all  five  groups of controls.  The rate of oxygen con-
              sumption  is expressed as myAO consumed/ing protein /min  X
              10'
                  '•  (Griffin et al.,  197?.)
                                         107

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tjjgjj RANGE OF CONTROLS

    EXPOSURE CONDITIONS    I0
COMPOUND %IN AIR TIME.MIN
HALON2402  6.2    10      5-
HALON 1301  6.8    30
FREON 116   7.3    30
FREON C-318  5.0    30
FREON 12   7.6    30
                                        LIVER
                                  LUNG
                                   VS
                                                    20
                                                    10
                   BRAIN
       2402 1301 116 C-318 12

             HEART
                                                              «s«
                      2402 1301  116 C-318  12

                          KIDNEY
                    tie c-318
                               10
?
2402
301 116
                                      12
                         20
                                                    10-
2402 1301 116 C3I8 12
   FIGURE23.   Oxidative phosphorylation in mitochondria from rals  exposed
               to halocarbon.  Mitochondria were  isolntnd froui tissues  after
               the Vats were exposed under the  indicated conditions.  Mito-
               chondria from controls were assayed  simultaneously with  the
               experimental groups  and the range  of activities included data
               from all five groups of controls.  Thp rate of phosphoryla-
               tion is expressed  as mu  Moles P^  esterified/mg protein/min
               X ID"1.  (Griffin  et al., 1972)
Further jjn vitro studies were  conducted with liver and  heart mitochondria

in which measurements were  taken  during actual exposure of the mitochondria

to either 20%  F-12 or H-1301.  No effects were noted  on either oxidation or

phosphorylation (Griffin £t. al.,  1972).

        However, Van Auken  and Wilson (1973) have demonstrated that F-21

at concentrations of 0.1%  (w/v) decreases respiratory control and ADP/0

ratio in mitochondria isolated from rabbit liver and  mung bean.
                                       108

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          A Mung Bean
          B Rabbit
        I	;_„
                                                            R.C.-13
                                                               0.9
     Figure 24. The effect of Freon-21 on coupling parameters of rabbit
                liver and mung bean mitochondria.  A) Mung bean.  The
                reaction mixture of 3.2 ml contained: 0.3 M mannitol,
                4 raM MgCl2, 2 mM K-POi,, pH 7.4, 50 mM tris-ticine, pH 7.4.
                Additions include: M Mitochondria (0.15 mg protein), 8 mM
                Na-succinate pH 7.4, R.C. respiratory control.  Numbers
                on traces are ymoles. 0£per rain.  B) Rabbit liver.  The
                reaction mixture of 1.5 ml contained: 0.2 M mammitol,
                10 mM tris-tricine, pH 7.2, 4 mM MgCla, 2 mM K-POit, pH 7.2,
                8 mM succinate and approximately 0.7 mg protein.  ADP was
                added as 85 nmoles per aliquot. (Van Auken and Wilson, 1973);
                reprinted with permission from Springer-Verlag, Copyright 1973.

The above data would seem to suggest at least some loss of respiratory

control.  However, the respiration rates are not altered by F-21 indicating
                                                                     •i
that it is not a typical uncoupling agent (Van Auken and Wilson, 1973).

          A number of investigators have been concerned with the possible

binding of fluorocarbon molecules to portions of biologically important macro-

molecules.  Nunn (1972) has postulated a general theory of anesthesia

involving a Van der Waal's attraction between the anesthetic and hydrophobic

areas of macromolecu.les including proteins.  Halsey  (1974) speculates, on
                                      109

-------
the basis of N.M.R. data, that fluorocarbons such as F-12, F-22, F-14, and

F-116 may behave similarly to conventional anesthetics, interacting with

various hydrophobic sites in macromolecules.  Young and Parker (1972),

however, propose that F-12 at least is bound to the hydrophilic areas of

various phospholipids in that potassium chloride stops arrhythmia induced

by epinephrine in hearth sensitized by F-12, apparently displacing the

F-12 molecule held by the phospholipld (see Section XII, D-l, Epinephrine
  i
Induced Cardiac Arrhythmia).  Cox and coworkers (1972a and b) indicate the

F-ll binds to the phospholipids in the liver cytochrome P-450.  Epstein

and coworkers (1967b) indicate that unspecified fluorocarbons induce liver

microsomal enzyme synthesis.  Thus, while the lipid soluble fluorocarbohs

may complex with a variety of macromolecules and possibly effect lipid

membrane systems, no clear correlation can yet be drawn between this

possibility and their biological activity.
                                      110

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    D.  Metabolism




        Just  as  the  fluorinated propellants, solvents, and fire extinguishing




agents seem to differ significantly  from other low molecular weight halocarbons




in metabolic  effects, so do  they differ in metabolism.  The toxic effects of




both  carbon tetrachloride and halothane have been linked  to their enzymatic




dehalogenatlon involving free radical formation  (Slater and Sawyer, 1971;




Rosenburg, 1972)..  Although  such biotransformation cannot be ruled out over




periods of prolonged exposure at low concentration and low rates of trans-




formation, there is  little hard evidence as yet  to indicate that Significant




metabolism does occur.




        Of the fluorocarbons under review, only  the  fluoromethanes F-ll and




F-12  are topics  of  published reports on metabolism. Cox  and coworkers (1972a)




have  attempted to demonstrate possible reductive dehalogenation of F-ll in




two ways.  First, reasoning  that the primary products of  dehalogenation would




be F-21 and F-112, they incubated F-ll in microsomal preparations from rats




and chickens  and from rats, mice, guinea pigs and hamsters pretreated with




phenobarbital to stimulate metabolism.  No F-21  was  detected.  Secondly, as




an index of free radical formation,  they measured the effect of F-ll on




lipid peroxidation.  No evidence of  free radical formation was found (Cox




et al., 1972a).




        Blake and Mergner (1974) have studied the possible metabolism in




beagles of both F-ll and F-12 using  carbon-14 labelled compounds.  The




radiolabelled impurities in  F-ll C89.6% pure) were 9% 14CC1, and 1.4% 14CHC13.




The radiolabelled impurities in F-12 (96.0% pure) were 14CF3C1 and/or ^CF^.
                                      Ill

-------
Exposures to F-^ll ranged from concentrations of 0.19%  to  Q.55%  for  periods

of from six minutes to twenty minutes.  Exposures  to F-12 ranged  from

concentrations of 0.82% to 11.8% over  the same periods.   The  results  are

summarized in Tables XLVI and XLVII.
    Table XLVI.  Recovery and Inhalation of F-ll  and  F-12  in Beagles
                   (adapted from Blake and Mergner,  1974).


Recovery of Radioactivity
(Percent of Inhaled Dose)
Exhaled Exhaled as Urine Total
Unchanged C02
F-ll
F-12
101.6 ±
103.0 ±
14.3 0.30 ± .13 0.0095 ± .007 101.8 ± 13.8
6.2 0.14 ± .04 0.04 ± .02 103.2 ± 6.3
   Table XLVI I.
Tissue Concentrations of Non-volatile Radioactivity
 in Beagles 24 hours after Inhalation of
            F-ll and F-12.

AUrtn.il.
BloM
Brain, C'.rl.ix
Bralr.. Miilhr.u.i
[•„,. M-s-.,,t,,n.:
Hoart, Alrlum
He«rl,.V"nlr».-|(!
lnt«blhic, .'Jmall
Kutnoy
LlVI!)
l.iin.i
Musfh'. Skulo.il
Ovrtty
MiiUi I'omiih'
IS«. 92
u.n. N.I>.
236 VI
>r, I7ii
120 74
271 101
MM 7V
l',l 1
23". HJ
ibi tim
11 i !•'•
:nz M
27V
                                      170

                                      K.I

                                      I HI

                                      '/A II

                                      III
                                      112

-------
                                              14
For both F-ll and F-12, the total recovery of   CO™ and non-volatile urinary



and tissue reactivity equals about 1% of the administered dose.  Because the



radioactive impurities in the F-ll sample, carbon tetrachloride (.9%) and



trichloromethane (1.4%) are both known to be metabolized in animals, the



F-ll studies gives no firm evidence for fluorocarbon metabolism.  However, in



the F-12 study, all of the administered radioactivity was in the form of



fluorocarbons: 96% F-12 and 4% F-13 and/or F-14.  According to the current



view of fluorocarbon biological activity, increasing fluorination leads to



increasing stability (Clayton, 1970).  Consequently, if any or all of these



compounds were to be metabolized, F-12 would probably be the most readily



metabolized.  F-12 study thus seems to give a rather sound indication that



about 1% of F-12 - and/or F-13 and F-14 - are metabolized after relatively

                       ..                       .                     •  !

brief exposures.



        Eddy and Griffith (1971) have obtained results on the metabolism of



carbon-14 labelled F-12 in rats on oral administration showing a somewhat



greater degree of metabolism.  About 2% of the total dose is exhaled as CCL



and about 0.5% excreted in the urine.  By thirty hours after administration,



the fluorocarbon and its metabolites are no longer present in the body.



        Further studies on the metabolism  of fluorocarbon propellants,



solvents, or fire extinguishing agents have not been encountered.  The



current view of metabolism of the fluorinated anesthetic halothane, however,



is given in Figure 25.
                                        113

-------
               F-C -CH2OH •—• f— C — CHO	• F- C- C -NH— CH2 - CHj-OH
                                         TRIFLUOROACETY LETHANOLAMINE
            Figure 25. Possible Metabolic Pathways for Halothane
                            (from Rosenburg, 1972)
A number of other fluorocarbons seem to follow a similar pattern.  Fluoroxene

(trifluoroethyl vinyl ether) may be metabolized to trifluoroethanol in mice

or trifluoroacetic acid in man (Cascorbi and Singh-Amaranath, 1972).

Hexafluorodichlorobutene may also be metabolized to trifluoroacetic acid

and other unidentified acids (Truhant et ai., 1972).  In the metabolism of

halothane, it should be noted that all biotransformations  take place  in the

non-fluoro-substituted carbon.  In the commercially important fluoroethanes,

this type of metabolism would not be expected in that both carbons usually

are fluorosubstituted making both more refractory to biotransformation.

However, the study ot F-12 metabolism by Blake and Mergner (1974) would seem

tp indicate that fluorosubstitution of both carbons would  not in itself preclude

metabolism.  As these investigators indicate, the apparent resistance of

these compounds to metabolic degradation may be more a function  of  their

rapid elimination rather than chemical or biological stability.  Over longer

periods of exposure, the fluorocarbons will not only be in equilibria with
                                     114

-------
tissue for longer periods but also will be more likely to reach, less

accessable "deep" tissue compartments.  Metabolic tests requiring longer

exposure periods will be necessary to assess the significance of such

multicompartment distribution (Blake and Mergner, 1974).  However, it would

not be surprising if further studies show that a variety of fluorocarbons

undergo biotransformation.  In fact, at low level exposures that would be

found in the general environment or home, such metabolism might be facilitated

by the lack of substrate or product inhibition (Halsey, 1974).

        The significance of fluorocarbon metabolism is difficult to assess

with certainty because so little is actually known.  Often, of course, a

compound may be metabolized to a compound of greater toxicity, such as
                                                                   »
halothane to trifluoroacetic acid.   Truhaut and coworkers (1972)  have noted

a pattern in 2,3-dichloro-l,l,l,4,4,4-hexafluorobutene-2 [DCHFB]  of delayed

death similar to that noted in l-chloro-l,2,2-trifluoroethylene (Walther

et_al., 1970).
        Table XLVI1I. Delayed Death After DCHFB Administration
                    to Rabbits [Truhaut ^ al,., 1972]

          Concentration    500 ppm   200       100       200       200
           Exposure time    1 hour   1 hour    1 hour    30 rain.   15 min.

          Delayed          85 min.   12 hours  4 days    3 days     0
           Death           to 3 1/2
                           hours
Such a delay may indicate that a metabolite rather than the parent compound

may be the toxic agent (Truhaut et al., 1972).  Patterns of delayed death have
                                        115

-------
also been noted for various fluorocarbons under review and will be considered




in the appropriate sections..  However, without clearer experimental evidence




on the possible metabolism of these fluorocarbons, delayed death cannot be




viewed as indicative of toxic metabolites.
                                      116

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X.  ENVIRONMENTAL TRANSPORT AND FATE




    A.  Persistence




        The chemical stability of the commercial fluorocarbons would lead




one to believe that the compounds are very persistent in  the environment.




The ability to monitor at least fluorocarbon 11 in relatively isolated parts




of the Atlantic Ocean (Lovelock &t_ al., 1973)  tends  to support this conten-




tion.  However, the degree of persistence is relatively unknown.  Lovelock




jet ,aJL. (1973) have suggested a residence time  of 10  years.  This assumes




no significant surface or tropospheric degradation and complete destruction




in the stratosphere (Lovelock, 1974).  The transfer  time  to the stratosphere




sets the lower limit of 10 years.  Su and Goldberg (1973) have suggested a




residence time of 30 years for fluorocarbon 12.  The basis of this assign-




ment is unknown.                                                  !




    B.  Biological Degradation




        Information on the biodegradability of the commercial fluorocarbons




is not available.  However, their volatility would certainly limit, if not




preclude, biodegradation.  Goldman (1972) has  reviewed the enzytnology of




carbon-halogen bonds and suggested that although fluorines substituted in




the 2-position of short-chain fatty acids (e.g., fluoroacetate) are replaced




by hydroxyl groups, the high strength of the carbon-fluorine bond would




indicate a high biological stability in other  compounds.  And, in fact,




with any other compound containing the carbon-fluorine bond, with the




exception of fluoroacetate (e.g., trifluoroacetate,  difluoroacetate,




2-fluoroproprionate, and 3-fluoroproprionate), fluoride release could not




be detected.
                                   117

-------
    C.  Chemical Stability in the Environment




        Three studies have examined the stability of fluorocarbons under




atmospheric conditions.  Japar et_ al. (1974), Hester £t aJL. (1973), and




Saltzman e£ al. (1966) have all photolyzed fluorocarbons under varying




conditions and found no decomposition.  Both Hester e£ al. (1973) and Japar




e£ .al.. (1974) used simulated smog conditions.  Hester et_ al. (1973)




photolyzed fluorocarbons 11 and 12 in an ambient air sample for two months




and found no reaction.  Saltzman et_ al. (1966) exposed a gaseous mixture of




CBrF3 and C^Q to ultraviolet light, water vapor, ozone, SC>2, and diluted




automobile exhaust and reported no degradation.




    D.  Environmental Transport




        Because of the high vapor pressures of the fluorocarbon compounds,




the major environmental transportation route is through the atmosphere.




For example, Lovelock (1972) has determined that trichlorofluoromethane




concentrations of rural southern England and Ireland can be attributed to




sources on the European continent.




    E.  Bioaccumulation




        Because of the high volatility of the compounds under consideration,




the possibility of bioaccumulation seems rather remote.  Information on



this possibility is not available.
                                  118

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XI.  HUMAN TOXICITY




     A.  Accidental Exposures and Misuse




         Fluorocarbon propellants - primarily F-ll and F-12 - have been associated




 with the broader problem of abusive inhalation of aerosols.  In an attempt




 to achieve an intoxicated state, the aerosol is sprayed into a bag, the




 bag placed over the mouth and nose, and the contents inhaled deeply.  In




 other cases, the bag containing concentrated aerosols is placed over the




 head (Crooke, 1972).  This procedure presents two potential hazards, the




 aerosol itself and asphyxiation.  Many of the early reports of aerosol




 abuse, while recognizing the intoxicating effects of the fluorocarbons,




 assumed on the basis of the then current understanding of fluorocarbon




 toxicity that suffocation was the probable cause of death in fatal exposures



 (Coleman, 1968; Hoffmann, 1968).  However, as this practice became, more




 wide spread, cases in which asphyxiation could not be the cause of death




 became apparent.  Bass (1970) describes one hundred and ten such deaths




 occurring between 1962 and 1969, fifty-seven of which were associated with




 fluorocarbon propellants.  These deaths sometimes involved rigorous activity




 during or immediately after inhalation, followed by the rapid onset of death




 thus ruling out suffocation as the cause of these deaths.  Bass (1970) con-




 cluded that these deaths were probably caused by cardiac arrhythmia,




 possibly aggravated by elevated levels of catecholamines due to stress and/or




 moderate hypercapnia.  This deduction was subsequently supported by a




 variety of investigators who found that many fluorocarbons can sensitise




 the hearts of various mammals to epinephrine induced arrhythmias and that




 this effect may be magnified by an increase in blood carbon dioxide (e.g.,




 Reinhardt £t al., 1971).






                                   119

-------
        A similar concern over the role of fluorocarbons in causing human




deaths has been expressed in cases of possible over use by asthmatics of




bronchiodilator drugs in aerosol nebulizers propelled by various fluoro-




carbons (Taylor and Harris, 1970a).  Such nebulizers deliver a fixed amount




of fluorocarbon gases and bronchiodilator drugs per actuation. Two of the more




commonly cited formulations Medihaler-lso^and Isuprel Mistometer^ release




12.5 ml propellant (F-12 and F-114) and 5.8 ml propellant (F-ll, F-12, and




F-114) per actuation, respectively.  In an acute asthmatic attack, Taylor




and Harris (1970a) postulate that these propellants may be inhaled in




sufficient quantities to cause cardiac arrhythmias.  As with instances of




abusive inhalation, stress and oxygen deficiency may be contributing




factors.  Although supported by some epidemiologic evidence -(see Part D




of this section), there is little hard data to indicate that this does occur




in man.  However, this possibility has stimulated intense investigation and




considerable controversy in studies of laboratory animals (see Part D,




Section XII, Cardiac Effects of Fluorocarbons).




        Clayton (1966) reports that approximately one liter of cold F-11.3




was accidently released into the stomach of an anesthetized patient.  The




immediate effect of this exposure was transient cyanosis.  For the next



three days, the patient experienced severe rectal irritation and diarrhea.








    B.  Occupational Exposure and Normal Use




        The fluorocarbon gases have not presented a documented hazard in




terms of industrial hygiene and occupational safety.  In 1952, Mendelhoff




associated chronic exposure to F-12 with malaise, chills, fever, nausea,
                                   120

-------
abdominal pain and eventual death in a repair mechanic for refrigeration


equipment.  However, in that exposure to methyl chloride and sulfur dioxide


as well as a moderate degree of alcoholism for several years were also


noted, this isolated case cannot be construed as a substantial indication


of F-12 toxicity.  A similar case reported by Marti (1948) also included


exposure to sulfur dioxide and F-12 thermal decomposition products and thus


cannot be considered as indicative of F-12 human toxicity.  In a recent study,

women using an average of 21.6 g of fluorocarbon propellents per woman per day


for four weeks did not evidence any adverse effects of measurable fluorocarbon


blood levels.  The investigators estimate that the average exposure of the test


subjects was over nine times the amount normally used (Marier et al, 1973).

        A group of fifty workers who were exposed to F-113 for a period of

up to four and a half years (mean 2.77 years) were evaluated for possible
                                                           V

adverse effects from concentrations of 46 to 4,700 ppm (mean 669 ppm;


median 4.35 ppm).  No signs of toxicity were noted (Imbus and Adkins, 1972).

        Only one investigator has implicated the fluorocarbons with a

serious health problem.  Good (1974) contends that fluorocarbons used as


aerosol propellents may be a major cause of lung cancer in the United States.

This hypothesis is based largely on clinical data without follow-up animal

experiments.  Sputum cytological techniques are used in which changes are

classified in five stages—Class I being normal and Class V showing marked


atypia.  In a group of 200 heavy aerosol users, precancerous changes of

lung cells were noted in each individual which were reversed when aerosol


use was discontinued.  In a second study (Good e_t_ al_., 1974) comparing 50


heavy users to 250 non-users or light users, 12 of the heavy users showed

moderate to marked atypical cell changes which were seen in only two of the

non-user/light user group.  Good (1973) found that use of even such innocuous


                                  121

-------
 agents as breath  fresheners  in  aerosols will  result  in  Class  1,11  changes  in

 4-5 months.   The  resulting clinical  syndrome,  polymyalgia  rhumatica,  is

 described as  a  low-grade  fever, emotional upsets, without  coughing.   The

 etiological progression is presumed  to be ciliary paralysis resulting in

 chronic gram  negative  infection of the lung.   These  organisms may produce a

 mild  toxin which  causes the  clinical symptoms  and atypical changes  in the

 lung.  A number of  investigators  are currently conducting  research  in this
;,
'area  (Archer, 1974).



    C.  Controlled  Human  Studies

      ,  Exposure  to humans under  experimental conditions has  been thus far

 restricted to three of the most common fluorocarbons:   F-12,  F-113, and

 F-1301.  Of these,  F-1301 has received by far the most  attention  because  of

 its use as a  fire extinguishing agent.                                !

        Fluorocarbon-12 has  been  tested using human  subjects  by both

 Kehoe (1943)  and  Azar  and coworkers  (1971).   Kehoe  (1943)  exposed one sub-

 ject  to concentrations of 4%, 6%, 7%, and 11% for periods  of  80,  80,  35,  and

 11 minutes, respectively. A second  subject was exposed to 4% for 14  minutes

 immediately followed by 2% for  66 minutes.  At 4% F-12,  the subjects

 experienced a tingling sensation, humming in  the ears,  and apprehension.

 Electroencephalographic changes were noted as well as slurred speech  and

•decreased performance  in  psychological tests.   In the one  subject exposed

 to higher concentrations, these signs and symptoms became  more pronounced

 with  increases  in concentration.   An exposure of 11% caused a significant

 degree of cardiac arrhythmia followed by a decrease  in  consciousness  with

 amnesia after ten minutes.   At  concentrations of 1%  F-12 for  150 minutes, Azar

 and coworkers (1972) noted only a 7% decrease in psychomotor  test scores

 and no effects  at 0.1% concentration over the same period.
                                   122

-------
        Fluorocarbon-113 has been tested on human subjects by Stopps and




Mclaughlin (1967) and Reinhardt and coworkers (1971).  Psychomotor per-




formance was evaluated with exposures to 0.15%, 0.25%, 0.35%, and 0.45%




F-113 for 165 minutes (Stopps and Mclaughlin, 1967).  At the lowest level,




no effect was noted.  At 0.25% there was difficulty in concentrating and




some decrease in test scores.  These effects were more pronounced at 0.35%




F-113.  At 0.45% F-113, performance at various tasks was decreased by




between 10% and 30%.  These decreases coincided with sensations of




"heaviness" in the head, drowsiness, and a slight loss of orientation after




shaking the head from left to right.  Reinhardt and coworkers (1971) exposed



human subjects to concentrations of 0.1% and 0.05% F-113 for 180-minute




periods in the morning and afternoon on five days.  No decreases in psycho-



motor ability were noted.  No abnormal findings were noted during post-




exposure physical examination, hematologic and blood chemistry tests




(conducted three days after final exposure) and steady-state measurements




of diffusing capacity of lungs and fractional uptake of carbon monoxide.




        Fluorocarbon-1301 exposures to human test subjects have been




summarized by Reinhardt and Reinke (1972).  Concentrations of 1%, 3%, and




5% F-1301 for periods of three to three and a half minutes had no effect on




electrocardiograms or response times in three subjects.  Concentrations of




7% and 10% over the same period, however, did result in slight lessening




of equilibrium and increase in response time (Reinhardt and Stopps, 1966).




Similar results were obtained at Hine Laboratories (1968) over longer




durations.  Concentrations of 5% for 20-25 minutes caused a minimal decrease




in psychomotor performance while concentrations of 10% caused a more pronounced
                                   123

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decrease in ten subjects.  Drowsiness and an increased sense of well-being



were also noted.  Graded concentrations of 5-17% H-1301 over periods of



15-20 minutes resulted in central nervous system effects ranging from



tingling to a feeling of impending unconsciousness (14% H-1301) in nine



out of ten subjects, with the remaining subject reporting no effects at



concentrations up to 15.7%.  Cardiac effects were noted in only three of



the ten subjects.  Effects in two subjects at 8.2-15.7% H-1301 were primarily



T-wave alterations (depression and flattening), with increased sinus



arrhythmias occurring in one of these subjects.  The third subject showing



cardiac effects exhibited T-wave flattening after an initial exposure to



16.9% H-1301 but 36 hours later, after a five-minute exposure to 14% "H-1301,



developed cardiac arrhythmias including T-wave flattening, extrasystoles



forming bigeming, A-V dissociation, and multifocal premature beats.  Clark



(1970) has also noted T-wave depression and tachycardia along with loss



of equilibrium and paresthesla in all subjects after less than a one-minute



exposure to 12% and 15% H-1301.  T-wave depression was noted at 10%



exposures for one minute in two subjects, along with slight dizziness and



paresthesia.  Three-minute exposures to 9% and 6% resulted In similar



central nervous system effects and tachycardia but no arrhythmias.  In



addition to these studies, Call (1973) exposed eight subjects to concen-



trations of 4% and 7% B-1301 for three minutes In a hypobaric chamber main-



tained at 760mm Hg, 632mm Hg (equivalent to 5,000 feet), and 380  mmHg



(18,000 feet).  Although no cardiac effects were noted in any exposures,



reaction times were increased from about 550 milliseconds to about 60Q



milliseconds at both concentrations and at all altitudes.
                                   124

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        Halon-1211, another fire extinguishing agent, has been




administered to humans at concentrations of 4-5%.  After 30-40 seconds,




the subjects became dizzy and light-headed.  These symptoms increased




after 'one minute and were accompanied by paresthesia of the fingers and




toes.  One subject, exposed for two minutes, showed central nervous system




stimulation and a transient cardiac irregularity.  Recovery was rapid and




without noticeable after-effects (Clark, 1972).








    D.  Epidemiology




        In the narrowest sense, epidemiological investigations have not




been conducted and would not seem to apply to these fluorocarbons.  As




indicated in a previous section, these compounds have not presented an




appreciable hazard in manufacture and although they are commonly u^ed in




most households, no wide-spread adverse effects have been unequivocably




attributed to these compounds under normal use.  The patterns of abusive




inhalation have been studied by Bass (1970) and reviewed by Crooke (1972).




The abuse first appeared on the west coast in the early 1960's, moved




eastward and apparently gained some popularity by 1967, and has persisted




at least into 1972.  Fluorocarbons, while the most popular, are only one




of many classes of compounds used in this practice; others include toluene,




benzene, trichloroethylene, acetone, and isopropyl alcohol.  Kilien and




Harris (1972) have reported that over 140 cases of death from abusive




inhalation of aerosol propellants have been documented.  These deaths have




occurred in individuals from 11 to 23 years of age, with the majority coming




from middle-income families (Bass, 1970).  Such studies are of little use
                                   125

-------
 in  assessing  the  environmental  hazard  of  fluorocarbons  since  they indicate




 only the potential  for  fatal  abuse under  environmentally  unrealistic




 conditions.





         Taylor  and  Harris  (1970b)  have associated  increasing  deaths in




 England  due to  asthma with increasing  use of  fluorocarbon propelled




ibronchodilators.  The potential role of fluorocarbon propellants  in such




 deaths has also been underscored by Archer  (1973).  In  England, asthmatics




 have been found dead with  empty aerosol nebulizers  in their hands and in




 other cases patients have  been  known to use two  nebulizers prior  to death




 (Taylor  and Harris, 1970b).   However,  such  evidence is, at best,  highly




 circumstantial.  While  not denying the potential danger from  overuse of




 these nebulizers, a variety of  factors must be considered in  asthma deaths




 before a correlation can be accepted as a cause-effect  relationship




 (Silverglade,  1971b).
                                    126

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XII.  TOXICITY TO BIRDS AND MAMMALS




      A.  Acute Toxicity




          1.  Acute Inhalation Toxicity




              A variety of fluoromethanes and ethanes, including those of




  commercial importance, have been tested for acute inhalation toxicity in




  standard laboratory mammals.  For the most part, these tests have attempted




  to evaluate either the human health hazard from occupational exposure




  (e.g., Desoille et^ al., 1973; Steinberg et _al., 1969; Yant e£ al., 1932) or'




  their anesthetic potency (e.g., Carpenter, 1954; Miller et_ al^., 1967;




  Van Poznak and Artusio, 1960).  Thus, much of the information is given in




  terms of lethality, loss of responsiveness, or other adverse effects such




  as convulsions or tremors.  Summaries of the available data are given in



  Tables IL-LIV.  In these tables, some attempt is made to give dose-response




  relationships by using five response categories.  Approximate lethal con-




  centration (ALC) is the minimum concentration causing death in any of the




  animals over a given exposure period and is usually only somewhat less than




  the concentration causing death in half of the exposed animals (LCso).  The




  anesthetic concentrations usually represent  the concentration at which




  certain basic reflexes are lost; e.g., the righting reflex.  The concentra-




  tion causing tremors is used rather than the concentrations causing convul-




  sions because the former usually represents the minimum concentration causing




  any marked response.  It will be noted that the concentration causing tremors




  is usually below that causing anesthesia; thus most of the fluorocarbons are.




  not satisfactory anesthetics.  The non-rlethal concentration is admittedly




  somewhat ambiguous.  In most cases, it merely represents a concentration not
                                     127

-------
causing death.  However, in instances where it is lower than the tremor


concentration, the non-lethal concentration is a reasonable approximation of


the "no marked effect" level.  In a few cases, important observations not


fitting the above categories are included in brackets.  Information not


supplied in the original study is indicated by "N.S.".


            Many review articles, especially those of Clayton (1962, 1966,


1967a and b, 1970) have emphasized the relationship between fluorination


and toxicity:  as the degree of fluorination increases in a given series,


the toxicity decreases.  This relationship and the relationships between


the various groups presented in Tables IL-LIV are given in Figure 26 using


LCso's or ALC's.  To make the comparison as valid as possible, preference


is given to data on rats and exposure periods of four hours.  Values ;Of

                                                                     i
less than one-half hour or greater than six hours are not used.  In cases


where there is more than one compound in a single category, the most


halogenated is plotted first.
                                  128

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Table IL. Acute Inhalation Toxicity of Perhalomethanes in Laboratory Mammals.
                                          Responses
Fluorocarbon Code
CC13F F-ll









CC12F2 F_12









F-ll/F-12 (1:1, v/v)


cc.;r3 F-IJ
C?u F-U
Animal
Rats






Mice
Rabbit and Guinea Pig
Guinea Pig
Rats, Guinea Pigs
and Rabbits
Rats
Mice
Rats
Higher Vertebrates (N.S.)
Rats
Dogs , Monkeys and
Guinea Pigs
Guinea Pig
Mice
Rats
Guinea Pig
Guinea Pig
S.S.
ALC l>C5o Anesth. Tremors Non-lethal Duration
6?, 4 hr.
10% 20-30 min.
20Z 5 min.
15% 30 min.
10% 20 rain..
<9Z ' ' N.S.
3.3* N.S.
102 30 min.
252 30 min.
10% 2 hr.

>80Z 30 min.
.801 4-6 hrs.
76Z 30 min.
50Z 1 hour
40X N.S.
30-40% N.S.

20Z Prolonged
20% 2 hr.
22Z 30 min.
30% 30 min.
50% 30 min.
2\>T. 2 hr.
20S 2 hr.
Reference
Waritz, 1971
Lester and Greeaburg,
Kuebler, 1964
Paulet, 1969
Keubler, 1964
Lester and Greenburg,
Waritz, 1971
Paulet, 1964
Paulet, 1964
Clayton, 1966

Paulet, 1969
Lester and Greenburg,
Paulet. 1969
Keubler, 1964
Caujolle, 1964
Lester and Greenburg,

Sayers e£ al. , 1930
Clayton, 1966
Paulet, 1969
Paulet, 1969
Paulet, 1969
Clayton, 1966
Zapp, no date


1950



1950






1950



1950









-------
                  Table L.  Acute Inhalation  Toxicity of Halo-unsaturated Methanes in Laboratory  Animals
            Fluorocarbon
                            Code   Animal
                                                                  Anesth.
                                                                          Tremors
                                                                                  Non-lethal
                                                                                            Duration
                                                                                                      Reference
CHC12F




CHClFj



CHF,

F-21 Guinea Pig

Higher Vertebrates


F-22 Guinea Pigs

Dogs
Mice
F-23 Rat
Dogs
52
10Z
10%




70Z
40Z


<2 hr.
1 hr.
brief
1-22 several
minutes
10% 2 hr.
202 2 hr.
40Z <90 min.
2 hr.
202 2 hr.
802 <90 mln.
Caujolle, 1964
Clayton, 1966
Caujolle, 1964

Caujolle, 1964
Waritz, 1971
Caujolle, 1964
Van Poznak and Artusio,
Clayton, 1966
Zapp, oo date
Van Poznak and Artusio,







1960


1960
u>
o

-------
                     Table LI.  Acute Inhalation Toxicity of Perhaloethanes in Laboratory Mammals
u>
Fluorocarbon
CC12F-CC12F


CC13-CC1F2

CF2C1-CFC12














CC1F2-CC1F:.




CF-,-CFC:2



CF3-CC!.F;
CFj-CF,
F-22/F-115
Code Animal
112 Rat
Rat

112a Rat

113 Rat




Mice
Mice
Mice and Rats
Mice
Rats

Guinea Pig

Dog

F-114 Rats

Mice
Dogs
Guinea Pig
Miv.i
J!4.i ••H.:i-
!"..l
*n:it: i t.
K.-ils
n:> K.its
lit Rats
F-502 Rats •
ALC 1X50 Anesth. Tremors Xon-letnal
1.5S
32 [severe pulmonary hemorrhage]
0.5" (delayer death, 18-36 hrs.j
1.5%
2-3%
5.5%
8.69::
10%
20%
11% [some delayed death <2 hr.)
>10Z
9.5!:
15%
5.7% [delaved death with >6Z]
2.5-2.9-
i . ir.
4.8-5.2%
12%
1.1:
1.3%
60%
502
20.'.
20-'
i iOi:alveolar hercc/rrhaee)
70^ rde!.ivec desvh, 43 ::r~ . "t
ii:.
75^.
20:. [iii Uyed death)
80.%(20i 0;)
80% (20% 0;)
[20% * pulmonary congestion]
Duration
4 hr.
40-60 min.
18 hr.
4 hr.
I!j-2l5 hr.
4 hr.
4 hr.
4 hr.
45 din.
2 hr.
30 min.
2 hr.
15 min.
30 min.
30 nin.
6 hrs.
1 hr.
2 hr.
6 hr.
1 hr.
2 hr.
2 hr.
1f\ ml r\
j\J ml.n .
2-5 inin.
? hr.
J 4 h r .
30 min.
30 min.
30 rain.
V c
4 hr.
N.S.
N.S.
Reference
Clayton e_t al. , 1964
Greenburg and Lester, 1950

Clayton et al. , 1964
Greenburg and Lester, 1950
Waritz, 1971
Clayton, 1966
DuPont, S-24, no date
Kuebler, 1964
Desoille et_ al. , 1968
Raventos and Lemon, 1965
Desoille et al. , 1968
Kuebler, 1964
Raventos and Lemon, 1965
DuPont, S-24, no date
Steinberg et al. , 1969
DuPont, S-24, no date
Desoille et_ al. , 1968
Steinberg et al^. , 1969
Steinberg et al. , 1969
Warltz; 1971
Kuebler, 1964
Paulet and Dcsbrousses t 1969
Yant et al., 1932
Yant et_ £l . , 1932
Quevauviller et_ aj^. , 1953
Paulet and Desbrcusses, 1969
Paulet, 1969
Paulet, 1969
Caujolle, 1964
Clayton, 1966
Caujolle, 1964
Caujolle, 1964

-------
               Table LIT.   Acute Inhalation Toxicity of Halo-unsaturated Ethanes In Laboratory Mammals
ro
Fluorocarbon
CF2C1-CH2C1
CC1F2-CH3
CHF2-CH3
CF3-CHC12
CC1F2-CHC1F
CF3-CH2C1
CF3-CH3
CClF2-CHFi
CF;-CHClr
CHFj-CF-,
Code Animal
F-H2 Mice
Mice
Rabbits
F-142H Mice
F-152a Rats
F-l23a Mice
F-123 Dog
Mice -
F-133
F-143 Mice
F-124 Guinea Pig
F-124a Dog
K-125 Rats
Uog
ALC LCso Anesth. Tremors Non-lethal
^•3" 1.31 [delaved death in 24-48 hrs.]
4.9Z 1.29Z[no delayed death noted
in IS days] 3Z [lung
lesions]
12. 8X
20Z
50-55%
<45%
6.4Z
7.4Z
7.7Z
2.4Z
2.7Z
7Z norie
4» none
7%
25% 8Z
152 «.3Z
50Z
202
• iOS '
10%
(30;.= Long lasting excitement stage]
Duration
10 siin.
30 min.
N.S.
4 hr.
S.S.
10-25 min.
N.S.
4 hr.
30 min.
10 min.
30 min.
10 Bin.
15 min.
30 min.
1 hr.
10 min.
30 min.
10 min.
2 hr.
2 min.
4 hr.
rapid onset
Reference
Robbins, 1«46
Raventos and Lemon ( 1965
Raventos and Lemon, 1965
Carpenter elt al_.y- 1949 . .. .. .
Lester and Greenburg, 1950
Lester and Greenburg, 1950
Carpenter et al. , 1949
Raventos and Lemon, 1965
Robbins, 1946
Baventos and Lemon, 1965
Robbins, 1946
Burn, 1959
Robbins, 1946
Raventos and Lemon, 1965
Robbins, 1946
Clayton, 1966
Van Poznak and Artusio, 1960
Clayton, 1966
Van Foznak and Artusio, 1960

-------
              Table  LIII.   Acute  Inhalation  Toxicity of  Bromofluoromethanes  In  Laboratory Mammals
u>
Fluorocarbon
CCl2FBr

CF2Br2
CClF2Br








CF3Br





Code Animal
H-1121 Mice

H-1202 Rat
H-1211 Rat


Mice and Rats
Rat
Guinea Pig

Dog
Monkey
H-1301 Rat
Mice and Rats
Mice and Guinea Pigs
Dogs
Mice, Rats, Rabbits
and Guinea Pigs
ALC LCso Anesth. Tremors Non-lethal
•>2Z
-2r:
5.52
30;
30-32*
23Z
6%
25X
23Z
62
52
7.8%
83.2Z[in 02 ]
80Z [in 02]
85% [in 02][ delayed death, .2 davs]
20%

80.'; [in 0: )
Duration
30 mln.
3Q nin.
15 min.
15 mln.
15 min.
30 nin.
12 min.
30 aln.
15-30 min.
21 nin.
3 min.
10 min.
15 nin.
30 min.
2 hr.
1-3 =in.

N.S.
Reference
Raventos and Lemon,
Raventos and Lemon,
Clayton, 1966
Beck et al., 1973
Clark, 1972
Clark, 1972
Beck et al., 1973
Caujolle, 1964
Clark, 1972
Beck et al., 1973 .
Beck et al., 1973 '
Beck et al., 1973
DuPont, S-35A, 1971
Caujolle, 1964
Paulet, 1962
Van Stee and Back,

Paulet, 1962

1965
1965













1969



-------
                Table LIV.   Acute  Inhalation Toxicity of  Bromofluoroethanes  in Laboratory Mammals
OJ
Bluorocarbon
CH2Br-CF2Br
CH2Br-CHF2
CHBr2-CF3
CH2Br-CF,
CBrF2-CBrF2
CHBrF-CF3
Code Animal
H -220? Rats
H-2201 Rats
H-2302 Mice
Mice
H-2301 Mice
H-2402 Rats
H-2401 Dogs
ALC i-Cjo Anesth. Treaors Non-lechal Duration
0.5*
b
4.61 1
1.2Z 0.
2.0* 0,
9.76Z 2.
11. n 2.
17. 3Z
.25%
.31
.53
. 42
.51*
,8Z

25Z
18 hr.
18 hr.
10 min.
30 nin.
10 nin.
30 min.
10 min.
4 hr.
13.1 4 hr.
rapid
Reiereace

Lester and Greenburg, 1950
Lester and Creenburg, 1950
Bobbins ,

Robbins,
Raven tos
Robbins,
Rainaldi,
Kainaldi,
1946

1946
and Lemon, 1965
1946
1972
1972
Van Poznak and Artusio, 1&60

-------
                              100
                              90
                                                 2         3
                                              NUMBER OF FLUORINE ATOMS
DATA FROM
TABLE IL: PERHALOMETHANES

TABLE L: HALO-UNSATURATED METHANES

TABLE LI: PERHALOETHANES

TABLE III: HALO-UNSATURATED ETHANES

TABLE Llll: BROMOFLUOROMETHANES
TABLE LIV: BROMOFLUOROETHANES
CCI3F

CH Cl F 2





C Cl 2 F Br

CCI2F2

CH Cl 2 F

CCI2 H - CCI., F

132. 142b. 1ft2a

CF2CIBi





CF Cl 2 - C CM 2

CF3 - CH Cl 2

CF3Bt
CH Br 2 - CF 3




CCI F2 CCI If




CBt F2 - CBi l-j
       Figure  26:  Comparative Toxicity of  Various Fluorocarbons
                                  135

-------
Similar relationships showing increasing potency with decreasing fluorina-


tion can be made in other responses given in Tables IL-LIV.


            Although most of the published information on acute inhalation


toxicity is in relative agreement, certain studies warrant further elabora-


tion either because of unresolved details or information that could not


be adequately tabulated.


            In evaluating the toxic effects of F-112 (CC12F-CC12F) and


F-112a (CCl3-CClF2), Greenburg and Lester (1950) noted that both compounds


were fatal to .rats at. 3%, although F-112a caused death in 1-2 1/2 hours


while F-112 was fatal in 40-60 minutes.  However, the primary difference
            *

noted was varying degrees of pulmonary hemorrhage caused by F-112 which


were not seen in F-112a exposed rats.  Clayton and coworkers (1964), using


the same compounds, exposed rats for four hours and noted an ALC of approxi-


mately 1.5%.  While unspecified effects were observed on the nervous .and


respiratory system, no pathology is reported.


            Fluorocarbon-113 (CC12F-CC1F2) has been rather extensively


studied for acute inhalation toxicity.  Although lethal concentrations


range between 5.5-20%, a two-hour exposure to 1.76% was associated with


moderate liver and kidney congestion in rats, while causing no loss of


coordination.  A similar exposure to 3.91% F-113 did cause loss of coordina-


tion and pathological examination showed pale kidney and liver with some


fatty deposition.  A ten-minute exposure to 5.09% caused similar loss of


coordination and pathological examination revealed mild liver congestion


and pale kidneys with focal necrosis (OuPont, S-34, no date).
                                   136

-------
 •          Similar pathological data has not been reported and the rapid




reversibility of adverse effects on exposure termination has been emphasized




(Steinberg e± al., 1969).  This is also noted by Desoille and coworker




(1968) who, however, also noted periods of torpor persisting several hours




after exposure to higher concentrations (=10%).  These investigators further




observed delayed death up to two hours following exposure and, in




two animals, delayed death during the following week.  This information is,




of course, equivocal.  The data presented do not offer conclusive proof




that the fluorocarbon exposure actually caused the pathological observations




or the delayed death.  However, delayed death may suggest that a metabolite




rather than the parent compound may be the toxic agent (Truhaut et_ _al_., 1972).




Metabolites would also be consistent with liver damage.  Both Yant and




coworkers  (1932) and Paulet and Desbrousses  (1969) noted similar delayed




death with F-11A in dog at 20% and mice at 50% concentration.  With Yant




and coworkers (1932), one dog died 69 hours after exposure and another




died 7.3 days after 16 hours of exposure to 20% F-114.  Pathological find-




ings included moderate to marked congestion of lungs with areas of hemorrhage,




very marked congestion of the liver, and congested kidneys with pale




yellowish granular cortex.




            The central nervous system effects of acute fluorocarbon




exposure have been most extensively studied for H-1301 (CBrFs).  In terms




of lethality, this compound is among the least toxic of the fluorocarbons




with ALC's ranging from 80-85% in oxygen (see Table LIII).   Paulet (1962)




noted fatality in mice and guinea pigs at concentrations of 80% H-1301




(in 20% Q£).  Both guinea pigs and rats responded to ten-minute exposures




with general instability, difficulty in walking, and lethargy.  Mice showed
                                   137

-------
greatly reduced activity, more severe instability, tremors, and labored




breathing.  Rabbits responded the most severely with protruding eye balls,




extreme dialation of the pupils, tremors, and brief convulsions.  Rhoden




and Gabriel  (1972), however, noted a much more severe response in Westar




rats at concentrations of 79% H-1301 (21% 02), consisting of convulsions




followed by respiratory arrest within 40 minutes of exposure.  Van Stee and




Back (1969) noted species differences between monkeys and dogs.  Dogs,




exposed to 50-80% H-1301 for 3-12 minutes, had epileptiform convulsions




of 10-30 seconds duration including rigidity, apnea, and cyanosis of the




tongue.  At lower concentrations, dogs appeared agitated and exhibited




transient tremors.  Monkeys, however, evidenced cortical depression,




shivering, and a tranquilization of their normally aggressive behavior.




In a subsequent study, Carter and coworkers (1960b) demonstrated that




20-25% H-1301 significantly impaired the performance of trained monkeys




and higher concentrations completely disrupted operant behavior without




signs of CNS depression or analgesia.
                                   138

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        2.  Acute Oral Toxicity

            Because of their uses and physical characteristics, very little

information is available on the acute oral toxicity of the fluorocarbons.

Such information is briefly summarized in Table LV.
   Table LV. Acute oral toxicity of various fluoroalkanes in rats
                                (Clayton, 1966)
               Fluorocarbon

               CC12 F2

               CHC12-CC1F2

               CC12F-CC12F

               CC1F2-CC13

               CC1F2-CC12F

               CC1F2-CC1F2


  = Maximum feasible dose of fluorocarbon dissolved in peanut oil.



With the exception of a slight increase in liver weight at 25,000 mg/kg

CClF2-CCl3, no histological findings are noted by Clayton  (1966) for  these

exposures.

            Michaelson and Huntsman (1964) determined the  acute oral  toxi-

city of F-113 in Sprague-Dawley male rats and arrived at the same figures as

those presented by Clayton (1966)—i.e. ALD = 45 g/kg, LDso = 43 g/kg.

The details of Michaelson and Huntsman's study are given below..  (See

Table LVI).
Code
F-12
F-122
F-112
F-112a
F-113

F-114
ALD, mg/kg
- 1 , 000
7,500
25,000
25,000
45,000 (LD50 =
+
>2,250





43,000)


                                   139

-------
           Table LVI.  Acute Oral Toxicity of F-113 in Rats
                       (Michaelson and Huntsman, 1964)


Animal
group
1
2
3
4
5
6


Dose,
mg. /kg.
30
35
40
45
50
55

Mortality
total
animals
0/5
0/5
0/5
3/5
4/5
5/5

Approx.
time
of death



5 to 24 hr.
1 to 7 days
3 to 9 days
'
Av. wt.
change at
death, g.
• • •
• • •
• • •
-12
-49
0
Av. wt.
change of
survivors ,
g-
+46
+41
+19
+25
+31
* • *
The more rapid onset of death from lower lethal concentrations is noted but

no explanation is offered by the original investigators.  Survival seems

to be related to weight maintenance but the mechanism involved is not

clear.  All animals were reported to have liquid fecal discharge but

increased frequency of discharge is not noted.  Significant pathological

findings in fatally exposed animals include hemorrhage in the lungs and

mottled surface but not discolored livers.  Surviving animals showed only

slight lung hemorrhage at higher exposures.  Introduction of 200 ml

(302g) F-113 into the stomachs of two dogs for two hours resulted in no

gross histological change.

            Fluorocarbon-11 (CClaF) was intubated into albino female rats

at doses of 7.38 g/kg (Slater, 1965).  Tests at three and twenty-four

hours after exposure showed normal serum beta-glucuronidase and, after one

hour, levels of liver NADP and NADPH2 were also normal.  Histological

examination of the liver at three and twenty-four hours failed to show

any necrosis.  No fatalities were noted.
                                  140

-------
        3.  Acute Dermal Toxicity
                                       \


            Fluorocarbon-112 and F-112a have been applied on the skin of



rabbits at doses of 7.5 g/kg and 11 g/kg, respectively (the highest feasible



doses).  Although no fatalities resulted, F-112 did cause skin erythema but



no systemic or histological effects.  Fluorocarbon-112a caused severe skin



irritation in ethanol, weight loss, and histological changes in skin



musculature.  Guinea pigs responded similarly to F-112 with mild irritation



but no sensitization.



            Fluorocarbon-113 (CC12F-CC1F2) produced only local irritation



when applied at 11 g/kg to the skin of rabbits.



            Fluorocarbon-114 produced no irritation when sprayed directly



on the backs of guinea pigs (Clayton, 1966).
                                   141

-------
    B.  Subacute Toxicity




        1.  Subacute Inhalation Toxicity




            Defining subacute and chronic toxicity studies of the various




fluorocarbons is somewhat arbitrary in that both duration of exposure (hrs/day)




and the number of days on which the exposures are repeated must be considered.




Most reviews do not differentiate between subacute and chronic studies (e.g.




Clayton, 1966; Waritz, 1973) and, in view of the paucity of demonstrable




toxic effects, this approach is justifiable.  However, such classification includes




such exposures as 2 hrs/day x 20 days and 8 hrs/day x 3 days along with




exposures of 6 hrs/day x 300 days and 24 hrs/day x 92 days.  In that most




present information indicates that these fluorocarbons are rapidly eliminated




from the body after terminating exposure, relatively brief exposures even




when repeated over a number of days probably represent a different type of




potential hazard than longer exposures repeated over comparable periods.




Thus, in this review, chronic exposures will be defined as those lasting




for at least 6 hrs/day [approximating occupational periods] and continued




for at least 30 days.  Exposures not falling in this category are classified




as subacute.  Using this admittedly arbitrary definition, data on subacute



inhalation toxicity is summarized in Table LVII.
                                      142

-------
Table LVII.   Subacute  Inhalation Toxicity  of  Various Fluorocarbons.
Acute
Fluorocarfooo Code ALC Animal
G«3F F-ll 6Z x 4 hr. Rats
Mice
G. Pigs
Rabbits
Rats

Dog
Cats
G. Pigs
Rats
Mice
Dogs
Dogs
I (V/V)
Cone.
0.41
1.2Z

1.2SZ
2.5Z
25. OZ
24. 5Z
24. SZ
Hr/Day
6 hr.
4 hr.

3.5 hr
3.5 hr
0.83
(bid)
0.83
(bid)
0.83
(bid)
Days Mortality
28 0/12
0/8
0/2
0/1
10 0/4

20 0/2
20 0/2
0/3
0/5
1000 0/30
90 0/4
365 0/6
Comments
No significant signs of toxlcity
In any animals either after
exposure or after 15 days
recovery.
Slight twitching, chewing
•otlon, respiratory Increase
during exposure.
Pathology: Brain-neuronal edema
and neurollal vacuol; Ll«er-
vacuolatloo of cells; Lungs-
eiphyseoa and edema; Spleen-
Increased hematopolesls.
Mo signs of toxlclty
No signs of toxlclty
Ho signs of toxlclty
Total dose of 970 mg/kg/day
No signs of toxlclty
Total dose of 560 mg/kg/day
Transient drowsiness after
exposure.
Reference
Clayton
Clayton

Clayton
Clayton
Smith &
1973
Smith &
1973
Smith &
, 1966
, 1966

, 1966
, 1966
Case,
Case,
Case,
                                                     Total dose 2240 mg/kg/day

-------
Table LVII (continued)
Acute
Pluorocarbon Code ALC
CC*2F2 F-12 >80Z
Hats,
G. Pigs,
Rabbits







CCtF3 Frl3
CBrF3 F-1301 85Z x 2 hr
Mice &
K^ Guinea
*- Pigs
CHC*2F F-21 10Z x 1 hr
G. Pig
CHCtF2 F-22 403; x 2 hr
Mice
Ca2F-CC£2F F-112 1.5Z x
4 hr. , Rat





CCt3-CClF2 F-112a 1.52 x
4 hr. , Rat

Aaiaal

Cats
G. Pigs
Rats
fogs
House
Rat
Dog
Dog
Dog

Rats
Mice
Rats
G.Pigs

Puppies

Puppies

Rats




Rats

Rat

t (V/V)
Cone.

10Z



48.91
40. OZ
42.0Z
50. OZ
50. OZ

1Z
501
50Z
50Z

401

60Z

0.3Z




o.u

0.1Z

Hr/Day


3.5



0.83 (bid)
0.83 (bid)
0.83 (bid)
0.83 (bid)
0.83 (bid)

6
2
2
2

5 nin.
(bid)
5 min.
(bid)
4




18

18


Days

20



1000
93
93
90
365

20
15
15
15

14

14

10




16

16


Mortality

0/2
0/3
0/5
0/2
0/30
0/16
0/4
0/4
0/6

0/6
1/20
0
1/10

0/2

0/2

0/4




0/6

0/6


Comments

No signs of toxicity



No signs of toxicity
No signs of toxicity
No signs of toxicity
No signs of toxicity
Occasional depression and drowsi-
ness during exposure.
No signs of toxicity
Mortality not related to exposure

" " "

Sedation and ataxia during
exposure
Sedation and ataxia during
exposure
Prostrate and incoordinate during
first exposure. Rapid and shallow
respiration. Hyper-responsive
during each exposure. Immediate
recovery after exposure.
No evident effect

No evident effect


Reference

Clayton, 1966



Smith & Case,
1973




Clayton, 1966
Paulet, 1966



Smith & Case,
1973
Smith & Case,
1973
Clayton, 1966




Greenburg &
Lester, 1950
Greenburg &
Lester, 1950

-------
                    Table LVII  (continued)
tn
Acute
Fluorocarbon Code ALC Animal
CCi2F-CCtF2 F-H3 5.5Z x Mice
4 hr.. Rats Cats
Dogs
G. Pigs
Rabbits

Rats


Rat

Mice
Dogs
Monkeys
Dogs
G. Pigs .
Rats
Rats

Z (V/V) Hr/Day
Cone.
1.1Z 0.83 (bid)
1.25Z 3.5

2.5Z 3.5
1.1Z 2*
j.
1.2Z 2


0.2Z 24




0.511 6


61 1

Days
690
20

20
120-1080

365-730


14




20*


5

Mortality
0/30
0/2
0/2
0/2
0/6

3/6


0/50

0/40
0/8
0/4
0/4


0/5

Cements
No signs of toxicity.
No signs of toxiclty


No variation from controls

Deaths not associated with
exposure. Slight sleepiness
during exposure.
Enlarged thyroid glands In all
nonkeys exposed. Rat kidneys
Increased In weight above controls.
Neither effect conclusively
attributed to exposure.
No toxic effects.


Liver: Two rats showed fair
amount of fat In Kupffer cells
Reference
Smith & Case, '73
Clayton, 1966


Desollle et al. ,
1968
Desollle et al. ,
1968

Carter et al. ,
1970



Steinberg et al.
1969

Burn et al. ,
1959
                                                         41
          possibly Indicative of change
          In llplds or llpoprotelns by
          compound. Not definitely attri-
          butable to exposure.

0/4       Mildly toxic effect In liver.
          Moderate degree of mltotlc activity
          In liver cell of one rat.  Three
          others showed similar activity at
          a lesser degree.

-------
        Table  LVII  (continued)
                      Acute
Fluorocarbon    Code    ALC
            Z  (V/V)      Hr/Eay
Animal      Cone -
                                                                      Days    Mortality
                                                                                                                               Reference
CCt¥2-CCi?2 F-114 60% x Cats 10 3.5
2 hr. , Rats G. Pigs
Rats
Dogs
Mice 10 2.5*
Hats
Mice 20
Rats

Rats LZ 2.5*

20 0/2
0/3
0/5
0/2
10 0/10
0/10
0/10
0/10

50 0/30

No signs of toxicity



No signs of toxicity

Exudative & congested lesions
of the alveoli and bronchioles
without cell structure alteration.
No toxic effects

Clayton, 1966



Faulet i
Desbrousses,
1969


Quevauviller,
e£ al. , 1953.
                                  C.  Pigs
                                              14.161
                                              20%
                                  Dogs
                                    21        1/6       So signs of toxicity. Death not     Yant  et  al. ,
                                                        related  to exposure.  Occasional    1932
                                                        slight fatty degeneration of liver.

                                     4        0/6       Ruffled  fur and occasional
                                     2        0/10      convulsive jerk.  Increase In
                                                        excreta.

                                     '!»        0/1'      Salivation and -'retching.
                                    21        0/J       Occasional convulsions with
                                                        incoordicatior. and tremors during
                                                        first three days.   After this, a
                                                        definite tolerance developed to
                                                        exposure.  Increases in hemoglobin,
                                                        red blood cells, and younger forms
                                                        of pclymoryhonuclear leucocytes..

-------
       Table LVII  (continued)
                      Acute
Fluorocarbon    Code     ALC         Animal
I (V/V)
Cone.
                                                          Hr/Day
                                                                     Days
                                                                             Mortality
                                                                                                                            Reference
              F-114 cont.
                                               20
              F-142b  12.8°'. x
                      4  hr. . Rats
                                               10Z
                                                                       3-4       4/4       Sane as above, but more severe
                                                                                          Plus pathology as follows: Brain-
                                                                                          congestion of meningeal vessels;
                                                                                          heart-myocardium congested; liver-
                                                                                          very marked congestion with fri-
                                                                                          ability in some instances; Kidneys-
                                                                                          congested, pale yellowish glandular
                                                                                          cortex; Gastrointestinal tract-
                                                                                          gastric and duodenal mucosa markedly
                                                                                          congested and swollen.  One dog had
                                                                                          suggestion of duodenal ulcer.
Rats
Rabbits
Mice
Rats
Dogs
Dogs
Dogs
U
12
25Z
502
50Z
25Z
252
2*
2*
0.83 (bid)
0.83 (bid)
0.83 (bid)
0.83 (bid)
0.83 (bid)
= 184
=207
690
93
93
90
365
2/6
0/6
0/30
0/16
0/4
0/4
0/6
                                                       16
                                                                                          Small increase  in number of red
                                                                                          blood cells  in  rats.
                                                                                          No signs of  toxicity

                                                                                          No toxic effects
                                                                                          No toxic effects
                                                                                          No toxic effects
                                                                                          So toxic effects
                                                                                          Occasional depression during
                                                                                          exposure.
                        7-9       10/10      Extensive consolidation and
                                            hepatiz^cion of  lung.
                                                                               Desoille et al.
                                                                               1973.
                                                                               Smith & Case,
                                                                               1973
Lester,Si
Greenburg, 1950
   *Five  days/week

-------
        2.  Subacute Oral Toxicity




            As in cases of acute exposure, the subacute and chronic oral




toxicity of the fluorocarbons has not stimulated as extensive investigations




as the more common route of inhalation.




            Fluorocarbons F-112 (CC12F-CC12F) and F-112a (CC1F2-CC13) have




been studied by both Greenburg and Lester (1950) and Clayton (1966).  Rats




fed 2 gm/kg/day of either compound for 23 to 33 days exhibited no signs of




toxicity and no pathological changes in any organs (Greenburg and Lester, 1950).




At concentrations of 5g/day for ten days, both compounds caused tremors, inactivity,



initial weight loss, diahrhea, and slight increase in liver weight.  In




addition, F-112 caused slight reversible histological change in the liver




(Clayton, 1966).




            Similar to the above compounds, fluorocarbon 114 is tolerated by




rats at doses of 2g/kg/day for 23-33 days (Quevauviller, 1964).




            Fluorocarbon 115 has also been tested at concentrations of




140-172 mg/kg/day  for ten days (five days a week for two weeks).  No evidence




of toxicity was found either immediately or ten days after exposure (Clayton,




1966).




        3.  Subacute Dermal Toxicity



            Fluorocarbon-113 (CC12F-CC1F?) applied to rabbit's skin at




5g/kg/day for five days caused gross and histological damage to the skin as




well as slight changes in the liver (Clayton, 1966).  Fluorocarbon-11, F-12,




F-113, and F-114 at 40% in sesame oil have been sprayed onto shaved rabbit




skin for  twelve exposures with no effect.  Severe local irritation  is
                                      148

-------
produced by F-113 at 5g/kg/day on shaved rabbit skin after five days.   In




this instance, however, the sprayed surface was covered for two hours  after




each application (Waritz, 1973).
                                       149

-------
    C.  CHRONIC TOXICITY                                   :




        1.  Chronic Inhalation Toxicity




            Similar to information presented on subacute exposure in Table LVI1,




Table LVIII summarizes the work of various investigators on chronic exposures.




            Jenkins and coworkers (1970), as indicated in Table LVIII,




studied the chronic toxicity of F-ll in rats, guinea pigs, rabbits, and




monkeys with exposures of 1.025% x 5 days/week x 6 weeks and 0.1% x 24 hrs/day




x 90 days.  Only one animal died, a monkey used in the continuous exposure,




showing hemorrhagic lesions on the surface of the lung that was not directly




attributed to inhalation.  In monkeys surviving continuous exposure, a large




amount of inflamatory infiltration was noted, occasionally associated with




microfilarial parasite infestation.  Blood smears of half of all monkeys,




both experimental and control, showed such parasites.  Nonspecific inflamation




of the lungs was evident in all experimental species except dogs used in




repeated exposure.  Such changes were not described for control animals.




Mild discoloration was noted in the livers  of one-fourth of the rats and




guinea pigs in both exposures.  A 2 x A mm liver lesion was noted in one of




the male rats from the continuous exposure.  Of eight rats examined after




repeated exposures, one evidenced focal myocytolysj.s and two showed focal




nonspecific myocarditis.  The investigators iid not relate these, changes




to F-ll exposure.  Marked increases in serum urea nitrogen were noted in




dogs exposed continuously (33 mg/100 ml) and repeatedly (36 ing/100 ml)




[control = 16.8 mg/100 ml].  This was not noted in any other animals tested.
                                      150

-------
  Table LVIII.   Chronic Inhalation Toxicity of Various Fluorocarbons
Pluorocarbon
CCC3P










CC12F2















a\ct r2





C8rF3


cctyt-a:i,t



1
CCt;>P-CClF::



C«F?-CF3



CHj-CHFj


dl-i-CCH F?


Acute
Code AJ.C
F-ll 6Z x 4 hr.
Rats









F-12 -80X, Rats,
(;. Pign,
Rabbits













P-22 70!;, Rats





H-1301 85* x 3 hr.
Mir.c 4,
Ouine.a Pigs
F-112 1.5* x
4 lir. , Rats



F-113 5.5* x
4 hr. ,
Rats

F-115 -801 x
4 hr.,
Ruts

K-152a b.4X x
4 h r . ,
Kats
V-142a 12. 8Z x
4 hrs..
Racn
Z (V/V)
Animal Cone. Hr/D«y
Rats 1.025Z 8

C. Pigs
Dogs
Monkeys
Rats 0.1X 24
C. Pigs
Dogs
Monkeys


Dogs 20Z 7-8
Monkeys 20X 7-8
G. Pigs 20X 7-8



Rars 0.08402 8*
C. rit;n
Rabbits
Dogs
Monkeys
Rats 0.0810X 24
C. Pigs
Rabbits
Dogs
Monkeys
Rabbits 1.42 6
Ratu
Mice
Rats 0.1981 6
Mice

Rats 2.3X 6


Rats 0.1X 6
Mice
G. PigH
Ral.b i t

Rats 0.0252Z 7

Rats 0.5X 7

Rats 10X 6*
Mice
Rabbits
Dogs
Rats 10X 16


Rota 1Z 16


Mortal-
Days ley
30 0/15

0/15
0/2
0/9
°0 0/15
0/15
0/2
1/9


52 0/2
35-52 0/2
35-56 10/26



30 .'/I!)
1/15
0/3
0/2
0/3
90 1/15
0/15
0/5
0/2
0/'J
300 N.S.
N.S.
S.S.
300 N.S.
N.S.
N.S.
90 0/30
O/'J

31 0/H.
0/10
0/2
0/1

30 0/21

30 0/12

90 0/20
0/10
0/4
0/4
60 0/8


60 (>/'•


Comments
No outward signs of toxicity.
See text for detailed discussion.






Hemorrhaglc lesions on surface of
lung not directly attributable to
compound.
Dogs and monkeys apparently
developed tolerance to exposure.
tremors disappearing after first
two weeks. Deaths in Guinea pigs
not related to exposure. . See
text for more detailed discussion.
dilncu l'igs--'ieveral showed focal
necrosis or fatty Infiltration of
liver. Monkey-heavy pigment
deposits in liver, spleen, and
kidney.
Guinea pfgti-all showed slight to
extensive fatty infiltration of
liver and several had focal or
aubmasslve necrosis of liver
(see text) .
j
see text


Mo toxli- effects


No signs of Loxirtty


Kemale rats (8)': significant
ill-crease In leukocyte count.
Male Rats: liver and kidney
weights {{renter than control.
Transient liver reactions In rats.
No signs of toxicity

Three rats showed slightly
pale livers.
No signs of toxicity



No signs of Loxlcity. Mild
chronic Irritation of lungs In
five rats.
No signs ol toxictty. Mild
chronic irritation of lungs In
two rats.
Reference
Jenkins, et al. .
1970









Sayers et al. ,
1930




Prtnderna^t
ej. al. , 1967








Clayton, 1966


Clayton, 1966


Clayton, 1966


Clayton, 1966




Clayton, 1966

Clayton, 1966

Clayton et al . ,
1966


Lester s
Creenbun;, 1"50

Lester &
Creenhur:1, , ;•- '

* • 5 dayt/week
                                    151

-------
            Sayers and coworkers (1930) exposed dogs, monkeys, and guinea pigs




to CC«,2F2 at 20% for 7-8 hrs/day for periods of 35-52 days in most cases.




Ten of the twenty-six guinea pigs died during the test.  These deaths, however,




were associated with handling procedures and not to fluorocarbon exposure.




During the first couple of weeks, dogs and to a lesser extent guinea pigs




developed tremors and ataxia during exposure.  The subsidence of these effects




seemed to indicate a tolerance to F-12 exposure.  Guinea pigs did not have




these signs.  Also, during the first two or three weeks, a slight to moderate




weight loss was noted along with an increase In red blood cell count and




hemoglobin.  Differential leucocyte count showed a slight decrease in




lymphocytes and an increase in polymorphonuclear neutrophils.  No variations




from controls in frequency of pregnancy and bearing healthy young was noted




in exposed guinea pigs.




            Prendergast and coworkers (1967) did note liver damage in guinea




pigs on both repeated and continuous exposures to F-12 at concentrations




below the TLV (1000 ppm).  This effect does seem related to exposure in that




the severity of the affect increased in continuous as opposed to repeated




exposures.  In referring to a study indicating that guinea pigs are parti-




cularly susceptible to liver damage and fatality when exposed to mineral




spirits (Rector et al., 1966), Prendergast and coworkers (1967) do not



definitely attribute the liver necrosis to F-12.  However, it should be noted




that Rector and coworkers (1966), although recognizing that liver damage and




death may not be indicators of occult toxicity, do conclude that the guinea




pig is the best rather than an unsuitably susceptible  test animal in setting




guidelines on long-terra low level exposure.
                                      152

-------
            Clayton (1966) referenced a study by Karpov (1963) exposing




rabbits, rats, and mice to 1.42% F-22 for 6 hrs/day x 10 months.  Mice showed




lower endurance in a swimming test and an increase in the number of trials




needed to establish a conditioned reflex.  Rats showed a decrease in oxygen




consumption and an increase in subthreshold stimuli needed to induce a




response.  Rabbits showed decreases in red blood cell count, hemoblobin,




lymphocytes, reticulocytes, blood cholinesterase, and serum albumin and




increases in neutrophiles, eosinophiles, and globulin.  Pathological examina-




tion revealed degenerative changes in heart, liver, kidney, and nervous




system as well as changes in lungs leading to emphysema and exudate




alveolar septal thickening.
                                      153

-------
        2.  Chronic Oral  Toxicity

            Fluorocarbon-12  is  the only compound studied in which chronic

oral toxicity  studies  have been obtained: Studies of F-ll and F-114 have

also been  recently completed (Waritz, 1973).

            Waritz (1973)  summarizes the results of a 90-day feeing study

with rats  at doses of  35  and 350 mg/kg/day and dogs at doses of 10 and

100 mg/kg/day.  No deviations are noted from either control groups except

that rats  had  elevated but not  abnormal levels of urinary fluoride and

plasma alkaline phosphatase.

            Sherman  (1974) has  conducted a two year feeding study in  rats

using doses of 15 and  150 mg/kg/day.  At the higher concentration, a  rate

of body weight gain was decreased in both male and female rats  (see Fig. 27).
                                                                     •..„•••• °
                                    FEMALES
.	• CONTROL

•-•	 CONTROL

o	 LOW LEVEL FREON®I2

•	• HIGH LEVEL FREON®I2
16    24    32    40    46    56
                 TIME IN  WEEKS
                                                  64
           BO
86
96
104
              Figure 27.  Growth of Male and Female Rats
                           Orally Administered F-12
                              (Sherman, 1974);
            reprinted with permission from DuPont deNemours  Co.

                                        154

-------
A slight decrease was noted in the food use efficiency (g. wgt.  gained/g.  food




consumed) of female  rats at the higher dosage level and this seems to be




reflected in growth curves.  Levels of elevated urinary fluoride were not




noted.  Other parameters tested - including liver function, hematology,




and histopathology - were normal.
                                    155

-------
        3.  Chronic Dermal Toxicity

            Fluorocarbon-H3  (CC&2F-CCilF2) has been applied to the shaved back

of rabbits five times a week  for twenty weeks with no visible adverse affects

(Desoille et^ al., 1968) .

            Quevauviller and  coworkers (1964) and Quevauviller (1965) have

applied F-ll (CC43F), F-12 (CW2^), F-112, and mixtures of F-ll and F-12,

and F-ll and F-22 to the skin, tongue, soft palate, and auditory canal of

rats 1-2/day x 5 days/week x  5-6 weeks.  Each compound was sprayed on the

surface for five or ten seconds from a distance of 10-20 cm.  Slight irritation

was noted in the skin and no  significant effects in Lhe other areas.  However,

the healing rate of burns was noticeably retarded by all of the compounds as

indicated in Table LIX.
   Table LIX.    Per Cent Reduction of the Surface of Burns in Control
                 Rats and Burns Sprayed with Various Fluorocarbons
                               (Quevauviller, 1965)
Days
4
6
8
12
14
18
Control
31
48
65
80
87
100
F-ll
0
2.8
14
30
48
87
F-12
0
14
21
50
71
100 ?
F-ll
+ F-12
6.8
17
24
65
69
89
F-ll
+ F-22
5
36
55
79
92
100 ?
F-114
+ 6
+14
3
57
68
82*
                                     156

-------
     D.   Cardiovascular Effects  of Fluorocarbons




         1.   Cardiac  Sensitization to Exogenous Epinephrine Induced Arrhythmias




             Epinephrine,  a  catecholamine,  is  a potent  adrenal  cortical hormone.




 In man,  the  mean blood plasma concentration is approximately 0.06 yg/H and




 excesses are eliminated rapidly from the body, primarily  through 0-methylation.




 In stress, the human adrenal gland  may  secrete 0.004 mg/kg/min.  The  compound




 has  a variety of cardiovascular effects, chief of which are vasoconstriction -




 resulting in increased blood pressure - and increases  in  both  heart rate  and




 cardiac  output.  A variety  of hydrocarbons, with and without halogen  substi-




 tution,  have long been known to sensitize  the heart  to epinephrine induced




arrhythmias including ventricular fibrillation (Garb  and Chenoweth, 1948;




 Hays, 1972;  Reinhardt «rt  ,al., 1973).  At various concentrations, f luorocarbons




 used for aerosol propellants, solvents  and fire extinguishing  agents  have




 been shown to produce this  effect.  Because this arrhythmogenic action may be




 related  to a variety of human health hazards—e.g. bronchodilator nebulizer




 over-use by  asthmatics, "aerosol sniffing  syndrome", exposures to high




 concentrations of fire extinguishing agents  [see Sect ion XI  >  Human Toxicity].-




 a great  deal of research  has been stimulated  in  ihis area focused primarily on




 determining  the minimum concentration of fluorocarbons and epinephrine required




 to produce arrhythmias in various mammals.




     Reinhardt and coworkers (1971)  have detailed what  has been the most




 common procedure for testing the ability of various  fluorocarbons to  sensi-




 tize the heart to injected  doses of epinephrine.  The  basic procedure is




 outlined in  Table LX.
                                   157

-------
Table LX: Outline of a procedure for determining the ability of various
          vapors to sensitize the heart to exogenous epinephrine-induced
          arrhythmias  (Reinhardt et al., 1971)

          Minutes                  Conditions

             0                     Allow animal to breathe normal air.

             2                     Inject I.V. with dose of epinephrine
                                   in normal saline over nine seconds
                                   (control injection).

             7                     Expose to known concentration of gas.

            12                     Re-inject with epinephrine (challenge
                                   injection).

            17                     Discontinue exposure to gas.
In most experiments, the animals are not anesthetized and all gases -

including normal air - are administered through a face mask.  The standard

exposure period is five minutes and EGG recordings, generally lead II,

are continuous.  By far the most critical parameter, however, is the dosage

of epinephrine administered, since in sufficient quantity this compound

alone may induce arrhythmias.  Reinhardt and coworkers (1972), in formula-

ting their protocol, found that most previous investigators used between

0.004-0.04 mg/kg, the usual amount being 0.01 mg/kg.  Because this type of

experiment is designed to simulate conditions of stre'.ss, the rate at which

the compound is administered is probably more important than the total dose.

The relevant data on epinephrine administration for the series of experi-

ments to determine the effects of fluorocarbon cardiac sensitization is

given in Table LXI.
                                  158

-------
    Table LXI.  Epinephrine dosage used  in determining the  effect of  fluorocarbons  in
                        cardiac  sensitization to  exogenous epinephrine#
 Epinephrine  Dose
 0.008 mg/kg


 0.01  mg/kgH
 0.007 rag/kg*?'
 0.005 mg/kg
 0.010 mg/kg
 0.015 mg/kg
Duration of Administration  Rate of Epinephrine Injected
    9 seconds


25-40 seconds
    2 minutes
    2 minutes
    2 minutes
    2 minutes
0.053 mg/kg/min.


0.015-0.024 mg/kg/min.
0.0035 mg/kg/min.
0.0025 rag/kg/min.
0.005 mg/kg/min.
0.0075 mg/kg/min.
    Author
Reinhardt et_ al. ,  1971
Reinhardt e_t _al. ,  1973
Mullin, 1970
Reinhardt and Reinkz, 1972
Burgison et al. , 1955 '
Wills  (1972)
Wills  (1972)
Wills  (1972)
Wills  (1972)
0.005 mg/kg
0.10 mg/kg*
0.002-0.003 mg/kg
O.OOJ-0.004 mg/kg+

O.iJIG rag./kgX(I.M.)

0.005 rag/kg1
   10 seconds
   not spec.
   not spec.
   not spec.
   10  seconds
0.030 mg/kg/min.
0.030 mg/kg/min.
Clark & Tins ton, 1972
Van Stee and Back, 1969
Van Stee and Back, 1969
Van Stee and Back, 1969

Call, 1972

Beck ejt al.', 1973
//-Dogs, unless otherwise specified      .
fl-Dogs and cats
j^-!)ogs and guinea pigs
t-Dogs and rabbits
x-rats
+-monkey
*-concentration used in all experiments but those designed  to study dose-response of epine^hrine.
5 ug/kg/min. released by dogs during conditions  of max. emotional stress - Satake,  1955.

-------
        The rationale for these doses is two-fold.  First, within the



experimental framework, they should represent doses which will not elicit



serious cardiac arrhythmias:  this is determined by the control injection.



Secondly, in terms of applicability to hazard assessment, they should


approximate or exceed the endogenous output under conditions of stress.



The results obtained by the various investigators for a wide range of
                    0

one and two carbon fluorocarbons are summarized in Table LXII.


        Although the results of the various investigators are in relative



agreement as to the concentrations of the fluorocarbons In inhaled


air necessary to cause arrhythmias, the other parameters which influence


these results must be fully appreciated.  The most important of these are


the amount of epinephrine used and duration of exposure to the fluorocarbons.


        The effect of epinephrine dosage on cardiac response to a 0.87%


F-ll over varying durations of exposure has been demonstrated by Wills (1972)


 (see Figure 28).'



        As would be expected, increasing the amount of injected epinephrine


increases the arrhythmic  response.  This is consistent with the earlier work



of Van Stee and Back (1969) who used epinephrine concentrations of


2-10 yg/kg.  The control level sensitization five minutes after exposure


to F-ll is terminated  reflects the rapid elimination of the compound from


the body.  Similar observations of rapid loss to sensitization have been


made by Clark and Tinston (1972 a and b) .  However, Wills (.1.972) notes


that maximum sensitization occurs after ten minutes exposure to F-ll and


falls off sharply thereafter.  This decrease in response from the ten


minute exposure injection to the fourteen minute exposure injection cannot


be explained on the basis of other time-response studies.
                                   160

-------
Table LXII.  Cardiac responses of mammals exposed to fluorocarbons
                   and challenge injections of epinephrine


Compound
METHANES
CC1..F






CC1-F,
"



C1ICIK.,

ETHANES
C2C13F)


CC1F.-CC1F-




CF.j-CClF2

C2!6



CC1F.-CII

*
CHF -CH

F-22/F-115


Reference
v/v
Cone.
No. Animal %

F-U DORS .09-. 13
.32
.35-. 61
.63
.96-1.21
1.25
Guinea Pig .87
F-12 DORS 2.0
2.5
4.0
5.0
8.0
H-22 2.5
5.0

F-113 Dogs .25'-. 27
.40-. 57
.90-. 95
F-114 Dogs 2.5
2.5
5.0
5.0
10.0
F-llb Dugs 15
25
F-116 Dog 2.2
Guinea Fig 2.2
8.7
11. n
K-|.'.21. l)oK 2.5
5.0
10.0
F-152a Dog 5.0
15.0
F-502 Dog 5.0
10.0
20.0
key: 1. Beck et al

Duration
Mln.

5
3
5
5
5
5
15
5
5
5
',
5
5
•-•

5
5
5
5
5
5
5
5
5
5
15
15
15
'''
5
5
5
5
5
5
5
5
., 1973
2. Burgison et al. ,



3. Call, 1972
4. Clark and
5. Reinhardt

Tinston
et al. ,

No. Anlmuiu
Tested

12
4
12
4
12
4
6
4
12
4
12
4.
12
12

12
20
*
12
4
12
4
4
11
12
4
10
'1
'
I)
12
12
12
12
1:
12
12

1955

, 1972
1971

No


Si-nnl t-lzi-t! Z Sensitized

0
0
1
0
5

b
0
0
0
5
2
0
2

0
. 10
1
0
1)
7
0
*
i
4
2
',
2

(:
't
12
0
J
n
5
1 .*
6.
7.
8.
9.


0.0
0.0
8.1
0.0.
41.7
50.0
100.0
0.0
0.0
0.0
41.7
50.0
0
16. 1

0.0
•J4.5.
75.0
0
0
58.3
0
50.0
7.7
JJ.1
511. U
50.0
66.6
inn.n
0.0
41 . 7
100. 0
0.0
25.0
0.0
Ml.'
100.0
Reinhardt et
Reinhardt and
Van Stee and
Wills, 1972



Reference

5
4
5
4
5
4
9
4
5
4
5
4
',
•'

li
6
U
5
U
5
4
4
b
5
V
9
y
^
j
'i
j
.j
5
.3
;.
3
al., 1973
Reinke, 1972
Back, 1969


                                161

-------


Compound
ETHYLENES
CF.-CP,

!C H,F

C2C1F3
C2HC1F2
W
Bromo-su
substituted
CBrF..











CBrClF.





W'4

V/V
Cone.
No. Animal Z

Doc 25-50
Cat 25-50
Dog 25-50
CHI 25-50
Dog 25-50
Dog 25-50
Dog 25-50


H-1301 Dog 2.2
5.0
7.5
10.0
15.0
20.0
80.0
10.0-80.0
Guinea Pig 2.2
.8.7
Monkeys 20.0-80.0
Kuts 24.0
H-1211 Dog 0.5
1.0
2.0
4.0
Rabbit 2.0
4.0
H-2402 D°» !-8
i..uinea rig 1 .«
Table LXZI
(Continued)
Duration
Min.

5-15
5-15
5-15
5-15
5-15
5-15
5-15


15
5
5
5
5
5
35, 40

15
15
10+

5
5
5
5
5
5
15
Ir>
No. Animals No.
Tested

4
7.
8
'
4
"
2


4
62
18
69
7
1 3
2

10
6
see
KCU
4
7
4
2
/
''
4
Ml
Sensitized

0
0
0
II
4
4
2


3
0
1
8
2
H
2
' + . .
4
2
text for details
text for dft.-ills
1)
1
2
?•
0
1
L
'I
2 Sensitized

0.0
0.0
0.0
0.0
Idli.i)
100.0
100.0


75.0
0.0
5.0
ll.b
28. ft
61.5
100.0

40.0
33.3


O.CI
14.3
50.0 ,
100.0
0.0
33.3
25.0
')! 1 . 0
Reference

2
2
2
-
2
2
2


V
7
7
7
7
7
8
8
9
y
8
3
1
1
1
I
1
1
'9
'<
162

-------
IS
8
<
                                                 0 12/ng/kg
                                                 4
                                     10
                                 TIME (min.)
 15

-H
                                                        20
                    EXPOSURE TO 0.87% F - 11
Figure 28: Number of Arrhythmic Heart beats  in  responses .to different
           doses of epinephrine administered during  exposure to
           0.87% (V/V) F-ll  (data  from Wells, 1972).
                              163

-------
        Reinhardt and coworkeis (1971) exposed dogs to varying concentrations of

F-12 for periods ranging from .5 minute to 10 minutes (see Table LXIII).

        Table LXIII: Cardiac responses of dogs exposed to F-12 for varying
                     periods with challenge injections of epinephrine
                             (Reinhardt et al., 1971)
Duration of
Exposure
Concentration,
% V/V
No. of dog
exposures
No. of marked
responses
Percent marked
responses
0,

7.0*

6

1

16.7
.5 Min

7.0

7

0

0.0
5 Min

13.5

7

2(1)*

28.6

2.5

12

0

0.0

5.0

12

5(1)#

41.7
0.5 Hr

(2.48-2.58)t

6

0

0.0
1 Hr

(2.48-2.

6

0

0.0


50)t






* Oxygen concentration reduced to approximately 8.0%.
t Analytic concentration.
# Numbers in parentheses indicate number of cases of ventricular fibrillation
  and cardiac arrest included in marked responses.

These results seem to indicate that a minimum concentration of F-12 in air

is necessary to sensitize the heart to epinephrine and that increasing the

period of exposure to lower concentrations will not result in arrhythmias.

Similarly, Beck and coworkers (1973), using H-1211, indicate that as the dura-

tion of exposure is increased, the concentration necessary to cause arrhythmias

decreases only to a point after which further exposure has no marked effect.

Neither of these studies, however, are designed so that they would show a

decreased response to epinephrine challenge with continued exposure as noted

by Wills (1972).  Even though this decreased effect may be of significance

in determining the mechanism(s) involved in arrhythmias, most durations used

in Table LXII are for five minutes,  and as such,  the comparative arrhythmagenic

potentials of these compounds may be tentatively proposed.  For the most part,
                                    164

-------
   the comparison is similar to that noted in standard inhalation studies:  as

   fluorination increases within a homologous series, toxicity tends to decrease.

   Thus, for the fluoromethanes, the arrhythmagenic potency seems to be

   F-ll > F-12 = F-22.  A similar pattern is seen in the perhalo-ethanes

   (F-113 > F-114 > F-115) and the bromochlorofluoromethanes  (H-1211 > H-1301).

   However, as illustrated in Table LXIV, an attempt to compare the potencies among

   homologous series yields no definite pattern in terms of substitution.
Table LXIV.  Percent of one and two carbon fluorocarbons causing arrhythmias
     in dogs on epinephrine challenge after exposure of five minutes, (from Table LXII)
Halo-substitution
F Cl Br
F-ll
F-113
H-1211
F-12
F-22
F-114
F-142b
H-1301
F-152a
F-115
1
3
2
2
2
4
2
3
2
5
3
3
1
2
1
2
1
0
0
0
0
0
1
0
0
0
0
1
0
0
% (V/V)
Minimum
Cone. Noted to
Cause Arrhythmias
0.35
0.40
1.0
5.0
5.0
5.0
. 5.0
7.5
15.0
15.0
                                                                 % V/V
                                                             Maximum Cone.
                                                              Causing No
                                                              Arrhythmias

                                                                  0.32

                                                                  0.27

                                                                  0.5

                                                                  4.0

                                                                  2.5

                                                                  2.5

                                                                  2.5

                                                                  5.0

                                                                  5.0
                                       165

-------
  Although such comparisons are of interest in determining  relative  potencies,  the

  scope of Table LXIV is probably too narrow to be of any actual use other  than

  demonstrating the lack of absolute correlation between halosubstitution and

  cardiac activity.  For less readily absorbed compounds, exposure duration of

  longer than five minutes must be considered.  In so doing,  compounds  such

  as F-116, H-1301 and H-1211 have sensitization potentials between  F-12  and

  F-113.  Indeed, current information of blood levels causing sensitization,

  as given in Table LXV, indicates that differences among the  fluorocarbons may

  primarily reflect differences in absorption characteristics rather than any

  toxic mechanisms on the molecular level.
  Table LXV: Blood levels, air concentrations, and exposure periods  of various
             fluorocarbons causing cardiac sensitization.
Compound '
F-ll





F-12





F-114

H-1211


F-12/ F-114


7.
Exposure
Cone.
0.1
0.5
0.63
1.0

1.5
0.1
4.0
5.0
8.0
10.0

5.0
10.0
8
5
2
30/9


Duration
(Mln.)
10
10
5
10

j
10
5
10
5
10

5
. 5 .
1.0
2.0
5.0
0.58
0.70
0.7V
Number of
Dogs
Sensitized
0/12
1/12
0/4
5/12
+•
•' / '+
N.n.
0/4
5 /.I 2
ll~>
M.U.
-t-
' 0/4
2/4
2/4
1/4
2/4
m*
1/1*
i/i*
Blood Concentrations
(pg/ml)
Arterial Venous
10.9 6.6
28.6 19. '1
10
53.2 37.2
20-25
20
1.0 0.9
;:2
3J.3 2:.h
)•>.'.)
46. J Vl. n
liU-'.ii
l.j
]4
21
2'i
24
',.:,/!. 8
6.3/2.3
6.V2.7
Reference
Azar et al., 1973
Azar et al . , 1973
Clark and Tinston,
Azar et al., 1973
Jack, 1971
Clark and Tinston,
i\7.:ir et. aJ . , !') 7 3
CUrk and Tinston,
AV..ir e^ jU. , ". 97 )
Clnrk .'iiitl Tln:;Lor.,
Az.ir et a! ., 197)
J.ick, 197!
Olark and Tlnscon,
Clnrk and Tinston,
licc-.k et al. , 1973
Ucck £t al_., .1973
Beck et al., 1973
Taylor et al. , 1971
Taylor e£ a±. , 1.971



1972a


1972a'

I'i'r.u

19?::.-.


1972a
1972a





Taylor et al. , 1971
*Monlteys
N.D. » not determined.
                                     166

-------
        Although blood level data is currently available only on these four




fluorocarbons, the remarkable similarities in lowest venous blood concen-




trations associated with cardiac sensitizatiqn in these various studies might




lead one to suspect that these compounds act in a similar and perhaps non-




specific manner in causing arrhythmias.  This type of speculation is at




least circumstantially supported by the basic similarities in cardiac effects




caused by these and other halo-substituted hydrocarbons.




        Having briefly reviewed the basic dose-response results available




on cardiac .sensitization to injected epinephrine, certain details of some




of these experiments should not be overlooked.  As noted by Reinhardt and




coworkers (1971), the results obtained with F-502 may indicate potentiation




(see Table LXI1). Fluorocarbon 502 - an azotropic mixture of F-22 and F-115




approximately 61:39 (V/V) respectively - causes multiple ventricular beats



in five out of twelve dogs at a concentration of 10%—or 6.1% F-22, 3.9% F-115.




Alone, however, F-22 at 5% causes multiple ventricular beats in only two out




of twelve animals and F-115, at about four times its concentration in F-502,




causes this response in only one of thirteen dogs.  Although this data is




quite limited, the possibility of potentiation is apparent.




        Similarly, Reinhardt and coworkers (197.1) observed a slight increase




in response to 7.0% F-12 with hypoxia (see Table LXJLI).  Wills (1973) also




notes that sensitization to injected epinephrine after exposure to 0.87%




F-ll is increased by low oxygen tension and decreased by high oxygen tension.




Although these observations are in themselves inconclusive, their possible




relevance to cardiac sensitization to asphyxia induced arrhythmias cannot




be ruled out (see Section XII, Part D-3).
                                    167

-------
        The work 'of Call (1972) differs radically from the other investi-



gations reported in this section and may be of only peripheral use in com-




paring results.  Call's experiment tested the effects of a hypobaric atmosphere




on the response of rats to F-1301.  Epinephrine was administered at 10 pg/kg



I.M. rather than I.V.  The use of I.M. would be expected to produce much




lower blood levels of epinephrine than l.V. injection.  Hall and Morris (1958),




for instance, have demonstrated that the lethal dose of epinephrine I.M. is




about twenty times greater than the lethal dose I.V. in dogs exposed to



fluothane.  With these differences in mind, Call's (1972) observation of




only one epinephrine injected rat out of twenty-seven developing premature




atrialcontractions after exposure to 24% H-1301 at 632 mm Hg. may reflect



the low dose of epinephrine rather than any species difference in the




response of rats to bromofluorocarbons.




        Differences in species response to injected epinephrine have been



noted by Beck and coworkers (1973) between dogs and rabbits, with dogs




appearing to be twice as sensitive to H-1211 as rabbits.




        Perhaps a more important species specific difference, at least in



terms of assessing hazard to man, has been noted by Van Stee and Back (1969)




between dogs and primates.  Two anesthetized dogs.exposed to 80% H-1301 and



20% 0- for forty minutes and injected with 10 pg/kg ep:lnephrin« developed




ventricular fibrillation followed by cardiac arrest.  In other dogs, exposed



to 20-80% H-1301 not showing arrhythmias, arrhythmias could be induced with



2-3 Mg/kg epinephrine I.V.  In these cases, a somewhat less than usual




increase in blood pressure for the dosage of epinephrine was noted prior to



onset of the cardiac response.  In monkeys and baboons, however, an
                                    168

-------
exposure to 80% H-1301 and 20% 0- with 10 yg/kg epinephrine produced only




brief transient periods of ventricular fibrillation and no cardiac arrests.




Only one-half the normal increase in blood pressure was caused by a dose of




3-4 yg/kg in monkeys inhaling 80% H-1301/20% 0^.  Further, a monkey did not




show an increase in blood pressure with direct stimulation of the femoral




nerve when exposed to 80% H-1301 which did cause a 20 mm Hg rise when




breathing normal air.  Subsequently, Van Stee and Back (1971b) demonstrated




that the arrhythmic response to 30-80% H-1301 could be reversed by lowering




blood pressure through venous bleeding and that an arrhythmic response to




10-20% H-1301 could be elicited by injecting epinephrine to raise the blood




pressure.  In the same study (Van Stee and Back, 1971b), blood pH was found




to influence the blood level threshold at which arrhythmias occurred.




Acidosis (blood pH of 7.10-7.30) increased the blood pressure threshold




at which arrhythmias occurred on exposures of 10-20% H-1301 but had no




effect in exposures of 30% or more as shown in Figure 29.  A similar




effect is noted by Flowers and Horan (1972) for unspecified fluorocarbon




propellants at "high" concentrations.  Eleven of the thirteen animals which




survived exposure had blood pH levels below 7.35 and developed only sinus




bradycardia.  Conversely, eleven of the thirteen animals which died had pll




levels between 7.35 and 7.47.  All of this latter group exhibited asystole




and ventricular fibrillation.




        However, the arrhythmic response to injected epinephrine has not




yet been completely defined and the role of fluorocarhons on the molecular




level is little understood.  The work of Wills (1972) illustrates the many




different factors which need to be defined.  In studies with F-ll and F-116,
                                   .169

-------
D

10
f-
Cl
LU
CC
D

tu
cc
Q.
Q
O
O

CO
O
_l
O

CO

CO
     200 --
        180 --
        160 --
         140
         120
         100
         80
         60
            10      20
30
                                       40      50
                                        CBrFg {%)
60
70
80
 Figure 29:  Tin.',  minimal  biood  pressure  necessary to trigger arrhythmias
             varied  inversely with the concentration of CBrF« (Van Stee
             and  Back,  1971) .


                Alkalosis  elevated  and acidosis  lowered the blood pressure
             threshold  during exposure to 10 and 20 percent CBrF3 but was
             without significant effect  at concentrations of CBrFs of
             30 percent or  greater.   The vertical bars represent ± 1 stan-
             dard deviation.  Since no statistically significant differences
             existed above  20 percent CBrFa the standard deviations are not
             shown.
                                      170

-------
endogenous levels of norepinephrine was not -influenced in the hearts of


guinea pigs.  Injections of another catecholamine, dopamine, did not


increase sensitization. In terns of ion balance, blood plasma potassium leveU.


was not markedly affected by a fifteen-minute exposure to 0.4% F-ll.


further, a 6 ml/kg I.V. injection of 3.3% MgSO, did not affect sensitization


to injected epinephrine, which would further indicate that fluorocarbons


do not alter the myocardial membrane permeability to potassium.  While


potassium may not be involved, the mycardial membrane permeability to calcium


may be a factor.  Preliminary experiments indicate that an infusion of


CaCl? into cats  (5 mg/kg/min.) produces cardiac sensitization to epinephrine


similar to that of F-ll.  On the interneural level, both alpha- and beta-


adrenergicreceptors may be involved in that arrhythmias are prevented by


either phenoxybenzamine or propanol, both of which block these receptors


(Wills, 1972).


        Young and Parker (1972) have used a vagal heart preparation from


frogs (Rana pipiens) to measure the effects of i: luorocarbons on cardiac


arrhythmias.  Similar to in vivo studies, F-12 was h'ound to sensitize the


heart to both direct sympathetic stimulation and exogenous epinephrine.


F-12 (unspecified concentration) alone resulted in bradycardia and decreased

                       _T
contractility.  With 10  g/ml epinephrine, partial then complete AV block

                                                        I |
was induced.  Rhythmicity was restored by KC1 but not Mg  .  Contractility was


restored by the addition of glucose.



    2.  Cardiac Sensitization to Endogenous Epinephrine Induced Arrhythmias


        In order to assess the relevance of experiments using injected


epinephrine to conditions of stress, experiments have been designed to
                                    171

-------
   measure the effects of fluorocarbons on dogs presumably releasing high

   levels of endogenous epinephrine.  Reinhardt and coworkers (1971) conducted

   "fright" experiments in which the release of endogenous epinephrine was

   induced by exposure to continuous loud noise while administering 80%

   fluorocarbon and 20% oxygen.'  The results of these experiments are given

   in Table LXVI.
   Table LXVI:  Cardiac Responses of dogs exposed to continuous loud noise and
               80% fluorocarbon/20% oxygen for thirty seconds (Reinhardt et al.,
               1971).

                       No.  of    No.  of    No.  of     Percent     No.  of  Percent
                         Dog      Mild     Marked     Responses    Convul- Convul-
Compound
Fluorocarbon 11
Fluorocarbon 114
Fluorocarbon 12
Fluorocarbon 142b
Compound & noise
Compound alone
Noise alone
Exposures
12
12
12

12
12
6
Responses
9
1
2

4
3
1
Responses Mild Marked sions
2*
1*
0

5
1
0
71).0
8.3
16.7

33.3
25.0
16 . 7
16.7
8.3
0.0

41.7
8.3
0.0
0
5
. 9

9
5
0
sions
0.0
41.7
75.0

75.0
41.7
0.0
* Bigeminal rhythm with areas suggestive of multiple ventricular beats.


   A comparison of these results with those using exogenous epinephrine

   (see Table LXII under Reinhardt ejt al. , 1971) is difficult to interpret.  In

   the exogenous experiments, the following order of potency, at concentrations

   varying from 0.1-5%, seems evident:  F-ll > F-114 > F-1425 = F-12.  In  these

   endogenous experiments, however, F-142b seems by far more potent eliciting

   cardiac sensitization even without the presumed  induction of endogenous

   epinephrine by  "fright".  While  F-12 produced no marked arrhythmias,  it

   and  F-114 did frequently  induce marked  tachycardia  (300-500  beats/minute).

   In addition, the convulsions indicated  in the above table are not  identical.
                                       172

-------
Fluorocarbon-142b  and F-12 produced  convulsions characterized  as  "severe,



generalized clonic,  tonic seizures", while those elicited by F-114, however,



were much  less severe consisting of "spasticity of  the extremities"



(Reinhardt  e_t  al.,  1971).   Thus, on the  basis  of  tachycardia,  arrhythmias,


and type of convulsion, all of  these  fluorocarbons  may be  distinguished from



each other by the  type of  responses observed.  However,  to read too  much into


these results would be an error.   The apparent shift in potency of F-142b may


be insignificant in that the concentrations used are greatly  increased  (from



5% or less in exogenous experiments to  80%).  The different responses noted may


merely reflect differences in actual  absorption of  the various  fluorocarbons


because of different breathing patterns in the dogs or actual difference in


absorptive characteristics of the  compounds. Lastly, because  of  the  method used  to


induce "fright"—i.e., "a  loud noise  provided by an amplified sound-effects
                                                                           *

tape recording having sounds of sirens, gongs, jet  takeoffs,  etc.'!  (Reinhardt


et_ jil_., 1971)—and the uncertain and  possibly variable responses  of  dogs  to


fear, any  conclusions drawn from the  results must be tentative.


        Procedurally, Mullin and coworkers  (1972) overcome the  difficulties


associated with study of endogenous epinephrine by  having  the dogs run  on  a


treadmill  for twenty-one minutes at 300 feet per minute, referencing a  study


indicating that the circulating level of  epinephrine increases  by five-fold


in dogs running at 300 feet per minute  for fifteen  minutes.   The  experimental


protocol called lor the first two  minutes to serve  as a  control,  the following


sixteen minutes as an exposure period,  and the last three  minutes  as a


recovery period, with electrocardiograms  being recorded  continuously.   The


types of exposure  and responses are given in Table  LXVTI.
                                     173

-------
      Table LXVII:  Cardiac  responses  of dogs  exposed  to various  fluorocarbons
                     while running  (Mullin e_t al.,  1972)
Test Compound   Concent r.-il inn
              (% V/V)
            Number of   Percent
 ?iuml>er of      Marked   Marked
Dog UxposureK   Responses  Responses
                                                                Common Is
Air
Fluorocarbon 12






Fluorocarbon 114












Fluorocarbon 11





-
3 .
( 4.45 •
7.
10.

10.
(10.04 >
2.
( 2.53 '
5.
(.4.63 :•



10.
( 8.44 i




0.
( 0.48 i
0.
( 0.75 .'.
1.
( 0.96 '.

0
0.
r,b
ob

u
0.
5
0.
0
0.



0
1.




5
0.
75
0.
0
0.


49)"




96)

20)

21)




03)





03)

12)

11)
8


6
6 (3/4)*

6

6

7 (2/3)




7 (2/3)





8 (1/3)

B (1/3)

7 (3/4)

0


0
1

0

0

1




1





0

0

0

0


0
16.

0

0

14.




14,





0

0

0





7 Reaction questionable bigeminal rhythm
or multiple ventricular beats (MVB's).
Ten percent levels not tolerated -
exposures lasted from 1*5 to 16 minutes.


> Klvr pori'-nt exposures repeated on four
ol tlie tiuj':,; and ihr same dog had a
'iv ,-.uJ fT.p'MiSc tirst response was
MVH's-sucond was liige.minal rhythm
suggestive-, of UVR's.
.3 Response was bigeminy suggest tve 'of MVS's-
rp ;H. lion was nr ]'-, minutes after start
ill exposure, out. Tilt ration not liulli
up t'o ]OZ-only ').6^; neith'tr 1J7 nor
107. levels I ojer ai.ed- exposures to
i-nmpoiuvl lastcil I1} to l(< mliMJIi-H .
i-Jo IfVt'ls ot thlr. rrmpouiid were wt-J]
l.olorati'd.
Compound DCHOHUIC t Imi-H l.-i'itr-l 1 In
ib minulL*>;.


 Numbers in parentheses represent analytical c.oni-fnt rations '  staiidaril dovi at i.m.

 Nomtn.il concentrations (tl« concentrations given the dogs were proba'ly h:';.!ur ri.'a:-. !."> ard jO.OX).
*
 Fraction of prematurely terminated exposures as given by the  original investigators In tne test.
   These results are somewhat difficult  to interpret.   All  of the marked


   responses  are those  of a single and presumably  "sensitive" dog and occurred


   between llg and 3 minutes of exposure  when the amount of  endogenous epine-


   phrine induced by S1-; - 5 minutes of running is  undetermined.  Further,


   many of the exposures had to  be terminated prematurely because the dogs


   became partially anesthetized.    Thus,  the value of the  percentage


   figures given in Table LXV11  is questionable.    Nevertheless,


   Mullin and coworkers (1972),  comparing  their  results with the screening
                                          174

-------
   experiments of Reinhardt and coworkers  (1971),  conclude  that higher  con-

   centrations of these propellants are necessary  to  induce arrhythmias from

   endogenous epinephrine than from an injected  dose  of 0.008 mg/kg  in  dogs

   (see Table LXVIII).
Table LXVIII:  Comparison of Results of  Screening  Experiments  of  Reinhardt  et
               _al., 1971 and Treadmill Experiments of Mullin e_£ ail»,  1972
               (Mullin et al.,  1972)
                                             Percent Marked Responses
        Test Compound
Concentration
  (% V/V)
Endogenous
Epinephrine
  Injected
Epinephrine
Fluorocarbon 12




Fluorocarbon 114


Fluorocarbon 11



2.5
5.0
Norn. 7.5
Norn. 10.0
10.0
2.5
5.0
10.0
0.1
0.5
0.75
1.00
Not tested
0
0
16.7
0
0
14.3
14.3
Not tested
0
0
0
0.0
41.7
Not tested
Not tested
Not tested
8.3
58.5
Not tested
0.0
8.3
Not tested
41.7
                                       175

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    3.   Cardiac- Sensitization to Asphyxia* Induced Arrhythmia




        Perhaps the greatest controversy concerning the toxicjty of the




fluorocarbon gases has been stimulated by the work of Taylor and Harris




(1970a), which may indicate tnat these compounds  on innalation  are  toxic  to




the hearts of mice.  This  toxicity is  evidenced    in fluorocarbon exposed




mice by the rapid onset of sinus bradycardia and atrioventricular block




induced by a degree of partial asphyxia which causes tachycardia in mice




not previously exposed to  the fluorocarbons.  These investigators have




reproduced their original  findings in over 2QO mice using




F-ll, F-12, and F-114 from a variety of sources  (Harris, 1972b) and firmly




assert the validity of both their technique and  results  (Harris, 1973).




However, four other groups of investigators (Azar ej^ _al. , 1971; Egle et al. ,




1972; Jack, 1971; McClure, 1972) using similar experimental techniques are




unable to reproduce the results of Taylor and Harris in mice.   Instead,




they find that the effect  caused by fluorocarbons does not vary significantly




from those effects caused by nitrogen or asphyxia controls, i.e., bradycardia




and AV block due to asphyxia and not related to  fluorocarbon exposure.  In




review, Silverglade (1972) describes the conclusions of Taylor arid Harris as




having "no sound scientific basis" and characterizes their experimental




approach as "poorly designed."  Yet, Harris (1973) contends that the four




other groups of investigators for the most part  apply inappropriate degrees




of asphyxia and their results, when valid, tend  to confirm  the original




results of Taylor and Harris (1970a).  Because the possible direct toxicity




of these aerosol propellants is related to the interpretation of human




deaths associated with aerosol abuse or unintentional  overdose by  asthmatics,
                                     176

-------
the nature of the discrepancies between the results of Taylor and Harris



and the findings of the subsequent investigators deserves careful attention.



     Asphyxia can influence cardiac function in a variety of ways.  A



lowering of oxygen tension will increase the heart rate (tachycardia) but



the heart, unable to acquire an oxygen debt, will eventually slow (bradycardia),



become arrhythmic, and fail.  Similarly, a small increase in carbon dioxide



tension will stimulate vasoconstriction causing an increase in blood pressure



and reflex bradycardia    As carbon dioxide tension further increases,



atrioventricular conduction is impeded, the heart slows and eventually



stops.  The crux of the Taylor and Harris (1970a and b) experiments is in



producing a degree of asphyxia in the asphyxia-control mice that causes



tachycardia and applying the same degree of asphyxia to mice previously



exposed to fluorocarbons.  Their basic approach is outlined below (Taylor



and Harris, 1970a):



     i)  Anesthetize ICR adult mice with 0.5 ml of 0.3% pentobarbitol



         sodium (43-60 mg/kg).



    ii)  Insert snout of mouse into mouthpiece of commercial nebulizer


                      <§)                    ®
         (Medihaler-Isc^or Isuprel Mistometer) for exposure to propellants



         or insert head into loosely fitted 5 ml. plastic bag containing



         60% F-12 and 40% F-114.



   iii)  When using nebulizer, allow only single discharge (none in



         placebo group).



    iv)  Allow only three inspirations.



     v)  Asphyxiate "with a form-fitting plastic bag wrapped tightly around



         nostril and mouth, rostral to the ears."
                                     177

-------
     vi)   Continue  asphyxia  until 2:1  AV block  [two  atrial beats/ventricular

           coniraction]  or life-threatening  sinoatrial (SA) bradycardia

           [subsequently defined  as slowing  of 200 or more beats per

           minute(Harris,  1972a)].

    vii)   Allow surviving animals  to recover.

  viii)   Reapply asphyxia at 5,  10, 20, 40, 60,  and 120  minutes  after

           exposure.


Some of  the  results are  given below in Table LX1X.
        Table  LXIX:  Responses (Mean  *-•  SE)  of Mice to Asphyxia,  Propellants,
                       and Propellants plus Asphyxia (Taylor and  Harris,  1970a)
                               Uliinnc1:; in IU;;irt  Unl>' _    No. <>l 'lice IU'_yt.' lup i njj^   . -    <>i).;.'i (if
                            Nu.     2r> Sfronil:: Aflur               M.irl»-.l 'llri.r-;     Hi .I'ly.'u rhylhmf .1
                            <>l     As|>hyxl>i lli'l;un                Hr.-nlv. :it'l i:i     />tu-r A.'iplivxlii
                           Mi'"       (Ur.-llh/nilllJ    'f.:\ AV lilnik  Wl Limn!  W 111'irl-    II'-;'.IH1 f'ifc-)
.:r,.,,,, ]
'r.ph\ '-:iii .'mil .'ropi-1 liint
!'ni|)fl liinl 8
i'r.tpe 1 l.inL .-iini i soprutt;rfn ' U.5 (.
-VI )6.7 1. 2
-•114 ' '.'..5 i, II
-m IH.O ', \

-t'lO i,.', .) '.
-1-4! 1 1. 5 (,

!H ' 4.<»
3b • !.«
47 .'i.7.
2« • n.'J



                               l':hnni,.'s in llf.irl Itnl i
                                  ?') S,'>-('llcl-, A I tlT
                                 nip.'!!. ..... nli.il.-it I.'
                                   I Hi>. i Is, 'in in)
        ' ^ l-ijjtL> i ilit'iit .isiihyxi ,-i
       rr-jpt-l Inut                4      -!) '  9.'i
       ! i upc I lani  ,ind istj;irot ( fi_"i"l  4      f 9 '  1(J . ,'

       •li.-turu *       .         i     -]'> •  5.0
     * 6 OX (licit lurodi f luoromuthatif ,  4D'i J fch lorotr' i ;i II iiurtu't h.inc ml >.i ur*.1 .
       A^jjhyx la wl thouf proprl Inn I w.is ;ipp1 h.-'t for I " r m i mil cs .
                                             178

-------
Further, of the 12 mice in Group 1 which survived the initial exposure to

asphyxia, all died during subsequent asphyxia 10 to 160 minutes (average

50 minutes) without further exposure to propellants and without an increase

in the time from asphyxia to arrhythmia.  Similarly, mice from Group 3

developed 2:1 AV block in 24 ± 2.1 seconds when asphyxia was applied

15 minutes after fluorocarbon exposure.

     Taylor and Harris (1970a) interpret their experimental results as

cardiac sensitization to asphyxia-induced arrhytlimias by the fluorocarbons.
In a subsequent paper (Harris, 1972a), the duration of this effect is

specified as 15-30 minutes.  In that atropine, which supresses vagal

inhibition of the heart, does not block the effect, Taylor and Harris (1970a)

state that the bradyarrythmia may "more likely reflect a direct action on
the SA node and AV conduction."                                      i

     It is regrettable that in their study Taylor and Harris (1970a) omitted
                                                           ®
certain details from their presentation.  Both Medihaler-Iso and Isuprel
         ®
Mistometer are apparently used as sources of propellant.  However, as Taylor
                                                             ®
and coworkers (1971) indicated in a later paper, Medihaler-Iso discharges
                                      ®
12.5 ml of gas while Isuprel Mistometer discharges only 5.8 ml gas/activation.
                     ®
Further, Medihaler-Iso contains F-ll, F-12, and F-11A, while Isuprel
         ®
Mistometer contains F-12 and F-114.  Thus both the amount and types of

propellants to which the mice were exposed varied.  The significance of this
variation cannot be evaluated from the data which Taylor and Harris present.

Interpretation is further restricted by the lack of detailed time-response
data.  For instance, from the data presented in Table LXIX,  atropine  in

combination with asphyxia and propellant seems to have a much greater
                                       179

-------
depressant effect on heart rate at 25 seconds (-134 •'- 44.5 heats/minute),


than does propellant and asphyxia alone (-66 ± 14.5 beats/minute), but the


atropine group requires a longer time to the onset of bradycardia (47 ± 5.7


seconds) than does the group exposed only to asphyxia and propellant


(38 ± 4.9 seconds).  Lastly, and probably most important, the investigators


fail to describe in sufficient detail the technique that they used to apply


asphyxia.  Their description of a "form fitting plastic ba;.; wrapped tightly


around nostril and mouth" could quite reasonably be construed as total


asphyxia.  Subsequent publications (Harris, 1971, L972a and b, 1973) have


described partial asphyxia only in the effect, that it causes - i.e., tachycardia


in untreated mice - and not in the techniques used to induce it.


     Using the Taylor and Harris (1970a) study as a model, Azar and coworkers


(1971), Egle and coworkers  (1972), and McClure (1972) hnvo published'relatively


detailed reports on attempts to reproduce this effect under experimental


conditions  presumably approximating those of Taylor and Harris (1970a).


     Azar and coworkers  (1971) uniformly anesthetized the mice (60 mg/kg


pentobarbital sodium, i.p.) and used four exposure groups: asphyxia alone,

                                                                 ®
100% F-12, 100% H™, and a single discharge from  l.supre.l Mistometer  (5.8 ml


mixture of F-12 and F-114, plus isoproterencl hydroch.lort.de).  Exposure  lasted


for five seconds and asphyxia  was applied with  ''a close fitting vinyl mask."


Besides these variations, the procedure seems to  follow closely that of.


Taylor and Harris  (1970a).  The results are given below in Table I,XX and


Figure 30.
                                      180

-------
         Table  LXX:   Responses (Mean ± SE) of Mice  to Asphyxia
                    (modified from Azar et al.,  1971}.
Condition _ _
Asphyxia alone
Nitrogen and  asphyxia
Isuprel Mistometer
  and asphyxia
Dichlorodifluoromethane
  and asphyxia
                                                          No.  of Mice
                                                           Developing

                                                                              Onset of
                                     Changes  in  Heart      Marked Sinus   Bradyarrhy-
                               No.   Rate 25  sec After       Bradycardia   thtnia After
                                of   Asphyxia Begun   Heart    Without   Asphyxia Begun
                               Mice     (Beats/min)     Block  Heart Block     (sec)	
                                12
-143 ± 48.2
                                12
-168 ± 43.6
                                12
-155 ± 41.6
10
                                12.
-143 ± 33.9
                   64 ±  23.4
                   18 ±   4.8
                                                                            30 ±  7.9
                   23 ±   5.9
'••00 —i
     	 —    :		1	1		 I'  -•'-  	I-	~	  T^ '       ~
             111         (ill         'A!          I.'U       l:>0        1KO        ^11*'
                               TIM (StQ'Nl)S AI'Ti.K ASl'liVXl A i U'!. >

        Figure  30:  Heart rate response of mice  exposed to compounds for five
      seconds followed by asphyxia  (redrawn from  Azar et al., 1971).
                                       181

-------
Similar to Taylor and Harris (1970a),  atropine - 50 mg/kg i.p.  - does not block

bradycardia in nitrogen exposed mice indicating a direct effect on the heart

rather than reflex inhibition.   However, because there is no appreciable
                                                                         (|)
difference in nitrogen groups compared with the F-12 or Isuprel Mistometer

group, Azar and coworkers (1971) conclude that bradycardia and heart block

is caused by hypoxia rather than the fluorbcarbons.

     Egle and coworkers (1972a, see also I972b) report similar results with

a greater variety of propellantu and some significant modj f Lc;tt ions in

experimental design.  Along with an asphyxia control, the mien arc exposed to

the following compounds for five seconds:

          Propellant - one discharge of nebulizer, 70-77 mg [approx. 5.5-
               6.0 ml] 28% F-ll, 72% F-12.

          Propellant and isoproterenol (100 pg and 70 yg/discharge).

          Propellant and albuterol

          Nitrogen, 100%

          [no variation in propel.lant  is specified]

Asphyxia is applied in two ways.  For most exposures, the snout of the mouse

was covered with a "form fitting plastic bag."  This w.i 11 be; referred to as

"total asphyxia."  However, a lesser degree of asphyxia is also induced when

"the plastic bag covering the animal's snout was fastened somewhat less

securely and 'permitted passage of a limited amount of air."  This is referred

to as "partial asphyxia."  For two other sets of mice, asphyxia is applied

thirty seconds after exposure to the propellant and nitrogen.  The results

are given in Table LXXI and Figures 31a and b.
                                      182

-------
    Table LXXI:   Responses (Mean ± SE)  of mice exposed to "total"  and
            "partial" asphyxia (modified from Egle £t aK, 1972a).
  Condition
        % Control Heart Rate      Event
No. of  at 24 seconds after     AV
 Mice	Asphyxiation
                                                                         Time  to  Onset
                                                                          of Event  in
Block Bradycardia    Minutes
Total Asphyxia with immediate'exposure
                           8
              71 ± 7
                                      89 ± 10
                                     101 ± 3
                   0.66 ± 0.09
                                                  0.67 ± 0.06
                                                  0.73 ± 0.06
 Propellant (alone)
 Propellent and
   isoproterenol
   (100 pg)
 Propellant and
   isoproterenol
   (70  pg)
 Propellant and
   albuterol
 Asphyxia alone
3tal Asphyxia with :
 Propellant (alone)
 Nitrogen
artial  asphyxia wit!
 Propellant (alone)
 Nitrogen
 Asphyxia (control)
* In this table, 2:1 AV block is considered at least five instances of 2:1 AV Block
  per 0.1 minutes and bradycardia as a 50% decline from controls.
6
11
10 second delay
4
4
103 i 10
. 94 ± 7

88 ± 12
70 ± 7
0
2

1
0
6
9

3
4
0.93 ± 0.08
. 0.77 ± 0.08

0.77 ± 0.06
0.78 ± 0.08
i
i immediate exposure
10
5
13
110 ± 6
113 ± 15
104 ± 5
4
1
11
6
4
2
1.80 ± .0.14
2.50 ± 0.29
2.51 ± 0.20
                                        183

-------
A.
500
u
r  n ,».

• *-^U., jj
• •

D 05 10 15 ?0 ,
TIME (n.inules)
6.
    E
    N
      500
      400
      300
    2
    r-  200
    tt
    ki

       100
-• Contrnl. As|ihyxi;i i

" Nitrotien

•* Isoproterniuil, 100

" Albuterol
        0L
         0
                    05          IO
                          TIME (minutes)
  Figures 31a and b: Heart  rates during  total asphyxia
       of control (asphyxia alone) mice  and animals
    exposed  to nitrogen;  as well as  (a)  propellant alone,
        and  propellant with isoproterenol  (70 ug):
      (b) propellant with isoproterenol  (100 ug) and
   propellant with albuterol [from Egle  gt  a_l. ,  1972b]..
                               184

-------
As with the previously discussed study (Azar et al., 1971), the authors

conclude that their results do not support those of Taylor and Harris (1970a)
                                                                    •
and that the cardiac responses noted are caused by hypoxia (Egle je_t ed. , 1972).

     McClure (1972) similarly exposed anesthetized mice (pentobarbital sodium,

65 mg/kg i.p.) to asphyxia, after three inhalations of propellant (approxi-

mately 12 ml; 25% F-ll, 50% F-12, 25% F-114), and asphyxia after three

inhalations of the propellant with 0.075 mg isoproterenol.  Asphyxia was applied

by''placing a small finger cot over the snout of the mouse."   There are no other

apparent differences of significance in the experimental approach from those

outlined previously.  The results, as presented by McClure (1972),are given

in Table LXXII.
             Table LXXII:  Responses  (Mean ± SD) of Mice
                         to Asphyxia  (McClure,  1972)





Time3
Control
15 Sec
30 Sec
1 Min
2 Min
4 Min
No propellant
(negative control)
n - 12
Heart rate
(beats /rain)
X ± SD % A
439 ±62
415 ± 74 -5
411 ± 35 -7
435 ± 84 -1
350 ± 52C -20
317 ± 74d -28

Propellant
n '= 10
Heart rate
(beats/min)
X ± SD % A
474 ±85
454 ± 86 -4
470 ± 88 -1
453 + 70 -4
425 ± 84 -10
394 ± 42b -17
Propellant +
isoproterenol
n •" 6
Heart rate
(beats/min)
X ± SD % A
484 ±42
477 ± 60 -2
500 ±40 4-3
510 ± 55 +5
514 ± 84 +6
482 ± 62 -1
P-R interval
QRS amplitude*
Arrhythmias
2:1 AV block
Deaths
 3/12 (increase)
10/12 (decrease)
      9/12
      4/12
      6/12
4/10 (increase)
8/10 (decrease)
     7/10
     9/10
     4/10
3/6 (increase)
6/6 (decrease)
    3/6
    3/6
    3/6
a Time during asphyxia.
b Significantly different  from  control p  <0.02.
c Significantly different  from  control  p<0.01.
d Significantly different  from  control, p<0.001.
e Change  from control.
                                         185

-------
As with the previous two studies (Azar £t jd., 1971 and Egle et al. , 1.972),

McClure (1972) concludes that fluorocarbons do not significantly influence

the cardiac response of mice to asphyxia.  Jack (1971), in summarizing the

work of Allen and Hansbury, Ltd. (1971), reports that in similar experiments

the same conclusion is reached.
i                                                        .
     The information as presented in this series of studies is not only

difficult to resolve but also awkward to compare: besides the eight different

types of propellants or propcllant with active agent: combinations - with only

two types being used by more than one investigator - many of the results are

not expressed in the same way.  Thus, to facilitate a comparison between

these studies, data concerning the effect of propellant exposure and asphyxia

on heart rate is presented in Table LXXIII as percent of original heart rate

25 seconds after asphyxia or after exposure to the propellant in cases where

no asphyxia is applied.  It should be emphasized that because of the various

ways that the data is presented in the original papers, this comparison is,

in some cases, only approximate (see notes to Table LXXIII). Similar data on the

number of mice experiencing 2:1 AV block or bradycardia and the time to onset

of these events after application of asphyxia is presented  in Table LXX1V.
                                      186

-------
Table LXXIII:   Percent change in the  heart  rates  of mice at
       25  seconds after exposure  to various  fluorocarbon
       propellants and nitrogen with and without asphyxia.
  Prop la = 60% F-12; 40% F-114 inhaled from nebulizer, 1 activation
  Prop Ib » 60% F-12; 40% F-rlU inhaled from 5 ml plastic bag,  3 activations
  Prop 2   - 50% F-12; 25% F-114, 25% F-ll,  inhaltcd from nebulizer, 1 activation
  Prop 3   - 72% F-12; 28% F-ll, inhaled  from nebulizer, 1 activation
Conditions Taylor and Harris,
197031
Propellants and Asphyxia
Prop, la or 2 -14 ± 2
Prop. Ib -17 i 4
Prop. 3
F-12 (100%)
Prop, la or 2 and
Isoproterenol -21 i 8
Prop. 3 and ,..
100 yg
Isoproterenol 70 lag
Prop, la or 2 and
Atropine -28 ± 9
Prop. 3 and
Albuterol
Asphyxia (alone) + 6 ± 1
Asphyxia with
placebo +913
N2 (100%) and
Asphyxia
No Asphyxia
Prop, la or 2 -112
Prop. Ib -3 i 1
Prop, la or 2 and
Isoproterenol +2 .t 4
Azar et al. ,
19717 ~



-34 ± 8
-34 t 9



-30 t 10

-39 t 10



Egle et al. ,
19 721"


-29 ' 7,
+10 .*. 6.*
-12 .' 1.2


-11 ', 10
+ 1 i 3

+ 3 t 10
-6 t 7,
+4 ± 5+

-30 ' 7
+13 i 15*



McClure, 19721*
-1 ± 18



-1 •.'. 10



-6 i 6


-3 ± 7

-1 t 8
     1 Calculated  from mean control heart rate of 482  for all 46 animals.
     2 Calculated  by readings from Fig.30 (this paper) of initial heart races.
     3 Reading at  24 seconds after asphyxia.
     4 Data from linear graph of Table  LXXII  (this  :>aper). s^ approximated, and
     ^   Table 1 of McClure's paper.
       30 second delay between end of exposure and asphyxia.
       Termed "partial asphyxia" by Egle c± a\_. ,  197 ii
                             187

-------
                               Table  LXXIV:
Number of Mice Which Experienced and Time to Onset
  of 2:1 AV Block and Bradycardia.
00
CO
Asphyxia with _J
Propellant la or 2
Propellant Ib
Propellant 3
F-12 (100%)
Propellant la or 2
and Isoproterenol
Propellant 3 100 yg
and Isopro-
terenol 70 pg
Propellant la or
2 and At repine
Prop ell ant 3 and
Albuterol
N2 (100%)
Asphyxia alone
I Taylor & Karris, 1970a !
Time to
Onset
(seconds)
No. of
2:1 AV
Blocks
	 , 	
38 ± 4.9 6/8
28 ± 6.9


36 ± 2.4




47 ± 5.7



> 240
5/6


2/4




4/4




No. of
Brady-
cardia
2/8
1/6


2/4




0/4




Azar et al. , 1971
Time to
Onset
(seconds)


23 ± 5.9

30 ± 7.9





No. of
2:1 AV
Blocks


9/12

10/12





t
'
18 ±4.8
64 ± 23

9/12
5/12
No. of
Brady-
cardia


3/12

2/12







3/12
7/12
Egle et al. , 1972
Time to
Onset
(seconds)

39 = 5.4
46 - 3.6*
108 - 8.44



40 ± 3.6

44 r 3.6



56 - 4.8
47 r 4.8*
15C rl7.4+
46 = 4.8
150 r 12+
No. of
2:1 AV
Blocks

1/8
1/4
4/10



3/6

3/6



0/6
0/4
1/5
2/11
11/13
No. of
Brady-
cardia

7/8
3/4
6/10



3/6

3/6



6/6
4/4
-4/5
9/11
2/13
McClure, 1972
Time to
Onset
(seconds)














No. of
2:1 AV
Blocks
9/10



3/6



No. of
Brady-
cardia
7/10



3/6








4/12 |

9/12
    *  30 secot:d delay; +  "partial asphyxia1'; Fropellant  Key:  same as Table LXXx..!.

-------
A number of factors might account for the wide variety of experimental results


both within and among the various studies.  Although there is little evidence


in these studies to indicate that the different propellants used have


markedly different effects, such a possibility cannot be ruled out.  Further,


potential effects of albuterol (Egle et al., 1972) and to a lesser extent


atropine (Taylor and Harris, 1970a) may deserve more careful investigation.


     Based on the conclusions drawn by Azar and coworkers (1971), Jack (1971),


Egle and coworkers (1972) and McClure (1972), Taylor and Harris (1970a) may


have been mislead by their failure to use a nitrogen control and what they


observed as cardiac toxicity might merely be the effect of cinoxia on the


somewhat more hypoxic propellant exposed mice.  This explanation is supported


by the time-response data presented by both Azar and coworkers (1971) and

Egle and coworkers (1972) [see Fig. 30 and 31a, respectively] indicating  that


exposure to either propellants or nitrogen results in a somewhat greater

degree of asphyxia-induced bradycardia than does asphyxia alone.  However,


Taylor and Harris (1970a) indicate that rapid  (24 ±2.1 seconds) 2:1 AV block


developes in mice allowed to recover for fifteen minutes after propellant


exposure before asphyxiation and that this response does not develop without


propellant exposure.
                     •
     Harris (1973) proposes that the other investigators do not duplicate


the results of Taylor and Harris (1970a) because they apply an incorrect


degree of asphyxia.  Based on the available time-response data on exposure


to asphyxia alone, presented in Figure 32, this explanation seems plausible.
                                      189

-------



110

100
90


80
0)
a
u 70
Ui ••
QJ
7i 6° -
•H
4J
3 50
o
a 40 _
Hi
u
i.
o
fc 30 _
10 _

A 	 A iayior a Harris, j?/ua: see laoie W.IA
+• 	 + Aznr et al., 1971: adapted from Figure 'i'..'
»—. 	 8 McClure, 1972: see Table LXXtl
• 	 • Egle e_t_ al., 1972H: ndnptfil from Figure 31,
Total asphyxia
^f^^~~'~^ Parti.-il .ispliyxfa
\\^^x7°-— — -- ^___^
\ XVVN • —
\ ', v „ " " 	 	 	 ^_: 	
\ \ v v
\ \
\
\ \ ' '
\ \
+"T"\ ;x.

\ ' ~~^~^--~4.'
-~-// ^'\ - ~~ 	 ~~— — ~—
^1— ••^ ^-. ""

\
\^

; I i i
'Hi 60 90 120 r>i> l«o 2!0 ':',
                        Time in seconds
Figure 32: Percent  Change in Heart Rate. After  Exposure
    to Asphyxia  Based  on Data from the Above Sources
                         190

-------
Given this data, some of the criticisms by Harris (.1973) do seem warranted.




Azar and coworkers (1971) and Egle and coworkers (1972) - using total




asphyxia - do seem to use a degree of asphyxia that might mask any possible




demonstration of fluorocarbon cardiac toxicity. Harris (1973), however, is




probably in error when he classifies the "partial asphyxia" (Egle £t al., I972a)




as closer to his earlier work (Taylor and Harris, l970a) than that of McClure




(1972).  Although Egle and coworkers (1972) do not give detailed time-response




data for partial asphyxia, the tachycardia at twenty-four seconds is probably




quite transitory as indicated by the relatively rapid onset (151 seconds) of




50% bradycardia.  Nevertheless, all of these investigators do use a degree




of asphyxia that, when measured in terms of heart rate response, varies




noticeably from that of Taylor and Harris (1970a).




     The conclusion to be drawn from this rather detailed comparison of these




various studies is inescapable in terms of technique but inconclusive as to




the results.  The technique used to apply asphyxia is in all probability,




the critical step. These techniques are described as "a plastic bag wrapped




tightly around the nostril and mouth" (Taylor and Harris, 1970a), "a close




fitting vinyl mask" (Azar et^ al., 1971), "a small finger cot over the snout"




(McClure, 1972), "covering the snout with a form-fitting plastic bag" or the




same "fastened somewhat less securely" (Egle et_ ad. , 1972&). Such techniques




and descriptions seem somewhat vague.  This controversy has occupied a great




deal of space in a variety of review articles and letters to the editor




columns.  It addresses an important aspect of fluorocarbon  toxicity of concern




to manufacturers, physicians, patients,  and the public at  large.  Thus it




seems peculiar that no published tests of this effect have  been run in
                                      191

-------
controlled atmospheres in which the amounts of oxygen, carbon dioxide, and




nitrogen necessary to induce prolonged tachycardia could be monitored and




the effects of various concentrations of different propellants measured.




     Given the results that are available, no firm conclusion can be drawn.




Harris (1973) seems to have effectively countered the results of Azar and




coworkers (1971) and Egle and coworkers (1972) on the basis of




inappropriate degrees of asphyxia.  However, the attempt by Harris (1973) to




use part of the data of Egle and coworkers(1972a) to support his results is




rather feeble.  Egle and coworkers (1972a) did notice a difference with




"partial asphyxia" in the onset time of bradycardia (50% decrease) and 2:1 AV




block between asphyxia alone exposures (150 ±12 seconds) and asphyxia after




propellant exposures (108 ± 8.4 seconds).  However, given the limited time-




response data (see Figure 32),it seems likely that the asphyxia alone group




was also showing marked bradycardia at 108 seconds.  Thus, while this




difference may be significant statistically by P<.02 (Harris, 1973), its




physiological significance may prove tenuous.




     By far the most damaging evidence to the conclusions of Taylor and




Harris (1970a) is the work of McClure (1972).  McClure (1972) seems to maintain




a degree of asphyxia only moderately greater than that of Taylor and Harris



(1970a) with bradycardia never exceeding minus seventeen per cent during the




first four minutes in the asphyxia alone group (see Figure 32).  Thus, if the




same degree of asphyxia is applied after exposure to a propellant, McClure




(1972) should still be able to note a profound decrease in heart rate as




might be expected by the conclusions of Taylor and Harris (1970a).  No such
                                      192

-------
observation is reported (see Table LXXII).   That McClure  (ly?2)  did  note  an




AV block in 4/12 of the mice exposed to asphyxia alone but a 9/10 incidence




of AV block in the propellant plus asphyxia group may again be significant -




?<.025 (Harris, 1973).  However, considering that there is no marked difference




in the number of mice showing arrhythmias or fatal exposures, and no indication




of the time to onset of AV block, the actual significance of the 9/10 figure




cannot be fully appreciated.




     Assuming that the results of both Taylor and Harris (1970a) and McClure




(1972) are valid indications of the cardiac tox Icily <;l fluoroearbon propel lant;




the following characterization might be proposed: under conditions of mild




asphyxia that would normally cause tachycardia,  the propeHants may cause




rapid and pronounced bradycardia and AV block in mice but as the severity of




asphyxia is increased, the toxic response is either inhibited or masked.




This characterization, however, is merely speculative.   Further experimental




work, in which the various relevant parameters  are closely monitored, would




be necessary to define this effect.
                                      193

-------
    4.  Arrhythmias Not Associated with Asphyxia or Epinephrine

        A variety of fluorocarbons have been found to affect cardiac

function under conditions of adequate oxygenation or in the absence of

elevated epiriephrine levels.

        Studies dealing with adequate oxygenation parallel closely those of

asphyxia-induced arrhythmias as described above.  Arrhythmias, in the

absence of hypoxemia or hypercarbia, has been demonstrated both in dogs

(Flowersand Koran, 1972b) and monkeys (Taylor at ajL., 1971).

        Flowers and Horan (1972b) exposed dogs to a mixture (unspecified)

of F-ll and F-12 by spraying this mixture on the inside of a plastic: bag

and fastening the bag "loosely over the head of the dog, allowing the active

agent to be present in high concentration".  In a group of six dogs, the,

bag was continuously oxygenated; in the remaining dogs, the only oxygen

supply was by incidental mixing with room air.  At the first indication of

cardiac disturbance, the bag was removed. Although this technique does not

allow an accurate estimation of the fluorocarbon dose, measurements were.

made of blood P   and P   .  In the dogs receiving direct oxygenation, no
               °2      c°2
significant changes were seen in these values.  In dogs not receiving

supplementary oxygen, P    remained at control levels but there was a fall
                       c°2
in P   from a control level of about 75 mm Hg to post-exposure level of
    °2
about 40 mm Hg.  Although this fall is significant, it is not so marked as

those "usually associated with profound or dangerous hypoxia" (Flowers and

Horan, 1972).

        In spite of sufficient oxygenation as demonstrated by blood gas

measurements, the same types of arrhythmias were noted in both groups of dogs,
                                   194

-------
   These arrhythmias included sinus bradycardia,  AV dissociation or AV  block,

   sinus arrest, and asystole.  The details of the various responses are  given

   in Table LXXV.


          Table LXXV: Cardiac Responses of Dogs to a Mixture  of  F-ll and  F-12
                      from Antiseptic or Hair Spray (Flower and  Horan,  1972b).

                  Arrhythmias, Onset Time, and Mode of Death.
Experiment
and Substance
1
2
3
4
5
6
7
8
9
10*
11
12
13
14
15
Antiseptic Spray
Antiseptic spray
Antiseptic spray
Antiseptic spray
Antiseptic spray
Antiseptic spray
Antiseptic spray
Hair spray
Hair spray
Antiseptic spray
Antiseptic spray
Antiseptic spray
Antiseptic spray
Antiseptic spray
Antiseptic spray

8 min
10 min
1 min
1 min
T ii. .11 ... .-_
5 min
SB + 1° t
4 min
CD _L. 1 O A T
SB + 1 A\
4 min
nT1
1 min
20 min
3 min
45 sec
SB + 1° i
4 min 55
10 min
r-r*
Oi)
8 min
	 >-SB H
nn
45 min
Rhythm and Onset
.. > C A 4- T7T?.. - .. .
	 ^ WT? .1. A VD 	
^ Vll/ r AVK
, trpn_
' VI US
____. \rrj i pp A
i\7n l Til' 1 ITfA
rn 	 ,.« ° A 1 TF i • ..
. TTf


'S TP
> AJK
' oA 1 Vli
^ \m , i i ° A .i. ^n? ..
\V1J ' OA 1 Vlj
sec

1° A T7TT k. T17
Avo ••-•>J1S
fc A TT>
' AJ K
Time Death
u ITT _ , t yi?
. TTT 	 	 .» V
->~ v i 	 •*• i\
+- V
^ 1\
ii. > VI?


.1 K
n.._t V
'•""» JSw
> K

: : . * A
' A
> A

1 .. ,. 	 v c II .L. O° A tfR 	
, > oli t ^ AVJJ
,. ,. -b ir i. \n? .1,1., . .k
> Jo r Vli >
X ) \
\ in i \n? .\ *i

    *SB signifies sinus bradycardia; SA, sinus arrest; JE, junctional escape;
JS, junctional slowing; VE, ventricular escape; AJR or AVR, accelerated junctional
or ventricular rhythm; RCA, retrograde conduction to the atria;  VPB,  ventricular
premature beats; VT, ventricular tachycardia; K, killed; Ace, accidental deaths;
VF, venticular fibrillation; A, asystole.
    //Supplemental oxygen supplied in dogs #10-15.

                                       195

-------
          In several species of monkeys, a fluorocarbon mixture - 30 ± 2.0%

  F-12 and 9 i 0.5% F-114 in either compressed air or 100% oxygen - is

  reported to induce ventricular arrhythmias in the absence of hypoxemia or

  hypercarbia (Taylor £t al., 1971).  In this study, fourteen conscious or

  anesthetized monkeys are exposed to compressed air (3), asphyxia (4), or

  100% nitrogen (7) for three minutes, allowed to breathe room air for fifteen

  or thirty minutes, then exposed to the fluorocarbon-oxygen mixture (all 14)

  until the appearance of the first ventricular uxl.rasysto.le.  After a thirty

  minutes recovery period, three of the animals are re-exposed to tlte fluoro-

  curbon mixture and the remaining eleven are given a iwo-minuti- l.V. infusion

  of 0.07 mg/kg propanolol hydrochloride [to block beta adrenergic receptors]

  and, after fifteen minutes, are re-exposed to the fluorocarbon mixture for

  two minutes or until arrhythmias or convulsions appear.  Arterial Po-,

  Pco2, pH, blood pressure, and fluorocarbon concentration are monitored in

  various animals.

          As indicated in Table LXXVI, the fluorocarbon mixture does not signi-

  ficantly alter arterial Po_, Pco?, or pH, whereas the 1.00% nitrogen does

  cause marked hypoxemia as compared to control.
Table DCIVI:   Effects of (Mean ± SE) of Nitrogen and Fluorocarbon Exposure on
              Pn   Pco , and pH of Arterial Blood in Seven Monkeys (modified
              from Taylor e± ^1., 1971)                                .

          Conditions              Po~          Pco,,          pH

          Control              106  6.2     26    2.7.    7.41  0.01
          Nitrogen              30  3.2*    26    2.3     7.39  0.03
          Fluorocarbon         121  5.5     23    1.5     7.39  0.03

  *Significantly different from control and fluoro<-arhon values (P <0.00i).
                                      196

-------
   Exposure to compressed air, asphyxia, or 100% nitrogen for three minutes

   failed to produce any arrhythmias, except in one nitrogen exposed animal

   with an arterial blood Po« of 16 mm Hg which experienced ventricular pre-

   mature beats at 105 sec.

           Exposure to the fluorocarbon mixture, however, produced cardiac

   irregularities in all monkeys, the details of which are given in Table LXXVII,
Table LXXVII: Cardiac Responses of Monkeys to Fluorocarbon Inhalation
                         (data from Taylor e* al., 1971)

                                Rate  (per minute)
                 Number/Animals    Measured in     Time to Onset      ;
                  Experiencing  3 sec. intervals      (seconds)    Duration
   Event	Event	Mean  ± SE  Range Mean ± SE  Range (Seconds)

   Extrasystoles
      Initial        14/14      40 ±  7      8-90 39 ± 4.2+  20-72  30-180*

      Maximum        11/14      90 ±  11    25-120           10-30//    :

   Bigeminy           3/14

   Ventricular
    Tachycarida       4/14

   *Recovery time breathing room air  and excluding those monkeys experiencing
    bigeminy of ventricular tachycardia.
   +Time to onset after  exposure to propellant mixture.
   //Time to onset after  appearance of initial extrasystoles.
   A similar pattern of increase in the rate of extrasystoles despite the dis-

   continuance of fluorocarbon gas after the initial appearance of premature

   ventricular beats is seen in Table LXXVIII for three' monkeys exposed twice, to

   the propellant mixture.
                                       197

-------
.Table  LXXVIII:  Individual Cardiac Responses of Three Monkeys Exposed Twice
                to Fluorocarbon Inhalation (data from Taylor £t al^., 1971).
                                       First Exposure       Second Exposure
                                            //2       //3   //I     //2      //3
                                              _
    Time to Ventricular                         :          '•          ~
    Extrasystoles (sec.)            30      42       35   25     36      20

    Initial Frequency
    (per minute)                    18      40       60   20     30      60

    Maximum Frequency
    (per minute)                   120      80      110   40    110     120
    The arterial blood levels of the fluorocarbons ;il. UK- onset of ventricular

    premature beats are given in Table LXXIX.
  Table  LXXIX. Arterial Blood Levels of F-12 and F-114 at Time of Onset
                of Ventricular Premature Beats in Monkeys

                             Arterial Blood Concentrations (rug/100 ml)

    Time of Onset            F-12            F-114              Total
      (seconds)

         35                  5.5              1.8                7.3

         42                  6.3              2.3                8.6
         45                  6.5              2.2                8.7
            Fluorocarbon inhalation caused a decrease in blood pressure just

    prior to ventricular arrhythmias.  The type, time to onset, and frequencies

    of the arrhythmic responsesare apparently not influenced by anesthesia, but

    extrasystoles is blocked by propanolol.

            These results may be interpreted in two genera.! ways (Taylor et al.,

    1971).  First, the fluorocarbon gases at the concentration observed may be

    exerting a direct stimulating effect on the beta adrenergic receptors or
                                        198

-------
some direct toxic effect on the myocardium.  Secondly, they may have sensi-

tized the ventricular myocardium to endogenous catecholamines and/or stimu-

lated the release of such catchecolamines.  This latter interpretation is

consistent with the blocking of arrhythmias by propanolol.

        The cardiovascular effects of the brominated fiuorocarbons, especially

H-1301 and H-1211, have been extensively studied because of their use as fire

extinguishing agents.  Although some of these studies have been concerned

with sensitization to epinephrine-induced arrhythmias as discussed in a

previous section, much of the work has been conducted without injected

epinephrine or attempts to induce endogenous epinephrine.   Van Stee and

Back (1969) have described the effects of H-1301 at concentrations of 20-80%

in dogs as tabulated below.


Table LXXX: Cardiac Responses of Dogs to Varying Concentrations of H-1301
            in Oxygen (from Van Stee and Back, 1969).

                                                       Time to Onset After
Concentration       Response                            Start of Exposure

   20-30%           Tachycardia (10-15%) in some       few seconds
                    animals
                    Arrhythmias                        first minute of exposure
                       T-wave depression               (lasted until 2-4
                       unifocal and multifocal          minutes post-exposure..)
                         ventricular arrhythmias
                       bi- and trigeminy

   40%<             Tachycardia as above in all        few seconds
                    animals

   50%<             Blood pressure full of 20-60 mm llg.
                    Irregular changes in heart rate
                    proportional to cardiac output.
                    Decrease in pulse pressure to      25-30 min.
                    0-30 mm Hg. from a normal of
                    45-50 mm Hg.
                    Lowering of peripheral vascular resistance.

   80%              More rapid decrease in pulse pressure

All of the above-noted effects were reversible in ab;>ut tv
-------
 Monkeys exhibited the same type of arrhythmias as described in dogs.

         Halon-1301  has  also  been  evaluated  under both hypo-  and

 hyperbaric  conditions.   Rats were exposed under  hypobaric  conditions

  (632 mm Hg  and  380  mm Hg)  to 8, 16 and  24%  H-1301 for five minutes  (Call,

 1972).  The arrhythmias noted  consisted of  premature  atrial  contractions

 occurring after  one minute of  exposure.  These occurred in only  two out of

 twenty-seven rats,  one  at  24%  H-1301  and 632 mm  Hg  and the other at 16%

 H-1301 and  380 mm Hg.   However, as indicated by  Call  (1972),  these  results

 cannot be readily compared to  the above work of  Van Stee and  liack (1969)

 because of  probable species  specific  differences in response.  Paulet (1962)

 has noted such variations  in response to H-1301  in  mice, rats, rabbits, and

 guinea pigs.

         Cardiac  response of  cats  to  H-1301  under hyperbaric  conditions

 have been studied by Greenbaum and.associates  (1972).   Exposure  of  5% H-1301

 for 2 min.  and 5 min. were given  to cats pressurized  at  73 psig  (165  ft.

 sea level).  Under these conditions,  the partial  pressures  in  inspired air

 were 228 mm llg for  H-1301, 866 mm Hg  for 0  , and 3466 mm Hg  for  N .   This

 is equivalent t.o 30% H-1301  at standard atmospheric pressure.
Table LXXXI:  Cardiac  Responses  in Normal  Cats  and  in  Cats  before,  during
              and  after H-1301 exposure  at  165  ft.  sea water  (Greenbaum et  al.,
              1972).                                                     ~
       Group          Rate           PR interval         QRS duration
                      (mean        (mean with range)     (mean with  range)
	with range)	(sec)	(sec)	"_

Normal            145(105-194)    0.08 (0.065-0.09)   0.037  (0.035-0.040)
Control           212(178-272)    0.08(0.06-0.1.2)    0.050(0.04-0.06)
2 min on Fe 1301  212(160-272)    0.08 (0.07-0.12)    0.056  (0.04-0.07)
5 min on Fe 1301  212(160-270)    0.08 (0.06-0.12)    0.060  (0.04-0.08)
1 min on air      212(155-288)    0.09 (0.07-0.12)    0.059  (0.04-0.08)
                                      200

-------
Three of the twelve animals showed abberent ventricular conduction associated

with frequent nodal beats.  This response is reflected in the slight increase

in QRS duration in the average figure given for the 12 cats.  In seven cats,

responses ranged from infrequent premature atrial contraction to frequent

nodal beats.  Two cats did not show any abnormal cardiac activity.  The blood

pressures in 10 of 12 cats fell from a control mean of 160/115 to an exposure

mean of 148/96.  The range was a 10-50 mm Hg drop in blood pressure, which

is quite similar to the hypotension noted by Van Stee and Back (1969) at

comparable concentrations in dogs at standard pressure.

        Halon-1211 shows a response sequence similar  to H-1301 but a lower

concentrations.  Table LXXXII  (Beck e£ al., 1973) .summarizes  the cardiac

responses of dogs to H-1211 and should be compared to the data on  -1301 in

Table LXXX.                                                        :



Table LXXXII: Cardiac Responses of Dogs to H-1211 (Heel: et al., 1973)


    Concentration      Duration     Response

         1%              5 min.     no effect
         2%              5 min.     tachycardia (20%), slight T-wave
                                    depression

         5%             30 min.     tachycardia in all dogs; severe convul-
                                    sion in 1 of 6 dogs followed by several
                                    ventricular ec.topic beats, ventricular
                                    fibrillation and death

         7%           15-30 min.    bursts of marked tachycardia (up to
                                    350%) associated with convulsions



As with R-1301 exposed dogs, the tachycardia ceased in 1-2 minutes after

exposure was discontinued.  Further similarities of H-1211 to H-1301 can be


                                     201

-------
noted in the cardiovascular response.  At concentrations of 17, U-1211, a




slight decrease in systolic blood pressure was noted.  At 5% H-1211, a 10%




decrease in blood pressure, slight T-wave depression, and occasional pulsus




alternans were noted. At 20-30% H-1211, pulsus alternans became more frequent




at ten minutes of exposure and were characterized by alternate strong and weak




ventricular contractions.  As with the other effects, these were reversible on




return to normal air (Beck jet al.., 1973).  Van Stee and Back (1972b) also




report a fall in systolic blood pressure in dogs after exposure to 15% H-1211




for five minutes.






    5.  Cardiac Responses Related to Arrhythmias




        In an attempt to better understand the arrhythmogenin activity oi




the fluorocarbons, various experiments have been conducted in. attempts to




define the cardiopulmonary, hypotensive and negative intropic effects of




these compounds.




        Aviado (1971) has measured the effects of F-ll, F-12, and  F-114 in




dogs on pulmonary resistance and compliance, bronchial smooth muscle,




pulmonary blood vessels and the heart in an attempt to determine if the




cardiopulmonary effects of these propellants could be related to sensory




receptor initiation in the respiratory tract.  Exposure of only the upper




respiratory tract (nose,, pharynx, and larynx) to 200 ml of 50% F-ll resulted




in apnea, bradycardia (-55%), and an initial deerearfe followed by an increase




in aortic blood pressure with no significant changes in pulmonary resistance




or compliance.  Less severe bradycardia (not specified) was induced by F--114




but F-12 did not affect either cardiovascular responses,  lixposure to the




lower respiratory tract of F-1L, F-12, F-114 al closes of .S, 10, 13, and 20
                                     202

-------
puffs (amount released/activation not specified)  from an  aerosol unit

resulted in changes of pulmonary resistance and heart rate  as  indicated

in Figure 33.
      Co *20


      UJ
      h-
      o:
        +10
      LJ
      I
      UJ
      O  0
      I
      o
        -10-
                                                        20 NUMBER OF
                                                          ACTUATIONS
                                                              (3)
                                                      120 NUMBER OF
                                                       1   ACTUATIONS
   Figure  33:  Percent changes in (A)  pulmonary  resistance  and  (B) heart:
               rate following exposure of  various  propellents to  the  lower
               respiratory tract in dogs  (Aviado,  1971).
                                    203

-------
    As in  exposure to  the upper respiratory  tract,  F-12 did not  alter heart rate

    and F-ll resulted  in a  slightly greater  response, than  did F-1.U but in  this

    case causing  tachycardia rather than bradycardia.  The decrease noted in

    pulmonary  resistance for F-ll  was accompanied by a simultaneous increase in

    pulmonary  compliance (maximum  of 27% at  15 puffs) and  a fall in aortic  blood

    pressure (maximum  of -8% at 15 puffs).   Thoracic sympathectomy prevented

     tachycardia  caused by F-ll and F-11A.  In that  blocking of  the beta adrenergic

    receptors with sotalol  does not inhibit  tachycardia,  tachycardia  is attributed

    to the sympathetic afferent fibers.

              Van  Stee and Back (1972a) have studied  tin- mechanism by which H-1301

    lowers blood  pressure  (Van Stee and  Back,  1969;  Greenbaum £t _al., 1972).

    Using  pairs  of male beagle dogs in  cross-perfusion experiments with exposure

    of 70% H-1301, they measured perfusion pressure at constant  perfusion flow as

    a function of vascular  resistance.   The  results are summarized in Table. LXXXI1I

     (Van Stee  and Back, 1972a).


Table LXXXIII: Responses of Dogs  to Exposure of H-1301 (70%) in  Cross-circulation
                 Experiments  (Van Stee and Back, 1972a).
                     '.n.i>lu^ic iict inn un    Ulii-i l n-,spoiine,     Indirect (m-urnj'.-n i - )  i e.;j>on- t-,
                     ular .imooth muscle    donor do^ exposed      , M-ctpiuiit .tin-, exposed
                   • ' i 'T v;i!.ori lat lun
                    A i i t vat Ion of chol I nerjjl c
                    MM-«|itnrn            NII dlr.M.i Affect   rri'trearincnl. nf Hi,'1 vascular bed or
                                                  rtK.lpirnr witli atn-plitf «l|r| not
                                                  alter 111, response i •» fxposun* nf
                                                  recipient to CBrK
                    Ai: Li vat ion of M-adri-n-   No dl i L-CI effect
                    t-r^Ic rec'-ptorn                     Fret ri-atmnnt of HI. wi<;cul.ir l.ud w tn
                                                  propranolol tllil iu.t .ilirr hi. ri~-
                                                  tu oxpixurp of ii'i-inh nt i.. cu,

                   ,L*:-ivtj vasotll Jat i"n      Nn din-'^t lifloi-i   I'n-t • ea? n »?nt .1! Hi. .M...uliii
                    inliibitlun ol thu actl-               plH'noxyb«-nz^mi ne ;; re.illy «l
                    vat Ion ot n-adrenc-rKlf                HL re.spcnst: m c<|-i'sur*- >1
                     rt-cepiors                        to CBrF

                    Inhibition of sytnpatht-  NA*           Preircnlir.t!rit df
}
                    tic postgangUonlc                   liex«net!ionlum abollshoij Hi.
                    activity        '                 lo exposure to n-c ipl^nt to CHrF

                    Increased local con-    No .-ffci-t on IIL   NA
                    centratlou of tUsut-    durinft .-xposuro
                    metabolites or other    nf den^:
                    vasodilator aubHtances
                         rt-ctplpnt hind limh.
                                            204

-------
        To measure the possible effects of ganglionic blockade, nictitating




membrane tension was measured during electrical stimulation of the right




vagosympathetic trunk in anesthetized dogs before, during and after exposure




to 80% H-1301.  A 40% decrease was noted in membrane tension during exposure,




with a recovery period of 30 minutes post exposure.  Further, vagal inhibition




of the heart was significantly decreased.




        These results seem to indicate that while direct alpha-adrenergic




blockage may not be involved in decreased vascular resistance, ganglionic




blockage may be an important factor (Van Stee and Back, 1972a).




        In a similar cross-circulation experiment (Van Stee and Back, 1972b),




H-1211 at 15% has also been shown to decrease peripheral vascular resistance




in dogs.  As with H-1301, this decrease was not associated with the; peripheral




adrenergic receptors.  Lastly, neither H-1301 nor H-1211 have a direct effect




on the peripheral vascular smooth muscle (Van Stee and Back, 1972 a and b).




        Exposing anesthetized dogs to 70% H-1301, Van Stee and Back (1971a)




noted a rise in left ventricular end diastolic pressure as an indication of




reduced myocardial contractility.  This has been subsequently shown to be a




common characteristic of a variety of fluorocarbons.




        Pursuing their initial observation, Van St.ee and Back  (1972b)




demonstrated the negative inotropic effect of H-1301 in beagle dogs by measuring




the maximum rate of ventricular pressure change divided by total pressure




developed [peak dP/dt f P] in exposure tc 50% and 75% H-1301 for five




minutes.  As indicated in Figure 35, a definite dr-t-e-related reduction in




myocardial contractility can be noted.
                                    205

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                60 --
              I
              O
              ". 50 - -
              a.
              •l-
              a.
              •o
              LD
              a.
              2 40
              S
                      0          25          50
                         BTFM NOMINAL CONCENTRATION
 Figure 34:   Decreased Myocardial  Contractility in Dogs after Exposure  to
             50% and 75% H-1301  for  Five  Minutes (Van Stee and Back,  1972b)

        Similar  to arrhythmagenic potencies, H-1211  has  been shown to reduce

myocardial contractility at significantly  lower concentrations.  Beck  and

associates (1973), using a force displacement  transducer,  measured isometric

contractions  at  the apex of the heart in open-chest  spinal rats in exposures

of 5%, 10% and  20%.  The results are given in  Figure 35-
               hO-

             §
             O 30 -(-
             i^
             O
             8
             §20-|-
                                     10         IS
                                CONCENTRATION f - 1211 (%)
Figure 35:   Changes in Isometric  Contraction in Rats During Exposure  to H-1211
                                    (Beck et al., 1973)
                                    206

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Tlit: validity ol continuing the regression  line  on  tin.-  above  graph  is  most




questionable in that Beck and associate^  (1973)  specifically mention  that




concentrations below 5% of E-1211 rarely produced  any  forced reduction.




Azar (1972) has made a similar criticism of  the data presented  in  Figure 34.




        Fluorocarbon -12 has also been  shown to reduce myocardial  contractility




over concentrations of 2-25% in  close-chested cats (Taylor and  Harris,  1972b).




At 25% F-12 in inspired air, F-12 blood levels  in  cats reached  (mean  ±  SE)




9 ± 0.4 mg/100 ml.  Thin concent rat. ion  increased cinl <\ i us i.o I .i r  prt'.sf.iirc*  by




1.6 ± 0.4 mm Hg and lowered arterial pressure I row 135/93  to 10.1/65 mm  lig.




At a left ventricular pressure of 60 mm Hg,  the instantaneous rate of




ventricular pressure developed dropped  from  3369 to.T972 mm  Hg/sec.   The




instantaneous velocity of contractile element shortening  (dP/dt T  32P)




was decreased from 3.5 to 1.9 muscle lengths/sec.




    Fluorocarbon -12 has also been  shown  to  reduce the rate  and the intensity




of force development in rat mycardial tissue In vitro. The  effect is dose-




related and occurs in the presence  or absence of a«i. quate  oxygenation.   This




has been demonstrated by Kilen and  Harris  (1972) using muscle bath prepara-




tions of rat left ventricular papillary muscles anil exposing the baths  to  a




variety of gas mixtures.  The composition  of these g.is mixtures and their




effect on Po. is given in Table  LXXXIV.  No  significant effect  is  noted  on




either pH (mean, 7.53; range 7.46 - 7.67)  or Pco0  (Mean,  10; range 9  -  12).
                                    207

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Table LXXX1V:  Conditions of Exposure of Rat Left Ventricular Papillary
               Muscles in Muscle Bath and the Effect ou Po? (Kilen & Harris, 1972)


                                         %              ml/rain.   min. Hg+
Flow
Condition Code
Control °2~C02
Hypoxia N2~C°2
Nitrogen N2-02-C02
Freon CCl^F^-O-.-CO-
Hypoxia &
Freon*
°2
99%
-
99%
99%
-
co2
1%
1%
1%
1%
1%
N2
-
99%
100%
-
99%
F-12 Rate Po2
54
68
54
68
54
100% 42
68
100%
.8
.8 .
.8
•8
.8
.8
.8
613 ±
36 ±
464 ±
493 ±
32 ±
7
3
18
22
3
   •f after 15 minutes
   * Hypoxia for 30 min. with F-12 added in last 15 minutes reduced Po,
     to 26 ± 1 min Hg.                                                i
   Time-response data for these exposures is given in Figure 36 and indicate

   that  F-12 with adequate oxygenation decreases myocardial contractility more

   rapidly than does hypoxia although the amount of decrease is similar for

   both  conditions at fifteen minutes.
                                       208

-------
                                               •i N2 i IP •/ > CO?
                                               T rncvjm '• \j y r i^u A

                                               -{«•	FREON INTROOUCED

                                                  > HYPOXIA* FHEON
Figure 36:  Effect  of  Exposures to Various Gases in vitro Mycardial
                  Contractility (Kilen and Harris, 1972)
The effect of  Freon  plus  hypoxia is engaging especially in view of the time-

response data  given  in  Figure  36.   F-12 and hypoxia alone have similar effects

at fifteen minutes although mechanisms, in view o*: the differences in oxygen

tension and rapidity of depression, are probably different.  The effects of

F-12 and hypoxia  together seem very much the same whether F-12 is administered

directly with  hypoxia from a well  oxygenated state or after fifteen minutes

of hypoxia alone.  Although no time-response data is available for F-12 or

hypoxia alone  for thirty  minutes,  it might be concluded that the mechanisms
                                  209

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of myocardial depression by  F-12 and hypoxia are not only different  but

also quite independent  of each other.  The linear dose-response relation-

ship of F-12 concentration to  in_ vitro myocardial contractility is

illustrated in Figure 37  for groups  of 4-10 muscles.
          u
          oc
          2
          o
100- -

90- -

80-

70-

60-

'50-

40-

30--

20-

10-

 0
                         n» 10
n  5
                                                    n G
                               -I	1	1 t  I I  |
                               4    6   8  10
                                   LOG FLOW (ml/mm.)
                                        (a)
                                                   20
                                                           40
-
i
z
8
u.
O
Z
OL
h*
Z
IU
1
_t
UJ
UJ
O
UJ
£
u.
0
ul
H
cc
100

90

80

70

60


SO
41)

30
20


10
0

.



.

.






-





                               n = 3  n .=• 3
                                       n-2   n »4
                                                —I"
                                                   20
                   	I	^	 I	

                    40 .   fiO
                                   LOG FLOW (ml/min.)
                                        (b)
Figure 37:  Dose-response curves for the effects of dichlorodifluoromethane
            gas  (F-12) on isometric  developed force in 15 isolated rat
            papillary  muscles (A) and on maximal rate of  isometric force
            development,  dP/dt,  in six of these muscles  (B).   Each point is
            the  mean ± SE of four to ten muscles in A and two  to  five muscles
            in B.   The n  value next to each point is the  number of muscles
            studied at that flow.  The bath concentration of  F-12 at 2.7
            ml/min  is  1.06 ± 11 mg/100 ml and at 42.8 ml/min is 11.35 ± 0.52
            mg/100  ml  (Kilen and Harris, 1972).
                                    210

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    E.  Sensitization - Repeated Doses




        Hypersusceptibility on repeated dosing has not been clearly




demonstrated in any of the fluorocarbon propellants, solvents, or fire




extinguishing agents.  In fact, Yant and coworkers (1932) note that dogs




seem to develop a definite tolerance to repeated exposures to 14.16% F-114.




The animals were exposed for eight hours per day for 21 days.  After three




days, dogs no longer convulsed, tremors were less severe, and they showed a




less pronounced loss of equilibrium and increased alertness during exposure.




After 18 to 20 days, the dogs showed no adverse'- effects to the exposure




after the initial 30 seconds.




        Fluorocarbon-112 did not produce sensitization when applied to the




skin of guinea pigs (Clayton £t ajL., 1964).




        Repeated exposures to F-1211-did not result in increased sensitiza-




tion to epinephrine induced arrhythmias (Beck e£ aJL., .1973).




    F.   Teratogenicity




        There is no information indicating that the fluorocarbons under




review are teratogenic.  In long-term feeding studies of F-12 to rats




(see Section XII, C, Chronic Toxicity), no abnormalities were noted in




fertility, gestation, viability and lactation indices (Sherman, 1974).




Further, pregnant.rats have been intubated with F-12 at levels of 16.6




and 170.9 mg/kg/day from day six to day fifteen of their gestation.  No




effects were noted in embrional development or abnormalities in live




fetuses (Culik, 1973).
                                     211

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    G.   Mutagenicity

         As with  teratogenicity ,  the fluorocarbons have not been  implicated

in mutagenicity .   Sherman  (1974)  has determined the mutation rates in rats

during  a two-year  feeding  study.   The results are summarized in  Table LXXXV.

Sherman (1974)  indicates that mutation  rate increases of less  than +25%

are not significant.
                                      fib
      Table LXXXV.   Effects of Freori^ 12 Administered  Orally  to the Parent
                     Female  and Male Rats on Fertilization,  Implantation and
                     early Development of the Fetuses  - Dominant Lethal Effects
                                    i!-'j'*66 - MH-] •'•'•)

No. of Females Bred
No. of Female:1. Pregnant (Fertility 1nd<-v.l
Nc. of Live Fetuses
No. of Pond Fetuses
No. of Livo Fet.^es/Litti-r
>.:.<.!) No. o." Con-crn l.i:ton
No. of Corpora lutea/Prernnit't Female
No. of Implantation Sites
No. of Iir.plant.-.tlon Sites/Prep. Female
No. a;' Early Kesorptior. ;ttfl£:(>:clduomata}
No. of Ute Re'sorptlon Sitc.-
-•-. • ; Nnnber of Resorptlonr.
Prelmpliiitatlor. I/us (y)
Mutation Kale (''})
^i:'.e'. Ion ll-te Ccmpare-i VI i.c "•.nl.r'vl 1 "• i
•«!utntlot Rat* fonparfd With '.'intrnl Jl (.'i>
I (Control
iy
17 (SfJ.1";)
200
0
11.8
"*<*'
16.,?
.-•5U
lli.Q
V
19
'A
8.051
_ilJ>L._

II (Control)
30
20 (100)
150
0
6.0
• 'T7
1J.9
?51
12.6
102
19
131
9.H
- -^£ 	

Lov. Lovi-1
Frcotf'1 12
PO
13 (Q0>
1(0
0
R.'J
.?• -'
lii. 9
i-,8 '
H. 5
rt?
11
91.'
ii.l*
— ?f—
-"'.<)
HlSll Irwl
Frcori"" 12
19
17 <*<,.',}
178
0
.".Un>larl Vr.lu?:: ( K-i i ;.\f '• I jr
Cli'irli;:, UJ V.T TD) Hat: (]}

•» 







(c] PreijnL'lanta tion loss: ''Number ^f Corpora Liit.^a - N ij-ihor of Tmulantation ::^t.esl ^ ,,-,-,
                            riiml»-r of Coi-p'jr>j hitcu

*'. !'\i'.aMor. r'ite:  Kur^l-?r ^f J^^LAX^^v?;!Qj^tioj;i lii^c-'- > i^ri j-i_omata >  j- j(Jr
                   N'.i-nher of Irr.pJ.in^aMoi. rilor,


      Nt     1CO-, Nwn^r of Live Fetuses/Litter of Control Group
                                               i ••••.
                                                /
                                       212

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     11.   Carcinogenicity
          Fluorocarbon-112  and F-113  at doses  of 0.1 ml  10%  (V/V)  solution
injected subcutaneously in the  neck of  neonatal  mice are not  carcinogenic.
However, when injected in conjunction with a 5%j(V/V)  solution  of  piperonyl
butoxide, hepatomas are induced in  male mice as  indicated  in  Table LXXXVI.
This is  particularly  marked with F-113.
       Table  LXXXVI.   Tumors Induced in  Swiss Mice by  Injection  .of  "Freons"
                                and Piperonyl Butoxide Shortly After  Birth
                  .  .   •                   [from Epstein  tM: aj_. ,  1.967]
                        No. of dice, Hubsoqucntly milojisled,             In KT >n;i :                Mull^nunt lyui|>h:>[aas
                       alive ai the beginning of etch period        N.i. iiuiioi.. i> •• •< !i 	joil        No: tumnrr,  in i:*''. peri-id
   Treatment^Group       S«x         (No. at rink)          No.   n.l * of Nn. of t.   as I of No.  of nl-e at rUk
 Solvent controls        P.     72   68    59   55    48      4     0    0    0    ^      I     0    0    0    2
                   r     69   69    69   68    66      0     0    II    ')    u      000    0    0
 "Fraon" 11    .        M     i5   25    22   21    21      2«    0    d    u   1(1      1     4000
                   F     20   20    20   20    20      0     0000      0     0    :0    0    0
 "Pteon" 112           M     27   27    27   20    17      0     0    0    0   . II      0     0.000
                   r     22   il    21   20    19      0     0000      6     0000
 "Fraon" 113           M     29   39    29   J6    21      1     0    0    ,j    5      0     0000
                   F     21   21    20   20    20      0     0    •!    fi    0    •  !   "  0    0    0    5
 Piperonyl butoxide       M     40   18    35   2.S    10      000    ,'    •>    '  0     0    0    0    0
                   f     36   36    J6   16    36      0     0    •)    il    0      0     0    0    0    D
 "Preon" 112 and piper-    M     30   26    26   14    I]      5     0    0    :   • u      00    0    0    0
  onyl hutoxlda         K     29   29    28   25    24      0     0    II    .>    0      3     0408
 "Freon" 11.1 and piper     M     25   24    24   19    18      3     0    i'    .1   ] .'      0     0000
  onyl butuxldn         K     24   24    24   24    i4      0     0    u    i.    0      10004
    * One of these iiltto had .1 (mlmonarv ^d'Muima.
                                           213

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The  apparent  synergestic  hepatocarcinogenicity  of  these  fluorocarbons with

piperonyl  butoxide  cannot be  explained at  present.   Long before  the tumor*

appeared,  the fluorocarbons should have been eliminated  from  the rats'

bodies.  The  investigators speculate that  piperonyl butoxide  nay interfere

with the metabolism of  these  fluorocarbons (Epstein et al., 1967a).

        The significance  of this  effect ia difficult to  interpret because

of the  lack of follow-up  studies  in other  species  (Tomatis et al.. 1953)

and  other  fluorocarbons.  The results of Epstein and coworkers (1967a),

however, have not been  disputed in the literature  (e.g.. Friedman et al.,

1972; Jaf fe et aj.. ,1969;  Kami ens ki and Murphy,  1971; Redfern  et  aj.., 1971;

Vogel and  Zaldivar, 1971). The increased  susceptibility of males to liver

tumors  is  common for chemical carcinogens  (Roe  and Grant, 1970),  The use of

newborn mice  as experimental  animals in screening  for carcinogenicity is  ,

widely  accepted as  having valid  predictive value  (Epstein ££ al., 1970;  Delia

Porta and  Terracini, 1969; Tomatls et al., 1973) although this acceptance is

not  universal (Grasso and Crampton, 1972).

        On the basis of the study by Epstein and coworkt-rs (J%"/a), "Freons"

have been  listed as chemicals inducing tumors in die liver of mice (Tomutis

.$f .al.,- 1973).  This is misleading.  Only  F-112 ami f-IU have bten tested.

A significant increase  in hepatomas are induced only with piperonyl butoxide.

Piperonyl  butoxide  is a potent inhibitor of microsomal enzyme function
'•-.•«•    .          . -     •      "       ..  • . "           - •        '     '
(detoxification) in insects and is thus a  useful nynergist with  insecticides

greatly reducing the amount of insecticides that are necessary for insect

control (Casida, 1970;  Cooney et  al., 1972)... The  compound is thermally  and

photochemically stable  under  conditions of normal  us<> (Friedman  and Kpstein,  .
                                     214

-------
1970; Fishbein and Gaibel, 1971).  However, the potential hazard posed by




piperonyl butoxide and fluorocarbons has been demonstrated in only the most




preliminary manner.  Fluorocarbons-112 and F-113 are not commonly used in




preparations containing piperonyl butoxide (McCaul, 1971).  While piperonyl




butoxide has been shown to greatly inhibit microsomal enzyme systems in




mice, it is much less potent in rats and man (Conney e_t^ jal., 1972).  Thus,




the most that can be concluded on the basis of current information is that




fluorocarbon propellants may require testing in conjunction with microsomal




inhibitors for potential carcinogenic activity (McCaul, 1971).  If micro-




somal enzyme inhibitors are shown to induce liver tumors with the fluoro-




carbons, this information might lead to a better understanding of fluorocarbon




metabolism.




        The precancerous lung cell changes noted by Good (1974) are dis-




cussed in Section XI, B, Human Toxicity, Occupational Exposure and Normal




Use.
                                     215

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    I.  Behavioral Effects




        Apart from the effects of intoxication and anesthesia as discussed




in previous sections, no behavioral effects have been attributed to these




fluorocarbons in non-human mammals and birds.  The work of Carter and




coworkers (1970b) may be considered an exception.  Exposure to 20-25%




H-1301 significantly decreased the performance o£ trained monkeys.  This




operant behavior was completely disrupted at higher concentrations without




signs of CNS depression or analgesia.
                                     216

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      J.   Possible Synergisms

           The  synergistic  carcinogenic!ty of  F-112 and F-113 have been  noted

 in  Part G, Carcinogenicity.   Epstein  and  coworkers  (1967a and b)  have also

 noted  synergistic toxicity of these compounds  in mice.   Ay indicated  .in Table

 LXXXVII,  mortality  occurred  primarily in  the  first  week and  was  signifi-

 cantly  higher in mice receiving both  piperonyl butoxide  with  F-112 or F-113

 than in those groups receiving F-112  or F-113  alone.
          Table LXXXVII.  Toxicity Indui-ed In Svlaa Mice by Neonatal and Perinatal Subrutan.-ou:. ln|c. Uons uf T-l\l mid F-113
                   Alone and In Ootiib i nat ion wltli a 1Synernlstt, Plpurunyl Dutuxidi- (Pl'.l [Cpsuilii <•( .1]., 19!
Trlcapryllti \.'itly) (tu'lvtMH o'ntni!)

Trlcuprylln (onlv) (control)        -            -      -III) (ID)   I4( m  :.( •/'

'frcon1 II.' (HIS) Jlone          0.1  n.l  I!..'  u.J oil  u.b ml   56 ( 5)   ;( •,:';   .< •> i
'Freon* 112 lltlt) wttli I'll         0.1  n.;  u,.i  d.j ml  ((.(, ml  137 (12)   Vl( l-bl  '.!! I./.

•fritcm1 UJ (105) alone

'Kreon' 113 (10!) with Pn
                                               ii I 4)

                        0.1  II. I  0.2  0.2 ul  (l.u ml   94 ( H)   451 ','fi
0.1 ml of 5?! synvrglRt In trlcaplylln Injecc^iJ un tiayf 1 & 7 anil U.2 oil on day* 14 (, 21; group;.
  drug alone In corresponding volumun of trlcupiylln ut the aaflw InLurvala.
                                                                                  AVf. Uciijlit ',«) of .
                                                                                raU.o at ap"i:if;^d daya
 o  j.:   ft. ^  U. :i
. /  '/•.:.   a.-  : 1. '•


./  -.i   \ii.l  Ib.c
.6  i.)   «.4  14.,'
.»  ..i   -i.a  15.0
 The increases in average weight  gains  in  fluorocarbon  with  piperonyl

 butoxide exposed animals is  not  readily explained  and  is  termed  "anomalous"

 by  Epstein  and  coworkers (1967b).   Preferential male survival was not noted

 and thus is not a factor in  this weight gain.   However,  it  seems probable

 that  in a  given group  of animals administered  toxic compounds,  the  more
                                            217

-------
vigorous animals would survive and this group of survivors might be




expected to show increased weight gain over a control group.  Thus, the




increased weight gain of the fluorocarbon/piperonyl butoxide exposed




group might be an artifact of experimental design.




        The possible potentiating effect of F-22 and F-115 in causing




cardiac arrhythmias by sensitization to exogenous epinephrine has been




discussed  (see Section xil  Part D-l).




        As with the parallel study on the synergistic carcinogenicity of




F-112 and F-113, the above information on synergistic toxicity is quite




limited.  However, the interactions of environment pollutants is an area




of legitimate concern (Cooney and Burns, 1972).  The possibility of such




reactions involving fluorocarbons cannot be ruled out on the basis of their




presumed low level of biological activity and more experimental work in this




field is warranted, particularly in that fluorocarbons are often used or




administered with compounds of known biological activity (McCaul, 1971).
                                     218

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XIII.  TOXICITY TO LOWER ANIMALS




       No information on the toxicity of fluorocarbons to non-mammalian verte-




   brates or any of the Metazoan Phyla has been encountered.









 XIV.  TOXICITY TO PLANTS




       Of the fluorocarbon propellants, solvents, and fire extinguishing agents,




   only F-ll and F-12 have been studied for phytotoxicity.  Taylor (1974) has




   exposed plants to F-ll and F-12 at concentrations of 0.5-1, 10, and 15 ppm




   for two weeks.  No signs of toxicity, impaired growth,or absorption were noted.




       Halothane has been shown to cause metaphase arrest in  the  root  tips Of




   Vicia faba, the European broad bean.  The EDcn ranges from 0.5-0.9%.  Total
   ——— ———                                  5U



   arrest is achieved with 2.0% over 8 hours (Nunn et al., J971).
  XV.  TOXICITY TO MICROORGANISMS




       Similar to its effect  in Vicia  faba  (Nunn et al., 1971), halothane has




   been shown to cause  reversible microtubular disruption at 2% concentration




   over a  7 minute period  in  Actinosphaerium nucleofi Lum, a heliozoan protozoa




   (Allison et al., 1970)  and decrease the bioluminescence of Photobacterium




   phosphoreum at concentrations as low as 0.3% (White and Dundas, 1970).




   The latter effect has also been noted  for F-22 although the potency of this




   fluorocarbon (ED5Q,  37.6%) is much  less  than that  of !:yl.othane  (ED5Q, 0.76%).




   Dose-response data for  these compounds and a number of others screened for




   their effect on bioluminescence are given in Table LXXXVIII.




                                          219

-------
  Table LXXXVIII.  Mean dose-response curves for halottiane (H/VL) , F-22,
                   and a variety of other agents on bioluminescence in
                   Photobacterium phosphoreum (White and Dundas, 1970).
                   reprinted with permission from D.C. White,
                   Copyright 1970, MacMillan Journals Ltd.
The investigators suggest that this may be a simple, inexpensive, sensitive
screening test for determining the potency of compounds with anesthetic
activity and synergistic effects (White and Dundas, 1970).  Ln this respect,
it is interesting to note that F-22  ED5Q of 37.6% is quite close to its
ALC in mice, 40% x 2 hours (see Table L) .    This may wi'1.1 be < -on inc: i done a] .
Halsey and Smith (1970) conducted similar tests in the same bacteria.   The
results obtained for ED.^s in bacteria compare well witli  those of. ADrnS
(dose causing general anesthesia) in mice as summarised in Table LXXX1X.
    Table LXXXIX.  Comparison of the ED__s of bioluminescence  inhibition
                   in bacteria and the AD,_s in Mice for Halothane, F-22
                   and F-12 (from Halsey and Smith, 1970).

              Compound           ^sn                  ^SO
             	     (atmospheres)         (atmospheres)
             Halothane     0.0081 ± 0.0001        0.0086
             F-22          0.209 ± 0.004          0.16 i 0.05
             F-12          0.50 ± 0.01            0.40 ± 0.06
                                       220

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The comparative potencies of F-22 and F-12 compare well with those of the




toxic effects described in mammals (see Section XII  , Mammalian Toxicity).




Halsey and Smith (1970) further note that site of action in these compounds




is probably hydrophobic in that potencies correlate better with oil/gas




partition coefficients than with hydrate dissociation pressures.









    Stephens and coworkers (1970) have proposed a somewhat different system




for assessing the biological effects of various gases.  They have exposed




Neurospora crassa - the common bread mold- to a variety of compounds including




F-12 and observed for changes in conidia formation, perithecLa production,




and mutagenicity.  Exposures to gas mixture (in oxygen) w.-trt1 30 ml/minute




for 10 minutes - to evacuate air - to innoculations ot five-day old micro-




conidia of opposite mating types.  The cultures were then incubated in,a




specified gas atmosphere for 21 days.  Phenotypically, F-12 at concentrations




of 50%, 75%, and 100% resulted in light white conidia 48 hours after exposure.




Normal conidia are heavy pink and 100% oxygen control;, caused light pink conidia.




Perithecial formation was not inhibited during any of t'lu: exposures to F-12.




However, exposure to 75% F-12 resulted in a mutation rate of 0.33% and




50% F-12 in a rate of 1.42%.  The normal mutation rato.-; for this species is




0.066% to 0.28% and the control rate was 0.13% with no imitations noted in




the 100% oxygen control.  Because mutation rates had to 'ie determined on the




basis of crosses producing ripe ascospores, only the 50% F-12 exposure shows




significant mutagenic activity.  The same species exposed to F-23 for 18 hr.




at 4°C produced 4.7% yellow, cauliflower, colonial mut.-mts.  No mutants were




noted in air or oxygen controls.  As Stephens and coworkers (1970) indicate,
                                       221

-------
this type of testing is rather new and its significance to other areas of




fluorocarbon toxicity cannot yet be defined.




    The comparative toxicity of F-12 and F-142b have been determined in




liquid and vapor states for a variety of microorganisms (Prior et_ jd. , 1970).




Of the eighteen species tested, seven species grew as well in contact with




gaseous F-12 or F-142b as in their absence (different groups for each fluoro-




carbon).   In no instances were substantial growth reductions noted..  However,





in the liquid state both F-12 and F-l42b substantially reduced cell viability




in all cultures tested.  Because agitation is required to induce the toxic




effects,  Prior and coworkers (197) conclude that there, is probably some




interaction between the compounds and the lipids in the microorganisms and




cite a study which attributes the toxic effect of F-ll on Pseudomonas striata




to its strong lipophilic characteristics (Lie, 1966).  This is in agreement with




mammalian studies which indicate binding with the lipid portions of membrane




systems as a mechanism of biological activity.




    Reed and Dychdala (1964) have exposed three bacteria and two fungi to a




mixture of F-12 and F-114 (40/60)  The bacteria were incubated for 48 hours




and growth determined by visual examination.  Two aerobic species - Pseudomonas




aeruginosa and Staphylocuccus aureus - were not affected.  However, Streplococcus




agalactiae (anaerobic) , Aspergillus niger , and Pae.cilomyces var Loti  failed to




grow.  The investigators did not attribute this to fluorocarbon  toxicity.




Rather, they reasoned that  the anerobe was denied sufficient CO^ and the




aerobic fungi denied sufficient oxygen by the addition of the propellunt




(displacement) or the formation of a stratified layer of fluorocarbons between




the culture media and the air in the container.
                                        222

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XVI.   CURRENT REGULATION




      Regulations at all levels of government are currently under review and




  evaluation (Hanavanv  1974).  With the exception ol FUA regulations on the




  use of F-12, F-1J.5, and C-318 (octa-fluorocyclobutane) ,  regulations of any




  type (federal, state, county, foreign, etc.) have not been encountered.




      Fluorocarbon-12 has been approved as a food additive provided that it




  is  99.97% pure and that it is used only as a direct-contact freezing agent




  for foods.  The container must be labelled "dichlorodifluoromethane,"




  designated as food grade and contain instructions for use (Federal Register,




  1967).  Fluorocarbon-115 may also be used as a food additive provided that




  it is 99.97% pure and contains less than 10 ppm unsaturated fluorocarbons




  and 200 ppm saturated fluorocarbons.  It may be used w:i th carbon dioxide,




  nitrous oxide, propane and/or C-318 as a propellant and aerating agent for




  most sprayed or foamed foods.  The label must contain the name chloropenta-




  fluoroethane, specify the percentage of a mixture, be designated food grade,




  and contain proper instructions for use (Federal Register, 1965).  Similar




  approval has been given to C-318 except that the purity must be 99.99% and




  contain less than 0.1 ppm fluoroolefins calculated as perfluoroisobutylene




  (Federal Register, 1965).




      The DuPont de Nemours and Company's Corpus Christ! plant in Ingleside,




  Texas, has requested and been granted exemption of the following fluorocarbons




  from Regulation V under the Texas Clean Air Act  (Borden. 1973): F-ll, F-L2,




  F-13, F-14, F-21, F-22, F-23, F-113, F-114, F-135. and F-116.
                                         223

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       Because they are shipped in pressurized containers, f luorocarbons must

   be shipped in containers meeting ICC requirements for compressed gases

   (DuPont, 1973).
XVII.  CONSENSUS AND SIMILAR STANDARDS

       Two standards are commonly employed in classifying exposure limits to the

   f luorocarbons: these are Threshold Limit Values (TLVs) and the Underwriters'

   Laboratories Classification.  TLV's are assigned by the American Conference

   of Governmental Industrial Hygienists.  Most of the current values were

   assigned in 1968, but periodic updates are made if warranted by new informa-

   tion.    The values, usually expressed in parts per million, represent the

   maximum concentration that should be present in the working environment.   In

   cases where toxicological information would indicate high acceptable con-

   centration, these values are based on good manufacturing practice.  Concentrations

   higher than 1000 ppm foi; any compound being used indicate poor production

   or handling technique and thus this concentration is the upper limit of

   acceptability.  The definitions by the Underwriters' Laboratories in their

   classification are given in Table XC.
           Table XC.  Underwriters' Laboratories Comparative Toxicity
                      Classification of Refrigerants (Underwriter's
                               Laboratories, 1971a)

Toxicity
Group
1
2
3
4
5
6

Concentration Per
Cent by Volume
% to 1
h to 1
2 to 2h
2 to 2h
Duration of Exposure to
Produce Death or Serious
Injury to Test Animals
5 minutes
•<• hour
1 hour
2 hours
Intermediate between Groups 4 and 6
20 No injury after 2 hours
                                          224

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The Underwriters' Laboratories Classification and TLVs for the various fluoro-

carbons under consideration in this review .are given in Table XCI.
       Table XCI. TLVs and Underwriters' Laboratories Classification for
                           Various Fluorocarbons.
   Compound
Code
Threshold Limit
   Value1
ca3F
ca2F2
f1 ' f* 0 TT
\*t\^fv p 'j
CF,
fMl ^ n r TJ*
CHC.F2
or^OrtT*1 r^^Ortir
^>\jJvy J:^\>vvX/y i
CC£ 3-CC«.F2
CCJiF2-CC;t2F
CC.iiF2-CC5,F2
CC«.F2-CF3
CCX,F2Br
CF3Br
CBrF2-CBrF2
F-ll
F-12
F-13
F-14
F-21
F-22
F-112
F-112a
F-113
F-ll 4
F-115
H-1211
11-1301
H-2402
1000*
1000
(1000)*
(1000)*
1000
(1000)
500
500
1000
1000


1000

Underwriters' Laboratories
    Classification2	

            5

            6

            6
            6
                                                              4-5

                                                              5
                                                              4-5.
                                                              6
                                                              6


                                                              ,-+
           A.C.G.I.H., 1973; * Clayton, 1970

           Underwriters' Laboratories, 1971a; + Underwriters' Laboratories,
                                                1971b
                                        225

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XVIII.  Fluorocarbons: Summary and Conclusions




        The fluoromethanes and fluoroethanes are widely used as aerosol propellants,




    solvents, fire exiinguishing agents, and refrigerant gases.  Current world




    production is probably approaching two billion pounds per year with an annual




    growth potential of approximately 6-8 percent.  About half of the production




    {and use is currently centered in the United States.  The commercial success




    and continued growth rate of these fluorocarbons are predicated largely on the




    suitability of their physiochemical properties to the above uses and their




    relatively low level of demonstrated toxicity.  As a result of their commercial




    success and use patterns, these fluorocarbons are and will continue to be




    ubiquitous atmospheric contaminants with average concentrations (v/v)  in the




    low (2-15) ppb range and peak concentrations in low (20-30) ppja range are




    projected for the next half century.  Adverse biological effects from exposure to




    such levels cannot be demonstrated from the available toxicity data.  However,




    fluorocarbons are not biologically inert and the effects of long-term low-level




    continuous exposures have not been extensively characterized.




        This study concluded that in 1972 approximately 711 x 10  Ibs of the 900 x




    10  Ibs produced in the United States was released to the environment.  Global




    release is perhaps twice that figure.  Of the fluorocarbons under study, F-12,.



    •F-ll, and F-22 constitute more than 75% of the total market and present the




    major sources of fluorocarbon environmental contamination.  Fluorocarbon-11




    and F-12 have already been monitored at background levels in the 100-500 ppt




    range.  This monitoring data supports the fact that the fluorocarbons are




    extremely persistant, based upon what is known about the physical, chemical




    and biological stability of the C-F bond and some experimental evidence.
                                            226

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Fluorocarbon use patterns suggest increasing concentrations going from the


background environment, to urban areas, to human dwellings.  This pattern is


also supported by monitoring data indicating fluorocarbon concentrations in


homes may vary in the 200ppt-500,000 ppt range, the wide fluctuations


reflecting the sporatic use of aerosols and leaks from refrigerant applications.


    The potential hazards posed by the large scale atmospheric release of


fluorocarbons can be anthropocentrically divided into two general classes:


direct hazard to man through exposure to comparatively high concentrations


found in the home or peak concentrations in urban areas: or indirect hazard


to man due to adverse effects from long-term low-level exposure to man or other


ecologically important species.  It must be emphasized that the maximum peak


concentrations of total fluorocarbons will probably not exceed 20 ppm and


the maximum background concentrations will probably not exceed 15 ppb.   There
                                                         f

is absolutely no direct evidence that such levels are in any way detrimental


to any living systems.  However, the effect  of long-term, low-level, continuous


exposure to f luorocarbons is virtually unexplored.  The.- effect  of f luorocarbons


on non-mammalian species has also received very little study.  Lastly, the


pharmacology and toxicology of these compounds has only recently generated


intense investigation and these investigations are leading to an extensive


reevaluation of fluorocarbon biological activity.  Thus, the type, rather than


the amount of toxicity data available prevents the characterization of


fluorocarbons as environmentally innocuous.


    Given the lack of direct evidence that f luorocarbons way be. harmful ai


environmentally probable concentrations and the inappropriateness of most
                                       227

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current toxicity data in evaluating environmental hazard, r.ertain facets of

  o
fluorocarbon toxicology suggest the need for further definition.   When fluoro-


carbons were first introduced as aerosol propellants, they were considered


biologically inert.  Subsequent investigations, however, revealed a broad


spectrum of cardiovascular effects.  That fluorocarbons may have other


unrecognized biological effects cannot be ruled out.  Up until quite recently,


the stability of the C-F bond was thought to preclude metabolism.  However,


there is now a reasonable indication that F-12 is slightly metabolized after


a relatively short exposure.  If F-12 is metabolized, then F-11 may also be


metabolized.  The rates of metabolism and the significance of this metabolism


at environmental concentrations are unknown.  Lastly, only two continuous


chronic exposures have been conducted with fluorocarbons (see p. 151).  One


study clearly indicated liver damage in guinea pigs at a concentration


(810 ppm) usually considered innocuous.  While not suggesting that such


damage is typical of fluorocarbon exposure at environmentally probable concen-


trations, the inadequacies of predicting long-term effects on the basis of


short-term exposures is apparent.


    An additional factor which requires further investigation is that


fluorocarbons may migrate to the upper atmosphere and reduce the ozone layer


(chlorine atom released from the fluorocarbon would react with ozone), thus


allowing high energy ultraviolet irradiation to reach the earth's surface.


Reductions in the ozone layer have been correlated with  increases in  skin


cancer.  Since this possible effect has only recently been reported  (see


Anon., 1974d and 1974e; Cicerone _et_ _al. , 1974), a detailed description of  the


effect is not included in the text of this report.  Reference should  be made
                                       228

-------
to the cited papers.  This possible affect is under investigation and may prove




to be the greatest: environmental hazard from commercial use of fluorocarbons.




However, presently, no monitoring of fluorocarbons in the upper atmosphere has




been reported and the relative importance of fluorocarbons in terms of




catalyzing ozone decomposition is unknown.




    Thus, considering the projected levels of fluorocarbon contamination




along with what  is  known of  their biological effects, fluorocarbons do  not




seem to present  anything approaching an imminent  environmental threat.




The levels projected in this study are not likely to be exceeded, and,




depending upon the economics and availability of raw materials (e.g. Cal*' -




fluorspar), the actual levels may be much lower.  Fluorocarbon toxicology




is currently being investigated by a number of research groups and - j^iven the




use of fluorocarbons in pharmaceutical preparations, ihe potential for abusive




inhalation, and  the vague possibility of occupational hazard - such research




will probably continue for many years.  However,  the data of Cicerone et al.



(1974) sugge.st that the possibility of fluorocarbons catalyzing ozone




destruction should be resolved relatively soon before the rate of ozone




destruction by natural sinks is exceeded.
                                        229

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ACGIH (1973), TLVs;Threshold Limit Values for Chemical Substances and Physical
     Agents in the Workroom Environment with Intended Changes for 1973
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Allen and Hanburys Ltd., (1971), "An Investigation of Possible Cardio-toxic
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Allied Chemical  (no date), "Genetron - Super-Dry Refrigerants".

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Anon. (1958), "Atmosphere" in Van Nostrand's Scientific Encyclopedia
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Anon. (1974a), "Industry and Business", Chem. Eng. News, Feb. 11, 1974, p. 8.

Anon. (1974b), "Fluorocarbon Shortage Easing But Future Hinges on DuPont",
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Archer, V.E. (1974), U.S. Dept. H.E.W., Center for Disease Control, NIOSH,
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ASHRAE  (1972a), "Refrigerants", in Handbook of Fundamentals, Chapt. 14, Amer.
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ASHRAE  (1972b), "Factory Dehydrating, Charging, and Testing", 1972 Guide and
     Data Book, Chapt. 22, p. 248, Amer. Soc. Heating, Refrigerating, Air
     Conditioning Engineers, New York

ASHRAE  (1973), "Engineered Refrigeration Systems  (Industrial and Commercial)"
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     and Air Conditioning Engineers, New York.
                                        230

-------
Aviado, D.M. (1971), "Cardiopulmonary Effects of Fluorocarbon Compounds",
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Azar, A. (1972), "Comments on paper presented by Van Sfce am1 Rack  'The Negative
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Azar, A., Trochimowicz, H.J., Terrill, J.B. and Mullin, L.S.  (1973),  "Blood
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Azar, A., Zapp, J.A., Reinhardt, C.F., and Stopps, G.J. (1971), "Cardiac
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Back, K.C. and Van Stee, E.W. (1972), "Cardiovascular arid Nervous System
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Bohac, S.  (1968), "Conductometric Testing and Corrosion Study  of Nonanhydrous
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Bucholz, S.B., and Pigott, G.M.  (1972), "Immersion Frviv.ing of Fish in
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                                       231

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Call, D. W. (1972), "Human and Rat Exposures to Halon 1301 Under Hypobaric
     Conditions", in Appraisal Halogenated Fire Extinguishing Agents, Proc.
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Cascorbi, H.F. and Singh-Amaranath, A.V. (1972), "Fluoxene Toxicity in Mice",
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Chemical Marketing Reporter  (1974a),  "Aerosols Outlook", May  13, 1974, p.  27.

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Chemical Marketing Reporter  (1973), "Chemical Profile-Fluorocarbons", January 1,
     1973.

Chiou, W.L. and Niazi, S.  (1973), "A Simple and Ultra-sensitive Head-space
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Cicerone, R.J.,  e± _al.  (1974), Stodarski, R.S., and Walters,  S., "Stratospheric
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Clark, D.G. (1970), unpublished report  summarized in Reinhardt and  Reinke,  1972.

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     p. 60.

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                                        232

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Clark, D.G. and Tlnston, D.J.  (1972b),"Cardiac Effects of Isoproterenol,
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     Fluorine", Ilandbuch Exp. Pharmakol., 20, 459.

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     Green, Inc., St. Louis, Mo.) p. 199.

Clayton, Jr.,  J.W., Sherman, H., Morrison, S.D., Barnes, J.R. and Hood, D.B.
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     6>, 342.

Clayton, J.W., Hood, D.B., Nick, M.S., and Waritz, R.S.  (1966), "Inhalation
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demons, C.A.  and Altshuller, A.P.  (1966), "Responses of Electron-Capture
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                                                                     i
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     2, 84.

Colten, S.L.,  Lin, F.S., Tsao, T.C., Stern, S.A. and Bardulm, A.J. (1972),
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     Research and Development Rept. No. 753.

Conney, A.H. and Burns, J.J. (1972), "Metabolic Interactions Among Environmental
     Chemicals and Drugs", Science, 178, 576.

Conney, A.H.,  Chang, R., Levin, W.M., Garbut, A., Munro-Faure, A.D., Peck, A.W.
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Cox, P.J., King, L.J. and Parke, D.V. (1972a), "A Study of the Possible
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Cox, P.J., King, L.J., and Parke, D.V. (1972b), "A Comparison of the Inter-
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Crooke, S.T. (1972), "Solvent Inhalation", Texas Med., 68, 67.
                                       233

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Culik, R. (1973), "Teratogenic Study in Rats with Diclilorodifluoromethane
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Delia Porta, G. and Terracini, B. (1969), "Chemical Carcinogenesis in Infant
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Desoille, H., Truffert, L., Girard-Wallon, C., Ripault, J. and Philbert, M.
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Dollery, C.T., Draffan, G.H., Davii--.s, D.S., Williams, K.M. and Conailv, M.1J.
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     Phys., _58, 3708.                                   .     :               <&

Doucet, J., Sauvageau, P. and Sandorfy, C. (1974), "The Photoelectron and Far-
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Du Pont de Nemours and Co. (1973), "Interstate Commerce Commission Regulations
     and Containers for 'Freon' Fluorocarbons", iiuli. u-75.
                                       234

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Du Pont de Nemours and Co. (1971), "Toxicology of Du Pont. FE 1301 Fire
     Extinguishant", Tech. Bull. S-35A.

Du Pont de Nemours and Co. (no date, a), "Physical Properties of Freon
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                                       245

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                                        246

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                                   TECHNICAL REPORT DATA
                            (Please read Inunctions on the reverse before completing)
  REPORT NO.
  EPA-560/2-75-003
                                                           3. RECIPIENT'S ACCESSIOWNO.
4. TITLE AND SUBTITLE
  Environmental Hazard Assessment of One and Two Carbon
  Fluorocarbons
                                                           5. REPORT DATE
                Sopl
             ,. PERFO'R
                    tomhor 1Q7A
MINQ ORGANIZATION CODE
 . AUTHOR(S)
  P.H. Howard, P.R. Durkln,  A.  Hanchett
             8. PERFORMING ORGANIZATION REPORT NO.

              SURC TR-74-572.1
                                                           10. PROGRAM ELEMENT NO.
9. PERFORMING ORGANIZATION NAME AND ADDRESS
  t,
  Life Sciences Division
  Syracuse University Research Corporation
  Merrill Lane, University Heights
  Syracuse, New York 13210	
             11. CbNTRACf/'dRANt NO.

               EPA  68-01-2202
12. SPONSORING AGENCY NAME AND ADDRESS
  Office of Toxic Substances
  U.S.  Environmental Protection Agency
  Washington, D.C.  20460
             13. TYPE OF REPORT AND PERIOD COVERED

               Final Torhn-t oa1 Ronnrt-	
             14. SPONSORING AGENCY CODE
15. SUPPLEMENTARY NOTES
16. ABSTRACT
         This report reviews the potential environmental hazard from the commercial
  use of large -quantities  of saturated, one and  two  carbon fluorocarbon compounds
  which are used for the most part as aerosol propellants, refrigerants, solvents,
  foaming agents, and fire extinguishing agents.  The  following seven compounds
  were of major interests  trichlorofluoromethane, dichlorodifluoromethane,
  chlorodifluoromethane, trichlorotrifluoroethane, dichlorotetrafluoroethane,
  chloropenfeflfluoroethane,  and bromotrifluoromethane.   Information on physical
  and chemical properties,  production methods and quantities, commercial uses and
  factors affecting environmental contamination  as well as information related to
  health and biological effects are reviewed.
17.
                                KEY WORDS AND DOCUMENT ANALYSIS
                  DESCRIPTORS
                                              b.lDbNTIFIERS/OPEN ENDED TERMS
                           c. COSATI Held/Group
 Fluorocarbons, chlorofluorocarbons,
 fluorine organic compounds,  dichloro-
 difluoromethane, chlorotrifluoromethane,
 Freons,  toxicology, chemical properties,
 pollution,  production, utilization.
  Pollution
  Environmental exposure
  Environmental effects
  Aerosol propellants
  Refrigerants
18. DISTRIBUTION STATEMENT
 Document is  available to public through
 the National Technical Information Service,
 Springfield. Virgin-la 221 51
19. SECURITY CLASS (This Report)
  Unclassified
       21. NO. OF PAGES
           246
20. SECURITY CLASS (This page)
  Unclassified
                           22. PRICE
EPA form 2220-1 (1-73)

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