Interagency Review Draft Document. Do Not Release or Distribute. xvEPA United States Office of Chemical Safety and Environmental Protection Agency Pollution Prevention Risk Evaluation for 1-Bromopropane (w-Propyl Bromide) CASRN: 106-94-5 Systematic Review Supplemental File: Data Quality Evaluation of Human Health Hazard Studies - Epidemiologic Studies My 2019, DRAFT ------- Interagency Review Draft Document. Do Not Release or Distribute. Table of Contents 1.1. Epidemiologic evaluation results of Ichihara et al. (2004); l-BP_control workers_distal latency-Neurological/Behavior; HERO ID: 1519100 1 1.2. Epidemiologic evaluation results of Li et al. (2010); 1-BP Factories in China_cumulative exposure_neurobehavioral test-Neurological/Behavior; HERO ID: 1519103 5 1.3. Epidemiologic evaluation results of Toraason et al. (2006); Cross- sectional_Occupational_NC_NIOSH_cohort_l-BP_DNAdamage; HERO ID: 3974874 11 ------- Study Citation: Data Type: HERO ID: G. Ichihara, W. Li, E. Shibata, X. Ding, H. Wang, Y. Liang, S. Peng, S. Itohara, M. Kamijima, Q. Fan, Y. Zhang, E. Zhong, X. Wu, W. M. Valentine, Y. Takeuchi (2004). Neurologic abnormalities in workers of a 1-bromopropane factory Environmental Health Perspectives, 112(13,13), 1319-1325 Jiangsu 1 -BP control workers distal latency-Neurological/Behavior 1519100 Domain Metric Rating^ MWF* Score ('aminciil sTT Domain 1: Study Participation Metric 1: Participant selection Metric 2: Attrition Metric 3: Comparison Group High x 0.4 0.4 High x 0.4 0.4 High x 0.2 0.2 Participants were female workers in 1-bromopropane (1-BP) production facilities in the Jiangsu Province of China. The 1-BP production process and inclu- sion/exclusion criteria were described in detail. Sur- vey was conducted in 2001. There was minimal attrition in the analysis sample. Four workers were excluded from some analyses due to inability to find age-matched controls. Unexposed controls were age-matched and selected randomly from a cohort of female workers in a beer factory in the same city, with participants living in the same area. These workers were recruited dur- ing the same time frame. For neurobehavioral test- ing outcome analysis, both age and education were matched for controls. Domain 2: Exposure Characterization Metric 4: Measurement of Exposure High x 0.4 Metric 5: Exposure levels Metric 6: Temporality Medium x 0.2 Medium x 0.4 0.4 Exposure to 1-BP was measured during an 8-hour work shift with a passive sampler (Sibata Scientific Technology Ltd., Tokyo, Japan) attached to each worker. The sampler was stored at 4 degrees C, and then analyzed using GC-MS (GCD system G1800A, Hewlett Packard). This represents a well-established method using a direct measurement of exposure. 0.4 The study evaluated both exposed workers at a 1- BP production facility and unexposed workers at a nearby facility. In addition, they also looked at lev- els of exposure and length of employment within the 1-BP factory workers. Exposure estimates for TWA for 8-hr shifts ranged from 0-49.19 ppm. 0.8 In this cross sectional study, the electrophysiological and neurobehavioral outcomes were assessed at the same time as sampling. Exposed workers had been at the factory for 27 +/- 31 months. Unclear if that temporality of outcome and exposure is appropriate. Domain 3: Outcome Assessment Continued on next page ------- . continued from previous page Study Citation: Data Type: HERO ID: G. Ichihara, W. Li, E. Shibata, X. Ding, H. Wang, Y. Liang, S. Peng, S. Itohara, M. Kamijima, Q. Fan, Y. Zhang, E. Zhong, X. Wu, W. M. Valentine, Y. Takeuchi (2004). Neurologic abnormalities in workers of a 1-bromopropane factory Environmental Health Perspectives, 112(13,13), 1319-1325 Jiangsu 1 -BP control workers distal latency-Neurological/Behavior 1519100 Domain Metric Rating^ MWF* Score Comments^ Metric 7: Outcome measurement or characterization Medium x 0.667 1.33 Metric 8: Reporting Bias Low x 0.333 1.0 Vibration sensation examinations were conducted by one trained neurologist. Electrophysiological out- comes included distal latency and nerve conduction velocity. These measurements were recorded using a Neuropack evoked potential/electromyogram mea- surement system (model MEB5508; Nihon Kohden, Co., Tokyo, Japan). For neurobehavioral testing, the WHO sponsored Neurobehavioral Core Test Bat- tery was used as well as the Profile of Mood States (POMS) questionnaire. A Gravicorder GS-30 sta- bilometer (Anima Co., Tokyo, Japan) was used to measure postural balance and sway. Blinding is not discussed for both the vibration sensation assess- ments and the neurobehavioral testing, which may introduce bias into some results. Some of the clinical chemistry results are discussed, but not reported in a fashion that could be included in meta-analyses. Other results include full tabula- tion, including the number of pairs in the compari- son. Domain 4: Potential Counfounding/Variable Control Metric 9: Covariate Adjustment Medium x 0.5 Metric 10: Covariate Characterization Medium x 0.25 0.5 Control workers were age-matched, and in the neurobehavioral analyses workers were age- and education-matched. The study authors state that only one worker from each group was an alcohol drinker, and none of the workers were smokers or had diabetes. All workers were female. Length of em- ployment differed strongly between the exposed (27 + /- 31 months) and unexposed (168 +/- 67 month), but was not adjusted for in the analysis.. There was no discussion of covariate collection, but it is assumed that this was conducted during the medical examination. There is no evidence to sug- gest this is an invalid method. Continued on next page ------- .. . continued from previous page Study Citation: G. Ichihara, W. Li, E. Shibata, X. Ding, H. Wang, Y. Liang, S. Peng, S. Itohara, M. Kamijima, Q. Fan, Y. Zhang, E. Zhong, X. Wu, W. M. Valentine, Y. Takeuchi (2004). Neurologic abnormalities in workers of a 1-bromopropane factory Environmental Health Perspectives, 112(13,13), 1319-1325 Data Type: Jiangsu 1-BP control workers distal latency-Neurological/Behavior HERO ID: 1519100 Domain Metric Rating^ MWF* Score Comments^ Metric 11: Co-exposure Confounding Medium x 0.25 0.5 The study authors state that 1-BP was the only substance produced at the factory at the time of the survey. The factory produced exclusively 2-BP prior to 1996, when 1-BP production started there. In 1999, the facility stopped all 2-BP production. Some workers may have been exposed to both, but this was addressed with a subsample of workers that were hired after the switch was made (1999). Four control workers reported prior exposure to other sub- stances including ammonia and formalin. This is not expected to appreciably bias the results. Domain 5: Analysis Metric 12 Study Design and Methods Medium x 0.4 0.8 This study looks cross-sectionally at the prevalence of neurobehavioral deficits in two populations of workers (exposed/unexposed). Metric 13 Statistical power Medium x 0.2 0.4 There were sufficient number of pairs to detect an effect of 1-BP in the exposed population. Metric 14 Reproducibility of analyses Medium x 0.2 0.4 Outpoints for length of employment and exposure level were described. Other details on the analysis were described in so that it could be reproduced. Metric 15 Statistical models Medium x 0.2 0.4 The choice of statistical tests to compare means was transparent. A t-test was applied for continuous variables, while the Wilcoxon and Fisher's test were used for menstruation outcome comparisons. Domain 6: Other Considerations for Biomarker Selection and Measurement Metric 16 Use of Biomarker of Exposure NA NA Metric 17 Effect biomarker NA NA Metric 18 Method Sensitivity NA NA Metric 19 Biomarker stability NA NA Metric 20 Sample contamination NA NA Metric 21 Method requirements NA NA Metric 22 Matrix adjustment NA NA Overall Quality Determination1" Medium 1.8 Extracted Yes Continued on next page ------- . continued from previous page Study Citation: G. Ichihara, W. Li, E. Shibata, X. Ding, H. Wang, Y. Liang, S. Peng, S. Itohara, M. Kamijima, Q. Fan, Y. Zhang, E. Zhong, X. Wu, W. M. Valentine, Y. Takeuchi (2004). Neurologic abnormalities in workers of a 1-bromopropane factory Environmental Health Perspectives, 112(13,13), 1319-1325 Data Type: Jiangsu_l-BP_control workers_distal latency-Neurological/Behavior HERO ID: 1519100 Domain Metric Rating^ MWF* Score Comments^ MWF = Metric Weighting Factor High = 1; Medium = 2; Low = 3; Unacceptable = 4; N/A has no value. The overall rating is calculated as necessary. EPA may not always provide a comment for a metric that has been categorized as High. 4 if any metric is Unacceptable Overall rating = J]. (Metric Score; x MWF;) / ]T\ MWF3 (round to the nearest tenth) otherwise where High => 1 to < 1.7; Medium => 1.7 to < 2.3; Low => 2.3 to < 3.0. If the reviewer determines that the overall rating needs adjustment, the original rating is crossed out and an arrow points to the new rating, ft This metric met the criteria for high confidence as expected for this type of study ------- Study Citation: Data Type: HERO ID: Li, W.,Shibata, E.,Zhou, Z.,Ichihara, S.,Wang, H.,Wang, Q.,Li, J.,Zhang, L.,Wakai, K.,Takeuchi, Y.,Ding, X.,Ichihara, G. (2010). Dose- dependent neurologic abnormalities in workers exposed to 1-bromopropane Journal of Occupational and Environmental Medicine, 52(8), 769-777 1-BP Factories in China_cumulative exposure_neurobehavioral test-Neurological/Behavior 1519103 Domain Metric Rating^ MWF* Score Comments^ Domain 1: Study Participation Metric 1: Participant selection Low x 0.4 Metric 2: Attrition Medium x 0.4 1.2 Authors report that 87 female and 29 male workers at 3 1-BP factories (in Yixing city, Jiangsu Province in 2001 and 2004; in Yancheng city, Jiangsu Province in 2003; and in Weifang city, Shandong Province in 2005) were included in this study. It is not reported why these provinces or factories were selected, or if they are the only three factories of their kind. Sex- , age- (within 3 years), and region-matched control workers were randomly recruited from a beer fac- tory in 2001, a refrigeration equipment factory in 2003, a knitting workshop in 2004, and a steel opera- tion factory in 2005, but the authors do not describe why these specific locations were selected. The au- thors did not describe the recruitment process, and it is not clear whether the same workers included in the Ichihara et al 2004 study were recruited for this study. 0.8 The study explained that only the data of 60 female and 26 male exposed workers (out of 87 female work- ers and 29 male workers) could be used in the anal- ysis because: data of 6 other females examined in 2001 could not be used because the period of expo- sure was <1 month; data of other females examined in 2001 and one male worker in Yancheng in 2003 could not be used because the period of exposure or exposure level was unknown; and age-matched con- trols could not be recruited for one male worker in Yixing in 2003, one female worker in Yixing in 2004, and 4 females and 1 male in Weifang in 2005. Continued on next page ------- . continued from previous page Study Citation: Data Type: HERO ID: Li, W.,Shibata, E.,Zhou, Z.,Ichihara, S.,Wang, H.,Wang, Q.,Li, J.,Zhang, L.,Wakai, K.,Takeuchi, Y.,Ding, X.,Ichihara, G. (2010). Dose- dependent neurologic abnormalities in workers exposed to 1-bromopropane Journal of Occupational and Environmental Medicine, 52(8), 769-777 1-BP Factories in China_cumulative exposure_neurobehavioral test-Neurological/Behavior 1519103 Domain Metric Rating^ MWF* Score Comments^ Metric 3: Comparison Group Low X 0.2 0.6 Control workers were randomly selected from a beer factory in 2001, a refrigeration equipment factory in 2003, a knitting workshop in 2004, and a steel op- eration factory in 2005. The controls were matched based on sex, age (within 3 years), and region. Fur- ther differences were considered in the statistical analysis including alcohol consumption and height and body weight. However, minimal details were provided on selection methods for the participants or why different factories were used for the different years. A table of characteristics was provided, but only included a few parameters. Therefore, there is only indirect evidence that the groups were similar. . Ambient exposure levels varied by job and by plant and were collected in different years for each plant. For example, the ambient concentrations of a€ceraw product collectiona€ were more than 3 times higher at the Yancheng plant (analyzed in 2003) than at the Yixing plant. Exposure was measured only once for some of the female employees over 8- or 12-hour work shifts but TWA exposure concentrations to 1- BP were reported. TWAs were used to assign expo- sure groups, based on either 1 or 2 samples only. The median exposure level of the high exposure groups for females was 22.58 ppm but the range was 15.28- 106.4 ppm, indicating that some of the workers were exposed to levels much higher than the lowest ex- posed workers in that group. Domain 2: Exposure Characterization Continued on next page ------- . continued from previous page Study Citation: Data Type: HERO ID: Li, W.,Shibata, E.,Zhou, Z.,Ichihara, S.,Wang, H.,Wang, Q.,Li, J.,Zhang, L.,Wakai, K.,Takeuchi, Y.,Ding, X.,Ichihara, G. (2010). Dose- dependent neurologic abnormalities in workers exposed to 1-bromopropane Journal of Occupational and Environmental Medicine, 52(8), 769-777 1-BP Factories in China cumulative exposure neurobehavioral test-Neurological/Behavior 1519103 Domain Metric Rating^ MWF* Score Comments^ Metric 4: Measurement of Exposure Medium x 0.4 Metric 5: Exposure levels Metric 6: Temporality Low x 0.2 Low x 0.4 0.8 Individual exposure during a work shift was assessed using a passive sampler that was attached to each worker during one 8- or 12-hour shift. Analysis was carried out using gas chromatography-mass spec- trometry Assessment of individual exposure was conducted twice for 2 shifts, except that it was con- ducted only once for each 5 female workers in Yixing in 2001 and 2 female workers in Yancheng in 2003 and 3 times for one female worker in Yancheng in 2003. Cumulative exposure was the product of ex- posure level (based on the individual TWA concen- tration) and period of exposure (in months). The cumulative exposure measures were based on only 1-3- day measurements of individual exposure lev- els. 0.6 The range and distribution of exposure is adequate to develop an exposure-response relationship. The study used a continuous measure of exposure based on cumulative exposure (time-weighted-average x months of exposure) in the analysis. 1.2 Exposed factory workers were exposed for approxi- mately 3-4 years, on average, before outcome assess- ment so temporality is established. However, it is unclear if the exposure fell within the relevant win- dows for all outcomes. Controls were recruited in different years from different plants. Domain 3: Outcome Assessment Continued on next page ------- . continued from previous page Study Citation: Data Type: HERO ID: Li, W.,Shibata, E.,Zhou, Z.,Ichihara, S.,Wang, H.,Wang, Q.,Li, J.,Zhang, L.,Wakai, K.,Takeuchi, Y.,Ding, X.,Ichihara, G. (2010). Dose- dependent neurologic abnormalities in workers exposed to 1-bromopropane Journal of Occupational and Environmental Medicine, 52(8), 769-777 1-BP Factories in China cumulative exposure neurobehavioral test-Neurological/Behavior 1519103 Domain Metric Rating^ MWF* Score Comments^ Metric 7: Outcome measurement or characterization Low x 0.667 Metric 8: Reporting Bias Medium x 0.333 0.67 The neurobehavioral tests were conducted on the basis of the Chinese edition of the WHO Neurobe- havioral Core Test Battery by trained Chinese re- searchers. The electrophysiological tests , including nerve conduction velocity, DL, F-wave conduction velocity sensory nerve conduction velocity, and F- wave studies were conducted using standard tech- niques. Description was provided in detail. Indi- vidual skin temperatures should have been taken at the site of the test (on the foot) based on standard methods (results are affected by body temperature on the foot). As acknowledged in the report by the study authors, vibration sense is inherently impre- cise (based on the sensitivity of the subject relative to the examiner). Evidence of a high degree of vari- ability was shown in the large standard deviations reported for vibration sense in females. The authors only presented the results with signifi- cant trend with exposure in the tables. The authors state that the other results are not significant but they do not present the non-significant results. Vi- bration sense can be influenced by BMI, but it was not reported or controlled in the study. Domain 4: Potential Counfounding/Variable Control Metric 9: Covariate Adjustment Medium x 0.5 Metric 10: Covariate Characterization Medium x 0.25 0.5 The controls were matched based on sex, age (within 3 years), and region. Further differences were ad- justed for in the statistical analysis. Since all the subjects were factory workers, it can be assumed that they had similar socioeconomic status. Vibra- tion sense can be influenced by BMI, but it was not reported or controlled in the study. Potential confounders were assessed using a ques- tionnaire that was filled out by investigators from the local CDC who could communicate with the workers in their own dialect. However, the authors don't report that the questionnaire was validated. Continued on next page ------- .. . continued from previous page Study Citation: Li, W.,Shibata, E.,Zhou, Z.,Ichihara, S.,Wang, H.,Wang, Q.,Li, J.,Zhang, L.,Wakai, K.,Takeuchi, Y.,Ding, X.,Ichihara, G. (2010). Dose- dependent neurologic abnormalities in workers exposed to 1-bromopropane Journal of Occupational and Environmental Medicine, 52(8), 769-777 Data Type: 1-BP Factories in China cumulative exposure neurobehavioral test-Neurological/Behavior HERO ID: 1519103 Domain Metric Rating^ MWF* Score Comments^ Metric 11: Co-exposure Confounding Medium X 0.25 0.5 There were data presented on one female worker who reported handling 2-BP and several male controls and male workers who reported using other chem- icals. The exposure period for these workers was adjusted for these workers. Controls all came from different factories. It is unlikely there was differen- tial co-exposure across groups that would have bi- ased the results. Domain 5: Analysis Metric 12 Study Design and Methods Medium x 0.4 0.8 The study design (cross-sectional) was appropriate to assess the effects of f-BP exposure on various health effects and the statistical method (regression analysis) was appropriate. Although the study was cross-sectional in nature, cumulative exposures were assessed. Metric 13 Statistical power Medium x 0.2 0.4 The number of participants (60 female and 26 male workers and same number of controls) was sufficient to detect an effect. Metric 14 Reproducibility of analyses Medium x 0.2 0.4 The description of the statistical methods is suffi- cient to reproduce the ANCOVA regression models and the adjustment factors were included in the foot- notes to Table 7. Metric 15 Statistical models Medium x 0.2 0.4 The adjustment factors included in the ANCOVA model were determined by ANOVA models and model assumptions were met. Domain 6: Other Considerations for Biomarker Selection and Measurement Metric 16 Use of Biomarker of Exposure NA NA Metric 17 Effect biomarker NA NA Metric 18 Method Sensitivity NA NA Metric 19 Biomarker stability NA NA Metric 20 Sample contamination NA NA Metric 21 Method requirements NA NA Metric 22 Matrix adjustment NA NA Overall Quality Determination+ Low 2.4 Extracted Yes Continued on next page ------- . continued from previous page Study Citation: Li, W.,Shibata, E.,Zhou, Z.,Ichihara, S.,Wang, H.,Wang, Q.,Li, J.,Zhang, L.,Wakai, K.,Takeuchi, Y.,Ding, X.,Ichihara, G. (2010). Dose- dependent neurologic abnormalities in workers exposed to 1-bromopropane Journal of Occupational and Environmental Medicine, 52(8), 769-777 Data Type: 1-BP Factories in China_cumulative exposure_neurobehavioral test-Neurological/Behavior HERO ID: 1519103 Domain Metric Rating^ MWF* Score Comments^ MWF = Metric Weighting Factor High = 1; Medium = 2; Low = 3; Unacceptable = 4; N/A has no value. The overall rating is calculated as necessary. EPA may not always provide a comment for a metric that has been categorized as High. 4 if any metric is Unacceptable Overall rating = J]. (Metric Score; x MWF;) / ]T\ MWF3 (round to the nearest tenth) otherwise where High => 1 to < 1.7; Medium => 1.7 to < 2.3; Low => 2.3 to < 3.0. If the reviewer determines that the overall rating needs adjustment, the original rating is crossed out and an arrow points to the new rating, ft This metric met the criteria for high confidence as expected for this type of study ------- Study Citation: M. Toraason, D. W. Lynch, D. G. DeBord, N. Singh, E. Kreig, M. A. Butler, C. A. Toennis, J. Nemhauser (2006). DNA damage in leukocytes of workers occupationally exposed to 1-bromopropane 1 01-014 Data Type: Cross-sectional_Occupational_NC_NIOSH_cohort_l-BP_DNAdamage_air_quartiles-Other (please specify below) HERO ID: 3974874 Domain Metric Rating^ MWF* Score Comments^ Domain 1: Study Participation Metric 1: Participant selection Medium x 0.4 Metric 2: Attrition Low x 0.4 Metric 3: Comparison Group Low x 0.2 0.8 A subset of 64 occupationally exposed workers (18 males, 46 females) originally evaluated in a NIOS Health Hazard Evaluation were used for this study. Workers were assessed in 2001 and worked at 2 facilities where 1-bromopropane (1-BP) was a sol- vent vehicle for spray adhesives: Marx Industries Inc., Sawmills, NC and STN Cushion Company, Thomasville, NC. It is unclear what fraction of the original NIOSH study participants chose to join this more in depth study and if any bias was introduced with that selection process. 1.2 No attrition is discussed. Study participants are a subset of the NIOSH study who were interested in participating. Not all subjects participated in the personal air monitoring (50/64) and results in Ta- ble 5 are reported for 48-60 participants.. In cases of missing exposure data, subjects were assigned to quartiles based on the single measurements avail- able. 0.6 Rather than using population controls, workers at the same factories were considered exposed or unex- posed based on job title. The NIOSH assessment found that sprayers had high 1-BP exposure (ex- posed) and non-sprayers had relatively low 1-BP ex- posure. Thus, 19 sprayers served as the exposed population and 45 non-sprayers served as controls. Sprayers at Facility A had exposures an order of magnitude higher than sprayers at Facility B and the 6 sprayers at Facility B were all female. Domain 2: Exposure Characterization Metric 4: Measurement of Exposure High X 0.4 0.4 Personal air monitoring collected samples from the breathing zone of 50 participants for 1-3 days. Sam- ples were analyzed with GC-FID. An 8-hr time weighted average concentration was used for these assessments. In addition, a biomarker of exposure (Br) was assessed in blood and urine at the start and end of the work week. Estimated exposure from these methods was highly correlated, increasing con- fidence in the measurements. Continued on next page ------- . continued from previous page Study Citation: M. Toraason, D. W. Lynch, D. G. DeBord, N. Singh, E. Kreig, M. A. Butler, C. A. Toennis, J. Nemhauser (2006). DNA damage in leukocytes of workers occupationally exposed to 1-bromopropane 1 01-014 Data Type: Cross-sectional Occupational NC NIOSH cohort 1-BP DNAdamage air quartiles-Other (please specify below) HERO ID: 3974874 Domain Metric Rating^ MWF* Score Comments^ Metric 5: Exposure levels Medium X 0.2 0.4 With the use of personal air monitoring and biomarkers, exposure was described as a continuum with a wide range of exposure (8 hr TWA of 2-83 ppm). Sprayers at Facility A had exposures an or- der of magnitude higher than sprayers at Facility B. Non-sprayers have considerably lower exposure to 1-BP. Analysis included dichotomized exposure levels (non-sprayer, sprayer), continuous exposures and quartiles of exposure. Metric 6: Temporality High X 0.4 0.4 Blood samples were collected for analysis of DNA damage in leukocytes on the morning of the first workday (Monday) and on the afternoon of the last workday (Thursday) in the same week. Temporality is appropriate for this endpoint. Domain 3: Outcome Assessment Metric 7: Outcome measurement or characterization Medium X 0.667 1.33 DNA damage in leukocytes was the only outcome assessed in this study. Blood samples were collected at the beginning and end of work week. A comet assay was used to determine average number of DNA breaks in 100 leukocytes per sample. Metric 8: Reporting Bias Medium X 0.333 0.67 Study fully reports exposures by job title/facility, biomarkers for start and end of week, comet analysis results, correlations between exposure and the de- termined associations. Covariates are clearly stated for each analysis. Confidence intervals or standard deviation not included with analysis, but p values were. Domain 4: Potential Counfounding/Variable Control Metric 9: Covariate Adjustment Low X 0.5 1.5 Models were adjusted for gender, age, smoking sta- tus, facility and glutathione S-transferase (GST) polymorphisms. No adjustments were made for SES, which may vary with job description (and associated exposure). Metric 10: Covariate Characterization Low X 0.25 0.75 GST polymorphisms were assessed from blood sam- ples. Source of other covariate information not stated. Metric 11: Co-exposure Confounding Medium X 0.25 0.5 No indication of other co-exposures of concern. Domain 5: Analysis Continued on next page . .. ------- . continued from previous page Study Citation: M. Toraason, D. W. Lynch, D. G. DeBord, N. Singh, E. Kreig, M. A. Butler, C. A. Toennis, J. Nemhauser (2006). DNA damage in leukocytes of workers occupationally exposed to 1-bromopropane 1 01-014 Data Type: Cross-sectional Occupational NC NIOSH cohort 1-BP DNAdamage air quartiles-Other (please specify below) HERO ID: 3974874 Domain Metric Rating^ MWF* Score ('aminciil sTT Metric 12: Study Design and Methods Metric 13: Statistical power Metric 14: Reproducibility of analyses Metric 15: Statistical models Medium x 0.4 0.8 Medium Medium x 0.2 0.4 x 0.2 0.4 Medium x 0.2 0.4 In this cross sectional study, participants working at facilities using 1-BP were assessed for DNA damage in leukocytes. Paired analyses and linear regression models were used to determine the relationships be- tween biomarkers of 1-BP exposure and DNA dam- age. There was sufficient participation (64 subjects) to determine a significant effect. Details on the multiple linear regression models used in the analysis of 1-BP and DNA damage are lim- ited but include variables used, including covariates in adjusted models, transformations of continuous variables, use of quartiles of exposure and how miss- ing values were dealt with. Multiple linear regression models were used to deter- mine relationship between 1-BP exposure markers (air, urine, blood) and DNA damage assessed using comet assay. Exposure divided by quartile, as well as continuous (log base 10 transformed). Domain 6: Other Considerations for Biomarker Selection and Measurement Metric 16: Use of Biomarker of Exposure Metric 17: Effect biomarker Metric 18: Method Sensitivity Metric 19: Biomarker stability High X 0.143 0.14 Levels of Br in serum and urine were used as a biomarker for exposure. Samples were obtained at the start and end of the work week (Monday morn- ing and Thursday afternoon). Authors report that Br is a metabolite of 1-BP with a low excretion rate, which makes it an ideal biomarker for expo- sure. Estimated exposure from these biomarkers was highly correlated to personal air monitoring, increas- ing confidence in the measurements. High X 0.143 0.14 DNA breaks in leukocytes served as a metric for DNA damage. This was evaluated using the comet assay, a well-established method. Medium X 0.143 0.29 Limits of detection were not presented, but only 14 individuals were missing exposure biomarkers, indi- cating sufficient sensitivity. Medium X 0.143 0.29 Storage history for samples described in detail, indi- cates that samples were shipped to lab on ice imme- diately and subsequently frozen. Exposure biomark- ers not expected to degrade, but no stability assess- ment reported. Continued on next page ------- . continued from previous page Study Citation: M. Toraason, D. W. Lynch, D. G. DeBord, N. Singh, E. Kreig, M. A. Butler, C. A. Toennis, J. Nemhauser (2006). DNA damage in leukocytes of workers occupationally exposed to 1-bromopropane 1 01-014 Data Type: Cross-sectional_Occupational_NC_NIOSH_cohort_l-BP_DNAdamage_air_quartiles-Other (please specify below) HERO ID: 3974874 Domain Metric Rating^ MWF* Score ('ammoiilsTT Metric 20: Sample contamination Medium x 0.143 0.29 No indication that contamination occurred, but no description of ways to the authors took steps to avoid contamination. Metric 21: Method requirements Low x 0.143 0.43 Details on exposure biomarker methods are not de- scribed in this study. Citation with details (Vaise- man et al 1986) was not freely available to review. Metric 22: Matrix adjustment Low x 0.143 0.43 Details on exposure biomarker methods are not de- scribed in this study. Citation with details (Vaise- man et al 1986) was not freely available to review. Adjustments for creatine would be important for this study. Overall Quality Determination1" Medium 2.1 Extracted Yes MWF = Metric Weighting Factor High = 1; Medium = 2; Low = 3; Unacceptable = 4; N/A has no value. The overall rating is calculated as necessary. EPA may not always provide a comment for a metric that has been categorized as High. Overall rating = J]. (Metric Score; x MWF;) / J] . MWFj if any metric is Unacceptable (round to the nearest tenth) otherwise where High => 1 to < 1.7; Medium => 1.7 to < 2.3; Low => 2.3 to < 3.0. If the reviewer determines that the overall rating needs adjustment, the original rating is crossed out and an arrow points to the new rating. t This metric met the criteria for high confidence as expected for this type of study ------- |