¦IPs	United States
Environmental Protection
Jr mAgency
EPA/690/R-04/001F
Final
12-20-2004
Provisional Peer Reviewed Toxicity Values for
Alizarin Red Compounds
(Various CASRNs)
Derivation of Subchronic and Chronic Oral RfDs
Superfund Health Risk Technical Support Center
National Center for Environmental Assessment
Office of Research and Development
U.S. Environmental Protection Agency
Cincinnati, OH 45268

-------
Acronyms and Abbreviations
bw	body weight
cc	cubic centimeters
CD	Caesarean Delivered
CERCLA	Comprehensive Environmental Response, Compensation and Liability Act
of 1980
CNS	central nervous system
cu.m	cubic meter
DWEL	Drinking Water Equivalent Level
FEL	frank-effect level
FIFRA	Federal Insecticide, Fungicide, and Rodenticide Act
g	grams
GI	gastrointestinal
HEC	human equivalent concentration
Hgb	hemoglobin
i.m.	intramuscular
i.p.	intraperitoneal
i.v.	intravenous
IRIS	Integrated Risk Information System
IUR	inhalation unit risk
kg	kilogram
L	liter
LEL	lowest-effect level
LOAEL	lowest-observed-adverse-effect level
LOAEL(ADJ)	LOAEL adjusted to continuous exposure duration
LOAEL(HEC)	LOAEL adjusted for dosimetric differences across species to a human
m	meter
MCL	maximum contaminant level
MCLG	maximum contaminant level goal
MF	modifying factor
mg	milligram
mg/kg	milligrams per kilogram
mg/L	milligrams per liter
MRL	minimal risk level
1

-------
MTD
maximum tolerated dose
MTL
median threshold limit
NAAQS
National Ambient Air Quality Standards
NOAEL
no-observed-adverse-effect level
NOAEL(ADJ)
NOAEL adjusted to continuous exposure duration
NOAEL(HEC)
NOAEL adjusted for dosimetric differences across species to a human
NOEL
no-observed-effect level
OSF
oral slope factor
p-IUR
provisional inhalation unit risk
p-OSF
provisional oral slope factor
p-RfC
provisional inhalation reference concentration
p-RfD
provisional oral reference dose
PBPK
physiologically based pharmacokinetic
PPb
parts per billion
ppm
parts per million
PPRTV
Provisional Peer Reviewed Toxicity Value
RBC
red blood cell(s)
RCRA
Resource Conservation and Recovery Act
RDDR
Regional deposited dose ratio (for the indicated lung region)
REL
relative exposure level
RfC
inhalation reference concentration
RfD
oral reference dose
RGDR
Regional gas dose ratio (for the indicated lung region)
s.c.
subcutaneous
SCE
sister chromatid exchange
SDWA
Safe Drinking Water Act
sq.cm.
square centimeters
TSCA
Toxic Substances Control Act
UF
uncertainty factor
Hg
microgram
|j,mol
micromoles
voc
volatile organic compound
11

-------
12-20-04
PROVISIONAL PEER REVIEWED TOXICITY VALUES FOR
ALIZARIN RED COMPOUNDS (VARIOUS CASRNS)
Derivation of Subchronic and Chronic Oral RfDs
Background
On December 5, 2003, the U.S. Environmental Protection Agency's (EPA's) Office of
Superfund Remediation and Technology Innovation (OSRTI) revised its hierarchy of human
health toxicity values for Superfund risk assessments, establishing the following three tiers as the
new hierarchy:
1.	EPA's Integrated Risk Information System (IRIS).
2.	Provisional Peer-Reviewed Toxicity Values (PPRTV) used in EPA's Superfund
Program.
3.	Other (peer-reviewed) toxicity values, including:
~	Minimal Risk Levels produced by the Agency for Toxic Substances and Disease
Registry (ATSDR),
~	California Environmental Protection Agency (CalEPA) values, and
~	EPA Health Effects Assessment Summary Table (HEAST) values.
A PPRTV is defined as a toxicity value derived for use in the Superfund Program when
such a value is not available in EPA's Integrated Risk Information System (IRIS). PPRTVs are
developed according to a Standard Operating Procedure (SOP) and are derived after a review of
the relevant scientific literature using the same methods, sources of data, and Agency guidance
for value derivation generally used by the EPA IRIS Program. All provisional toxicity values
receive internal review by two EPA scientists and external peer review by three independently
selected scientific experts. PPRTVs differ from IRIS values in that PPRTVs do not receive the
multi-program consensus review provided for IRIS values. This is because IRIS values are
generally intended to be used in all EPA programs, while PPRTVs are developed specifically for
the Superfund Program.
Because science and available information evolve, PPRTVs are initially derived with a
three-year life-cycle. However, EPA Regions or the EPA Headquarters Superfund Program
sometimes request that a frequently used PPRTV be reassessed. Once an IRIS value for a
specific chemical becomes available for Agency review, the analogous PPRTV for that same
chemical is retired. It should also be noted that some PPRTV manuscripts conclude that a
PPRTV cannot be derived based on inadequate data.
1

-------
12-20-04
Disclaimers
Users of this document should first check to see if any IRIS values exist for the chemical
of concern before proceeding to use a PPRTV. If no IRIS value is available, staff in the regional
Superfund and RCRA program offices are advised to carefully review the information provided
in this document to ensure that the PPRTVs used are appropriate for the types of exposures and
circumstances at the Superfund site or RCRA facility in question. PPRTVs are periodically
updated; therefore, users should ensure that the values contained in the PPRTV are current at the
time of use.
It is important to remember that a provisional value alone tells very little about the
adverse effects of a chemical or the quality of evidence on which the value is based. Therefore,
users are strongly encouraged to read the entire PPRTV manuscript and understand the strengths
and limitations of the derived provisional values. PPRTVs are developed by the EPA Office of
Research and Development's National Center for Environmental Assessment, Superfund Health
Risk Technical Support Center for OSRTI. Other EPA programs or external parties who may
choose of their own initiative to use these PPRTVs are advised that Superfund resources will not
generally be used to respond to challenges of PPRTVs used in a context outside of the Superfund
Program.
Questions Regarding PPRTVs
Questions regarding the contents of the PPRTVs and their appropriate use (e.g., on
chemicals not covered, or whether chemicals have pending IRIS toxicity values) may be directed
to the EPA Office of Research and Development's National Center for Environmental
Assessment, Superfund Health Risk Technical Support Center (513-569-7300), or OSRTI.
INTRODUCTION
In the chemical literature, several compounds share the common chemical names
"alizarin," "alizarin red" or "alizarine red." Seven distinct chemicals were identified in searches
of the CAS Registry. Four of the alizarin chemicals are anthraquinone derivatives, two are azo
dyes, and one is of an unknown molecular and structural formula. The alizarin red compounds
identified include:
Anthraquinone derivatives:
1. alizarin, alizarin red, l,2-dihydroxy-9,10-anthracenedione, or
l,2-dihydroxy-9,10-anthraquinone (CASRN 72-48-0);
2

-------
12-20-04
2.	alizarin red S, acid red alizarin, [9,10-dihydro-3,4-dihydroxy-9,10-dioxo-2-
anthracenesulfonic acid, monosodium salt], or sodium 3,4-dihydroxyanthraquinone-2-
sulfonate (CASRN 130-22-3);
3.	alizarine red 3 WS or 9,10-dihydro-3,4,7-trihydro-9,10-dioxo-2-anthracenesulfonic
acid, monosodium salt (CASRN 6486-94-8);
4.	alizarine red YCAP, l,2,6-trihydroxy-9,10-anthracenedione, or
1,2,6-trihydroxyanthraquinone (CASRN 82-29-1).
Azo dyes:
5.	acid alizarin red B or 2-[(2-hydroxy-3,6-disulfo-l-naphthalenyl)azo]-benzoic acid,
trisodium salt (CASRN 1836-22-2);
6.	alizarine chrome red G, acid red 97, or 4,4'-bis[(2-hydroxy-l-naphthalenyl)azo]-[l,r-
biphenyl]-2,2'-disulfonic acid, disodium salt (CASRN 10169-02-5).
Unknown structural and molecular formula:
7.	alizarine red V2A or V2A alizarine red (molecular and structural formula unspecified)
(CASRN 12794-90-0).
Subchronic or chronic RfDs for the alizarin red compounds identified above are not
available on IRIS (U.S. EPA, 2002a), the HEAST (U.S. EPA, 1997) or the Drinking Water
Standards and Health Advisories list (U.S. EPA, 2002b). The CARA list (U.S. EPA, 1991,
1994) includes no documents for these chemicals, and these chemicals have not been reviewed
by ATSDR (2002), IARC (2002) or WHO (2002). The NTP (2002) Management Status Report
provided no relevant information. In June 1996, literature searches were conducted from 1965 to
May 1996 in TOXLINE, CANCERLIT, MEDLINE, GENETOX, HSDB, EMIC/EMICBACK,
DART/ETICBACK, RTECS and TSCATS for relevant studies. In September 2002, update
literature searches were conducted in these databases going back to the previous search in 1996.
Additional literature search was conducted by NCEA-Cin from October 2003 through May 2004
using TOXLINE, MEDLINE, Chemical and Biological Abstract databases.
3

-------
12-20-04
REVIEW OF PERTINENT LITERATURE
Human Studies
No reports were located regarding the subchronic or chronic toxicity of any of the alizarin
red compounds in humans by oral exposure.
Animal Studies
No reports were located regarding the subchronic or chronic toxicity of any of the alizarin
red compounds in animals by oral exposure.
Other Studies
The only toxicity data available for the alizarin red compounds are a few acute studies
and case reports. For example, data from acute rabbit studies suggest that alizarin red (CASRN
72-48-0) is a skin sensitizer (Greenburg and Lester, 1954) and a mild eye irritant (500 mg/24
hours) (NIOSH, 2002). In humans, two case reports of contact dermatitis from the perennial
herbs Rubia tinctorum and R. peregrina, both of which contain alizarin red (CASRN 72-48-0)
naturally, were published by Castelain and Ducombs (1988). An acute toxicity study in mice is
available for alizarin red S (CASRN 130-22-3) wherein an intravenous LD50 of 70 mg/kg was
reported (NIOSH, 2002). No reports regarding acute, subchronic or chronic toxicity in humans
or animals by any route were located for any of the other alizarin red compounds.
FEASIBILITY OF DERIVING A PROVISIONAL SUBCHRONIC
OR CHRONIC RfD FOR ALIZARIN RED COMPOUNDS
No pertinent data regarding the oral toxicity of alizarin red compounds in humans or
experimental animals were located, precluding derivation of subchronic or chronic p-RfDs for
alizarin red compounds.
REFERENCES
ATSDR (Agency for Toxic Substances and Disease Registry). 2002. Toxicological Profile
Information Sheet. Online, http://www.atsdr.cdc.gov/toxpro2.html
Castelain, M. and G. Ducombs. 1988. Contact dermatitis from madder. Con. Derm. 19:
228-229.
4

-------
12-20-04
Greenburg, L.A. and D. Lester. 1954. Handbook of Cosmetic Materials. Interscience, New
York. (Cited in Castelain and Ducombs, 1988)
IARC (International Agency for Research on Cancer). 2002. Monographs Database. Online.
http://www-cie.iarc.fr/
NIOSH (National Institute for Occupational Safety and Health). 2002. RTECS (Registry of
Toxic Effects of Chemical Substances). Cincinnati, OH.
NTP (National Toxicology Program). 2002. Management Status Report. Online.
http://ntp-server.niehs.nih.gov/
U.S. EPA. 1991. Chemical Assessments and Related Activities (CARA). Office of Health and
Environmental Assessment, Washington, DC. April.
U.S. EPA. 1994. Chemical Assessments and Related Activities (CARA). Office of Health and
Environmental Assessment, Washington, DC. December.
U.S. EPA. 1997. Health Effects Assessment Summary Tables. FY-1997 Update. Prepared by
Office of Research and Development, National Center for Environmental Assessment,
Cincinnati, OH for the Office of Emergency and Remedial Response, Washington, DC. July.
EPA/540/R-97/036. NTIS PB97-921199.
U.S. EPA. 2002a. Integrated Risk Information System (IRIS). Office of Research and
Development, National Center for Environmental Assessment, Washington, DC. Online.
http ://www. epa. gov/ iris/
U.S. EPA. 2002b. 2002 Edition of the Drinking Water Standards and Health Advisories. Office
of Water, Washington, DC. EPA 822-R-02-038. Online.
http://www.epa.gov/waterscience/drinking/standards/dwstandards.pdf
WHO (World Health Organization). 2002. Online catalogs for the Environmental Health
Criteria series. Online, http://www.inchem.org/ehc.html
5

-------
12-20-04
Provisional Peer Reviewed Toxicity Values for
Alizarin Red Compounds
(Various CASRNs)
Derivation of Subchronic and Chronic Inhalation RfCs
Superfund Health Risk Technical Support Center
National Center for Environmental Assessment
Office of Research and Development
U.S. Environmental Protection Agency
Cincinnati, OH 45268

-------
Acronyms and Abbreviations
bw	body weight
cc	cubic centimeters
CD	Caesarean Delivered
CERCLA	Comprehensive Environmental Response, Compensation and Liability Act
of 1980
CNS	central nervous system
cu.m	cubic meter
DWEL	Drinking Water Equivalent Level
FEL	frank-effect level
FIFRA	Federal Insecticide, Fungicide, and Rodenticide Act
g	grams
GI	gastrointestinal
HEC	human equivalent concentration
Hgb	hemoglobin
i.m.	intramuscular
i.p.	intraperitoneal
i.v.	intravenous
IRIS	Integrated Risk Information System
IUR	inhalation unit risk
kg	kilogram
L	liter
LEL	lowest-effect level
LOAEL	lowest-observed-adverse-effect level
LOAEL(ADJ)	LOAEL adjusted to continuous exposure duration
LOAEL(HEC)	LOAEL adjusted for dosimetric differences across species to a human
m	meter
MCL	maximum contaminant level
MCLG	maximum contaminant level goal
MF	modifying factor
mg	milligram
mg/kg	milligrams per kilogram
mg/L	milligrams per liter
MRL	minimal risk level
1

-------
MTD
maximum tolerated dose
MTL
median threshold limit
NAAQS
National Ambient Air Quality Standards
NOAEL
no-observed-adverse-effect level
NOAEL(ADJ)
NOAEL adjusted to continuous exposure duration
NOAEL(HEC)
NOAEL adjusted for dosimetric differences across species to a human
NOEL
no-observed-effect level
OSF
oral slope factor
p-IUR
provisional inhalation unit risk
p-OSF
provisional oral slope factor
p-RfC
provisional inhalation reference concentration
p-RfD
provisional oral reference dose
PBPK
physiologically based pharmacokinetic
PPb
parts per billion
ppm
parts per million
PPRTV
Provisional Peer Reviewed Toxicity Value
RBC
red blood cell(s)
RCRA
Resource Conservation and Recovery Act
RDDR
Regional deposited dose ratio (for the indicated lung region)
REL
relative exposure level
RfC
inhalation reference concentration
RfD
oral reference dose
RGDR
Regional gas dose ratio (for the indicated lung region)
s.c.
subcutaneous
SCE
sister chromatid exchange
SDWA
Safe Drinking Water Act
sq.cm.
square centimeters
TSCA
Toxic Substances Control Act
UF
uncertainty factor
Hg
microgram
|j,mol
micromoles
voc
volatile organic compound
11

-------
12-20-04
PROVISIONAL PEER REVIEWED TOXICITY VALUES FOR
ALIZARIN RED COMPOUNDS (VARIOUS CASRNS)
Derivation of Subchronic and Chronic Inhalation RfCs
Background
On December 5, 2003, the U.S. Environmental Protection Agency's (EPA's) Office of
Superfund Remediation and Technology Innovation (OSRTI) revised its hierarchy of human
health toxicity values for Superfund risk assessments, establishing the following three tiers as the
new hierarchy:
1.	EPA's Integrated Risk Information System (IRIS).
2.	Provisional Peer-Reviewed Toxicity Values (PPRTV) used in EPA's Superfund
Program.
3.	Other (peer-reviewed) toxicity values, including:
~	Minimal Risk Levels produced by the Agency for Toxic Substances and Disease
Registry (ATSDR),
~	California Environmental Protection Agency (CalEPA) values, and
~	EPA Health Effects Assessment Summary Table (HEAST) values.
A PPRTV is defined as a toxicity value derived for use in the Superfund Program when
such a value is not available in EPA's Integrated Risk Information System (IRIS). PPRTVs are
developed according to a Standard Operating Procedure (SOP) and are derived after a review of
the relevant scientific literature using the same methods, sources of data, and Agency guidance
for value derivation generally used by the EPA IRIS Program. All provisional toxicity values
receive internal review by two EPA scientists and external peer review by three independently
selected scientific experts. PPRTVs differ from IRIS values in that PPRTVs do not receive the
multi-program consensus review provided for IRIS values. This is because IRIS values are
generally intended to be used in all EPA programs, while PPRTVs are developed specifically for
the Superfund Program.
Because science and available information evolve, PPRTVs are initially derived with a
three-year life-cycle. However, EPA Regions or the EPA Headquarters Superfund Program
sometimes request that a frequently used PPRTV be reassessed. Once an IRIS value for a
specific chemical becomes available for Agency review, the analogous PPRTV for that same
chemical is retired. It should also be noted that some PPRTV manuscripts conclude that a
PPRTV cannot be derived based on inadequate data.
1

-------
12-20-04
Disclaimers
Users of this document should first check to see if any IRIS values exist for the chemical
of concern before proceeding to use a PPRTV. If no IRIS value is available, staff in the regional
Superfund and RCRA program offices are advised to carefully review the information provided
in this document to ensure that the PPRTVs used are appropriate for the types of exposures and
circumstances at the Superfund site or RCRA facility in question. PPRTVs are periodically
updated; therefore, users should ensure that the values contained in the PPRTV are current at the
time of use.
It is important to remember that a provisional value alone tells very little about the
adverse effects of a chemical or the quality of evidence on which the value is based. Therefore,
users are strongly encouraged to read the entire PPRTV manuscript and understand the strengths
and limitations of the derived provisional values. PPRTVs are developed by the EPA Office of
Research and Development's National Center for Environmental Assessment, Superfund Health
Risk Technical Support Center for OSRTI. Other EPA programs or external parties who may
choose of their own initiative to use these PPRTVs are advised that Superfund resources will not
generally be used to respond to challenges of PPRTVs used in a context outside of the Superfund
Program.
Questions Regarding PPRTVs
Questions regarding the contents of the PPRTVs and their appropriate use (e.g., on
chemicals not covered, or whether chemicals have pending IRIS toxicity values) may be directed
to the EPA Office of Research and Development's National Center for Environmental
Assessment, Superfund Health Risk Technical Support Center (513-569-7300), or OSRTI.
INTRODUCTION
In the chemical literature, several compounds share the common chemical names
"alizarin," "alizarin red" or "alizarine red." Seven distinct chemicals were identified in searches
of the CAS Registry. Four of the alizarin chemicals are anthraquinone derivatives, two are azo
dyes, and one is of an unknown molecular and structural formula. The alizarin red compounds
identified include:
Anthraquinone derivatives:
1. alizarin, alizarin red, l,2-dihydroxy-9,10-anthracenedione, or
l,2-dihydroxy-9,10-anthraquinone (CASRN 72-48-0);
2

-------
12-20-04
2.	alizarin red S, acid red alizarin, [9,10-dihydro-3,4-dihydroxy-9,10-dioxo-2-
anthracenesulfonic acid, monosodium salt], or sodium 3,4-dihydroxyanthraquinone-2-
sulfonate (CASRN 130-22-3);
3.	alizarine red 3 WS or 9,10-dihydro-3,4,7-trihydro-9,10-dioxo-2-anthracenesulfonic
acid, monosodium salt (CASRN 6486-94-8);
4.	alizarine red YCAP, l,2,6-trihydroxy-9,10-anthracenedione, or
1,2,6-trihydroxyanthraquinone (CASRN 82-29-1).
Azo dyes:
5.	acid alizarin red B or 2-[(2-hydroxy-3,6-disulfo-l-naphthalenyl)azo]-benzoic acid,
trisodium salt (CASRN 1836-22-2);
6.	alizarine chrome red G, acid red 97, or 4,4'-bis[(2-hydroxy-l-naphthalenyl)azo]-[l,r-
biphenyl]-2,2'-disulfonic acid, disodium salt (CASRN 10169-02-5).
Unknown structural and molecular formula:
7.	alizarine red V2A or V2A alizarine red (molecular and structural formula unspecified)
(CASRN 12794-90-0).
Subchronic or chronic RfCs for the alizarin red compounds identified above are not
available on IRIS (U.S. EPA, 2002) or in the HEAST (U.S. EPA, 1997). The CARA list (U.S.
EPA, 1991, 1994) includes no documents for these chemicals. These compounds have not been
reviewed by ATSDR (2002), IARC (2002) or WHO (2002). Occupational exposure limits have
not been derived by ACGIH (2001), NIOSH (2002a) or OSHA (2002). The NTP (2002)
Management Status Report provided no relevant information. In June 1996, literature searches
were conducted from 1965 to May 1996 in TOXLINE, CANCERLIT, MEDLINE, GENETOX,
HSDB, EMIC/EMICBACK, DART/ETICBACK, RTECS and TSCATS for relevant studies. In
September 2002, update literature searches were conducted in these databases going back to the
previous search in 1996. Additional literature search was conducted by NCEA-Cin from October
2003 through May 2004 using TOXLINE, MEDLINE, Chemical and Biological Abstract
databases.
3

-------
12-20-04
REVIEW OF PERTINENT LITERATURE
Human Studies
No reports were located regarding the subchronic or chronic toxicity of any of the alizarin
red compounds in humans by inhalation exposure.
Animal Studies
No reports were located regarding the subchronic or chronic toxicity of any of the alizarin
red compounds in animals by inhalation exposure.
Other Studies
The only toxicity data available for the alizarin red compounds are a few acute studies
and case reports. For example, data from acute rabbit studies suggest that alizarin red (CASRN
72-48-0) is a skin sensitizer (Greenburg and Lester, 1954) and a mild eye irritant (500 mg/24
hours) (NIOSH, 2002b). In humans, two case reports of contact dermatitis from the perennial
herbs Rubia tinctorum and R. peregrina, both of which contain alizarin red (CASRN 72-48-0)
naturally, were published by Castelain and Ducombs (1988). An acute toxicity study in mice is
available for alizarin red S (CASRN 130-22-3) wherein an intravenous LD50 of 70 mg/kg was
reported (NIOSH, 2002b). No reports regarding acute, subchronic or chronic toxicity in humans
or animals by any route were located for any of the other alizarin red compounds.
FEASIBILITY OF DERIVING A PROVISIONAL SUBCHRONIC
OR CHRONIC RfC FOR ALIZARIN RED COMPOUNDS
No pertinent data regarding the inhalation toxicity of alizarin red compounds in humans
or experimental animals were located, precluding derivation of subchronic or chronic p-RfCs for
alizarin red compounds.
REFERENCES
ACGIH (American Conference of Governmental Industrial Hygienists). 2001. 2001 Threshold
Limit Values for Chemical Substances and Physical Agents and Biological Exposure Indices.
Cincinnati, OH.
ATSDR (Agency for Toxic Substances and Disease Registry). 2002. Toxicological Profile
Information Sheet. Online, http://www.atsdr.cdc.gov/toxpro2.html
4

-------
12-20-04
Castelain, M. and G. Ducombs. 1988. Contact dermatitis from madder. Con. Derm. 19:
228-229.
Greenburg, L.A. and D. Lester. 1954. Handbook of Cosmetic Materials. Interscience, New
York. (Cited in Castelain and Ducombs, 1988)
IARC (International Agency for Research on Cancer). 2002. Monographs Database. Online.
http://www-cie.iarc.fr/
NIOSH (National Institute for Occupational Safety and Health). 2002a. Online NIOSH Pocket
Guide to Chemical Hazards. Index of Chemical Abstract Numbers (CAS No.). Online.
http ://www. cdc. go v/niosh/npg/npgdcas .html
NIOSH (National Institute for Occupational Safety and Health). 2002b. RTECS (Registry of
Toxic Effects of Chemical Substances). Cincinnati, OH.
NTP (National Toxicology Program). 2002. Management Status Report. Online.
http://ntp-server.niehs.nih.gov/
OSHA (Occupational Safety and Health Administration). 2002. OSHA Standard 1910.1000
TableZ-1. Part Z, Toxic and Hazardous Substances. Online.
http://www.osha-slc.gov/OshStd data/1910 1000 TABLE Z-l.html
U.S. EPA. 1991. Chemical Assessments and Related Activities (CARA). Office of Health and
Environmental Assessment, Washington, DC. April.
U.S. EPA. 1994. Chemical Assessments and Related Activities (CARA). Office of Health and
Environmental Assessment, Washington, DC. December.
U.S. EPA. 1997. Health Effects Assessment Summary Tables. FY-1997 Update. Prepared by
Office of Research and Development, National Center for Environmental Assessment,
Cincinnati, OH for the Office of Emergency and Remedial Response, Washington, DC. July.
EPA/540/R-97/036. NTIS PB97-921199.
U.S. EPA. 2002. Integrated Risk Information System (IRIS). Office of Research and
Development, National Center for Environmental Assessment, Washington, DC. Online.
http://www.epa.gov/iris/
WHO (World Health Organization). 2002. Online catalogs for the Environmental Health
Criteria series. Online, http://www.inchem.org/ehc.html
5

-------
12-20-04
Provisional Peer Reviewed Toxicity Values for
Alizarin Red Compounds
(Various CASRNs)
Derivation of a Carcinogenicity Assessment
Superfund Health Risk Technical Support Center
National Center for Environmental Assessment
Office of Research and Development
U.S. Environmental Protection Agency
Cincinnati, OH 45268

-------
Acronyms and Abbreviations
bw	body weight
cc	cubic centimeters
CD	Caesarean Delivered
CERCLA	Comprehensive Environmental Response, Compensation and Liability Act
of 1980
CNS	central nervous system
cu.m	cubic meter
DWEL	Drinking Water Equivalent Level
FEL	frank-effect level
FIFRA	Federal Insecticide, Fungicide, and Rodenticide Act
g	grams
GI	gastrointestinal
HEC	human equivalent concentration
Hgb	hemoglobin
i.m.	intramuscular
i.p.	intraperitoneal
i.v.	intravenous
IRIS	Integrated Risk Information System
IUR	inhalation unit risk
kg	kilogram
L	liter
LEL	lowest-effect level
LOAEL	lowest-observed-adverse-effect level
LOAEL(ADJ)	LOAEL adjusted to continuous exposure duration
LOAEL(HEC)	LOAEL adjusted for dosimetric differences across species to a human
m	meter
MCL	maximum contaminant level
MCLG	maximum contaminant level goal
MF	modifying factor
mg	milligram
mg/kg	milligrams per kilogram
mg/L	milligrams per liter
MRL	minimal risk level
1

-------
MTD
maximum tolerated dose
MTL
median threshold limit
NAAQS
National Ambient Air Quality Standards
NOAEL
no-observed-adverse-effect level
NOAEL(ADJ)
NOAEL adjusted to continuous exposure duration
NOAEL(HEC)
NOAEL adjusted for dosimetric differences across species to a human
NOEL
no-observed-effect level
OSF
oral slope factor
p-IUR
provisional inhalation unit risk
p-OSF
provisional oral slope factor
p-RfC
provisional inhalation reference concentration
p-RfD
provisional oral reference dose
PBPK
physiologically based pharmacokinetic
PPb
parts per billion
ppm
parts per million
PPRTV
Provisional Peer Reviewed Toxicity Value
RBC
red blood cell(s)
RCRA
Resource Conservation and Recovery Act
RDDR
Regional deposited dose ratio (for the indicated lung region)
REL
relative exposure level
RfC
inhalation reference concentration
RfD
oral reference dose
RGDR
Regional gas dose ratio (for the indicated lung region)
s.c.
subcutaneous
SCE
sister chromatid exchange
SDWA
Safe Drinking Water Act
sq.cm.
square centimeters
TSCA
Toxic Substances Control Act
UF
uncertainty factor
Hg
microgram
|j,mol
micromoles
voc
volatile organic compound
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PROVISIONAL PEER REVIEWED TOXICITY VALUES FOR
ALIZARIN RED COMPOUNDS (VARIOUS CASRNS)
Derivation of a Carcinogenicity Assessment
Background
On December 5, 2003, the U.S. Environmental Protection Agency's (EPA's) Office of
Superfund Remediation and Technology Innovation (OSRTI) revised its hierarchy of human
health toxicity values for Superfund risk assessments, establishing the following three tiers as the
new hierarchy:
1.	EPA's Integrated Risk Information System (IRIS).
2.	Provisional Peer-Reviewed Toxicity Values (PPRTV) used in EPA's Superfund
Program.
3.	Other (peer-reviewed) toxicity values, including:
~	Minimal Risk Levels produced by the Agency for Toxic Substances and Disease
Registry (ATSDR),
~	California Environmental Protection Agency (CalEPA) values, and
~	EPA Health Effects Assessment Summary Table (HEAST) values.
A PPRTV is defined as a toxicity value derived for use in the Superfund Program when
such a value is not available in EPA's Integrated Risk Information System (IRIS). PPRTVs are
developed according to a Standard Operating Procedure (SOP) and are derived after a review of
the relevant scientific literature using the same methods, sources of data, and Agency guidance
for value derivation generally used by the EPA IRIS Program. All provisional toxicity values
receive internal review by two EPA scientists and external peer review by three independently
selected scientific experts. PPRTVs differ from IRIS values in that PPRTVs do not receive the
multi-program consensus review provided for IRIS values. This is because IRIS values are
generally intended to be used in all EPA programs, while PPRTVs are developed specifically for
the Superfund Program.
Because science and available information evolve, PPRTVs are initially derived with a
three-year life-cycle. However, EPA Regions or the EPA Headquarters Superfund Program
sometimes request that a frequently used PPRTV be reassessed. Once an IRIS value for a
specific chemical becomes available for Agency review, the analogous PPRTV for that same
chemical is retired. It should also be noted that some PPRTV manuscripts conclude that a
PPRTV cannot be derived based on inadequate data.
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Disclaimers
Users of this document should first check to see if any IRIS values exist for the chemical
of concern before proceeding to use a PPRTV. If no IRIS value is available, staff in the regional
Superfund and RCRA program offices are advised to carefully review the information provided
in this document to ensure that the PPRTVs used are appropriate for the types of exposures and
circumstances at the Superfund site or RCRA facility in question. PPRTVs are periodically
updated; therefore, users should ensure that the values contained in the PPRTV are current at the
time of use.
It is important to remember that a provisional value alone tells very little about the
adverse effects of a chemical or the quality of evidence on which the value is based. Therefore,
users are strongly encouraged to read the entire PPRTV manuscript and understand the strengths
and limitations of the derived provisional values. PPRTVs are developed by the EPA Office of
Research and Development's National Center for Environmental Assessment, Superfund Health
Risk Technical Support Center for OSRTI. Other EPA programs or external parties who may
choose of their own initiative to use these PPRTVs are advised that Superfund resources will not
generally be used to respond to challenges of PPRTVs used in a context outside of the Superfund
Program.
Questions Regarding PPRTVs
Questions regarding the contents of the PPRTVs and their appropriate use (e.g., on
chemicals not covered, or whether chemicals have pending IRIS toxicity values) may be directed
to the EPA Office of Research and Development's National Center for Environmental
Assessment, Superfund Health Risk Technical Support Center (513-569-7300), or OSRTI.
INTRODUCTION
In the chemical literature, several compounds share the common chemical names
"alizarin," "alizarin red" or "alizarine red." Seven distinct chemicals were identified in searches
of the CAS Registry. Four of the alizarin chemicals are anthraquinone derivatives, two are azo
dyes, and one is of an unknown molecular and structural formula. The alizarin red compounds
identified include:
Anthraquinone derivatives:
1. alizarin, alizarin red, l,2-dihydroxy-9,10-anthracenedione, or
l,2-dihydroxy-9,10-anthraquinone (CASRN 72-48-0);
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2.	alizarin red S, acid red alizarin, [9,10-dihydro-3,4-dihydroxy-9,10-dioxo-2-
anthracenesulfonic acid, monosodium salt], or sodium 3,4-dihydroxyanthraquinone-2-
sulfonate (CASRN 130-22-3);
3.	alizarine red 3 WS or 9,10-dihydro-3,4,7-trihydro-9,10-dioxo-2-anthracenesulfonic
acid, monosodium salt (CASRN 6486-94-8);
4.	alizarine red YCAP, l,2,6-trihydroxy-9,10-anthracenedione, or
1,2,6-trihydroxyanthraquinone (CASRN 82-29-1);
Azo dyes:
5.	acid alizarin red B or 2-[(2-hydroxy-3,6-disulfo-l-naphthalenyl)azo]-benzoic acid,
trisodium salt (CASRN 1836-22-2);
6.	alizarine chrome red G, acid red 97, or 4,4'-bis[(2-hydroxy-l-naphthalenyl)azo]-[l,r-
biphenyl]-2,2'-disulfonic acid, disodium salt (CASRN 10169-02-5).
Unknown structural and molecular formula:
7.	alizarine red V2A or V2A alizarine red (molecular and structural formula unspecified)
(CASRN 12794-90-0).
Cancer assessments for the alizarin red compounds identified above are not available on
IRIS (U.S. EPA, 2002a), the HEAST (U.S. EPA, 1997) or the Drinking Water Standards and
Health Advisories list (U.S. EPA, 2002b). The CARA list (U.S. EPA, 1991, 1994) includes no
documents for these chemicals. The carcinogenicity of the alizarin red compounds has not been
reviewed by IARC (2002), WHO (2002), or ATSDR (2002). The NTP (2002) Management
Status Report provided no relevant information. In June 1996, literature searches were
conducted from 1965 to May 1996 in TOXLINE, CANCERLIT, MEDLINE, GENETOX,
HSDB, EMIC/EMICBACK, DART/ETICBACK, RTECS andTSCATS for relevant studies. In
September 2002, update literature searches were conducted in these databases going back to the
previous search in 1996. Additional literature search was conducted by NCEA-Cin from October
2003 through May 2004 using TOXLINE, MEDLINE, Chemical and Biological Abstract
databases.
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REVIEW OF PERTINENT LITERATURE
Human Studies
No data regarding the possible carcinogenicity of alizarin red compounds in humans by
any route of exposure were located.
Animal Studies
No reports of animal studies examining the carcinogenicity of alizarin red compounds by
any route of exposure were located.
Other Studies
Alizarin red was negative in bacterial tests for mutagenicity using several strains of S.
typhimurium (TA98, TA102, TA1535, TA1538) with or without a metabolic activating system
(Brown and Brown, 1976; Kawasaki et al., 1992; Matsushima et al., 1986; Tikkanen et al., 1983;
Westendorf et al, 1990). In S. typhimurium TA100, alizarin red showed both negative (Brown
and Brown, 1976; Brown, 1980) and positive (Tikkanen et al., 1983) results. Alizarin red was
mutagenic to S. typhimurium TA1537 (Brown and Brown, 1976; Brown et al., 1977; Brown,
1980; Westendorf et al., 1990). Alizarin red was mutagenic to S. typhimurium TA2637 with or
without metabolic activation (Tikkanen et al., 1983). Positive (Brown, 1980) and inconclusive
(Fujita et al., 1976) results have been reported for mutagenicity in B. Subtilis. In mammalian test
systems, alizarin red was not mutagenic in the V79/HGPRT assay (Westendorf et al., 1990), did
not cause chromosomal damage in CHO cells in vitro (Au and Hsu, 1979), and did not enhance
transformation of initiated murine fibroblasts (Westendorf et al., 1990; Wolfle et al., 1990). In
tests of unscheduled DNA synthesis using primary rat hepatocytes, alizarin red showed both
weakly positive (Westendorf et al., 1990) and negative (Kawai et al., 1986; Wolfle et al., 1990)
results. Kawai et al. (1986) reported that alizarin red uncoupled and inhibited oxidative
phosphorylation in isolated rat liver mitochondria. Using a 32P-postlabeling technique, Poginsky
et al. (1991) found no evidence of in vitro DNA adduct formation when alizarin red (740 |imol )
was incubated with murine DNA and rat liver S9 fraction. Similarly, no increase in DNA adduct
formation was found in hepatic, renal, duodenal or colon DNA isolated from male Parkes mice
fed 10 mg/day alizarin red in cheese spread for 4 days (Poginsky et al., 1991).
Alizarin red S did not induce a mutagenic response in S. typhimurium strains TA98,
TA100, TA1535, and TA1537 (tested without exogenous metabolic activation) (Brown et al.,
1977). In the B. subtilis rec M45 or H17 assay, alizarin red S damaged DNA (Driscoll et al.,
1979).
No data regarding the genetic toxicity of alizarine red 3WS were located.
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No data regarding the genetic toxicity of alizarine red YCAP were located.
Brown et al. (1978) reported inconclusive results for alizarin red B in S. typhimurium
TA98, TA100, TA1535, TA1537, and TA1538 (with and without exogenous metabolic
activation).
Alizarine chrome red G was positive in S. typhimurium strains TA98, TA100, TA1535
and TA1537, but only when tested with exogenous metabolic activation (Elliott and Gregory,
1980).
No data regarding the genetic toxicity of alizarine red V2A were located.
PROVISIONAL WEIGHT-OF-EVIDENCE CLASSIFICATION
In accordance with the proposed cancer guidelines (U.S. EPA, 1999), the available data
are inadequate for an assessment of human carcinogenic potential for each of the seven alizarin
red compounds (alizarin red, CASRN 72-48-0; alizarin red S, CASRN 130-22-3; alizarine red
3WS, CASRN 6486-94-8; alizarine red YCAP, CASRN 82-29-1; acid alizarin red B, CASRN
1836-22-2; alizarine chrome red G, CASRN 10169-02-5; alizarine red V2A CASRN
12794-90-0).
QUANTITATIVE ESTIMATES OF CARCINOGENIC RISK
Provisional oral slope factors and inhalation unit risk values for the seven alizarin red
compounds cannot be derived because human and animal cancer data are lacking.
REFERENCES
ATSDR (Agency for Toxic Substances and Disease Registry). 2002. Toxicological Profile
Information Sheet. Online, http://www.atsdr.cdc.gov/toxpro2.html
Au, W. and T.C. Hsu. 1979. Studies on the clastogenic effects of biologic stains and dyes.
Environ. Mutagen. 1:27-35.
Brown, J.P. 1980. A review of the genetic effects of naturally occurring flavonoids,
anthraquinones and related compounds. Mutat. Res. 75: 243-277.
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Brown, J.P. and R.J. Brown. 1976. Mutagenesis by 9,10-anthraquinone derivatives and related
compounds in Salmonella typhimurium. Mutat. Res. 40: 203-224.
Brown, J.P., P.S. Dietrich and R.J. Brown. 1977. Frameshift mutagenicity of certain naturally
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Fujita, H., A. Mizuo and K. Hiraga. 1976. Mutagenicity of dyes in the microbial system. Tokyo
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Poginsky, B., J. Westendorf, B. Blomeke et al. 1991. Evaluation of DNA-binding activity of
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