3. FEATURES IN COMMON, ESP.
PCBS AND DIOXINS/FURANS
ighly lipophilic
• bioaccumulation
• bioconcentration
ersistent organic pollutant
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•
•
•
adsorbs onto clay particles
sorbs and desorbs on surface of vegetation
long-range seasonal transport
accumulation in Arctic of organochlorines
4. FEATURES IN COMMON, ESP.
PCBS AND DIOXINS/FURANS
tructural similarities lead to similar toxicity profiles among dioxins,
furans and some “coplanar” PCBs
rincipal toxic outcome in human beings for the class is chloracne
• acneiform skin rash, very persistent
• preauricular distribution characteristic
• refractory to treatment
5. CHLORACNE AND POLYCYCLIC
HALOGENATED ORGANICS
hloracne is non-specific: may be cased by
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•
•
•
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•
polychlorinated dibenzofurans and dioxins
polybrominated dibenzofurans and dioxins
polychloronaphthalenes
polychlorobiphenyls
polybromobiphenyls
tetrachloroazobenzenes
7. DIOXINS AND FURANS
omparable toxicity, dioxin > furan
oth produced in minute quantities from natural combustion
oth produced in significant quantities from
•
•
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•
chemical synthesis as contaminant
runaway chemical reactions
combustion (PVC plastics)
effluent (Cl pulp bleaching)
8. DIOXINS AND FURANS
5 dioxins, 135 furans
ono-, di-, octa- chloro dioxins and furans show little toxicity
ost toxic of family are:
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•
•
•
2,3,7,8-tetrachlorodibenzodioxin (TCDD)
2,3,7,8-tetrachlorodibenzofuran (TCDF)
1,2,3,7,8-pentachlorodibenzodioxin (PCDD)
2,3,4,7,8-pentachlorodibenzofuran (PCDF)
9. DIOXINS AND FURANS - FATE
AND DISPOSITION
hotolysis occurs in sunlight
• molecule may be held on surface of plant
• light quanta sufficient to break bridging bonds
• t1/2 may be only hours in such situations
ersistent organic pollutants
• persists in soil, t1/2 may be 10 y below surface
• fortunately do not migrate well in water
• slow photolysis under cold conditions
10. TOXICOKINETICS OF DIOXINS
AND FURANS - 1
ay be absorbed by any route of exposure:
•
•
•
•
•
inhalation
ingestion
transcutaneous absorption
transplacental
expressed in breast milk - infants at risk
istribution
• typical fat depots for lipophilic substance (next)
11. TOXICOKINETICS OF DIOXINS
AND FURANS - 2
istribution (continued)
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•
•
•
blocked by BBB, poor entry into brain
circulating levels represent what is mobilized from depot
may be mobilized with weight loss
adipose levels are detectable in individuals without exceptional
exposure
• adipose levels not routinely used clinical
12. TOXICOKINETICS OF DIOXINS
AND FURANS - 3
etabolism
• very slow in vivo
• t1/2 approximately 7 years
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•
•
•
mostly hepatic
Phase I metabolism is hydroxylation or methylation
Phase II metabolism is glu, sulf conjugation
potent induction of both I and II enzymes
13. TOXICOKINETICS OF DIOXINS
AND FURANS - 4
xcretion
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•
•
•
biliary, subject to enterohepatic circulation
TCDD metabolites in urine and bile
TCDD (unchanged) excreted into bile, enters feces
mobilizes into breast milk, which is a significant route of excretion in
lactating women
14. TOXICODYNAMICS OF
DIOXINS, FURANS
xposure-response ratio for most effects is poorly characterized
ery potent (ppq) in animal models
uman toxicity
• difficult to demonstrate at same exposure levels
• appears to be a species difference, Ah receptor affinity
ancer risk
15. MECHANISMS OF TCDD
TOXICITY - 1
nteracts with an intracellular receptor: Ah
unction of this receptor is probably related to endocrine control
mechanisms
•
•
•
•
estrogenic and thyroid function
enzyme induction
? Downregulates tumor suppressor genes
modulates protein kinase C, allowing proliferation
16. MECHANISMS OF TCDD
TOXICITY - 2
he Ah receptor
• also binds “aryl hydrocarbons”(PAHs)
• forms heterodimer with a transport protein: the “aromatic receptor
nuclear transporter” (ARNT)
• dioxin-Ah-ARNT complex is transported into nucleus
• binds there to “dioxin-responsive elements (DREs)
(next)
17. MECHANISMS OF TCDD
TOXICITY - 3
n nucleus, dioxin-Ah-ANRT
• binds to DRES
• activates transcription of a variety of proteins, including
cytochromes, cell cycle regulators, cytokines
any alleles with different binding efficiencies
• probably the explanation for species differences
18. TOXICITY OF DIOXINS, FURANS
on-primate animal models
wasting” syndrome
epatotoxicity
uman studies and primate
models
hloracne
mmunotoxicity
Ca risk
ematopoietic failure
epro toxicity
peripheral neuropathy
19. IMMUNOTOXICITY OF TCDD
xtensively studied as a model for immunotoxicology
• thymic atrophy
• pancytopenia
• suppression of cellular immunity
o consistent findings or syndrome in humans
ay be related to thyroxin-like effects
20. CANCER RISK ASSOCIATED
WITH TCDD
ost potent promoter known for rat liver Ca, also potent for lung and
skin
lassified by IARC as 2B: “possibly”
• limited evidence for human carcinogenicity
• sufficient evidence for animal carcinogenicity
ancers implicated in human studies
• soft tissue sarcomas
• non-Hodgkins lymphoma
22. PCBS
09 compounds in class, with varied toxicity profiles
ay have one to ten chlorines
CB formulations are mixtures
• 20 PCBs generally present in forumalations
• average 3 to 5 chlorines
ydrophobic, lipophilic
23. PCBS
any desirable properties
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•
•
•
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low flammability
electrically nonconductive
good heat exchange
lubricating
solvent
an on new manufacture
azardous waste, old transformers
24. PCBS
n addition to chlorine substitution, chlorine positioning plays a major
role in toxicity:
• para: resembles thyroxine
• ortho: “non-co-planar” configuration
• para, meta: “co-planar” configuration
o-planar PCBs resemble TCDD, bind to Ah receptor
o-planar → non-co-planar in environment
25. TOXICOKINETICS OF PCBS
bsorption by any route
• low volatility but may be adsorbed on particles
• heavy skin exposure common in past
• transplacental, breast milk important routes
istribution
• lipophilic, higher %Cl ∝ affinity for adipose
• adipose depot
• may mobilize with weight loss
27. TOXICODYNAMICS OF PCBS
eneralizations regarding toxicity:
• much less potent than dioxins, furans, by factor of 10,000 or 100,000
• higher chlorine content associated with greater toxicity
• coplanar PCBs associated with higher TCDD-like toxicity, activity
resembling dioxins and furans
• non-coplanar associated with other toxicity
28. TOXICITY OF PCBS - 1
nimal Models
epatotoxicity
umans and Primates
hloracne
europathy
epatotoxicity
epro effects
• hepatocellular injury,
possibly jaundice
• porphyrin metabolism
Ab response
Otitis media
ancer (hepatic, GI, leukemia,
29. TOXICITY OF PCBS - 2
oplanar PCBs interact with Ah receptor
iotransformation enriches non-co-planar
on-coplanar PCBs may show different patterns of toxicity:
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•
•
•
neurotoxicity
stimulation of insulin release, ↓biosynthesis
xenoestrogen effects
neutrophil inactivation
30. TOXICITY OF PCBS - 3
Fish-Eaters”
• Great Lakes - Jacobson studies
• Sweden, east v. west coast
• Netherlands, North Sea
onsistent and strongly suggestive
• depressed neurocognitive function
• associated with PCB-contaminated fish consumption at reasonable
amounts
31. TOXICITY OF PCBS - 4
rganochlorine ecosystem contamination
• northern latitudes
• susceptible population - Inuit
• contaminated fish
• marine mammals
• breast feeding
• elevated rate of otitis media, meningitis
• immunsuppression
• associated with PCB 77, 126, 169
32. TOXICITY OF PCBS - 5
reat controversy
cotoxicity?
• marine mammals
• zooplankton and filter feeders
ssues arising:
• breast feeding
• breast cancer
• fish advisories
33. CARCINOGENESIS OF PCBS
ighly controversial
ARC classifies 2A: “probable”
PA, ATSDR treat as human carcinogens
vidence suggests certain types:
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•
•
•
hepatocellular Ca
?cholangiosarcoma and biliary tract
?leukemia
?non-Hodgkins lymphoma
34. PROBLEMS IN STUDYING PCBS
ost human toxicity information comes from Yusho incident
• very high level of exposure
• contamination by furans
usceptible populations are confounded
CBs track with other organochlorines
biquitous distribution in industrial society
35. TOXIC EQUIVALENCY FACTORS
ost common system is WHO/IPCS
EFs are based on potency compared to 2,3,7,8-TCDD = 1
pplied to PCBs, dioxins, furans, other
atabase incomplete, not systematic
ost TEFs derive from potency for enzyme induction (CYP1A1)
36. THE XENOESTROGEN
HYPOTHESIS
any POPs have weak estrogenic properties, inc. D&Fs, PCBs,
pesticides
oncern over:
• breast Ca
• endometriosis
• ↓sperm counts, ↑hypospadias
hytoestrogens in diet