INTERNATIONAL PROGRAMME ON CHEMICAL SAFETY WORLD HEALTH ORGANIZATION SAFETY EVALUATION OF CERTAIN FOOD ADDITIVES AND CONTAMINANTS WHO FOOD ADDITIVES SERIES 40 Prepared by: The forty-ninth meeting of the Joint FAO/WHO Expert Committee on Food Additives (JECFA) World Health Organization, Geneva 1998 tert-BUTYLHYDROQUINONE (TBHQ) First draft prepared by Ms Elizabeth Vavasour and Ms J. Eastwood Chemical Health Hazard Assessment Division Bureau of Chemical Safety Food Directorate, Health Protection Branch Health Canada, Ottawa, Ontario, Canada 1. Explanation 2. Biological data 2.1 Biochemical aspects 2.1.1 Absorption, distribution and excretion 2.1.1.1 Rats 2.1.1.2 Dogs 2.1.1.3 Humans 2.1.2 Biotransformation 2.1.3 Effects on enzymes and other biochemical parameters 2.2 Toxicological studies 2.2.1 Acute toxicity studies 2.2.2 Short-term toxicity studies 2.2.2.1 Mice 2.2.2.2 Rats 2.2.3 Long-term toxicity/carcinogenicity studies 2.2.3.1 Mice 2.2.3.2 Rats 2.2.3.3 Dogs 2.2.4 Reproductive toxicity studies 2.2.5 Special studies on teratogenicity 2.2.6 Special studies on genotoxicity 2.2.7 Special studies on lung toxicity 2.2.8 Special studies on the forestomach 2.2.8.1 Rats 2.2.8.2 Hamsters 2.2.9 Special studies on the liver 2.2.10 Special studies on the kidney and urinary bladder 2.2.11 Special studies on potentiation and inhibition of cancer 2.2.11.1 Liver 2.2.11.2 Urinary bladder 3. Comments 4. Evaluation 5. References 1. EXPLANATION tert-Butylhydroquinone (TBHQ) was evaluated by the Committee at its nineteenth, twenty-first, thirtieth, thirty-seventh and forty-fourth meetings (Annex 1, references 38, 44, 73 94 and 116). At the forty-fourth meeting, the previously-established temporary ADI of 0-0.2 mg/kg bw was extended pending results from ongoing long-term studies in rodents. This ADI was derived from a NOEL of 1500 mg/kg of feed (equivalent to 37.5 mg/kg bw per day) in a 117-week feeding study in dogs on the basis of haematological changes observed at the next highest dose level of 5000 mg/kg feed (Annex 1, reference 39). At its present meeting, the Committee reviewed the results of the long-term studies in mice and rats. In addition, new information relating to metabolism of TBHQ, its effects on enzyme induction and its short-term and reproductive toxicity in rodents was available for review. The results from the long-term study in dogs and the genotoxicity studies relating to clastogenic potential of TBHQ were also re-evaluated. The following consolidated monograph is a compilation of studies from the previous monographs and those reviewed for the first time at the present meeting. 2. BIOLOGICAL DATA 2.1 Biochemical aspects 2.1.1 Absorption, distribution, excretion 2.1.1.1 Rats In a single dose study, rats received 14C-labelled TBHQ equivalent to 15, 48, 92, 383, 380 or 400 mg/kg bw. Urine and faeces were collected daily as was expired CO2. At the end of the test period the animals were sacrificed and blood, brain, kidneys, liver, gastrointestinal tract, and perirenal, omental and subcutaneous fat removed for assay. Of the administered radioactivity, 78-88% was recovered in the urine, the bulk of this being excreted within the first 24 hours (55-82.7% of the administered dose). Of the recovered radioactivity, 70-76% was in the form of the o-sulfate conjugate and 1-2% as the o-glucuronide. Faecal excretion was 2-6%. Only traces of radioactivity were detected in the tissues at the 92 mg/kg bw level; no values were given for the higher levels (Astill et al., 1967a). In another experiment, rats (body weight 200-250 g) were maintained on a daily diet that allowed an intake of 5.7 mg/kg bw (0.029% level) of 14C-TBHQ daily for 17 days. Urine and faeces were collected throughout the experiment. At the end of the test period the rats were starved overnight before sacrifice, and brain, liver, kidney, and fat samples collected. Tissue levels were as follows (mg TBHQ/g wet tissue): liver, 0.06-0.34; kidney, 0.09-0.38; brain, 0.06-0.56; fat, 0.06-0.37 (Astill et al., 1967a). Male and female rats (body weight 250 g) were given a single dose of TBHQ, dissolved in corn oil (l0% w/w), by intubation at dose levels equivalent to 100, 200, 300 or 400 mg/kg bw. At the 400 mg/kg bw level there was a rapid onset of ataxia, followed by recovery in 2-3 hours. Urine samples were collected daily for 3 days before dosing and then for 6 days after dosing. At all dose levels excretion appeared to be complete in 3-4 days. About 66% of the dose was excreted as the o-sulfate conjugate and less than 10% as the glucuronide. At the 100 mg/kg bw level, urinary excretion accounted for almost all the dose. At higher levels about 33% could not be accounted for in the urine or be detected in the faeces. Excretion of the free TBHQ at the 100 mg/kg bw level was about 12%, but this decreased at the higher dose levels (2% at 400 mg/kg bw). No other major metabolites were detected (Astill et al., 1968). Urine samples were collected from two animals of each of the 0, 0.16 and 0.5% dietary TBHQ groups of a long-term feeding study at months 12 and 20. Serum samples were collected from groups of five rats at months 6, 12, 20 and at autopsy. Samples of perirenal, omental and subcutaneous fat were removed at autopsy, and pooled by sex and dose. At 12 months, males at both levels excreted about equal amounts of the conjugates in the urine (o-sulfate and o-glucuronide). Most (about two-thirds) of the excretory products in females was the o-sulfate form and the remainder the o-glucuronide. At 20 months in both male and female, most of the conjugate excreted was in the o-sulfate form with little evidence for glucuronide excretion. Only negligible amounts of TBHQ were detected in serum or fat (Astill et al., 1968). Portions of the fat of control animals and animals that had been maintained on 0.5% TBHQ were examined for stability by the active oxygen method (oxidative stability) and also for TBHQ content. There were no apparent differences in the oxidative stability of fats from treated and control animals, nor did polarographic and colorimetric methods of analysis (sensitive to 5 mg/kg) indicate the presence of TBHQ in the fat of test animals (Eastman Chemical Products, 1968a). Pregnant albino SD rats (380-440 g body weight; age 48 weeks) were selected from the third litter of second generation females in a reproductive toxicity study that had received 0.5% of TBHQ in the diet since weaning. Animals were given one day before term an oral dose of 14C-TBHQ (40 mg/kg bw) as a 10% solution in corn oil. Urine and faeces were collected up to time of sacrifice (7.6-16.7 hours after dosing). Fetuses were removed by Caesarean section. The uterus, amniotic fluid, gastrointestinal tract, liver, brain, kidneys and fat specimens were collected for radioassay. About 74% of the dose was excreted in the urine in the 16.7-hour period. Only 10% of the dose was detected in the gastrointestinal tract at 7.4 hours after dosing, and 8.5% at 17.6 hours. The level of radioactivity in fetuses was 0.2% of the dose at 7.6 hours and 0.02% at 16.7 hours. Similar small proportions of the dose were present in the uterus and amniotic fluid and other tissues examined. Based on these results, extrapolation to possible known exposures suggest that at the highest possible intake (0.1 mg/kg bw per day), the human fetus would be exposed to the order of 1% of the daily intake in the form of unchanged TBHQ and probably higher levels of the conjugate (Astill & Walton, 1968). Oral doses of 4 ml of 0.01, 0.1 or 1.0% butylated hydroxyanisole (BHA) were administered to male F344 rats. After 3 hours, the concentrations of tert-butylquinone (TBQ) (the oxidation product of TBHQ) detected by HPLC in the forestomach mucosa were found to be 0.00453, 0.04504 and 0.05520 µg/animal, respectively, compared with 1.77, 18.84 and 216.28 µg BHA/animal, respectively (Morimoto et al., 1991). TBHQ was not detected in homogenates of forestomach mucosa from male F344 rats that had received 4 ml of 0.01-2.0% 14C-BHA. Forestomach homogenates were therefore treated with sodium dodecyl sulfate in order to reduce TBQ to TBHQ, in which form it could be more easily measured. The TBHQ content thus generated in the forestomach homogenates was proportional to the dose of BHA. The ratios of the total tissue content of TBHQ to the total amount of covalent binding of 14C in forestomach were 0.01-0.03% at oral BHA doses of 0.1-2.0%. The authors concluded that the covalent binding level was an important indicator of reactive metabolites of BHA (Morimoto et al., 1992). 2.1.1.2 Dogs Male beagle dogs (about 11 kg weight) were fed Purina Chow and TBHQ as a single 100 mg/kg bw oral dose via ground meat capsule. Urine was collected 3 days before dosing and 6 days after dosing. Excretion was essentially complete within 48 hours. The major urinary excretory products were the o-sulfate, and o-glucuronide conjugates and a small amount of unchanged TBHQ. Total recoveries ranged from 77 to 98%. Most (about two-thirds) of this was as the o-sulfate and one-third as the o-glucuronide (Astill et al., 1967b). In another study, 26 male and female dogs were used. The dogs were maintained on diets containing TBHQ dissolved in corn oil at levels equivalent to 0, 0.05, 0.1 or 0.5%. Urine and serum samples were collected on day 9 and one day before commencement of feeding TBHQ, and at months 3, 6, 12, 13 and 24 of the test period. Serum was collected 23 hours after feeding. At autopsy, performed on one dog of each sex at each dose level at 12 months, and on the remaining dogs at 24 months, samples of perirenal, omental and subcutaneous fat were removed. Chromatographic studies of the urine indicated excretion of both the o-sulfate and o-glucuronide conjugates, at all dose levels. In the case of males, the o-sulfate/glucuronide ratios were 2/1, whereas in females the bulk of the conjugate was in the form of the o-sulfate. Only insignificant quantities of TBHQ were detected in the fat (the maximum in males was 7 mg/kg and in females 17 mg/kg, but in most cases the value was 0), and serum (0-0.7 mg/litre) (Astill et al., 1967b). Portions of the fat from test animals and animals that had been maintained on the highest level of TBHQ (0.5%) for 2 years were examined for stability by the active oxygen method. There was no apparent difference in the oxidative stability of fats from treated or control animals (Eastman Chemical Products, 1968a). In another study TBHQ residues were assayed in fat, brain, liver and kidney of dog and rats from the long-term feeding studies. Storage appeared to be negligible (Astill & Jones, 1969). 2.1.1.3 Humans Human subjects (males) received TBHQ under the following conditions: (1) a gelatin capsule containing 150 mg TBHQ; (2) a mixture of TBHQ (2%) in corn oil and graham cracker crumbs, equivalent to a dose of 125 mg TBHQ; (3) 100 mg dissolved in cottonseed oil contained in a gelatin capsule; (4) 20 g of mixture containing TBHQ, 2% cottonseed oil and 2% confectioners' sugar in graham cracker crumbs. Doses of TBHQ ranged from 20 to 70 mg. Subjects one, two and three drank milk immediately after ingesting test material; subject four ate doughnuts and drank coffee. Urine was collected from subjects 24 hours before dosing and during the 72-hour period after dosing. Blood was collected by veni-puncture at 3 or 5 and 24 hour after-dosing. Clinical observations were made immediately before ingestion and 3 to 6 hours after, and consisted of blood pressure, pulse response, condition of pharynx, conjunctivae and pupils and neurological effects. Haematological studies consisted of haemoglobin, cell volume, WBC, differentials, reticulocyte and platelet counts, and total protein. Urinalysis consisted of SpGr, albumin, reducing sugars, ketone bodies, occult blood, pH and sediment. Levels of TBHQ in serum and metabolites of TBHQ in urine were also determined. There was no evidence of any systemic effect following ingestion of TBHQ. No significant changes were observed in haematological studies or urinalysis. Examination of urine indicated that TBHQ was excreted as the o-sulfate and o-glucuronide conjugates (ratio approximately 3:1). These were mainly recovered during the first 24 hours. No free TBHQ was detected at any time. The manner of ingestion had a marked effect on the proportion of the dose recovered from urine. TBHQ administered by methods 1 and 3 resulted in only 22-4% of the dose being recovered in the urine, whereas method 2 resulted in 90-100% recovery. In all cases, the same metabolic products were present in urine. High recoveries of TBHQ metabolites in urine were accompanied by a serum level of 31-37 mg TBHQ/litre at 3 hours for subject two, compared to 4-12 mg/litre for subjects one and three. At 24 hours these levels had fallen to 15 mg/litre for subject two and 2-12 mg/litre for subjects one and three (Astill et al., 1967c). 2.1.2 Biotransformation Following the intraperitoneal administration of 400 mg BHA/kg bw or 200 mg TBHQ/kg bw TBHQ to male Wistar rats, two previously undocumented metabolites, 3- tert-butyl-5-methylthiohydroquinone (TBHQ-5-SMe) and 3- tert-butyl-6-methylthiohydroquinone (TBHQ-6-SMe), were detected in the urine using GC-MS. The authors suggested that these metabolites resulted from the metabolic conversion of glutathione conjugates of a quinone or semiquinone form of TBHQ. In rat liver microsomal preparations, the formation of two GSH conjugates at the 5- and 6- positions of TBHQ in the presence of an NADPH- generating system, molecular oxygen and GSH was confirmed. It appeared that glutathione S-transferase (GST) is not required for the reaction. While inhibitors of cytochrome P-450 markedly reduced formation of TBHQ-GSH conjugates, indicating its role in the activation of TBHQ to tert-butylquinone (TBQ) autooxidation was also shown to play a partial role in this reaction (Tajima et al., 1991). Benzylthiol derivatives synthesized from TBQ had higher first reduction potentials than the parent compound. The authors concluded that TBQ maintained its potential for the generation of active oxygen species even after its addition to cellular thiols (Morimoto et al., 1991). The tert-butyl semiquinone radical was shown to be formed from TBHQ in aerobic rat liver microsomes in the presence of NADPH. A concentration of 500 µM TBHQ and 5 µM TBQ produced similar reductions in SOD-inhibitable cytochrome c, which was used as an indication of excess superoxide anion radical production. The authors concluded that autooxidation of the semiquinone formed from the quinone was responsible for superoxide formation and that the hydroquinone entered the redox cycle via autooxidation. TBQ, but not TBHQ, induced toxic injury to rat hepatocyte plasma membrane as indicated by LDH release into the culture medium. The authors speculated that semiquinone-dependent superoxide formation was responsible for the toxic action (Bergmann et al., 1992). Incubation of TBHQ with horseradish peroxidase and hydrogen peroxide resulted in its rapid oxidation to TBQ. TBQ epoxide was also produced at hydrogen peroxide concentrations of 2.5 mM or more. The presence of horseradish peroxidase was not a requirement for the production of TBQ epoxide from TBQ (Tajima et al., 1992). Three GSH conjugates were generated by the incubation of TBHQ with GSH; two of these were monoconjugates at the 5 or 6 positions (tert-butyl group at position 2) and one was a 5,6 diconjugate. The redox potentials for the conjugates were twice those for the unconjugated hydroquinone. The monoconjugates showed an approximately 10-fold increase in redox cycling activity (oxygen consumption in the presence of a reducing agent) compared with TBHQ, whereas the diconjugate showed a 2-fold increase compared with TBHQ. None of the major GST isoenzymes were required for the formation of glutathione conjugates from TBHQ (van Ommen et al., 1992). Incubation of TBHQ in phosphate-buffered saline resulted in the generation of the semiquinone radical through autooxidation, accompanied by the formation of superoxide anion, hydroxyl radical and hydrogen peroxide as detected by electron spin resonance (ESR) spectroscopy. The addition of prostaglandin H synthase resulted in a substantial increase of semiquinone production with concomitant production of reactive species. Under the conditions of the assay, lipoxygenase had no effect on the formation of the semiquinone. The presence of either prostaglandin H synthase or lipoxygenase was found to accelerate substantially the metabolism of TBHQ to TBQ compared with the rates of autooxidation. In an in vivo study, male Wistar rats were fed diets containing 1.5% BHA for 14 days, with concurrent administration of the prostaglandin H synthase inhibitors acetylsalicylic acid (0.2%) or indomethacin (0.002%) in the drinking-water. Both agents produced a significant decrease in the amount of TBQ excreted into the urine, compared with controls receiving drinking-water only, while the combined urinary excretion of BHA and its metabolites, TBHQ and TBQ, was similar for the various groups (46.9%, 45.4% and 43.5% of the ingested dose during urine collection in the control, indomethacin and acetylsalicylic acid groups, respectively). The results suggested an in vivo role for prostaglandin H synthase in the metabolism of TBHQ to TBQ (Schilderman et al., 1993a). Following intraperitoneal administration of TBHQ (1.0 mmol/kg bw) three glutathione metabolites, 2- tert-butyl-5-glutathione- S- ylhydroquinone, 2- tert-butyl-6-glutathione- S-ylhydroquinone and 2- tert-butyl-3,6-bisglutathion- S-ylhydroquinone, were identified in the bile of male F344 rats. Sulfur-containing metabolites of TBHQ were identified in the urine. The results indicated that TBHQ undergoes oxidation and GSH conjugation in vivo in the male F344 rat. These conjugates are excreted into the bile and undergo further metabolism prior to excretion in the urine. The authors suggested that the sulfur-containing metabolites of TBHQ may occur in amounts sufficient of play a role in the toxicity of TBHQ for kidney and bladder (Peters et al., 1996a). 2.1.3 Effects on enzymes and other biochemical parameters Adult male rats (SD strain) were maintained on standard diets containing the following additions: (1) none; (2) 5% heated cottonseed oil; (3) DL-ethionine, 2.5% level for 10 days; (4) 100 mg/kg bw per day phenobarbital for five days (intraperitoneal injection), (5) 1% corn oil + 0.05% BHA; (6) 4% corn oil + 0.2% BHA; (7) 1% corn oil + 0.05% TBHQ; (8) 4% corn oil + 0.2% TBHQ; and (9) 5% heated cotton-seed oil + 0.025% TBHQ. A liver microsomal fraction was prepared from each group of animals and glucose-6-phosphatase (G-6-Pase), p-nitroanisole demethylase ( pNaD) and aniline hydroxylase (AHase) activities determined. The expected elevation of pNaD (5x) and AHase (3x) occurred with phenobarbital, but DL-ethionine had no significant effect on these enzymes. Phenobarbital produced a depression of G-6-Pase activity (25%), and TBHQ at 0.05% level produced a 25% depression in G-6-Pase which was absent at the 0.2% level. TBHQ had no effect on pNaD at the 0.05% level, but produced at the 0.2% level a 60% elevation of pNaD. There was no clear effect on AHase. In contrast, BHA produced a 30% decrease in G-6-P at both levels, a 50% increase in pNaD at 0.05% and a 700% increase of pNaD at the 0.2% level. There was no effect on AHase. Inclusion of heated oil in the diet had no marked effect on previous changes. In another experiment in which measurements were made of enzyme activities in microsomal preparation from livers of rats fed for 180 days diets containing 0.5% TBHQ dissolved in either heated or unheated cottonseed oil, no significant differences were observed that could be attributed to heat treatment of oil before addition to the diet (Tischer & Walton, 1968). pNaD, AHase, and G-6-Pase activities of microsomal fractions from dogs that had been maintained on diets containing 0, 0.05, 0.16 and 0.5% TBHQ for 2 years were within the range of control values (Tischer & Walton, 1968). Electron microscopy studies of liver and kidney tissue from both dog and rat showed that long-term administration of TBHQ did not significantly alter the subcellular constituents or cause a proliferation of the endoplasmic reticulum of liver cells (Wolf & Fassett, 1968a,b). The effects of antioxidants, including TBHQ, on prostaglandin biosynthesis were examined by determining the production of prostaglandin E1 (PGE1) and prostaglandin E2 (PGE2) by incubated microsomal fractions of bovine seminal vesicles. All the antioxidants tested proved to be concentration-dependent inhibitors of prostaglandin biosynthesis. A 50% inhibition of PGE1 and PGE2 biosynthesis was observed at TBHQ concentrations of 5.5 and 6.1 µM, respectively. A 50% inhibition was also observed with BHA at comparable concentrations, while much higher concentrations of butylated hydroxytoluene (BHT) and ascorbate were required to have the same inhibitory effect (Boehme & Branen, 1977). Six phenols, including TBHQ and BHA, were examined for their ability to induce hepatic mono-oxygenase and detoxication enzyme activities in female CD-1 mice. TBHQ treatment (42 nmol/kg diet for 12 days) had no effect on relative liver weight, cytochrome P-450 content or on the activities of AHase, aminopyrine N-demethylase or peroxidase. TBHQ treatment was shown to increase cytosolic GST activity 2-fold while UDP-glucuronyl transferase (UGT) activity was reduced by one third. In an additional in vitro experiment with mouse liver microsomes, TBHQ was shown to inhibit benzo (a)pyrene (BP) metabolism and its DNA-binding capacity. These effects were not observed in the in vivo study (Rahimtula et al., 1982). Groups of 50 rainbow trout were fed diets containing 0 or 5.6 mmol/kg TBHQ (equal to 0.1%), BHT, BHA or ethoxyquin for 6 weeks. The treated trout had reduced liver/body weight ratios. Compared to controls, TBHQ treatment led to a decrease in hepatic microsomal protein and cytochrome P-450 content, and pNaD activity. In contrast, the hepatic activities of BP hydroxylase, epoxide hydratase, ethoxycoumarin-O-deethylase and NADPH-cytochrome c reductase were elevated following TBHQ treatment (Eisele et al., 1983). Male albino rats (CRL:COBS.CD(SD)BR) were dosed daily (i.p.) on 3 consecutive days with TBHQ at dose levels equivalent to 50, 100 or 150 mg/kg bw. No spontaneous haemorrhage was observed in any of the test animals on autopsy, nor was there any effect on prothrombin time. It should be noted that in a similar study on this strain of rats, BHT at dose levels up to 1520 mg/kg bw failed to produce deaths due to haemorrhage, and only at this high dose did BHT cause a significant increase in prothrombin time (Krasavage, 1984). TBHQ was found to be an inducer of quinone reductase in cell mutants and mouse strains that lack the Ah receptor. In these target tissues, agents that induce both phase I and phase II enzymes (such as polycyclic aromatics) were ineffective (Prochaska, 1987). TBHQ was found to stimulate the production of superoxide, hydrogen peroxide and hydroxyl radicals in microsomes from rat liver and forestomach. The oxidation product of TBHQ, i.e. TBQ, exceeded TBHQ in its capacity to induce oxygen radical formation (Kahl et al., 1989). TBHQ (30 µM) was found to induce quinone reductase activity in cultures of bone marrow stromal cells from C57BL/6 and DBA/2 mice (Twerdok & Trush, 1990). An assay was described for measuring induction of quinone reductase in Hep 1c1c7 cells as a screen for Phase II enzyme inducers. TBHQ, a representative monofunctional inducer, was shown to induce quinone reductase in wild-type Hepa 1c1c7 cells and its mutant subclones defective in either functional Ah receptor or cytochrome P-450 gene product (Prochaska, 1994). The induction of a human oxidoreductase (H-37) in wild type HT29 colon cells by Michael reaction acceptors, including TBHQ, was investigated. H-37, also called dihydrodiol dehydrogenase (DDH), has been identified as a human hepatic bile acid binding protein, which may be an important determinant of net hepatic bile acid transport. These investigations demonstrated that DDH is inducible by de novo synthesis from mRNA by Michael reaction acceptors. Indirect evidence suggested that an element similar to hARE (human antioxidant response element) is involved in the regulation of DDH by these agents (Ciaccio et al., 1994). For comparative purposes, the effects of TBHQ on the regulation of Ah gene battery enzymes and glutathione levels were investigated in mouse hepatoma cell lines. The cell lines used included a wild type, a CYP1A1 metabolism-deficient mutant and an aromatic hydrocarbon receptor nuclear translocation (ARNT)-deficient mutant. In wild type cells, TBHQ treatment resulted in increased activities of all Phase II enzymes in the Ah gene battery: NAD(P)H:menadione oxidoreductase (NMO1), cytosolic aldehyde dehydrogenase (ALDH3c), UDP-glucuronosyl transferase (UGT1*06) and glutathione S-transferase (GST). TBHQ treatment induced the activities of NMO1, ALDH3c and UGT1*06 in ARNT-deficient cells, indicating that the induction of these Phase II enzymes by TBHQ was through the electrophilic response element (EpRE) and independent of the Ah receptor. No significant induction of Phase II enzymes was observed when CYP1A1 metabolism-deficient cells were treated with TBHQ. However, all responses were muted in this cell line because in the absence of CYP1A1, the activities of all Phase II enzymes were elevated in these cells compared to the wild type. In all cell lines, TBHQ treatment resulted in an elevation of intracellular GSH levels. Increases in intracellular cysteine, the precursor for GSH synthesis, and the activity of gamma-glutamyl cysteine synthetase (GCS), the rate-limiting enzyme in GSH synthesis, appeared to be involved in the elevation of GSH levels. The authors predicted that the GCS gene regulatory region would contain an EpRE but not an AhRE (Ah response element) (Liu et al., 1994). The hARE-mediated regulation of type 1 NAD(P)H:quinone oxidoreductase (NQO1) gene expression was investigated by transforming mouse hepatoma (Hepa 1) cells with a hARE-tk-choramphenicol acetyltransferase (CAT) recombinant plasmid. Various compounds, including ß-naphthoflavone, BHA, TBHQ, tumour promoters and hydrogen peroxide, were shown to increase the expression of the hARE-mediated CAT gene in transformed Hepa 1 cells. The authors concluded that binding of Jun and Fos nuclear proteins to the hARE, hARE-mediated gene expression and induction of the gene in response to phenols were sensitive to alteration by sulfhydryl-modifying agents. The protein factors involved in signal transduction from xenobiotics to the Jun and Fos proteins were not apparent from the investigations but the authors suggested that oxygen species generated during reductive metabolism of xenobiotics and GST may be involved (Li & Jaiswal, 1994). Induction of GST-Ya and NQO gene expression by a variety of chemical agents is mediated by regulatory elements EpRE and ARE, composed of two adjacent AP-1-like binding sites and activated by Fos/Jun heterodimeric complex (AP-1). Investigations were conducted in HepG2 cells transfected with an EpRE Ya-cat plasmid constructed by ligation of the EpRE from the promoter region of the mouse GST-Ya gene to drive the expression of the CAT gene. Intracellular GSH levels were depleted by pre-treatment with L-buthionine- S,R-sulfoximine (BSO), a specific inhibitor of gamma-glutamylcysteine synthetase. Depletion of GSH by pre-treatment with BSO, resulted in a 2.8 fold increase in the induction of CAT activity by TBHQ compared to that induced in control cells. TBHQ induction of the binding activity of AP-1 was also increased following BSO pre-treatment. The authors suggest that the chemical induction of AP-1 activity leading to the AP-1-mediated transcriptional activation of GST-Ya gene expression occurs at low GSH levels created by the generation of intracellular oxidants and consumption of GSH (Bergelson et al., 1994a). EpRE and ARE are regulatory elements responsible for the chemical induction of GST-Ya expression in the mouse and rat, respectively. These elements have been found to be composed of two adjacent AP-1-like binding sites and are activated by the Fos/Jun heterodimeric complex. HepG2 cells transfected with plasmids containing the EpRE, ARE or a single AP-1 consensus sequence site ligated to the GST-Ya gene promoter driving expression of the CAT gene were exposed to TBHQ or ß-napthoflavone. TBHQ resulted in a 3-, 4- and 1.6-fold induction of the EpRE-, ARE- and AP-1-mediated CAT activity, respectively. Studies with other chemical inducers provided evidence that these agents induce expression of c- fos and c- jun proto-oncogenes and enhance synthesis of protein components of AP-1 complex. The authors suggested that the increased synthesis of AP-1 complex followed by an AP-1-mediated transcriptional activation of GST-Ya and NQO genes may provide a molecular mechanism for the chemical induction of these enzymes (Bergelson et al., 1994b). Studies were conducted to examine the response of genes in the dioxin-inducible Ah gene battery to three compounds, including TBHQ, that protect mouse hepatoma cells (Hepa-1 cells) against menadione toxicity. The protective effect of each compound correlated with the induction of mRNAs and enzymes of the Ah gene battery. TBHQ significantly enhanced the NM01, ALDH3c and UGT1*06 mRNA levels but caused no increases in levels of CYP1A1 mRNA. The studies demonstrated that the TBHQ induction processes do not require a functional Ah receptor, but rather operate via the EpRE, found in the regulatory regions of the murine NMO1, ALDH3c and UGT*06 genes (Vasiliou et al., 1995). TBHQ was shown to induce the activity of gamma-glutamylcysteine synthetase, GSH synthetase, NMO1, ALDH3c, UGT1*06, and GST in mouse hepatoma Hepa-1c1c7-wild-type cells. In Ah receptor nuclear translocation-defective Hepa 1 cells, TBHQ induced the activities of all the above enzymes except for GST. In both cell lines, TBHQ treatment resulted in increased GSH concentrations. The data indicate that the enzyme induction resulting from TBHQ treatment is not mediated via the Ah receptor and is not secondary to depletion of GSH levels (Shertzer et al., 1995). In vitro studies with hepatocytes from male SD rats were conducted to investigate the effects of TBHQ on enzymes in the Ah gene battery. TBHQ induced the activity of GST-Ya and NQO but had no effect on the activity of CYP1A1, UGT*06 or ALDH3c. Co-administration of dexamethasone, a synthetic glucocorticoid, potentiated the induction of GST-Ya and suppressed the induction of NQO by TBHQ. Protein kinase A or C inhibitors had no effect on the induction of GST-Ya or NQO enzyme activity by TBHQ either in the presence or absence of dexamethasone. The authors concluded that the glucocorticoid receptor was involved in the regulation of the GST-Ya and NQO enzyme activity by Ah receptor-independent mechanisms. Unlike the action of the Ah receptor, phosphorylation of the ARE transcription factors or the glucocorticoid receptor was not a factor in the activation of GST-Ya and NQO genes by electrophilic compounds such as TBHQ (Xiao et al., 1995). In vitro studies in HeLa, HepG2 and F9 cells demonstrated that the protein that binds to the ARE and mediates the induction of Phase II genes by TBHQ is not AP-1. TBHQ was shown to suppress canoylphorbol 13-acetate-induced AP-1 transcriptional activity. TBHQ induced c-jun, junB, fra-1 and fra-2, but not c-fos, and therefore the AP-1 complexes induced by TBHQ contain mostly Fra-1. The Fra-1 proteins are capable of binding with Jun proteins and binding to AP-1 sites, but are devoid of transcriptional activation function. The authors suggest that the anti-tumour-promoting activity of phenolic antioxidants results through preferential induction of Fra-containing AP-1 complexes (Yoshioka et al., 1995). An assay system was developed using E. coli stably transfected with the lacZ structural gene fused to a wide variety of E. coli and S. typhimurium stress gene promoters in a modified ß-galactosidase protocol. The authors suggested that induction of specific subsets of promoters could reveal information on the mechanism of toxicity of certain xenobiotics. Under the assay conditions, TBHQ was shown to induce the micF, zwf, clpB and dinD promoters. Since these promoters all belonged to different subsets the results provided no clear information about the intracellular effects of TBHQ (Orser et al., 1995). Phenolic antioxidants, including TBHQ, were shown to induce cytosolic class-3 aldehyde dehydrogenase activity in human breast adenocarcinoma MCF-7/0 cell cultures (Sreerame et al., 1995). Studies were conducted to investigate whether the induction of AP-1 activity and GST-Ya gene expression by BHA and it metabolite TBHQ is due to generation of reactive oxygen species or to an antioxidant activity. Exposure of intact HepG2 cells to TBHQ was shown to result in generation of *OH radicals and a decrease in intracellular GSH levels. The addition of catalase to the culture medium inhibited the generation of *OH radicals, the induction of AP-1- and NF-kappaB-binding activities and the induction of EpRE Ya- cat expression by TBHQ or BHA. Antioxidants, GSH and N-acetyl cysteine were also shown to inhibit the induction of AP-1- and NF-kappaB-binding activites by BHA and TBHQ and the induction of endogenous GST Ya gene in hepatoma cells or a transfected EpRE-Ya cat construct by BHA or TBHQ. The authors concluded that the induction of AP-1 and NF-kappaB by TBHQ or BHA is not an antioxidant response but secondary to the generation of oxygen radicals (Pinkus et al., 1996). The effect of TBHQ on activities and mRNA levels of gamma-glutamyl transpeptidase (GGT) and gamma-glutamylcysteine synthetase (GCS) was investigated in rat lung epithelial L2 cells. TBHQ increased the activities and the mRNAs for GGT and the catalytic subunit of GCS but the time and concentration dependencies differed. Actinomycin D (an inhibitor of RNA synthesis) abolished the increase in GCS-mRNA but not the increase in GGT-mRNA, suggesting a difference in regulation of these genes by TBHQ (Liu et al., 1996a). In an in vitro study using rat lung epithelial L2 cells, TBHQ was shown to increase the intracellular GSH concentration. L2 cells pretreated with a non-toxic concentration of TBHQ (50 µM) acquired resistance to a subsequent challenge with a lethal concentration of TBHQ (200 µM). Pretreatment of the cells with an inhibitor of either GCS or GGT prevented the TBHQ-induced increase in GSH and markly reduced the resistance to 200 µM TBHQ. The authors suggested that the elevation of GST and GGT activites participated in the acquired resistance to quinone toxicity (Liu et al., 1996b). 2.2 Toxicological studies 2.2.1 Acute toxicity studies The results of acute toxicity studies with TBHQ are summarized in Table 1. Table 1. Acute toxicity studies with TBHQ Animal Route LD50 Reference (mg/kg bw) Rat, fed oral 955 (10% in corn oil) Terhaar et al., 1968a 890 ( 5% in corn oil) Rat, fasted oral 756 (10% in corn oil) Terhaar et al., 1968a 802 ( 5% in corn oil) Mouse, fasted oral 1040 Terhaar et al., 1968a Guinea-pig oral 790 Terhaar et al., 1968a Dog oral >4001 Terhaar et al., 1968a 1 At this dose, dogs consistently regurgitated but not until approximately 10 hours after dosing. 2.2.2 Short-term toxicity studies 2.2.2.1 Mice In a 13-week toxicity study, groups of 10 B6C3F1 mice/sex/dose were fed ad libitum diets containing 0, 2500, 5000, 10 000, 20 000 or 40 000 mg/kg TBHQ (99% pure), equal in males/females to 440/500, 870/1075, 1950/2175, 4000/4630 and 8425/9040 mg/kg bw per day, respectively. Animals were observed twice daily, and food consumption and body weights recorded weekly. Separate groups of 10 mice/sex/dose were used to determine a standard set of haematology and clinical chemistry parameters on day 5 and during week 3 and coagulation analyses during week 13. Blood was also collected during week 13 from core study mice for clinical chemistry and haematology analyses. At the end of the study, samples from 0, 2500, 10 000 and 40 000 mg/kg mice were collected for reproductive tissue evaluation and estrous cycle characterization. A necropsy was performed on all core animals. The heart, right kidney, liver, lungs, right testis and thymus were weighed. A complete histopathological examination, including forestomach, liver and thyroid, was performed on all control and high-dose mice. The nose, skin and forestomach of all male and female mice were examined. Two unscheduled deaths of treated females occurred during the study and were considered unrelated to TBHQ. There was a dose-related and statistically significant (p<0.05) decrease in final body weight and body weight gain in male and female mice in the 10 000, 20 000 and 40 000 mg/kg dose groups. Although measured feed consumption was comparable for all groups, mice in the 10 000, 20 000 and 40 000 mg/kg groups tended to scatter more feed, suggesting that actual food consumption was lower in these groups. TBHQ treatment was associated with alopecia and hair discoloration, possibly the result of dermal exposure to spilt feed. There was a dose-related decrease in blood urea nitrogen observed in both sexes at all time points. There were no other toxicologically significant changes in clinical chemistry parameters. Haematological examination revealed increases in erythrocytes, reticulocytes, platelets, leukocytes and segmented neutrophils in the 20 000 and 40 000 mg/kg groups compared to controls at all time points. The increases were observed in both sexes, but were more often statistically significant in the females. Except for the increase in segmented neutrophils, the authors attributed these increases to decreased body weight gain and associated dehydration. All haematological and clinical chemistry values were within the reference ranges provided for B6C3F1 mice in the CRC Handbook of Toxicology (1995). At the 10 000, 20 000 and 40 000 mg/kg dose level, all measured absolute organ weights were lower than those of controls for both males and females. However, the respective relative organ weights were higher than those of controls in these groups, suggesting that the differences were secondary to reduced body weights. The same trend was observed in the weight of the left cauda, left testicle and left epididymis in the 10 000 and 40 000 mg/kg groups during the reproductive tissue examination. The estrous cycle of females exposed to 40 000 mg/kg was significantly longer than that of the controls. This was considered secondary to the reduced body weights of these females. There was a dose-related increase in the incidence and severity of mucosal hyperplasia in the forestomach of all TBHQ-exposed females and males exposed to 20 000 and 40 000 mg/kg. In the 10 000, 20 000 and 40 000 mg/kg groups, there was a dose-related increase in the incidence of suppurative inflammation in the nose and chronic inflammation and epithelial hyperplasia of the skin in both sexes. The NOEL was 5000 mg/kg (equal to 870 mg/kg bw per day) based on decreased body weight gain and increased incidence of mucosal hyperplasia of the forestomach and inflammation of both the nose and skin at higher doses (NTP, 1995). 2.2.2.2 Rats Rats were injected (i.p.) with 200 mg/kg bw TBHQ daily for one month without mortality but some loss of weight. When 100 mg/kg bw was injected (i.p.) daily for one month, there was no loss of weight. No histopathological changes occurred in either case. Rats were maintained for 22 days on a diet containing 1% TBHQ. Initial rejection of food was followed by near normal food intake and growth curve paralleling the control group. There were no deaths, nor was there any gross or microscopic pathology (Fassett et al., 1968). Eight groups, each of 30 SD rats (equally divided by sex), were fed four levels of TBHQ in unheated oil and at the same level in heated, oil (one hour to raise temperature to 190°C followed by 4 hours at 190°C) for 6 months. The levels of TBHQ in the oils were 0, 0.02, 0.1 and 0.5%. Oils were incorporated at a 5% level into a standard diet of ground Purina Chow resulting in final dietary levels of 0, 10, 50 and 250 mg/kg, respectively. Animals were housed five per cage, and water was available at all times. Body weight and gross feed consumption were recorded weekly for the first two nights and thereafter fortnightly. General appearance and behaviour were observed during the test period. Haemograms and urinalysis were conducted on the 0.5% unheated and heated and control at 1, 5 and 6 months. Haemograms consisted of haemoglobin, haematocrit, WBC and differentials and protein determination. Urinalysis consisted of pH, SpGr, occult blood, albumin, reducing sugar and microscopic examinations of the sediment. AST and AP were done on the high and control groups at 3 and 6 months. At autopsy, liver, kidney, heart, spleen, lung, brain and testes weights were determined. The following tissues were examined microscopically: lung, heart, tongue, oesophagus, stomach, small and large intestines, liver, kidney, urinary bladder, pituitary gland, adrenal, pancreas, thyroid, gonads, spleen, bone marrow, cerebrum, cerebellum and eye. Three deaths occurred during the test period, but these were not compound-related. Male rats on the 0.5% TBHQ/ unheated fat showed a slight depression in weight gain and those in the 0.02% TBHQ/unheated fat a significant increase in weight gain over control. These effects were not observed in female rats on diets containing heated fats. Female rats in all groups showed similar weight gains to controls. Food intake of test groups was comparable or better than controls. Haematological tests gave similar values for test and control groups with the exception of the 0.5% TBHQ/unheated fat male group at three months, where the WBC was slightly elevated. This effect was not noted at six months. Urinalysis, AST and AP values of test and control groups were comparable and within normal limits. Organ/body weight ratios indicated a slight increase in ratios for testes and livers of the male rats from 0.5% TBHQ/heated oil group and liver weight ratio of the female rats of the 0.5% and 0.2% heated oil group. These minor differences appeared to be related to heated versus unheated fat rather than a compound effect. Histological studies did not reveal any compound-related effects (Terhaar & Krasavage, 1968b). Following exposure during gestation and lactation in a reproductive toxicity study (see section 2.2.4), groups of 10 F344/N rats/sex were fed ad libitum diets containing 0, 2500, 5000 or 10 000 mg/kg TBHQ (99% pure), equal in males/females to 0/0, 190/190, 370/360 and 780/750 mg/kg bw per day, for 13 weeks after weaning. Clinical findings, body weights and food consumption were recorded weekly. Separate groups of 10 rats/sex/dose were used to determine a standard set of haematology and clinical chemistry parameters on day 5 and during week 3 and coagulation analyses during week 13. Blood was also collected from the core study rats during week 13 for clinical chemistry and haematology analyses. At the end of the study, samples from all groups were collected for reproductive tissue evaluation and estrous cycle characterization. A necropsy was performed on all core study animals. The heart, right kidney, liver, lungs, right testis and thymus were weighed. A complete histopathological examination, including forestomach and kidney, was performed on all control and high-dose rats. In addition, the following tissues were examined: the nose of all exposed groups of males and 5000 mg/kg females; the spleen of 5000 and 10 000 mg/kg males and all exposed groups of females; the mesenteric lymph node of 5000 mg/kg females; and the kidneys of 2500 and 10 000 mg/kg female rats. There were no unscheduled deaths during the study. Mid- and high-dose males/females started the study weighing 10/5% and 28/22% less than controls, respectively, and ended the study weighing 6/7% and 15/12% less than controls, respectively. The differences in body weights were statistically significant for high-dose animals at study initiation and for mid- and high-dose groups at study termination. Weight gains were comparable for all groups except for high-dose males, who gained 9% less body weight than controls (statistically significant, p<0.01). In males, feed consumption was lower in mid- and high-dose groups than controls during week 2 but comparable to controls during week 13. High-dose females tended to consume less feed than controls throughout the study. The only clinical observation attributed to TBHQ was hair discoloration, which was observed in all exposed groups except the low-dose females. The mean spermatid count, spermatid heads per testis and spermatid heads per gram of testis were significantly decreased in males at the 5000 mg/kg dose level but unaffected at the 10 000 mg/kg dose level. There was no effect of TBHQ on epididymal spermatozoa concentration or motility. There is no evidence of a dose-response and therefore the toxicological significance of the reduction at the mid-dose is questionable. Estrous cycles were significantly longer in the low- and mid-dose females than in controls. In the high-dose group, the mean length of the estrous cycle was comparable to controls, but it was reported that in 2/10 high-dose females the estrous cycle was unclear. Serum bile acids were significantly increased in the 5000 and 10 000 mg/kg males and females, at 5 days, 3 weeks and at study termination. ALT activity was increased at day 5 in high-dose females. At week 3, all exposed females tended to have higher ALT levels than controls, but levels remained within normal ranges. ALT levels were comparable for all female groups at the study termination. There were some changes in absolute and relative organ weights, which appeared to be secondary to reduced body weights. The absolute weight of the heart of mid- and high-dose males and females was lower than that of controls. The absolute lung weight was significantly decreased in all exposed males and high-dose females compared to their respective controls. At all dose levels, the relative weight of the testis was significantly higher than that of controls. The relative liver and kidney weights of all exposed males were increased significantly (p<0.05) compared to controls while the only absolute weight affected was that of the liver in low-dose males (increased). The relative liver weights of all exposed females were significantly (p<0.05) increased compared to controls, although there were no differences in absolute weights. These changes in organ weight were not associated with any pathological findings. An increased incidence of hyperplasia of the nasal respiratory epithelium was observed in mid-dose males and high-dose males and females. Nasal exudate was also observed more frequently in high-dose males. There was a dose-related increase in the incidence of splenic pigmentation in exposed animals of both sexes: 0/10, 1/10, 3/10, 5/10 males and 0/10, 5/10, 8/10 and 10/10 females in the 0, 2500, 5000 and 10 000 mg/kg groups, respectively. In addition, atrophy of the red pulp was observed in 8/10 and 10/10 mid- and high-dose females, respectively. There was a dose-related decrease in the incidence of renal mineralization in exposed females. No NOEL could be established for this study because an increased incidence of splenic pigmentation was observed in females at all dose levels. The LOEL for for this study was 2500 mg/kg in the diet, equal to 190 mg/kg bw per day (NTP, 1995). 2.2.3 Long-term toxicity/carcinogenicity studies 2.2.3.1 Mice Groups of 60 B6C3F1 mice/sex were fed ad libitum diets containing 0, 1250, 2500 or 5000 mg/kg TBHQ (99% pure), equal in males/females to 0/0, 130/150, 290/300 and 600/680 mg/kg bw per day, respectively, for 2 years. Mice were housed individually and observed twice daily, 7 days/week. Individual body weights were recorded weekly for the first 13 weeks and once every 4 weeks thereafter. Food consumption was measured monthly. An interim sacrifice of 6 to 10 randomly selected mice/sex/group was conducted at 15 months. At this time, complete gross and microscopic evaluations were conducted, weights of the right kidney, liver and right testis were recorded, and a standard set of haematological parameters was determined. A complete necropsy, including gross and microscopic evaluations, was performed on all animals at termination and where possible, on mice dying during the study. Survival rates ranged from 58 to 77% and were unaffected by TBHQ treated. The average feed consumption for TBHQ-treatment groups was similar to that for controls. Male and female mice in the high-dose group tended to weigh less throughout the study, averaging 8 and 11% less than controls at termination, respectively (statistics not reported). At 15 months, absolute and relative liver weights of TBHQ-treated male and female mice tended to be higher than those of controls. However, there was no clear dose-response to the trend and statistically only the relative liver weight of high-dose females was significantly (p<0.01) different from that of the controls. There were no other differences in organ weights. Males in the 5000 mg/kg group had significantly (p<0.05) higher levels of reticulocytes than controls. There were no other differences in haematological parameters. There were no treatment-related differences in the incidence of neoplasms or non-neoplastic lesions observed at 15 months in either sex. At termination, the incidence of hepatocellular adenoma and hepatocellular adenoma or carcinoma was significantly lower in high-dose males than in controls. The same trend was observed in female mice, although the differences were not statistically significant. Although females in the 1250 mg/kg group (low-dose) had significantly more hepatocellular adenomas and adenomas or carcinomas than controls, the incidence was within historical control ranges and considered unrelated to treatment. The incidence of follicular cell adenoma in the thyroids of 5000 mg/kg females was higher than in controls although the differences did not reach statistical significance: 1/51, 3/51, 2/50 and 5/54 in the 0, 1250, 2500 and 5000 mg/kg groups, respectively. This was associated with a dose-related increase in follicular cell hyperplasia: 12/51, 19/51, 24/50 and 24/54 in the 0, 1250, 2500 and 5000 mg/kg groups, respectively. There were no thyroid follicular cell carcinomas observed in any female mice on study. The incidence of follicular cell adenomas was at the upper limit of the historical control range. No historical control data were provided on the incidence of follicular cell hyperplasia. There were no other treatment-related effects on the incidence of neoplasms or non-neoplastic lesions. There was no evidence that TBHQ was carcinogenic in the mouse. Because the proliferative effects on the follicular cells of the thyroid were noted in female mice at the lowest dose tested, a NOEL could not be established. The LOEL for this study was 1250 mg/kg diet, equal to 130 mg/kg bw per day (NTP, 1995). 2.2.3.2 Rats Groups of each of 100 albino rats (A & C Farms, Altamont, N.Y.) equally divided by sex were maintained on diets containing 0, 0.016, 0.05, 0.16 or 0.5% TBHQ for 20 months. Animals were observed for changes in appearance and behaviour. Body weight was reported at approximately 14-day intervals and group food intake at approximately 23-day intervals. Haematology was carried out at 3, 6, 12 and 20 months on 10 rats (5/sex) from each of the 0, 0.16 and 0.5% level groups. Haematological tests consisted of haemoglobin, PCV, WBC and differentials. Clinical chemistry tests and urinalysis were carried out on the same groups of animals at 6, 12 and 20 months. The clinical chemistry tests consisted of ALT at 6 months, and ALT, ASAT and AP at 12 and 20 months. Urinalysis consisted of SpGr, albumin, sugar and appearance. At 6 and 12 months, approximately 20 rats (10/sex) of each group were sacrificed and at 20 months all surviving animals were sacrificed and autopsied. Organ weights were determined for liver, adrenal, kidney, spleen, heart, brain, lung and testes. Histopathological studies were made on trachea, lung, heart, oesophagus, stomach, small intestine, large intestine, liver, kidney, urinary bladder, adrenal, pancreas, thyroid, ovary or testes, uterus, spleen, femoral bone marrow, cerebrum, cerebellum and eye. There were no adverse changes in appearance and behaviour of the rats during the test period. Mortalities occurred with equal frequency in all groups and were particularly heavy during the 12- to 20-month period. Deaths did not appear to be compound-related. Growth rate, food intake and feed efficiency were comparable for all groups during the experimental period. Haematological and biochemical tests and urinalysis of test and control groups were similar and within normal limits. Although there were some decreases in the absolute organ weights of spleen and brain of males of the 0.16 and 0.05% groups at 20 months, these were not significantly different from those of control when expressed as organ/body weight ratio. No gross or microscopic lesions that could be attributed to the test compound were detected (Terhaar et al., 1968b). Groups of 68-70 F344/N rats/sex, following in utero exposure, were given ad libitum access to diets containing 0, 1250, 2500 or 5000 mg/kg TBHQ (99% pure), equal in males/females to 0/0 50/60, 110/120, and 225/240 mg/kg bw per day, respectively, for up to 30 months after weaning. Clinical findings and individual body weights were recorded weekly for the first 13 weeks and every 4 weeks thereafter. Food consumption was recorded monthly for all exposed groups and weekly for the first 26 weeks and then monthly for control groups. An interim sacrifice of 9 or 10 randomly selected rats/sex/group was conducted at 3 months. At this time, complete gross and microscopic evaluations were conducted, the weights of the right kidney, liver and right testis were recorded and a standard set of haematological parameters was determined. A complete necropsy, including gross and microscopic evaluations, was performed where possible on rats dying during the study and all animals surviving to study termination. Survival rates were higher in high-dose rats of both sexes compared to respective controls, with differences reaching statistical significance (p<0.05) for the females. Throughout the study, high-dose males and females weighed on average 7 and 10% less than controls, respectively. Exposure to TBHQ had no effect on food consumption. The only clinical observation attributed to TBHQ was hair discoloration which was observed in all exposed groups. There was no evidence that TBHQ affected haematological parameters determined at 3 months. No neoplasms were observed in either sex at the 3 month necropsy. There was a dose-dependent increase in the incidence of haemosiderin pigmentation of the spleen in female rats only. There were no other treatment-related histopathological findings at the 3 month sacrifice. At terminal sacrifice, hepatocellular carcinoma was observed in 2/60 (3%) of high-dose males compared to none in any other dose group. This was probably an incidental finding. The incidence was not statistically significant and fell within ranges of historical controls reported in the literature (0-6%). No TBHQ-related differences in the incidence of hepatocellular adenomas or foci of cellular alteration were observed. There was an increased incidence of bilateral, interstitial cell adenoma of the testes in mid- and high-dose males, which was within historical control ranges reported in the literature and was not statistically significant. Although there were no differences in the incidence of C-cell or follicular cell adenomas of the thyroid, C-cell carcinoma occurred in 2/60 and follicular cell carcinoma occurred in 3/60 high-dose males compared to none in the control males, but this was not statistically significant. In female rats, the incidence of thyroid adenomas or carcinomas was similar for all groups. There was no thyroid gland hyperplasia reported in any exposed or control males or females. Literature values for the incidence of C-cell carcinoma and follicular carcinoma in historical controls are reported to be 0.5% (0-2%) and 3.8% (0-12%), respectively. Owing to their low incidence and the absence of preneoplastic lesions, the occurrence of C-cell and follicular cell carcinomas in high-dose males was considered unrelated to treatment. TBHQ treatment was associated with a decreased incidence of adenoma in the par distalis of the pituitary gland in males, adenoma of the adrenal cortex in females, mammary fibroadenoma in both sexes, and mammary fibroadenoma, adenoma or carcinoma combined in females. These decreases were attributed to the reduced body weights in the mid- and high-dose groups. Although in females bile duct hyperplasia occurred more frequently in the 5000 mg/kg group than in controls, in males there was a dose-related decrease in the incidence of bile duct hyperplasia. In females there was a dose-related decrease in the incidence of hepatocellular cytoplasmic vacuolization, while the incidence was comparable among males. The incidence of haemosiderin pigmentation of the spleen increased with TBHQ dose in females at the mid- and high-dose levels but was unaffected by TBHQ treatment in males. In the absence of any haematological effects, the toxicological significance of the pigmentation in the spleen is questionable. The incidence of kidney cysts was increased in mid- and high-dose males (2/60, 3/60, 7/58, 11/60 in 0, 1250, 2500 and 5000 mg/kg groups, respectively) and the incidence of suppurative inflammation was increased in high-dose males compared to controls (9/60, 8/60, 9/58 and 20/60 in the 0, 1250, 2500 and 5000 mg/kg groups, respectively). In female rats, the incidence of chronic inflammation was increased in the kidneys of mid- and high-dose females (1/60, 1/60, 3/57 and 5/60 in 0, 1250, 2500 and 5000 mg/kg groups, respectively) while there was no change in the incidence of suppurative inflammation. The NOEL for the long-term toxicity of TBHQ was 1250 mg/kg diet (equal to 50 mg/kg bw per day) based on an increased incidence of cysts and suppurative inflammation in the kidneys of males and an increased incidence of chronic inflammation of the kidneys of females at higher doses (NTP, 1995). 2.2.3.3 Dogs Groups of 4 beagle dogs/sex were given ad libitum access, 1 hour per day, 6 days/week, to diets containing 500, 1580 or 5000 mg/kg TBHQ (equal to 21/22, 72/73, 260/220 mg/kg bw per day in males/females, respectively) for up to 117 weeks. Diets were prepared by adding 6% cottonseed oil, containing the appropriate concentration of TBHQ, to a commercial diet. An additional control group of 6 dogs/sex received the same commercial diet to which 6% cottonseed oil had been added. Dogs were individually housed and water was available ad libitum. Dogs were inspected daily for appearance, behaviour, survival and physical signs. Body weights and food consumption were determined weekly for the first 12 weeks. Thereafter body weights were determined bi-weekly and food consumption was determined periodically. Complete physical examinations were conducted at various times during the test period. Haematological studies, including haemoglobin concentration, haematocrit, WBC and differentials, were conducted pre-trial and at weeks 0, 12, 26, 52, 78, 104 and 112. In addition, reticulocytes and platelets were reported at weeks 99, 104 (105) and 112 weeks and RBCs at week 112. At 20 months, peripheral blood smears with Wright and Giemsa stains were submitted to a consultant pathologist. Clinical biochemistry analyses included serum BUN, LDH and AP on all dogs during the pre-trial period and at weeks 0, 12, 26, 52, 78 and 104, and serum ALT and bilirubin at week 104 only. In addition, total protein, albumin and globulin concentrations were determined in all control and high-dose dogs at each time point. Urinalysis, consisting of specific gravity, pH, albumin, glucose, ketone bodies and occult blood, was conducted pre-trial and during weeks 0, 12, 26, 52, 78 and 104. Because some abnormalities in the reticulocyte counts were noted at week 99, and persisted at week 104, the study was extended to 117 weeks. At week 115, TBHQ was withdrawn from the diet of one dog/sex of the high-dose group. The animals were maintained in metabolism cages and 24-hour urine samples were collected daily. Blood samples were collected for haematological studies on days 1, 2, 3, 4, 7, 10 and 13 of the withdrawal period. An interim sacrifice of one dog/sex/group was made after one year on trial. The remaining animals were sacrificed at week 117. At autopsy, animals were examined for gross pathological changes. The liver, kidneys, spleen, heart, brain, lungs, gonads, adrenals, thyroid and pituitary of all dogs were weighed. Tissues from the following organs of all dogs of control and high-dose groups were examined microscopically: liver, spleen, gallbladder, stomach, small and large intestines, pancreas, kidneys, urinary bladder, adrenals, gonads and adnexa, pituitary, thymus, thyroid, salivary glands, lymph nodes, heart, lungs, marrow, aorta, skin, muscle, spinal cord and brain. The liver, stomach, small and large intestines and kidneys of all dogs on low-and mid-level test diets were also examined microscopically. In addition, specimens of liver and kidney tissues were prepared for electron microscopy. No deaths occurred during the test period. Behaviour and appearance were normal at all times and physical examinations did not reveal any treatment-related problems. Body weights of high-dose animals of both sexes tended to be lower than controls but the difference was not statistically significant. There were no treatment-related effects on food consumption, clinical biochemistry or urinalysis. Haemoglobin concentrations were significantly (p < 0.05) lower than those of controls in high-dose males at weeks 52, 104 and 112 and in high-dose females at weeks 26 and 112. Compared to controls, haematocrits were significantly (p < 0.05) lower in high-dose males at weeks 52, 104 and 112. Haematocrits were also lower in high-dose females at weeks 52, 78 and 112 but the differences were not statistically significant. At weeks 99, 104/105 and 112, reticulocytes (%) tended to be higher in TBHQ-treated animals of both sexes although there was no dose relationship to the response and no statistics were provided. RBCs, reported for week 112 only, were significantly (p < 0.05) lower in high-dose animals of both sexes compared to their respective controls. Peripheral blood smears showed an increased incidence of normoblasts and erythrocyte basophilia in TBHQ-treated animals: normoblasts were reported in 1 mid- and 1 high-dose male and 1 low-, 2 mid- and 1 high-dose female and erythrocyte basophilia in 1 high-dose male and 1 mid- and 2 high-dose females. Mean absolute and relative liver weights of high-dose dogs of both sexes tended to be higher than those of controls but only the difference in relative liver weight of males was statistically significant (p < 0.05). There was a statistically significant trend towards increased relative testes weights in TBHQ-treated dogs but the high-dose groups did not differ significantly from controls in this respect. In females, relative kidney weights tended to be higher in treated dogs but only in the mid-dose group were kidneys weight significantly (p < 0.05) greater than those of controls. There were no other treatment-related effects on organ weights. Gross pathology and histopathology failed to reveal any changes that could be attributed to TBHQ. Electron microscopy of liver and kidney showed normal cellular constituents in test animals. There was no increase in the endoplasmic reticulum in liver cells of treated animals. Since the organ weights were reported to be within historical control ranges and since the observed differences in organ weights were not accompanied by any histopathological findings, they may simply reflect differences in body weights. Under these study conditions, the NOEL for long-term toxicity in the dog was 1580 mg/kg diet (equal to 72 mg/kg bw per day) based on decreased haemoglobin and/or haematocrits at various time points throughout the study and decreased RBC counts at 112 weeks in high-dose dogs of both sexes. Although reticulocyte counts were increased and erythrocyte precursors were present at the 500 and 1580 mg/kg dose levels, the RBC's haematocrit and haemoglobin concentration were unaffected at these dose levels (Eastman Chemical Products, 1968b). 2.2.4 Reproductive toxicity studies Albino Holtzman rats were fed ground Purina chow containing 0 or 0.5% TBHQ in a two-generation study using one litter per generation. After 36 days on treatment, groups of 24 female and 10 male F0 rats were mated, 3 females with 1 male, until 10 females were inseminated. At 100 days of age, F1 animals were mated, 15 females with 5 males, until 8 TBHQ-treated females were inseminated. In both generations, body weights and feed consumption were recorded weekly during the pre-mating period. With regards to mating, parturition and weaning, the following data were recorded: mating index, fertility index, gestation index, gestation period, average litter size, number of live and dead births, and pup survival to weaning. Pup weights were recorded at weaning and at 1 and 2 weeks post-weaning. Adults from the F0 and F1 generations were necropsied and liver and kidney weights reported. Poor survival in the F1 generation and their offspring was attributed to a serious outbreak of pneumonia in the colony. Parental animals in both F0 and F1 generations tended to weigh less than their respective controls although only in the F1 females was the difference statistically significant. In both generations, TBHQ-treated animals had lower feed efficiencies than the controls. TBHQ had no effect on the mating, fertility or gestation indices, average litter size, or the number of live births in either generation. In the both generations, the percentage of live pups surviving to weaning was comparable for the TBHQ and control groups, although for both groups survival of the F2 pups was low (31-41%). The low survival was attributed to pneumonia. The pups in the TBHQ group weighed less than controls at weaning and at 1 and 2 weeks post-weaning. The depression in weight gain was similar in both generations. The absolute kidney weights of TBHQ-treated females in the F1 generation were significantly lower than those of controls, but when kidney weights were expressed relative to body weight they were comparable. There were no treatment-related effects on absolute or relative liver weights. Histopathological examination revealed no cellular changes attributable to TBHQ (Fassett et al., 1965). TBHQ was fed in the diet to groups of 15 male and 15 female SD rats for three successive generations at levels of 0 or 0.5%. Pairs of rats were mated to produce two litters per generation, with the next generation selected from weanlings of the second litter. Data recorded in each were as follows: number of inseminations, number of pregnancies, gestation period, average litter size, and mortality of young from birth to weaning, weaning to one week after weaning, and one week and 2 weeks after weaning to sacrifice. The average body weight per pup at weaning, one week after weaning, and 2 weeks after weaning was also recorded. Tissues were collected from all breeders. Animals that were not used as breeders were sacrificed at 7 weeks and those selected as possible breeders, but not used, at 14 weeks. All of the pups in the b generation were sacrificed and autopsied at approximately 7 weeks of age. All animals were examined for gross pathology, and micropathology was studied on at least four animals of each litter. Organs examined included trachea, lung, heart, tongue, oesophagus, stomach, small and large intestines, liver, kidneys, urinary bladder, pituitary, adrenal, pancreas, thyroid, parathyroid, gonads, uterus, spleen, bone marrow, cerebrum, cerebellum and eye. To terminate the study F3b litters were delivered by uterotomy on the nineteenth day of gestation. Fetuses were examined for gross abnormalities. One-third were stained with alizarin red for skeletal defects, while the other two-thirds, after fixation, were sectioned freehand and examined for abnormalities. The percentage of inseminations and pregnancies, gestation and average litter size appeared normal for both matings of each generation. In the F1a and F2a litters there were more deaths than in controls in the birth to weaning period. The effect was not observed in the subsequent Flb and F2b generations. The parent rats (F0 generation) of the test group ate less and showed lower weight gain than their respective controls. Body weight of pups from treated animals at various time periods from weaning were lower than those of the control. Deaths during the weaning to 5 weeks period were always more frequent in treated group (deaths as a percentage of the total number of animals). Abnormalities were reported in 22 fetuses from the F3b generation but 13 of these were in the control group. Minor skeletal changes were noted in two animals in the test group. No compound-related histological abnormalities were observed (Terhaar & Krasavage, 1968a). In another study, groups each of 20 male and 20 female SD rats were maintained on diets containing TBHQ at concentrations of 0, 0.015, 0.15 or 0.5% along with Mazola Corn Oil at 5% (w/w) incorporated into a basic diet of Purina Chow. Diets were fed for 66 days prior to breeding. Rats of the same dose level were mated (1:1) to produce two groups of first generation litters (F1a and F1b). F1a litters were maintained on assigned diets. Data recorded included number of inseminations and pregnancies, gestation period, litter size, mortality of young at birth, birth to weaning, weaning to one week postweaning and one week post-weaning to 2 weeks post-weaning. Litters of the F1b generation were treated similarly to F1a litters up to the tenth day after birth. At day 10, litters and dams within test groups were paired, and one pair was placed on control diet while others remained on the test diet. Also half the litters and dams of control groups were allowed to remain on the control diet and half on the high-level TBHQ diet (0.5%). At 5 weeks of age, pups were sacrificed and examined for gross pathology. A number of deaths of parent animals occurred during the study (one high-dose male, one control group during first 5 days, and later three males, one at the low, one at the mid and one at the high-dose level, and one female control). None of the deaths appeared to be compound-related. Food intake of parent rats was similar to that of controls except at the 0.5% level, where there was a slight decrease at the commencement of the test. Male rats in this group showed a slightly decreased weight gain compared to control. There was no apparent effect on gonadal function, estrus cycle, mating behaviour, conception rates, gestation period, parturition and lactation during the two breedings. The average litter size, neonatal viability and growth of the new-born pups appeared normal. Autopsy of F1b pups failed to reveal any gross pathology. The average litter weights of the F1a test pups were similar to those of controls. Pups from the F1b control changed to the 0.5% TBHQ showed a somewhat lower body weight than those left on control diet for the period of study (up to 2 weeks past weaning). This may have been related to rejection of the diet (Krasavage & Terhaar, 1970). Groups of 16 female F334/N rats (F0 generation) received ad libitum access to diets containing 0, 2500, 5000, 10 000, 20 000 or 40 000 mg/kg TBHQ (99% pure), equivalent to 125, 250, 500, 1000 and 2000 mg/kg bw per day, from 2 weeks prior to cohabitation until weaning of the F1 pups. Dams exposed to 20 000 or 40 000 mg/kg did not litter. At the 2500, 5000 and 10 000 mg/kg dose levels, TBHQ did not affect gestation length, litter size, number of dams with stillborn pups or pup weight on day 4 of lactation. Pup survival was significantly (p<0.01) lower in the 10 000 mg/kg group than in controls at day 4 of lactation and at weaning (day 28). At 5000 mg/kg, pup survival at weaning was lower than for controls but the differences were not statistically significant. Rats selected from the F1 offspring were used in the 13-week short-term toxicity study described in section 2.2.2.2 (NTP, 1995). 2.2.5 Special studies on teratogenicity Groups of 20 female SD rats were fed a basal diet containing 0, 0.125, 0.25 or 0.5% TBHQ from days 6 to 16 of gestation. During the mating period and on all other days of gestation, all treatment groups received control diet only. The experiment was terminated on day 20 of gestation. Total TBHQ doses of 970, 1880 or 3600 mg/kg bw had no effect on the mean body weight gain or feed consumption of the dams. The average number of corpora lutea, implantation sites, viable fetuses, resorptions, fetal body weights and mortality did not differ between the control and treatment groups. A significant number of skeletal variations (rudimentary ribs) were seen in all groups, but the incidence of these variations was two-fold greater in the control group than in any treatment group. It was concluded that TBHQ was not teratogenic in rats at any of the doses employed (Krasavage, 1977). BHA and its metabolites, including TBHQ and TBQ, were assayed using cell culture methods for assessing potential teratogenicity. In the rat embryonic cell differentiation assay, TBQ >TBHQ > BHA had dose-related inhibitory effects on the differentiation of both limb-bud and midbrain cells. TBQ was also the most potent inhibitor in the human embryonic palatal mesenchymal cell-growth assay. In this assay, TBHQ was a more potent inhibitor than BHA but less potent than TBQ (Tsuchiya et al., 1988). 2.2.6 Special studies on genotoxicity The results of genotoxicity studies with TBHQ are summarized in Table 2. An alkaline elution assay was conducted with DNA extracted from forestomach epithelium of male F344 rats that had received an oral dose of 40 mg/ animal of 1.0% BHA (220 mg/kg bw), 0.001% TBHQ (0.22 mg/kg bw), 0.001% TBQ (0.22 mg/kg bw) or 0.0 0001% TBQ and sacrificed 3 hours later. The BHA or TBHQ treatments caused no detectable DNA damage, but TBQ (an oxidation product of TBHQ) treatment induced dose-related DNA damage. The elution rate for 0.001% TBQ was significantly higher than for BHA or controls and was similar to that induced by 15 mg/kg bw MNNG in rat forestomach epithelial cells. The linearity of the elution pattern suggested that DNA damage was not due to cell necrosis at a TBQ dose of 0.22 mg/kg bw. TBQ appeared to be cytotoxic to the forestomach epithelial cells of rats at doses of 1.0% (220 mg/kg bw) (Morimoto et al., 1991). Table 2. Results of genotoxicity assays on TBHQ Test system Test object Concentration of Results Reference TBHQ Point mutation Ames test1 Salmonella < 5.0 µg/ml (TA1535) Negative Societé Kemin typhimurium < 15 µg/ml (TA1537) Europa, 1982a TA98, TA100, < 50 µg/ml (other TA1535, TA1537, strains) TA1538 Ames test1 S. typhimurium < 450 µg/plate (-S9) Negative Mueller & Lockhart, TA98, TA100, < 2700 µg/plate (+S9) 1983 TA1535, TA1537, TA1538 Ames test1 S. typhimurium 1-1000 µg/plate Negative Hageman et al., TA97, TA100, 1988 TA102, TA104 Ames test2 S. typhimurium 3-3333 µg/plate Negative Zeiger et al., TA97, TA98, 1992 TA100, TA102 Ames test1 S. typhimurium 0.5-10 µg/plate (-S9) Negative Matsuoka et al., TA97, TA98, 0.5-250 µg/plate (+S9) 1990 TA100, TA102 Reverse mutation Saccharomyces 100-500 µg/ml (-S9) Negative Rogers et al., in yeast1 cerevisiae D7 50-200 µg/ml (+S9) 1992 Table 2. (continued) Test system Test object Concentration of Results Reference TBHQ In vitro mammalian Mouse lymphoma cells < 31.3 µg/ml Positive Litton Bionetics, point mutation assay1 line L5178Y (TK+/-) (+S9 only) 1982a In vitro mammalian CHO cells/HGPRT < 6 µg/ml (-S9) Negative Beilman & Barber, point mutation assay1 locus < 250 µg/ml (+S9) 1985 In vitro mammalian Chinese hamster V79 0.17-3.40 µg/ml Negative4 Rogers et al., 1992 point mutation assay3 cells, HGPRT locus Clastogenic effects and chromosomal aberrations In vitro chromosomal Chinese hamster V79 < 330 µg/ml Positive Societé Kemin Europa, aberration1 cells (-S9 only) 1982c (N/A for re-evaluation) In vitro chromosomal Chinese hamster ovary 15-62 µmol/litre Positive5 Phillips et al., aberration1 cells (-S9 only) 1989 In vitro chromosomal Chinese hamster ovary 5-25.2 µg/ml (-S9) Positive6 NTP, 1995 aberration1 cells 100.5-300 µg/ml (+S9 only) (+S9) In vitro chromosomal Chinese hamster lung 12.5-50 µg/ml (-S9) Positive1,7 Matsuoka et al., aberration1 fibroblast cells 20-40 µg/ml (+S9) (+S9 only) 1990 In vivo chromosomal Mouse bone marrow < 200 mg/kg bw i.p. Negative Litton Bionetics, aberration 1985 In vivo chromosomal Mouse bone marrow 200 mg/kg bw i.p. Positive8 Giri et al., 1984 aberration Table 2. (continued) Test system Test object Concentration of Results Reference TBHQ In vivo chromosomal Mouse bone marrow 2 mg/kg bw per day, Positive9 Giri et al., 1984 aberration 30 days in diet Mouse micronucleus Mouse bone marrow 162, 325 or 650 Negative Litton Bionetics, assay mg/kg bw, p.o. 1982b Mouse micronucleus Mouse bone marrow 250 mg/kg bw, p.o. Positive10 Societé Kemin Europa, assay 1982b (N/A for re-evaluation) Mouse micronucleus Mouse bone marrow 9.38-300 mg/kg bw Negative NTP, 1995 assay per day 3 days, i.p. Dominant lethal assay Sprague-Dawley rats < 565 mg/kg bw per Negative Krasavage & Farber, day, 83 days 1983 DNA interactions Mitotic gene Saccharomyces 100-500 µg/ml (-S9) Negative Rogers et al., 1992 conversion1 cerevisiae D7 50-200 µg/ml (+S9) Sister chromatid Chinese hamster ovary 0.5-16.7 µg/ml (-S9) Positive NTP, 1995 exchange1 cells 5-166.7 µg/ml (+S9) (+S9 only) Sister chromatid Chinese hamster V79 0.17-3.4 µg/ml Negative4 Rogers et al., 1992 exchange3 cells Sister chromatid Mouse bone marrow 0.5-200 mg/kg bw, Positive Mukherjee et al., exchange i.p. 1989 Table 2. (continued) 1 Both in the absence and presence of a metabolic activation system derived from rat liver S9 fraction. 2 Both in the absence and presence of a metabolic activation system derived from rat or hamster liver S9 fraction. 3 Cultures with or without added rat or hamster hepatocytes. 4 The highest dose tested did not achieve a 50% reduction in cloning efficiency. 5 The number to aberrations and the cytotoxicity of TBHQ was shown to be dependent on the cell density on the plate. Both the cytotoxicity and number of aberrations were reduced by co-administration of catalase. 6 The studies with metabolic activation were inadequate because only the lowest dose in one study provided sufficient numbers of cells for scoring. All other doses were cytotoxic, and <25 cells were scored. 7 The oxidative metabolites of TBHQ, TBQ and TBQ epoxide-induced chromosomal aberrations in this system in the presence (TBQ and TBQ epoxide) and absence (TBQ epoxide) of S9 metabolic activation. 8 This study was inadequate as only one dose level was used and this dose appeared to be cytotoxic. 9 The repeated dosing protocol used was inappropriate for this assay. 10 Positive at 24-hour harvest only (not at 48 or 72-hour harvests). BHA and its metabolites, TBHQ, TBQ and tert-butylquinone oxide (BQO) were tested for cytotoxicity and micronucleus induction in in vitro assays with Chinese hamster lung (CHL) cells and three CHL sub-cell lines. The sub-cell lines included R-8, a H2O2-resistant cell line with increased catalase activity, MM-1, a 2-memadione-resistant cell line with reduced P450 reductase activity, and MN-7 with increased superoxide dismutase activity. TBHQ, in the presence of S-9, induced micronuclei, and the potency of induction in each cell line corresponded its cytotoxicity (Suzuki et al., 1991, abstract only). The potential of BHA, TBHQ and TBQ to induce oxidative DNA damage were studied by measuring biological inactivation of single-stranded bacteriophage PhiX-174 DNA and the formation of 7-hydro-8-oxo-2'-deoxyguanosine (8-oxodG) from dG by these compounds, in vitro, in the absence and presence of peroxidases. TBHQ, but not BHA or TBQ, appeared to be a strong inducer of DNA damage as indicated by a strong inactivation of phage DNA and a potent induction of 8- oxodG formation. This damage was shown to be due to the formation of superoxide anion, hydrogen peroxide and hydroxyl radicals. The lack of activity of the quinone metabolite was attributed by the authors to a lack of cytochrome P-450 reductase in vitro (Schilderman et al., 1993b). TBQ was shown to be 7-8 times more cytotoxic to Chinese hamster V79 cells than TBHQ and about 100 times more cytotoxic than BHA. At dose levels as high as 0.6 µg/ml, TBQ did not increase consistently the frequency of sister-chromatid exchanges in V79 cells or the frequency of mutation to thioguanine resistance at the hgprt gene locus. In the D7 strain of Saccharomyces cerevisiae, TBQ tended to produce small increases in the frequencies of gene convertants and reverse mutations (Rogers et al., 1993). TBHQ induced strand breaks in double-stranded PhiX-174 relaxed form I DNA in the presence of micromolar concentrations of copper. The induced DNA strand breaks were inhibited by a Cu(I) chelator or by catalase, indicating that a CuII/CuI redox cycle and H2O2 generation were requirements for the observed DNA damage. The authors concluded that DNA-associated copper in cells may have the potential to activate phenolic compounds, producing reactive oxygen and electrophilic phenolic intermediates capable of inducing a spectrum of DNA lesions (Li & Trush, 1994). The mechanisms by which hydroquinone and TBHQ induce chromosomal loss and breakage were investigated in Chinese hamster V79 lung fibroblast cells containing prostaglandin H synthetase. A cytokinesis-block micronucleus assay was employed using the CREST antibody which recognizes a centromeric protein to distinguish micronuclei formed by loss of whole chromosomes from those resulting from chromosome breakage. TBHQ induced chromosomal loss and breakage and these genotoxic effects were shown not to be dependent on activation mediated by prostaglandin H synthetase. The genotoxicity of TBHQ appeared to be mediated through an oxidation product that could not be identified. The oxidation product was not the result of autoxidation since it was minimal under the test conditions. Introduction of catalase into the media reduced chromosomal breakage resulting from TBHQ but had no effect on chromosomal loss. These data suggested that oxygen radical-derived species were unlikely to contribute to chromosomal loss and were only partly responsible for the chromosomal breakage resulting from TBHQ treatment. The authors suggested that the chromosomal loss observed following treatment with TBHQ might result from the quinone or semiquinone metabolites binding to protein critical in microtubule assembly and spindle formation (Dobo & Eastmond, 1994). The potential of BHA and it primary metabolites TBHQ and TBQ to induce oxidative DNA damage and cell proliferation in human lymphocytes cultured in vitro was investigated. Analysis of the culture medium and lysed cell fractions indicated that TBHQ was actively metabolized in whole blood. No conjugation of TBHQ to glucuronic acid or sulfate was observed. Addition of BHA, TBHQ and TBQ to lymphocytes resulted in a dose-dependent increase in cytotoxicity. TBHQ appeared more cytotoxic than TBQ and TBQ more than BHA. At non-cytotoxic doses, TBHQ induced a dose-dependent increase in cell proliferation as estimated by incorporation of BrdU. TBHQ was also shown to induce the formation of 8-oxodG at non-cytotoxic doses. Of the compounds tested, TBHQ appeared to be the best inducer of both cell proliferation and 8-oxodG formation. These effects were inhibited by co-administration of acetylsalicylic acid, which inhibits prostaglandin H synthetase, thus preventing oxidation of TBHQ to 2- tert-butyl-semiquinone (Schilderman et al., 1995). Oxidative DNA damage caused by BHA and TBHQ was evaluated by measuring the formation of 8-oxodG in DNA from calf thymus. TBHQ induced the formation of 8-oxodG in a concentration-dependent manner and the induction was strongly stimulated by CuCl2. Chelators of CuI or CuII and catalase inhibited the TBHQ induction of 8-OHdG formation in the presence or absence of CuCl2. The authors suggested that under aerobic conditions CuII/CuI redox cycling appears to contribute to the formation of 8-oxodG by TBHQ through the generation of oxygen radical species (Nagai et al., 1996). 2.2.7 Special studies on lung toxicity TBHQ was tested for its potential to produce lung damage in mice similar to that seen following administration of BHT. Groups of 10 mice were given single i.p. injections of 63, 125, 250 or 500 mg/kg bw TBHQ, or 300, 625, or 1230 mg/kg bw BHT in corn oil. After 5 days, all animals were necropsied and the lungs were weighed and examined histomorphologically. TBHQ led to mortality at doses of 125 mg/kg bw (4/10), 250 mg/kg bw (9/10) and 500 mg/kg bw (10/10). Two of the mice that received 1230 mg/kg bw BHT died before the end of the observation period. Body weights as well as absolute and relative organ weights were comparable in all groups. While BHT produced hyperplasia of pulmonary pneumocytes, TBHQ did not lead to any treatment-related lung lesions (Krasavage & O'Donoghue, 1984). 2.2.8 Special studies on the forestomach 2.2.8.1 Rats TBHQ was incorporated into the diet of weanling male Fischer 344 rats at dose levels of 0.25 or 1%. After nine days on the test diet, and one hour before sacrifice, the test animals were injected (i.p.) with 0.25 µCi/g methyl-3H-thymidine. The thymidine-labelling index in the pre-fundic region of the stomach was determined using a standard technique. At the high dose there was a significant increase in the labelling index (p<0.002). The increase was about 50% of that obtained with rats treated with 0.5% BHA under similar conditions. Histopathologically, 1% TBHQ led to hyperplasia of the basal cell layer in the forestomach epithelium; no changes were observed at the low dose (Nera et al., 1984). Groups of 5 to 10 Wistar rats were fed diets containing 2% BHA, 2% TBHQ, 1% BHT or other structurally related compounds for 28 days. BHA dosing resulted in severe diffuse hyperplasia, acanthosis and hyperkeratosis in the forestomach mucosa, which was most pronounced in the vicinity of the limiting ridge. Keratinous masses were also observed particularly near the glandular stomach. In TBHQ-treated animals brownish discolorations and mild hyperplasia of the forestomach mucosa with focally increased hyperplasia of basal cells were observed. There were no visible forestomach lesions in the BHT-treated animals. There did not appear to be any sex-related differences in the extent of the forestomach lesions. None of the treatments resulted in any changes in the oesophagus or glandular stomach. The authors concluded that the induction of forestomach lesions is not limited to BHA but may be induced by other structurally related compounds. They suggested that the methoxy group in the para position was important in the hyperplasiogenic activity (Altmann et al., 1985). In a study designed to investigate the hyperplastic activity of BHA and related phenols on the rat forestomach, groups of 5-10 male and female Wistar rats were fed powdered diets containing BHA, BHT, TBHQ or one of 8 structural analogues for 90 days. TBHQ added to the diet at a concentration of 2% led to brownish discolorations and mild hyperplasia of basal ceils. The local basal cell hyperplasia did not tend to differentiate. The hyperplastic activity of TBHQ was however considerably lower than that of BHA (Altmann et al., 1986). In a study to examine forestomach cell proliferation, F334 male rats received 2% dietary TBHQ alone or in combination with 0.3% sodium nitrite (a promoter of forestomach carcinogenesis) in the drinking-water, and/or 1% sodium ascorbate in the diet for 4 weeks. TBHQ alone, or in combination with sodium ascorbate, had no significant effect on mucosal height in the pre-fundic or mid-region of the forestomach. Co-administration of sodium nitrite with TBHQ resulted in an increase in the height of the forestomach mucosa in both regions compared to those receiving TBHQ, sodium nitrite or basal diet alone. The mucosal height in the forestomach of rats treated with TBHQ, sodium nitrite and sodium ascorbate was significantly greater than that in rats receiving TBHQ or basal diet alone but comparable to that in rats receiving sodium nitrite and sodium ascorbate combined (Yoshida et al., 1994). Groups of male F344 rats received basal diet or basal diet supplemented with 2% of various phenolic compounds, one of which was TBHQ, with or without 0.3% sodium nitrite in the drinking-water for 4 weeks. They received single i.p. injections of 20 mg/kg bw BrdU one hour before being killed at the end of the study. In the absence of sodium nitrite, TBHQ resulted in a significant increase in the thickness of the forestomach mucosa in the pre-fundic or mid-regions compared controls. Additional treatment with sodium nitrite enhanced the forestomach cell proliferation in rats receiving TBHQ by more than 10 times that observed in rats recieving TBHQ or sodium nitrite alone. In the glandular stomach, TBHQ alone significantly increased the thickness and labelling indices compared to unsupplemented controls. A further increase in both these parameters was observed in rats receiving both TBHQ and sodium nitrite. Alone, TBHQ and sodium nitrite had no effect on the mucosal thickness of the oesophagus, but in combination there was a significant increase in thickness. The labeling indices were unaffected by TBHQ or sodium nitrite, alone or in combination (Kawabe et al., 1994). 2.2.8.2 Hamsters Syrian golden hamsters (16 males/group) were fed a powdered basal diet containing 0.5% TBHQ (purity >98%) for 20 weeks. This dose is approximately one quarter of the LD50. The control group received a basal diet only, while 12 other groups received diets containing one of 12 other phenolic compounds in concentrations corresponding to one quarter of their respective LD50. At the end of the experiment, animals were killed and organs were fixed. Five sections each were cut from the anterior and posterior walls of the forestomach, two from the glandular stomach, and four from the urinary bladder. Tissues were processed for histopathology and auto-radiography. Analysis of the labelling index was made on 4000 cells of urinary bladder epithelium, 3000 cells of pyloric gland epithelium (1000 cells each of fundic side, middle portion, and pyloric side) and 2000 basal cells of the forestomach epithelium. Unlike some of the other phenolic compounds, TBHQ did not induce hyperplasia or tumorous lesions of the forestomach, the glandular stomach or the urinary bladder. Furthermore, it did not increase the labelling index in the tissues investigated (Hirose et al., 1986). 2.2.9 Special studies on the liver Hepatocytes were isolated from male F344 rats and incubated at 37°C at a concentration of 106 cells/ml with 0.5 mM TBHQ. Incubation with TBHQ resulted in 100% cell death between 1 and 2 hours following its addition to the medium. A drop in intracellular GSH to undetectable levels was observed in the first hour, prior to the increase in cell death. Decreases in ATP and reduced protein thiol concentrations were observed concurrently with the increase in cell death. Although superoxide anion radicals were generated by autooxidation of TBHQ, the level of intracellular malondialdehyde was not increased during the incubation period (Nakagawa & Moldéus, 1992). The cytotoxic effects of BHA and its metabolites, TBHQ and 3- tert-butyl-4,5-dihydroxyanisole (BHA-OH), were investigated in hepatocytes isolated from male F344 rats. At a concentration of 0.5 mM, TBHQ caused a time-dependent depletion of intracellular levels of GSH, protein thiols and adenine nucleotides, which consistently preceded cell death. Pre-treatment of the hepatocytes with N-acetylcysteine, which facilitates the biosynthesis of GSH, ameliorated the toxicity caused by TBHQ. In isolated hepatic mitochondria, TBHQ impaired respiration related to oxidative phosphorylation. The authors concluded that the depletion of protein thiols and ATP and the impairment of mitochondrial respiration were the main mechanism in the toxicity of TBHQ (Nakagawa et al., 1994). A database consisting of 100 chemicals tested for the ability to enhance the formation of hepatic GST-positive preneoplastic lesions was analysed by the CASE structure-activity relational system. TBHQ was included in the database and, based on its structure, was not predicted to induce GST-positive preneoplastic lesions in rat liver (Sakai et al., 1994). The effects of dicoumarol, an inhibitor of DT-diaphorase, on the cytotoxicity of TBHQ were studied in hepatocytes isolated from male F344 rats. Addition of TBHQ (0.5 mM) to hepatocytes resulted in depletion of intracellular ATP, GSH and protein thiols and a time-dependent cell death. Treatment of hepatocytes with dicoumarol alone (30 µM) did not affect cell viability or cellular levels of ATP, GSH or protein thiols. Pretreatment of hepatocytes with dicoumarol prior to TBHQ exposure enhanced the cytoxicity of TBHQ. The author suggested that dicoumarol enhanced TBHQ-induced cytotoxicity via the inhibition of protective redox cycling of the hydroquinone, and the DT-diaphorase plays a protective role in the onset of the toxicity caused by TBHQ (Nakagawa, 1996). 2.2.10 Special studies on the kidney and urinary bladder The effects of TBHQ on urine composition, bladder epithelial morphology and DNA synthesis was studied in comparison with other antioxidants and bladder tumour promoters. Groups of 10 male Fischer 344 rats, 5-weeks old, were given powdered basal diet containing 2% TBHQ or one of 11 other compounds, or basal diet only (controls); two further groups received two other tumour promoters in their drinking-water. Five rats in each group were killed after 4 weeks for estimation of DNA synthesis levels and histopathological examination by light microscopy. The remaining rats were killed at week 8 for light and scanning electron microscopic examination of the urinary bladder. During week 4, fresh urine specimens were obtained from rats in each group and analysed for pH as well as electrolyte content. TBHQ brought about an elevation of DNA synthesis in the urothelium and produced morphological surface alterations such as the formation of pleomorphic or short, uniform microvilli and ropy or leafy microridges. The ability to induce proliferation and cell surface alterations was common to all bladder tumour promoters investigated. TBHQ also caused an increase in urinary pH, and a decrease in potassium and phosphate contents as well as in osmolality (Shibata et al., 1989). A study was performed to investigate early proliferation-related responses of the renal pelvic epithelium in response to bladder tumour promoters. Groups of 10 male F344 rats received control diet or 2% TBHQ. At week 4, the DNA-labelling index of the renal pelvic epithelial cells was determined from 1000 cells in 5 rats/group. At week 8, kidney sections were prepared for scanning electron microscopic (SEM) examination. At the end of the study, body weights of the treated animals were statistically significantly lower than for controls as demonstrated previously by these investigators (Shibata et al., 1989; 25% at 4 weeks and 15% at 8 weeks). The mean DNA-labelling index in the renal pelvic epithelium after 4 weeks treatment was 10-fold higher than in controls, but without statistical significance. Slight cell surface alterations were observed by SEM after 8 weeks of treatment in some of the treated rats (Shibata et al., 1991). The effects of three GSH conjugates of TBHQ, 2- tert-butyl-5-glutathion- S-ylhydroquinone (5-GSyl-TBHQ), 2- tert-butyl-6-glutathion- S-ylhydroquinone (6-GSyl-TBHQ) and 2- tert-butyl-3,6-bisglutathion- S-ylhydroquinone (3,6-bis-GSyl-TBHQ), on the kidney and bladder of male F344 rats were investigated 19 hours after a single treatment. Administration of 400 µmol/kg (i.v.) of 5-GSyl-TBHQ or 3,6-bis-GSyl-TBHQ resulted in a 2-fold increase in the urinary excretion of gamma-glutamyl transpeptidase and AP. 3,6-bis-GSyl-TBHQ (200 µmol/kg, i.v.) was the most potent of the GSH conjugates and produced significant increases in the urinary excretion of gamma-glutamyl transpeptidase, AP, LDH and glucose (2-, 2-, 22- and 11-fold increases, respectively). The degree of nephrotoxicity observed with the light microscope correlated with the changes in biochemical parameters. In addition to nephrotoxicity, 3,6-bis-GSly-TBHQ increased bladder weight and caused severe haemorrhaging of the bladder. Additional studies demonstrated that GSH conjugation does not impair the redox activity of TBHQ. The authors suggested that the cytotoxicity of GSH conjugates of TBHQ to kidney and bladder may contribute to the tumour-promoting effect of BHA and TBHQ in these tissues (Peters et al., 1996b). 2.2.11 Special studies on potentiation and inhibition of cancer The effects of TBHQ and seven other antioxidants on 7,12-dimethylbenz[ a]-anthracene (DMBA)-initiated mammary gland, ear duct, and forestomach carcinogenesis were examined in female SD rats. Groups of 20 rats were given a single dose of 25 mg/kg bw of DMBA in 0.5 ml of sesame oil by stomach tube at 50 days of age. Starting one week later, rats were given a basal diet containing 0.8% of TBHQ or one of the other antioxidants for 51 weeks. Controls received basal diet only. Groups of 15 rats served as carcinogen-free controls and received the different diets without prior treatment with DMBA. Groups receiving antioxidants had reduced body weights at the end of the experiment. Histological examinations revealed a reduced rate of mammary tumour development in TBHQ-treated and in DMBA-initiated rats as compared to DMBA-treated controls. The incidence of ear duct and forestomach tumours was not affected by TBHQ treatment (Hirose et al., 1988). The effects of dietary TBHQ were tested in a multi-organ carcinogenesis model. Groups of 20 male F344 rats were given a single intragastric administration of 100 mg/kg bw MNNG, a single intragastric administration of 750 mg/kg bw EHEN, two s.c. injections of 0.5 mg/kg bw MBN and four s.c. injections of 40 mg/kg bw DMH. At the same time, the rats received 0.1% DBN for 4 weeks, followed by 0.1% DHPN for 2 weeks in the drinking-water for a total carcinogen exposure period of 6 weeks. Three days after this regime, the rats received 1% TBHQ in the diet or control diet for 36 weeks. Control groups of 10 or 11 animals received 1% TBHQ alone or basal diet alone. The final body weights of both TBHQ-treated groups were significantly lower than those of respective controls (19% for carcinogen-treated control and 9% for basal diet control) and this was reflected in higher relative liver and kidney weights. Dietary TBHQ following carcinogen treatment reduced the incidence and multiplicity of colon carcinomas and had slightly reduced the incidence and multiplicity of some preneoplastic and neoplastic lesions of the kidney. At the same time, this treatment increased the incidence of oesophageal and forestomach papillomas and oesophageal papillary or nodular hyperplasia compared with controls. The treatment had no effect on the tongue, glandular stomach, duodenum, small intestine, liver, lung, urinary bladder or thyroid gland (Hirose et al., 1993). 2.2.11.1 Liver Groups of 10 SD rats were gavaged with sodium nitrite (125 mg/kg bw) and dimethylamine (1000 mg/kg bw) followed immediately by 0, 25, 75 or 225 mg/kg bw of TBHQ. Ascorbate at 200 mg/kg bw was used as a positive control. The nitrosamine-forming mixture alone produced extensive hepatic necrosis and increases in serum AST, ALT and ornithine carbamoyl transferase. Enzyme induction was completely suppressed by co-administration of ascorbate. At the highest dose, TBHQ gave 60% protection against necrosis and appreciably suppressed enzyme activity increases. No significant protective effect was observed at doses of 25 or 75 mg/kg bw TBHQ (Astill & Mulligan, 1977). Groups of male Fischer rats were initially given a single dose of diethylnitrosamine and, starting 2 weeks later, were treated with a diet containing 1% TBHQ for 6 weeks. All rats were subjected to two-thirds partial hepatectomy at week 3. The number and area of preneoplastic GST placental form positive foci in the liver were significantly lower in rats treated with 1% TBHQ compared to rats that received diethylnitrosamine alone (Ito et al., 1988). The combined effects of low doses of various carcinogens and carcinogenesis modifiers on tumour development were investigated in the F344 rat. Carcinogens included a group of known hepatocarcinogens and a group of nitroso compounds having various target organ specificities. A group of antioxidants, BHA, catechol, propyl gallate and TBHQ, known to have various target-organ-dependent inhibiting and enhancing activities, were used as carcinogenesis modifiers. These groups of compounds, alone or in combination, were administered with or without prior administration of N-diemethylnitrosamine, N-methylnitrosourea and dihydroxy-di-N-propylnitrosamine. The hepatocarcinogen group, in combination with various nitroso compounds, increased the incidences of liver hyperplastic nodules and hepatocellular carcinomas. When antioxidants were administered in combination with hepatocarcinogens and/or nitroso compounds, the incidence of both hepatic lesions was clearly reduced. The combination of nitroso compounds and antioxidants increased the incidence of papillomas and carcinomas in the urinary bladder compared to nitroso compounds alone. Rats receiving nitroso compounds in combination with hepatocarcinogens also showed a tendency for increased tumour development. Additive effects on the number of preneoplastic lesions in the glandular stomach were produced by combined treatment with antioxidants and nitroso compounds. No synergistic effects on tumour development were seen in other organs (Fukushima et al., 1991). Two weeks after initiation with diethylnitrosamine, groups of male F344 rats received diets containing 1 or 0.25% BHA, 1 or 0.25% TBHQ, 0.8 or 0.2% catechol or 0.5 or 0.125% sesamol for 6 weeks. Additional groups received combined low doses of BHA and TBHQ, catechol and sesamol, or BHA, TBHQ, catechol and sesamol. All rats were subjected to two-thirds partial hepatectomy at the end of week 3 and killed at the end of week 8. Body weights were reduced in the groups receiving 1% TBHQ and all four antioxidants. All groups receiving TBHQ alone or in combination had significantly higher absolute and relative liver weights compared to controls. The number and areas of GST placental form positive foci in the liver were significantly reduced in groups receiving 1% TBHQ, TBHQ and BHA, and all four antioxidants (Hasegawa et al., 1992). A series of 31 structurally related chemicals, including TBHQ, were investigated as in vitro inhibitors of BP metabolism in hepatic microsomes from 3-methyl-cholanthrene-induced mice and DNA-BP adduct formation. TBHQ was shown to be a more powerful inhibitor of BP metabolism and adduct formation than BHA or BHT. The authors suggested that the inhibition of DNA-BP adduct formation by TBHQ was secondary to the inhibition of BP metabolism. The quinones were shown to be more effective inhibitors of DNA-BP adduct formation than the corresponding hydroquinones. The authors postulated that the inhibition observed with hydroquinones may result in part from their oxidized forms. The study also demonstrated that substituted hydroquinones and quinones exhibited a larger inhibitory effect than unsubstituted hydroquinones and quinones (Colovai et al., 1993). 2.2.11.2 Urinary bladder The promoting activity of TBHQ in urinary bladder carcinogenesis initiated by N-butyl-N-(4-hydroxybutyl)nitrosamine (BBN) in male F344/Dulrj rats was examined and compared with the effect of alpha-tocopherol (TP) or propyl gallate (PG). Rats (6-week old) were treated with 0.05% BBN in drinking-water for 4 weeks. Groups of 20 rats received thereafter control diet or diet containing 2.0% TBHQ, 1.0% PG, or 0.4, 0.75, or 1.5% TP. After 36 weeks, the urinary bladders of all animals were examined histologically. The incidence of papillary or nodular hyperplasia was significantly higher in rats treated with BBN plus TBHQ as compared to rats initiated with BBN but receiving control diet. However, there were no significant differences for papillomas or cancer. This indicated a weak promoting activity of TBHQ in BBN-initiated urinary bladder carcinogenesis. TP and PG were inactive in this respect (Tamano et al., 1987). The modifying activities of BHA, BHT and TBHQ and of paired combinations of these phenolic antioxidants on bladder carcinogenesis in male F344 rats pretreated with BBN were investigated. Groups of 20 animals (6-weeks old) were given 0.05% BBN in their drinking-water for 4 weeks, followed by BHA, BHT or TBHQ alone (0.8% each) or in pairs (0.4% each) in their diet for 32 weeks. Controls received no further treatment after BBN administration. A decrease in body weight gain was observed in all antioxidant-treated groups. The incidence of preneoplastic papillary or nodular hyperplasia (PN hyperplasia) was slightly but significantly higher in the group treated with BHA plus TBHQ after BBN than in controls receiving BBN only. The densities of PN hyperplasia were also significantly increased in all treated groups. However, no synergistic enhancing effects were observed. No differences were seen with respect to the incidence and densities of papillomas or carcinomas. Thus BHA, BHT and TBHQ all exerted enhancing effects in BBN-induced urinary bladder carcinogenesis in rats, but no synergism regarding this promotion occurred (Hagiwara et al., 1989). In a review article, studies investigating the promoting activity of antioxidants (BHA, BHT, ethoxyquin and TBHQ) in a two-stage bladder carcinogenesis model were discussed. TBHQ and ethoxyquin exerted weak promoting activites in BBN-initiated male rats while those of BHA and BHT were strong. The promoting effects of the antioxidants could not be related to urinary components or the potency of their antioxidant action. These antioxidants induced scanning electron microscopic changes, characteristic of a hyperplastic response, on the surface of urinary bladder epithelial cells. A BrdU incorporation study revealed that TBHQ and the other antioxidants induced increased DNA synthesis in the urinary bladder epithelium in rats (Ito & Fukushima, 1989). The effects of 16 weeks of dietary exposure to carcinogens (three sodium salts) or promoters (BHA, BHT and TBHQ), alone or in combinations, on BBN-initiated rat bladder carcinogenesis were examined. Exposure to 0.7% of dietary TBHQ alone significantly (P<0.01) lowered final body weight but had no significant effect on relative bladder weight compared to BBN-initiated controls. The incidence of bladder papillomas and/or carcinomas in the TBHQ treatment group was comparable to controls. When rats received a diet containing 0.7% TBHQ, 0.7% BHA and 0.3% BHT combined, final body weights were significantly lower and relative bladder weight was significantly higher than for BBN-initiated controls. This combined treatment had an additive effect on the incidence of bladder tumours, significantly increasing the incidence of papillomas alone and papillomas and carcinomas combined. Treatment with the combination of antioxidants was also shown to increase DNA synthesis in the bladder although the increase was not statistically significant (Ono et al., 1992). 3. COMMENTS In studies reviewed at earlier meetings of the Committee, TBHQ was shown to be extensively absorbed and rapidly excreted following ingestion by rats, dogs and humans. The major urinary metabolites in all three species were the O-sulfate and O-glucuronide conjugates, with the former predominating. In numerous in vitro studies, TBHQ was shown to induce the activity of phase II enzymes, including UDP-glucuronosyl-S-transferase and glutathione-S-transferase, by a mechanism independent of the Ah receptor. Induction of hepatic glutathione-S-transferase activity was also demonstrated following short-term dietary administration of TBHQ in female mice. TBHQ also undergoes redox cycling with the corresponding quinone, accompanied by the production of reactive oxygen species. In a study reviewed at the present meeting, three glutathione conjugates of TBHQ were identified in the bile of male rats, and sulfur-containing metabolites of TBHQ were detected in the urine. In other studies, the glutathione conjugates of TBHQ demonstrated increased redox cycling activity compared with unconjugated TBHQ and were toxic to the kidney and bladder when administered intravenously to male rats. In a new thirteen-week feeding study conducted in mice, significant treatment-related effects noted in both sexes were decreased body weight gain and mucosal epithelial hyperplasia of the forestomach. The latter effect was noted only at very high doses of TBHQ, i.e. 2% of the diet (equal to 4000-4500 mg/kg bw per day) and above. The NOEL for the study was 870 mg/kg bw per day. In a thirteen-week feeding study conducted in rats continuously exposed to TBHQ, starting in utero, treatment-related haemosiderin pigmentation of the spleen was noted in both sexes. In addition, there was a treatment-related increase in atrophy of the red pulp of the spleen in female rats receiving the mid and high doses of TBHQ. Bone marrow and haematological parameters were not altered at these doses. Forestomach hyperplasia was not observed in rats in this study, up to the highest dose tested, i.e. 1% of the diet (equal to 800 mg/kg bw per day), although it was noted in another study following short-term administration in the diet of adult rats at the 2% level. Treatment with TBHQ had no effect on the estrous cycle or the histological appearance of the reproductive organs. Because pigmentation of the spleen was noted in female rats at the lowest dose tested, a NOEL could not be established, leaving a lowest-observed-effect level (LOEL) of 190 mg/kg bw per day. Irritation and hyperplasia observed in the nasal epithelium of both species and the skin of mice were considered to be the consequence of direct contact with TBHQ from the diet. The results from the recently-conducted carcinogenicity studies were reviewed. In female mice, TBHQ induced an increase in the incidence of thyroid follicular cell hyperplasia, affecting all dosed groups. A non-significant increase in follicular cell adenomas was reported at the high dose but the incidence was within the range of historical control values. No follicular cell carcinomas were observed. Decreased body weight gains were also observed at the high dose in both sexes. Since the Committee was aware that hydroquinone (the unsubstituted parent compound) induced thyrotoxicity in mice, but not rats, it considered that the follicular cell hyperplasia observed with TBHQ in this study might be a toxicologically significant effect. Consequently, it concluded that a NOEL could not be established for this study and that the low dose of 150 mg/kg bw per day represented a LOEL. In the rat study, toxicologically significant effects were noted only at the highest dose tested, which consisted of an increase in the incidence of transitional cell hyperplasia and suppurative inflammation of the kidneys in male rats and of haemosiderin pigmentation of the spleen in females. The Committee considered that the mid dose of 2500 mg/kg feed, equal to 110 mg/kg bw per day, represented the NOEL and that TBHQ was not carcinogenic in mice or rats. The 117-week study in dogs on which the temporary ADI had been based was re-evaluated in the light of supplementary information obtained from the study authors. Based on actual intake data, nominal dietary levels of 500, 1580 and 5000 mg/kg feed were equal to doses of 21, 72 and 260 mg/kg bw per day. Haemoglobin concentrations and haematocrits were statistically significantly reduced in high-dose dogs of both sexes at several sampling intervals throughout the study, although values were within historical control ranges. Red blood cell counts were also significantly decreased in male and female dogs in the high dose group at week 112, the only time at which this parameter was reported. Increases in the reticulocyte count (as % of red blood cells) and the presence of immature red blood cell forms in the peripheral blood of animals from the treated groups, reported to occur late in the study, were not dose-related nor accompanied by changes in red blood cell parameters at the low and mid doses. On the basis of this re-evaluation, the Committee confirmed that the NOEL for long-term toxicity in dogs was the mid dose, equal to 72 mg/kg bw per day. In view of the conflicting results among the genotoxicity assays reviewed at previous meetings of the Committee, many of the studies were re-evaluated at the present meeting with respect to the validity of the protocol and data interpretation. The conclusions of a number of the studies could no longer be supported. The results of the well-conducted studies indicated that TBHQ was clastogenic in vitro in the absence or presence of metabolic activation but did not induce the formation of micronuclei in vivo. In sister chromatid exchange assays, TBHQ was positive in mice in vivo and in an in vitro system. The results from several studies suggested that DNA damage resulting from TBHQ exposure, including chromosome loss and breakage, was secondary to the production of reactive oxygen species. In light of this information, and the fact that TBHQ was not carcinogenic in two rodent species, the Committee concluded that TBHQ was unlikely to be genotoxic in vivo under conditions of use as an antioxidant, and that further genotoxicity studies were unnecessary. The results of four reproductive toxicity studies in rats were evaluated. Taken together, the results of these studies indicated an adverse effect of TBHQ on pup survival and/or pup body weight at dietary levels of 0.5% or higher. The effect on pup body weight was late-occurring in terms of the lactation period and the NOEL was 0.25% diet, equivalent to 125 mg/kg bw per day. 4. 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See Also: Toxicological Abbreviations Butylhydroquinone, tert- (TBHQ) (WHO Food Additives Series 42)