1,1,2-TRICHLOROETHYLENE Explanation 1,1,2-trichloroethylene (trilene, TCE) has been evaluated for acceptable daily intake for man by the Joint FAO/WHO Expert Committee on Food Additives in 1976 (see Annex I, Ref. 40, p. 115) and 1980 (see Annex I, Ref. 51). A toxicological monograph was prepared in 1976 (see Annex I, Ref. 41). Since the previous evaluation, additional data have become available and are summarized and discussed in the following monograph. The previously published monograph has been expanded and is reproduced in its entirety below. BIOLOGICAL DATA BIOCHEMICAL ASPECTS Absorption, distribution and excretion Probably between 71% and 76% of inhaled trilene is rapidly absorbed through the lungs. In man, most absorption occurs within the first few minutes of exposure and then decreases to an equilibrium between air/blood concentrations. Moderate absorption can occur through intact skin and from the gastrointestinal mucosa after ingestion (von Oettingen, 1955). In the rat, rabbit and dog absorbed trilene is distributed among all organs and tissues but concentrates mostly in fat and brain and least in skeletal muscle; lung and liver also retain low levels (Barrett et al., 1939; Clayton & Parkhouse, 1962; yon Oettingen, 1955). Similar organ concentrations were found in guinea-pigs but high levels were also found in ovaries and adrenals (Fabre & Truhaut, 1952). In the rat, trilene and trichloroacetic acid may be selectively bound to erythrocytes, hence giving high spleen levels (Fabre & Truhaut, 1952) but plasma proteins may also be involved (Soucek & Vlachova, 1960). In man, trilene is detectable in the blood within 30 minutes of inhalation (Stewart et al., 1962). The elimination of trichloroethylene in male Wistar rats given i.v. doses of 3, 6, 9, 12 or 15 mg/kg of trichloroethylene fits a two compartment model at the lower dose and a three compartment model at the higher doses (Withey & Collins, 1980). Metabolism Trilene is metabolized slowly to chloralhydrate (via an epoxide) and then rapidly to 2,2,2-trichloroacetic acid (CCl3COOH) and 2,2,2-trichloroethanol (CCl3CH2OH), these latter two metabolites are excreted as urinary glucuronides (e.g. trichloroethanol glucusiduronic acid) with very little unchanged trilene appearing in the urine (Powell, 1945; Butler, 1949; Uhl & Haag, 1958; Williams, 1959; Smith, 1966). Dogs excreted 5-8% of absorbed trilene as trichloroacetic acid and 15-20% as trichloroethanol up to four days after exposure (Barrett et al., 1939; Barrett & Johnston, 1939; von Oettingen, 1955). The lung and spleen, less so the liver, are probably the main sites of metabolism (Fabre & Truhaut, 1952; Defalgue, 1961). Rats excrete about 4% of inhaled trilene as trichloroacetic acid, the lung and spleen being the main sites of metabolism in vitro and in vivo, the liver being less important (Fabre & Truhaut, 1952). Male rats (250-300 g bw) were dosed with 0.5 ml of a 20% solution of trichloroethylene (TCE) in olive oil. Urine was analysed daily for a seven-day period. Maximal excretion of the metabolites occurred 24-48 hours after dosing. Twenty-four hours following administration of the TCE in olive oil, 0.82% of the dose was excreted as trichloroacetic acid, 0.12% as trichloroethanol and 11.3% as the trichloroethanol glucuronide. During the seven-day period the metabolites in urine accounted for 16.44% of the administered dose (2.14% as trichloroacetic acid, 0.82% as free trichloroethanol and 13.8% as trichloroethanol glucuronide). Free TCE was not detected in urine or a 24 hour expired air sample, No metabolites of TCE were detected in the faeces. When rats were given a single oral dose of TCE (0.25 or 0.5 ml) urinary metabolites accounted for 18% of the administered dose (Daniel, 1957a, b). 36Cl-labelled trilene was given to rats by gavage. Ten to 20% was excreted in the urine as trichloroacetic acid (1-5%), trichloroethanol (10-15%), 0-0.5% in the faeces and 72.85% probably as trilene in the expired air. The metabolites were formed by intra-molecular rearrangement. Radioactivity was excreted for up to 18 days after single dosing (Daniel, 1963). In vitro studies on rat liver microsomes showed conversion of trilene to chloral (Byington & Leibman, 1965). Rabbits excrete 0.5% of absorbed trilene as trichloroacetic acid (Fabre & Truhaut, 1952; Defalgue, 1961) and after oral dosing by gavage no significant effects were seen on urobilin, blood glucose level or serum cholesterol (Dervillee et al., 1938). Guinea-pigs show presence of trichloroacetic acid in their urine after inhalation (Fabre & Truhaut, 1952). Calves similarly metabolize orally administered trilene to trichloroacetic acid (1%) and trichloroethanol (13-25%) appearing in their urine together with a trace of trilene. The balance is probably exhaled or excreted in the faeces (Seto & Schultze, 1955). Man excretes 6-16% of inhaled trilene as trichloroacetic acid (Ahlmark & Forssmam, 1951); others found 7-27% of retained trilene being excreted as trichloroacetic acid (Powell, 1945; Soucek et al., 1952) as well as trichloroethanol, monochloroacetic acid and chloroform (Soucek et al., 1952; Defalgue, 1961). Small amounts of trichloroacetic acid may continue to be excreted in the urine for up to 12 days after single exposure (von Oettingen, 1955). Five human subjects exposed for five hours to trilene excreted 4% of the retained dose as monochloroacetic acid, 19% as trichloroacetic acid and 50% as trichloroethanol over the next 14 days (Soucek & Vlachova, 1960; Defalgue, 1961). In another experiment eight subjects inhaled trilene for five hours, 51-64% of the inhaled trilene was retained, the rest exhaled unchanged. Of the remaining trilene, 38-50% was excreted as urinary trichloroethanol and 27-36% as urinary trichloroacetic acid. 8.4% of trichloroacetic acid and trichloroethanol was excreted in the faeces. Sweat and saliva also contained both metabolites (Bartonicek, 1962). In all species most of the trichloroacetic acid and trichloroethanol is excreted in the first two days after exposure but excretion may go on up to 53 days. Some two to four hours elapse after single exposure before trichloroacetic acid appears in the blood reaching a maximum in 20-50 hours (Ahlmark & Forssman, 1951; Defalgue, 1961). Trichloroethanol appears to be the main metabolite and is much more toxic (Bartonicek & Teisinger, 1962). Disulfiram decreases the excretion of trichloroacetic acid and trichloroethanol by acting either on converting enzymes or on trilene release from fat depots (Bartonicek & Teisinger, 1962) while glucose and insulin increase production (Soucek & Vlachova, 1960). Chronic exposure may cause disturbance of protein metabolism by an increase in the ß-globulin to 16-21% (normal 10-14%) and in fat metabolism by an increase in unsaturated fatty acids (Guyot-Jeannin & Van Steenkiste, 1958). Repeated inhalation or oral ingestion by rats causes transitory elevation of SGOT levels for 24 hours after the last exposure, the SGPT levels remaining normal. SGOT levels return to normal within nine days after exposure. No such transitory effects are seen in rabbits (Tolot et al., 1966; Viallier & Casanova, 1965). Previous ingestion of ethanol potentiates trilene toxicity in rats as shown by a rise in SGOT, SGPT and SICD (isocitric dehydrogenase) and widespread degenerative lipid infiltration as well as early centrilobular necrosis of the liver (Cornish & Adefuin, 1966). The biological half-life (T1/2) of the urinary metabolites of TCE was studied in factory workers between 20 and 50 years old (24 males and six females). The mean T1/2 of total trichloro-compounds was approximately 41 hours (Ikeda & Imamura, 1973). In a study rats and hamsters were exposed to trichloroethylene vapour with or without pretreatment with phenobarbital. Pretreatment with phenobarbital resulted in a marked increase in the rate of urinary excretion of trichloro-compounds. Liver preparations from rats treated with phenobarbital showed a marked increase in the rate of trichloroethylene metabolism compared to untreated rats. Pretreatment of rats with trichloroethylene failed to induce this enzyme (Ikeda & Imamura, 1973). Single exposure of mice to the inhalation LD50 of trichloroethylene showed some hepatotoxicity as evidenced by a rise in SGPT (Gehring, 1968). Trichloroethylene passes readily through the placenta and occurs in foetal blood in higher concentrations (Helliwell & Hutton, 1950). Orally administered trilene has no effect on rat liver glutathione levels (Johnson, 1965). In adult male Aderly Park Strain Swiss mice, administration of a single gavage dose of 2.0 ml/kg of trichloroethylene resulted in the appearance in the urine of small amounts of dichloroacetic acid in addition to the previously reported trichloroacetic acid metabolite (Hathaway, 1980). Administration by i.p. injection of 1 ml/kg of trichloroethylene in adult male Sprague-Dawley rats reduced the disappearance of labelled hexobarbital from the blood and liver. Eight hours after trichloroethylene administration, microsomal cytochrome P-450, cytochrome b5 and total protohemene were unchanged in non- pretreated rats; however, in phenobarbital pretreated rats cytochrome P-450 and total protoheme were reduced. Repeated i.p. injection with trichloroethylene for five days (0.25 ml/kg twice on day 1, 0.5 ml/kg twice on day 2, and 1 ml/kg twice daily on days 3-5) resulted in increases in liver to body weight ratio, microsomal protein, NADPH-cytochrome C reductase activity, aniline hydroxylase activity, p-nitrophenol glucuronyl transferase activity and covalent binding of labelled trichloro-ethylene metabolites to microsomal proteins in vitro. However there were decreases in cytochrome P-450, ethylmorphine demethylase and hexobarbital hydroxylase activity (Pessayre et al., 1979). Difference absorption spectroscopy measurements of rabbit liver microsomes incubated with NADPH and purified trichloroethylene have provided additional evidence for the formation of the previously postulated epoxide intermediate (2,2,3 trichloro-oxirane) in hepatic metabolism of trichloroethanol (Uehleke et al., 1977). TOXICOLOGICAL STUDIES Special biochemical studies on hepatotoxicity Irreversible binding of labelled trichloroethylene to microsomal protein was demonstrated in an in vitro incubation system using microsomes prepared from male Sprague-Dawley rats. Binding was enhanced by pretreatment of rats with phenobarbital, and markedly enhanced by the addition of an epoxide hydrase inhibitor to the incubation system. Binding was decreased by SKF-24A, a known inhibitor of the metabolism of P-450 substrates (Van Duuren & Banerjee, 1976). These same authors have also demonstrated binding of trichloroethylene metabolites to liver microsomal protein of male and female B6C3F1 mice. Binding to microsomal proteins from stomach, lung and kidney tissues of male mice was also demonstrated as well as binding to salmon sperm DNA in the presence of hepatic microsomes from male mice (Banerjee & Van Duuren, 1970). Administration of labelled trichloroethylene to male Sprague- Dawley rats resulted in the irreversible binding of a labelled metabolite to liver protein. In vitro studies with hepatic microsomes and labelled trichloroethylene showed that an NADPH generating system was necessary for irreversible binding of a labelled metabolite to microsomal proteins. Rats pretreated with 70 mg/kg i.p. of phenobarbital showed histopathological liver damage 12 hours after i.p. administration of 1 ml/kg of trichloroethylene, whereas animals not pretreated with phenobarbital did not show liver damage after similar trichloroethylene administration. Similarly, serum SGPT levels were higher following i.p. administration of up to 2 ml/kg of trichloroethylene in animals pretreated with phenobarbital; and cytochrome P-450 levels dropped in phenobarbital pretreated but not untreated rats following i.p. administration 1 ml/kg of trichloroethylene (Allemand et al., 1978; Cunningham et al., 1981). In studies of labelled trichloroethylene administered in an inhalation chamber, male B6C3F1 mice metabolized more inhaled trichloroethylene on a per kg body weight basis than male Osborne- Mendel rats, the mice also activated more of the inhaled trichloroethylene to a reactive tissue binding metabolite in the liver and kidney than the rat. Doses of 0, 250, 500, 1200 or 2400 mg/kg of trichloroethylene were given by gavage to male B6C3F1 mice five days per week for three weeks. There was a dose-related increase in liver weight up to 177% of control and histopathological damage with centrilobular hepatocyte swelling, giant cell inflammation and mineralized cells at the highest dose. When 1100 mg/kg/day was given in the same dosing regimen to male Osborne-Mendel rats no histopathological changes were observed, liver weight increased to 118% of control and hepatic DNA synthesis was increased. No renal histopathological changes were observed and body weight was not affected. In mice given 1200 mg/kg of 14C radiolabelled trichloroethylene by gavage, an estimated maximum DNA alkylation level of 0.62 alkylations/106 nucleotides was reported in three to four treated mice, while no alkylation was reported in the fourth animal (Stott et al., 1982). Special studies on carcinogenicity Mouse Groups each of 100 weanling (45-day-old) mice (c57BL/C3H strain) equally divided by sex, were dosed daily, five days per week with TCE dissolved in corn oil (Industrial Grade Containing "Inhibitors"). Initial dosage levels were 1000 and 2000 mg/kg for males and 700 and 1400 mg/kg for females. These doses were increased once to 1200 and 2400 mg/kg for males and to 900 and 1800 mg/kg for females. Control mice (40) received an equivalent amount of corn oil. At week 36 of the study the mice were placed on a regimen of no dosing for one week, followed by four weeks of dosing. At week 78 dosing was stopped on the mice maintained until the study was terminated at week 90. The time weighted average intakes were calculated to be 1169 and 2339 mg/kg for males and 869 and 1739 mg/kg for females. During the course of the study the mice were housed in cages of solid polypropylene without filters. Ten mice were housed in each cage. Mice in this study were maintained in a room housing mice on other studies receiving the following compounds: trichloroethylene, 1,1,2,2-tetrachloroethane, chloroform, 3-chloropropene, chloropierin, dibromochloropropane (DBCP), ethylene dibromide, 1,1-dichloroethane, sulfolene, iodoform, methyl chloroform, 1,1,2-trichloroethane, tetrachloroethylene, hexachloroethane, carbon disulfide, trichlorofluoromethane, and carbon tetrachloride. 27/50, 14/48 and 12/20 of high, low and control groups of male mice and 8/47, 8/50 and 0/50 of high, low and control groups of female mice died during the course of the study. Histopathology of a variety of neoplastic and non-neoplastic lesions showed primary liver tumours (hepatocellular carcinoma in 1/20 control males, 26/50 low-dose males, 31/48 high-dose females). Metastasis of the hepatocellular carcinoma to the lung occurred in 4/26 low-dose males and 3/31 high-dose males. Malignant lymphoid tumours (e.g. reticulum- cell sarcoma, lymphosarcoma and malignant lymphoma) were recognized in 1/20 Control males, 4/50 low-dose males, 2/48 high-dose males, 1/20 control females, 5/50 low-dose females and 6/47 high-dose females. Other tumours observed in various animals included benign fibrous tumours, adenoma of the Harderian gland, endometrial adenocarcinoma, ovarian granulosa-cell carcinoma and mammary adenocarcinoma (Weatherholtz et al., 1975). Because the trichloroethylene in the previous carcinogenic bioassay contained epichlorohydrin as a stabilizer (a, compound which is mutagenic) new studies were conducted using epichlorohydrin-free trichloroethylene. Epichlorohydrin-free trichloroethylene was administered by gavage using a corn oil vehicle to groups of 50 male and 50 female B6C3F1 mice. Two batches of trichloroethylene were used during the course of the study. The compound was given at a dose of 1000 mg/kg bw five days per week for 103 weeks. The animals were then maintained without dosing for an additional 0-4 weeks prior to terminal sacrifice. A concurrent control group of 50 male and 50 female mice received the corn oil vehicle by gavage on the same dosage regimen. A complete gross and histopathological examination was conducted on all animals found dead or killed at termination. Mean body weights of dosed male mice were lower than those of controls throughout the study, while values for dosed females were comparable with controls. Survival in the dosed males was significantly reduced; no significant difference in survival was observed between dosed and control females. There was a significant increase in the incidence of hepato- cellular carcinoma in both male and female dosed mice. The incidence was 8/48 in control males and 30/50 in dosed males, and 2/48 in control females and 13/48 in dosed females. The carcinomas metastized to the lung in five of the dosed and one of the control males. The incidence of hepatocellular adenomas was also increased in the dosed mice. The incidence was 3/48 in control males and 8/50 in dosed males, and 2/48 in control females and 8/49 in dosed females. The combined incidence of alveolar/bronchiolar adenoma or carcinoma was not significantly elevated in dosed female mice (1/45 and 4/48 in the control and dosed groups, respectively); however the incidence of the alveolar/bronchiolar adenomas alone was significantly elevated in the dosed females (0/48 control and 4/48 dosed). There was no relationship between treatment and the incidence of these lung tumours in male mice. The increased incidence of the lung tumours in the female mice was not considered to be related to treatment. Harderian gland adenomas were found in 4/50 dosed males, 3/49 dosed females and none in controls of either sex. A squamous cell carcinoma of the stomach was found in one treated female and squamous cell papillomas of the stomach were also found in two dosed females. None of these lesions was found in control females or treated males, however a Squamous cell carcinoma was found in one control male. Although these lesions in the female may have been due to gavage administration of the compound they were not considered to be an indication of carcinogenicity at this site. A compound-related toxic nephrosis, designated as cytomegaly, was present in 90% of the dosed male and 98% of the dosed female mice but not in controls (National Toxicology Program, 1982). Rat Groups of 50 male and 50 female F-344/N rats were administered by gavage doses of 500 or 1000 mg/kg bw, epichlorohydrin-free trichloroethylene in a corn oil vehicle five days per week for 103 weeks. Two batches of trichloroethylene were used during the course of the study. Vehicle control groups of 50 males and 50 females received the corn oil vehicle on the same dosing regimen and an additional group of 50 males and 50 females served as the untreated control group. A complete gross and microscopic pathological examination was conducted on all animals found dead or sacrificed at termination. A significant dose-related reduction in body weight gain was observed in female rats and weight gain was also significantly reduced in high- dose males. Mortality was significantly increased in dosed males. Mortality was also increased in the high-dose females but evidently it was not statistically significant. There was a significant increase in renal adenocarcinoma in high-dose male rats (0/48 control, 0/49 low dose and 3/49 high dose). Additionally, a transitional cell carcinoma of the renal pelvis and two renal tubular cell adenomas were found in the low-dose males. The tubular cell adenomas were considered to have the potential to progress to carcinomas. A non-specified carcinoma of the renal pelvis was found in a high-dose male. In addition to the rumours, toxic nephrosis, cytomegaly, was found in 98% of the dosed males and 100% of dosed females. Both dose levels of trichloroethylene used exceeded the maximum tolerated dose, as evidenced by the early deaths. The cause of the early deaths was not established, but it may reduce the sensitivity of the bioassay to detect a higher degree of adenocarcinoma. In addition, from one to 10 animals/group were killed by gavage error (males: vehicle control 1, low dose 3, high dose 10; females: vehicle control. 2, low dose 5, high dose 5) (National Toxicology Program, 1982). Mouse (skin painting) In skin painting studies performed with groups of 30 female Ha:ICR Swiss mice a dose of 1.O mg/mouse (about 40 mg/kg for a 25 g mouse) of trichloroethylene applied three times per week did not result in skin tumours or an increase in the incidence of tumours at other sites as compared to concurrent controls. The animals were on test for about 83 weeks and histopathology was only conducted in animals and tissues showing a gross lesion at autopsy. Administration of 0.5 mg/mouse (about 20 mg/kg) of trichloroethylene by gavage once weekly for about 88 weeks to groups of 30 male and 30 female HA:ICR Swiss mice did not show an increased incidence of stomach as other tumours as compared to concurrent controls. Routine histopathological examination was only performed on sections taken from the stomach, liver and lung. Compared to controls administered the trioctanoin vehicle, a group of 30 female Ha:ICR Swiss mice given weekly subcutaneous injections of 0.5 mg/mouse (about 20 mg/kg) of trichloroethylene for about 88 weeks did not show an increase in injection site sarcomas. As compared to the National Toxicology Program mouse study where a positive result was obtained, much lower doses, more infrequent doses and a shorter exposure interval were used in the three studies using Ha:ICR mice (Van Duuren et al., 1979). Rat (Inhalation) In an inhalation carcinogenicity study, groups of 30 male and 30 female NMRI mice, Wistar rats and Syrian hamsters of each species were exposed to 0, 100 or 500 ppm (0, 0.01 or 0.05%) air concentrations of pure trichloroethylene stabilized with an amine base for six hours per day, five days per week for 18 months. Remaining mice and hamsters were sacrificed after 30 months, and rats after 36 months. The following tissues were examined microscopically: spleen, liver, kidneys, lung, heart, CNS and tumourous tissues. Body weight gain was not significantly different between exposed and control animals in all species. Mortality was significantly increased in exposed mice of either sex, but not in the other species (Henschler et al., 1980). No significant increase in tumours were noted in any species except in the mouse where there was a statistically significant increase in malignant lymphomas in female mice. The tumour, which occurs with a high background incidence in females of this test species, also occurred significantly earlier in the exposed animals (Henschler et al., 1980). Special studies on inhalation Observations in animals exposed for varying periods up to 10 months show disturbed coordination and hyperexcitability but no effects on liver, kidney or blood chemistry. Only the CNS showed some oedema and ganglion cell degeneration (Browning, 1965). Rats, guinea- pigs, squirrel monkeys, rabbits and dogs were exposed to 3825 mg/m3 for six weeks without significant adverse effects. Exposure to 189 mg/m3 for 90 days also revealed no significant pathological changes (Prendergast et al., 1967). Groups of 20 mice were exposed for one to eight weeks to 200 or 1600 ppm (0.02 or 0.16%) daily for four hours. Only slight transient fatty hepatic degeneration and no renal effects Were seem (Kylin et al., 1965). Guinea-pigs were exposed to vapour of trilene for two-and-a-half to four months without adverse effects on body weight, haematological findings or urinalysis results but there was slight evidence of hepatic parenchymal degeneration and renal glomerular and tubular degeneration (Lande et al., 1939). Rabbits given 0.074 g/kg trilene for one to five months showed little adverse effect on body weight, haematological finding and urinalysis, but some hepatic and renal lesions were seen (Lande et al., 1939). Hepatic injury as evidenced by BSP excretion, glycogen depletion and parenchymal degeneration as well as weight loss, lethargy and diarrhoea occurred but cleared on stopping exposure (Seifter, 1944). Special studies on mutagenicity In a dominant lethal study, groups of 50 male NMRI mice were exposed for 24 hours to air containing 0, 50, 202 or 450 ppm (0, 0.005, 0.0202 or 0.045%) of trichloroethylene. The exposed animals were then mated to one untreated female for four days, then mated with a new female. Altogether, each male was mated with 12 females. Females were sacrificed 13 days after removal from the male. There was no treatment-related effects on fertilization rate, or pre- or post- implantation loss (Slacik-Erben et al., 1980). A significant increase of sister chromatid exchanges were reported to occur in lymphocytes obtained from the blood of workers chronically exposed to trichloroethylene as compared to persons not exposed. Exposure in vitro of lymphocytes to a concentration of 178 mg/ml of trichloroethylene was also reported to be associated with a significant increase in sister chromatid exchange (Gu et al., 1981). Chloral hydrate, a metabolite of trichloroethylene was found to be weakly mutagenic in Salmonella typhimurium strain TA-100 with a rat liver microsomal activation system, trichloroethylene itself tested in a closed system designed for volatile compounds was negative in both strains (Waskell, 1978). Special studies on reproduction Eight male and 16 female rats were fed on a diet containing 0% or 5% of instant decaffeinated coffee solids extracted with trilene (containing residue of 0.5 ppm (0.00005%) trilene). Two generations were studied as regards paternal and filial mortality, conception rate, resorption, litter size, growth and survival of litter. Organ weights, blood chemistry, urinalysis and histopathology of the F2 generation were normal (Zeitlin, 1967). Special studies on teratogenicity A teratogenicity study in rats fed 5% of trilene extracted instant decaffeinated coffee solids (equivalent to 0.5 ppm (0.00005%) trilene) was done for two weeks before mating until the twentieth day of the second pregnancy. Foetuses were examined and resorption sites counted. No significant deformities were noted in the test groups nor were there any excessive abnormalities (Zeitlin, 1966). Special studies on toxic factor Soybean meal extracted with trilene but not with hexane or carbon tetrachloride has caused fatal refractory haemorrhagic aplastic anaemia in cattle (Stockman, 1916; Picken et al., 1955). The toxic factor was shown to be associated with the protein fraction (Picken & Biester, 1957; Seto et al., 1958). Similar effects were produced by trilene-extracted meat scraps (Rehfeld et al., 1958). However, chicks fed trilene-extracted meat scraps showed improved growth (Balloun et al., 1955). The toxic factor has been identified as S-trans- (dichlorovinyl)-L-cysteine, a reaction product of trilene and protein which becomes freed on protein hydrolysis (McKinney et al., 1957). Using radiolabelled trilene it has been shown that this reaction is unlikely to occur when extracting coffee (Brandenberger et al., 1969). Acute toxicity LD50 Animal Route ml/kg bw LD100 Reference Mouse Inhalation - 7 900 ppm von Oettingen, 1955 (0.79%) (2 hours) s.c. 11.0 - Plaa et al., 1958 i.p. 2.2 - Klaassen & Plaa, 1966 Oral 240 mg/kg Tucker et al., 1982 Rat Oral 4.92 - Smyth et al., 1969 Inhalation 20 000 ppm Adams et al., 1951 (2%) Guinea-pig Inhalation - 37 000 ppm von Oettingen, 1955 (3.7%) (40 minutes) Rabbit s.c. - 1 800 mg/kg Barsoum & Saad, 1934 Inhalation - 11 000 ppm Bernardi et al., 1956 (1.1%) Percutaneous 20 Smyth et al., 1969 Dog i.v. - 150 mg/kg Barsoum & Saad, 1934 i.p. 1.9 - Klaassen & Plaa, 1967 Mice, rats, guinea-pigs and rabbits dying acutely from inhalation, show no toxic effects on the tissues, liver or kidney or after s.c. or i.v. administration (Browning, 1965). I.p. injection of 2.5 ml/kg trilene into mice had no effect on BSP excretion and produced no proteinuria or glycosuria or histological renal changes (Plaa & Larson, 1965). Oral doses of 3-4 ml/kg bw were fatal to rats, mice and guinea-pigs with signs of gastrointestinal irritation (you Oettingen, 1955). Chronic oral poisoning has caused some liver and renal damage in dogs and rabbits (von Oettingen, 1955). Trilene is a local irritant on the skin, causing blisters and necrosis in man and desquamation with ulceration in rabbits (von Oettingen, 1955). Short-term studies Mouse Groups each of 10 mice (C57BL/C3H strain) equally divided by sex were dosed by intubation for five consecutive days/week for six weeks, With TCE at a level equivalent to 0, 1000, 1780, 3160, 5620 or 10 000 mg/kg bw. The mice were then maintained for two weeks under control conditions. Body weight gains in all surviving groups were not significantly affected in a dose-related manner. All mice at the high- dose level died during the first week of the study, and only 1/5 survived the next highest dose level. There were no deaths at 3160 mg/kg bw dose or lower. No gross lesions were observed at the termination of the study (Weatherholtz et al., 1975). Groups of 140 male and 140 female CD-1 mice received trichloroethylene stabilized with 0.004% disopropylamine in their drinking-water at concentrations of 0.1, 1.0, 2.5 and 5.0 mg/ml (equivalent to about 18.4, 216.7, 393.0 and 660.2 mg of trichloroethylene/kg bw per day in males, the corresponding values in females were 17.9, 193.0, 437.1 and 793.3 mg/kg bw). The water also contained 1% of emulphor (a polyethoxylated vegetable oil) to dissolve the trichloroethylene into the water. A group of 260 animals of each sex received water containing emulphor only, while another group of 140 animals per sex received water alone. The animals were on test for four or six months. Reduced fluid consumption was seen at the two highest doses in males and at the highest dose in females. There was a decreased body weight gain at the highest dose in both sexes. At both exposure times, relative liver weight was significantly increased in the three highest dosage groups in males and at the highest dose group in females and the relative kidney weight was significantly increased in high-dose males at six months and in high-dose females at four and six months. Decreased erythrocyte counts were observed at four and six months in high-dose males, decreased leucocyte counts-were also seen particularly in high-dose females. Treatment-related increases in fibrinogen in males and shortened clotting times in females were also observed. The report stated that treatment-related, gross pathological changes were not observed. Data on histopathological evaluation were not presented (Tucker et al., 1982). Groups of 10 male and 10 female B6C3F1 mice received O, 375, 750, 1500, 3000 or 6000 mg/kg of trichloroethylene by gavage five days per week for 13 weeks. All the males and 9/10 females of the high-dose animals died during the course of the study. Body weight gain throughout the study was greater in all groups of dosed females as compared to controls - even in the lone surviving high-dose female. In the males, weight gain was depressed compared to controls except at the lowest dose. Relative and absolute liver weights were increased in a dose-related fashion. Hepatic centrilobular necrosis was seen in 6/10 males and 1/10 females given 6000 mg/kg. In the 3000 mg/kg males, 2/10 animals had multifocal areas of hepatic calcification and this lesion was also noted in one high-dose female. A hepatocellular adenoma was found in a female given 3000 mg/kg. The report noted that this is an extremely rare lesion in a 20-week-old mouse (National Toxicology Program, 1982). Rat Groups each of 10 rats (Osborne-Mendel) equally divided by sex were dosed by intubation for five consecutive days/week for six weeks with TCE at a level equivalent to 0, 562, 1000, 1780, 3160 or 5620 mg/kg bw. The rats were then maintained for a further two weeks without administration of TCE. At the high-dose level all rats died by week 6. Body weight gains of all treated groups were less than control. Effects noted in animals at the highest dose range included hunching, urine stains, alopecia and laboured respiration. Gross necropsy findings at week 6 of the study included dilation of kidney in one male, and redness of kidney in another male, both in the 1780 ppm (0.178%) group, and large abscessed areas in all lobes of the lungs of the animals. No other lesions were reported (Weatherholtz et al., 1975). Groups of 10 male and 10 female Fischer-344/N rats were administered 0, 125, 250, 500, 1000 or 2000 mg/kg of trichloroethylene by gavage in corn oil vehicles five days per week for 13 weeks. An additional group of 10 males received 2000 mg on the same dosing regimen. No mortality occurred during the study, and compared to controls, only the high-dose males suffered a reduced body weight gain. A minor or minimal renal tubular cytomegaly or karyomegaly of the inner cortex was seen in eight males in the 2000 mg/kg group and five of 10 females receiving 1000 mg/kg. Pulmonary vasculitis involving primarily small veins was seen in 6/10 high-dose males and 6/10 high-dose females. This change was also noted in the 1/10 control animals of each sex, and many animals with the vasculitis also exhibited interstitial pneumonitis (National Toxicology Program, 1982). Long-term studies Mouse (See special studies on carcinogenicity.) Rat Groups of 20 male and female rats were fed instant decaffeinated coffee solid extracted with trilene for two years at 0% or 5% of their diet (equivalent to a residue of 0.5 ppm (0.00005%) trilene) without deleterious effects on survival, behaviour, growth, food consumption, urinalysis, haematology, organ weights and histopathological findings (Zeitlin, 1963). Groups each of 100 weanling rats (Random Bred, Osborne-Mendel) equally divided by sex were dosed daily, five days per week, with industrial grade TCE dissolved in corn oil at initial dosage levels of 1300 and 650 mg/kg. These dosages were adjusted downward at week 7 and again at week 16. Control mice (40) received an equivalent amount of corn oil. At week 36 of the study the mice were placed on a regime of no dosing for one week, followed by four weeks of dosing. At week 78 dosing was stopped and the animals maintained until week 110. The time weighted average intakes were calculated to the 1097 and 549 mg/kg bw. During the course of this study the rats were maintained in a room housing rats on other studies and receiving the following compounds: trichloroethylene, dibromochloropropane, ethylnene dichloride, 1,1-dichloroethane, and carbon disulfide. All rats in this room were housed in hanging galvanized steel cages without air-filters. Individual body weights and food consumption were recorded at weekly intervals for the first 10 weeks and at monthly intervals thereafter. Treated rats showed a decreased total weight gain during the period of growth, and survivors at the end of the study showed a lower body weight than controls. 47/50, 42/50 and 17/20 of the high, low and control male rats, and 37/50, 35/49 and 12/20 of the high, low and control female rats died before the termination of the study. Statistical analyses of the results indicated that the probability of survival was decreased by exposure to TCE. Histopathology of the various lesions in the test animals indicated a variety of neoplastic and non-neoplastic lesions in control, low-dose and high-dose rats. None of these lesions appeared to be compound related. The only drug- related lesion was a slight to moderate degenerative and regenerative tubular alteration, primarily affecting proximal tubular epithelium which was observed in low- and high-dose males and females, but not in controls (Weatherholtz et al., 1975). OBSERVATIONS IN MAN Special studies on occupational exposure A group of 518 male Swedish workers occupationally exposed to low levels of trichloroethylene was utilized in an epidemiological study on cancer mortality. Based on urinary excretion of trichloroacetic acid, a trichloroethylene metabolite in two exposure groups were identified. Neither of the exposure groups showed an excess of cancer mortality (Axelson et al., 1978). There is much experience from safe use of trilene as an anaesthetic for man and from various other analgesic inhalation treatments now abandoned e.g. trigeminal neuralgia, migraine, angina (von Oettingen, 1955). Some authorities recognize a syndrome of chronic intoxication (Moeschlin, 1956) and others admit only to a transient neurasthenic symptom complex (Anderssen, 1957). Fumes or the liquid can cause skin burns. No evidence exists of serious haematological effects. Neurological disturbances are similar to neurasthenic conditions with rarely apparent cardiac disturbances. Trigeminal palsies and optic nerve involvement may have been due to impurities but have not been seen with pure material. Irritation of the lungs and gastrointestinal symptoms have been reported after industrial over-exposure. Addiction has been reported (Bardodej & Vyskocil, 1956; Browning, 1965; Patty, 1958; Defalgue, 1961; Milby, 1968; Mitchell & Parsons-Smith, 1969). Psychemotor performance is not affected by exposure to 100 ppm (0.01%) but there is a decline in performance at higher inhalation levels (Stops & McLaughlin, 1967). Eight males ware exposed to 0, 100, 300 or 1000 ppm (0, 0.01, 0.03 or 0.1%) trichloroethylene in air for two hours. At 1000 ppm (0.1%) visual perception and motor skills were adversely affected (Vernon & Ferguson, 1969). In another experiment leucocyte alkaline phosphatase levels in peripheral leucocytes were elevated after prolonged exposure. This effect is reversible (Friborska, 1969). Acute human poisoning cases have recovered without hepatic or renal sequelae. After ingestion there is some burning of the oral mucosa, later nausea and vomiting with vertigo, ataxia, somnolence, confusion, delirium and coma (Browning, 1965). Excessive inhalation has been blamed for hepato-nephritis but the incidence is very low and it is possible that liver and renal involvement are the results of underlying previous disease (Roche et al., 1958). Untoward effects on the circulation, cardiac irregularities and excessive capillary oozing with tachypnoea but no adverse hepatic effects have been reported after anaesthetic use (von Oettingen, 1955). Ingestion of 60 ml appears to be fatal in man (Pebay-Peyroula et al., 1966). At elevated temperatures trilene reacts further to generate phosgene carbonylchloride and various acids which are all toxic (Defalgue, 1961). The TLV is 100 ppm (0.01%) (Amer. Conf. Gov. Ind. Hyg., 1969). Comments Previous lifetime studies in rats and mice with TCE were not acceptable for evaluating the safety of the food use of this compound because the studies were carried out with an industrial grade of TCE containing a stabilizer (epichlorohydrin) which has been shown to be mutagenic. This grade TCE had not been approved for food use. Lifetime studies in rats and mice, dosed with epichlorohydrin-free TCE, have been completed. In the rat study, the dose levels used exceeded the maximum tolerated dose, and resulted in extensive toxicity and early deaths. A number of animals were also lost due to gavage errors. Three renal adenocarcinomas were found in the dosed rats. The occurrence was not dose related. In addition, all the treated animals showed toxic nephrosis and cytomegaly, and the adenomas may have been secondary to these toxic effects. In the mouse study, there was a significant increase in the incidence of hepatocellular carcinoma in the treated animals. However, the significance of this observation as an indication of carcinogenicity is complicated because (1) only one dose level was used in this study, and (2) the known variability in the background level of this rumour in the mouse strain was used. An additional problem in the interpretation of these studies is in the use of two batches of TCE each containing different impurities in each of the studies. TCE was inactive in a dominant lethal study and when tested against Salmonella typhimurium strain TA-100, with and without activation. The available data are not adequate to determine if TCE is a carcinogen. EVALUATION Estimate of an acceptable daily intake for man No ADI allocated. REFERENCES Adams, E. M. et al. (1951) Arch. Ind.. Hyg., 4, 469 Ahlmark, A. & Forssman, S. (1951) Acta Physiol. Scand., 22, 326 Allemand, H. et al. (1978) Metabolic activation of trichloroethylene into a chemically reactive metabolite toxic to the liver,: J. Pharmacol. Experiment Theraput., 204, 714 Amer. Conf. Gov. Ind. Hyg. (1969) Threshold Limit Values for 1969 Anderssen, H. (1957) Acta. Med. Scand., 157 Suppl. 323 Axelson, O. et al. (1978) A cohort study on trichloroethylene exposure and cancer mortality, J. Occupat. 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See Also: Toxicological Abbreviations