BIS (2-ETHYLHEXYL) PHTHALATE Explanation Bis(2-ethylhexyl)phthalate (DEHP) has not previously been evaluated for an ADI for man by the Joint FAO/WHO Expert Committee on Food Additives. DEHP is used as a plasticizer in plastic film used in food packaging. Dietary exposure to DEHP occurs through migration of the plasticizer from packaging to food, and from the environment, where it exists as a contaminant in drinking water and fish. It has the following chemical formula:BIOLOGICAL DATA BIOCHEMICAL ASPECTS Metabolism DEHP was hydrolyzed to the mono-ester by preparations derived from the intestine and liver from several animal species (rat, baboon, ferret) and from human intestine (Lake et al., 1977; Rowland et al., 1977; Kaneshima et al., 1978). Homogenates of rat kidney, lung and liver, as well as liver microsomes and mitochrondria, hydrolyse DEHP to MEHP and 2-ethylhexanol. Hydrolysis was more rapid with liver preparations than lung or kidney preparations. Liver microsomal preparations were more active than mitochondrial preparations, whereas the cytosol fraction was inactive (Carter et al., 1974). DEHP was rapidly hydrolysed by pancreatic lipase, and at a slower rate by rat liver homogenate, plasma, and preparations from kidney and lung. No o-phthalic acid could be detected in the reaction products (Daniel & Bratt, 1974; Albro & Thomas, 1973). The in vitro absorption of mono- and DEHP was studied using isolated perfused rat intestins. All DEHP was converted to mono (ethylhexyl) phthalate (MEHP) before it reached the serosal perfusing solution. No metabolic transformation of MEHP was reported (White et al., 1980). Adult male CD rats were given two oral doses of 14C-DEHP at 24 hour intervals and 24 hour urine samples collected. Five major metabolites were present after the initial dose, the initial metabolic product, mono (2-ethylhexyl)phthalate being metabolized to 5-keto-2- (ethylhexyl)phthalate and 2-carboxyl-2-(ethylpentyl)phthalate, 5-hydroxy-2-(ethylhexyl)-phthalate and 2-carboxymethyl-butylphthalate. Less than 5% of the administered compound was hydrolyzed completely to o-phthalic acid. Various tests for conjugation were negative (Albro et al., 1973). Male, 4-month old, CD rats, CD-1 mice, Syrian golden hamsters and Hartley albino guinea pigs were administered by gavage 2 doses of DEHP at 24-hour intervals, at levels ranging from 20-360 mg/kg b.w. Urine was collected for 48 hours after the initial dose. No metabolites were detected in urine from hamsters or guinea pigs that were not also present in rat or mouse urine. In the mouse, guinea pig and hamster, a significant proportion of DEHP metabolites were present as glucuronide conjugates. Conjugates of taurine and sulfate were not detected. Metabolites of DEHP in rats were not conjugated. Omega and omega-1 oxidation of the ethylhexyl moiety was less efficient in guinea pig than in the other species, but guinea pigs appeared to produce significantly more MEHP (Albro et al., 1982a,b). The enzymatic processes normally associated with omega, omega-l, alpha- and beta-oxidation of fatty acids could account for the major urinary metabolites of DEHP in the rat. However, the structures of recently identified minor metabolites of DEHP suggest that oxidation of the aliphatic side chain can occur at positions more distant than omega-1 from the methyl terminus. This type of oxidation at multiple sites in an aliphatic side chain occurs commonly when alphatic hydrocarbons, rather than fatty acids, are metabolized by microsomal oxidases (Albro et al., 1983). In separate experiments, single gavage doses of 14C-DEHP were given to Fisher 344 rats, CD mice, Syrian golden hamsters and Hartley albino guinea pigs and the urine analyzed for 11 different metabolites. Species differences were noted in the distribution of urinary metabolites. In the rat, 3 metabolites, not including MEHP (trace), comprised 81% of all urinary metabolites of DEHP, while in mice, 75% of all urinary metabolites were accounted for by 5 compounds, including MEHP (18.6%). In the guinea pig, MEHP accounted for 71.2% of all urinary metabolites, while in the hamster, 92.4% of administered radioactivity was distributed among 5 urinary metabolites, not including MEHP (4.5%). Unreacted DEHP occurred at levels of 0.5% or less in all species. 100% of urinary metabolites were not-conjugated in rats, while 85% were non-conjugated in hamsters. Mice and guinea pigs excreted 35-36% of urinary metabolites in the non-conjugated form (Albro et al., 1982b). In other studies, dogs excreted 3 major urinary metabolites, and pigs excreted 5 (Ikeda et al., 1980). In a study with African Green monkeys infused with palsma containing about 5 mg of 14C-DEHP, more than 50% of the 14C was excreted in the urine by 4 hr, and more than 70% by 24 hr. The major metabolites were the 5-ethyl, isohexanol monoester of phthalic acid and MEHP. More than 80% of the urinary metabolites were conjugated to gluconide (Albro et al., 1981). Two cancer patients received, by platelet concentration infusion, 94.7 mg DEPH in 4 hr and 174.3 mg DEHP in 1.5 hr. More than 50% of the infused dose appeared as DEHP metabolites in the urine within 6 hr. The predominant metabolite was the 5-ethyl, isohexanol monoester of phthalic acid. Approximately 80% of urinary metabolites were glucuronide conjugates. Eight other metabolites, including MEHP, were identified. The half-life of DEHP in plasma was 30 ± 12 min., apparent distribution volume was 2819 ± 83 ml/m2 and clearance was 78 ± 20 ml/min-m2 (Peck et al., 1978; Albro et al., 1981). Absorption, distribution and excretion Rats were given by gavage single doses of 14C-DEHP ranging from 2.6 to 1900 mg/kg b.w. 35-55% of the labeled dose was excreted in the feces and 42-57% in the urine. At low dose levels (2.6-2.9 mg/kg b.w.), 9-14% of the dose appeared in the bile. No significant amounts of 14C-C02 could be found in the expired air. At high dose levels (1000 mg/kg2 b.w.) during an 8 day period, fecal excretion accounted for 6.5-10.5% of the administered dose of 14C as metabolites and 24.0-38.8% as unchanged DEHP. Most fecal metabolites had been excreted by 48 hours after dosing. 53.5-70.2% of the dose was excreted as MEHP or metabolites in the urine. Some 14C remained in fatty tissue 8 days after dosing, but none was found in 10 other tissues. In liver, kidney and skeletal muscle, radioactivity has essentially disappeared between 48 and 96 hours after dosing (Daniel & Bratt, 1974; Schulz & Rubin, 1973; Williams & Blanchfield, 1974a). Beagle dogs, miniature Hormel swine and male Sprague-Dawley rats were fed DEHP (650, 750 and 750 ppm, respectively) for 21-28 days and then given an oral dose of 14C-DEHP. In rats, 85% of the administered radioactivity was excreted in the urine and feces 24 hours after dosing excretion of metabolites predominated in dogs and urinary excretion predominated in pigs, while in rats, metabolites were distributed equally between urine and feces. Elimination of administered 14C-DEHP was 84% complete in rats by 24 hours after dosing; elimination of metabolites in dogs and pigs was slower (50% after 24 hr), but was complete in all species by 4 days after dosing. Serum half-life for 14C-DEHP and metabolites was 1.2 hr in dogs and 5.4 hr in pigs. Analysis of tissue and excreta 4 days after dosing with 14C-DEHP indicates that DEHP was metabolized 96% in rats, 63% in dogs and 71% in pigs (Ikeda et al., 1980). Male mice were given single oral doses of Di-(2-ethylhexyl) (14C)phthalate (6.72 mg/animal) and examined by whole-body autoradiography at intervals from 1 hr to 7 days after treatment. Most of the radioactivity was excreted in the urine and feces in the first 24 hr. Excretion was complete within 3-5 days. Following absorption, 14C was widely distributed in the carcass, but none was found in the central nervous system, skeleton, or thymus, and only rarely in the testes. There was no evidence of tissue storage (Gaunt & Butterworth, 1982). Groups of 3 male Fischer 344 rats were given daily gavage doses of 1.8, 18 or 180 mg/kg b.w. 14C-DEHP, and sacrificed 1, 3, 10 and 12 days after initiation of treatment. Residual 14C in testes and liver, as percent of administered dose, decreased with duration of treatment and magnitude of dose, except for testes at day 12 (all dose levels) in which 14C levels were higher than at day 10. In experiments with a single dose (1.8-1000 mg/kg b.w.) of DEHP, no accumulation occurred in the liver at doses below 400g/kg b.w. (Albro et al., 1982b). Wistar rats, 200 g, were administered a single dose of DEHP or MEHP (10,000 mg/kg b.w.) by gastric intubation and samples of blood and tissue collected 1, 3, 6, 24, 48 and 96 hr post-intubation. Levels of DEHP in liver declined with a half life of 1 day, while levels in epididymal fat declined more slowly (t1/2 = 6.5 days), t1/2 values for DEHP in other tissues were less than that observed in liver. MEHP levels declined much more slowly (t1/2 = 50 hr) than DEHP (8.3 hr) in testes, but more rapidly (t1/2 = 67.6 hr for MEHP vs. 156 hr for DEHP) in epididymal fat. In other tissues, levels of the two phthalates showed similar rates of decline. In heart and lungs, the highest levels of DEHP and MEHP occurred within 1 hr of dosing, while, in other tissues, the highest levels occurred 6-24 hours after dosing (Oishi & Hiraga, 1982). Groups of 24 female rats were fed diets containing either 0.1% or 0.5% ppm 14C-DEHP for 35 and 49 days, respectively. In rats fed 0.1%, DEHP 14C residues reached steady state levels of 40-50 ppm in liver in 3 days, while steady state levels in fat (7-9 ppm), were attained by 2 weeks. 14C levels in brain never exceeded 1 ppm, but in the heart, levels ranged from 1 to 6 ppm. At the high dose level, equilibrium levels of 14C were attained in the rats after 9-14 days of feeding. Steady state levels of 14C in the rat tissues were 120 ppm in liver, 80 ppm in fat, 2-3 ppm in brain and 15-20 ppm in heart. After removal of rats from the test diet, 14C declined with a half life of 1-2 days in liver, and 3-5 days in fat (Daniel & Bratt, 1974). 4 male C57BL mice, 20 g, were given oral doses of 14C-DEHP (2-ethylhexyl -1-14C, 9.6 mg/kg b.w.; and carbonyl-14C, 3.6 mg/kg b.w.) and sacrificed 5, 14 or 30 days later. Whole body autoradiography showed that in the males, either labeled form of DEHP was retained at low levels in bone. The (carbonyl -14C) DEHP but not the other labeled form, displayed marked retention in the skin, cartilage and tendons. In a study with pregnant mice, administration of the 14C labeled compounds at day 8 or 16 of gestation resulted in 14C-DEHP being concentrated mainly in the yolk sac. DEHP (carbonyl- 14C was present in the neuroepithelium of the embryo. Dosing at day 18 of gestation resulted in a more general distribution of the 14C labeled compounds in the fetuses, 4 hr post-dosing, but 24 hr post- dosing the 14C was primarily located in the renal pelvis, urinary bladder, intestines and skeleton of the fetus (Lindgren et al., 1982). Two adult men ingested single doses of 10 g and 5 g, respectively of DEHP. Phthalic acid equivalent to approximately 4.5% of the administered dose was recovered from the urine in the 24 hr period after dosing, the major portion being excreted 5 to 7 hours after dosing (Schaffer et al., 1945). Effects on enzymes and other biochemical parameters When rats were fed DEHP (0, 1, 2 or 4%) for 4 weeks, liver glycogen decreased markedly, while hepatic fatty acid synthesis increased 2-fold. Treatment-related alterations in levels of intermediates in carbohydrate metabolism indicate that gluconeogenesis was inhibited at a point between 3-phosphoglycerate and fructose 1,6-diphosphate (Sakurai et al., 1978). When male Wistar rats (80-95 gm) were fed 0.5% DEHP for 10 days, livers of treated animals were enlarged, and showed reduced levels of glucogen and triglycerides and increased levels of phospholipids. These treatment-related changes were suggestive of metabolic transformation from glycolysis to lipolysis as an energy source (Yanagita et al., 1978). Male Fisher-344 rats were fed diets containing either 100 ppm or 1.0% DEHP for 11 days. On days 1, 6 or 10, rats were given a tracer dose of 14C DEHP and sacrificed 10 or 1 day later, respectively. Purified protein, RNA and DNA fractions were obtained from the liver and assayed for bound radioactivity. Binding was detectable only when the ethylhexyl moiety of DEHP was labeled (Albro et al., 1982b). Male F-344 rats, 150-180 g, fed 2% 2-ethylhexanol for 3 weeks showed increased liver size, increased activity of hepatic peroxisome- associated enzymes (catalase and carnitine acetyl transferase) and hypolipidemia. These DEHP-induced effects are similar to those produced by hypolipidemic drugs such as clofibrate (Moody & Reddy, 1978). Special studies on peroxisomal proliferation Adult male, Sprague-Dawley rats were fed for 2 weeks with diets containing 2% DEHP or DEHP metabolites (MEHP, phthalic acid, 2-ethylhexanol and 2-ethylhexyl benzoate). At sacrifice, livers were removed and samples taken for electron microscopy and subcellular fractionation (mitochondria and microsomes). DEHP and MEHP stimulated peroxisome enzymes (palmitoyl CoA oxidation, 350-600%), mitochondria (protein, 238-272%; carnitine-acetyl transferase, 1000-2900%) and microsomes (cytochrome P-450, 63-68%; NADHP-cytochrome C reductase, 59-73%). Cytochrome C oxidase was stimulated by MEHP and EH (75-91%) but not by DEHP. 2-elkyl hexanol stimulated mitochondrial protein synthesis by 75%. Phthalic acid and ethylhexyl benzoate had little or no effect on marker enzymes. Ultrastructural examination revealed induction of mitochondrial and peroxisomal proliferation by DEHP and MEHP, without induction of the endoplasmic reticulum. Other metabolites had no ultrastructurally visible effect (Ganning et al., 1982, 1983; Ganning & Dallner, 1981). Rats (120 g) fed diets containing 2% (w/w) di-(ethylhexyl)- phthalate (DEHP) for up to 4 weeks, showed a marked increase in activities of enzymes of peroxisomal beta-oxidation and of catalase (liver). The time required to reach 50% maximal induction for enzymes of peroxisomal beta-oxidation was 5-7 days, whereas that for catalase was 3 days. After withdrawal of DEHP, activities of enzymes of the beta-oxidation system and of catalase decrease to the control level with a half-life of 2-3 days. Mitochondrial marker enzymes (3-hydroxyacyl-CoA dehydrogenase, 3-ketoacyl-CoA thiolase (non-specific) and acetoacetyl-CoA specific thiolase) also were markedly increased in treated animals. These activities decreased after withdrawal of treatment (Miyazawa et al., 1980; Ohno et al., 1981). Special studies on mutagenicity In a number of laboratories, DEHP did not include reverse mutations of the base pair substitution type in Salmonella typhimurium with or without metabolic activation (Kirby et al., 1983; Kozumbo et al., 1982; Ruddick et al., 1981; Simmon et al., 1977; Warren et al., 1982; Yoshikawa et al., 1983; Zeiger et al., 1982). Neither was 8-azaguanine resistance in S. typhimurium affected by DEHP (Seed, 1982). Tomita et al., (1982) reported a weak positive reaction for DEHP in the S. typhimurium system. No mutations (tryptophan reversion) occurred in Eschericia coli exposed to DEHP in vitro (Tomita et al., 1982; Yoshikawa et al., 1983) or in DNA repair capability of Bacillus subtilis (Tomita et al., 1982) exposed to DEHP. DEHP did not show mutagenic effects in a number of mammalian cell systems: L5178Y mouse lymphoma (forward mutation), Kirby et al. (1983); rat hepatocyte (unscheduled DNA synthesis), Hodgson, (1982); human lymphocyte (chromosomal aberrations), Turner et al. (1974); human fetal lung cells (aneuploidy), Stenchever et al. (1976); Chinese hamster fibroblast (chromosomal aberrations), Abe & Sazaki (1977), Ishidate & Odashima (1977); Chinese hamster ovary (sister chromatid exchange, sister chromatid exchange HGPRT reversion), Phillips et al. (1982). DEHP, MEHP and 2-ethylhexanol were tested for mutagenicity in the following systems: Ames Salmonella/microsome plate test, mouse lymphoms forward mutation assay, in vitro transformation of Balb/3T3 cells (with and without activation by primary rat hepatocytes), mouse micronubleus test, and unscheduled DNA synthesis in rat hepatocytes. No mutagenic activity was observed (Anonymous, 1982a-m). MEHP was shown to be mutagenic in S. thyphimurium (histidine reversion), in E. coli (tryptophan reversion) and in B. subtilus (DNA repair) (Tomita et al., 1982). The same workers also found MEHP to be mutagenic in Chinese hamster embryo cells (chromosome aberration, 8-azaguanine resistance, 6-thioguanine resistance, sister chromatid exchange). Phillips et al. (1982) found MEHP to be mutagenic to Chinese hamster ovary cells (chromosomal damage, sister chromatid exchange), but non-mutagenic toward HGPRT reversion. Kirby et al. (1983) found MEHP to be non-mutagenic in the L5178Y mouse lymphoma system (forward mutation). 2-ethylhexanol was shown to be weakly mutagenic in S. typhimurium (8-azaguanine resistance, Seed, 1982), but was non-mutagenic in L5178Y mouse lymphoma (Kirby et al., 1983), rat hepatocyte (Hodgson et al., 1982) and Chinese hamster ovary (Phillips et al., 1982). Pregnant Syrian golden hamsters were given DEHP orally at 3.75, 7.5 or 15 g/kg b.w. or MEHP at 0.375, 0.750 or 1.5 g/kg b.w. on day 11 of gestation. In embryonic cells removed on day 12 and examined after 15-20 days of culture in vitro, there were significant increases in aberrant metaphase cells from all treatment groups except the one that received the lowest dose of DEHP. Aberrations included single chromatid gaps, isochromatid gaps, single chromatid or isochromatid breaks and chromatid exchanges. There were also significant increases in the rate of morphological transformation of the cells at the two highest doses of DEHP and the two lowest doses of MEHP, and a marginal increase in 8-azaguanine and 6-thioguanine resistance (Tomita et al., 1982). No significant increases in clastogenic changes were observed in the bone marrow cells of male Fischer 344 rats that had received 0.5-5.0 g DEHP/kg b.w./day, 0.01-0.14 g MEHP/kg b.w./day or 0.02-2.21 g 2-ethylhexanol/kg b.w./day by gavage for 5 days (Putman et al., 1983). Dominant lethal assays using male mice given DEHP (2.5-9.9 g/kg), MEHP (50-200 mg/kg) or 2-ethylhexanol (250-1000 mg/kg) by gavage in corn oil for 5 days produced negative results: fertility indices and the average numbers of dead and total implants per pregnancy were within normal ranges in all cases (Rushbrook, 1982). Special studies on carcinogenicity Groups of 50 male and female B6C3F1 mice were fed diets containing 0, 0.3 or 0.6% Di(2-ethylhexyl)phthalate (DEHP) for 103 wk. Treatment with DEHP did not affect survival or food consumption. Mean body weight gains of treated female mice (0.3 and 0.6%) were less than those of the corresponding controls. No other clinical signs of toxicity were reported. At termination of the studies, chronic inflammation of the kidney and seminiferous tubular degeneration were observed in male mice (0.6% diet). No other nonneoplastic lesions were detected in the treated groups at incidences greater than in the corresponding controls. Treatment with DEHP caused liver tumors in both sexes of mice. Incidence data are as follows: for males, hepatocellular carcinoma 9/50, 14/48 and 19/50, hepatocellular adenomas 6/50, 11/48 and 10/50, and for females hepatocellular carcinoma 0/50, 7/50 and 17/50 and hepatocellular adenoma 1/50, 12/50 and 18/50, for the 0, 0.3% and 0.6% groups, respectively. 20 of the 57 hepatocellular carcinomas diagnosed in treated mice (sexes and doses combined) had metastisized to the lung. No pulmonary tumors were observed in any control rats. The incidences of liver tumors in control mice was comparable to that in recent historical controls. The incidences of both male and female mice with hepatocellular carcinomas were significantly greater (p<0.05) at the 0.6% dose than in controls, and in female mice at the lower dose (p<0.05) by pairwise comparison, and trend tests detected significant (p<0.05) dose related effects in both sexes. The incidence of hepatocellular adenomas in both male and female did not differ from that of controls. However, the incidences of combined adenomas and carcinomas was significantly increased for both sexes at both doses (p<0.05), by pairwise comparisons and showed significant dose related trends (Kluwe et al., 1982). Groups of 50 male and female Fischer 344 rats were fed diets containing 0, 0.6 or 1.2% di(2-ethylhexyl)phthalate (DEHP) for 103 consecutive weeks. Treatment with DEHP did not affect survival rates or food consumption. Mean body weight gains of treated male rats (0.6 and 1.2% diet) and female rats (0.2%), were less than those of the corresponding controls. No clinical signs of toxicity were reported. At autopsy, seminiferous tubular degeneration and hypertrophy of cells in the anterior pituitary were observed in high-dose male rats. Other nonneoplastic lesions were detected in the treated groups at incidences similar to the corresponding controls. Incidence data are as follows: for males, hepatocellular carcinoma 1/50, 1/49 and 5/49, neoplastic nodules 2/50, 5/49 and 7/49, and for females, hepatocellular carcinoma 0/50, 2/49 and 8/50 and neoplastic nodules 0/50, 4/49 and 5/50 for the 0, 0.6 and 1.26 groups, respectively. The incidence of female rats with hepatocellular carcinomas the 1.2% group was greater than that in control by pairwise comparison (p<0.01) and there was a significant (p<0.05) dose related trend effect. The incidence of female rats with neoplastic nodules was greater in the 1.2% than in controls (p<0.05) and showed a significant (p<0.05) dose related trend effect. For male rats the incidence of hepatocellular carcinomas showed a dose related trend effect, but was not significantly increased by pairwise comparison. The incidence of neoplastic nodules in the male rats did not show a significant increase using either pairwise comparison or trend tests (Kluwe et al., 1982). Special studies on promotion of carcinogenicity Weanling male B6C3F1 mice received a single i.p. injection (80 mg/kg) of diethylnitrosamine (DEN) at 4 weeks of age, followed by oral administration of phenobarbital (PB) or di(2-ethylhexyl)phthalate (DEHP) 2 weeks after DEN injection and continued for up to 6 months. PB was administered in drinking water at 500 ppm and DEHP in the feed at 0.3%, 0.6% or 1.2%. Groups of mice were sacrificed at 2, 4 and 6 months after DEN exposure and the livers were examined. Few preneoplastic foci were seen at 2, 4 or 6 months, in mice exposed to DEN, PB or DEHP alone, while numerous foci and neoplasms were seen in mice given DEHP or PB after DEN. In DEHP-exposed mice, the number of foci did not increase between 4 and 6 months, but the foci increased in mean diameter and volume throughout the experiment. Foci and tumors appeared earlier in mice given higher dietary levels of DEHP than in those given lower doses. By the end of the study the number of foci per unit volume of liver was similar in mice given any dose of DEHP, but their volume was dose-related; basophilic foci and neoplasms predominated. The latter were more malignant in appearance than neoplasms in PB-exposed mice. At 6 months, the neoplasms in high dose DEHP-exposed mice were significantly larger than those in PB-exposed mice. Histochemistry, however, revealed similarities between lesions in mice exposed to PB or DEHP. PB given continuously for 6 months revealed no initiating activity of DEHP given once by gavage and followed by PB in drinking water (Ward et al., 1983). Special studies on the metabolites Male Sprague-Dawley rats, 250-350 gm, were given 14C-mono (ethylhexyl) phthalate (MEHP), 69 mg/kg, by gavage. MEHP is a primary metabolite of DEHP. The resulting urinary metabolites of MEHP were similar to those of DEHP, and included an alcohol, a ketone, and an acid from the side chain oxidation of MEHP, as well as a small amount of o-phthalic acid (Chu et al., 1978). Phthalic acid, a compound from which DEHP is formed by esterification, was fed by intubation to male Wistar rats at dose levels of 3.3 or 40 mg/kg b.w. 0.15% (as 14C02) of the administered dose was detectable in expired air. Only unchanged phthalic acid could be found in urine, feces or tissue. Elimination was complete by 24 hours after dosing (Williams & Blanchfield, 1974b). After oral administration to rats, 2-ethylhexanol was rapidly absorbed and excreted. Radioactivity from (1-14C)-2-ethylhexanol was detected in the urine (80-82%), feces (8-9%) and expired C02 (6-7%). The route of metabolism of 2-ethylhexanol appears to involve oxidation of 2-ethylhexanoic acid, followed by w- and (w-1)-oxidation. Urinary metabolites included 2-heptanone, 4-heptanone, 2-ethyl-5- hydroxyhexanoic acid, 2-ethyl-1,6- hexanedioic acid and 2-ethyl-5- hexanone. The rate of elimination of 2-ethylhexanol was the same for a 9 ug as for an 83 mg dose, with essentially all of the 14C being recovered within 28 hours after administration (Albro, 1975). Groups each of ten Weanling Sprague-Dawley rats were fed diets containing 0, 25, 100, 400, 1,600 or 6,400 ppm of mono-2-ethylhexyl phthalate for 28 days. Decreased growth rate was observed in the highest dose group. Increased heart and liver weights were observed in animals of the 1,600 and 6,400 ppm groups. Minor alterations in serum biochemical values included decreased SDH and calcium levels, and elevated alkaline phosphatase activity in some treated groups (Chu et al., 1981). In 3-month and 6-month feeding studies, groups of ten male and female Weanling Sprague-Dawley rats were fed diets containing 1, 5, 25, 125 or 625 ppm of mono-2-ethylhexyl phthalate. Growth rate and food consumption were not affected at any dose level or time interval. Relative organ weights of rats of both sexes were not altered in the 3-month period, but the liver weights of female rats were increased in the 6-month study. Changes in clinical chemistry and hematological values were minimal. These included lower LDH, SGOT, hemoglobin, and hematocrit values in male rats at the 3-month period and reduced potassium content at the 6-month period. Histological changes occurred in treated male and female rats at both time intervals in the liver, heart, and adrenals. Alteration in the liver consisted of midzonal and perioportal eosinophilic cytoplasmic inclusions and vacuolations with isolated binucleated and necrotoc hepatocytes. There was a mild enlargement of myocardial nuclei and segmental deregistration of myocardial striations in test animals. The adrenal glands exhibited vacuolation of the zone fasciculata which was less severe in the 6-month study than the 3-month counterpart (Chu et al., 1981). Special studies on reproduction and teratology Mouse Groups of 10-22 pregnant mice (ddY-Slc (SPF) strain, 8-9 weeks old) were administered single oral doses (0, 50, 100, 500 mg/kg b.w.) of DEHP on day 7 of gestation, and sacrificed on day 18. Dose-related decreases were noted in fetal body weights, number of live fetuses and implantations per dam. Gross and skeletal anomalies exhibited dose-related increases. The only treatment effect noted in fetuses from dams fed 50 mg/kg DEHP was decreased body weight (Nakamura et al., 1979). Groups of 3-8 pregnant mice (ddY-Slc (SPF) strain, 8-9 weeks old) were administered single oral doses of DEHP ranging from 100 to 30,000 mg/kg b.w. on days 6, 7, 8, 9 or 10 of gestation. MEHP was administered to a separate group of pregnant mice at levels from 100-1000 mg/kg b.w. on days 7, 8 or 9 of gestation. Dams were sacrificed on day 18 of gestation. With DEHP-treated dams, treatment-related decreases were noted in fetal body weight (days 6-10) and number of live fetuses (days 7-9). Because of the variance in dose levels, no clear-cut treatment effect was evident on implantations per dam. Treatment-related increases were seen in gross anomalies (days 7-10) and skeletal anomalies (days 6-8 and day 9, high dose only). With MEHP-treated dams, treatment-related decreases were noted in the number of live fetuses (days 7-8) and increases in gross anomalies (days 8-9) and skeletal anomalies (day 8). Decreases in fetal body weight were only marginally related to treatment except for the high dose dams on day 8 and day 9. No clear-cut treatment effect could be seen on the number of implantations per dam (Yagi et al., 1980). Teratogenic effects were observed in CBA mice following a single oral administration of DEHP in doses representing 1/3-1/12 of the acute LD50 dose (26.9 g/kg b.w.) on days 6 to 10 of gestation. Excess fetal deaths were observed when higher doses were given on day 7 but not when given on day 9 or 10. A significant number of external and skeletal malformations were found in the group given 7.5 g/kg b.w. on day 8 (Yagi et al., 1976). Pregnant female mice (ICR-JCL strain, 8-16 weeks of age) were distributed in groups varying from 8 to 15 and fed diets containing 0, 0.05, 0.1, 0.2, 0.4 and 1.0% DEHP throughout gestation. Dams were sacrificed on day 18 of gestation. At dose levels above 0.1%, maternal weight gain was significantly depressed, although mean food intake was unaffected. Fetal mortality was also significantly increased in this dose range. At dose levels above 0.05%, the percentage of resorptions and dead fetuses exhibited a dose-related increase, and was 100% at dietary DEHP levels of 0.4% and 1%. Several cases of neural tube defects (spine bifida and exencephaly) occurred in fetuses from dams fed 0.2% DEHP. Deficient lumbar rib and ossification of sternabrae was noted in fetuses from dams fed 0.1% and 0.2% DEHP. Fetal survival was too low at higher doses to permit meaningful data on incidence of anomalies. No other skeletal anomalies or visceral anomalies could be related to treament (Shiota et al., 1980). Rat Pregnant Wistar rats, 175-200 g, were randomly distributed into groups of 15 and dosed by gavage with 0, 225, 450, or 900 mg MEHP/kg b.w. on days 6-15 of gestation. Another similar experiment was performed at lower doses (0, 50, 100 and 200 mg/kg b.w.) of MEHP. Dose-related maternal mortality occurred at the higher doses (225, 450, 900 mg/kg b.w.). In addition, the number of litters per treatment group decreased significantly at higher doses. Litter size and pup weight were not significantly affected by treatment. Disturbances in the placement of the sternebrae plates were noted in fetuses from dams treated with 450 mg/kg b.w. MEHP. No other skeletal or visceral anomalies could be related to treatment. In the low-dose experiment, the only treatment-related effect was a reduction in maternal weight gain at MEHP doses of 100 and 200 mg/kg b.w. The no-effect level for MEHP in this study was 50 mg/kg b.w. (Ruddick et al., 1981). Groups of 20 female Wistar rats (80-120 g) were given daily doses of 0, 0.34 and 1.70 g/kg DEHP by gavage. After approximately 3 months of treatment, 10 rats (150-180 g) per dose level were mated. During gestation, test compound was discontinued. In a separate experiment, groups of 10 female rats (150-180 g) received comparable doses of DEHP, but only during gestation. All fetuses from treated dams were live; no skeletal abnormalities were found. No examination of fetuses for soft tissue abnormalities was carried out. In dams treated during gestation, litter size was unaffected but resorptions increased significantly and fetal weights decreased significantly at both treatment levels. No significant effects on resorptions, litter size or fetal weights occurred in dams treated prior to gestation (Nikoronow et al., 1973). Rabbit Virgin female New Zealand, white rabbits (3.9 + 0.5 kg) were artificially inseminated and injected with sodium monoethylhexyl phthalate (MEHP, 1.14, 4.69 or 11.38 mg/kg) on days 6-18 of gestation. When fetuses were removed on day 30, no treatment effect was evident on sex ratio, fetal weight or litter size. The number of corpora lutea or resorptions were not affected by treatment, nor were weights of maternal adrenals, liver, kidneys, heart or lung. No skeletal or visceral abnormalities occurred that could be ascribed to treatment. However, the 2 high dose groups of dams experienced increased mortality (22% and 33%) relative to controls (Thomas et al., 1979). When pregnant rabbits were injected with MEHP (11.4 mg/kg) on days 6-18 of gestation, phthalate levels were less than 1 ug/ml in fetuses and in homogenates of placenta and uteri. Maternal serum levels failed to reveal any bioaccumulation, and there was no significant evidence of histological changes in fetal organs, including liver, lungs and kidneys (Thomas et al., 1980). Special studies on testicular pathology and effect on zinc and testosterone levels Groups of 10 male JCL:ICR mice and rats were fed a diet containing 2% DEHP or 2% MEHP for 1 week. Both test compounds depressed growth, testicular weight, and liver weight. Levels of testosterone and zinc were depressed in the testes, and kidney zinc levels were elevated in both treatment groups. Liver zinc content was depressed in the DEHP treatment group, but unchanged in the MEHP group (Oishi & Hiraga, 1980a,b). Similar effects were observed with Sprague-Dawley rats given oral doses of DEHP or MEHP (Gray et al., 1982; Oishi & Hiraga, 1980c,d). Male Fischer 344 rats and B63CF mice were distributed into groups of 50 and fed diets containing 0, 0.6% or 1.2% DEHP (rat); or 0, 0.3 or 0.6% (mice) for 103 weeks. High dose rats exhibited a 90% incidence of severe seminiferous tubular degeneration and testicular atrophy in comparison to an incidence of 5% or less in low dose rats or controls. The tubules in the affected animals were devoid of spermatocytes and germinal epithelium. Only Sertoli cells were observed on the basement membrane. High dose mice experienced a 14% incidence of seminiferous tubular degeneration, compared to an incidence of 4% or less in low dose mice or controls (Kluwe et al., 1982). In another study, 0.2% DEHP fed to male CDE rats for 17 weeks, caused marked histological changes in the testes (Gray et al., 1977). Groups of 10 male Wistar rats of varying age (4, 10 or 15 weeks) were given 2.8 g/kg b.w. DEHP by gavage for 10 consecutive days. Treated 4 week-old rats showed uniform seminiferous tubular atrophy comprising a loss of spermatids and spermatocytes. 10 week old rats experienced a 5-10% incidence of seminiferous tubular atrophy, while in 15-week old rats, no adverse effects of this type were reported. If treatment was stopped prior to puberty, normal testicular weight and histology were regained within 12 weeks. Recovery was slower and less complete when treatment was discontinued after puberty (Gray and Butterworth, 1980). Groups of 7-8 Syrian hamsters (DSN strain) were given oral doses of 4200 mg/kg b.w./day DEHP or 1000 mg/kg b.w./day MEHP for 9 days. MEHP reduced mean testicular weight to 73% of control values and induced atrophy in less than 50% of the seminiferous tubules. DEHP had no significant effects on these parameters or on urinary zinc excretion (Gray et al., 1982). Acute toxicity Animal Route LD50 References (mg/kg b.w.) mouse p.o. 33,500 Krauskopf, 1973 rat p.o. 26,000 Patty, 1967 rabbit p.o. 34,000 ibid 33,900 Shaffer et al., 1945 Guinea pig p.o. 26,300 Krauskopf, 1973 Short-term studies A study was conducted on the effect of oral administration of di-(2-ethylhexyl)phthalate (DEHP) at a dose level of 25,000 ppm for 7 and 21 days in young male and female Wistar albino rats. DEHP increased liver size in both sexes and reduced the relative weight of testes in male rats. Liver enlargement was accompanied by increases in several marker enzyme activities (7-ethoxy coumarin-0-deethylase, cytochrome P-450, alcohol dehydrogenase, aniline-4-hydroxylase, and succinate dehydrogenase). However, glucose-6-phosphatase activity was decreased in all treatment groups. DEHP produced no hepatic histological changes in either sex but ultrastructural studies indicated proliferation of the smooth endoplasmic reticulum, an increase in the number of microbodies (peroxisomes), and mitochondrial changes (Mangham et al., 1981). When female rats were fed 5000 ppm 14C-DEHP for 49 days, relative liver weights increased progressively during the first week of treatment to a value approximately 50% above normal. Only a slight increase in smooth endoplasmic reticulum was visible by electron microscopy. When treatment was discontinued, liver weights returned to normal within one week. Rats fed for 35 days on a 1000 ppm diet did not experience alterations in liver weight relative to controls (Daniel & Bratt, 1974). Groups of 10 male and 10 female Wistar rats, 90-120 g, were administered daily gavage doses of DEHP at levels of 0, 3400 ppm and 34,000 ppm for 90 days. At autopsy, gross pathological observations were made: liver, kidney and spleen were weighed and examined microscopically. High-dose rats displayed uncertainty of movements, drowsiness, diarrhea and rapid weight loss, with a 75% mortality. Gross autopsy revealed congestion of the small intestine and loss of mucosa in the stomach and of some parts of the intestine. A treatment-related increase in mean liver weight of low-dose rats was observed, but no gross or microscopic alterations were seen in the liver, kidneys or spleen (Nikonorow et al., 1973). Groups of 15 male and 15 female rats were given diets containing 0 (control), 0.2, 1.0 or 2.0% di(2-ethylhexyl)-phthalate (DEHP) for 17 weeks. At the two higher treatment levels there was a reduced rate of body-weight gain and food intake. A paired-feeding study showed that the reduced food intake did not account fully for the reduced growth rate. Hematologic studies showed decreased hematocrits in both sexes in the 1 and 2% DEHP group, as well as lower hemoglobin levels in males at these dose levels. Renal concentrating and diluting ability was reduced in the females receiving 2% DEHP. The relative testes weight of rats on the (2%) diet was markedly decreased and histopathological examination revealed severe seminiferous tubular atrophy and cessation of spermatogenesis. Although testes weight of the rats fed 0.2% DEHP was not reduced, histological studies showed evidence of decreased spermatogenesis. There were no other histopathological changes attributable to DEHP treatment (Gray et al., 1977). Groups of 22-24 male and female "hybrid" guinea pigs, 49 days old, were fed diets containing 0, 0.04 or 0.13% DEHP for 1 year. Histopathological examination was performed on kidney, liver, lung, spleen and testes; only liver and kidney were weighed. No treatment effects were reported on mortality, growth, food consumption, microscopic pathology or incidence of neoplasms. Treated females had significantly increased relative liver weights (Carpenter et al., 1953). Groups of 6-7 male albino ferrets, 18 months old, were fed diets containing 0 or 1% DEHP for 14 months. Treated animals experienced significant growth depression and liver enlargement, with altered liver morphology. Microscopic examination of sections of brain, heart, adrenals, thyroid, trachea, esophagus, lung, kidney, and bladder did not reveal any treatment effect. Mean testicular weights of treated animals were reduced and 3/7 test animals exhibited a nearly complete absence of germinal epithelium in testes. Significant treatment- related effects were seen on activities of marked enzymes for microsomes, and in drug metabolizing enzymes. Significant changes were seen in mitochondrial marker enzymes of treated animals (Lake et al., 1976). 8 dogs (4 Cocker Spaniels, 4 Wire-haired Terriers), 14-17 months old, were randomly distributed by sex and breed into 2 groups (one control, one administered DEHP by capsule). The treatment group received 30 mg DEHP/kg b.w./day, 5 days a week, for 19 doses; then 60 mg/kg b.w./day for 240 additional doses. There was no effect on growth. At autopsy liver and kidney weight were within normal range. Gross and histopathological examination of lung, heart, liver, stomach, small intestine, colon, cecum, spleen, adrenal, gonad, bladder and thyroid gland of treated animals showed no treatment related effects (Carpenter et al., 1953). Long-term studies Groups of 32 and female Sherman rats, 60 days old, were fed diets containing 0, 0.04, 0.13 and 0.4% DEHP for up to 2 years (P1). At week 12, animals from the control and high dose levels were bred and their offspring used to establish an F1 generation composed of 32 males and 32 females. After one year of treatment, groups of 9 to 17 rats from each sode level (P1 generation) were sacrificed for "tissue and organ weight" data. Remaining rats were culled to 8 males and 8 females per group and survivors sacrificed after 2 years of treatment. The F1 generation was placed on test at 15 days of age and sacrificed after 1 year. Histopathological examination was performed on adrenal, heart, kidney, intestine, liver, lung, spleen, testes, ovary and gross lesions; only kidney and liver were weighed. At the 0.04% level of DEHP, both P1 and F1 males exhibited growth depression and an increased mean relative weight of liver and kidney. F1 females also showed increased liver and kidney weights at this dose level. No treatment related effects were reported on survival, food consumption, microscopic pathology, incidence of neoplasms, hematology or fertility (Carpenter et al., 1953). OBSERVATIONS IN MAN No information available. Comments Orally ingested DEHP is probably absorbed as MEHP, since DEHP is rapidly hydrolyzed to MEHP and 2-ethylhexanol by extracts from the intestine from several animal species and man. In addition, studies with isolated perfused rat intestine showed that all DEHP was converted to MEHP before it reached the serosal perfusing solution. DEHP metabolites are rapidly distributed throughout the body and reach a steady state level in the tissues after a period of exposure of up to 2 weeks, with some accumulation in liver and fat. Tissue residues are rapidly depleted when DEHP is removed from the diet. There is no definitive information on the chemical nature of the tissue residues, since the available distribution studies reflect only a distribution of 14C, derived from 14C labeled DEHP. In experimental animals the absorbed material is excreted almost equally in the urine and feces, with very little being expired as CO2. Biliary excretion ranges from 9-11%. The urine contains up to 5 major metabolites, MEHP, and 4 oxidation products (beta-oxidation) of the MEHP. Only small amounts appear as o-phthalic acid. In species other than rat (including monkey and man), the metabolites are excreted mainly as glucuronides. Species differences were also noted in the distribution of other urinary metabolites. MEHP appeared in only trace amounts in rat urine, as did unchanged DEHP in the urine of all species. In monkey and man, MEHP is one of the major urinary metabolites. In rats, 6.5-10.5% of administered DEHP appeared as fecal metabolites; most had been excreted by 48 hr after dosing. Rats fed low amounts (10 ppm) of DEHP had no detectable residues in feces. The secondary metabolites in feces have not been identified. DEHP and MEHP cause an increased liver weight with marked proliferation of mitochondria and peroxisomes in the liver. The peroxisomal enzymes that are increased the most are those associated with beta-oxidation systems. There is less induction of microsomal enzymes. These effects are reversible when DEHP is removed from the diet. DEHP was teratogenic in mice, but not in rats and rabbits. DEHP at high dietary levels caused severe seminiferous tubular degeneration testicular atrophy and cessation of spermatogenesis in rats and mice. Similar effects were observed with MEHP. Reduced zinc levels in serum, liver and testes were also reported. Other short-term effects of dietary DEHP include liver enlargement and effects on the heart and adrenals. DEHP and 2-ethylhexanol were not mutagenic in the Ames test and a number of mammalian cell systems. 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See Also: Toxicological Abbreviations