DICHLOROMETHANE First draft prepared by Dr J.C. Larsen Institute of Toxicology National Food Agency of Denmark Soborg, Denmark 1. EXPLANATION Dichloromethane has previously been evaluated for an acceptable daily intake for humans at the fourteenth, twenty-third, and twenty-seventh meetings of the Committee (Annex 1, references 22, 50, and 62). At the twenty-third meeting the Committee established a temporary ADI of 0-0.5 mg/kg bw, and recommended that the solvent should be used according to good manufacturing practice, which would result in minimum residues and prevent any significant toxicological effects. At its twenty-seventh meeting the Committee withdrew the previously allocated ADI and recommended that the use of dichloromethane as an extraction solvent should be limited in order to ensure that its residues in foods are as low as practicable. The Committee felt that the available lifetime studies in rats and mice, due to a number of shortcomings, were inadequate for a complete evaluation of the possible carcinogenicity of dichloromethane. The Committee noted that ongoing studies on lifetime exposure of mice to dichloromethane in drinking-water, and on exposure by inhalation in mice and rats, might resolve the problems raised in the previous studies. Guidelines for the evaluation of solvents used in food processing have been published by WHO under the International Programme on Chemical Safety (IPCS) (Annex 1, reference 76, Annex III) At its thirty-fifth meeting (Annex 1, reference 88) the Committee during its deliberations on specifications for spice oleoresins considered solvent residues and expressed the opinion that the use of dichloromethane as an extraction solvent should be discouraged because of toxicological concerns. Because this and other solvents had not been recently evaluated and new data had become available, the Committee concluded that an overall review of solvents used in food processing would be appropriate. The Committee further stressed that levels of residues resulting from the use of any solvent should be the minimum technically achievable and toxicologically insignificant. Since the last review, additional data on dichloromethane have become available and are summarized and discussed in the following monograph addendum. Dichloromethane has been reviewed by the International Agency for Research on Cancer (IARC, 1986). 2. BIOLOGICAL DATA 2.1 Biochemical aspects 2.1.1 Absorption, distribution, and excretion Low temperature whole-body autoradiography of [14C]-labelled dichloromethane in male mice after inhalation of 400 mg/kg bw (during 10 minutes) showed a high uptake of radioactivity in the white matter of the brain, spinal cord, spinal nerves, body fat, blood, liver, lung, and kidney immediately after inhalation. Autoradiograms obtained from dried and evaporated sections showed high levels of radioactivity in the liver, bronchi, and kidney only. No volatile radioactivity could be detected in the nervous system at 30 min, while volatile radioactivity was still present in body fat after one hour. An accumulation of radioactivity in liver, kidney, bronchi, and nasal mucosa could be detected at 30 min and one hour after the inhalation. The levels of non-volatile radioactivity in liver, kidney, bronchi, and nasal mucosa decreased between 2 and 8 h, after which an almost constant level was present in these tissues up to 48 h following the administration. A high level of radioactivity was registered only by low-temperature autoradiography in the blood up to 4 h after the inhalation. This activity probably represented 14C-carboxyhaemoglobin (Bergman, 1983). The tissue distribution and metabolism of [14C]-labelled dichloromethane was investigated in male B6C3F1 mice following intravenous or oral administration. The route of exposure and the composition of the dosing solution were found to have a significant effect on the pharmacokinetics. Following single intravenous doses of 10 or 50 mg [14C]-dichloromethane/kg bw to groups of 6 mice, dose-dependent metabolism to 14CO2 and 14CO and rapid pulmonary clearance of unchanged [14C]-dichloromethane characterized the elimination of dicbloromethane from the body. The highest concentrations of dichloromethane were found in the liver, lung and kidney, with more than 50% of the total radioactivity in these tissues represented by the parent compound. When dichloromethane was administered orally in single gavage doses for 14 consecutive days at treatment levels of 50 mg/kg bw in water or 500 and 1000 mg/kg bw in corn oil, rapid absorption and elimination of dichloromethane characterized the treatment in water while distinctly slower trends were found for the doses in corn oil. No observable pharmacokinetic or metabolic effect resulted from repeated oral dosing over the two-week treatment period (Angelo et al., 1986). The tissue distribution and metabolism of [14C]-labelled dichloromethane was investigated in male Fischer 344 rats following either single intravenous or 14-day continuous oral administration. In the experiment with intravenous administration doses of 10 and 50 mg/kg bw were used, and groups of 12 rats were used for blood samples after 2, 5, 10, 15, 20, 30, and 40 min, and samples of expired air after 20, 40, 60, and 240 min. A total of 73 (10 mg/kg bw) and 75 (50 mg/kg bw) per cent of the administered radioactivity was collected as expired gases during the first four hours, mainly as [14C]-dichloromethane. The remainder was more slowly excreted, mainly as [14C]-carbon dioxide and [14C]-carbon monoxide. A two-compartment model was used to describe the elimination of dichloromethane from blood following single intravenous doses. When [14C]-dichloromethane was administered orally (by gavage in water) in a daily dose of 50 or 200 mg/kg bw for 14 consecutive days, rapid absorption and distribution to the tissues characterized the disposition. Groups of 6 rats were used to sample blood, liver, and carcass 10, 30, and 240 min after dosing on days 1, 7, and 14, and to obtain expired air after 0.5, 1, 4, 6, and 24 h on days 1, 7, 10, and 14. The average levels of dichloromethane decreased rapidly in blood and liver between 10 and 240 min, while maximal carcass concentrations occurred after 30 min. Dose-dependent metabolism to 14CO2 and 14CO and rapid pulmonary clearance of unchanged [14C]-dichloromethane were the dominant routes of elimination from the body. After 10 mg/kg bw 98% was recovered during 24 h as dichloromethane (63%), CO2 (19%), and CO (16%). At the higher dose (50 mg/kg bw) a proportionally higher level of dichloromethane was expired. For oral administration the excretion rate of dichloromethane apparently followed first order kinetics. Metabolism was the rate-limiting mechanism that controlled the production of CO2 and CO. No observed pharmacokinetic nor metabolic effect resulted from repeated oral dosing (Angelo et al., 1986). Based on the above-mentioned studies on the pharmacokinetics of dichloromethane a physiologically based pharmacokinetic model was developed to simulate the pharmacokinetic behaviour in mice and rats following single and repeated oral exposures. Using this model it was confirmed that corn oil can not only affect uptake, but can also have an influence on the distribution of dichloromethane to target tissues and on metabolism profiles (Angelo & Pritchard, 1984). Dichloromethane, 125 mg/kg bw, administered by gavage to groups of five male Wistar rats, was more easily absorbed from the gastrointestinal tract when administered in aqueous solution than in corn oil. Serial blood samples collected over a five-hour period showed that the peak concentration of dichloromethane was about three times higher following oral administration in water than when given in corn oil. Furthermore, the time taken to reach the peak level was approximately three times longer when the compound was administered in corn oil as compared to water (Withey et al., 1983). In preparation for the design and performance of chronic toxicity and carcinogenicity studies on dichloromethane in rats and mice the following conclusions were made on the basis of biochemical and short-term, metabolic feeding studies: the major metabolites of dichloromethane in rats and mice are CO2 and CO, the same metabolites that have been found in man. Saturation of metabolic pathways was demonstrated in both rats and mice at oral doses of approximately 100 mg/kg bw/day. There was a significant change in the rate of metabolite expiration at approximately 100 mg of dichloromethane/kg bw/day. The proportion of metabolites formed from increasing doses above 100 mg/kg bw/day is significantly less than that at and below 50 mg/kg bw/day. Absorption, metabolism, and elimination is fairly rapid with little systemic accumulation of dichloromethane or its metabolites. Systemic exposures to dichloromethane by inhalation at 50, 500, and 1500 ppm were equivalent to those achieved by oral gavage of 10, 150, and 450 mg/kg bw, respectively, in water. Studies also showed that gastric intubation of doses of 5-1000 mg/kg bw/day to male mice for 3 days, or administration for 28 days with drinking-water, had no measurable effect on liver microsomal enzyme activity (Kirschman et al., 1986). The rates of metabolism of dichloromethane in male Fischer rats exposed to 50 and 1000 ppm were 0.20 and 3.3 nmol/min/g, respectively. A pharmaco-kinetic model incorporating the metabolic rate at steady state, blood concentration versus time, and respiratory minute volume estimated the inhaled "effective" doses in six-hour exposed rats to be 3.8 and 67 mg/kg bw, respectively (Landry et al., 1983). Groups of 5 female Sprague-Dawley rats, on the 17th day of pregnancy, were exposed in inhalation chambers for five hours to concentrations of dichloromethane ranging from about 107 to 2961 ppm. Immediately following exposure, the concentrations of the compound were determined in each fetus and in the maternal blood. Fetal weights and fetal concentrations were related to their position on the two horns of the uterus. The mean concentrations in fetuses were dose-related and ranged from 0.87 to 36.8 µg/g. The results revealed a linear decrease in fetal concentration with the location of the fetus from the ovarian to the cervical end of the uterine horns. These relationships were consistent across doses. Good linear relationships were observed between exposure level and mean fetal concentrations and maternal blood concentrations (Withey & Karpinski, 1985). Absorption of dichloromethane through the skin of male Fischer 344 rats was shown using groups of six rats dermally exposed to concentrations of 30 000, 60 000, and 100 000 ppm for four hours. Dose-dependent blood concentrations ranging from 25 to 100 µg/ml were obtained at two to four hours after the beginning of the exposure (McDougal et al., 1986). 2.1.2 Biotransformation Dichloromethane (CH236Cl2) was incubated with cytosolic and microsomal fractions of livers and lungs from male Fischer 344 rats, B6C3F1 mice, Syrian Golden hamsters, and otherwise healthy human accident victims. As regards the microsomal metabolism of dichloromethane (1 to 10 mM) the highest activity (expressed as nmol product formed/min/mg protein) was found in liver from the hamster, followed by the mouse, rat and human. In lung microsomes the highest activity was found in the mouse, and the lowest in the human. The glutathione-S-transferase dependent metabolism in either organ was highest in the mouse cytosol, followed by the rat, human, and hamster. The in vitro rate constants for the two enzyme systems were consistent with the hypothesis that metabolism of dichloromethane occurs in vivo by two competing pathways: a high-affinity saturable pathway, identified as mixed function oxidases, and a low-affinity first-order pathway, identified as glutathione-S-transferases. The data from the in vitro studies were incorporated into a physiologically-based pharmacokinetic model for dichloromethane in the mouse, rat, hamster, and man. Using this model, internal doses in human liver and lung of 3.66 x 10-6 and 4.26 x 10-7 mg equivalents of dichloromethane metabolized to supposedly reactive metabolites by the glutathione-S-transferase dependent pathway per day per litre volume of tissue were calculated assuming a concentration of 1 µg/litre of drinking water. For the mouse it was calculated that the lowest (60 mg/kg bw/day) and the highest (250 mg/kg bw/day) doses of dichloromethane given in the drinking water in a long-term carcinogenicity study (Serota et al., 1986) where no tumours were induced in the liver nor lung would lead to concentrations of 3.0 and 16.0 (liver), and 0.4 and 2.2 (lung) mg equivalents/day/litre tissue, respectively. When the same model was applied to the concentrations of 2000 and 4000 ppm of dichloromethane used in an long-term inhalation carcinogenicity study in mice, in which tumours of liver and lung were induced (Mennear et al., 1988), concentrations of 785 and 1670 (liver) and 321 and 482 (lung) mg equivalents/day/litre tissue were calculated, respectively. In comparison, an inhalation concentration of 4000 ppm used in a long-term rat study, in which no tumours of liver nor lung were observed (Mennear et al., 1988; as cited in Reitz), would lead to concentrations of 677 (liver) and 96 (lung) mg equivalent/day/litre of tissue (Reitz et al., 1988, 1989). When dichloromethane was incubated with primary cultures of hepatocytes from adult male Sprague-Dawley rat livers the production of carbon monoxide increased with time, increased cell number, and concentration of dichloromethane. However, the carbon monoxide production per hepatocyte decreased with increasing cell density. When present at a concentration higher than 6 µl/ml in the media the metabolism of dichloromethane to carbon monoxide was extensively depressed, and total and mitochondrial glutamic-oxaloacetic transaminase levels in the culture medium were extensively elevated, and the cultured hepatocytes were destroyed by dichloromethane (Mizutani et al., 1988). Dichloromethane (0.4 ml/kg bw, intraperitoneally) metabolism to carbon monoxide as measured as carboxyhaemoglobin formation was induced in male Wistar rats (n = 6) by isoniazid, acetone and fasting, all treatments known to lead to the induction of liver microsomal cytochrome P-450j (Pankow & Hoffmann, 1989). Groups of six male Wistar rats were given 527 mg dichloromethane/kg bw by gavage. Prior oral administration of benzene, toluene, or o-, m-, or p-xylene significantly enhanced the production of carboxyhaemoglobin, while simultaneous administration of the aromatic hydrocarbons inhibited carboxyhaemoglobin formation (Pankow et al, 1991). In rats a single high dose of ethanol (174 mmol/kg bw by gavage) completely inhibited the increase in carboxyhaemoglobin concentration due to dichloromethane (136, 527, and 1326 mg/kg bw by garage), but did not prevent the dichloromethane-induced decrease in nerve conduction velocity (Glatzel et al., 1987). The uptake of dichloromethane by inhalation was greatly reduced in groups of five male B6C3F1 mice exposed to 1000 and 3000 ppm of dichloromethane when the mice had been pretreated with the hepatic microsomal oxidative pathway inhibitors pyrazole (320 mg/kg bw) or diethyldithiocarbamate (300 mg/kg bw). The authors concluded that the glutathione-dependent pathway of dichloromethane metabolism is of minor importance in the mouse (Ottenwalder et al., 1989). A physiologically-based pharmacokinetic model was developed for dichloromethane which describes the fate of the compound and its metabolic products in the mouse, rat, hamster and human. The model was used to predict specific tissue concentrations of critical metabolic reaction products, related to the glutathione-S-transferases pathway in target tissues of animals and humans. The model was validated for humans by comparing predicted blood concentrations with measured concentrations in healthy human volunteers exposed to 100 or 350 ppm for 6 h. Over a concentration range of 1-4000 ppm the model predicted somewhat lower concentrations of glutathione-dependent metabolites in liver and lung of humans than of mice. Above 1000 ppm the concentration of metabolites of the glutathione pathway could be calculated by linear extrapolation, while deviation from linearity was apparent in the region below 1000 ppm. The authors concluded that saturation of the mixed function oxidases makes a larger percentage of dichloromethane available for metabolism by the glutathione-dependent pathway, resulting in a disproportionate increase in metabolites at exposure concentrations above 1000 ppm (Watanabe et al., 1987). As dichloromethane is metabolized to carbon monoxide which binds reversibly to haemoglobin and is eliminated by exhalation, a physiologically based pharmacokinetic model which describes the combined kinetics of carbon monoxide, carboxyhaemoglobin, and parent dichloromethane was developed and applied to examine the inhalation kinetics of carbon monoxide and of dichloromethane in rats and humans. Dichloromethane kinetics and metabolism had been described previously (Watanabe et al., 1987). Physiological and biochemical constants for carbon monoxide were estimated by exposing rats to 200 ppm carbon monoxide for 2 h and examining the time course of carboxyhaemoglobin after cessation of exposure. The two models were coupled to a physiologically based pharmacokinetic model for dichloromethane to predict carboxyhaemoglobin time course behaviour during and after dichloromethane exposures in rats. By coupling the models it was possible to estimate the yield of carbon monoxide from oxidation of dichloromethane. In rats only about 0.7 mol of carbon monoxide are produced from 1 mol of dichloromethane during oxidation. The combined model adequately represented carboxyhaemoglobin and dichloromethane behaviour following 4 h exposures to 200 or 1000 ppm dichloromethane, and 1/2-hour exposure to 5160 ppm dichloromethane. The rat model was scaled to predict kinetics in humans exposed either to dichloromethane or to carbon monoxide. Three human data sets from the literature and an additional data set from human volunteers exposed to 100 or 350 ppm dichloromethane for 6 h were examined. The combined model gave a good representation of the observed behaviour in all four human studies (Andersen et al., 1991). 2.1.3 Effects on enzymes and other biochemical parameters Groups of four male Sprague-Dawley rats were exposed by inhalation to 0, 500, 1500 or 3000 ppm of dichloromethane for three days. Dichloromethane did not increase the concentration of liver microsomal cytochrome P-450. However, a dose-dependent increase in the in vitro liver microsomal formation of several metabolites of biphenyl and benzo(a)pyrene was observed (Toftgard et al., 1982). Groups of 10 male Wistar rats were exposed to dichloromethane vapours at concentrations of 500 ppm, 1000 ppm, or 1000 ppm as a time-weighted average (100-2800 ppm). All of the exposures lasted for six hours, five days a week for two weeks. Kidney microsomes displayed a dose-dependent enhancement of the ethoxycoumarin O-deethylase activity. After the second week the enhancement was accompanied by an increase in the renal glutathione content. In the liver, the UDP-glucuronyltransferase activity showed a dose-dependent increase and the NADPH-cytochrome c reductase activity decreased. The hepatic glutathione content remained unchanged. Dichloromethane exposure did not affect the haemoglobin concentration of the blood. An 8 to 9% carboxyhaemoglobin concentration was found after exposure in all of the study groups. The similarity in carboxyhaemoglobin concentrations suggest that the metabolic pathway converting dichloromethane to carbon monoxide was already saturated at the lowest exposure level studied (Kurppa & Vainio, 1981). Dichioromethane did not inhibit the ethoxycoumarin deethylase activity of the major phenobarbital-inducible isozyme of rat liver cytochrome P-450 in a reconstituted system (Halpert et al., 1986). Serum transaminases (GOT and GPT) and ornithylcarbamyl transferase (OCT) were increased in a group of 5 male Wistar rats 40 h after an intraperitoneal treatment with 20 µl of dichloromethane in olive oil (Corsi et al., 1983). Single administrations of 1326 mg dichloromethane/kg bw by gavage to male Wistar rats induced increased serum levels of leucine aminopeptidase and alanine aminotransferase activities after 2-4 h, indicative of liver toxicity. The effect was reversible, the levels of the enzyme activities being normal after 24-48 h (Pankow & Marzotko, 1987). Dichloromethane slightly inhibited protein synthesis but did not affect lipid peroxidation in male Sprague-Dawley rat liver slices. Protein synthesis by rat liver slices was evaluated by [3H]leucine incorporation into the trichloroacetic acid-insoluble material, and lipid peroxidation was evaluated by thiobarbituric acid-reactive substances released into the incubation medium (Fraga et al., 1989). In contrast to a number of other halogenated compounds dichloromethane did not induce lipid peroxidation in male Sprague-Dawley rat liver, kidney, spleen, nor testis slices (Fraga et al., 1987). Dichloromethane was given by oral gavage at doses of 39, 425, and 1275 mg/kg bw to groups of 22, 8, and 15 adult female Sprague-Dawley rats, respectively, both 21 h and 4 h before sacrifice. A dose of 1275 mg/kg bw of dichloromethane caused a small, but significant amount of hepatic DNA damage as measured by the alkaline elution technique. In three of the 15 rats in that group an extremely high ornithine decarboxylase activity was measured in the liver. No changes were observed in liver cytochrome P-450 nor glutathione content nor in serum alanine aminotransferase activity (Kitchin & Brown, 1989). In contrast to such anaesthetics and solvents as chloroform, halothane, and trichloroethylene dichloromethane was a very weak depressor of the alpha1-adrenoreceptor in membranes prepared from the rabbit myometrium as assayed by binding with the selective radioligand 3H-prazosin (Wikberg et al., 1985). Dichloromethane was less potent than carbon tetrachloride, trichloroethylene, halothane, or chloroform in the ability to inhibit the binding of 3H-clonidine to alpha2-adrenoceptors in male NMRI mouse cerebral cortex membranes in vitro (Wikberg et al., 1987). Dichloromethane was able to activate protein kinase C in intact rabbit platelets in vitro. In addition, dichloromethane stimulated enzyme activity as well as 12-O-tetradecanoylphorbol-13-acetate binding capacity in a cell-free system. Scatchard analysis of the data indicated that dichloromethane increased the number of phorbol ester binding sites (Roghani et al., 1987). Dichloromethane was incubated with purified nerve myelin from sciatic nerve from Sprague-Dawley rats at concentrations from 0.4 to 4% (v/v) together with [gamma-32P]ATP. The incubation resulted in enhanced phosphorylation of PO, the major intrinsic membrane glycoprotein from peripheral nerve myelin. Two per cent (v/v) of dichloromethane was required to maximally stimulate phosphorylation of PO, higher concentrations were inhibitory. It was postulated that the increased phosphorylation of PO may result from the activation of myelin associated protein kinase C (Agrawal & Agrawal, 1989). 2.2 Toxicological studies 2.2.1 Acute toxicity studies Groups of adult male albino rats received single oral doses of dichloromethane. The mean peroral LD50 was 2330 mg/kg bw. When groups of 6-11 rats were dosed with 0, 3.1, 4.7, 6.2, 9.4, or 15.6 mmol of dichloromethane/kg bw urinary catecholamine excretion increased significantly at 6.2 and at 9.4 mmol/kg bw, corresponding to 527 and 799 mg/kg bw. At 4 and 48 h following single doses of 1236 mg/kg bw to groups of 10 rats, morphological investigations revealed cytological changes and a distinct reduction of chromaffin reaction in the adrenal medulla. The norepinephrine contents of cells were decreased strongly four hours after administration and increased weakly again, but were still distinctly reduced in comparison with the control animals 48 h later (Marzotko & Pankow, 1987). 2.2.2 Short term studies 2.2.2.1 Mice Groups of 20 male and 20 female B6C3F1 mice were administered dichloromethane (purity > 99.0%) in the drinking water for 90 days at levels of 0, 0.15, 0.45, and 1.50%. The calculated intakes were 0, 226, 587, and 1911 mg/kg bw/day for males and 0, 231, 586, and 2030 mg/kg bw/day for females. Slightly lower body weights were noted for the mid- and high-dose animals from week 6 to termination. Lower liquid consumption in all compound-treated groups suggested an effect on palatability. Increased reticulocyte counts were recorded for all treated females at 1 month. Histopathological evaluation of tissues from animals killed after 1 month revealed no treatment-related effects. Livers from animals killed after 3 months showed a subtle central lobular fatty change, which was most prominent in the mid- and high-dose groups. No other histopathological changes were observed. Also, no adverse effects were seen on mortality, physical observations, food consumption, feed efficiency, nor at gross necropsy (Kirschman et al., 1986). Groups of 10 to 11 male and female NMRI mice were exposed by inhalation to 37, 75, 150, or 300 ppm of dichloromethane for different time periods, ranging from 4 days to 90 days. In some of the experiments exposure free periods were incorporated as well as periods with intermittent exposures. Exposure to dichloromethane produced a time- and concentration-related increase in liver weight, in all groups except the low-dose groups (37 ppm). The effect was more prominent in female mice than in male. The activity of plasma butyrylcholinesterase increased even more than the liver weight at corresponding exposures, but only in the males. Fatty infiltration was noticeable after exposure to 75 ppm and was more prominent in the females than in the males. Thirty to 60 days of continuous exposure were required to produce maximal effects. Intermittent exposure was less effective than continuous exposure. Most effects were fully reversible after exposure for both 30 and 90 days if the animals were transferred to a solvent-free environment. However, after exposure for 90 days, butyrylcholinesterase activity in the males did not return to normal within 30 days but after 90 and 120 days free from exposure only slight if any effects on the activity remained (Kjellstrand et al., 1986). 2.2.2.2 Rats Dichloromethane was administered to groups of eight male CD1 mice by gavage in corn oil at dose levels of 0, 133, 333, and 665 mg/kg bw for 14 days. No treatment-related effects were seen on body weight, blood urea nitrogen, serum creatinine, nor serum glutamate-pyruvate transaminase levels. Dose-related effects on the kidney were detected in the uptake of p-aminohippurate into renal cortical slices, but no histopathological changes were observed in that organ. The only histologic change that appeared to be related to dichloromethane administration was minimal to slight hepatic centrilobular cytoplasmic vacuolation (Condie et al., 1983). Groups of 20 male and 20 female Fischer 344 rats were administered dichloromethane (purity >99.0%) in the drinking water for 90 days at levels of 0, 0.15, 0.45, and 1.50 per cent. The calculated intakes were 0, 166, 420, and 1200 mg/kg bw/day for males and 0, 209, 607, and 1469 mg/kg bw/day for females. Slightly decreased body weights were noted for males at the mid-dose group and the females of the high-dose group throughout the study but reduction in the females did not exceed 6%. Elevations in mean haemoglobin concentration were seen for both sexes of the mid- and high-dose groups at 1 month, and for the males only at 3 months. Higher mean erythrocyte counts for all compound-treated females were also noted at 3 months. These higher counts were reflected in lower mean corpuscular haemoglobin concentrations for all groups of females. Mean serum glutamic-pyruvic transaminase values were elevated for all treated males at 1 month and for all the high-dose females at 3 months. The latter group also exhibited elevated glutamic-oxalacetic transaminase values. Decreases in fasting glucose, cholesterol, and triglyceride values were noted at 1 and 3 months for all treated groups. Total serum protein was also reduced at 3 months in the high-dose group, while lactic dehydrogenase values were elevated in the mid- and high-dose females at 3 months. Histopathological evaluation of tissues from animals killed for an interim necropsy at 1 month revealed no compound-related effects. Tissues from animals examined at the 3-month terminal necropsy showed hepatocellular changes. The high-dose animals and some mid-dose animals exhibited central lobular necrosis and granulomatous loci as well as ceroid or lipofuscin accumulation and cytoplasmic eosinophilic bodies. An increased incidence of hepatocyte vacuolation occurred in all compound-treated groups in a dose-dependent pattern. The distribution of lipid was altered, tending to be more generalized or concentrated in the central lobular regions. No other compound-related changes were observed. Also, no adverse effects were seen on mortality, physical observations, food consumption, feed efficiency, nor at gross neetopsy (Kirschman et al., 1986). Groups of 20 male and 20 female Sprague-Dawley rats were exposed to dichloromethane (purity 99.97%) by inhalation of 10 000 ppm, 6 h/day for 90 days. Apart from a slight redness of the conjunctivae, no effects were reported on behaviour, faeces, consumption of food and drinking water, body weight gain, haematology, clinical biochemistry, composition of urine, examination of sight, hearing and dentition nor macroscopical examination during autopsy. Histological examinations revealed no changes attributable to the treatment (Leuschner et al., 1984). The effects of a 12-h exposure schedule and those of an 8-h schedule on the carboxyhaemoglobin formation resulting from dichloromethane inhalation were examined in groups of 5 male Sprague-Dawley rats and 5 male Swiss-Webster mice exposed to 200, 500, or 1000 ppm dichloromethane for 8 h/day for 5 days or 12 h/day for 4 days. The effect of the 12-h exposure schedule on carboxyhaemoglobin levels was not significant. The metabolic pathway for the formation of carboxyhaemoglobin appeared to be saturated even at the lowest concentration of dichloromethane. To examine the possible increase in the retention of inhaled dichloromethane in the longer exposure schedule, single exposures for 8 and 12 h were compared. The peak blood dichloromethane level was dependent upon the exposure concentration, but the half-life was independent of the duration of exposure and the concentration of dichloromethane. The half-life of carboxyhaemoglobin in blood was prolonged by increasing the dichloromethane concentration, but was not affected by the exposure period (Kim & Carlson, 1986). 2.2.2.3 Dogs Groups of 3 male and 3 female beagle dogs were exposed to dichloromethane (purity 99.97%) by inhalation of 10 000 ppm, 6 h/day for 90 days. Dichloromethane possibly induced slight sedation throughout the exposure period. Furthermore all dogs exhibited slight erythema. No effects were reported on behaviour, faeces, consumption of food and drinking water, body weight gain, haematology, clinical biochemistry, composition of urine, electrocardiography, examination of circulatory functions, sight, hearing and dentition nor macroscopical examination during autopsy. Histological examinations revealed no changes attributable to the treatment (Leuschner et al., 1984). 2.2.3 Long-term/carcinogenicity studies 2.2.3.1 Mice Dichloromethane (food-grade, containing < 300 mg/kg cyclohexane, < 20 mg/kg trans-1,2-dichloroethylene, < 10 mg/kg chloroform, < 2 mg/kg vinyl chloride, and < 1 mg/kg each methyl chloride, ethyl chloride, vinylidene chloride, carbon tetrachloride and trichloroethylene) was administered at levels of 0, 0, 60, 125, 185 and 250 mg/kg bw/day to a total of 1000 B6C3F1 mice in deionized drinking-water for 104 weeks. Control group 1 consisted of 60 male and 50 females, control group 2 of 65 males and 50 females, the low-dose group of 200 males and 100 females, mid-dose group 1 of 100 males and 50 females, mid-dose group 2 of 100 males and 50 females, and the high-dose group of 125 males and 50 females. No significant treatment-related changes in survival were found in males; in females a statistically significant trend towards longer survival in treated groups was reported. No treatment-related effects on body weight nor water consumption were observed during the study. The high-dose male and female mice showed a transitory (week 52) increase in mean leucocyte counts. No treatment-related histopathological effects were noted in any of the tissues examined, except for the liver in which treatment-related changes consisting of a marginal increase in the amount of Oil Red O-positive material were noted in both male and female livers at the highest dose. There was a slight elevation of proliferative hepatocellular lesions in the treated males but no dose-related trend was apparent and the effect was absent in the females. In male mice, the incidences of hepatocellular adenoma were: 6/60, 4/65, 20/200, 14/100, 14/99 and 15/125; and the incidences of hepatocellular carcinomas were: 5/60, 9/65, 33/200, 18/100, 17/99 and 23/125 in the six groups, respectively. A slight but statistically significant (p = 0.035) dose-related increase in the incidence of hepatocellular adenomas and/or carcinomas (combined) was observed in male mice: 11/60, 13/65, 51/200, 30/100, 31/99, 35/125. However, the authors note that the tumour incidences in the dosed groups were within the range of the incidence in historical controls (carcinomas, mean: 16.1% and range: 5-34%; combined, mean: 17.8% and range: 5-40%; other authors have reported mean: 32.1% and range: 7-58% on the combined incidences in B6C3F1 mice) (Serota et al., 1986b). Groups of 50 male and 50 female B6C3F1 mice, eight to nine weeks of age, were exposed to 0, 2000 or 4000 ppm (0, 6940 or 13 880 mg/m3) dichloromethane (> 99% pure) by inhalation for six hours per day during five days per week for 102 weeks and were killed after 104 weeks of study. The survival rate in males was 39/50 in controls, 24/50 in the low-dose group, and 11/50 in the high-dose group; and the survival rate in females was 25/50, 25/49 and 8/49, respectively. Non-neoplastic lesions considered to be related to the treatment were testicular atrophy in male mice (0/50, 4/50, 31/50), and ovarian atrophy in female mice (6/50, 28/47, 32/43). Atrophy of the uterus was observed at an increased incidence in the high-dose females. Significant dose-related increases in lung and liver turnours were observed in treated mice. The incidence of alveolar/bronchiolar adenomas in males was 3/50, 19/50 and 24/50; and that in females 2/50, 23/48 and 28/48. The incidence of alveolar/bronchiolar carcinomas in males was 2/50, 10/50 and 28/50; and in females 1/50, 13/48 and 29/48. The incidences of hepatocellular adenomas in males was: 10/50, 14/49 and 14/49 and in females: 2/50, 6/48 and 22/48. The incidence of hepatocellular carcinomas in males was: 13/50, 15/49 and 26/49 and that in females was: 1/50, 11/48 and 32/48. The incidence of combined hepatocellular adenomas/carcinomas in females was: 3/50, 16/48, and 40/48 (Mennear et al., 1988; IARC, 1986). Dichloromethane (99.973% pure; containing 250 ppm of trans-1,2-dichloroethylene, 5 ppm of 1,2-dichloroethane, 10 ppm of carbon tetrachloride, 5 ppm of trichloroethylene, and 0.2% ethanol as a stabilizer) was administered to groups of 50 male and 50 female Swiss mice by ingestion (stomach tube), in olive oil, at doses of 100 and 500 mg/kg bw, once daily, 4-5 days weekly, for 64 weeks. A group of 60 male and 60 female mice served as vehicle controls. An excess in mortality was observed in male and female mice exposed to dichloromethane at both doses. The increase in mortality in the treated groups started to appear after 36 weeks of treatment and became more evident within the following weeks; for this reason the treatment was withdrawn after 64 weeks. In the exposed male and female mice a decrease in body weight was observed. This effect appeared after 36-40 weeks from the start of the experiment and became more evident throughout the course of the experiment. No treatment-related increase was observed in the percentage of animals bearing benign and malignant turnours nor of animals bearing malignant turnouts, nor the number of total malignant turnours per 100 animals. Among the most frequently observed tumours, dichloromethane did not increase the incidence of mammary carcinomas, leukaemias nor hepatomas. A dose-related increase in pulmonary tumours was observed in male mice (8.3, 12.0 and 18.0% in the control, low-dose and high-dose males, respectively). Taking into account the mortality, the higher incidence of pulmonary turnours was significant for the males treated at the high-dose level that died in the period ranging from 52 to 78 weeks (Maltoni et al., 1988). 2.2.3.2 Rats The two-year drinking-water study of dichloromethane in rats evaluated by JECFA in 1982 (Annex 1, reference 63) has been published (Serota et al., 1986a). Dichloromethane (99.973% pure; containing 250 ppm of trans-1,2-dichloroethylene, 5 ppm of 1,2-dichloroethane, 10 ppm of carbon tetrachloride, 5 ppm of trichloroethylene, and 0.2% ethanol as a stabilizer) was administered to groups of 50 male and 50 female Sprague-Dawley rats by ingestion (stomach tube), in olive oil, at doses of 0, 100, and 500 mg/kg bw, once daily, 4-5 days weekly, for 64 weeks. An additional control group of 20 male and 26 female rats did not receive any treatment. An excess mortality was observed in male and female rats administered dichloromethane at 500 mg/kg bw/day. The increase in mortality in the affected group started to appear after 36 weeks of treatment and became more evident within the following weeks; this was the reason why the treatment was withdrawn after 64 weeks. No effect of dichloromethane on body weight was observed during the experiment. Dichloromethane did not affect the percentage of animals bearing benign and malignant tumours, nor of animals bearing malignant turnours, nor the number of total malignant turnours per 100 animals. Among the most frequently observed turnouts dichloromethane did not affect the incidence of pheochromocytomas and pheochromoblastomas. A higher incidence of malignant mammary tumours, which was not statistically significant, and was mainly due to adenocarcinomas, was observed in the females exposed to the dose of 500 mg dichloromethane/kg bw/day (18% versus 6% in the low-dose females, and 8% in the vehicle controls) (Maltoni et al., 1988). The two-year inhalation toxicity and oncogenicity study of dichloromethane in rats and hamsters evaluated by JECFA in 1982 (Annex 1, reference 63) has been published (Burek et al., 1984). Groups of 90 male and 108 female Sprague-Dawley rats were exposed to 0, 50, 200, or 500 ppm dichloromethane (> 99.5% pure) for 6 h/day, 5 days/week for 20 (males) and 24 (females) months. In addition 30 female rats were exposed to 500 ppm dichloromethane for the first 12 months and to room air for the last 12 months of the study. Thirty additional female rats were exposed to room air for the first 12 months and 500 ppm of dichloromethane for the last 12 months of the study. The mortality rates for the various groups of treated male and female rats were comparable to control values. Absolute and relative organ weights, clinical chemistry values, and plasma hormone levels were not altered in rats exposed to dichloromethane. Blood carboxyhaemoglobin levels were elevated in a dose-dependent (less than linear) manner in rats exposed to 50-500 ppm methylene chloride. The percentage carboxyhaemoglobin was similar within exposure groups after 6, 12, or 20-24 months, indicating a lack of accumulation with repeated exposure. There were no detectable alterations in the rate of DNA synthesis measured as [3H]thymidine incorporation into liver DNA of female rats exposed to 50-500 ppm dichloromethane. Histopathologic lesions related to dichloromethane exposure were confined to the liver and mammary tissue. An increased incidence of hepatocellular vacuolization was observed in male and female rats exposed to 500 ppm dichloromethane. Female rats exposed to 500 ppm dichloromethane also had an increased incidence of multinucleated hepatocytes and number of spontaneous benign mammary tumours per turnour-bearing rat (2.7) (adenomas, fibromas, and fibroadenomas with no progression toward malignancy); the incidence of benign mammary tumours in female rats exposed to 50 or 200 ppm was comparable to historical control values (2.1). No increase in the number of any malignant tumour type was observed in the treated rats. The response observed in female rats exposed to 500 ppm for the first 12 months only was the same as that observed in female rats exposed to 500 ppm for 2 years. Conversely, the response observed in female rats exposed to 500 ppm during the last 12 months of the study was similar to that observed in control animals (Nitschke et al., 1988). Dichloromethane (99.973% pure; containing 250 ppm of trans-1,2-dichloroethylene, 5 ppm of 1,2-dichloroethane, 10 ppm of carbon tetrachloride, 5 ppm of trichloroethylene, and 0.2% ethanol as a stabilizer) was administered to groups of Sprague-Dawley rats by inhalation, at concentrations of 0 (60 female breeders) and 100 ppm (54 female breeders), 7 h daily, for 5 days weekly. The inhalatory treatment was started on 13-week-old breeders, and male and female offspring (12-day embryos). The breeders and part of the offspring were exposed for 104 weeks. The offspring were exposed to 0 (58 males and 49 females) or 100 ppm (60 males or 69 females) of dichloromethane. The other part of the offspring, 60 males and 70 females, was exposed for 15 weeks only. Neither excess in mortality nor any effects on body weight was found in the exposed groups. In exposed breeders or offspring rats, dichloromethane did not affect the percentage of animals bearing benign and malignant tumours, nor of animals bearing malignant turnours, nor the incidence of total mammary turnours, leukaemias, pheochromocytomas and pheochromoblastomas. A higher, not statistically significant, incidence of malignant tumours per 100 animals was observed among the breeders (16.7% in controls; 24.1% in exposed females) and offspring exposed to dichloromethane for 104 weeks (18.3% in control males; 10.0% in 15-week exposed males; 23.3% in 104-week exposed males; 17.4% in control females; 24.3% in 15-week exposed females; 29.0% in 104-week exposed females). A slight, not statistically significant increase in the percentage of malignant mammary tumours was observed in female offspring exposed for 15 weeks (5.4% in control females; 10.0% in 15-week exposed females; 4.3% in 104-week exposed females (Maltoni et al., 1988). Groups of 50 male and 50 female Fischer 344/N rats, seven to eight weeks of age, were exposed by inhalation to 0, 1000, 2000 or 4000 ppm (0, 3470, 6940 or 13 880 mg/m3) dichloromethane (> 99 % pure) for six hours per day during five days per week for 102 weeks and were killed after 104 weeks on the study. The survival of the treated males was comparable with that of the controls. Survival in high-dose females was reduced at termination of the study as compared to controls: controls, 30/50; low-dose, 22/50; mid-dose, 22/50; high-dose, 15/50. Non-neoplastic changes considered to be treatment-related included squamous metaplasia of the nasal cavity in high-dose females, degeneration of kidney tubules, and fibrosis of the spleen in animals of both sexes at all treatment levels. Increased incidences of mammary-gland tumours (all fibroadenomas or adenocarcinomas, except for one adenoma in the high-dose group) were observed in treated females (5/50, 11/50, 13/50 and 23/50). There was a positive trend in the incidence of benign tumours in the mammary gland area (adenomas, fibroadenomas, and subcutaneous tissue fibroma or sarcoma of mammary origin) in males (1/50, 1/50, 4/50, 9/50). No nasal tumours were observed, and there was no increase in the incidence of respiratory-tract tumours, and there was no difference considered biologically significant in the distribution of other types of turnours between the control and treated groups (Mennear et al., 1988; IARC, 1986). 2.2.4 Reproduction studies Reproductive parameters in Fischer 344 rats were evaluated following inhalation of dichloromethane for two successive generations. Thirty male and female rats were exposed to 0, 100, 500, or 1500 ppm dichloromethane (> 99.86% pure) for 6 h/day, 5 days/week for 14 weeks and then mated to produce F1 litters. After weaning, 30 randomly selected F1 pups/sex/group were exposed to dichloromethane for 17 weeks and subsequently mated to produce F2 litters. Reproductive parameters examined included fertility, litter size and neonatal growth, and survival. All adults and selected weanlings were examined for grossly visible lesions. Tissues from selected weanlings were examined histopathologically. No adverse effects on reproductive parameters, neonatal survival, nor neonatal growth were noted in animals exposed to dichloromethane in either the F0 or F1 generations. Similarly, there were no treatment-related gross pathologic observations in F0 or F1 adults nor F1 and F2 weanlings. Histopathologic examination of tissues from F1 and F2 weanlings did not reveal any lesions attributed to dichloromethane. It was concluded that exposure of rats to concentrations as high as 1500 ppm dichloromethane did not affect any reproductive parameters (Nitschke et al., 1988). 2.2.5 Special studies on cardiovascular effects A review on cardiovascular disease resulting from solvent exposure has been published. Due to its metabolism to carbon monoxide, a suspected cause of cardiovascular disease, dichloromethane is a biologically plausible cardiovascular toxicant. However, none of the available cohort studies has associated dichloromethane with increased cardiovascular disease (Wilcosky & Simonsen, 1991). 2.2.6 Special studies on genotoxicity The results of genotoxicity assays on dichloromethane are summarized in Table 1. 2.2.7 Special studies on immune responses The effects of single (50 and 100 ppm) and multiple (50 ppm, 5 days) 3-hour inhalation exposures to dichloromethane were evaluated in female CD1 mice by monitoring changes in their susceptibility to experimentally induced Streptococcus aerosol infection and pulmonary bactericidal activity to inhaled Klebsiella pneurnoniae. Significant increases in susceptibility to respiratory Streptococcus infection were observed after a single 3 h exposure to 100 ppm of methylene chloride. This exposure condition also resulted in significantly decreased pulmonary bactericidal activity. The treatment with 50 ppm did not induce any changes (Aranyi et al., 1986). 2.2.8 Special studies on neurotoxicity and behavioural effects The neurotoxicity of dichloromethane has been reviewed. The neurotoxicity of dichloromethane depends both on a direct, non-specific narcotic action on the central nervous system (CNS), as well as an equally non-specific carbon monoxide-induced hypoxic effect (Winneke, 1981). The intraperitoneal administration of dichloromethane (0.5 ml/kg bw) produced increases in male Swiss albino mouse striatal concentrations of p-tyramine and m-tyramine. The effect was much less pronounced after dichloromethane than after benzene (Juorio & Yu, 1985). Dichloromethane had a depressive effect on the vestibulo-ocular reflex in female Sprague-Dawley rats. Nystagmus, induced by accelerated rotation, was recorded by electronystagmography in 15 female rats continuously intravenously infused during 60 min with concentrations of dichloromethane ranging from 0.1 to 10% in an emulsion of lipids. The effect was related to the blood levels of the solvent. The threshold limit for effect was observed at a blood level of 0.7 mM/L (60 ppm) at an infusion rate of 60 µM/kg bw/min. In contrast, such solvents as benzene compounds like xylene, toluene, styrene and cumene and halogenated unsaturated hydrocarbons like trichloroethylene caused an excitation of the vestibulo-ocular reflex. It was suggested that the depression was caused by interaction with central pathways in the reticular formation and the cerebellum (Tham et al., 1984). Groups of male Swiss Webster mice of different ages at start of the experiment were exposed via inhalation to a high concentration of dichloromethane (168 mg/l) (pesticide grade). The mice were either 3 (41 mice), 5 (45 mice), or 8 (75 mice) weeks old and were exposed until loss of their righting reflex, usually 20 seconds. After either 1, 2 or 4 days the mice were tested for learning ability using a passive-avoidance conditioning task. Exposed animals were found to have a significantly decreased ability to learn when compared with controls. The 3 week-old mice were more affected than the 5 week-old and the 8 week-old mice. The exposed animals were indistinguishable from controls in terms of motor activity, weight gain, and absence of analgesia (Alexeeff & Kilgore, 1983). Table 1. Results of genotoxicity assays on dichloromethane Test system Test object Concentration of Results Reference dichloromethane Ames test1 S. typhimurium 10-100 mg/l in Nestmann et al. (1981) TA 98 chamber Positive TA 100 Positive TA 1535 Positive TA 1537 Negative TA 1538 Negative Ames test S. typhimurium 0.5-1.4% (v/v) in Jongen et al. (1982) TA 100 chamber Positive2 Ames test S. typhimurium 2.8-8.4% (v/v) in Positive2 Green (1983) TA 100 chamber Ames test S. typhimurium 500-10 000 µg/ Positive Hughes et al. (1987) TA 100 plate, in chamber (weak)3 Ames test S. typhimurium 5-100 µl/3m in Mersch Sundermann TA 97 chamber Negative (1989) TA 98 positive4 TA 100 positive4 Ames test1 S. typhimurium Osterman Golkar et al. TA 1535 10 µl/plate Negative (1983) TA 1950 10 µl/plate Positive TA 100 20-80 mM (weak) Positive (weak) Streptomycin E. coli Sd-4 10 µl/plate Negative Osterman Golkar et al. locus test1 (1983) Table 1. cont'd Test system Test object Concentration of Results Reference dichloromethane Reverse E. coli 10 µl/plate Positive Osterman Golkar et al. mutation1 WU361089 (weak) (1983) Prophage E. coli K 39 10 µl/plate Positive Osterman Golkar et al. induction1 (lambda) (1983) Somatic Aspergillus nidulans, Positive8 Crebelli et al. (1988) segregation diploid strain P1 Enhancement of Syrian Golden 0.31-5 ml/ Positive Hatch et al. (1983) viral5 cell hamster embryo chamber6 transformation cells in vitro Sister chromatid Chinese hamster 2-15 µl/ml Negative1,4 Thilagar & Kumaroo exchange (SCE) ovary (CHO) cells, (1983) in vitro Sister chromatid Chinese hamster 1-5% (v/v) in Positive Jongen et al. (1981) exchange (SCE) V79 cells in vitro chamber (weak) Chromosomal Chinese hamstcr 2-15 µl/ml Positive1,4 Thilagar & Kumaroo aberrations ovary (CHO) cells, (1983) in vitro Forward mutation Chinese hamster 1-5% (v/v) in Negative Jongen et al., 1981) (HGPRT) V79 and Chinese chamber hamster ovary cells, Negative in vitro Table 1. cont'd Test system Test object Concentration of Results Reference dichloromethane Unscheduled Chinese hamster 1-5% (v/v) in Negative Jongen et al. (1981) DNA synthesis V79 cells and chamber (UDS) human fibroblasts, Negative in vitro Inhibition of Chinese Hamster 1-5% (v/v) in Inhibition, Jongen et al. (1981) DNA synthesis V79 cells and chamber aspecific not human fibroblasts, indicative of in vitro DNA damage Sex-linked D. melanogaster 8-125 mg/m3 for Negative Kramers et al. (1991) recessive male 96 h lethal assay Unscheduled Alpk:AP, male rats, 100-1000 mg/kg Negative Trueman & Ashby (1987) DNA synthesis in vivo, in vitro bw p.o., (UDS) Fischer 344, male 2000 or 4000 ppm Negative rats, B6C3F1, male mice, inhalation, Negative in vivo, in vitro 2-6 h Unscheduled Fischer 344, male 10.400 mg/kg Negative Mirsalis et al. (1989) DNA synthesis rats, in vivo, bw p.o. (UDS) in vitro Unscheduled B6C3F1 male mice, 1000 mg/kg bw p.o. Negative Lefevre & Ashby (1989) DNA synthesis in vivo, in vitro 4000 ppm, (UDS) inhalation Positive (very weak) Table 1. cont'd Test system Test object Concentration of Results Reference dichloromethane Sister chromatid C57B1/6J male 100-2000 mg/kg bw Negative Westbrook Collins et al., exchange (SCE) mice, in vivo, i.p. (1990) and bone marrow cells chromosomal aberrations Sister chromatid B6C3F1 female 2500 and 5000 mg/kg Negative Allen et al. (1990) exchange (SCE) mice, in vivo, bw s.c. and Bone marrow cells 4000 and 8000 ppm, Positive chromosomal 10 days inh. aberrations 2000 ppm, 3 mo. inh. Negative Sister chromatid B6C3F1 female 4000 and 8000 ppm, Positive Allen et al. (1990) exchange (SCE) mice, in vivo, 10 days inh. and lung cells 2000 ppm, 3 mo. inh. Positive chromosomal (weak)7 aberrations Sister chromatid B6C3P1 female 4000 and 8000 ppm, Positive Allen et al. (1990) exchange (SCE) mice, in vivo, 10 days inh. lymphocytes 2000 ppm, 3 mo. inh. Negative Micronucleous B6C3F1 female 4000 and 8000 ppm, Positive Allen et al. (1990) test mice, in vivo, 10 days inh. erythrocytes 2000 ppm, 3 mo. inh. Positive (weak) Micronucleous C57BL/6J/Alpk 1250-4000 mg/kg bw Negative Sheldon et al. (1987) test male and female p.o. mice, in vivo, bone marrow Table 1 (continued) 1 Without rat liver S-9 fraction 2 Enhanced by the addition of either rat-liver microsomes or the cytosolic 3 Negative in plate assay and in preincubation assay 4 With the addition of rat liver S-9 fraction 5 SAT adenovirus 6 ml dichloromethane added per 4.6 litre chamber 7 SCE only 8 Increased frequency of haploid sectors and diploid non-disjunctional sectors Groups of 24 male NMRI mice were exposed via inhalation to 400, 500, 600, or 750 ppm and groups of 13 mice were exposed to 850, 1100, 2200, or 2500 ppm of dichloromethane for one hour. Motor activity of the animals during the exposures was measured with a Doppler radar. No effects were observed at 600 ppm and lower concentrations. Concentrations of 750 ppm and higher increased the motor activity during the exposure. When the generation of vapour was terminated and the concentration started to decline, the motor activity decreased reaching a minimum at two hours and had returned to normal six hours after the termination of the exposure (Kjellstrand et al., 1985). Groups of 10 male NMRI mice were exposed by inhalation to different concentrations of dichloromethane for up to four hours. An inhalation concentration of 4500 ppm was needed to significantly stimulate motor activity in the mice. During prolonged exposure acute tolerance developed to dichloromethane. It was speculated that the formation of metabolites, e.g., carbon monoxide, with sedative effects counteracted the stimulating effect of the pure solvent (Kjellstrand et al., 1990). Male Sprague-Dawley rats in groups of 6 were exposed by inhalation to 0, 70, 300, or 1000 ppm of dichloromethane, 6 h/day for 3 consecutive days. Dichloromethane produced a selective reduction in dopamine levels without a change of dopamine turnover in certain types of forebrain dopamine nerve terminal systems. In the low concentration group a selective reduction in dopamine turnover was observed in the medial palisade zone of the median eminence. Dichloromethane also produced a discrete dose-dependent increase in noradrenaline turnover within the anterior periventricular hypothalamic area and, with the highest concentration, an increase in noradrenaline turnover in the anteromedial frontal cortex. Dichloromethane reduced noradrenaline levels dose-dependently in the posterior periventricular hypothalamic area and also in the dorsomedial hypothalamic nucleus (1000 ppm). Following tyrosine hydroxylase inhibition dichloromethane produced an inversely dose-related increase in serum LH levels and, at the highest concentration, an increase of ACTH secretion was observed. It is suggested that dichloromethane can produce discrete changes in amine storage and turnover in catecholamine nerve terminal systems of the tel- and diencephalon, some of which may contribute to the dichloromethane-induced disturbances in the secretion of anterior pituitary hormones (Fuxe et al., 1984). Groups of male and female Fischer 344 rats were exposed to dichloromethane or carbon monoxide for 6 h/day, 5 days/week, for 13 weeks. Since oxidative metabolism of dichloromethane to carbon monoxide and carbon dioxide is a saturable process, dichloromethane exposure concentrations were selected clearly below saturation (50 ppm), just below saturation (200 ppm), and well above saturation (2000 ppm). At saturation of metabolism, metabolic carbon monoxide causes about 10% carboxyhaemoglobinaemia. Therefore, as a control for carbon monoxide effects, a separate group of rats was exposed to 135 ppm carbon monoxide to induce approximately 10% carboxyhaemoglobinemia. Post-exposure functional tests included an observational battery, hindlimb grip strength, and a battery of evoked potentials (flash, auditory brainstem, somatosensory, caudal nerve). After functional tests were completed, rats from all groups were perfused with fixative and a comprehensive set of nervous tissues from the high dichloromethane exposure group and from controls were examined by light microscopy. Although some miscellaneous functional and morphologic variations were recorded, none were related to treatment. The authors conclude that subchronic exposures as high as 2000 ppm dichloromethane or 135 ppm carbon monoxide had no deleterious effects on any of the parameters examined (Mattsson et al., 1990). Groups of 10 male and 10 female Mongolian gerbils were exposed to dichloromethane at concentrations of 210, 350, and 700 ppm for 3 months. Because of a high mortality rate, however, the 700 ppm groups were terminated after 7 weeks. In the 350 ppm experiment half the exposed animals died and the exposure period was terminated after 10 weeks. After the exposure period, the surviving gerbils in the 350 ppm exposure group and those from the 210 ppm group were allowed a post-exposure solvent-free period of 4 months. Two astroglial proteins S-100 and GFA, as well as DNA, were quantitatively determined in different regions of the gerbil brain. After exposure to 350 ppm, increased concentrations of the two astroglial proteins were found in the frontal and sensory motor cerebral cortex, compatible with astrogliosis in these regions. Exposure to 350 ppm and 210 ppm decreased the concentrations of DNA in the hippocampus. Moreover, after exposure at 350 ppm, DNA concentrations were also decreased in the cerebellar hemispheres. It was concluded that these results indicate a decreased cell density in these brain regions, probably due to cell loss. The neurotoxic effects were not found to correlate with the endogenous formation of carbon monoxide (Rosengren et al., 1986). Groups of 8 male Mongolian gerbils were exposed to dichloromethane for either three weeks or three months by continuous inhalation at 210 ppm. The body and whole brain weights as well as the weights of the dissected brain regions did not differ between control and exposed groups. In the group exposed for three weeks the carboxyhaemoglobin percent saturation was significantly increased (11.5%) when compared to that of controls (0.43%). In the animals exposed for three months total free tissue amino acids, glutathione, and phosphoethanolamine were determined in the vermis posterior of the cerebellum and the frontal cerebral cortex. These two brain areas were chosen because humans occupationally exposed to dichloromethane have shown abnormalities in the electroencephalogram of the frontal part of the cerebral cortex. This study showed that long-term exposure of gerbils to dichloromethane (210 ppm) for three months led to decreased levels of glutamate, gamma-aminobutyric acid, and phosphoethanolamine in the frontal cerebral cortex, while glutamine and gamma-aminobutyric acid were elevated in the posterior cerebellar vermis (Briving et al., 1986). Groups of 4 male and 4 female adult Mongolian gerbils were continuously exposed by inhalation to dichloromethane (0.3-0.5% stabilizers (butylene oxide and antioxidants)) at 210 ppm, for three months, followed by a four-month post-exposure solvent-free period. No animals died during the experiment, and no changes were observed in body weight, weight of brain, nor weight of dissected brain regions. The total protein concentrations per wet weight in the different brain regions were not changed. The DNA concentrations per wet weight were slightly decreased in the hippocampus after exposure to dichloromethane (Karlsson et al., 1987). 2.2.9 Special studies on macromolecular binding The in vivo interaction of dichloromethane and its metabolites with male F-344 rat (n=2) and male B6C3F1 mouse (n=10) lung and liver DNA was measured after inhalation exposure to 4000 ppm [14C]-dichloromethane for 3 h. DNA was isolated from the tissues 6, 12, and 24 h after the start of exposure and analyzed for total radioactivity and the distribution of radioactivity within enzymatically hydrolysed DNA samples. Covalent binding to hepatic protein was also measured. Low levels of radioactivity were found in DNA from lungs and livers of both rats and mice exposed to [14C]-dichloromethane. Two- to fourfold higher levels were found in mouse DNA and protein than in rat. Chromatographic analysis of the DNA nucleosides showed the radioactivity to be associated with the normal constituents of DNA. No peaks of radioactivity were found that did not coincide with peaks of radioactivity present in hydrolyzed DNA from formate-treated rats and mice. It was concluded that there was no evidence for alkylation of DNA by dichloromethane in either rats or mice (Green et al., 1988). Groups of 5 female F-344 rats or 25 female B6C3F1 mice were exposed by inhalation to [14C]-dichloromethane of very high specific radioactivity (13.4 mCi/mmol). The exposure concentrations were between 581 and 785 ppm of dichloromethane at the start of the experiments and were then allowed to decline to insignificant levels. Incorporation of radioactivity into DNA of liver, kidneys, and lung was measured in each species. The radioactivity in DNA which was derived from [14C]-dichloromethane was exclusively confined to the physiological deoxyribonucleosides. Radioactive alkylation products were not found. It was concluded that dichloromethane is not a systemic genotoxic carcinogen on the target tissues examined (Ottenwalder & Peter, 1989). 2.3 Observations in humans The odour threshold for dichloromethane is 214 ppm (743 mg/m3). Fatalities have been associated with acute or prolonged exposure to dichloromethane. Dichloromethane acts primarily on the central nervous system, causing narcosis at high doses. Temporary neurobehavioural effects have been reported after exposure to doses as low as 200 ppm (700 mg/m3) by some authors, but not by others (IARC, 1986). Exposure to dichloromethane levels in the range of 28 to 173 ppm during an eight-hour working-day caused increased sleepiness and physical and mental exhaustion (Cherry et al., 1983). A case of delirium resulting from exposure to dichloromethane has been reported (Tariot, 1983). A case of acute renal failure, myoglobinuria, hypocomplementaemia, and liver enzyme elevation after two days of working with dichloromethane in a poorly ventilated room has been reported (Miller et al., 1985). A case of paint remover inhalation causing pulmonary oedema and pleural effusions has been described. Dichloromethane, a major ingredient of paint removers, was suspected as the causative agent due to its conversion to carbon monoxide (Buie et al., 1986). Two cases of transient hepatitis induced after inhaling organic solvents were primarily ascribed to dichloromethane. Elevated serum levels of aspartate aminotransferase, alanine aminotransferase, and alkaline phosphatase were reported (Cordes et al., 1988). Carboxyhaemoglobin concentrations at peak levels of 11.5 and 13% were observed in two cases of dichloromethane poisoning. Both patients were found unconscious in an occupational setting (Rioux & Myers, 1989). In a patient complaining of upper respiratory irritation, fatigue, and lightheadedness occurring on a daily basis after using a dichloromethane-containing paint stripper, determinations of blood carboxyhaemoglobin on three occasions showed an apparently linear elevation of carboxyhaemoglobin as a function of hours worked on the day of sampling (Shusterman et al., 1990). The cause of death in two patients who arrived in cardiac arrest following exposure in an enclosed space to dichloromethane was not carbon monoxide poisoning, but solvent-induced narcosis. It was noted that carboxyhaemoglobin levels continue to rise following cessation of exposure, despite administration of high flow oxygen (Leikin et al., 1990). Based on a review of 26 cases of dichloromethane exposures reported in the literature from 1936 to 1986, various symptoms were identified. These include, in the central nervous system - cognitive, sensory, motor, and behavioural symptoms, headache, reduced activity, drowsiness and unconsciousness; in the respiratory system - pulmonary oedema/dyspnoea; gastrointestinal symptoms; hepatic/renal; dermatologic; musculoskeletal; haematologic, cardiac; others - chills, shock, and death (Rioux & Myers, 1988). For the period 1961-80, 33 cases of industrial gassings caused by dichloromethane were reported in the United Kingdom. One of the persons died. Symptoms were most commonly attributable to the nervous and gastrointestinal systems, and in four cases to the respiratory system. The clinical symptoms most often reported were headache, dizziness, unconsciousness, nausea, and vomiting (Bakinson & Jones, 1985). Mortality was studied among 1271 employees of a cellulose fibre production plant in the USA in which dichloromethane had been used as a general-purpose solvent. Particular attention was given to evaluating possible direct and carboxyhaemoglobin-mediated effects on the haematopoietic and circulatory systems. Each subject had been employed for at least three months between 1 January 1954 and 1 January 1977 in jobs that entailed exposure to high concentrations of methylene chloride and was followed up to 30 June 1977. The study design included a retrospective cohort mortality study and several health evaluation studies. Industrial hygiene monitoring indicated that typical dichloromethane exposures ranged from an 8 h time-weighted average of 140 ppm in areas of low dichloromethane use to a corresponding average of 475 ppm in areas of high dichloromethane use and that methanol was present in about a one to ten ratio to dichloromethane. Acetone exposures ranged from 100 to over 1000 ppm (time-weighted average). The observed numbers were compared with the expected numbers from an internal referent cohort of 948 acetone-exposed employees and with mortality data for US white males, non-white males and white females. No significant increase in overall mortality or deaths due to ischaemic heart disease was found when compared to the mortality of the general population. An exposure-related increase in serum bilirubin was observed, but no signs of liver injury nor haemolysis were reported. A cross-sectional study of 24 employees showed no excess of electro-cardiographic abnormalities among those exposed to 60-475 ppm dichloromethane and monitored for 24 h. Among the exposed white men and women seven deaths due to malignant neoplasms were observed compared to 10.1 expected in the general population. No specific cancer sites were over-represented. Seven malignant neoplasms were observed in the referent cohort compared to 12.3 expected (Ott et al., 1983; IARC, 1986). At follow-up of the cohort 122 deaths were identified through September 1986, and mortality rates for the cohort were compared with mortality rates for York County, South Carolina, USA. Deficit mortality was observed for cancers of the respiratory system, breast, and pancreas and from ischaemic heart disease. Excess mortality was observed for cancers of the buccal cavity and pharynx (2 versus 0.87) and the liver and biliary tract (4 versus 0.7), and for melanoma as well (2 versus 0.88). The largest relative excess was for liver and biliary tract cancers. There were only four deaths in this category; however, three of the four deaths were cancer of the biliary tract (3 observed, 0.15 expected, standardized mortality ratio 20) (Lanes et al., 1990). The mortality of a 1964 to 1970 cohort of 1013 full-time, hourly men who had been employed at Eastman Kodak Corporation, USA, was evaluated through 1984. On average, employees were exposed to dichloromethane at a rate of 26 ppm (eight-hour time-weighted average) for 22 years; median latency was 30 years. Compared with the general population, no statistically significant excesses in mortality were observed for such hypothesized causes of mortality as lung cancer (14 observed versus 21.0 expected), liver cancer (0 versus 0.8), and ischaemic heart disease (69 versus 98.1). Dose-response relationships based on dichloromethane exposure and latency were not demonstrated. Among non-hypothesized mortality causes, a significant deficit was reported for total deaths (176 versus 253.2). It was stated that sufficient power was available to detect relative risks of 1.6 for lung malignancy and 1.3 for ischaemic heart disease. The cohort had a higher mortality from pancreatic cancer than their controls (8 versus 3.2), but this difference was interpreted as being unrelated to dichloromethane exposure (Hearne et al., 1987). The interpretation of the absence of a significant increased incidence of pancreatic cancer in the Eastman Kodak cohort has been questioned (Mirer et al., 1988). At follow-up in the Eastman Kodak cohort, mortality findings were substantially unchanged after 4 additional years of observation through 1988. Mean exposure was 26 ppm (8 h time-weighted average) for 23 years and median follow-up from first exposure was 33 years. A comparison with death rates in both general population and industrial referents showed non-significant deficits in observed-expected ratios for such hypothesized causes of death as lung and liver cancer and ischaemic heart disease. Overall mortality from 1964 to 1988 (n = 238) was significantly decreased versus both referent groups. The study had 90% power to detect relative risks of 1.7 and 1.3 for lung cancer and ischaemic heart disease, respectively; power was inadequate for hepatic cancer. No pancreatic cancer deaths had occurred since the 1984 follow-up (8 observed versus 4.2 expected (P = 0.13) (Hearne et al., 1990). 3. COMMENTS Dichloromethane is readily absorbed from the gastrointestinal tract and distributed to the blood, liver, lung, kidneys, body fat, and nervous tissues of animals and humans. The absorption proceeds at a faster rate when the compound is ingested in water solution than in oil solution. The compound is readily cleared from the organism, mainly by exhalation of the parent compound and the metabolites carbon dioxide and carbon monoxide. The formation of these metabolites is dose-dependent; at higher doses (exceeding 100 mg/kg bw), a proportionally higher level is expired as the parent compound. Systemic accumulation of dichloromethane does not occur. Dichloromethane is able to cross the placental barrier in pregnant rats, but no reproductive effects have been observed even at high doses. Dichloromethane is metabolized to carbon monoxide and carbon dioxide by two pathways, one dependent on oxidation by mixed-function oxidases and the other on glutathione S-transferases. The mixed-function oxidase pathway seems to be the preferred metabolic route at low concentrations of dichloromethane, while at higher concentrations this pathway becomes saturated, making a larger percentage of dichloromethane available for metabolism by the glutathione-dependent pathway. The metabolic production of carbon monoxide from dichloromethane leads to the formation of carboxyhaemoglobin, the cause of the hypoxic state commonly seen in accidental poisoning by dichloromethane. Single and repeated doses of dichloromethane have produced elevations in serum enzyme levels indicative of kidney and, in particular, liver toxicity. No adverse effects were seen in rats in a 3-month study when approximately 230 mg/kg bw/day were given orally. Slight hepatocellular changes were noted in rats at oral doses administered via the drinking-water of 420-607 mg/kg bw/day for 90 days. High doses of dichloromethane are neurotoxic, the neurotoxicity depending on both a direct, non-specific narcotic action on the central nervous system, and an equally non-specific carbon monoxide-induced hypoxic effect. A variety of behavioural effects, such as increased motor activity and decreased learning ability, have been observed in experimental animals after inhalation exposure to high concentrations of dichloromethane. Dichloromethane is weakly mutagenic in Salmonella typhimurium tester strain TA100, while mainly negative results have been produced in other tester strains. Weak clastogenic effects have been recorded in mammalian cell-culture systems in vitro, while tests for point mutations and DNA interactions have mainly failed to show any effects, in agreement with DNA-binding studies in rodents, in which dichloromethane-DNA adducts have not been detected after in vivo treatment with dichloromethane. When in vivo systems have been used, e.g., tests for unscheduled DNA synthesis in liver, sister chromatid exchange, and chromosomal aberrations in bone marrow of mice, dichloromethane has not produced effects when given orally but has done so in a number of studies after inhalation of high doses. In a long-term study in mice in which dichloromethane was administered in the drinking-water, there was a slight dose-related increase in fatty infiltrations in the liver of male and female mice given the highest dose of 250 mg/kg bw/day. This effect was not reported in mice receiving a dose of 185 mg/kg bw/day. A slight, but statistically significant, dose-related increase in combined hepatocellular carcinomas and adenomas in male mice was found to be within the incidence range of historical controls. In another long-term study in mice, in which dichloromethane was administered by gavage in olive oil at daily doses up to 500 mg/kg bw, no liver carcinogenicity was observed. However, the treatment produced excess mortality, and the exposure had to be terminated after 64 weeks. When the mortality was taken into account, there was a slight but significant increase in the incidence of pulmonary tumours in the males given the highest dose. In a study of similar design in rats in which dichloromethane was administered by gavage in olive oil at daily doses up to 500 mg/kg bw, the exposure also had to be terminated after 64 weeks because of excess mortality. In this study, no statistically significant increases in tumour incidences were seen. When high doses of dichloromethane have been administered by inhalation to mice over the entire lifetime, increased incidences of lung tumours (alveolar/brochiolar adenomas and carcinomas) and liver tumours (hepato-cellular adenomas and carcinomas) have been reported, and in three different lifetime studies where dichloromethane was administered to rats by inhalation exposure at high concentrations (500 mg/l or higher), an increased incidence of benign mammary-gland tumours (adenomas, fibromas, fibroadenomas) was seen in females. In one of the studies, adenocarcinomas were also found, together with a positive trend in the incidence of benign tumours in the mammary-gland area in males. New long-term studies in mice and rats on the carcinogenicity of dichloromethane administered by the oral route were either negative or inconclusive because of premature deaths. As regards the administration of dichloromethane by the inhalation route, the available studies in mice and rats point to a carcinogenic effect on the liver and lung of mice and the mammary gland of rats receiving higher doses. A physiologically based pharmacokinetic model that provides quantitative data on the rates of metabolism and levels of dichloromethane in various organs was applied to the dose levels used in the above-mentioned long-term studies in mice and rats. It was calculated that the concentrations of glutathione-dependent metabolites in the liver and lungs of mice that received the material in the drinking-water study were several orders of magnitude lower than those in the mice receiving dichloromethane in the inhalation study. In addition, the model predicted that considerably lower concentrations of these metabolites would be present in the liver and lungs of the rats exposed to dichloromethane in the inhalation studies than in the mice similarly exposed. This may provide an explanation for the differences in the results obtained in carcinogenicity studies in which different routes of administration are used. Epidemiological studies have not shown any carcinogenic effect of dichloromethane after occupational exposure. However, the Committee noted that the power to detect excess risk in these studies was limited. 4. EVALUATION On the basis of the available data, the Committee concluded that the use of dichloromethane as an extraction solvent in food processing should be limited to use for spice oleoresins and the decaffeination of tea and coffee, and for food additives in which previous specifications drawn up by the Committee included residues of dichloromethane. 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See Also: Toxicological Abbreviations Dichloromethane (ICSC) Dichloromethane (FAO Nutrition Meetings Report Series 48a) DICHLOROMETHANE (JECFA Evaluation) Dichloromethane (IARC Summary & Evaluation, Volume 71, 1999)