FAO Nutrition Meetings Report Series No. 48A WHO/FOOD ADD/70.39 TOXICOLOGICAL EVALUATION OF SOME EXTRACTION SOLVENTS AND CERTAIN OTHER SUBSTANCES The content of this document is the result of the deliberations of the Joint FAO/WHO Expert Committee on Food Additives which met in Geneva, 24 June -2 July 19701 Food and Agriculture Organization of the United Nations World Health Organization 1 Fourteenth report of the Joint FAO/WHO Expert Committee on Food Additives, FAO Nutrition Meetings Report Series in press; Wld Hlth Org. techn. Rep. Ser., in press. TRICHLORETHYLENE Biological data Biochemical aspects Probably between 71-76% of inhaled trilene is rapidly absorbed through the lungs. In man most absorption occurs within the first few minutes of exposure and then decreases to an equilibrium between air/blood concentrations. Moderate absorption can occur through intact skin and from the gastrointestinal mucus after ingestion (von Oettingen, 1955). In the rat, rabbit and dog absorbed trilene is distributed among all organs and tissues but concentrates mostly in fat and brain and least in skeletal muscle; lung and liver also retain low levels (Barrett et al., 1939; Clayton & Parkhouse, 1962; von Oettingen, 1955). Similar organ concentrations are found in guinea-pigs but high levels were also found in ovaries and adrenals (Fabre & Truhaut, 1952). In the rat trilene and trichloroacetic acid may be selectively bound to erythrocytes hence giving high spleen levels (Fabre & Truhaut, 1952) but plasma proteins may also be involved (Soucek & Vlachová 1960). In man trilene is detectable in the blood within 30 minutes of inhalation (Stewart et al., 1962). Trilene is metabolized slowly to chloralhydrate (via an epoxide) and then rapidly to 2,2,2-trichloroacetic acid (CCl3 CHOOH) and 2,2,2-trichlorethanol (CCl3CH2OH), which latter two metabolites are excreted as urinary glucuronides (e.g. trichlorethanol glucusiduronic acid) very little unchanged trilene appearing in the urine (Powell, 1945; Butler, 1949; Uhl & Haag, 1958; Williams, 1959; Smith, 1966). Dogs excrete 5-8% of absorbed trilene as trichloroacetic acid and 15-20% as trichlorethanol up to 4 days after exposure (Barrett et al., 1939; Barrett & Johnston, 1939; von Oettingen, 1955). The lung and spleen, less so the liver are probably the main sites of metabolism (Fabre & Truhaut, 1952; Defalgue, 1961). Rats excrete about 4% of inhaled trilene as trichloroacetic acid, the lung and spleen being the main sites of metabolism in vitro and in vivo, the liver being less important (Fabre & Truhaut, 1952). Rats given oral trilene excrete 3% as trichloroacetic acid and 15% as trichlorethanol (Daniel, 1957a) trichlorethanol excretion being the better guide to extent of exposure (Daniel, 1957b). 36Cl labelled trilene was given to rats by gavage. 10-20% was excreted in the urine as trichloroacetic acid (1-5%) and trichlorethanol (10-15%), 0-0.5% in the faeces and 72-85% probably as trilene in the expired air. The metabolites were formed by intra-molecular rearrangement. Radioactivity was excreted for up to 18 days after single dosing (Daniel, 1963). In vitro studies on rat liver microsomes showed conversion of trilene to chloral (Byington & Leibman, 1965). Rabbits excrete 0.5% of absorbed trilene as trichloroacetic acid (Fabre & Truhaut, 1952; Defalgue, 1961) and after oral dosing by gavage no significant effects were seen on urobilin, blood, glucose level or serum cholesterol (Dervilleé et al., 1938). Guinea-pigs show presence of trichloroacetic acid in their urine after inhalation (Fabre & Truhaut, 1952). Calves similarly metabolize orally administered trilene to trichloroacetic acid (1%) and trichlorethanol (13-25%) appearing in their urine together with a trace of trilene. The balance is probably exhaled or excreted in the faeces (Seto & Schultze, 1955). Man excretes 6-16% of inhaled trilene as trichloroacetic acid (Ahlmark & Forssman, 1951); others found 7-27% of retained trilene being excreted as trichloroacetic acid (Powell, 1945; Soucek et al., 1952) as well as trichlorethanol, monochloracetic acid and chloroform (Soucek et al., 1952; Defalgue, 1961). Small amounts of trichloroacetic acid may continue to be excreted in the urine for up to 12 days after single exposure (von Oettingen, 1955). Five human subjects exposed for 5 hours to trilene excreted 4% of the retained dose as monochloracetic acid, 19%. as trichloroacetic acid and 50% as trichlorethanol over the next 14 day. (Soucek & Vlachová, 1960; Defalgue, 1961). In another experiment 8 subjects inhaled trilene for 5 hours. 51-64% of the inhaled trilene was retained the rest exhaled unchanged. Of the retained trilene 38-50% was excreted as urinary trichlorethanol and 27-36% as urinary trichloroacetic acid. 8.4% of trichloroacetic acid and trichlorethanol was excreted in the faeces. Sweat and saliva contained also both metabolites (Bartonicek, 1962). In all species most of the trichloroacetic and trichlorethanol is excreted in the first 2 days after exposure but excretion may go on up to 53 day. Some 2-4 hours elapse after single exposure before trichloroacetic acid appears in the blood reaching a maximum in 20-50 hours (Ahlmark & Forssman, 1951; Defalgue, 1961). Trichlorethanol appears to be the main metabolite and is much more toxic (Bartonicek & Teisinger, 1962). Disulfiram decreases the excretion of trichloroacetic acid and trichlorethanol by acting either on converting enzymes or on trilene release from fat depot. (Bartonicek & Teisinger, 1962) while glucose and insulin increase production (Soucek & Vlachová, 1960). Chronic exposure may cause disturbance of protein metabolism by an increase in the ß-globulin to 16-21% (normal 10-14%) and in fat metabolism by an increase in unsaturated fatty acids (Guyot-Jeannin & Van Steenkiste, 1958). Repeated inhalation or oral ingestion by rats causes transitory elevation of SGOT levels for 24 hours after the last exposure, the SGPT levels remaining normal. SGOT levels return to normal within 9 days after exposure. No such transitory effects are seen in rabbits (Tolot et al,, 1966; Viallier & Casanova, 1965). Previous ingestion of ethanol potentiates trilene toxicity in rats as shown by a rise in SGOT, SGPT and SICD) (isocitric dehydrogenase) and wide-spread degenerative lipid infiltration as well as early centrilobular necrosis of the liver (Cornish & Adefuin, 1966). Single exposure of mice to the inhalation LD50 of trilene showed some hepatotoxicity as evidenced by a rise in SGPT (Gehring, 1968). Trilene passes readily through the placenta and occurs in foetal blood in higher concentrations (Helliwell & Hutten, 1950). Orally administered trilene has no effect on rat liver glutathione levels (Johnson, 1965). Trilene exerts a variety of pharmacological effects. It depresses the CNS with predominant narcotic action but needs relatively high dosage (Defalgue, 1961). In the CNS there is a variable effect on blood pressure. Cardiac arrhythmias are frequent with anaesthetic use (Defalgue, 1961) and bradycardia, ectopic beats and other arrhythmias have been seen in dogs and rabbits. Possible some vasoconstriction in the capillary bed may occur (von Oettingen, 1955). In the R.S. the most common reaction is tachypnoea, especially in young children (Defalgue, 1961). Little effects occur in the G.I. tract (Defalgue, 1961) nor were any effects seen on basal metabolic rate, liver or kidney function (von Oettingen, 1955). Trilene absorbed through the skin appears in the alveolar air (Stewart & Dodd, 1961). Acute toxicity Animal Route LD50 LD100 Reference ml/kg bodyweight Mouse inhalation - 7 900 ppm (2 hrs) von Oettingen, 1955 s.c. 11.0 - Plaa et al., 1958 i.p. 2.2 - Klaassen & Plaa, 1966 Rat oral 4.92 - Smyth et al., 1969 inhalation - 20 000 ppm Adams et al., 1951 guinea-pig inhalation - 37 000 ppm (40 min) von Oettingen, 1955 Rabbit s.c. - 1 800 mg/kg Barsoum & Saad, 1934 inhalation - 11 000 ppm Bernardi et al., 1956 percutaneous >20 - Smyth et al., 1969 Dog i.v. - 150 mg/kg Barsoum & Saad, 1934 i.p. 1.9 - Klaassen & Plaa, 1967 Mice, rats, guinea-pigs and rabbits dying acutely from inhalation, show no toxic effects on the tissues, liver or kidney nor after s.c. or i.v. administration (Browning, 1965). I.p. injection of 2.5 1/kg trilene into mice had no effect on PSP excretion and produced no proteinuria or glycosuria, nor histological renal changes (Plaa & Larson, 1965). Oral doses of 3-4 m/kg bodyweight were fatal to rats, mice and guinea-pigs with signs of gastro-intestinal irritation (von Oettingen, 1955). Chronic oral poisoning has caused some liver and renal damage in dogs and rabbits (von Oettingen, 1955). Trilene is a local irritant on the skin, causing blisters and necrosis in man and desquamation with ulceration in rabbits (von Oettingen, 1955). Short-term studies None available. Long-term studies None available. Special studies Observations in animals exposed for varying periods up to 10 months show disturbed co-ordination and hyperexcitability but no effects on liver or kidney or blood chemistry. Only the CNS showed some oedema and ganglion cell degeneration (Browning, 1965). Rats, guinea-pigs, squirrel monkeys, rabbits and dogs were exposed to 3825 mg/m3 for 6 weeks without significant adverse effects. Exposure to 189 mg/m3 for 90 days also revealed no significant pathological changes (Prendergast et al., 1967). Groups of 20 mice were exposed for 1-8 weeks to 200 or 1600 ppm daily for 4 hours. Only slight transient fatty hepatic degeneration and no renal effects were seen (Kylin et al., 1965). Guinea-pigs were exposed to vapour of trilene for 2-1/2 to 4 months without adverse effects on bodyweight, haematological findings or urinalysis results but there was slight evidence of hepatic parenchymal degeneration and renal glomerular and tubular degeneration (Lande et al., 1939). Rabbits given for 1-5 months 0.074 g/kg trilene showed little adverse effect on bodyweight, haematological finding, urinary analysis but some hepatic and renal lesions were seen (Lande et al., 1939). Dogs were exposed to 150-750 ppm daily for 2-8 weeks. Hepatic injury as evidence by BSP excretion, glycogen depletion and parenchymal degeneration as well as weight loss, lethargy and diarrhoea occurred but cleared on stopping exposure (Seifter, 1944). Soyabean meal extracted with trilene but not with hexane or carbon tetrachloride has caused fatal refractory haemorrhagic aplastic anaemia in cattle (Stockman, 1916; Picken et al., 1955). The toxic factor was shown to be associated with the protein fraction (Picken & Biester, 1957; Seto et al., 1958). Similar effects were produced by trilene-extracted meat scrap (Rehfeld et al., 1958). However, chicks fed trilene-extracted meat scraps showed improved growth (Balloun et al., 1955). The toxic factor has been identified as S-trans-(dichlorovinyl)-L-cysteine, a reaction product of trilene and protein which becomes freed on protein hydrolysis (McKinney et al., 1957). Using radio labelled trilene it has been shown that this reaction is unlikely to occur when extracting coffee (Brandenberger et al., 1969). Groups of 20 male and female rats were fed instant decaffeinated coffee solid extracted with trilene for 2 years at 0% or 5% of their diet (equivalent to a residue of 0.5 ppm trilene) without deleterious effects on survival, behaviour, growth, food consumption, urinalysis, haematology, organ weights and histopathological findings (Zeitlin, 1963). Eight males and 16 female rats were fed on a diet containing 0% or 5% of instant decaffeinated coffee solids extracted with trilene (equivalent to a residue of 0.5 ppm trilene). Two generations were studied as regards paternal and filial mortality, conception rate, resorption, litter size, growth and survival of litter. Organ weights, blood chemistry, urinalysis and histopathology of the F2 generation were normal (Zeitlin, 1967). A teratogenicity study in rats fed 5% of trilene extracted instant decaffeinated coffee solids (equivalent to 0.5 ppm trilene) was done for 2 weeks before mating until the 20th day of the 2nd pregnancy. Foetuses were examined and resorption sites counted. No significant deformities were noted in the test groups nor was there any excessive resorption. Alizarin staining revealed no foetal skeletal abnormalities (Zeitlin, 1966). Observations in man There is much experience from safe use of trilene as an anaesthetic for man and from various other analgesic inhalation treatments now abandoned e.g. trigeminal neuralgia, migraine, angina (von Oettingen, 1955). Some authorities recognize a syndrome of chronic intoxication (Moeschlin, 1956) others admit only to a transient neurasthenic symptom complex (Anderssen, 1957). Fumes or the liquid can cause skin burns. No evidence exists of serious haematological effects. Neurological disturbances are similar to neurasthenic conditions with rarely apparent cardiac disturbances. Trigeminal palsies and optic nerve involvement may have been due to impurities but have not been seen with pure material. Irritation of the lungs and gastro intestinal symptoms have been reported after industrial over-exposure. Addiction has been reported (Bardodej & Vyskocil, 1956; Browning, 1965; Patty, 1958; Defalgue, 1961; Milby, 1968; Mitchell & Parsons-Smith, 1969). Psychomotor performance is not affected by exposure to 100 ppm but there is a decline in performance at higher inhalation levels (Stops & McLaughlin, 1967). Eight males were exposed to 0, 100, 300 or 1000 ppm in air for 2 hours. At 1000 ppm visual perception and motor skills were adversely affected (Vernon & Ferguson, 1969). In another experiment leucocyte alkaline phosphatase levels in peripheral leucocytes were elevated after prolonged exposure. This effect is reversible (Friborská, 1969). Acute human poisoning cases have recovered without hepatic or renal sequelae. After ingestion there is some burning of the oral mucosa, later nausea and vomiting with vertigo, ataxia, somnolence, confusion, delirium and coma (Browning, 1965). Excessive inhalation has been blamed for hepato-nephritis but the incidence is very low and it is possible that liver and renal involvement are the result of underlying previous disease (Roche et al., 1958). Untoward effects on the circulation, cardiac irregularities and excessive capillary oozing with tachypnoea but no adverse hepatic effects have been reported after anaesthetic use (von Oettingen, 1955). Ingestion of 60 ml appears to be fatal in man (Pebay-Peyroula et al., 1966). At elevated temperatures trilene reacts with soda lime to form dichloracetylene and this reacts further to generate phosgene carbonylchloride And various acids which are all toxic (Defalgue, 1961). The TLV is 100 ppm, (Amer. Conf. Gov. Ind. Hyg. 1969). Comments Ingestion or inhalation of 1,1,2-trichlorethylene produced metabolites which are more toxic than the parent compound. The use of 1,1,2-trichlorethylene as a solvent is liable to cause formation of the toxic S-(transdichlorovinyl)-L-cysteine from sulfur-containing amino acids. There is a large amount of human experience from the use of 1,1,2-trichlorethylene as an anaesthetic. No formal long-term studies are available on the solvent per se but 2 year rat feeding studies, multigeneration studies and teratology studies have been performed using 1,1,2-trichlorethylene-extracted decaffeinated instant coffee solids. Tentative evaluation1 There is a need for care in the choice of food types subjected to extraction by 1,1,2-trichlorethylene in view of its reactivity with -SH groups. It should not be used for extracting of protein materials contributing significantly to the diet. In foods such as coffee suitable for 1,1,2-trichlorethylene extraction, the use of the solvent should be restricted to that determined by good manufacturing practice, which is expected to result in minimal residues unlikely to have any toxicological significance. REFERENCES Adams, E. M. et al. (1951) Arch. Ind. Hyg., 4, 469 Ahlmark, A. & Forssman, S. (1951)Acta physiol. scand., 22, 326 Amer. Conf. Gov. Ind. Hyg. (1969) Threshold Limit Values for 1969 Andersson, H. (1957) Acta. Med. Scand., 157, Suppl. 323 Balloun, S. L., Donovan, G. A. & Phillips, R. E. (1955) Poultry Science, 34, 163 1 For all foods other than coffee for the extraction of caffeine. Bardodej, Z. & VyskociI, J. (1956) Arch. Ind. Hlth., 13, 581 Barrett, H. M., Cunningham, J. G. & Johnston, J. H. (1939) J. Ind. Hyg. Toxicol., 21, 479 Barrett, H.M. & Johnston, J. H. (1939) J. biol. Chem. 127, 765 Barsoum G. S. & Saad, K. (1934) Quart. J. Pharm. Pharmacol., 7, 205 Bartonicek, V. (1962) Brit. J. Ind. Med., 19, 134 Bartonicek, V. & Teisinger, J. (1962) Brit. J. industr. Med., 19, 216 Bernardi, L., Penzani, B. & Luvonir, R. (1956) Rass. Med. industr., 25, 269 Brandenberger, H. et al. (1969) 2 Lebens. Forsch., 139, 211 Browning, E. (1965) Toxicity & Metabolism of Industrial Solvents, Elsevier, Amsterdam Butler, T. C. (1949) J. Pharmacol. exp. Ther., 197, 84 Byington, K. H. & Leibman, K. C. (1965) Mol. Pharmacol., 1, 247 Clayton, J. I. & Parkhouse, J. (1962) Brit. J. Anaesth., 34, 141 Cornish, H. H. & Adefuin, J. (1966) Amer. Ind. Hyg. Ass. J., 57 Daniel, J. W. (1957a) Report to ICI No. 1HR/103 Daniel, J. W. (1957b) Report to ICI No. IHR/109 Daniel, J.W. (1963) Bioch. Pharmacol., 12, 795 Defalgue, R. J. (1961) Clin. Pharmacal. Ther., 2, 665 Dervilleé, P., Nun, Ch. & Casts, P. H. (1938) VIII Int. Congr. Unfallmed Berufsk, 28/9/1938 Fabre, R. & Truhaut, R. (1952) Brit. J. industri. Med., 9, 39 Friborska, A. (1969) Brit. J. industr. Med., 26, 159 Gehring, P. J. (1968) Toxicol. appl. Pharmacol., 13, 287 Guyot-Jeannin, C. & Van Steenkiste, J. (1958) Arch. Mal. prof., 19, 489 Helliwell, P. J. & Hutton, A. M. (1950) Anaesthia, 5, 4 Johnson, M. K. (1965) Biochem. Pharmacol., 14, 1383 Klaassen, C. D. & Plaa, G. L. (1966) Toxicol. appl. Pharmacol., 9, 139 Klaassen, C. D. & Plaa, G. L. (1967) Toxicol. appl. Pharmacol., 10, 119 Kylin, B., Sumegi, I. & Yllner, S. (1965) Acta pharmacol. Toxicol., 22, 379 Lande, P. Dervilleé, P. & Nun, Ch. 1939 Arch. Mal Prof. 2, 454 McKinney, L. L. et al. (1957) J. Amer. chem. Soc 79, 3932 Milby, T. H. (1968) J. occup. Med 10, 252 Mitchell, A. B. S. & Parsons-Smith, B. G. (1969) Brit. med. J., ii, 422 Moeschlin, S. (1956) Klinik & Therapie der Vergiftungen, Thieme, Stuttgart Patty, F. A. (1958) Industrial Hygiene and Toxicology, Vol. II, 1309 Pebay-Peyroula, F. et al. (1966) Bull. Soc. med. Hop. Paris, 117, 1137 Picken, J. C. Jr. et al. (1955) Agric. Food Chem. 3, 420 Picken, J. C. & Biester, H. E. (1957) 132nd Meeting of Amer. Chem. Soc. N.Y. Plaa, G. L., Evans, E. A. & Hine, C. H. (1958) J. Pharmacol. exp. Ther., 123, 224 Plaa, G.L.& Larson, R.E. (1965) Toxicol. appl. Pharmacol., 7, 37 Prendergast, J. A. et al. (1967) Toxicol. appl. Pharmacol., 10, 270 Rehfeld, C, E. et al. (1958) Agric. Food. Chem., 6, 227 Roche, L. Lejeune, E. & Riffat, M (1958) Ann. Med. lég. 38, 356 Seifter, J. (1944) ~J. industr. Hyg., 26, 250 Seto, T.A. & Schultze, M. 0. (1955) Proc. Soc. exp. Biol.,90, 314 Seto, T. A. et al. (1958) Agric. Food Chem., 6, 49 Smith, G. P. (1966) Brit. J. industr. Med., 23, 249 Smyth, H. F. Jr. et al. (1969) Amer. industr. Hyg. Ass. J., 30, 470 Soucek, B., Teismger, J. & Pavelkova, E. (1952) Pracov. Lék, 4, 31 Soucek, B. & Vlachova, D. (1960) Brit. J. industr. Med., 17, 60 Stewart, R. D. & Dodd, H. C. (1961) Amer. industr. Hyg. Ass. J., 25,439 Stewart, R. D. et al (1962) Amer. industr. Hyg. Ass. J., 23, 167 Stockman, S. (1916) J. comp. Path., 29, 26 Stops, G. J. & McLaughlin, M. (1967) Amer. industr. Hyg. Ass, J., 43 Tolot, F., Viallier, J. & Casanova, F. (1966) 15th Int. Congr. Occup.Hlth., Viennana, II, 401 Uhl, G. & Haag, T. P. (1958) Arch. Toxikol., 17, 197 Vernon, R. J. & Ferguson, R. K. (1969) Arch. environm. Hlth., 18, 894 Viallier, J. & Casanova, F. (1965) Compt. Rend. Soc. Biol. 159, 2219 von Oettingen, W. F. (1955) U.S. Dept. HEW, Public Health Service Publ., 414 Williams, R. T, (1959) Detoxication Mechanism, John Wiley & Sons, New York Zeitlin, B. R. (1963) Report to General Foods Corporation submitted to WHO Zeitlin, B. R. (1967) Report to General Foods Corporation No. 55-5705 Submitted to WHO Zeitlin, B. R. (1966) Report to General Foods Corporation submitted to WHO Powell, J. F. (1945) Brit. J. industr. Med., 2, 142
See Also: Toxicological Abbreviations