Natl Toxicol Program Tech Rep Ser. 2006 Sep(525):1-198.
Polyhalogenated aromatic hydrocarbons such as 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD) have the ability to bind to and activate the ligand-activated transcription factor, the aryl hydrocarbon receptor (AhR). Structurally related compounds that bind to the AhR and exhibit biological actions similar to TCDD are commonly referred to as "dioxin-like compounds" (DLCs). Ambient human exposure to DLCs occurs through the ingestion of foods containing residues of DLCs that bioconcentrate through the food chain. Due to their lipophilicity and persistence, once internalized they accumulate in human tissues, mainly adipose, resulting in chronic lifetime human exposure. Since human exposure to DLCs always involves a complex mixture, the toxic equivalency factor (TEF) methodology has been developed as a mathematical tool to assess the health risk posed by complex mixtures of these compounds. The TEF methodology is a relative potency scheme that ranks the dioxin-like activity of a compound relative to TCDD, which is the most potent congener. This allows for the estimation of the potential dioxin-like activity of a mixture of chemicals, based on a common mechanism of action involving an initial binding of DLCs to the AhR. The toxic equivalency of DLCs was nominated for evaluation because of the widespread human exposure to DLCs and the lack of data on the adequacy of the TEF methodology for predicting relative potency for cancer risk. To address this, the National Toxicology Program conducted a series of 2-year bioassays in female Harlan Sprague-Dawley rats to evaluate the chronic toxicity and carcinogenicity of DLCs and structurally related polychlorinated biphenyls (PCBs) and mixtures of these compounds. 2,3,4,7,8-Pentachlorodibenzofuran (PeCDF) is not manufactured commercially other than for scientific research purposes. The main sources of PeCDF releases into the environment are from combustion and incineration sources. PeCDF was selected for study by the National Toxicology Program as a part of the dioxin TEF evaluation to assess the cancer risk posed by complex mixtures of polychlorinated dibenzodioxins (PCDDs), polychlorinated dibenzofurans (PCDFs), and PCBs. The dioxin TEF evaluation includes conducting multiple 2-year rat bioassays to evaluate the relative chronic toxicity and carcinogenicity of DLCs, structurally related PCBs, and mixtures of these compounds. While one of the aims of the dioxin TEF evaluation was a comparative analysis across studies, in this Technical Report only the results of the present PeCDF study are presented and discussed. Female Harlan Sprague-Dawley rats were administered PeCDF (at least 97% pure) in corn oil:acetone (99:1) by gavage for 14, 31, or 53 weeks or 2 years. 2-YEAR STUDY: Groups of 81 female rats were administered 6, 20, 44, 92, or 200 ng PeCDF/kg body weight in corn oil:acetone (99:1) by gavage, 5 days per week, for up to 105 weeks; a group of 81 vehicle control female rats received the corn oil/acetone vehicle alone. Up to 10 rats per group were evaluated at 14, 31, and 53 weeks. A stop-exposure group was administered 200 ng/kg PeCDF in corn oil:acetone (99:1) by gavage for 30 weeks and then the vehicle for the remainder of the study. The PeCDF in this study was at least 97% pure. Survival of dosed groups was similar to that of the vehicle control group. Mean body weights of the 200 ng/kg core and stop-exposure groups were less than those of the vehicle controls during year 2 of the study. Thyroid Hormone Concentrations: Alterations in serum thyroid hormone levels were evaluated at the 14-, 31- and 53-week interim evaluations. There were significant decreases in total serum thyroxine (T(4)) levels at the 14-week interim evaluation. There were no significant differences observed in serum free T(4), total triiodothyronine (T(3)), or thyroid stimulating hormone (TSH) at 14 weeks. At both 31 and 53 weeks, there were treatment-related decreases in free and total T(4) concentrations and increases in serum T(3) levels. Serum TSH levels in dosed groups at 31 and 53 weeks were not significantly different than in the vehicle controls. Hepatic Cell Proliferation Data: To evaluate hepatocyte replication, analysis of labeling of replicating hepatocytes with 5-bromo-2'-deoxyuridine (BrdU) was conducted at the 14-, 31-, and 53-week interim evaluations. At 14 and 53 weeks, hepatocyte BrdU-labeling indices were significantly higher in the 200 ng/kg groups compared to time-matched vehicle controls. No significant differences were observed between the dosed groups and vehicle controls at 31 weeks. Cytochrome P450 Enzyme Activities: To evaluate the expression of known dioxin-responsive genes, CYP1A1-associated 7-ethoxyresorufin-O-deethylase (EROD) activity and CYP1A2-associated acetanilide-4-hydroxylase (A4H) activity were evaluated at the 14-, 31-, and 53-week interim evaluations. Hepatic EROD and A4H activities were significantly higher in all groups administered PeCDF relative to the vehicle controls at all three interim evaluations. Pulmonary EROD was also significantly higher in all dosed groups compared to vehicle controls at 14, 31, and 53 weeks. Determinations of PeCDF Concentrations in Tissues: The tissue disposition of PeCDF was analyzed in the liver, lung, fat, and blood of all animals at the 14-, 31-, and 53-week interim evaluations, and in 10 animals per group at the end of the 2-year study (105 weeks). In the liver of vehicle controls, PeCDF concentrations were detectable at 105 weeks. Measurable concentrations of PeCDF were not detected in fat or lung from vehicle control rats at any of the interim evaluations or at 105 weeks. Hepatic and fat concentrations were higher in groups with increasing doses of PeCDF, demonstrating a dose-related increase in tissue burden of PeCDF at each time point. No measurable concentrations of PeCDF were detected in the lungs of vehicle controls or any of the dosed groups at 14 weeks or in the lungs of the vehicle control group at 31, 53, and 105 weeks, or the 6 ng/kg group at 31 and 53 weeks. In groups with measurable levels, PeCDF concentrations were higher with respect to increasing doses. Mean levels of PeCDF in the liver, fat, lung, and blood in the 200 ng/kg group at the end of the 2-year study were 500 ng/g, 7.75 ng/g, 0.28 ng/g and 0.04 ng/mL, respectively. Negligible PeCDF concentrations were observed in blood of the 200 ng/kg group at 53 weeks and the 92 and 200 ng/kg groups at 105 weeks. In liver and fat from the stop-exposure group, the PeCDF concentrations were between the levels observed in the 6 and 20 ng/kg groups. In the stop-exposure group, PeCDF concentration in lung was comparable to levels observed in the 6 ng/kg group. No measurable concentrations were observed in blood from the stop-exposure group. Pathology and Statistical Analyses: There were dose-dependent increases in both absolute and relative liver weights at 4, 31, and 53 weeks, and these tended to correlate with increased incidences of hepatocellular hypertrophy. In the liver at 14 weeks, the only significant effect was an increase in the incidences of hepatocellular hypertrophy. At 53 weeks, there were significant increases in the incidences of hepatocellular hypertrophy and pigmentation. At 2 years, there were significant dose-dependent trends for increased incidences of hepatocellular adenoma and cholangiocarcinoma of the liver. A significant dose-dependent increase in hepatic toxicity was observed and was characterized by increased incidences of numerous nonneoplastic lesions including hepatocellular hypertrophy, multinucleated hepatocytes, oval cell hyperplasia, diffuse fatty change, pigmentation, nodular hyperplasia, eosinophilic foci, hepatocellular necrosis, bile duct hyperplasia, bile duct fibrosis, cholangiofibrosis, and toxic hepatopathy. At 2 years, three gingival squamous cell carcinomas of the oral mucosa were seen in the 200 ng/kg core and stop-exposure groups, two occurred in the 6 ng/kg group, and one occurred in each of the vehicle control, 20 ng/kg, and 92 ng/kg groups. Gingival squamous hyperplasia occurred in all groups including the vehicle controls, with increasing incidences in groups administered 44 ng/kg or greater. The incidence of carcinoma of the uterus was marginally increased in the 92 ng/kg group at 2 years. Increased incidences of chronic active inflammation of the uterus were observed in all dosed groups, and the incidence in the 200 ng/kg stop-exposure group was greater than those in the vehicle control and 200 ng/kg core study groups. Increased incidences of squamous metaplasia of the uterus occurred in all dosed groups. In the 200 ng/kg stop-exposure group, the incidence of squamous metaplasia was significantly greater than that in the vehicle controls, but was lower than that in the 200 ng/kg core study group. At 14-weeks, lung weights were significantly increased in the 200 ng/kg group compared to the vehicle controls. A single occurrence of a multiple cystic keratinizing epithelioma of the lung was observed in the 200 ng/kg core study group. There were increases in the incidences of bronchiolar metaplasia of the alveolar epithelium and sporadic incidences of squamous metaplasia. One pancreatic acinar adenoma and one pancreatic acinar carcinoma were each observed in the 92 ng/kg group and in the 200 ng/kg stop-exposure group at 2 years. Significantly increased incidences of acinar cytoplasmic vacuolization and arterial chronic active inflammation and increased severity of chronic active inflammation were observed in the 200 ng/kg core study group. Numerous nonneoplastic effects were seen in other organs including thyroid follicular cell hypertrophy, thymic atrophy, adrenal cortex cystic degeneration, nephropathy, cardiomyopathy, and squamous hyperplasia of the forestomach.
多卤代芳烃,如2,3,7,8-四氯二苯并对二噁英(TCDD),能够结合并激活配体激活转录因子——芳烃受体(AhR)。与AhR结合并表现出与TCDD相似生物学作用的结构相关化合物通常被称为“类二噁英化合物”(DLCs)。人类通过摄入含有DLCs残留的食物而暴露于环境中的DLCs,这些DLCs会通过食物链进行生物富集。由于它们的亲脂性和持久性,一旦进入体内,它们就会在人体组织中积累,主要是在脂肪组织中,导致人类终生慢性暴露。由于人类接触DLCs总是涉及复杂的混合物,因此已经开发出毒性当量因子(TEF)方法作为一种数学工具,以评估这些化合物复杂混合物所带来的健康风险。TEF方法是一种相对效力方案,它根据化合物相对于最具活性的同系物TCDD的二噁英样活性进行排序。这使得基于涉及DLCs与AhR初始结合的共同作用机制,能够估计化学混合物的潜在二噁英样活性。由于人类广泛暴露于DLCs,且缺乏关于TEF方法预测癌症风险相对效力充分性的数据,因此对DLCs的毒性当量进行了评估。为了解决这个问题,国家毒理学计划在雌性哈兰·斯普拉格-道利大鼠中进行了一系列为期2年的生物测定,以评估DLCs、结构相关的多氯联苯(PCBs)以及这些化合物混合物的慢性毒性和致癌性。2,3,4,7,8-五氯二苯并呋喃(PeCDF)除用于科学研究目的外,没有进行商业生产。PeCDF释放到环境中的主要来源是燃烧和焚烧源。作为二噁英TEF评估的一部分,国家毒理学计划选择PeCDF进行研究,以评估多氯二苯并二噁英(PCDDs)、多氯二苯并呋喃(PCDFs)和PCBs复杂混合物所带来的癌症风险。二噁英TEF评估包括进行多项为期2年的大鼠生物测定,以评估DLCs、结构相关的PCBs以及这些化合物混合物的相对慢性毒性和致癌性。虽然二噁英TEF评估的目标之一是跨研究进行比较分析,但在本技术报告中仅呈现和讨论了当前PeCDF研究的结果。通过灌胃法给雌性哈兰·斯普拉格-道利大鼠喂食PeCDF(纯度至少为97%),溶剂为玉米油:丙酮(99:1),持续14、31或53周或2年。
将81只雌性大鼠分为几组,通过灌胃法每周5天给予其6、20、44、92或200 ng PeCDF/kg体重的玉米油:丙酮(99:1)溶液,持续105周;一组81只溶剂对照雌性大鼠仅接受玉米油/丙酮溶剂。每组最多10只大鼠在第14、31和53周进行评估。一个停止暴露组通过灌胃法给予200 ng/kg PeCDF的玉米油:丙酮(99:1)溶液30周,然后在研究的剩余时间给予溶剂。本研究中的PeCDF纯度至少为97%。给药组的存活率与溶剂对照组相似。在研究的第2年,200 ng/kg核心组和停止暴露组的平均体重低于溶剂对照组。
在第14、31和53周的中期评估中评估血清甲状腺激素水平的变化。在第14周的中期评估中,血清总甲状腺素(T4)水平显著下降。在第14周时,血清游离T4、总三碘甲状腺原氨酸(T3)或促甲状腺激素(TSH)未观察到显著差异。在第31周和53周时,游离和总T4浓度出现与治疗相关的下降,血清T3水平升高。给药组在第31周和53周时的血清TSH水平与溶剂对照组无显著差异。
为了评估肝细胞复制,在第14、31和53周的中期评估中,用5-溴-2'-脱氧尿苷(BrdU)对复制的肝细胞进行标记分析。在第14周和53周时,200 ng/kg组的肝细胞BrdU标记指数显著高于同期的溶剂对照组。在第31周时,给药组与溶剂对照组之间未观察到显著差异。
细胞色素P450酶活性:为了评估已知二噁英反应基因的表达,在第14、31和53周的中期评估中评估CYP1A1相关的7-乙氧基异吩唑酮-O-脱乙基酶(EROD)活性和CYP1A2相关的乙酰苯胺-4-羟化酶(A4H)活性。在所有三个中期评估中,相对于溶剂对照组,所有给予PeCDF的组的肝脏EROD和A4H活性均显著升高。在第14、31和53周时,所有给药组的肺EROD也显著高于溶剂对照组。
组织中PeCDF浓度的测定:在第14、31和53周的中期评估中,分析所有动物肝脏、肺、脂肪和血液中的PeCDF组织分布,并在2年研究结束时(105周)分析每组10只动物的上述组织。在溶剂对照组的肝脏中,在105周时可检测到PeCDF浓度。在任何中期评估或105周时,溶剂对照大鼠的脂肪或肺中均未检测到可测量浓度的PeCDF。随着PeCDF剂量增加,各组肝脏和脂肪中的浓度升高,表明在每个时间点PeCDF的组织负担呈剂量相关增加。在第14周时,溶剂对照组或任何给药组的肺中均未检测到可测量浓度的PeCDF,在第31、53和105周时,溶剂对照组的肺中以及在第31和53周时6 ng/kg组的肺中也未检测到可测量浓度的PeCDF。在有可测量水平的组中,PeCDF浓度随剂量增加而升高。在2年研究结束时,200 ng/kg组肝脏、脂肪、肺和血液中的PeCDF平均水平分别为500 ng/g、7.75 ng/g、0.28 ng/g和0.04 ng/mL。在第53周时,200 ng/kg组的血液中以及在第105周时92和200 ng/kg组的血液中观察到的PeCDF浓度可忽略不计。在停止暴露组的肝脏和脂肪中,PeCDF浓度介于6和20 ng/kg组观察到的水平之间。在停止暴露组中,肺中的PeCDF浓度与6 ng/kg组观察到的水平相当。停止暴露组的血液中未检测到可测量浓度。
在第4、31和53周时,绝对和相对肝脏重量均呈剂量依赖性增加,且这些增加往往与肝细胞肥大的发生率增加相关。在第14周时,肝脏中唯一显著的影响是肝细胞肥大的发生率增加。在第53周时,肝细胞肥大和色素沉着的发生率显著增加。在2年时,肝脏中肝细胞腺瘤和胆管癌的发生率呈显著的剂量依赖性增加趋势。观察到肝脏毒性呈显著的剂量依赖性增加,其特征是许多非肿瘤性病变的发生率增加,包括肝细胞肥大、多核肝细胞、卵圆细胞增生、弥漫性脂肪变性、色素沉着、结节性增生、嗜酸性病灶、肝细胞坏死、胆管增生、胆管纤维化、胆管周围纤维化和中毒性肝病。在2年时,在200 ng/kg核心组和停止暴露组中观察到3例口腔黏膜牙龈鳞状细胞癌,在6 ng/kg组中出现2例,在溶剂对照组、20 ng/kg组和92 ng/kg组中各出现1例。包括溶剂对照组在内的所有组均出现牙龈鳞状增生,在给予44 ng/kg或更高剂量的组中发生率增加。在92 ng/kg组中,2年时子宫癌的发生率略有增加。在所有给药组中均观察到子宫慢性活动性炎症的发生率增加,在200 ng/kg停止暴露组中的发生率高于溶剂对照组和200 ng/kg核心研究组。在所有给药组中均出现子宫鳞状化生的发生率增加。在200 ng/kg停止暴露组中,鳞状化生的发生率显著高于溶剂对照组,但低于200 ng/kg核心研究组。在第14周时,200 ng/kg组的肺重量相对于溶剂对照组显著增加。在200 ng/kg核心研究组中观察到1例肺多发性囊性角化上皮瘤。肺泡上皮的细支气管化生发生率增加,鳞状化生偶有发生。在2年时,在92 ng/kg组和200 ng/kg停止暴露组中各观察到1例胰腺腺泡腺瘤和1例胰腺腺泡癌。在200 ng/kg核心研究组中观察到腺泡细胞质空泡化、动脉慢性活动性炎症的发生率显著增加以及慢性活动性炎症的严重程度增加。在其他器官中还观察到许多非肿瘤性效应,包括甲状腺滤泡细胞肥大、胸腺萎缩、肾上腺皮质囊性变性、肾病、心肌病和前胃鳞状增生。