Natl Toxicol Program Tech Rep Ser. 2012 Sep(579):1-211.
N,N-dimethyl-p-toluidine was nominated for toxicology and carcinogenesis studies by the National Cancer Institute based on the potential for human exposure through its use in dental materials and bone cements and the lack of toxicity and carcinogenicity data. Male and female F344/N rats and B6C3F1/N mice were administered N,N-dimethyl-p-toluidine (greater than 99% pure) in corn oil by gavage for 3 months or 2 years. Genetic toxicology studies were conducted in Salmonella typhimurium and Escherichia coli, mouse peripheral blood, and mouse and rat liver. 3-MONTH STUDY IN RATS: Groups of 10 male and 10 female rats were administered 0, 62.5, 125, 250, 500, or 1,000 mg N,N-dimethyl-p-toluidine/kg body weight in corn oil by gavage, 5 days per week for 14 weeks. Additional groups of 10 male and 10 female rats (clinical pathology study) were administered the same doses, 5 days per week for 25 days. On day 88, blood was collected from core study rats for hemoglobin and methemoglobin analyses only. All 1,000 mg/kg male and female rats and one 500 mg/kg male rat died by study day 3. Mean body weights of all surviving dosed groups of males and females were significantly less than those of the vehicle controls. Clinical findings associated with exposure to N,N-dimethyl-p-toluidine included cyanosis, abnormal breathing, and lethargy in groups administered 250 mg/kg or greater. Methemoglobinemia appeared to be the primary hematologic toxic response, and many other lesions could be explained as secondary to methemoglobin formation including Heinz body formation; a macrocytic, hypochromic, responsive anemia; and increased hematopoietic cell proliferation in the spleen and bone marrow. In general, hematologic changes were dose-related and occurred at both evaluated timepoints in all dosed groups. Anemia was evidenced by decreases in hematocrit values, hemoglobin concentrations, and erythrocyte counts; erythrocyte macrocytosis was characterized by increases in mean cell volume and mean cell hemoglobin values; erythrocyte hypochromia was evidenced by decreases in mean cell hemoglobin concentration values; and an erythropoietic response to the anemia was characterized by substantially increased reticulocyte and nucleated erythrocyte counts. Liver weights of all surviving dosed groups of males and females were significantly greater than those of the vehicle controls. Kidney weights of all surviving dosed groups of females were significantly greater than those of the vehicle controls. There were significant decreases in left cauda epididymis and left epididymis weights in 250 mg/kg males. There was a dose-related decrease in the number of cycling females, with only four females in the 250 mg/kg group having regular cycles and females in the 125 and 250 mg/kg groups spending a significantly higher proportion of time in extended diestrus compared to the vehicle control group. In the surviving groups of rats, there were significantly increased incidences of pigmentation in the liver of all dosed groups, hepatocyte hypertrophy in groups administered 125 mg/kg or greater, and hepatocyte necrosis in 62.5, 250, and 500 mg/kg females. In the olfactory epithelium of the nose, there were dose-related increases in the incidences and severities of degeneration in all dosed groups and significantly increased incidences of metaplasia in the 250 and 500 mg/kg groups. In the respiratory epithelium of the nose, there were significantly increased incidences of hyperplasia and squamous metaplasia in all of the groups administered 125 mg/kg or greater. The incidences of glandular hyperplasia of the nose were significantly increased in males and females administered 125, 250, or 500 mg/kg. In the spleen, there were significantly increased incidences of capsule fibrosis, congestion, mesothelial hypertrophy, and lymphoid follicle atrophy primarily in groups administered 125 mg/kg or greater. Hematopoietic cell proliferation and pigmentation were increased in severity in treated groups. In the kidney, there were significantly increased incidences of nephropathy (females), pigmentation (males and females), papillary necrosis (males and females), and mineralization (males). Other treatment-related lesions included inflammation of the forestomach in males, mesenteric lymph node atrophy in females, and bone marrow hyperplasia in males and females. 3-MONTH STUDY IN MICE: Groups of 10 male and 10 female mice were administered 0, 15, 30, 60, 125, or 250 mg N,N-dimethyl-p-toluidine/kg body weight in corn oil by gavage, 5 days per week for 14 weeks. All 250 mg/kg male and female mice (except for one male mouse) died before day 10, and three males and two females administered 125 mg/kg died before the end of the study. The final mean body weight of 125 mg/kg males and the mean body weight gains of 125 mg/kg males and females were significantly less than those of the vehicle controls. Clinical findings associated with administration of N,N-dimethyl-p-toluidine included abnormal breathing, thinness, lethargy, cyanosis, and ruffled fur in 125 and 250 mg/kg males and females. Methemoglobinemia appeared to be the primary hematologic toxic response; however there were less severe erythron changes compared to the 3-month study in rats. In females, no erythron changes were detected up to 125 mg/kg. In males, inconsistent and minor decreases in hematocrit values, hemoglobin concentrations, and erythrocyte counts, and increased reticulocyte counts occurred in groups administered 60 mg/kg or greater. Methemoglobin values were minimally increased in males and females administered 30 mg/kg or greater. Heinz bodies were slightly increased in 60 mg/kg females, 125 mg/kg males and females, and the one surviving 250 mg/kg male; Heinz body formation was considered secondary to methemoglobin formation. Liver weights of all dosed groups of mice were significantly greater than those of the vehicle controls. In the surviving groups of mice, there were significantly increased incidences of bronchiolar epithelium degeneration, bronchiolar epithelium regeneration, and peribronchiolar chronic active inflammation in the lung of 125 mg/kg groups, and histiocytic infiltrates of the alveoli in 125 mg/kg females. In the nose, there were significantly increased incidences of glandular hyperplasia and olfactory epithelium metaplasia in the 125 mg/kg groups and olfactory epithelium degeneration in 60 mg/kg females and 125 mg/kg males and females. In the thymus, the incidences of thymocyte necrosis in the 125 mg/kg groups were significantly increased. In the liver, the severities of cytoplasmic vacuolization of the hepatocytes were increased in dosed groups of males and females. 2-YEAR STUDY IN RATS: Groups of 50 male and 50 female rats were administered 0, 6, 20, or 60 mg N,N-dimethyl-p-toluidine/kg body weight in corn oil by gavage, 5 days per week for 104 or 105 weeks. Additional groups of 10 male and 10 female rats (clinical pathology study) were administered the same doses for 86 days. Survival of 60 mg/kg males was significantly less than that of the vehicle controls. Mean body weights of 60 mg/kg males and females were more than 10% less than those of the vehicle controls after week 61 and week 33, respectively. Clinical findings included signs of pallor in 60 mg/kg females and hyperactivity and boxing behavior in 20 mg/kg females and 60 mg/kg males and females. The hematology findings at the 3-month timepoint were consistent with those in the 3-month study in rats which indicated that methemoglobinemia was the primary hematologic toxic response. In the 20 and 60 mg/kg groups, there were dose-related decreases in hematocrit values, hemoglobin concentrations, and erythrocyte counts. There were similar trends toward erythrocyte macrocytosis and hypochromia and increased erythropoiesis as seen in the 3-month study. While the magnitudes of the erythron decreases were not sufficient to classify the responses as anemias, the patterns of the erythron changes were identical to those in the 3-month study. In the liver of 60 mg/kg males and females, there were significantly increased incidences of hepatocellular carcinoma and hepatocellular adenoma or hepatocellular carcinoma (combined). Numerous nonneoplastic liver lesions occurred in dosed males and females primarily in the 20 and 60 mg/kg groups. In the nose, there were significantly increased incidences of transitional epithelium adenoma and transitional epithelium adenoma or carcinoma (combined) in 60 mg/kg males; transitional epithelium adenoma also occurred in female rats administered 6 or 60 mg/kg. In the nose, there were significantly increased incidences of nonneoplastic lesions in the olfactory, respiratory, and transitional epithelia of dosed rats. These lesions occurred with the greatest incidence and severity in the 60 mg/kg groups. The incidences of inflammation and nerve atrophy were significantly increased in males and females administered 60 mg/kg. There were increased incidences of follicular cell adenoma or carcinoma (combined) of the thyroid gland in all dosed groups of males, and an increased incidence of follicular cell adenoma in 20 mg/kg females. In the spleen, there were significantly increased incidences of hematopoietic cell proliferation in all dosed groups of males and females. The incidences of congestion and mesothelial hypertrophy of the capsule were significantly increased in 60 mg/kg males and all dosed groups of females. There were also significantly increased incidences of capsular fibrosis and atrophy of the lymphoid follicle in the 60 mg/kg groups. The incidences of pigmentation were significantly increased in all dosed groups of males and in 60 mg/kg females. In all dosed groups of female rats, there were significantly increased incidences of nephropathy. (ABSTRACT TRUNCATED)
基于N,N-二甲基对甲苯胺可通过牙科材料和骨水泥接触人体,且缺乏毒性和致癌性数据,美国国立癌症研究所指定对其开展毒理学和致癌作用研究。将纯度大于99%的N,N-二甲基对甲苯胺溶解于玉米油中,经口灌胃给予F344/N雄性和雌性大鼠以及B6C3F1/N雄性和雌性小鼠,给药期为3个月或2年。采用鼠伤寒沙门氏菌和大肠杆菌、小鼠外周血以及小鼠和大鼠肝脏进行遗传毒理学研究。大鼠3个月研究:每组10只雄性和10只雌性大鼠,经口灌胃给予含0、62.5、125、250、500或1000 mg N,N-二甲基对甲苯胺/kg体重的玉米油,每周5天,共14周。另有每组10只雄性和10只雌性大鼠(临床病理学研究),给予相同剂量,每周5天,共25天。在第88天,仅采集核心研究大鼠的血液用于血红蛋白和高铁血红蛋白分析。所有给予1000 mg/kg的雄性和雌性大鼠以及1只给予500 mg/kg的雄性大鼠在研究第3天死亡。所有存活的给药组雄性和雌性大鼠的平均体重显著低于溶剂对照组。与接触N,N-二甲基对甲苯胺相关的临床发现包括给予250 mg/kg及以上剂量组出现发绀、呼吸异常和嗜睡。高铁血红蛋白血症似乎是主要的血液学毒性反应,许多其他病变可解释为高铁血红蛋白形成的继发效应,包括海因茨小体形成;大细胞性、低色素性、反应性贫血;以及脾脏和骨髓中造血细胞增殖增加。一般来说,血液学变化与剂量相关,且在所有给药组的两个评估时间点均有发生。贫血表现为血细胞比容值、血红蛋白浓度和红细胞计数降低;红细胞大细胞性表现为平均细胞体积和平均细胞血红蛋白值增加;红细胞低色素性表现为平均细胞血红蛋白浓度值降低;对贫血的红细胞生成反应表现为网织红细胞和有核红细胞计数大幅增加。所有存活的给药组雄性和雌性大鼠的肝脏重量显著高于溶剂对照组。所有存活的给药组雌性大鼠的肾脏重量显著高于溶剂对照组。给予250 mg/kg的雄性大鼠左附睾尾和左附睾重量显著降低。与剂量相关的是,处于发情周期的雌性大鼠数量减少,250 mg/kg组只有4只雌性大鼠有规律的发情周期,125和250 mg/kg组的雌性大鼠与溶剂对照组相比,处于延长动情间期的时间比例显著更高。在存活的大鼠组中,所有给药组肝脏色素沉着的发生率显著增加,给予125 mg/kg及以上剂量组出现肝细胞肥大,62.5、250和500 mg/kg雌性大鼠出现肝细胞坏死。在鼻嗅上皮中,所有给药组变性的发生率和严重程度与剂量相关增加,250和500 mg/kg组化生的发生率显著增加。在鼻呼吸上皮中,给予125 mg/kg及以上剂量的所有组增生和鳞状化生的发生率显著增加。给予125、250或500 mg/kg的雄性和雌性大鼠鼻腺增生的发生率显著增加。在脾脏中,主要在给予125 mg/kg及以上剂量组,包膜纤维化、充血、间皮肥大和淋巴滤泡萎缩的发生率显著增加。治疗组造血细胞增殖和色素沉着的严重程度增加。在肾脏中,雌性大鼠肾病、雄性和雌性大鼠色素沉着、雄性和雌性大鼠乳头坏死以及雄性大鼠矿化的发生率显著增加。其他与治疗相关的病变包括雄性大鼠前胃炎症、雌性大鼠肠系膜淋巴结萎缩以及雄性和雌性大鼠骨髓增生。小鼠3个月研究:每组10只雄性和10只雌性小鼠,经口灌胃给予含0、15、30、60、125或250 mg N,N-二甲基对甲苯胺/kg体重的玉米油,每周5天,共14周。所有给予250 mg/kg的雄性和雌性小鼠(除1只雄性小鼠外)在第10天前死亡,给予125 mg/kg的3只雄性和2只雌性小鼠在研究结束前死亡。给予125 mg/kg的雄性小鼠最终平均体重以及给予125 mg/kg的雄性和雌性小鼠的平均体重增加量显著低于溶剂对照组。与给予N,N-二甲基对甲苯胺相关的临床发现包括给予125和250 mg/kg的雄性和雌性小鼠出现呼吸异常、消瘦、嗜睡、发绀和被毛蓬乱。高铁血红蛋白血症似乎是主要的血液学毒性反应;然而,与大鼠3个月研究相比,红细胞变化较轻。在雌性小鼠中,给予125 mg/kg及以下剂量未检测到红细胞变化。在雄性小鼠中,给予60 mg/kg及以上剂量组血细胞比容值、血红蛋白浓度和红细胞计数出现不一致的轻微降低,网织红细胞计数增加。给予30 mg/kg及以上剂量的雄性和雌性小鼠高铁血红蛋白值略有增加。给予60 mg/kg的雌性小鼠、给予125 mg/kg的雄性和雌性小鼠以及1只存活的给予250 mg/kg的雄性小鼠海因茨小体略有增加;海因茨小体形成被认为是高铁血红蛋白形成的继发效应。所有给药组小鼠的肝脏重量显著高于溶剂对照组。在存活的小鼠组中,给予125 mg/kg组的肺细支气管上皮变性、细支气管上皮再生和细支气管周围慢性活动性炎症的发生率显著增加,给予125 mg/kg的雌性小鼠肺泡组织细胞浸润。在鼻中,给予125 mg/kg组腺增生和嗅上皮化生的发生率显著增加,给予60 mg/kg的雌性小鼠以及给予125 mg/kg的雄性和雌性小鼠嗅上皮变性。在胸腺中,给予125 mg/kg组胸腺细胞坏死的发生率显著增加。在肝脏中,给药组雄性和雌性小鼠肝细胞胞质空泡化的严重程度增加。大鼠2年研究:每组50只雄性和50只雌性大鼠,经口灌胃给予含0、6、20或60 mg N,N-二甲基对甲苯胺/kg体重的玉米油,每周5天,共104或105周。另有每组10只雄性和10只雌性大鼠(临床病理学研究),给予相同剂量,共86天。给予60 mg/kg的雄性大鼠存活率显著低于溶剂对照组。给予60 mg/kg的雄性和雌性大鼠平均体重分别在第61周和第33周后比溶剂对照组低10%以上。临床发现包括给予60 mg/kg的雌性大鼠面色苍白,给予20 mg/kg的雌性大鼠以及给予60 mg/kg的雄性和雌性大鼠多动和拳击行为。3个月时间点的血液学结果与大鼠3个月研究一致,表明高铁血红蛋白血症是主要的血液学毒性反应。在给予20和60 mg/kg的组中,血细胞比容值、血红蛋白浓度和红细胞计数与剂量相关降低。与3个月研究一样,出现红细胞大细胞性和低色素性以及红细胞生成增加的类似趋势。虽然红细胞减少的幅度不足以将反应分类为贫血,但红细胞变化模式与3个月研究相同。在给予60 mg/kg的雄性和雌性大鼠肝脏中,肝细胞癌以及肝细胞腺瘤或肝细胞癌(合并)的发生率显著增加。给药的雄性和雌性大鼠主要在给予20和60 mg/kg组出现许多非肿瘤性肝脏病变。在鼻中,给予60 mg/kg的雄性大鼠移行上皮腺瘤以及移行上皮腺瘤或癌(合并)的发生率显著增加;给予6或60 mg/kg的雌性大鼠也出现移行上皮腺瘤。在鼻中,给药大鼠的嗅、呼吸和移行上皮非肿瘤性病变的发生率显著增加。这些病变在给予60 mg/kg组的发生率和严重程度最高。给予60 mg/kg的雄性和雌性大鼠炎症和神经萎缩的发生率显著增加。所有给药组雄性大鼠甲状腺滤泡细胞腺瘤或癌(合并)的发生率增加,给予20 mg/kg的雌性大鼠滤泡细胞腺瘤的发生率增加。在脾脏中,所有给药组雄性和雌性大鼠造血细胞增殖的发生率显著增加。给予60 mg/kg的雄性大鼠以及所有给药组雌性大鼠包膜充血和间皮肥大的发生率显著增加。给予60 mg/kg组包膜纤维化和淋巴滤泡萎缩的发生率也显著增加。所有给药组雄性大鼠以及给予60 mg/kg的雌性大鼠色素沉着的发生率显著增加