Phenylhydrazine and its salts – calculated on phenylhydrazine. Documentation of proposed values of occupational exposure limits (OELs)

2018 ◽  
Vol 34 (4(98)) ◽  
pp. 113-148
Author(s):  
Anna Kilanowicz ◽  
Małgorzata Skrzypińska-Gawrysiak

Phenylhydrazine at room temperature is a colorless or yellow oily liquid, at lower temperatures it occurs in a form of a crystalline Phenylhydrazine is used in an organic synthesis as a powerful reducing agent or as an intermediate in synthesis of other chemical compounds, such as dyes and drugs. Phenylhydrazine is also used as a chemical reagent. At the beginning of the 20th century, phenylhydrazine was used as a drug in polycythemia vera and other blood disorders. Occupational exposure to phenylhydrazine and its salts may occur during the production, further processing and distribution of these compounds, and also during their use. In 2014, 711 people were exposed to phenylhydrazine in Poland (including 531 women), of which 2 people only were exposed to phenylhydrazine in the air at a concentration range> 0.1–0.5 of the MAC value (20 mg/m3) . Phenylhydrazine is classified as a toxic substance after oral administration, in contact with skin and after inhalation. The available literature describes several cases of human poisoning with phenylhydrazine with inhalation and through the skin. Adverse effects of phenylhydrazine exposure are progressive hemolytic anemia with hyperbilirubinaemia and urobilinemia, presence of Heinz bodies in red blood cells, impairment of renal and hepatic function as secondary symptom to the haemolytic activity of phenylhydrazine. Methemoglobinemia and leukocytosis sometimes occurred. General symptoms of poisoning included dizziness, diarrhea, general weakness and reduced blood pressure. Phenylhydrazine irritates the skin. Several cases of skin hypersensitivity reactions to phenylhydrazine and its hydrochloride have also been described. It has been shown that phenylhydrazine gives cross-reactions with hydrazine salts. In animals, the main symptoms of acute phenylhydrazine poisoning were the formation of significant amounts of methaemoglobin and its consequences: hemolysis, Heinz bodies formation, reticulocytosis, bone marrow hyperplasia, splenomegaly and liver damage. Motor excitation and tonic-clonic spasms were also observed. As a result of repeated exposure, it was found that phenylhydrazine also causes hemostatic disorders in addition to haemolytic anemia and leads to acute pulmonary thrombosis. The dose-effect relationship cannot be derived from existing data nor the NOAEL value be determined. Phenylhydrazine is an in vitro mutagen and some evidence points to its genotoxic activity in vivo (DNA methylation and fragmentation ). Phenylhydrazine and its salts have been classified as category 2 mutagenic substances. In the available literature and databases, no information was found on the carcinogenic activity of phenylhydrazine and its salts in humans. Carcinogenic activity of phenylhydrazine has been demonstrated in experimental animals. Exposure of mice via oral route resulted in the occurrence of lung tumors and tumors of blood vessels. The International Agency for Research on Cancer (IARC) does not classify phenylhydrazine and its salts as carcinogenic. In the European Union, phenylhydrazine and its salts have been classified as category 1B carcinogens. There is also insufficient data on the effect of phenylhydrazine on reproduction and developmental toxicity, so it is difficult to assess whether these effects may occur in humans exposed to phenylhydrazine and its salts. Based on the observed systemic effects in humans and animals exposed to phenylhydrazine and its salts, it can be assumed that these compounds are absorbed into the body by inhalation, oral route, through the skin and after parenteral administration. There are no quantitative data on the absorption efficiency of individual routes. The main metabolic pathways of phenylhydrazine are hydroxylation to p-hydroxyphenylhydrazine and formation of phenylhydrazones by reaction with natural keto-acids. Metabolites in the form of glucuronides are mainly excreted in the urine. The existing two studies of the carcinogenic activity of phenylhydrazine hydrochloride have shown that the compound administered via the oral route caused a significant increase in the formation of lung tumors or tumors of blood vessels. In the second study, despite the longer exposure time, no significant increase in lung cancer was observed. Although the results of both studies seem to be unreliable in the light of current criteria and are limited to one species (mice) only and one dose, on the basis of them, phenylhydrazine was classified in the EU as a carcinogen category 1B with the assigned phrase H350 - may cause cancer. A quantitative evaluation of phenylhydrazine carcinogenicity was performed using data on the incidence of lung cancer in mice of both genders exposed to phenylhydrazine hydrochloride, administered intragastrically at 1 mg/day. The model adopted for calculations shows that exposure to phenylhydrazine, at the level of the adopted MAC value in Poland (20 mg/m3) over 40 years of work, corresponds to the risk of lung cancer at the level of 5.7 · 10-2. Such risk is unacceptable. From the estimation of cancer risk, it appears that the current value of MAC for substance should be reduced. The existing database on the toxicity of phenylhydrazine and its salts is insufficient to derive a MAC value based on NOAEL/LOAEL values. Due to the mechanism of action and the main toxic effects (haematotoxicity), phenylhydrazine has an aniline-like toxicological profile. It was proposed that the MAC value for phenylhydrazine should be taken analogously to the MAC value for aniline, i.e. 1.9 mg/m3, which corresponds to the risk of lung cancer in occupational exposure conditions of 5.4 · 10-3. Due to the dermal absorption of phenylhydrazine, the "skin" notation has been proposed (absorption through the skin may be as important as in the case of inhalation). Additionally, due to irritating, sensitizing, carcinogenic and mutagenic effects of phenylhydrazine, the normative should be marked with the letters "I" (substance with an irritating effect), "A" (a substance with sensitizing effect), Carc. 1B (carcinogenic substance category 1B) and Muta. 2 (mutagen category 2). There are no evidence to establish the STEL and BEI values.

2019 ◽  
Vol 36 (2(100)) ◽  
pp. 73-98
Author(s):  
Renata Soćko

Etoposide at room temperature is a solid present in the form of a white or yellow-brown crystalline powder. It is an anticancer drug with cytotoxic and anti-mitotic activity, used to treat patients with testicular cancer, acute myelogenous leukemia, lung cancer, non-small-cell lung cancer, adrenal cortex cancer, gastric cancer, hepatoblastoma, acute lymphoblastic leukemia and brain tumors. It is also recommended for the treatment of Ewing sarcoma and Kaposi's sarcoma associated with AIDS. This cytostatic is available in capsules taken by food and in concentrate for solution for infusion. Occupational exposure to etoposide occurs during its manufacture, confectioning, packaging and use in everyday treatment practices of hospital wards. The monograph, along with the proposal for a hygiene standard for etoposide, was developed as a continuation of work on the determination of the value of hygiene standards for cytostatics. According to the National Consultant's report in the field of nursing in 2010 (incomplete data, covering only 12 voivodeship), the number of nurses employed in oncology facilities totaled 5077. On the basis of data from the Central Register of Data on Exposure to Carcinogenic or Mutagenic Substances, Mixtures, Agents or Technological Process in Poland exposure to etoposide in Poland in the last three years has been growing. In 2015, 414 people were exposed to the substance. This substance has not been officially classified in the European Union. Most manufacturers of etoposide importers classify it for carcinogenic activity to category 1.B with risk phrase: May cause cancer and acute toxicity after oral exposure to category 4. The main effect of the toxicity of etoposide as a medicine is suppression of bone marrow function, which results in neutropenia, granulocytopenia and thrombocytopenia, leukopenia, an increase in the number of megaloblasts in the bone marrow and gastrointestinal symptoms (eg nausea, vomiting with mild to moderate intensity) , bronchospasm, inflammation of mucous membranes, feelings of disgust in the mouth, baldness and secondary leukemia. According to the IARC, there is limited evidence of carcinogenicity of etoposide in animals, but there is sufficient evidence of carcinogenicity of etoposide in humans when combined exposure to cisplatin and bleomycin. In IARC, etoposide was classified as probably carcinogenic to humans (Group 2.A.), and in combination with cisplatin and bleomycin as a carcinogen for humans (Group 1). The genotoxic activity of etoposide has been demonstrated in studies performed on human and animal material in vitro without metabolic activation. Etoposide caused the occurrence of chromosomal aberrations in both humans and experimental animals, increased sister chromatid exchange, double-strand break in DNA and the micronucleus formation. In experimental animal studies (mice, rats, rabbits), etoposide was teratogenic and embryotoxic. In women treated with etoposide, transient ovarian dysfunction is reported. The effect of etoposide on ovarian function, however, did not depend on the dose, but on the patient's age. In addition, spontaneous births were reported in women treated with etoposide. In some cases, the embryotoxic effects of the drug have been demonstrated. There were no congenital malformations in children whose mothers were treated with etoposide alone or in combination with other cytostatics, as well as in children of men treated with etoposide. The critical effect of the action of etoposide as a drug is bone marrow suppression. The lowest therapeutic dose of the drug was found at 2.37 mg/kg/day. In Poland, the maximum permissible concentrations of etoposide in the work environment have not yet been established. The following data was taken into account when determining the NDS of etoposide: - occupational exposure levels established by etoposide manufacturers for this substance amount to 0.0003 or 0.0007 mg/m3; - available results of human and animal studies do not allow to determine the dose-effect relationship; - due to the genotoxic, carcinogenic, teratogenic and reproductive effects of etoposide, NIOSH assumed that the OEL should be set at a level below 0.01 mg/m3; - according to the classification proposed by the group operating within the framework of the "Global strategy of risk management", etoposide should be in category 4, ie substances for which the OEL value in the work environment should be in the range of 0.001 mg/m3 ÷ 0.01 mg/m3. The MAC value of etoposide was proposed at the level of the equivalent concentration to 0.1% of the lowest therapeutic dose used in humans (2.37 mg/kg), similar to other cytostatics (eg N-hydroxyurea, fluorouracil). An additional uncertainty factor "F" was adopted at level 10 related to the long-term effects of exposure, i.e. genotoxic, carcinogenic and reprotoxic effects of the substance. The MAC of the inhalable fraction of etoposide was set at 0.0017 mg/m3. There are no substantive basis to establish the value of the short- -term (STEL) and permissible concentrations in biological material (DSB) for etoposide. Based on quantitative data characterizing skin absorption of etoposide, which has a molecular weight of 588.56 and its poor solubility in water, it has been found that the substance is characterized by a low ability to penetrate the skin. Due to the observed embryotoxicity in humans and teratogenic and embryotoxic etoposide in experimental animals, the substance was marked with the letters "Ft" - a substance harmful for reproduction. In addition, the labeling recommended by the manufacturers of "Carc 1.B" that indicated that it is a carcinogenic substance of category 1.B.


2021 ◽  
Vol 11 (2) ◽  
pp. 97
Author(s):  
Rakhmetkazhy Bersimbaev ◽  
Olga Bulgakova ◽  
Akmaral Aripova ◽  
Assiya Kussainova ◽  
Oralbek Ilderbayev

MicroRNAs are a class of small noncoding endogenous RNAs 19–25 nucleotides long, which play an important role in the post-transcriptional regulation of gene expression by targeting mRNA targets with subsequent repression of translation. MicroRNAs are involved in the pathogenesis of numerous diseases, including cancer. Lung cancer is the leading cause of cancer death in the world. Lung cancer is usually associated with tobacco smoking. However, about 25% of lung cancer cases occur in people who have never smoked. According to the International Agency for Research on Cancer, asbestos has been classified as one of the cancerogenic factors for lung cancer. The mechanism of malignant transformation under the influence of asbestos is associated with the genotoxic effect of reactive oxygen species, which initiate the processes of DNA damage in the cell. However, epigenetic mechanisms such as changes in the microRNA expression profile may also be implicated in the pathogenesis of asbestos-induced lung cancer. Numerous studies have shown that microRNAs can serve as a biomarker of the effects of various adverse environmental factors on the human body. This review examines the role of microRNAs, the expression profile of which changes upon exposure to asbestos, in key processes of carcinogenesis, such as proliferation, cell survival, metastasis, neo-angiogenesis, and immune response avoidance.


2017 ◽  
Vol 75 (5) ◽  
pp. 389-397
Author(s):  
Nathalie Havet ◽  
Alexis Penot ◽  
Morgane Plantier ◽  
Barbara Charbotel ◽  
Magali Morelle ◽  
...  

ObjectiveThis article explores the impact of regulations on the implementation of collective protections in France to occupational exposure to carcinogenic, mutagenic and reprotoxic (CMR) agents.MethodsIndividual data from the French national cross-sectional survey of occupational hazards conducted in 2010 were analysed. We investigated whether stricter regulations and longer exposures were associated with higher level of collective protection using multivariate logistic regressions.ResultsGeneral ventilation, for which effect is limited as collective protection for CMR products, was present in 19% of situations involving CMR agents while isolation chambers, the most effective form of protection, were only very rarely implemented. Multilevel logistic regressions show that exposure situations to products classified as category 1 or 2 by the European Union do not have a higher probability of benefiting from a collective protection measures. Exposures to products with a Binding Occupational Exposure Limit Value selectively benefited from a better level of protection. Exposures to agents entered on the International Agency for Research on Cancer (IARC) list of proven or probable carcinogens benefited more from effective collective protections than products suspected to be carcinogens but not yet classified by IARC.ConclusionsThese results suggest that the dissemination of evaluations of carcinogens by the IARC translate into improved protective measures even though the IARC classification has no mandatory impact on regulations.


2009 ◽  
Vol 7 (1) ◽  
Author(s):  
Alireza Mosavi-Jarrahi ◽  
Mohammadali Mohagheghi ◽  
Bita Kalaghchi ◽  
Yasaman Mousavi-Jarrahi ◽  
Mohammad Kazem Noori

Cancer ◽  
2008 ◽  
Vol 113 (5) ◽  
pp. 1068-1079 ◽  
Author(s):  
Nobuhiko Ohno ◽  
Nobuo Terada ◽  
Yuqin Bai ◽  
Sei Saitoh ◽  
Tadao Nakazawa ◽  
...  

2011 ◽  
Vol 2011 ◽  
pp. 1-8 ◽  
Author(s):  
Hua-Chuan Zheng ◽  
Yasuo Takano

The incidence of lung adenocarcinoma has been remarkably increasing in recent years due to the introduction of filter cigarettes and secondary-hand smoking because the people are more exposed to higher amounts of nitrogen oxides, especially 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanone(NNK), which is widely applied in animal model of lung tumors. In NNK-induced lung tumors, genetic mutation, chromosome instability, gene methylation, and activation of oncogenes have been found so as to disrupt the expression profiles of some proteins or enzymes in various cellular signal pathways. Transgenic animal with specific alteration of lung cancer-related molecules have also been introduced to clarify the molecular mechanisms of NNK in the pathogenesis and development of lung tumors. Based on these animal models, many antioxidant ingredients and antitumor chemotherapeutic agents have been proved to suppress the NNK-induced lung carcinogenesis. In the future, it is necessary to delineate the most potent biomarkers of NNK-induced lung tumorigenesis, and to develop efficient methods to fight against NNK-associated lung cancer using animal models.


Lung Cancer ◽  
2000 ◽  
Vol 29 (1) ◽  
pp. 237
Author(s):  
J Normand ◽  
P Souquet ◽  
A Bergeret ◽  
L.C Geriniere ◽  
S Larive ◽  
...  

2020 ◽  
Vol 41 (11) ◽  
pp. 1518-1528
Author(s):  
Sreekanth Chanickal Narayanapillai ◽  
Yong Hwan Han ◽  
Jung Min Song ◽  
Manaye Ebabu Kebede ◽  
Pramod Upadhyaya ◽  
...  

Abstract Chronic obstructive pulmonary disease (COPD) is a significant risk factor for lung cancer. One potential mechanism through which COPD contributes to lung cancer development could be through generation of an immunosuppressive microenvironment that allows tumor formation and progression. In this study, we compared the status of immune cells and immune checkpoint proteins in lung tumors induced by the tobacco smoke carcinogen 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanone (NNK) or NNK + lipopolysaccharide (LPS), a model for COPD-associated lung tumors. Compared with NNK-induced lung tumors, NNK+LPS-induced lung tumors exhibited an immunosuppressive microenvironment characterized by higher relative abundances of PD-1+ tumor-associated macrophages, PD-L1+ tumor cells, PD-1+ CD4 and CD8 T lymphocytes and FOXP3+ CD4 and CD8 T lymphocytes. Also, these markers were more abundant in the tumor tissue than in the surrounding ‘normal’ lung tissue of NNK+LPS-induced lung tumors. PD-L1 expression in lung tumors was associated with IFNγ/STAT1/STAT3 signaling axis. In cell line models, PD-L1 expression was found to be significantly enhanced in phorbol-12-myristate 13-acetate activated THP-1 human monocytes (macrophages) treated with LPS or incubated in conditioned media (CM) generated by non-small cell lung cancer (NSCLC) cells. Similarly, when NSCLC cells were incubated in CM generated by activated THP-1 cells, PD-L1 expression was upregulated in EGFR- and ERK-dependent manner. Overall, our observations indicate that COPD-like chronic inflammation creates a favorable immunosuppressive microenvironment for tumor development and COPD-associated lung tumors might show a better response to immune checkpoint therapies.


2012 ◽  
Vol 18 (3) ◽  
pp. 243-246 ◽  
Author(s):  
Noritoshi Nishiyama ◽  
Koshi Nagano ◽  
Nobuhiro Izumi ◽  
Keiko Tei ◽  
Shoji Hanada ◽  
...  

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