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                    <text>Item ID Number

0163

Author

Hobson, Lawrence B.

°

Corporate Author
Report/Article Title Typescript: Fat Assays for Dioxin, December 14,1979

Journal/Book Title
Year
Month/Day
Color
Number of Imeges

D

3

Doscrlpton Notes

Wednesday, June 06, 2001

Page 1631 of 1688

�Fat Assays for Dioxin
Dioxin, the toxic contaminant of Agent Orange, is retained in body fat but it
has not been known how long it persists in human fat. Veterans who served in
Viet Nam were sometimes in contact with dioxin when Agent Orange was used as
an herbicide or defoliant. Batches of Agent Orange differed, however, in how
much dioxin they contained, some having none at all, and there is no way to
determine the content of any particular batch.
Aside from a very few armed forces personnel, troops were last exposed to
Agent Orange about ten years ago. The fat of the men would contain very
little, if any, dioxin so long after exposure even though the body
concentrates the substance there. Earlier chemical methods would not be
expected to detect the substance but recent advances in assay techniques
make it possible to identify and measure very small amounts of dioxinactually a few parts per trillion in the fat.
The Veterans Administration has undertaken a study to determine whether
dioxin can be detected in Viet Nam veterans and in Viet Nam era veterans
who did not serve in that country. To conduct this work, samples of
body fat were removed surgically from 20 volunteers who reported exposure
to Agent Orange in Viet Nam, from 10 volunteers who had not been there,
and 3 Air Force volunteers (identified as "Ranch hand") with recent known
exposure to Agent Orange. A highly skilled analytic chemist, without
knowing the source of each sample, assayed the fat using a two-part method.
The first part tentatively identified and measured the dioxin, specifically
TCDD; the second identified the TCDD more certainly and measured it more
precisely.
The methods used included careful extraction techniques, gaschromatography
and mass spectrometry with stable isotope identification of the substance.
The method as a whole is delicate, complicated, and still the subject of
study in itself. At present, 3 parts per trillion can be considered the
lower limit of detection.
The accompanying table summarizes the results as they are available today.
"Final Results" are those for samples in which both parts of the assay have
been completed; "Tentative Results" are for samples in which only the first
part of the method has been done to date and they cannot be considered
definite as yet.
As an additional check on the assay results, duplicate samples of some fat
specimens have been sent to an Environmental Protection Agency laboratory
that uses a somewhat different technique. No results are yet available
from these assays.

AP""CC55

�The results to date have shown that the assay used can detect and measure
dioxin in amounts as small as a few parts per trillion and that the substance
can be found in some persons whose last exposure was ten years or more
earlier. There is no evidence that the presence or the absence of dioxin
in body fat correlates with symptoms or abnormalities that could be caused
by the substance.
The study has made available an additional research tool that will be used
in further studies of Agent Orange. Until ill effects can be correlated
with the presence of dioxin, the assay has limited clinical usefulness. It
demonstrates now only that a person has at some time had contact with
substances containing dioxin. The contact may have occurred in fairly
recent non-military circumstances, however, since dioxin is found in
materials other than Agent Orange.

UH 1
*

12/U/79

,

�Final Results
22 Veterans
Viet Nam Service
Symptoms

3/12*

No Symptoms

3/4**

Total

6/16

No Viet Nam Service

1/6

. 1/6

Tentative Results***
12 Veterans
Viet Nam Service

No Viet Nam Service

Symptoms

3/7

0/1

No Symptoms

1/1

0/3

Total

4/8

0/4

* Numerator is number of veterans whose fat contained more than
2 parts per trillion above base line; denominator is total of
veterans in group
** All 3 of "positive" veterans were Ranch hand
*** Results of single unvalidated assay

AP""C057

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01637

Author

Hobson, Lawrence B.

Corporate Author
RBpOrt/ArtiClB TltlB Typescript: TCDD (Dioxin) Content of Human Fat:
Progress Report, March 13,1980

Journal/Book Title
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000

°

Month/Day
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^

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2

Doscrlpton Notes

Wednesday, June 06, 2001

Page 1638 of 1688

�TCDD (Dioxin) Content of Human Fat: Progress Report
The VA has undertaken a study to determine whether there is a method
that can detect minute amounts (in parts per trillion) of 2, 3, 7, 8
tetraclorodibenzo-para-dioxin (TCDD or dioxin) in the body fat of
persons claiming exposure to Herbicide Orange and those with no known
exposure.

Samples of fat were obtained by biopsy from 20 veterans

who believe they were exposed to the herbicide in Vietnam and 3 Air
Force officers with known close and more recent exposure.

Ten veterans

who denied exposure had fat biopsies during operations for other
disorders.

(An eleventh name was entered in the latter group but no

biopsy specimen was submitted.)

The gas chromatography = high resolution mass spectrometry used at
a university laboratory for the sensitive assay proved difficult with
the low concentrations encountered but the comparatively large biopsy
samples have allowed repeated assays. Duplicate extracts and biopsy
samples from 10 veterans were sent to the EPA laboratory which uses
a more discriminating gas chromatograph but a lower resolution mass
spectrometer.

Both laboratories assayed "blinded" samples; both

experienced difficulties with the new and delicate techniques.
Replication and equipment problems have delayed results.
At present, the assay problems have been resolved except for tv1
samples extracted and assayed by EPA scientists. These two gave
concentrations that far exceeded any other determinations, results

AP"""C085

�thought to be due to contamination.

Both laboratories are attempting

to resolve the discrepancy.

Simultaneously, the exposures to Herbicide Orange reported by the
20 Vietnam veterans are being evaluated to see whether they can be
assigned a relative value for the extent of contact.

This will allow

a comparison of assay results with exposure within the group.

The symptoms and signs of the Vietnam veterans have been reviewed
and the findings of their clinical chemistries are being tabulated.
Correlation of these with the assay results and the exposure
evaluations will then be sought.

The results to date can be tentatively interpreted as showing that
a method does exist to detect minute amounts of TCDD in body fat
but it requires samples so large that open biopsy is used and the
technique is still too difficult and slow for routine use. The method
remains at present a research tool for use with small groups.

TCDD has been detected both in individuals claiming exposure to
Herbicide Orange and in those with no known exposure.

Some in-

dividuals in both groups have no TCDD in the fat using methods that
can measure as little as one or two parts per trillion. No value
to date has been so great as one part per billion even in the two
samples with questionably large concentrations.

• 2—•
3/13/80 - LBHOBSON

AP~"'C'OS'l

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