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                  <text>&lt;p style="margin-top: -1em; line-height: 1.2em;"&gt;The Alvin L. Young Collection on Agent Orange comprises 120 linear feet and spans the late 1800s to 2005; however, the bulk of the coverage is from the 1960s to the 1980s and there are many undated items. The collection was donated to Special Collections of the National Agricultural Library in 1985 by Dr. Alvin L. Young (1942- ). Dr. Young developed the collection as he conducted extensive research on the military defoliant Agent Orange. The collection is in good condition and includes letters, memoranda, books, reports, press releases, journal and newspaper clippings, field logs and notebooks, newsletters, maps, booklets and pamphlets, photographs, memorabilia, and audiotapes of an interview with Dr. Young.&lt;/p&gt;&#13;
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                <text>The Problems of Environmental Hazardous Substances: An Overview</text>
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                    <text>°1494

Item ID Number
Author

Lumb

' George

Corporate Author
Report/Article Title Typescript: Chapter 4: Assessment of the Animal
Toxicologic Data for TCDD

Journal/Book Title
Yoar

000

°

Month/Day
Color

D

Number of Images

16

DOSCrlpton NotOS

This manuscript is a draft version of a chapter or section
from the following book: Agent Orange and its
Associated Dioxin: Assessment of a Controversy.
Young, A. L. and G. M. Reggiani, eds. New York:
Elsevier, 1988. This book is available in the NAL
collection, call no.: RA1242 T44 A3.

Tuesday, May 15, 2001

Page 1494 of 1514

�CHAPTER 4
"THE FACT THAT TCDD IS ACUTELY TOXIC IS NOT IN DISPUTE,
THE ISSUES ARE THE LEVELS OF EXPOSURE AND SPECIES SUSCEPTIBILITY."
ASSESSMENT OF THE ANIMAL TOXICOLOGIC DATA FOR TCDD
GEORGE LUMB

The toxicity of 2,3,7,8~tetrachlorodibenzo-p-dioxin
(TCDD) has been well documented (1). The extreme toxicity
of this substance has been noted by many authors, and some
have compared its lethality to that of aflatoxin (1). This
applies only in certain species, arid there is considerable
difference, for instance, in the LDSO's in different animal
species, as noted in Table 1. It has been shown that one
animal, namely the beagle dog, is much more resistant than
others to dioxin. The reason for this, some investigators
suggest (19), is that dogs convert TCDD to its metabolites
at a much higher rate, and the crude canine biliary metabolite
is at least 100 times less potent in its toxic effect than
TCDD itself. TCDD metabodites differ among individual animal
species (19), and clearly this aspect of the problem requires
further investigation, particularly as it relates to man.
Considerable evidence suggests that humans are less dramatically
affected by exposure to TCDD than other animal species (13).
Table 1, Acute LD5g in. Selected Species of 2,3,7,8-Tetrachlorodi b enz o-p~ di oxin.

Sgecies
Guinea pig
Rat (S.D.)(Male)
Rat (S.D.)(Female)
Rhesus Monkey
Rabbit

Micro_g_rams_ _p_e_r_ K i 1 ogj*am Body Weight
0.6
22.0
45.0
Less than 70
115.0

4: 1

�The extreme toxicity of TCDD in rats and mice gives rise
to very interesting and difficult problems with regard to
long-term toxicity and carcinogenicity studies. It is usual
when planning long-term studies of 18-24 months in rats and
mice to establish a so-called maximum tolerated dose, The
purpose of this is to achieve a study which will produce
recognizable toxic effects, but will not cause death or severe
damaging lesions over the period of the lengthy exposure to
the drug or chemical. It is the purpose of this chapter to
examine and discuss the difficulties surrounding the development of long-term studies and their interpretation, using a
chemical which has such extreme lethality at very low doses.

Several long-term studies in rats and mice have been performed using TCDD:
1.

A seventy-eight week study in male Sprague-Dawley rats
(ten males per group with TCDD administered in the
diet) (30).
In this study, nine dose groups were used, varying from
an. approximate intake of TCDD of 0.0003 micrograms/kilograms/week (mg/kg/wk) . At the three upper dose levels
of this study all the animals died within four weeks.
At the remaining six dose levels the lowest (0.0003 mg/
kg/wk) showed, no evidence of tumors, while the other five
dose levels, which varied from 0.001 mg/kg/wk to 2.0 mg/
kg/wk, all showed evidence of a variety of tumors. At
the upper levels hepatocellular carcinomas and thyroid
carcinomas were described. This study is somewhat unsatisfactory from a number of points of view:
a.

Very small numbers of animals were used per group
and only males were examined.

b.

At the upper dose levels, all the animals died.

4: 2

�c.

2.

The main problem was that in the controls the
authors reported zero incidence of tumors. This
seems highly unlikely in aging rats.

A two-year study in Sprague-Dawley rats, using 50 males
and 50 females per group with the TCDD administered in
the diet (4).
In this study three dose levels were used: 0.001 mg/kg/
day, 0.01 mg/kg/day, and 0.1 mg/kg/day. At the lowest
dose there were no significant toxicity problems and no
evidence of increased numbers of tumors compared with
controls. At the mid dose there was evidence of increase
in urinary porphyrins in females and an increase of
hyperplastic nodules in the livers of females, but no
actual carcinomas. At the 0.1 mg/kg/day level there
was an increase in mortality with numerous toxic changes,
including marked decrease of body weight gain and an increase of excretion of urinary porphyrins and delta aminolevulinic acid. In addition, there was an increase in
serum alkaline phosphatase and SGPT. There were also a
number of generalized defects, including lymphoid tissue
hypoplasia. In this high dose group there was evidence
of carcinogenesis including hepatocellular carcinomas in
females and squamous cell carcinoma of the lung, hard
palate and tongue of both sexes. In the controls of this
study there was the usual scatter of expected tumors, both
benign and malignant. One interesting feature was that certain tumors expected, in an aging population of rats were
decreased in number. There was also evidence of diminished
numbers of pituitary changes and renal damage and infections.

3.

Three studies have been reported by the National Toxicology Program (9).

4: 3

�a.

A study performed in Osborne-Mendel rats by gavage in
which carcinogenicity was reported with follicular
cell carcinomas of the thyroid in males and carcinomas
in the liver of females.

b.

An oral study in B6C3F1 mice was considered
carcinogenic with liver tumors in both sexes and thyroid tumors in females.

c.

A dermal study performed in Swiss-Webster mice was
considered carcinogenic in females but not in males.
Integumentary fibrosarcomas were seen in females at
a statistically significant level and, while
these same tumors were increased in the male, there
was no statistical significance when compared with
controls.

The Kociba et al. (11) study is the one performed in a
manner which can most; readily be interpreted. It was preceded by a standard three-month dose range-finding study, and
a reasonable number of tumors were found of the type one would
expect in the control group. It seems interesting, therefore,
to quote the commentary of the authors of this study, in which
they say, "Doses sufficient to induce severe toxicity increase
the incidence of some types of neoplasm in rats, while reducing
the incidence of other types, No increase in neoplasms occurred in rats receiving sufficient TCDD during the two-year
study to induce slight or no manifestations of toxicity."
While it is not possible fully to interpret these
findings, they do identify some of the difficulties which
are found in performing long-term carcinogenic studies in
rats and mice. On the one hand there are those chemicals
which have such a low degree of toxicity that relatively
enormous doses have to be used before one can demonstrate
significant tissue changes, A good example of this type
of chemical is saccharine. On the other hand there are

4: 4

�those substances, of which TCDD is an excellent example,
which are so extremely toxic that it. is very difficult to
achieve doses small enough to produce a satisfactory study
without causing excessive manifestations of toxicity.
Such compounds raise the question of whether the cell
damage itself is related to the development of neoplasms.
It also raises the question of the relationship of
overwhelming toxicity to tumor production. In the case of
the dioxin study at the dose level of 0.1 mg/kg/day, where
malignant tumors were found there were also very severe
toxic changes, including depression of lymphoid tissue proliferation, abnormal excretions of substances such as porphyrins and marked decreases in body weight gain. It is
very difficult at the present stage to interpret this in
relation to potential human effect. Clearly the fact that
tumors occur strikes a note of warning. When a new chemical
is being developed for therapeutic use such a warning must
be taken very seriously and risk versus benefit must be
evaluated. When a contaminant of otherwise valuable
substances,including herbicides, is under consideration,
the problem is to decide whether to abandon all the
chemicals concerned or to try to determine "a safe level"
at which the contaminant, in this case dioxin, can be permitted. This in. turn raises yet another interesting
question. A number of observers have accepted the fact
that TCDD is carcinogenic, but have stated that the
findings do not show that TCDD is an initiator or a
promoter (9,18.24). This further raises the question that,
if TCDD could be shown to be a promoter, then the
possibility of dose relationship to carcinogenicity becomes
more likely, and also the relationship to intermittent
exposure or removal of the hazards for certain individuals
who have been subjected to exposure could represent safety
measures,

4: 5

�TCnn has many interesting features related to its
carcinogenic potential. Although it has been shown in the
animal studies described above that it produces tumors,
there is very inconclusive evidence that it is, in fact, a
mutagen (5,6,10,26,29). There is also no good evidence
to demonstrate that TCDD is metabolized to an electrophile
or that it is capable of binding irivivo covalently (23).
The fact that TCDD cannot be proved to be a mutagen is considered by some to be evidence that it is not an initiator
(18). Pitot and co-workers (18) have recently sought tc show
that TCDD acts as a tumor promoter. If such a finding is
true, it might well be that this is the mechanism for the
observations of tumor.igenicity with this compound. Pitot
et al. (18) used a so-called "two-stage" procedure. Partially
hepateqtomized rats were given a single dose of 10 mg/kg/bwt
of diethylnitrosamine (DEN), which was a dose insufficient to
produce liver carcinomas. This.was followed by the administration of TCDD in doses of 0.14 and 1.4 mg/kg/bwt subcutaneously
every two weeks for seven months. This procedure increased
in a statistically significant manner the number of enzyme
altered foci in the liver and also led to the production of
hepatocellular carcinoma. The TCDD administered alone did
not lead to carcinomas. Thus, in this two-stage model they
believe that TCDD acts as a tumor promoter.
These findings are of interest, for the two-stage
procedures for carcinoma determination, whether they are
•applied in the liver (17) or in the bladder (8,14), have
been accepted by many as being significant. This opinion
is based on the original findings of Berenblum and Shubik
(2,3) in their classic experiments with the development of
skin carcinoma, using an apparently similar model. It is
interesting,thereforej to quote Shubik (27), who is once

4: 6

�again reminding experimentalists that this transposition of
a concept cannot be justified without greater indepth studies
of the many differences which are apparent between the two
systems. He questions, for instance, whether in neoplasia
"we are merely dealing with a general cellular mechanism that
exists to cope with a variety of intracellular injuries?"
lie also comments on the question of tumor progression and its
relationship, i £ any, to promotion. He further warns against
drawing analogies between the older invivo studies with the
very frequently used invitro systems. He points out that
there is a possibility for OArersimplification in such analogies which may lead to missing important aspects of the
ne op. las tic process. TCDD certainly seems to be a chemical
which gives rise to such questions. This is a substance
which produces considerable cellular damage, which is
associated with the development of malignant tumors of
various types in certain animal species and possibly the
reduction of the incidence of some naturally occurring
tumors (11) .

When considering the possible mechanism of toxicity for
TCDD and related chemicals, the induction of microsomal
monooxygenasc activity and other enzymes expressed in similar
circumstances has been most studied and is best understood
at the present time,
This system metabolizes most foreign chemicals of
lipophilic type which enter the body into a more readily
excre table product. The enzyme complex -is situated in the
endoplasmic reticuLum. It. consists of flavoprotein NADPIIcytochrome P-450 reductase and a group of hemoproteins ,
which altogether are termed cytochromes P-450. These have
been studied principally in the liver of rats and mice.
4: 7

�Seven distinct species of cytochrorae P-450 have been
identified in rat liver, four of which have been purified
to homogeneity. They have distinct but often overlapping
substrate specificities and are under independent genetic
control (12). Two different chemicals have been used as
prototype compounds for inducing different species of
cytochrome P-450 and increasing different monooxygenase
activities,
These chemicals are phenobarbital and 3-methylcholantlirene (MC) (4). The activity most frequently measured for
MC response is arylhydrocarbon hydroxylase (AIIH) activity.
TCDD and related halogenated aromatic hydrocarbons produce
an induction of MC pattern (24). It is therefore with the
MC type response that we are interested. Induction of AIIH
activity by the various types of halogenated hydrocarbons does
give a measure of their potency, and TCDD is the most potent
and the most toxic of all these. It indicates, therefore,
that there may be some relationship between the potency to
induce AIIH activity with the potential for toxicity. It has
already been pointed out that MC is the prototype for inducing
cytochrome P-450 and AHH activity. In a comparison of MC
with TCDD for their capacities to induce hepatic AIIII activity
in rats, both compounds produce parallel dose-response curves
and the same maximal enzyme induction, but TCDD is 30,000
times as potent as MC.
In continued work with the induction of heptic cytochrome
P-450 aad AHll activity with MC, it has been discovered that
two types of mice exist, in terms of enzyme induction. One
of these is responsive to MC and the other is not. The
prototypes of this difference are the C57BL/6 strain, which
is responsive, and the DBA/2 strain, which is non-responsive
(15,20,28). In investigations of the background of this
4: 8

�phenomenon, the trait of responsiveness to aromatic hydrocarbon (that is, the induction of hepatic AIIII activity by
MC or other polycyclic aromatic hydrocarbons) is inherited
as a simple dominant. The genetic locus that controls this
trait has been designated Ah (for aromatic hydrocarbons) and
the allele for responsiveness is denoted as Ahb (b for C57BL/6
strain mice) and the allele for non-responsiveness has been
designated And (d for DBA/2 type mice).
In view of this difference in responsiveness to MC
and the fact that TCDD is so much more potent than MC,
experiments have been performed with TCDD induction of AIIH
in both strains. The results, simply stated, are:
1.

With the MC responsive strain good responses are
achieved with TCDD.

2.

With the non-responsive MC strain a moderate but
satisfactory response is obtained ivith TCDD (21).

Further experiments have been performed to try to
determine whether this is just a matter of potency or
whether different receptors might be involved. The
consensus of the results of these experiments is that
the difference is one of potency (16,22). This is
important because it indicates that a reasonably specific
test can be used to evaluate potency of halogenated hydrocarbons of aromatic type and also that this can be related
to their potential toxicity.
Although at first signt this appears to be somewhat
theoretical information, it: opens the door to very interesting
possibilities of much more precise determination of toxic
potential in the future, by applying specific experimental
approaches which are related to the specific structure and
activities of other groups of chemicals.

4: 9

�Thus, if there is an excellent correlation, as it appears
that there is, between the toxic potency of halogenated
hydrocarbons and their potency to induce AIIH activity, then,
the understanding of the mechanism of AMI! induction might
provide insight into our understanding of the mechanism of
toxicity for these chemicals.
Further work has shown by a variety of experimental criteria that cytosol binding protein has the invitro properties
expected of the receptor for the induction of cytochrome P-450
and AHI1 activity (9) .
In addition, other work strongly suggests that the Ah
locus (in mice) is the structural gene for cytosol
receptor (24).
It would appear, therefore, that a pattern has been
established for the mechanism by which substances such
as MC and TCI")I.) exert their enzyme stimulating effects
and how they differ from other substances such as phenobarbital or pregnenolone 16-carbonitrile, another compound which
produces a different pattern of cytochrome P-450 activity.
The substance pregnenolone 16-carbonitrile is of some interest
in this regard, as the pattern which it produces is similar
to that which occurs with some steroid compounds.
Summarizing so far, it i^ould seem that the similarities
between structure and activity for toxicity with that for
receptor binding suggest that the halogenated aromatic hydrocarbons including TCDD exert their toxicity through the
cytosol receptor. However, many tissues other than liver,
and, in addition, certain cell lines in culture, have receptors
which respond to TCDD with the induction of AHII activity but
show no evidence of toxic response. Thus, while the cytosol

4: 10

�receptor may be essential for toxicity, it is probably not
the only mechanism to explain all the results seen. Of the
various hypotheses to explain this problem, the most likely
one to be correct seems to be that the induction of Mill activity may be viewed as a signal response but that it is not
implicated directly in the mechanism of toxicity (24).
If toxicity of TCDD is mediated through the cytosol
receptor then it should be expected that toxicity would
segregate with the Ah locus, the gene which determines the
cytosol receptor. In the case of thymus involution,
teratogenesis and hepatic Porphyria (three toxic results
of TCDD in mice) segregation with Ah locus has been
determined in all three areas (24).
SUMMARY

Two independent lines of evidence suggest that toxicity
of this group of hydrocarbons is mediated through their
binding to the cytosol receptor: first, the correlation
with the receptor binding and toxic potency, and second,
the segregation with the Ah locus in three toxic responses
produced by TCDD in mice. The results of a recent study
(7) indicate that TCDD acts directly on epithelial target
cells in the thymus. One consequence of this action
appears to be the altered thymus-dependent maturation of
T-lymphocyte precursors. These T-lymphocyte precursors
are mediated through direct cell/cell contact between
thymocytes and Tl'i cells.
Poland and Knutson (24) have used this accumulation of
information to develop a general model of toxicity using a
so-called XB cell culture, which is a cloned mouse teratoma
cell line (25) which produces dose-related characteristic

4: 11

�toxic responses with the group of chemicals under discussion.
The details of their work are unnecessary in this brief discussion, but it does show how a sequence of specific investigations involving the detailed biochemistry and application
of specifics relating a group of compounds to their toxic
potential can be used to develop more precise methods for
e s t i in a t i o n o f t o x i c i t y.

4: 12

�1.

American Medical Association, 1981. The health effects
of "Agent Orange" and polychlorinated dioxin contaminants.
October 1, 1981.

2,

Berenblum, I., and Shubik, P., 1947. The role of croton
oil. applications associated with a single painting of

a carcinogen, in tumour induction in the mouse's skin.
1:379-383.
3.

Berenblum, I., and Shubik, P., 1947. A new, quantitative
approach to the study of the stages of chemical carcinogenesis in the mouse's skin.

J3r_*._±L. -£SHc.®.r.8 1:383-391.

4.

Conney, A. II., 1966. Pharmacological implications of
microsonml enzyme induction, I^harmacol » Rcv« 19:317-66.

5.

Geiger, L. E., Neal, R.A. , 1981. Mutagenicity testing. of
2 , 3 , 7 , 8-tetrachlorodibenzo-p-dioxin in histidine auxotrophs of Salmonella typhimurium. To x i c o 1 . App 1 .
Plui.rm,acol. 59:125-29.

6.

Gilbert, P., Saint-Ruf, G. , Poncelet, F., Mercier, M. ,
1980. Genetic effects of chlorinated anilines and
a z o b e n. z e n o s on. S a 1 mo n e 1 1 a t y p h i mu r i urn . ;AjrcJi_._ Eny iro n .
Cont am . Toxi col. 9 : 5 3 3 - 4 1 .

7.

Greenlee, W.F., Bold, K.M.. , Irons, R.D., and Osborne, R. ,
1985. Evidence of direct action of 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD) on thymic epithelium. Toxicol.
Appl. Pharmacol. 79:112-120.

8.

Hicks, R.M., Wakefield, J., and Chowaniec, J., 1975.
Evaluation of a new model to detect bladder carcinogens
or co-carcinogens; results obtained with saccharin,
cyclamate and cyclophosphamide. Chem. B i o 1. In. t e r a c_t.
11:225-233.
4: 13

�9.

Muff, J. E., Moore, J.A., Saracci, R. , and Tomatix, L. , 1980.
Long-term hazards of polychlorinated dibenzodioxins and polychlorinated dibenzofurans . Envi 'ro'nV Jlegl 1 1^ 'Pe r sp . 3:221-240.

10.

Hussain, S., Ehrcnberg, I.,. Lofroth, G., Gejvall, T. , 1972.
Mutagenic effects of TCDD on bacterial systems.

11.

Ambio. 1-: 32-33.

Kociba, R.J., Keyes, D.G., Beyer, J.I]., Carreon, R.M. ,
Wade, C.E., Dittenbcr, D.A. , Kalnins, R.P., Frauson, L.E.,
Park, C.N. Barnard, S.D. , Hummel, R.A. , and Humiston, C.G.,
1978,

Results of a two-year chronic toxicity and onco-

genicity study of 2 , 3, 7 ,8-tetrachlorodibenzo-p-dioxin
in rats .
12.

°

'

-* •

• 46:279.
Multiplicity of mammalian

microsomal cytochromes P-450.
13.

lu, A.Y.M., West, S.B., 1980.

PharmacpJ. . Rev . 31:277-295.

Lumb , G. , 1985.

Dioxin:

a medical perspective.

Pennsylvania

Medicine. 88:54-57.
14.

Nakanishi, K. , Hagiwara, A., Shibata, M. , Imaida, K. ,
Tatematsu, M. , and Ito, N. , 1980.

Dose response of

saccharin in the induction of urinary bladder hyperplasias
in Fischer 344 rats pre treated with N-butyl-N- (4-hydroxybutyl)
nitrosamine.
15.

JNCL.

65:1005-1009.

Nebert, D.W. , Goujon, P.M., Gielen, J.E., 1972.

Aryl

hydrocarbon hydroxylase induction by polycyclic hydrocarbons; simple autosomal dominant trait in the mouse.
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Niwa, A,, Kumaki, K. , Nebert, D.W. , 1975.

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Peraino, C. , Fry, R.J. , Staffeldt, E., and .Kisieleski , W. ,
1973. Effects of varying the exposure to phenobarbital
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Pitot, H.C., Goldsworthy , T. , Campbell, II. A. , and Poland, A.,
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Poland, A., Glover, E., 1973. Chlorinate dibenzo-pdloxins: potent inducers of aminolevulinic acid synthetase
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Poland, A., Glover, E., Rob-ins on, J.R., Nebert, D.W. ,
1974. Genetic expression of aryl hydrocarbon hydroxylase
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Poland, A., Glover, E. , 1979. An estimate of the maximum
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Cancer Res. 39:3341-3344.

1975. Genetic expression of aryl
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Poland, A,, and Knutson, J.C., 1982.
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4: 16

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