Document YG14bGbDkMjMaQEXYmxXm4M38
CMA 119748
Estimating Human Risk from Exposure to VC
Quantification with PB-PK Modeling
Richard H. Reitz Michael L. Gargas
McLaren/Hart, ChemRisk Division for
CMA Vinyl Chloride Panel May 19,1994
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CotlaboiratoireJ
McLaren/Hart:
R. H. Reitz M. L. Gargas
ICl Toxicology Lab (Zeneca)
T. L. Green W. M. Provan
U. S. E. P. A. (Res Tri Park)
M. E. Andersen
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VC Histoiyl
Low Acute Toxicity Occup. Expos. Limits - 500 ppm Viola (1970,1971)
Rats, Increased Tumor Incidence
Maltoni (1974)
Confirmed Viola's Results Identified Rare Liver Angiosarcoma Dose Response Plat > 1,000 ppm
Creech & Johnson (1974)
Found Same Cancer Type (Liver Anglosacroma) in Homans
Human Tumor Registry (to Present)
14,000 Subjects, 19 VC Plants
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Objectives / Opportunity |
Develop A Process for Quantitatively Estimating Risk in Humans
+ Low, Noa-Occnpatlonal Exposures - Sttperfund Sites - Fugitive Emission - Drinking Water
Test the Utility of our Cancer Risk Assessment Procedures
+ Rich Animal Data Set In Rats and Mice + Unique Opportunity to Compare Risk
Assessment with Actual Results In Humans
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Expectations for Pharmacokinetic Modeling
Modeling Cannot Eliminate ALL Uncertainty from Risk Assessments
Modeling Can Quantitatively Describe:
Metabolic Saturation Changes tat Dose Route Physiological Differences in Species
PREMISE:
Risk Assessments based on Estimates of "Delivered Dose" wfll be More Reliable than Risk Assessments based Only on Administered Dose
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Classical Pharmacokinetics:
"Stripping the Curve"
Curna Stripping fEmnnentlUl C(t) - A, . o' a i *
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CMA 119751
Classical Pharmacokinetics: Compartments! Models
C2 = A2/V2
i--r
K21 K12
J________L
Input ka
C1 = A1/V1
_ Him ,
ke
Differential iatioDi <U0/dt - -ka*Doae dAl/dt - Iu*Dom - HI2*0 4- X21*C2 - ke*Cl dA2/dt - +K21*C1 - K21*C2
dCllm/ t - -ke*Cl
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Advantages of PB-PK Models:
Compound Specific Information
Vapor Prtmtrt SotaUBOn (Partitlonl**) la Tissues
Species Specific Information
Phjretotagy MetaboHsm
Route Specific Information
Oral Route, 1st Pass Through Liver
Allow Extrapolations
Between Pwt Routes Between High Dose / Low Doee Between Species
CMA 119752
A PB-PK Model! for VC I
MetabditM Bim4 ob Ransuey St Aadwen, Itti
Capabilities of PB-PK Models
Will use examples from studies of Reitz et al., at Dow Chemical Co., with 1,1,1-triehloroethane (Methykhlorofomi, MC)
* Data used to Illustrate potential applications for VC PB-PK Model.
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MC Rat Inhalation
_______ (Blood Levels)
Methylchloroform, (MC) used as an example of the technique.
MC Mouse Inhalation
(Blood Levels)
atom
Methylchtorofonn, (MC) used as an example of the technique.
n mm*
MC Mouse Inhalation
(Other Endpoints)
2 1.5
MC Human Inhalation
(Exhaled Air)
Humans - Inhalation
Burden
Fat
Bi 150 ppm
Liver
Metab
1500 ppm
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CMA 119754
MC Rat Water
(Exhaled Air)
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Approach; VC PBPK ModeT|
(1) Parameterize Model
Physiological Constants - Andersen etai., 1987
Partittoa Coefficients - Vial Equilibration - Fat, Liver, Muscle, Blood
Metabolic Rate Constants - In Vivo (Rats, Mice)
(2) Validate Model
Independent Rat, Mouse and Humaa In Vivo Studies
(3) Extrapolate Risks
- Rats to Mice Rats to Homans
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VC Partition Coefficients Vial Equilibration
Measure:
Hood/Alr Llver/Alr Fat/AIr MustJe/Alr
Calculate:
TIssue/BJood
VC Metabolic Rate Constants Gas Uptake Apparatus
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CMA 119756
Gas Uptake Data
(Male Rats)
Gas Uptake Data I
(Female Rats) |
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2Q
Estimating Mouse Metabolic Rate Constants
Small, Halogensted Hydrocarbons Metabolized by CyP450 2E1
In Vivo VMax's from Experiments
Methylene Chloride (MeClj) (Rats, Mice, Hiunaas)
Chloroform (CHC1}) (Rats, Mice)
Calculate VMax / gram Liver
Normalize to Rat In Vivo
MeCl2 CHC13 Average
Mouse 2.57 2.71 2.64
Human 0.21 0.21
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CMA 119758
Testing Estimated Mouse Metabolic Constants
Optimized Mouse Data |
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Validation of Human Model
(Barettaetal., 1969)
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Deriving Rat Potency!
Baaed on Maltont's Experiments
12 Months Exposure 0,1, 5, IS, 25,54, 100,15% 200, 250,SSS,
2500, MOO, (0000,30000 ppm tested Poor Survival 10000 aud 30000; Use
Remaining 13 Dose Groups
Use PB-PK Model to Calculate Dose
Average Amount VC Metabolites per day per Liter of Liver Tissue
Howe & Crump's GLOBAL83 Multistage Model Dose Response (Maximum Likelihood Estimate)
Comparison: Linear Model Pitted to Top Two Doses (MTD, MTD/2)
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PPM Vinyl Chloride
Extrapolating Rat -> Mouse
(Maltom, Swiss Albino Mice)
Cone 0 50
250 500 2,500
Males 0/80 1/30 9/30 6/30 6/29
Females 0/70 0/30 9/30 8/30 10/30
LADD 0.0 38.4
173.1 265.2 331.0
Equivalent Amounts of Metabolite produce Equivalent Tumor Yields
No Surface Area Correction Factor Used.
The 1(H RSD = 0.80 x 1CH
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Comparing RSD's)
Maltoni et al., (Rat) Maltoni et a!., (Mouse) Lee et al., (Mouse)
0.177 0.080 0.120
Drew et al., (B6 Mouse)^^r04)032
Drew eMtfT reported angiosacromas in :>ls. Lee and Maltoni saw none.
B6C3F1 Ultrasensitive? Reported to have partial oncogene activation in absence of any chemical treatment.
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Extrapolating Rat -> Humans
(Maltoni, Rat Potency)
Equivalent Amounts of Metabolite produce Equivalent Tumor Yields No Surface Area Correction Factor Used. Calculated "Unit Risk", Lifetime Exposure to 1/ig/m3,24 hr/day.
PBPK MLE = 4 x la7 PBPKUCL = 6xia7 IRIS Number = 840 x la7
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VC Tumor Registry
(Simonato et al., 1991)
12,706 Individuals from Population of 14,351
Completeness of Followup = 97.7%
Cohort has > 2$ Years since 1st Exposure to VC
Exposure Groupings:
+ 0 - 2,000 pfan year* + 2,000 0,000 ppm years + 4,000 - 10,000 ppm years v > 10,000 ppn years
Absolute Risks Estimated to Range from 6.2/100,000 to 280/100,000
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PBPK Risk Assessment I Versus Simonato et al (1991) |
IPM
Too Yoan Cxpoowt
SO 500 100 1,000
200 2000
-- 4000
500 SjOOO
-- sxoa
HUB
--
2000
10X100
>1(1000 20,000
IMrln Imnr
50 tooo
100 2000
200 4000
-- 4000
500
ioooo
--
1000 2000
15O00 20000 40000
ij
run
LADD
PB-FK PlcdktMB
rmimjm
OWwl fun
gwwua
3.33 6.63 1206
--
2460
--
3125
--
3603
IBS 374 736
--
1,497
--
1253 --
2632
--
(62J*
--
422
--
1S2.3
--
050.(5* --
666 1326 2611
--
5335
--
6257 7207
376 747 1465
--
2.971
--
3476 3,993
(62)*
--
422 1523
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Summary]
Straight-Forward Modification of Existing PBPK Model
Based on Rat In Vivo Studies, Validated with Mouse and Human Data
Described Tumor Data 1-6,000 ppm in Rats and Predicted Tumor Data in Mouse Studies
Unit Risk Based on PBPK Principles 150 Fold Lower than Current IRIS Value.
Tumor Predictions Most Accurate WITHOUT Surface Area Correction Factor
When Mechanism Is Known, PBPK Procedures Should Be Capable of Giving Much More Accurate Estimates of Risk.
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