Document qk58mD4xV39EYg2GZG6rJGrRx

Original Contributions 7^203^ 2,3,7,8-Tetrachlorodibenzo-p-dioxin Levels in Adipose Tissue of Exposed and Control Persons in Missouri An Interim Report Donald G. Patterson, Jr. PhO: Richard E. Hoflman. MD; Larry L. Needham. PhO; Daryi W. Roberts. MEd; John R. Bagby, PhD; James L. Pirkle, MD; Henry Falk, MD; Eric J. Sampson, PhD; Vernon N. Hook, MD The compound 2,3,7,8-tetrachk>rodibenzo-p-dioxin, commonly known as dioxin, was measured *m the adipose tissue of 39 persons with a history of residential, recreational, or occupational exposure in Missouri and in 57 persons in a control group. All participants had detectable levels of 2,3,7,8-tetrachkxodiben- zo-p-dioxin in their adipose tissue, but the exposed group had significantly higher levels. Levels of six of the exposed persons were more than five times greater than the level of the highest control. Measuring 2,3,7,8-tetrachlorodi* benzo-p-dioxin in adipose tissue provides a much improved index of exposure, an important advance for research studies evaluating the possible health effects of fhis compound. {JAMA 198656:2683-3686) oeceAspceaMadcpCLopiatllonhrhutphueOomrsemhdeertra,detsMxsinnieemyrenmtllhaoerreuweMgcen1elwdedd2,hxa9rtrOgp,caItos8ac4Mhfoerais6Nei,aooa5aret,hsitoerlmLdl-sh,wflpdtsuYsodoreirpyioaaxacirrfuebcrnountsntoeceskoyichtrptddrontuenhodilmhnsozrocuneueisronrouwwsntctfenoo-eaeinrltfwcpniesrpaossmaattr-.thrhmarcedoitogiaoIeniohainfnlsleSfonttniaawneitx2otoad1sttoydae,ienxa,9i4nnLw1rods7y,haao_ri5tx1neabntee(elwu-,irecuToyxtsneIrdiehamiibC-a,noilVdti.prccriciDd2ebeaecrlehhhoA,unoalteDr3ll_aroosostdsra,a,tti)7tnrcruheanir,otoonoiao8dlcieodidff-,-,-sf-t,' Fiom (r*e C e rt Itx ErMOTfnerHl Hoain, C o vert lor OOri*empa,rFyTVrT>WCi<eol.nFotial0A1l,-.tAeSalalnaintn,*o*so([n>.*anPaOnH*x*Eaon-n|:*.oaMrnvodrfytrimn*oeUAIU. 1aN-stewoaBidsT-ii ManrdfiEocoxw*rtr*i)okOY S trv c c s , Jerterson O r (t> and EtonrRwOrf looanemmalsoeniBlaCOlojnIeWtSroatlni.riAloaHnaTdrotuL,uaGcbooAlroa3olr0o3nBe3r3aSn(cDcieirin. PceCa .tVtreCrsseoortnt ) .o*l citrmtaiitTraogescwLhnTehfVehnnhuemtoxotefeCqadaqrCdueffelhenupoSrsltuioiouDiodDrehnvtneovtuciatroiuarithnyueiDrrmdrsioolDgehrdninadeeedcpumonnsrhenualtseasuerLulicp,rIueaeaettayofewlnoeiielaianolleeToonscmtnfrnrfteosxsetfbhsgonChttwi..ribprpdotcbaraeermmeeauDaemoalosmicsToAyaTlgdtisatsatsiDnluicCssiaTniirisniuhtloocv.csowoneetaeiDCernibianotinsndasteaofhisetsilDl,DnsiyttdemepenreoeaeapttoeirDveiodafmrnstaeafpfctelcam.arthhTeexrTtpiorooiektcetennasntahtCChrisftnesairxhIenlgthtitayl,eaDnansDtenapioeoatetasmt.intdrhneehoebsyDtifDimietciddosptesnteoveseeadiaoouniialogtiaxsiidcnliyhnfernB,lditledtntpoeletaay,hei.iuahstaeomm*mtMtvthieeattaentthsmroeilp.rouenlipdeadeoemiexosnrasmddedoftqclMmilseferadbassnicouoeatvftiitLateoeiegiacuttfenheenrhreeerrontiniottsrdseleoeeecneo,,ssfitf, jama. Me 2 i. 19S6 --Vol 2S6. No. 19 pitowthdesowwTaavoommvttsihuxehhfidbergidpCaiishedrerpTeaateetitatCensthseDeepahTunasoodthco_ortiisosbasCDredehfonrmncibneunlsoyrseniseneDh,sdeaoostdrpisrsiptrodnaeesenpmyDueeowuwikemqrmct.ecserlafeaTirdnuittaiicisnpmomsIescftstoCiestet(nshihdtonstntmr1wncuixeaieDotostml)^ateframprtsnnlenealmDoheuaid.csyomsoaa1swhppidrtueoeT,esnsttohaliogrmieniuohkutACepaplcinvelrraate3frnpsersaoyssDroteglessve9ttor,otsyp.soguhthoemDTwbtelhobeorrrWletghoecCsxyoiaeetfpefnfraruseeehgrcepptmneeDevogninxwarraToheosrcastsemhoopDteussxrsfsdmrioiCtuoonmce.saeuuuypoinDespbenpatlparedfeocsaiuexoedisasoaanyDsetnmtrepTnsehusrodfrdnewneersostdeCraagw.iitowe,woaevofsrnjhrDnhpfno.eauciuiiadmtduenedeotrtiidrrDlpTexihssaimrevderurneovuphsethtaea(deteuone5aciy2tbiisdhtlindniodl-a7shneosns)e-_ METHODS coeaigsHp1Snaxof9ratlqedopu8Trupauii5uohrhevdsli,espitreo.iysehssdntdPtosaoutiDthrnonarcutooyesondleodfms,nmswyTTawhaipgCMhJiCewhraioncDaleDoinaeolsvDstduDsncbhooa.otaelrurunTlhaloyircecnaehilrvevtboec1eergeies9lentldsrDsn8sriio-s,ne3tsetuirtdghnweipapLncelaoottgatyorhrifNntoklremccihonosiooaehmratevnmxdiilnensmspmptitcgboMoseloetsberdemeeiytooesidned,ffr Oo*n Leefcs--Panson el at 26S3 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2684 jawa. Nov 21. 1986 --Vof 2S6, No 19 Oown Le-vds --Panefscn el at i1 ;) \ 18 te 14 I? IO Controls 8 6 aZoo0cor.i) 4 2 0 4 e 12 16 20 Levels of 2 13.7.Btetrchiorod<beni*p-dio*in. com monly known as dioxin, in exposed and control persons in Missouri. Exposed I Residential H Occupational Recrea lional 7^ I .4 8 12 16 20 24 28 32 36 40 44JL4^8L5_225L6J6H0 100 k200 300 400 500ja6_00 700I_60_0 Dioxin Adipose Level (P arts.per Trillion) -yadtshoT7lttwybbps2boiykTileqf4bohuatrepah4aresuneeeCre0lorai.aeoliuCabepes5tvlrue9Iencbiardyg%ddfaraDir.uTugioee5phsnemDre-jmuisrisrplleeiesnsHCulenioonDt.sdnsibDnap,i,ancbo1tatyaotrflcoDtoaaronaettitet6irlttfetsohfeSolswislxehbihisDa0naegnneuaejma.howspaee0feiTor1svgadacelnllstifovlsvl0otfeeevrienseoeoCyfauph.syetTa0evelnahres'dr.dnrzcesdDNepceroepTotfshitgaecds,AihgyalpcambautnrNeDCseyamrieo--Traeeiihi,pteslgrrdgppd.fnfDyhaoseeteC"taairtmee.aaanebghtioonfm1pttaiDetlD1hsnRnlrcnhneedr2heaunobnA2attmweeoettTedv,tDalloeeire2sl2sanefnncnvysetncCeaaia-ro-sh0,vwotnesilttyyoesltnip--rsapesDe0ufioththvineeeliadfipoielnlnaumt.n1oeisnteaDfecthnhmnstgdeltno4a-isnefpr,ldoyiudtnfeixhleilusfot-iahitolnini,vmlsmypalaoafayfne1TnihalaugleiaiyenmGroruewf,ftiegvdalasnaCwsaonilohreasfs6aesytnlluuwtdoofpt-feaneriDyfei,rtTeitmilbaruml-edmrshpsaehrrinLedihilDalC.llxfeesianmrpiosaeidpveenaiaeftmpdsDobenta"tTpT-eeltgipspi,oiffeeosntnenbme,stauDphCerwo-hosuofimsutr,ianotlboesgtouaaeisgtDdtrhitihnmtgsbhsshhfrvsoahnneraleho3beebedeeeeeheDiainetfdee,nde1dretrne-_ Z 11 i-nv 11 1 ATadbipiosel.--TisCsoume poafrEisxopnooseidthaendLeCvoenlstroalt G2r,3o,u7p,s6-Telrachkxodibenzo-p-dioxin (Parts per Trillion) in V ariable Arithmetic mean Median Ranpe Geometric mean Mean ape. y (SO) % Men Control* 7.4 6.4 1.4*20.2 6.4 52.6(15.7) 35.1 Total 39 79.7 17.0 2.6*750 21.8 44.3 (13.7) 61.5 Exposed Recreational RaaidanOaf 8 16 90.8 21.1 23.5 14.5 5.0*577 2.8-59.1 24.8 15.3 42.1 (14.7) 39.7 (14.9) 37.5 43.8 O ccu pation al IS 136.2 24.7 3.S-750 29.8 50.3 (9.8) 93.3 KTanbolwen2T.--CDCDomExppaorissuorne*of Che Adipose Tissue Concentrations of TCOO in Populations With No Source of Specim ens N Uean, Part per Trition Range, Parta par TrtiMoo Present study: elective surgical pelieoia in Missouri 57 6.4 f 1.4*20.2 Aulopsy specimens from Oho" 6 5*12 AuatodpipsyossepeIrcoimmevnesteIrraonms"Si Louts" and Canada1end 611 7.5 1-15 , Aulopsy specimens Irom sudden deaths in Si Louis'* 35 7,21 Aulopsy specimens Irom Georp>S*and Utah'1 35 7.M 2.7-19.0 septt'oCGreoceumoormeobietnotanritp?cis.ixcrm,ia5le-oalarftnic.Jrr.eJ3so.v7ror.Bptin'l<efrtionamocfNroerlOerOenbecwxocnlurod-Tep,d-.O1O?,iiarvnd >3, Ih f***4>|* 1f(yh pe*or VjVMI to JAMA, Nov 21. 1986--Voi 256. No 19 Oo**n l C-V1.4S--Partin son el al 2685 oeoidrrMtclccnItffmtthaefv>froohooaiaiefnuereaitWmpnrnentTeTsusragelrtn.nsrtCucdCsreloeeosooeosooaseDvfDfunuxnatetltncoweersciDmcrflDotxrlndogepiogeixpr.n.psecfgip?rorrutcicxetoohlUiloeiilalrnedpstnoauetutnxalghe.nhoihtnfpdsnpcidreeaAfcesepo!eogtoosedreainueersdsrbsinppttetugpt,apahiihtouodddamereortbesenapoasinnrmrsnispfeeueataleaedtoiroasswYustslboiriteatlnunesartslimhCnltaieeessdsltloiyset.naDctoe,sf,ibsdttfnaxhnupDthitemrLtino.hegeoohvseiidtnaveessmpfkseohiBalnouiiaeuelteesavnaurersshwelwdhaapadnuMcnanilnoateednasrstueibodeecgisstuteooefmsuaiepnmei,esfmnorss~mcd.eierrsmuoaptoieaictWasafe~cunhsennontgaoboonhyrgssaedctrTfiff., cvTesstrsamdowmiitnxtuxaoCvuurijltcjupmnuedrxxduxDhaeorscejeiylcetDs.osdptssotuiunpuihmaobawmntrrrlolnseenclaegoibteedlhtarealvoiaedebooeiebifnbptlnoniflotoetdsrruedfa.mhrooopsaaiedevainetnsxiodm,rh.dnieip.ndeldoarTyebmaeseortayhcaCt,dribshacmiooiwouystteduclbhhmrpboodrttiepuaoyalguarnipersttariilgdoliecdsBnnoeoeb,pmetgfunvTclirdpreeoaaonteeoCgmhenltclorfihoDeroscrlnmiuejepafDnicxMolldmmnaotaiffTicdvtouptinaeilieaCslrmerntjgdcsssmoxitvDtochoioiceviusoalanDinoe>lteselfss,ef HHfouerTamhTltiaohsnxiscSStueeSdrruvvybiiccsweeta,san,sUcAepS*talrastDninatedalpl.yaDriftsmuenaedsneetdRobefygiHtshtereayl.AthPgueabnnlcidyc SSqRaptPIDAVmftMbIHltAhtninhhtunVcNayrooaieladge-trihiiaenTle.nnlap;|svsnearwwtlrnxrhssakahieiatlavMIeRatddttltreltererrmsynuddhes'nLieediism.tatti-dm,pddulpiimmnrc0weMnyedylesKcr2ufteiroen:gntr.MychcoJ.tnnePa.nFjtdrcwrerJMceIlmtAlaisa.mtrronihcI.Igeno*loSt;'wihtS'nahgmhyne;lfft;IDnaMin!thire.lsdciollnawG)HeoFikoeile%aRD,Ij|aswrCi*rnrelfsnJ*l,Naa;deM(irardy;iRedadrenwlnoer.lndsMnicysiBraitvcnihTlFslhtfsrlseiveteeDsopi.s.oah.tKlsdos,vrdhhoaru,re1asSTluemennpePPt*amr.rmaMhdee0lCMnhiafeJnypdyepoWtop.idalKDiHrd)re;llirrkoyHeos;itOfuoiiuFejs*attooDlaeJtonchaoSmlrm'lxlhnCcaico;5nii.dluemaidselnotm7aUrnoreTemeSewlniiidrJnm)aae,ceintS,rohnninahsloDsS.cnaJTtmAieatuao,uneegeygaMe.MHprrndsfMhaC,pLCvN.fhulDnryn-oiDeailouerSenolc,Pe,et;rrct;npetI.doeisatlohWweMRxdbmstoopiwtFDrbrveeimhWN.r?,enooioterartril;esralAea;d,nnlusPsa,saCrildnjuolJtnaidtRhaywhtniicUfesurmdehDtnvNotoRidjyifrrIdinSneeces-fsrifi;,..; Reference 6tAeA5eptHis4em3MiDFB2AEin1.n.uoto.nno.m.u.iooiurgnPtsedgnaFotLdoirPneAelFhtJAEchxlctayhmdendeioehli-iemtcsopC..pC-cbtinnrif,mp6ecbtdeysleApreaOehh0theoxesosT,seaee2rln.e0sesueneocseardn^1ui/ntanesxtltotn2Pfi9t7Rubpeoloo-nks8W3C^-tef1m81SefpCr0eio1opMc-u9Rp90o,F.ep,,fthirie8D8r-one,tfcotpFP1ae6rt6hi21GrUtrCe-cmn9^e.o^rt9gecL^tPd87orrT,s8rr8ee,p3iue.e.inc7m:3-.se1iqo.lq7tm7tHhc7e.,ol9uU1ttt08fe1ucmi.lroe8ymJ98moso5o3t-ihaS5recr8-tl-tn-arsenr^eiThle7f7h3AoocenoGr7fttt1.1fECreldsre!irm..noao63-taoDTnrain2ar.ri.MbcsveWJnnMviO7DgtonhSeteia1Dieoo.vnBrehnlirt,7l:osgohnnGyteDuxi-,sernnrte2osCLAmo,ooardm7imrDyd-agusind2etphtppdLenrueieyStn-buCieihoietpanxi,.ndbexdcnmyfuatthtireasMmdDrM/dyeomrenha)Fhlriixoieo:nctipsu!ECoiAogi,-PttnaomnD;xiRop-hbrEaosJMiapD-po-,enieAtond,dr-siihtniinedroiteiet:saeperaoisicnstiTrsroottoxaetobtiosAisrahnlndmuuoueeurieoleaSdninlrynle.k.;f;i,. tNt(prp92nC8iAaI1hPDS7tty11anania.noJy0..4eae.mhseCn.l.tt.d,l1tvs7fcrieMyaMP,Rie4auSeKesm.oNrCcn.8rAREtnyteineicnhuoiisi-.yahsatpmnacNogenaTllt,smgenioxaltteeflvnuCoeaimrFrrnniioae1srltfMi,JrOoteFadpnin6niyoJCcsAnrdra,WirHaDae.hpntaeedtherlMpW1,oseoeCnm:npyWte9rssfidss.Se8iomnP.SeCiuecCilr5ynimHSgc,n2ossclid.hh2mlcoettN^hnaoipEieea9imacabn,nplsmtfmomi-7nltlmareseaoMoiuto.Svoitnaueilah8snncstcsilnoxniePoiaeek-rsadeoau.pcytnroreDlnl!-emAioof,aypne-t3rSJERsMRrtSbC-mto:,Bees(ovdoAxesm:meMd.cc1ceapinAataMptho9ririRydiodoPeptatil8xoWCreohcotscsahlc5einyeiuaooprnh.atbcu,btoKnrtcrfpalriaethoteeo1nadm5ehA-AfCtfe9dgr5itioa.obiiMa,o8mCh,y,inrnsrtcc3WneeeL:osedEuao,noWnmouaxtlAnneikpc1eayefiodits9aivyticdtchntih-1nt8tstJiobapaesho51rheeOcGlrelaDo-7e);tliy(idnr.lio,.nSnnEei:cscliauogFeoFmrUii1gosoPodsxtmttci4oxmtoftfeiAi0tiaaountieoonananh6nha)hd-stff,t- HGtFD3CCbHTorO1s1ROpr1BAoe3Zui5ne4i3eaeihh-dueatfd:ufeof..A.pltrr2ftallecmovrtaxieCmhoo-6dhkscCGPriGwddirr1asceo.hgen.aoaiirr-onbharfnlosrnIW2aotcWsaoroe,lntaox6yhaytstoehrfuaahtatO8iasrVf.eoairfeeanndnbtn.esCsosmrcdeSrmdiidhPotaoeMdepntimoeintnentDoiGaneFmpR1ntbssLeMsthcgdh6ittiaeMeieeonmifeet-ouDm.rcnloti11xtr,mLamDnnhiid8i6nCtiHFdttoan,aa,ttaei.aae,ooHe-oyislivadt1nn1nplIDeuaxde9ie9nyaH-ttriJSCC8mi8thdUnet,noatpOef5oe4yhe,meiodsnonSaor.S.orlxm.marl1ndnseaxIRpeaVHns9eppnaLnpiron2a8senFtoteteToys^1md.ilettsaDauoJ.ou1,oeiriF7lpStl7rsnnnnuxrRe.etE,eDs,la,hdi6amvadeuecnnW1s.l-etPslSeiLsvC,9El.atAosSo8eimteKoSBoRfrneAv5.ntsfnimoyrid.ibeaaeandratde2nmaliyacmhlpccmtid^CCttraoSnhpsape,dohui7iagbySRonulDnooiemnlJmetsoJtepoirfJsJ,hdif,esaoop-ur.po,s,2ttTHidsomr,o,ereneeJCiaWeuRest1lBa,bttpniD79rteittueaebre8odhioaa(aaDnym8seLs4idslnendtt*--:;;., 2686 JAMA. Nov 21, 1986 --Vol 266. No 19 Doun Levais--Petier son el al