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I'fei-;iO vil '
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tacts: ^astii f
I., anti ang], j
tudy of and it*
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oogenic lioride
bioafjI Fact hJoride
among 23-628
n. S., lisease
Ann.
t, and orkers Acad.
eumodust.
G. B., ia, B. udy of
m, rat "ide in 1975). i berg, romoiride.
ce on danu-
-r, R. -et, i:
Environmental Health Pernpectot.-'
Vol. il. pp. 211-220, 19S1
Review of Experimental Carcinogenesis by Compounds Related to Vinyl Chloride
by Kenneth C. Chu* and Harry A. Milmant
The experimental carcinogenesis results on six compounds related to vinyl chloride are reported. Vinylidene chloride, given by inhalation, was carcinogenic in male CD-I mice, male CD rats, Sprague-Dawley rats and male Swiss mice. Trichloroethylene, given by gavage and inhalation, was carcinogenic in the B6C3F1 mice. When given by gavage, perchloroethylene was carcinogenic in the B6C3F1 mice, and dichloroethane was carcinogenic in Osborne-Mendel rats and B6C3F1 mice. Dibromoethane, given by gavage and inhalation, was carcinogenic in B6C3F1 mice, F344 rats and Osborne-Mendel rats. Finally, epichlorohydrin was carcinogenic in male Sprague-Dawley rats and B6C3F1 mice.
Introduction
Since the carcinogenicity of vinyl chloride (VC) was demonstrated in experimental (1) and epid emiologic studies (2), data on the potential carcino genicity of vinyl chloride structural analogs and
related compounds have been increasing. This paper will attempt to review the experimental carcinoge nicity data on a number of these compounds, while another paper (5) will discuss the epidemiologic
results.
HH Vinyl chloride
VC
H ,CI
C = Cs H Cl Vinylidene chloride
VDC
Cl ,CI Nc=c /s
H Cl Trichloroethylene
TCE
Cl Cl
II H-C-C-H
I I. HH 1,2 -Dichloroethane
DCE
Br Br II H-C-C-H II
, .H H 1,2 "Dibromoethane
DBE
`National Cancer Institute, Bethesda, Md. 20205. * Environmental Protection Agency, Washington D.C. 20460.
October 1981
Cl
/
C \ Cl
Tetrachloroethylene PCE
H HH I II H-C-C-C-CI \/ I OH Epichlorohydrin EPC
211
040578
SL
Results
Vinylidene Chloride (VDO
A summary of some of the ca:vkvgen bioassays of vinylidene chloride is giver, ir. Table 1. The strongest evidence of a carcinogenic effect was in a bioassay involving Swiss mice performed by Maltoni et al. (4, 5). In this study, 24T50 dosed male mice had kidney tumors as compared to 0 190 in the controls. In the study by Lee e: rJ. (6\ 7), dosed 1 CD-I mice and CD rats had two or three liver angiosarcomas. Since this type of tumor was in duced by vinyl chloride in human? and rodents and the study was terminated after ordy one year, the . results are viewed as biologically significant. In an inhalation study in Sprague-Dawley rats by Maltoni et al. (4, 5), increases in mammary gland tumors in the dosed animals were reported. However, these incidences did not follow a dos^response relation-^ ship.
In contrast to these positive sttidtes, a number of nonpositive two-year carcinogen r .oassay studies have been reported (6-9). Most no;role is this initial report that preliminary evaluauors of vinylidene chloride in a two-year National Toxicology Pro gram (NTP)/NCI bioassay of Fischer 344 rats, given at 2-10 mg/kg of body weight and :f B6C3F1 mice, given at 1-5 mg/kg of body weight, did not indicate any significant increased incidences of tumors in the dosed animals as compared to controls.
Trichloroethylene (TCE)
A summary of some of the carcinogen bioassays of trichloroethylene is reported in Table 2. In B6C3F1 mice, this compound, given by gavage, was found to be carcinogenic, inducing hepatocellular tumors (10). In confirmation of this finding, an inhalation study in B6C3F1 mice, performed by Biotest Labo ratories, gave similar results (11).
Bioassays of TCE were nonpositive in two strains of rats, the Sprague-Dawley and Osborne-Mendel (10-12). Additional NTP/NCI carcinogen bioassays are under way in five strains of rat and the B6C3F1 mice to examine species and strain differences.
Tetrachloroethylene (Perchloroethylene) PCE
The carcinogen bioassay results of testing PCE are given in Table 3. In B6C3F1 mice, this com pound, given by gavage, was carcinogenic inducing hepatocellular tumors.
Studies in two strains of rats, Osborne-Mendel and Sprague-Dawley, produced no carcinogenic ef fects (13-U). Additional carcinogen bioassays in four strains of rats and the female B6C3F1 mice are currently underway at NTP/NCI.
1,2-Dichloroethane (DCE)
The experimental carcinogenicity results of test ing DCE are given in Table 4. In B6C3F1 mice, the
Species/Str* Mouse, CD-I Rat, CD Rat, Spr-Daw
212
Route (vehicle)b
Inhal
Inhal
Inhal
T-nhle 1. Bioassays of vinylidene choride (VDC).
Dose ppm or mg/kg'
Dosing period Group Target site (tumor (duration), wk size incidences)11
Reference
M 55 0
T- 55 0
N 55 0
-- 55 0
/ 150 100 50 25
1 10 0
5T 150 100 50 25 10 0
52D(52)
52D(52tt ) 52D(52)
52D(52)
52D(life)
*
""
-
52D(tifel "" *** "* *"
36 Liver, hemangiosarcoma 36 (2/35 0/26) 36 Liver, hemangiosarcoma 36 (1/35 0/36) 36 Hemangiosarcoma 36 (2/36 0/35) 36 NSC 36 60 NSC 30
30
30 30
100 60 Mammary gland 30 (nondose response) 30
30 30
100
{6.7) {6.7) U.5)
Environmental Health Perspectives
SL 040579
4ii_. dwi&fcj
V -in. i J'JIV `Kj|. UUM. J. tins
jpr .j
ie)
CE -in;iit! .el elhi -IV
St:'ir
--
----- joedcs'Str1
Table 1 (cont.)
Route
Dose
Dosing period Group Target site (tumor
(vehicle)11
Sex
ppm (duration), wk si2e incidences)11
or mg kg'
Vnase. Swiss
Inhal
M F
25
52D(life)
150 Kidney
10 30 (24 150 0 190) 0 " " 190
25
52D(life)
150 NSC
10 " " 30
0 " " 190
Rat. Spr-Daw
Gav (Olive oil)
M
20
52D(life)
50 NSC
10 " " 50
5 50 0 " '' 50
Hamster, Chin
Inhal
F M
20
52D(life)
50 NSC
10 3
"M n
50 50
0 50
25
52D(life)
30 NSC
0 " " 30
Mouse B6C3F1 (NCI)
Rats, F344 (NCI)
Rat, Spr-Daw
Gav (Corn oil)
Gav (Corn oil)
Inhal
F M F M F M
25
52D(life)
30 NSC
0 " " 30
10
(103)
50 NSC*
2 50 " 50
10
(103)
50 NSC*
2 " 50
0 " 50
5
(103)
50 NSC*
i " 50
0 50
5
(103)
50 NSC*
i " 50
0 " 50
75
7SD(104)
86 NSC
25 " 85
0 " 86
Rat, Spr-Daw
Water
F M
75
78D(104)
86 NSC
25 84 0 " 88
200
(104)
47 NSC
100 " 48
60 48 0 " 80
Rat, Wistar Rat, Spr-Daw
---
Inhal Inhal
F 200
(104)
47 NSC
100 48 60 " 48
0 " 80
M
200-100
52D(104)
51 NSC
0 " 30
F
200-100
52D(104)
23 NSC
0 " 30
M
100
52D(104)
30 NSC
(O 16 0 " " 30
F
100
52D(104)
30 NSC
75 " " 21
0 " " 30
'Chin = Chinese hamster; F344 = Fischer 344 rat; Spr-Daw = Sprague-Dawley rat. Gav = gavage; Inhal = inhalation.
'Units; ppm for inhalation; mg'kg for other routes. NSC = Not shown to be carcinogenic. 'Preliminary results.
October 1981
SL 040580
Reference (4, 5) (4, 5) (4,5)
(8) (8) (9) (9)
213
-1
S
compound, given by gavage, was carcinogenic, in ducing lung tumors in both sexes and mammary gland and uterus tumors in dosed female animals (15). The chemical was also carcinogenic in Osborne-Mendel rats, giving forestomach tumors and extrahepatic hemangiosarcomas in both sexes, sub
cutaneous fibromas in the males and mammary gland tumors in the females (15).
In contrast, a preliminary report by Maltoni (12) indicated that DCE was not shown to be carcino genic in an inhalation study with Swiss mice and Sprague-Dawley rats. Since there were strain and
Species/Str3 Mouse B6C3Fld
Mouse B6C3Fld
Rat, Osb-Mdld
Rat, Spr-Daw
Rat, Charles Rivet4
Rat, Marshall (NCI) Rat, ACI (NCI) Rat, F344 (NCI)
214
Route (vehicle)*1
Gav (Com oil)
Inhal
Gav (Com oil)
Gav (Olive oil)
Inhal
Gav (Com oil)
Gav (Com oil)
Gav (Com oil)
Table 2. Bioassays of trichloroethylene (TCE).
Dose,
Dosing period Group Target site (tumor
Sex mg/kg (duration), wk size incidences)'
Reference
M 2339 1169 0
78D(90) *" tf *
50 Liver, hepatocellular 50 (31/48 26/50 1/20) 20
U0)
F 1739 869
78rD(9it 0)
50 Liver, hepatocellular 50 11/47 4/50 0/20)
0
HH
20
M 600 ppm (104)
300 ppm
"
100 Liver, hepatocellular 100 (43/97 31/100 28/95 18/99)
(21)
100 ppm 0
"
100 100
F 600 ppm (104)
100 Liver, hepatocellular
300 ppm
"
100 (13/99 9/94 4/100 6/99)
100 ppm
"
100
0 100
M 1097 549
78D (1H10)
50 NSC 50
(10)
0 * * 20
F 1097 549
78D(110) ""
50 NSC 50
0
UH
20
M 250 50 0
52D(140)
hn
"n
30 NSC 30 30
m
F 250
52D(140)
30 NSC
50
UH
30
0 " " 30
M 600 ppm (104)
100 NSC
(11)
300 ppm 100 ppm
0
" "
100 100 100
F 600 ppm (104)
100 NSC
300 ppm
100
100 ppm 0
"
100 100
M 1000 500
(110) "
50 Assay still in progress 50 St. 2/79
0 50
F 1000
(110)
50 Assay still in progress
500 50
0 50
M 1000 500
(110) "
50 Assay still in progress 50 St. 2/79
0 50
F 1000 500 0
(110) " "
50 Assay still in progress 50 50
M 1000 500 0
(110) " "
50 Assay still in progress 50 St. 6/78 50
F 1000
(110)
50 Assay still in progress
500 50
0 50
Environmental Health Perspectives
SL 0AO581 ....
' ' - -o
I'-TtHrMlirirr trifrrH
--
Tabic 2 (cont.)
lj inn. and fit Osb-Mdl and [VCD
pat, August iNCI)
'IHV
B*t. B6C3F1 (NCI)
Route (vehicle)11
Sex
Dose, mg/kg
Dosing period Group Target site (tumor (duration), \vk size incidences)c
Gav M 1000
(Com oil)
500
0
F 1000
500
0
Gav M 1000
(Com oil)
500
0
F 1000
500
0
Gav M 1000
(Com oil)
0
F 1000
0
(110) "
(110) "
(110) "
(110) "
(11II 0) (110)
50 Assay still in progress 50 St. 12/79
50 50 Assay still in progress
50 50 50 Assay still in progress 50 St. 10/79 50 50 Assay still in progress 50 50 50 Assav still in progress 50 St. 6/78 50 Assay still in progress 50
Reference
F344 = Fischer 344 rat: Osb-Mdl = Osborne-Mendel rat; Spr-Daw = Sprague-Dawley rat. ''Gav = gavage, Inhal = inhalation.
fNSC = Not shown to be carcinogenic. "With 0.09% epichlorohydrin.
dose differences as well as route of administration differences between the NTP/NCI and Maltoni stud ies, the causes of the differences in the experimen tal results are not readily apparent.
1,2-Dibromoethane (DBE)
The results of some carcinogen bioassays on DBE are given in Table 5. In bioassays on B6C3F1 mice and Osborne-Mendel rats, DBE given by gavage was carcinogenic, inducing multiple tumors in each species and sex. There were not only chemically induced tumors at the site of application (forestomach tumors) but also tumors distant from the site of application (lung tumors in mice and extrahepatic hemangiosarcomas in male rats and hepatocellular tumors in female rats) (16).
In addition, a preliminary analysis of an inhala tion study of DBE performed by NTP/NCI indi cates that nasal cavity tumors were found in dosed rats and dosed female mice. Furthermore, elevated incidences of lung tumors were found in the dosed mice as well as elevated incidences of mammary gland tumors in dosed females of each test species. Meso theliomas were also induced by DBE in male rats.
Epichlorohydrin (EPC)
The bioassay results on epichlorohydrin are given in Table 6. Recently, this compound, given by
inhalation, was found to be carcinogenic inducing nasal cavity tumors in male rats (17). In addition, experiments by Van Duuren (18-19) indicated that EPC was an initiator in a two-stage study and induced local sarcomas by subcutaneous injection, addition more comprehensive epidemiological stud ies involving the manufacture, production and use of these compounds should be undertaken.
A summary of some of the bioassay results for each compound by speeies/strain is given in Table 7.
Discussion
The data on these compounds can generate some interesting points for discussions, such as the prob able mechanism of some of these compounds, the controversy over TCE results and suggestions for future action.
In the first case, studying the summary table indicates that the compounds (DBE, DCE, and EPC) which are proposed to alkylate directly, gave forestomach tumors when given by gavage or nasal cavity tumors when given by inhalation while the compounds which are proposed to require meta bolic activation did not produce these types of tu mors. One can envision that these compounds, due to their alkylating ability and their ability to induce site of application tumors, are direct-acting carcin ogens. Two of these former compounds, DBE and
s October 1981
215
SL 040582
Table 3. Bioassays of perchloroethylene (PCE).
Species/Str
Route (vehicle)11
Sex
Dose, mg kg
Dosing period Group Target site (tumor duration i. wk size incidences)'
Mouse B6C3F1
Rat, Osb-Mdl
Rat, Spr-Daw
Rat, Sherman (NCI)
Rat, Wistar (NCI)
Rat, Long-Evans (NCI)
Rat. F344 (NCI)
Rat, B6C3F1 (NCI)
Gav M 1072
7SDi90>
50 Liver, hepatocellular
(Com oil)
536
50 (27/48 32/49 2,20)
0 20
F 772
TSDiOOj
50 Liver, hepatocellular
3*6 50 (19/48 19/48 0'20j 0 * " 20
Gav M 941
TlDillO)
50 NSC
(Com oil)
471 0
,
50 20
F 949 474 0
71DU10) "" *
50 NSC 50 20
Inhal (Com oil)
M
600 ppm 300 ppm
52D1135) "*
96 NSC 96
0 96
F
600 ppm
52D< 135)
96 NSC
300 ppm 0
** "
96 96
Gav M 750
(103)
50 Assay still in progress
(Com oil)
375
50 St. 2/78
0 50
F 750 375 0
(103) * "
50 Assay still in progress 50 50
Gav M 7-50
(103)
50 Assay still in progress
(Com oil)
375 50 St. 11/78 0 " 50
F 750
(103)
50 Assay still in progress
375 50 0 * 50
Gav (Com oil)
M
750 375
(103) "
50 Assay still in progress 50 St. 7/78
0 50
F 750 375
(103) "
50 Assay still in progress 50
0 50
Gav M 750
(103)
50 Assay still in progress
(Com oil)
375
50 St. 9/78
0 50
F 750
(103)
50 Assay still in progress
375 50
0 50
Gav F 200
(103'
100 Assay still in progress
(Com oil)
100
100
50 100
25 100
0 100
*F344 = Fischer 344 rat; Osb-Mdl = Osbome-Mer.del rat; Spr-Daw = Sprague-Dawley rat. bGav = gavage; Inhal = inhalation. CNSC = Not shown to be carcinogenic.
Reference (id)
(id)
(14)
DCE, also induced tumors distant from the site of application. This fact may be an important point in the controversy over TCE.
This controversy stems from the fact that the results on TCE indicated that the mice studies were positive while the rat studies showed the
chemical did not produce a carcinogenic effect. There have been several explanations. It has been postu lated that epichlorohydrin, used as a stabilizer in the TCE tested, is responsible for the positive effect, not TCE (21). The NCI Technical report on TCE (10) indicated that there was 0.09% EPC in
216 Env ironmental Health Perspectives
SL 040583
-W
Table 4. Bioassays of 1,2-dichloroethane (DCE).
-----------
Route (vehicles
Sex
Dose, mgikg
Dosing period Group Target site (tumor (duration), wk size incidences)'
Referenee
B6C3F1 F.t, Osb-Mdl Mouse, Swiss
PjI, Spr-Daw
Gav (Com oil
Gav (Com oil.1
Inhal
Inhal
M 195 78D(91) 97 " "
0
F 299 78D(91) 149 " "
0
-M 95 69D(110) 47 " "
0
F 95 69D(93)
47 (110)
0
M 250-150 ppm
(life)
50 ppm
10 ppm 5 ppm
ll
0"
F 250-150 ppm 50 ppm 10 ppm 5 ppm
(life) ** " "
0
M 250-150 ppm
(life)
50 ppm
10 ppm
5 ppm
0
F 250-150 ppm
(life)
50 ppm 10 ppm
"
5 ppm
0
50 Lung 50 (15/48 1/47 0/19) 20 50 Lung (15/48 7/50 1/20) 50 Mammary gland (7/48 9/50 0/20) 20 Uterus (5/47 5/49 0/20) 50 Forestomach (9/50 3/50 0/10) 50 Hemangiosarcoma (7/50 9/50 0/20) 20 SQ Fibroma (6/50 5/50 0/20) 50 Mammary gland 50 (18/50 1/50 0/20) 20
90 NSCd 90
90 90
180 90 NSCd 90 90 90 180 90 NSCd 90 90 90
90/180 90 NSCd 90 90 90 90/180
(15) (15) (12)
(12)
*Osb-Mdl = Osbome-Mendel rat: Spr-Daw = Sprague-Dawley rat. bGav = gavage; Inhal = inhalation.
fNSC = Not shown to be carcinogenic. bPreliminary results.
the TCE. The doses of TCE were about 2000-1000 five strains of rat. If EPC is the active compound,
mg/kg of body weight, corresponding to less than 2 the mice study should not show a carcinogenic
mg/kg of body weight of epichlorohydrin. If epich- effect. However, if TCE is the active agent then
lorohydrin is the active agent, one might expect the B6C3F1 mouse study should be positive. The
forestomach tumors from a gavage study because of results in the rats will also give insight into whether
its alkylating ability. However, the target site in there is a species or a species/strain difference for
the mice is the liver. In addition, if epichlorohydrin TCE. Similar types of studies are also underway
is the carcinogen, then why are the results negative with PCE. In addition, Maltoni has indicated that
in the rat? Direct-acting carcinogens, like epich he has started bioassays on TCE with B6C3F1 mice
lorohydrin, are less likely to show such a species and Swiss mice.
difference than compounds which would require
With the possible resolution of the TCE issue,
1*C metabolic activation, such as TCE itself. Thus, an there still remains the differences in experimental
u- alternative explanation is that there is a species results involving vinylidwe chloride (VDC). The
in difference reflecting some type of metabolic or tar results in VDC may indicate that there are impor
/e get site sensitivity difference between the species. tant species and strain differences. As a conse
>n The answer may be forthcoming. NTP/NCI is quence, this compound may be an ideal candidate
in testing TCE without EPC in the B6C3F1 mice and for studying species/strain differences systematical-
October 1981
217
SL 040584
1
Table 5. Bioassays of 1,2-dibromethane (DBE).
Species/Str* Mouse B6C3F1
Route (vehicle)1*
Gav (Com oil)
Sex M
F
Rat, Osb-Mdl
Gav (Com oil)
M F
Mouse B6C3F1 (NCI)
Inhal
M F
Rat, F344 (NCI)
Inhal
M F
Dose, mg/kg
107 62
0 107 62
0 41 38
0 39 37
0 40 ppm 10 ppm
0 40 ppm 10 ppm
0 40 ppm 10 ppm
0 40 ppm 10 ppm
0
Dosing period (duration), wk
53D(7S)
" 53D(90)
""
(60) 34D(49)
47D" (63)
44D(61) 57D" (63) (103) * " (103)
* (103)
" " (10H 3) 1*
Group size
50 50 20 50 50 20 50 50 20 50 50 20 50 50 50 50 50 50 50 50 50 50 50 50
Target site (tumor incidences)
Forestomach (29/4945/500/20) Lung (10/47 4/45 0/20)
Forestomach (28/50 46/49 0/20) Lung (6/46 11/43 0/20)
Forestomach (33/50 45/50 0/20) Hemangiosarcoma (4/50 11/50 0/20) Forestomach (29/5040/50 0/20) Liver, hepatocellular (5/48 1/47 0/20) Lung (19/46 3/48 0/41)'
Reference (IS)
(16)
Nasal cavity (6/50 0/50 0/50)' Mammary gland (8/50 14/50 2/50)' Lung (37/50 5/49 1/49)' Nasal cavity (28/5020/500/50)' Mesothelioma (25/50 7/50 1/50)' Nasal cavity (29/50 20/50 0/50)' Mammary gland
(24/50 29/50 4/50)'
*F344 *= Fischer 344 rat; Osb-Mdl = Osbome-Mendel rat. bGav = gavage; Inhal = inhalation. `Preliminary results.
Table 6. Bioassays of epichlorohydrin (EPC).
Species/Str*
Route (vehicle)6
Sex
Dose
Dosing period Group Target site (tumor (duration), wk size incidences)'
Reference
Rat, Spr-Daw
Mouse, ICR/Ha Swiss Mouse, ICR/Ha Swiss Mouse
Mouse, C3H Mouse, ICR/Ha Mouse, ICR/Ha
Inhal
SC SC Skin
Skin Skin IP
M 100 ppm 30 ppm 0
6D(life) (life)
F 1 mg in 0,1 ml
(life)
tricaprylin
wklv
F 1 mg in 0.05 ml tricaprylin
(life)
wklv
1 mg in 0.1 ml
1 dose
acetone then
2.5 g phorbol
55D
mvristate'
-- 1 Br
(life)
F 2 mg in 0.1 ml 57D(57)
acetone 3'wk
F 1 mg in 0.05 ml
(64)
tricaprylin
wkly
140 Nasal cavity 100 (15/140 2/100 0/100 0/50) 100 50 50 Local sarcomas
(2/50 0/50)
50 Local sarcomas (7/50 1/50)
30 Initiator (10/30 3*30)
40 NSC 50 NSC
30 NSC
*Spr-Daw = Sprague-Dawley rat, bIP = intraperitoneal injection; SC = subcutaneous injection; Skin = skin painting.
'NSC = Not shown to be carcinogenic.
__
(17)
(19) (18) (18)
W) (18) (18)
218 Environmental Health Perspectives
Si <o S8S
V'
.`J.,
frf*??JWtt>-iii`iri^irT`iiKTtfTMrr'
Table 7. Summary of bioassay results on vinyl chloride analogs and related compounds for some tumor sites.
-- ---------
VC
VDC
TCE
net
Hemingio-
SD Rat-G m-CD-1 Mouse-I
Mouse-I* m-CD Rat-I
Rat-I*
PCE
DCE m-OM Rat-G
DBE m-OM Rat-G
ECH
Ijmp tumors
Mouse-I" Rat-I*
B6C3P1-G
B6C3F1-G B6C3F1-Gb
Mammary (fend tumors 'females1
Kidney ;umors
Mouse-I*
SD Rat-I m-Sw Mouse-I
OM Rat-G B6C3F1-G
F344 Rat-Ib B6C3F-Ib
Hepatocellular tumors
Korcstomach tumors
B6C3F1-G B6C3F1-I
B6C3F1-G
f-OM Rat-G
m-OM Rat-G OM Rat-G B6C3F1-G
KiJ cavity tumors
Local sarcoma
F344 Rat-Ib f-B6C3Fl-Ib
m-SD Rat-I
f-ICR/Ha Sw Mouse-SP
NSC
F344 Rat-Gb OM Rat-G
OM Rat-G
SD Rat-I
B6C3F1-Gb
SD Rat-G
SD Rat-G
Sw Mouse-I
Wis Rat-I
CR Rat-I
Ch Ham-I
SD Rat-W
SD Rat-I
SD Rat-G
Effect seen in at least two strains. Preliminary results on NTP/NCI studies.
ly. In addition, the differences in the NCI and Maltoni studies on DCE could be the source for additional research.
From an examination of Table 7, the compounds with positive results in multiple species yielding multiple tumor sites are the direct acting carcino gens, DBE and DCE. (EPC has not been tested
extensively yet.) This strong evidence in experi mental carcinogenesis should, at least, trigger mea sures to decrease exposure to these compounds. In addition more comprehensive epidemiological stud ies involving the manufacture, production and use of these compounds should be undertaken.
REFERENCES
1. Viola, P. L., Bigott, A., and Caputo, A. Oncogenic response of rat skin, lungs, and bones to vinyl chloride, Cancer Res. 31: 516-522 (1971).
2. Infante, P. Multiple site risk analysis of vinyl chloride related cancer in workers-review. Environ. Health Perspect. 41: 000 (1981).
3. Apfeldorf, R. and Infante, P. Review of epidemiological study results of vinyl chloride related compounds. Environ. Health Perspect. 41: 000 (1981).
4. Maltoni, C., Cotti, G., Morisi, L., and Chieco, P. Carcinoge nicity bioassays of vinylidene chloride: Research plan and early results. Med. Lav. 68: 241-262 (1977).
5. Maltoni, C. Recent findings on the carcinogenicity of chlori nated olefins. Environ. Health Perspect. 21: 1-6 (1977).
6. Lee, c. C., Bhandrai, J. C., Winston, J. M., House, W. B.,
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