Use of biomonitoring data to evaluate methyl eugenol exposure.Methyl eugenol eugenol /eu·gen·ol/ (u´jen-ol) a dental analgesic and antiseptic obtained from clove oil or other natural sources; applied topically to dental cavities and also used as a component of dental protectives. is a naturally occurring material found in a variety of food sources, including spices, oils, and nutritionally important foods such as bananas and oranges. Given its natural occurrence, a broad cross-section of the population is likely exposed. The availability of biomonitoring and toxicology data offers an opportunity to examine how biomonitoring data can be integrated into risk assessment. Methyl eugenol has been used as a biomarker of exposure. An analytical method to detect methyl eugenol in human blood samples is well characterized but not readily available. Human studies indicate that methyl eugenol is short-lived in the body, and despite the high potential for exposure through the diet and environment, human blood levels are relatively low. The toxicology studies in animals demonstrate that relatively high-bolus doses administered orally result in hepatic neoplasms. However, an understanding is lacking regarding how this effect relates to the exposures that result when food containing methyl eugenol is consumed. Overall, the level of methyl eugenol detected in biomonitoring studies indicates that human exposure is several orders of magnitude lower than the lowest dose used in the bioassay Bioassay A method for the quantitation of the effects on a biological system by its exposure to a substance, as well as the quantitation of the concentration of a substance by some observable effect on a biological system. . Furthermore, there are no known health effects in humans that result from typical dietary exposure to methyl eugenol. Key words: biomonitoring, exposure assessment, methyl eugenol, risk assessment. Environ Health Perspect 114:1797-1801 (2006). doi:10.1289/ehp.9057 available via http://dx.doi.org/ [Online 12 June 2006] ********** Methyl eugenol [1,2-dimethoxy-4-(2-propenyl)benzene (CAS no. 93-15-2), structure shown in Figure 1] is a member of a family of chemicals known as allyl allyl /al·lyl/ (al´il) a univalent radical, —CH2dbondCHCH2. al·lyl n. The univalent, unsaturated organic radical C3H5. alkoxybenzenes, which include other naturally occurring materials such as isoeugenol, eugenol, estragole, and safrole saf·role n. A colorless or pale yellow oily liquid, C10H10O2, derived from oil of sassafras and other essential oils and used in making perfume and soap. . All these compounds typically enter the diet via a variety of different food sources, including spices (nutmeg, allspice allspice: see pimento. allspice Tropical evergreen tree (Pimenta dioica) of the myrtle family, native to the West Indies and Central America and valued for its berries, the source of a highly aromatic spice. ), herbs (basil, tarragon tarragon (târ`əgŏn), perennial aromatic Old World herb (Artemisia dracunculus) of the family Asteraceae (aster family), of the same genus as wormwood and sagebrush. ), bananas (Jordan et al. 2001), and oranges (MacGregor et al. 1974). Many of these compounds are also found as components of natural oils used in perfumes (Smith et al. 2002). In addition there are other potential sources of exposure to methyl eugenol, including agriculture (Vargas et al. 2000), consumption of wine (De Simon et al. 2003), and as part of the ambient background in air and water (Barr et al. 2000). Given the broad potential for exposure resulting from both dietary and consumer product use and its structural similarity to other carcinogenic carcinogenic having a capacity for carcinogenesis. allyl alkoxybenzenes, methyl eugenol was nominated for study by the National Toxicology Program National Toxicology Program Environment A program that conducts toxicologic tests on substances frequently found at the EPA's National Priorities List sites, which have the greatest potential for human exposure (NTP (Network Time Protocol) A TCP/IP protocol used to synchronize the real time clock in computers, network devices and other electronic equipment that is time sensitive. It is also used to maintain the correct time in NTP-based wall and desk clocks. ) at the National Institute of Environmental Health Sciences The National Institute of Environmental Health Sciences (NIEHS) is one of 27 Institutes and Centers of the National Institutes of Health (NIH),which is a component of the Department of Health and Human Services (DHHS). The Director of the NIEHS is Dr. David A. Schwartz. . The NTP evaluated methyl eugenol in a rodent bioassay using oral gavage gavage /ga·vage/ (gah-vahzh´) [Fr.] 1. forced feeding, especially through a tube passed into the stomach. 2. superalimentation. ga·vage n. 1. as the route of administration (NTP 2000). Based on the results of the bioassay, the NTP concluded that there was clear evidence of carcinogenicity carcinogenicity /car·ci·no·ge·nic·i·ty/ (kahr?si-no-je-nis´i-te) the ability or tendency to produce cancer. carcinogenicity the ability or tendency to produce cancer. in F344 rats and B6C3[F.sub.1] mice. This conclusion was based on increases in male and female rats of hepatocellular carcinoma hep·a·to·cel·lu·lar carcinoma n. A carcinoma derived from parenchymal cells of the liver. Also called hepatocarcinoma, malignant hepatoma. and hepatocholangiocarcinoma, neuroendocrine tumors Neuroendocrine Tumors Definition Neuroendocrine tumor refers to the type of cell that a tumor grows from rather than where that tumor is located. of the glandular glandular /glan·du·lar/ (glan´du-ler) 1. pertaining to or of the nature of a gland. 2. glanular. glan·du·lar adj. 1. stomach, and the observation of other tumor types in several other tissues, and the primary tumors observed in B6C3[F.sub.1] mice were hepatocellular carcinoma in male and female mice and increased neuroendocrine tumors of the glandular stomach in male mice. Although toxicologic end points have been established in animals, searches of the literature have identified no clinical studies or epidemiology data to provide perspective on whether there are health effects associated with long-term consumption of methyl eugenol by humans. To provide human exposure data in support of NTP's assessment of methyl eugenol, the Centers for Disease Control and Prevention Centers for Disease Control and Prevention (CDC), agency of the U.S. Public Health Service since 1973, with headquarters in Atlanta; it was established in 1946 as the Communicable Disease Center. (CDC See Control Data, century date change and Back Orifice. CDC - Control Data Corporation ) measured methyl eugenol in a non-representative subset of adult serum samples collected as a part of the Third National Health and Nutrition Examination Survey (NHANES III NHANES III Third National Health & Nutrition Examination Survey Public health A population-based survey conducted by the National Center for Health Statistics, designed to assess the health and nutritional status of the noninstitutionalized Americans , 1988-1994) (CDC 2004). The mean serum methyl eugenol concentration in this subset was approximately 24 pg/g serum (whole weight), with concentrations ranging from < 3.1 to 390 pg/g serum (whole weight) (Barr et al. 2000). The human elimination kinetics were also evaluated. Volunteers ingested in·gest tr.v. in·gest·ed, in·gest·ing, in·gests 1. To take into the body by the mouth for digestion or absorption. See Synonyms at eat. 2. gingersnap gin·ger·snap n. A flat brittle cookie spiced with ginger and sweetened with molasses. Noun 1. gingersnap - a crisp round cookie flavored with ginger ginger nut, ginger snap, snap cookies containing a total of 216 [micro]g methyl eugenol (Schecter et al. 2004). Samples taken after an overnight fast and before the gingersnap meal had measurable levels of methyl eugenol. About 15 min after ingesting the gingersnaps, the mean concentration of methyl eugenol peaked at 54 pg/g serum (whole weight), then fell to a mean level of about 25 pg/g serum (whole weight) after 2 hr (Schecter et al. 2004). The results of this study suggest that low levels of methyl eugenol are present in the blood after an oral dose and that the levels rapidly decline. Because measurements were not made on any elimination matrices (e.g., urine and feces), it is not known whether methyl eugenol was eliminated from the body, stored in distribution matrices such as adipose tissue adipose tissue (ăd`əpōs'): see connective tissue. adipose tissue or fatty tissue Connective tissue consisting mainly of fat cells, specialized to synthesize and contain large globules of fat, within a , or a combination of the two. Animal studies suggest that methyl eugenol may be rapidly eliminated in urine as several metabolites Metabolites Substances produced by metabolism or by a metabolic process. Mentioned in: Interactions . However, the presence of methyl eugenol in prefeed human samples, even after prolonged fasting, suggests that at least some methyl eugenol may be stored in distribution matrices that are at equilibrium with the blood. Methyl eugenol was presented as a case study at the September 2004 International Biomonitoring Workshop (Albertini et al. 2006). Case study excerpts appear in a biomonitoring guidance document recently developed by European Centre for Ecotoxicology The term ecotoxicology was coined by Truhaut in 1969, who defined it as "the branch of toxicology concerned with the study of toxic effects, caused by natural or synthetic pollutants, to the constituents of ecosystems, animal (including human), vegetable and microbial, in an and Toxicology of Chemicals (2005). Here we present an overview of the current biomonitoring and other relevant data available on exposure to methyl eugenol and the use of these data in various environmental public health applications. Methyl eugenol was chosen as a case study for several reasons. Although human exposure potential is likely to be high, very limited human data and animal toxicity data are available. Furthermore, methyl eugenol is likely to be a common component of the diet. These existing data on methyl eugenol are confined to only a few target studies and a reasonably extensive NTP evaluation, albeit at comparatively high doses administered in bolus bolus /bo·lus/ (bo´lus) 1. a rounded mass of food or pharmaceutical preparation ready to swallow, or such a mass passing through the gastrointestinal tract. 2. a concentrated mass of pharmaceutical preparation, e. form. Animal toxicity studies indicate carcinogenicity at every level tested. Regardless, epidemiologic studies evaluating similar effects in humans have not been conducted, even though their evaluation would be comparatively easier than many other environmental chemicals. This case study illustrates and identifies some of the data gaps that need to be filled for the biomonitoring data on methyl eugenol to be integrated into a risk assessment. Pharmacokinetics The human pharmacokinetics of methyl eugenol are not well defined. Schecter et al. (2004) reported that methyl eugenol has a serum half-life in humans of about 90 min. Little information is available on the human metabolism of methyl eugenol; however, there is some suggestion, based on data for estragole, a structural analogue, that it is similar to that in animals (Smith et al. 2002). In animals, methyl eugenol is quickly and completely absorbed, and the metabolism is regulated by dose. Methyl eugenol can undergo O-demethylation at low doses, and epoxidation or 1'-hydroxylation dominates at higher doses. A sulfated 1'-hydroxy intermediate that can undergo rearrangement to form an active carbonium car·bo·ni·um n. An organic cation having one less electron than a corresponding free radical and with positive charge localized on the carbon atom. species is believed to be the biologically active form of methyl eugenol. This was initially hypothesized as the species that caused an increase in unscheduled DNA synthesis DNA synthesis commonly refers to:
UDS Uniform Data System UDS Unscheduled DNA (Deoxyribonucleic Acid) Synthesis UDS Unix Domain Socket UDS Urodynamics ; Chan and Caldwell 1992). Burkey et al. (2000) later confirmed this hypothesis by showing that methyl eugenol-induced UDS was obviated when cells were treated with pentachlorophenol pentachlorophenol a wood preservative with great capacity to enter the body by any route, including percutaneously; causes weight loss, low milk production and general debility. , an inhibitor that prevented formation of the sulfated 1'-hydroxy species. Ultimately, several oxidative metabolites are excreted in urine, and there is some indication of conversion to C[O.sub.2] (Smith et al. 2002). There is no indication of significant accumulation of methyl eugenol in any tissue. Toxicity Data The available toxicology data indicate that methyl eugenol has relatively low acute toxicity acute toxicity Pharmacology Illness caused by a single exposure to a toxic substance by the oral route, with an acute L[D.sub.50] (median lethal dose lethal dose n. Abbr. LD The dose of a chemical or biological preparation that is likely to cause death. ) in rats of about 1 g/kg (Beroza et al. 1975) and acute percutaneous toxicity (L[D.sub.50]) of about 2 g/kg in rabbits (Beroza et al. 1975). There were body weight and hematologic hematological, hematologic pertaining to or emanating from blood cells. hematological tests total and differential white cell counts, hematocrit estimation, erythrocyte count. effects in male and female F344 rats after gavage administration of 300 and 1,000 mg methyl eugenol/kg body weight (NTP 2000) for 14 weeks. The effects of methyl eugenol were also evaluated in male and female B6C3[F.sub.1] mice after gavage administration of doses ranging from 10 to 1,000 mg methyl eugenol/kg body weight for 14 weeks (NTP 2000). There was significant mortality in the 1,000 mg/kg groups. The organs affected in the lower-dose groups included liver, glandular stomach, and nose (NTP 2000). Based on the results of the 14-week studies, male and female F344 rats and B6C3[F.sub.1] mice received oral doses of 0, 37, 75, or 150 mg/kg/day for 5 days/week for 2 years. In addition, groups of male and female rats received 300 mg/kg/day methyl eugenol for 12 months, followed by a 12-month recovery period. It should be noted that none of the male rats in the 300-mg/kg/day group survived to the end of the 2-year study, and 16 of 50 female rats in this group survived to the end of the study. The results of the rodent bioassay indicate that gavage administration of methyl eugenol resulted primarily in hepatocellular adenomas and carcinomas in male and female rats and mice (NTP 2000). There was some increase in the incidence of tumors in the glandular stomach in male and female rats and male mice (NTP 2000). In addition, there were increases in renal tubule renal tubule n. A tubule of the kidney, such as a collecting or convoluted tubule. adenoma adenoma: see neoplasm. , malignant mesothelioma malignant mesothelioma Mesothelioma, see there , mammary gland mammary gland, organ of the female mammal that produces and secretes milk for the nourishment of the young. A mammal may have from 1 to 11 pairs of mammary glands, depending on the species. Generally, those mammals that bear larger litters have more glands. fibroadenoma Fibroadenoma Definition Fibroadenomas are benign breast tumors commonly found in young women. Fibroadenoma means "a tumor composed of glandular (related to gland) and fibrous (containing fibers) tissues. , and subcutaneous fibroma fibroma /fi·bro·ma/ (fi-bro´mah) pl. fibromas, fibro´mata a tumor composed mainly of fibrous or fully developed connective tissue. and fibrosarcoma fibrosarcoma /fi·bro·sar·co·ma/ (-sahr-ko´mah) a malignant, locally invasive, hematogenously spreading tumor derived from collagen-producing fibroblasts that are otherwise undifferentiated. in male rats (NTP 2000). Importantly, significant mortality was reported in the rats given doses of 150 mg/kg, with the entire male group dying and half of the female group dying before the end of the study (NTP 2000). The survival of vehicle control male and female rats was 40%, which approximates the historical control mortality for carboxymethyl cellulose Noun 1. carboxymethyl cellulose - an acid derivative of cellulose cellulose - a polysaccharide that is the chief constituent of all plant tissues and fibers vehicle. Based on the high mortality rate for the top-dose male and female rat treatment groups, it is plausible that the maximum tolerated dose was exceeded. Similarly, there was significant mortality among female mice treated with 150 mg/kg, with only two animals surviving to the end of the study compared to 31 female mice in the vehicle control group (NTP 2000). This suggests that high-dose female mice also received treatment that exceeded the maximum tolerated dose. The NTP conducted a relatively extensive series of toxicokinetic studies with methyl eugenol in rats and mice (NTP 2000). The results of single-dose gavage administration studies indicate that maximum plasma concentrations were dose dependent and similar for rats and mice. However, the plasma half-life was shorter in mice than in rats (NTP 2000). The results of repeated-dose gavage studies in rats and mice indicate that methyl eugenol is rapidly absorbed, with most being eliminated in the urine, and some suggestion that it is eliminated more rapidly in mice than in rats (NTP 2000). Studies with [[.sup.14.C]]-labeled methyl eugenol indicate that the primary organ for distribution in rats after either oral or intravenous administration is the liver (NTP 2000). The distribution in mice was different, with significant distribution to fat along with several organs, including liver, spleen, stomach, and ovaries Ovaries The female sex organs that make eggs and female hormones. Mentioned in: Choriocarcinoma ovaries (ō´v (NTP 2000). In contrast to the data in rats, the methyl eugenol distribution in mice was similar to or greater in fat, spleen, ovary ovary, ductless gland of the female in which the ova (female reproductive cells) are produced. In vertebrate animals the ovary also secretes the sex hormones estrogen and progesterone, which control the development of the sexual organs and the secondary sexual , and stomach than in liver. The available genetic toxicology data suggest that methyl eugenol does not have significant genotoxic genotoxic /ge·no·tox·ic/ (je´no-tok?sik) damaging to DNA: pertaining to agents known to damage DNA, thereby causing mutations, which can result in cancer. ge·no·tox·ic adj. potential. With or without S9 metabolic activation, methyl eugenol was not mutagenic mutagenic inducing genetic mutation. in Salmonella typhimurium Salmonella ty·phi·mu·ri·um n. A bacterium that causes food poisoning. strains TA98, TA100, TA1535, or TA1537 (NTP 2000). Methyl eugenol, with or without S9 metabolic activation, was not clastogenic when evaluated in cultured Chinese hamster ovary cells (NTP 2000), and it was not clastogenic in the bone marrow of male or female B6C3[F.sub.1] mice (NTP 2000). One report indicates that methyl eugenol is cytotoxic cy·to·tox·ic adj. Of, relating to, or producing a toxic effect on cells. cy to·tox·ic to cultured primary hepatocytes from male F344 rats and
female B6C3[F.sub.1] mice (Burkey et al. 2000). In addition methyl
eugenol caused a modest increase in UDS in primary rat and mouse
hepatocytes (Burkey et al. 2000).
Both in vitro in vitro /in vi·tro/ (in ve´tro) [L.] within a glass; observable in a test tube; in an artificial environment. in vi·tro adj. In an artificial environment outside a living organism. and in vivo in vivo /in vi·vo/ (ve´vo) [L.] within the living body. in vi·vo adj. Within a living organism. in vivo adv. DNA DNA: see nucleic acid. DNA or deoxyribonucleic acid One of two types of nucleic acid (the other is RNA); a complex organic compound found in all living cells and many viruses. It is the chemical substance of genes. binding studies were conducted (Gardner et al. 1997; NTP 2000). Methyl eugenol, with or without S9 metabolic activation, was incubated with calf thymus thymus Pyramid-shaped lymphoid organ (see lymphoid tissue) between the breastbone and the heart. Starting at puberty, it shrinks slowly. It has no lymphatic vessels draining into it and does not filter lymph; instead, stem cells in its outer cortex develop into DNA. The results of the study indicate that methyl eugenol itself had no detectable binding to DNA. When S9 from Arochlor 1254-treated mice or rats was used, DNA binding was higher than when non-induced S9 was used. The NTP reported that human S9 induced less DNA binding than either rat or mouse S9. Additional studies indicate that methyl eugenol forms DNA adducts in vivo (NTP 2000) and induces UDS in vivo (Burkey et al. 2000; Chan and Caldwell 1992; Gardner et al. 1997; Howes et al. 1990). The results of these studies support the hypothesis that the formation of a carbonium ion A carbonium ion is a carbocation of the penta- or tetracoordinated nonclassical type such as an ion of the type R5C+ [1]. Methonium The parent compound methonium or CH5+ species that can react with DNA is the critical metabolite metabolite, organic compound that is a starting material in, an intermediate in, or an end product of metabolism. Starting materials are substances, usually small and of simple structure, absorbed by the organism as food. for methyl eugenol exposure. It is important to note that Smith et al. (2002) reported that none of the in vivo DNA adduct studies has been conducted at doses comparable to those found in the diet; in fact, the lowest dose used was about 10 mg/kg/day, which is comparable to the doses used in the NTP bioassay. Biomarker/Analytical Methods Although several studies have evaluated biomarkers of methyl eugenol in animals, primarily rats, only one method has been reported to measure methyl eugenol in humans (Barr et al. 2000). The method used 4 g serum (the equivalent of a 10-mL whole-blood draw) to measure intact methyl eugenol. Isotopically labeled methyl eugenol was used as an internal standard. The methyl eugenol was isolated from the serum using a general solid-phase extraction and was measured in the extract using gas chromatography/high-resolution mass spectrometry mass spectrometry or mass spectroscopy Analytic technique by which chemical substances are identified by sorting gaseous ions by mass using electric and magnetic fields. . Quantification was achieved using isotope dilution calibration. Although the method was highly selective and sensitive, a residual contamination Contamination which remains after steps have been taken to remove it. These steps may consist of nothing more than allowing the contamination to decay normally. in the laboratory air and water made the analysis difficult. The method had appropriate sensitivity to measure methyl eugenol in serum, although the levels were quite low. An added benefit of measuring methyl eugenol in blood was the specificity of the marker for determining exposure to methyl eugenol itself. The measurement of metabolites can often be less selective because common metabolites may be derived from structurally similar chemicals. Urinary 1'-hydroxy methyl eugenol and its glucuronide-bound analogue are also considered potential biomarkers for human exposure to methyl eugenol, although no published methods exist for its measurement (Smith et al. 2002). Table 1 summarizes the validation parameters to be considered when evaluating biomarkers for methyl eugenol. Exposure Assessment Limited information exists on specific sources of exposure to methyl eugenol. Because it is a component of many herbs and spices, differences in dietary habits along with the natural variation in levels of methyl eugenol in plants (Di Cesare et al. 2003; Smith et al. 2002) makes a definitive prediction of exposure difficult. Based on known levels in foods, spices, and herbs, the Flavor Extract Manufacturers Association (FEMA FEMA, n.pr See Federal Emergency Management Agency. ) estimated that methyl eugenol consumption from food is about 5-6 [micro]g/kg/day (Smith et al. 2002). The FEMA group assumed that the top 10% of people consuming methyl eugenol consumed all of the methyl eugenol in commerce (Smith et al. 2002). In addition, use of essential oils as flavoring agents has resulted in a total methyl eugenol exposure of no more than about 10 [micro]g/kg/day. However, ethnic or cultural dietary habits may result in substantially higher exposures to methyl eugenol; one estimate indicates as much as 250 [micro]g methyl eugenol/kg/meal from a pesto meal (Miele et al. 2001). The integrated exposure to methyl eugenol derived from the biomonitoring data indicates that serum levels have been measured as high as 390 pg/g and may be higher in some individuals depending on diet, genetics, body weight, and so forth (Barr et al. 2000; Schecter et al. 2004). The highest blood levels after consumption of about 216 [micro]g of methyl eugenol in contained in gingersnap cookies was about 100 pg/g or 3.16 [micro]g/kg (Schecter et al. 2004). These data and the highest level reported in the biomonitoring study (Barr et al. 2000) translate to exposures ranging from about 4-12 [micro]g/kg/day, which is very similar to the estimates presented by Smith et al. (2002). Although exposure estimates based on the biomonitoring data are similar to those derived from food consumption, it should be noted that the biomonitoring data were derived from a subset of the general population and that population sampling did not account for dietary or other lifestyle factors that could influence methyl eugenol serum levels. This is supported by the fact that the highest serum levels in fasting individuals who consumed cookies containing methyl eugenol was only about one-fourth that of the highest serum levels reported in the NHANES NHANES National Health and Nutrition Examination Survey (US CDC) population (Barr et al. 2000; Schecter et al. 2004). The fact that methyl eugenol has a relatively short half-life and that data regarding when food was consumed relative to when blood samples were collected from the NHANES subjects make it difficult to determine whether a steady-state was reached. This clearly highlights the need for both dietary information and temporal information when samples are collected. Furthermore, collection of multiple samples over relatively short periods of time would provide important additional data to help in the development of a human pharmacokinetic model. Development of a human pharmacokinetic model would be valuable for comparing the rodent toxicology data to human exposure. This could be further augmented with sample collection over longer intervals that, when coupled with the NHANES demographic information, would provide perspective on ethnic, gender, and/or racial exposure trends. Biomonitoring/Risk Assessment Although no link between methyl eugenol consumption and health effects in humans has been identified, in part because of a limited number of studies in humans and an absence of epidemiology data, it is worthwhile to compare human exposure based on biomonitoring data to the available rodent bioassay data. A recent study provided some information regarding the pharmacokinetics of methyl eugenol in humans (Schecter et al. 2004). Volunteers consumed gingersnap cookies containing approximately 18 [micro]g methyl eugenol per cookie, resulting in a total consumption of about 216 [micro]g of methyl eugenol. The level of methyl eugenol in the blood peaked at about 15 min, and the half-life was estimated to be about 2 hr (Schecter et al. 2004). The highest exposure estimated from the Barr et al. (2000) study is as much as 4-fold greater than the highest exposure in the gingersnap study (Schecter et al. 2004). In contrast to the relatively low-dose exposures in humans, the lowest dose used in the 2-year rodent studies was 37,000 [micro]g/kg/day. Thus, human dietary exposures are substantially lower than the lowest dose used in the NTP study. Even the high-consumption single-meal dose of about 250 [micro]g methyl eugenol/kg (Miele et al. 2001) is almost 150-fold lower than the lowest dose used in the NTP study. It is important to note that the methyl eugenol biomonitoring data offer a starting point Noun 1. starting point - earliest limiting point terminus a quo commencement, get-go, offset, outset, showtime, starting time, beginning, start, kickoff, first - the time at which something is supposed to begin; "they got an early start"; "she knew from the for examining the risk assessment paradigm as it applies to cancer risk assessment. Although the NTP rodent bioassay study design was intended primarily as a hazard identification tool, the results of such studies are often used to develop quantitative potency estimates for risk assessment. A number of different extrapolation (mathematics, algorithm) extrapolation - A mathematical procedure which estimates values of a function for certain desired inputs given values for known inputs. If the desired input is outside the range of the known values this is called extrapolation, if it is inside then methods have been developed and are used by state agencies such as the Office of Environmental Health Hazard health hazard Occupational safety Any agent or activity posing a potential hazard to health. Cf Physical hazard. Assessment in California, national agencies such as the U.S. Environmental Protection Agency Environmental Protection Agency (EPA), independent agency of the U.S. government, with headquarters in Washington, D.C. It was established in 1970 to reduce and control air and water pollution, noise pollution, and radiation and to ensure the safe handling and , and international agencies such as the European Union European Union (EU), name given since the ratification (Nov., 1993) of the Treaty of European Union, or Maastricht Treaty, to the European Community and Health Canada for regulatory decision making. Typically for cancer risk assessment, linear extrapolation methods are used to derive a quantitative cancer risk or potency estimate, resulting in very low numerical values. Based on dietary consumption alone, it is likely that methyl eugenol exposure exceeds quantitative cancer potency estimates derived by linear extrapolation methods by several orders of magnitude. The exposure estimates outlined by Schecter et al. (2004) indicate that rodents had an increased liver cancer Liver Cancer Definition Liver cancer is a relatively rare form of cancer but has a high mortality rate. Liver cancers can be classified into two types. risk in the range of 17-50%. The authors indicated that human exposures would be about 10,000-fold lower than the exposures in the rodent bioassay. Although the projected dietary exposure is lower than the doses used in the rodent bioassay, direct comparison is complicated because the animals received gavage doses as opposed to dietary administration, and there are no biomonitoring data in rodents after dietary consumption of methyl eugenol. Conclusions and Recommendations Hazard identification data indicate that methyl eugenol induces hepatocellular carcinomas along with tumors at several other sites in rats and hepatocellular carcinoma in mice. However, the relevance of these results remains in question. The animals received substantial bolus doses that are not representative of typical methyl eugenol exposure. Relatively high doses of methyl eugenol that overwhelm the most common metabolic pathways have been suggested as the mechanism resulting in the formation of a reactive carbonium ion from the 1'-hydroxymethyl eugenol metabolite (Gardner et al. 1997; Rietjens et. al. 2005; Smith et al. 2002). This raises the possibility that a 1'-hydroxyl reactive metabolite is not formed at significant levels at lower exposures. It is important to note that given the lack of clinical or epidemiology data, there is no way to determine an association between human exposure to methyl eugenol and disease. Conducting human epidemiology studies to evaluate the association of diets containing a high level of methyl eugenol and any type of health outcome would provide valuable perspective. This clearly highlights the need for additional human data and the need to modify toxicology studies to include biomonitoring end points. The availability of biomonitoring data in humans and rodents after dietary consumption/low-dose exposure would greatly facilitate the integration of biomonitoring data into the risk assessment. The potential for the formation of a reactive metabolite at high exposures as noted above suggests that more than one biomarker could be measured. The methyl eugenol biomonitoring data are based on detection of the parent compound in serum (Barr et al. 2000). Reports in the literature indicate a threshold for methyl eugenol tumor induction in rats (Waddell 2002). In addition Waddell et al. (2004) report that DNA adduct formation correlates with tumor induction in rats. The existing data support the conclusion that lower doses of methyl eugenol and other allyl alkoxybenzenes undergo O-demethylation as the primary route of detoxification Detoxification Definition Detoxification is one of the more widely used treatments and concepts in alternative medicine. It is based on the principle that illnesses can be caused by the accumulation of toxic substances (toxins) in the body. . This is supported by the report that microsomes from the livers of rats administered methyl eugenol at doses of 30-300 mg mg/kg autoinduced 1'-hydroxylation of methyl eugenol, whereas those of rats administered 10 mg/kg did not (Gardner et al. 1997). With relatively low (dietary) doses, it is likely that very little of the 1'-hydroxyl metabolite is formed; however, as doses increase, a shift in metabolism to this pathway occurs (Smith et al. 2002). Formation of the 1'-hydroxyl metabolite is particularly important because it is thought to form a carbonium ion that results in a reactive intermediate molecule (Burkey et al. 2000; Smith et al. 2002). Because the possibility of different metabolic pathways has been raised, additional perspective could be gained from biomonitoring the formation of the 1'-hydroxy and other metabolites at different doses, including comparisons of lower and higher doses of methyl eugenol. This type of information would help determine whether there is induction of a metabolic shift and would offer additional support for a threshold for methyl eugenol-induced effects, if a significant quantity of the reactive intermediate is formed only at higher doses. The toxicokinetics of methyl eugenol after gavage have been reasonably well studied in animals, and a physiologically based pharmacokinetic model exists (NTP 2000). These data indicate that methyl eugenol is rapidly absorbed, metabolized, and excreted after bolus administration. There is one report that cytochrome cytochrome (sī`təkrōm'), protein containing heme (see coenzyme) that participates in the phase of biochemical respiration called oxidative phosphorylation. P450 (CYP CYP In currencies, this is the abbreviation for the Cyprus Pound. Notes: The currency market, also known as the Foreign Exchange market, is the largest financial market in the world, with a daily average volume of over US $1 trillion. ) E1 is responsible for 1'-hydroxylation in the rat (Gardner et al. 1997). For humans, there is some good preliminary information on the absorption and elimination of methyl eugenol (Schecter et al. 2004). The results of this study indicate that humans also rapidly absorb and eliminate methyl eugenol. However, only one dose was administered to a relatively small number of subjects. Obtaining additional data to develop a human physiologically based pharmacokinetic model would provide a tool for comparison and aid the interpretation of the rodent toxicity data. Recently, it has been reported that human CYP1A CYP1A Cytochrome P450 1A 2 is responsible for 1'-hydroxylation at dietary concentrations and that CYP2C9, CYP2C19, and CYP2D6 participate at higher concentrations (Jeurissen et al. 2006). This further supports that there are distinct differences in the formation of the reactive metabolite at lower methyl eugenol exposures. In addition it suggests that there may be fundamental differences in the metabolism of methyl eugenol between rodents and humans. Because a single cytochrome P450 in humans appears to be primarily responsible for metabolism at low doses of methyl eugenol, it also raises the question of population heterogeneity. This highlights the need for obtaining additional metabolism and pharmacokinetic data in humans so that appropriate comparisons can be made to the existing animal data. Finally, another important consideration is that the rodent bioassay was conducted using oral gavage as a means of administering methyl eugenol. There is limited relevance of oral gavage dosing for a material that is consumed at much lower levels in the diet. This has the net effect of presenting the animal with a large bolus dose of material that, as discussed above, may overwhelm detoxification pathways. The primary source of human exposure to methyl eugenol is most likely the diet. This would represent relatively low-level exposure that is likely to be well within both animal and human metabolic capacity. Evaluating the impact of route by administering methyl eugenol in the diet of rats and mice would add important information to our understanding of chronic dietary exposure to methyl eugenol. Tissue collection for biomonitoring information and determination of DNA adducts in the treated animals are included in the protocol. There should also be some consideration of gathering pharmacokinetic data after dietary administration because the existing data were gathered after gavage or intravenous administration. This evaluation of methyl eugenol illustrates some of the questions that should be asked when attempting to integrate biomonitoring into risk assessment. It also highlights some of the data gaps that need to be filled to develop a risk assessment of methyl eugenol. Although there are a number of toxicology studies in animals, questions remain unanswered regarding the relevance of oral gavage administration of high-bolus doses used in the NTP studies, relative to the much lower doses received after dietary consumption of foods containing methyl eugenol. Recently there is some suggestion of a difference in metabolism of methyl eugenol between humans and rodents, and that significant amounts of the hypothesized critical metabolite occur at relatively high concentrations. Limited toxicokinetic data in humans exist, and there may be differences in the primary detoxification pathways; additional toxicokinetic data are needed to gain a better understanding. This is particularly important because the 1'-hydroxy pathway is responsible for formation of the reactive carbonium ion. Furthermore, although there are very limited human health and no epidemiology data, no adverse human health effects have been associated with dietary consumption of methyl eugenol. REFERENCES Albertini R, Bird M, Doerrer N, Needham L, Robison S, Sheldon L, et al. 2006. The use of biomonitoring data in exposure and human health risk assessments. Environ Health Perspect 114:1755-1762. Barr DB, Barr JR, Bailey SL, Lapeza CR Jr, Beeson MD, Caudill SP, et al. 2000. Levels of methyl eugenol in a subset of adults in the general U.S. population as determined by high resolution mass spectrometry. Environ Health Perspect 108:323-328. Beroza M, Inscoe MN, Schwartz PH Jr, Keplinger ML, Mastri CW. 1975. Acute toxicity studies with insect attractants. Toxicol Appl Pharmacol 31:421-429. Burkey JL, Sauer JM, McQueen CA, Sipes IG. 2000. Cytotoxicity cytotoxicity /cy·to·tox·ic·i·ty/ (si?to-tok-sis´i-te) the degree to which an agent possesses a specific destructive action on certain cells or the possession of such action. and genotoxicity Genotoxic substances are a type of carcinogen, specifically those capable of causing genetic mutation and of contributing to the development of tumors. This includes both certain chemical compounds and certain types of radiation. of methyleugenol and related congeners--a mechanism of activation for methyleugenol. Mutat Res 453:25-33. CDC. 2004. Third National Report on Human Exposure to Environmental Chemicals. Atlanta:Centers for Disease Control and Prevention. Available: http://www.cdc.gov/exposurereport/pdf/third_report_chemicals.pdf [accessed 11 August 2004]. Chan VS, Caldwell J. 1992. Comparative induction of unscheduled DNA synthesis in cultured rat hepatocytes by allylbenzenes and their 1'-hydroxy metabolites. Food Chem Toxicol 30: 831-836. De Simon BF, Cadahia E, Jalocha J. 2003. Volatile compounds in a Spanish red wine aged in barrels made of Spanish, French, and American oak wood. J Agric Food Chem 51:7671-7678. Di Cesare LF, Forni E, Viscardi D, Nani RC. 2003. Changes in the chemical composition of basil caused by different drying procedures. J Agric Food Chem 51:3575-3581. European Centre for Ecotoxicology and Toxicology of Chemicals. 2005. Guidance for the Interpretation of Biomonitoring Data. Doc no. 44. Appendix B10. Brussels:European Centre for Ecotoxicology and Toxicology of Chemicals, 43-45. Available: http://www.ecetoc.org/content/Default.asp?PageID=21 [accessed 25 January 2006]. Gardner I, Wakazono H, Bergin P, de Waziers I, Beaune P, Kenna JG, et al. 1997. Cytochrome P450 mediated bioactivation of methyleugenol to 1'-hydroxymethyleugenol in Fischer 344 rat and human liver microsomes. Carcinogenesis car·ci·no·gen·e·sis n. The production of cancer. carcinogenesis production of cancer. biological carcinogenesis viruses and some parasites are capable of initiating neoplasia. 18:1775-1783. Howes AJ, Chan VS, Caldwell J. 1990. Structure-specificity of the genotoxicity of some naturally occurring alkenylbenzenes determined by the unscheduled DNA synthesis assay in rat hepatocytes. Food Chem Toxicol 28:537-542. Jeurissen SM, Bogaards JJ, Boersma MG, ter Horst JP, Awad HM, Fiamegos YC, et al. 2006. Human cytochrome p450 enzymes of importance for the bioactivation of methyleugenol to the proximate proximate /prox·i·mate/ (prok´si-mit) immediate or nearest. prox·i·mate adj. Closely related in space, time, or order; very near; proximal. proximate immediate; nearest. carcinogen carcinogen: see cancer. carcinogen Agent that can cause cancer. Exposure to one or more carcinogens, including certain chemicals, radiation, and certain viruses, can initiate cancer under conditions not completely understood. 1'-hydroxymethyleugenol. Chem Res Toxicol 19:111-116. Jordan MJ, Tandon K, Shaw PE, Goodner KL. 2001. Aromatic profile of aqueous banana essence and banana fruit by gas chromatography-mass spectrometry (GC-MS GC-MS Gas chromatography-mass spectroscopy. See there. ) and gas chromatography-olfactometry (GC-O). J Agric Food Chem 49:4813-4817. MacGregor JT, Layton LL, Buttery RG. 1974. California bay oil. II. Biological effects of constituents. J Agric Food Chem 22:777-780. Miele M, Dondero R, Ciarallo G, Mazzei M. 2001. Methyleugenol in Ocimum basilicum Ocimum basilicum, n See basil. L. Cv. genovese gigante. J Agric Food Chem 49:517-521. NTP. 2000. Toxicology and Carcinogenesis Studies of Methyleugenol (CAS No. 93-15-2) in F344/N Rats and B6C3F C3F Commander Third Fleet 1 Mice (Gavage Studies). Technical Report 491. Research Triangle Park Research Triangle Park, research, business, medical, and educational complex situated in central North Carolina. It has an area of 6,900 acres (2,795 hectares) and is 8 × 2 mi (13 × 3 km) in size. Named for the triangle formed by Duke Univ. , NC:National Toxicology Program, National Institute of Environmental Health Sciences. Rietjens IM, Boersma MG, van der WH, Jeurissen SM, Schutte ME, Alink GM. 2005. Flavonoids flavonoids, n.pl common plant pigment compounds that act as antioxidants, enhance the effects of vitamin C, and strengthen connective tissue around capillaries. and alkenylbenzenes: mechanisms of mutagenic action and carcinogenic risk. Mutat Res 574:124-138. Schecter A, Lucier GW, Cunningham ML, Abdo KM, Blumenthal G, Silver AG, et al. 2004. Human consumption of methyleugenol and its elimination from serum. Environ Health Perspect 112:678-680. Smith R, Adams T, Doull J, Feron V, Goodman J, Marnett L, et al. 2002. Safety assessment of allylalkoxybenzene derivatives used in flavoring substances--methyl eugenol and estragole. Food Chem Toxicol 40:851-870. Vargas RI, Stark JD, Kido MH, Ketter HM, Whitehand LC. 2000. Methyl eugenol and cue-lure traps for suppression of male oriental fruit flies and melon flies (Diptera: Tephritidae) in Hawaii: effects of lure mixtures and weathering. J Econ Entomol 93:81-87. Waddell WJ. 2002. Thresholds of carcinogenicity of flavors. Toxicol Sci 68:275-279. Waddell WJ, Crooks NH, Carmichael PL. 2004. Correlation of tumors with DNA adducts from methyl eugenol and tamoxifen tamoxifen (təmŏk`sĭfĕn'), synthetic hormone used in the treatment of breast cancer. Introduced in 1978, tamoxifen is used to prevent recurrences of cancer in women who have already undergone surgery to remove their tumors. in rats. Toxicol Sci 79:38-40. Steven H. Robison (1) and Dana B. Barr (2) (1) The Procter & Gamble Company, Central Product Safety Division, Product Safety and Regulatory Affairs, Miami Valley Laboratories, Cincinnati, Ohio, USA; (2) Centers for Disease Control and Prevention, National Center for Environmental Health, Division of Laboratory Sciences, Organic Analytical Toxicology, Atlanta, Georgia, USA This article is part of the mini-monograph "Use of Biomonitoring Data in Exposure and Human Health Risk Assessments." Address correspondence to S.H. Robison, The Procter & Gamble Company, 11810 East Miami River Rd., Cincinnati, OH, USA 45252. Telephone: (513) 627-0674. Fax: (513) 627-1927. E-mail: robison.sh@pg.com The views expressed in this article are those of the authors and do not necessarily reflect the views or policies of the Centers for Disease Control and Prevention. S.H.R. is employed by Procter & Gamble, which does not intentionallly add methyl eugenol to its products; however, some naturally derived oils that are used may contain trace levels of methyl eugenol. D.B.B declares she has no competing financial interests. Received 1 February 2006; accepted 8 June 2006. Table 1. Evaluation of biomarkers for methyl eugenol. Validation parameter ME 1-OH-ME Specificity of marker for exposure Most specific Most specific Matrix for measurement Blood Blood Alternative exposures that may None None result in presence of biomarker in matrix Specificity of marker for predicting Nonspecific Nonspecific health outcome Stability of marker in matrix Very stable Very stable Data from multiple laboratories No No Interlaboratory comparison No No Abbreviations: ME, methyl eugenol; 1'-OH-ME, 1'-hydroxy methyl eugenol. |
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