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toxicological profile for malathion - Agency for Toxic Substances and ...

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MALATHION 160<br />

3. HEALTH EFFECTS<br />

Lee <strong>and</strong> Tai 2001; Matsukawa et al. 1997; Monje Argiles et al. 1990; Namba et al. 1970; Ramu et al.<br />

1973). As an organophosphate pesticide, <strong>malathion</strong> inhibits the activity of the enzyme<br />

acetylcholinesterase as well as that of plasma cholinesterase. The inhibition of acetylcholinesterase at<br />

various levels within the nervous system produces a characteristic set of signs <strong>and</strong> symptoms including<br />

respiratory distress, bradycardia, increased bronchial secretions, excessive salivation, lacrimation,<br />

pupillary constriction, fasciculations, abdominal cramps, <strong>and</strong> diarrhea (Aaron <strong>and</strong> Howl<strong>and</strong> 1998; Carlton<br />

et al. 1998; Osmundson 1998). Most of these signs <strong>and</strong> symptoms have been observed in the cases listed<br />

above. In addition, abnormal electromyographic findings were reported in some studies of documented<br />

ingestion of <strong>malathion</strong> (Crowley <strong>and</strong> Johns 1966; Dive et al. 1994; Monje Argiles et al. 1990). A study of<br />

controlled administration of <strong>malathion</strong> in capsules to volunteers identified a NOAEL <strong>and</strong> LOAEL <strong>for</strong><br />

inhibition of plasma cholinesterase of 0.23 <strong>and</strong> 0.34 mg/kg/day, respectively (Moeller <strong>and</strong> Rider 1962),<br />

<strong>and</strong> these findings were used to derive an intermediate oral MRL <strong>for</strong> <strong>malathion</strong>. Studies of workers<br />

exposed to several pesticides have also documented inhibition of plasma <strong>and</strong> RBC cholinesterase, <strong>and</strong> in<br />

some cases, the degree of enzyme inhibition has been correlated with the presence or absence of clinical<br />

signs (Ernest et al. 1995; Peedicayil et al. 1991; StDlberg et al. 1978). In<strong>for</strong>mation is lacking on potential<br />

effects of long-term, low-level exposure to <strong>malathion</strong> as well as on potential long-term effects of acute<br />

high exposure to <strong>malathion</strong>. This in<strong>for</strong>mation can only be obtained from evaluation of cohorts exposed<br />

only to <strong>malathion</strong>, but data from subjects exposed to a few organophosphates would also be helpful.<br />

Studies in animals support the findings in humans. In addition to measurements of cholinesterase<br />

activity, a few studies have examined the effects of <strong>malathion</strong> on neurobehavioral parameters. An acute<br />

study that tested a functional observation battery in rats reported increased motor activity 21 days after a<br />

single gavage dose of 2,000 mg/kg of <strong>malathion</strong> (88% pure) (Ehrich et al. 1993), whereas a similarly<br />

designed study found decreased motor activity 14 days after dosing with 2,000 mg/kg <strong>malathion</strong><br />

(96.4% pure) (Lamb 1994a). Similar inconsistencies were seen between two 90-day feeding studies (Desi<br />

et al. 1976; Lamb 1994b). Further studies are needed to clarify these inconsistencies. Chronic-duration<br />

studies have reported inhibition of plasma <strong>and</strong> RBC cholinesterase activity in both rats (Daly 1996a) <strong>and</strong><br />

mice (Slauter 1994) <strong>and</strong> body tremors in female mice after 70 weeks of dosing with approximately<br />

2,980 mg/kg/day of <strong>malathion</strong> (NCI 1978). Should additional chronic studies be conducted, microscopic<br />

examination of nervous tissues from both peripheral <strong>and</strong> central nervous system may be conducted. Also,<br />

a subgroup of animals could be tested <strong>for</strong> possible subtle neurobehavioral alterations of long-term, lowlevel<br />

exposure. Finally, pilot studies should be designed to evaluate possible neurodevelopmental effects<br />

of gestational <strong>and</strong> lactational exposure to <strong>malathion</strong>.

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