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PRINCIPLES OF TOXICOLOGY

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16.5 TOXIC PROPERTIES <strong>OF</strong> REPRESENTATIVE AROMATIC HYDROCARBON SOLVENTS 381<br />

extreme fatigue, confusion, exhilaration, nausea, headache, and dizziness may result within a short<br />

time. In comparison, the acute toxicity of the xylene isomers is qualitatively similar to that of toluene,<br />

although they are less potent. In addition to considerations of occupational exposure, concern recently<br />

has been directed toward the reports of intentional inhalant abuse of alkylbenzenes and alkylbenzenecontaining<br />

products.<br />

A number of indicators of industrially important exposure have been developed for the alkylbenzenes,<br />

including urinary hippuric acid (toluene, xylenes), mandelic acid (ethylbenzene, styrene), and<br />

phenylglyoxylic acid (styrene).<br />

Polycyclic Aromatic Hydrocarbon (PAH) Compounds<br />

This chemical class includes many members, all of which are cyclic-substituted benzenes. While this<br />

group often is not commonly classed with solvents, many of the PAHs are common components of<br />

petroleum fuels and some solvent mixtures, and are presented here for comparative purposes (see also<br />

Figure 16.4).<br />

The PAHs are nonpolar, lipid-soluble compounds that may be absorbed via the skin, lungs, or<br />

digestive tract. Once absorbed, they can be concentrated in organs with a high lipid content. They<br />

are metabolized by a subpopulation of cytochrome P450 enzymes, which they also induce. These<br />

cytochromes are commonly referred to generically as aryl hydrocarbon hydroxylase (AHH), or<br />

cytochrome P448. Since PAHs are composed of aromatic rings with limited available sites for<br />

metabolism, hydroxylation is the prevalent physiological means to initiate metabolism of PAHs<br />

to more water-soluble forms that facilitate excretion. In this process, potentially toxic and<br />

carcinogenic epoxide metabolites may be formed. While the ubiquitous environmental presence<br />

of the PAHs suggests that regular exposure would more commonly lead to adverse effects, other<br />

routes of metabolism have been identified that appear to act as protective mechanisms by<br />

degrading these reactive PAH metabolites. Similarly, natural or added constituents of foods such<br />

as flavenoids; selenium; vitamins A, C, and E; phenolic antioxidants; and food additives (e.g.,<br />

BHT, BHA) all can exert protective effects against these metabolites. Recent evidence indicates<br />

that the simple, initial epoxide metabolites of PAHs are not the ultimate carcinogens because<br />

secondary metabolites of PAHs have been shown to be more potent mutagenic and carcinogenic<br />

agents, and because they form DNA adducts, which are more resistant to DNA-repair processes.<br />

However, a detailed discussion of these processes is beyond the scope of this chapter. The reader<br />

is referred to the bibliography at the end of this chapter for further references in this area, such<br />

as the ATSDR Toxicological Profiles.<br />

Naphthalene is the simplest member of the PAHs (two phenyl rings) and is a common fuel<br />

component, as well as a commercial moth repellent. Naphthalene inhalation at sufficient concentration<br />

may cause headache, confusion, nausea, and profuse perspiration. Severe exposures may cause optic<br />

neuritis and hematuria. Cataracts have been produced experimentally following naphthalene exposure<br />

in rabbits and at least one case has been reported in humans. Naphthalene is an irritant and<br />

hypersensitivity has been reported, though rarely. The teratogenic and embryotoxic effects of PAHs<br />

have only been documented for a few of the more potent, carcinogenic PAH compounds, and then only<br />

in extreme exposure regimes in animal studies.<br />

Figure 16.4 Naphthalene and benzo[a]pyrene.

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