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Combined Actions and Interactions of Chemicals in Mixtures

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octylt<strong>in</strong> dichloride). A number <strong>of</strong> adverse effects seen at the LOAEL, such as<br />

decreased prothromb<strong>in</strong> time, <strong>in</strong>creased liver enzyme activity (ALAT <strong>and</strong> ASAT) <strong>in</strong><br />

plasma, <strong>in</strong>creased kidney weights, reduced number <strong>of</strong> corpora lutea <strong>in</strong> ovaries, <strong>and</strong><br />

<strong>in</strong>creased numbers <strong>of</strong> mult<strong>in</strong>ucleated giant cells <strong>in</strong> the epididymides had not been<br />

seen at all or had been found at doses higher than the LOAEL <strong>of</strong> the <strong>in</strong>dividual<br />

compounds. Although some <strong>of</strong> these changes may be related to the severe growth<br />

retardation, they suggested some k<strong>in</strong>d <strong>of</strong> <strong>in</strong>teraction result<strong>in</strong>g <strong>in</strong> a slightly more<br />

severe <strong>and</strong> maybe broader range <strong>of</strong> toxic response. On the other h<strong>and</strong> the changes<br />

<strong>in</strong> the thymus were less pronounced on comb<strong>in</strong>ed exposure than after exposure to<br />

di-n-octylt<strong>in</strong> dichloride alone, suggest<strong>in</strong>g <strong>in</strong>teraction lead<strong>in</strong>g to less severe toxicity.<br />

Table 5.2.1. Toxicological studies <strong>of</strong> chemicals with different target organs <strong>and</strong>/or modes <strong>of</strong><br />

action.<br />

Compound<br />

Potassium<br />

nitrate<br />

Stannous<br />

chloride<br />

Sodium<br />

metabisulphiteMetalde-<br />

hyde<br />

62<br />

NOAEL/10 NOAEL/3 NOAEL LOAEL<br />

Mg/kg bw/day<br />

Target<br />

organ<br />

10 33 100 300 Adrenals<br />

100 330 1000 3000 Body<br />

weight,<br />

blood, liver<br />

500 1670 5000 20000 Blood,<br />

stomach,<br />

liver<br />

20 70 200 1000 Liver<br />

Loperamide 0.5 1.7 5 25 Body weight<br />

Mirex 0.5 1.7 5 80 Body<br />

weight, liver<br />

blood<br />

Lys<strong>in</strong>o- 3 10 30 100 Kidneys<br />

alan<strong>in</strong>e<br />

Di-n-octylt<strong>in</strong><br />

dichloride<br />

0.6 2 6 30 Thymus,<br />

liver<br />

The authors concluded that the study demonstrates absence <strong>of</strong> a simple additive<br />

effect <strong>and</strong> synergism, <strong>and</strong> provides some, but no conv<strong>in</strong>c<strong>in</strong>g evidence for an<br />

<strong>in</strong>creased risk from exposure to a comb<strong>in</strong>ation <strong>of</strong> chemicals when each chemical is<br />

adm<strong>in</strong>istered at its own <strong>in</strong>dividual NOAEL. At lower dose levels no <strong>in</strong>creased risk<br />

appeared to exist.<br />

The other experiment (Feron et al. 1995a, Groten et al. 1997) was a 4-week<br />

oral/<strong>in</strong>halatory study <strong>in</strong> male Wistar rats <strong>in</strong> which the toxicity <strong>of</strong> comb<strong>in</strong>ations <strong>of</strong><br />

n<strong>in</strong>e compounds was exam<strong>in</strong>ed (Table 5.2.2). In this study a comb<strong>in</strong>ation was used<br />

<strong>of</strong> compounds highly relevant to the general population <strong>in</strong> terms <strong>of</strong> use patterns <strong>and</strong><br />

levels <strong>and</strong> frequency <strong>of</strong> exposure. The study <strong>in</strong>cluded 20 experimental groups, four<br />

groups <strong>of</strong> eight rats <strong>in</strong> the ma<strong>in</strong> study <strong>and</strong> 16 groups <strong>of</strong> five rats <strong>in</strong> a satellite study.<br />

In the ma<strong>in</strong> study, the rats were simultaneously exposed to mixtures <strong>of</strong> all n<strong>in</strong>e<br />

chemicals. Dichloromethane <strong>and</strong> formaldehyde were adm<strong>in</strong>istered by <strong>in</strong>halation<br />

<strong>and</strong> aspir<strong>in</strong>, di(2- ethylhexyl)phthalate (DEHP), cadmium chloride, stannous<br />

chloride, butyl hydroxyanisol (BHA), loperamide, <strong>and</strong> sperm<strong>in</strong>e were given <strong>in</strong> the<br />

diet at concentrations equal to the "m<strong>in</strong>imum-observed-adverse-effect level"<br />

(LOAEL), the NOAEL, or one third the NOAEL. The satellite study was designed<br />

as a fractionated two-level factorial study <strong>in</strong> which the rats were simultaneously<br />

exposed to comb<strong>in</strong>ations <strong>of</strong> maximally five compounds at their LOAEL. These 16

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