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IARC MONOGRAPHS ON THE EVALUATION OF CARCINOGENIC ...

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Aristolochic acids<br />

3. Studies of Cancer in Experimental Animals<br />

3.1 Oral administration<br />

SOME TRADITI<strong>ON</strong>AL HERBAL MEDICINES 87<br />

Mouse: A group of 39 female NMRI mice [age not specified] was given daily doses<br />

of 5.0 mg/kg bw aristolochic acids (77.2% aristolochic acid I and 21.2% aristolochic<br />

acid II) by gavage for three weeks. A group of 11 vehicle controls was given solvent<br />

[unspecified]. The mice were kept for up to 56 weeks with interim sacrifice at 3, 9, 18,<br />

26, 37 and 48 weeks. The remaining eight animals were killed at 56 weeks. At 18 and 26<br />

weeks stages, low- to middle-grade papillomatosis was observed in the forestomach of all<br />

mice. Of the mice sacrificed at 37 and 48 weeks, 1/5 mice at each time point had<br />

squamous-cell carcinoma. Forestomach carcinoma was diagnosed in all of the eight mice<br />

killed at 56 weeks. Adenocarcinoma of the glandular stomach was observed in one mouse<br />

at 37 weeks. In addition, cystic papillary adenomas in the renal cortex (6/8 mice),<br />

malignant lymphomas (4/8 mice), alveologenic carcinomas (8/8 mice) and haemangiomas<br />

in the uterus (3/8 mice) were found at 56 weeks. No tumours were detected in 11 control<br />

animals at 56 weeks (Mengs, 1988).<br />

Rat: Groups of 30 male and 30 female Wistar rats, 10 weeks of age, were given aristolochic<br />

acids (77.2% aristolochic acid I and 21.2% aristolochic acid II) as their sodium<br />

salts in distilled water at 10.0 or 1.0 mg/kg bw for three months and held for up to an<br />

additional six months or at 0.1 or 0 mg/kg bw for 3, 6 or 12 months and held for up to<br />

an additional four months. Forestomach carcinomas were observed in 13/18 males and<br />

8/13 females given 10 mg/kg bw for three months and killed at six months. In addition,<br />

renal pelvis carcinomas (8/18) and urinary bladder carcinomas (3/18) were observed in<br />

the males given 10 mg/kg bw. Forestomach carcinomas were observed in 4/4 female rats<br />

treated with 10 mg/kg bw for three months and killed at nine months. In the groups dosed<br />

with 1.0 mg/kg bw for three months, forestomach carcinomas were observed in 3/11<br />

males and 0/10 females after six months and 6/9 males and 2/11 females after nine<br />

months. In rats treated with 0.1 mg/kg bw for three months and killed at 12 months, 2/7<br />

males and 0/6 females had forestomach carcinomas. In rats treated with 0.1 mg/kg bw<br />

for 12 months and killed at 16 months, 4/4 males and 1/5 females had forestomach<br />

tumours. Only one tumour (a spontaneous endometrial polyp) was observed in the<br />

controls (0/30 in males and 1/31 in females) (Mengs et al., 1982).<br />

Two groups of male Wistar rats, eight weeks old, were examined for the histogenesis<br />

of forestomach carcinoma caused by aristolochic acids [77.2% aristolochic acid I and<br />

21.2% aristolochic acid II]. A group of 108 rats was given aristolochic acids daily by<br />

gavage at a dose of 10 mg/kg in distilled water for up to 90 days. A group of 37 controls

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