diphenylmethane diisocyanate (mdi)

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 10/03/2015 DIPHENYLMETHANE DIISOCYANATE ( MDI) http://www.inchem.or g/documents/cicads/cicads/cicad27.htm 1/34 This report contains the collective views of an international group of experts and does not necessarily represent the decisions or the stated policy of the United Nations Environment Programme, the International Labour Organization, or the World Health Organization. Concise International Chemical Assessment Document 27 DIPHENYLMETHANE DIISOCYANATE (MDI) First draft prepared by Dr J. Sekizawa, National Institute of Health Sciences, Japan, in collaboration with Dr M.M. Greenberg, US Environmental Protection Agency Published under the joint sponsorship of the United Nations Environment Programme, the International Labour Organization, and the World Health Organization, and produced within the framework of the Inter-Organization Programme for the Sound Management of Chemicals. World Health Organization Geneva, 2000 The International Programme on Chemical Safety (IPCS), established in 1980, is a joint venture of the United Nations Environment Programme (UNEP), the International Labour Organization (ILO), and the World Health Organization (WHO). The overall objectives of the IPCS are to establish the scientific basis for assessment of the risk to human health and the environment from exposure to chemicals, through international peer review processes, as a prerequisite for the promotion of chemical safety, and to provide technical assistance in strengthening national capacities for the sound management of chemicals. The Inter-Organization Programme for the Sound Management of Chemicals (IOMC) was established in 1995 by UNEP, ILO, the Food and Agriculture Organization of the United Nations, WHO, the United Nations Industrial Development Organization, the United Nations Institute for Training and Research, and the Organisation for Economic Co-operation and Development (Participating Organizations), following recommendations made by the 1992 UN Conference on Environment and Development to strengthen cooperation and increase coordination in the field of chemical safety. The purpose of the IOMC is to promote coordination of the policies and activities  pursued by the Participating Organizations, jointly or separately, to achieve the sound management of chemicals in relation to human health and the environment. WHO Library Cataloguing-in-Publication Data Diphenylmethane diisocyanate (MDI). (Concise international chemical assessment document ; 27) 1.Isocyanates - toxicity 2.Risk assessment 3.Environmental exposure 4.International Programme on Chemical Safety II.Series ISBN 92 4 153027 8 (NLM Classification: QV 280) ISSN 1020-6167 The World Health Organization welcomes requests for permission to reproduce or translate its  publications, in part or in f ull. Applications and enquiries should be addressed to the Office of 

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  • 10/03/2015 DIPHENYLMETHANEDIISOCYANATE(MDI)

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    ThisreportcontainsthecollectiveviewsofaninternationalgroupofexpertsanddoesnotnecessarilyrepresentthedecisionsorthestatedpolicyoftheUnitedNationsEnvironmentProgramme,theInternationalLabourOrganization,ortheWorldHealthOrganization.

    ConciseInternationalChemicalAssessmentDocument27

    DIPHENYLMETHANEDIISOCYANATE(MDI)

    FirstdraftpreparedbyDrJ.Sekizawa,NationalInstituteofHealthSciences,Japan,incollaborationwithDrM.M.Greenberg,USEnvironmentalProtectionAgency

    PublishedunderthejointsponsorshipoftheUnitedNationsEnvironmentProgramme,theInternationalLabourOrganization,andtheWorldHealthOrganization,andproducedwithintheframeworkoftheInterOrganizationProgrammefortheSoundManagementofChemicals.

    WorldHealthOrganizationGeneva,2000

    TheInternationalProgrammeonChemicalSafety(IPCS),establishedin1980,isajointventureoftheUnitedNationsEnvironmentProgramme(UNEP),theInternationalLabourOrganization(ILO),andtheWorldHealthOrganization(WHO).TheoverallobjectivesoftheIPCSaretoestablishthescientificbasisforassessmentoftherisktohumanhealthandtheenvironmentfromexposuretochemicals,throughinternationalpeerreviewprocesses,asaprerequisiteforthepromotionofchemicalsafety,andtoprovidetechnicalassistanceinstrengtheningnationalcapacitiesforthesoundmanagementofchemicals.

    TheInterOrganizationProgrammefortheSoundManagementofChemicals(IOMC)wasestablishedin1995byUNEP,ILO,theFoodandAgricultureOrganizationoftheUnitedNations,WHO,theUnitedNationsIndustrialDevelopmentOrganization,theUnitedNationsInstituteforTrainingandResearch,andtheOrganisationforEconomicCooperationandDevelopment(ParticipatingOrganizations),followingrecommendationsmadebythe1992UNConferenceonEnvironmentandDevelopmenttostrengthencooperationandincreasecoordinationinthefieldofchemicalsafety.ThepurposeoftheIOMCistopromotecoordinationofthepoliciesandactivitiespursuedbytheParticipatingOrganizations,jointlyorseparately,toachievethesoundmanagementofchemicalsinrelationtohumanhealthandtheenvironment.

    WHOLibraryCataloguinginPublicationData

    Diphenylmethanediisocyanate(MDI).(Conciseinternationalchemicalassessmentdocument27)1.Isocyanatestoxicity2.Riskassessment3.Environmentalexposure4.InternationalProgrammeonChemicalSafetyII.SeriesISBN9241530278(NLMClassification:QV280)ISSN10206167

    TheWorldHealthOrganizationwelcomesrequestsforpermissiontoreproduceortranslateitspublications,inpartorinfull.ApplicationsandenquiriesshouldbeaddressedtotheOfficeof

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    Publications,WorldHealthOrganization,Geneva,Switzerland,whichwillbegladtoprovidethelatestinformationonanychangesmadetothetext,plansforneweditions,andreprintsandtranslationsalreadyavailable.

    WorldHealthOrganization2000

    PublicationsoftheWorldHealthOrganizationenjoycopyrightprotectioninaccordancewiththeprovisionsofProtocol2oftheUniversalCopyrightConvention.Allrightsreserved.

    ThedesignationsemployedandthepresentationofthematerialinthispublicationdonotimplytheexpressionofanyopinionwhatsoeveronthepartoftheSecretariatoftheWorldHealthOrganizationconcerningthelegalstatusofanycountry,territory,city,orareaorofitsauthorities,orconcerningthedelimitationofitsfrontiersorboundaries.

    ThementionofspecificcompaniesorofcertainmanufacturersproductsdoesnotimplythattheyareendorsedorrecommendedbytheWorldHealthOrganizationinpreferencetoothersofasimilarnaturethatarenotmentioned.Errorsandomissionsexcepted,thenamesofproprietaryproductsaredistinguishedbyinitialcapitalletters.

    TheFederalMinistryfortheEnvironment,NatureConservationandNuclearSafety,Germany,providedfinancialsupportfortheprintingofthispublication.

    TABLEOFCONTENTS

    FOREWORD

    1.EXECUTIVESUMMARY

    2.IDENTITYANDPHYSICAL/CHEMICALPROPERTIES

    3.ANALYTICALMETHODS

    4.SOURCESOFHUMANANDENVIRONMENTALEXPOSURE

    5.ENVIRONMENTALTRANSPORT,DISTRIBUTION,ANDTRANSFORMATION

    5.1Water

    5.2Soil

    5.3Air

    6.ENVIRONMENTALLEVELSANDHUMANEXPOSURE

    6.1Environmentallevels

    6.2Humanexposure

    7.COMPARATIVEKINETICSANDMETABOLISMINLABORATORYANIMALSANDHUMANS

    8.EFFECTSONLABORATORYMAMMALSANDIN

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    VITROTESTSYSTEMS

    8.1Singleexposure

    8.2Irritationandsensitization

    8.2.1Irritation

    8.2.2Sensitization

    8.3Shorttermexposure

    8.4Longtermexposure

    8.4.1Subchronicexposure

    8.4.2Chronicexposureandcarcinogenicity

    8.5Genotoxicityandrelatedendpoints

    8.6Reproductiveanddevelopmentaltoxicity

    9.EFFECTSONHUMANS

    9.1Casereports

    9.2Epidemiologicalstudies

    9.2.1Irritationandsensitization

    9.2.2Longtermexposureandcarcinogenicity

    10.EFFECTSONOTHERORGANISMSINTHELABORATORYANDFIELD

    10.1Aquaticenvironment

    10.2Terrestrialenvironment

    11.EFFECTSEVALUATION

    11.1Evaluationofhealtheffects

    11.1.1Hazardidentificationanddoseresponseassessment

    11.1.2CriteriaforsettingtolerableintakesorguidancevaluesforMDI

    11.1.3Sampleriskcharacterization

    11.2Evaluationofenvironmentaleffects

    12.PREVIOUSEVALUATIONSBYINTERNATIONALBODIES

    REFERENCES

    APPENDIX1SOURCEDOCUMENTS

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    APPENDIX2CICADPEERREVIEW

    APPENDIX3CICADFINALREVIEWBOARD

    INTERNATIONALCHEMICALSAFETYCARD

    RSUMDORIENTATION

    RESUMENDEORIENTACIN

    FOREWORD

    ConciseInternationalChemicalAssessmentDocuments(CICADs)arethelatestinafamilyofpublicationsfromtheInternationalProgrammeonChemicalSafety(IPCS)acooperativeprogrammeoftheWorldHealthOrganization(WHO),theInternationalLabourOrganization(ILO),andtheUnitedNationsEnvironmentProgramme(UNEP).CICADsjointheEnvironmentalHealthCriteriadocuments(EHCs)asauthoritativedocumentsontheriskassessmentofchemicals.

    CICADsareconcisedocumentsthatprovidesummariesoftherelevantscientificinformationconcerningthepotentialeffectsofchemicalsuponhumanhealthand/ortheenvironment.TheyarebasedonselectednationalorregionalevaluationdocumentsoronexistingEHCs.BeforeacceptanceforpublicationasCICADsbyIPCS,thesedocumentsundergoextensivepeerreviewbyinternationallyselectedexpertstoensuretheircompleteness,accuracyinthewayinwhichtheoriginaldataarerepresented,andthevalidityoftheconclusionsdrawn.

    TheprimaryobjectiveofCICADsischaracterizationofhazardanddoseresponsefromexposuretoachemical.CICADsarenotasummaryofallavailabledataonaparticularchemicalrather,theyincludeonlythatinformationconsideredcriticalforcharacterizationoftheriskposedbythechemical.Thecriticalstudiesare,however,presentedinsufficientdetailtosupporttheconclusionsdrawn.Foradditionalinformation,thereadershouldconsulttheidentifiedsourcedocumentsuponwhichtheCICADhasbeenbased.

    Riskstohumanhealthandtheenvironmentwillvaryconsiderablydependinguponthetypeandextentofexposure.Responsibleauthoritiesarestronglyencouragedtocharacterizeriskonthebasisoflocallymeasuredorpredictedexposurescenarios.Toassistthereader,examplesofexposureestimationandriskcharacterizationareprovidedinCICADs,wheneverpossible.Theseexamplescannotbeconsideredasrepresentingallpossibleexposuresituations,butareprovidedasguidanceonly.ThereaderisreferredtoEHC1701foradviceonthederivationofhealthbasedtolerableintakesorguidancevalues.

    WhileeveryeffortismadetoensurethatCICADsrepresentthecurrentstatusofknowledge,newinformationisbeingdevelopedconstantly.Unlessotherwisestated,CICADsarebasedonasearchofthescientificliteraturetothedateshownintheexecutivesummary.IntheeventthatareaderbecomesawareofnewinformationthatwouldchangetheconclusionsdrawninaCICAD,thereaderisrequestedtocontactIPCStoinformitofthenewinformation.

    Procedures

    TheflowchartshowstheproceduresfollowedtoproduceaCICAD.Theseproceduresaredesignedtotakeadvantageoftheexpertisethatexistsaroundtheworldexpertisethatisrequiredtoproducethehighqualityevaluationsoftoxicological,exposure,andotherdatathatarenecessaryforassessingriskstohumanhealthand/ortheenvironment.

    Thefirstdraftisbasedonanexistingnational,regional,orinternationalreview.Authorsofthefirstdraftareusually,butnotnecessarily,fromtheinstitutionthatdevelopedtheoriginalreview.A

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    standardoutlinehasbeendevelopedtoencourageconsistencyinform.ThefirstdraftundergoesprimaryreviewbyIPCStoensurethatitmeetsthespecifiedcriteriaforCICADs.

    ThesecondstageinvolvesinternationalpeerreviewbyscientistsknownfortheirparticularexpertiseandbyscientistsselectedfromaninternationalrostercompiledbyIPCSthroughrecommendationsfromIPCSnationalContactPointsandfromIPCSParticipatingInstitutions.Adequatetimeisallowedfortheselectedexpertstoundertakeathoroughreview.Authorsarerequiredtotakereviewerscommentsintoaccountandrevisetheirdraft,ifnecessary.TheresultingseconddraftissubmittedtoaFinalReviewBoardtogetherwiththereviewerscomments.

    TheCICADFinalReviewBoardhasseveralimportantfunctions:

    toensurethateachCICADhasbeensubjectedtoanappropriateandthoroughpeerreview

    toverifythatthepeerreviewerscommentshavebeenaddressedappropriately

    toprovideguidancetothoseresponsibleforthepreparationofCICADsonhowtoresolveanyremainingissuesif,intheopinionoftheBoard,theauthorhasnotadequatelyaddressedallcommentsofthereviewersand

    toapproveCICADsasinternationalassessments.

    Boardmembersserveintheirpersonalcapacity,notasrepresentativesofanyorganization,government,orindustry.Theyareselectedbecauseoftheirexpertiseinhumanandenvironmentaltoxicologyorbecauseoftheirexperienceintheregulationofchemicals.Boardsarechosenaccordingtotherangeofexpertiserequiredforameetingandtheneedforbalancedgeographicrepresentation.

    Boardmembers,authors,reviewers,consultants,andadviserswhoparticipateinthepreparationofaCICADarerequiredtodeclareanyrealorpotentialconflictofinterestinrelationtothesubjectsunderdiscussionatanystageoftheprocess.RepresentativesofnongovernmentalorganizationsmaybeinvitedtoobservetheproceedingsoftheFinalReviewBoard.ObserversmayparticipateinBoarddiscussionsonlyattheinvitationoftheChairperson,andtheymaynotparticipateinthefinaldecisionmakingprocess.

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    1.EXECUTIVESUMMARY

    ThisCICADondiphenylmethanediisocyanate(MDI)waspreparedbytheNationalInstituteofHealthSciences,Japan,incollaborationwiththeNationalCenterforEnvironmentalAssessment,USEnvironmentalProtectionAgency(EPA).TheCICADwasbasedprincipallyonthereviewsoftheJapanSocietyforOccupationalHealth(JSOH,1994)andtheUSEPA(1998)forthetoxicologicalevaluationandtheEuropeanUnion(EU,1999)fortheenvironmentalassessment.ItshouldbenotedthattheEUdocumentisstillanunapproveddraftandthattheinformationpresentedintheenvironmentalsectionsisbasedmainlyonunpublishedstudies.TheliteratureuptoNovember1998wassearchedusingMEDLINEtoidentifyanynewinformationrelevanttotheassessment.ThepreparationandpeerreviewofthesourcedocumentsaredescribedinAppendix1.InformationonthepeerreviewofthisCICADispresentedinAppendix2.ThisCICADwasapprovedasaninternationalassessmentatameetingoftheFinalReviewBoard,heldinStockholm,Sweden,on2528May1999.

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    ParticipantsattheFinalReviewBoardmeetingarelistedinAppendix3.TheInternationalChemicalSafetyCard(ICSC0298)forMDI,producedbytheInternationalProgrammeonChemicalSafety(IPCS,1993),hasalsobeenreproducedinthisdocument.

    Diphenylmethanediisocyanate(MDI)isthegenericnameofaproductusedinindustrialsettings.PolymericMDI(PMDI),theprimarytechnical/commercialformofMDI,isactuallyamixturethatcontains2580%monomeric4,4MDIaswellasoligomerscontaining36ringsandotherminorisomers,suchasthe2,2isomer.TheexactcompositionofPMDIvarieswiththemanufacturer.

    Monomeric4,4MDIisawhitetopaleyellowsolidatroomtemperature,withamolecularweightof250.Ithasaboilingpointof>300Cat101.3kPa,ameltingpointof3943C,andavapourpressureof

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    MDAintheurineofaworkerexposedtoPMDIwas7080h,andinserum,21days.

    MDIisnotacutelytoxictolaboratorymammals.AnimaldataprovideclearevidenceofskinandrespiratorysensitizationduetoMDI.Humoralaswellascellularimmunitymaybeinvolvedinthepathogenesisofhypersensitivityduetoisocyanates.SevererespiratorydistressandasignificantdecreaseinbodyweightgainwereobservedinmaleandfemaleratsexposedtoPMDIaerosolataconcentrationof13.6mg/m3for6hperday,5daysperweek,overaperiodof2weeks,withmuchlessseveresignsofrespiratorydistressandonlyslightlyreducedbodyweightgaininmaleratsat4.9mg/m3.Basedonamarginalincreaseinlungtobodyweightratioathigherdoses,itwasconcludedthat2.2mg/m3,whichwasthelowestdoselevelexamined,wasanoobservedadverseeffectlevel(NOAEL).

    Ina2yearchronicinhalationtoxicity/carcinogenicitystudy,ratsthatwereexposedtoPMDIaerosolatconcentrationsof0,0.19,0.98,or6.03mg/m3showedchangesintherespiratorytract.PulmonaryadenocarcinomaobservedinonecasewasconsideredasinsufficienttoidentifyPMDIasananimalcarcinogenhowever,insitugenerationofMDA,whichisaknownanimalcarcinogenviadrinkingwater,couldberesponsiblefortheeffect.Basalcellhyperplasiaintheolfactoryepitheliumdetectedat0.98and6.03mg/m3wasjudgedanoncarcinogeniccriticalendpoint.ThenonneoplasticinformationinthisstudysuggestsaNOAELof0.19mg/m3andalowestobservedadverseeffectlevel(LOAEL)of0.98mg/m3.

    BothpositiveandnegativeresultswereobtainedwhenmonomericMDIdissolvedindimethylsulfoxide(DMSO)wastestedinvitrowithSalmonellatyphimurium.However,becauseoftheknowninteractionofDMSOwithMDItoyieldMDAandpossiblyotherreactionproducts,thesepositiveresultsshouldnotbeconstruedasmeaningfulforhumanhealthriskassessment.

    ExposureofgravidWistarratstomonomericMDIresultedinanincreasedincidenceofasymmetricsternebraeinfetusesat9mg/m3however,astheincreasewaswithinthelimitsofbiologicalvariability,theNOAELfordevelopmentaltoxicityinthisstudywasestimatedtobe9mg/m3.InanotherstudyinwhichratswereexposedtoPMDI,theNOAELformaternalandfetaltoxicitywasestimatedtobe4mg/m3,basedonthefindingofprematuredeathsofpregnantfemalesandstatisticallysignificantdecreasesinplacentalandfetalweightsat12mg/m3.TherehavebeennostudiesthathaveexaminedtheeffectofpolymericormonomericMDIonreproductiveparameters.

    Thehealthendpointsofmostconcernareoccupationallyinducedasthma,hypersensitivitypneumonitis,andinflammatoryupperrespiratorytractdiseasesthroughinhalationofpolymericormonomericMDI.Althoughnotyetwellunderstood,humoralaswellascellularimmunologicalreactionsappeartobeinvolvedintheallergicreactions.CasereportsaswellasepidemiologicalstudieshavedescribedMDIasacauseofoccupationaldermatitis,skinsensitization,andasthma.Althoughlimitedinvariousways,acohortstudyandaretrospectivestudyshowednosignificantassociationwithcancermorbidity.Therearenodataavailablefororalexposure,butitisunlikelythathumansareexposedtoMDIbytheoralroute.

    MDIdidnotshowtoxicitiestofish,aquaticinvertebrates,algae,ormicroorganismsunderanyacuteorlongtermexposuretestingconditions.However,resultsofaquatictestsarenotmeaningfulbecauseofMDIsvirtualinsolubilityinwater.Similarly,afewtestsonterrestrialorganismsdidnotshowanyeffectsunderthetestingconditions.AvailabledatashowthatthereisnoneedforconcernregardingtheeffectsofMDIonorganismsintheenvironment,althoughmoredetailedinformationregardingtheformationofMDAintheenvironmentanditseffectsonorganismsisrequiredbeforeanyfirmconclusionscanbedrawn.

    2.IDENTITYANDPHYSICAL/

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    CHEMICALPROPERTIES

    MDIisthegenericnameofaproductusedinindustrialsettings.PMDI,theprimarytechnical/commercialformofMDI,isactuallyamixturethatcontains2580%monomeric4,4MDIaswellasoligomerscontaining36ringsandotherminorisomers,suchasthe2,2isomer.Thiscompositionrendersthematerialsemisolidandsuitableforaerosolgeneration.ThecompositionofPMDIvarieswiththemanufactureranduse.Therangeofvariationreflectsvariationsfromvarioussourcesofinformation,i.e.,fromaGermanreview(DFG,1997),USToxicologicalReview(USEPA,1998),andtheEUdraftdocument(EU,1999).Figure1giveschemicalstructuresof4,4MDIandPMDI,andTable1providesChemicalAbstractsService(CAS)registrynumbersofseveralMDIisomersandPMDI.

    Table1:IsomersandpolymersofMDI.

    Name CASregistrynumber

    4,4MDI 101688

    2,4MDI 5873541

    2,2MDI 2536052

    nonisomerspecificMDI 26447405

    PMDI 9016879

    Monomeric4,4MDIisawhitetopaleyellowsolidatroomtemperature,withamolecularweightof250.26.Ithasaboilingpointof>300Cat101.3kPa,ameltingpointof3943C(capillarymethod)or40C(differentialscanningcalorimetryorDSCmethod)(Kellyetal.,1997),andavapourpressureof

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    PMDIisadarkreddishbrownviscousliquidwithanindefinitemeltingpointaround0Candavapourpressureof

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    ThecomplexnatureofMDIcompositionandreactionsintheenvironmentoftenmakesinterpretationdifficult.

    TheobservedorlikelyfatesofMDIinair,water,andsoilhavebeendescribedbyBrochhagen&Keller(1983)andGilbert(1988).Morerecently,comprehensivestudiesonthebehaviourofMDIintheaquaticenvironmenthavebeencarriedoutbyYakabeetal.(1994)andHeimbachetal.(1996).

    5.1Water

    WhenMDIisaddedtowater,itsNCOgroupsreactreadilywithOHgroupsofthewatertoformmixturesofdiisocyanatesandamines,whichthenreadilyreactwithmoreMDItoproduceinert,solid,insolublepolyurea(EU,1999).Thehydrolysisofisocyanatesinaqueoussolutionisrapidahalflifeof20shasbeenmeasuredforphenylisocyanate(Castroetal.,1985).However,thesubsequentreactionoftheformedaminewithfurtherisocyanate,toproduceaurea,isevenfaster(Hegartyetal.,1975).

    Yakabeetal.(1994)studiedthefateofPMDIinwaterundertwoconditionsnamely,vigorousstirringandstaticconditions,whichsimulatetwoscenariosofaccidentalspillsofPMDI.PMDIusedinexperimentsiscomplexandcomposedof56majorconstituentshaving24aromaticrings.WhenMDIcomesintocontactwithwater,itdoesnotdispersereadily,butformsglobulesorsolidmasses,whichreactattheirsurface.Undersuchheterogeneousconditions,thedisappearanceofPMDIshowszeroorderkinetics.ProductionofwatersolubleMDAincreasesgraduallywithtime,andtheMDAreachesanearlyconstantconcentrationafter16htheamountofMDAformedislessthan0.5%ofthenominalconcentrationofPMDIinitiallyadded,andthemajorproductsofPMDIbreakdownaresolid,insolublepolyureas.ThepolyureasformedfromMDIappeartobestabletochemicalattack,aswouldbeexpectedfromitsinsolubilityandthestabilityofureas.

    SupportforthechemicalstabilityofMDIisgiveninonestudyinwhichthepolyureaformedfromthereactionofPMDIwithwaterwasstirredat40Cinaqueousbuffersolutionsfor14days.Nosolubleproducts(dissolvedorganiccarbonorMDA)weredetected(Yakabeetal.,1994).

    AfurtherpotentialbreakdownproductofMDIinwaterisanoligourea.Anoligoureawassynthesizedfrom4,4MDIand4,4MDAandshowntobemainlydiurea.Itwasinsolubleinwaterandfoundtobenotinherentlybiodegradable(Yakabeetal.,1994).

    InthestudybyHeimbachetal.(1996),upto10gofPMDIwasaddedperlitreofwaterintoartificialoutdoorponds,simulatingaccidentalpollutionofapond.Threepondscontainedgroundwater,abovenaturallakesediment,towhichcagedrainbowtrout(Oncorhynchusmykiss)wereadded.Followingequilibration,PMDIwasaddedtopartofthesedimentoftwopondsatdosagesof1and10g/litre.Thethirdpondservedasanuntreatedcontrol.Waterchemistry,MDIandMDAconcentrations,andpopulationsanddiversityofdifferenttrophiclevelsweremonitoredover112days.TheconcentrationsofMDIandMDAweremonitoredinthethreecompartments(water,fish,andsediment)overthedurationofthestudy.NoMDIorMDAwasdetectedinthewater(detectionlimits4and10g/litre,respectively)orinthefish(detectionlimits0.5and1.4mg/kg,respectively).ThestudyprovidesevidencethatMDIaccumulationthroughtheaquaticfoodchainisextremelyunlikely,asmightbeexpectedconsideringtheverylowsolubilityandhighreactivityofMDIinaqueoussolution.

    5.2Soil

    MDImaycomeintocontactwithsoilafteraccidentalspillageduringtransportationorstorage.

    5.3Air

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    TheatmosphericconcentrationofMDIarisingfromareleaseisnaturallylowonaccountofMDIsverylowvolatility.ItisexpectedthatairborneMDIwillhavearathershorthalflifeasaconsequenceofreadydegradationtoinorganiccompoundsbyhydroxylradicalspresentinthetroposphere.

    ThequestionofwhetherMDIvapouroraerosolcanhydrolyseinhumidairtoyieldMDAwasassessedinalongtermstudy(Appelmanetal.,1986)andastudyofchipboardproduction(Giersig,1989).Inthefirststudy,lowconcentrationsofMDA(notdetectedto90g/m3)wereobservedinairsamplesfromthesubchronicinhalationstudyinratsexposedtoPMDI(Appelmanetal.,1986).Detectedconcentrationswereindependentoftheconcentrationsofthetestatmosphere(0,0.2,1,and5mg/m3)thus,itwasconsideredthatthedetectionofMDAwascausedbyartefacts.Inthesecondstudy,noMDAwasdetected,althoughthePMDIconcentrationsrangedupto5mg/m3whenpolyurethaneparticleboardwasheatedupto80C(thedetectionlimitforMDAinairwas10g/m3)(Giersig,1989).Thisresulthasbeenaccountedforasfollows:MDAisformedonlyslowlyatneutralpHandreactsrapidlywithexcessMDItoyieldoligoureasandpolyureasMDIaerosolscanformashellofpolyureaonthesurfaceofthedroplets,andthisshellpreventsfurtherreactionoftheenclosedMDI(Mann,1987).

    6.ENVIRONMENTALLEVELSANDHUMANEXPOSURE

    6.1Environmentallevels

    CommercialsynthesisofMDItakesplaceinclosedsystemswherecontactofMDIwithwateriscarefullyavoidedthroughproductionandstoragestages,sincetheNCOgroupofMDIreactsreadilywiththeOHgroupofwater(EU,1999).ThereisnoinformationaboutlevelsofvariousformsofMDIintheambientair.Wherespillageistosoilorwater,MDIhasatransientexistenceduetoitsreactionwiththewatertoproducepredominantlyinsolublepolyureas.

    6.2Humanexposure

    Undernormalcircumstances,exposureofthegeneralpublicislikelyonlyfromreleasestotheatmosphere.

    Occupationalexposuredatafromawiderangeofapplicationsandprocessescollectedacrossindustry,measuredbyrecentstandardsandcapturingtotalinhalableMDI(i.e.,vapourandaerosol)overavarietyofexposuretimes(0.258h),areavailable(ISOPA,1998).Outof1238measurements,138(11%)wereabove0.0125mg/m3,and31(2.5%)wereabove0.05mg/m3these31measurementsweredetectedduringprocessesinrigidpolyurethanefoampreparationforroofpanelsforthermalinsulationorpreparationofcoatings,adhesives,sealants,andelastomersforsprayfloorcoating,bridgedeckingprimer,orparticleboard.SinceaccidentalexposuretoMDIinoccupationalsettingsmayresultfromincidentssuchasspillages,splithoses,andleakingdrums,theintroductionofEuropeanIsocyanateProductionAssociation(ISOPA)guidelinesfortransport,storage,handling,anduseofdiisocyanatehasreducedthepotentialofaccidentalexposuresoverthepast20years.

    AnalysisconductedrevealedthattheenvironmentalMDIconcentrationwas0.05mg/m3orlessin273outof319samples,andonly2samplesexceeded0.2mg/m3.Itisreported,however,thataventilationductwasinstalledabovethemouldingmachineseveralmonthsbeforetheanalysis,andthatbeforethensamplesexceeding0.2mg/m3hadoccurredfrequently(Diller&Herbert,1982).

    Sepaietal.(1995b)examinedbiologicalsamples(urineandblood)from20workers(aswellas2unexposedreferenceworkers)exposedtoMDIvapourduringthemanufactureofpolyurethane

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    products,togetherwiththelevelsofMDIintheairoftheworkingenvironment.Inmostcases(17outof20),theairlevelswerebelowdetectionlimits.Thebloodandurinesampleswereanalysedforthepresenceofadductsandmetabolitesusinggaschromatographymassspectrometrymethods.TheamountofMDAreleasedafteracidhydrolysis(inhydrochloricacidat3mol/litre,at100C,for60min)wasonaverage6.5timeshigherthantheamountoffreeMDAandacetylatedMDApresentinurine.

    TheOntarioMinistryofLabour,Canada,assessedthecauseofmultiplerespiratorycomplaintsamongworkersataplantthatmanufacturesautomotiveinstrumentpanelsusingpolyurethane(Lissetal.,1996).Of137samplesanalysedforMDIbetween1986and1992,129(94%)werebelowthelimitofdetection(notgiven).Oftheothereight,allbutone(withaconcentrationof60g/m3)werebelow50g/m3.Tarloetal.(1997)reportedthat40%ofmeasuredMDIconcentrationsin19841988in20companieswithcompensatedisocyanateasthmaclaimsexceeded50g/m3,whilethefigurewas27%for203companieswithnocompensatedisocyanateasthmacases.

    7.COMPARATIVEKINETICSANDMETABOLISMINLABORATORY

    ANIMALSANDHUMANS

    AnimalinhalationstudieshaveshownthatPMDIexposure(seesection8.4.2fordetailsofparticlesizedistribution)resultsinsignificantdepositionbothinthenasalregionandinthealveolarregionofthelungs(Reuzeletal.,1994a,b).Onceabsorbed,PMDIappearstobepredominantlyconjugatedtoprotein,buttheroleofotherbiomolecules,suchasglutathione,hasnotbeeninvestigated(theroleofglutathionehasbeenshownforotherisocyanatesbyDayetal.,1997).

    Inanunpublishedpharmacokineticstudy(Istin,1977),noseonlyexposureofmaleSpragueDawleyratstoanaerosol(particlesizeslessthan5m)ofradiolabelled(inthemethylenegroup)monomericMDIfor15minresultedinthedistributionofradioactivity,predominantlytothelungsandavarietyofextrarespiratorysites(principallymuscle,liver,kidneys,andthedigestivetract),after96hwhentheanimalsweresacrificed.Labellingofthedigestivetractwasconsideredtobearesultoftransferenceoflabelledmaterialfromthelungs.After4days,70%oftheabsorbeddosewaseliminated(57%faecaleliminationand13%urinaryelimination).Therewasnoattempttoidentifythenatureoftheexcretedradioactivity.Twentythreepercentoftheradioactivityadministeredwasfoundinthecarcasshowever,lessthan1%oftheradioactivitywasrecoveredfromthemajororgans.Thefateoftheother22%isnotknown.

    HaemoglobinadductswerefoundafterrepeatedexposureofratstoMDIaerosolsfor17hperday,5daysperweek,over3or12monthsinaninhalationchamber(Sepaietal.,1995a).InlaboratoryanimalsexposedtoPMDI/MDI,MDAinurineandbloodformedbystrongacidhydrolysiswasusedasabiomarkerforexposure(Sepaietal.,1995a).

    WhenpregnantWistarratswereexposedfor6hongestationday19toanaerosolof20mgMDI/m3(particlesizedistributionnotknown),maternalblood,amnioticfluid,fetus,andplacentaweremeasuredforMDIanddegradationproducts(asMDAafteracidhydrolysisdetailsofhydrolysisconditionsnotknown)immediatelyafterexposure(Bartschetal.,1996).ThehighestlevelofMDAordegradationproductswasdetectedinthematernalblood,followedbytheplacenta,fetus,andamnioticfluid(at66.4%,42.4%,and13.6%ofthematernalbloodlevels,respectively).

    Inhumans,MDAlevelsinurineand(afterstrongacidhydrolysis)inbloodwerereportedtobecorrelatedwithexposuretoPMDI/MDI(Schuetzeetal.,1995Sepaietal.,1995bSkarping&Dalene,1995).ThehalflifeofMDAintheurineofaworkerexposedtoPMDIwas7080h,andinserum,21days(Skarpingetal.,1995).OtherreportsalsosuggestthatplasmaacidhydrolysableMDA

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    maybeausefulbiomarkeroflongtermexposuretoMDI(Sepaietal.,1995bDaleneetal.,1996).InarecentstudyofworkersoccupationallyexposedtoeitherPMDI/MDIorMDA,freeMDAwasdetectedinurinepriortoacidhydrolysis(Schuetzeetal.,1995).

    Sepaietal.(1995b)reportedtheformationofadductsofMDAandacetylatedMDAwithhaemoglobinoralbumininthebloodofworkersexposedtoMDI,asdescribedinsection6.2.MDAwasdetectedasahaemoglobinadductinall20subjects,atlevelsrangingfrom70to710fmol/ghaemoglobinthisincludedonecaseofhaemoglobinadductofacetylatedMDA,whichwaspresumablyformedbytheinvivohydrolysisofMDI.PlasmaMDAlevelsrangedfrom3.9to70fmol/mgplasmaproteinin20workers,andupto120fmol/mgwerefoundtobecovalentlyboundtoalbumin.MDIintheairandMDAintheplasmawereobservedinastudyofpolyurethanepipewelders(Skarpingetal.,1995Daleneetal.,1996Tinnerbergetal.,1997).ThehaemoglobinadductofacetylatedMDIwasconsideredtobeformedbyinvivohydrolysis.

    8.EFFECTSONLABORATORYMAMMALSANDINVITROTESTSYSTEMS

    8.1Singleexposure

    OralLD50sforMDI(25%incornoil)andPMDI(undiluted)administeredtoratsinsinglegavagedoseswerereportedtobe31.6g/kgbodyweightandhigherthan10g/kgbodyweight,respectively(MobayChemical,1961Wazeter,1964a).

    PMDI(liquidform0,2.5,3.9,6.0,and9.4g/kgbodyweight)wasappliedtotheabradedskinofimmobilizedalbinorabbits(2persexpergroup)whosebackswerethencoveredinrubberizedclothfor24h(Wazeter,1964b).AfterthePMDIwaswashedoff,animalswerekeptfor14daysforobservation.Transientlyslightatoniawasobservedinafewanimalsatthethreehighestdoselevels.Animalswereessentiallynormal,exceptforslightoedemaobservedatthe9.4g/kgbodyweightdose.

    GuineapigsexposedtomonomericMDIaerosolatconcentrationsbetween0.6and350mg/m3(nootherdetailsavailable)for3hshowedadecreaseinrespirationrateandanincreaseintidalvolumeatlowerconcentrations,whereasaconcentrationdependentincreaseinrespirationratewasseenabove10.4mg/m3(Thorneetal.,1986).Incontrast,therespirationratewasdecreasedinadosedependentmannerinmiceexposedtoMDIaerosolconcentrationsbetween10.2and58.5mg/m3(Weyel&Schaffer,1985).

    WhenratswereexposedtoPMDIaerosol(inwhichmorethan99%ofparticlesweresmallerthan5m)for4hatconcentrationsof384,418,500,or523mg/m3,animalssatquietlywithclosedeyes

    duringexposure,andtheirbreathingbecamelabouredandnostrilsdilated,especiallyinthehighestconcentrationgroup(Appelman&deJong,1982).Autopsyoftheanimalsimmediatelyafterexposureshowedhaemorrageandoedemainthelungs.TheLC50inthisstudywasestimatedtobe490mg/m3.

    8.2Irritationandsensitization

    8.2.1Irritation

    WhenPMDI(liquidform0,2.5,3.9,6.0,or9.4g/kgbodyweight)wasappliedtotheabradedskinofalbinorabbits(2persexpergroup)for24h(Wazeter,1964b),oneanimalatthehighestdoseexhibitedslightoedemaduringthefirstandseconddays.Slighterythemaobservedinitiallyatalldoselevelsdidnotlastafter7days.Nodesquamationorfissuringwasnotedwiththecompound.

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    8.2.2Sensitization

    ThereisclearevidenceofskinsensitizationduetoMDI.Humoralaswellascellularimmunitymaybeinvolvedinthepathogenesisofhypersensitivityduetoisocyanates.

    Inamouseearswellingtest,whichindicatestheextentofcontactsensitivity,MDIatconcentrationsrangingbetween0.6and187mg/kgbodyweightwasappliedtotheshavedanddepilatedabdomensof45malemice(Thorneetal.,1987).After4days,themicewerechallengedontherightearwithacetoneandontheleftearwithacetonecontainingadoseofMDIthatwasnonirritating.Thethicknessoftheearsat24hafterchallengewascomparedwiththatimmediatelybeforechallenge.AftercalibrationoftheearswellingresponsewithMDIsensitizationdoseinlogscales,anearthicknessincreaseofmorethan0.03mmwasjudgedtobesignificant.Thechallengewithacetonedidnotproduceanyearswelling.TheresponsetoMDIchallengeindicatedadoseresponseeffectat0.637mg/kgbodyweight.Crossreactivitytotoluenediisocyanate(TDI)andotherisocyanateswasdemonstrated.

    Usingearthickeningasthecriterion,transferofMDIinducedcontactsensitivitywithorwithoutTcelldeletionbymonoclonalantiThy1,2antibodywasstudied(Tanakaetal.,1987).A1%solutionofMDI(reagentgrade)inethylacetatewasappliedtoagroupof797weekoldmalemice.Thechallengesolutioninducedearswellingofdelayedonset,withitspeakat24h.PassivetransferoftheMDIinducedcontactsensitivitywasachievedbyinjectinglymphocytesfromthelymphnodesofMDIsensitizedmiceintothecaudalveinofsyngeneicmice,andtheeffectorcellswerefoundtobeTcells.

    8.3Shorttermexposure

    Fourgroupsof10maleand10femaleWistarratswereexposed,wholebody,toPMDIaerosolfor6hperday,5daysperweek,overaperiodof2weeks(Reuzeletal.,1994a).Theoverallmeanconcentrationswere2.2,4.9,and13.6mg/m3,respectively.Ninetyfivepercentoftheparticleshadamassmedianaerodynamicdiameter(MMAD)below5m.NoMDAandnophenylisocyanatecouldbedetectedinthetestatmospheres.Severerespiratorydistressandastatisticallysignificantdecrease(extentnotgiven)inbodyweightgainwereobservedinmaleandfemaleratsexposedto13.6mgPMDI/m37outof10malesand1outof10femalesdied.Maleratsexposedto4.9mg/m3showedmuchlessseveresignsofrespiratorydistressandonlyslightlyreducedbodyweightgaincomparedwithcontrols.Lungtobodyweightratiosweresignificantlyhigheronlyinthemidandhighconcentrationgroupsrelativetocontrols.Grosspathologicalexaminationremainedessentiallynegativenodataonhistologicalexaminationwerereported.Basedonthemarginalincreaseinlungtobodyweightratios,itwasconcludedthat2.2mgPMDI/m3,whichwasthelowestdoselevelexamined,wasaNOAEL.TheresultsshowthatthetoxicityofMDI(whichislowafteroralexposure)isclearlyhigherbytheinhalationroute,withlocaleffectstothelungafterrepeateddosing.

    NoshorttermstudyonmonomericMDIandnodatafromoralordermalrouteswereavailable.

    8.4Longtermexposure

    8.4.1Subchronicexposure

    InasubchronicstudybyReuzeletal.(1994a),SPFWistarrats(30persexperexposurelevel)wereexposed,wholebody,toPMDI(Desmodur44V20fromBayerAG,withmonomericMDI52%,isocyanatecontent30%)aerosolat0,4.1,8.4,or12.3mg/m3for6hperday,5daysperweek,for13weeks.Morethan95%oftheparticleshadanMMADoflessthan5m.Thehighestconcentrationresultedin25%mortality(15/60animals,onlyduringthefirst7weeks),growthretardation,severe

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    respiratorydistress,degenerationofnasaltissues,andfocalinflammatorychangesinthelungs.Signsoflesssevererespiratorydistresswerealsoobservedinanimalsexposedto8.4mg/m3.Bodyweightsinmalesofthehighconcentrationgroupweresignificantlydepressedthroughweek13.Somebodyweightdepressionwasobservedinmalesofthemidconcentrationgroupthroughweek10.Bodyweightdepressionwasnotobservedinfemales.Therewasnotacleardoseresponsetrendinmacrophageaccumulation,althoughmacrophageswereincreasedinincidenceinalltestgroupsovercontrols.Tissuesexaminedbylightmicroscopyincludednose,larynx,trachea,lungs,liver,andkidney.Theincidenceofolfactoryatrophywasstatisticallysignificantinhighdosemales(5/10)andhighdosefemales(6/10).At4.1mg/m3,olfactoryepithelialatrophyoccurredinfrequentlyinexposedanimals.Therewasasignificantaccumulationofmacrophagesinthelungsandmediastinallymphnodesofallexposedanimalscomparedwithcontrols.Theincreaseinmacrophageaccumulationatthelevelofthealveolarseptawasrelatedtoexposure,andthedifferencebetweentreatmentgroupsandcontrolswasstatisticallysignificantinmalesexposedto4.1mg/m3andinfemalesat8.4mg/m3.

    Sincethefirststudyfoundhighmortality,probablyduetotheuseofveryyounganimals,another13weekstudywasconductedatactualmeanconcentrationsof0.35,1.4,and7.2mg/m3(Reuzeletal.,1994a).Unlikethefirststudy,transientgrowthretardationandanincreasednumberofpulmonarymacrophagesweretheonlyeffectsnotedatthehighestconcentration.

    Thus,thesestudiesdemonstratedclearadversepulmonaryandnasaleffectsat8.4mg/m3,andtheyarestatisticallysignificantat4.1mg/m3.

    8.4.2Chronicexposureandcarcinogenicity

    A2yearchronictoxicity/carcinogenicityinhalationstudywascarriedoutwithSPFWistarrats(60persexperexposurelevel)exposedwholebodytoPMDIaerosolat0,0.19,0.98,or6.03mg/m3for6hperday,5daysperweek(Reuzeletal.,1994b).Anadditionalsatellitegroupof10persexperexposurelevelwassimilarlyexposedandusedforhistopathologyat1year.NinetyfivepercentoftheparticleshadanMMADlessthan5mtheMMADandgeometricstandarddeviation(inparentheses)correspondingtotheexposurelevelswere0,0.68m(2.93),0.70m(2.46)and0.74m(2.31),respectively.

    Effectsat24monthswereconfinedtotherespiratorytract.Compoundrelatedchangeswerefoundinthenasalcavity(olfactorydegenerationandbasalcellhyperplasia),thelungs(fibrosisandinterstitialpneumonitis),andthemediastinallymphnodestosomedegree,theywerealreadypresentafter1yearofexposure,asindicatedinthesatellitegroup.Olfactoryepithelialdegenerationwaselevatedsignificantlyatthehighconcentrationinbothsexes.Basalcellhyperplasiaintheolfactoryepitheliumwaselevatedsignificantlyinmalesonlyatthemidandhighconcentrations.

    Noadverseeffectsonthedistributionandincidenceoftumourswerefoundwiththeexceptionoftumoursinthelungs.Solitarypulmonaryadenomas,describedasrareinthisstrain,wereobservedinmales(6/60)andfemales(2/59)exposedto6.03mg/m3comparedwithcontrols(0/120).Theadenomaswereonlyafewmillimetresinsizeandwerelocatedadjacenttoareasinwhichhaemorrhage,macrophageaccumulation,andfibroblasticreactionswereobserved.Onlyonepulmonaryadenocarcinoma(10mminsize)wasobservedinonemaleexposedtothisconcentration.

    ThenasalolfactoryandlunglesionsindicateaNOAELof0.19mg/m3andaLOAELof0.98mg/m3.Compoundassociatedyellowishparticulatematerialwasfoundinalveolarluminarmacrophagesinbothsexesat0.98and6.03mg/m3.Localizedfibrosiswassignificantinmalesexposedto6.03mg/m3

    andinfemalesat0.98and6.03mg/m3.Theamountofparticulatematerialaccumulatedatthelevelofthealveolarductincreasedwithtimeaswellaswithlevelofexposure.Macrophageswithyellowpigment(aformofMDIwithinthemacrophage)werealsofoundinthealveolarinterstitium,and

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    accumulationofthesemacrophagesalsooccurredinthemediastinallymphnodes.Theaccumulationofmacrophagesandlocalizationoftissuedamageinthisareasuggestthatthethoraciceffectisdueprimarilytotoxicitytothemacrophage,withsecondarytissuedamage.

    Achronicinhalationstudy(Hoymannetal.,1995,1997)hasalsobeenconductedwith99.5%puremonomeric4,4MDI.FemaleWistarrats(80perexposuregroup)wereexposed(wholebody)toMDIinaerosolat0.23,0.70,or2.05mg/m3(MMADabout1m)for17hperday,5daysperweek,forupto24months.Aseparategroupof20perexposurelevelwasexaminedhistopathologicallyat12months.Smallernumbersofanimalswereassessedatvarioustimepointsforlungfunctionandforexaminationofbronchioalveolarlavage(BAL)fluidforcellcountsandproteinandenzymedeterminations.Statisticallysignificantconcentrationrelatedpulmonarylesionsincluded(1)anincreaseinfocal/multifocalalveolarandbronchioalveolarhyperplasia,(2)interstitialfibrosis,and(3)anaccumulationofparticleladenandpigmentedmacrophages.Alveolarcellhyperplasia,consideredpreneoplastic,exhibitedaconcentrationresponsetrend,withtheincidencereachingsignificanceinthehighexposuregroup.Theseeffectscorrelatedwithpulmonaryfunctiondeficits(FEF25[forcedexpiratoryflowfrom25%oftheforcedvitalcapacity,orFVC]andcarbonmonoxidediffusion),particularlyinthehighexposuregroup.Allgroupsexhibitedsignificantlyincreasedrelativelungweightsatalltimeperiods(morethan60%at20months),withsignificantincreasesinhydroxyprolineinBALfluid(morethan70%at12months).IncontrasttotheresultsreportedbyReuzeletal.(1994b)forPMDI,therewasnoapparenteffectofmonomericMDIonnasaltissuesatanyexposurelevel.Inonehighdoseanimal,abronchioloalveolaradenomawasobserved.Becauseoftheconcentrationrelatedlungeffects,0.23mg/m3isconsideredaLOAEL.ThereisnoNOAELinthisstudy.

    MDIreactswithwatertoproduceMDA.MDAhasalsobeenstudiedforcarcinogenicitybyoraladministration.Treatmentrelatedincreasesintheincidencesofthyroidfollicularcelladenomaandhepatocellularneoplasmswereobservedinbothmaleandfemalemicegiven150or300mgMDA/litreindrinkingwaterfor103weeks.InratsadministeredMDAinasimilarmanner,treatmentrelatedincreasesintheincidencesofthyroidfollicularcellcarcinomasandhepaticnoduleswereobservedinmales,andthyroidfollicularcelladenomasoccurredinfemales(Weisburgeretal.,1984NTP,1986).TheincidenceofthyroidtumourswasgreaterwhenMDA(1000mg/kgdietfor19weeks)wasadministeredorallyafterasingleintraperitonealinjectionof2800mgNbis(2hydroxypropyl)nitrosamine(DHPN)/kgbodyweightthanwhenDHPNwasgivenalone(Hiasaetal.,1984).TherelevanceoftheseresultstotheevaluationofthecarcinogenicresponsetoMDIanditspotentialmetaboliteisnotcertain.

    8.5Genotoxicityandrelatedendpoints

    WhenthemutagenicityofisomersandhomologuesofMDI(4,4MDI,2,4MDI,amixtureofmonomericMDIisomers,andPMDI)wasdeterminedintheSalmonella/microsometestusingDMSOandethyleneglycoldimethylether(EGDE)assolvents,positiveresultswereobtainedforDMSOsolutionsofallfourdiisocyanatesinthepresenceofS9mixcontaining30%S9fraction.UniformlynegativeresultswerefoundwhenthediisocyanatesweredissolvedinEGDE(Andersenetal.,1980Herbold,1980a,bWoolrich,1982Shimizuetal.,1985Zeiger,1987Herboldetal.,1998).MDIisnotstableinDMSO,therebeingmanyproductsgeneratedwithinminutes(Herbold,1990a,bGahlmann,1993).Thus,itseemsthatpositivetestresultsinanyinvitrotestsystemarecausedbythedegradationproductsofMDIinDMSO,ratherthanbyMDIitself.OneofthedegradationproductsofMDIisMDA,whichisknowntobegenotoxicandwhoseformationwasdetectedwhenMDIwasdissolvedinDMSO(Herboldetal.,1998).NoMDAcouldbedetectedinsolutionsofMDIinEGDE.ItisthereforeconcludedthatthepositiveresultsobtainedwithdiisocyanatesinDMSOsolutionsareduetotheformationofMDA.ThestabilityofMDIinamodelandarealtestenvironmentwasstudied(Seeletal.,1999).WhenMDIwasdissolvedinDMSO,morethan99%oftheMDIwasdegradedbeforethestartofincubationwithtestingredientsoftheSalmonellamutagenicityassay,and

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    MDAwasdetectedat2.12.8%oftheMDIconcentrationwithin45sofincubation.TestsassessingthemutagenicpotentialofMDIinvitroandinvivoshownoconvincingevidenceofmutagenicactivity.

    FemaleWistarratsweretreatedtopically(ontheback)with14CMDI(labelledinthering)inacetonetoinvestigatethepossibilityofsystemiccirculationandDNAbindingpotencyofMDI(Vock&Lutz,1997).About10%oftheradioactivitywasretainedatthesiteofapplication.DNAradioactivityintheliverwasatthelimitofdetection.Inasecondexperimentusingtopicaladministration,32PpostlabellinganalysisdidnotrevealisocyanateDNAadductsintheskin(Vock&Lutz,1997).

    TissuesobtainedfromfemaleWistarratsexposedtoa0.9maerosolofMDIfor17hperday,5daysperweek,for1year,atlevelsof0,0.3,0.7,or2.0mg/m3,wereanalysedforDNAadductsusinga32Ppostlabellingmethod(Vocketal.,1996).Inthelung,neitherisocyanateadductsnorthearylamineadductwasdetectable.Thesamenegativeresultwasseenintheliver,bladder,kidney,respiratoryepithelium,andperipherallymphocytes.Intheolfactoryepithelium,ontheotherhand,thearylaminederivedDNAadductnucleotidesweredetectedatverylowlevels(510adductsper1010nucleotides).

    8.6Reproductiveanddevelopmentaltoxicity

    NospecificfertilitystudiesareavailableforMDI.

    Inawellconducteddevelopmentalrangefindingstudy,conductedaccordingtoOrganisationforEconomicCooperationandDevelopment(OECD)GuidelineNo.414,matedfemaleWistarrats(8pergroup)wereexposedtoPMDIbyinhalation(wholebody)atexposurelevelsof0,2,8,or12mg/m3for6hperdayfromday6uptoandincludingday15ofpregnancy(WaalkensBerendsen&Arts,1992).Onday21ofpregnancy,thefemaleratsweresacrificedandacaesareansectionwasperformed.Noclinicalsignsormortalityrelatedtotreatmentwasobservedduringthestudy.Themeannumberofcorporalutea,implantationsites,earlyandlateresorptions,and,consequently,preandpostimplantationlossshowednostatisticallysignificantdifferencesamongthecontrolandtreatedgroups.Fromday6today9ofpregnancy,maternalbodyweightgainofthe8and12mg/m3groupswasslightlydecreased(notstatisticallysignificant)whencomparedwiththecontrolgroup.Nootherdifferenceswereobservedinbodyweightandbodyweightgain,carcassweight,ornetweightgainwhencomparedwiththecontrolgroup.Fetalbodyweightswerecomparableinallgroups,andnoexternaltreatmentrelatedabnormalitieswereobservedinthefetuses.TheNOAELofPMDIaerosolbyinhalationformaternaltoxicityis8mg/m3,basedontheincreasedlungweights(relativeweightincreasedby14%)anddecreasedfoodintakeat12mg/m3.TheNOAELofPMDIaerosolbyinhalationfordevelopmentaltoxicityinthisstudyis12mg/m3.

    TheprenataltoxicityofPMDIinpregnantWistarratswasalsoinvestigatedbyaerosolinhalation(wholebody)accordingtoOECDGuidelineNo.414byBASF(1994).Twentyfivematedfemaleratspergroupwereexposedtoconcentrationsof1,4,or12mg/m3(MMAD

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    relatedfindingsindamsandfetusesoccurredat1and4mg/m3.TheNOAELformaternalandfetaltoxicitywas4mg/m3,andtheNOAELfordevelopmentaleffectswas4mg/m3.

    GravidWistarratswereexposedbywholebodyinhalationtocleanair(control)andtomonomeric4,4MDIat1,3,or9mg/m3for6hperdayfromday6today15postconception(Buschmannetal.,1996).TheMMADoftheaerosolwas1.1m.Ratsweresacrificedonday20.Theabsoluteandrelativelungweightsinthehighdosegroupweresignificantlyincreased(23%)comparedwiththeshamtreatedcontrolanimalsthisendpointwasnotexaminedintheotherexposuregroups.Treatmentdidnotinfluenceanyothermaternalorfetalparametersinvestigated,althoughaslightbutsignificantincreaseinlitterswithfetusesdisplayingasymmetricsternebrawasobservedaftertreatmentwiththehighestdose.Sincethenumberoftheeffectsobservedinthe9mg/m3groupwaswithinthelimitsofbiologicalvariability,aNOAELfordevelopmentaleffectsof9mg/m3wasdeterminedinthisstudy.

    9.EFFECTSONHUMANS

    Itiswelldocumentedthatisocyanatesareacauseofoccupationalasthma(Vandenplasetal.,1993).Humoralaswellascellularmechanismsareinvolvedinthepathogenesis.Immediateorlateallergicreactionsorbothcanoccur.ThespecifichumoralimmuneresponsecanbeIgEaswellasIgGmediated,butmanypatientswithsensitizationtoisocyanateshavenodemonstrativeserumantibodiesagainsttheisocyanates.SeveralpublicationsindicatethatcompleximmunologicalreactionsareinvolvedintheprocessofsensitizationtoMDI(Pezzinietal.,1984Tseetal.,1985Lissetal.,1988Cartieretal.,1989).

    Toinvestigatetheimmunopathogenesisofdiisocyanatecausedasthma,diisocyanateexposedworkerswereevaluatedforinvitroproductionofantigenspecificmononuclearcellderivedhistaminereleasingfactor(HRF).ThemeanHRFresponsetodiisocyanatehumanserumalbumin(HSA)antigenswassignificantlygreater(p

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    catalyst(componentB).Itwasmentionedthatthechemicalprotectivegloveswerenotroutinelyutilizedbyminerswhoweredescribedashavingskincontactleadingtochronicskinirritation.InanotherNIOSH(1994b)report,nasalandeyeirritationwerethetwomostfrequentlyreportedsymptomsafterMDIexposure.

    Ahypersensitivitypneumonitistypeofreactionhasalsobeenreported.Vandenplasetal.(1993)investigatedninesubjectswhocomplainedofrespiratoryandgeneralsymptomsrelatedtoworkplaceexposure.AllthesubjectshadworkedinaplantwherearesinbasedonMDIwasusedinthemanufactureofwoodchipboards.TheyunderwentinhalationchallengesusingtheMDIresinforprogressivelyincreasingperiodsoftimeonseparatedays.Ineightsubjects,exposuretosubirritantamountsofMDIinducedapatternofreactionconsistentwithhypersensitivitypneumonitisi.e.,significantdecreasesinbothforcedexpiratoryvolumein1s(FEV1:31%range2340%)andFVC(23%range1735%)associatedwithariseinbodytemperatureandanincreaseinbloodneutrophils.SpecificIgGandIgEantibodiestoMDIHSAconjugateswerepresentinallsubjects.TheauthorsconcludedthattheMDIresincausedahypersensitivitypneumonitistypeofreactioninatleast8(4.8%)ofthe167potentiallyexposedworkersemployedintheplant.

    Inacasewhohadexperiencedrepeatedattacksofaworkrelatedpulmonaryorsystemicdisease,associationwithexposuretoMDIwasexaminedbecauseofacuterespiratorydisorder,rhinoconjunctivitis,andalatesystemicreactionafterexposuretopolyurethanepyrolysisproducts,includingMDI(airlevel15g/m3)(Littorinetal.,1994).Spirometryshowedapartlyreversibleobstructivedysfunction,andaskinpricktestwaspositiveforMDIHSA.MDAwasdetectedinhydrolysedserumandurine.Inserum,specificIgG1,IgG4,andIgEantibodiesandaveryhightotalIgEweredetected.Thespecificantibodiesdeclinedduringthe5yearsafterexposure.Invitro,thecirculatingimmunecomplexesinserumincreasedaftertheadditionofMDIHSA.ThereactionsassociatedwithMDIexposure(incombinationwithexposuretopyrolysisproducts)hadfeaturescompatiblewithimmediatehypersensitivityandwithacomplementmediatedimmunecomplexrespiratoryreaction.

    EighteenemployeesofasinglewoodproductsplantusingheatedMDIinthemanufactureofasyntheticwoodproductwithlowerrespiratorytractsymptomswerelaterconfirmedtohaveoccupationalasthmaafterexaminationoftherelationshipbetweenonsetofsymptoms,smokingbehaviour,priorexperience,andfamilyhistoryofrespiratorydisorder(Woellneretal.,1997).Allcasesoccurredduringa2.5yearperiodafterexposuretoanewmanufacturingprocessusingsteamheatedMDIresininanewmanufacturingfacility.Initially,workersdevelopedsymptomsrelatedtotheprocesswithpossiblehigherMDIexposuresandprobablehigherresintemperatures.Later,mostworkerswhodevelopednewsymptomsweremostlyexposedtoheatedboards.ThissuggeststhatMDIsensitizationarisesatlowertemperaturesthanwaspreviouslyconsideredlikelyforthissubstance.ItispossiblethatthereactionproductsofsteamandpolymersofMDI,aloneorincombinationwithMDI,maybethecausativeagents.

    AfoundryworkerwhodiedatworkhadadiagnosisofoccupationalasthmainducedbyMDIassessed5yearsearlier,buthadhadapoorprognosisforoccupationalasthmaandhadcontinuedtobeexposedtoMDI(Carinoetal.,1997).Postmortemmicroscopicexaminationofthelungshowedepithelialdesquamation,eosinophilic/neutrophilicinfiltrationofthemucosa,dilatationofbronchialvessels,oedema,hypertrophy,anddisarrayofsmoothmuscle.

    Theneuropsychologicalfunctioningoffivemensufferingallegedphysical,cognitive,andbehaviouralchangesfollowingexposuretoMDIwasinvestigated(Reidy&Bolter,1994).Thesubjectshadbeenexposedtohydrocarbonsolventaswell,butnoneofthemwassymptomaticuntilMDIwasintroducedtotheworkplace.Althoughthedurationandseverityofexposurevariedamongpatients,formalanalysisofMDIlevelswasnotcompletedduringtheexposureperiod.Atthetimeofassessment,fourofthefivepatientsremainedsymptomaticdespitehavinghadnocontactwithMDIforperiodsrangingfrom5to9months.Allpatientsreportedexperiencingsubjectivesymptoms

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    consistingofrespiratorydistress,headaches,depression,irritability,forgetfulness,decreasedcalculatingability,wordfindingproblems,reducedconcentration,andsignificantemotionaldistressonanobjectivepersonalitymeasure.Despitethesedata,thesmallsamplesize,possibleselectionbiasforworkersinvolvedinlitigation,possibleconfoundingfactors,lackofpertinentmatchedcontrol,lackofobjectiveexposuredata,andlackofknowledgeonmechanismprecludethecredibilityofthefindings.

    9.2Epidemiologicalstudies

    9.2.1Irritationandsensitization

    Bernsteinetal.(1993)reportedonlythreecasesofoccupationalasthmainacrosssectionalstudyof243workersexposedtoPMDIinaurethanemouldplantthathadbeendesignedtominimizeexposureonecasewasattributabletoaspill.Levelswerecontinuouslymonitoredandneverexceeded50g/m3.

    Inanepidemiologicalstudyofoccupationaldermatitisinfivedifferentshoefactories,246workerswereinterviewed,examined,andpatchtestedusingstandardandoccupationalpatchtestproceduresoftheInternationalContactDermatitisResearchGroup(Mancusoetal.,1996).Noinformationonoccupationalexposurewasreported.Intwoworkerswithallergiccontactdermatitis,sensitizationtoMDIwasdetected.OneoftwoworkersreactedsimultaneouslytobothMDIandMDA.TheotheronereactedonlytoMDI.

    Ahealthstudyofthe78workersinanironandsteelfoundryinVancouver,Canada,wascarriedout,andtheresultswerecomparedwiththosefoundin372railwayrepairyardworkers(Johnsonetal.,1985).MDIconcentrationsintheworkingenvironmentwereshowntosignificantlyinfluencelungfunction.ThefoundryworkerswereexposedtoPepSet,whichconsistsofMDIandphenolformaldehydeandtheirdecompositionproducts,aswellastosilicacontainingparticulate.Comparedwiththecontrols,thefoundryworkershadmorerespiratorysymptomsandasignificantlylowermeanFEV1andforcedexpiratoryflowfrom25%to75%oftheFVC(FEF2575,ormidexpiratoryflowrateoftheFVC).Threeworkershadradiographicevidenceofpneumoconiosis,and12hadasthma,definedasthepresenceofbronchialhyperreactivity,cough,andadditionalrespiratorysymptoms,suchaswheeze,chesttightness,orbreathlessness.SensitizationtoMDIisprobablythecauseofasthmaintheseworkers.

    AcrosssectionalevaluationofworkersinasteelfoundryinwhichPMDIwasusedasacomponentofabindersystemusedtomakecoresandmouldswasperformed26currentlyexposed(groupI),6formerlyexposed(groupII),and14nonexposedworkers(groupIII)wereinvolved(Lissetal.,1988).ThemeannumberofMDIexposureyearswas8.6,1.1,and0yearsforgroupI,groupII,andgroupIII,respectively.SymptomscompatiblewithoccupationalasthmawereelicitedfromsevenworkersofgroupI,whereasnonewasfoundingroupIII.ThisstudydemonstratedthatinductionofbothMDIspecificIgGresponsesandIgEmediatedrespiratorysensitizationoccurredinapopulationofworkersexposedtoMDIinasteelfoundry.OneworkerfromgroupIwithasthmaticsymptomsexhibitedcutaneousreactivityandRASTbindingtoMDIHSA(25.5%).

    Musketal.(1982)followed107polyurethanemanufacturingworkersexposedtoTDIalone(17),MDIalone(25),orboth(6)prospectivelyfor5years.MDIwasusedatthemanufacturingplantsduringonlythelast2yearsofthestudyperiod.Spirometricmeasurements(e.g.,FEV1)weremadeon94workersatthefifthyearovertheworkshift,onMondaymorningafteraweekendofnoexposure,andafter2weekvacations.Therewerenostatisticallysignificantdifferencesinthetotal5yeardecrementinFEV1amongexposedworkersversusFEV1valuesinunexposedworkers.Becauseoftherelativelylownumberofworkers(25)exposedtoMDI(lessthan0.04mg/m3),theshortstudy

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    duration,confoundingfrompriorexposuretoTDI(0.05mg/m3)andpossiblytoaminecatalyst,andtheuncertaintyintheactualdurationofMDIexposure,thisstudyofferslimitedassurancethatMDIiswithouteffectonpulmonaryfunction.Theinvestigatorsdiscussedthepossibilitythattheremaybeselectionbias,becausethestudygroupdidnotincludeanysubjectwithsymptomssuggestinghypersensitivitytoisocyanatethosewhowereexperiencingadverseeffectsmayhavebeenincludedinthesmallnumbersofsubjectswhohadleftandbeenlosttofollowup.

    In1976and1981,Phametal.(1988)prospectivelystudiedagroupof318polyurethanefoamworkers(including104women)whoweregroupedaccordingtotheirjobcategoryasfollows:unexposed,indirectlyexposed,anddirectlyexposed.Atfollowupin1981,onlyhalfoftheinitialcohortremained(114males,45females),althoughnoreasonsweregivenastowhytheotherhalfleft.The5yearlongitudinalchangesinFEV1inexposedgroupswerestatednottobesignificantlydifferentfromthecontrolpopulation.Anincreasedprevalenceofasthmawasreportedhowever,thelimitationsofthestudyprecludeanymeaningfulassociations.Thebasisforthediagnosisofasthmawasnotstated.Whethertherewasexposuretoothersubstancesthatcouldcauseasthmaorwhethertherewaspreexistingasthmawasnotreported,andguidelinesfollowedforperformingFEV1measurementswerenotstated.Exposurewasnotwellcharacterized.

    EffectsonlungfunctionwereassessedbyDFG(1997)basedontheresultsofninestudiesnamely,Cavelieretal.(1977),Phametal.(1978,1986,1988),Martinetal.(1982),Diller&Herbert(1982),Musketal.(1982),Gee&Morgan(1985),andSulottoetal.(1990).Althoughthereweremanylimitations,suchasinvolvementofconfoundingfactorsinmixedexposuresandlackofknowledgeofactualexposureconcentrations,itwasconcludedthatsignificantimpairmentoflungspirometryvalueswasobservedinthecollectiveexposedtoPMDIconcentrationsupto0.87mg/m3.Inthecollectiveatconcentrationsbelow0.2mg/m3,nosignificantchangesinlungspirometrywerefound.However,significantlymorefrequentrespiratorysymptomsweresometimesobservedattheseconcentrations,althoughitisnotclearwhethertheywerecausedbysimultaneousexposuretoothercompounds.SuchsymptomswerenolongersignificantlymorefrequentatPMDIconcentrationsof0.1mg/m3.Withoneexceptioninwhichworkerswerepreviouslyexposedtoconcentrationsofupto0.9mg/m3,allthecollectiveexposedtoconcentrationsof0.05mg/m3orlesswaswithoutsymptoms.

    WorkrelatedrespiratorydiseaseswerereportedintheUnitedKingdombyalmost800chestandoccupationalphysicianswhoparticipatedvoluntarilyintheSWORDprojectfrom1989to1992(Meredith&McDonald,1994).Outof5541newcasesreportedbetween1989and1991,28%wereoccupationalasthma.Isocyanatesweresuspectedasacausalagentofasthmain336casesoutof1528reportedfor19891991.

    9.2.2Longtermexposureandcarcinogenicity

    Cancerincidenceandmortalitypatternswereinvestigatedinacohortof4154workersemployedinSwedishpolyurethanefoammanufacturingplantsforatleast1year(Hagmaretal.,1993a).TDIhadbeenusedinalltheplantsandMDIinallbutone,soitwasimpossibletoevaluatetheirindividualeffects.Airborneexposuretotheisocyanateshadbeenmeasuredon618occasionsateachplanton724days.ThetimeweightedaveragelevelsofTDIhadnormallybeenlessthan0.1g/m3andwerecurrently0.02g/m3.ThecorrespondingvaluesforMDIhadbeenlessthan0.01g/m3.However,muchhighervaluesupto3mg/m3forTDIandupto0.35mg/m3forMDIhadbeenrepeatedlymeasured.Therewasalsoilldefinedexposuretoblowingagents,mouldlubricants,amineaccelerators,andvariousorganicsolvents.Therewasnoincreasedriskofdeathcausedbybronchialobstructivedisease.Thereducedincidence,againstcontrol,ofallmalignantneoplasmwasalmoststatisticallysignificant.The"noexposure"grouphadfewerrectalcancersthanexpected,whereasthe"apparentexposure"grouphadmorethanexpected.Asimilar,smallerdifferencewasseenwithnonHodgkinslymphoma.Whenaminimumlatencyperiodof10yearswasapplied,theincreasesagainst

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    controlwereevenhigher,buttherewereveryfewcases.Asthecohortwasyoungwithrelativelyshortexposuretotheisocyanates,futurestudieswouldallowamoreconclusiveevaluation.AcasereferencestudywithinthecohortwasmadetoassessmorethoroughlytheassociationbetweenexposuretoTDIandMDIandriskofcancer(Hagmaretal.,1993b).Itwasfoundthatthetentativeassociations,derivedfromthepreviouscohortstudy,betweenexposuretoisocyanatesandexcessriskfornonHodgkinslymphomasandrectalcancerwerenotsupported.Instead,nonsignificantassociationswithprostatecancerandpossiblycoloncancerwereseen.

    Aretrospectivemortalityandcancermorbiditystudywasconductedtoinvestigateassociationsbetweenhealthriskandexposuresfrompolyurethanefoamproduction,particularlyexposurestodiisocyanates(Sorahan&Pope,1993).Thestudypopulation(n=8288)wastakenfrom11factoriesinEnglandandWalesinwhichTDIwastheprincipalisocyanate(MDIrepresented5%oftheamountofTDIused).Thehighestexposurecategorycomprisedjobsinwhicheitherthe8htimeweightedaverageexposure(toisocyanates)during19781986wasgreaterthan0.04mg/m3orexcursionsabove0.1mg/m3occurredonmostdays.Theinvestigatorsdidnotfindanassociation(usingstandardizedmortalityratiosorSMRs)betweenexposuretodiisocyanatesandcancer.Thecohortwasyoung,andfollowupwasrelativelyshort.

    10.EFFECTSONOTHERORGANISMSINTHELABORATORYANDFIELD

    10.1Aquaticenvironment

    ResultsofmoststudiesavailableonthetoxiceffectsofMDIonaquaticorganismsarebasedonnominalconcentrationsoftestsubstance.Inalltestssummarizedinthissection,MDIwasaddedtothetestsolution,andnoconcentrationmeasurementswereperformedsubsequentlyduringexposure.Althoughdifferentmethodswereappliedtosolubilizethetestsubstanceinthetestmedia(e.g.,stirringforseveralhours),theresultspresentedinsection5.1indicatethatonlyminoramountsoftheappliedMDIcouldhavebeenpresentinthetestsolution,astheMDIwouldhaverapidlyundergonehydrolysis.Asaresult,duetothevirtualunavailabilityofMDIinwater,evenforthehighestconcentrationstested,noadverseeffectsontheexposedtestorganismswereobserved.

    Inshorttermtests,nominalconcentrationsintherangeof5003000mgMDI/litrecausednolethaleffectonfreshwaterfish(RhonePoulencChimie,1977Nakata,1983Caspersetal.,1986).Aquaticinvertebratesshowednoimmobilizationaftera24hexposuretonominalconcentrationsofupto1000mgMDI/litre(RhonePoulancChimie,1977Caspersetal.,1986).After21daysofexposuretothehighestnominalconcentrationtested(10mg/litre),PMDIhadnoeffectonthereproductionrateofDaphniamagna(Caspersetal.,1986).Blom&Oldersma(1994)observednoeffectsoncellmultiplicationofthefreshwateralgaScenedesmussubspicatusaftera3dayexposuretoanominalconcentrationof1640mgPMDI/litre.ConcerningtheimpactofPMDIonmicroorganisms,thehighestappliedconcentrationsofupto100mg/litrewerenotinhibitorytocellmultiplicationofEscherichiacoli(Fujiwara,1981)ortotherespirationrateofactivatedsludge(Caspersetal.,1986).

    Heimbachetal.(1996)addedPMDIatconcentrationsof0,1,and10g/litreontopofthesedimentofthreeartificialoutdoorponds,simulatingaccidentalspillageinsmallstandingfreshwaterecosystems(seesection5.1).Thepondscontainednaturallakesedimentandgroundwater,towhichcagedfishwereadded.ThefateofthePMDIandecotoxiceffectsontheaquaticpopulationweremonitoredfor112days.

    MDIpolymerizedtoinertpolyureaandstayedontopofthesediment,formingahardenedlayerattheinterfaceofthecompoundandwater.NoMDIwasfoundinthewaterorinthefishafterapplication.Neitherapplicationratecausedanydirecttoxiceffectontheaquaticcommunity,butsomesignificant

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    indirecteffectsonpartsofthemacrobenthoswereobserved.Someofthemoreimmobilepopulations(Oligochaeta,Bivalvia,Diptera)werealmostcompletelywipedoutasaresultofphysicalobstructionbythepolyurealayer,lackofoxygen,andtoxiccarbondioxideconcentrations714daysafterapplication.

    Mostofthemacrobenthospopulationsregaineddensitiesequivalenttothecontrolpopulationsafter2monthsofexposure,withtheexceptionofBivalvia(becauseoftheirlonggenerationtimes).Mobilepartsofthemacrobenthos(e.g.,Gastropoda)remainedunaffected.Theabundanceofsomezooplanktonspecies(Cladocera)wasclearlyreducedinthehighdosedpond28weeksafterapplication.Asaconsequence,therainbowtroutinthispond,whichwerefeedingonCladoceraastheirmainnaturalfoodsource,lostweight,andthreeofsixfishinthisponddied1monthaftertheapplicationofMDI.

    10.2Terrestrialenvironment

    ResultsfromanearthwormtoxicitytestconductedaccordingtoOECDGuidelineNo.207andaterrestrialplantgrowthtestconductedaccordingtoOECDGuidelineNo.208arepresentedinTable2.Inthesestudies,thetestsubstancewasinitiallydissolvedinacetone,whichwasthenmixedwithsand.Thesolventwasevaporatedandthecoatedsandmixedwithsoil.Thetreatedsoilwasthenusedforthestudies.NotoxiceffectofMDIontheterrestrialorganismstestedwasobserved.

    Table2:ToxicityofMDItoterrestrialorganisms.a

    Organisms Endpointb Loading(mg/kg)

    Eiseniafetida(earthworm)

    14dayLC50 >1000

    14dayNOEL(weightincrease)

    >1000

    14dayNOEL(behaviour,appearance)

    >1000

    Avenasativa(oats) NOELemergence >1000

    NOELsurvival(14days) >1000

    NOELgrowth(14days) >1000

    Lactucasativa(lettuce)

    NOELemergence >1000

    NOELsurvival(14days) >1000

    NOELgrowth(14days) >1000

    aSource:vanderHoevenetal.(1992a,b).

    bLC50=medianlethalconcentrationNOEL=noobservedeffectlevel.

    11.EFFECTSEVALUATION

    11.1Evaluationofhealtheffects

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    11.1.1Hazardidentificationanddoseresponseassessment

    Thehealthendpointofmostconcernisanassociationbetweenexposuretoairbornepolymericand/ormonomericMDIandoccupationallyinducedasthma.Thereisabundantevidencenotonlyfromepidemiologicalstudiesandcasestudies,butalsofromanimalstudies.However,thereisinsufficienthumanevidencetodescribe(1)thenatureoftheMDIcontainingmaterial,(2)theconcentrationresponserelationship,or(3)themechanismofisocyanateinducedasthmaandsensitization.Althoughtherearenohumanoranimalstudiesthathaveexaminedtheoralrouteofexposure,itisunlikelythathumanswouldbeexposedbytheoralroute.Therefore,itisdifficulttoquantitativelyestimateriskfromhumanexposure.

    TheavailablehumanevidencefromcancerincidenceandmortalitystudiesofworkersexposedtoisocyanatesisinadequatetodescribethecarcinogenicpotentialofpolymericormonomericMDI.Noassociationsbetweenisocyanatesandcancerincidenceweredemonstrated.TheincreaseintheincidenceofmostlybenignpulmonarytumoursinratsexposedtoMDIbyinhalationisnotconsideredtobeademonstrationofcarcinogenicity.Thepublishedstudieshaveanumberoflimitations(e.g.,shortdurationofexposure,concomitantexposuretoothersubstances),whichresultinlowpowertodetectcanceroccurrenceintargetorgansofinterest.ThefindingofplacentaltransferofMDIanditsdegradationproductfrompregnantratsexposedtoaerosoltofetusesdemandsfurtherstudyonitsrelevancetohumanriskassessment.

    11.1.2CriteriaforsettingtolerableintakesorguidancevaluesforMDI

    AnexampleofaguidancevaluecalculationisgivenintheUSEPAsIntegratedRiskInformationSystem(IRIS)(seewww.epa.gov/irisfordetails).TheBenchmarkConcentration(BMC)analysisdescribedthereinisbasedonthefindingofanincreaseinbasalcellhyperplasiaintheolfactoryepitheliuminthechronicinhalationstudywithmaleWistarrats(Reuzeletal.,1990,1994a).However,itshouldbenotedthatthisguidancevaluemaynotprotectagainstoccupationalsensitization.

    Thevalueconsideredmostappropriateasabasisfordevelopmentofatolerableconcentration(TC)inairisthelower95%confidencelimitontheBMCatthe10%risklevel(BMC10)usingtheReuzeletal.(1990,1994a)dataset.TheBMC10isfirstconvertedtoahumanequivalentconcentration(HEC)byapplicationoftheRegionalDoseDepositedRatio(RDDR)calculatedusingacomputerprogramprovidedinUSEPA(1994).TheRDDRadjustsfordosimetricdifferencesbetweenlaboratoryanimalsandhumansbyapplyingnormalizingfactorstovariousareasoftherespiratorytract.

    OncetheBMC10(0.14mg/m3)isderivedfromtheReuzeletal.(1990,1994a)datasetbyBMCanalysis,itismultipliedbytheRDDR(0.453).Theresultingvalue,0.06mg/m3,istheBMC10(HEC).ThreeuncertaintyfactorsareappliedtotheBMC10(HEC)10forintraindividualvariation(includingthepossibilityofgeneticpredisposition),101/2forthelackofreproductivedata,and101/2forinterspeciesvariationtoderiveahumanTCof6104mg/m3.

    11.1.3Sampleriskcharacterization

    Therearenoadequatedataavailabletoserveasabasisforestimatingriskofoccupationalasthma.Theexamplegivenhereisapragmaticapproachtoreduceoccupationalexposuretotheminimumpossible,becauseathresholdforthiseffectcannotbeestablished.

    IntheGermanstudyevaluatinglungdecrement,significantreversibleadverseeffectsonlungfunctionwereobservedinpersonsexposedtoMDIconcentrationsabove0.2mg/m3.WhenMDIconcentrationswerekeptlargelybelowthisconcentration,significantchangesinlungspirometrywerenolongerseen,althoughtheincidenceofrespiratorysymptomswasincreasedsignificantly.Suchdisorderswerestillobserved,butnomorefrequentlythaninthegroupatconcentrationsbelow0.05mg/m3.Becauseoftheseobservations,0.05mg/m3wasestablishedastheMAK(themaximumconcentrationintheGermanworkplace)valueforMDI,tobereasonablypracticableunderworkplaceconditions,andthereisacontinuingremittoreduceexposurelevelsasfarasreasonablypracticablewithtechnologythatiscurrentlyavailable.

    11.2Evaluationofenvironmentaleffects

    Undernormalcircumstances,exposureislikelyonlyfromreleasestotheatmosphere.HighexposuresinvolvingMDIinambientenvironmentsareexpectedtoberare.Wherespillageistosoilorwater,MDIhasatransientexistenceduetoitsreactionwiththewatertoproducepredominantlyinsolublepolyureas.MDAmaybeformedonlyasaminorreactionproductandwillthusbepresentatlowconcentrations.ThepondstudyprovidesevidencethatMDIaccumulationthroughtheaquaticfoodchainisextremelyunlikely,asmightbeexpectedconsideringtheverylowsolubilityandhighreactivityofMDIinaqueoussolution.

    AvailabledatashowthatthereisnoneedforconcernregardingtheeffectsofMDIonorganismsintheenvironment,althoughmoredetailedinformationregardingtheeffectsofminuteamountsofMDAformedintheenvironmentonorganismsisrequiredbeforeanyfirmconclusionscanbedrawn.

    12.PREVIOUSEVALUATIONSBYINTERNATIONALBODIES

    IARC(1999)concludedthatthereisinadequateevidenceforthecarcinogenicityofmonomericorpolymericMDIinhumansandlimitedevidenceforthecarcinogenicityofamixturecontainingmonomericandpolymericMDIinexperimentalanimals.ItsoverallevaluationwasthatMDI(industrialpreparation)isnotclassifiableastoitscarcinogenicitytohumans(Group3).

    ForMDA,IARC(1986)concludedthattherewerenodatainhumansandsufficientevidenceforcarcinogenicityinanimals.ItsoverallevaluationwasthatMDAwaspossiblycarcinogenictohumans(Group2B).

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    APPENDIX1SOURCEDOCUMENTS

    JSOH(1994)

    TheoriginalreviewinJapanesewastranslatedintoEnglishbytheNationalInstituteofHealthSciences(NIHS)andisavailablefromtheDivisionofChemBioInformaticsofNIHSatthefollowingaddress:

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    NationalInstituteofHealthSciences1181Kamiyoga,SetagayakuTokyo,Japan

    TheJapanSocietyforOccupationalHealth(JSOH,formerlytheJapanAssociationofIndustrialHealth)isanacademicorganizationconsistingofexpertsinoccupationalhealth,includingscientistsinuniversitiesandinstitutions,industrialphysicians,occupationalhealthnurses,industrialhygienists,managementstafffromhealthandsafetydepartments,andgovernmentofficialsinoccupationalhealthsectors.

    TheCommitteefortheRecommendationofOccupationalExposureLimitsofJSOHreviewsscientificinformationonthehealtheffectsofchemicalsubstancesandphysicalagentswithspecialreferencetoexposureeffectandexposureresponserelationshipsandappliesitsresearchtothecreationofanOccupationalExposureLimit(OEL)andtothedocumentationofthereasoningbehindtheOEL.TheCommitteesubmitstheOELasaprovisionalOELtoameetingofJSOHcouncillorsandtoanannualgeneralmeetingofJSOHfortemporaryapproval,afterwhichtheprovisionalOELanddocumentationarepublishedinJSOHsofficialjournal,SangyoEiseigakuZasshi(formerlySangyoIgaku[JapaneseJournalofIndustrialHealth].TheCommitteeacceptsopinionsbasedonscientificaspectsoftheprovisionalOELuntilthenextannualgeneralmeeting.IfnoopinionscontrarytotheprovisionalOELarefiledwiththeCommittee,itisadoptedastheformalOELrecommendedbyJSOH.IfopinionscontrarytotheprovisionalOELarefiledwiththeCommitteeanddeemedvalid,theCommitteethen