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SOT’s 52nd Annual Meeting                             San Antonio, Texas   March 10th –14th 2013




                IS INDOOR EXPOSURE TO DEHP A HEALTH RISK?




 D.A. Sarigiannis
 S.P. Karakitsios
 A. Gotti
 1AristotleUniversity of Thessaloniki, Department of Chemical Engineering, Environmental
 Engineering Laboratory, Thessaloniki, 54124, Greece;
 2Centre for Research and Technology Hellas (CE.R.T.H.), Thessaloniki, 57001,Greece
Rationale
SOT’s 52nd Annual Meeting                                          San Antonio, Texas      March 10th –14th 2013




     DEHP is used as plasticizer in PVC plastics, including personal care products, packaging
     materials, toys, building materials,….

     As DEHP is not chemically bound to PVC it can leach, migrate or evaporate into indoor air,
     dust, foodstuff, other materials,…
     Consequently, DEHP is ubiquitous in our environment
                                      systemic health effects                 local health effects (inhalation)
                                                                                            Threshold
                                  Threshold value                       Health effect –
                                                         ref                                value local       ref
                                     systemic                           local effects ?
                                                                                              effect
                   Reproductive 50 µg/kg bw/day
                     effects                            (CSTEE,
                                (20 µg/kg bw/day)*                         inhalation;
                                                       1998;ECB,                                            (Bornehag et
     DEHP         Developmental
                                    (25 µg/kg                         increased asthma           ?
                                                      2008;EFSA,                                             al., 2004))
                     effects        bw/day)**                           risk in children
                                                         2005a)
Methodological concept of the approach
SOT’s 52nd Annual Meeting                         San Antonio, Texas                                    March 10th –14th 2013




                                                                      GI tract – portal vein                         GI tract – portal vein




                                                                            Liver                                          Liver




                                                                            Heart                                          Heart




      SOURCES                                                               Brain                                          Brain




                                                                          Muscles                                        Muscles




                                                                            Skin                                           Skin




                                                                          Kidneys                                        Kidneys




                                                                          Adipose                                        Adipose




                                                                           Bones                                          Bones




                                                                           Breast                                         Breast




                                                                        Uterus - gonads                                Uterus - gonads




                                                           Arterial        Lungs               Venous     Arterial        Lungs               Venous
                                                            blood                               blood      blood                               blood
Concentrations
SOT’s 52nd Annual Meeting                                                                               San Antonio, Texas          March 10th –14th 2013




   Gas phase mass equilibrium
           dCchem _ gas
       V                        Echem _ gas    Qind _ out     Cchem _ gas      Cchem _ gas _ out V
                dt                                                                                     Echem_gas : chemical emission rate
                                                                                Cchem _ PM
                                k Cchem _ gas V          rp    Cchem _ gas                        V    Qint_out : Indoor/outdoor air exchange rate
                                                                                K p CPM
                                                                                                       K : chemical decay coefficient
                                                                               Cchem _ dust m_ dust
                                rd      Cchem _ gas      Cchem _ PM        V                           KP : gas/particles partition coefficient
                                                                                       K _ dust
                                                                                                       Kdust : gas/dust partitioning coefficient
   Particles phase mass equilibrium                                                                    rP, rd : partitioning kinetics
       dCchem _ PM                                    Cchem _ PM                                       V : location volume
   V                       rp        Cchem _ gas                       V
             dt                                       K p CPM                                          CPM : PM concentration indoors

                           Qind _ out      CPM         CPM _ out
                                                                   Cchem _ PM
                                                                                   V
                                                                                                       CPM_out : PM concentration outdoors
                                                                       CPM
                                                                                                       CDEHP_gas : chemical concentration in gas phase
   Dust phase mass equilibrium                                                                         CDEHP_PM : chemical concentration in PM phase
           dCchem _ dust                                                        Cchem _ dust m_ dust   CDEHP_dusts : chemical concentration in dust phase
       V                        rd       Cchem _ gas      Cchem _ PM       V
                  dt                                                                   K _ dust        m_dust : mass of dust in the location
SOT’s 52nd Annual Meeting   San Antonio, Texas   March 10th –14th 2013
Internal exposure (PBPK) modeling
SOT’s 52nd Annual Meeting                                                                                                                                 San Antonio, Texas                         March 10th –14th 2013


                                                                        dCij
                                                                   Vi                       Qi (CAj CVij ) Metabij                             E limij Absorpij Pr Bindingij
                                                                         dt


                           GI tract – portal vein                                                GI tract – portal vein                                      GI tract – portal vein                                        GI tract – portal vein




                                Liver                                                                 Liver                                                       Liver                                                         Liver




                               Heart                                                                 Heart                                                       Heart                                                         Heart




                                Brain                                                                 Brain                                                       Brain                                                         Brain




                              Muscles                                                               Muscles                                                     Muscles                                                       Muscles




                                Skin                                                                  Skin                                                        Skin                                                          Skin




                              Kidneys                                                               Kidneys                                                     Kidneys                                                       Kidneys




                              Adipose                                                               Adipose                                                     Adipose                                                       Adipose




                               Bones                                                                 Bones                                                       Bones                                                         Bones




                               Breast                                                                Breast                                                      Breast                                                        Breast




                             Uterus - gonads                                                       Uterus - gonads                                             Uterus - gonads                                               Uterus - gonads




         Arterial blood        Lungs                Venous blood               Arterial blood        Lungs                Venous blood   Arterial blood          Lungs                Venous blood   Arterial blood            Lungs                Venous blood




                          DEHP                                                                  MEHP                                                      5-OH MEHP                                                   5- oxo - MEHP
The vinyl floor case
SOT’s 52nd Annual Meeting                                             San Antonio, Texas     March 10th –14th 2013


     DEHP is emitted from electronic equipment and vinyl flooring. Lets assume a typical
     scenario of a common residential dwelling (size of 270 m2 and air exchange rate equal to
     0.5) characterized by total DEHP gaseous emissions of 200 μg/h (vinyl flooring and other
     plastic equipment)

      Exposure pathways considered:
       Exposure through inhalation:
          - gas phase
          - particles phase

          Exposure through skin:
            - Rubbing of dust (0.01 g/day)

          Exposure through ingestion
            - Dust ingestion through hand to mouth behavior

                                                                      Female                Female      Male
                                    Infants     Toddlers   Children    Teens   Male Teens   Adults     Adults
     House dust ingestion (g/day)     0.05        0.05       0.01      0.001      0.001      0.001     0.001
DEHP concentration in different media
SOT’s 52nd Annual Meeting                                                                         San Antonio, Texas       March 10th –14th 2013

                                              6                                                                                              4000

                                                                                                                                             3500
   Gas/partcles phase concentration (μg/m3)




                                              5




                                                                                                                                                    Dust phase concentration (μg/g dust)
                                                                                                                                             3000
                                                                                 Concentration in EU indoor locations
                                              4
                                                                Gas + particles (μg/m3)     Dust (μg/g_dust)      Study                      2500
                                                                          0.13                      626          Weschler et al, 2008
                                              3                                                    3214          Clausen et al. 2003         2000
                                                                                                    970          Butte et al., 2008

                                                                                                    604          Abb et al., 2009            1500
                                              2
                                                                                                    540          Langer et al. 2010
                                                                                                                                             1000
                                              1                                                                  gas
                                                                                                                 particles                   500
                                                                                                                 dust
                                              0                                                                                              0
                                                  1   49   97     145      193        241 289             337    385       433         481
                                                                                    Time (h)
DEHP internal exposure
SOT’s 52nd Annual Meeting                                                            San Antonio, Texas     March 10th –14th 2013

                                                                                                                             0.07
                                        5.0




                                                                                                                                    Venous - mothers milk concentration (μg/L)
                                                                                                                             0.06
  Adipose tissue concentration (μg/L)




                                        4.0                                                                                  0.05

                                                                                                                             0.04
                                        3.0

                                                                                     Adipose tissue                          0.03
                                        2.0                                          Venous blood
                                                                                     Milk                                    0.02

                                        1.0
                                                                                                                             0.01

                                        0.0                                                                                  0
                                              1   49   97    145   193     241      289     337       385    433       481
                                                                         Time (h)
DEHP and major metabolites internal exposure
SOT’s 52nd Annual Meeting                                                     San Antonio, Texas   March 10th –14th 2013

                                      0.9

                                      0.8
  Venous blood concentration (μg/L)




                                      0.7

                                      0.6

                                      0.5
                                                                                     MEHP
                                      0.4                                            DEHP
                                                                                     5-OH-MEHP
                                      0.3
                                                                                     5-oxo-MEHP
                                      0.2

                                      0.1

                                       0
                                            1   49   97   145   193     241       289        337   385        433          481

                                                                      Time (h)
Major metabolites urine concentrations
SOT’s 52nd Annual Meeting                                              San Antonio, Texas   March 10th –14th 2013

                                  8

                                  7
   Urine concentration (μg/gCr)




                                  6

                                  5

                                  4

                                  3

                                  2                                                5-OH-MEHP
                                  1
                                                                                   MEHP
                                                                                   5-oxo-MEHP
                                  0
                                      1    49   97   145   193   241       289        337   385        433          481
                                                            Time (h)
DEHP daily uptake per route
SOT’s 52nd Annual Meeting                              San Antonio, Texas    March 10th –14th 2013




                         1.4
                                                                                Adults
                         1.2
                                                                                Kids
   Uptake (μg/kg_bw/d)




                         1.0

                         0.8

                         0.6

                         0.4

                         0.2

                         0.0
                               Inhalation       Oral                  Skin
                                               Route
Conclusions
SOT’s 52nd Annual Meeting                                 San Antonio, Texas   March 10th –14th 2013



         • Linking Emissions, Concentrations, Exposure and Internal dose within a
           “continuous” mathematical frame allows us to couple environmental and
           biological processes efficiently


         • Capturing jointly toxicokinetics, toxicodynamics and exposure dynamics allowed
           us to incorporate mechanistic knowledge in exposure assessment and thus
           improve the validity and relevance of the risk characterization outcome
         • It also allowed the identification of exposure scenarios that could pose health risk


         • Integrated external and internal exposure assessment for DEHP highlights the fact
           that the current health risk from human exposure to DEHP indoors is very low.
         • Sum of urinary DEHP metabolites one order of magnitude lower than the BE (660
           ug/g creatinine)
         • Daily uptake is higher for children than for adults.
         • Oral and skin uptake are important routes for children, but negligible for adults.
SOT’s 52nd Annual Meeting                                      San Antonio, Texas   March 10th –14th 2013




            Thank you for your kind attention



          www.enve-lab.eu

          A new perspective to environment-related processes

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Dehp

  • 1. SOT’s 52nd Annual Meeting San Antonio, Texas March 10th –14th 2013 IS INDOOR EXPOSURE TO DEHP A HEALTH RISK? D.A. Sarigiannis S.P. Karakitsios A. Gotti 1AristotleUniversity of Thessaloniki, Department of Chemical Engineering, Environmental Engineering Laboratory, Thessaloniki, 54124, Greece; 2Centre for Research and Technology Hellas (CE.R.T.H.), Thessaloniki, 57001,Greece
  • 2. Rationale SOT’s 52nd Annual Meeting San Antonio, Texas March 10th –14th 2013 DEHP is used as plasticizer in PVC plastics, including personal care products, packaging materials, toys, building materials,…. As DEHP is not chemically bound to PVC it can leach, migrate or evaporate into indoor air, dust, foodstuff, other materials,… Consequently, DEHP is ubiquitous in our environment systemic health effects local health effects (inhalation) Threshold Threshold value Health effect – ref value local ref systemic local effects ? effect Reproductive 50 µg/kg bw/day effects (CSTEE, (20 µg/kg bw/day)* inhalation; 1998;ECB, (Bornehag et DEHP Developmental (25 µg/kg increased asthma ? 2008;EFSA, al., 2004)) effects bw/day)** risk in children 2005a)
  • 3. Methodological concept of the approach SOT’s 52nd Annual Meeting San Antonio, Texas March 10th –14th 2013 GI tract – portal vein GI tract – portal vein Liver Liver Heart Heart SOURCES Brain Brain Muscles Muscles Skin Skin Kidneys Kidneys Adipose Adipose Bones Bones Breast Breast Uterus - gonads Uterus - gonads Arterial Lungs Venous Arterial Lungs Venous blood blood blood blood
  • 4. Concentrations SOT’s 52nd Annual Meeting San Antonio, Texas March 10th –14th 2013 Gas phase mass equilibrium dCchem _ gas V Echem _ gas Qind _ out Cchem _ gas Cchem _ gas _ out V dt Echem_gas : chemical emission rate Cchem _ PM k Cchem _ gas V rp Cchem _ gas V Qint_out : Indoor/outdoor air exchange rate K p CPM K : chemical decay coefficient Cchem _ dust m_ dust rd Cchem _ gas Cchem _ PM V KP : gas/particles partition coefficient K _ dust Kdust : gas/dust partitioning coefficient Particles phase mass equilibrium rP, rd : partitioning kinetics dCchem _ PM Cchem _ PM V : location volume V rp Cchem _ gas V dt K p CPM CPM : PM concentration indoors Qind _ out CPM CPM _ out Cchem _ PM V CPM_out : PM concentration outdoors CPM CDEHP_gas : chemical concentration in gas phase Dust phase mass equilibrium CDEHP_PM : chemical concentration in PM phase dCchem _ dust Cchem _ dust m_ dust CDEHP_dusts : chemical concentration in dust phase V rd Cchem _ gas Cchem _ PM V dt K _ dust m_dust : mass of dust in the location
  • 5. SOT’s 52nd Annual Meeting San Antonio, Texas March 10th –14th 2013
  • 6. Internal exposure (PBPK) modeling SOT’s 52nd Annual Meeting San Antonio, Texas March 10th –14th 2013 dCij Vi Qi (CAj CVij ) Metabij E limij Absorpij Pr Bindingij dt GI tract – portal vein GI tract – portal vein GI tract – portal vein GI tract – portal vein Liver Liver Liver Liver Heart Heart Heart Heart Brain Brain Brain Brain Muscles Muscles Muscles Muscles Skin Skin Skin Skin Kidneys Kidneys Kidneys Kidneys Adipose Adipose Adipose Adipose Bones Bones Bones Bones Breast Breast Breast Breast Uterus - gonads Uterus - gonads Uterus - gonads Uterus - gonads Arterial blood Lungs Venous blood Arterial blood Lungs Venous blood Arterial blood Lungs Venous blood Arterial blood Lungs Venous blood DEHP MEHP 5-OH MEHP 5- oxo - MEHP
  • 7. The vinyl floor case SOT’s 52nd Annual Meeting San Antonio, Texas March 10th –14th 2013 DEHP is emitted from electronic equipment and vinyl flooring. Lets assume a typical scenario of a common residential dwelling (size of 270 m2 and air exchange rate equal to 0.5) characterized by total DEHP gaseous emissions of 200 μg/h (vinyl flooring and other plastic equipment) Exposure pathways considered:  Exposure through inhalation: - gas phase - particles phase  Exposure through skin: - Rubbing of dust (0.01 g/day)  Exposure through ingestion - Dust ingestion through hand to mouth behavior Female Female Male Infants Toddlers Children Teens Male Teens Adults Adults House dust ingestion (g/day) 0.05 0.05 0.01 0.001 0.001 0.001 0.001
  • 8. DEHP concentration in different media SOT’s 52nd Annual Meeting San Antonio, Texas March 10th –14th 2013 6 4000 3500 Gas/partcles phase concentration (μg/m3) 5 Dust phase concentration (μg/g dust) 3000 Concentration in EU indoor locations 4 Gas + particles (μg/m3) Dust (μg/g_dust) Study 2500 0.13 626 Weschler et al, 2008 3 3214 Clausen et al. 2003 2000 970 Butte et al., 2008 604 Abb et al., 2009 1500 2 540 Langer et al. 2010 1000 1 gas particles 500 dust 0 0 1 49 97 145 193 241 289 337 385 433 481 Time (h)
  • 9. DEHP internal exposure SOT’s 52nd Annual Meeting San Antonio, Texas March 10th –14th 2013 0.07 5.0 Venous - mothers milk concentration (μg/L) 0.06 Adipose tissue concentration (μg/L) 4.0 0.05 0.04 3.0 Adipose tissue 0.03 2.0 Venous blood Milk 0.02 1.0 0.01 0.0 0 1 49 97 145 193 241 289 337 385 433 481 Time (h)
  • 10. DEHP and major metabolites internal exposure SOT’s 52nd Annual Meeting San Antonio, Texas March 10th –14th 2013 0.9 0.8 Venous blood concentration (μg/L) 0.7 0.6 0.5 MEHP 0.4 DEHP 5-OH-MEHP 0.3 5-oxo-MEHP 0.2 0.1 0 1 49 97 145 193 241 289 337 385 433 481 Time (h)
  • 11. Major metabolites urine concentrations SOT’s 52nd Annual Meeting San Antonio, Texas March 10th –14th 2013 8 7 Urine concentration (μg/gCr) 6 5 4 3 2 5-OH-MEHP 1 MEHP 5-oxo-MEHP 0 1 49 97 145 193 241 289 337 385 433 481 Time (h)
  • 12. DEHP daily uptake per route SOT’s 52nd Annual Meeting San Antonio, Texas March 10th –14th 2013 1.4 Adults 1.2 Kids Uptake (μg/kg_bw/d) 1.0 0.8 0.6 0.4 0.2 0.0 Inhalation Oral Skin Route
  • 13. Conclusions SOT’s 52nd Annual Meeting San Antonio, Texas March 10th –14th 2013 • Linking Emissions, Concentrations, Exposure and Internal dose within a “continuous” mathematical frame allows us to couple environmental and biological processes efficiently • Capturing jointly toxicokinetics, toxicodynamics and exposure dynamics allowed us to incorporate mechanistic knowledge in exposure assessment and thus improve the validity and relevance of the risk characterization outcome • It also allowed the identification of exposure scenarios that could pose health risk • Integrated external and internal exposure assessment for DEHP highlights the fact that the current health risk from human exposure to DEHP indoors is very low. • Sum of urinary DEHP metabolites one order of magnitude lower than the BE (660 ug/g creatinine) • Daily uptake is higher for children than for adults. • Oral and skin uptake are important routes for children, but negligible for adults.
  • 14. SOT’s 52nd Annual Meeting San Antonio, Texas March 10th –14th 2013 Thank you for your kind attention www.enve-lab.eu A new perspective to environment-related processes

Hinweis der Redaktion

  1. In this figure, it is graphically illustrated the methodological concept of the INTERA approach, following the source to dose continuum.Keeping in line to the source to dose assessment, we initiate by identifying the potential indoor sources of contamination, taking into account also outdoor contributions such as traffic. From emissions, we move to environmental media concentrations, thus meaning the concentrations in the indoor air from all type of sources. After estimating the concentrations, we need to calculate human exposure from all type of possible exposure pathways and routes. Thus, besides exposure from inhaling indoor air, exposure due to non-dietary oral exposure as well as dermal exposure will be taken into account.Following, we estimate internal dose. Internal dose is the actual exposure metric, and it might be referring either to the parent compound entering human body or to the product of metabolisms. Additional advantage from the implementation of internal dose arises from the possibility of use of biomarker data. Although INTERA project is focused on exposure, exposure data or internal dose data might be further used for assessing possible health risks or the margin of safety for the indoor locations under study. All the above methodological elements described above, are currently implemented within a computational platform, which is composed by individual models. In addition, the overall modelling platform derives dynamic source to dose calculations, meaning that we can track the temporal variability of the several intermediate outcomes.At this point, we need to address that the overall assessment does not always start from emissions, but the starting point might be indoor concentration or even inhalation exposure.
  2. As described in the previous slide, the first compartment of our methodology is the link of emission sources to indoor concentrations.Firstly, to estimate emissions, we use the data regarding the use of consumer products (e.g. air fresheners) / existing materials and the specific release rate for the contaminants under consideration. After constructing the emission inventory from the indoor sources, we need to estimate indoor concentrations. For estimating concentrations, we take into account indoor/outdoor air interaction, as well as the parameters such as room volumes and air exchange rates, that they present a wide variability between the several geographic locations. For the purposes of the INTERA, we decided that a dual box model is sufficient. In general, box models assume that the concentration within the examined indoor location is uniform, which is a valid assumption for residential locations, since there are no strong emission sources, neither strong ventilation systems (as in occupational settings). Thus, we avoided the use of CFD models which they demand very high computational cost, without to derive any significant refinement in the exposure assessment process of the current application.
  3. As discussed earlier, beside inhalation, oral non-dietary and dermal exposure will be taken also into account. For dermal exposure, the plausible exposure scenarios constituteinstant and repeated application (e.g. an insect repellent), rubbing off (e.g. scanning dust from a desk surface with the forearm) and migration (e.g. contact with a cloth). It is important to clarify, that this is a 2 stage calculation; firstly we need to estimate what is called potential dose. The potential dose represents the dose that is in contact with the biological barriers of the human body (e.g., digestive tract, lungs and skin), while the absorbed dose constitutes the quantity of the compound that effectively passes across them and reaches the systemic blood circulation and internal organs. Similarly for non-dietary ingestion, the employed exposure mechanisms soil and dust ingestion, hand to mouth behavior and object to mouth behavior, the later being more important for children.
  4. The next step after estimating exposure is the calculation of internal dose, meaning the concentration of the compound of interest within human tissues. To accomplish this task, we use Physiology Based Pharmacokinetic models. Physiologically based pharmacokinetic models (PBPK) are modelling tools which describe the mechanisms of absorption, distribution, metabolism and elimination (ADME) of chemicals in the body resulting from acute and/or chronic exposure regimes. They are independent structural models, comprising the tissues and organs of the body with each perfused by, and connected via, the blood circulatory system. In PBPK models the organism is frequently represented as a network of tissue compartments (e.g., liver, fat, slowly perfused tissues, and richly perfused tissues) interconnected by systemic circulation.
  5. The importance for the use of internal dose models arise from the need to realistically describe the actual internal exposure variability. In this figure we can see that by monitoring only concentrations or exposure we can’t fully capture the dynamics of actual exposure, as in the case of benzene presented herein. Since benzene toxicity arise from its toxic metabolites, we need to be able to capture that time hysteresis between external and internal exposure.In addition, aggregation of multiple routes and pathways does not occur by just summing up the concentrations; contribution of each exposure route to the systemic circulation is estimated in a biologically plausible manner. In this way, differences in the absorption rate and in the overall bioavailability are taken into account and unnecessary overestimations occurring by summing up the externaldoses are avoided.