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Toxic effects of mixtures
Contaminants that exhibit similar modes of action can produce toxic effects
that are synergistic or antagonistic. Assessments that examine such compounds
independently could underestimate or overestimate risk. Several approaches are
being developed that attempt to address this deficiency in current risk assessment
methodology. Some of these approaches predict effects of mixtures based on
measured or modeled body burdens of particular classes of organic contaminants.
For example, narcosis theory predicts that nonpolar hydrophobic contaminants
will produce a narcotic effect on exposed organisms. This effect is thought to
occur when hydrophobic contaminants partition into the lipid phase of the
organism, including the lipid bilayer of the cellular membrane, and cause a
physical deformation or swelling or the membrane (van Wezel and Opperhuizen
1995). Acute narcosis has been demonstrated to occur in aquatic organisms at
whole body concentrations of 2 to 8 mmol total contaminant per kg wet weight
tissue (McCarty and Mackay 1991). Because the molecular size of most nonpolar
organic contaminants of concern does not vary considerably, this approach can
be used to predict narcotic effects of single contaminants or the molar sum of a
mixture of contaminants. Variability in the tissue concentration that produces the
toxic effect (2-8 mmol/kg) is reduced when concentrations of narcotics are
determined on a lipid normalized basis (van Wezel et al. 1995).
Another approach predicts the effects associated with body burdens of
dioxinlike compounds (Giesy, Ludwig, and Tillitt 1994). In this approach,
organic contaminants that are extracted from tissue are tested for dioxinlike
activity in a sensitive in vitro bioassay. The bioassay measures the induction of
cytochrome P450 enzyme activity in a cell line that is exposed to the tissue
extract. Induction of P450 activity has been shown in this bioassay to be an
indicator of exposure to dioxinlike compounds, such as some PCBs, dioxins, and
furans. In some cases, bioassay activity of tissue extracts from exposed
organisms has been shown to be strongly correlated with adverse reproductive
effects in birds (Tillitt et al. 1992, Auman et al. 1997).
In a related approach, tissue concentrations of dioxinlike compounds that are
measured by standard analytical techniques can be expressed in terms of their
potency in comparison to the most potent compound, 2,3,7,8-TCDD. Standard
conversion factors, called Toxic Equivalency Factors (TEF), have been
established for a variety of compounds and receptors. For example, the TEF for
1,2,3,4,7,8-hexachlorodibenzodioxin (HxCDD) in fish is 0.5, because this
compound has been shown to be half as potent as 2,3,7,8-TCDD in various
bioassays and toxicity tests. Separate TEFs have been established for
humans/mammals, fish, and birds on the basis of differences between taxa in
their response to these compounds (World Health Organization (WHO) 1997).1
Individual compounds have different levels of uncertainty associated with their
corresponding TEFs, but in general, uncertainty in the values of TEFs for
individual compounds are expected to be less than an order of magnitude
(Eastern Research Group (ERG) 1998).
1
World Health Organization. (1997). Draft report on the meeting on the derivation of
toxic equivalency factors (TEFs) for PCBs, PCDDs, PCDFs and other dioxinlike
compounds for humans and wildlife. Stockholm, Sweden, 15-18 June 1977.
50
Chapter 5 Uncertainty in Tier IV Risk Assessments

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