CHEMICAL TOXICOLOGY

 

Toxicology is the study of the nature and action of poisons. Toxicity is the ability of a chemical molecule or compound to produce injury once it reaches a susceptible site in or on the body. Toxicity hazard is the probability that injury will occur considering the manner in which the substance is used.

 

Dose-Response Relationships

The potential toxicity (harmful action) inherent in a substance is manifest only when that substance comes in contact with a living biological system. A chemical normally thought of as "harmless" will evoke a toxic response if added to a biological system in sufficient amount. The toxic potency of a chemical is defined by the relationship between the dose (the amount) of the chemical and the response that is produced in a biological system.

 

Routes of Entry into the Body

There are four main routes by which hazardous chemicals enter the body:

  • Inhalation through the respiratory tract. This is the most important in terms of severity. absorption through the respiratory tract through inhalation.
  • Skin absorption or absorption through the mucous membrane;
  • Ingestion through the digestive tract. This can occur through eating or smoking with contaminated hands or in contaminated work areas;
  • Injection of a toxin into the bloodstream by accidental needle stick or puncture of the skin with a sharp object.

Most exposure standards, Threshold Limit Values (TLVs) and Permissible Exposure Limits (PELs), are based on the inhalation route of exposure. They are normally expressed in terms of either parts per million (ppm) or milligrams per cubic meter (mg/m3) concentration in air. If a significant route of exposure for a substance is through skin contact, the MSDS will have a "skin" notation. Examples include: pesticides, carbon disulfide, phenol, carbon tetrachloride, dioxane, mercury, thallium compounds, xylene, and hydrogen cyanide.

 

HEALTH EFFECTS

 

Acute poisoning is characterized by rapid absorption of the substance and the exposure is sudden and severe. Normally, a single large exposure is involved. Examples: carbon monoxide or cyanide poisoning.

Chronic poisoning is characterized by prolonged or repeated exposures of a duration measured in days, months or years. Symptoms may not be immediately apparent. Examples: lead or mercury poisoning and pesticide exposure.

 

Local refers to the site of action of an agent and means the action takes place at the point or area of contact. The site may be skin, mucous membranes, the respiratory tract, gastrointestinal system, eyes, etc. Absorption does not necessarily occur. Examples: strong acids or alkalis.

 

Systemic refers to a site of action other than the point of contact and presupposes absorption has taken place. For example, an inhaled material may act on the liver. Examples: arsenic affects the blood, nervous system, liver, kidneys and skin; benzene affects the bone marrow.

 

Cumulative poisons are characterized by materials that tend to build up in the body as a result of numerous chronic exposures. The effects are not seen until a critical body burden is reached. Examples: heavy metals.

 

Synergistic responses: When two or more hazardous material exposures occur the resulting effect can be greater than the effect of the individual exposures. This is called a synergistic or potentiating effect. Example: exposure to both alcohol and chlorinated solvents.

 

Other factors Affecting Toxicity

Rate of entry and route of exposure; that is, how fast is the toxic dose delivered and by what means. Age can affect the capacity to repair tissue damage. Previous exposures can lead to tolerance, increased sensitivity or make no difference. State of health, physical condition, and life style, can affect the toxic response. Pre-existing disease can result in increased sensitivity. Environmental factors such as temperature and pressure may also affect the exposed individual as well as host factors including genetic predisposition and the sex of the exposed individual.

 

Physical Class Affects on Toxicity

When considering the toxicity of gases and vapors, the solubility of the substance is a key factor. Highly soluble materials like ammonia irritate the upper respiratory tract. On the other hand, relatively insoluble materials like nitrogen dioxide penetrate deep into the lung. Fat soluble materials, like pesticides, tend to have longer residence times in the body.

 

An aerosol is composed of solid or liquid particles of microscopic size dispersed in a gaseous medium. The toxic potential of an aerosol is only partially described by its concentration in milligrams per cubic meter (mg/m3). For a proper assessment of the toxic hazard, the size of the aerosol's particles is important. Particles above 1 micrometer tend to deposit in the upper respiratory tract. Particles less than 1 micrometer in diameter enter the lung. Very small particles ( < 0.2 µm) are generally not deposited.

 

Physiological Classifications of Toxic Materials

 

Irritants are materials that cause inflammation of mucous membranes with which they come in contact. Inflammation of tissue results from concentration far below those needed to cause corrosion. Examples include:

ammonia

alkaline dusts and mists

hydrogen chloride

hydrogen fluoride

halogens

ozone

phosgene

diethyl/dimethyl sulfate

nitrogen dioxide

phosphorus chlorides

Irritants can also cause changes in the mechanics of respiration and lung function. Examples include:

formaldehyde

acetic acid

sulfur dioxide

formic acid

sulfuric acid

acrolein

iodine

Long term exposure to irritants can result in increased mucous secretions and chronic bronchitis.

 

A primary irritant exerts no systemic toxic action because the products formed on the tissue of the respiratory tract are non-toxic or because the irritant action is far in excess of any systemic toxic action. Example:

hydrogen chloride.

A secondary irritant's effect on mucous membranes is over-shadowed by a systemic effect resulting from absorption. Examples include:

hydrogen sulfide

aromatic hydrocarbons

Exposure to a secondary irritant can result in pulmonary edema, hemorrhage, and tissue necrosis.

 

Asphyxiants have the ability to deprive tissue of oxygen. Simple asphyxiants are inert gases that displace oxygen. Examples include:

nitrogen

nitrous oxide

carbon dioxide

hydrogen

Chemical asphyxiants render the body incapable of utilizing an adequate oxygen supply. They are toxic at very low concentrations (few ppm). Examples include:

carbon monoxide

cyanides

hydrogen sulfide

Corrosives are chemicals which may cause visible destruction of or irreversible alterations in living tissue by chemical action at the site of contact. Examples include:

sulfuric acid

potassium hydroxide

chromic acid

sodium hydroxide

Primary anesthetics have a depressant effect upon the central nervous system. Particularly the brain. Examples include:

halogenated hydrocarbons

alcohols

 

Hepatotoxic agents cause damage to the liver. Examples include:

carbon tetrachloride

nitrosamines

tetrachloroethane

Nephrotoxic agents cause damage to the kidneys. Examples include:

halogenated hydrocarbons

uranium compounds

 

Neurotoxic agents damage the nervous system. The nervous system is especially sensitive to organometallic compounds and certain sulfide compounds. Examples include:

trialkyl tin compounds

methyl mercury

organic phosphorus insecticides

manganese

tetraethyl lead

carbon disulfide

thallium

Hematopoietic (blood) system agents either directly affect blood cells or bone marrow. Examples include:

nitrites

aniline

toluidine

nitrobenzene

benzene

 

Pulmonary tissue (lungs) agents can be toxic, through other mean than by immediate irritant action. Fibrotic changes can be caused by free crystalline silica and asbestos. Other dusts can cause a restrictive disease called pneumoconiosis. Examples include:

silica

asbestos

coal dust

cotton dust

wood dust

A teratogen (embryo toxic or fetotoxic agent) is an agent which interferes with normal embryonic development without damage to the mother or lethal effect on the fetus. Effects are not hereditary. Examples include:

lead

dibromo dichloropropane

 

A mutagen is a chemical agent which may able to react with nucleophilic structures such as DNA. Mutations can occur on the gene level (gene mutations) when, for example, one nucleotide base-pair is change to another. Mutations can also occur on the chromosomal level (chromosomal mutations) when the number of chromosomal units or their morphological structure is altered. Examples of mutagens include:

most radioisotopes

barium

permanganate

methyl isocyanate

 

A sensitizer causes a substantial proportion of exposed people to develop an allergic reaction in normal tissue after repeated exposure to the chemical. The reaction may be as mild as a rash (contact dermatitis) or as serious as anaphylactic shock. Examples include:

formaldehyde

epoxides

nickel compounds

chromium compounds

chlorinated hydrocarbons

amines

toluene diisocyanate

 

Target Organ Effects

 

The following is a target organ categorization of effects which may occur from exposure to hazardous chemicals, including examples of signs and symptoms and chemicals which have been found to cause such effects. The list of chemicals is not all enclusive.

 

Target Organ

Signs/Symptoms

Chemical of Concern

Hepatotoxins (liver)

jaundice

liver enlargement

carbon tetrachloride

chloroform

cresol

dimethylsulfate

nirtosamines

perchloroethylene

toluene

Nephrotoxins (kidney)

edema

proteinuria

chloroform

dimethyl sulfate

halogenated hydrocarbons

mercury

uranium

Neurotoxins (nervous system)

narcosis

behavior changes

decreased muscle coordination

benzene

carbon disulfide

carbon tetrachloride

lead

mercury

Hematopoietic (blood)

cyanosis

loss of consciousness

aniline

arsenic

benzene

carbon monoxide

cyanides

toluene

Pulmonary (lung)

cough

shortness of breath

tightness of chest

alcohol

asbestos

chromium

hydrogen sulfide

nickel

nitrogen dioxide

ozone

silica

Reproductive (mutations/teratogenesis)

birth defects

sterility

dibromo-dichloropropane

lead

Dermal

defatting

rashes

irritation

alcohols

chlorinated compounds

ketones

nickel

phenol

trichloroethylene

Vision

corneal damage

conjunctivitis

acids

bases

organic solvents

quinone