EPA-HQ-OPP-2010-0481-0048 ATRAZINE INTRO AND STATUS SEPT 14-17, 2010

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    Atrazine Re-Evaluation:

    Introduction & Status

    Atrazine Re-Evaluation:

    Introduction & Status

    Presentation to the FIFRA Scientific Advisory Panel

    September 14-17, 2010

    Anna Lowit, Ph.D.

    Health Effects Division

    USEPA Office of Pesticide Programs

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    Atrazine Human Health Re-EvaluationAtrazine Human Health Re-Evaluation

    Risk Management Goal Protect PublicHealth

    Hazard Assessment: Sensitive lifestages andendpoints, associated durations of exposure, and

    dose-response relationships Exposure Assessment: Residue levels in drinking

    water with adequate confidence

    Goals of the Re-Evaluation

    Determine if the risk assessment for atrazineshould be revised

    Determine whether the drinking water monitoringfrequency is adequate to accurately assesspotential exposure .

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    Peer ReviewPeer Review

    1988 SAP: Evaluation of rat mammary glandtumors

    2000 SAP: Evaluation of MOA

    Mammary gland tumors, reproductive anddevelopmental findings in rats

    Human relevance

    2003 SAP: Evaluation of prostate cancer

    Epidemiology study on relationshipbetween atrazine exposure and prostatecancer in workers at atrazinemanufacturing plant

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    February 2010 April 2010 September 2010

    Draft Framework:

    Incorporating

    epidemiologystudies and human

    health incident

    data in risk

    assessment

    Two atrazine case

    studies

    Preliminary

    evaluation ofin vitro

    &in vivo laboratory

    studies

    (non-cancer)

    Epidemiology studies:

    non-cancer

    Integration of

    epidemiology &

    experimental toxicology

    into hazard

    characterization for non-

    cancer

    Frequency of atrazinemonitoring in drinking

    water sources

    (proposed

    approaches)

    Frequency of atrazinemonitoring in drinking

    water sources (updated

    approaches and

    preliminary analyses)

    Atrazine 2010 SAPMeetings: Human Health

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    Atrazine Human Hazard Re-EvaluationAtrazine Human Hazard Re-Evaluation

    April SAP, 2010 Focus on toxic effects & mode of action

    Re-affirmed key events related to the hypothalamic-pituitary-gonadal (HPG) axis

    Hypothalamic effects resulting in changes in

    catecholamine function and regulation of the pulsatilerelease of GnRH.

    Attenuation of the Luteinizing hormone (LH) surge anddisruption of ovarian cycles

    Cessation of ovulation with the ensuing persistent releaseof estrogen

    Appearance of mammary gland tumors in rats isassociated with LH suppression & dependent on a specificpattern of reproductive senescence

    Human relevance of HPG MOA to developmental andreproductive effects

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    Atrazine Human Hazard Re-EvaluationAtrazine Human Hazard Re-Evaluation

    April SAP,2010, contd

    Focus on toxic effects & mode of action

    New data on effects on the hypothalamic-pituitary-

    adrenal (HPA) axis Plausible hypothesis but not yet fully supportable

    Single day effects of corticosterone & ACTH not relevant

    for risk assessment

    Variety of toxic effects (e.g., immunotoxicity,

    neurotoxicity, steroidogenesis) None shown at doses lower than those eliciting

    attenuation of LH

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    Atrazine Human Hazard Re-EvaluationAtrazine Human Hazard Re-Evaluation

    April SAP, contd

    Drinking Water Monitoring Data

    Demonstrated examples for evaluating drinking

    water monitoring data Proposed other modeling approaches for

    supplementing monitoring data and sought

    feedback from SAP

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    Atrazine Human Hazard Re-EvaluationAtrazine Human Hazard Re-Evaluation

    September SAP, 2010

    Non-cancer epidemiology

    Mammary gland development

    Agency reviews in Appendix A Discrepancy in findings between the Rayner et

    al (2004, 2005) & Coder (2010) studies

    Results only shown at high doses, not relevant for

    risk assessment

    Mixture study (Enoch et al, 2007):

    Includes low doses

    Concerns about study design & interpretation to

    apply to risk assessment

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    Atrazine Human Hazard Re-EvaluationAtrazine Human Hazard Re-Evaluation

    September SAP, 2010, contd

    New experimental toxicology studies

    Available from January 30-July 15, 2010

    Reviews in Appendix A Proposals for dose-response assessment

    Emphasis on LH attenuation as a key event in

    the neuroendocrine MOA & protective of other

    toxicities Includes internal dosimetry calculations &

    benchmark dose analysis recommended at

    April SAP

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    Atrazine Human Hazard Re-EvaluationAtrazine Human Hazard Re-Evaluation

    September SAP, 2010, contd Drinking water exposure

    Proposed monitoring study framework

    Updated approaches and example analyses

    Analysis for the FQPA 10X Safety Factor Analysis is still ongoing at this time

    Key toxicology studies & drinking water analysis

    Soliciting comment from the Panel on important scientificfactors to consider for both drinking water exposure &hazard analyses

    Implications of toxicity & MOA on the criticalduration of exposure

    Key component of evaluating the drinking watermonitoring frequency

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    Non-Cancer Cancer

    Review of new experimental

    toxicology or epidemiology

    studies (after July 15, 2010)

    Epidemiology studies:

    cancer

    Duration of exposure

    Lifestage sensitivity analysis Integrated weight of the

    evidence with

    epidemiology&

    experimental toxicology for

    cancerAssessment of potential

    atrazine exposure from

    drinking water sources

    Atrazine 2011 SAP: Human Health

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    PresentationsPresentations

    Introduction & Status

    Non-cancer Epidemiology (Carol Christensen)

    Proposals for Dose-Response Assessment(Chester Rodriguez)

    Approaches to Evaluating Water Sampling Strategiesand Frequency of Monitoring (Nelson Thurman)

    Scientific Considerations in Potential Sensitivity ofInfants & Children/ Implications of MOA on WaterMonitoring Strategy (Anna Lowit)

    Summary &Next Steps (Anna Lowit)

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    Evaluation of Atrazine Non-Cancer

    Epidemiology Literature

    Evaluation of Atrazine Non-Cancer

    Epidemiology Literature

    Presentation to the FIFRA ScientificAdvisory Panel

    September 14-17, 2010

    Carol H. Christensen, Ph.D., M.P.H.

    Health Effects Division

    USEPA Office of Pesticide Programs

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    OutlineOutline

    Background and Purpose

    Literature Review Methodology

    Brief Summary of Studies

    Causal Inference

    OtherNon-Causal Explanations

    Synthesis and Integration of Toxicology andEpidemiology Databases

    Conclusions and Next Steps

    14

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    BackgroundBackground

    In Feb 2010, EPA presented framework forincorporating epidemiologic research intopesticide risk assessments:

    Explicitly considering observationalepidemiological research in problem formulationusing this Framework

    Several studies related to fetal, perinataloutcomes also reviewed Feb 2010

    Only non-cancer epidemiology included herein Atrazine cancer effects evaluated 2011

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    PurposePurpose

    EPA reviewed non-cancer epidemiologystudies to inform risk assessment

    Identified studies evaluating atrazine risk in humanpopulation

    Strengths and limitations each study evaluated(Appendix B.2)

    Synthesis and integration across the epidemiologydatabase (Section 3.0)

    Results of non-cancer epidemiology studiesintegratedwith experimental database toformulate overall conclusions (Section 4.0)

    Using modified Bradford-Hill criteria and scientific

    judgment (i.e., Frameworkdocument)

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    Previous SAPGuidancePrevious SAPGuidance

    Among several aspects to consider, Panelrecommended (Feb 2010):

    Hypothesis generating versus testing

    Valid and reliable exposure assessment andoutcome ascertainment

    Potentially confounding variables

    Similar between comparison groups

    Statistical power Including sensitivity analysis, e.g.,effect modification

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    MethodologyMethodology

    Identify epidemiologic investigation of non-canceradverse health outcomes in published literature

    Searched major biomedical databases

    Applied Exclusion Criteria:

    Did not measure association, or atrazine or

    triazine exposure specifically; did not reflect

    chronic health effect (case report), no full textavailable, or editorial

    Nineteen studies of non-cancer health effects of

    atrazine included in this review

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    Overview of StudiesOverview of Studies

    Health Effects: Female

    Reproductive Health

    Male ReproductiveHealth

    Fetal and PerinatalOutcomes

    Respiratory Health

    Other

    Several differentstudy designs

    Several studieswithin long-terminvestigations

    Exposure

    assessment limitedin many instances

    Particularly for riskassessment

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    Female Reproductive HealthFemale Reproductive Health

    Within the AHS, self-reported (lifetime) use atrazine(questionnaire) and:

    Menstrual cycle characteristics* (increased oddslong- and missed menstrual cycles, s.s.) (Farr

    2004)

    Delayed timing of menopause (5 month delay,s.s.) (Farr 2006)

    Gestational Diabetes- 2-fold increase (s.s.) amongdirect applicators (Saldena 2007)

    Elevated odds for atrazine users (graphic only)

    20*Atrazine or Lindane users

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    Female Reproductive HealthFemale Reproductive Health

    Strengths: Individual level exposure assessment

    Large, highly exposed sample to investigate question

    Limitations:

    Lack of atrazine specific measurement (menstrual cycle),or measurement of timing of exposure

    Frequency of assessment of menopause

    Possible residual confounding (physical activity)

    Conclusions:

    Supportive of hypothesis that atrazine may affecthormonal milieu, and possibly reproductive healthoutcomes

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    Male Reproductive HealthMale Reproductive Health

    Within the Study for Future Families, semenparameters in association with urinaryatrazine mercapturate (AZM) (Swan 2003)

    Elevated odds of poor semen qualityamong men with AZM greater than limit ofdetection (LOD)

    OR 11.3 (95% CI 1.3-98.9)

    Men with more pesticide analytes in urine,more likely to have poor quality semenparameters

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    Male Reproductive HealthMale Reproductive Health

    Strengths: Use of biomarkers of exposure and outcome

    Analytic techniques maximize information gained

    Limitations: Small sample size for some comparisons

    AZM likely under-estimates total atrazine exposure

    Additional metabolite measures useful (Barr 2007)

    Other environmental exposure

    Possibly associated with atrazine as well as semen

    parameters

    Conclusions Suggestive of possible association, replication needed

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    Fetal andPerinatalOutcomes:

    Miscarriage

    Fetal andPerinatalOutcomes:

    Miscarriage

    Within the Ontario Farm Family Study,

    Self-reported crop herbicide/atrazine use

    by male partner and miscarriage (Savitz 1997)

    OR 1.4 (95%CI 0.9-2.4)

    Self-reported crop herbicide/atrazine use

    during pre- and peri-conception period andspontaneous abortion (SA) (Arbuckle 2001)

    OR 1.2 (95%CI 0.9-1.7)

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    Fetal andPerinatalOutcomes:

    Miscarriage

    Fetal andPerinatalOutcomes:

    Miscarriage

    Strengths: Highly exposed population (live and work on farm)

    Nested case-control study, recall bias limited

    Limitations:

    Probabilistic method of exposure assessment

    Difficulty isolating male and female exposure inrelation to fetal outcome

    Period of recall lengthy

    Conclusions: Reflects initial investigations

    Several major uncertainties

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    Fetal andPerinatalOutcomes:

    Birth Defects

    Fetal andPerinatalOutcomes:

    Birth Defects

    Abdominal wall defects (AWD) Rates 3.75IN v. 2.75U.S per 10,000 (Mattix

    2007)

    Correlation observed with surface water

    concentration and AWD rates in IN (s.s.)

    Gastroschisis (AWD):

    Statistically significant 40-60% increasedodds of gastroschisis among infants ofmothers residing

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    Fetal andPerinatalOutcomes:

    Birth Defects

    Fetal andPerinatalOutcomes:

    Birth Defects

    MajorBirth Defects: 11/22 (s.s.) birth defects elevated with Spring

    conception (Winchester 2009)

    Spinal cord, circulatory system, cleft lip, limbdefects (adactyly), muscular problems, Downssyndrome, other congenital birth defects,tracheo-larengyl, gastrointestinal

    Omphalocele (AWD), no significant difference

    20% increased odds (s.s.) of limb abnormalities

    among women residing closer to corn, soybeanfields (Ochoa-Acuna 2009)

    Abdominal cavity defects 50% increased odds(n.s.)

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    Fetal andPerinatalOutcomes:

    Birth Defects

    Fetal andPerinatalOutcomes:

    Birth Defects

    Strengths: Several hypothesis generating studies suggest

    associations in similar direction

    Limitations:

    Ecologic or exposure surrogate, not validated Under-reporting of birth defects

    Conclusion: Several hypothesis-generating studies suggest

    atrazine may play a role in developmental effects Several major uncertainties

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    Fetal andPerinatalOutcomes:

    Adverse Birth Outcomes

    Fetal andPerinatalOutcomes:

    Adverse Birth Outcomes

    Small-for-Gestational Age (SGA) No association entire pregnancy period

    (Villanueva 2005; Savitz 1997)

    Approximate 20% increased odds (s.s.) if 3rd

    trimester overlaps atrazine use period (Ochoa-Acuna 2009)

    50% increased odds (s.s.) if 3rd trimester overlapsatrazine use period (Villanueva 2005)

    Statistically significant exposure-response trend

    Correlation residence high atrazine use area(southern Iowa) and intra-uterine growthretardation (Munger 1997)

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    Fetal andPerinatalOutcomes:

    Adverse Birth Outcomes

    Fetal andPerinatalOutcomes:

    Adverse Birth Outcomes

    Pre-Term Delivery No significant association (Ochoa-Acuna 2009;

    Villanueva 2005; Dabrowski 2003)

    2- to 4-fold increased odds (s.s.) male partnerexposure pre-conception (Savitz 1997)

    30% increased odds (n.s.) if 1st trimester overlapsperiod of atrazine use (Villanueva 2005)

    Low Birth Weight (LBW)

    No association (Villanueva 2005; Dabrowski 2003;Sathuanarayana 2010)

    20% (n.s.) increase (if 3rd trimester overlapsatrazine use) (Villanueva 2005)

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    Fetal andPerinatalOutcomes:

    Adverse Birth Outcomes

    Fetal andPerinatalOutcomes:

    Adverse Birth Outcomes

    Strengths: Studies with refined exposure measurement,

    consistent for SGA

    Hints to critical windows of exposure

    Limitations: Exposure measurement error

    Possible unmeasured confounding

    Conclusions: Suggestion of possible association with SGA,

    evidence for pre-term delivery and low birth weightlimited

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    Respiratory HealthRespiratory Health

    In AHS, ever-use of atrazine in associationwith wheeze: OR 1.20 (95% CI 1.07-1.34)

    Strengths:

    Pesticide use and wheeze episodes measuredsimilar, recent period

    Control for corn and grain dust

    Limitations: Atrazine not among a priorihypotheses

    No biological mechanism proposed at this time Conclusions:

    Reflects initial investigation

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    Causal InferenceCausal Inference

    EPA cannot conclude that the associations identified in theepidemiologic database are causal in nature

    Other non-causal explanations cannot be ruled out at this time,

    Exposure measurement error leading to misclassification

    Likely non-differential misclassification

    Potential confounder measurement error, e.g.,

    Physical activity in female reproductive health (residual)

    Other pesticide or environmental chemical exposure,male reproductive health and birth outcomes

    (unmeasured)

    Small sample size leading to reduced statistical power

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    Synthesis and IntegrationSynthesis and Integration

    Among comparatively stronger studies in the epidemiologicaldatabase, some support within the toxicological database:

    Menstrual cycle functioning, timing of menopause (Farr et al.2004 and 2006)

    Apriorihypothesis regarding hormonally activepesticides; self-report menstrual cycle reliable; accuracyof exposure measure

    Semen parameters (Swan et al. 2003)

    Biomarkers of exposure and outcome, statistical and

    analytic methods

    Small-for-gestational age (Villanueva et al. 2005; Ochoa-Acuna et al. 2009)

    Measurement in finished water, timing of exposure (sub-

    analyses), reporting of birth characteristics reliable

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    Synthesis and IntegrationSynthesis and Integration

    Similarity with experimental observations: Female reproductive effects Semen parameters Small for gestational age i.e., reduced pup

    weight

    Epidemiologic data not sufficient quality toinclude in quantitative risk assessment:

    Lack exposure-response Lack of individual level measurement Use of surrogate for individual exposure not

    validated Biomarker, AZM, under-estimates total exposure Under-reporting of birth defects Lack of precision in some estimates

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    Conclusion and Next StepsConclusion and Next Steps

    Use of non-cancer epidemiology resultssupport and inform hazard characterization

    Qualitative, not quantitative use

    Provides some support for human relevance

    of critical effects found in rats

    Although plausible can not link influence of

    atrazine on HPG axis to reported outcomes

    EPA will continue to rely upon toxicology datain quantitative risk assessment

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    Atrazine: Proposed Updates to the

    Dose-Response Assessment

    Atrazine: Proposed Updates to the

    Dose-Response Assessment

    Presentation to the FIFRA Scientific Advisory Panel

    September 14-17, 2010

    Chester Rodriguez, Ph.D.

    John Liccione, Ph.D.

    Health Effects Division

    USEPA Office of Pesticide Programs

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    Human Health Risk AssessmentHuman Health Risk Assessment

    Previous risk assessment to support theRED

    Based on a NOAEL/LOAEL approach

    Critical study: 6 month dietary study

    Key event: Luteinizing Hormone (LH)Attenuation

    Current re-evaluation examining new

    science and more sophisticated approaches Internal dosimetry

    Benchmark dose modeling

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    OutlineOutline

    Support for an internal dose responseassessment

    Temporal aspects of plasma triazines

    Comparison of LH attenuation studies

    of different repeated dosing durations

    A daily steady state area under thecurve (AUC) as internal dose metric

    Benchmark Dose Modeling (BMD)

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    Internal Dose in Dose Response

    Assessment

    Internal Dose in Dose Response

    Assessment

    The dose at the target site, the internal dose,is the ultimate determinant of risk.National Research Council,1994.

    MOA key eventsMechanisms of Toxicity

    PharmacokineticsInternal Dosimetry

    External Dose

    Observed toxicity

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    Metabolic Scheme for AtrazineMetabolic Scheme for Atrazine

    Atrazine

    GST

    Glutathione conjugation

    DealkylationDealkylation

    DealkylationDealkylation

    CYP450

    CYP450

    Deethylatrazine (DEA)Deisopropylatrazine (DIA)

    Diaminochlorotriazine (DACT)

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    Temporal Aspectsof Atrazine ExposureTemporal Aspectsof Atrazine Exposure

    A very short in vivo half-life, primarily due tometabolism

    Pharmacokinetic/metabolism studies indicate a very

    short in vivo half-life

    No direct half-life measurements available

    For example, following dosing of rats via oral gavage

    with 90 mg/kg atrazine, McMullin et al. (2003) reported:

    Atrazine ~ 4% of total plasma chlorotriazines

    DACT > 50% 30 min post-dose

    Atrazine barely detectable in plasma

    DACT > 98% of total plasma chlorotriazines24 hrs post-dose

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    Chlorinated metabolites and LH attenuation Intrinsic activity of DACT at equimolar levels as

    atrazine (McMullin, 2004)

    DEA and DIA presumed active based on intact

    chlorinated structure

    Glutathione conjugates presumed inactive for

    LH attentuation

    However, only core radiolabel dispositionavailable.

    Thus, glutathione conjugates included in internal

    dosimetry

    Activity of MetabolitesActivity of Metabolites

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    Internal dose metric based onall triazine species

    Proposed Dosimetry ApproachProposed Dosimetry Approach

    A very short in vivo half-life, primarily due tometabolism

    Chlorinated metabolites are active or assumedto be active in attenuating LH

    Conservative in case not all the metabolitesare active

    Convenient since only pharmacokinetic dataavailable are based on disposition of a coreradiolabel (i.e., do not distinguish betweenparent chemical and metabolites)

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    OutlineOutline

    Support for an internal dose responseassessment

    Temporal aspects of plasma triazines

    Comparison of LH attenuation studies

    of different repeated dosing durations

    A daily steady state area under thecurve (AUC) as internal dose metric

    Benchmark Dose Modeling (BMD)

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    Temporal Pattern of LH Attenuation in the

    Rat

    Temporal Pattern of LH Attenuation in the

    Rat

    ime ( )

    D e (mg/kg)

    ime ( )

    D e (mg/kg d)

    Single oral gavage

    dose of atrazine

    Repeated daily oralgavage dosing

    (once per day for 3 days)

    No NOELNo dose responseComplete attenuation

    - Effect not governed by peak levels (i.e., Cmax); Repeating dosingeffect

    * From Cooper et al. (2000)

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    Proposed Internal Dosimetry ApproachProposed Internal Dosimetry Approach

    AUC = concentration * durationHow much

    internal dose * How long

    - Total triazines- Not a single dose effect

    Internal dose metric

    The area under the plasma concentration-time

    curve (AUC) that includes all triazine species

    0 100 200 300 4 00 00 00 7 00 00 000

    10

    20

    30

    4 0

    t i m e

    erum

    lev

    els

    Hypothetical

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    Plasma Concentration-Time Profile forTriazines

    from Repeated Daily Dosing with Atrazine

    Plasma Concentration-Time Profile forTriazines

    from Repeated Daily Dosing with Atrazine

    Thede 1987 Pharmacokinetic Study Based on 14C-radiolabeled triazine ring:

    N

    *

    *

    *

    Atrazine

    Female rats were dosed daily for 10 days with a wide range

    of doses (1, 3, 7, 10, 50, and 100 mg/kg atrazine)

    Plasma levels monitored frequently including elimination phase

    Provides the most thorough plasma concentration-time profile for

    triazines available from repeated dosing with atrazine

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    M id f d t d t tM id f d t d t t

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    More evidence ofpseudo steady state

    plasma levels

    More evidence ofpseudo steady state

    plasma levels

    Stoker et al. (2010) dosed pregnant Wistar rats daily with

    5 or 25 mg/kg-d atrazine for 3 or 7 days

    Plasma samples were analyzed for chlorotriazines at the

    end of the dosing period

    No difference in plasma levels of chlorotriazines between

    the 2 exposure groups

    ATRA dose (mg/ g-d) Da ly Dos ng ATRA (ng/ml) DACT (ng/ml) DIA (ng/ml) DEA (ng/ml) TotalCl-tr az ne (ng/ml)

    5.0 GD 18-20 2.9 0.8 980.0 88.6 108.3 27.0 24.7 6.2 1115.9

    25.0 GD 18-20 37.3 9.5 3333.3 540.1 953.3 155.2 190 25.5 4513.9

    5.0 GD 14-20 1.5 0.6 883.4 108.0 108.3 27.0 21.0 5.0 1014.225.0 GD 14-20 8.0 3.5 3100.0 717.7 573.3 290.2 88.7 40.9 3770.0

    Wh t i d t d t t lWh t i d t d t t l

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    What ispseudo steady state plasma

    levels?

    What ispseudo steady state plasma

    levels?

    5 1 15 5 5 4 45 5 55

    4

    Pseudo St St t

    H th tic lEli i ti Ph

    {

    t (hr)

    S

    ru

    L

    v

    l

    Chemical levels increase and oscillate about a mean value determined

    by the dose rate and clearance

    Oscillations depend on the dosing interval

    Once pseudo steady is reached, plasma levels will remain fairly

    constant regardless of how long repeated dosing continues

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    OutlineOutline

    Support for an internal dose responseassessment

    Temporal aspects of plasma triazines

    Comparison of LH attenuation studies

    of different repeated dosing durations

    A daily steady state area under thecurve (AUC) as internal dose metric

    Benchmark Dose Modeling (BMD)

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    Temporal Aspect of LH AttenuationTemporal Aspect of LH Attenuation

    Hypothesis:The level of H attenuationwould be similar forstudies that achieve thesame level ofpseudo steady state plasmalevelsof triazines.

    In order to investigate this hypothesis: Compiled studies where daily dosing with atrazine

    was performed for at least 4 days

    Expressed LH attenuation as % control to account

    for strain differences and interlaboratory variability Examined only doses 30 mg/kg-day

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    4-Day LH Attenuation Critical Study4-Day LH Attenuation Critical Study

    Aimed at identifying the NOEL or LOEL for LHattenuation following repeated daily atrazine

    exposure

    Used intact, regularly cycling rats

    Evaluated effect over the course of one full

    estrous cycle (i.e., 4 consecutive days)

    Dosing was performed via oral gavage once

    per day beginning at 0900 hr on the day ofvaginal estrus, continuing on the days of

    diestrus I and II, and ending on the day of

    proestrous.

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    4-Day LH Attenuation Critical Study4-Day LH Attenuation Critical Study

    Vehicle 1.56 3.12 6.25 12.5 25

    0

    5

    10

    15

    20

    25

    Atrazine (mg/kg-d)

    LeutinizingH

    ormone

    Serum(

    ng

    /ml)

    1800 h: Luteinizing Hormone Serum Levels

    NOEL = 3.12 mg/kg-day

    LOEL = 6.25 mg/kg-day

    * From Cooper et al. 2010 unpublished data

    LH Attenuation Studies of DifferentLH Attenuation Studies of Different

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    LH Attenuation Studies of Different

    Repeated Daily Dosing Durations

    LH Attenuation Studies of Different

    Repeated Daily Dosing Durations

    0 5 10 15 20 25 300

    25

    50

    75

    100

    125

    OAE

    NOAE s

    Morseth 1996 - 6 onth study (Sprague a ley)

    ooper 2010 - 4-day study (Long Evans)

    McMullin 2004 - 5-day study (Sprague a ley)Minne a 2001 - 1 onth study (Sprague a ley)

    {

    {

    A RA se ( k ay)

    HS

    reAtte

    ati

    (%c

    trl)

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    OutlineOutline

    Support for an internal dose responseassessment

    Temporal aspects of plasma triazines

    Comparison of LH attenuation studies

    of different repeated dosing durations

    A daily steady state area under the

    curve (AUC) as internal dose metric

    Benchmark Dose Modeling (BMD)

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    Summary of Internal DosimetrySummary of Internal Dosimetry

    Internal dosimetry based on total triazines Short in vivo half-life

    Active metabolites

    AUC

    LH attenuation not a single dose (Cmax) effect

    Steady state condition strongly associates with

    LH attenuation

    Repeated daily exposures result in pseudo steadystate plasma levels by the fourth day in the rat

    Proposed Internal Dose Metric: Daily Steady State AUC

    Internal Dose Metric: Daily Steady StateInternal Dose Metric: Daily Steady State

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    Internal Dose Metric: Daily Steady State

    AUC

    Internal Dose Metric: Daily Steady State

    AUC

    Pseudo

    steady state

    Thede 1987

    0 24 48 72 96 120 144 168 192 216 240 264 2880

    2

    4

    6

    20

    40

    60

    1 mg/kg bw ATRA

    3 mg/kg bw ATRA

    7 mg/kg bw ATRA

    10 mg/kg bw ATRA

    50 mg/kg bw ATRA

    100 mg/kg bw ATRA

    Daily dosing stopped

    t me (hrs)Plasmar

    adiolabeledeq

    ialents

    (mg/L)

    Estimating AUC:Estimating AUC:

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    Estimating AUC:

    Non-Compartmental Analysis

    Estimating AUC:

    Non-Compartmental Analysis

    Used trapezoidal rule linear elimination phase assumption

    0 24 4 2 96 120 144 168 192 216 240 264 2880.0

    0.2

    0.4

    0.6

    0.81 / - ay

    ti (hrs)

    Plas

    ara

    iolab

    l

    quival

    ts(

    /L)

    1 / : Eli ination Phas Analysis

    220 240 260 280 300-2.5

    -2.0

    -1.5

    -1.0

    ti (hrs)

    Ln(Cp)

    AUC = 110.3 mg/L*h0p288h

    AUC = Cp288h288hp g

    ____

    kel= 2.26 / *h+

    AUC = 122.56 mg/L*h0pg

    Relationship Between Atrazine Dose and AUCRelationship Between Atrazine Dose and AUC

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    Relationship Between Atrazine Dose and AUC

    forTotalTriazines

    Relationship Between Atrazine Dose and AUC

    forTotalTriazines

    0 20 40 60 80 100

    0

    2500

    5000

    7500

    10000

    12500y 116 4x 1 67

    R2

    0 999

    ATRA dose mg kg day

    AUC

    mg

    Lh

    R l ti hi B t At i D d St dR l ti hi B t At i D d St d

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    Relationship Between Atrazine Dose and Steady

    State Serum Levels forTotalTriazines

    Relationship Between Atrazine Dose and Steady

    State Serum Levels forTotalTriazines

    0 20 40 60 80 1000

    10

    20

    30

    40

    50

    60 y= 0.541x - 0.357

    R2 = 0.994

    ATRA dose (mg kg day)

    pseudo-steadystate

    serum

    levels(mg

    )

    0 20 40 60 80 1000

    250

    500

    750

    1000

    1250

    1500y= 13.0x -8.57

    R2 = 0.994

    ATRA dose (mg kg day)

    pseudo-daily

    steadystateA

    UC

    (mg

    -h)

    Linear Pharmacokinetics

    No dose-dependent changes

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    OutlineOutline

    Support for an internal dose responseassessment

    Temporal aspects of plasma triazines

    Comparison of LH attenuation studies

    of different repeated dosing durations

    A daily steady state area under the

    curve (AUC) as internal dose metric

    Benchmark Dose Modeling (BMD)

    BMD Modeling of LH Attenuation asBMD Modeling of LH Attenuation as

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    BMD Modeling of LH Attenuation as

    Most Sensitive Endpoint

    BMD Modeling of LH Attenuation as

    Most Sensitive Endpoint

    Rat LH attenuation studies for

    BMD modeling

    Cooper et al. 2010 4 day, oral gavage

    Minnema 2001 1 month, oral gavage

    Morseth 1996a 1 month, oral gavage

    Morseth 1996b 6 month, dietary

    Used EPAs Benchmark Dose Software(BMDS 2.1.2)

    Models for continuous data were evaluated

    Exponential, Hill, Power, Polynomial, Linear

    Details of analysis including best-fit criteria in

    Appendix C

    Focus of Presentation will be on the Cooper et

    al. (2010) 4-day LH attenuation study in rats

    BMD Modeling of LH Attenuation MostBMD Modeling of LH Attenuation Most

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    BMD Modeling of LH Attenuation Most

    Reliable Dataset

    BMD Modeling of LH Attenuation Most

    Reliable Dataset

    Cooper et al. (2010) 4 day oral gavage rat study

    Most Robust Dataset

    Well-defined dose response relationship

    Less data variability compared to other datasets

    Vehicle 1.56 3.12 6.25 12.5 25

    0

    5

    10

    15

    20

    25

    At zine ( - )

    Leutiniz

    ingHormone

    Seru

    m(

    ng/ml)

    * From Cooper et al. 2010 unpublished data

    1800 h: LH

    Selection of Benchmark ResponseSelection of Benchmark Response

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    Selection ofBenchmark Response

    (BMR)

    Selection ofBenchmark Response

    (BMR)

    Generally, the BMR is selected on the basis

    of biological and/or statistical considerations

    In the absence of information regarding the

    level of LH attenuation associated with anadverse effect, the Agency used:

    BMR based onone SD from Control Mean

    BMD Modeling of 4-Day LH AttenuationBMD Modeling of 4-Day LH Attenuation

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    BMD Modeling of4-Day LH Attenuation

    Critical Study

    BMD Modeling of4-Day LH Attenuation

    Critical Study

    BMD Modeling based on administered

    atrazine dose

    Best-fit model Exponential

    BMD modeling based on steady state triazine

    levels (from linear regression analysis)

    Best-fit model Hill

    Details of analysis in Appendix C

    BMD Modeling Results of 4-Day LHBMD Modeling Results of 4-Day LH

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    Dose metric BMD BMD

    Atrazine dose4.23

    mg/kg-day

    1.96

    mg/kg-day

    Steady statetriazine levels

    2.08

    mg/ L

    0.65

    mg/L

    Daily steady

    state AUC fortotal triazines

    49.98

    mg/L*h

    15.56

    mg/L*h

    BMD Modeling Results of4-Day LH

    Attenuation Critical Study

    BMD Modeling Results of4-Day LH

    Attenuation Critical Study

    Steady state based BMDLs correspond to 1.86 mg/kg-d atrazine

    These dose metrics may be used to establish a point of

    departure (POD)

    Proposed Uses of BMD Modeling Results Proposed Uses of BMD Modeling Results

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    Proposed Uses ofBMD Modeling Results

    Hypothetical Example

    Proposed Uses ofBMD Modeling Results

    Hypothetical Example

    Hypothetical Water Chemograph

    0 24 48 72 96 1200

    10

    20

    30

    40

    50

    Time

    TriazineLee

    ls

    Proposed Uses of BMD Modeling Results Proposed Uses of BMD Modeling Results

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    Proposed Uses ofBMD Modeling Results

    Hypothetical Example

    Proposed Uses ofBMD Modeling Results

    Hypothetical Example

    Approaches for analysis:

    A drinking water rolling average value can be

    compared to a POD that is based on

    administered dose of atrazine

    Average daily values of triazines can be

    compared to a POD based on

    steady state levels of triazines

    a daily steady state AUC

    Proposed Uses of BMD Modeling Results Proposed Uses of BMD Modeling Results

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    Proposed Uses ofBMD Modeling Results

    Hypothetical Example

    Proposed Uses ofBMD Modeling Results

    Hypothetical Example

    Given the linear relationship between steady

    state triazine levels and administered triazine

    dose,

    potential levels of concern may be related to an

    atrazine exposure.

    0 20 40 60 80 1000

    250

    500

    750

    1000

    1250

    1500 y= 13.0x - 8.57

    R2= 0.994

    ATRA dose ( g/ g/day)

    pseudo-daily

    steadystateAUC

    (

    g/L-h)

    Summary of Proposed Updates to DoseSummary of Proposed Updates to Dose

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    Summary ofProposed Updates to Dose

    Response Assessment

    Summary ofProposed Updates to Dose

    Response Assessment

    Internal dose response assessmentbased on total plasma triazines

    Temporal aspects of plasma triazinesand LH attenuation support the use of adaily steady state AUC

    Benchmark dose modeling based onsteady state internal dose metrics of total

    triazines Valuable perspectives for refining water

    monitoring frequency

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    Approaches to Evaluating Water

    Sampling Strategies and

    Frequency of Monitoring

    Approaches to Evaluating Water

    Sampling Strategies and

    Frequency of Monitoring

    Presentation to the FIFRA Scientific Advisory Panel

    September 14, 2010

    Nelson Thurman & Mary FrankenberryEnvironmental Fate and Effects Division

    USEPA Office of Pesticide Programs

    P i SAP At i M it iP i SAP At i M it i

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    Previous SAPs on Atrazine MonitoringPrevious SAPs on Atrazine Monitoring

    April 2010: Re- Evaluation of Human HealthEffects of Atrazine: Review of Experimental

    Animal and In Vitro Studies and DrinkingWater Monitoring Frequency

    December 2007: Interpretation of theEcological Significance of Atrazine Stream-Water Concentrations Using a Statistically-Designed Monitoring Program

    May 2009: The Ecological Significance ofAtrazine Effects on Primary Producers inSurface Water Streams in the Corn andSorghum Growing Region of the UnitedStates

    Quick Recap of the Monitoring IssuesQuick Recap of the Monitoring Issues

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    Quick Recap of the Monitoring Issues

    Raised in the April 2010 SAP

    Quick Recap of the Monitoring Issues

    Raised in the April 2010 SAP

    Given a possible change in the exposure

    duration of the human health level of concern,

    the USEPA is focusing on the monitoring design

    for the existing CWS monitoring study. How well does the existing monitoring design

    characterize shorter durations of exposure?

    Does the existing monitoring program need to include

    more frequent sampling or is it sufficient for a shorter

    duration of exposure?

    What the SAP Said RegardingWhat the SAP Said Regarding

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    What the SAPSaid Regarding

    Monitoring in April

    What the SAPSaid Regarding

    Monitoring in April

    To evaluate proposed monitoring strategies or

    evaluate the utility of exposure estimation

    methods, the USEPA needs:

    The toxicological exposure duration of concern to

    define the importance of peaks in exposure estimates

    Intensive empirical data covering a representative

    range of sites to evaluate sample frequencies and

    estimation methods

    Methods that can predict values that may be greaterthan those sampled, particularly where short exposure

    durations are important

    Focus for Drinking Water MonitoringFocus for Drinking Water Monitoring

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    Focus for Drinking Water Monitoring

    Strategies for this SAP

    Focus for Drinking Water Monitoring

    Strategies for this SAP

    1) General framework for designing a

    monitoring study to characterize drinking

    water exposures Question 5.1

    2) A set of intensively sampled datasets toevaluate sampling strategies and exposure

    estimation methods Question 5.2

    3) Proposed approaches for analyzing/

    interpreting monitoring data depending ontoxicological endpoint duration of concern

    Question 5.3

    1) General Framework For Designing A1) General Framework For Designing A

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    1) GeneralFrameworkFor Designing A

    Monitoring Study

    1) GeneralFrameworkFor Designing A

    Monitoring Study

    To provide reliable exposure estimates that will

    not underestimate exposure and can be used in

    human health assessments, a drinking water

    monitoring study should: Target the most vulnerable areas

    Sample intensively during the likely high occurrence

    period

    Base sampling frequency on toxicological exposureduration of concern

    Use autosamplers to collect data for exposure periods

    of interest

    T t d M it i I N t NT t d M it i I N t N

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    Targeted Monitoring Is Not NewTargeted Monitoring Is Not New

    * WARP used to identify

    most vulnerable

    watersheds for atrazine

    ecological exposure

    monitoring program.

    * The CWS identified asmost vulnerable (based

    on SDWA monitoring)

    fell within the same

    high-vulnerability

    watersheds.

    * Both studies sampled

    more intensively during

    the high occurrence

    period.

    2) S t Of I t i l S l d D t t2) S t Of I t i l S l d D t t

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    2) SetOf Intensively Sampled Datasets2) SetOf Intensively Sampled Datasets

    SAP recommended that sampling strategies andexposure estimation methods be evaluated

    against intensive empirical data covering a

    representative range of sites

    Such datasets are critical for determiningconfidence bounds on monitoring estimates or

    evaluating exposure estimation methods

    USEPA proposes to use:

    Available ambient monitoring from Heidelberg

    Monitoring Data, AEEMP for streams, rivers

    PRZM/EXAMS to generate chemographs for

    reservoirs

    S T t d W t ?S T t d W t ?

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    Source orTreated Water?Source orTreated Water?

    Analyzed 44 CWS with TCT detects >15

    ug/L, comparing paired source and treated

    water samples

    No difference between source and treated (no

    treatment effect) in 16 of 44 CWS

    TCT concentrations reduced, but not

    completely removed in 21 of 44 CWS Most/all TCT removed in treated samples in 7

    of 44 CWS

    Chemograph Illustrating No DrinkingChemograph Illustrating No Drinking

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    IL-24 2004-05

    0

    5

    10

    15

    20

    25

    30

    35

    40

    45

    50

    J-04 M-04 M-04 J-04 S-04 N-04 J-05 M-05 M-05 J-05 S-05 N-05Date

    TCTug/L(ppb

    )

    C Sou e

    C reated

    g p g g

    WaterTreatment Effects

    g p g g

    WaterTreatment Effects

    Continual pattern ofsimilar TCTconcentrations insource (magenta) and

    treated (blue) watersamples over multipleyears

    Concept of Matching ChemographsConcept of Matching Chemographs

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    p g g p

    Based on Shape

    p g g p

    Based on Shape

    CWS Chemograph Intensively Sampled Chemograph

    ~

    ~

    CWS #

    Illinois,2008

    0

    1

    2

    3

    4

    5

    6

    1/1 1/31 3/1 3/31 4/30 5/30 6/29 7/29 8/28 9/27 10/27 11/26 12/26Date

    Atrazine(T

    T),u

    /L

    ampli i t

    Li ar I t rpolation

    W

    #25

    hi

    ,2005

    0

    1

    2

    3

    4

    5

    6

    7

    8

    9

    10

    1/1 1/31 3/2 4/1 5/1 5/31 6/30 7/30 8/29 9/28 10/28 11/27 12/27Date

    Atrazine(T

    T),u

    /L

    ampling oint

    Linear Interpolation

    Mau

    ee

    i

    er,200

    0

    10

    20

    30

    40

    50

    60

    4/1 4/15 4/29 5/13 5/27 6/10 6/24 7/8 7/22 8/5 8/19Date

    Atrazine,u

    /L

    easured (! / infill" avg4-dayavg

    Mau ee i

    er,200 $

    0

    5

    10

    15

    20

    25

    30

    35

    40

    45

    50

    4/1 4/15 4/29 5/13 5/27 6/10 6/24 7/8 7/22 8/5 8/19Date

    Atrazine,u

    /L

    easured (! / infill"

    max

    easured (! / infill"

    avg4-dayavg

    Evaluating 7-day Sampling Intervals fromEvaluating 7-day Sampling Intervals from

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    Evaluating 7 day Sampling Intervals from

    Intensive Sampled Datasets

    Evaluating 7 day Sampling Intervals from

    Intensive Sampled Datasets

    Focused on 4/1 8/31 (intensive sampling period) Sampled chemographs at 7-day intervals

    Fixed intervals with 7 separate sampling intervals per

    chemograph year

    Further analysis is planned with bootstrapping methodsfor variable dates within weekly sampling windows

    Compared number of spikes, maximum detection,

    maximum 4-day average, number of days in

    which 4-day averages exceeded 20 and 40 ug/L Ultimately will focus on the exposure magnitude and

    duration of toxicological concern

    Maumee River 2008 actualMaumee River 2008 actual

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    M v 8

    0

    10

    20

    30

    40

    50

    60

    4/1 4/15 4/29 5/13 5/27 6/10 6/24 7/8 7/22 8/5 8/19

    L

    Measured (w/ infill), avg

    4-day avg

    Maumee River, 2008, actualMaumee River, 2008, actual

    Actual:

    Max: 52.2 ug/L

    4-da: 49.6 ug/L

    # spikes: 9

    Days 4-da avg

    >40: 2

    Relatively simple pattern driven by 1 high-concentrationspike

    M Ri 2008 I t l #6M Ri 2008 I t l #6

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    8 7 S p #

    0

    10

    20

    30

    40

    50

    60

    4/1 4/15 4/29 5/13 5/27 6/10 6/24 7/8 7/22 8/5 8/19

    Measured (w/ infill)

    Measured 4-day avg

    7-da interval 6

    linear 7-da interval 6

    4-day avg, linear 7-da int 6

    Maumee River, 2008, Interval #6Maumee River, 2008, Interval #6

    Actual:

    Max: 52.2 ug/L

    4-da: 49.6 ug/L

    # spikes: 9

    Days 4-da avg

    >40: 2

    Sampled:

    Max: 52.2 ug/L

    4-da: 46.6 ug/L

    # spikes: 3

    Days 4-da avg

    >40: 4

    Maumee River 2008 Interval #2Maumee River 2008 Interval #2

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    8

    0

    10

    20

    30

    40

    50

    60

    4/1 4/15 4/29 5/13 5/27 6/10 6/24 7/8 7/22 8/5 8/19

    Measured (w/ i i ll

    Measured 4-day avg

    7-da i terval 2

    li ear 7-da i terval 2

    4-day avg, li ear 7-da i t 2

    Maumee River, 2008, Interval #2Maumee River, 2008, Interval #2

    Actual:

    Max: 52.2 ug/L

    4-da: 49.6 ug/L

    # spikes: 9

    Days 4-da avg

    >40: 2

    Sampled:

    Max: 19.2 ug/L

    4-da: 17.6 ug/L

    # spikes: 2

    Days 4-da avg

    >40: 0

    MO 02 2009 7 da Sample Interval #3MO 02 2009 7 da Sample Interval #3

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    O , 9 - l I l

    0

    20

    40

    60

    80

    100

    4/1 4/15 4/29 5/13 5/27 6/10 6/24 7/8 7/22 8/5 8/19

    i

    ,

    MO-02Measured

    4-dayavg

    7-da terval3

    linear7-dainterval3

    4-dayavg, linear7-daint 3

    MO-02, 2009, 7-da Sample Interval #3MO-02, 2009, 7-da Sample Interval #3

    Actual:

    Max: 155 ug/L

    4-da: 68.9 ug/L

    # spikes: 14

    Days 4-da avg

    >40: 8 (2x4)

    Sampled:

    Max: 66.0 ug/L

    4-da: 58.2 ug/L

    # spikes: 5

    Days 4-da avg

    >40: 7

    155 (max)109 (max)

    Complex chemograph 2 majorspikes, numerousshort-durationspikes

    MO 02 2009 7 da Sample Interval #7MO 02 2009 7 da Sample Interval #7

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    O-02,2009 7-Day Sample I terval #7

    0

    20

    40

    60

    80

    100

    4/1 4/15 4/29 5/13 5/27 6/10 6/24 7/8 7/22 8/ 8/19

    Date

    Atrazie,

    /

    -02 Measured

    4-day vg

    7-dainterv l7

    linear7-dainterv l7

    4-day vg linear7-daint 7

    MO-02, 2009, 7-da Sample Interval #7MO-02, 2009, 7-da Sample Interval #7

    Actual:

    Max: 155 ug/L

    4-da: 68.9 ug/L

    # spikes: 14

    Days 4-da avg

    >40: 8 (2x4)

    Sampled:

    Max: 17.8 ug/L

    4-da: 17.2 ug/L

    # spikes: 3

    Days 4-da avg

    >40: 0

    155 (max)109 (max)

    Preliminary Analysis Using IntensivePreliminary Analysis Using Intensive

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    Monitoring DataMonitoring Data

    Chemograph shape, particularly the duration andfrequency of peaks, is critical to sampling analysis

    For simple chemographs, weekly sampling may capture

    the number but underestimate the magnitude of peaks

    For complex chemographs with overlapping peaks,weekly sampling underestimates the number of peaks,

    especially those of short-duration

    Effect of sample intervals on data smoothing is

    evident in 7-day fixed sampling analysis Intensive monitoring, with daily sampling during

    the expected exposure period, is critical to

    evaluate less frequent sampling strategies

    (3) Approaches For Analyzing/(3) Approaches For Analyzing/

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    Interpreting Monitoring DataInterpreting Monitoring Data

    Common interpolation methods are likely tounderestimate peaks, short-duration exposures

    Artificial neural networks may be too complicatedfor easy use

    Extreme value theory has been used best wheremeasurements exist over long periods

    Kriging methods to account for temporalautocorrelation assume stationary mean and

    variance, and may require estimating correlationstructures across pooled systems

    SAP recommended using kriging in combinationwith regression modeling

    Kriging Analysis with ConditionalKriging Analysis with Conditional

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    SimulationSimulation

    Variogram (Atrazine,2005)

    Time Lag (Days)

    0 20 40 60 80 100 120 140

    gamma(h)

    0.0

    0.5

    1.0

    1.5

    2.0

    2.5

    Sill=1.60

    Range=83 days

    Nugget=0.25

    Nugget: 0.025-0.5Sill: 0.9-10

    Range: 35-83 days

    (across all years)

    Kriging for eachyear using

    GEOEASE

    Conditional Simulation of Atrazine 2005 Time Series

    X Data

    80 100 120 140 160 180 200 220 240

    Y

    Data

    0

    5

    10

    15

    20

    25

    30

    Maximum

    75th percentile

    50th percentileCol 9 vs Col 11

    Used Gaussian

    se uentialsimulations to

    assess uncertainty

    Limitations With Less FrequentLimitations With Less Frequent

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    Sampling Intervals Loss of DataSampling Intervals Loss of Data

    4 day sam

    %

    li&

    '

    J(

    lian Days

    80 100 120 140 160 180 200

    A

    traz

    ineConc(ug/L)

    0

    5

    10

    15

    20

    25

    30

    8 day sam

    )

    ling

    Julian Day

    100 120 140 160 180 200

    Atraz

    ineCon

    c(ug/L)

    0

    5

    10

    15

    20

    25

    30

    16 day sam

    0

    ling

    Julian Day100 120 140 160 180 200

    Atraz

    ineConc(ug/L)

    0

    5

    10

    15

    20

    25

    30

    Exposure Estimation Modeling OptionsExposure Estimation Modeling Options

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    Exposure Estimation ModelingOptionsExposure Estimation ModelingOptions

    Co-kriging measured concentrations with dailystreamflow

    Conditional simulations based on data structure(mean, median, sd, percentiles, variogram or

    temporal correlation) Updates to WARP (Watershed Regression on

    Pesticides) 2009 SAP on atrazine ecological exposure

    recommended developing a corn-belt version of WARP

    Use WARP percentile estimates in combination withkriging or conditional simulations

    Combine WARP with seasonal variability (SEAWAVE-Q) model

    Focus for Drinking Water MonitoringFocus for Drinking Water Monitoring

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    Strategies for this SAPStrategies for this SAP

    1) General framework for designing a

    monitoring study to characterize drinking

    water exposures Question 5.1

    2) A set of intensively sampled datasets toevaluate sampling strategies and exposure

    estimation methods Question 5.2

    3) Proposed approaches for analyzing/

    interpreting monitoring data depending ontoxicological endpoint duration of concern

    Question 5.3

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    Atrazine Re-Evaluation:Scientific Considerations in Potential

    Sensitivity of Infants & Children

    Implications of MOA onWater Monitoring Strategy

    Atrazine Re-Evaluation:Scientific Considerations in Potential

    Sensitivity of Infants & Children

    Implications of MOA onWater Monitoring Strategy

    Presentation to the FIFRA Scientific Advisory Panel

    September 14-17, 2010

    Anna Lowit, Ph.D.

    Health Effects Division

    USEPA Office of Pesticide Programs

    Scientific Considerations in PotentialScientific Considerations in Potential

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    Sensitivity of Infants & ChildrenSensitivity of Infants & Children

    FFDCA, as amended by the FQPA (1996), requiresthe Agency to give special attention to infants andchildren by placing emphasis on the availability oftoxicology and exposure information to estimate thepotential risk to these age groups.

    Scientific analysis for the FQPA 10X Safety Factor TheAgency has not yet proposed any updates to the SafetyFactor used in the RED.

    Charge question 5.0

    Soliciting comment on important scientific factorsfor the Agency to consider in its analysis

    Both hazard & drinking water exposure

    Scientific Considerations in Potential

    S i i i f I f & Child

    Scientific Considerations in Potential

    S i i i f I f & Child

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    Sensitivity of Infants & ChildrenSensitivity of Infants & Children

    HazardConsiderations Important Issue: availability of data to

    assess critical lifestages

    Key studies still on-going

    Consider all the relevant information

    Mode of action

    Animal database of toxicology studies

    Dose-response relationships Human relevance of animal findings

    Epidemiology findings

    Scientific Considerations in Potential

    S iti it f I f t & Child

    Scientific Considerations in Potential

    S iti it f I f t & Child

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    Sensitivity of Infants & ChildrenSensitivity of Infants & Children

    HazardConsiderations, contd Consider all the relevant information

    Neuroendocrine MOA is relevant for

    developmental&

    reproductive effects

    Epidemiology findings: Provide

    qualitative information on the human

    relevance of some animal findings.

    Scientific Considerations in Potential

    S iti it f I f t & Child

    Scientific Considerations in Potential

    S iti it f I f t & Child

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    Sensitivity of Infants & ChildrenSensitivity of Infants & Children

    HazardConsiderations, contd Consider all the relevant information

    Animal studies:

    Studies on specific lifestages (gestation, lactation, early

    post-natal, peri-pubertal) Tissue dosimetry studies in fetuses and lactating pups

    LH attenuation:

    Well documented for its dose and temporal response

    Most sensitive endpoint

    --No other high quality study provides endpoints lowerthan studies on LH attenuation

    Biological plausibility in humans

    Associated with reproductive and developmental processes

    Scientific Considerations in Potential

    S iti it f I f t & Child

    Scientific Considerations in Potential

    S iti it f I f t & Child

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    Sensitivity of Infants & ChildrenSensitivity of Infants & Children

    HazardConsiderations, contd Consider all the relevant information

    Animal studies:

    Key on-going studies not yet available: Potential hormonal changes and outcomes from

    gestational exposure to male and female rats

    Behavioral changes in male rats (e.g., rough and

    tumble play) following gestational exposure (GD

    14-21) Possible latent effects manifested in adults from

    gestational and lactational exposure.

    Scientific Considerations in Potential

    S iti it f I f t & Child

    Scientific Considerations in Potential

    S iti it f I f t & Child

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    Sensitivity of Infants & ChildrenSensitivity of Infants & Children On-going multi-life stage study by Syngenta:

    Oral gavage dosing of 0, 6.25, 25 or 50 mg/kg/day.

    Recently submitted to the Agency: Cohort I, Subset A & Cohort II, Subset D

    Lack of effect on LH surge at 50 mg/kg/day in OVX-estrogenprimed animals contradicts the results in other studies (Foradoriet al. 2009, Cooper et al. 2007 and Morseth et al. 1996).

    Scientific Considerations in Potential

    S iti it f I f t & Child

    Scientific Considerations in Potential

    S iti it f I f t & Child

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    Sensitivity of Infants & ChildrenSensitivity of Infants & Children

    Drinking Water Exposure Considerations Important Issue: Sufficiency of drinking water

    monitoring data to confidently estimate exposure

    i.e., the data do not underestimate exposure

    Charge questions 4.1-4.3 address drinking water

    monitoring issues

    Additional approaches proposed for analyzing/

    interpreting monitoring data depending on the duration of

    concern

    Point of departure & critical duration of exposure are

    important components of evaluating the drinking water

    monitoring data

    Scientific Considerations in Potential

    S iti it f I f t & Child

    Scientific Considerations in Potential

    S iti it f I f t & Child

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    Sensitivity of Infants & ChildrenSensitivity of Infants & Children

    Charge question 5.0 In the coming months, the Agency will

    work towards completing the scientific

    analysis Soliciting comment on important

    scientific factors for the Agency to

    consider in its analysis Both hazard & drinking water exposure

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    Implications of MOA onWater Monitoring Strategy

    Implications of MOA onWater Monitoring Strategy

    Implications of MOA on

    W t M it i St t

    Implications of MOA on

    W t M it i St t

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    Water Monitoring StrategyWater Monitoring Strategy

    Current drinking water monitoring program calls for Weekly monitoring during the application and growing

    season in a given area (usually April thru July/August)

    Biweekly monitoring during the remainder of the year.

    When monitoring data are used, the Agency derivesan average for the exposure duration period ofconcern.

    In the last risk assessment, the consecutive [rolling] 90-dayaverages were derived by interpolating between the weekly

    monitoring points. This distribution of averages was then compared against the

    level of concern for the 90-day period to see if computedrolling average values exceeded the LOC and, if so, howoften.

    Implications of MOA on

    W t M it i St t

    Implications of MOA on

    W t M it i St t

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    Water Monitoring StrategyWater Monitoring Strategy

    Should the critical duration of

    exposure be revised? Ifso,

    how?

    Implications of MOA on

    Water Monitoring Strategy

    Implications of MOA on

    Water Monitoring Strategy

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    Water Monitoring StrategyWater Monitoring Strategy

    Database is lacking in human specific

    information on the effects of atrazine which

    could be used to quantitatively extrapolate

    between rats & humans.

    Thus, must infer generic knowledge on critical

    durations of exposure from a variety of sources

    Empirical effects data from animal studies

    Toxicodynamic and toxicokinetic information

    Implications of MOA on

    Water Monitoring Strategy

    Implications of MOA on

    Water Monitoring Strategy

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    Water Monitoring StrategyWater Monitoring Strategy

    Delayed puberty onset Greater than 4 days of exposure in rat

    In humans, puberty occurs over a long period of time

    Prostatitis

    In rats, exposure to the dam results in inhibition of prolactintransmission in milk by atrazine during a early critical time forTIDA neurons activation in offspring (first postnatal week)

    Indicates hypothalamic-pituitary gonadal axis is affected in rat

    In humans, prolactin plays a role in development andmaintenance of prostate but critical periods for developmentalexposures and hormonal involvement in induction of prostatitisremain unknown

    Implications of MOA on

    Water Monitoring Strategy

    Implications of MOA on

    Water Monitoring Strategy

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    Water Monitoring StrategyWater Monitoring Strategy

    LH attenuation in female rat: Single day of dosing not sufficient

    Reach maximal effect by 4 days ofexposure

    Pseudo steady-state tissue levels by 4days of daily exposures

    Extrapolation of rat findings to humans?

    Implications of MOA on

    Water Monitoring Strategy

    Implications of MOA on

    Water Monitoring Strategy

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    Water Monitoring StrategyWater Monitoring Strategy

    Preferred approach for interspecies extrapolation--Physiologically based pharmacokinetic (PBPK) model

    McMullin et al. 2007 has shortcomings

    Does not capture the rapid kinetics of atrazine

    Underpredicts plasma levels of chlorotriazines

    Pharmacokinetic analysis is based entirely on non-compartmental analysis

    Empirical in nature

    At steady state, plasma and brain levels will likely be atequilibrium making plasma levels a good surrogate

    Human inference possible through allometric scalingin the absence of more specific information

    Implications of MOA on

    Water Monitoring Strategy

    Implications of MOA on

    Water Monitoring Strategy

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    Water Monitoring StrategyWater Monitoring Strategy

    Dose groups were analyzed assuming linearbehavior (i.e., lnCp vs. time)

    1 - 10 mg/kg-day dose groups: comparable elimination rateconstants of 0.010 0.015 hr-1

    Allometric scaling for an average human female BW

    of 60 kg Converted allometrically scaled human female eliminationrate constants to plasma half-lives

    Assume that it would take 3 - 5 half-lives to steady state

    Human time estimates to steady state are between

    2.5 - 4 weeksATRA dose (mg/kg/day) Rat kel (hr-1) Allometrically scaled human female kel (hr-1) t1/2 (days) time to steady state (days)1 0.010 0.00343 .42 25.3 - 42.1

    3 0.015 0.0052 5.4 16.4 - 2 .4

    0.013 0.004 1 6.14 1 .4 - 30.

    10 0.014 0.004 5 5. 4 1 .5 - 2 .2

    Implications of MOA on

    Water Monitoring Strategy

    Implications of MOA on

    Water Monitoring Strategy

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    Water Monitoring StrategyWater Monitoring Strategy

    What is known about LH surge in

    human menstrual cycle that informs

    critical duration of exposure?

    Infer from pharmaceutical literature on invitro fertilization (IVF); possible windows:

    Follicular phase (lasting 12 days)

    Or the late follicular phase [days 8-12 (i.e., 4-5

    days) of the follicular phase].

    Uncertainty IVF drugs extremely potent

    Implications of MOA on

    Water Monitoring Strategy

    Implications of MOA on

    Water Monitoring Strategy

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    Water Monitoring StrategyWater Monitoring Strategy

    Charge question 6.0

    Soliciting comment on the analysis and

    preliminary conclusions as it relates to the

    potential critical windows of exposure

    Possible additional or alternative

    approaches or data that may inform thisissue.

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    Atrazine Re-Evaluation:

    Summary & Next Steps

    Atrazine Re-Evaluation:

    Summary & Next Steps

    Presentation to the FIFRA Scientific Advisory Panel

    September 14-17, 2010

    Anna Lowit, Ph.D.Health Effects Division

    USEPA Office of Pesticide Programs

    SummarySummary

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    yy

    Non-cancer epidemiology Mammary gland development

    Proposals for dose-responseassessment

    Emphasis on LH attenuation as a keybiologically plausible event in humans

    Use of a sensitive & early precursor eventconsidered protective of reproductive &

    developmental outcomes, and other toxicities Includes internal dosimetry calculations &

    benchmark dose analysis recommended atApril SAP

    SummarySummary

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    Drinking water exposure: Updatedapproaches and example analyses

    Analysis for the FQPA 10X Safety

    Factor is still ongoing solicitingcomment from the Panel on important

    scientific factors to consider for both

    drinking water exposure & hazard

    Implications of MOA & adverse

    outcomes on the critical duration of

    exposure

    Next StepsNext Steps

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    Non-cancer assessment

    Pending the outcome of the September,

    2010 SAP meeting, the Agency anticipates

    in the coming months: Selecting critical duration(s) of exposure

    Developing detailed drinking water monitoring

    analysis

    Completing FQPA Safety Factor analysis

    Follow-up SAP on these issues in 2011

    Next StepsNext Steps

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    Cancer epidemiology

    AHS epidemiology study on atrazine and

    human cancer publication expected in

    2011

    Integrate experimental carcinogenesis data

    and epidemiology data (AHS and other

    cancer epidemiology studies)

    SAP meeting on cancer effects of atrazine

    in 2011