EPA-HQ-OPP-2010-0481-0048 ATRAZINE INTRO AND STATUS SEPT 14-17, 2010
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Transcript of 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
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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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88
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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90
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