TOXICOLOGICALSCIENCES79,394–403(2004) DOI:10.1093/toxsci/kfh116 AdvanceAccesspublicationMarch31,2004 Ethyl Acrylate Risk Assessment with a Hybrid Computational Fluid Dynamics and Physiologically Based Nasal Dosimetry Model Lisa M. Sweeney,*,1 Melvin E. Andersen,† and Michael L. Gargas* *TheSapphireGroup,Dayton,Ohio45431;and†CIITCentersforHealthResearch,ResearchTrianglePark,NorthCarolina27709 D o ReceivedOctober13,2003;acceptedFebruary15,2004 w n lo (National Toxicology Program, 2002), ethyl acrylate was re- ad Cytotoxicity in the nasal epithelium is frequently observed in moved from this listing. The decision to delist EA was based ed rodentsexposedtovolatileorganicacidsandestersbyinhalation. onthelackoftumorigenicitybyotherroutes,evidencelinking from An interspecies, hybrid computational fluid dynamics and physi- cancer in the gavage studies with site- and concentration- h ologically based pharmacokinetic (CFD-PBPK) dosimetry model ttp dependentirritation,andtheunlikelihoodofsignificanthuman s forinhaledethylacrylate(EA)isavailableforestimatinginternal exposure. Thus, concerns regarding the chronic toxicity of ://a dose measures for EA, its metabolite acrylic acid (AA), and EA- c a mediated reductions in tissue glutathione (GSH). Nasal tissue ethyl acrylate to humans pertain to noncancer effects. This de m concentrationsofAAwerepreviouslyusedasthedosemetricfor work identifies an appropriate Reference Concentration (RfC) ic a chronic Reference Concentration (RfC) calculation with this for chronic noncancer effects of ethyl acrylate for use in risk .o u compound.However,EAwasmoretoxicthanexpected,basedon assessments for potentially exposed populations. p.c o calculatedtissueAAconcentrations.UnlikeAA,EAcausesdeple- Similar to findings with other esters and volatile organic m tionoftissueGSH.WehavedevelopedanRfCforEAusingtissue acids(Bogdanffyetal.,1987;Mainwaringetal.,2001;Miller /tox GofSnHasdaelptliesstiuoendinosteh.eTohlefahcytobrryidepCiFthDel-iPuBmPaKsmthoedperlimwaasryremfienaesdutroe et al., 1981), inhaled ethyl acrylate damaged the rodent nasal sci/a improve the accuracy of simulations for GSH in rat olfactory olfactoryepitheliuminacuteandchronicstudies(Fredericket rtic al.,2002;Milleretal.,1985).IntheMilleretal.(1985)study, le tissues. This refined model was used to determine the concentra- -a tion for continuous human exposures to EA predicted to reduce mice and rats were exposed to ethyl acrylate for 6 h/day, 5 bs nasalGSHlevelstothesameextentasseeninratsexposedtoEA days/week for 27 months. This study established a no-ob- trac attheno-observed-effectlevel(NOEL).Importantly,AAconcen- served-effectlevel(NOEL)of5ppmfornonneoplasticeffects t/7 9 trationsinthehumannasalolfactoryepitheliumattheproposed and a lowest observed effect level (LOEL) of 25 ppm for /2 /3 chronic RfC were predicted to be lower than the AA concentra- olfactory tissue damage in both rats and mice. Other effects, 94 tionsestimatedintheratattheNOEL.Thus,achronicRfCbased suchasirritancyatthebeginningofexposure,lethargylaterin /16 on maintaining GSH in the human nasal olfactory epithelium at exposure,anddecreasedbodyweightgains,occurredathigher 493 levelsequivalenttotheratNOELwouldalsoprovideanadequate 6 ethylacrylateconcentrations(Milleretal.,1985).Usingnasal 3 margin of safety with respect to AA concentrations in nasal tis- b sues. explants,Fredericketal.(2002)havedemonstratedthatolfac- y g u Key Words: ethyl acrylate; acrylic acid; glutathione; olfactory tory lesions similar to those produced by in vivo exposure to es epithelium;referenceconcentration. ethyl acrylate may be produced by in vitro exposure to ethyl t o n acrylate.Theselesionsarenotproducedinthepresenceofthe 3 0 esterase inhibitor, paraoxon. Furthermore, these lesions are M a similar to those produced in vivo and in vitro by acrylic acid rc Ethyl acrylate (EA; CAS No. 140–88–5) is a colorless h (AA) (Frederick et al., 1998). Similarly, the concentration of 2 liquidusedasanintermediateinproductionofplasticresinsfor 0 1 an acid metabolite has been related to nasal and reproductive 9 industrial and consumer use. Ethyl acrylate induced forestom- effectsofotherrapidlymetabolizedcompounds(Bogdanffyet ach tumors in rodents administered high doses by gavage al., 1987; Sweeney et al., 2001; Welsch et al., 1995). These (National Toxicology Program, 1986) and was included in a findings appear to support a mode of action for inhaled ethyl listofcompoundsknownorreasonablyexpectedtobehuman acrylate related to the concentration of AA in the olfactory carcinogens. However, in the Tenth Report on Carcinogens epithelium. The chronic inflammation associated with exposure to AA 1To whom correspondence should be addressed at The Sapphire Group, and its esters is believed to be the result of induction of the 2661CommonsBoulevard,FirstFloor,Dayton,OH45431.Fax:(937)458- 0050.E-mail:[email protected]@thesapphiregroup.com. mitochondrial permeability transition (MPT) by AA. This chronic inflammation ultimately leads to the nonneoplastic Toxicological Sciences vol. 79 no. 2 © Society of Toxicology 2004; all rights reserved. lesions localized to the olfactory epithelium (Custodio et al., 394 EA CFD-PBPK CHRONIC RISK ASSESSMENT 395 1998).Inthecaseofethylacrylate,esteraseactivity(leadingto AAproduction)appearstobenecessarytoproducedamageto the epithelium, since no damage was observed when rat nasal explants were incubated with high concentrations of ethyl acrylate(upto1mM)inthepresenceoftheesteraseinhibitor, paraoxon (Frederick et al., 2002). Depletion of hepatic GSH and other forms of oxidative stress enhance mitochondrial permeability(Haouzietal.,2001;Hoeketal.,2002).Asingle exposure of rats to ethyl acrylate at the LOEL for olfactory damage, 25 ppm for 6 h, depleted olfactory epithelial GSH to 35–58%ofthelevelincontrols(Fredericketal.,2002).While D o AA appears to be required for nasal toxicity of ethyl acrylate, w n the depletion of GSH may enhance it. Sustained depletion of lo a d GSHwascriticalforthedevelopmentofforestomachtumorsin e d rats administered ethyl acrylate by gavage (Frederick et al., fro 1992). GSH depletion has been implicated in acute lethality m FIG. 1. Computational fluid dynamics-physiologically based pharmaco- h and in biochemical effects of ethyl acrylate (Frederick et al., kineticmodelforethylacrylateanditsmetaboliteacrylicacid(AA)inratsand ttp s 2002; Vodicka et al., 1990). humans.R(cid:1)respiratoryepithelium,O(cid:1)olfactoryepithelium.Solidarrows ://a Thechronictoxicitystudiesforinhaledethylacrylateinrats denotebloodflow,arrowswithlargedashesdenoteairflow(cyclicbreathing), ca (Miller et al., 1985) can form the basis for developing a safe anddottedarrowsdenotemetabolism.AdaptedfromFredericketal.(2002). de m exposure level for humans. While these interspecies extrapo- ic .o lationscanbedoneusingdefaultprocedures,theavailabilityof u the mode of action information and a computational fluid bsaymthpelersatainodofinrartaetstoisfsmueet(hMylaminewthaarcirnyglaetet aml.e,ta2b0o0l1is)m. Tihnehuadmjuanstendasraaltbtiiospsusye p.com dynamics–physiologically based pharmacokinetic (CFD- ratesarethehighest(104and63(cid:1)molmetabolized/mloftissue/hforolfactory /to PBPK) model for ethyl acrylate and its metabolite AA in rats and respiratory epithelium, respectively), and the human tissue rates are the xs and humans (Frederick et al., 2002) permit use of more infor- lowest (18.1 and 23.0 (cid:1)mol metabolized/ml of tissue/h for olfactory and ci/a mation in the dosimetry calculation (U.S. EPA, 1994). First, respiratory epithelium). We elected to use the rates determined in human rtic autopsy tissue, because they are derived from human tissue using the com- le the interspecies extrapolation of the target tissue dose metrics poundofconcern.Inaddition,thesamplesizes(n)aregreaterthanthesample -ab can be conducted with this model. Secondly, potential phar- sizesforotherspecies. stra macokineticvariability/uncertaintyamonghumanscanalsobe Theparametervaluesusedinthecurrentstudyarethesameasthoseused c estimatedbyexaminingmodeloutputfordistributionsofinput inpreviouslypublishedCFD-PBPKmodelsforethylacrylateandAA(Fred- t/79 ericketal.,1998,2002)withthefollowingexceptions.Forahumanengaged /2 parameters. inlightwork,cardiacoutputisincreasedfrom3.9to6.0ml/sec-kg0.74(Brown /39 4 etal.,1997).Tofacilitatesensitivityanalysis,certainflowcalculationswere /1 6 METHODS modified to ensure mass balance. Specifically, blood flow to the slowly 4 9 perfusedtissuescompartment(muscleandfat)wascalculatedasthedifference 3 6 Literature evaluation and preliminary modeling. Available studies po- betweenthecardiacoutputandthesumofflowstotheliver,kidneys,other 3 b tentiallyrelevanttothedeterminationofachronicRfCforethylacrylatewere richlyperfusedtissues,nose,andnasopharynx.Likewise,thefractionofthe y g providedbythesponsorandidentifiedbyliteraturesearchesconductedbythe nasal blood flow perfusing the respiratory epithelium was calculated as the ue astuutdhyo,rseinndtphoeinatr,eamsoodfeetohfyalcatciroynl,ataenadndanAiAntetornxaiclitdyoasnedmdeistrpiocs(itoilofna.ctAorcyrictiocna-l depififtehreelniucmebaentdwetheenntoatsaallbvleosotidbuflloew. tothenoseandtheflowtotheolfactory st on centrationofAA)wereselected.Preliminarymodelingwasconductedusing The Frederick et al. (2002) model predicted that the olfactory epithelial 30 themodelofFredericketal.(2002),describedintheAppendix.Evaluationof concentrationofGSHassociatedwiththeethylacrylateNOEL(5ppm)after M these results in light of the AA literature (described in Results) prompted 6hofexposurewouldbe95.9%oftheinitialvalue.Theexperimentaldata, arc additional literature evaluation of a potential role for GSH in the mode of however,indicatedgreaterdepletion,toapproximately75%ofcontrolatthe h 2 action.BecauseolfactoryGSHconcentrationwasidentifiedasapotentialbasis NOELand40%attheLOEL(25ppm)(Fredericketal.,2002).Tousethe 01 forchronicRfCderivation,theFredericketal.(2002)modelwasrefinedto modelforinterspeciesextrapolationofolfactoryGSHconcentrations,therat 9 improveitsabilitytodescribeGSHdepletionintheratolfactoryepithelium. model was adjusted to provide a more accurate prediction of the measured GSH concentrations. This calibration was accomplished by introducing an adjustmentfactorforGSHconjugationintheolfactoryepithelium(KGSHO) CalculationofAAandGSHConcentrationsinDorsalOlfactoryEpithelium toreflectarateincreaseovernonenzymaticratesmeasuredinvitro.Avalueof CFD-PBPKmodel. PredictionoftheAAconcentrationandGSHconcen- KGSHOequalto10accuratelysimulatedolfactoryGSHconcentrationsfor6h trationinthedorsalolfactoryepitheliumofaratorhumanexposedtoagiven exposureofratsto5or25ppmethylacrylate(Fig.2)withoutsignificantly concentration of ethyl acrylate was performed using a refinement of the affectingtissueAApredictions.ItwasassumedthatKGSHOwouldnotdiffer CFD-PBPKmodeldevelopedbyFredericketal.(2002),depictedinFigure1 between species. While this adjustment factor, KGSHO, was determined and described in the Appendix. Three possible values for the rate of ethyl empirically,itisconsistentwiththeliterature.PotterandTran(1993)deter- acrylatemetabolisminhumannasaltissueswereconsidered(Fredericketal., minedthattherateofsecond-orderconjugationofethylacrylateandGSHwas 2002): the rate determined in human autopsy tissue, the rate determined in increased15-foldinlivertissueduetothepresenceofglutathionetransferases monkeytissue,andtherateofethylacrylatemetabolismrattissuemultiplied (GSTs).Bangeretal.(1993)determined,usingvariousGSTsubstrates,that 396 SWEENEY, ANDERSEN, AND GARGAS exhibitingdifferingpharmacodynamics.Thedefaultpharmacodynamicadjust- ment factor for animal-to-human pharmacodynamic differences is 3 (U.S. EPA,1994).Anadjustmentfactorforintraspecies(human)variabilityof10,to accountforpharmacokineticandpharmacodynamicdifferencesinresponseto thetoxiccompound,wasalsoapplied.Potentiallysusceptiblesubpopulations wereconsidered. The adjustment factor for intraspecies pharmacokinetic and pharmacody- namicvariabilitywasevaluatedinlightofsensitivityanalysisofnasalolfac- toryepitheliumGSHandAAconcentrationsattheNOELforratsandatthe proposed RfC for humans. Briefly, normalized sensitivity coefficients (SC) werecalculatedforchangesinpredicteddosemetricsofpotentialinterestfor changesinmodelparametervalues.Intheanalysespresentedhere,sensitivity (normalized sensitivity coefficient, SC) was determined by increasing the D o parameter values by 1% and dividing the fractional change in the model w predictionbythe1%fractionalchangeintheinputparameter. nlo a Variability analysis. A variability analysis was conducted to assess the d e impact of parameter variability/uncertainty on the predicted olfactory tissue d AAandGSHpredictionsforthehumansexposedtotheethylacrylateatthe fro m proposedRfC.Thevariabilityanalysisaccountsforboththemodelsensitivity h andtheknownorestimatedvariabilityintheinputparameter(Licataetal., ttp s 2is00p1re;dSiwcteeednuesyinegtaal.,p2ro0p0a3g).atTiohneaopfperrorxoirmfaotremCuVlaf(oVrathrdeemmoadne,l1o9u9t4p,utci(tCedVmin) ://ac a Licataetal.,2001,withformulassubstitutedtobeintermsofnormalizedSC) d e FIG. 2. Glutathione (GSH) concentration (percent of control) in the ol- shownbelow. m ic factory epithelium of the dorsal meatus of rats exposed to ethyl acrylate by (cid:1)(cid:2) .o i(nbhoattloamtio,nth.iLnilninese:),MreofidneelmpernetdoicftFiornesdefroicrk5etpaplm.(2(0to0p2,)mthoicdkel.liEnex)p,er2i5mepnptmal CVm(cid:2) (cid:3)(cid:3)normalized_SCi(cid:4)2(cid:3)CVi(cid:4) up.co dataofFredericketal.(2002)(mean(cid:6)SD)(cid:5)(cid:1)5ppm,(cid:2)(cid:1)25ppm. i m /to x tWivhiteyrecoieifnfidciiceanttesretlhaetiviethtpoarcahmanegteers,innoprmaraalmizeetderSiC,ainisdtCheVniosrmthaeliczoeedffisecniesni-t sci/a twhoeualdctitvhiutysoafntoilcfiapcattoerythGatSTKsGrSanHgOed, fthroemin4c0retaose90in%GofSHthactoinnjuligvaetrio.nOnine ofvariationinparameteri. i rticle olfactoryepithelium,wouldbe40to90%of15,orbetween6and13.5.Itis CVivalueswerecalculatedfromexperimentaldataorestimatestakenfrom -a notclearwhythisincreasewasnotdetectedinvitrobyFredericketal.(2002). tthheepsaumbleishdeodselimtereatrtuicrseffoorrpwahraicmhettheersswenitshit(cid:3)iSvCity(cid:3)(cid:5)an0a.l2y.sCesVwmewreasccoanldcuuclatetedd.for bstra Computations. SimulationswereperformedusingACSLSim11.8(Aegis c Technologies Group, Hunstville, AL) on a Dell Optiplex GX260 computer t/7 9 withaPentium4processororDellInspiron7500withaPentiumIIprocessor. RESULTS /2 /3 9 4 InterspeciesExtrapolationandApplicationofAdjustmentFactorsforCFD- Selection of Critical Endpoints and Studies for the Chronic /1 PBPKModelingApproach RfC 649 3 Whenusinganinternaldosimetrymodel,adjustmentfactorsfordurationand 6 3 pharmacodynamicdifferencesaremostlogicallyappliedtothetargetinternal Miller et al. (1985) identified nasal lesions of the olfactory b y dose prior to calculation of the human-equivalent continuous exposure con- epithelium in mice and rats that were exposed to 25 but not 5 g u centration(Andersenetal.,2000).Thepredictedhuman-equivalentexposure ppm ethyl acrylate for 6 h/day, 5 days/week for 27 months. e s concentration for a human with average pharmacokinetic and physiological Since effects with NOELs higher than the olfactory toxicity t o n parametervaluesisthendeterminedbyiterativelytestingdifferentexposure NOELmayleadtolowerRfCsbecauseofunequaluncertainty 3 concentrations and calculating internal dose. The resulting human exposure factors,allrelevantendpointsshouldbeconsidered.Irritancyat 0 M concentrationwasthenusedasthebasisconcentration,andahumanpharma- a cokinetic sensitivity and variability analyses were conducted at this inhaled thebeginningofexposureandlethargyattheendofexposure rch concentration. were noted in animals exposed to 225 ppm but not 75 ppm 20 1 Time adjustment of internal dose. Area under the curve (AUC), rather ethyl acrylate and the high-dose (225 ppm) animals had sig- 9 thanpeakconcentration,ofAAwasselectedasanappropriateinternaldose nificantlydecreased((cid:5)10%)bodyweightgainsrelativetothe metric based on the studies of Lomax et al. (1994) that demonstrated that controls (Miller et al., 1985). Ethyl acrylate does not exhibit exposuresofmicetoAAwithequivalentconcentration(cid:2)time(C(cid:2)T)(25 selective developmental toxicity (Saillenfait et al., 1999). A ppmfor4.4h/dayor5ppmfor22h/day)producedsimilarincidenceofnasal irritation.SincesteadystateconcentrationsofAAintheolfactoryepithelium two-generation reproduction study of ethyl acrylate has not areexpectedwithin1h(Fredericketal.,2002),timeadjustmentforcontinuous beenconducted,butthelackofreproductivetoxicityofAAin exposurewasperformedbymultiplyingthetissueconcentrationachievedin rats at doses up to and including 502 mg/kg/day in drinking the rat after 1 h of exposure to ethyl acrylate at the NOEL (5 ppm) and water (Hellwig et al., 1997) suggests that ethyl acrylate is multiplyingby(6h/24h)(cid:2)(5days/7days)toconvertfromtheschedulein unlikely to be selectively toxic to reproduction. Hence the Milleretal.(1985)toaccountforcontinuousexposure. relevantendpointsareolfactorylesions,lethargy,irritancy,and Adjustment factors. Tissues from individual animals or humans may responddifferentlytothesameconcentrationofapotentiallytoxiccompound, body weight. EA CFD-PBPK CHRONIC RISK ASSESSMENT 397 Selection of Internal Dose Metric for Olfactory Toxicity would have to exceed 50% and be sustained in order to contributetotoxicity.Giventhelimitedexperiencewithroleof Basedonthemodeofactionfornasaldamage,measuresof GSH in nasal toxicity, a clear NOEL for GSH depletion (the internal dose related to AA concentration in the olfactory experimentally observed value) was used. epitheliumwereconsidered.Thepreferreddosemetricwasthe Thus, the dose metrics used for interspecies extrapolation time-averaged steady state concentration of AA in the nasal were the predicted concentration of AA in the olfactory epi- olfactory epithelium, rather than the peak concentration. This thelium (adjusted for exposure duration) and the predicted selection was based on the studies of Lomax et al. (1994) minimumconcentrationofGSHintheolfactoryepithelium(as indicating that exposures of mice to AA with equivalent C (cid:2) percent of control). T (25 ppm for 4.4 h/day or 5ppm for 22 h/day) produced similar incidence of nasal irritation. Chronic RfC Calculation D TheinitialhypothesiswasthattheAAconcentrationwould o w be the preferred dose metric for setting a risk reference value InTable2,approachestoidentifyingachronicRfCforethyl n lo forethylacrylate.Thepredictednasaltissueconcentrationsof acrylatearesummarized.DefaultapproachestoRfCsbasedon ad AAattheNOELwerecomparedforinhalationexposuretoAA olfactory tissue damage and lethargy/irritancy/body weight ed andforexposuretoethylacrylate(6h/day,5days/week)using decreases (Miller et al., 1985) are based on default U.S. EPA fro m the model of Frederick et al. (2002). The olfactory tissue AA guidance (U.S. EPA, 1994). A chronic RfC based on CFD- h concentrations would be similar if the AA concentration were PBPK modeling of AA concentrations in olfactory epithelium ttps the sole determinant of nasal damage. In fact, the calculated without consideration of GSH depletion is provided for com- ://a c concentrations differed by a factor of 60 (Table 1). parisontotheRfCderivedwhenolfactoryGSHconcentrations ad e The comparison of predicted AA concentrations associated were also considered. While uncertainty factors were applied m with inhalation exposure at the NOELs for AA and ethyl topredictedtissueconcentrationsofAA,nouncertaintyfactors ic.o u acrylate suggested that AA concentration alone was not suffi- wereappliedtotissueGSHconcentrations.GSHdepletionper p.c cient to account for the nasal toxicity of ethyl acrylate. Addi- se does not cause the toxicity, but appears to be a modifying om tional dose measures were considered and tested. These mea- pharmacodynamic factor that enhances the toxicity of AA in /to x sures included calculated total esterase metabolism and AA the tissues. sc i/a concentrationsinthebloodexchangelayerofthenasalepithe- Sensitivity of Olfactory AA Concentrations to Choice of rtic lialtissues.Uponreviewingthemodelresults(simulationsnot le Work Versus Rest and Human Olfactory Metabolism Rate -a shown)andtheliteratureontheoraltoxicityofethylacrylate, b s it appeared that the most reasonable mode of action for ethyl The choice of light work versus rest provided a slightly tra c acrylate toxicity was increased susceptibility to mitochondrial lower value for the RfC. The choice of measured human t/7 9 toxicity of AA due to depletion of GSH by conjugation with metabolismratesratherthanmeasuredmonkeyoradjustedrat /2 /3 ethyl acrylate. rates increased the equivalent human ethyl acrylate exposure 9 4 Atargetvaluefora“safe”olfactoryGSHconcentrationwas concentrations (Table 3). These values, however, are still /1 6 4 selected,basedonthedepletionobservedinasingleexposure higher than the proposed RfC that incorporated prediction of 9 3 study(Fredericketal.,2002)usingthesameexposureconcen- nasal olfactory GSH depletion, a contributing pharmacody- 63 tration and duration (5 ppm for 6 h) as the NOEL toxicology namic factor. by g study (Miller et al., 1985). A larger body of GSH research u e (summarized in Frederick et al., 1992), which did not specif- Sensitivity of Proposed Chronic RfC to Target GSH st o ically include nasal toxicity, indicated that GSH depletion Concentration n 3 0 The chronic RfC for olfactory toxicity was derived by de- M a termining what exposure concentration would be expected to rc TABLE 1 result in GSH depletion to 75% of control. When 50% GSH h 2 0 AcrylicAcid(AA)ConcentrationsAssociatedwithNoObserved depletion rather than 25% depletion was used as the target 19 Effect Levels and Lowest Observed Effect Levels for Olfactory internal dose metric, the proposed chronic RfC for olfactory TissueDamageinRatsorRatTissue toxicity increased from 0.25 ppm to 0.8 ppm. The choice of 25%depletionasatargetinsteadof50%depletionproduceda Endpointforrats/rattissues AssociatedAAconcentration three-fold (0.8 ppm/0.25 ppm) increase in the RfC for this endpoint. AANOEL,LOELinvivo 3mM,6mM(Fredericketal.,1998; Andersenetal.,2000) Sensitivity Analysis of Nasal Olfactory Epithelium AA and EthylacrylateNOEL,LOEL 0.05mM,0.25mM invivo GSH Concentrations AANOEL,LOELinvitro* 0.4mM,0.6mM(Fredericketal.,1998) The nasal toxicity observed in ethyl acrylate-exposed rats *Ratnasalexplants apparentlyresultsfromenhancedsusceptibilitytoAAtoxicity 398 SWEENEY, ANDERSEN, AND GARGAS TABLE 2 Default and Computational Fluid Dynamics-Physiologically Based Pharmacokinetic Modeling Approaches to Selection of a Chronic Reference Concentration for Inhaled Ethyl Acrylate Endpoint(extrapolationapproach) Lethargy,irritancy, decreasedbodyweight Olfactorytissuedamage CFD-PBPK,GSH, CFD-PBPK,GSH Default Default CFD-PBPK,AA andAA andAA D NOEL(ppm) 75 5 5 5 5 o w (Milleretal., n lo 1985) a d LOEL(ppm)(Miller 225 25 25 25 25 e d DoesteaMl.,e1as9u8r5e) externalconcentration externalconcentration 0.05mMAAin minimumolfactory minimumolfactorytissuea from olfactoryepitheliuma tissueaGSH(cid:1) GSH(cid:1)50%ofcontrol h 50%ofcontrol ttps Durationadjustment (6/24)(cid:2)(5/7) (6/24)(cid:2)(5/7) (6/24)(cid:2)(5/7) NA NA ://a (hperday,days ca d perweek) e m Regionalgas 1(Category2,systemic 0.18(Category1,portal NA NA NA ic dosimetryratio effectathigher ofentryeffectonlyat .o u (RGDR) concentrations) lowconcentration) p .c UF 3 3 3 NA NA o A,PD m UFH 10 10 10 NA NA /to Targetinternal NA NA 0.05mMAA(cid:2)(6/24) minimumolfactory minimumolfactorytissuea x s concentrationfor (cid:2)(5/7)/(3(cid:2)10)(cid:1) tissueaGSH(cid:1) GSH(cid:1)75%ofcontrol ci/a hPuBmPaKnMCFodDe-la 0o.l0fa0c0t3ormyMepiAthAeliiunma 50%ofcontrol rticle RfCcalculationb 75ppm(cid:2)(6/24)(cid:2) 5ppm(cid:2)(6/24)(cid:2) humanCFD-PBPK humanCFD-PBPK humanCFD-PBPK -a b ChronicRfC 0.4(5p/p7m)(cid:2)1/(3(cid:2)10) 0.0(055/7p)p(cid:2)m0.18/(3(cid:2)10) 1.8mpopdmelc 0.8mpopdmelc 0.2m5opdpemlc (Recommended strac RfC) t/7 9 /2 aDorsalolfactoryepithelium,firsttissuelayerbelowmucus. /39 bDefaultRfC(cid:1)NOEL(cid:2)TimeAdjustment(cid:2)RGDR/(UFA,PD(cid:2)UFH). 4/1 cCFD-PBPKmodelofFredericketal.(2002),modifiedasdescribedunder“Methods,”assuminglightwork. 64 9 3 6 3 b y g u e duetoGSHdepletion.SensitivityanalysisofpredictedAAand st o GSH concentrations in the olfactory epithelium were con- n EthylAcrylateExposureCToAnBcLenEtra3tionsCorrespondingtoTar- ducted for the rat at the NOEL (for 6 h of exposure) and the 30 M human at the proposed RfC (for 1 week of exposure) to assist a get Internal Concentrations of Acrylic Acid in the Nasal Epithe- rc lium in the evaluation of the selected Uncertainty (Adjustment) h 20 Factors from Table 2. 1 9 The chemical-specific parameters that had the greatest im- AtRest Lightworka pact on olfactory AA predictions in the rat were the exposure Measuredhumannasalmetabolismratesb 2.2ppm 1.8ppm concentration and mucus:air partition coefficient for ethyl ac- Measuredmonkeynasalmetabolismratesb 0.9ppm 0.8ppm rylate (Table 4). The most sensitive physiological parameters Adjustedratnasalmetabolismratesc 0.6ppm 0.6ppm werethewidthoftheolfactoryepitheliumandmucusthickness aApproximately50W. over the olfactory epithelium. Model predictions of olfactory bEthylacrylatemetabolisminnasalrespiratoryandolfactoryepitheliumin tissueGSHconcentrationafter6hofexposureweregenerally vitro(Fredericketal.,2002). lesssensitivetomodelparametersvaluesandweresensitiveto cEthyl acrylate metabolism rates measured in rat tissue (Frederick et al., exposure concentration, kinetic parameters for ethyl acrylate 2002),adjustedbyhuman:ratmetabolismratioformethylmethacrylate(Main- waringetal.,2001). hydrolysis and GSH conjugation in the olfactory epithelium, EA CFD-PBPK CHRONIC RISK ASSESSMENT 399 TABLE 4 based, the GSH concentrations, were not sensitive to small SensitivityofPredictionsofAcrylicAcid(AA)Concentrationin changes in most of the model parameter values. the First Layer of the Rat Dorsal Nasal Olfactory Epithelium to ModelParameterValues Consideration of Potentially Sensitive Subpopulations Normalizedsensitivity TherecommendedchronicRfCwasdeterminedonthebasis Parametera coefficient of predicted GSH depletion in the olfactory epithelium. As shown in Table 6, olfactory GSH concentrations are most Exposureconcentration 1.00 sensitive to olfactory ethyl acrylate-GSH conjugation rate, Mucus:airpartitioncoefficientforethylacrylate 0.89 Diffusivityinolfactoryepithelium (cid:8)0.42 GSH turnover rate, and the mucus:air partition coefficient for 14ofdistanceacrosstheolfactoryepithelium 0.41 ethyl acrylate. Subpopulations for which these values differ D Thicknessofmucusoverolfactoryepithelium (cid:8)0.38 from the population means would not be expected for a ther- ow Mucusdiffusivity 0.35 modynamic parameter, such as the mucus:air partition coeffi- nlo Mucus:epitheliumpartitioncoefficientforethyl a cient,andhavenotbeenidentifiedforanyoftheotherparam- d Naascarlytliastseue:bloodpartitioncoefficientforethyl (cid:8)0.32 eters. Banger et al. (1996) have demonstrated a lack age- or ed fro acrylate 0.27 sex-related differences in cytosolic olfactory GSTs in rats. No m Ethylacrylatehydrolysiscapacityinnasal additionaluncertaintyfactorsareanticipatedtobenecessaryto http olfactoryepithelium 0.27 protectsensitivesubpopulations.Basedonthevariabilityanal- s Dilutionofenzymaticallyrichlayersofnasal ysis at the proposed RfC, the predicted concentrations of the ://ac olfactoryepitheliuminvitro 0.27 a putativetoxicmetaboliteAAinhumanolfactoryepitheliumfor d Enzymeaffinityforethylacrylatehydrolysisinthe e m nasalolfactoryepithelium (cid:8)0.27 the 95th-percentile individual would be only 2.1-fold higher ic Widthofbloodexchangeregionunderolfactory than in the average individual (1.6 standard deviations higher, .ou p epithelium 0.26 with a model CV of 0.71, Table 6), less than the default .c Nasaltissue:bloodpartitioncoefficientforAA 0.24 intraspeciesUFforhumanpharmacokineticvariability((cid:7)3.2). om NFroarcmtiaolnizoefdncaasradliabcloooudtpfluotwtoolfactory (cid:8)0.23 For human olfactory GSH, the variability analysis (Table 7) /toxs epitheliuminanteriorregion (cid:8)0.21 predicted that the 95th-percentile individual would possess ci/a Fractionofnasalbloodflowtoolfactory olfactoryGSHconcentrationsof58%ofcontrol.Theresultsof rtic epithelium (cid:8)0.21 the variability analysis thus indicate that uncertainty factors le Bloooudtpfluto)wtonasalcavity(fractionofcardiac (cid:8)0.21 used for pharmacokinetics (AA concentrations) and pharma- -abstra Bodyweight (cid:8)0.20 c t/7 9 aSimulations conducted with the refined CFD-PBPK model for cyclic TABLE 5 /2 /3 breathing of 5 ppm ethyl acrylate by rats for 1 h (steady-state AA). Only Sensitivity of Predictions of Glutathione (GSH) Concentration 94 padardaimtioentearls10wiptahra(cid:3)mnoertmeraslihzaedd(cid:3)nseonrmsitailviziteydcsoeenfsfiitcivieintyt(cid:3)c(cid:5)oef0fi.c2i0enat(cid:3)rebesthwoewenn.0.A05n intheFirstLayeroftheRatDorsalNasalOlfactoryEpitheliumto /164 and 0.20, with the remaining 100 parameters having (cid:3)normalized sensitivity ModelParameterValues 93 6 coefficient(cid:3)(cid:9)0.05. 3 b Normalizedsensitivity y Parametera coefficient gu e s tthioenwciodetfhfiocfietnhtefoolrfaecthtoyrlyaecpryitlhaeteliu(Tma,balend5)th.e mucus:air parti- E14xopfodsiustraenccoenaccernotsrsattihoenolfactoryepithelium (cid:8)00..3209 t on 3 0 Tables 6 and 7 summarize the sensitivity of model predic- AugmentationofGSHconjugationinolfactory M tionsofhumanolfactoryAAandGSHconcentrations,respec- epitheliumbyGSHtransferases (cid:8)0.28 arc tively, to values of model parameters. The chemical-specific NonenzymaticsecondorderrateconstantforGSH h 2 conjugationwithethylacrylate (cid:8)0.28 0 1 parameters that had the greatest impact on tissue AA predic- Mucus:airpartitioncoefficientforethylacrylate (cid:8)0.26 9 tions were the exposure concentration and the nasal tissue: Ethylacrylatehydrolysiscapacityinnasal blood partition coefficient for AA. The most sensitive physio- olfactoryepithelium 0.21 Dilutionofenzymaticallyrichlayersofnasal logical parameters were the respiration rate and tidal volume. olfactoryepitheliuminvitro 0.21 Predicted olfactory tissue GSH concentration was generally Enzymeaffinityforethylacrylatehydrolysisin less sensitive to model parameter values than the AA predic- thenasalolfactoryepithelium (cid:8)0.20 tions, but was sensitive to the exposure concentration (pro- posed RfC), mucus:air partition coefficient for ethyl acrylate, aSimulations conducted with the refined CFD-PBPK model for cyclic breathing of 5 ppm ethyl acrylate by rats for 6 h. Only parameters with and the parameters describing GSH conjugation and turnover (cid:3)normalizedsensitivitycoefficient(cid:3)(cid:5)0.20areshown.Anadditional4param- in the olfactory epithelium. The sensitivity analyses indicate etershad(cid:3)normalizedsensitivitycoefficient(cid:3)between0.05and0.20,withthe that the model predictions upon which the proposed RfC was remaining113parametershaving(cid:3)normalizedsensitivitycoefficient(cid:3)(cid:9)0.05. 400 SWEENEY, ANDERSEN, AND GARGAS TABLE 6 anistic data support a predominant role for AA in mitochon- Sensitivity of Predictions of AA Concentration in the First drial toxicity leading to inflammation. However, comparisons LayeroftheHumanDorsalNasalOlfactoryEpitheliumtoModel to results for inhaled AA were inconsistent—ethyl acrylate is ParameterValuesandPredictedVariability moretoxicthanAA,basedoncalculationsoftissueAA.Based on research showing that ethyl acrylate depletes nasal GSH Normalized Parameter (Frederick et al., 2002) and that GSH depletion can enhance sensitivity coefficient mitochondrial toxicity of other compounds (Haouzi et al., Parametera coefficient ofvariation 2001; Hoek et al., 2002), we developed a theory that ethyl Exposureconcentration 1.00 notapplicable acrylate toxicity results from an enhanced sensitivity to AA Respirationrate 0.57 0.1b due to GSH depletion, and that an appropriate RfC should be Tidalvolume 0.57 0.33b basedonmaintainingsufficientlevelsofGSHintheolfactory D Bodyweight (cid:8)0.55 0.15c epitheliumandpreventingelevatedtissuelevelsofAA.There- ow Nasaltissue:bloodpartitioncoefficient n fore, we developed one olfactory RfC based solely on pre- lo forAA 0.54 0.19d a Ethylacrylatehydrolysiscapacityin dicted AA concentrations (RfC (cid:1) 1.8 ppm) and a second ded nasalolfactoryepithelium 0.52 0.95e olfactoryRfCbasedonmaintainingaprotectivelevelofnasal fro Dilutionofenzymaticallyrichlayersof GSH(RfC(cid:1)0.25ppm)andrecommenduseofthelattervalue. m nasalolfactoryepitheliuminvitro 0.52 0.3f If only predicted AA concentration had been considered for http Enhzyydmreolayfsfiisniitnytfhoerneathsaylloalcfraycltaotrey olfactory toxicity (olfactory RfC (cid:1) 1.8 ppm), the overall s://a epithelium (cid:8)0.51 0.61e assessment with uncertainty factors totaling 30 would have ca d Widthofolfactoryepithelium 0.46 0.2g resultedinarecommendedRfCof0.4ppmbasedonlethargy, e m Mucus:airpartitioncoefficientforethyl irritancy, and decreased body weight. Consideration of nasal ic acrylate 0.45 0.24e GSH resulted in a slightly lower RfC of 0.25 ppm. .ou D14oiefffpudistihisvteailtniyucmeinaocrlfoascstothryeeoplfiathcetoliruym (cid:8)00..2475 00..256gh latTehiesraecfoamctmorenodfed(cid:7)c7hr(o1n.8icpRpfmC/o0f.205.2p5ppmp)mlofowreerththyalnactrhye- p.com/to Nasaltissue:bloodpartitioncoefficient potential RfC derived based on predicted olfactory tissue AA xs c forethylacrylate 0.23 0.17e alone (1.8 ppm). The factor of 7 can be considered an addi- i/a ModelCoefficientofVariation 0.71 tionalpharmacodynamicadjustmentfactortothepredictedAA rtic le aSimulations conducted with the refined CFD-PBPK model for cyclic tissue concentration for the contribution of GSH status to the -ab breathingof0.25ppmethylacrylatebyhumansfor1week(steady-state).Only development of toxicity, in addition to the pharmacodynamic stra parameters with (cid:3)normalized sensitivity coefficient(cid:3) (cid:5) 0.20 are shown. An c additional31parametershad(cid:3)normalizedsensitivitycoefficient(cid:3)between0.05 t/79 and 0.20, with the remaining 85 parameters having (cid:3)normalized sensitivity TABLE 7 /2 coefficient(cid:3)(cid:9)0.05. Sensitivity of Predictions of GSH Concentration (Percent of /394 bBrownetal.(1997). Control)intheFirstLayeroftheHumanDorsalNasalOlfactory /16 cAllenetal.(1996). 4 dBlackandFinch(1995). EpitheliumtoModelParameterValuesandPredictedVariability 93 6 eFredericketal.(2002). 3 b fAllenetal.(1996). Normalized Parameter y g gBogdanffyetal.(1998). sensitivity coefficient u e Parametera coefficient ofvariation s t o n codynamics (GSH concentrations) (Table 2) should provide Exposureconcentration (cid:8)0.26 notapplicable 30 AugmentationofGSHconjugationin M ample protection of human health. olfactoryepitheliumbyGSH arc transferases (cid:8)0.26 0.3b h 2 DISCUSSION Nonenzymaticsecondorderrateconstant 0 1 forGSHconjugationwithethylacrylate (cid:8)0.26 0.3c 9 To determine a chronic risk reference value for ethyl acry- Mucus:airpartitioncoefficientforethyl late, multiple endpoints and multiple approaches were consid- acrylate (cid:8)0.24 0.24c First-orderGSHlossinthenasalolfactory ered.BecausebothNOELsanduncertainty/adjustmentfactors epithelium 0.24 0.3c maydifferamongendpoints,itwasnecessarytoconsiderboth ModelCoefficientofVariation 0.14 olfactorytoxicityandlethargy/irritancy/decreasedbodyweight aspossiblecriticaleffects.Duetothelackofmechanisticdata aSimulations conducted with the refined CFD-PBPK model for cyclic to support the use of CFD-PBPK modeling for interspecies breathingof0.25ppmethylacrylatebyhumansfor1week(steady-state).Only parameters with (cid:3)normalized sensitivity coefficient(cid:3) (cid:5) 0.20 are shown. The extrapolation of the lethargy/irritancy/decreased body weight remaining124parametershad(cid:3)normalizedsensitivitycoefficient(cid:3)(cid:9)0.05. findings, a default approach was used, resulting in an RfC of bAllenetal.(1996). 0.4 ppm for these endpoints. For the olfactory toxicity, mech- cBangeretal.(1993). EA CFD-PBPK CHRONIC RISK ASSESSMENT 401 uncertainty factors for AA included in the derivation of the tissue concentration of AA could produce a combined dose “AA only” RfC (1.8 ppm). The derivation of an RfC of 1.8 metric that is mathematically equivalent to the current pro- ppm based on AA predictions alone (Table 2) included a posed RfC, but would logically seem to pose a greater risk to pharmacodynamicuncertaintyfactorof3foranimaltohuman human health because adequate GSH protection would be differences UF , and an uncertainty factor for differences retained, but concentrations of the putative toxicant would be A,PD among humans (UF (cid:1) 10) that is generally considered to higher. H consist of equal components ((cid:7)3.2) for pharmacokinetic and On initial review, it appears that the olfactory toxicity RfC pharmacodynamic variability. The additional pharmacody- based on GSH depletion did not incorporate any uncertainty namicadjustmentfactorforGSH(7)accountedforthegreater factors (Table 2). The selection of 25% depletion of olfactory susceptibility, compared to rats, of the human olfactory tissue epithelium GSH (equal to the concentration observed at the to GSH depletion predicted by the CFD-PBPK model, and NOEL in the rat) was somewhat conservative in that other D o resulted in a total pharmacodynamic uncertainty/adjustment researchers have identified 50% GSH depletion as a threshold w n factor(cid:1)UF (cid:2)UF (cid:2)AF (cid:1)3(cid:2)3.2(cid:2)7 for toxicity (Frederick et al., 1992). Also, this olfactory RfC lo A,PD(AA) H,PD(AA) A,PD(GSH) a (cid:1) 67. was not based on GSH alone, but on GSH depletion in com- de d ThesensitivityanalysisresultsforGSHpredictionsintherat bination with the presence of AA, which, as noted above, is fro nose(Table5)aidintheunderstandingofwhytheintroduction predicted to be sven-fold lower than a target concentration m h ofKGSHO(enhancementofGSHconjugationintheolfactory developed by applying time and uncertainty factor adjust- ttp s tissue by GSTs) improved the predictive capability of the ments. As AA was the putative toxicant with GSH as a mod- ://a model.TheratolfactoryGSHconcentrationsweresensitiveto ifying factor, customary UFs were most logically applied to ca d relatively few model parameters. A reduction in the ethyl setting the target values of AA rather than GSH. Some con- e m acrylate hydrolysis rate was considered, but even if it was set servatism in the GSH dose metric was warranted, due to the ic .o equal to zero, the Frederick et al. (2002) model would predict lack of validation data for the human GSH model. The selec- u p that GSH would only be depleted to 88% of control (vs. 75% tion of 25% depletion rather than 50% depletion of GSH .co m observed in the experiment and 97% predicted in Frederick et provided this conservatism and reduced the olfactory toxicity /to al.,2002).Clearly,someoralloftheadjustmentmustbetothe RfC by a factor of approximately 3 (from 0.8 ppm to 0.25 xs c GSH modeling. ppm). i/a The model sensitivity analyses indicated that the human The proposed mode of action for olfactory toxicity of ethyl rtic le nasalolfactorytissueGSHpredictions,forwhichtherewereno acrylate—AAtoxicityenhancedbyGSHdepletion—isconsis- -a b validationdata,werenothighlysensitivetothemodelparam- tent with the mode of action for toxicity of ethyl acrylate for stra eter values. A conservative target concentration of GSH was other endpoints and for another olfactory toxicant, methyl c t/7 selected,anduncertaintywithrespecttopreciselywhatlevelof iodide.Modesofactionforethylacrylatetumorigenesisinthe 9 /2 GSH was necessary to protect human nasal tissue was of less rodentforestomachandacutelethalityhavebothbeenlinkedto /3 9 concern due to two factors: the observation that GSH predic- GSH depletion (Frederick et al., 1992, 2002). Chamberlain et 4 /1 tions were not highly variable for the population and the al. (1998) have investigated the mode of action for olfactory 64 9 prediction that concentrations of the putative toxic metabolite toxicity of methyl iodide in rats by modulating the status of 3 6 3 wouldbeseven-foldlowerthanthetargetconcentrationsbased GSH and cytochrome P450. They concluded that GSH deple- b y on target tissue AA concentration alone. tion (to 40% of control), rather than GSH-metabolite forma- g u Model sensitivity analyses of the baseline Frederick et al. tion, initiated nasal toxicity, and that the relatively slow turn- e s (2002) model, without the GSH refinement, were also con- over of GSH in the olfactory epithelium (compared to t o n ducted(datanotshown).Thesensitivitycoefficientsforolfac- respiratory epithelium and other tissues) prolonged GSH de- 3 0 tory AA predictions were identical to the refined model, and pletion and rendered olfactory epithelium more susceptible to M a the results for GSH were very similar, with sensitivity coeffi- oxidative damage than the respiratory epithelium. Ethyl acry- rc h cients differing no more that 30% from the values determined late was hydrolyzed to AA at similar rates in nasal olfactory 20 1 for the refined model. and respiratory epithelium, and the tissues have similar GSH 9 TheproposedRfCwasderivedbyconsideringAAandGSH concentrations following single exposures, but toxicity was separately,thencomparingtheresults.Thatis,apotentialRfC limitedtotheolfactoryregion(Fredericketal.,2002;Milleret wasderivedbasedonAAonly,andanotherpotentialRfCwas al., 1985), indicating that the slow recovery of GSH concen- derived on the basis of GSH only, and this latter value was trations after exposure may contribute to the development of selected as the proposed RfC because it is also believed to be the nasal olfactory lesions. protective with respect to AA, whereas the “AA-only” RfC Comparisons of ethyl acrylate nasal toxicities between spe- may not be sufficiently protective of olfactory GSH for ethyl cies,includingconsiderationofacrylicacid,canbeinformative acrylate-exposedindividuals.Thepossibilityofcombiningthe astopossiblemechanismsofaction.Ourinitialhypothesiswas two measures was considered but deemed to be unjustifiable. that the nasal lesions produced following ethyl acrylate expo- For example, a lesser extent of GSH depletion and a higher sure were due to the formation of AA. Comparisons of the 402 SWEENEY, ANDERSEN, AND GARGAS concentrations of AA predicted by modeling (see Table 1) ModelequationshavepreviouslybeenprovidedbyFredericketal.(1998). indicated that other factors in addition to AA concentration Model code (in ACSL) will be provided by the corresponding author upon request. wereinvolvedinthetoxicity(e.g.,GSHdepletion).Inspection TheonlysignificantchangefromFredericketal.(2002)wastheaugmen- oftheNOELsandLOELsforEAandAAinratsandmicealso tationofGSHconjugationinolfactorytissuesbyafactorof“KGSHO”.The indicated factors other than AA production might be involved modifiedequationisprovidedbelow in the formation of nasal lesions following ethyl acrylate ex- posures(Milleretal.,1985).TheNOELsandLOELsformice RGDOE (cid:2)VDOE (cid:3)(KGSH(cid:3)Kgsho(cid:3)GSDOE (cid:3)CDOE) ij ij ij ij and rats exposed chronically to ethyl acrylate are both 5 ppm and 25 ppm, respectively. The NOEL and LOEL for chronic where AA exposures in rats are 25 ppm and 75 ppm, values that are RGDOE (cid:1)RateofGSHconjugationindorsalolfactoryepitheliumtissue ij higher than those for ethyl acrylate indicating that the ester compartmentj,layeri((cid:1)mol/h). D may be more potent than the acid alone (Miller et al., 1981). VDOEij (cid:1) Volume of dorsal olfactory epithelium tissue compartment j, ow The LOELs for mice exposed to AA were 5 ppm for female layeri(ml). nlo KGSH (cid:1) Second-order rate of nonenzymatic GSH conjugation (ml/h- ad miceand25ppmformalemice,providingnoclearindication (cid:1)mol). ed that the ester might be more potent. Kgsho(cid:1)increaseinGSHconjugationraterelativetononenzymaticrate, fro In summary, a proposed RfC for ethyl acrylate was devel- olfactorytissue(dimensionless). m opedbasednotonlyontheexpectedconcentrationsofthetoxic parGtmSDenOtEj,ijla(cid:1)yeGrSiH((cid:1)cmoonlc/emnlt)rationindorsalolfactoryepitheliumtissuecom- https metabolite AA, but also on GSH, which serves both as a CDOE (cid:1)Ethylacrylateconcentrationindorsalolfactoryepitheliumtissue ://a cofactor for ethyl acrylate metabolism and as an indicator of compartmijentj,layeri((cid:1)mol/ml). ca d tissueoxidativestress.TheproposedRfCof0.25ppmislower e m than the RfC that would have been calculated based on AA ic ACKNOWLEDGMENTS .o prediction alone (1.8 ppm), but 50-fold higher than the RfC u p yielded by the default approach, 0.005 ppm. ThisworkwasfundedbytheBasicAcrylicMonomersManufacturers,Inc. .co m /to REFERENCES xs c APPENDIX i/a Allen,B.C.,Covington,T.R.,andClewell,H.J.(1996).Investigationofthe rtic Theethylacrylatemodel(Fig.1)wasanextensionoftheCFD-PBPKmodel impact of pharmacokinetic variability and uncertainty on risks predicted le-a forAA(Andersenetal.,2000;Bushetal.,1998;Fredericketal.,1998).The withapharmacokineticmodelforchloroform.Toxicology111,289–303. b s Frederick et al. 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