Dietary intake of PCDD/F by small children with different food consumption measured by the duplicate method.

The dietary intake of PCDD/F by 42 small children, 21 boys and 21 girls in the age range 14-47 months, with different food consumption behaviour living in urban and rural areas of Germany was measured by the duplicate method with a 7 day sampling period from May to September 1998. The PCDD/F-levels in the food duplicates were in the range 39.2-325 fg I-TEq/g(dry weight) (median: 90.7; arithmetic mean: 96.6) and the doses were in the range 0.681-5.43 with a median of 1.56 and an arithmetic mean (AM) of 1.60 pg I-TEq/(kg(body weight) x d). Children living in an urban industrialized area with food consumption including products from the family owned vegetable gardens or the surrounding area and/or products from domestic animals showed no statistically significant different concentrations in the food duplicates or in the dietary intake of PCDD/F, calculated as I-TEq, than children living in a rural area with similar food consumption behavior or than children consuming exclusively food from the supermarket.

Comparison of different digestive tract models for estimating bioaccessibility of polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/F) from red slag 'Kieselrot'.

'Kieselrot' (red slag), a highly PCDD/F-contaminated leaching residue from a copper production process, has been used as surface layer for more than 1,000 sports fields, playgrounds and pavements in Germany and neighbouring countries. Children can ingest this material directly by hand-to-mouth activities or soil-pica behaviour. Furthermore secondary contamination of farm land or kitchen gardens by drift of red slag dust may lead to an enrichment of PCDD/F within the food-chain. PCDD/F can be mobilized from contaminated materials by digestive juices and thus become bioaccessible for intestinal absorption. Two different digestive tract models were used to estimate the bioaccessibility of PCDD/F from red slag and to study the influence of food material on the mobilization of the contaminants. The bioaccessibility of PCDD/F from red slag depends on the charge of red slag material used, the bile content of the intestinal juice and on the presence of lipophilic foodstuffs. A low bioaccessibility of less than 5% was found when using a digestive tract model with a low bile content and in absence of food material. The bioaccessibility was estimated to be more than 60% when using a model with a higher bile content and in the presence of whole milk powder. A low bioaccessibility of PCDD/F from red slag in general--as assumed until now and mentioned in legal provision--was not confirmed by our study. Considering observations for the different homologue groups it is obvious that bioaccessibility is the first of several important steps to estimate human health risks arising from contaminated materials. In case red slag contaminated with PCDD/F their absorption rate in the digestive tract and/or metabolism might be at least just like important.

Dietary intake of lead, cadmium, copper and zinc by children from the German North Sea island Amrum.

The dietary intake of metals was studied in seven male and seven female children at the age of 1.5 to 5.3 years living in a remote area of Germany, the North Sea island Amrum. The dietary intake of lead and cadmium was measured by a seven-day-duplicate study using atomic absorption spectrometry. The dietary intake of copper and zinc were calculated from food diaries. The median lead and cadmium intakes were 2.1 micrograms/(kgbw x week) [range: 0.63-5.1 micrograms/(kgbw x week)] and 2.7 micrograms/(kgbw x week) [range: 1.7-4.4 micrograms/(kgbw x week)]. The median daily intake of copper and zinc were 1.1 mg/d (range: 0.54-2.5 mg/d) and 5.7 mg/d (range: 2.7-14 mg/d). Compared to the provisional tolerable weekly intake (PTWI) of 25 micrograms/(kgbw x week) proposed by the WHO the dietary intake of lead was low. The median amounted to 8.5% and the maximum to 20% of the PTWI. The cadmium intake was comparatively high. The median amounted to 39% and the maximum to 63% of the PTWI [7 micrograms/(kgbw x week)]. The median intake of copper was in the range of the values recommended by the German Society of Nutrition (0.7-1.0 mg/d and 1.0-1.5 mg/d for children at the age of 1-< 4 years and 4-< 7 years). Twenty-three percent of the calculated intakes were below these values. The median intake of zinc however did not reach the recommended dietary intake of 7 and 10 mg/d for children at the age of 1-< 4 years and 4-< 7 years.

Decrease of PCDD/F levels in human blood--trend analysis for the German population, 1991-1996.

More than 500 whole blood samples of normal subjects from Germany collected in 1991-1996 have been analyzed for polychlorinated dibenzo-p-dioxins (PCDD) and dibenzofurans (PCDF) by capillary gas chromatography/high-resolution mass spectrometry. Over the examined time period a continuous decrease of the PCDD/F concentrations in human blood was observed. The mean levels found were about 42.7 pg I-TEq/g (lipid basis) in 1991 and 20.7 pg I-TEq/g (liquid basis) in 1996 [median: 40.8 and 19.2]. A reduction to about half was found for most congeners. Each 1-year subset of the entire collective shows a positive correlation of the PCDD/F blood levels with age for most of the congeners, the sum values, and the calculated toxicity equivalents. For statistical evaluation a multiplicative model was used: Concentration in blood = A x ageB. The correlation is mostly pronounced for lower chlorinated PCDD and for 2,3,4,7,8-PentaCDF.

Myeloperoxidase-catalyzed formation of PCDD/F from chlorophenols.

Chlorophenols (CP) are transformed in vitro to polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/F) by a biochemical-catalyzed oxidation. This is shown for 2,4,5-tri-, 2,3,4,6-tetra-and pentachlorophenol with myeloperoxidase recovered from human leucocytes in the presence of hydrogen peroxide. The yield, the reaction, and the PCDD/F-pattern found depend on the CP. The formation rates are in the micromol-per-mol range for all substrates. The experiments confirm the suspicion that a biochemical formation of PCDD/F from precursors such as CPs can take place in the human body and that this metabolic pathway may lead to a higher inner exposure with PCDD/F than is now assumed.

Decrease of PCDD/F levels in human blood from Germany over the past ten years (1989-1998).

744 whole blood samples of normal subjects from Germany collected in 1989-1998 have been analyzed for polychlorinated dibenzo-p-dioxins (PCDD) and dibenzofurans (PCDF) by capillary gas chromatography/high resolution mass spectrometry. Over the examined time period a continuous decrease of the PCDD/F concentrations in human blood was observed. The mean levels found were 43.7 pg I-TEq/g (lipid basis) in 1989 and 20.7 pg I-TEq/g (lipid basis) in 1996/98 [median: 42.2 and 19.4]. The reduction to about the half was found for most congeners. Each one-year subset of the collective and the entire collective shows a positive correlation of the PCDD/F blood levels with age for most of the congeners, the sum values and the calculated toxicity equivalents. For statistical evaluation a multiplicative model was used: Concentration = A x Age(B). The correlation is mostly pronounced for lower chlorinated PCDD and for 2,3,4,7,8-PentaCDF. The PCDD/F concentrations in human blood in relation to the year of examination and the age of the subjects can be described by a linear model: I-TEq [pg/g (lipid basis)] = 6176 - 3.097 x Year + 0.6482 x Age or by a multiplicative model: I-TEq [pg/g(lipid basis)] = 10(89.08-0.04415 x Year + 0.008468 x Age).

Estimation of dioxin and furan elimination rates with a pharmacokinetic model.

Quantitative description of the pharmacokinetics of dioxins and furans in humans can be of great help for the assessment of health risks posed by these compounds. To that the elimination rates of sixteen 2,3,7,8-chlorinated dibenzodioxins and dibenzofurans are estimated from both a longitudinal and a cross-sectional data set using the model of Van der Molen et al. [Van der Molen G.W., Kooijman S.A.L.M., and Slob W. A generic toxicokinetic model for persistent lipophilic compounds in humans: an application to TCDD. Fundam Appl Toxicol 1996: 31: 83-94]. In this model the elimination rate is given by the (constant) specific elimination rate multiplied with the ratio between the lipid weight of the liver and total body lipid weight. Body composition, body weight and intake are assumed to depend on age. The elimination rate is, therefore, not constant. For 49-year-old males, the elimination rate estimates range between 0.03 per year for 1,2,3,6,7,8-hexaCDF to 1.0 per year for octaCDF. The elimination rates of the most toxic congeners, 2,3,7,8-tetraCDD, 1,2,3,7,8-pentaCDD, and 2,3,4,7,8-pentaCDF, were estimated at 0.09, 0.06, and 0.07, respectively, based on the cross-sectional data, and 0.11, 0.09, and 0.09 based on the longitudinal data. The elimination rates of dioxins decrease with age between 0.0011 per year for 1,2,3,6,7,8-hexaCDD and 0.0035 per year for 1,2,3,4,6,7,8-heptaCDD. For furans the average decrease is 0.0033 per year. The elimination rates were estimated both from a longitudinal and a cross-sectional data set, and agreed quite well with each other, after taking account of historical changes in average intake levels.

Peroxidase-catalyzed in vitro formation of polychlorinated dibenzo-p-dioxins and dibenzofurans from chlorophenols.

Chlorophenols (CP) are transformed in vitro to polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/F) by a peroxidase-catalyzed oxidation. This is shown for 2,4,5-tri-, 2,3,4,6-tetra- and pentachlorophenol with plant horseradish peroxidase and with myeloperoxidase recovered from human leukocytes, each in the presence of hydrogen peroxide. The yield, the reaction and the PCDD/F-pattern found are dependent on the CP. The amounts of PCDD/F formed within 4 or 24 h are in the micromol/mol-range for all substrates and both peroxidases. The experiments suggest that biochemical formation of PCDD/F from precursors such as CPs can take place in the human body and that this metabolic pathway may lead to a higher inner exposure to PCDD/F than up to now assumed based on intake data for PCDD/F.

[Statistically evaluated 95% prediction ranges as alternative to reference ranges exemplified by polychlorinated dibenzo-p-dioxins/dibenzofurans and lead]. / Aus anlassbezogenen Untersuchungen statistisch berechnete 95%-Prognosebänder als Alternative zu Referenzbereichen am Beispiel von polychlorierten Dibenzo-p-dioxinen/Dibenzofuranen und Blei.

Using the 95% prediction limits of an age-related multiplicative regression model describing the datasets of blood examinations carried out on subjects suspected of having been exposed to lead and to polychlorinated dibenzo-p-dioxins/dibenzofurans (PCDD/F), it was shown that the relevant curves can be used as an alternative to reference ranges describing the actual background exposure to these pollutants. The upper limit of the actual German background exposure can be estimated by the following equations: PCDD/F as International Toxicity Equivalents in the age range of 10-70 years [pg/g lipid basis] = 1.64.age0.871 and lead in the age range of 15-80 years [microgram/l] = 18.15.age0.3638.

Human fecal PCDD/F-excretion exceeds the dietary intake.

A mass balance of human dietary PCDD/F-intake and fecal PCDD/F-excretion was carried out. The participants of the study were seven male and seven female adults between the ages of 24 to 64 years, living in North Rhine-Westphalia, Germany. The PCDD/F-intake was measured using the duplicate method. Sampling time of each food duplicate covered three days. The fecal PCDD/F-excretion was measured by collecting the feces which corresponded to the food duplicates. The mean daily dietary PCDD/F-intake was 49 pg I-TEq/d (range: 23-96 pg I-TEq/d) and therewith lower than that estimated in the past. The mean daily fecal PCDD/F-excretion was 98 pg I-TEq/d (40-200 pg I-TEq/d). This is twice the amount of the PCDD/F-intake. The fecal excretion of OCDD was especially higher than the dietary intake (mean: 7 fold, range: 1.2-21 fold). The differences between PCDD/F-intake and PCDD/F-excretion may be caused by a reduction of the body burden as a consequence of decreasing PCDD/F-intake. Other explanations were additional sources of exposure to PCDD/F or de novo formation of PCDD/F in the human body.

[PCDD/F-content in house dust]. / PCDD/F-Gehalte im Hausstaub.

The levels of polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/F) were determined in house dust samples collected from 22 residential houses located in different areas of Germany. Nine houses were located in an urban and industrial area, one house in a rural and 10 houses in a contaminated residential area near to a former metal reclamation plant. Two house dust samples were collected from two old farm houses, in which large amounts of pentachlorophenol (PCP) containing wood preservatives had been used several years ago. All dust samples were collected from the dust bags of vacuum cleaners and passed through a sieve (mesh: 2.0 mm). Particles < 2.0 mm were used for analysis. The average level of PCDD/F in "normal" house dust was 101 ng I-TEq/kg (range: 7.83-332 ng I-TEq/kg). The predominant congeners and chlorohomologues were OctaCDD followed by HeptaCDD, HeptaCDF and OctaCDF. The average level of PCDD/F in house dust samples collected from a contaminated residential area was 265 ng I-TEq/kg (range: 29.9-1050 ng I-TEq/kg). When compared with "normal" residential houses significantly increased levels of lower chlorinated PCDD/F were noted in the house dust samples from this area. The house dust samples collected from a PCP-treated old farm house were found to contain 1.39 and 11.8 micrograms I-TEq/kg. The chlorohomologues patterns were typical for PCP contaminated with PCDD/F. The present study shows that the levels of PCDD/F in house dust may be used as indicators of indoor contamination by PCDD/F and as reference values for further investigations.

Levels of PCDD/PCDF in blood fat as indices of the PCDD/PCDF body burden in humans.

The levels of PCDD/F in blood fat are similar to those in body fat and in milk fat of lactating women. Therefore, the levels of PCDD/F in blood fat can be used as an index of the individual PCDD/F body burden in humans. In order to evaluate the PCDD/F background exposure levels of the German population, blood samples collected from 95 subjects (age 12-82 years) living in a rural area of North-West Germany were analysed for PCDD/F. The median 2,3,7,8-TCDD toxicity equivalents (TE) were 40.8 pg I-TE/g blood fat and the 95th percentile was 82.1 pg I-TE/g blood fat. The TE levels in blood fat show a marked increase with age, which reflects the pronounced accumulation of PCDD/F in the human body throughout the entire lifetime. Considering single congeners, significant differences in the age-related increase were noted. Using age-specific reference values derived from this study the levels of PCDD/F in blood fat of individuals environmentally exposed to PCDD/F under different circumstances were evaluated.

[Blood PCDD/F levels in blood of residents of a former cable incineration facility]. / PCDD/F-Gehalte im Blut von Anwohnern einer früheren Kabelabbrennanlage.

Increased levels of polychlorinated dibenzo-p-dioxins (PCDD) and dibenzofuranes (PCDF) were found in soil and roof dust of a residential area located near a metal reclamation plant in Northern Germany. In order to assess the degree of exposure of persons residing near to this plant, venous blood samples were collected from 14 subjects and analysed for PCDD/F and fat content. Furthermore, blood samples collected from the members of a farmer's family living nearby were analysed for PCDD/F. Previous studies had shown significantly increased PCDD/F levels in chicken eggs produced on this farm. Regarding the group of residents, the PCCD/F levels in blood fat were not increased when compared to background levels. However, some members of the farmer's family had increased PCDD/F levels in blood fat. The findings of these studies suggest that long-term consumption of contaminated animal products, especially chicken eggs, may result in increased PCDD/F levels in the body, whereas increased levels of PCDD/F in dust and soil do not noticeably affect the PCDD/F levels in human blood fat.

[Dioxin level of small volume gardeners in Duisburg]. / Untersuchungen zur Dioxinbelastung von Kleingärtnern aus Duisburg.

The PCDD/F levels were determined in the venous blood of 21 allotment gardeners in Duisburg (Germany). Soil analyses had shown elevated levels of PCDD/F in garden soil (range 16.4-77.6 ng I-TE/kg). Vegetable plants also had elevated levels of PCDD/F, mainly due to airborne contamination. The highest levels were found in kale (2.6-65.6 ng I-TE/kg d.w.) and endive (1.7-28.5 ng I-TE/kg d. w.). The study population consisted of 5 females and 16 males (mean age 57 years; range 43-67 years), who had been cultivating their allotment gardens for an average of 20 years (range 7-36 years). About 50% of their total vegetable consumption and 30% of their fruit consumption were from their own gardens. The mean 2.3.7.8-TCDD toxicity equivalents (TE) of PCDD/F in blood fat were 44.3 pg I-TE/g fat (range 29.2-81.1 pg I-TE/g fat). Compared to reference data these values are within the range of background PCDD/F-levels in the German population. The concentrations in individual gardeners as well as the congener pattern were not different from those of normal subjects. The present study shows that increased levels of PCDD/F in garden soil and garden products do not have a significant effect on the PCDD/F burden in gardeners, even if they consume homegrown vegetables and fruits from their own allotment gardens for many years in succession.

[Digoxin content in blood lipids of children, athletes, sports ground attendants and residents after content with dioxin-containing surface slag (Kieselrot)]. / Dioxingehalte im Blutfett von Kindern, Sportlern, Platzwarten und Anwohnern nach Kontakt mit dioxinhaltigen Tennenflächen (Kieselrot).

In 1991 it was discovered, that a large number of sporting grounds and playgrounds in Germany were covered with a waste slag material from a former copper smelter located at Marsberg, Germany. This material was found to contain high levels of PCDD/F ranging up to 100,000 TE/kg. The objective of the present study was to assess whether subjects sporting on such grounds had elevated levels of PCDD/F in blood. PCDD/F in blood fat was used as an indicator of the PCDD/F body burden. Additionally, six children and seven residents of a contaminated sporting and playground were examined. Generally, the levels of PCDD/F in blood fat were in the range of background levels in all subjects. Taking into account the effect of age, slightly elevated blood levels of PCDD/F were detected in children. The results show that the bioavailability of PCDD/F in the slag material is very low. However, from the preventive point of view children who might ingest slag material by hand-to-mouth-activities, should not play on such contaminated playgrounds.