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IARC Working Group on the Evaluation of Carcinogenic Risks to Humans. Chemical Agents and Related Occupations. Lyon (FR): International Agency for Research on Cancer; 2012. (IARC Monographs on the Evaluation of Carcinogenic Risks to Humans, No. 100F.)
Dyes metabolized to benzidine (benzidine-based dyes) were considered by a previous IARC Working Group in 2008 (IARC, 2010). Three azo dyes metabolized to benzidine, Direct Black 38, Direct Blue 6, and Direct Brown 95 were considered by IARC Working Groups in 1982, 1987, and 2008 (IARC, 1982, 1987, 2010). Since that time new data have become available, which have been incorporated in this Monograph, and taken into consideration in the present evaluation.
1. Exposure Data
1.1. Identification of the agents
1.1.1. Direct Black 38
- Chem. Abstr. Serv. Reg. No.: 1937-37-7
- Chem. Abstr. Serv. Name: 4-amino-3-[2-[4′-[2-(2,4-diaminophenyl)diazenyl][1,1′-biphenyl]-4-yl]diazenyl]-5-hydroxy-6-(2-phenyldiazenyl)-2,7-naphthalenedisulfonic acid, sodium salt (1:2)
- Synonyms: C.I. 30235; C.I. Direct Black 38, disodium salt
- C34H25N9Na2O7S2
- Relative molecular mass: 781.72
- Description: Black powder
- Solubility: Soluble in water; moderately soluble in ethanol and ethylene glycol mono-ethyl ether; insoluble in other organic solvents (IARC, 2010)
1.1.2. Direct Blue 6
- Chem. Abstr. Serv. Reg. No.: 2602-46-2
- Chem. Abstr. Serv. Name: 3,3′-[[1,1′-biphenyl]-4,4′-diylbis(2,1-diazenediyl)]bis[5-amino-4-hydroxy-2,7-naphthalenedisulfonic acid], sodium salt (1:4)
- Synonyms: C.I. 22610; C.I. Direct Blue 6; C.I. Direct Blue 6, tetra-sodium salt
- C32H20N6Na4O14S4
- Relative molecular mass: 932.74
- Description: Blue powder
- Solubility: Soluble in water; moderately soluble in ethanol and ethylene glycol mono-ethyl ether; insoluble in other organic solvents (IARC, 2010)
1.1.3. Direct Brown 95
- Chem. Abstr. Serv. Reg. No.: 16071-86-6
- Chem. Abstr. Serv. Name: [2-hydroxy-5-[2-[4′-[2-[2-(hydroxy-κO)-6-hydroxy-3-[2-[2-(hydroxy-κO)-5-sulfophenyl]diazenyl-κN1]phenyl]diazenyl][1,1′-biphenyl]-4-yl]diazenyl]benzoato(4-)]-cuprate(2-), sodium (1:2)
- Synonyms: C.I. 30145; C.I. Direct Brown 95
- C31H18CuN6Na2O9S
- Relative molecular mass: 760.10
- Description: Reddish-brown powder
- Solubility: Soluble in water; moderately soluble in ethanol; insoluble in acetone (IARC, 2010)
1.2. Uses
In general, benzidine-based dyes were used primarily to colour textiles, leather, and paper products and also in the petroleum, rubber, plastics, wood, soap, fur, and hair-dye industries. More than 300 benzidine-based dyes are listed in the Colour Index, including 18 that were commercially available in the United States of America (USA). Access to these dyes for home use is no longer permitted in the USA, but some – in particular direct browns, greens, and blacks – were available as consumer products in the 1970s (IARC, 2010). Direct Black 38, Direct Blue 6, and Direct Brown 95 were used on textiles (such as cotton, silk, wool, nylon, and acetate) and on leather. In addition, Direct Black 38 and Direct Blue 6 were used in aqueous printing inks, in hair dyes and as biological stains; Direct Black 38 and Direct Brown 95 were used in plastics; Direct Blue 6 and Direct Brown 95 were used in paper; and, Direct Black 38 was used in wood stains and wood flour (Society of Dyers and Colourists, 1971; NCI, 1978).
By the mid-1970s, most manufacturers in the USA started phasing out the use of benzidine-based dyes and replacing them with other types of dyes (NIOSH, 1980). In 1994, the German Government prohibited the use of certain azo dyes in consumer goods that come in direct prolonged contact with human skin (e.g. clothing, bedding, footwear, gloves, etc.). The dyes affected are those that, after reduction of one or more azo groups, may release one or more of 20 specific aromatic amines (including benzidine) in detectable concentrations (i.e. > 30 ppm). In 2002, the European Union published a Directive (76/769/EEC) that expanded the coverage to compounds that come in contact with the oral cavity, and added two amines to the list (Ahlström et al., 2005; ETAD, 2008).
1.3. Human exposure
1.3.1 Occupational exposure
Occupational exposure to benzidine-based dyes can occur during the production and use of these substances. The primary routes of potential exposure to benzidine-based dyes are inhalation and accidental ingestion; dermal absorption can also occur. The potential for exposure has declined since the late 1970s, as benzidine-based dyes were removed from both industrial and consumer markets and replaced with other types of dye. Since 1980, use of mixtures containing benzidine at concentrations of 0.1% or more is permitted only in closed systems; all workers must observe special precautions to reduce exposure, and strict procedures must be followed to transport such materials (IARC, 1982).
Exposure studies in workers involved in manufacture and use of benzidine-based dyes generally were designed to measure benzidine rather than the benzidine-based dyes. Studies that reported airborne and urinary concentrations and results of dermal wipes of benzidine in the benzidine-based dye industry have been reviewed (IARC, 2010).
Estimates of numbers of workers potentially exposed to benzidine-based dyes have been published by CAREX (CARcinogen EXposure) in Europe. CAREX is an international information system that provides selected exposure data and documented estimates of the number of exposed workers by country, carcinogen, and industry (Kauppinen et al., 2000). Based on data on occupational exposure to known and suspected carcinogens collected from 1990 to 1993, it is estimated that 13920 workers were exposed to benzidine-based dyes in the European Union (CAREX, 1999; Table 1.1).
From the US National Occupational Hazard Survey (1972–74) it was estimated that 79200 workers in 63 occupations (primarily the dye manufacturing, textile dyeing, printing, paper, and leather industries) were potentially exposed to benzidine-based dyes (NIOSH, 1980). A decade later, estimates from another US National Occupational Exposure Survey (1981–83) indicated that about 33900 workers were potentially exposed to one or more of 13 benzidine-based dyes. Although no current estimate of occupational exposure to this type of dye is available, the number of potentially exposed workers is expected to be much lower than in the past (NTP, 2005).
1.3.2 Non-occupational exposure
Benzidine-based dyes can contain various amounts of benzidine as a contaminant. The general population can be exposed to benzidine-based dyes when in contact with consumer goods containing such dyes, e.g. leather products (Ahlström et al., 2005), clothes and toys (Garrigós et al., 2002). Some food colourants such as tartrazine and sunset yellow FCF have been reported to contain trace amounts of benzidine (< 5 to 270 ng/g) (Lancaster & Lawrence, 1999).
Benzidine and benzidine-based dyes have been detected in waste effluents from plants manufacturing or using these dyes (IARC, 2010).
2. Cancer in Humans
Benzidine-based dyes (i.e. dyes metabolized to benzidine) were most recently reviewed in IARC Monograph Volume 99 (IARC, 2010).
2.1. Cohort Studies
Three azo dyes metabolized to benzidine, Direct Black 38, Direct Blue 6 and Direct Brown 95, were evaluated in previous IARC Monographs (IARC, 1982, 1987, 2010). The most recent evaluation (IARC, 2010) stated that there was inadequate evidence in humans for the carcinogenicity of dyes metabolized to benzidine. Stern et al. (1987) studied 9365 production workers (7085 men, 2280 women) employed at two leather tanneries where detectable quantities of benzidine were identified in bulk dyes (probably derived from the dyes). Excesses of cancer of the urinary bladder were not observed. The same author (Stern, 2003) conducted a follow-up study with the same result (see Table 2.1, available online at http://monographs.iarc.fr/ENG/Monographs/vol100F/100F-03-Table2.1.pdf). Costantini et al. (1989) carried out a cohort-mortality study of 2926 male workers employed in tanneries between 1950 and 1981 in Italy. Known exposures in the plants included dyes metabolized to benzidine, dyes metabolized to 3,3′-dimethylbenzidine and dyes metabolized to 3,3′-dimethoxybenzidine. No significant excesses of cancer of the urinary bladder were found (5 deaths, SMR 1.5, 95%CI: 0.5–3.5). You et al. (1990) observed only one case of cancer of the urinary bladder in 1210 workers (1060 men, 150 women) from 17 knitting factories, 10 stocking factories, nine silk printing and dyeing factories and seven printing and dyeing factories in China. Fifteen types of benzidine-derived dye had been used in these 43 factories, Direct Black 38 being the most common. Montanaro et al. (1997) reported on mortality in a cohort of 1224 workers employed at a chrome tannery in Italy between 1955 and 1988 who were exposed to azo dyes metabolized to benzidine and other chemicals in the tanning process. An excess risk for cancer of the urinary bladder was observed (10 deaths, SMR 2.4, 95%CI: 1.2–4.5).
2.2. Case–control studies
Yoshida et al. (1971) reported an excess risk for cancer of the urinary bladder (OR, 6.8, P = 0.002) in male workers in the silk-dyeing industry in Japan, in a case–control study of 200 bladder-cancer cases and 148 controls. At least seven of the 17 patients with bladder cancer worked as kimono painters, reportedly using benzidine-based dyes. Myslak et al. (1991) found an excess risk for cancer of the urinary bladder among painters in Germany (OR, 2.9, 95%CI: 1.3–6.6). Benzidine-based dyes were manufactured in that country before 1950 and painters were reported to prepare the paints themselves. These studies do not provide data specifically on dyes metabolized to benzidine.
2.3. Synthesis
There is a lack of clear and consistent evidence from epidemiological studies that dyes metabolized to benzidine cause cancer in humans.
3. Cancer in Experimental Animals
Studies on the carcinogenicity of dyes metabolized to benzidine in mice and rats exposed by the oral route or through bladder implantation have been reviewed (IARC, 1987, 2010). There have been no additional carcinogenicity studies in animals reported since those reviews. Results of adequately conducted carcinogenicity studies are summarized in Table 3.1.
Three dyes that would be metabolized to benzidine, Direct Black 38, Direct Blue 6 and Direct Brown 95, were tested for carcinogenicity by oral administration (feed or drinking-water) or bladder implantation. Direct Black 38 was adequately tested in one drinking-water study in mice and in one feeding study in mice and rats. Following its oral administration to mice in the drinking-water for 60 weeks, Direct Black 38 significantly increased the incidence of hepatocellular carcinomas and mammary gland cancers (Asada et al., 1981). Oral administration of Direct Black 38 to male and female rats in the diet for only 13 weeks caused a significant increase of hepatocellular carcinomas in males and of liver neoplastic nodules in both sexes (NTP, 1978; Robens et al., 1980). Direct Blue 6 was adequately tested in one feeding study in mice and rats and one bladder-implantation study in mice. Oral administration of Direct Blue 6 to male and female rats in the diet for only 13 weeks caused a significant increase in hepatocellular carcinomas in females and of hepatocellular carcinomas and liver neoplastic nodules combined in both sexes (NTP, 1978; Robens et al., 1980). The bladder-implantation study in mice showed a slight increase in transitional cell carcinoma of the urinary bladder (Niitsu, 1973). Direct Brown 95 was adequately tested in a feeding study in mice and rats. Oral administration of Direct Brown 95 to male and female rats in the diet for only 13 weeks caused a significant increase in hepatocellular carcinomas and liver neoplastic nodules combined in females (NTP, 1978; Robens et al., 1980).
4. Other Relevant Data
A general Section on “Aromatic amines: metabolism, genotoxicity, and cancer susceptibility” appears as Section 4.1 in the Monograph on 4-aminobiphenyl in this volume.
For details on benzidine and benzidine-based dyes, see Section 4 of the Monograph on Benzidine in this volume.
5. Evaluation
There is inadequate evidence in humans for the carcinogenicity of dyes metabolized to benzidine.
There is sufficient evidence in experimental animals for the carcinogenicity of Direct Black 38, Direct Blue 6, and Direct Brown 95.
There is sufficient evidence in experimental animals for the carcinogenicity of dyes metabolized to benzidine.
There is strong mechanistic evidence indicating that benzidine-based dyes are converted by azoreduction to benzidine in humans and in experimental animals and, consequently, produce DNA adducts and genotoxic effects similar to those of benzidine.
Dyes metabolized to benzidine are carcinogenic to humans (Group 1).
In making the overall evaluation, the Working Group considered the following:
- there is sufficient evidence in humans and in experimental animals for the carcinogenicity of benzidine.
- the metabolism of benzidine-based dyes results in the release of free benzidine and the induction of chromosomal aberrations in humans, and in all experimental animal species studied.
References
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- DYES METABOLIZED TO BENZIDINE - Chemical Agents and Related OccupationsDYES METABOLIZED TO BENZIDINE - Chemical Agents and Related Occupations
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