Toxicological Review of Barium and Compounds



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a threefold UF.  At the same time, this reviewer stated that a data base UF of 1 should be 

considered because of the low concentrations of barium in finished drinking water and because 

the chemical has a relatively short biological half-life.  A third reviewer noted that there are 

significant deficiencies in the barium data base regarding the long-term effect of barium on the 

bone.  The reviewer felt this was a significant concern since approximately 90% of the total body 

burden of barium is in the bone.  Moreover, this reviewer stated that the potential for barium to 

adversely affect bone tissue in postmenopausal women might represent a susceptible 

subpopulation.  A fourth reviewer stated that, because of limitations in the data base, this UF 

should not be lowered.  The fifth reviewer stated that the choice of UFs was consistent with 

standard practice and that the data did not support the choice of different values for the UFs. 



Response: Uncertainty factors were selected in consideration of the available data and EPA 

standard practices.  A 10-fold UF was used to account for uncertainty in extrapolating from 

laboratory animals to humans (i.e., interspecies variability).  Insufficient information is available 

regarding the toxicity of chronic barium exposure in humans to quantify a dose-response 

relationship.  A 10-fold UF was used to account for variation in susceptibility among members 

of the human population (i.e., interindividual variability).  The available data from experimental 

animals suggest that gastrointestinal absorption may be higher in children than in adults (Taylor 

et al., 1962; Cuddihy and Griffith, 1972).  A threefold UF was used to account for uncertainty 

associated with deficiencies in the data base.  Neither a two-generation reproductive study nor an 

adequate investigation of developmental effects has been conducted.  Moreover, there are no 

available data on the potential effect of barium deposition in bone tissue. 

Scientific Comments from the Public 

Comment: One reviewer stated that the document incorrectly indicated that Dallas and Williams 

(2001) recommended using increased kidney weight as a critical effect.  



Response: Reference to Dallas and Williams (2001) in the discussion of previous assessments 

that considered increased kidney weight as an adverse effect was an error that has been 

corrected. 

Comment: One reviewer commented that no rationale is provided for why renal lesions in mice 

were selected as the critical effect rather than renal effects in rats as recommended by Dallas and 

Williams (2001) in their peer-reviewed approach. 

A-14



Response: Nephropathy in male mice has been chosen as the critical effect because it provided 

the best evidence of a dose-response relationship.  Chemical-related nephropathy was not 

detected in the chronic rat study because of the prevalence of spontaneous degenerative 

nephropathy in both the control and treatment groups.  Additional text has been added to Section 

5.1 to augment the description of the choice of nephropathy in mice as the critical effect. 

Comment: One reviewer indicated consideration should be given to whether the BMD modeling 

was appropriate and correctly applied in the derivation of the RfD.  BMD analysis is not 

appropriate for establishing the point of departure because there is only a single dose showing a 

significant difference from controls. 



Response: Concerns about whether it was appropriate to use BMD modeling, or if the modeling 

was applied correctly, are based on the assumption that a trend must be statistical significant in 

order to be modeled.  As noted above, the draft Benchmark Dose Technical Support Document 

(p. 17, U.S. EPA, 2000c) discusses the minimum data set for calculating a BMD and states 

“there must be at least a statistically or biologically significant [underline added for emphasis] 

dose-related trend in the selected endpoint.”  In mice with chronic exposure to barium in 

drinking water, the trend of increasing incidences of nephropathy was not found to be 

statistically significant.  This trend was determined to be biologically significant because of the 

increased severity and irreversibility of the lesions (see Section 5.1.2 of the Toxicological 

Review). 

REFERENCES FOR APPENDIX A-2 

Brenniman, GR; Levy, PS. (1984) Epidemiological study of barium in Illinois drinking water supplies. In: Advances 

in modern toxicology. Calabrese, EJ, ed. Princeton, NJ: Princeton Scientific Publications, pp. 231-240. 

Brenniman, GR; Kojola, WH; Levy, PS; et al. (1981) High barium levels in public drinking water and its association 

with elevated blood pressure. Arch Environ Health 36(1):28-32. 

Cuddihy, RG; Griffith, WC. (1972) A biological model describing tissue distribution and whole-body retention of 

barium and lanthanum in beagle dogs after inhalation and gavage.  Health Phys 23:621-333. 

Dallas, CE; Williams, PL. (2001) Barium: rationale for a new oral reference dose. J. Toxicol Environ Health Part B 

4:395-429. 

Dietz, DD; Elwell, MR; Davis Jr, WE;  et al. (1992) Subchronic toxicity of barium chloride dihydrate administered 

to rats and mice in the drinking water.  Fundam Appl Toxicol 19:527-537. 

A-15



National Toxicology Program (NTP), Public Health Service, U.S. Department of Health and Human Services. (1994) 

NTP technical report on the toxicology and carcinogenesis studies of barium chloride dihydrate (CAS no. 10326-27-

9) in F344/N rats and B6C3F1 mice (drinking water studies). NTP TR 432. Research Triangle Park, NC. NIH pub. 

no. 94-3163. NTIS pub PB94-214178. 

Taylor, DM; Bligh, PH; Duggan, MH. (1962) The absorption of calcium, strontium, barium and radium from the 

gastrointestinal tract of the rat.  Biochem J 83:25-29. 

U.S. EPA.(2000c) Benchmark Dose Technical Guidance Document [external review draft]. EPA/630/R-00/001. 

Available from: 



.

U.S. EPA. (2002) A review of the reference dose and reference concentration processes. Risk Assessment Forum, 

Washington, DC;  EPA/630/P-02/0002F. Available from: 

Wones, RG; Stadler, BL; Frohman, LA. (1990) Lack of effect of drinking water barium on cardiovascular risk 

factor. Environ Health Perspect 85:355-359. 

A-16



APPENDIX B - BENCHMARK DOSE (BMD) ANALYSIS 

The incidence of nephropathy in mice chronically exposed to barium in drinking water 

was modeled using EPA’s Benchmark Dose Modeling Software Version 1.3.2 (U.S. EPA, 

BMDS).  All of the available models for dichotomous endpoints were fit to the incidence data 

shown in Table 5–2. 

The best fitting model was selected by evaluating the goodness-of-fit for each model fit. 

For each model, the software performed residual and overall chi-squared goodness-of-fit tests 

and determined the Akaike Information Criterion (AIC).  The chi-squared p-value is a measure 

of the closeness between the observed data and the predicted data (predicted using the model fit). 

Models with chi-square p-values 

$

0.1 were considered adequate fits.  The AIC is a measure of 



the model fit, adjusted for the number of parameters used.  The model with the lowest AIC value 

among those with adequate chi-squared p-values is considered to be the best fitting model (U.S. 

EPA, 2000c).  Based on these criteria, a third degree multistage model was selected for the male 

data and a fifth degree model was selected for the female data (Table 5–3). 

Table 5–3 shows a comparison of BMDs for 5% and 10% extra risk and the 95% lower 

confidence limits on these estimates (BMDLs).  A benchmark response of 10% (BMR

10

) has 


historically been used as a point of comparison across studies containing quantal data, because 

this is near the limit of sensitivity found for most chronic animal studies (U.S. EPA, 2000c).  For 

this assessment, a BMR

05

 was selected because the critical effect was considered to be 



substantially adverse and because the data supported the use of a BMR lower than 10%.  The 

data support the selection of a BMR

05

 because a chemical-related response below 10% was 



observed in the intermediate dose group.  In addition, there was a statistically significant 

increasing trend in incidence of chemical-related nephropathy with increasing exposure level

supporting the biological significance demonstrated by the increased severity of the lesions over 

that seen in control animals. 

For the male data set, the best-fitting model predicts a BMD

05

 of 84 mg/kg-day with a 



lower 95% confidence limit (i.e., BMDL

05

) of 63 mg/kg-day.  For females, the best-fitting model 



predicts a BMD

05

 of 93 mg/kg-day and a BMDL



05 

of 58 mg/kg-day.  Both of these fits are quite 

similar, and when rounded to one significant figure both are consistent with a point of departure 

of 60 mg/kg-day.  Confidence in the model for the male data set is slightly greater because there 

is a smaller difference between the BMD and BMDL, therefore the male BMDL

05

 was used for 



B-1


deriving the RfD.  A graph of the data set and model fit used to derive the RfD is presented in 

Figure B–1 and the model output  in Figure B–2. 



Figure B–1.  Third degree multistage model for increased incidence of nephropathy in male 

mice. 

Multistage Model with 0.95 Confidence Level 

0.1 


0.2 

0.3 


0.4 

BMD


BMDL 

Multistage 

Frac

tion Affec



ted 

20 



40 

60 


80 

100 


120 

140 


160 

dose 


14:20 05/23 2005 

B-2 



Figure B–2.  Model output. 

====================================================================

Multistage Model. $Revision: 2.1 $ $Date: 2000/08/21 03:38:21 $

Input Data File: C:\BMDS\DATA\BAMALEMICE.(d)

Gnuplot Plotting File:  C:\BMDS\DATA\BAMALEMICE.plt

Tue Jan 18 16:24:21 2005

 ====================================================================

BMDS MODEL RUN

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

 The form of the probability function is:

P[response] = background + (1-background)*[1-EXP(

-beta1*dose^1-beta2*dose^2-beta3*dose^3)]

 The parameter betas are restricted to be positive

 Dependent variable = Incidence

 Independent variable = Dose

 Total number of observations = 4

 Total number of records with missing values = 0

 Total number of parameters in model = 4

 Total number of specified parameters = 0

 Degree of polynomial = 3

 Maximum number of iterations = 250

 Relative Function Convergence has been set to: 1e-008

 Parameter Convergence has been set to: 1e-008

 Default Initial Parameter Values

Background = 

0

 Beta(1) = 



0

 Beta(2) = 

0

 Beta(3) = 9.40534e-008



 Asymptotic Correlation Matrix of Parameter Estimates

 ( *** The model parameter(s)  -Beta(1) 

-Beta(2)

have been estimated at a boundary point, or have been

specified by the user,

 and do not appear in the correlation matrix )

 Background 

Beta(3)


Background 

-0.49



B-3 


Figure B–2.  Model output (continued)

 Beta(3) 

-0.49 

1

 Parameter Estimates



 Variable 

Estimate 

Std. Err.

Background 

0.00770741 

0.0775982

 Beta(1) 

NA



 Beta(2) 

NA



 Beta(3) 

8.802e-008 

4.26319e-008

NA - Indicates that this parameter has hit a bound

 implied by some inequality constraint and thus

 has no standard error.

 Analysis of Deviance Table

 Model 


Log(likelihood)  Deviance  Test DF 

P-value


 Full model 

-51.2286

 Fitted model 

-52.1568 

1.8564 



0.3953



 Reduced model 

-73.2401 

44.0231 



<.0001

 AIC: 

108.314


 Goodness  of  Fit

Dose 


Est._Prob. 

Expected 

Observed 

Size 


Chi^2 Res.

 -----------------------------------------------------------------------

i: 1

 0.0000 


0.0077 

0.455 


59 


1.208 

i: 2


 30.0000 

0.0101 


0.604 

60 



-1.010 

i: 3


 75.0000 

0.0439 


2.545 

58 



-0.224 

i: 4


 160.0000 

0.3081 


18.484 

19 


60 

0.040


 Chi-square = 

1.41 


DF = 2 

P-value = 0.4937

 Benchmark Dose Computation

Specified effect = 

0.05

Risk Type 



Extra risk

Confidence level = 

0.95


 BMD = 

83.5269


 BMDL = 

63.4689


REFERENCES FOR APPENDIX B 

U.S.EPA (Environmental Protection Agency). (BMDS) Software and help files can be downloaded from: 



.

U.S.EPA (Environmental Protection Agency). (2000c) Benchmark dose technical guidance document [external 

review draft].  EPA/630/R-00/001.  Available from: 

http://www.epa.gov/cgi-bin/claritgw?op-Display&document=clserv:ORD:0603;&rank=4&template=epa 



B-4

Document Outline

  • CONTENTS—TOXICOLOGICAL REVIEW OF BARIUM AND COMPOUNDS (CAS NO. 7440-39-3)
  • LIST OF TABLES
  • LIST OF FIGURES
  • FOREWORD
  • AUTHORS, CONTRIBUTORS, AND REVIEWERS
  • ACRONYM LIST
  • 1. INTRODUCTION
  • 2. CHEMICAL AND PHYSICAL INFORMATION
  • 3. TOXICOKINETICS
    • 3.1. ABSORPTION
      • 3.1.1. Gastrointestinal Absorption
      • 3.1.2. Respiratory Tract Absorption
      • 3.1.3. Dermal Absorption
    • 3.2. DISTRIBUTION
    • 3.3. ELIMINATION AND EXCRETION
  • 4. HAZARD IDENTIFICATION
    • 4.1. STUDIES IN HUMANS—EPIDEMIOLOGY, CASE REPORTS, AND CLINICAL CONTROLS
    • 4.2. PRECHRONIC/CHRONIC STUDIES AND CANCER BIOASSAYS IN ANIMALS—ORAL AND INHALATION
      • 4.2.1. Oral Studies
      • 4.2.2. Inhalation Exposure
    • 4.3. REPRODUCTIVE/DEVELOPMENTAL STUDIES—ORAL AND INHALATION
      • 4.3.1. Oral Exposure
      • 4.3.2. Inhalation Exposure
    • 4.4. OTHER STUDIES
      • 4.4.1. Acute Toxicity Data
      • 4.4.2. Intratracheal Administration
      • 4.4.3. Carcinogenicity Studies—Topical Administration
      • 4.4.4. Genotoxicity
    • 4.5. SYNTHESIS AND EVALUATION OF MAJOR NONCANCER EFFECTS AND MODE OF ACTION—ORAL AND INHALATION
      • 4.5.1. Oral Exposure
      • 4.5.2. Inhalation Exposure
    • 4.6. WEIGHT-OF-EVIDENCE EVALUATION AND CANCER CHARACTERIZATION
    • 4.7. SUSCEPTIBLE POPULATIONS
      • 4.7.1. Possible Childhood Susceptibility
      • 4.7.2. Possible Gender Differences
  • 5. DOSE-RESPONSE ASSESSMENTS
    • 5.1. ORAL REFERENCE DOSE (RfD)
      • 5.1.1. Choice of Principal Study and Critical Effect—With Rationale and Justification
      • 5.1.2. Methods of Analysis
      • 5.1.3. RfD Derivation, Including Application of Uncertainty Factors (UFs)
      • 5.1.4. Previous Oral Assessment
    • 5.2. INHALATION REFERENCE CONCENTRATION
    • 5.3. CANCER ASSESSMENT
  • 6. MAJOR CONCLUSIONS IN THE CHARACTERIZATION OF HAZARD AND DOSE-RESPONSE
    • 6.1. HAZARD IDENTIFICATION
    • 6.2. DOSE-RESPONSE ASSESSMENT
  • 7. REFERENCES
    • APPENDIX A-1. SUMMARY OF 1998 EXTERNAL PEER REVIEW COMMENTS AND DISPOSITION
      • REFERENCES FOR APPENDIX A-1
    • APPENDIX A-2. SUMMARY OF 2004 EXTERNAL PEER REVIEW AND PUBLIC COMMENTS AND DISPOSITION
      • REFERENCES FOR APPENDIX A-2
    • APPENDIX B - BENCHMARK DOSE (BMD) ANALYSIS
      • REFERENCES FOR APPENDIX B

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