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.
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
0.1
0.2
0.3
0.4
BMD
BMDL
Multistage
Frac
tion Affec
ted
0
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
1
-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)
0
NA
Beta(2)
0
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
2
0.3953
Reduced model
-73.2401
44.0231
3
<.0001
AIC:
108.314
Goodness of Fit
Dose
Est._Prob.
Expected
Observed
Size
Chi^2 Res.
-----------------------------------------------------------------------
i: 1
0.0000
0.0077
0.455
1
59
1.208
i: 2
30.0000
0.0101
0.604
0
60
-1.010
i: 3
75.0000
0.0439
2.545
2
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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