Vesicants reproductive toxicity

Agent HD (Sulfur Mustard). RfDe = 7 x 10 mg kg d. A LOiAEL was identified in a two-generation reproductive toxicity study conducted in rats. A total uncertainty factor of 3000 was applied to account for protection of sensitive subpopulations (10), animal-to-human extrapolation (10), LOAEL-to-NOAEL extrapolation (3), and extrapolation from a subchronic to chronic exposure (10). A LOAEL-to-NOAEL UF of 3, instead of the default value of 10, was used because the critical effect (stomach lesions) was considered to be mild in severity and may have been enhanced by the vehicle used (sesame oil in which sulfur mustard is fully soluble) and the route of administration (gavage), which is more likely to result in localized irritant effects. The key study did identify a toxic effect that is consistent with the vesicant properties of sulfur mustard. In none of the other available studies was there any indication of a different effect occurring at a lower exposure level. 

The data base for sulfur mustard contains two developmental toxicity studies in different species, a reproductive bioassay and a standard subchronic toxicity study in one species. In addition, chronic inhalation studies have been conducted on sulfur mustard using rats, mice, guinea pigs and dogs. The principal study identifies a toxic effect that is consistent with the vesicant properties of sulfur mustard. There is no evidence that any other experimental species would be more sensitive to ingested sulfur mustard therefore, additional oral toxicity studies in other species are not considered critical. 

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