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EXECUTIVE SUMMARY
Universal exposure of the population of California
to low levels of trichloroacetic acid (TCA) results from its occurrence
as a contaminant of drinking water disinfected by chlorination.
Other minor occurrences and uses affect a much smaller number of
people, but may result in high exposures to those particular individuals.
Trichloroacetic acid is a major metabolite of trichloroethylene
and tetrachloroethylene (perchloroethylene). These materials are
widely used as industrial solvents and (in the case of tetrachloroethylene)
in dry cleaning. Secondary exposures to trichloroacetic acid may
therefore result from workplace exposures to these compounds, or
to local environmental contamination of air or water at sites where
they are used. For most exposure situations, TCA and its salts are
toxicologically equivalent, since TCA is a strong organic acid that
exists principally as the anion in aqueous solutions near neutral
pH. TCA caused liver tumors in male and female mice in multiple
experiments by the predominant route of human exposure, i.e. drinking
water. However, carcinogenicity was not observed in the only carcinogenensis
study conducted in the rat. In the mouse TCA acts as a promoter
of liver tumors, and promotes foci of altered hepatocytes in both
the rat and the mouse. The results of short-term tests for genotoxicity
are mainly negative, although there are some marginally positive
or equivocal results. Studies in mice have suggested several possible
"non-genotoxic" modes of action, although genetic alterations in
proto-oncogenes have been observed in TCA-induced tumors. These
suggested mechanisms have included effects on peroxisome proliferation,
enhanced cell proliferation as a result of receptor-mediated effects
or in response to cytotoxicity, and effects on intercellular communication.
However, none of these proposed mechanisms has been definitely established
as a principal cause of the observed carcinogenicity. Nor have they
been shown conclusively to contribute to the carcinogenicity or
other toxicity of TCA. There is sufficient evidence of TCA carcinogenicity
in animals, based on results in male and female mice. Although the
evaluation by the International Agency for Research on Cancer (IARC,
1995) found only limited evidence of carcinogenicity in animals,
the data which they considered has since been significantly augmented,
including the observation of carcinogenicity in female as well as
male mice. The failure to observe carcinogenicity in the one rat
study, the negative mutagenicity results in short-term tests, and
other mechanistic data raise the possibility of non-genotoxic mechanisms,
which might be species-specific.
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