National Academy of Sciences | 150 Year Anniversary

Questions? Call 800-624-6242

| Items in cart [0]

The National Academies Press

PAPERBACK
price:$111.75
add to cart

Rights & Permissions

topleft topright

Veterans at Risk: The Health Effects of Mustard Gas and Lewisite (1993)
Institute of Medicine (IOM)

Citation Manager

. "10 Other Physiological Effects of Mustard Agents and Lewisite." Veterans at Risk: The Health Effects of Mustard Gas and Lewisite. Washington, DC: The National Academies Press, 1993.

Please select a format:

BibTeX EndNote RefMan


Page
190
bottomleft bottomright

The following HTML text is provided to enhance online readability. Many aspects of typography translate only awkwardly to HTML. Please use the page image as the authoritative form to ensure accuracy.


Veterans at Risk: The Health Effects of Mustard Gas and Lewisite

kg rabbit. Rats were dosed daily from 6 to 15 days with 0, 0.5, 1.0, and 2.0 mg/kg; rabbits received 0, 0.4, 0.6, and 0.8 mg/kg on 6-19 days. In rats, indicators of maternal toxicity were observed at all dose levels, but significant fetal effects (decreased weights, reduced ossification, and skeletal anomalies) occurred only at the highest dose (2.0 mg/kg). In rabbits, maternal toxicity occurred at the highest dose level, body weights of fetuses were reduced, but no other fetal effects were observed.

Finally, Sasser and colleagues (1989c) studied rats to evaluate the effects of sulfur mustards on reproduction. Groups of rats (27 females and 20 males per group per generation) were force-fed with 0, 0.03, 0.1, or 0.4 mg/kg sulfur mustard for 13 weeks prior to mating and throughout gestation, parturition, and lactation in a 42-week two-generation study. There were no significant effects on reproductive function or pregnancy outcome in either generation. Growth of adult F1 rats of both sexes was reduced by the highest exposure, as was the growth of their F1 and F2 offspring during lactation. A dose-related lesion of the squamous epithelial mucosa of the forestomach was observed in both sexes, and benign neoplasms of the forestomach were found in about 10 percent of the intermediate (8/94) and high-dose (10/94) groups. The NOEL in this study was <0.03 mg/kg for toxicity and > 0.4 mg/kg for reproductive effects.

Human Studies

In humans, two studies have attempted to evaluate the potential of sulfur mustard to induce adverse reproductive outcomes. Yamakido and colleagues (1985) used electrophoresis to study blood protein variants in 456 children of 325 workers exposed occupationally to sulfur mustard and Lewisite at the Okuno-jima poison gas factory; children were divided into three exposure groups based upon parental job category within the plant. The blood protein analysis revealed 6 types of protein variants in 11 children, and 11 variant erythrocyte proteins in 25 children. Examination of 32 of the 36 families of interest showed all of the detected variants to be familial and not exposure induced. One protein variant was found in one child that did not differ electrophoretically, but did differ in its enzymatic activity. This variant was not inherited. The female child in question was mentally retarded and had a normal g-banded karyotype but was born with a cleft palate and hypomyotonia (significant decrement in normal muscle tone). The significance of these findings is unclear, as this variant might have been the result of either (1) a germ cell mutation in an intron sequence (a DNA sequence outside of the region coding for the RNA and subsequent protein) that controls expression of the gene of interest, or (2) aberrant

Page
190
Front Matter (R1-R20)
Executive Summary (1-8)
1 Introduction (9-13)
2 Methods of Literature Collection and Survey (14-20)
3 History and Analysis of Mustard Agent and Lewisite Research Programs in the United States (21-60)
4 Findings from the Public Hearing Process (61-70)
5 Chemistry of Sulfur Mustard and Lewisite (71-80)
6 Relationship of Mustard Agent and Lewisite Exposure to Carcinogenesis (81-111)
7 Nonmalignant Respiratory Effects of Mustard Agents and Lewisite (112-130)
8 Ocular Effects of Mustard Agents and Lewisite (131-147)
9 Dermatological Effects of Mustard Agents and Lewisite (148-178)
10 Other Physiological Effects of Mustard Agents and Lewisite (179-198)
11 Relationship of Mustard Agent and Lewisite Exposure to Psychological Dysfunction (199-213)
12 Summary of Findings and Recommendations (214-226)
Bibliography (227-330)
A. Scientific and Background Presentations Made to the Committee (331-334)
B. Excerpt from The Residual Effects of Warfare Gases (335-337)
C. Involvement of the National Academy of Sciences Complex in World War II Research Programs: A Summary (338-339)
D. Excerpts from Chamber Tests with Human Subjects I, II, and IX. Naval Research Laboratory Reports Nos. P-2208 and P-2579 (340-369)
E. Interim Report and Addendum: Feasibility of Developing a Cohort of Veterans Exposed to Mustard Gas During WWII Testing Programs (370-377)
F. Summary of the Department of the Army Report: Use of Volunteers in Chemical Agent Research (378-381)
G. Public Hearing Announcement (382-385)
H. Letter from Dr. Jay Katz to Dr. David P. Rall (386-389)
I. Risk Assessment Considerations for Sulfur Mustard (390-398)
J. Examination of the Effects of Certain Acute Environmental Exposures on Future Respiratory Health Consequences (399-416)
List of Acronyms and Abbreviations (417-420)
Index (421-428)