1997
DOI: 10.1093/jnci/89.12.848
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Carcinogenicity of the Drinking Water Mutagen 3-Chloro-4-(dichloromethyl)-5-hydroxy-2(5H)-furanone in the Rat

Abstract: Although these findings cannot be extrapolated to humans, MX should be studied as a candidate risk factor in the possible association between consumption of chlorinated drinking water and cancer in humans.

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Cited by 145 publications
(113 citation statements)
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“…Chlorine dose, TOC, and pH were also associated with increased mutagenicity. Seasonal differences were observed in the MX samples-higher concentrations were found in spring (10 ng/L; 95% CI, [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19] compared to fall ( Table 5). Communities that used filtration (-12 ng/L; 95% CI, -23 to -2) and chloramination (-17 ng/L; 95% CI, -27 to -6) had significantly lower MX levels compared to other methods of treatment.…”
Section: Resultsmentioning
confidence: 99%
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“…Chlorine dose, TOC, and pH were also associated with increased mutagenicity. Seasonal differences were observed in the MX samples-higher concentrations were found in spring (10 ng/L; 95% CI, [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19] compared to fall ( Table 5). Communities that used filtration (-12 ng/L; 95% CI, -23 to -2) and chloramination (-17 ng/L; 95% CI, -27 to -6) had significantly lower MX levels compared to other methods of treatment.…”
Section: Resultsmentioning
confidence: 99%
“…Other DBPs reported to be carcinogenic in animal studies include the haloacetic acids (3), haloacetonitriles (4), bromate (5), and 3-chloro-4-(dichloromethyl)-5-hydroxy-2(5H)-furanone (MX) (6). Toxicologic data have indicated that the brominated trihalomethanes (such as bromoform and bromodichloromethane) are more carcinogenic (7,8) and mutagenic (9,10) than chloroform.…”
mentioning
confidence: 99%
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“…39) Several results pointing to carcinogenicity of MX have been reported. [40][41][42][43] It induces DNA single strand scissions, enhances replicative DNA synthesis and increases ornithine decarboxylase activity in the glandular stomach of rats. 40) Also, MX induces cell proliferation as well as lipid peroxidation in the gastric mucosa 41) and exerted promoting effects in two-stage glandular stomach carcinogenesis in rats.…”
Section: Discussionmentioning
confidence: 99%
“…On a molar basis MX alone can account for up to 30-50% of the mutagenicity of chlorinated water (49). It is also a potent multitarget carcinogen in the rat (50). The upper-bound cancer risk per unit dose (oral slope factor) for lifetime exposure to MX (based on thyroid follicular adenomas in the rat) was estimated (51) to be 3.7 (mg/kg-day) -1 .…”
Section: Halofuranones MX and Related Compoundsmentioning
confidence: 99%