Confirmation of an acute no-observed-adverse-effect and low-observed-adverse-effect level for copper in bottled drinking water in a multi-site international study

In a double blind, 3 × 3 factorial (volume × dose) study, 70 adult females (18–60 years of age) at four different international sites (total pooled n=269) were given 100, 150, or 200 ml of bottled drinking water with 0.4, 0.8, or 1.2 mg of copper (Cu) as the sulfate salt once each week. Two addition...

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Veröffentlicht in:Regulatory toxicology and pharmacology 2003-12, Vol.38 (3), p.389-399
Hauptverfasser: Araya, Magdalena, Chen, Bingheng, Klevay, Leslie M, Strain, J.J, Johnson, LuAnn, Robson, Paula, Shi, Wei, Nielsen, Forrest, Zhu, Huigang, Olivares, Manuel, Pizarro, Fernando, Haber, Lynne T
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container_issue 3
container_start_page 389
container_title Regulatory toxicology and pharmacology
container_volume 38
creator Araya, Magdalena
Chen, Bingheng
Klevay, Leslie M
Strain, J.J
Johnson, LuAnn
Robson, Paula
Shi, Wei
Nielsen, Forrest
Zhu, Huigang
Olivares, Manuel
Pizarro, Fernando
Haber, Lynne T
description In a double blind, 3 × 3 factorial (volume × dose) study, 70 adult females (18–60 years of age) at four different international sites (total pooled n=269) were given 100, 150, or 200 ml of bottled drinking water with 0.4, 0.8, or 1.2 mg of copper (Cu) as the sulfate salt once each week. Two additional doses (0 and 1.6 mg Cu) were added at the 200 ml volume to determine a dose–response relationship and corroborate previously reported results. All subjects completed a questionnaire at 0, 0.25, and 1 h post-dosing that screened for positive gastrointestinal (GI) effects (nausea, vomiting, abdominal pain, and diarrhea). Nausea was the most prevalent symptom reported and was generally reported within the first 15 min (water volume, p
doi_str_mv 10.1016/j.yrtph.2003.08.001
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Two additional doses (0 and 1.6 mg Cu) were added at the 200 ml volume to determine a dose–response relationship and corroborate previously reported results. All subjects completed a questionnaire at 0, 0.25, and 1 h post-dosing that screened for positive gastrointestinal (GI) effects (nausea, vomiting, abdominal pain, and diarrhea). Nausea was the most prevalent symptom reported and was generally reported within the first 15 min (water volume, p&lt;0.032; copper dose, p&lt;0.0001; and water volume × copper interaction, p&lt;0.97). As volume increased, the effect of Cu-induced nausea decreased; as Cu dose increased, the incidence of nausea increased. At 200 ml, a significant increase in reported incidence of nausea at 0.25 h occurred at 1.2 mg Cu (6 mg Cu/L), indicating a NOAEL of 0.8 mg Cu (4 mg Cu/L) for adult females. These data confirm a previously determined human acute NOAEL for Cu added to distilled water, and provide additional, controlled human data for determining safe concentrations of Cu in drinking water.</description><identifier>ISSN: 0273-2300</identifier><identifier>ISSN: 1096-0295</identifier><identifier>EISSN: 1096-0295</identifier><identifier>DOI: 10.1016/j.yrtph.2003.08.001</identifier><identifier>PMID: 14623488</identifier><language>eng</language><publisher>Netherlands: Elsevier Inc</publisher><subject>Acute exposure ; Administration, Oral ; Adolescent ; Adult ; adults ; Aged ; Bottled water ; chemical risk assessment ; Copper ; Copper Sulfate - administration &amp; dosage ; Copper Sulfate - adverse effects ; Copper Sulfate - pharmacokinetics ; diarrhea ; Dose-Response Relationship, Drug ; Dose–response ; Double-Blind Method ; double-blind studies ; Drinking ; drinking water ; Female ; gastrointestinal system ; heavy metals ; Humans ; International Cooperation ; lowest observed effect level ; Middle Aged ; Mineral Waters - administration &amp; dosage ; Mineral Waters - adverse effects ; Mineral Waters - analysis ; Nausea ; Nausea - chemically induced ; No-Observed-Adverse-Effect Level ; NOAEL ; questionnaires ; Reproducibility of Results ; Risk assessment ; signs and symptoms (animals and humans) ; Stomach - drug effects ; Upper Safe Limit ; vomiting ; Water - chemistry ; women</subject><ispartof>Regulatory toxicology and pharmacology, 2003-12, Vol.38 (3), p.389-399</ispartof><rights>2003 Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c327t-386154b843f6a283dcee19eb75220532bfc2b635e6ad252aaa3cfce564c2d3a53</citedby><cites>FETCH-LOGICAL-c327t-386154b843f6a283dcee19eb75220532bfc2b635e6ad252aaa3cfce564c2d3a53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.yrtph.2003.08.001$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/14623488$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Araya, Magdalena</creatorcontrib><creatorcontrib>Chen, Bingheng</creatorcontrib><creatorcontrib>Klevay, Leslie M</creatorcontrib><creatorcontrib>Strain, J.J</creatorcontrib><creatorcontrib>Johnson, LuAnn</creatorcontrib><creatorcontrib>Robson, Paula</creatorcontrib><creatorcontrib>Shi, Wei</creatorcontrib><creatorcontrib>Nielsen, Forrest</creatorcontrib><creatorcontrib>Zhu, Huigang</creatorcontrib><creatorcontrib>Olivares, Manuel</creatorcontrib><creatorcontrib>Pizarro, Fernando</creatorcontrib><creatorcontrib>Haber, Lynne T</creatorcontrib><title>Confirmation of an acute no-observed-adverse-effect and low-observed-adverse-effect level for copper in bottled drinking water in a multi-site international study</title><title>Regulatory toxicology and pharmacology</title><addtitle>Regul Toxicol Pharmacol</addtitle><description>In a double blind, 3 × 3 factorial (volume × dose) study, 70 adult females (18–60 years of age) at four different international sites (total pooled n=269) were given 100, 150, or 200 ml of bottled drinking water with 0.4, 0.8, or 1.2 mg of copper (Cu) as the sulfate salt once each week. Two additional doses (0 and 1.6 mg Cu) were added at the 200 ml volume to determine a dose–response relationship and corroborate previously reported results. All subjects completed a questionnaire at 0, 0.25, and 1 h post-dosing that screened for positive gastrointestinal (GI) effects (nausea, vomiting, abdominal pain, and diarrhea). Nausea was the most prevalent symptom reported and was generally reported within the first 15 min (water volume, p&lt;0.032; copper dose, p&lt;0.0001; and water volume × copper interaction, p&lt;0.97). As volume increased, the effect of Cu-induced nausea decreased; as Cu dose increased, the incidence of nausea increased. At 200 ml, a significant increase in reported incidence of nausea at 0.25 h occurred at 1.2 mg Cu (6 mg Cu/L), indicating a NOAEL of 0.8 mg Cu (4 mg Cu/L) for adult females. These data confirm a previously determined human acute NOAEL for Cu added to distilled water, and provide additional, controlled human data for determining safe concentrations of Cu in drinking water.</description><subject>Acute exposure</subject><subject>Administration, Oral</subject><subject>Adolescent</subject><subject>Adult</subject><subject>adults</subject><subject>Aged</subject><subject>Bottled water</subject><subject>chemical risk assessment</subject><subject>Copper</subject><subject>Copper Sulfate - administration &amp; dosage</subject><subject>Copper Sulfate - adverse effects</subject><subject>Copper Sulfate - pharmacokinetics</subject><subject>diarrhea</subject><subject>Dose-Response Relationship, Drug</subject><subject>Dose–response</subject><subject>Double-Blind Method</subject><subject>double-blind studies</subject><subject>Drinking</subject><subject>drinking water</subject><subject>Female</subject><subject>gastrointestinal system</subject><subject>heavy metals</subject><subject>Humans</subject><subject>International Cooperation</subject><subject>lowest observed effect level</subject><subject>Middle Aged</subject><subject>Mineral Waters - administration &amp; dosage</subject><subject>Mineral Waters - adverse effects</subject><subject>Mineral Waters - analysis</subject><subject>Nausea</subject><subject>Nausea - chemically induced</subject><subject>No-Observed-Adverse-Effect Level</subject><subject>NOAEL</subject><subject>questionnaires</subject><subject>Reproducibility of Results</subject><subject>Risk assessment</subject><subject>signs and symptoms (animals and humans)</subject><subject>Stomach - drug effects</subject><subject>Upper Safe Limit</subject><subject>vomiting</subject><subject>Water - chemistry</subject><subject>women</subject><issn>0273-2300</issn><issn>1096-0295</issn><issn>1096-0295</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU2P0zAQhi0EYsvCL0ACn7gl-CNxnQMHVPElrcQB9mw59nhxSexiO1317_BLcTeVOMHJkud5Z0bzIPSSkpYSKt7u21Mqhx8tI4S3RLaE0EdoQ8kgGsKG_jHaELblDeOEXKFnOe8JIUzK7VN0RTvBeCflBv3exeB8mnXxMeDosA5Ym6UADrGJY4Z0BNtoe4SUoQHnwJTKWDzF-3_WJzjChF1M2MTDARL2AY-xlAkstsmHnz7c4Xtd1orG8zIV32Rfp_pQf8PDNnrCuSz29Bw9cXrK8OLyXqPbjx--7z43N18_fdm9v2kMZ9vScClo342y405oJrk1AHSAcdszRnrORmfYKHgPQlvWM601N85ALzrDLNc9v0Zv1r6HFH8tkIuafTYwTTpAXLKiggrJ6RnkK2hSzDmBU4fkZ51OihJ1VqP26kGNOqtRRKqqpqZeXdov4wz2b-biogKvV8DpqPRd8lndfmM1SehQZ9OhEu9WAuoZjh6SysZDMGB9qndXNvr_rvAHgcuuTg</recordid><startdate>200312</startdate><enddate>200312</enddate><creator>Araya, Magdalena</creator><creator>Chen, Bingheng</creator><creator>Klevay, Leslie M</creator><creator>Strain, J.J</creator><creator>Johnson, LuAnn</creator><creator>Robson, Paula</creator><creator>Shi, Wei</creator><creator>Nielsen, Forrest</creator><creator>Zhu, Huigang</creator><creator>Olivares, Manuel</creator><creator>Pizarro, Fernando</creator><creator>Haber, Lynne T</creator><general>Elsevier Inc</general><scope>FBQ</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QH</scope><scope>7T2</scope><scope>7TV</scope><scope>7U2</scope><scope>7U7</scope><scope>7UA</scope><scope>C1K</scope></search><sort><creationdate>200312</creationdate><title>Confirmation of an acute no-observed-adverse-effect and low-observed-adverse-effect level for copper in bottled drinking water in a multi-site international study</title><author>Araya, Magdalena ; Chen, Bingheng ; Klevay, Leslie M ; Strain, J.J ; Johnson, LuAnn ; Robson, Paula ; Shi, Wei ; Nielsen, Forrest ; Zhu, Huigang ; Olivares, Manuel ; Pizarro, Fernando ; Haber, Lynne T</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c327t-386154b843f6a283dcee19eb75220532bfc2b635e6ad252aaa3cfce564c2d3a53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Acute exposure</topic><topic>Administration, Oral</topic><topic>Adolescent</topic><topic>Adult</topic><topic>adults</topic><topic>Aged</topic><topic>Bottled water</topic><topic>chemical risk assessment</topic><topic>Copper</topic><topic>Copper Sulfate - administration &amp; dosage</topic><topic>Copper Sulfate - adverse effects</topic><topic>Copper Sulfate - pharmacokinetics</topic><topic>diarrhea</topic><topic>Dose-Response Relationship, Drug</topic><topic>Dose–response</topic><topic>Double-Blind Method</topic><topic>double-blind studies</topic><topic>Drinking</topic><topic>drinking water</topic><topic>Female</topic><topic>gastrointestinal system</topic><topic>heavy metals</topic><topic>Humans</topic><topic>International Cooperation</topic><topic>lowest observed effect level</topic><topic>Middle Aged</topic><topic>Mineral Waters - administration &amp; 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Two additional doses (0 and 1.6 mg Cu) were added at the 200 ml volume to determine a dose–response relationship and corroborate previously reported results. All subjects completed a questionnaire at 0, 0.25, and 1 h post-dosing that screened for positive gastrointestinal (GI) effects (nausea, vomiting, abdominal pain, and diarrhea). Nausea was the most prevalent symptom reported and was generally reported within the first 15 min (water volume, p&lt;0.032; copper dose, p&lt;0.0001; and water volume × copper interaction, p&lt;0.97). As volume increased, the effect of Cu-induced nausea decreased; as Cu dose increased, the incidence of nausea increased. At 200 ml, a significant increase in reported incidence of nausea at 0.25 h occurred at 1.2 mg Cu (6 mg Cu/L), indicating a NOAEL of 0.8 mg Cu (4 mg Cu/L) for adult females. These data confirm a previously determined human acute NOAEL for Cu added to distilled water, and provide additional, controlled human data for determining safe concentrations of Cu in drinking water.</abstract><cop>Netherlands</cop><pub>Elsevier Inc</pub><pmid>14623488</pmid><doi>10.1016/j.yrtph.2003.08.001</doi><tpages>11</tpages></addata></record>
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ispartof Regulatory toxicology and pharmacology, 2003-12, Vol.38 (3), p.389-399
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subjects Acute exposure
Administration, Oral
Adolescent
Adult
adults
Aged
Bottled water
chemical risk assessment
Copper
Copper Sulfate - administration & dosage
Copper Sulfate - adverse effects
Copper Sulfate - pharmacokinetics
diarrhea
Dose-Response Relationship, Drug
Dose–response
Double-Blind Method
double-blind studies
Drinking
drinking water
Female
gastrointestinal system
heavy metals
Humans
International Cooperation
lowest observed effect level
Middle Aged
Mineral Waters - administration & dosage
Mineral Waters - adverse effects
Mineral Waters - analysis
Nausea
Nausea - chemically induced
No-Observed-Adverse-Effect Level
NOAEL
questionnaires
Reproducibility of Results
Risk assessment
signs and symptoms (animals and humans)
Stomach - drug effects
Upper Safe Limit
vomiting
Water - chemistry
women
title Confirmation of an acute no-observed-adverse-effect and low-observed-adverse-effect level for copper in bottled drinking water in a multi-site international study
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