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A Chemical Report on Heptachlor (Heptachlor Epoxide)
By Kaiming Tan
Author’s Note: This report analyzes and explains the biological, chemical, and environmental importance of heptachlor. More and more in today’s society, we are utilizing synthetic compounds as agricultural insecticides, which makes understanding what these chemicals do to our bodies and the environment of utmost importance. Farming strategies may seem far-removed from our daily lives, but these chemicals do not stay on the farm. They travel to our cities, to our grocery stores and markets, then make their way onto our dinner plates and into our children’s stomachs. I am constantly amazed at the power of scientific research to transform and demystify the detrimental nature of environmental and biological toxicants; this, combined with my passion in toxicology, has inspired me to research this topic and write this manuscript.
Keywords
Heptachlor, heptachlor epoxide, insecticide, environmental toxicology, biological toxin
Introduction
Heptachlor was introduced into the United States in the 1940s and 1950s, among the other chlorinated hydrocarbon insecticides, such as DDT (4). In 1971, 500,000 kilograms of heptachlor were applied to agricultural fields in soils and seeds to prevent termite infection in woods (4). However, after it became evident that heptachlor’s toxicity was a serious health concern, the Environmental Protection Agency (EPA) banned all registered use of heptachlor because of its carcinogenic properties and bioaccumulation in food and water. With the exception of treatment of fire ants in underground power transformers, there is no use of heptachlor in the United States now (2). In contrast, heptachlor is still used as an insecticide in some areas in Asia, Africa, and Eastern Europe (5). The form of greater toxicological concern is heptachlor epoxide, which is a metabolite of heptachlor in soil and the human body. Heptachlor epoxide is more toxic because it degrades slower than heptachlor, thus, is more persistent in the environment. Both heptachlor and heptachlor epoxide can be found in freshwater, estuarine, and marine systems (6). This review will cover the current literature on heptachlor toxicity and investigate the impact of heptachlor on biological systems.
Biological Fate (Absorption, Distribution, Metabolism, Elimination)
Humans and animals can be exposed to heptachlor and heptachlor epoxide through soil, air and water; however, the main route of exposure is oral, through consuming contaminated food or drinking contaminated water. Children and infants are especially vulnerable to heptachlor exposure if they consume large amounts of breast milk from their mother. For instance, if the mother’s breast milk is contaminated by heptachlor, heptachlor can be easily consumed by the infant through breast milk feeding. In human breast milk, heptachlor epoxide was detected ranging from 0.13 to 128 ppb (parts per billion) (8). Another route of exposure is through inhalation. When heptachlor is deposited into the soil, it becomes heptachlor epoxide, which then spreads into the air. As a result, workers who use heptachlor to kill termites are potentially susceptible to inhaling heptachlor epoxide from the air (2). In addition, touching contaminated soils causes exposure to heptachlor dermally (1).
Heptachlor persists in the environment after agricultural application. Even though there was no information on the background levels of heptachlor and heptachlor epoxide in the air or soil, there are 20 to 800 ppt (parts per trillion) heptachlor in drinking water and groundwater in the United States (2). Contaminated fish and shellfish were detected with levels of 2 to 750 ppb of heptachlor and 0.1 to 480 ppb of heptachlor epoxide. To date, there is no available data regarding the biological fate of heptachlor on humans. However, in rats, at least 50% of the orally-administered dose of heptachlor is absorbed in the gastrointestinal tract.The absorption is indicated by the presence of heptachlor and/or heptachlor epoxide in the rats’ liver (9). When heptachlor epoxide enters the bloodstream after absorption, it becomes the predominant metabolite in the body of laboratory female rats. Heptachlor epoxide in the bloodstream is positively correlated to the heptachlor dose administered (10). In other words, the higher heptachlor dose one consumed, the more heptachlor epoxide would appear in the bloodstream.
Because of heptachlor epoxide’s high lipophilicity (likelihood in dissolving fats), its residue is found highest in adipose tissue in human infants (0.32±0.10ppm), while undetectable in the brain. These data also suggest that heptachlor epoxide can be transferred between pregnant women and their babies through the placenta (11). Furthermore, heptachlor and heptachlor epoxide can be stored in human breast milk. Jonsson et al.’s study in 1977 sampled the breast milk of 51 women who had no previously known exposure to heptachlor and detected an average concentration of heptachlor epoxide between 0.0027ppm and 0.019ppm (12). To the researchers, the results proved worrisome as the women’s breast milk contained high levels of heptachlor, which could damage the infant. The results were even more of a concern because there was no known interaction between the women studied and heptachlor.
After heptachlor is absorbed in the body, the primary metabolite of heptachlor in humans and rats is heptachlor epoxide. Heptachlor and heptachlor epoxide are usually metabolized by Cytochrome P450 (CYP450) enzymes. CYP450 enzymes are the body’s major class of enzymes responsible for detoxification. Moreover, heptachlor alters liver function by increasing gluconeogenic enzymes’ activities, which upregulates glucose synthesis from glycogen. Since most of heptachlor is metabolized in the liver, humans with liver diseases may have increased bioaccumulation of heptachlor epoxide because of decreased CYP450 enzyme activity (13). Despite the metabolism of heptachlor in the liver, most heptachlor epoxide can be stored in the adipose tissue because of its high lipophilicity and long half-life (1).
In terms of excretion, orally-administered heptachlor in rats was excreted in the form of heptachlor epoxide and also as heptachlor. Radiolabeled heptachlor epoxide is excreted ten times more in the feces compared to urine after ten days of oral administration in rats, due to the high lipophilicity of heptachlor metabolites (8).
Mechanism of Action
The primary organ and organ systems that heptachlor targets are the liver, central nervous system and reproductive system, while secondary target organs include kidneys and lungs. Heptachlor is primarily metabolized in the liver into heptachlor epoxide, which has the same toxic potential. The reproductive system is a sensitive target for heptachlor toxicity because this system lacks a comprehensive detoxification system like the CYP450 enzymes in liver. CYP450 enzymes facilitate chemical reactions that chemically convert the toxicant into a more hydrophilic metabolite, thereby enhancing toxicant elimination by urine. Oral exposure of 1.8 mg/kg/day to female rats over 14 days caused decreased fertility due to decreased estradiol and progesterone levels. Estradiol and progesterone are important hormones produced by the ovaries, placenta, and adrenal glands; decreased levels may result in endocrine disruption and delayed sexual development. Oral exposure of 0.65 mg/kg/day over 70 days caused decreased sperm count in male rats. The mechanism of heptachlor’s reproductive toxicity remains unknown (1-2).
GABA, the molecule that normally binds the GABA receptor, is an amino acid which can also serve as an inhibitory neurotransmitter in the mammalian brain. Heptachlor primarily acts as a noncompetitive antagonist of the chloride channels of the GABAA receptors in mammals. In other words, heptachlor blocks the Chlorine channel in the cells thus preventing GABAA activation (1-2, 14). By inhibiting the inhibitory neuron, heptachlor causes hyperexcitability of the cells. Although the heptachlor toxicity mechanism in liver is unknown, it is observed that in rats that presence of heptachlor elevates intracellular calcium levels and induces protein kinase C (PKC), which in turn activates the activator protein-1 DNA binding thereby causing tumorigenesis (2, 14).
When animals are exposed to heptachlor above the toxic threshold, symptoms occur including tremors, convulsions, ataxia, and changes in EEG patterns (1). Also, rats who were orally exposed to >320 ppm of heptachlor had consistently lower body weight than rats that were unexposed (15). In humans, clinical symptoms of heptachlor toxicity include seizure, vomiting, and convulsions (2).
Although heptachlor epoxide is theoretically an effective mutagen because of its high reactivity as an electrophile, research studies on heptachlor mutagenicity yielded mostly negative results. For example, heptachlor was not mutagenic in the auxotrophic strains of E. coli by reversion bioassays (14,15). In addition, heptachlor is proven to increase liver tumor incidence as an epigenetic promoter in previously initiated B6C3F1 mice. Heptachlor is a carcinogen in mice by inhibiting intercellular communications to promote tumor growth (14,16). On the other hand, research studies that investigate heptachlor’s teratogenicity, or tendency to disturb embryonic development, yielded mostly negative results. For instance, although feeding rats with diets containing heptachlor produces pups with higher mortality, no congenital malformation was found (2, 14, 17).
In male rats, oral LD50 (lethal dose for 50% of the study population) of heptachlor is 40 to 100 mg/kg body weight based on data from two studies. In contrast, the oral LD50 of heptachlor in male chickens is 62 mg/kg body weight (1, 17). Symptoms displayed by heptachlor acute toxicity in animal subjects include hyperexcitability, tremors, convulsions and paralysis (18).
Long-term exposure to heptachlor can cause liver damage in animals. In rats, prolonged exposure of sub-lethal doses of heptachlor is associated with increased CYP450 enzyme induction and other hepatic microsomal enzymes, in addition to liver hypertrophy (18). In humans, chronic exposure to heptachlor results in storage in adipose tissue and breast milk, because heptachlor is very lipophilic. Infants are at risk of being exposed to large doses of heptachlor if they consume contaminated breast milk (17). Despite the lack of human studies on long-term exposure, a multi-generation study conducted on rats concluded that oral exposure of 6 mg/kg/day of heptachlor is associated with decreased litter size, increased mortality and lens cataract (2). Because of its high lipophilicity, heptachlor residues can remain in the body over time. Heptachlor’s long-term toxicity damages the body gradually, further underlying the need for strict regulations of heptachlor use worldwide.
Overview of Latest Research
Recent research on heptachlor focuses on its toxicity, specifically on the oxidative stress caused by heptachlor and its metabolism in aquatic animals. For example, Vineela et al.’s study investigates the impact of sub-lethal concentrations of heptachlor on carp fish Catla catla by measuring enzymatic activities of mostly Phase II enzymes (19). Phase II enzymes, a part of the CYP450 enzyme class, primarily perform conjugation reactions to convert the chemical into more water-soluble form to enhance urine elimination. Oral exposure of heptachlor at 1.46mg/L (20% of LC50 concentration) for 45 days causes a significant increase in lipid peroxidation, superoxide dismutase, glutathione-S-transferase and catalase activity in Catla catla. The results suggest that carp fish have a sensitive biological defense system against heptachlor, because low concentration activates the detoxification by increased biomarkers of primarily Phase II activity to prevent heptachlor toxicity and organ damage (19).
In addition to heptachlor toxicity, current research also focuses on how to remove existing heptachlor from the environment via microbial degradation, as this method is more environmentally mindful and cost-effective than current physicochemical methods. Qiu et al.’s study discovered a novel strain of bacteria, named strain H, that can metabolize heptachlor efficiently. Strain H is a Gram-negative, short rod-shaped, single-cell bacterial strain that can degrade heptachlor at a rate of 88.2% degradation in 130 hours when exposed to 300 μg/L of heptachlor at 30oC. The main metabolites of heptachlor by strain H include heptachlor epoxide, chlordane epoxide, and 1-hydroxychorodene. This innovation allows possible bioremediation by microorganisms like strain H in heptachlor-contaminated soil and water to reduce heptachlor toxicity and threat to the environment and animals (20).
Recent studies on heptachlor took a creative approach in gaining a deeper understanding in reducing heptachlor toxicity by enzymatic activity in aquatic model organisms and inventing novel microorganisms to metabolize heptachlor into less toxic metabolites. These new techniques will benefit public health by developing cost-effective ways for toxicant removal and controlling the environmental/biological fate of toxicants without causing additional harm.
Conclusions
When initially used as an insecticide, heptachlor’s toxicity became a threatening health concern. The ban of commercial heptachlor use in the United States was a step in the right direction, as misuse of heptachlor can cause severe environmental consequences such as prolonged residue in soil and water habitats along with toxicities in humans and animals. Based on this research, other countries should pursue a substitute pesticide that has less potential for environmental and biological damage than heptachlor.
Most studies conducted regarding heptachlor toxicity were conducted between the 1950s and the late 1980s. Future research can focus on the dose-response relationship of heptachlor exposure within large populations and whether genetic polymorphism contributes to the metabolism of heptachlor. Environmental toxicologists can also study the synergistic toxicity of heptachlor on environmental damage with other pesticides, since common pesticides often contain more than one chemical (1,2).
Acknowledgment
The author would like to thank Dr. Matthew Wood and Mr. Thomas Sears for providing feedback on early versions of this manuscript.
Works Cited (in order of appearance)
- Reed, N.R., & Koshlukova, S. (2014). Heptachlor. In Encyclopedia of Toxicology (pp. 840-844).
- United States. Agency for Toxic Substances Disease Registry, & Syracuse Research Corporation. (2007). Toxicological Profile for Heptachlor and Heptachlor Epoxide.
- Ivie, G., Knox, W., Khalifa, J., Yamamoto, R., & Casida, S. (1972). Novel photoproducts of heptachlor epoxide, Trans -chlordane, and Trans -nonachlor. Bulletin of Environmental Contamination and Toxicology, 7(6), 376-382.
- Hodgson, E. (2004). A textbook of modern toxicology (3rd ed.). Hoboken, N.J.: Wiley-Interscience.
- United States. Environmental Protection Agency. Office of Research Development. (2002). The Foundation for Global Action on Persistent Organic Pollutants a United States Perspective.
- Schimmel, S., Patrick, J., & Forester, J. (1976). Heptachlor: Toxicity to and uptake by several estuarine organisms. Journal of Toxicology and Environmental Health, 1(6), 955-965.
- Mnif, W., Hassine, A. I. H., Bouaziz, A., Bartegi, A., Thomas, O., & Roig, B. (2011). Effect of Endocrine Disruptor Pesticides: A Review. International Journal of Environmental Research and Public Health, 8(6), 2265–2303. http://doi.org/10.3390/ijerph8062265
- Savage, E., Keefe, T., Tessari, J., Wheeler, H., Applehans, F., Goes, E., & Ford, S. (1981). National study of chlorinated hydrocarbon insecticide residues in human milk, USA. I. Geographic distribution of dieldrin, heptachlor, heptachlor epoxide, chlordane, oxychlordane, and mirex. American Journal of Epidemiology, 113(4), 413-22.
- Tashiro, S., & Matsumura, F. (1978). Metabolism of trans -nonachlor and related chlordane components in rat and man. Archives of Environmental Contamination and Toxicology, 7(1), 113-127.
- Radomski, J., & Davidow, B. (1953). The metabolite of heptachlor, its estimation storage, and toxicity. The Journal of Pharmacology and Experimental Therapeutics, 107(3), 266-72.
- Curley, A., Copeland, M., & Kimbrough, R. (1969). Chlorinated Hydrocarbon Insecticides in Organs of Stillborn and Blood of Newborn Babies. Archives of Environmental Health: An International Journal, 19(5), 628-632.
- Adeshina, F., & Todd, E. (1990). Organochlorine compounds in human adipose tissue from north Texas. Journal of Toxicology and Environmental Health, 29(2), 147-156.
- Komori, Nishio, Kitada, Shiramatsu, Muroya, Soma, . . . Kamataki. (1990). Fetus-specific expression of a form of cytochrome P-450 in human livers. Biochemistry, 29(18), 4430-3.
- Whitacre, David M. (2008). Reviews of Environmental Contamination and Toxicology(Vol. 234). New York, NY: Springer New York.
- Moriya, Ohta, Watanabe, Miyazawa, Kato, & Shirasu. (1983). Further mutagenicity studies on pesticides in bacterial reversion assay systems. Mutation Research, 116(3-4), 185-216.
- Williams, G., & Numoto, S. (1984). Promotion of mouse liver neoplasms by the organochlorine pesticides chlordane and heptachlor in comparison to dichlorodiphenyltrichloroethane. Carcinogenesis, 5(12), 1689-96.
- United Nations Environment Programme, World Health Organization, International Labour Organisation, & Commission of the European Communities. (1976). Environmental health criteria. Geneva: World Health Organization.
- World Health Organization, & International Program on Chemical Safety. (1988). Heptachlor health and safety guide. Geneva : Albany, NY: World Health Organization ; WHO Publications Center USA [distributor].
- Vineela, D., Janardana Reddy, S., & Kiran Kumar, B. (2017). Impact of Heptachlor on Antioxidant Enzyme Markers of Fish Catla Catla. World Journal of Pharmaceutical Research, 6(12), 759-771. doi:10.20959/wjpr201712-9679
- Qiu, Liping, Wang, Hu, & Wang, Xuntao. (2018). Conversion mechanism of heptachlor by a novel bacterial strain. RSC Advances, 8(11), 5828-5839.
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