Benzene, an important industrial solvent, is also present in unleaded
gasoline and cigarette smoke. The hematotoxic effects of benzene in hu
mans are well documented and include aplastic anemia and pancytopenia,
and acute myelogenous leukemia. A combination of metabolites (hydroqu
inone and phenol for example) is apparently necessary to duplicate the
hematotoxic effect of benzene, perhaps due in part to the synergistic
effect of phenol on myeloperoxidase-mediated oxidation of hydroquinon
e to the reactive metabolite benzoquinone. Since benzene and its hydro
xylated metabolites (phenol, hydroquinone and catechol) are substrates
for the same cytochrome P450 enzymes, competitive interactions among
the metabolites are possible. In vivo data on metabolite formation by
mice exposed to various benzene concentrations are consistent with com
petitive inhibition of phenol oxidation by benzene. In vitro studies o
f the metabolic oxidation of benzene, phenol and hydroquinone are cons
istent with the mechanism of competitive interaction among the metabol
ites. The dosimetry of benzene and its metabolites in the target tissu
e, bone marrow, depends on the balance of activation processes such as
enzymatic oxidation and deactivation processes such as conjugation an
d excretion. Phenol, the primary benzene metabolite, can undergo both
oxidation and conjugation. Thus, the potential exists for competition
among various enzymes for phenol. However, zonal localization of Phase
I and Phase II enzymes in various regions of the liver acinus regulat
es this competition. Biologically-based dosimetry models that incorpor
ate the important determinants of benzene flux, including interactions
with other chemicals, will enable prediction of target tissue doses o
f benzene and metabolites at low exposure concentrations relevant for
humans.