Ma. Medinsky et al., MECHANISTIC CONSIDERATIONS IN BENZENE PHYSIOLOGICAL MODEL DEVELOPMENT, Environmental health perspectives, 104, 1996, pp. 1399-1404
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, pancytopenia, an
d acute myelogenous leukemia. However, the risks of leukemia at low ex
posure concentrations have not been established. A combination of meta
bolites (hydroquinone and phenol, for example) may be necessary to dup
licate the hematotoxic effect of benzene, perhaps due in part to the s
ynergistic effect of phenol on myeloperoxidase-mediated oxidation of h
ydroquinone to the reactive metabolite benzoquinone. Because benzene a
nd its hydroxylated metabolites (phenol, hydroquinone, and catechol) a
re substrates for the same cytochrome P450 enzymes, competitive intera
ctions among the metabolites are possible. In vivo data on metabolite
formation by mice exposed to various benzene concentrations are consis
tent with competitive inhibition of phenol oxidation by benzene. In vi
tro studies of the metabolic oxidation of benzene, phenol, and hydroqu
inone are consistent with the mechanism of competitive interaction amo
ng the metabolites. The dosimetry of benzene and its metabolites in th
e target tissue, bone marrow, depends on the balance of activation pro
cesses such as enzymatic oxidation and deactivation processes such as
conjugation and excretion. Phenol, the primary benzene metabolite, can
undergo both oxidation and conjugation. Thus the potential exists for
competition among various enzymes for phenol. Zonal localization of p
hase I and phase II enzymes in Various regions of the river acinus als
o impacts this competition. Biologically based dosimetry models that i
ncorporate the important determinants of benzene flux, including inter
actions with other chemicals, will enable prediction of target tissue
doses of benzene and metabolites at low exposure concentrations releva
nt for humans.