Quantitative Determination of Di (2-Ethylhexyl) Phthalate (DEHP) in Hemodialysis-Related Materials
DOI:
https://doi.org/10.22100/jkh.v7i2.98Keywords:
Di (2-ethylhexyl) phthalate, Catheters, HemodialysisAbstract
Introduction: Phthalates are founded in medical devices such as filters and dialysis catheters. Scientific evidences show health disadvantages due to exposure to phthalates. In this study, level of Di (2-ethylhexyl) phthalate (DEHP) in Iranian hemodialysis-related materials was measured.
Methods: Ten samples of Iranian dialysis catheters (five samples from SUPA medical devices company (SUPA-MDC) and five samples from Helal Ahmar- MDC) were randomly selected. The level of DEHP for each sample was measured by Gas chromatography- Mass spectrometry (GC-MS). Mean concentrations of DEHP (mg per ml) for each brand was reported separately.
Results: Means of DEHP concentration for SUPA- MDC and Helal Ahmar- MDC were 1.36±0.11 and 0.97±0.11 mg/ml, respectively. Range of measured concentrations differed from 1.47 to 1.21 mg/ml and 1.13 to 0.83 mg/ml, for SUPA- and Helal Ahmar-MDCs respectively.
Conclusion: Application of alternative medical products without or with less phthalate could reduce exposure of patients to phthalates.References
Tickner JA, Schettler T, Guidotti T, McCally M, Rossi M. Health risks posed by use of Di-2-ethylhexyl phthalate (DEHP) in PVC medical devices: a critical review. Am J Ind Med 2001;39(1):100-11.
Kim JH, Yun J, Sohng JK, Cha JM, Choi BC, Jeon HJ, et al. Di(2-ethylhexyl) phthalate leached from medical PVC devices serves as a substrate and inhibitor for the P-glycoprotein. Environmental Toxicology and Pharmacology 2007;23(3):272-278.
ATSDR. Toxicological profile for di-n-butyl phthalate, U.S. Department of Health and Human Services, Public Health Service, Agency for Toxic Substances and Disease Registry, Atlanta, GA, 2001.
ATSDR. Toxicological profile for di-n-octylphthalate, U.S. Department of Health and Human Services, Public Health Service, Agency for Toxic Substances and Disease Registry, Atlanta, GA, 1997.
ATSDR. Toxicological profile for diethylphthalate, U.S. Department of Health and Human Services, Public Health Service, Agency for Toxic Substances and Disease Registry, Atlanta, GA, 1995.
Latini G. Monitoring phthalate exposure in humans. Clinica Chimica Acta 2005;361(1-2):20-29.
Latini G, Verrotti A, De Felice C. DI-2-ethylhexyl phthalate and endocrine disruption: a review. Curr Drug Targets Immune Endocr Metabol Disord 2004;4(1):37-40.
Steffan L, Subotic U, Reinicke F, Wischmann H, Brade J. Extraction of di-ethylhexyl-phthalate from perfusion lines of various material, length and brand by lipid emulsions. Journal of Pediatric Gastroenterology and Nutrition 2004;39(4):341-345.
Burke B, Stephes S. Phthalate. University of Minnesota 2001.
Giam CC, Atlas A, Powers JMA, Leonard JE. Handbook of environmental chemistry. Springer Verlag NewYork 1984;3.
Kambia K, Dine T, Azar R, Gressier B, Luyckx M, Brunet C. Comparative study of the leachability of di(2-ethylhexyl) phthalate and tri(2-ethylhexyl) trimellitate from haemodialysis tubing. International Journal of Pharmaceutics 2001;229(1-2):139-146.
Hoenich NA, Levin R, Pearce C. Clinical waste generation from renal units: implications and solutions. Semin Dial 2005; 18(5):396-400.
Faouzi MA, Dine T, Gressier B, Kambia K, Luyckx M, Pagniez D, et al. Exposure of hemodialysis patients to di-2-ethylhexyl phthalate. Int J Pharm 1999;180(1):113-121.
Kang SC, Lee BM. DNA methylation of estrogen receptor α gene by phthalates. Journal of Toxicology and Environmental Health 2005; 68:1995-2003.
Harris CA, Henttu P, Parker MG, Sumpter JP. The estrogenic activity of phthalate esters in vitro. Environmental Health Perspectives 1997;105:802-811.
Arcadi R, Casta C, Imperactor C. National primary drinking water regulations, federal register; part 12, 40 CFR part: 4, US Environmental Protection Agency, Washington, D.C. p.395.
Doull J, Cattley R, Elcombe C, Lake BG, Swenberg J, Wilkinson C, et al. A cancer risk assessment of di(2-ethylhexyl)phthalate: application of the new u.s. epa risk assessment guidelines. Regulatory Toxicology and Pharmacology 1999;29(3):327-357.
Di Gangi J. 1999. phthalates in PVC medical products from 12 countries. Green peace USA. Conobury Villas, London N12PN.http://archive.greenpeace.org/toxics.
Pollack GM, Buchanan JF, Slaughter RL, Kohli RK, Shen DD. Circulating concentrations of di(2-ethylhexyl) phthalate and its de-esterified phthalic acid products following plasticizer exposure in patients receiving hemodialysis. Toxicology and Applied Pharmacology 1985;79(2):257-267.
Ito R, Seshimo F, Haishima Y, Hasegawa C, Isama K, Yagami T, et al. Reducing the migration of di-2-ethylhexyl phthalate from polyvinyl chloride medical devices. International Journal of Pharmaceutics 2005;303(1-2):104-112.
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