The
LD50 (oral, rats) is 670 mg/kg.
o-Nitrosotoluene is suspected of causing bladder cancer in rats. Nitrosotoluene exposure has been researched in a number of different degrees in animals.
Carcinogenicity In the U.S.,
o-toluidine was first listed in the Third Annual
Report on Carcinogens as 'reasonably anticipated to be a human carcinogen' in 1983, based on sufficient evidence from studies in experimental animals. The Report on Carcinogens (RoC) is a
U.S. congressionally-mandated, science-based public health report that identifies agents, substances, mixtures, or exposures in the environment that pose a hazard to people residing in the
United States Since then, other cancer related studies have been published and the listing of
o-toluidine was changed to 'known to be a human carcinogen'.
o-toluidine was especially linked to
bladder cancer. This was done 31 years later in the Thirteenth Report on Carcinogens (2014).
Metabolism o-Toluidine is absorbed through inhalation and dermal contact as well as from the
gastrointestinal tract. The metabolism of
o-toluidine involves many competing activating and deactivating pathways, including
N-
acetylation,
N-
oxidation, and
N-
hydroxylation, and ring oxidation. 4-Hydroxylation and
N-acetylation of
toluidine are the major metabolic pathways in rats. The primary metabolism of
o-toluidine takes place in the
endoplasmic reticulum. Exposure to
o-toluidine enhances the microsomal activity of aryl hydrocarbon hydroxylase (particularly in the kidney),
NADPH-cytochrome c reductase and the content of cytochrome P-450. Cytochrome P450–mediated
N-hydroxylation to
N-hydroxy-
o-toluidine, a
carcinogenic metabolite, occurs in the liver.
N-Hydroxy-
o-toluidine can be either metabolized to
o-nitrosotoluene or conjugated with
glucuronic acid or sulfate and transported to the urinary bladder via the blood. Once in the bladder,
N-hydroxy-
o-toluidine can be released from the conjugates in an acidic urine environment to either react directly with DNA or be bio-activated via sulfation or acetylation by cytosolic sulfotransferases or
N-acetyltransferases (presumably NAT1). The postulated activated form (based on comparison with other aromatic amines),
N-acetoxy-
o-toluidine, is a reactive
ester that forms electrophilic arylnitrenium ions that can bind to
DNA. Other activation pathways (ring-oxidation pathways) for aromatic amines include
peroxidase-catalyzed reactions that form reactive metabolites (quinone-imines formed from nonconjugated phenolic metabolites) in the bladder. These metabolites can produce
reactive oxygen species, resulting in oxidative cellular damage and compensatory cell proliferation. Support for this mechanism comes from studies of oxidative DNA damage induced by o-toluidine metabolites in cultured human cells (HL-60), calf thymus DNA, and DNA fragments from key genes thought to be involved in carcinogenesis (the c-Ha-ras
oncogene and the p53 tumor-suppressor gene). Also supporting this mechanism are observations of
o-toluidine-induced DNA damage (strand breaks) in cultured human bladder cells and bladder cells from rats and mice exposed
in vivo to
o-toluidine.
Excretion The main
excretion pathway is through the
urine where up to one-third of the administered compound was recovered unchanged. Major metabolites are 4-amino-
m-cresol and to a lesser extent,
N-acetyl-4-amino-
m-cresol, Large prilocaine doses can cause
methemoglobinemia due to oxidation of
hemoglobin by
o-toluidine. ==Drugs List==