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Inhalation Toxicology
International Forum for Respiratory Research
Volume 26, 2014 - Issue 2
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Research Article

Ethanol toxicokinetics resulting from inhalation exposure in human volunteers and toxicokinetic modeling

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Pages 59-69 | Received 30 May 2013, Accepted 07 Oct 2013, Published online: 04 Feb 2014
 

Abstract

Uncertainty exists regarding the validity of a previously developed physiologically-based pharmacokinetic model (PBPK) for inhaled ethanol in humans to predict the blood levels of ethanol (BLE) at low level exposures (<1000 ppm). Thus, the objective of this study is to document the BLE resulting from low levels exposures in order to refine/validate this PBPK model. Human volunteers were exposed to ethanol vapors during 4 h at 5 different concentrations (125–1000 ppm), at rest, in an inhalation chamber. Blood and exhaled air were sampled. Also, the impact of light exercise (50 W) on the BLE was investigated. There is a linear relationship between the ethanol concentrations in inhaled air and (i) BLE (women: r2 = 0.98/men: r2 = 0.99), as well as (ii) ethanol concentrations in the exhaled air at end of exposure period (men: r2 = 0.99/women: r2 = 0.99). Furthermore, the exercise resulted in a net and significant increase of BLE (2–3 fold). Overall, the original model predictions overestimated the BLE for all low exposures performed in this study. To properly simulate the toxicokinetic data, the model was refined by adding a description of an extra-hepatic biotransformation of high affinity and low capacity in the richly perfused tissues compartment. This is based on the observation that total clearance observed at low exposure levels was much greater than liver blood flow. The results of this study will facilitate the refinement of the risk assessment associated with chronic inhalation of low levels of ethanol in the general population and especially among workers.

Acknowledgements

We are grateful to Lyly St-Jean for her nursing care, as well as all the volunteers for their precious contribution. We are grateful to the National Agency for Food Safety, Environment and Work (ANSES) for its funding and support.

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