Proceedings: Indoor Air 2002 ACUTE TOXICITY OF MARKING PEN EMISSIONS R Anderson and J Anderson* Anderson Laboratories, Inc., West Hartford, Vermont, USA ABSTRACT Groups of mice were exposed for one hour to the emissions of 8 brands of felt tip markers (AH). A modification of ASTM-E 981 test method was used to measure changes in respiratory cycle parameters and diagnose Sensory Irritation (SI), Pulmonary Irritation (PI), and Airflow Limitation (AFL). A Functional Observational Battery was used to evaluate neurotoxicity. Pens A through F produced respiratory toxicity and neurobehavioral changes including abnormal posture and gait, tremors, falling, and/or hyperactivity, facial swelling, severe lacrimation, and gasping. Pens G and H were much less toxic. The TVOC concentrations used in the chamber tests were similar to those near marking pens in actual use. These results document that some felt tip markers emit mixtures of chemicals which can cause respiratory and neurobehavioral abnormalities. These toxicity results explain human complaints concerning respiratory and neurological reactions to marking pen emissions. INDEX TERMS Marking pens, VOCs, toxicity, mice, ASTM E 981 INTRODUCTION Numerous complaints have been received by our laboratory concerning adverse reactions to the emissions of marking pens. One student experienced blurred vision, severe nasal congestion, ringing in the ears, headache, dizziness, difficulty concentrating, drowsiness, memory deterioration, decreased fine motor coordination, difficulty breathing, nausea, and swollen ankles after sitting in lecture halls where many students were using marking pens to highlight lecture notes. Many of the marking pens which are commercially available are labeled "nontoxic." This discrepancy between the labels ("nontoxic") and the human symptoms (which suggest toxicity) led us to systematically study the acute toxic potential of marking pen emissions. The study design was to expose mice for one hour to the mixtures of volatile chemicals emitted by various marking pens. The mice were monitored during the exposure with pneumotachographs to determine whether there were any toxic effects on the upper or lower airways. After these exposures the mice were examined and scored by a Functional Observational Battery to screen for evidence of neurotoxicity. METHODS Eight brands of marking pens were purchased in local stores. All the marking pens were labeled "nontoxic." A and B were sold for use on dry erase boards. C and G were general purpose markers. D, E, and F were made for use in art projects. H was marketed for use on vinyl transparencies. One or more marking pens were uncapped and placed in a 40 liter glass chamber and allowed to equilibrate for one hr before use. * Contact author email: jharca@hotmail.com 641 Proceedings: Indoor Air 2002 Animal Exposures Four male Swiss-Webster mice were positioned in a glass manifold as previously described (Anderson and Anderson, 2000). The head of each mouse extended into the central exposure area with the body in a side arm which served as a whole body plethysmograph. During a 15 min "baseline period" the animal exposure chamber was continuously ventilated with charcoal-filtered air. Then the mice breathed marking pen emissions for 55 min, carried by charcoal-filtered air passed at 6 l/min through the sample chamber, through the animal exposure chamber, and then out of the building. Thirty minutes after the end of the exposure, the mice were scored using a Functional Observational Battery (FOB) (Anderson and Anderson, 1998). 12 or 16 mice were exposed to each dose of each brand of pen. Each mouse was exposed to only one brand/dose combination. As controls 220 mice were subjected to the entire procedure with no pen in the sample chamber (sham exposures). Bioassay ASTM-E-981 ASTM-E-981 is a standardized toxicological test method for measuring acute biological effects of airborne irritant chemicals (ASTM, 1984). Alarie and associates (Vijayaraghavan, Schaper, Thompson et al., 1993, 1994; Boylstein, Anderson, Thompson et al., 1995) added pneumotachographs to continuously measure airflow velocity during each breath of each mouse. Digital computer programs determine the duration of pause after inspiration (TB, time of break), the duration of pause after expiration (TP, time of pause), and the mid-expiratory airflow velocity (VD), the respiratory rate, and the tidal volume. A diagnosis of Sensory Irritation (SI) requires an increase of TB by more than 2 times the standard deviation (S.D.) from the baseline mean value for that mouse that day; a diagnosis of Pulmonary Irritation (PI) requires an increase in the TP to greater than 2 S.D. from the baseline mean for that mouse that day; airflow limitations are diagnosed when VD falls 1.5 S.D. below the baseline mean value for that mouse that day. FOB Each mouse was individually observed and scored for 25 parameters including overall level of activity, posture, gait, tremors, balancing on the lip of the jar, facial swelling, lacrimation, gasping, reach reflex, grip strength, and righting reflex. Statistical significance was determined using chi-square analysis of 2x2 contingency tables with the Yates correction factor (Zar, 1984). Frequency data was subsequently converted to percentages for tabular presentation. Room air TVOCs One or four markers were uncapped and used to draw 10 cm circles on a piece of tablet paper. The sampling probe for a flame ionization detector (Rosemont 400A, calibrated with 100 ppm methane) was positioned 26 cm above this drawing. Chemistry Matrix Analytical Laboratories of Addington, Texas, used gas chromatography to analyze head space gasses and water extracts of the felt tips for volatile organic chemicals. 642 Proceedings: Indoor Air 2002 RESULTS Exposure TVOCs The pens varied considerably in offgassing rates, resulting in TVOC values between 68 and 32,000 ppm in the exposure chamber (Table 1). Charcoal filtered air had a TVOC of 23 ppm. Actual use of one or four pens in simulated art projects generated TVOC values in the same range as those used in the mouse chamber experiments (Table 1). Chemical analysis revealed various combinations of acetone, butanol, methanol, ethanol, isopropanol, 1-propanol, methyl isobutyl ketone, and several other ketones, esters, and acetates. Table 1. TVOC Values TVOC (ppm) Number of pens open A B C D E F G H Mouse chamber 1 4 3,800 17,000 5,700 26,000 8,900 32,000 1,800 4,000 530 2,400 5,100 15,000 70 380 68 250 Room air near art project 1 4 2,400 11,000 2,800 14,000 4,700 25,000 1,500 5,600 420 2,100 4,200 15,000 48 240 46 160 Respiratory effects Mice given sham exposures averaged 7% SI. Mice exposed to marking pen emissions developed various amounts of SI (Table 2). Pen F caused the largest SI (72% of the breaths), while Pens G and H caused almost none. As a single unit B was the most potent. Table 2. Sensory Irritation Percent of breaths with SI Number of pens open 1 4 9 A 4 35 46 B 63 69 57 C 59 63 33 D 13 30 70 E 5 21 F 34 50 72 G 4 6 H 4 7 12 There were 220 shams and 12 or 16 mice in the other groups. Values are means (SE mean varied from 1 to 10). Bold type indicates p < 0.05 compared to Shams. The Shams averaged 7% SI with SE of 1. Relatively little PI was seen with any of the pens. Single units of pens D, E, and F caused AFL in 10 to 17% of the breaths at the peak effects. The lowest VD recorded was 31% below baseline in experiments with Pen D. FOB abnormalities High frequencies of abnormalities occurred with posture, gait, tremors, hyperactivity, facial swelling, and gasping (Table 3). Severe lacrimination was seen with Pens A, B, and E. In 643 Proceedings: Indoor Air 2002 addition, avoidance behavior was observed in 50% of the mice exposed to Pen B, and the hyperactivity with Pen D was so severe that 75% of these mice were recorded as "explosive." Decreased grip strength was observed in several mice exposed to Pens D and F, and the righting reflex was slow in several mice exposed to Pen B. Pens G and H caused the least neurotoxicity. Repeat exposures and FOB Two pens were studied with repeat exposures one hour a day for three days. The FOB score (number of abnormalities observed) resulting from Pen B increased from 12 to 14 to 18 with repeat exposures. Increases with Pen E were similar. Table 3. FOB: behavioral and appearance abnormalities Percent of mice with abnormality Pen Sham A B C D E F G H Posture 5 17 0 67 75 42 33 100 83 Gait 8 0 0 42 75 58 75 56 42 Tremor 17 13 92 94 50 67 75 75 50 Disorient. 2 8 6 17 12 0 0 0 33 Falling 0 6 0 8 0 25 33 31 13 Hyperact. 3 0 0 0 0 0 0 83 56 Face swell. 0 19 0 0 67 31 17 33 67 Sev. Lacrim. 0 0 0 0 0 17 37 17 33 Gasping 0 0 83 88 58 42 44 92 67 There were 64 shams and 12 or 16 mice in the other groups. Bold type indicates p < 0.05 compared to shams (chi square test). All data obtained using one pen open. Disorient. = disorientation. Hyperact. = hyperactivity. Swell. = swelling. Sev. Lacrim. = severe lacrimation. DISCUSSION All the pens tested were labeled "nontoxic;" the current data demonstrate that this is clearly not correct. It is not known which of the chemicals present in the emission mixtures were most responsible for the adverse effects measured; the results may be due in part to the combined effects of the solvents in these mixtures, but other volatiles probably also contribute to the overall effects. These acute toxic effects occurred at concentrations similar to those a human would encounter near an art project involving one to four marking pens. These results provide a toxicological basis for some of the complaints we have received concerning acute toxicity of marking pen emissions. SI results from chemical irritation of trigeminal nerves in the conjunctivae, facial skin, and nasal mucosa (Alarie, 1973; Neilsen, 1991). VOCs which cause SI in mice cause humans to experience burning of eyes, throat, skin, nose, or chest; conjunctivitis, lacrimation; coughing; and/or gagging (Alarie, 1973). Thus the SI observed in mice exposed to marking pens emissions probably explains the complaints of burning face and eyes in some humans exposed to marking pen emissions. Both the VD measurements used with mice and the peak flow measurements used to evaluate human asthmatics reflect expiratory airflow velocity. The VD values in these experiments decreased by 15 to 30% during this exposures; this is similar to the decreases in peak flow seen in human asthmatics during bronchoconstriction episodes. Because AFL occurred during the first hour of encounter between mice and marking pen emissions, these airflow 644 Proceedings: Indoor Air 2002 reductions probably represent acute toxic effects rather than allergic phenomena. Toxic airflow reductions are involved in occupational asthma (Chan-Yeung and Malo, 1995). The AFL observed in mice exposed to marking pen emissions may explain the sensation of difficult breathing in some humans exposed to marking pen emissions. The FOB scores are based on gross changes in behavior or appearance. Without more invasive experimentation one can only speculate about the mechanisms of these toxic effects. Some of the abnormalities (e.g. abnormal posture, abnormal gait, tremors, and falling) presumably reflect neurological or neuromuscular effects. Some of the other findings (e.g. facial swelling and severe lacrimation) might reflect local neurogenic inflammation. Regardless of mechanisms, the FOB results in the mice demonstrate there is a toxicological basis for the neurological complaints of some humans exposed to marker emissions. CONCLUSIONS Several marking pens emitted mixtures of volatile organic chemicals which caused acute adverse effects including Sensory Irritation, airflow reductions, and neurobehavioral abnormalities in normal mice. Use of felt tip markers can create high local concentrations of VOCs which might be toxic to the user and to nearby observers. REFERENCES Alarie Y. 1973. Sensory irritation by airborne chemicals. CRC Crit Rev Toxicol 2: 299363. Anderson RC and Anderson JH. 1998. Acute toxic effects of fragrance products. Arch Environ Health 53: 138-146. Anderson RC and Anderson JH. 2000. Respiratory toxicity of fabric softener emissions. J Toxicology and Environmental Health. Part A. 60: 121-136. ASTM (American Society for Testing and Materials). 1984. Standard test method for estimating sensory irritancy of airborne chemicals. Philadelphia PA. ASTM, 1984. Boylstein LA, Anderson SJ, Thompson R, and Alarie, Y. 1995. Characterization of the effects of an airborne mixture of chemicals on the respiratory tract and smoothing polynomial spline analysis of the data. Arch Toxicol 69: 579-589. Chan-Yeung M and Malo JL. 1995. Occupational asthma. New Eng J Med 333: 107112. Neilsen GD. 1991. 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