Carcinogenesis vol.18 no.9 pp.1695–1700, 1997 ACCELERATED PAPER Identification of benzene oxide as a product of benzene metabolism by mouse, rat, and human liver microsomes Mark R.Lovern1,2, Max J. Turner2, Mark Meyer3, Gregory L.Kedderis2, William E.Bechtold3 and Paul M.Schlosser2,4 1Biomathematics Program, North Carolina State University, Raleigh, NC, NC and 2Chemical Industry Institute of Toxicology, Research Triangle Park, 3Lovelace Respiratory Research Institute, Albuquerque, NM, USA 4To whom correspondence should be addressed Benzene is a ubiquitous environmental pollutant that is known to cause hematotoxicity and leukemia in humans. The initial oxidative metabolite of benzene has long been suspected to be benzene oxide (3,5-cyclohexadiene-1,2oxide). During in vitro experiments designed to characterize the oxidative metabolism of [14C]benzene, a metabolite was detected by HPLC-radioactivity analysis that did not elute with other known oxidative metabolites. The purpose of our investigation was to prove the hypothesis that this metabolite was benzene oxide. Benzene (1 mM) was incubated with liver microsomes from human donors, male B6C3F1 mice, or male Fischer-344 rats, NADH (1 mM), and NADPH (1 mM) in 0.1 M sodium phosphate buffer (pH 7.4) and then extracted with methylene chloride. Gas chromatography–mass spectrometry analysis of incubation extracts for mice, rats, and humans detected a metabolite whose elution time and mass spectrum matched that of synthetic benzene oxide. The elution time of the benzene oxide peak was ~4.1 min, while phenol eluted at ~8 min. Benzene oxide also coeluted with the HPLC peak of the previously unidentified metabolite. Based on the 14C activity of this peak, the concentration of benzene oxide was determined to be ~18 µM, or 7% of total benzene metabolites, after 18 min of incubation of mouse microsomes with 1 mM benzene. The metabolite was not observed in incubations using heat-inactivated microsomes. This is the first demonstration that benzene oxide is a product of hepatic benzene metabolism in vitro. The level of benzene oxide detected suggests that benzene oxide is sufficiently stable to reach significant levels in the blood of mice, rats, and humans and may be translocated to the bone marrow. Therefore benzene oxide should not be excluded as a possible metabolite involved in benzene-induced leukemogenesis. Introduction Benzene was used extensively in the past for production of paints, resins, rubber, inks, and dyes. It is currently 1% of gasoline by volume and a feedstock for synthetic organic chemical production (1). Benzene is a constituent of gasoline *Abbreviations: AML, acute myelogenous leukemia; CYP2E1, cytochrome P450 2E1; NADH, nicotinamide adenine dinucleotide; NADPH, nicotinamide adenine dinucleotide phosphate; BHT, butylated hydroxytoluene; GC–MS, gas chromatography–mass spectrometry; LSS, liquid scintillation spectrometry; ACN, acetonitrile; EA, ethyl acetate. © Oxford University Press fumes, automobile exhaust, and both mainstream and side stream tobacco smoke (2). Exposure to high levels of benzene for extended periods of time is associated with aplastic anemia and acute myelogenous leukemia (AML*) in humans (3). Workplace exposures to benzene in the United States are now limited through safety regulations (4), but recent reports of increases in hematotoxicity and leukemia among benzeneexposed workers in China provide further supporting evidence that it causes these health effects (5,6). As in previous studies, AML is associated with constant, high-level exposures or high cumulative exposures in the Chinese cohort. Benzene is hematotoxic (e.g. results in aplastic anemia) and myelotoxic (e.g. causes decreases in bone marrow cellularity) in mice and rats (7,8). Because hematotoxicity is often observed prior to the onset of AML in humans, these endpoints are presumed to be predictive of AML risk for humans. Sammett et al. (9) showed that partial hepatectomy protected rats against benzene-induced hematotoxicity, leading to the hypothesis that hepatic benzene metabolism is a primary step in the induction of hematotoxicity. This hypothesis is further supported by the recently observed correlation between increased risk of benzene-induced hematotoxicity in humans and cytochrome P450 2E1 (CYP2E1) activity as measured by chlorzoxazone metabolism (10). These results suggest that benzene-induced myelotoxicity, and hence the risk of benzene-induced leukemia in humans, depends on the dose of benzene metabolites reaching the bone marrow, which, in turn, depends on the rates of various steps in hepatic benzene metabolism. Therefore quantification of benzene metabolic rates and subsequent predictions of benzene metabolite dosimetry in the bone marrow through the use of biologically based mathematical models could considerably improve benzene risk assessment by allowing risk to be correlated with those target-tissue metabolite levels. Benzene metabolism was first studied by Williams and coworkers over 40 years ago (11,12) and Jerina and coworkers proposed that the first step in benzene metabolism was oxidation to benzene oxide nearly 30 years ago (13). Yet only recently has benzene oxide been detected in vivo (14). Jerina et al. (13) showed that benzene oxide can be enzymatically conjugated with glutathione to form S-(1,2-dihydro-2-hydroxyphenyl)-glutathione (pre-phenylmercapturic acid), indicating that it is an intermediate in the metabolism of benzene to Sphenyl-N-acetylcysteine (phenylmercapturic acid), a significant pathway for benzene elimination. Davies and Whitham (15) showed that benzene oxide can react with mild oxidizing agents to form muconaldehyde, suggesting that it is also an intermediate in the conversion of benzene to muconic acid. This conversion is a significant pathway for benzene elimination. Thus the ability to detect and ultimately quantify levels of the primary benzene metabolite, benzene oxide, would contribute significantly to the development of a biologically based pharmacokinetic model for benzene. An oxidative metabolite of benzene that did not elute with 1695 M.R.Lovern et al. Fig. 1. (a) Gas chromatogram for the authentic standard for benzene oxide. (b) Mass spectrum of the gas chromatogram peak eluting at ~4.1 min. other known oxidative metabolites was previously noted after incubations of [14C]benzene with hepatic microsomes of male B6C3F1 mice, male Fischer-344 rats, and 10 human tissue donors (16). The metabolite appeared rapidly after the initiation of benzene metabolism, reached a peak concentration after ~16 min, and declined thereafter. This time course indicated that the metabolite was produced from benzene via a single reaction step and subsequently reacted to form some other product (16). The purpose of our investigation was to test the hypothesis that this oxidative metabolite was benzene oxide and that it is produced by microsomes from all three species. Materials and methods Chemicals [14C]Benzene (102.1 mCi/mmol, ù98% purity) was purchased from Chemsyn Science Laboratories (Lenexa, KS). Benzene (ù99.9% purity), L-ascorbic acid (sodium salt), reduced β-nicotinamide adenine dinucleotide (NADH) and β- 1696 nicotinamide adenine dinucleotide phosphate (NADPH) were purchased from Sigma Chemical Co. (St Louis, MO). Sodium phosphate was obtained from Fisher Scientific (Fair Lawn, NJ). Methylene chloride (HPLC grade) was obtained from Baxter Healthcare Corporation (Muskegon, MI). Acetonitrile was purchased from J.T.Baker Inc. (Phillipsburg, NJ, ‘Baker Analyzed’® HPLC Reagent) and KH2PO4 was purchased from Aldrich Chemical Co., Inc. (Milwaukee, WI). All other chemicals were of the highest quality commercially available. Benzene oxide was synthesized by a three-step procedure similar to that used by Platt and Oesch (17). 4,5-Dibromocyclohexene was synthesized by dibromination of 1,4-cyclohexadiene in chloroform at 0°C (18). 4,5Dibromocyclohexane-1,2-oxide was prepared by oxidation of 4,5-dibromocyclohexene using meta-chloroperoxybenzoic acid (19). Benzene oxide was prepared by dehydrohalogenation of 4,5-dibromocyclohexane-1,2-oxide using sodium methoxide in boiling ether (20) or 1,8-diazobicyclo [5.4.0] undec-7ene in ether at room temperature (19). Benzene oxide was purified by vacuum distillation at 0.5–1.0 Torr followed by preparatory gas chromatography (21). Stock solutions were prepared immediately prior to each incubation by diluting benzene in 0.1 M sodium phosphate buffer (pH 7.4) to a concentration of 2 mM (based on liquid volume and the density of benzene) in a glass bottle that was filled to capacity (no head space) and sealed with a Teflon™ Benzene oxide production from benzene metabolism in liver Fig. 2. (a) Gas chromatogram of a methylene chloride extract from an incubation of benzene with active microsomes. (b) Mass spectrum for the gas chromatogram peak eluting at ~4.1 min. Silicon septum (Pierce, Rockford, IL). For incubations with [14C]benzene, the stock was spiked with [14C]benzene to a final specific activity of 0.45 µCi/ µmol. Dissolution of benzene was facilitated by sonication. Animals Male Fischer-344 rats (CDF [F-344]/CrlBR) 10–12 weeks old (200–250 g) and male B6C3F1 mice (B6C3F1/CrlBR) 7–9 weeks old (22–30 g) (Charles River Laboratories, Raleigh, NC) were used as sources of liver tissue. Animals were housed in mass air displacement, temperature and humidity controlled rooms (22 6 1 °C and 60 6 15%, respectively), fed pelleted NIH-07 rodent chow (Ziegler Bros., Gardner, PA) and purified water ad libitum, and kept on a 12-h light–dark cycle. Animals were allowed to acclimate for at least 2 weeks prior to use. Sentinel animals were screened weekly for viral infection (Standard Rat Screen, Microbiological Associates, Bethesda, MD) and were negative throughout the study. Microsome preparation Mouse and rat microsomes were prepared from pooled liver samples according to the method of Csanády et al. (22). Frozen human liver samples were obtained from Dr F.P.Guengerich (Vanderbilt University, Nashville, TN) through Tennessee Donor Services (Nashville, TN). Human liver microsomes from samples HL98, HL100, and HL104 were prepared as described by Kedderis et al. (23). Protein content was determined with a protein assay kit (Sigma Analytical, St Louis, MO) using a modified micro-Lowry method (24). Microsomes were stored at –80°C until time of use. For control experiments, microsomes were inactivated by heating at 100°C for 20 min. Incubation procedure The incubation procedure followed closely that of Schlosser et al. (25). Microsomes (1 mg/ml final protein concentration) and sodium ascorbate (0.1 M final concentration in 0.1 M sodium phosphate, pH 7.4) were placed in screw-top vials with Teflon™-rubber septa (Pierce). Incubation mixtures were made to a total volume of 1 ml, 5 ml, or 10 ml. Vials were sealed and benzene working stock was added using a gas-tight syringe to yield a final benzene concentration of 1 mM. Vials were placed in a 37°C water bath and allowed to equilibrate for 5 min. Reactions were then initiated by addition of NADH and NADPH (both at 1 mM final concentration in 0.1 M sodium phosphate, pH 7.4). Incubations were terminated after 18 min by extraction with either ice-cold ethyl acetate containing internal standards and butylated 1697 M.R.Lovern et al. equipped with an HP5-MS capillary column (30 m, 0.25 mm i.d., 0.25 mm film; Hewlett Packard, Wilmington, DE). Samples (1 ml) were injected oncolumn using a Hewlett-Packard liquid autosampler. The on-column inlet was operated at 40°C using helium at an inlet pressure of 8.0 psi. The column was held at 35°C for 0.2 min following injection, raised at 50°/min to 50°C and held for 1.5 min, then raised at 10°/min to 150°C and held for 0.1 min, and then raised at 30°/min to 200°C and held for 1.0 min. The mass spectrometer was operated in the electron ionization mode (EI, 70 eV) and scanned over the range m/z 35–200 at a rate of 1.8 scans/s. HPLC and LSS analysis Radiolabeled metabolites in ethyl acetate extracts were separated by the method of Bechtold et al. (26), with the following modification in the solvent program: a gradient from 10% acetonitrile (ACN):90% buffer (B) at 0 min to 12% ACN:88% B at 3 min, followed by a gradient to 62% ACN:38% B from 3 to 8.5 min, then a gradient to 72% ACN:28% B from 8.5 to 11.5 min, a gradient to 100% ACN from 11.5 to 14 min, and finally held at 100% ACN until 24 min. Quantitation of metabolite concentrations was performed by LSS as described previously (25) after correcting the specific activity of the [14C]benzene for the dilution with unlabeled benzene during preparation of the stock solution. Results Fig. 3. UV and radiochromatograms for incubations with (a) heatinactivated and (b) active mouse microsomes. Incubation was at 1 mM benzene, with specific activity 0.45 µCi/µmole. Incubation mixture was extracted into 1 ml ethyl acetate. Results are for a 100-µl injection. UVtrace is that of internal standards (a) without or (b) with benzene oxide. hydroxytoluene (BHT) or pure, ice-cold methylene chloride. The incubation time length was chosen to be close to that at which Seaton observed the maximum concentration of the unidentified metabolite (16). The internal standard mixture contained benzene (8.9 mg/ml), phenol (0.63 mg/ml), catechol (1.6 mg/ml), hydroquinone (2.9 mg/ml), trihydroxybenzene (1.3 mg/ ml), and BHT (20 mg/ml). Samples were vortexed for 1 min and then centrifuged at 3000 rpm for 5 min to separate the aqueous and organic fractions and to pellet the protein. Control incubations using heat-inactivated microsomes were performed to ensure that benzene oxide did not originate from another source. One incubation each was performed in 5 ml (final volume) with active microsomes from mice, rats, and three human donors; these were extracted with 0.5 ml of methylene chloride and analysed directly. Two 10-ml (final volume) incubations with mouse microsomes were extracted into 5 ml methylene chloride, and the extract was concentrated under nitrogen to a volume of 200 ml prior to analysis. All samples extracted in methylene chloride were analysed by gas chromatography–mass spectrometry (GC–MS). Two additional incubations were performed with [14C]benzene and mouse microsomes in 1 ml final volume, extracted into 1 ml ethyl acetate with internal standards and butylated hydroxy toluene, and analysed directly by HPLC (collected in 12-s fractions) and liquid scintillation spectrometry (LSS). The UV absorbance (263 nm) chromatogram and elution time for the HPLC samples were compared to those of internal standard solutions in ethyl acetate with or without addition of the benzene oxide standard (in methylene chloride). GC-MS analysis of incubation extracts Incubation extracts in methylene chloride were analyzed using a Hewlett Packard 5989B mass spectrometer coupled to an HP 5890 gas chromatograph 1698 GC–MS analysis of synthetic benzene oxide The authentic standard for benzene oxide had an approximate elution time of 4.1 min (Figure 1a). The EI mass spectrum for the standard produced ions at m/z 94 (M), 78 (M–O), 68 (M–C2H2), 66 (M–CO), 65 (M–CHO), 40 (66–C2H2), and 39 (65–C2H2) (Figure 1b). This spectrum is consistent with previously published EI mass spectra for benzene oxide (19). GC–MS analysis of incubation extracts The mass chromatogram of a methylene chloride extract from a mouse microsomal incubation with benzene showed a peak with an elution time corresponding to that of benzene oxide (~4.1 min) (Figure 2a). The mass spectrum of this peak (Figure 2b) is consistent with that of authentic benzene oxide (Figure 1b). The peak corresponding to benzene oxide was observed in all incubations using active microsomes, including the three individual human samples. No substance with a similar elution time or mass spectrum was observed in the extract from the incubation with heat-inactivated microsomes. The elution time of phenol was ~8 min (data not shown). HPLC and LSS analysis A chromatogram from an incubation of [14C]benzene with heatinactivated microsomes extracted with ethyl acetate containing unlabeled internal standards (Figure 3a) showed a single peak with an retention time of ~18 min. The 14C activity from an incubation with active microsomes extracted with ethyl acetate containing unlabeled internal standards and synthetic benzene oxide is shown in Figure 3b. The 14C activity eluted in several peaks, one of which had the same retention time as benzene oxide (~15 min). For mouse liver microsomes, the concentration of benzene oxide produced by a 1 mM incubation of benzene was estimated from radioactivity to be 18 mM, or 7% of all metabolites formed. Discussion Benzene oxide was found in all extracts from incubations with active mouse, rat, and human liver microsomes, but not in extracts from control incubations, indicating that it is a product of oxidative metabolism. While benzene oxide has long been assumed to be the initial product of oxidative metabolism of benzene, this is the first confirmation that it is produced by hepatic microsomal metabolism. Also, benzene oxide coeluted with a hepatic microsomal metabolite of benzene previously Benzene oxide production from benzene metabolism in liver Table I. Benzene oxide produced by 16 minute incubations of 4 mM benzene with mouse, rat, and human liver microsomesa Sample Benzene oxide concentration (µM) % of Total Metabolites produced rat mouse Human Human Human Human Human Human Human Human Human 1 2 3 4 5 6 7 8 9 0.142 0.191 0.203 0.083 0.158 0.113 0.178 0.211 0.117 0.135 0.159 11 8 5 10 6 8 7 5 6 8 7 aSeaton et al. (16). noted but unidentified in all three species (16). In those experiments, 16 min incubations of 4 µM benzene with rat and mouse microsomes produced metabolite concentrations of 0.14 and 0.19 µM, respectively (Table I). This corresponded to 11% of the total metabolites formed in rat samples, and 8% of those in mouse samples. Identical experiments conducted with liver microsomes from 9 human individuals resulted in concentrations ranging 0.08–0.21 µM, and the metabolite accounted for 5–10% of the metabolites produced. At 1 mM benzene after an 18-min incubation, mouse microsomes produced 18 µM benzene oxide, ~7% of the total metabolites. Since human exposures would likely limit benzene blood levels to no higher than micromolar levels, the findings at 4 µM are likely more relevant to humans. The [14C]metabolite peak in the HPLC was first observed serendipitously when the method of Bechtold and coworkers (26) was modified as described here to obtain better resolution between catechol and phenol. With that change, what had been an intermittent shoulder on the back of the phenol peak resolved into a distinct peak (given the sensitivity of detection with [14C]benzene as the substrate). Benzene oxide could not be reliably detected by GC–MS in ethyl acetate (EA) extracts (used for the HPLC method). In particular, attempts to concentrate the metabolite in these extracts were unsuccessful since the metabolite was lost with EA evaporation. Detection was successful in methylene chloride, a solvent that is sometimes avoided because it has greater density than the aqueous phase. This suggests that application of this method to blood samples may lead to successful detection of benzene oxide in vivo, provided that the extraction is performed immediately after sampling, and that the sample is analysed shortly thereafter. Many attempts were made to obtain positive identification for the metabolite identified by the HPLC fraction that coelutes with benzene oxide. The peak elutes at ~14 min, when the gradient is programmed to just reach 100% ACN, but there is still some water in the fraction. But because of the volatility or the instability of benzene oxide, we were unsuccessful in concentrating it and obtaining positive identification in extracts of the fraction. Detection of 0.25 µM benzene oxide in the blood of rats after oral administration of 400 mg benzene/kg body wt has recently been reported by Lindstrom et al. (14), showing that benzene oxide is formed in vivo and is sufficiently stable to exit the rat liver. We have shown here that benzene oxide is a product of hepatic microsomal metabolism in mice and humans as well as rats. Based on previous studies (16), one would expect concentrations similar to those observed in rats. The half-life of benzene oxide in aqueous buffer at physiological pH has been shown to be 8.25 min (27), and 7.9 min in the blood of rats (14). If the half-life of benzene oxide in human blood is also close to 8 min, the recirculation time for blood in humans of ~1 min (28) would allow 83% of the benzene oxide released to the blood from the liver to reach the bone marrow in humans. Focusing on metabolites that were demonstrably present, various studies have indicated that benzene toxicity may result from the combined effects of several metabolites: muconaldehyde and hydroquinone act additively when the hydroquinone concentration is 100 mg/kg, and synergistically when the concentration is reduced to 50 mg/kg (29,30). Phenol and hydroquinone also act synergistically (31,32). But no other oxidative benzene metabolite or combination of metabolites has been shown to be the agent of benzene leukemogenicity. Because benzene oxide was thought to be too reactive to reach significant blood levels, its potential involvement has not been proposed. Many other epoxide compounds have been shown to form DNA adducts and act as genotoxins (33). DNA adducts have been detected in the bone marrow and white blood cells of benzene-treated mice (34). If benzene oxide does reach the bone marrow in significant quantities and exhibits reactivity similar to other epoxides, then further investigation of benzene oxide as a potential myelotoxin and leukemogen may be warranted. Toward this end, it is the authors’ intention to extend the work published here by re-structuring the previously published model of benzene in vitro oxidative metabolism (16) so that the data for the unknown metabolite is identified with benzene oxide. The model described by Seaton et al. (16) presumed that the metabolite now believed to be benzene oxide was not intermediate in the production of phenol. While Seaton’s model performed well at predicting experimental data for benzene oxide, the assumed model structure was not correct, and therefore the values of some of the fitted parameters have no biological interpretation. Therefore, it will be necessary to modify the model so that the kinetics of benzene oxide and benzene’s other oxidative metabolites can be determined. Acknowledgements Mark Lovern, a graduate student at North Carolina State University (NCSU), has been supported via an unrestricted grant from CIIT to NCSU. The work of William Bechtold and Mark Meyer was sponsored in part by the US Department of Energy, Office of Health and Environmental Research, under contract DE-AC04-76EV01013. We thank Drs Bernard Golding and Christine Dalby for their direction in the synthesis of benzene oxide and for supplying a sample of dibromocyclohexane oxide. Dr F.P.Guengerich, Vanderbilt University, graciously supplied the human liver tissues used in this study. 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