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           Environmental Toxicology

          IMMUNOTOXICITY OF PYRETHROID METABOLITES IN AN IN VITRO MODEL
          YING ZHANG,y MEIRONG ZHAO,z MEIQING JIN,y CHAO XU,z CUI WANG,z and WEIPING LIU*yz
          yMOE Key Lab of Environmental Remediation and Ecosystem Health, Zhejiang University, Hangzhou 310027, People’s Republic of China
          zResearch Center of Environmental Science, Zhejiang University of Technology, Hangzhou 310032, People’s Republic of China
          (Submitted 10 December 2009; Returned for Revision 20 March 2010; Accepted 16 May 2010)
          Abstract—Risk assessment of man-made chemicals such as pesticides are mainly focused on parent compounds, and relatively little is
          known about their metabolites, especially with regard to target organ damages such as immunotoxicity. In the present study, the
          immunotoxicity of ?ve synthetic pyrethroids (SPs) and three common metabolites was evaluated using an in vitro model by 3-(4,5-
          dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay, cyto?ow, and enzyme-linked immunosorbent assay (ELISA).
          Cell viability and apoptosis assays showed that both SPs and their metabolites possessed cytotoxicity to the monocytic cells. The
          aldehyde and acid derivatives were more effective than the other compounds at cytotoxicity, with inhibition of cell viability by 56.8 and
          50.6% at 105
          mol L1
          , and induction of 8.52 and 8.81% cell apoptosis, respectively. Exposure to SPs and their metabolites also led to
          changes in the secretion levels of tumor necrosis factor a (TNF a) and interleukins (ILs), and again the metabolites showed stronger
          effects than the parent compounds. The aldehyde derivative upregulated IL-12p70 level by 1.87-fold, and the alcohol and acid derivative
          increased the secretion of TNF a 5.88 and 7.96-fold, relative to the control group. In the in vitro model, the common metabolites of SPs
          clearly exerted greater immunotoxic effects tomonocytes than the intact parent compounds. Results fromthe present study suggested the
          need for considering metabolites in achieving more comprehensive health risk assessment of man-made chemicals, including target
          organ toxicities such as immunotoxicity. Environ. Toxicol. Chem. 2010;29:2505–2510. # 2010 SETAC
          Keywords—Cytokine Cytotoxicity Metabolites Monocytes Pyrethroids
          INTRODUCTION
          Once released into the environment, organic compounds
          such as pesticides are subject to chemical or biochemical
          transformations, leading to the formation of metabolites. For
          pesticides, both parent compounds and their metabolites may
          exert toxic effects on humans and other mammals. In some
          instances, the transformation products of pesticides are more
          prevalent in the environment or have higher toxicities than
          the parent compound [1,2]. However, in general, most risk
          assessment practices focus only on parent compounds, and
          relatively few cases consider pesticide metabolites [3]. For
          example, at present, essentially no knowledge is available on
          the immunotoxicity of pesticide metabolites.
          The immune system is in a complex balance interacting with
          other systems and plays a critical role in maintaining the health
          of humans and animals. It consists of a complicated network of
          cells and mediators, such as cytokines, to act on innate and
          inducible immune functions in a highly regulated manner. Both
          suppression and enhancement of immune functions by certain
          chemicals is thought to exhibit potential immunotoxicity of the
          chemicals. The immune system appears to be a sensitive and
          complex target for pesticides [4]. In view of their widespread
          use and distribution, exposure to pesticides may represent an
          important cause for immune system disruptions and may result
          in induced immunomodulations that endanger humans and
          animals [5].
          Synthetic pyrethroids (SPs), recognized as two different
          types by the absence (type I) or presence (type II) of an a-
          cyano group, are among the most commonly used insecticides
          [6]. The popularity of SPs is attributed to their high ef?cacy to
          insects, low environmental mobility, and relatively low mam-
          malian and avian toxicity [7]. However, an increasing number
          of studies show that SPs are capable of disrupting hormonal
          activities [8], causing oxidative stress [9], inducing immune
          suppression [10], and inhibiting signal transduction [11]. Pyr-
          ethroids are metabolized oxidatively and hydrolytically to form
          a number of primary and secondary metabolites [12]. Three
          intermediates, i.e., 3-phenoxybenzoic alcohol (PBCOH), 3-
          phenoxybenzaldehyde (PBCHO), and 3-phenoxybenzoic acid
          (PBCOOH), are common to many SPs. These metabolites have
          been found in animal and human tissues, blood, and urine
          [13,14], as well as in the environment as microbial transfor-
          mation products [15]. For example, a study showed that
          PBCOOH was the most frequently detected metabolite in
          82%of the urine samples collected from children [16]. Previous
          studies showed that some SPs displayed immunotoxicological
          effects [17] and endocrine disrupting activities [8], which, if
          coupled with the recent ?nding that metabolites of SPs possess
          endocrine disrupting activities [18,19], points to a likelihood for
          SP metabolites to induce immunotoxicity like SPs. In addition,
          because SP metabolites are much more polar than the parent
          compounds, they may be more easily absorbed and therefore
          contribute to increased immunotoxicity to animals and humans.
          The primary objective of the present study was to evaluate
          the immunotoxicity of SPs and their common metabolites. A
          well-known human monocytic cell line U937 [20] was used
          as the in vitro model for the assays. The monocytes play a
          signi?cant role in the innate immune system, which secretes
          cytokines such as tumor necrosis factor m (TNF a) and inter-
          leukins (ILs) to take part in immune reaction. It is expected
          that both the results and approaches developed in the
          present study may be useful for better understanding the
          Environmental Toxicology and Chemistry, Vol. 29, No. 11, pp. 2505–2510, 2010
          # 2010 SETAC
          Printed in the USA
          DOI: 10.1002/etc.298
          * To whom correspondence may be addressed
          (wliu@zjut.edu.cn).
          Published online 9 July 2010 in Wiley Online Library
          (wileyonlinelibrary.com).
          2505immunotoxicity of SPs and their metabolites, and other toxic
          effects in general.
          MATERIALS AND METHODS
          Chemicals and reagents
          Permethrin (PM, >95%), d-phenothrin (d-PN, >94.9%),
          PBCOH (>98%), PBCHO (>97%), and PBCOOH (>98%)
          were purchased from Sigma Chemical. Cypermethrin (CP,
          >95%) and d-cyphenothrin (d-CPN, >92%) were obtained
          from Xinhuo Technical Institute. Lambda-cyhalothrin (LCT,
          >98%) was purchased from Danyang Agrochemicals. Struc-
          tures of all these compounds are given in Figure 1. All tested
          compounds were dissolved in HPLC grade ethanol (Tedia) and
          kept at 4 8C in the dark as stock solutions. Other chemicals or
          solvents used in the present study were of cell culture, HPLC, or
          analytical grade.
          Cell culture and treatments
          The U937 cells, obtained from the State Key Laboratory of
          Pharmaceutical Biotechnology, Nanjing University, were cul-
          tured in RPMI-1640 medium (HyClone) supplemented with
          10% of fetal bovine serum (FBS, HyClone) at 37 8Cina
          humidi?ed CO2 incubator (Thermo Electron) of 5% CO2 and
          95% air. The culture medium was refreshed every 3 d, and
          replaced with the experimental medium (RPMI-1640 contain-
          ing 2% FBS) for 1 d to reduce the effect of serum before
          treatment. The cells were then treated with the dosing medium
          (the experimental medium along with test compound at con-
          centrations of 109
          –105
          mol L1
          ) for 3 d (for cell viability
          assay) or 2 d (apoptosis and cytokine analysis). A series of test
          solutions were prepared in ethanol, with the ?nal solvent
          concentrations less than 0.1% by volume. Ethanol (0.1% v/v)
          was used as the negative control.
          Assessment of cell viability
          The cell viability was determined by MTT assay based upon
          the reduction of thiazolyl blue (MTT, 3-[4,5-dimethylthiazol-2-
          yl]-2,5-diphenyltetrazolium bromide; Amresco). Cells in an
          exponential growth status were seeded in 96-well plates at a
          density of 5104
          cells mL1
          for pretreatment of 24 h, and then
          the medium was changed to the dosing medium containing test
          solutions at a range of concentrations. After 3-d exposure,MTT
          solution (5mgmL1
          phosphate-buffered saline [PBS]) was
          added into wells, followed by incubation at 37 8C for 4 h.
          The medium was then removed from the wells, and 150ml
          DMSO was added per well. After mixing on a micro-mixer for
          10min, the absorbance was measured at a wavelength of
          570 nm with background subtraction at 650 nm using a Bio-
          Rad Model 680 microplate reader (Bio-Rad Laboratories). The
          treatments were all repeated at least three times. The results
          were expressed in the relative viability, which was the ratio of
          each exposure group over the vehicle control.
          Analysis of cell apoptosis
          In the early stage of apoptosis, changes occur at the cell
          surface such as translocation of phosphatidylserine [21], which
          can be analyzed by using Annexin-V-Fluorescein and Proidium
          Iodide (PI). The SPs and their metabolite-induced cell apoptosis
          were determined by the Annexin-V-FLUOS staining kit (Roche)
          according to the manufacturer’s protocol. High Annexin-V-
          Fluorescein and low PI staining indicates early apoptotic cells,
          whereas high PI staining indicates necrotic cells. Cells at an
          initial concentration of 5104
          per well were incubated with
          the vehicle control or test solutions at the concentration
          of 106
          mol L1
          in 6-well plates for 48 h. After harvest and
          washing twice with cold PBS, cells were resuspended in 100ml
          Annexin-V-FLUOS labeling solution (containing 2ml Annexin-
          V-FLUOS labeling reagent and 2ml PI) and incubated for 15min
          at room temperature in the dark. The ?nal samples were
          analyzed on a ?ow cytometer (Becton Dickinson).
          Measurement of cytokine secretion
          Assessment of cytokine, the molecules in response to reg-
          ulating various processes including immunity, in?ammation,
          apoptosis, and hematopoiesis, is a valuable tool for evaluating
          chemical exposure effects on the immune system [22]. To
          further investigate the molecular mechanisms of toxicity, the
          effects of SPs and their metabolites on cytokine secretion
          were measured. Cells were cultured in 24-well plates with
          the vehicle control or 106
          mol L1
          test solutions for 48 h.
          Cell culture supernatants were collected and stored at 20 8C.
          The proin?ammatory cytokines TNF a and IL-6, immunore-
          gulatory cytokine IL-10, and also immune response regulator
          IL-12p70 were measured by commercial enzyme-linked immu-
          nosorbent assay (ELISA) kits (Cusabio) according to the man-
          ufacturer’s instructions. Each measurement was repeated at
          least four times.
          Statistical analysis
          The results were presented as meanSD and tested for
          statistical signi?cance by analysis of variance (ANOVA) using
          SPSS 16.0. Differences were considered statistically signi?cant
          when p value was less than 0.05 or 0.01.
          RESULTS
          Inhibitory responses in cell viability
          The MTT assay for cell vitality was ?rst carried out to
          investigate the responses of U937 cell line to SPs and their
          metabolites. From the dose–response relationships, the test
          compounds displayed an inhibitory effect on U937 viability
          in a concentration-dependent manner (Fig. 2). The viabilities of
          O
          OH
          O
          O
          O
          O
          HO H H
          3-phenoxybenzoic alcohol
          PBCHO PBCOOH
          O
          O
          Cypermethrin, CP
          Cl
          Cl
          OCN
          O
          O
          Cl
          OCN
          Lambda-cyhalothrin, LCT
          F3C
          O
          O
          OCN
          d-cyphenothrin, d-CPN
          H3C
          H3C
          O
          O
          O
          H3C
          H3C
          O
          O Cl
          Cl
          O
          Permethrin, PM
          d-phenothrin, d-PN
          Type I SPs Type II SPs
          The Metabolites
          PBCOH
          3-phenoxybenzaldehyde 3-phenoxybenzoic acid
          H
          Fig. 1. Chemical structures of synthetic pyrethroids (SPs) and their
          metabolites.
          2506 Environ. Toxicol. Chem. 29, 2010 Y. Zhang et al.U937 were signi?cantly inhibited at 106
          or 105
          mol L1
          for
          all the compounds. Among the ?ve different SPs, CP (type II)
          was more toxic than the other SPs at 106
          mol L1
          (p<0.05).
          At 105
          mol L1
          , PM, d-PN, CP, LCT, and d-CPN decreased
          cell viability to 90.0, 73.2, 67.0, 76.6, and 65.3%, and the
          difference between PM and the other four SPs was statistically
          signi?cant (p<0.05). The three metabolites also caused inhib-
          ition of cell growth within the range of 108
          –105
          mol L1
          .
          Moreover, PBCHO and PBCOOH were much more toxic than
          the parent compounds and PBCOH (p<0.001 for PBCHO and
          p<0.05 for PBCOOH) at 105
          mol L1
          , with cell growth
          inhibited by 56.8 and 50.6%, respectively. The results showed
          that the metabolites induced suppression of cell viability stron-
          ger than the parent compounds.
          Induction of U937 cells apoptosis
          As the inhibitory responses in cell viabilitymay be attributed
          to arrest of cell cycles and induction of apoptosis, the Annexin-
          V- FLUOS staining kit was used to determine the effects of SPs
          and their metabolites at 106
          mol L1
          on U937 cell apoptosis.
          The results showed that the numbers of early apoptotic cells
          in the bottom right quadrant increased after exposure to SPs,
          suggesting that SPs were able to induce visible early apoptosis
          of U937 cells (Fig. 3). No signi?cant difference existed between
          the test groups and the negative control in the percentage of
          necrotic cells. The percentages of cells stained as Annexin-
          V/PI (living cells), Annexin-Vþ/PI (early apoptotic
          cells), and Annexin-Vþ/PIþ (necrotic cells) are presented
          in Table 1. On average, PM, d-PN, CP, LCT, and d-CPN
          treatments resulted in 4.88, 7.49, 9.50, 8.51, and 7.53% apop-
          0.3
          0.6
          0.9
          1.2
          ** **
          C
          **
          0.3
          0.6
          0.9
          1.2
          ** *
          A
          D
          **
          **
          B
          *
          **
          0.3
          0.6
          0.9
          1.2 E
          *
          **
          F
          ** ** ** ** **
          0 1E-91E-81E-71E-61E-5
          0.3
          0.6
          0.9
          1.2 G
          Concentration of SPs and their metabolites (mol L
          -1
          Fold (cell proliferation relative to vehicle control)
          **
          **
          **
          **
          **
          0 1E-9 1E-8 1E-7 1E-6 1E-5
          **
          H
          ** **
          **
          **
          Fig. 2. The effects of synthetic pyrethroids (SPs) and theirmetabolites on the viability ofU937 cell lines.TheU937 cellswere exposed to a series of concentrations
          of Permethrin (PM) (A), d-phenothrin (d-PN) (B), Cypermethrin (CP) (C), Lambda-cyhalothrin (LCT) (D), d-cyphenothrin (d-CPN) (E), 3-phenoxybenzoic
          alcohol (PBCOH) (F), 3-phenoxybenzaldehyde (PBCHO) (G), and 3-phenoxybenzoic acid (PBCOOH) (H) for 72 h followed by the 3-(4,5-dimethylthiazol-2-yl)-
          2,5-diphenyltetrazolium bromide (MTT) assay. Results are presented as meanSD of at least three independent assays (
          indicates p<0.05, and
          indicates
          p<0.01, compared to negative control by analysis of variance [ANOVA]).
          Fig. 3. Evaluation of apoptotic cells by the Annexin-V staining assay. The
          U937 cells incubatedwith vehicle control (A)or106
          mol L1
          PM(B), d-PN
          (C), CP (D), LCT (E), d-CPN (F), PBCOH (G), PBCHO (H), and PBCOOH
          (I) for 48 h were stained by Annexin-V and PI and then analyzed by ?ow
          cytometer. The x axis represents increasing Annexin-V ?uorescence
          (relative light unit), and the y axis represents increasing Proidium Iodide
          (PI) ?uorescence (relative light unit). The subpopulations in quadrants II–IV
          represent necrotic cells (II), living cells (III), and early apoptotic cells (IV).
          See Figure 2 for acronym key.
          Immunotoxicity of pyrethroid metabolites Environ. Toxicol. Chem. 29, 2010 2507totic cells, respectively, while the negative control group had
          only 3.75% apoptotic cells. Type II SPs appeared to have
          induced more early apoptosis than type I SPs. The metabolites
          displayed similar effects of inducing cell apoptosis, and
          PBCOH, PBCHO, and PBCOOH were found to induce 7.98,
          8.52, and 8.81% early apoptotic cells, respectively. This obser-
          vation suggested that the common metabolites were capable of
          causing the same or more intensive apoptosis than their parent
          compounds in U937 cells.
          Alteration of cytokine secretion
          Synthetic pyrethroids and their metabolites may not only
          induce cytotoxicity, but also alter immune functions through the
          alteration of cytokines such as TNF a and ILs that participate in
          complex interactions with cell viability in immune cells. The
          levels of IL-6, IL-10, IL-12p70, and TNF a in U937 monocytes
          were determined using ELISA kits.With respect to ILs, only the
          IL-12p70 level was altered by SPs and their metabolites. As
          shown in Figure 4A, the secretion of IL-10 decreased slightly in
          the test groups of CP, d-CPN, PBCOH, and PBCOOH, but the
          differences were not signi?cant. Moreover, no signi?cant dif-
          ferences were observed in the concentrations of IL-6 among the
          different treatments (data not shown). In addition, the levels of
          IL-12p70 were not signi?cantly affected after PM, CP, and LCT
          treatments, but were increased after exposure to d-PN and d-
          CPN ( p<0.05) (Fig. 4B). After the treatment of PBCHO, IL-
          12p70 level was upregulated to 1.87-fold of the negative
          control, which was signi?cantly higher (p<0.05) than the
          parent compounds. PBCOOH also increased the level of IL-
          12p70 ( p<0.01), although the increase was not statistically
          signi?cant when compared to the parent compounds.
          Exposure of U937 cells to SPs and their metabolites gen-
          erally resulted in an increased secretion of TNF a, except for
          d-CPN (p<0.05) (Fig. 4C). Permethrin, LCT, and PBCOH
          induced similar levels of TNF a production, ranging from 4.95-
          to 5.88-fold increases relative to the negative control. These
          increases were also higher than PBCHO (p<0.05) (1.98-fold
          increase relative to the negative control). Furthermore,
          PBCOOH induced the highest increment of TNF a secretion,
          equaling 7.96-fold relative to the control group. The increase
          induced by PBCOOH was signi?cantly higher than all the
          parent compounds ( p<0.05). Overall, the results fromcytokine
          analysis showed that the common metabolites were capable of
          inducing similar or more intensive effects on cytokine secretion
          than the parent compounds. These results also implied that the
          Table 1. Percentage of apoptotic cells induced by synthetic pyrethroids
          and their metabolites using Annexin-V staining assaya
          Compound Quadrant I Quadrant II
          b
          Quadrant III
          c
          Quadrant IVd
          Control 0.09 1.14 95 3.75
          PM 0.03 1.2 93.9 4.88
          d-PN 0.15 1.6 90.8 7.49
          CP 0.01 1.51 89 9.5
          LCT 0 1.97 89.5 8.51
          d-CPN 0.04 1.33 91.1 7.53
          PBCOH 0.04 1.02 91 7.98
          PBCHO 0.03 1.47 90 8.52
          PBCOOH 0 0.94 90.3 8.81
          a
          See Figure 2 for acronym key; PI¼proidium iodide.
          b
          The percentage of necrotic cells with low Annexin-V and high PI staining.
          c
          The percentage of living cells with low Annexin-V and low PI staining.
          d
          The percentage of early apoptotic cells with high Annexin-V and low PI
          staining.
          0.0
          0.4
          0.8
          1.2
          1.6
          2.0 B
          B
          A
          A b b
          bc
          b
          bc
          *
          **
          **
          *
          PBCOOH PBCHO PBCOH d-CPN d-PN LCT CP PM control
          Fold (IL-12p70 secretion relative to solvent control)
           Control     Parent Compounds     Metabolites
          0.0
          0.2
          0.4
          0.6
          0.8
          1.0
          1.2
          A
          A
          A
          A
          c
          *
          *
          *
          Control    Parent Compounds    Metabolites
          Fold (IL-10 secretion relative to solvent control)
          control PM CP LCT d-PN d-CPN PBCOH PBCHO PBCOOH
          *
          0
          2
          4
          6
          8
          10
          Control    Parent Compounds    Metabolites
          C
          * B
          A
          A
          bc
          bc
          ac
          ac
          ac
          **
          *
          **
          *
          Fold (TNF-α secretion relative to solvent control)
          control PM CP LCT d-PN d-CPN PBCOH PBCHO PBCOOH
          **
          **
          Fig. 4. Assessment of cytokine secretions of cell culture supernatants. The
          U937 cells were cultured with vehicle control or 106
          mol L1
          test solutions
          for 48 h, and secretions of interleukin-6 (IL-6), interleukin-10 (IL-10) (A),
          interleukin-12p70 (IL-12p70) (B), and tumor necrosis factora(TNFa)(C)in
          culture supernatantsweremeasured by enzyme-linked immunosorbent assay
          (ELISA).
          indicates p<0.05, and
          indicates p<0.01, relative to each
          solvent control. Different lowercase letters indicate a signi?cant difference
          (p<0.05) between the parent compounds and their metabolites (a for
          PBCOH; b for PBCHO; c for PBCOOH).Different capital letters above error
          bars indicate a signi?cant difference (p <.05) between three metabolites,
          while the same letter indicates no signi?cant difference. See Figure 2 for
          acronym key.
          2508 Environ. Toxicol. Chem. 29, 2010 Y. Zhang et al.levels of IL-12p70 and TNF a in monocytes may be sensitive
          endpoints for the evaluation of immunotoxicity of SPs and their
          metabolites.
          DISCUSSION
          With the widespread use of pesticides, more comprehensive
          risk assessment by considering their environmental metabolites
          is imperative. Although limited studies previously showed
          immunotoxicity of SPs using in vivo and in vitro models, the
          present study demonstrated for the ?rst time, to our knowledge,
          that the common metabolites of SPs were capable of inducing
          similar or more intensive immunotoxic effects than the parent
          compounds.
          In mammals, SPs are rapidly metabolized to less lipophilic
          and more readily excreted metabolites [19]. For instance, the
          elimination was nearly complete within 5 d of exposure formost
          SPs following inhalation exposure, while the majority of the
          dose was eliminated in the ?rst 1 to 2 d following oral exposure
          of humans or animals ([23]; http://www.atsdr.cdc.gov/toxpro-
          ?les/tp155.html). Urine analysis showed no presence of SPs,
          however, the metabolites were detected within several hours
          after exposure depending on chemical structures. Studies
          show that SPs can be metabolized in liver microsomes, hepatic
          cytosol, serum, and small intestinal microsomes [24,25]. The
          most important metabolism of most SPs occurring in liver
          microsomes is cleavage of the central ester linkage, which
          produces a cyclopropane acid and an alcohol moiety (Fig. 5).
          The alcohol moiety is then hydroxylated to produce PBCOH
          that is further oxidized to PBCOOH using PBCHO [26]. Sub-
          sequently, these metabolites undergo conjugation processes to
          produce glucoronides of the carboxylic acid or sulfates of the
          phenols, which are excreted in the urine. In the natural environ-
          ment and higher plants, SPs are also metabolized or degraded to
          form these common metabolites ([27]; http://ace.ace.orst.edu/
          info/extoxnet/pips/pyrethri.htm).
          Evaluation of cell growth and apoptosis on the target cells
          after exposure suggested that most of the parent compounds
          inhibited cell viability and induced monocyte apoptosis, imply-
          ing that SPs possessed cytotoxicity to the monocytic cells. This
          ?nding was in agreement with some previous in vitro and in
          vivo studies on SPs [28,29], as well as studies showing that
          permethrin and deltamethrin increased apoptotic or necrotic
          cell death in thymocytes [29,30]. Among the three metabolites,
          PBCHO and PBCOOH signi?cantly inhibited the U937 cell
          growth within the concentrations of 108
          to 105
          mol L1
          ,
          showing that the metabolites possessed much higher toxicity
          than the parent compounds. The metabolites further displayed
          similar or more intensive apoptosis than the parent SPs. Both
          observations clearly suggested that the SP metabolites were
          capable of causing higher cytotoxicity than the parent SPs in
          monocytes.
          Assay of cytotoxicity alone may not be adequate to show
          pesticide-induced immunotoxicity, because cytokines also play
          a paramount role in mediating cell–cell communication of
          in?ammatory and immune responses. Measurement of immune
          responses of cytokine secretions is, therefore, an important
          aspect in de?ning pesticide immunotoxicity. Analysis of the
          effects of SPs and their metabolites on cytokine stimulation
          showed that exposure to PBCOH and PBCOOH resulted in
          greater disruption of cytokines of monocytes than the other
          compounds. Although no obvious effect was noted on the
          secretion of IL-10 and IL-6, speci?c metabolites induced more
          intensive effects on the secretion of TNF a and IL-12p70 than
          the parent compounds. These results suggested that the common
          SP metabolites were capable of altering immune functions in
          addition to inducing cytotoxicity in human monocytes. The
          current understanding of interactions between cytokines is still
          not clear, and therefore more research is needed to further
          investigate the underlying mechanisms for these effects.
          Monocytes are known to protect the body from a series of
          pathogens and xenobiotics by releasing cytotoxic and proin-
          ?ammatory substances (e.g., TNF a). Tumor necrosis factor a is
          a potent cytokine produced by various cell types including
          monocytes, in response to in?ammation, infection, injury, and
          other environmental challenges. It plays a unique and pivotal
          role in regulating apoptotic signaling pathways, and in the con-
          trol of cell proliferation and in?ammation [31]. Tumor necrosis
          factor a can induce cell apoptosis through the activation of a
          caspase cascade [32], and the downstream pathways for acti-
          vation of caspases, NF-kB, and other cellular responses include
          a variety of kinases such as p38 and JNK, and other specialized
          signaling proteins [33,34]. Therefore, TNF a response triggered
          by SPs and theirmetabolitesmay account, at least in part, for the
          cytotoxicity of monocytes. NF-kB activity, which is mediated
          using TNF a receptor associated proteins, can be blocked with
          IL-10 [35]. That would partially lead to the inhibition of cell
          viability. A previous study suggested that SPs inhibited signal
          transduction in human lymphocytes ex vivo [11], and the
          present results further demonstrated that the common SP
          metabolites can also inhibit signal pathways in human mono-
          cytes and may induce immune dysfunctions.
          Results from the present study showed that the metabolism
          products of SPs may be more immunotoxic than the parent
          compounds. In particular, the aldehyde derivative induced more
          intensive apoptosis and greatly upregulated the secretion of IL-
          12P70, while the acid derivative caused the strongest inhibition
          of cell viability and intensive cell apoptosis, and the highest
          secretion of TNF a. As discussed previously, despite the differ-
          ent cyclopropane acid moieties in different SPs, all SPs having
          O
          OH
          O
          O
          O
          O
          HO
          H
          H
          O
          O X
          Y
          OCN
          O
          O X
          Y
          O
          Type I SPs Type II SPs
          H
          OH
          X
          Y
          O
          O
          X
          Y
          O
          OH-
          Z
          Ester cleavage
          Hydroxylation and conjugation
          PBCOH
          PBCHO
          PBCOOH
           Conjugation
          Oxidization
          Oxidization
          Fig. 5. Metabolism of synthetic pyrethroids (SPs) in mammals. PBCOH¼
          3-phenoxybenzoic alcohol; PBCHO¼3-phenoxybenzaldehyde; PBCOOH¼
          3-phenoxybenzoic acid.
          Immunotoxicity of pyrethroid metabolites Environ. Toxicol. Chem. 29, 2010 2509the alcohol moiety are metabolized in a similar manner to
          produce the common metabolites of PBCOH, PBCHO, and
          PBCOOH. Therefore, for many SPs in use today, metabolism
          results in intermediates with enhanced target organ toxicity
          such as immunotoxicity. Although a number of explanations
          may exist for the increased metabolite toxicity [3], the mech-
          anisms behind the enhanced immunotoxicity are far from clear.
          The action sites of SPs were thought to be related to integral
          proteins and phospholipids in the lipid bilayer owing to their
          high hydrophobicity [36]. The phenoxybenzyl alcohol moiety
          that would further produce the common metabolites may
          determine the preferential location in the hydrophobic core
          of biological membrane [37]. This suggests that the metabolites
          may be easier to move into the blood and lymph than the parent
          compounds, and subsequently alter the downstream signal
          transduction cascade after extracellular cytokine interactions,
          which ultimay induce higher immunotoxicity [11]. Another
          explanation is that the metabolites may be the active compo-
          nents of the parent compounds, and the immunotoxicity induced
          by parent compounds is due to their metabolites. However,
          much remains to be understood in relation to the molecular
          mechanisms of the increased toxicity.
          In conclusion, the present study showed that in an in vitro
          model, the common metabolites of SPs possessed increased
          immunotoxicity as compared to the parent compounds. Stron-
          ger cytotoxic effects by the common metabolites were found in
          the monocytes, followed by increased disruptions of cytokine
          secretion. A remarkable ?nding of the present study is, there-
          fore, the importance of considering the common metabolites in
          achieving more comprehensive health risk assessment of this
          signi?cant class of man-made compounds.
          Acknowledgement—The authors thank Pingping Shen (Nanjing University,
          Jiangsu, China) and Xujun He (Key Laboratory of Gastroenterology of
          Zhejiang Province,Zhejiang,China).The present studywas supported by the
          National Natural Science Foundations of China (20877071, 20837002) and
          the National Basic Research Program of China (2009CB421603).
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