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Hazard Assessment of Glyphosate
Carcinogenicity and Reproductive Toxicity
Mark Martens, PhD, ERT
on behalf of the Glyphosate Task Force (GTF)
RAC Meeting, Helsinki
December 7, 2016
Content
• Genotoxicity
• Carcinogenicity
• Epidemiology
• Embryo-fetal developmental toxicity
2 Glyphosate Task Force (GTF)
Genotoxicity of Glyphosate:
Structural Alerts
• The molecular structure of glyphosate consists of two parts
i.e. glycine and methylene phosphonic acid. Both are
molecular moeities that don’t carry any genotoxic alert or
posses oxidative reactivity
• Once absorbed from the gastro-intestinal tract glyphosate
is not metabolized and thus does not produce any
metabolites that have oxidative reactivity
• Nevertheless, over 80 genotoxicity tests have been
performed with glyphosate
3 Glyphosate Task Force (GTF)
Genotoxicity of Glyphosate:
Weight-of-Evidence Analysis (1)
4 Glyphosate Task Force (GTF)
Endpoint
Negligible
Weight
Low
Weight
Moderate
Weight
High
Weight
Positive Negative Positive Negative Positive Negative Positive Negative
DNA binding (adduct formation) in vitro
DNA binding (adduct formation) in vivo 0 1
SSB/DSB in vitro (including comet) 4 0
SSB/DSB in vivo (including comet) 1 0
SCEs in vitro 4 0
SCEs in vivo
Oxidative DNA in vitro
DNA damage in vitro 0 1
Oxidative DNA in vivo 1 1
DNA damage in vivo (8-OHdG adducts)
DNA repair effects in vitro 0 2
DNA repair effects in vivo
Micronuclei in vitro 4 5
Micronuclei in vivo 3 16
Chromosomal aberrations in vitro 2 6
Chromosomal aberrations in vivo 0 3
Gene mutation in bacteria (Ames Test) 0 27
Gene mutation mammalian in vitro 0 4
Gene mutation in vivo 0 2
Brusick et al., 2016
Genotoxicity of Glyphosate:
Weight-of-Evidence Analysis (2)
0
5
10
15
20
25
30
35
40
45
High Weight (Total) ModerateWeight
(Total)
Low Weight (Total)
Negative
Positive
No. of studies
Profile of results including GLP studies
5
Glyphosate Task Force (GTF)
JMPR is the first international organization that evaluated
the genotoxicity of glyphosate using all available data (JMPR,
2016) and concluded:
“The overall weight of evidence indicates that
administration of glyphosate and its formulation products at
doses as high as 2,000 mg/kg bw by the oral route, the route
most relevant to human dietary exposure, was not
associated with genotoxic effects in an overwhelming
majority of studies conducted in mammals, a model
considered to be appropriate for assessing genotoxic risks to
humans”
6
Genotoxicity of Glyphosate:
Conclusion
Glyphosate Task Force (GTF)
On the basis of the weight-of-evidence analysis of all
available data glyphosate should not be classified as a
mutagen
7
Genotoxicity of Glyphosate:
Classification
Glyphosate Task Force (GTF)
Carcinogenicity of Glyphosate:
Long Term Animal Studies
• Following carcinogenic responses were evaluated by an
independent expert review panel (Williams et al., 2016)
– In the mouse:
• Renal tubular cell adenoma and carcinoma in males
• Hemangiosarcoma in males
– In the rat:
• Pancreatic islet-cell adenoma in males
• Hepatocellular adenoma in males
• Thyroid C-cell adenoma in males and females
Test species
Studies
evaluated*
Mouse 5
Rat 7
*: Only studies that complied with OECD TG and that were
conducted according to GLP were considered in this evaluation
8 Glyphosate Task Force (GTF)
Carcinogenicity of Glyphosate:
Mouse Studies, Expert Panel Conclusions (1)
• Renal tubule tumors in males (Knezevich and Hogan, 1983):
– No dose-response relationship
– Increase in incidence not statistically significant
– No dose-response relationship for pre-neoplastic lesions
(hyperplasia)
– No renal tumors in females of the same study despite of higher
exposure
– No confirmation in other mouse studies
9 Glyphosate Task Force (GTF)
Carcinogenicity of Glyphosate:
Mouse Studies, Expert Panel Conclusions (2)
• Liver hemangiosarcomas in males (Atkinson et al., 1993):
– No dose-response relationship
– Increase in incidence not statistically significant (pair-wise
comparison)
– Incidence at the high dose is within the historical control range
– No increase in the incidence of hemangiosarcoma in females of the
same study despite of higher exposure
– Some mouse studies show no tumors of this type at all at
comparable dose levels
10 Glyphosate Task Force (GTF)
Carcinogenicity of Glyphosate:
Rat Studies, Expert Panel Conclusions (1)
• Pancreatic islet-cell adenoma in males (Stout and Ruecker,
1990):
– No dose-response relationship
– Increase in incidence only statistically significant at low dose
– Incidence at the low and the high dose slightly above the historical
control range of the laboratory
– No dose-response relationship for pre-neoplastic lesions
(hyperplasia)
– No progression to malignancy
– No dose-related increase in incidence in females
– No confirmation in other rat studies
11 Glyphosate Task Force (GTF)
Carcinogenicity of Glyphosate:
Rat Studies, Expert Panel Conclusions (2)
• Hepatocellular adenomas in males (Brammer, 2001):
– Slight dose-response relationship
– Increase in incidence not statistically significant (pair-wise
comparison)
– Incidence at the high dose at upper limit of the historical control
range of the laboratory
– No progression to malignancy
– No evidence for pre-neoplastic foci (hyperplasia)
– No dose-related increase in incidence in other rat studies
12 Glyphosate Task Force (GTF)
Carcinogenicity of Glyphosate:
Rat Studies, Expert Panel Conclusions (3)
• Thyroid C-cell adenomas in males and females (Stout and
Ruecker, 1990):
– No dose-response relationship
– Increase in incidence only statistically significant at mid dose in
terminally sacrificed males but not when unscheduled deaths are
included
– Incidence at the high dose still within the historical control range
– No progression to malignancy
– No dose-response relationship for pre-neoplastic lesions
(hyperplasia)
– No confirmation in other rat studies
13 Glyphosate Task Force (GTF)
Study Incidence (%) of malignant lymphoma
Dose (mg/kg) 0 15 71 150 165 234 810 838 1454 4348 HC
Wood et al., 2009 0 2 4 10 0-16
Kumar, 2001a 4 10 11 26* 8-24
Kumar, 2001b 20 30 32 38* 6-30
Sugimoto, 1997a 0 0 0 7
Sugimoto, 1997b 4 4 0 12 4-19
Carcinogenicity of Glyphosate:
Malignant Lymphoma in the male mouse (1)
a: terminal kill; b: all animals; * statistically significantly increased when the Z-test is applied at the significance level of 5%.
When the commonly used Fisher’s exact test is applied, the statistically significant difference (at the level of 5%) is not confirmed.
Common tumors such as malignant lymphoma in the mouse should be assessed at a statistical significance level of 1%.
14 Glyphosate Task Force (GTF)
Carcinogenicity of Glyphosate:
Malignant Lymphoma in the male mouse (2)
• Wood et al., 2009 study:
– No statistically significant increase
– Incidence in the control group at low end of historical control
range
– All incidences within the historical control range
• Sugimoto, 1997 study:
– No statistically significant increase
– Incidences (all animals) within the historical control range
– No dose related increase in pre-neoplastic lesions (plasma cell
hyperplasia in cervical lymph nodes)
15 Glyphosate Task Force (GTF)
Carcinogenicity of Glyphosate:
Malignant Lymphoma in the male mouse (3)
• Kumar, 2001 study:
– Statistically significant increase at the high dose only when the
Z-test is applied (5% level)
• The statistically significant difference is not confirmed when the
common Fisher’s exact test is applied (pair-wise comparison & trend)
• Statistical significance at the high dose was not adjusted based on
common tumors (1% level)
– Incidence at the high dose slightly beyond the historical control
range
– High dose beyond the limit dose for long term feeding studies
(>1000 mg/kg bw/day)
– Laboratory with a high incidence of spontaneous malignant
lymphoma in mice (Swiss albino, HsdOla: MF1)
– No dose related increase in pre-neoplastic lesions (lymphoid
hyperplasia in mesenteric and mandibular lymph nodes)
16 Glyphosate Task Force (GTF)
Carcinogenicity of Glyphosate:
Conclusion Animal Studies
• From the weight-of-evidence analysis of the results from all
the mouse and rat studies evaluated, it can be concluded that
glyphosate is not a carcinogen in rodents when dosed at levels
up to more than 4000 mg/kg bw/day:
– Lack of statistical significance when appropriate statistics are applied
– Lack of a clear dose-response relationship
– Lack of consistency throughout all mouse and rat studies
– Incidences within (or close to) the historical control range of the
laboratory
– No progression of adenomas to malignancy
– Increase mostly beyond the limit dose of 1000 mg/kg bw/day
– Lack of relationship with pre-neoplastic lesions
– No genotoxicity
– No plausible mechanism of action including oxidative stress
17 Glyphosate Task Force (GTF)
Carcinogenicity of Glyphosate:
Epidemiology – Assessment of NHL (1)
Type of bias
Ag health (cohort)
study
Case control studies
Recall bias no All 6 studies
Selection bias no In 4 of 6 studies
Proxy respondents no In 3 of 6 studies
Confounding control extensive Poor 5 of 6 studies
Sample size 57,311 244 -2348*
Validity Factors
18 Glyphosate Task Force (GTF)
*: Number of NHL cases (Acquavella et al., 2016)
Carcinogenicity of Glyphosate:
Epidemiology – Assessment of NHL (2)
• Biomonitoring studies in farmers and their families have shown that
systemic exposure to glyphosate after application on the field is
very low
• Epidemiologic studies have shown that glyphosate is used
infrequently
• Recent epidemiology assessments differed based on how the case
control studies were interpreted
– IARC took more of a signal detection approach
– US EPA considered the Agricultural Health Study (AHS) to be high
quality
– The epidemiology expert panel focused on the AHS cohort study
(Acquavella et al., 2016)
19
Only the AHS study is devoid of major bias issues. The
results (“evidence of no association”) are consistent with
the expectation based on long-term toxicology studies
and biomonitoring
Glyphosate Task Force (GTF)
Carcinogenicity of Glyphosate:
Classification
20 Glyphosate Task Force (GTF)
On the basis of the weight-of-evidence analysis of all
available compliant long term carcinogenicity studies and
(unbiased) epidemiology studies, glyphosate should not be
classified as a carcinogen
Development Toxicity of Glyphosate:
Overview of Studies
21
Test species Studies evaluated*
Rat 6
Rabbit 6
• The rat developmental toxicity studies do not show any evidence
of cardiovascular or other types of malformations as a result of
glyphosate acid exposure via the oral route at doses of up to
3,500 mg/kg bw/day
• In the rabbit, several test results needed further in-depth
evaluation:
– Maternal toxicity
– Post-implantation loss
– Fetal toxicity
– Cardio-vascular malformations
Glyphosate Task Force (GTF)
*: Only studies that complied with OECD TG and that were
conducted according to GLP were considered in this evaluation
Development Toxicity of Glyphosate:
Rabbit Studies (1)
22
• Maternal toxicity (all studies):
– High mortality rate due to mal-gavage, entry of gastric content
in the respiratory tract and GI intolerance to glyphosate acid
– The GI effects (observed in all studies) consisted of soft stools,
diarrhea, few to no feces, stasis (hair balls), gastro-enteritis,
watery fluid and gas in caecum and rectum which led to a
decrease in food consumption and body weight, starvation
and abortion
Glyphosate Task Force (GTF)
Development Toxicity of Glyphosate:
Rabbit Studies (2)
23
• Post-implantation loss (Brooker et al., 1991):
– Statistically significant increase in post-implantation loss at all
dose levels without a dose-effect relationship in one study
– Late embryonic deaths were also increased but remained
within the historical control range whereas there was no dose-
effect relationship for early embryonic death
– The incidence of post-implantation loss in the control group of
this study was at the low end of the historical control range
– This result is not consistent with the outcome of all other 5
rabbit studies where no effect on post-implantation loss was
observed
Glyphosate Task Force (GTF)
Development Toxicity of Glyphosate:
Rabbit Studies (3)
24
• Fetal toxicity (Moxon, 1996):
– A statistically significant decrease in mean fetal body weight
and a statistically significant increase in skeletal variations was
observed in the high dose group in one study
– These effects are indicative of retardation of fetal
development due to the bad health condition of the dams at
that dose level (decrease in food consumption, decrease in
body weight, GI-effects)
Glyphosate Task Force (GTF)
Development Toxicity of Glyphosate:
Rabbit Studies, Cardio-vascular Malformations (1)
25
Malformations
Dose (mg/kg)
0 20 100 500
Number of fetuses examined 133 78 77 28
Seal-shaped heart 1(1) 0(0) 0(0) 0(0)
Cardiomegaly and seal-heart 0(0) 0(0) 1(1) 0(0)
Dilated heart 0(0) 4(3)* 4(2)* 5(2)*
Dilated ventricle (R) 0(0) 0(0) 0(0) 1(1)
Dilated ventricle (L) 0(0) 0(0) 1(1) 0(0)
Suresh, 1993 study
Number of Fetuses (Litters with Malformations)
* Statistically significantly different from control
Glyphosate Task Force (GTF)
Development Toxicity of Glyphosate:
Rabbit Studies, Cardio-vascular Malformations (2)
26
Malformations
Dose (mg/kg)
0 50 150 450
Number of fetuses examined 163 104 112 95
Right sided ascending aorta 0(0) 1(1) 0(0) 0(0)
Narrow/dilated aortic arch/pulmonary
trunk/arterial trunk
1(1) 1(1) 1(1) 3(3)
Dorsally displaced pulmonary trunk 1(1) 0(0) 0(0) 0(0)
Retro-esophageal right subclavian artery 0(0) 0(0) 3(1) 2(1)
Single carotid artery 0(0) 1(1) 0(0) 0(0)
Inter-ventricular septal defect 1(1) 1(1) 1(1) 4(4)
Enlarged left, reduced right ventricles 0(0) 0(0) 0(0) 2(2)
Brooker et al., 1991 study
Number of Fetuses (Litters with Malformations)
Glyphosate Task Force (GTF)
Development Toxicity of Glyphosate:
Conclusion Cardio-vascular Malformations
27
• The increase in the incidence of interventricular septum defect at
the high dose was not statistically significant
• Although the incidence (in %, fetal basis) of interventricular septum
defect was beyond the historical control range, there was only a
very small difference in absolute terms i.e. at the high dose the
effect was observed in 4 fetuses whereas the maximum number of
fetuses with this defect per control group of a comparable size in the
historical controls was 3
• The dilated heart (Suresh, 1993) and the ventricular septum defect
(Brooker et al., 1991) are not related (different morphogenetic
mechanism) and should not be combined in the assessment
• Dilated heart (ill-defined) was not confirmed in the other 5 rabbit
studies
• Interventricular septal defect was not confirmed in the other 5
rabbit studies and its incidence was only increased at a dose level
with severe maternal toxicity
Glyphosate Task Force (GTF)
Developmental Toxicity of Glyphosate:
Classification
28 Glyphosate Task Force (GTF)
On the basis of the weight-of-evidence analysis of all
available compliant embryo-fetal development toxicity
studies, glyphosate should not be classified as toxic to
reproduction (embryo-fetal development)
Overall Conclusion
• Based on the weight-of-evidence presented in
this assessment, glyphosate should not be
classified as:
– a mutagen
– a carcinogen
– toxic to reproduction
29
This is consistent with numerous recent global
regulatory agency evaluations
Glyphosate Task Force (GTF)
30
Back-up slides
Glyphosate Task Force (GTF)
Genotoxicity of Glyphosate:
Test Results
Test Result Comment
Ames Negative
In vitro gene mutation tests in
mammalian cells
Negative
In vitro MN Limited evidence
Absence of induction of CA suggests threshold-
mediated aneugenic effects
In vitro and in vivo chromosome
aberration
Negative
In vivo MN Negative
In vitro DNA strand breaks Positive
Probably secondary to toxicity since no
chromosome breaks
In vivo DNA strand breaks
Limited evidence of
transient DNA strand
breakage in vivo
Not associated with DNA adducts
In vitro UDS Negative Cultured hepatocytes
In vitro SCE Positive
The mechanism of induction and the biological
relevance of SCE are unclear (negligible weight)
and does not contribute to the overall evaluation
of genotoxic potential
Glyphosate Task Force (GTF)
No. of studies
Genotoxicity of Glyphosate:
Weight-of-evidence Analysis by IARC
32 Glyphosate Task Force (GTF)
• Both major endpoints measured in the majority of non-mammalian
tests (i.e. MN and comet) might well produce positive responses
that are secondary to toxic effects
• Many of these tests involve exposure by immersion in, or surface
contact with, the test material in water
– This is not a standard or relevant route of exposure for in vivo
mammalian systems and may introduce route-specific unique toxic
and genotoxic effects
– This is particularly a concern for GBFs which commonly contain
surfactants
• Therefore, we did not consider data from a majority of the non-
mammalian systems and non-standard tests with glyphosate, GBF,
and AMPA to have significant weight in the overall genotoxicity
evaluation, especially given the large number of standard core
studies for gene mutations and chromosomal damage available in
mammalian systems
Genotoxicity of Glyphosate:
Non-mammalian Studies
33 Glyphosate Task Force (GTF)
Glyphosate:
Induction of Oxidative stress (1)
• Glyphosate human systemic daily doses (biomonitoring):
– Max dose: Farmer = 4 µg/kg/day; Spouse = 0.04 µg/kg/day; Children =
0.8 µg/kg/day (Aquavella et al., 2004)
– Other studies: 0.1-5 µg/kg/day max (reviewed in Bus 2015)
• Animal doses:
– 2/7 studies: glyphosate at 10 (15 doses) or 300 mg/kg (1 dose) ip
– 2/7 studies: formulation at 50 or 200 mg/kg (1 dose) ip
– 1/7 studies: formulation at 50 mg/kg (1 dose) dermal
– 2/7 studies: formulation at 50, 500 mg/kg gavage or 0.38% drinking
water
– 1/7 studies: mixture of glyphosate (10 mg/kg), zineb (15 mg/kg) and
dimethoate (15 mg/kg) ip
• Test doses 2,500–75,000X higher than maximally exposed
farmer
34 Glyphosate Task Force (GTF)
• Glyphosate acid does not contain reactive molecular moeities
• Glyphosate is not metabolized in mammalian species and cannot
form oxidative metabolites
• In the majority of studies endpoints were assessed that are only
indirect measures of oxidative stress such as depletion of
glutathione, production of superoxide dismutase or changes in
reactive oxygen species (ROS, H2O2)
• There are no animal studies available where glyphosate acid as
such has been administered via a relevant route of exposure (oral)
and that led to oxidative damage of DNA
• Overall, there is no strong weight-of-evidence that glyphosate acid
as such produces oxidative damage to DNA in vivo since most of the
studies have been conducted with glyphosate-based formulations
and/or used irrelevant doses and/or routes of exposure (IP)
Glyphosate:
Induction of Oxidative stress (2)
35 Glyphosate Task Force (GTF)
Carcinogenicity of Glyphosate:
Epidemiology - Human Exposure
0.000001 0.00001 0.0001 0.001 0.01 0.1 1 10 100 1000 10000
Relevant doses in
toxicology studies
50–5400 mg/kg b.m./d
EPA Chronic
RfD, 1.75 mg/kg
b.m./d
Measured systemic exposure range after
one application
0.000013–0.0046 mg/kg b.m./d
Human Biomonitoring
JMPR/WHO Chronic
ADI, 1 mg/kg b.m./d
Reference Dose and Toxicology Studies
EFSA ADI, 0.5
mg/kg b.m./d
Adapted from: Solomon, 2016
36 Glyphosate Task Force (GTF)
10,000 times
10,000,000 times
To be comparable with the ADI, at least 1 application
per week should be assumed
Carcinogenicity of Glyphosate:
NHL Case Control Studies
Study
# NHL
cases
# (%) exposed
cases
Exposure
metric
OR (95% CI)
McDuffie 2001 517 51(9.9%)
23 (4.4%)
Any use
> 2 days/year
1.2 (0.8, 1.7)
2.1 (1.2, 3.7)
Hardell 2002 515 8 (1.6%) Any use 1.9 (0.6, 6.2)
De Roos 2003 650 36 (5.5%) Any use 1.6 (0.9, 2.8)
Eriksson 2008 910 29 (3.2%)
17 (1.9%)
Any use
> 10 days
2.0 (1.1, 3.7)
2.4 (1.0, 5.4)
Orsi 2009 244 12 (4.9%) Any use 1.0 (0.5, 2.2)
Cocco 2013 2348 4 (0.2%) Any use 3.1 (0.6, 17.1)
Acquavella et al., 2016
✓
✓
37 Glyphosate Task Force (GTF)
Study
# NHL
cases
# (%) exposed
cases
Exposure metric RR (95% CI)
De Roos 2005 92 71 (77) Any use 1.1 (0.7, 1.9)
Exposure
response
analysis
29 (48)
15 (25)
17 (28)
1 to 20 days
21 to 56 days
57 to 2678 days
1.0
0.7 (0.4, 1.4)
0.9 (0.5, 1.6)
Ptrend 0.73
“… the available data provided evidence of no association between glyphosate exposure
and NHL incidence.” (De Roos et al., 2005)
Carcinogenicity of Glyphosate:
Ag Health Study & NHL Results
38 Glyphosate Task Force (GTF)
Analysis of the Results in the Rabbit:
Cardio-vascular malformations
39
Study
Dose (mg/kg)
0 10 20 50 75 100 150 175 200 300 350 400 450 500
Coles and
Doleman
(1996)
0(0) 0(0) 1(1) 0(0)
Moxon
(1995)
1(1) 1(1) 0(0) 1(1)
Hojo (1995) 0(0) 0(0) 1(1) 0(1)
Suresh
(1993)
2(2) 4(3) 6(4) 6(2)
Brooker et
al. (1991)
1(1) 1(1) 4(3) 5(4)
Tasker et
al., 1980
0(0) 0(0) 0(0) 0(0)
Number of fetuses (litters with malformations)
Glyphosate Task Force (GTF)
Analysis of the Results in the Rabbit:
Cardio-vascular malformations (Brooker et al., 1991)
40
Incidence (%, fetal basis)
Malformations
Dose (mg/kg) Historical
control
range*0 50 150 450
Number of fetuses examined 163 104 112 95 5964
Narrow/dilated aortic arch/pulmonary
trunk/arterial trunk
0.6 1 0.9 3.2
0-1.9**
0-1.7***
Retro-esophageal right subclavian artery 0 0 2.7a 2.1b 0-1.8
Inter-ventricular septal defect 0.6 1 0.9 4.2c 0-2.8
Enlarged left, reduced right ventricles 0 0 0 2.1d 0-1
*: 48 vehicle studies performed from January 1989 until October 1993 (Interfauna UK); **: dilated ascending aortic
arch; ***: narrow ascending aortic arch; a: 3/112 vs 2/116-152 in the historical controls, and all malformations
occurred in one litter; b: 2/95 vs 2/116-152 and all malformations occurred in one litter; c: 4/95 vs 3/106-152 in the
historical controls; d: 2/95 vs 1/103-154 in the historical controls.
Glyphosate Task Force (GTF)
Useful References (1)
41
• Acquavella J, Garabrant D, Marsh G, Sorahan T and Weed DL (2016). Glyphosate
epidemiology expert panel review: A weight of evidence systematic review of the
relationship between glyphosate exposure and non-Hodgkin’s lymphoma or multiple
myeloma. Crit. Rev. Toxicol., 46 (S1), 28-43.
• Brusick D, Aardema M, Kier L, Kirkland D and Williams G (2016). Genotoxicity Expert Panel
review: Weight of evidence evaluation of the genotoxicity of glyphosate, glyphosate-based
formulations, and aminomethylphosphonic acid. Crit. Rev. Toxicol., 46 (S1), 56-74.
• De Roos AJ, Blair A, Rusiecki JA, Hoppin JA, Svec M, Dosemeci M, Sandler DP and Alavanja MC
(2005). Cancer incidence among glyphosate-exposed pesticide applicators in the agricultural
health study. Environ Health Perspect., 113, 49-54.
• Greim H, Saltmiras D, Mostert V and Strupp C (2015). Evaluation of the carcinogenic potential
of the herbicide glyphosate, drawing on tumor incidence data from fourteen
chronic/carcinogenicity rodent studies. Crit. Rev. Toxicol., 45 (3), 185-208.
• Kier LD (2015). Review of genotoxicity biomonitoring studies of glyphosate-based
formulations. Crit. Rev. Toxicol., 45, 209-918.
• Kier LD and Kirkland DJ (2013). Review of genotoxicity studies of glyphosate and glyphosate-
based formulations. Crit. Rev. Toxicol., 43, 283-315.
• Kimmel GL, Kimmel CA, Williams AL and DeSesso JM (2013). Evaluation of the potential
developmental toxicity of glyphosate with attention to cardiovascular malformations. Crit.
Rev. Toxicol., 43 (2), 79-95.
Useful References (2)
42
• OECD (2015). Overview of the Set of OECD Genetic Toxicology Test Guidelines and Updates
Performed in 2014–2015. Paris (France):Organization for Economic Co-operation and
Development (OECD), Environment Directorate, Health and Safety Publications.
• OECD (2002) Series on Testing and Assessment No. 35 and Series on Pesticides No. 14.
GUIDANCE NOTES FOR ANALYSIS AND EVALUATION OF CHRONIC TOXICITY
ANDCARCINOGENICITY STUDIES, Environment Directorate, Joint meeting of the Chemicals
Committee and the Working Party on Chemicals, Pesticides and Biotechnology.
• Solomon KR (2016). Glyphosate in the general population and in applicators: A critical review
of studies on exposures. Crit. Rev. Toxicol., 46 (S1), 21-27.
• Sorahan T (2015). Multiple Myeloma and Glyphosate Use: A Re-Analysis of US Agricultural
Health Study (AHS) Data. Int. J. Environ. Res. Public Health, 12, 1548-1559.
• Williams GM, Berry C, Burns M, de Camargo JLV and Greim H (2016). Glyphosate rodent
carcinogenicity bioassay expert panel review. Crit. Rev. Toxicol. 46 (S1), 44-55.
• Williams GM, Aardema M, Acquavella J, Berry C, Brusick D, Burns MM, de Camargo JLV,
Garabrant D, Greim H, Kier LD, Kirkland DJ, Marsh G, Solomon KR, Sorahan T, Roberts A and
Weed DL (2016). A review of the carcinogenic potential of glyphosate by four independent
expert panels and comparison to the IARC assessment. Crit. Rev. Toxicol. 46 (S1), 3-20.

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Hazard Assessment of Glyphosate Carcinogenicity and Reproductive Toxicity

  • 1. Hazard Assessment of Glyphosate Carcinogenicity and Reproductive Toxicity Mark Martens, PhD, ERT on behalf of the Glyphosate Task Force (GTF) RAC Meeting, Helsinki December 7, 2016
  • 2. Content • Genotoxicity • Carcinogenicity • Epidemiology • Embryo-fetal developmental toxicity 2 Glyphosate Task Force (GTF)
  • 3. Genotoxicity of Glyphosate: Structural Alerts • The molecular structure of glyphosate consists of two parts i.e. glycine and methylene phosphonic acid. Both are molecular moeities that don’t carry any genotoxic alert or posses oxidative reactivity • Once absorbed from the gastro-intestinal tract glyphosate is not metabolized and thus does not produce any metabolites that have oxidative reactivity • Nevertheless, over 80 genotoxicity tests have been performed with glyphosate 3 Glyphosate Task Force (GTF)
  • 4. Genotoxicity of Glyphosate: Weight-of-Evidence Analysis (1) 4 Glyphosate Task Force (GTF) Endpoint Negligible Weight Low Weight Moderate Weight High Weight Positive Negative Positive Negative Positive Negative Positive Negative DNA binding (adduct formation) in vitro DNA binding (adduct formation) in vivo 0 1 SSB/DSB in vitro (including comet) 4 0 SSB/DSB in vivo (including comet) 1 0 SCEs in vitro 4 0 SCEs in vivo Oxidative DNA in vitro DNA damage in vitro 0 1 Oxidative DNA in vivo 1 1 DNA damage in vivo (8-OHdG adducts) DNA repair effects in vitro 0 2 DNA repair effects in vivo Micronuclei in vitro 4 5 Micronuclei in vivo 3 16 Chromosomal aberrations in vitro 2 6 Chromosomal aberrations in vivo 0 3 Gene mutation in bacteria (Ames Test) 0 27 Gene mutation mammalian in vitro 0 4 Gene mutation in vivo 0 2 Brusick et al., 2016
  • 5. Genotoxicity of Glyphosate: Weight-of-Evidence Analysis (2) 0 5 10 15 20 25 30 35 40 45 High Weight (Total) ModerateWeight (Total) Low Weight (Total) Negative Positive No. of studies Profile of results including GLP studies 5 Glyphosate Task Force (GTF)
  • 6. JMPR is the first international organization that evaluated the genotoxicity of glyphosate using all available data (JMPR, 2016) and concluded: “The overall weight of evidence indicates that administration of glyphosate and its formulation products at doses as high as 2,000 mg/kg bw by the oral route, the route most relevant to human dietary exposure, was not associated with genotoxic effects in an overwhelming majority of studies conducted in mammals, a model considered to be appropriate for assessing genotoxic risks to humans” 6 Genotoxicity of Glyphosate: Conclusion Glyphosate Task Force (GTF)
  • 7. On the basis of the weight-of-evidence analysis of all available data glyphosate should not be classified as a mutagen 7 Genotoxicity of Glyphosate: Classification Glyphosate Task Force (GTF)
  • 8. Carcinogenicity of Glyphosate: Long Term Animal Studies • Following carcinogenic responses were evaluated by an independent expert review panel (Williams et al., 2016) – In the mouse: • Renal tubular cell adenoma and carcinoma in males • Hemangiosarcoma in males – In the rat: • Pancreatic islet-cell adenoma in males • Hepatocellular adenoma in males • Thyroid C-cell adenoma in males and females Test species Studies evaluated* Mouse 5 Rat 7 *: Only studies that complied with OECD TG and that were conducted according to GLP were considered in this evaluation 8 Glyphosate Task Force (GTF)
  • 9. Carcinogenicity of Glyphosate: Mouse Studies, Expert Panel Conclusions (1) • Renal tubule tumors in males (Knezevich and Hogan, 1983): – No dose-response relationship – Increase in incidence not statistically significant – No dose-response relationship for pre-neoplastic lesions (hyperplasia) – No renal tumors in females of the same study despite of higher exposure – No confirmation in other mouse studies 9 Glyphosate Task Force (GTF)
  • 10. Carcinogenicity of Glyphosate: Mouse Studies, Expert Panel Conclusions (2) • Liver hemangiosarcomas in males (Atkinson et al., 1993): – No dose-response relationship – Increase in incidence not statistically significant (pair-wise comparison) – Incidence at the high dose is within the historical control range – No increase in the incidence of hemangiosarcoma in females of the same study despite of higher exposure – Some mouse studies show no tumors of this type at all at comparable dose levels 10 Glyphosate Task Force (GTF)
  • 11. Carcinogenicity of Glyphosate: Rat Studies, Expert Panel Conclusions (1) • Pancreatic islet-cell adenoma in males (Stout and Ruecker, 1990): – No dose-response relationship – Increase in incidence only statistically significant at low dose – Incidence at the low and the high dose slightly above the historical control range of the laboratory – No dose-response relationship for pre-neoplastic lesions (hyperplasia) – No progression to malignancy – No dose-related increase in incidence in females – No confirmation in other rat studies 11 Glyphosate Task Force (GTF)
  • 12. Carcinogenicity of Glyphosate: Rat Studies, Expert Panel Conclusions (2) • Hepatocellular adenomas in males (Brammer, 2001): – Slight dose-response relationship – Increase in incidence not statistically significant (pair-wise comparison) – Incidence at the high dose at upper limit of the historical control range of the laboratory – No progression to malignancy – No evidence for pre-neoplastic foci (hyperplasia) – No dose-related increase in incidence in other rat studies 12 Glyphosate Task Force (GTF)
  • 13. Carcinogenicity of Glyphosate: Rat Studies, Expert Panel Conclusions (3) • Thyroid C-cell adenomas in males and females (Stout and Ruecker, 1990): – No dose-response relationship – Increase in incidence only statistically significant at mid dose in terminally sacrificed males but not when unscheduled deaths are included – Incidence at the high dose still within the historical control range – No progression to malignancy – No dose-response relationship for pre-neoplastic lesions (hyperplasia) – No confirmation in other rat studies 13 Glyphosate Task Force (GTF)
  • 14. Study Incidence (%) of malignant lymphoma Dose (mg/kg) 0 15 71 150 165 234 810 838 1454 4348 HC Wood et al., 2009 0 2 4 10 0-16 Kumar, 2001a 4 10 11 26* 8-24 Kumar, 2001b 20 30 32 38* 6-30 Sugimoto, 1997a 0 0 0 7 Sugimoto, 1997b 4 4 0 12 4-19 Carcinogenicity of Glyphosate: Malignant Lymphoma in the male mouse (1) a: terminal kill; b: all animals; * statistically significantly increased when the Z-test is applied at the significance level of 5%. When the commonly used Fisher’s exact test is applied, the statistically significant difference (at the level of 5%) is not confirmed. Common tumors such as malignant lymphoma in the mouse should be assessed at a statistical significance level of 1%. 14 Glyphosate Task Force (GTF)
  • 15. Carcinogenicity of Glyphosate: Malignant Lymphoma in the male mouse (2) • Wood et al., 2009 study: – No statistically significant increase – Incidence in the control group at low end of historical control range – All incidences within the historical control range • Sugimoto, 1997 study: – No statistically significant increase – Incidences (all animals) within the historical control range – No dose related increase in pre-neoplastic lesions (plasma cell hyperplasia in cervical lymph nodes) 15 Glyphosate Task Force (GTF)
  • 16. Carcinogenicity of Glyphosate: Malignant Lymphoma in the male mouse (3) • Kumar, 2001 study: – Statistically significant increase at the high dose only when the Z-test is applied (5% level) • The statistically significant difference is not confirmed when the common Fisher’s exact test is applied (pair-wise comparison & trend) • Statistical significance at the high dose was not adjusted based on common tumors (1% level) – Incidence at the high dose slightly beyond the historical control range – High dose beyond the limit dose for long term feeding studies (>1000 mg/kg bw/day) – Laboratory with a high incidence of spontaneous malignant lymphoma in mice (Swiss albino, HsdOla: MF1) – No dose related increase in pre-neoplastic lesions (lymphoid hyperplasia in mesenteric and mandibular lymph nodes) 16 Glyphosate Task Force (GTF)
  • 17. Carcinogenicity of Glyphosate: Conclusion Animal Studies • From the weight-of-evidence analysis of the results from all the mouse and rat studies evaluated, it can be concluded that glyphosate is not a carcinogen in rodents when dosed at levels up to more than 4000 mg/kg bw/day: – Lack of statistical significance when appropriate statistics are applied – Lack of a clear dose-response relationship – Lack of consistency throughout all mouse and rat studies – Incidences within (or close to) the historical control range of the laboratory – No progression of adenomas to malignancy – Increase mostly beyond the limit dose of 1000 mg/kg bw/day – Lack of relationship with pre-neoplastic lesions – No genotoxicity – No plausible mechanism of action including oxidative stress 17 Glyphosate Task Force (GTF)
  • 18. Carcinogenicity of Glyphosate: Epidemiology – Assessment of NHL (1) Type of bias Ag health (cohort) study Case control studies Recall bias no All 6 studies Selection bias no In 4 of 6 studies Proxy respondents no In 3 of 6 studies Confounding control extensive Poor 5 of 6 studies Sample size 57,311 244 -2348* Validity Factors 18 Glyphosate Task Force (GTF) *: Number of NHL cases (Acquavella et al., 2016)
  • 19. Carcinogenicity of Glyphosate: Epidemiology – Assessment of NHL (2) • Biomonitoring studies in farmers and their families have shown that systemic exposure to glyphosate after application on the field is very low • Epidemiologic studies have shown that glyphosate is used infrequently • Recent epidemiology assessments differed based on how the case control studies were interpreted – IARC took more of a signal detection approach – US EPA considered the Agricultural Health Study (AHS) to be high quality – The epidemiology expert panel focused on the AHS cohort study (Acquavella et al., 2016) 19 Only the AHS study is devoid of major bias issues. The results (“evidence of no association”) are consistent with the expectation based on long-term toxicology studies and biomonitoring Glyphosate Task Force (GTF)
  • 20. Carcinogenicity of Glyphosate: Classification 20 Glyphosate Task Force (GTF) On the basis of the weight-of-evidence analysis of all available compliant long term carcinogenicity studies and (unbiased) epidemiology studies, glyphosate should not be classified as a carcinogen
  • 21. Development Toxicity of Glyphosate: Overview of Studies 21 Test species Studies evaluated* Rat 6 Rabbit 6 • The rat developmental toxicity studies do not show any evidence of cardiovascular or other types of malformations as a result of glyphosate acid exposure via the oral route at doses of up to 3,500 mg/kg bw/day • In the rabbit, several test results needed further in-depth evaluation: – Maternal toxicity – Post-implantation loss – Fetal toxicity – Cardio-vascular malformations Glyphosate Task Force (GTF) *: Only studies that complied with OECD TG and that were conducted according to GLP were considered in this evaluation
  • 22. Development Toxicity of Glyphosate: Rabbit Studies (1) 22 • Maternal toxicity (all studies): – High mortality rate due to mal-gavage, entry of gastric content in the respiratory tract and GI intolerance to glyphosate acid – The GI effects (observed in all studies) consisted of soft stools, diarrhea, few to no feces, stasis (hair balls), gastro-enteritis, watery fluid and gas in caecum and rectum which led to a decrease in food consumption and body weight, starvation and abortion Glyphosate Task Force (GTF)
  • 23. Development Toxicity of Glyphosate: Rabbit Studies (2) 23 • Post-implantation loss (Brooker et al., 1991): – Statistically significant increase in post-implantation loss at all dose levels without a dose-effect relationship in one study – Late embryonic deaths were also increased but remained within the historical control range whereas there was no dose- effect relationship for early embryonic death – The incidence of post-implantation loss in the control group of this study was at the low end of the historical control range – This result is not consistent with the outcome of all other 5 rabbit studies where no effect on post-implantation loss was observed Glyphosate Task Force (GTF)
  • 24. Development Toxicity of Glyphosate: Rabbit Studies (3) 24 • Fetal toxicity (Moxon, 1996): – A statistically significant decrease in mean fetal body weight and a statistically significant increase in skeletal variations was observed in the high dose group in one study – These effects are indicative of retardation of fetal development due to the bad health condition of the dams at that dose level (decrease in food consumption, decrease in body weight, GI-effects) Glyphosate Task Force (GTF)
  • 25. Development Toxicity of Glyphosate: Rabbit Studies, Cardio-vascular Malformations (1) 25 Malformations Dose (mg/kg) 0 20 100 500 Number of fetuses examined 133 78 77 28 Seal-shaped heart 1(1) 0(0) 0(0) 0(0) Cardiomegaly and seal-heart 0(0) 0(0) 1(1) 0(0) Dilated heart 0(0) 4(3)* 4(2)* 5(2)* Dilated ventricle (R) 0(0) 0(0) 0(0) 1(1) Dilated ventricle (L) 0(0) 0(0) 1(1) 0(0) Suresh, 1993 study Number of Fetuses (Litters with Malformations) * Statistically significantly different from control Glyphosate Task Force (GTF)
  • 26. Development Toxicity of Glyphosate: Rabbit Studies, Cardio-vascular Malformations (2) 26 Malformations Dose (mg/kg) 0 50 150 450 Number of fetuses examined 163 104 112 95 Right sided ascending aorta 0(0) 1(1) 0(0) 0(0) Narrow/dilated aortic arch/pulmonary trunk/arterial trunk 1(1) 1(1) 1(1) 3(3) Dorsally displaced pulmonary trunk 1(1) 0(0) 0(0) 0(0) Retro-esophageal right subclavian artery 0(0) 0(0) 3(1) 2(1) Single carotid artery 0(0) 1(1) 0(0) 0(0) Inter-ventricular septal defect 1(1) 1(1) 1(1) 4(4) Enlarged left, reduced right ventricles 0(0) 0(0) 0(0) 2(2) Brooker et al., 1991 study Number of Fetuses (Litters with Malformations) Glyphosate Task Force (GTF)
  • 27. Development Toxicity of Glyphosate: Conclusion Cardio-vascular Malformations 27 • The increase in the incidence of interventricular septum defect at the high dose was not statistically significant • Although the incidence (in %, fetal basis) of interventricular septum defect was beyond the historical control range, there was only a very small difference in absolute terms i.e. at the high dose the effect was observed in 4 fetuses whereas the maximum number of fetuses with this defect per control group of a comparable size in the historical controls was 3 • The dilated heart (Suresh, 1993) and the ventricular septum defect (Brooker et al., 1991) are not related (different morphogenetic mechanism) and should not be combined in the assessment • Dilated heart (ill-defined) was not confirmed in the other 5 rabbit studies • Interventricular septal defect was not confirmed in the other 5 rabbit studies and its incidence was only increased at a dose level with severe maternal toxicity Glyphosate Task Force (GTF)
  • 28. Developmental Toxicity of Glyphosate: Classification 28 Glyphosate Task Force (GTF) On the basis of the weight-of-evidence analysis of all available compliant embryo-fetal development toxicity studies, glyphosate should not be classified as toxic to reproduction (embryo-fetal development)
  • 29. Overall Conclusion • Based on the weight-of-evidence presented in this assessment, glyphosate should not be classified as: – a mutagen – a carcinogen – toxic to reproduction 29 This is consistent with numerous recent global regulatory agency evaluations Glyphosate Task Force (GTF)
  • 31. Genotoxicity of Glyphosate: Test Results Test Result Comment Ames Negative In vitro gene mutation tests in mammalian cells Negative In vitro MN Limited evidence Absence of induction of CA suggests threshold- mediated aneugenic effects In vitro and in vivo chromosome aberration Negative In vivo MN Negative In vitro DNA strand breaks Positive Probably secondary to toxicity since no chromosome breaks In vivo DNA strand breaks Limited evidence of transient DNA strand breakage in vivo Not associated with DNA adducts In vitro UDS Negative Cultured hepatocytes In vitro SCE Positive The mechanism of induction and the biological relevance of SCE are unclear (negligible weight) and does not contribute to the overall evaluation of genotoxic potential Glyphosate Task Force (GTF)
  • 32. No. of studies Genotoxicity of Glyphosate: Weight-of-evidence Analysis by IARC 32 Glyphosate Task Force (GTF)
  • 33. • Both major endpoints measured in the majority of non-mammalian tests (i.e. MN and comet) might well produce positive responses that are secondary to toxic effects • Many of these tests involve exposure by immersion in, or surface contact with, the test material in water – This is not a standard or relevant route of exposure for in vivo mammalian systems and may introduce route-specific unique toxic and genotoxic effects – This is particularly a concern for GBFs which commonly contain surfactants • Therefore, we did not consider data from a majority of the non- mammalian systems and non-standard tests with glyphosate, GBF, and AMPA to have significant weight in the overall genotoxicity evaluation, especially given the large number of standard core studies for gene mutations and chromosomal damage available in mammalian systems Genotoxicity of Glyphosate: Non-mammalian Studies 33 Glyphosate Task Force (GTF)
  • 34. Glyphosate: Induction of Oxidative stress (1) • Glyphosate human systemic daily doses (biomonitoring): – Max dose: Farmer = 4 µg/kg/day; Spouse = 0.04 µg/kg/day; Children = 0.8 µg/kg/day (Aquavella et al., 2004) – Other studies: 0.1-5 µg/kg/day max (reviewed in Bus 2015) • Animal doses: – 2/7 studies: glyphosate at 10 (15 doses) or 300 mg/kg (1 dose) ip – 2/7 studies: formulation at 50 or 200 mg/kg (1 dose) ip – 1/7 studies: formulation at 50 mg/kg (1 dose) dermal – 2/7 studies: formulation at 50, 500 mg/kg gavage or 0.38% drinking water – 1/7 studies: mixture of glyphosate (10 mg/kg), zineb (15 mg/kg) and dimethoate (15 mg/kg) ip • Test doses 2,500–75,000X higher than maximally exposed farmer 34 Glyphosate Task Force (GTF)
  • 35. • Glyphosate acid does not contain reactive molecular moeities • Glyphosate is not metabolized in mammalian species and cannot form oxidative metabolites • In the majority of studies endpoints were assessed that are only indirect measures of oxidative stress such as depletion of glutathione, production of superoxide dismutase or changes in reactive oxygen species (ROS, H2O2) • There are no animal studies available where glyphosate acid as such has been administered via a relevant route of exposure (oral) and that led to oxidative damage of DNA • Overall, there is no strong weight-of-evidence that glyphosate acid as such produces oxidative damage to DNA in vivo since most of the studies have been conducted with glyphosate-based formulations and/or used irrelevant doses and/or routes of exposure (IP) Glyphosate: Induction of Oxidative stress (2) 35 Glyphosate Task Force (GTF)
  • 36. Carcinogenicity of Glyphosate: Epidemiology - Human Exposure 0.000001 0.00001 0.0001 0.001 0.01 0.1 1 10 100 1000 10000 Relevant doses in toxicology studies 50–5400 mg/kg b.m./d EPA Chronic RfD, 1.75 mg/kg b.m./d Measured systemic exposure range after one application 0.000013–0.0046 mg/kg b.m./d Human Biomonitoring JMPR/WHO Chronic ADI, 1 mg/kg b.m./d Reference Dose and Toxicology Studies EFSA ADI, 0.5 mg/kg b.m./d Adapted from: Solomon, 2016 36 Glyphosate Task Force (GTF) 10,000 times 10,000,000 times To be comparable with the ADI, at least 1 application per week should be assumed
  • 37. Carcinogenicity of Glyphosate: NHL Case Control Studies Study # NHL cases # (%) exposed cases Exposure metric OR (95% CI) McDuffie 2001 517 51(9.9%) 23 (4.4%) Any use > 2 days/year 1.2 (0.8, 1.7) 2.1 (1.2, 3.7) Hardell 2002 515 8 (1.6%) Any use 1.9 (0.6, 6.2) De Roos 2003 650 36 (5.5%) Any use 1.6 (0.9, 2.8) Eriksson 2008 910 29 (3.2%) 17 (1.9%) Any use > 10 days 2.0 (1.1, 3.7) 2.4 (1.0, 5.4) Orsi 2009 244 12 (4.9%) Any use 1.0 (0.5, 2.2) Cocco 2013 2348 4 (0.2%) Any use 3.1 (0.6, 17.1) Acquavella et al., 2016 ✓ ✓ 37 Glyphosate Task Force (GTF)
  • 38. Study # NHL cases # (%) exposed cases Exposure metric RR (95% CI) De Roos 2005 92 71 (77) Any use 1.1 (0.7, 1.9) Exposure response analysis 29 (48) 15 (25) 17 (28) 1 to 20 days 21 to 56 days 57 to 2678 days 1.0 0.7 (0.4, 1.4) 0.9 (0.5, 1.6) Ptrend 0.73 “… the available data provided evidence of no association between glyphosate exposure and NHL incidence.” (De Roos et al., 2005) Carcinogenicity of Glyphosate: Ag Health Study & NHL Results 38 Glyphosate Task Force (GTF)
  • 39. Analysis of the Results in the Rabbit: Cardio-vascular malformations 39 Study Dose (mg/kg) 0 10 20 50 75 100 150 175 200 300 350 400 450 500 Coles and Doleman (1996) 0(0) 0(0) 1(1) 0(0) Moxon (1995) 1(1) 1(1) 0(0) 1(1) Hojo (1995) 0(0) 0(0) 1(1) 0(1) Suresh (1993) 2(2) 4(3) 6(4) 6(2) Brooker et al. (1991) 1(1) 1(1) 4(3) 5(4) Tasker et al., 1980 0(0) 0(0) 0(0) 0(0) Number of fetuses (litters with malformations) Glyphosate Task Force (GTF)
  • 40. Analysis of the Results in the Rabbit: Cardio-vascular malformations (Brooker et al., 1991) 40 Incidence (%, fetal basis) Malformations Dose (mg/kg) Historical control range*0 50 150 450 Number of fetuses examined 163 104 112 95 5964 Narrow/dilated aortic arch/pulmonary trunk/arterial trunk 0.6 1 0.9 3.2 0-1.9** 0-1.7*** Retro-esophageal right subclavian artery 0 0 2.7a 2.1b 0-1.8 Inter-ventricular septal defect 0.6 1 0.9 4.2c 0-2.8 Enlarged left, reduced right ventricles 0 0 0 2.1d 0-1 *: 48 vehicle studies performed from January 1989 until October 1993 (Interfauna UK); **: dilated ascending aortic arch; ***: narrow ascending aortic arch; a: 3/112 vs 2/116-152 in the historical controls, and all malformations occurred in one litter; b: 2/95 vs 2/116-152 and all malformations occurred in one litter; c: 4/95 vs 3/106-152 in the historical controls; d: 2/95 vs 1/103-154 in the historical controls. Glyphosate Task Force (GTF)
  • 41. Useful References (1) 41 • Acquavella J, Garabrant D, Marsh G, Sorahan T and Weed DL (2016). Glyphosate epidemiology expert panel review: A weight of evidence systematic review of the relationship between glyphosate exposure and non-Hodgkin’s lymphoma or multiple myeloma. Crit. Rev. Toxicol., 46 (S1), 28-43. • Brusick D, Aardema M, Kier L, Kirkland D and Williams G (2016). Genotoxicity Expert Panel review: Weight of evidence evaluation of the genotoxicity of glyphosate, glyphosate-based formulations, and aminomethylphosphonic acid. Crit. Rev. Toxicol., 46 (S1), 56-74. • De Roos AJ, Blair A, Rusiecki JA, Hoppin JA, Svec M, Dosemeci M, Sandler DP and Alavanja MC (2005). Cancer incidence among glyphosate-exposed pesticide applicators in the agricultural health study. Environ Health Perspect., 113, 49-54. • Greim H, Saltmiras D, Mostert V and Strupp C (2015). Evaluation of the carcinogenic potential of the herbicide glyphosate, drawing on tumor incidence data from fourteen chronic/carcinogenicity rodent studies. Crit. Rev. Toxicol., 45 (3), 185-208. • Kier LD (2015). Review of genotoxicity biomonitoring studies of glyphosate-based formulations. Crit. Rev. Toxicol., 45, 209-918. • Kier LD and Kirkland DJ (2013). Review of genotoxicity studies of glyphosate and glyphosate- based formulations. Crit. Rev. Toxicol., 43, 283-315. • Kimmel GL, Kimmel CA, Williams AL and DeSesso JM (2013). Evaluation of the potential developmental toxicity of glyphosate with attention to cardiovascular malformations. Crit. Rev. Toxicol., 43 (2), 79-95.
  • 42. Useful References (2) 42 • OECD (2015). Overview of the Set of OECD Genetic Toxicology Test Guidelines and Updates Performed in 2014–2015. Paris (France):Organization for Economic Co-operation and Development (OECD), Environment Directorate, Health and Safety Publications. • OECD (2002) Series on Testing and Assessment No. 35 and Series on Pesticides No. 14. GUIDANCE NOTES FOR ANALYSIS AND EVALUATION OF CHRONIC TOXICITY ANDCARCINOGENICITY STUDIES, Environment Directorate, Joint meeting of the Chemicals Committee and the Working Party on Chemicals, Pesticides and Biotechnology. • Solomon KR (2016). Glyphosate in the general population and in applicators: A critical review of studies on exposures. Crit. Rev. Toxicol., 46 (S1), 21-27. • Sorahan T (2015). Multiple Myeloma and Glyphosate Use: A Re-Analysis of US Agricultural Health Study (AHS) Data. Int. J. Environ. Res. Public Health, 12, 1548-1559. • Williams GM, Berry C, Burns M, de Camargo JLV and Greim H (2016). Glyphosate rodent carcinogenicity bioassay expert panel review. Crit. Rev. Toxicol. 46 (S1), 44-55. • Williams GM, Aardema M, Acquavella J, Berry C, Brusick D, Burns MM, de Camargo JLV, Garabrant D, Greim H, Kier LD, Kirkland DJ, Marsh G, Solomon KR, Sorahan T, Roberts A and Weed DL (2016). A review of the carcinogenic potential of glyphosate by four independent expert panels and comparison to the IARC assessment. Crit. Rev. Toxicol. 46 (S1), 3-20.