January 13, 1978
DHHS (NIOSH) Publication Number
Current Intelligence Bulletin 19: 2,4-Diaminoanisole (4-Methoxy-m-Phenylenediamine) In
|Chemical Abstract Service Number 615-05-4||Chemical Abstract Service Number 39156-41-7|
|CI. 76050||CI. 76051|
|CI. Oxidation Base 12||1,3-Diamino-4-methoxybenzene Sulfate|
|Furro L||4-Methoxy-m-phenylenediamine Sulfate|
|Pelagol Grey L|
The National Institute for Occupational Safety and Health (NIOSH) recommends that 2,4-diaminoanisole (4-methoxy-m-phenylenediamine) and its salts* be handled in the workplace as if they were human carcinogens. This recommendation is based primarily upon a preliminary analysis of National Cancer Institute data indicating laboratory rats and mice fed 2,4-diaminoanisole sulfate experienced a statistically significant excess of site-specific malignant tumors as compared to controls. Caution is also indicated by NIOSH epidemiologic studies which suggest an elevated incidence of cancer among cosmetologists. As an interim measure, pending further evaluation of the carcinogenic potential of 2,4-diaminoanisole in the workplace, NIOSH believes it would be prudent to minimize occupational exposure to 2,4-diaminoanisole.
This Bulletin summarizes the results of the National Cancer Institute animal study, the NIOSH epidemiologic studies, other pertinent data, their implications for occupational health, and precautions for handling products containing 2,4-diaminoanisole in the workplace.
The principal use of 2,4-diaminoanisole is as a component of oxidation ("permanent") hair and fur dye formulations. Approximately three-quarters of the current oxidation hair dye formulations contain 2,4-diaminoanisole in concentrations ranging from approximately 0.05% to approximately 2%. The concentration is determined by the shade of the dye. Oxidation hair dyes are very common among professional as well as over-the-counter products and account for approximately $200 million of the $280 million annual retail expenditure for hair dyes. NIOSH is unaware of any current domestic production of 2,4-diaminoanisole. Imports of 2,4-diaminoanisole are on the order of 25,000 pounds per year.
Potential Occupational Exposures
NIOSH estimates that approximately 400,000 workers have potential occupational exposure to 2,4-diaminoanisole. Hairdressers and cosmetologists comprise the largest portion of workers with potential exposure. (Gloves are usually worn by hairdressers when applying hair dyes). A relatively small number of fur dyers are probably exposed to higher levels of 2,4-diaminoanisole.
NIOSH has conducted two epidemiologic studies which suggest excess cancer among cosmetologists.
A report1 based on data from a case-control study of 25,416 hospital admissions between 1956 and 1965 at Roswell Park Memorial Institute suggests an excess of cancer of specific genital sites (corpus uteri, ovaries) among hairdressers and cosmetologists.
Another study currently being conducted by NIOSH is also suggestive of excess cancer among cosmetologists. This study involves a sample of 53,183 records which are representative of the 417,795 Social Security disability awards made to female workers between 1969 and 1972. Age and race adjusted proportional morbidity ratios** (PMbR's) have been constructed for 24 selected occupational groups. Among cosmetologists, elevated PMbR's were observed for cancer of the digestive organs, respiratory system, trachea, bronchus and lung, breast, and genital organs. Cosmetologists had a greater number of elevated PMbR's for specific primary malignant neoplasms than any other tabulated occupational group. Thus, the preliminary analysis of the Social Security Administration disability data is consistent with the hypothesis that persons employed in occupations classified within the broad category of cosmetology may be at elevated risks of developing a neoplasm due to exposures of occupational origin.
Other relevant epidemiologic studies with conflicting results have been reported.2-6 These studies do not clearly demonstrate an association between hair dyes and cancer. NIOSH believes that its studies do suggest an association between cancer and employment as cosmetologists and hairdressers. However, it is recognized that cosmetologists and hairdressers are exposed to a large variety of substances, and it is difficult at this time to attribute any excess incidence of cancer to either hair dyes in general or 2,4-diaminoanisole in particular.
Preliminary analyses of National Cancer Institute data indicate that male and female laboratory rats and mice fed 2,4-diaminoanisole sulfate in their diets for seventy-eight weeks experienced a statistically significant excess of site-specific malignant tumors as compared to controls.
Groups of fifty male and fifty female Fisher 344 rats and B6C3Fl mice were used in the test. Feed containing 0.05% or 0.12% technical grade 2,4-diaminoanisole sulfate was administered to each group of treated rats; each group of treated mice received feed containing 0.12% or 0.24% technical grade 2,4-diaminoanisole sulfate. Fifty animals of each sex of each species served as controls. After the seventy-eight week treatment period, observation of the mice continued for an additional thirteen weeks and observation of the rats continued for an additional twenty-six weeks.
Significant excess cancer was observed in the thyroid gland and integumentary system (skin) of high dose exposed rats of both sexes, as well as in the thyroid gland of high dose exposed mice, and in the lymphatic system of low dose exposed mice.
In other studies, 294-diaminoanisole was tested by skin application to laboratory rodents. Testing by skin application has considerable merit since this route of administration approximates that resulting from the use of hair dyes. Laboratory mice and rats painted with 2,4-diaminoanisole have been reported to experience no statistically significant excess of cancer.7,8 and Holzman, for example, reported applying a mixture containing 0.4% 2,4-diaminoanisole to the shaved backs of Sprague-Dawley rats twice weekly for two years, and then continuing to observe the surviving animals for an additional six months.8 , the interpretation of the reported data is complicated by experimental design9 and these experiments do not convincingly establish the safety of 2,4-diaminoanisole applied to skin.
NIOSH understands that recent and still unpublished data acquired by the Food and Drug Administration indicate that 2,4-diaminoanisole penetrates the skin and thereby enters the system of both man and rhesus monkey. This indicates that skin contact with 294-diaminoanisole must be avoided in the workplace.
There are reports indicating that 2,4-diaminoanisole is mutagenic in bacterial systems9 and in drosophila.10 activity per se should be considered an important liability. In addition, empirical correlations have suggested a relationship between mutagenicity, especially in bacterial strains, and carcinogenicity in higher animals.
Animal studies are valuable in helping identify human carcinogens. Substances that cause cancer in experimental animals must be considered to pose a potential cancer risk in man. Although safe levels of exposure to carcinogens have not yet been demonstrated, decreasing exposure to carcinogens does reduce their probability of initiating cancer development.
While the carcinogenicity of 2,4-diaminoanisole is being further evaluated, the National Institute for Occupational Safety and Health recommends, as an interim and prudent measure, that occupational exposure to 2,4-diaminoanisole and its salts be minimized. Exposures should be limited to as few employees as possible while minimizing workplace exposure levels with engineering and work practice controls. In particular, skin exposures should be avoided. Although substitution is a possible control measure, NIOSH recommends that caution be exercised in selecting a substitute for hair and fur dye formulations containing 2,4-diaminoanisole. Alternatives should be fully evaluated with regard to possible human health effects. This is particularly important in view of the many questions which have been raised recently regarding the safety of numerous components of hair dye formulations.
Edward J. Baier
*In this Bulletin, the phrase, "2,4-diaminoanisole," will be used to signify 2,4-diaminoanisole as well as its salts, such as 2,4-diaminoanisole sulfate (4-methoxy-m-phenylenediamine sulfate). [return to text]
**Each proportional morbidity ratio compares the observed number of women within an occupational category granted an award for a particular disability with the expected number of women (derived from all occupations in the entire sample) granted an award for the same disability. [return to text]
- A Retrospective Survey of Cancer in Relation to Occupation, DHEW (NIOSH) Publication No. 77-178, U.S. Department of Health, Education, and Welfare, Public Health Service, Center for Disease Control, National Institute for Occupational Safety and Health, Cincinnati, Ohio, 1977.
- Garfinkel J., Selvin, S. and Brown, S. M., "Possible Increased Risk of Lung Cancer Among Beauticians," J. National Cancer Institute, 58, 141, 1977.
- Hammond, E. C., "Some Negative Findings (Polio, Small Pox, Tetanus and Diptheria-Vaccines; Beauticians) and Evaluation of Risks," Presented at the American Cancer Society's Nineteenth Science Writers' Seminar, Sarasota, Florida, April 1977.
- Kinlen, L. J. et al., "Use of Hair Dyes by Patients with Breast Cancer: Case-Control Study," British Medical Journal, 2, 366, 1977.
- Menck, H. R. et al., "Lung Cancer Risk Among Beauticians and Other Female Workers," J. National Cancer Institute, 59, 1423, 1977.
- Shafer, N., and Shafer, R. W., "Potential of Carcinogenic Effects of Hair Dyes," New York State Journal of Medicine, 76, 394, 1976.
- Burnett, C. et al., "Long-Term Toxicity Studies on Oxidation Hair Dyes," Food and Cosmetics Toxicology, 13, 353, 1975.
- Kinkel, H. J., and Holzmann, S., "Study of Long-Term Percutaneous Toxicity and Carcinogenicity of Hair Dyes (Oxidizing Dyes) in Rats," Food and Cosmetics Toxicology, 11, 641, 1973.
- Ames, B.N. et al., "Hair Dyes Are Mutagenic: of a Variety of Mutagenic Ingredients," Proceedings National Academy of Sciences USA, 72, 2423, 1975.
- Blijleven, W. G. H., "Mutagenicity of Four Hair Dyes in Drosophila Melanogaster," Mutation Research, 48, 181, 1977.
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