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Diss Factsheets

Toxicological information

Toxicity to reproduction

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Administrative data

Endpoint:
one-generation reproductive toxicity
Type of information:
experimental study
Adequacy of study:
weight of evidence
Study period:
Dosing up to 4 weeks prior to mating and after mating
Reliability:
2 (reliable with restrictions)
Rationale for reliability incl. deficiencies:
data from handbook or collection of data
Justification for type of information:
Since lithium benzoate will dissociate in biological systems, it is considered valid to assess separately lithium and benzoate.

Data source

Reference
Reference Type:
publication
Title:
Unnamed
Year:
2003

Materials and methods

Test guideline
Qualifier:
equivalent or similar to guideline
Guideline:
OECD Guideline 415 [One-Generation Reproduction Toxicity Study (before 9 October 2017)]
Principles of method if other than guideline:
Female Rats were treated with lithium chloride in food at 280 mg lithium per kg food (ca 7 mg/Li day, or ca 28 mg/kg/day Li, based on typical diet and animal weight). The dose was increased by 50% after mating. There were initially 6 females/group. Females were allowed to give birth. Both groups were split so that half received control diet and half received lithium in food at 280 mg Li/kg during lactation. Pups were assessed at 8-10 weeks postnatal.
GLP compliance:
no
Limit test:
yes

Test material

Constituent 1
Chemical structure
Reference substance name:
Lithium chloride
EC Number:
231-212-3
EC Name:
Lithium chloride
Cas Number:
7447-41-8
Molecular formula:
ClLi
IUPAC Name:
lithium chloride

Test animals

Species:
rat
Strain:
Wistar
Sex:
male

Administration / exposure

Route of administration:
oral: feed
Details on exposure:
Males exposed for 90 days prior to mating
Details on mating procedure:
Untreated females
Doses / concentrationsopen allclose all
Dose / conc.:
0 mg/kg diet
Dose / conc.:
500 mg/kg diet
Remarks:
As lithium carbonate = 5 mg/kg diet Li
At 125 g/day/kg bw per rat = 0.625 mg/kg Li
Dose / conc.:
800 mg/kg diet
Remarks:
As lithium carbonate = 8 mg/kg diet Li
At 125 g/day/kg bw per rat = 1 mg/kg/day Li
Dose / conc.:
1 100 mg/kg diet
Remarks:
As lithium carbonate = 11 mg/kg diet Li
At 125 g/day/kg bw per rat = 1.4 mg/kg/day Li
No. of animals per sex per dose:
20 males per group for effects on reproductive organs
Study was repeated at same dose levels with further 20 rats per dose to confirm reproductive indices. Mating took place from 90 days exposure.
A further set of animals were given a treatment free period of 45 days after 90 days treatment before mating and reproductive incides checked
Control animals:
yes, concurrent no treatment
Details on study design:
Rats received a diet containing 0, 500, 800, or 1100 mg lithium carbonate/kg diet for 90 days.

Examinations

Parental animals: Observations and examinations:
Body weight, daily intake of food and water were determined
Sperm parameters (parental animals):
intact spermatids were counted in a hemocytometer
Two hundred sperm from at least five different areas on the slide were studied microscopically and sperm with abnormal heads and/or abnormal tails were scored
Litter observations:
Number and viability of foeti were recorded 21 days post mating
Postmortem examinations (parental animals):
After 90 days of treatment, the testes, epididymis, prostate glands and seminal vesicles were removed and their wet weight was
determined.
The organ weight/body weight ratio was calculated and histological studies on testis, epididymis, vasdeferens,
seminal vesicle and prostate were carried out
Reproductive indices:
The females were killed on 21 days post-conception, and fertility index was analysed

Results and discussion

Results: P0 (first parental generation)

General toxicity (P0)

Clinical signs:
no effects observed
Mortality:
no mortality observed
Body weight and weight changes:
no effects observed
Food consumption and compound intake (if feeding study):
no effects observed
Haematological findings:
effects observed, treatment-related
Description (incidence and severity):
The higher doses of lithium significantly reduced serum testosterone level in treated animals as compared to control
group
Organ weight findings including organ / body weight ratios:
effects observed, treatment-related

Reproductive function / performance (P0)

Reproductive function: sperm measures:
effects observed, treatment-related
Description (incidence and severity):
The alterations observed consisted mainly of abnormal tail with or without abnormal head at the higher treatment levels
Reproductive performance:
effects observed, treatment-related
Description (incidence and severity):
No effects at 500 mg/kg diet (0.625 mg/kg Li)
At higher treatment levels, there was a dose response in fertility measured by viable implants
Mating indices were not affects

Effect levels (P0)

open allclose all
Key result
Dose descriptor:
NOEL
Effect level:
ca. 0.625 mg/kg bw/day (actual dose received)
Based on:
element
Remarks:
Lithium
Sex:
male
Basis for effect level:
haematology
organ weights and organ / body weight ratios
gross pathology
reproductive function (sperm measures)
reproductive performance
Dose descriptor:
LOAEL
Effect level:
ca. 1 mg/kg bw/day (actual dose received)
Based on:
element
Remarks:
Lithium
Sex:
male
Basis for effect level:
haematology
organ weights and organ / body weight ratios
gross pathology
reproductive function (sperm measures)
reproductive performance

Target system / organ toxicity (P0)

Critical effects observed:
yes
Lowest effective dose / conc.:
1 mg/kg bw/day (actual dose received)
System:
male reproductive system
Organ:
testes
Treatment related:
yes
Dose response relationship:
yes

Results: F1 generation

General toxicity (F1)

Clinical signs:
not examined
Description (incidence and severity):
Study for fertility was terminated prior to birth
Mortality / viability:
no mortality observed
Description (incidence and severity):
Based on health foeti

Effect levels (F1)

Key result
Dose descriptor:
NOAEL
Generation:
F1
Effect level:
> 1.4 mg/kg bw/day (actual dose received)
Based on:
element
Remarks:
Lithium
Sex:
male/female
Remarks on result:
not determinable due to absence of adverse toxic effects

Target system / organ toxicity (F1)

Key result
Critical effects observed:
no

Overall reproductive toxicity

Key result
Reproductive effects observed:
yes
Lowest effective dose / conc.:
1 mg/kg bw/day (nominal)
Treatment related:
yes
Relation to other toxic effects:
not specified
Dose response relationship:
yes
Relevant for humans:
not specified

Applicant's summary and conclusion

Conclusions:
Under the conditions of this study, treatment of 1 mg/kg/day and higher led to a reduction in fertily through lower sperm viability and possible damage to testis. At 0.625 mg/kg/day, there were no adverse effects.

It should be noted that company data used by registrants of other litium salts cite regulatory studies showing that a higher dose, up to parental toxicity levels, does not impact on fertility. Access to these company studies is being sought, but it is concluded by other registrants of Li salts that lithium does not affect fertily at concentrations up to parental toxic limits.

As a result, based on conclusions drawn by those with access to study reports for other lithium salts, it is not proposed to classified as toxic to reproduction on the basis of this publication.

However, other published reports (with less detail on methods and results) do suggest damage to male and demal reproductive organs at dose levels higher than the theraputic dose levels used for medicinal purposes.