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3540853 
Journal Article 
In vitro cytotoxic effects of DEHP-alternative plasticizers and their primary metabolites on a L929 cell line 
Eljezi, T; Pinta, P; Richard, D; Pinguet, J; Chezal, JM; Chagnon, MC; Sautou, V; Grimandi, G; Moreau, E 
2017 
Yes 
Chemosphere
ISSN: 0045-6535
EISSN: 1879-1298 
PERGAMON-ELSEVIER SCIENCE LTD 
OXFORD 
173 
Elsevier 
452-459 
English 
Phthalic acid esters have been widely used to improve the plasticity of PVC medical devices. They carry a high exposure risk for both humans and the environment in clinical situations. Our study focuses on the cytotoxicity of alternative plasticizers. Postulated primary metabolites were synthesized, not being commercially available. Cytotoxicity assays were performed on L929 murine cells according to the ISO-EN 10993-5 standard design for the biocompatibility of medical devices. The tested concentrations of plasticizers (0.01, 0.05 and 0.1 mg/ml) covered the range likely to be found in biological fluids coming into direct contact with the medical devices. DEHP, DINP and DINCH were cytotoxic at the highest concentration (0.1 mg/ml) for 7 days of exposure. Their corresponding metabolites were found to be more cytotoxic, for the same concentration. By contrast, TOTM and its corresponding metabolite MOTM were not found to be cytotoxic. DEHA showed no cytotoxicity, but its corresponding monoester (MEHA) produced a cytotoxic effect at 0.05 mg/ml. In clinical situations, medical devices can release plasticizers, which can come into contact with patients. In vivo, the plasticizers are quickly transformed into primary metabolites. It is therefore important to measure the effects of both the plasticizers and their corresponding metabolites. Standard first-line cytotoxicity assays should be performed to ensure biocompatibility. 
Animals; Cell Survival/drug effects; Cells, Cultured; Diethylhexyl Phthalate/adverse effects/metabolism; Esters/metabolism; Fibroblasts/drug effects/pathology; In Vitro Techniques; Phthalic Acids/metabolism; Plasticizers/adverse effects/metabolism; Polyvinyl Chloride/metabolism; Cytotoxicity; DEHP-alternative plasticizers; Metabolite synthesis; Phthalates; Plasticizers 
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