Methylsulfonyl metabolites of PCBs and DDE in human milk in Sweden, 1972-1992.

A multicomponent method used for analysis of organochlorine pesticides, polychlorinated biphenyls (PCBs), naphthalenes, dibenzo-p-dioxins, and dibenzofurans was adapted for the analysis of methylsulfonyl metabolites of chlorinated biphenyls (MeSO2-CBs) and of p,p'-DDE (MeSO2-DDE) in human milk. The extraction and initial purification was made by liquid-gel partitioning. Additional purification and separation steps were achieved by adsorption and gel permeation chromatography. The mean recoveries of 23 MeSO2-CBs and MeSO2-DDE standards, added to the milk before extraction, were 80-97%. Human milk sampled in Stockholm during 1972, 1976, 1980, 1984/85, 1990, 1991, and 1992 was analyzed by GC-MS. During the time course studied, the concentrations of MeSO2-CBs decreased from approximately 9 to 2 ng/g lipids and of MeSO2-DDE from 5 to 0.4 ng/g lipids. The concentrations of MeSO2-CBs and MeSO2-DDE correlated to the levels of total PCB and p,p'-DDE, respectively. 3-MeSO2-DDE was the major isomer of the aryl methyl sulfones studied in the milk. PCB methyl sulfones with five and six chlorine atoms in the molecule were predominant among the PCB methyl sulfones Generally, the concentrations of 4-MeSO2-CBs were higher than the corresponding 3-MeSO2-CB compound. The major MeSO2-CBs in the milk were 4-MeSO2-2,5,2',3',4'-pentaCB (4-87) and 4-MeSO2-2,3,6,2',4',5'-hexaCB (4-149).

Polychlorinated biphenyls (PCBs) and 1,1bis(4-chlorophenyl)-2,2-dichloroethene (p,p'-DDE) are among the most widely spread environmental contaminants known. PCBs have mainly been used as plasticizers, dielectric fluids, and hydraulic oils. They were first detected in a white-tailed sea eagle in 1966 (1) and soon after were detected in human milk (2). In Sweden the use of PCBs was restricted in 1972 and was fully phasedout in 1995. Despite worldwide restrictions of these compounds, PCBs are still distributed to the environment and circulate between different compartments of the system. The persistence and lipophilic character of PCBs lead to their ubiquitous distribution as environmental contaminants [e.g., found in blood (3) and mother's milk (4)].
DDE is a metabolite of 2,2-bis(4chlorophenyl)-1, 1, 1 -trichloroethane (DDT), which was a commonly used insecticide from the 1940s to the 1960s. In Sweden the use of DDT as an insecticide in homes, gardens, and agriculture was prohibited in 1970, with an exception made for use on conifer plants until 1974. However, this pesticide is still used in certain countries, particularly where malaria is a problem of great concern (5).
As environmental contaminar MeSO2-PCBs and MeSO2-DDE were i identified in seal blubber from the Ba (6). Since then such metabolites have b found in several species of animals fr this and other parts of the wo (7,(18)(19)(20). In human samples, MeS( PCBs were first reported in adipose tissue ed and milk from a woman exposed to PCBs be in a capacitor factory in Japan (19 The methods used to isolate aryl methyl Bs) sulfones include liquid-liquid partitioning or (6,18,24) and various chromatographic ing methods (7,18,20,25). The final analyses '-Bs are primarily performed by GC electron-02capture detection (e.g., 7,18,20,24), mass the spectrometry in electron ionization (El) ng, (25), or negative ion chemical ionization nd mode (27), but recently detection by GC atomic emission detector was described atic (28). Our work is discussed here in relation via to these analytical procedures. Several of the archived samples were pooled by mixing equal amounts of samples from the same time period. The average age of the women in the pools was 27-28 years, except for 1992 when the average age was 29 years. In each period, 55-60% of the women who supplied milk were nursing their first infant. The majority of the rest were nursing their second child.
Methanol, n-hexane, acetonitrile, dichloromethane, and trichloromethane were of HPLC-grade (Rathburn, Walkeburn, Scotland) and were redistilled before use. Formic acid was of pro analysi quality (Merck, Darmstadt, Germany). Water was deionized and purified with a Milli Q cartridge system (Millipore, Bedford, Massachusetts). The MeSO2-CBs used as standard compounds are listed in Table 1. The synthesis of these compounds has been described elsewere (29)(30). 3-MeSO2-4,4'-DDE was synthesized as desribed by Bergman and Wachtmeister (31). 3-Methylsulfonyl-4-methyl-5,2',3',4',5 '-pentachlorobiphenyl was used as an internal standard. The Lipidex 5000 gel was from Packard Instruments (Downers Grove, Illinois). The Lipidex was washed and stored in methanol at 40C (32). Immediately before use, the gel was rinsed with methanol in a separating funnel equipped with a sintered-glass disc and a polytetrafluoroethylene stopcock. For a 20-g portion of Lipidex, 2 x 25 ml of methanol was used. Most of the remaining methanol in the gel was removed with a gentle stream of nitrogen applied from the top of the funnel. The nitrogen, quality 5.5 from AGA (Stockholm, Sweden) was purified with moisture and oxygen filters (Chrompack, Middelburg, The Netherlands). Aluminum oxide 90 (activity grade II-III) from Merck was acti-vated at 8000C for 4 hr and partly deactivated by adding water, corresponding to a concentration of 5% water (w/w). Bio-Beads S-X3, 200-400 mesh, was purchased from Bio-Rad Laboratories (Richmond, California).
All glassware was washed with detergents in an ultrasonic bath and rinsed thoroughly with tap water, deionized water and Mili Q water and then heated overnight at 280°C. The glassware was rinsed with hexane before use. The glass chromatographic columns usedhadIDof2and 1 cm.
GC/MS analyses were performed with a VG 70-250 mass spectrometer equipped with an HP 5890A gas chromatograph and a VG-250 data system (VG Analytical, Manchester, UK). Gas chromatography was performed using a fused silica SE-54 capillary column (25 m x 0.32 mm ID, 0.25-tim film thickness; Quadrex, New Haven, Connecticut) with helium as a carrier gas. An all-glass falling needle injector was used with an injector temperature at 270°C. The oven temperature was 1900C for 0.1 min, programmed to 2300C at 5°C/min, hold for 0.2 min, programmed to 235°C at 1°C/min, hold for 3 min, programmed to 2700C at 9°C/min, and hold for 8 min. EI was performed in an "EIonly" ion source at the electron energy of 31 eV and the trap current of 500 pA. The source temperature was 2600C. The acceleration voltage was 6 kV and the resolution at m/z 293 was 7000-9000. The MS was operated in a selected ion recording mode.   Environmental Health Perspectives * Volume 104, Number 7, July 1996 aPCB congener numbers, according to Ballschmiter (34), are given in parentheses.
Articles * Nor6n et al.  1), was collected at a rate of 20 drops/min. The first 15 ml were discarded. The following 9 ml contained MeSO2-CBs and MeSO2-DDE. To purify the column from contaminants, it was washed with an additional 25 ml of the solvent mixture and discarded. The fraction containing MeSO2-CBs and MeSO2-DDE was concentrated to 50 pl and transferred quantitatively to the same column, and the procedure was repeated. The fraction containing MeSO2-CBs and MeSO2-DDE (9 ml) from this second fractionation was concentrated and about half of the sample was used for analysis by GC-MS. Recovery studies. Recovery studies were performed by adding 50-100 pl of standard mixtures in hexane of MeSO2-CBs (see Table 1), 3-MeSO2-DDE and 3methylsulfonyl-4-methyl-5,2',3',4',5'-pentachlorobiphenyl (the internal standard used) to the sample before extraction. Before determination by GC-MS, 2,3,4,5,2',3',4'-heptaCB (CB-170) (34) was added as an internal standard for volume correction.

Results
The congener-specific analyses of MeSO2-CBs and MeSO2-DDE were made by GC-MS using an "EI-only" ion source. At a resolution of 7000 and the electron energy of 31 eV, the detection limits of the compounds listed in Table 1 were 0.5-2 pg at S/N 2.5. Considerably lower sensitivity was obtained at 70 eV (detection limit 2-10 pg). In the investigation of milk, the detection limits of MeSO2-CBs and MeSO2-DDE were 0.0 1-0.05 ng/g lipid.
The mean recoveries of MeSO2-CBs and MeSO2-DDE added to the samples before extraction were 80-97% and of internal standard were 84% (Table 2). Congener-specific analyses of MeSO2-CBs and MeSO2-DDE in human milk collected in different years, starting from 1972, were performed. The concentrations of MeSO2-CBs and MeSO2-DDE are shown in Table  3. Of the metabolites studied, 3-MeSO2-DDE had the highest concentration. The level of 3-MeSO2-DDE was about 5  ed previously (35,36). The concentrations ofp,p'-DDT and p,p'-DDE in the present samples are shown in Table 3. There is a good correlation between the concentrations of 3-MeSO2-DDE and corresponding decline in the concentration of p,p'-DDE (correlation coefficient of 0.99; Fig.  3). The ratio of the concentrations of 3-MeSO2-DDE to p,p'-DDE was 0.002. All the MeSO2-CBs shown in Table 1 were identified in human milk. The profile of the MeSO2-CBs was similar in the milk sampled in different years, but the concentrations changed with time. The most abundant MeSO2-CB was compound 4-87, originating from 2,3,4,2',5'-pentaCB (CB-87), followed by 4-149, originating from 2,3,6,2',4',5'-hexaCB (CB-149). The compounds with methylsulfonyl group in position 4 (para) occur at higher levels than the corresponding compounds with methylsulfonyl group in position 3 (meta) (Fig. 4).
The MeSO2-CBs in human milk originate from CBs that do not occur at high levels in milk. Of the precursors, only 2,5,2',5'-tetraCB (CB-52) and 2,4,5,2',5'-pentaCB (CB-101) were found in milk (to be published). The concentrations of MeSO2-CBs decreased from 9.2 ng/g lipids in 1972 to 1.6 ng/g lipids in 1992 (Table 3) and correlated to the decline in the levels of total CBs by a correlation coefficient of 0.95 (Fig. 5). The total CB levels were determined by EC-GC using a packed column (35,36; in preparation). The ratios of the sum of MeSO2-CBs (MeSO2-PCB) to total CB (PCB) concentration decreased from 0.009 to 0.004 during the time course studied (Table 3). Comparisons were also made to 2,4,5,2',4',5'-hexaCB (CB-153), determined by congener specific analysis. This PCB congener does not contain adjacent, unsubstituted carbon atoms susceptible to metabolic reactions. Accordingly, it has a long half-life (37) and is the most abundant PCB congener in the human milk. The decline of MeSO2-CBs relative to CB-153 indicates a somewhat more rapid dedine of MeSO2-CBs in milk than of PCB over the course of this time period.

Discussion
The analytical methods used in previously reported investigations of MeSO2-CBs and MeSO2-DDE involve several steps of liquid-liquid partitioning and column chromatography (6,7,18,20,24,25). The aryl methyl sulfones were extracted from tissue samples by nonpolar solvents or mediumpolarity mixtures of solvents (6,24,25,38). Different combinations of methods have been used for purification and separation from other organochlorine compounds, e.g., chromatography (Bio-Beads, silica gel, aluminum oxide) and partitioning between solvents of different polarity, e.g., between hexane and aqueous acetonitrile (24) and between hexane and dimethyl sulfoxide with subsequent reextraction of the analytes with methyl tert-butyl ether:hexane, after dilution of the dimethyl sulfoxide phase with water (7). Because MeSO2-CBs and MeSO2-DDE possess the character of a Lewis base, partitioning between hexane and concentrated sulfuric acid has frequently been used as a method for purification of these compounds. However, a method using exclusively chromatographic fractionations (gel permeation, silica gel modified with KOH, Florisil, and basic aluminum oxide) for separation of the methyl sulfone derivatives was recently reported (39).
In the present study the extraction procedure for MeSO2-CBs and MeSO2-DDE from milk differs from the previously decribed methods. Instead of partitioning between solvents, the extraction was accomplished by partitioning between the milk-formic acid mixture and a lipophilic gel, Lipidex 5000. The extraction between an aqueous solution and Lipidex resembles the extraction with a solvent of medium Articles e Nor6n et al. polarity. The advantage is that the procedure can be done in one step. The column bed can subsequently be eluted with solvents of different polarity, facilitating partial separation of lipids and an initial purification of the analyte fraction. By this procedure about 60% of the lipids in the milk sample were separated from the analytes. In addition two chromatographic systems, aluminum oxide and Bio-Beads S-X3 were used. By repeating the gel permeation step once, sufficiently clean extracts were obtained for GC-MS analysis. The recoveries of added MeSO2-CBs and MeSO2-DDE (mean 80-97%) with a relative standard deviation of 4-14% (Table 2) were considered satisfactory for the analysis using a small sample size (10 ml milk).
In the milk samples, 3-MeSO2-DDE was the major aryl methyl sulfone compound (about 5-0.4 ng/g lipids), whereas only traces could be discerned of 2-MeSO2-DDE. The ratio of MeSO2-DDE/DDE (0.002) was constant in the samples from different years. In Japanese human samples (adipose, lung and liver tissue) the ratios were somewhat higher (0.007-0.009). A high species-specific organ selectivity has been demonstrated for MeSO2-DDE in wild animals (7), but no concentrations in milk from these animals or in human milk have previously been reported. The present results are in accor-dance with the observations that MeSO2-DDE is the major aryl methyl sulfone in Swedish human adipose tissue (40). However, high concentration of 2-MeSO2-DDE and 3-MeSO2-DDE (about 0.9 and 0.4 pg/g fat, respectively) were reported in the liver of polar bear (Canada). In grey seal the levels were higher in the liver than in adipose tissue, and the levels of 2-MeSO2-and 3-MeSO2-DDE were equal. In otter and mink, no 2-MeSO2-DDE was detected and the levels of 3-MeSO2-DDE were about equal in liver and muscle, calculated on lipid weight basis (7). The results indicate differences in exposure and/or metabolism.
MeSO2-DDE is a potent toxicant for the adrenal cortex in mouse (13) and also in the human adrenal glands as observed as in vitro bioactivation of this compound in human adrenal gland (14). The irreversible binding of MeSO2-DDE in the zona fasciculata of the adrenals led to the formation of necrotic cells and inhibition of glucocorticoid hormone synthesis (13,41). Also, p,p'-DDE was recently reported to be a strong androgen receptor antagonist (42); the potency of the corresponding MeSO2-DDE is not yet known. Due to the potential toxicity of DDE and MeSO2-DDE, it is necessary to reduce the exposure to DDT/DDE, especially in areas where DDT is still used.
Generally, the precursors to the MeSO2-CBs were not found in the milk, indicating an effective metabolism of the precursor CBs. The MeSO2-CBs originate from CBs with chlorine atoms in 2,5or 2,3,6-positions of at least one of the phenyl rings of the PCB congener (8). In these compounds there are unsubstituted meta Ipara positions adjacent to two chlorine atoms. This strongly facilitates the reaction between the PCB arene oxide and glutathione and formation of the two isomeric 3-and 4-MeSO2-PCBs, as observed in minks dosed with a technical preparation of the PCB Clophen A50 (43).
In milk, the PCB metabolites with the MeSO2 group in the 4-position are present at higher concentrations than the corresponding compounds with the MeSO2 group in 3-position, except for 3-91, which is present at a higher concentration than 4-91 (see Table 3). The major MeSO2-CBs were 4-87 and 4-149. Both 4-87 and 4-149 were the predominant MeSO2-CBs in human adipose tissue (40) and thus consistent with the results of the present study. In adipose and lung tissue from Yusho patients, MeSO2-CB 4-87 was also the predominant PCB methyl sulfone, whereas a quite different profile was reported in the Volume 104, Number Figure 5. Concentrations of total chlorinated biphenyls (CBs) and sum of CB methyl sulfones in human milk sampled 1972-1992.
control sample with 4-MeSO2-2,5,4'-triCB as the dominating and 4-MeSO2-2,5,2',4'-CB (4-49) occurring in second highest level (20). A different profile of MeSO2-CBs is found in tissues of grey seal, otter, and mink (7,18). In these species 3-MeSO2-2,5,2',4',5'-pentaCB, originating from CB-101, is the predominant PCB methyl sulfone. The results indicated differences in exposure and/or metabolism of DDE and PCBs, which may be of importance in possible toxic effects of these compounds. The concentrations of MeSO2-DDE and MeSO2-PCB in milk decreased during the time course studied, in accordance with the previously reported decline of DDT, DDE and PCB in Swedish human milk (35,36; in preparation). In a study of milk from an occupationally exposed mother, a dedine in the concentration of PCB, from 14,000 to 3700 ng/g lipids, and of MeSO2-PCB, from 590 to 150 ng/g lipids, during 16 months of milk excretion was reported (44). At the time of that study, MeSO2-PCB congener-specific analysis was not possible. However, the concentration of MeSO2-PCB was estimated to 0.05 of the PCB concentration. In the present investigation the concentration ratios of MeSO2-PCB relative to PCB were 0.009-0.004 and declined during the 20 years studied. In a Japanese study, correponding ratios in adipose tissues were 0.02 and 0.04 from two control persons and 0.004 and 0.006 from two Yoshu patients (23). The profile of the MeSO2-PCB in these samples differed from the profile in Swedish human milk. In the present study the congeners with 5 and 6 chlorine in the molecule dominated, while in Japanese adipose tissue the lower chlorinated congeners were the dominating MeSO2-CBs. In Swedish blood plasma, the profile of MeSO2-PCB is similar to that in the milk (Weistrand and Noren, in prepara-tion). Approximately twice as much 4-MeSO2-CBs are present in the milk as are 3-MeSO2-CBs. The latter type of metabolites have recently been reported as potent inducers of several hepatic microsomal drug-metabolizing enzymes while the 4-MeSO2-CBs congeners tested were inactive (45). On the other hand, certain 4-MeSO2-CBs are strongly retained in lung bronchial mucosa due to their binding to uteroglobinlike macromolecules in the Clara cells (9). It is also supposed that the chronic lung dysfunction symptoms in Yusho patients may have been caused by MeSO2-PCB (46). It may thus be emphasized that the MeSO2-CBs are also of potential toxicological importance and the presence of these PCB metabolites in human milk cannot be neglected. Further studies of their toxicological role are needed.
The data show that restrictions on the use of DDT and PCBs have led to decreased levels of these compounds and their methyl sulfone metabolites in human milk. The present study is a first attempt at congener-specific analysis of MeSO2 DDE and MeSO2-PCB in milk, and it should be followed up by analysis ofother matrices of human tissue to investigate specific retention.