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Food and Chemical Toxicology 43 (2005) 985–1015

www.elsevier.com/locate/foodchemtox

Review

Safety assessment of esters of p-hydroxybenzoic acid (parabens)


a,*
M.G. Soni , I.G. Carabin b, G.A. Burdock c

a
Burdock Group, 2001 9th Avenue, Suite 3001, Vero Beach, FL 32960, USA
b
Women’s Health Science Institute Inc., Vero Beach, FL 32968, USA
c
Burdock Group, 888 17th St. N.W., Suite 810, Washington, DC 20006, USA

Received 23 December 2004; accepted 31 January 2005

Abstract

Parabens are widely used as preservatives in food, cosmetic and pharmaceutical products. Acute, subchronic, and chronic studies
in rodents indicate that parabens are practically non-toxic. Parabens are rapidly absorbed, metabolized, and excreted. In individuals
with normal skin, parabens are, for the most part, non-irritating and non-sensitizing. However, application of compounds contain-
ing parabens to damaged or broken skin has resulted in sensitization. Genotoxicity testing of parabens in a variety of in vitro and in
vivo studies primarily gave negative results. The paraben structure is not indicative of carcinogenic potential, and experimental stud-
ies support these observations. Some animal studies have reported adverse reproductive effects of parabens. In an uterotrophic
assay, methyl and butyl paraben administered orally to immature rats were inactive, while subcutaneous administration of butyl
paraben produced a weak positive response. The ability of parabens to transactivate the estrogen receptor in vitro increases with
alkyl group size. The detection of parabens in a small number of breast tumor tissue samples and adverse reproductive effects of
parabens in animals has provoked controversy over the continued use of these substances. However, the possible estrogenic hazard
of parabens on the basis of the available studies is equivocal, and fails to consider the metabolism and elimination rates of parabens,
which are dose, route, and species dependent. In light of the recent controversy over the estrogenic potential of parabens, conduct of
a reproductive toxicity study may be warranted.
 2005 Elsevier Ltd. All rights reserved.

Keywords: Parabens; Preservative; Antimicrobial; Food ingredient; Food additive; Cosmetic; Drug; Excipient; Safety

Contents

1. Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ................................. 986


1.1. Description, properties and sources. . . . . . . . . . . . . . . . . . . . . .................................. 986
1.2. Economic uses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .................................. 987
1.2.1. Uses as food ingredient . . . . . . . . . . . . . . . . . . . . . . ................................. 987
1.2.2. Uses in cosmetics . . . . . . . . . . . . . . . . . . . . . . . . . . ................................. 987
1.2.3. Pharmaceutical uses . . . . . . . . . . . . . . . . . . . . . . . . ................................. 988
1.2.4. Regulatory history. . . . . . . . . . . . . . . . . . . . . . . . . . ................................. 988

Abbreviations: DNCB, dinitrochlorobenzene; FEMA, flavor and extract manufacturersÕ association; GRAS, generally recognized as safe; MIC,
minimum inhibitory concentration; NOAEL, no observed adverse effect level; NOEL, no observed effect level; OTC, over the counter; PGST,
placental glutathione S-transferase; RIPT, repeated insult patch test; SCOGS, Select Committee on GRAS Substances.
*
Corresponding author. Tel.: +1 772 562 3900; fax: +1 772 562 3908.
E-mail address: msoni@burdockgroup.com (M.G. Soni).

0278-6915/$ - see front matter  2005 Elsevier Ltd. All rights reserved.
doi:10.1016/j.fct.2005.01.020
986 M.G. Soni et al. / Food and Chemical Toxicology 43 (2005) 985–1015

1.3. Consumption . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 989


1.3.1. Exposure to parabens via food . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 989
1.3.2. Exposure to paraben via cosmetics and drugs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 990
1.3.3. Consumption summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 990
2. Biological data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 990
2.1. Absorption, metabolism and excretion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 990
2.1.1. Biochemical/pharmacological effects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 993
2.2. Toxicological studies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 993
2.2.1. Acute toxicity studies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 993
2.2.2. Irritation studies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 994
2.2.3. Sensitization studies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 994
2.2.4. Short-term and subchronic toxicity studies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 995
2.2.5. Chronic toxicity/carcinogenicity studies. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 996
2.2.6. Teratogenicity/reproduction toxicity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 998
2.2.7. Genotoxicity studies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 999
2.2.8. Cytotoxicity studies. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1000
2.2.9. Estrogenic activity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1001
2.2.10. Neurotoxicity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1003
2.2.11. Antimicrobial activity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1003
2.3. Observations in humans. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1004
2.3.1. Clinical observations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1004
2.3.2. Human irritation and sensitization studies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1005
2.3.3. Photocontact sensitization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1005
2.3.4. Case reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1005
2.3.5. Paraben paradox . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1006
2.3.6. Estrogenic activity in humans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1007
3. Risk evaluation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1008
References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1010

1. Introduction Several independent animal and human studies on


the safety of parabens have appeared in the published
Parabens are a group homologous series of hydroxy- literature. Additionally, some review articles on the
benzoic acid, esterified at the C-4 position (including safety of parabens based on the published reports have
methyl-, ethyl-, propyl-, butyl-, heptyl- and benzyl-para- also appeared. Recent reports have indicated that expo-
ben), used singly or in combination to exert an anti- sure to parabens may modulate or disrupt the endocrine
microbial effect. Parabens can have multiple biological system and thus may have harmful consequences on hu-
actions, but it is generally believed that their inhibitory man health. These studies have indicated that parabens
effects on membrane transport and mitochondrial func- possess weak estrogenic activity, while others have
tion processes are key for their actions. Parabens were hypothesized an association between the use of under-
first used as antimicrobial preservatives in pharmaceuti- arm cosmetics containing parabens and an increased
cal products in the mid-1920s (Sabalitschka, 1930). Para- incidence of breast cancer. Additionally, some recent
bens have proved to be very effective antimicrobial studies have reported adverse reproductive effects of
agents and are widely used. As the chain length of the parabens. In view of the recent controversy on the safe
ester group of paraben increases, antimicrobial activity use of parabens, the objective of the present review is
increases, but water solubility decreases (Elder, 1984). to critically evaluate the available information on the
Generally, the microbial replication occurs in the water safety of parabens from non-clinical and clinical studies,
phase and hence, the amount of paraben dissolved in along with adverse events from the clinical reports, to
the water phase determines the preservative ability. As determine the safety in-use of parabens.
a result, generally the lower esters (methyl and propyl)
are the practical choices for use of parabens in foods. 1.1. Description, properties and sources
The parabens meet several of the criteria of an ideal
preservative, in that they possess a broad spectrum of Parabens are esters of 4-hydroxybenzoic acid
antimicrobial activity, are safe to use (i.e., relatively (Fig. 1), only differing in the ester group, which may
non-irritating, non-sensitizing, and low toxicity), are sta- be a methyl-, ethyl-, propyl- or butyl-group. These ester
ble over the pH range and are sufficiently soluble in water groups result in the formation of methyl paraben (CAS
to produce the effective concentration in aqueous phase. No. 99-76-3), ethyl paraben (CAS No. 120-47-8), propyl
M.G. Soni et al. / Food and Chemical Toxicology 43 (2005) 985–1015 987

O uses of the parabens in the food industry are cakes, pas-


HO C O
tries, pie-crusts, icings, toppings and fillings (0.03–0.06%
R
of a 3:1 in ratio methyl and propyl parabens); soft drinks
(0.03–0.05% of a 2:1 ratio of methyl and propyl para-
Fig. 1. Chemical structure of paraben, where R = methyl (CH3), ethyl bens); creams and pastes (0.1% of a combination of
(C2H5), propyl (C3H7), butyl (C4H8).
parabens); jams, jellies and preserves (0.07% of a 2:1
ratio of methyl and propyl parabens); olives and pickles
paraben (CAS No. 94-13-3), or butyl paraben (CAS No. (0.1% of a combination of parabens); and syrups
94-26-8). The most frequently used parabens are methyl- (0.07%). Among the parabens, methyl and propyl para-
and propyl paraben. In pure form, parabens are gener- bens are the most extensively used in foods. To deter-
ally small colorless crystals or crystalline powders with mine the specific foods in which parabens were used
virtually no odor or taste; they are hygroscopic in nature and at what levels, a representative cross-section of food
and have a high oil/water coefficient. Parabens are pre- manufacturers was surveyed (FDA, 1973). A 30-fold in-
pared by esterification of p-hydroxybenzoic acid with crease in use of parabens was noted from 1960 to 1970.
the corresponding alcohol in the presence of an acid cat-
alyst. Generally, parabens are stable in air and are resis- 1.2.2. Uses in cosmetics
tant to hydrolysis in water (hot and cold) and in acidic Parabens are routinely used as preservatives in cos-
solutions. An increase in alkyl chain length of parabens metics, with propyl- and methyl paraben being the most
increases the resistance to hydrolysis. Appreciable commonly used (Berke et al., 1982; Jackson, 1992).
hydrolysis occurs at pH above 7. Table 1 summarizes These parabens are used in nearly all types of cosmetics,
some physicochemical properties of parabens. with reported use in over 13,200 formulations (Elder,
Parabens occur naturally in foods. Methyl paraben 1984). Parabens formulate well because they have no
has been reported as a constituent of cloudberry, yellow perceptible odor or taste, they do not produce discolor-
passion fruit juice, white wine, botrytised wine, and ation, they are practically pH neutral and they do not
Bourbon vanilla, and recently, propyl paraben has been cause hardening or ‘‘muddying’’ (Neidig and Burrell,
detected in the aerial part of the plant Stocksia brahuica 1944). The popular use of paraben preservatives in cos-
(Family: Sapindaceae) (Ali et al., 1998). Several investi- metics and toiletries arises from their low toxicity, broad
gators reported methods for determination of para- spectrum of activity, inertness, worldwide regulatory
bens in cosmetics, food products and pharmaceuticals acceptance, biodegradability and low cost. An addi-
(Mahuzier et al., 1927; Wang and Chang, 1998; Ali tional advantage is their excellent chemical stability in
et al., 1999; Kreuz et al., 1999; Driouich et al., 2000; relation to pH (effective between pH 4.5–7.5) and tem-
Lin Yu et al., 2000; Labat et al., 2000). perature. Because of their stability at high temperature,
products containing parabens can be safely autoclaved
without significant loss of antimicrobial activity, as a
1.2. Economic uses
result of hydrolysis (Maddox, 1982).
Parabens individually, or in combination, are used in
1.2.1. Uses as food ingredient
all cosmetic product formulation categories. Products
Parabens have been added to food for more than
containing these preservatives may contact the skin,
50 years and, over the years, the use of parabens has
hair and scalp, lips, mucosae (oral, ocular, and vaginal),
steadily increased to include many more food categories.
axillae and nails. Doron et al. (2001) proposed use of
They are employed in several foods including processed
parabens, including propyl paraben, as potential anti-
vegetables, baked goods, fats and oils, seasonings, sugar
bacterial agents against immobilized or planktonic (free
substitutes, coffee extracts, fruit juices, pickles, sauces,
floating) bacteria found in the oral cavity. The products
soft drinks and frozen dairy products at concentrations
containing parabens may be used on an occasional or a
of between 450 and 2000 ppm (Daniel, 1986). The major
consistent basis and their use may extend over a period
of years. In some instances, frequency and duration of
application may be continuous. Use of paraben, alone
Table 1
General description and physicochemical properties of parabens or in combination with other compounds, is well suited
for the preservation of cosmetics (Maddox, 1982).
Characteristics Methyl Ethyl Propyl Butyl
Parabens are most active against molds and yeasts,
CAS no. 99-76-3 120-47-8 94-13-3 94-26-8
and have been successfully used in cosmetics for over
Chemical formula C8H8O3 C9H10O3 C10H12O3 C11H14O3
Molecular weight 152.16 166.18 180.21 194.23 half a century (Weber, 1993). Rastogi et al. (1995) inves-
Melting point (C) 131 116–118 96–98 68–69 tigated the contents of parabens in cosmetic products
Boiling point (C) 270–280 297–298 – – and found a preferential use of methyl-, > ethyl-, >
Refractive index 1.525 1.505 1.505 propyl-, > butyl- > and benzyl-paraben in various cos-
pKa 8.17 8.22 8.35 8.37
metic products.
988 M.G. Soni et al. / Food and Chemical Toxicology 43 (2005) 985–1015

1.2.3. Pharmaceutical uses antimycotics in food packaging materials with no limit


Parabens were first used in drugs in the mid-1900s and or restriction. The Joint FAO/WHO Expert Committee
since they have been employed frequently in a wide on Food Additives (JECFA) and the Flavor and Flavor
variety of formulations as preservatives. Among the para- and Extract ManufacturerÕs Association (FEMA) have
bens, propyl paraben is one of the most effective fungi- also approved the use of methyl and propyl paraben in
stats used in pharmaceutical preparations. A variety of food. In 1974, JECFA recommended the group Accept-
drug formulations including suppositories, anesthetics, able Daily Intake (ADI) for the methyl-, ethyl-, and pro-
pills, syrups, weight gaining solutions, injectable solutions pyl-esters of p-hydroxybenzoic acid as 0–10 mg/kg body
and contraceptives are known to contain parabens as pre- weight/day (JECFA, 1974).
servatives. Combinations of parabens are more active Use of parabens is also permitted in Japan. Of the
than individual parabens (Boehm and Maddox, 1972). 72,609 samples tested, Ishiwata et al. (1997) reported
Use concentration of parabens varies from product to detection of parabens in 903 out of 9876 food products
product, but seldom exceeds 1% (Neidig and Burrell, (9.1%). The detection rate and average concentration in
1944; Hassler, 1954; Boehm and Maddox, 1972; Orth, all foods in which these are permitted for use were 28.6%
1980). Methyl paraben and propyl paraben are used as and 8.8% of the limits, respectively. The highest detec-
preservatives in several over-the-counter (OTC) drugs. tion rate among the foods permitted for use was soy
The Ophthalmic Drug Panel of the US Food and sauce (49.8%) and the average concentration in all tested
Drug Administration (FDA) has determined that soy sauce samples was also the highest, 0.0342 g/kg as
methyl and propyl paraben, if used alone and at concen- p-hydroxybenzoic acid. This concentration corre-
trations effective against microorganisms, are not suit- sponded to 13.7% of the permissible limit. p-Hydroxy-
able as preservatives in OTC ophthalmic products, benzoic acid was detected in 16 out of 6775 samples
because they are irritating to the eyes. The panel sug- (0.24%) of foods in which the esters are not permitted
gested that further formulation studies and safety testing and the average concentration was 0.093 mg/kg as
be conducted on these two parabens (FDA, 1980b). p-hydroxybenzoic acid in the foods.
Methyl and propyl paraben have been classified as inac- The use of parabens is permitted under the European
tive ingredients in dentifrices, contraceptives and topical Union Directive No. 95/2/EC on food additives other
analgesics (FDA, 1979, 1980a,c) and in drugs for injec- than colors and sweeteners. Use of parabens (methyl-,
tion (via subcutaneous, intra-muscular, intra-venous, ethyl-, propyl-, butyl-, and benzyl-; also includes iso-
intra-articular, intra-bursal, intra-lesional and intra- butyl- and isopropyl-paraben) in cosmetic products as
synovial routes), inhalation and intra-nasal solutions, a preservative with a maximum concentration of 0.8%
ophthalmic (ointments, solutions and suspensions) and (w/w), calculated as p-hydroxybenzoic acid, is permitted
for other routes of administration, including oral, topi- by the Danish and EEC regulations (Howlett, 1992;
cal, rectal and vaginal (FDA, 1996). Rastogi et al., 1995). The maximum concentration limit
set for any single ester was 0.4%. Parabens may be pres-
1.2.4. Regulatory history ent in some cosmetics labeled as ‘‘hypoallergenic’’. Sev-
Parabens are most active against yeasts and molds, eral other countries, including as Canada, Norway,
and have application in foods such as baked goods, bev- Philippines, Sweden and Switzerland, have also ap-
erages, fruit products, salad dressings, syrups and olives. proved the use of parabens as antimicrobial food addi-
Heptyl paraben is permitted by the US FDA for direct tives. There is a close parallel between uses of paraben
addition to fermented malt beverages in amounts not and those of sodium benzoate in the countries where
to exceed 12 ppm and in non-carbonated soft drinks the parabens are permitted.
and fruit in various foods. Parabens are active against Per request from the European Commission, an ex-
Gram positive and a few Gram-negative organisms. pert science panel at the European Food Safety Author-
FDA has affirmed methyl and propyl paraben as Gener- ity (EFSA, 2004) established the group ADI of 0–10 mg/
ally Recognized as Safe (GRAS) for direct addition to kg/day for methyl and ethyl parabens and their sodium
food (21 CFR 184.1490) at concentrations up to 0.1% salts, but not propyl paraben, due to recent research that
and by prior sanction for indirect addition via packag- questioned the effect of these parabens on sperm pro-
ing materials (21 CFR 181.23). FDA has also approved duction in rats. While the presence of propyl paraben
methyl-, propyl- and butyl-paraben as synthetic flavor- in the diet is limited and unlikely to represent a risk to
ing substances and adjuvants (21 CFR 172.515) for consumers, the panel was unable to recommend a spe-
addition to foods at minimum quantity to beverages, cific ADI for propyl paraben based on current evidence.
in amounts not to exceed 20 ppm. Methyl-, propyl- The latest opinion on parabens from the EFSA panel
and butyl paraben are permitted as direct food additives follows on from a 1994 evaluation by the former EC
for use as preservatives in synthetic flavoring substances Scientific Committee for Food (SCF) that allocated a
and adjuvants. As indirect food additives, methyl and temporary group ADI of 0–10 mg/kg/day for methyl-,
propyl paraben are permitted by prior sanction as ethyl- and propyl-paraben and their salts.
M.G. Soni et al. / Food and Chemical Toxicology 43 (2005) 985–1015 989

1.3. Consumption the total methyl paraben used in food in 1970 to be


about 16 times that used in 1960.
1.3.1. Exposure to parabens via food A National Research Council subcommittee supplied
Several methods can be applied to estimate the con- the information on the possible daily human intake of
sumption of parabens. First and foremost, the per capita methyl and propyl paraben to LSRO/FASEB (1972).
estimate of intake, also called Maximum Survey-derived The possible intake per kg of body weight for different
Daily Intake, is based on ‘‘disappearance data’’ of the age groups is presented in Table 2. The LSRO/FASEB
amounts added to food as an ingredient. In contrast committee recognized the calculated daily intake of
to these methods, which are based on the actual parabens per kg body weight in the age groups 2 to
intake of the food ingredient, the Theoretical Added 65+ years could be deceptively low, because individuals
Maximal Daily Intake (TAMDI) values, such as FEMA from age 2 to maturity obviously weigh less than 60 kg;
Possible Average Daily Intake (PADI) and Possible thus the daily intake of parabens per kg for children
Maximum Daily Intake (PMDI), are calculated on the could be significantly higher than indicated.
basis of theoretical consumption of all food to which The FEMA PADI (Possible Average Daily Intake)
the ingredient has been added. In addition to its con- employs the usual use level values and mean consump-
sumption from food as an added ingredient, exposure tion values (based on Market Research Corporation of
to parabens also occurs from drug intake and cosmetic America mean frequency of eating and USDA mean
use. portion size of 34 general food categories) (MRCA,
Based on the FDA assumptions and the annual poun- 1965) to determine the consumption. The FEMA PADI
dage ‘‘disappearance’’ reported by the producers to NAS for methyl and propyl paraben was determined as
(National Academy of Sciences) of 9190 lb for propyl 0.22 mg/day (0.004 mg/kg/day) and 0.237 mg/day
paraben and 933 lb for methyl paraben for the year (0.004 mg/kg/day), respectively. A possible maximum
1987, the calculated per capita individual consumption daily intake (PMDI) can be calculated using the mean
of propyl paraben and methyl paraben is 0.7788 mg/ consumption of food as above and the maximum levels
day (0.01298 mg/kg/day) and 0.6 mg/day (0.01 mg/kg/ proposed by FEMA. The PMDI calculated theoretical
day), respectively. Lucas et al. (1999) reported a disap- value for propyl paraben was 0.2518 mg/day or
pearance value of 0.1 lb for propyl paraben and 330 lb 0.0042 mg/kg/day for an average individual weighing
for methyl paraben. The ‘‘disappearance’’ value reported 60 kg.
for propyl paraben seems very unlikely and hence this The major uses of the parabens in the food industry
value is not considered for consumption estimates. Prob- are cakes, pie-crusts, pastries, icings, toppings and fill-
ably because the Lucas et al. (1999) data represents flavor ings (0.03–0.06% of a combination of 3:1 methyl and
use only, not the bulk of the use, which is in non-flavor propyl parabens); soft drinks (0.03–0.05% of a 2:1 ratio
products. Based on this report, the per capita consump- of methyl and propyl parabens); creams and pastes
tion of methyl paraben is estimated as 0.03 mg/day (0.1% of a combination of parabens); jams, jellies and
(0.0005 mg/kg/day). preserves (0.07% of a 2:1 ratio of methyl and propyl
To determine the specific foods in which methyl and parabens); olives and pickles (0.1% of a combination
propyl paraben were used and at what levels, a represen- of parabens); syrups (0.07%). Available recent surveys
tative cross-section of food manufacturers was surveyed of consumer consumption were combined with the max-
(FDA, 1973). Available surveys of consumer consump- imum permissible levels to obtain a current estimate of
tion were obtained and combined with the production the consumer exposure to parabens (Table 3). As per
information to obtain an estimate of the consumer expo- the USDA food consumption data for year 1989–1991
sure to methyl and propyl paraben. The survey reported (Krebs-Smith et al., 1997) the age group 20–39 are the

Table 2
Possible average daily intake of methyl and propyl paraben (LSRO/FASEB (1972)
Age group Possible daily intake in mg
Total Per kg body weighta
Average Maximum Average Maximum
Methyl Propyl Methyl Propyl Methyl Propyl Methyl Propyl
0–5 months 5 5 9 10 1 1 2 2
6–11 months 49 56 108 124 6 7 14 16
12–23 months 93 105 155 179 8 10 14 16
2–65+ years 222 238 347 381 4 4 6 6
a
Calculations based on an average body weight of 60 kg for an adult. For infants the estimated body weights by age group were 0–5 months, 5 kg;
6–11 months, 8 kg; 12–23 months, 11 kg.
990 M.G. Soni et al. / Food and Chemical Toxicology 43 (2005) 985–1015

Table 3 and personal care products and drugs. Elder (1984) re-
Parabens consumption via food ported that approximately 10% of these types of prod-
Food Mean daily Level Mean daily ucts and drugs contain parabens at levels not greater
consumed of amount than 1%. If the daily maximum amount of cosmetic
over three use (%) paraben
day period consumed
and personal product use is estimated to be 50 g and
(90th percentile) over 10% of these contain parabens at the highest level, pos-
(g)a three-day sible exposure is 50 mg/day or 0.833 mg/kg/day.
period (mg) In addition to cosmetics and food products, drugs
Cake 161 0.06 96 also contain parabens as an antimicrobial preservative.
Piecrust 274 0.06 164 An estimate of exposure should also include exposure
Doughnuts and sweet rolls 138 0.06 82 via drugs, including those given parenterally and by
Syrup 130 0.07 91
Pickles 64 0.10 6
the oral, topical and vaginal routes. Maximum use levels
Jelly, jams, marmalade 559 0.07 27 in drugs are 2–10-fold lower than levels used in cosmet-
ics. Therefore, assuming a maximum level of 0.5% and
Total paraben consumption 466
a
the volume of all drugs taken or applied in a single
USDA, ARS, NFS Report No. 91-3 of food consumption for day is approximately 20 g (maximum), possible expo-
1989–1991.
sure of parabens via drugs is 0.1 g. However, because
greater than 50% of drugs are not taken on a daily basis
highest consumers of jelly, jams, preserves and marma- and if parabens are used in 50% of the drugs marketed,
lade with an intake of 56 g/day in males and 36 g/day paraben consumption via drugs is reduced to 25 mg/day
in females, at the 90th percentile. The amount of methyl or 0.417 mg/kg/day.
paraben consumed at the 90th percentile in jams and jel-
lies at a level of 0.07% is 39 and 25 mg/day for males and 1.3.3. Consumption summary
females, respectively. While the amount of propyl para- Data are available for methyl and propyl paraben per
ben consumed at 90th percentile in jams, jellies, pre- capita consumption, as well as possible average daily in-
serves and marmalade at a level of 0.1% is 56 and take. Based on the FDA reported disappearance data,
36 mg/day for males and females, respectively. the average person is estimated to consume as much as
Data presented in Table 3 shows mean daily con- 0.6 mg/day (0.01 mg/kg/day) and 0.78 mg/day (0.013
sumption of food products would result in a paraben in- mg/kg/day) of methyl and propyl paraben, respectively
take of 466 mg/day, a gross exaggeration considering the for an individual weighing 60 kg. The FDA estimate
amount of parabens manufactured each year of consumption for methyl and propyl paraben based
(<17,000 lbs). The unlikelihood of such a grossly exag- on disappearance data is higher than the FEMA PADI
gerated consumption occurring is confirmed by the pro- value for these parabens of 0.22 mg/day (0.004 mg/kg/
pyl paraben disappearance data, which indicates the day) and 0.237 mg/day (0.004 mg/kg/day), respectively.
total amount of propyl paraben used in 1987 was In addition to food products, parabens are also con-
15,316 lb, with per capita consumption of 0.779 mg/ sumed via cosmetics and personal care products
day. Methyl-, butyl- and heptyl-parabens have even (0.833 mg/kg/day) and drugs (0.417 mg/kg/day). The
lower rates of consumption, estimated by FDA/CFSAN total consumption of parabens from all sources is esti-
to be 0.063 mg/day, 37 ng/day and 0.032 mg/day, respec- mated as 75.78 mg/day or 1.26 mg/kg/day for an individ-
tively. No data are available for ethyl paraben. There- ual weighing 60 kg. On the basis of the above estimates,
fore, based on disappearance data, consumption of all total daily paraben exposure is 76 mg: with food
parabens is unlikely to exceed 1 mg/day, a far smaller accounting for approximately 1 mg/day; cosmetics and
amount than might be calculated from maximum levels personal care products, 50 mg/day; and drugs, 25 mg/
in all permitted food categories. In a similar attempt to day.
calculate the paraben consumption, the Select Commit-
tee on GRAS Substances (SCOGS) in 1972 also con-
cluded that consumption was exaggerated. The 2. Biological data
SCOGS estimated the daily average intake of both
methyl and propyl paraben combined, would be 2.1. Absorption, metabolism and excretion
0.15 mg (SCOGS, 1972). Paraben intake from natural
sources is negligible. In an evaluation of the health aspects of methyl and
propyl paraben, the Select Committee on GRAS Sub-
1.3.2. Exposure to paraben via cosmetics and drugs stances (SCOGS) reported that in rats, rabbits, dogs,
Parabens are widely used in cosmetics and are well cats and humans, parabens (methyl and propyl) are ab-
absorbed through the skin; hence a calculation of the sorbed from the gastrointestinal tract and metabolized
total body burden of parabens should include cosmetics (SCOGS, 1972). Neither methyl nor propyl parabens
M.G. Soni et al. / Food and Chemical Toxicology 43 (2005) 985–1015 991

are accumulated in the body. The major metabolites ex- of parabens in rats resulted in quick absorption from
creted in urine, in decreasing order, were reported as the gastrointestinal tract. The absorbed parabens were
p-hydroxybenzoic acid and the glycine, glucuronic acid readily hydrolyzed to p-hydroxybenzoic acid by ester-
and sulfuric acid conjugates of p-hydroxybenzoic acid. ases in different organs. Blood and urine analysis of
The SCOGS report also stated that most, but probably the parent compound, as well as its metabolites, was
not all of the ingested parabens, were metabolized to the performed at different time points. As early as 30 min
foregoing substances through normal pathways in the after dosing, paraben metabolites, but not the parent
liver and kidney. compound, were detected in the urine. One and a half
In a series of studies, Tasukamoto and Terade (1960, hour following dosing, excretion of metabolites was
1962, 1964) investigated the metabolic fate of methyl-, maximal and decreased thereafter. p-Hydroxyhippuric
ethyl-, propyl- and butyl-paraben in rabbits. A single acid was detected in the urine within 30 min of adminis-
dose (0.4 or 0.8 g/kg) of methyl paraben was adminis- tration and its concentration in the urine increased dur-
tered to rabbits by gavage. Thirty-nine percent of the ing the next 4 h. The glucuronide and ethereal sulfate
administered methyl paraben dose was excreted as free metabolites appeared between 30 and 75 min post-inges-
p-hydroxybenzoic acid, while the rest appeared as gly- tion. Within 90 min, 67–75% of the total paraben dose
cine (15%), glucuronic acid (ester 7% and ether 15%) was excreted as p-hydroxybenzoic acid and 8–9% as glu-
and sulfuric acid (10%) conjugates of p-hydroxybenzoic curonyl derivatives. During the first hour of administra-
acid. Urinary excretion of metabolites was rapid, with tion a continuous rise in p-hydroxybenzoic acid
86% cleared in 24 h. The rate of excretion was slightly occurred, but thereafter, the concentration decreased
lower with the larger dose. Oral administration of and leveled off 1–2 h after ingestion. The concentration
methyl-, ethyl-, propyl- and butyl-paraben at a dose in the blood remained extremely low. The investigators
of 0.4 and 0.8 g/kg resulted in excretion of 0.2–0.9% of suggested that there were two stages of paraben detoxi-
the unchanged ester by 24 h. As the length of the alkyl fication, the first being rapid absorption of paraben and
chain increases, the rate of urinary excretion of excretion of p-hydroxybenzoic acid in urine and the sec-
p-hydroxybenzoic acid decreases. In general, 24 h after ond, metabolic detoxification by glucuronic-, sulfo-, and
paraben administration, 25–39% was excreted as glycino-conjugation.
p-hydroxybenzoic acid, 25–29% as the glycine conjugate, Phillips et al. (1978) studied the metabolic fate of 14C
5–8% as the ester glucuronide, 10–18% as ether glucuro- ring labeled ethyl and propyl paraben administered to
nide and 7–12% as the sulfate. male cats at a dose level of 156 and 158 mg/kg orally.
In another study, Jones et al. (1956) investigated the Urine was collected at 24, 48 and 72 h following the
pharmacokinetics of methyl-, ethyl-, propyl-, or butyl- administration and feces were collected at 72 h. By the
paraben (individually) in dogs by the intra-venous end of 72 h, 96% of the label was recovered. Approxi-
(50 mg/kg) and oral (1 g/kg) routes. The concentrations mately 90% label was recovered in the 24 h urine, while
of parabens and their metabolites in blood and urine 6% and 3% were recovered in feces by the end of 24 h,
were determined at different time points. Immediately respectively. Urine analysis revealed the presence of
following intra-venous administration of parabens, very p-hydroxybenzoic acid and p-hyroxyhippuric acid as
little parent compound remained in the blood. The the two major metabolites. The investigators concluded
p-hydroxybenzoic acid metabolite was detectable in the that within 72 h of oral administration, both parabens
blood at 6 h following intra-venous injection and at were completely excreted and the major urinary meta-
24 h following oral ingestion. Recovery of all parabens, bolites were p-hydroxyhippuric acid and p-hydroxyben-
except butyl paraben, ranged from 58% to 94% of the zoic acid.
administered dose. The recovery of butyl paraben was In vitro studies suggest that esterases in the liver and
40% and 48% after oral and intra-venous administration, kidneys were extremely efficient in hydrolyzing parabens
respectively. In dogs given 100 mg/kg/day methyl-, (100% hydrolysis in 3 min). In an in vitro study using rat
ethyl-, propyl-, and butyl-paraben by the intra-venous skin with and without the esterase inhibitor isofluro-
route, pure ester was recovered in the brain, spleen and phate, Bando et al. (1997) studied the role of skin
pancreas. High levels of metabolites were detected in metabolism on percutaneous penetration of propyl
the liver and kidneys. Dogs given 1 g/kg/day of methyl paraben. In the absence of the esterase inhibitor isofl-
or propyl paraben for one year by the oral route did urophate, application of propyl paraben resulted in
not show any evidence of paraben accumulation. Over approximately 30% absorption in intact form. Isoflurate
the course of the study, the rate of urinary excretion of did not significantly decrease the amount that pene-
paraben and their metabolites increased until 96% of trated after the application of propyl paraben. In a per-
the dose was excreted per day. cutaneous absorption study, Whitworth and Jun (1973)
Derache and Gourdon (1963) studied the pharmacol- investigated the absorption of parabens in frogs. Frogs
ogy of methyl-, ethyl- and propyl-paraben in rats after were immersed in the solution of parabens. Uptake of
oral administration of 100 mg of ester. Administration the parabens increased as the length of ester carbon
992 M.G. Soni et al. / Food and Chemical Toxicology 43 (2005) 985–1015

chain increased. During the first 20 min of immersion, prolonged the lag time for the penetration. The inhibitor
absorption was fastest. The results of this study indicate significantly decreased the total flux of butyl paraben,
that the greater the lipid solubility of the paraben, the but not that of propyl paraben. In another study, Wooi
higher the rate of absorption. et al. (1998) reported in vitro application of propyl para-
In another in vitro study, Dal-Pozzo and Pastori ben to rat skin resulted in 70% of the total penetrant
(1996) studied percutaneous absorption through human amount appearing as a metabolite. Treatment of skin
skin of a series of six parabens (methyl-, ethyl-, propyl-, with the esterase inhibitor, diisopropyl fluorophos-
butyl-, hexyl- and octyl-paraben) from cosmetic formu- phates, completely inhibited the appearance of the
lations. A diffusion chamber was used, where the receiv- metabolite, but did not inhibit the penetration of propyl
ing phase was a physiological solution of albumin. paraben.
Maximum fluxes and permeability constants of the Exposure of freshly isolated rat hepatocytes to propyl
parabens were determined from different vehicles repre- paraben and diazinon, an inhibitor of the (esterase) en-
senting hydrophilic and lipophilic phases, and from dif- zyme responsible for the breakdown of propyl paraben,
ferent types of common commercial cosmetic emulsions, enhanced and accelerated cell killing as well as the loss
containing a known quantity of a paraben. Depending of cellular ATP and total adenine nucleotides (Nakag-
on the partition coefficient of the permeant, composition awa and Moldeus, 1998). In a comparative toxic effect
and time of storage of the emulsion, significant skin study, butyl and isobutyl parabens were more toxic than
absorption was noted. Except for methyl paraben, propyl-, isopropyl parabens, while ethyl and methyl
where fluxes from all types of the emulsions were higher, parabens and p-hydroxybenzoic acid were less toxic
fluxes decreased with increasing lipophilic character of than propyl paraben. The metabolites, p-hydroxyben-
the paraben. zoic acid or the alcohol derived from propyl paraben,
In several studies, absorption of butyl paraben from did not exhibit any significant toxicity. The increased
ointments was reported from mouse skin. In a percuta- toxic action of propyl paraben in the presence of ester-
neous absorption study of butyl paraben (0.015–0.1% ase inhibitor suggests that propyl paraben itself, rather
aqueous) through guinea pig skin, Komatsu and Suzuki than its hydrolysis product, was responsible for the tox-
(1979) reported that in the presence of solublizers, such icity observed. These studies also suggest that parabens
as polysorbate 80, polyethylene glycol or PEG 400, are hydrolyzed enzymatically by hepatic carboxyester-
absorption of butyl paraben was reduced but the antimi- ases, a group of b-esterases that act upon a wide range
crobial activity was increased. The amount of butyl of xenobiotic ester substrates.
paraben that passed through the skin was dependent In a human volunteer given 2 g of propyl paraben
on the partition coefficient and the presence of daily for 5 days, 17.4% of the administered dose was ex-
solublizers. creted in the form of p-hydroxybenzoic acid, of which
In an in vitro study, Cross and Roberts (2000) deter- 3.7% paired with glycine and 13.7% was glycine-
mined the effect of occlusion on epidermal penetration free (Sabalitschka and Neufeld-Crzelliter, 1954). The
of parabens from a commercial allergy test ointment, authors reported that 55% of the excreted propyl para-
acetone and ethanol vehicles. Parabens were applied at ben was conjugated with sulfuric acid. The parent com-
a dose of 5 mg/cm2 to epidermal membranes mounted pound was not found in the urine. In this experiment,
in Franz-type diffusion cells. At 2, 4, 6, 8 and 10 h, the the authors were unable to account for all of the in-
receptor phase (20% ethanol) was completely removed gested propyl paraben and therefore concluded that
and replaced. In order to effect occlusion, immediately breaking of the benzene ring must occur to some extent.
after dosing, a 20 lm piece of high-density polyethylene In another study, Heim (1960) administered six human
was placed over the application site. The amount of subjects 10 or 20 mg/kg body weight of the propyl para-
paraben in receptor fluid and in the epidermis was deter- ben orally. At 60, 135 and 255 min, p-hydroxybenzoate,
mined. A significant change in the epidermal flux of but not the ester, was detectable in serum. The maxi-
parabens from each of the vehicles following occlusion mum serum level of p-hydroxybenzoate attained in ser-
was noted. A decrease was noted following occlusion um was 4.5 lg/ml.
of the ointment formulation, while increases were ob- Recently, Darbre et al. (2004) measured concentra-
served for the acetone and ethanol vehicles. These stud- tions of esters of paraben in human breast tumor and
ies suggest that the effects of occlusion are strongly suggested that at least a proportion of the parabens
vehicle dependent. present in cosmetic, food and pharmaceutical products
In a two layer skin diffusion/metabolism model, Seko can be absorbed and retained in the body tissue without
et al. (1999) investigated the effect of cutaneous metab- hydrolysis. In this study mean concentrations for
olism on the skin penetration of drugs. Permeation of methyl-, propyl-, butyl-, ethyl- and isobutyl-paraben
propyl- and butyl paraben was conducted with and were reported as 12.7, 2.6, 2.3, 2.0 and 0.9 ng/g tissue,
without the esterase inhibitor, diisopropyl fluorophos- respectively. These studies are further discussed below
phate. Pre-treatment of skin with the esterase inhibitor (see Section 2.3.6.2).
M.G. Soni et al. / Food and Chemical Toxicology 43 (2005) 985–1015 993

2.1.1. Biochemical/pharmacological effects thews et al. (1956) suggested that the decrease in toxicity
Parabens are reported to bind to serum bovine albu- with increasing chain length was due to longer hydroly-
min. Binding increases with increased alkyl ester chain sis time. Acute toxicological effects of parabens from dif-
length of the paraben. The binding process is endother- ferent published reports are summarized in Table 4.
mic and hydrophilic in nature. Binding of paraben with
protein results in loss of its antifungal activity. Using 2.2.1.1. Oral acute toxicity. Matthews et al. (1956)
a fluorescent probe, it has been documented that the determined the oral LD50 doses of several parabens
side chain of the paraben is the primary binding site to and their sodium salts in mice. The fatal doses of para-
bovine serum albumin (Jun et al., 1971). At a concentra- bens and its sodium salt in mice produced rapid loss of
tion of 400 lg/ml, methyl and propyl paraben competi- muscular control (ataxia), deep depression of the central
tively inhibited bilirubin binding to serum albumin. In nervous system and rapid death. Recovery from a non-
another study, Rasmussen et al. (1976) reported that, fatal dose occurred quickly (Matthews et al., 1956).
while methyl and propyl paraben bind to serum albu- Schuebel (1930) studied the acute toxicity of orally
min, only methyl paraben displaces bilirubin from albu- administered doses of parabens in dogs and rabbits.
min. The serum albumin binding constant increases The author of this study reported that toxicity of para-
significantly from propyl paraben to butyl paraben bens decreased as the alkyl chain length increased. In an
(Otagiri and Perrin, 1977). acute toxicity study in dd-strain mice, Sado (1973) re-
In an in vitro study, methyl-, ethyl- and propyl-para- ported 6.322 g/kg as the LD50 dose of propyl paraben.
ben were found to competitively inhibit the oxidation of Studies on the toxicity of mixtures of paraben did not
ethanol and reduction of acetaldehyde. These parabens exceed theoretical (additive) values, thus suggesting that
were found to competitively inhibit all three human these compounds do not exhibit synergistic toxicity. In a
aldehyde dehydrogenase isozyme classes; propyl para- study conducted to determine the minimum lethal dose
ben was the most effective (Dingley et al., 1985). Inhibi- (the smallest dose required to induce 60–80% mortality),
tion of aldehyde dehydrogenase substantially affects a 60:40 mixture of sodium salts of propyl- and ethyl
ethanol metabolism and suitable inhibitors could be paraben was administered orally to groups of 5–10 gui-
valuable for the study of ethanol metabolism and pre- nea pigs at doses of 4.75–6.0 g/kg. Animals were ob-
ventive therapy of methanol and ethylene glycol poison- served for 10 days after the treatment. Doses of 5.0
ing. However, it is not clear whether parabens inhibit and 6.0 g/kg induced 60% mortality, although surviving
ethanol oxidation in vivo. animals became progressively worse with increasing
In another in vitro study, both methyl and propyl doses. The minimum lethal dose was determined as
paraben induced dose-dependent, rapid, reversible 5.0 g/kg (Applied Research Laboratories, 1939).
relaxation of the isolated guinea pig smooth trachea Product formulations containing various concentra-
(Geddes and Lefcoe, 1973). At a dose of 1.5 lg/ml, pro- tions of methyl-, ethyl-, propyl- or butyl-paraben were
pyl paraben potentiated the effects of isoproterenol and tested for acute oral toxicity in rats (Elder, 1984). In sev-
dibutyryl cyclic AMP. The investigators of this study eral of these studies, products containing high levels of
suggested that the bronchodilation effect of parabens parabens (in the range of 5–25 g/kg), when administered
might be due to the inhibition of phosphodiesterase. by gastric intubation to rats did not cause deaths.

2.2. Toxicological studies 2.2.1.2. Subcutaneous and intra-peritoneal acute toxi-


city. In an early study, cited in Elder (1984), subcutane-
2.2.1. Acute toxicity studies ous administration of methyl paraben at doses greater
Low acute oral toxicity has been demonstrated for than 165 mg/kg, resulted in a transient exhaustion, ataxia
parabens in laboratory animals. Acute toxicity of para- and respiratory distress. Because of solubility limita-
bens decreases as the alkyl chain length increases. Mat- tions, the effects of methyl paraben were studied at

Table 4
LD50 (mg/kg) of parabens in different animal species by different routes
Species Route Methyl paraben Ethyl paraben Propyl paraben Butyl paraben
Mouse Oral >8000 6322 to >8000 13,200
Mouse Oral (sodium salt) 2000 1500 3700 950
Mouse Subcutaneous 125–1200 1650
Mouse Intra-peritoneal 760–960 640
Rat Oral 2100–8000 4300 >8000
Rabbit Oral 3000a 4000a 6000a
Dog Oral 3000a 5000a 4000a
a
LD100 or lethal dose.
994 M.G. Soni et al. / Food and Chemical Toxicology 43 (2005) 985–1015

doses up to 333 mg/kg. In a study on the effects of so- luted methyl paraben was found to produce mild skin
dium salts of methyl-, ethyl-, propyl-, and butyl-paraben irritation, while product formulations containing
in mice, the acute LD50 by subcutaneous route was re- methyl paraben produced none to mild irritation.
ported as 1.20, 1.65, 1.65 and 2.5 g/kg, respectively (Al- There was no relation between the concentration of
der-Hradecky and Kelentey, 1960). Matthews et al. methyl paraben and degree of irritation. Ethyl paraben,
(1956) determined the intra-peritoneal LD50 of several diluted or undiluted, produced no sings of irritation. In
parabens and their salts in mice. The authors of this one report, a product formulation containing 0.3%
study also noted that intra-peritoneal injection of propyl paraben was applied daily to the shaved skin
400 mg/kg of propyl paraben in the mouse produced a of albino rabbits for four days. Minimum irritation
reversible paralysis. These studies are summarized in with a maximum primary irritation index (PII) of 0.5
Table 4. (maximum score 4) was noted (CTFA, 1977). Another
product containing 0.2% propyl paraben produced
2.2.1.3. Intra-venous acute toxicity. In a series of studies, minimal irritation with a PII of 0.5 (Leberco Laborato-
Matthews et al. (1956) investigated the effects of intra-ve- ries, 1978a). Yet another product containing both 0.2%
nously administered methyl and propyl paraben in mice methyl paraben and 0.1% propyl paraben was mini-
and dogs. The acute LD50 of the sodium salt of methyl mally irritating with a PII of 0.5 (CTFA, 1979). No
and propyl paraben in mice by the intra-venous route signs of irritation with a product formulation contain-
was 170 and 180 mg/kg, respectively. At doses of approx- ing 0.2% propyl paraben and 0.1% butyl paraben were
imately 80 mg/kg, methyl paraben caused paralysis in noted (CTFA, 1980c). A formulation containing 0.2%
mice and precipitous but brief falls in blood pressure in propyl paraben and 0.1% butyl paraben was applied
dogs. Propyl paraben caused paralysis at doses of to the genital mucosa of six albino rabbits. The single
approximately 50 mg/kg in mice, and precipitous, but 0.1 ml application of the undiluted product produced
brief, falls in blood pressure in dogs given approximately no evidence of mucosal irritation during the seven
65 mg/kg. The authors also studied the effects of intra-ve- day observation period (CTFA, 1980c).
nously administered doses (1–1400 mg/kg) of methyl and
propyl paraben on the cardiovascular and autonomic 2.2.2.2. Eye irritation. Several studies in rabbits have in-
nervous systems. A sharp, but brief fall in the blood pres- vestigated the eye irritation effects of products containing
sure and a corresponding rise in the jugular venous pres- methyl-, ethyl-, propyl- and/or butyl-paraben at concen-
sure after the administration of paraben were noted. trations of 0.1–0.8%. Most products produced no signs
Mortality was associated with the hypotensive action. of eye irritation (Leberco Laboratories, 1978b; CTFA,
A correlation was observed between the rate of injection 1979). Other products produced slight or minimal eye irri-
and cardiovascular effects. No effects of paraben were tation, with scores of 1–3.3/110 (Stillmeadow, 1978;
noted on the nervous system. CTFA, 1980c, 1981a).
In vitro studies with paraben preservatives have been
shown to cause vasodilatation in human pial cortical 2.2.3. Sensitization studies
arteries and endothelium of dog artery (Brandt et al., Sokol (1952) investigated the sensitizing effects of
1983; Hamilton et al., 1990). However, in vivo model methyl-, ethyl-, propyl- and butyl-paraben (0.1% in sal-
studies in cats by Pompy et al. (1991) suggest that propyl ine) in guinea pigs. Animals were intra-cutaneously
paraben (0.1 mg/kg) and methyl paraben (0.9 mg/kg) administered parabens (0.1% in saline) three times
given through the cephalic vein did not cause or sub- weekly for three weeks (total of 10 injections). At 24 h
stantially augment the intra-cranial pressure increases after the first injection, no reaction was observed. Simi-
associated with administration of paraben-containing- larly, a challenge injection two weeks after the last injec-
injections of succinylcholine. tion into an adjacent site did not show any allergic
response. In a similar type of experiment following the
2.2.2. Irritation studies Draize protocol, Matthews et al. (1956) did not find
2.2.2.1. Dermal irritation. Application of pastes contain- any reaction from an intra-cutaneous injection of
ing hydrophilic ointment and either 10% methyl or methyl-, ethyl-, propyl- and butyl-paraben (0.1% in sal-
propyl paraben to the shaved backs of albino rabbits ine) into the shaved dorsal skin of guinea pigs. The
for 48 h did not cause irritation. At the end of 48 h, authors of this study concluded that parabens are non-
analysis of the kidney tissue did not reveal the presence sensitizing. In a maximization test with a multiple dose
of the parent compound or its metabolites (Sokol, design in guinea pigs, Andersen et al. (1995) did not find
1952). Results of several irritation studies have been re- any significant sensitization potential with propyl
ported by the Cosmetic, Toiletry and Fragrance Asso- paraben.
ciation (CTFA). Methyl-, propyl- and butyl-paraben In a murine local lymph node assay (LLNA), Basket-
have been tested alone or in product formulations in ter et al. (2001) studied several chemicals that can act
the Draize skin irritation technique in rabbits. Undi- as contact allergens. In this study, propyl paraben was
M.G. Soni et al. / Food and Chemical Toxicology 43 (2005) 985–1015 995

reported as non-sensitizing. A methyl/propyl paraben 18 mg/kg/day to a dog for 28 days and at 53 mg/kg/day
system was also reported negative in this assay (Basket- to another dog for 4 days. The animals were killed at the
ter et al., 1994). In another study, Basketter et al. (1999) end of the study. No toxicity was reported, and no gross
determined the threshold of 134 chemicals, including lesions were noted upon necropsy. In rabbits, oral
propyl paraben, for classification as skin sensitizer. Pro- administration of 0.5 g/kg/day of methyl paraben for
pyl paraben was reported negative in the LLNA assay 6 days was without obvious toxic effects. Overt toxicity
and the guinea pig maximization test (GMPT). Marzulli was reported at 3 g/kg/day (Elder, 1984).
et al. (1968) studied the delayed contact hypersensitivity In a feeding study, ethyl paraben was administered
of methyl and propyl paraben in dinitrochlorobenzene orally to rats (5/sex/group) at dose levels of 0.2%, 1%
(DNCB) hypersensitive guinea pigs. None of the and 2% in diet for 25 weeks (Sado, 1973). During the
DNCB-sensitive animals were sensitized to 5% methyl test, no significant differences in appearance, behavior,
paraben or 3% propyl paraben by the intra-dermal route food consumption, mortality or survival times were
at induction or by intra-dermal or topical routes at chal- noted between the control and experimental groups. In
lenge. In another sensitizing potential study of butyl male rats fed 0.2% ethyl paraben, significant increases
paraben (Brulos et al., 1977), six of the 20 animals tested in mean body weight during weeks 22–25 were noted.
reacted to the challenge patch. The mean erythema score In male rats fed 1% and 2% ethyl paraben, significant
was 1.7 (maximum score 4). Microscopic examination of decreases in body weights were noted. Throughout the
tissue from two of the six animals showed lesions con- study, values for erythrocyte numbers, hemoglobin,
sidered allergic. hematocrit and white blood cells were normal in all ani-
mals throughout the study. No microscopic or macro-
2.2.4. Short-term and subchronic toxicity studies scopic abnormalities were noted.
The Cosmetic Ingredient Review (CIR) expert panel Inai et al. (1985) fed groups of mice (10/sex/group—
reviewed several short-term and subchronic studies on treatment and 20/sex/group—control) a diet containing
parabens submitted by the Cosmetic, Toiletry and 0%, 0.6%, 1.25%, 2.5%, 5% and 10% isobutyl paraben
Fragrance Association (CTFA). The majority of the for six weeks. All mice in the two high dose groups died
studies submitted by CTFA were not published and during the first two weeks of the study. A decrease in
remain proprietary, but CIR briefly described these body weight of about 10% was noted in mice fed 1.25
reports in their evaluation (Elder, 1984). In an oral and 2.5% of isobutyl paraben in diet. In animals fed
study, a product formulation containing 0.2% methyl the lowest dose of isobutyl paraben, the increase in body
paraben and 0.2% propyl paraben at doses of 0, 40 weight gain was similar to the control group. Histolog-
or 200 mg/kg/day for one month in rats (10/sex/group) ical examination revealed atrophy of the spleen, thymus
was studied. The test material was prepared as 2% or and lymph nodes, in groups dosed with P1.25% iso-
10% dispersion in corn oil and administered daily in butyl paraben. Multifocal degeneration and necrosis of
dose volumes of 2 ml/kg. Controls received an equal the hepatic parenchyma was also noted in these groups.
volume of corn oil. During the course of study, one No significant lesions were found in mice dosed with
high dose male rat died. The dead rat had pneumonia, 0.6% isobutyl paraben.
presumably caused by test material accidentally placed In a dermal toxicity study, the effects of daily dermal
in the trachea. No signs of toxicity were noted in the exposure for 3 months of a product formulation con-
surviving rats. Body weight gain and food consump- taining 0.2% methyl paraben and 0.2% propyl paraben
tion were unaffected by the treatment. Slight changes were investigated. Rabbits (6/sex/group) were divided
noted in hematological and blood chemistry values into two untreated control and three treatment groups.
and organ weights were not biologically significant. The formulation was administered at doses of 2 and
Histological examination of the tissues revealed no 6 mg/cm2 over 10% of body surface area. Rabbits in
treatment-related changes (CTFA, 1980b). one control group and 6 mg/cm2 treated group were ex-
In another study, the effects of a formulation contain- posed daily to one-half the minimal erythema dose of
ing 0.2% propyl paraben and 0.1% butyl paraben were ultraviolet light (4 min at 6 in. from Westinghouse FS-
tested in male and female rats for one month. No signs 20 lamps producing a continuous spectrum from 2800
of toxicity were noted. Food consumption, body weight to 4000 Å). The formulation caused persistent moderate
gain and hematological values were similar for both the erythema, slight edema and mild desquamation. Occa-
treated and control groups. Minor changes noted in sional epidermal fissures with bleeding and papuloeryt-
blood chemistry and organ weights were of no toxico- hema were observed. The high dose was slightly more
logical significance. Histological examination of the tis- irritating than the low dose. Ultraviolet light did not af-
sues revealed no treatment-related changes (CTFA, fect the severity of the irritation. During the course of
1980a). the study, two test animals died, but the deaths were
In an early report, Bijlsma (1928) investigated the ef- unrelated to the treatment. Food consumption, body
fects of methyl paraben administration at a dose level of weight gain, hematology, blood chemistry and urine
996 M.G. Soni et al. / Food and Chemical Toxicology 43 (2005) 985–1015

analysis values did not reveal any significant alterations and propyl paraben in rats. Rats (24/sex/group) were fed
of toxicological significance. Histological examination diets containing 2% or 8% for 96 weeks. Additionally,
of skin revealed mild to severe dermal inflammation ethyl and butyl paraben were fed to the same numbers
and hyperkeratosis with acanthosis (CTFA, 1981b). of rats at concentrations of 2% and 8% in the diet for
In another dermal toxicity study in rats, the effects of 12 weeks. Negative controls were included in the study.
daily exposure to a product formulation containing Food intake and the body weights of animals were
0.7% methyl paraben and another containing 0.3% pro- recorded every other week. Based on the food intake,
pyl paraben were studied for 13 weeks. Animals were biweekly paraben consumption was determined. Food
treated topically with daily doses of 4.12 g/kg. The for- and paraben intake remained fairly constant throughout
mulation was applied to the anterior shaved skin, which the course of experiment. Intake of methyl and propyl
represented 10–15% of the total body surface area. In paraben for rats on the 2% diets averaged between 0.9
the treatment group, body weight gain was significantly and 1.2 g/kg body weight/day and for the 8% diet, aver-
decreased. Slight changes of no toxicological signifi- aged from 5.5 to 5.9 g/kg body weight/day. At the end of
cance in hematological and blood chemistry parameters the experiments, all animals were killed and kidney,
and organ weights were noted. Significant gross and liver, heart, lung, spleen and pancreas were removed
histopathologic changes were limited to the treated skin for microscopic examinations. Rats maintained on diets
site. The report concluded that there were no cumulative containing 8% methyl or propyl paraben showed only
systemic toxic effects from the formulation (CTFA, decreased weight gain. The only effect noted was a de-
1981c). crease in the body weight during the early part of the
In yet another dermal toxicity study, a product for- study and this decrease did not appear to be related to
mulation containing 0.2% methyl paraben was applied the treatment because the initial decrease in weight dis-
topically to rabbits for 3 months. Albino rabbits (5/ appeared with time while the consumption of methyl
sex/group) received daily doses of 5.5 mg/cm2 applied paraben as well as food intake remained constant
to 8.4% body surface area. An untreated group (7/sex) throughout the course of the experiment. Rats fed a diet
served as a control. The product caused persistent well containing 2% methyl or propyl paraben did not show
defined to moderate erythema, slight edema and inter- any toxic effects. Necropsies at the conclusion of the
mittent slight desquamation. Three test animals died experiments did not show any treatment related abnor-
during the study of conditions unrelated to treatment. malities. These studies indicate a NOAEL of 5.5 g/kg/
Body weight gain, food consumption, hematological day.
and blood chemistry values were unaffected by treat- In another study, Matthews et al. (1956) fed 0.5 or
ment. The presence of glucose and blood in urine of 1.0 g/kg/day methyl or propyl paraben by capsule,
some untreated and treated rabbits was considered not 6 days/week to weanling dogs (3/group) for about a
relevant. Histopathological examination of tissues of year. Two untreated dogs served as controls. On com-
all animals was negative for treatment-related changes pletion of the study, all dogs were killed for necropsy.
other than mild inflammation at the application site Parabens did not show any toxic effects. All animals
(Elder, 1984). In addition to this study, Elder (1984) were in excellent condition throughout the experiment.
has also described a dermal subchronic studies on In this study, only six organs were examined microscopi-
methyl paraben at dose level of 6.6 and 11 mg/cm2/ cally and all tissues were normal. In another brief cita-
8.4% body surface area. No treatment related changes tion, two dogs were unaffected by oral methyl or
other than mild inflammation at the application site propyl paraben levels of 0.5 g/kg/day, but evidence of
were found. toxicity appeared at 4 g/kg/day of propyl paraben
Neostigmine formulations contain methyl and propyl (FDA, 1973).
paraben as preservatives. Several investigators studied Elder (1984) described a study in which a 60:40 mix-
the safety of the intra-thecal administration of neostig- ture of sodium salts of propyl- and ethyl paraben,
mine containing methyl and propyl paraben (Gurun respectively, was fed to 40 rats for 18 months. The ani-
et al., 1997). The studies in rats and sheep did not show mals received 0.014 g/kg/day of the mixture. At 2 and
any evidence of neurotoxicity from intra-thecal injection 4 months of feeding, 10 rats each were killed for nec-
of neostigmine containing methyl and propyl paraben. ropsy and collection of tissues for histopathological
Similarly, administration of neostigmine containing examination. At the end of the study, the remaining ani-
glucose, methyl paraben and propyl paraben did not mals were killed. In additional studies two groups of 20
produce behavioral, chemical or histopathological evi- rats each received 0.14 or 1.4 g/kg/day for 18 months
dence of neurotoxicity. and then were killed for necropsy. The mixture did not
induce significant pathologic changes at any of the dose
2.2.5. Chronic toxicity/carcinogenicity studies levels. At the highest dose, a significant decrease in body
2.2.5.1. Chronic toxicity studies. In a 96-week study, weight gain was noted during months 4–8. At lower
Matthews et al. (1956) investigated the effects of methyl doses, some evidence of growth stimulation was noted.
M.G. Soni et al. / Food and Chemical Toxicology 43 (2005) 985–1015 997

In a subcutaneous injection study, Mason et al. lar edema. Lymphocytic cells were also seen in the lam-
(1971) administered methyl paraben at doses of 0.6, ina propria. Autoradiography of the labeled cells also
1.1, 2.0, 3.5 mg/kg to groups of 20, 40, 60 and 80 Fischer revealed 2.5-fold increase in the labeling index in both
rats, respectively, twice weekly for 52 weeks. At the end propyl paraben and butylated hydroxyanisole fed rats.
of the study, some animals were killed and others were Propyl paraben, at a lower dose level (1%), also led to
observed for an additional 6 months and then killed a significant increase (1.5-fold) in the labeling index,
for necropsy. Toxicity of methyl paraben was deter- but the only histological change observed was hyperpla-
mined by survival time, weight changes and histopatho- sia of the basal cells.
logical changes. Compared to controls, methyl paraben Kirschstein et al. (1973) studied toxic and carcino-
treated rats had no significant differences in mortality, genic potentials of preservatives, including methyl para-
weight gain or pathological lesions. ben. Groups of mice and rats were injected (intra-venous
As cited in the SCOGS (1972) report, Sokol (1952) and subcutaneous) with methyl paraben either as single
fed propyl paraben in diet to rats for an 18-month per- or multiple doses. The results of the studies in mice, both
iod at 150 mg/kg/day. No ill effects and possibly some newborn and weanling, did not indicate that a signifi-
growth stimulation were noted. At 1500 mg/kg/day, cant number of tumors occurred in test animals as com-
growth depression was noted without any pathologic pared to controls.
changes. The details of this study were not available. Mason et al. (1971) also studied the carcinogenic po-
tential of methyl paraben. Some of the results from this
2.2.5.2. Carcinogenicity studies. In a series of studies, Ito study were reported by Kirschstein (1973), as described
and his colleagues (Ito et al., 1986; Hirose et al., 1986; earlier in this section. Methyl paraben was subcutane-
Ito and Hirose, 1987) investigated the proliferative ef- ously injected at doses of 0.6, 1.1, 2.0, 3.5 mg/kg to groups
fects of propyl paraben in hamsters. No treatment re- of 20, 40, 60, and 80 Fischer rats, respectively, twice
lated microscopic changes in the stomach or increases weekly for 52 weeks. Positive, negative and vehicle con-
in liver weight were seen in 15 hamsters fed a diet con- trols were used. All animals were necropsied after they
taining 3% propyl paraben (approximately 3 g/kg body died or were killed 26 weeks post-treatment. Of all tumors
weight/day) for 20 weeks. No histopathological lesions observed in methyl paraben-treated rats, only mammary
were observed in the urinary bladder epithelium. Inter- fibroadenoma incidence was significantly higher than
estingly, propyl paraben increased the labeling index negative control groups (8% incidence for methyl para-
(p < 0.05), suggesting a proliferative response in the ben; 1% for negative control). The incidence of injection
bladder epithelium. Of the fifteen hamsters fed 3% pro- site tumors, pituitary adenomas, uterine polyps, and leu-
pyl paraben, five animals showed mild hyperplasia in the kemias did not differ significantly from controls.
forestomach. In a study on carcinogenic potential of methyl para-
In another study, Rodrigues et al. (1986) investigated ben in rats and mice by different routes, methyl paraben
effects of feeding 4% methyl or propyl paraben to rats was found to be non-carcinogenic (Homberger, 1968).
for 9 days on the [3H] thymidine labeling index and In this study, various techniques such as subcutaneous
the histological changes of the forestomach. Methyl injection/secondary host transfer, intra-venous injec-
paraben feeding did not affect the labeling index in the tion/observation of lung adenomas and cocarcinomas
prefundic and mid-region of the rat forestomach. Simi- for ascertaining carcinogenicity of methyl paraben were
larly, histopathological observations did not show employed. In another study, ethyl paraben fed in the
mucosal changes after methyl paraben feeding. Propyl diet to 65 rats at a level of 2% (about 1 g/kg body
paraben effectively increased the labeling index in the weight/day) for life did not show any evidence of carcin-
prefundic area of the forestomach epithelium. Similar ogenicity (Homberger, 1968).
to the effects of methyl paraben noted by Rodrigues The above-described findings on increases in labeling
et al. (1986), Clayson et al. (1986) reported that feeding index or hyperplasia, raise important questions regard-
4% methyl paraben in the diet to 8 Fischer 344 male rats ing the relevance of observations in rats to humans. It
for nine days did not affect the [3H] thymidine labeling should be noted that the rat lesions described are from
index of the rat forestomach. the prefundic forestomach and humans do not posses
In another study, Nera et al. (1984) also found that a prefundic forestomach. Additionally, and contrary to
feeding of 1% and 4% propyl paraben to rats increases the observations of Nera et al. (1984), Shibata et al.
the labeling index in prefundic areas. These investigators (1990) did not find any increase in labeling index of
also noted that histologically, the degree of proliferation the prefundic areas in rats after propyl paraben feeding.
in rats maintained on 4% propyl paraben for nine days In the Shibata et al. (1990) study, propyl paraben was
was similar to that observed with 0.5% butylated fed to rats in the diet at 3% level for 8 weeks and alter-
hydroxyanisole. The histological findings included for- ations in forestomach and glandular stomach epithelium
mation of ‘‘rete pegs’’ and papilla, slight acanthosis, were evaluated. Propyl paraben did not induce any
minimal hyperkeratosis and the presence of inter-cellu- changes or increase in labeling index in the stomach
998 M.G. Soni et al. / Food and Chemical Toxicology 43 (2005) 985–1015

mucosa. In the Nera et al. (1984) study, young 3–4- carcinogenicity in groups of 20 rats given 3:2 mixture
week-old Fischer 344 rats were fed for nine days only, of sodium salts of propyl:ethyl paraben in the diet for
whereas in the Shibata et al. (1990) study, adult 6 18 months at doses of 150 and 1500 mg/kg body
week-old Fischer 344 rats were fed for 8 weeks. weight/day. Only the major organs were examined
In contrast to the observations of increased labeling microscopically (Applied Research Laboratories,
index of urinary bladder in hamsters fed propyl para- 1942). Details of the study were not available.
ben (Hirose et al., 1986), no significant increase in label- In a chronic tumorigenicity study, groups of IRC/Jcl
ing index in the urinary bladder of Fischer 344 rats fed mice (50/sex/group) were administered 0, 0.15, 0.3 and
propyl paraben was noted (Kurata et al., 1990). In the 0.6% butyl and isobutyl paraben in the feed for 102
Kurata et al. (1990) study, rats were fed 3% propyl weeks (Inai et al., 1985). Body weights and feed con-
paraben for 4 weeks and the labeling index of the uri- sumption were recorded during the study period. Tu-
nary bladder was determined by bromodeoxyuridine mors were observed at various sites including the
incorporation. Differences in these two experiments hematopoietic system, the lung and the soft tissue. At
may be due to different species and duration of propyl none of the sites did the tumor incidence or the time
paraben feeding i.e., hamster vs. rat and 20 vs. 4 weeks, to death with tumors differ significantly from that in
respectively. the untreated control group.
In a screening assay for hepatocarcinogenesis, Tate- In a poorly documented study, propyl paraben was
matsu et al. (1987) investigated the role of propyl evaluated for carcinogenicity with a transplacental assay
paraben in the induction of placental glutathione S- and a newborn assay. In the transplacental assay, preg-
transferase (PGST) as a marker for hepatocarcinogene- nant rodents were given orally, the maximum dose not
sis. Feeding of propyl paraben at a level of 50,000 ppm causing abortion or early death of neonates. Animals
(about 2.5 g/kg body weight/day) in diet for 8 weeks to were treated every other day for five days during days
rats pre-treated with diethylnitrosamine, a well-estab- 15–19 of gestation. Sucklings were observed for one year
lished liver carcinogen, did not result in any significant after birth for tumor development. In the newborn
change in PGST positive foci. In another similar study, study, four subcutaneous injections of propyl paraben
Ito et al. (1988) also evaluated the hepatocarcinogenic (total dose = LD20) were administered to rodent pups
potential of propyl paraben. Propyl paraben given in on days 1, 8, 15 and 22 following birth. Sucklings were
the diet to a group of 17 rats at 50,000 ppm (about observed for one year after birth for tumor develop-
2.5 g/kg body weight/day) for 6 weeks did not potentiate ment. In both studies, propyl paraben was reported to
the carcinogenic action of diethylnitrosamine. The end be non-carcinogenic (Odashima, 1976).
point monitored was induction of pre-neoplastic PGST
positive foci. 2.2.6. Teratogenicity/reproduction toxicity
Kurata et al. (1990) investigated the urinary bladder In an extensive study, Food and Drug Research Lab-
tumor-promoting activity of propyl paraben in male oratories performed teratologic studies of methyl para-
Fischer 344 rats. A group of animals was given 0.05% ben in mice, rats, hamsters (FDRL, 1972) and rabbits
N-butyl-N-(4-hydroxybutyl) nitrosamine as an initiator (FDRL, 1973). In these studies, administration of up
through drinking water for 4 weeks. Three days after to 550 mg/kg (maximum dose studied) of methyl para-
the end of treatment with the nitrosamine, groups of ben to pregnant mice or rats for 10 consecutive days
20 rats received a diet containing 3% (about 1.5 g/kg (from Day 6 of gestation to Day 15) and up to
body weight/day) propyl paraben or basal diet alone 300 mg/kg (maximum dose studied) to hamsters (5 days;
until the end of week 36. At the end of 36 weeks, all ani- from Day 6 of gestation to Day 10) or rabbits (13 days;
mals were killed for histological examination. No signif- from Day 6 through Day 18) had no clearly discernible
icant increase in the incidence of papillary or nodular effect on nidation or on maternal or fetal survival. The
hyperplasia, papilloma and carcinoma was noted. Feed- number of abnormalities seen in either soft or skeletal
ing of propyl paraben alone for 36 weeks to 10 rats at tissues of the test groups did not differ from the number
3% level did not result in any increase in papillary or occurring spontaneously in the sham-treated controls.
nodular hyperplasia. These studies demonstrate that methyl paraben is not
As part of a chronic toxicity study, Matthews et al. embryotoxic or teratogenic in rats, mice, hamsters and
(1956) (see Section 2.2.5.1) also investigated carcino- rabbits (FDRL, 1973). Similarly, ethyl paraben, given
genic activity of parabens in a 96-week study. Rats to rats at 0.1% and 10% through diet for one week
maintained on diet containing 2% and 8% propyl para- during gestation days 8–15, did not show any teratoge-
ben in the diet for 96 weeks did not show any increase in nicity or toxicity. The authors of this study concluded
tumors. In this study, only 6 major organs (liver, kidney, that ethyl paraben, at concentrations up to 10% in the
heart, lung spleen and pancreas) were examined micro- diet, was not teratogenic (Moriyama et al., 1975;
scopically. In another study, there was no evidence of BIBRA, 1989a,b). The reproductive toxicity studies of
M.G. Soni et al. / Food and Chemical Toxicology 43 (2005) 985–1015 999

parabens are presented below in the section on estro- tion, the number of mutants was recorded. In the
genic activity. in vitro study, methyl paraben induced no significant in-
creases in mutant or recombinant frequencies with
2.2.7. Genotoxicity studies S. typhimurium or S. cerevisiae.
In two separate reports, Litton Bionetics (1975, 1974) In the cytogenetic assay, administration of a single or
investigated the mutagenic potentials of methyl and pro- multiple (daily for 5 days) doses of methyl paraben at
pyl paraben by Ames test using Salmonella typhimurium levels of 0–5000 mg/kg to rats did not induce detectable
strains TA100, TA98, TA1535 and TA1537. Assays aberrations in the chromosomes of the rat bone marrow
were performed with and without Aroclor 1254-induced cells in metaphase. Similarly, in an in vitro study, methyl
rat liver S-9 fraction. Neither methyl nor propyl paraben paraben did not induce any significant aberrations in the
exhibited mutagenic activity in any of the in vitro assays anaphase of cultures of human embryonic lung cells. In
employed (Litton Bionetics, 1975; McCann et al., 1975; rats, fewer mitoses were observed in bone marrow cells
Morita et al., 1981). When tested at doses of 10–2000 lg/ of rats treated 5000 mg/kg/day for five days. The inves-
plate, propyl paraben was non-mutagenic in the pres- tigators of this study suggested that methyl paraben
ence and absence of metabolic activation (McCann might interfere with mitosis when administered ‘‘subch-
et al., 1975). In a modified Ames assay, Sugimura ronically’’ at high doses. In the dominant lethal test,
et al. (1976) added propyl paraben in dimethyl sulfoxide male rats were treated orally with 0–5000 mg/kg methyl
to cultures of S. typhimurium strains TA100 and TA98 paraben once (acute study) or daily for 5 days (sub-
and to E. coli strain D-2. Experiments were conducted chronic study). After treatment with methyl paraben,
with and without polychlorinated biphenyls induced males were mated with two virgin females per week
rat liver microsomal S-9 fraction. Except in strain for 7–8 weeks. On Day 14, pregnant rats were killed
TA100 under metabolic activation, propyl paraben and uteri were examined for deciduomata, late fetal
was non-mutagenic in all other strains. A rec assay in deaths, and total implantations. No-dose response or
the bacterium Bacillus subtilis, an indirect measure of time-trend patterns were observed that would suggest
DNA damage, gave negative results both in the presence a dominant lethal effect for methyl paraben. Methyl
and absence of liver metabolic activation (Morita et al., paraben was non-mutagenic under the conditions of
1981). A brief citation implies that a similar rec assay in the study (Litton Bionetics, 1974).
the bacterium E. coli gave positive results (Odashima, In an article in Japanese, Ishidate et al. (1978) re-
1976). ported on the clastogenicity of methyl-, ethyl-, propyl-
In three different mutagenicity assays, Litton Bionet- and butyl-paraben by chromosome aberration tests in
ics (1974) evaluated the mutagenic potentials of methyl Chinese hamster cells. Aberrations studied included
paraben by a host-mediated assay, a cytogenetic assay, chromatid breaks, chromatid gaps, chromosomal ex-
and a dominant lethal assay. The host-mediated assay changes and ring formations. Individual parabens, at
consisted of three parts, an acute in vivo test, a sub- various doses, were applied directly to cells and 24–
chronic test, and an in vitro study. In the acute test 48 h after the application; chromosome preparations
0–5000 mg/kg methyl paraben was administered orally were made to study potential aberrations. The maxi-
to each of 10 mice. Positive and negative controls were mum tolerated dose for methyl-, ethyl-, propyl- and
used. After the treatment with methyl paraben, animals butyl-paraben were 0.5, 0.25, 0.125 and 0.06 mg/ml,
were given intra-peritoneally, 2 ml S. typhimurium strain respectively. All parabens, except methyl paraben, in-
TA 1530 and 2 ml of Saccharomyces cerevisiae strain D- duced 1–3% increases in polyploid cells. As the paraben
3 indicator organisms. All animals were killed 3 h later alkyl chain length increased, the frequency of polyploid
and peritoneal fluid was extracted, bacterial counts were cell production increased. Among the parabens tested,
made, and the numbers of mutations were recorded. ethyl and methyl paraben were found to induce a signif-
Methyl paraben induced no significant increases in mu- icant number of chromosomal aberrations (11% and
tants or recombination frequencies. In the subchronic 15% increases, respectively, over control).
test, each of 10 mice received orally, 0–3500 mg/kg In another study, Matsuoka et al. (1979) studied the
methyl paraben daily for five consecutive days. Within in vitro chromosomal aberration potentials of methyl
30 min after the last treatment, animals were inoculated paraben (0.125 mg/ml) in Chinese hamster lung cells in
with indicator organisms, S. typhimurium strain TA the presence and absence of polychlorinated biphenyl-
1530 and S. cerevisiae strain D-3 and treated as de- induced rat liver microsomes (S-9 mix). In the absence
scribed above for the intra-peritoneal tests. No signifi- of S-9 mix, no induction of chromosomal aberration
cant increases in mutants or recombination frequencies was noted. However, in the presence of S-9 mix, aberra-
were noted. In the in vitro study, 0–100 lg/ml methyl tion incidence increased to 13% and was judged to be
paraben was added to plates containing S. typhimurium significant. Gaps, breaks, exchange and rings were ob-
strain TA 1530 and S. cerevisiae strain. After incuba- served. Contrary to these in vitro studies, results of
1000 M.G. Soni et al. / Food and Chemical Toxicology 43 (2005) 985–1015

in vivo investigations show that methyl paraben is non- ben at a concentration of 0.1–0.5 mM, in the presence
mutagenic. of 50 mM Ca2+, caused a dose-dependent induction
of mitochondrial swelling. For the other parabens
2.2.8. Cytotoxicity studies (methyl, ethyl and butyl) tested, the induction of mito-
Nakagawa and Moldeus (1998) investigated the role chondrial membrane permeability transition depended
of metabolism on cytotoxic action of parabens in freshly on the relative elongation of alkyl side-chains in their
isolated hepatocytes. Incubation of hepatocytes with molecular structure and was associated with the parti-
propyl paraben at concentrations of 0.2–2.0 mM elicited tion coefficients. Pre-treatment with cyclosporin A, spe-
a concentration and time dependent cell death. The pro- cific inhibitor of membrane permeability transition,
pyl paraben-induced cytotoxicity was enhanced when prevented the swelling. In freshly isolated hepatocytes,
metabolism of propyl paraben to p-hydroxybenzoic acid cyclosporin A and trifluoperazine, which inhibit mem-
was inhibited by the carboxylesterase inhibitor, diaz- brane permeability transition in a synergistic manner,
inon. In a comparison of toxic potency, butyl and iso- partially prevented propyl-paraben plus diazinon (an
butyl paraben were more toxic than propyl- and inhibitor of esterases involved in the breakdown of pro-
isopropyl paraben. While, ethyl and methyl paraben pyl paraben) induced cell death, ATP loss and de-
and p-hydroxybenzoic acid were less toxic than propyl creased mitochondrial membrane potential. These
paraben. Propyl paraben caused a concentration and studies suggest that the onset of paraben-induced cyto-
time dependent decrease in the levels of ATP and gluta- toxicity is linked to mitochondrial failure dependent
thione, which was accompanied by loss of cell viability. upon induction of membrane permeability transition
These in vitro studies indicate that propyl paraben itself, accompanied by the mitochondrial depolarization and
and not products of its hydrolysis, are the cytotoxic depletion of cellular ATP through uncoupling of oxida-
compounds. In in vivo conditions, carboxyesterase en- tive phosphorylation.
zymes rapidly hydrolyze propyl paraben. In embryonic mouse fibroblast cultures, methyl-,
The mechanism of cytotoxicity of parabens is not ethyl- and propyl-paraben significantly reduced biosyn-
clear. Incubation of propyl paraben with Krebs–Hanse- thesis of both RNA and DNA. Interestingly, none of
leit buffer did not elicit an increase in oxygen consump- the parabens affected the protein content of the cell cul-
tion indicating that autooxidation via formation of tures (Krauze and Fitak, 1971). Sheu et al. (1975) re-
superoxide anions radicals does not occur readily ported that the IC50 (dose for 50% cell inhibition) of
(Nakagawa and Moldeus, 1992, 1998). In a hepatocyte propyl paraben in HeLa cells was 0.22 mM. In another
suspension, propyl paraben did not result in accumula- in vitro study, methyl and propyl paraben, at concentra-
tion of malondialdehyde, an indicator of lipid peroxida- tions of 0.25% and 0.05%, respectively, did not induce
tion (Nakagawa and Moldeus, 1998). These studies hemolysis of human and rabbit erythrocytes (Ansel
suggest that formation of free radicals, a major mecha- and Cadwallader, 1964). Nes and Eklund (1983) studied
nism in the onset of lipid peroxidation (Fawthrop the effects of parabens, including methyl paraben on
et al., 1991), is unlikely to be involved in the cytotoxic- DNA, RNA, and protein synthesis in E. coli and B. sub-
ity. The toxic potency of parabens to hepatocytes tilis. Both DNA and RNA synthesis in cells permeabili-
or mitochondria depends on the relative elongation of zed by toluene in E. coli and B. subtilis were inhibited.
alkyl side-chains esterified to the carboxyl group of Protein synthesis in cell free extracts (S-30 fraction) of
p-hydroxybenzoic acid. B. subtilis was even more sensitive to parabens than
Studies by Nakagawa and Moldeus (1998) suggest DNA and RNA synthesis, while protein synthesis in
that propyl paraben causes uncoupling of oxidative E. coli was largely unaffected. Among the parabens
phosphorylation, inhibits NAD+ and FAD linked mito- tested, methyl paraben was least sensitive.
chondrial respiration and reduces mitochondrial mem- In an in vitro test to assess the release of lysosomal
brane potential. Impairment of mitochondrial function enzymes from peripheral human phytohaemaglutinin
is known to result in a decrease in the rate of cellular stimulated lymphocytes in culture, methyl-, ethyl-, pro-
ATP synthesis and thus the nucleotide level. Mitochon- pyl- and butyl-parabens caused a concentration-depen-
drial dysfunction and its consequences are common dent diminution of the secretion of lysosomal enzymes
mechanisms of cytotoxicity for a wide range of chemicals (Bairati et al., 1994). Butyl paraben caused 45–50% inhi-
and a number of pathological conditions (Kehrer et al., bition at 0.06 mmol/l and appeared to be the most po-
1990). Thus it appears that propyl paraben-induced cyto- tent inhibitor. For other parabens, the inhibitory effect
toxicity is mediated by mitochondrial dysfunction. became statistically significant at about 0.25 mmol/l
In another study, Nakagawa and Moore (1999) for alpha-L-fucosidase and alpha-D-galactosidase, and
investigated the relationship between mitochondrial at 0.5 mmol/l for N-acetyl-beta-D-glucosaminidase and
membrane permeability transition and the toxic effects beta-D-glucuronidase. For all the enzymes, at a concen-
of parabens in mitochondria and hepatocytes isolated tration of 1 mmol/l, inhibition was greater than 50% and
from rat liver. In isolated mitochondria, propyl para- was more marked with the propyl paraben. In this
M.G. Soni et al. / Food and Chemical Toxicology 43 (2005) 985–1015 1001

study, parabens did not influence the release of LDH, These studies have generated a debate on the role of
suggesting that they affected particularly the secretion parabens in the increased incidence of breast cancer
of lysosomal enzymes. The investigators suggested that and reproductive toxicity. These studies (in vitro and
parabens are capable of affecting cellular function at animal) are further discussed below, while relevance of
concentrations that are likely to be reached in blood these studies to humans, along with other studies, are
or tissues under conditions of common use. However, presented in section on observations in human.
under in vivo conditions, methyl paraben is known to
be metabolized rapidly. 2.2.9.1. In vitro studies. Routledge et al. (1998) studied
In an in vitro study, Bao-Liang et al. (1989) tested the estrogenic activity of methyl-, ethyl-, propyl- and
spermicidal activity of methyl-, ethyl-, propyl- and butyl-paraben in a yeast-based estrogen assay. All para-
butyl-paraben. The effects of parabens on spermicidal bens were found to be weakly estrogenic with the
activity was assessed in sperm samples from 19 human most potent (butyl paraben) being 10,000-fold less
subjects by the Agreed Test of Total Spermicidal Power potent than 17b-estradiol. The magnitude of the estro-
proposed by Harris (1962) and accepted by the Interna- genic response increased with alkyl group size and
tional Planned Parenthood Federation. The spermicidal methyl-, ethyl- and propyl-paraben was approximately
potency or pass point concentration of methyl, ethyl-, 2,500,000-fold, 150,000-fold and 30,000-fold less potent
propyl- and butyl paraben was found to be 6, 8, 3 and that 17b-estradiol, respectively. Interestingly, the pri-
1 mg/ml. These studies demonstrate that parabens are mary metabolite of the parabens, p-hydroxybenzoic
an effective spermicide for human spermatozoa. acid, was found inactive. 4-Hydroxytamoxifen inhibited
Batts et al. (1990) studied the effects of methyl and the in vitro estrogenic activity of parabens, suggesting
propyl paraben on nasal cell ciliary beat frequency using that parabens interact with the estrogen receptor. In this
a photoelectronic technique. Both the parabens inhib- assay, parabens possess estrogenic activity with poten-
ited beat frequency, an effect that was reversible by rins- cies between 104- and 107-fold lower than that of 17b-
ing. These studies indicate that direct application of estradiol. Similarly, in more recent studies, Miller
parabens exhibited reversible toxicity to cilia in the ab- et al. (2001) and Vinggaard et al. (2000) noted weak
sence of mucus. Mostow et al. (1979) studied the effects estrogenic activity paraben in the yeast assay. Okubo
of methyl and propyl paraben on the ciliary activity of et al. (2001) also reported estrogenic activity of ethyl-,
epithelial cells, in culture (harvested from ferret tracheal propyl-, butyl-, isopropyl- and isobutyl paraben in hu-
rings). Both methyl and propyl paraben inhibited ciliary man MCF-7 breast cancer cells. Similarly, Darbre et
activity. The results of this study indicate that topical al. (2002, 2003) reported estrogenic activity of isobutyl
respiratory anesthesia with paraben-containing solu- paraben and benzyl paraben in human MCF-7 and
tions may result in prolonged ciliary paralysis. In a re- ZR-75-1 cell lines.
view article on the toxicological implication of nasal In another study, Blair et al. (2000) investigated
formulations, Quadir et al. (1999) reported that methyl estrogen receptor competitive binding affinities of para-
and propyl paraben inhibits ciliary beat frequency in bens (methyl, ethyl, propyl, butyl, benzyl, heptyl and 2-
frogs in a concentration-dependent manner, but the ef- ethylhexyl). Hysterectomized Sprague–Dawley rats were
fect is reversible. the estrogen receptor source for the competitive binding
Jian and Li Wan Po (1993a,b) reported mild ciliotox- assay. Test chemicals that exhibited affinity for the
icity of propyl paraben at concentrations of 0.28 and estrogen receptor in the first tier were subsequently as-
0.38 mM in rat trachea. These investigators also re- sayed using a wide range of concentrations to character-
ported that propyl paraben and methyl paraben to- ize the binding affinity. All of the parabens examined in
gether exert obvious synergism in their ciliotoxicity. this study competed for estrogen receptor. The parabens
The ciliotoxicity of 10% methyl paraben was more pro- demonstrated a positive correlation between binding
nounced in the presence of 30% propyl paraben than in affinity and chain length. Increase in chain length
its absence. Additive effects of methyl paraben and pro- showed increase in relative binding affinity.
pyl paraben could not explain the increased ciliotoxicity. Okubo et al. (2001) examined estrogenic activities of
No synergism was apparent when methyl paraben con- methyl-, ethyl-, propyl-, butyl-, isopropyl- and isobutyl-
centration was increased from 10% to 20% in the pres- paraben by assaying estrogen-receptor dependent prolif-
ence of 30–40% propyl paraben. Interestingly, the eration of MCF-7 cells. All the parabens stimulated the
synergistic effects of methyl paraben and propyl paraben proliferation to about the same level as the maximal cell
can only be observed over a certain concentration range yield attained with 3 · 10 11 M 17b-estradiol, but at a
of each chemical. concentration in the order of 105–107 higher than 17b-
estradiol. In vitro competitive binding to human estro-
2.2.9. Estrogenic activity gen-receptor a and b, revealed that the parabens with
In recent years, several in vitro andin vivo studies on longer side-chains showed greater affinity for estrogen
the estrogenic activity of parabens have been published. receptors, and that they had similar relative binding
1002 M.G. Soni et al. / Food and Chemical Toxicology 43 (2005) 985–1015

affinity values to both estrogen-receptor a and b. The 100 g) to E2 (1 lg/100) was 0.0011 in immature mice
investigators concluded that parabens have estrogen and 0.0018 in ovariectomized animals.
receptor-dependent estrogenic activities, and their effects In a recent study, Kang et al. (2002) investigated the
on the intra-cellular signaling pathway might be differ- effects of maternal exposure of butyl paraben during
ent from that of 17b-estradiol. These investigators also gestation and lactation periods on the development of
reported that in addition to estrogenic activity, butyl the reproductive organs of the F1 offspring. Time-mated
and isobutyl paraben increased progesterone receptor pregnant Sprague–Dawley rats were injected subcutane-
gene expression. ously with 100 or 200 mg/kg of butyl paraben on gesta-
tion day 6 to post-natal day 20. In the group treated
2.2.9.2. In vivo studies. Hossaini et al. (2000) studied the with 200 mg/kg of butyl paraben, the proportion of pups
estrogenic activity of methyl-, ethyl- and propyl-paraben born alive and surviving to weaning were decreased. At
in a mouse uterotrophic assay. Immature B6D2F1 mice post-natal day 49, the body weights of female offspring
(a strain used to screen compounds with estrogenic were significantly decreased. Effects in male F1 offspring
activity) were treated with oral or subcutaneous doses varied as function of dose level and post-natal time and
of the paraben test compounds for three consecutive no apparent pattern emerged. At post-natal day 49,
days. Additionally, p-hydroxybenzoic acid and butyl weights of testes, seminal vesicles and prostate glands
paraben were tested by the subcutaneous route in a rat were significantly decreased in rats exposed to 100 mg/
uterotrophic assay. A significant increase in uterus kg of butyl paraben. Butyl paraben administration did
weight on Day 4 was considered an estrogenic effect. not affect the weights of female reproductive organs in
In the mouse assay, none of the parabens produced pups. In both the groups, the sperm count and the sperm
any estrogenic response at dose levels up to 100 mg/kg/ motility in the epididymis were significantly decreased.
day. For ethyl paraben even at a dose level of In accordance with the sperm count in the epididymis,
1000 mg/kg/day, no estrogenic activity was noted. Sub- the number of round spermatids and elongated spermat-
cutaneous administration of butyl paraben to immature ids in the seminiferous tubule (stage VII) were signifi-
Wistar rats produced a weak estrogenic response at cantly decreased by butyl paraben. At post-natal day
600 mg/kg/day. In another study, subcutaneous admin- 90, testicular expression of a- and b-estrogen receptor
istration of isobutyl paraben was able to increase the mRNA was significantly increased in the group treated
uterine weight in the immature mouse after three daily with 200 mg/kg of butyl paraben. These results indicate
doses of 1.2 or 12 mg per mouse (Darbre et al., 2002). that maternal exposure to butyl paraben may adversely
In another study, ethyl-, propyl- and butyl paraben affect the F1 male offspring.
and their common metabolite p-hydroxybenzoic acid, In a series of studies in rodents, Oishi (2001, 2002a,b,
were investigated for their ability to evoke an estrogenic 2004) investigated male reproductive effects of parabens.
response in sexually immature rainbow trout (Pedersen In the first study, groups of male Wistar rats (n = 8)
et al., 2000). Induction of yolk protein was used as an were fed diet containing 0%, 0.01%, 0.1% and 1% butyl
estrogen-specific endpoint after repeated injections of paraben for eight weeks. At the end of the treatment, the
the test material. All parabens, at a dose of 100– rats were killed and the weights of the testes, epididymi-
300 mg/kg/day were estrogenic, while the metabolite des, prostates, seminal vesicles and preputial glands
(i.e., p-hydroxybenzoic acid), did not show any estro- were recorded. A dose related decrease in the absolute
genic activity. Ethyl paraben was found to be about and relative weights of epididymides and serum testo-
one-sixtieth (1/60), the potency of propyl- or butyl para- sterone concentration was noted and for both the
ben which had estrogenic potencies comparable to parameters the decreases were statistically significant
bisphenol A (Pedersen et al., 2000). at 0.1% and above. A significant decrease in the cauda
Lemini et al. (1997) investigated the estrogenic activ- epididymal sperm reserve was noted in all the treated
ity of p-hydroxybenzoic acid (the primary metabolite of groups. The sperm count of the group receiving the
paraben) in immature and adult ovariectomized female highest dose, was 58.2% of control values. Compared
mice (CD1) using two bioassays. Subcutaneous adminis- to controls, the daily sperm production in the testis
tration of different doses of p-hydroxybenzoic acid were was also significantly lower in all treated groups. The
compared with estradiol (E2), and their effects on vagi- authors claimed that the daily intake of butyl paraben
nal cornification and uterotrophic activities were evalu- that caused these disruptions, is similar to acceptable
ated. Animals were treated subcutaneously with 0, 0.5, daily intake (ADI) levels for parabens in the European
5, 50 and 500 lg/100 g daily for 3 days or E2 (1 lg/ Community and in Japan (Oishi, 2001).
100 g). Four days after treatment, p-hydroxybenzoic In the second study, Oishi (2002b) fed groups of male
acid produced a dose-dependent response on vaginal Crj:CD-1 mice (n = 8) diets containing 0%, 0.01%, 0.1%
cornification and uterotrophic activity in both immature and 1% (0, 14, 146, 1504 mg/kg/day) butyl paraben for
and adult ovariectomized mice. The relative utero- 10 weeks. No treatment-related effects of butyl paraben
trophic potency of p-hydroxybenzoic acid (500 lg/ on the liver, ventral prostates, seminal vesicles and pre-
M.G. Soni et al. / Food and Chemical Toxicology 43 (2005) 985–1015 1003

putial glands were noted. In animals receiving 1% butyl vessels (Brandt et al., 1983; Hamilton et al., 1990). How-
paraben, a significant increase in both the absolute and ever, Cerda et al. (1997) reported intra-thecal injection
relative weights of the epididymides was noted. A dose- of amitryptyline plus methyl and propyl paraben, at
related decrease of both round and elongated spermatid high doses did not alter the spinal cord blood flow in
counts in stages VII–VIII seminiferous tubules were conscious sheep, nor did it produce behavioral signs of
noted. All the groups receiving butyl paraben showed neurotoxicity after a single dose.
a significant decrease in the elongated spermatid counts.
Compared to control, the numbers of spermatogonia 2.2.11. Antimicrobial activity
and spermatocytes did not differ. A dose-dependent de- As parabens are effective against fungi and bacteria at
crease in the serum testosterone concentration was low concentrations, they are used extensively in pharma-
noted and the decrease was significant at 1% of butyl ceutical formulations as preservative agents. The antimi-
paraben. crobial activity of parabens is higher against fungi
In the third study, Oishi (2002a) fed groups of male compared with bacteria. Parabens are more active
rats (n = 8) with AIN93G modified diet containing 0%, against Gram-positive bacteria than Gram-negative bac-
0.01%, 0.1% and 1% propyl paraben for four weeks. teria. A summary of antifungal and antibacterial prop-
At the end of the treatment, the rats were killed and erties of parabens against a number of microbial
the weights of testes, epididymides, prostates, seminal strains is presented in the Final Report on the Safety
vesicles and preputial glands were recorded. No treat- Assessment of Methyl Paraben, Ethyl Paraben, Propyl
ment-related effects of propyl paraben on the organ Paraben and Butyl Paraben (Elder, 1984). Generally,
weights in any of the study groups were noted. A parabens are effective in acid, neutral and slightly alka-
dose-related decrease in the cauda epididymal sperm re- line solutions. However, above pH 8, hydrolysis of para-
serves and concentrations was noted and the difference ben may occur and can reduce the preservative efficiency
was significant at dose of 0.1% and above. A significant (Aalto et al., 1953; Rosen and Berke, 1973). Parabens
decrease in daily sperm production and its efficiency in act on both the germinative and vegetative phases of
the testis of all groups receiving propyl paraben were microbial development. Spore germination is much
reported. A dose related decrease in the serum testoster- more susceptible to parabens than vegetative growth in
one concentration was noted. The decrease was signifi- fungi or bacteria (Bomar, 1962; Watanabe and Takesue,
cant in the group that received the highest dose. 1976). Because of their claimed synergistic effects, com-
In a recent study, Oishi (2004) has shown that methyl binations of methyl paraben and propyl paraben are
and ethyl parabens do not adversely affect the secretion often added to aqueous formulations (Berenbaum,
of sex hormones or the male reproductive function. In 1977). However, Gilliland et al. (1992) demonstrated
this study, methyl and ethyl parabens were fed at levels that these two parabens exert additive rather than syner-
of 0.1% and 1.0% each in the diet to five groups of 25– gistic antimicrobial effects.
27-day-old rats (8/group). At the end of eight weeks, the The presence of a co-solvent also affects the effective-
rats were killed and the weights of the testes, epididymi- ness of parabens. Darwish and Bloomfiled (1997) re-
des, prostates, seminal vesicles and preputial glands ported that the increase in antibacterial activity of
were determined. There were no treatment-related ef- methyl and propyl paraben preservatives, in co-solvent
fects of either compound on the organ weights in any solution with ethanol, propylene glycol and glycerol,
of the study groups. Neither compound exhibited anti- can largely be accounted for by their combined effects
spermatogenic effects nor elicited changes in levels of on the integrity of cell membranes. In an earlier study,
testosterone, LH and FSH at a dose level of about Darwish and Bloomfiled (1995) reported that co-solvent
1000 mg/kg of body weight per day. The results of this concentration of 3 M increases the solubility of methyl
and previously described studies suggest that increase and propyl paraben. The increased solubility of the
in alkyl chain length increases the estrogenic activity parabens in the presence of co-solvent over their aque-
of parabens. ous solubility was associated with increased antimicro-
bial activity. In another study, the abilities of nine
2.2.10. Neurotoxicity antimicrobial systems to preserve an experimental
In a study on the toxicity of local anesthetic additives, water-based cosmetic formulation were evaluated by
including parabens, Rowlingson (1993), concluded six microbiological evaluation tests (Farrington et al.,
methyl and propyl parabens did not show any neuro- 1994). The antimicrobial system contained various com-
toxic effects. In animal studies, when large doses were in- binations and amounts of methyl and propyl paraben.
jected intra-thecally or perineurally, methyl paraben did All of the tests were equivalent predictors of preserva-
not produce long-lasting neural blockade or histological tion efficacy.
evidence of damage in rabbits (Adams et al., 1977; Okada et al. (1999) determined minimum and 50%
Mizuno et al., 1994). Systemic or in vitro application growth inhibitory activity of propyl paraben for S.
of methyl and propyl paraben dilated cerebral blood cerevisiae and Klebsiella pneumoniae. The minimum
1004 M.G. Soni et al. / Food and Chemical Toxicology 43 (2005) 985–1015

inhibitory concentration of propyl paraben for these Shiralkar et al. reported that within 2 min after the
two microbes was found to be 1.29 and 4.28 mM, while addition of the propyl paraben, approximately 90–95%
the 50% inhibitory concentration was reported as 0.88 of the compound was taken up by the cultures of Aero-
and 2.77 mM, respectively. Propyl paraben, at a concen- bacter species (Shiralkar et al., 1977, 1978). The rapid
tration of 200 ppm in thiotone-yeast extract-glucose uptake of paraben by the cultures suggest that uptake
growth medium, inhibited the germination and toxin of paraben is a physical phenomenon rather than a re-
production of C. botulinum 10755A for up to 120 h at sult of active biological transport. The authors also
37 C. In another study, growth and toxin production reported that parabens have no effect on nutrient trans-
of C. botulinum were only delayed when 100 ppm propyl fer into the cell or on hydrolytic enzymes. Parabens have
paraben was added to the growth medium (Robach and a significant inhibitory effect on oxygen consumption
Pierson, 1978). (respiration) and most oxidative enzymes. Shiralkar
In a series of experiments, Thompson (1994) deter- et al., 1978) stated that microorganisms may survive in
mined the minimum inhibitory concentration (MIC) of the presence of parabens if they possessed an esterase
ethyl-, methyl-, propyl- and butyl-paraben against that could hydrolyze the ester linkage of the parabens.
mycelial growth of several mycotoxigenic species of In another study, Close and Neilsen (1976) identified
Aspergillus, Fusarium and Penicillium. Results of this an organism that possesses the capacity to hydrolyze
study indicated that butyl and propyl paraben were the parabens. A propyl paraben-resistant strain of Pseu-
the most effective parabens with complete mycelial inhi- domonas cepacia was able to use propyl paraben as a
bition at concentrations ranging from 1–2 mM for the carbon source once it was hydrolyzed. Valkova et al.
majority of the fungi. Of the four parabens, methyl (2001) isolated Enterobacter cloacae strain EM from a
paraben was the least effective. The results of this study commercial dietary mineral supplement stabilized by a
suggest that the effect of dual combinations of parabens mixture of methyl and propyl paraben. In liquid culture,
in equimolar concentrations could be effective against this strain hydrolyzes approximately 500 mg/l propyl
mycotoxigenic fungi. paraben in 2 h.
Parabens can affect the growth of oral bacteria. Stein-
berg et al. (1999) reported that methyl and propyl para- 2.3. Observations in humans
ben, at a concentration of 0.6% and 0.3% in a
mouthwash, had little effect on oral bacterial counts; 2.3.1. Clinical observations
however, parabens in a slow release device had a signif- In a study of 186 patients with candidiasis (from Can-
icant and extended effect in reducing oral bacteria. Para- dida albicans), McVay and Sprunt (1951) reported that
bens can augment the acid sensitizing effects of weak oral, vaginal or rectal administration of methyl and pro-
acids, such as fluoride for the cariogenic bacterium pyl paraben effectively inhibited development of candi-
Streptococcus mutans, and thus could affect the organ- diasis during antibiotic (aureomycin) treatment. In
ismÕs capacity to cause dental caries (Belli et al., 1995; three patients with candidal vaginitis, intra-vaginal
Steinberg et al., 1999). Parabens irreversibly inhibited application of 200 mg paraben daily, ameliorated symp-
glycolysis in the cariogenic dental plaque bacterium toms. Parabens did not cause any toxic effects in the
Streptococcus mutans GS-5 and decreased the capacity study subjects. In another study, Metzger et al. (1954)
of the bacterium to lower the pH in dense cell suspen- administered each of the 17 patients 90 mg methyl para-
sion containing excess glucose (Ma and Marquis, ben plus 22.5 mg propyl paraben and aureomycin, three
1996). The effectiveness increased with increasing chain times daily for three days. Feces samples were examined
length. The authors reported that the lethal action of daily for the presence of yeast. Compared to control pa-
paraben could be interpreted at least in part as due to tients receiving aueromycin alone, paraben administra-
irreversible damage to key enzymes, such as those of tion exerted antifungal activity. These studies suggest
the phosphotransferase system. that parabens might be useful in controlling yeast over-
In another study, Furr and Russell (1972) reported growth during antibiotic treatment.
that propyl- and butyl paraben induced leakage of In a phase-I human safety assessment study, Eisenach
intra-cellular material through the cell wall of the bacte- et al. (1997) investigated the effects of intra-thecal neo-
rium, Serratia marcescens. As no gross cellular damage stigmine containing methyl and propyl paraben as pre-
was noted, these agents do not appear to cause lysis. servatives. Intra-thecal administration of neostigmine
The authors concluded that parabens act by damaging solutions with and without preservatives produced a
the cytoplasmic membrane. In a subsequent study, Rus- dose-dependent analgesia, nausea, weakness and seda-
sell and Furr (1986) investigated the effects of different tion. In a study of dental alveolitis, Ritzau and Swan-
parabens on smooth, rough and deep rough strain of gsilpa (1975) studied the prophylactic effects of propyl
S. typhimurium. As the homologous series of parabens paraben. In this study, immediately following removal
ascended, activity increased (Bahgat et al., 1983; Russell of a mandibular third molar, each of the 45 patients
and Furr, 1986). received three tablets containing either 33 mg propyl
M.G. Soni et al. / Food and Chemical Toxicology 43 (2005) 985–1015 1005

paraben or a placebo in the socket. None of the patients and propyl paraben in male subjects (Marzulli et al.,
receiving propyl paraben developed alveolitis, whereas 1968; Marzulli and Maibach, 1973). The test mixture
24% of the placebo group did. The prophylactic effect was applied to the subjectsÕ arm for 48 h under occlu-
of propyl paraben was highly significant without any sion. Application of the test mixture was repeated every
side effects of the treatment. 48 h for three weeks (ten induction applications). At the
Gelb et al. (1992) studied changes in cerebral blood highest paraben concentration tested (10% of methyl
flow before and after the intra-venous administration and propyl paraben, each), one group was alternately
of methyl and propyl paraben. Eight healthy adult sub- irritated by topical application of 5% sodium lauryl sul-
jects were treated intra-venously with 9 mg methyl para- fate under occlusion for 24 h, followed by application of
ben plus 1 mg of propyl paraben. Cerebral blood flow paraben for 48 h. Five such cycles were used for induc-
and flow velocity were measured with inhaled 133Xenon tion. After a 2-week rest, 72-h challenge test was per-
and transcranial Doppler, respectively. No changes in formed. On one test site in all subjects, 10% sodium
either cerebral blood flow or velocity were noted. The lauryl sulfate was applied for 1 h before challenge appli-
investigators concluded that methyl and propyl paraben cation. The results of challenge test are summarized in
do not cause the rise in intra-cranial pressure seen with Table 5. The investigators concluded that sensitization
succinylcholine. to parabens is not a problem as these parabens are used
at 0.1–0.3% in topical medicaments.
2.3.2. Human irritation and sensitization studies
Numerous studies on paraben irritation and sensiti- 2.3.3. Photocontact sensitization
zation have appeared in literature. In a review article, Several investigators studied the photocontact sensiti-
Elder (1984) described several studies of human skin zation of products containing 0.2% methyl paraben and/
irritation with a number of product formulations con- or 0.2% propyl paraben. In these studies, no reaction
taining parabens at concentrations of 0.1–0.8%. Single indicative of photosensitization was noted (Elder,
insult occlusive patch tests with three formulations con- 1984). Similarly, no signs of photoxicity were noted in
taining paraben produced no or only minimal irritation. human subjects with methyl paraben and/or propyl
In a 5-day cumulative irritancy test with a hairdressing paraben. Eberlein-Koenig et al. (1993) evaluated the in
product containing parabens, no irritation was noted. vitro possible prototoxic effects of propyl paraben on
Daily skin patch testing of seven product formulations photohemolysis in suspensions of human erythrocytes.
for 20–21 days produced results of essentially no irrita- Propyl paraben did not cause any significant photo-
tion to moderate irritation. Controlled use of two eye hemolysis.
makeup formulations for four weeks produced no irrita-
tion. Skin sensitization test in 3455 human subjects did 2.3.4. Case reports
not show reactions. In this same review article, Elder Several reports of adverse reactions to parabens and
(1984) summarized sensitization results of patch tests benzoates in sensitive individuals have been published.
of different parabens on 27,230 patients with dermatitis. As parabens and benzoates are structurally similar,
Patch testing with 1–30% parabens resulted in sensitiza- these chemicals are often considered collectively for their
tion in approximately 2.2% of patients. Subjects with sensitization reactions. Aspirin, which is structurally
normal (intact) skin did not develop sensitivity to para- related to the principal metabolite of paraben i.e.
bens. Generally, patients with high sensitivity towards p-hydroxybenzoate, is a well-known cause of sensitiza-
‘‘para-agents’’ showed higher sensitivity to parabens. tion. Majority of the reported adverse reactions to para-
Parabens (methyl, ethyl, propyl and butyl) were each bens are relatively mild, and many of the cases involve
applied to the backs of 50 human subjects at concentra-
tions of 5%, 7%, 10%, 12% and 15% in propylene glycol
daily for five days. Patches were then removed and sites
Table 5
scored. Propyl paraben at a concentration of up to 12%
Results of paraben sensitization (Marzulli et al., 1968)
did not produce any irritation; at the 15% concentra-
Concentration in Number of individual sensitized to
tion, it was irritating. In a repeated insult patch test
petrolatum (%)a challenge
(RIPT), each paraben at the ‘‘no effect’’ concentration
Without SLSb With SLS
above was applied to the skin of 50 subjects (25 males
a a
and 25 females) for 4–8 h every other day for three 0.2 M + 0.05P 0/102 0/102
1.0 M + 0.25P 0/101 0/101
weeks (ten applications). Following a 3-week rest, the
5.0 M + 1.25P 1/98 1/98
materials were reapplied at induction concentrations 10.0 M + 10.0P 0/74 0/74
for 24–48 h. No sensitization was reported (Sokol, 10.0 M + 10.0Pc 0/22 –
1952). a
M = Methyl paraben; P = Propyl paraben.
In a repeated insult patch test, Marzulli et al. investi- b
Sodium laurel sulfate.
c
gated the sensitizing potentials of mixtures of methyl Sodium laurel sulfate induction phase.
1006 M.G. Soni et al. / Food and Chemical Toxicology 43 (2005) 985–1015

contact sensitization reactions associated with the use of Hannuksela et al., 1976; Marzulli and Maibach, 1976;
the parabens in cosmetic applications. Simpson, 1978; Henry et al., 1979; Fisher, 1982; Warin
In a case study, Nagel et al. (1977) reported a patient and Smith, 1982; Simon, 1989; Smith, 1991; Nielsen
with bronchospasm and pruritis after intra-venous and Menne, 1992, 1996; Fisher, 1996; Soni et al., 2001,
administration of a hydrocortisone preparation contain- 2002). The role of parabens in contact dermatitis and
ing methyl and propyl paraben. The patient was able to contact urticaria is rather well substantiated in many
tolerate a hydrocortisone preparation without the para- of these reports through the use of patch testing to doc-
bens. Direct and passive transfer skin tests were positive, ument localized sensitization after prolonged exposure
suggesting immediate hypersensitivity as the mecha- to one or more of the parabens. However, the patch tests
nism. The sensitivity of this patient to ingested parabens were often conducted at high concentrations of the para-
was not described. bens (5–15%). The relevance of the study results is ques-
In some cases of chronic urticaria and/or angioe- tionable as the usual concentration of the parabens in
dema, parabens have been implicated as causative fac- cosmetics is 0.1–0.3% and in foods is usually limited to
tors (Ibero et al., 1982; Antico and Di Berardino, a maximum of 0.1%. The use of parabens in foods raises
1995). p-Hydroxybenzoic acid, a principal and common few concerns regarding contact sensitivity, because the
metabolite of parabens, has also been implicated as a ingested parabens are unlikely to stay in contact with
causative factor in some cases of chronic urticaria and/ mucosal surfaces for a sufficient period to cause adverse
or angioedema (Michaelson and Juhlin, 1973; Doeglas, reactions, as parabens are rapidly metabolized.
1975; Thune and Granholt, 1975; Ros et al., 1976; Judd et al. (1982) reported three cases of autoanti-
Warin and Smith, 1976; Gibson and Clancy, 1980; bodies with Jka specificity using a single manufacturerÕs
Ehlers et al., 1998). Michaelsson and Pettersson (1974) low-ionic-strength salt (LISS) solution containing
reported a link between ingestion of p-hydroxybenzoic methyl and propyl paraben as preservatives. Tests with
acid and exacerbation of allergic vascular purpura in other commercially prepared LISS reagents (both dilu-
two of seven patients. Thune and Granholt (1975) inves- ent and additive types) were non-reactive, as were con-
tigated the effects of methyl and propyl paraben in ventional saline-albumin and enzyme tests. In a more
patients with recurrent urticaria. Thirty-seven patients recent study, Judd et al. (2001) reported propyl paraben
with urticaria were orally administered a tablet contain- was capable of manifesting the paraben-dependent
ing 200 mg parabens (100 mg each of methyl and propyl antiRh in a 24-year-old woman. Reports of autoanti-
paraben) on Day 1 and a tablet containing 150 mg of bodies with Jka (Kidd A) in individuals with Jk (a+)
each paraben on Day 2. Of the 37 subjects, five exhibited blood cells are rare.
‘‘immediate reactions’’ to paraben ingestion.
In a review of adverse reactions to food and drug 2.3.5. Paraben paradox
additives, Bush and Taylor (1999) discussed several Several issues related to paraben usage and allergen-
methodological flaws in the clinical studies alleging a icity has been referred to as the ‘‘paraben paradox’’
role of parabens in chronic urticaria/angioedema. In (Fisher, 1996). One such issue is that individuals who
some of these studies, placebo controls were not in- show positive test results to parabens on patch testing
cluded, while in others, the placebos were administered and develop dermatitis on compromised skin, can freely
first, leading to concerns about false positive reactions. use paraben containing products on other areas of body
The concerns about false positive reactions are exacer- that have intact, uninvolved skin. This may be the result
bated by the withdrawal of antihistamines from the pa- of sensitization from products that have higher concen-
tients employed in these clinical trials. By definition, trations of paraben compared with lower concentrations
chronic urticaria is a recurrent condition that could of paraben in cosmetic products. This paradox may be
flare-up at any time. In many patients, antihistamines from the use of topical medicaments on compromised
are essential to control the symptoms. The withdrawal skin, allowing for easy penetration of allergen, vs. the
of antihistamines in these patients is likely to result in use of paraben-containing cosmetic products on intact
breakthrough urticaria. Breakthrough urticaria could skin, which allows relatively less penetration. The sec-
result in false positives when the placebos are always ond paradox is that paraben sensitive individuals can
administered before the test materials. The possible role tolerate injected or oral medication that contains para-
of ingested parabens in the causation of chronic urti- bens. The third paradox is that in burn patients, applica-
caria/angioedema and allergic vascular purpura remains tion of paraben containing medication does not result in
to be established. a higher incidence of sensitization. The possible explana-
Several cosmetics or topical medications containing tion for the later paradox may lie with the role that Lan-
parabens have been implicated in a number of cases of gerhans cells play in eliciting acute contact dermatitis. In
contact sensitization, usually either dermatitis or urti- burn patients, Langerhans cells are rapidly destroyed,
caria (Hjorth and Trolle-Lassen, 1961, 1962; Scham- hence injected or oral medications bypass the Langer-
berg, 1967; Agrup, 1969; Aeling and Nuss, 1974; hans cells.
M.G. Soni et al. / Food and Chemical Toxicology 43 (2005) 985–1015 1007

The chemical structure of parabens suggests that they estrogen assay, estrogen binding receptor assay and
are generally incapable of producing sensitization and estrogen receptor-dependent proliferation of human cell
induction of immediate or delayed hypersensitivity with- lines, parabens showed weak estrogenic activity. In an
out prior conjugation to a carrier molecule, usually a in vivo uterotrophic assay, subcutaneous administration
protein. The bound paraben with protein is then consid- of butyl paraben showed weak estrogenic effects in
ered a hapten. Although the capacity of simple chemi- immature rats. Interestingly, oral administration of
cals to form in vivo covalent bonds with the carrier butyl paraben did not show a uterotrophic response.
molecule correlate with their ability to induce antibody Similarly, subcutaneous administration of p-hydroxy-
formation and delayed hypersensitivity, this chemical benzoic acid, primary metabolite of parabens, to mice
property does not necessarily correlate with its ability produced vaginal cornification and increased uterine
to produce immediate hypersensitivity or anaphylactic weights. In sexually immature rainbow trout parabens
reactions. Presence of a free amino group at the para po- (methyl, ethyl, propyl and butyl) showed estrogenic
sition of the benzene ring of chemicals such as p-amino- activity, while p-hydroxybenzoic acid was negative. In
benzoic acid, p-phenylenediamine, benzocaine and one study, subcutaneous administration of parabens
procaine makes them frequent sensitizers. Structurally, did not produce uterotrophic effects in immature mice,
parabens differ from these chemicals by having a hydro- while at high doses a weak estrogenic response was
xyl group rather than an amino group in the para posi- noted in rats.
tion. Cross sensitivity between p-amino and p-hydroxyl Subcutaneous administration of butyl paraben to rats
substituted compounds has been reported. during gestation and lactation adversely affected the F1
male offspring. In oral exposure studies in rodents, Oishi
2.3.6. Estrogenic activity in humans (2001, 2002a,b) reported adverse effects of propyl para-
In recent years there has been a growing concern ben and butyl paraben. These studies indicate that expo-
about the exposure of humans to synthetic estrogens. sure of newborn male rodents to butyl and propyl
Some investigators claim that the functional abnormal- paraben adversely affects the secretion of testosterone
ities of the immune system, neurological defects, or and the function of male reproductive system (decrease
appearance of tumors that are noticed in adult life in sperm count). In spite of these reports, no studies
may be linked to exposure to toxic agents, including assessing reproductive function were identified. The
estrogens, in the pre-natal period. The cause of de- available data on reproductive toxicity of parabens is
creased sperm count in males has been suggested to be insufficient to fully characterize potential human health
exposure to elevated concentrations of estrogens or hazards.
estrogen-like substances during embryonic, fetal and
early post-natal development. It has been hypothesized 2.3.6.2. Parabens and breast cancer. As estrogen is a ma-
that synthetic chemicals with estrogenic activity are eti- jor etiological factor in the growth and development of
ologic factors in abnormalities of the male reproductive the majority of cases of human breast cancer, it has been
system and an increased incidence of breast cancer in proposed that the use of parabens in cosmetics, particu-
women. larly underarm deodorants and antiperspirants, may
As discussed earlier, in vivo animal (oral and subcu- contribute to the rising incidence of breast cancer. Clin-
taneous) and in vitro studies indicate that parabens ical observations show a disproportionately high inci-
may mimic estrogen-like activity. Recently, Darbre dence of breast cancer in the upper outer quadrant of
et al. (2004) reported minimal detection (in nanogram the breast, just the local area to which these cosmetics
quantities) of parabens in a small number (n = 20) of are applied. Recent results of the presence of paraben
samples of human breast tumor tissue. As parabens in tumor tissue (Darbre et al., 2004) along with results
may possess estrogen like activity, these investigators of the earlier described studies on the estrogenic poten-
indicated that their presence in breast tissue may con- tial of parabens lead to the hypothesis that parabens
tribute to the rising incidence of breast cancer. This may be involved or contribute to the incidence of breast
and other studies raise concern of possible endocrine cancer. In a series of recent studies and reports, this
disrupting potentials of parabens. These findings and hypothesis has been extensively discussed (Harvey and
its potential implications for humans as to (1) develop- Darbre, 2004; Harvey, 2003; Harvey and Everett,
mental/reproductive changes and (2) breast cancer are 2004; Darbre et al., 2004).
discussed below. In a recent study, parabens were detected in a small
number (n = 20) of tissue samples from human breast
2.3.6.1. Developmental and reproductive effects. In vitro tumors (Darbre et al., 2004). Of the parabens detected,
and in vivo animal studies are described earlier (see Sec- methyl paraben represented approximately 60% of the
tion 2.2.9). However, in order to understand its implica- total parabens. Other parabens detected were ethyl-,
tions for humans, these studies are briefly discussed n-propyl-, n-butyl- and isobutyl-paraben. The mean
here. In a series of in vitro studies with yeast-based concentration of parabens in breast tumors was found
1008 M.G. Soni et al. / Food and Chemical Toxicology 43 (2005) 985–1015

to be 20.6 ± 4.2 ng/g tissue (blank value of 33.8 ng/g erally, parabens are soluble in oil and poorly soluble in
subtracted); the corrected (for 50% recovery) average water. As the ester chain length of paraben increases the
total concentration of paraben was calculated as water solubility decreases. Parabens are stable in air and
100 ng/g. Methyl paraben was present at the highest resist hydrolysis in acidic medium and under conditions
level (with a mean value of 12.8 ± 2.2 ng/g tissue). The of sterilization. Parabens are used as antimicrobial pre-
corrected average value was compared with the level servatives in foods, drugs and cosmetics for over
of approximately 150 ng/ml (10 6 M) of propyl-, butyl- 50 years. The antimicrobial activity of parabens in-
and isopropyl-paraben that have stimulated estrogen- creases with increasing ester chain length. Parabens, par-
dependent growth in MCF7 human breast cancer cells. ticularly methyl and propyl paraben, have been
The argument that levels of parabens could exert estro- approved for use in food over the past three decades
genic effects on cells in human breast may not hold, as by the FDA, several foreign governments, the European
methyl paraben was found at the highest level, which Community and JECFA.
is much less potent estrogenically. The average level of Studies in rats, mice, rabbits, dogs and cats show that
three more active parabens (propyl, butyl and isopropyl) parabens are absorbed from the gastrointestinal tract
could be estimated as 15 ng/g (corrected for 50% recov- and metabolized. Parabens are hydrolyzed to p-hydr-
ery), which is comparable to a concentration of 10 7 M, oxybenzoic acid, conjugated and its conjugates are ex-
but this concentration is not found active in MCF7 creted in the urine. The excretion of parabens appears
assay. Although results from Darbre et al. (2004) study to be rapid and they do not accumulate in the body.
are only preliminary, the clinical significance cannot be Most of an administered dose of parabens can be recov-
ascertained. In this study, no control tissues were exam- ered within 5–72 h as p-hydroxybenzoic acid or its con-
ined to demonstrate specificity of association with breast jugate. No evidence of accumulation of parabens or its
cancer. These studies need to be corroborated as metabolites was found in acute or chronic studies. Para-
‘‘blanks’’ in this study had variable levels of parabens, bens appears to be rapidly absorbed through the intact
the study lack in use of control tissues, lack of patient skin.
history of drug administration (which may contain para- Acute toxicity studies in several animal species indi-
bens), details of breast tumor type, etc. cate that parabens are practically non-toxic by various
There have been no published epidemiological studies routes of administration. Parabens, at a concentration
to support or refute the hypothesis for a link between of 10%, were at most mildly irritating when applied to
use of underarm perspirant containing synthetic estro- rabbit skin but were non-irritating at lower concentra-
gens such as parabens and increased incidence of breast tions. Subchronic and chronic oral toxicity testing stud-
cancer. In a population-based case control study, Mirick ies also indicate that parabens are practically non-toxic.
et al. (2002) investigated a possible relationship between In a chronic study of isobutyl paraben in mice the only
the use of antiperspirants/deodorants and the risk for effect was amyloidosis in 58% of dosed males and 33% of
breast cancer in women aged 20–74 years. Subjects in dosed females surviving 78 weeks, as compared to 25%
the test group (n = 813) and control group (n = 793) of control males and 10% females. The majority of the
were studied for use of antiperspirants and deodorants, animal sensitization tests indicate that parabens are
and whether they applied them within 1 h of underarm non-sensitizing.
shaving. Results showed that women who used antiper- Mutagenicity testing of parabens in the Ames test,
spirants/deodorants and women who shaved their cytogenetic assays, dominant lethal assay and host-med-
underarms did not have a greater risk in developing iated assay indicate that parabens are not genotoxic.
breast cancer. These initial findings do not support the Methyl paraben was non-carcinogenic by subcutaneous
hypothesis that antiperspirant use increases the risk of route in mice and rats. In transplacental carcinogenesis
breast cancer. In another study, McGrath (2003) re- assays, propyl paraben was non-carcinogenic. In a study
ported that frequency and earlier onset of usage of on the urinary bladder tumor-promoting potentials of
deodorant and underarm shaving were associated with propyl paraben, no increased incidence of papillary or
an earlier age of breast cancer in a survey of 437 females nodular hyperplasia, papilloma and carcinoma was
diagnosed with breast cancer. However, no epidemio- noted. In a carcinogenicity study of isobutyl paraben,
logical studies specific to parabens and breast cancer no changes in either neoplasm incidence or time to neo-
development have been performed. plasm development were observed in mice fed isobutyl
paraben for 102 weeks. The chemical structure of
paraben is not indicative of carcinogenic potential and
3. Risk evaluation parabens are rapidly metabolized and excreted from
the body without accumulation of the parent compound
The parabens are esters of p-hydroxybenzoate, pre- or metabolites. Developmental toxicity studies in several
pared by esterification of p-hydroxybenzoate with the species, using methyl paraben, showed no teratological
corresponding alcohol in the presence of a catalyst. Gen- effects.
M.G. Soni et al. / Food and Chemical Toxicology 43 (2005) 985–1015 1009

In the population with normal skin, parabens are diol, respectively. In addition to estrogenic activity,
practically non-irritating and non-sensitizing. However, butyl and isobutyl paraben increased progesterone
application of medications containing parabens to dam- receptor gene expression. The estrogenic hazard of para-
aged or broken skin has resulted in sensitization. It has bens, on the basis of the available studies is, at best,
been recognized that preservatives must be used to en- equivocal, as it may relate to humans, as metabolism
sure product stability and safety, and that the parabens and elimination rates of parabens are believed to be
are innocuous preservatives (Orth, 1980). This makes dose, route and species dependent.
parabens the preservative of choice for most formula- Based on a recent study, the presence of minute
tions. The widespread use of parabens in cosmetic prod- amounts of parabens in human breast tumor tissues
ucts made in the United States, without a significant has been associated to the development of breast cancer.
number of complaints from consumers, gives support This study implied a link for use of parabens in under-
to their safety and effectiveness. It is recognized that arm antiperspirants and deodorants, rather than their
inclusion of methyl paraben and propyl paraben in top- use as food additives. These findings need to be inter-
ical preparations intended for use on compromised skin preted with great care, as trace amounts of widely used
is contraindicated. However, use of methyl paraben or substances can be detected in human tissues (several per-
propyl paraben as preservatives in cosmetic products in- sistent chemicals with higher estrogenic activity have
tended for use on normal skin is considered safe. been found in human breast tissue without any link to
In 1974, the Joint FAO/WHO Expert Committee on cancer); secondly, the study indicating the link had sev-
Food Additives recommended that the group Acceptable eral limitations (high background, low recovery, absence
Daily Intake (ADI) for the methyl-, ethyl- and propyl- of appropriate control) and; thirdly, no association be-
paraben was 0–10 mg/kg body weight/day (JECFA, tween breast cancer and use of underarm antiperspirant
1974). The basis of the JECFA recommendation of this and deodorant has been made. However, the potential
value was the consideration of rat feeding study at 2% estrogenic activity of parabens and detection of para-
in the diet (equivalent to 1000 mg/kg body weight/day). bens in breast tissue, albeit from a very small sample,
At this level, no toxicological effects were observed. At is noteworthy. However, rather than investigating these
the next highest dose, 8% (approximately 5500 mg/kg) issues (i.e., reproductive toxicity as well as breast can-
methyl or propyl paraben in diet only a transient decrease cer), as unrelated events, a more comprehensive investi-
in weight gain was noted without any toxic or histopatho- gation may be warranted.
logic findings. The no observed adverse effect level Because of the incomplete data on endocrine dis-
(NOAEL) for this study may be considered as 5500 mg/ ruptive potentials and reproductive toxicity of para-
kg. As the effects of any intermediate levels were not avail- bens, Harvey and Darbre (2004) proposed a tiered
able, JECFA recommended the ADI of 10 mg/day based weight of evidence approach for risk assessment of
on a no observed effect level (NOEL) of 1000 mg/day. parabens. The objective of such an assessment is to
Recent studies suggest that parabens possess estro- determine if the chemical is clearly unacceptable,
genic potential. As regards the estrogenic potential of clearly acceptable, or if more data are required. In this
parabens, two important issues need to be addressed: evaluation, the authors proposed use of structure
(1) its reproductive effects and (2) its relation to in- activity relationships, in vitro estrogen assay, short-
creased incidence of breast cancer. Few reports and par- term in vivo uterotrophic assays and available repro-
ticularly those from Oishi (2001, 2002a,b) suggest ductive toxicity studies. However, the limitation for
adverse reproductive effects (such as decrease in epidid- such an assessment is the lack of reliable reproductive
ymides weight, serum testosterone concentration, sperm or developmental toxicity studies, as the existing stud-
count) of propyl and butyl parabens by the dietary ies evaluating these parameters do not meet the cur-
route. More recent investigations by this author revealed rent standard accepted guidelines. The absence of
that methyl and ethyl paraben had no adverse reproduc- systematic toxicity studies meeting the current regula-
tive effects. Although these studies are from one labora- tory guidelines can never be taken unequivocally to be
tory and the same author, the circumstantial evidence ‘‘evidence for the absence of harm’’, it is, nevertheless,
(particularly the potential estrogenic activity of para- important that this larger perspective be maintained in
bens) indicate a possibility of reproductive effects. How- assessing the overall safety of paraben uses. A com-
ever, these studies need to be corroborated. The ability prehensive investigation of the reproductive/develop-
of parabens to transactivate the estrogen receptor in mental toxicity of parabens may be warranted to
vitro increases with alkyl group size. Methyl and butyl assure their continued safe use as preservatives in
paraben, administered orally to immature rats in an foods, cosmetic and toiletries.
uterotrophic assay, were inactive. The estrogenic po- Several tests among the standard toxicology studies
tency of paraben and its metabolite in the uterotrophic are capable of detecting estrogenic activity. Although
assay by the subcutaneous route in mice and in in vitro reproduction studies should show the effect of hormone
studies ranges from 500- to 10,000-fold less than estra- imbalance, multigenerational studies would be the most
1010 M.G. Soni et al. / Food and Chemical Toxicology 43 (2005) 985–1015

sensitive. Avian reproduction studies would also detect Bando, H., Mohri, Y., Yamashita, F., Takakura, Y., Hashida, M.,
estrogenic activity. In addition, weights of organs with 1997. Effects of metabolism on percutaneous penetration of
lipophilic drugs. Journal of Pharmaceutical Sciences 86, 759–761.
hormone-sensitive tissue are measured in the range find- Bao-Liang, S., Hai-Ying, L., Dun-Ren, P., 1989. In-vitro spermicidal
ing, subchronic and chronic studies. Considering that activity of parabens against human spermatozoa. Contraception
maximum tolerated doses are used in the toxicology stud- 39, 331–336.
ies, estrogenic activity relevant to human, animal or eco- Basketter, D.A., Scholes, E.W., Kimber, I., 1994. The performance of
logical effects would be detected in these standard tests. the local lymph node assay with chemicals identified as contact
allergens in the human maximization test. Food Chemical Toxi-
In summary, parabens are the success story of preser- cology 32, 543–547.
vatives, however some recent studies raise concern about Basketter, D.A., Lea, L.J., Cooper, K., Stocks, J., Dickens, A., Pate, I.,
their use. The assessments of a possible reproductive Dearman, R.J., Kimber, I., 1999. Threshold for classification as a
hazard and suggestion of potential involvement of para- skin sensitizer in the local lymph node assay: a statistical
bens in breast cancer on the basis of the available evaluation. Food and Chemical Toxicology 37, 1167–1174.
Basketter, D.A., Gerberick, G.F., Kimber, I., 2001. Measurement of
published studies, are equivocal. A comprehensive allergenic potency using the local lymph node assay. Trends in
reproductive toxicity study, meeting the currently ac- Pharmaceutical Sciences 22, 264–265.
cepted standard protocols for such studies, may be war- Batts, A.H., Marriott, C., Martin, G.P., Wood, C.F., Bond, S.W.,
ranted to fully explore possible (if any) human health 1990. Effect of some preservatives used in nasal preparations on the
risks of parabens. mucus and ciliary components of mucociliary clearance. Journal of
Pharmacy and Pharmacology 42, 145–151.
Belli, W.A., Buckley, D.H., Marquis, R.E., 1995. Weak acid effects
and inhibition of glycolysis by Streptococcus mutans GS-5.
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