Definition
Flavouring ingredient
Description
o-Cresol is a minor urinary metabolite of toluene, a widely used chemical with neurotoxicological properties. (A7726). o-Cresol is used commercially as a disinfectant. Exposure may occur by inhalation, by cutaneous adsorption or by oral ingestion. o-Cresol denature and precipitate cellular proteins and thus may rapidly cause poisoning. o-Cresol is metabolized by conjugation and oxidation. Ingestion of o-Cresol cause intense burning of mouth and throat, followed by marked abdominal pain and distress. The minimum lethal dose of cresol by mouth is about 2 g. (A5610).
Top Gene Interactions
Related Pathways
2-Cresol Health Effects
General Information
- Metabolism: Cresols can be absorbed following inhalation, oral, and dermal exposure. Once in the body they can distribute rapidly into many organs and tissues. Cresols undergo oxidative metabolism in the liver and are rapidly eliminated, mostly in the urine, as sulfate or glucuronide conjugates. The activation of cresols by oxidation involves tyrosinase and thyroid peroxidase, forming a reactive quinone methide. Experiments with recombinant P-450s demonstrated cresol metabolism was mediated by several P-450s including CYP2D6, 2C19, 1A2, 1A1, and 2E1. (L528, A197, L529, A198)
- Uses/Sources: Cresols are used to as solvents, disinfectants and deodorizers, as well as to make other chemicals. They may be formed normally in the body from other compounds. Cresols are found in many foods and in wood and tobacco smoke, crude oil, coal tar, and in chemical mixtures used as wood preservatives. Small organisms in soil and water produce cresols when they break down materials in the environment. Breathing air containing cresols is the primary source of exposure. Exposure may also result from drinking contaminated water, eating contaminated food and coming into contact with liquids containing cresols. (L528)
- Health Effects: Cresols breathed, ingested, or applied to the skin at very high levels can be very harmful because they are corrosive substances. Ingestion of high levels results in mouth and throat burns, abdominal pain, vomiting, kidney problems, and effects on the blood and nervous system. Skin contact with high levels of cresols can burn the skin and damage the kidneys, liver, blood, lungs, and brain. Tachycardia, respiratory failure, unconsciousness and death may occur in both cases. Many of these effects may not by caused directly by cresols, but may be a result of secondary reactions to shock caused by external and internal burns. (L482, L528)
- Symptoms: Ingestion of cresols results in burning of the mouth and throat, abdominal pain, and vomiting. Inhalation or dermal exposure to cresols can produce irritation and corrosion at the site of contact. (L482)
- Treatment: Following oral exposure, immediately dilute with 4 to 8 ounces (120 to 240 mL) of water or milk (not to exceed 4 ounces/120 mL in a child). Observe patients with ingestion carefully for the possible development of esophageal or gastrointestinal tract irritation or burns. If signs or symptoms of esophageal irritation or burns are present, consider endoscopy to determine the extent of injury. In case of hypotension, infuse isotonic fluid. If hypotension persists, administer dopamine or norepinephrine. In case of hypertension, monitor vital signs regularly. For mild/moderate asymptomatic hypertension (no end organ damage), pharmacologic treatment is generally not necessary. Following inhalation, move patient to fresh air. Monitor for respiratory distress. If cough or difficulty breathing develops, evaluate for respiratory tract irritation, bronchitis, or pneumonitis. Administer oxygen and assist ventilation as required. Treat bronchospasm with inhaled beta2 agonist and oral or parenteral corticosteroids. In case of acute lung injury, maintain ventilation and oxygenation and evaluate with frequent arterial blood gas or pulse oximetry monitoring. Early use of PEEP and mechanical ventilation may be needed. Following eye exposure, irrigate exposed eyes with copious amounts of room temperature water for at least 15 minutes. Following dermal exposure, remove contaminated clothing and wash exposed area thoroughly with soap and water. Treat dermal irritation or burns with standard topical therapy. Patients developing dermal hypersensitivity reactions may require treatment with systemic or topical corticosteroids or antihistamines. (T36)
- Route of Exposure: Oral (L528) ; inhalation (L528) ; dermal (L528)
Toxicity
- Carcinogenicity: No indication of carcinogenicity to humans (not listed by IARC).
- Toxicity: LD50: 344 mg/kg (Oral, Mouse) (T13) LD50: 179 mg/m3 (Inhalation, Mouse) (T13) LD50: 620 mg/kg (Dermal, Mouse) (T13)
- Minimum Risk Level: Intermediate Oral: 0.1 mg/kg/day (L134) Chronic Oral: 0.1 mg/kg/day (L134)
Mechanism of Action
Target Name | Mechanism of Action | References |
---|---|---|
Fas-binding factor 1 |
11334365 |
|
Prostaglandin G/H synthase 1 Prostaglandin G/H synthase 2 |
o-Cresol inhibits prostaglandin G/H synthases, potentially affecting the cardiovascular system by suppressing blood clot formation and leading to tissue hemorrhage. (A265) |
15664436 |
2-Cresol Interacts with Diseases
Disease | Inference Score | References/Inference Genes |
Diabetes Mellitus, Experimental | 19.47 |
|
Obesity | 18.48 |
|
Esophageal Neoplasms | 16.83 |
|
Breast carcinoma | 16.49 |
|
Alzheimer's Disease | 15.48 |
|
Reperfusion Injury | 14.98 |
|
Intestinal Neoplasms | 14.22 |
|
Adenocarcinoma | 13.79 |
|
Prostatic Neoplasms | 13.74 |
|
Colonic neoplasm | 13.5 |
|
Colorectal cancer | 13.37 |
|
Heart failure | 12.41 |
|
Kidney Failure, Chronic | 11.87 |
|
Azoospermia | 11.45 |
|
Drug-Related Side Effects and Adverse Reactions | 11.12 | |
Intestinal Polyps | 11.09 |
|
Asthma, Occupational | 10.99 |
|
Barrett's esophagus | 10.58 |
|
Alcoholic liver cirrhosis | 10.37 |
|
Fibrosis | 10.37 |
|