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Side Effects of Medication in the Soil
Environment
Alistair B A Boxall

1
Nine species of vultures in the
wild numbered 40 million birds in
the early 1980s. Today, only
about 60,000 birds are left


(Vibhu Prakash, Bombay Natural
History Society)

Boxall et al (2003) ES&T

2
Pharmaceuticals in sewage
sludge

Classes of OWCs Detected (Bold face: # of compounds detected; concentrations in mg/kg)
Biosolid A Biosolid B Biosolid C
Biosolid D Biosolid E Biosolid F
Prescrip. Drugs
9 (0.397)
6 (0.514)
8 (0.142)
5 (0.235)
5 (0.187)
5 (0.150)
Nonprescrip. Drugs 8 (8.24)
6 (0.890)
6 (0.316)
7 (0.569)
7 (1.38)
7 (1.25)
Detergent Metab.
4 (209)
4 (55.8)
4 (12.3)
4 (39.2)
4 (221)
4 (186)
Fragrances
3 (6.63)
3 (7.39)
3 (2.14)
4 (7.23)
4 (7.57)
4 (6.15)
Pesticides
n.d.
n.d.
n.d.
1 (0.127)
n.d.
n.d.
Fire Retardants
1 (0.600)
2 (1.90)
2 (1.15)
2 (0.548)
1 (0.570)
1 (0.100)
PAHs
6 (1.91)
6 (1.23)
6 (0.767)
6 (0.544)
5 (0.331)
5 (0.276)
Steroids
4 (275)
4 (42.0)
4 (68.5)
4 (42.7)
4 (306)
4 (198)
Oil/Fuel
3 (0.346)
n.d.
n.d.
n.d.
3 (0.249)
3 (0.195)
2 (1.30)
2 (5.90)
2 (5.20)
Disinfectants
2 (4.80)
2 (3.91)
2 (1.61)
2 (11.5)
2 (10.6)
3 (8.46)
4 (2.89)
4 (2.24)
Other OWCs
4 (1.82)

Furlong et al., 2006

3
Antibiotics
Sulfonamides
Tetracyclines
Fluoroquinolones
Lincosamides
Antiparasitics
Macrocyclic油lactones
Benzimidazoles
Antiepileptics
Antidepressants
Anticoagulants
Antiinflammatories

Persistence in soils
0 DAT
103 DAT
152 DAT

750

500

250

Boxall et al., (2006) JAFC

ty
lo
si
n

0
di
az
in
on
en
ro
flo
xa
ci
n
flo
rf
en
ic
ol
le
va
m
is
ol
ox
e
yt
et
ra
cy
cl
ph
in
e
en
yl
bu
ta
zo
ne
su
lfa
di
az
in
e
tr
im
et
ho
pr
im

Concentration (ug/kg)

1000

Boxall et al. (206) JAFC

4
Runoff
Runoff of pharmaceuticals
from agricultural land
applied with biosolids/manure

Runoff sample collection:
Pre-application,
Post-application
Topp et al., (2008) Sci. Tot. Env.

Runoff from soils

5
Test organisms

Study compounds and species
Compound

Log
Kow

pKa

G.
pulex

N.
glauca

5-fluorouracil

-0.81

8.02

x

caffeine

1.03

0.00

carbamazepine

2.25

-

x

x

carvedilol

3.05

8.00

x

x

chloramphenicol

-0.02

11.0

diazepam

2.70

3.40

diclofenac

4.13

4.10

L.
variegatus

E.
fetida

L.
terrestris

Perrene

L.

R.
sativus

x

x

x

x

X

x

x

x

x

X

x

x

x

x

X

x

x

x

X

x

x

x

x
x

x

fluoxetine

4.16

10.1

x

x

moclobemide

1.16

6.20

x

x

naproxen

3.36

4.50

orlistat

8.19

-

salicylic acid

2.3

3.1

x

triclosan

5.42

8.10

x

x

6
Fluoxetine
Pore油water

0
.
1
5

250

2.5

Soil
Earthworm
Mean油model油fit

2

200
1.5
150
1
100
0.5

50
0

Pore油water油concentration油(nmol/L)

Soil油and油Earthworm油concentration油
(nmol/kg)

300

0
0

200

400
600
Time油(hours)

800

1000
13

Earthworm modeling
One油compartment油firstorder油toxicokinetic model油


Based油on油work油by油Ashauer et油al.,油2010

OpenModel software1
Used油measured油pore油water油concentrations

Bioconcentration油factors油(BCF)油can油be油calculated油from油
modelled油uptake油and油depuration油rates
Model油was油set油to油run油to油equilibrium

Where油Cint油is油the油internal油concentration油(nmol/kg油ww),油Cpw油is油the油pore油water油concentration油(nmol/L)油and油kin and油kout the油uptake油
(nmol/kg油ww油d1)油and油elimination油rate油constant油(d1).油1 OpenModel油v.油1.2,油University油of油Nottingham,油2008.

14

7
Modeling results and
bioconcentration
Pharmaceutical

Steady
state?

Dissipation油 Kin
in test油
(uptake油rate)
system
(nmol/kg油d1)

Kout
(depuration
rate)油(d1)

BCF

Carbamazepine

Yes

30油%

0.2408

0.1393

2.21

Diclofenac

No

0%

0.0363

0.0021

21.46

Fluoxetine

Near

20油%

1.1079

0.0471

30.8

Orlistat

Near

>油50油%

0.0708

0.0016

51.53

15

Effects油of油soil油properties
Soil油properties
 LUFA油Speyer油(Germany)油
characterised soil

pH油
Soil油Type (CaCl2)

OC油%

CEC油
(meq/100g)

Type

Soil油2.1

5.1

0.74

4

Silty油sand

Soil 2.3

6.6

0.97

9

Silty油sand

Soil 2.4

7.2

2.99

33

Clayey油loam

Soil油5M

7.2

1.23

15

Loamy油sand

Soil 6S

7.2

1.69

22

Clayey油loam

8
Results: Soil properties

Soil油type
LUFA 2.1

CBZ油BCF(pw) DCF BCF(pw) FLX BCF(pw)
1.30油
28.56
20.42

ORL油BCF(pw)
30.51

LUFA油2.3

1.53

15.04

19.74

115.92

LUFA 2.4

1.61

21.50

16.78

74.40

LUFA油5M

1.05

69.57

19.18

40.82

LUFA油6S

1.56

7.02

16.89

68.36

Species traits
Effect油of油species油type油on油uptake?
Earthworm油 Lumbricus油terrestris油(3油 6油g)
Followed油minimised油design油principles油(i.e.油end油of油uptake油
and油depuration油sampling油only)
Four油pharmaceuticals
One油soil油type油
Soil油and油pore油water油samples油analysed油
throughout油exposure

9
Results: species type

Pharmaceutical

L.油terrestris

E.油Fetida

Carbamazepine
Diclofenac
Fluoxetine
Orlistat

6.69
83.79
66.90
33.21

2.21
21.46
30.8
51.53

Uptake into crops

10
Uptake into organisms is also
possible
50

Concentration (ug/kg)

45
40
35
30
25
20
15
10
5

ty
lo
si
n

et
ho
pr
im
tri
m

fa
di
az
in
e
su
l

is
ol
e
ox
yt
et
ra
cy
cl
in
e
ph
en
yl
bu
ta
zo
ne

le
va
m

flo
rfe
ni
co
l

lo
xa
ci
n
en
ro
f

az
in
di

am

ox
ic
ill

in

on

0

Boxall et al (2006) J. Agric. Food Chem.

Drug receptors
therapeutic
effect

Receptor
Drug

Many receptors also occur in
organisms in the natural environment

11
Potential mechanisms in plants

Brain et al., 2008

Effects of Prozac on woodlice

12
Antibiotic effects
microbial biomass
community structure
functional endpoints
respiration
iron reduction
Ammonification
N-mineralisation
Nitrification
potential to degrade other anthropogenic
substances
Monteiro and Boxall (2010) ET&C

Antibiotic resistance

Wellington et al (2013) Lancet ID

13
Toxicity to dung organisms
Taken from Forster et al., 2010
RCR = 9000 (field study >8)

Modelling reality
Ivermectin (袖g/kg dw)

2500
2000
1500
1000
500
0
0

2

4

6

8

10

12

14

16

18

20

Days Post Dose

Excretion
profile
Medicine use
patterns

Impact on population
Husbandry
practices

Compound
dose
response

Insect
life cycle
and
behaviour

14
Are effects caused at the farm scale? modelling insect numbers
10

Number of adults

10

10

10

10

8

7

6

5

4

Mar

Apr

May

Jun

Jul
Month

Aug

Sep

Oct

Nov

Risks from food

Carter et al. (2014) JAFC

15
Summary
Pharmaceuticals are released into and
detected in the natural environment
Risks to human health are low
Subtle effects are seen in organisms
(related to MoA and side effects)
Levels of some pharmaceuticals may be
high enough to affect terrestrial organisms
Understanding much less developed than
aquatic environment and many open
questions

Further Reading

Environ Health Persp, 2012, 120(9), 1221-1229

16
Acknowledgements
Melanie Netherton
Maja Karlsson
Laura Carter
Bryan Brooks
Sara Monteiro
Louise Pope
Richard Fussell
Richard Williams
Tom Bean
Hannah Cooper
Joanne Parrot
20Q participants

European Commission
Environment Agency
DWI
Defra
BBSRC
Unilever
GSK
Health Canada

17
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Boxall

  • 1. Side Effects of Medication in the Soil Environment Alistair B A Boxall 1
  • 2. Nine species of vultures in the wild numbered 40 million birds in the early 1980s. Today, only about 60,000 birds are left (Vibhu Prakash, Bombay Natural History Society) Boxall et al (2003) ES&T 2
  • 3. Pharmaceuticals in sewage sludge Classes of OWCs Detected (Bold face: # of compounds detected; concentrations in mg/kg) Biosolid A Biosolid B Biosolid C Biosolid D Biosolid E Biosolid F Prescrip. Drugs 9 (0.397) 6 (0.514) 8 (0.142) 5 (0.235) 5 (0.187) 5 (0.150) Nonprescrip. Drugs 8 (8.24) 6 (0.890) 6 (0.316) 7 (0.569) 7 (1.38) 7 (1.25) Detergent Metab. 4 (209) 4 (55.8) 4 (12.3) 4 (39.2) 4 (221) 4 (186) Fragrances 3 (6.63) 3 (7.39) 3 (2.14) 4 (7.23) 4 (7.57) 4 (6.15) Pesticides n.d. n.d. n.d. 1 (0.127) n.d. n.d. Fire Retardants 1 (0.600) 2 (1.90) 2 (1.15) 2 (0.548) 1 (0.570) 1 (0.100) PAHs 6 (1.91) 6 (1.23) 6 (0.767) 6 (0.544) 5 (0.331) 5 (0.276) Steroids 4 (275) 4 (42.0) 4 (68.5) 4 (42.7) 4 (306) 4 (198) Oil/Fuel 3 (0.346) n.d. n.d. n.d. 3 (0.249) 3 (0.195) 2 (1.30) 2 (5.90) 2 (5.20) Disinfectants 2 (4.80) 2 (3.91) 2 (1.61) 2 (11.5) 2 (10.6) 3 (8.46) 4 (2.89) 4 (2.24) Other OWCs 4 (1.82) Furlong et al., 2006 3
  • 4. Antibiotics Sulfonamides Tetracyclines Fluoroquinolones Lincosamides Antiparasitics Macrocyclic油lactones Benzimidazoles Antiepileptics Antidepressants Anticoagulants Antiinflammatories Persistence in soils 0 DAT 103 DAT 152 DAT 750 500 250 Boxall et al., (2006) JAFC ty lo si n 0 di az in on en ro flo xa ci n flo rf en ic ol le va m is ol ox e yt et ra cy cl ph in e en yl bu ta zo ne su lfa di az in e tr im et ho pr im Concentration (ug/kg) 1000 Boxall et al. (206) JAFC 4
  • 5. Runoff Runoff of pharmaceuticals from agricultural land applied with biosolids/manure Runoff sample collection: Pre-application, Post-application Topp et al., (2008) Sci. Tot. Env. Runoff from soils 5
  • 6. Test organisms Study compounds and species Compound Log Kow pKa G. pulex N. glauca 5-fluorouracil -0.81 8.02 x caffeine 1.03 0.00 carbamazepine 2.25 - x x carvedilol 3.05 8.00 x x chloramphenicol -0.02 11.0 diazepam 2.70 3.40 diclofenac 4.13 4.10 L. variegatus E. fetida L. terrestris Perrene L. R. sativus x x x x X x x x x X x x x x X x x x X x x x x x x fluoxetine 4.16 10.1 x x moclobemide 1.16 6.20 x x naproxen 3.36 4.50 orlistat 8.19 - salicylic acid 2.3 3.1 x triclosan 5.42 8.10 x x 6
  • 7. Fluoxetine Pore油water 0 . 1 5 250 2.5 Soil Earthworm Mean油model油fit 2 200 1.5 150 1 100 0.5 50 0 Pore油water油concentration油(nmol/L) Soil油and油Earthworm油concentration油 (nmol/kg) 300 0 0 200 400 600 Time油(hours) 800 1000 13 Earthworm modeling One油compartment油firstorder油toxicokinetic model油 Based油on油work油by油Ashauer et油al.,油2010 OpenModel software1 Used油measured油pore油water油concentrations Bioconcentration油factors油(BCF)油can油be油calculated油from油 modelled油uptake油and油depuration油rates Model油was油set油to油run油to油equilibrium Where油Cint油is油the油internal油concentration油(nmol/kg油ww),油Cpw油is油the油pore油water油concentration油(nmol/L)油and油kin and油kout the油uptake油 (nmol/kg油ww油d1)油and油elimination油rate油constant油(d1).油1 OpenModel油v.油1.2,油University油of油Nottingham,油2008. 14 7
  • 8. Modeling results and bioconcentration Pharmaceutical Steady state? Dissipation油 Kin in test油 (uptake油rate) system (nmol/kg油d1) Kout (depuration rate)油(d1) BCF Carbamazepine Yes 30油% 0.2408 0.1393 2.21 Diclofenac No 0% 0.0363 0.0021 21.46 Fluoxetine Near 20油% 1.1079 0.0471 30.8 Orlistat Near >油50油% 0.0708 0.0016 51.53 15 Effects油of油soil油properties Soil油properties LUFA油Speyer油(Germany)油 characterised soil pH油 Soil油Type (CaCl2) OC油% CEC油 (meq/100g) Type Soil油2.1 5.1 0.74 4 Silty油sand Soil 2.3 6.6 0.97 9 Silty油sand Soil 2.4 7.2 2.99 33 Clayey油loam Soil油5M 7.2 1.23 15 Loamy油sand Soil 6S 7.2 1.69 22 Clayey油loam 8
  • 9. Results: Soil properties Soil油type LUFA 2.1 CBZ油BCF(pw) DCF BCF(pw) FLX BCF(pw) 1.30油 28.56 20.42 ORL油BCF(pw) 30.51 LUFA油2.3 1.53 15.04 19.74 115.92 LUFA 2.4 1.61 21.50 16.78 74.40 LUFA油5M 1.05 69.57 19.18 40.82 LUFA油6S 1.56 7.02 16.89 68.36 Species traits Effect油of油species油type油on油uptake? Earthworm油 Lumbricus油terrestris油(3油 6油g) Followed油minimised油design油principles油(i.e.油end油of油uptake油 and油depuration油sampling油only) Four油pharmaceuticals One油soil油type油 Soil油and油pore油water油samples油analysed油 throughout油exposure 9
  • 11. Uptake into organisms is also possible 50 Concentration (ug/kg) 45 40 35 30 25 20 15 10 5 ty lo si n et ho pr im tri m fa di az in e su l is ol e ox yt et ra cy cl in e ph en yl bu ta zo ne le va m flo rfe ni co l lo xa ci n en ro f az in di am ox ic ill in on 0 Boxall et al (2006) J. Agric. Food Chem. Drug receptors therapeutic effect Receptor Drug Many receptors also occur in organisms in the natural environment 11
  • 12. Potential mechanisms in plants Brain et al., 2008 Effects of Prozac on woodlice 12
  • 13. Antibiotic effects microbial biomass community structure functional endpoints respiration iron reduction Ammonification N-mineralisation Nitrification potential to degrade other anthropogenic substances Monteiro and Boxall (2010) ET&C Antibiotic resistance Wellington et al (2013) Lancet ID 13
  • 14. Toxicity to dung organisms Taken from Forster et al., 2010 RCR = 9000 (field study >8) Modelling reality Ivermectin (袖g/kg dw) 2500 2000 1500 1000 500 0 0 2 4 6 8 10 12 14 16 18 20 Days Post Dose Excretion profile Medicine use patterns Impact on population Husbandry practices Compound dose response Insect life cycle and behaviour 14
  • 15. Are effects caused at the farm scale? modelling insect numbers 10 Number of adults 10 10 10 10 8 7 6 5 4 Mar Apr May Jun Jul Month Aug Sep Oct Nov Risks from food Carter et al. (2014) JAFC 15
  • 16. Summary Pharmaceuticals are released into and detected in the natural environment Risks to human health are low Subtle effects are seen in organisms (related to MoA and side effects) Levels of some pharmaceuticals may be high enough to affect terrestrial organisms Understanding much less developed than aquatic environment and many open questions Further Reading Environ Health Persp, 2012, 120(9), 1221-1229 16
  • 17. Acknowledgements Melanie Netherton Maja Karlsson Laura Carter Bryan Brooks Sara Monteiro Louise Pope Richard Fussell Richard Williams Tom Bean Hannah Cooper Joanne Parrot 20Q participants European Commission Environment Agency DWI Defra BBSRC Unilever GSK Health Canada 17