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2,4,5-T
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2,4,5-Trichlorophenoxyacetic acid

2,4,5-Trichlorophenoxyacetic acid (2,4,5-T), a well-known herbicide, is significant due to its historical usage and potential health impacts. 

2,4,5-T gained notoriety as a component of Agent Orange, a defoliant used during the Vietnam War.  Its widespread use and the subsequent health issues it purportedly caused have made it a subject of intense study and scrutiny. 

What is 2,4,5-T?

2,4,5-Trichlorophenoxyacetic acid (2,4,5-T) was a chlorophenoxy acid herbicide, no longer registered in the U.S. due to concerns about contamination with dioxins like TCDD, particularly noted in its use in Agent Orange during the Vietnam War.  [1.]

The herbicide acts by mimicking plant growth hormones, promoting growth at low levels but being lethal at higher concentrations.  It degrades in soil over weeks to months, forming 2,4,5-trichlorophenol among other compounds.  [1.] 

Exposure to 2,4,5-T can cause various health issues such as weakness, headache, and severe organ damage.  [5.] 

Although no longer used, traces can still be found in the environment, and its health effects at low exposure levels remain unclear.  The IARC classifies chlorophenoxyacetic acids as possibly carcinogenic.  [1.] 

Historical Context and Use  [4.]

2,4,5-T was first synthesized in the 1940s, finding its primary use in agriculture as an effective herbicide for weed control.  However, its place in history was cemented through its role as a component of Agent Orange, a defoliant used by the U.S. military during the Vietnam War. 

During the Vietnam War the U.S. military used herbicides like Agent Orange, which contained 2,4,5-Trichlorophenoxyacetic acid (2,4,5-T), to defoliate jungles and destroy crops, reducing groundcover and food supplies for the Vietnamese.  

2,4,5-T was contaminated with TCDD, a toxic dioxin, leading to health and environmental concerns.  This contamination varied by production batch and was more concentrated in some herbicides than others. 

Outside of wartime use, herbicides containing 2,4,5-T were widely used in agriculture and forestry in the mid-20th century due to their effectiveness against broadleaf plants. Concerns about human exposure to the dioxin (TCDD) contaminant in these herbicides grew after it was linked to serious health effects, such as chloracne and cancer. 

Researchers have extensively studied affected populations including forestry workers, paper mill workers, and communities near contaminated sites, to understand the health impacts of TCDD exposure. The increased public and regulatory scrutiny led to the eventual ban of 2,4,5-T in the United States.  [4.]

Health Effects of Exposure to 2,4,5-T  [2.]

Acute Health Risks of 2,4,5-T:

  • Skin and eye irritation upon contact.
  • Inhalation can irritate the respiratory tract, causing coughing and wheezing.
  • Symptoms such as fatigue, headache, dizziness, and weakness.
  • Severe exposure can lead to convulsions, muscle twitching, seizures, or coma.
  • Gastrointestinal issues like nausea, vomiting, diarrhea, and abdominal pain.

Chronic Health Risks of 2,4,5-T:

  • Possible carcinogenic effects, particularly linked to thyroid cancer.
  • No conclusive evidence linking 2,4,5-T to reproductive health issues.
  • Potential long-term dermatological effects, such as chloracne.
  • High exposure risks include abnormal heart rhythms and potential fatality.
  • Possible liver damage from prolonged exposure.

The Role of 2,4,5-T as a Biomarker

2,4,5-T as an Indicator of Exposure and Effect

Testing for 2,4,5-T may indicate past or current exposure and identify potential health effects. Additionally, understanding the biological effects of 2,4,5-T, such as changes in hormone levels, enzyme activities, or DNA damage, is crucial in assessing its impact on health. 

Laboratory Testing for 2,4,5-T

Sampling Methods

2,4,5-T is most often tested in urine, as urinary levels of 2,4,5-T are indicative of recent exposure.  [1.] 

Earlier studies, such as NHANES 1999-2000 and 2001-2002, along with NHANES II (1976-1980), generally detected 2,4,5-T levels below the limit of detection.  However, a study on asymptomatic herbicide applicators noted mean urinary levels of 2,4,5-T that were 35,000 times above the detection limit after a day of exposure.  [1.] 

Some laboratory companies offer tests that assess immune responses to environmental pollutants such as 2,4,5-T, indicating current exposure or biological buildup.  

2,4,5-T may also be tested in drinking water.  

Additional Assessment to Consider

Additional workup for patients with concerns of 2,4,5-T exposure may include an EKG, neurological examination, and liver function tests.  Additionally, testing for other environmental pollutants may be warranted.  [2.] 

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See References

[1.] Biomonitoring Summary | CDC. www.cdc.gov. Published September 2, 2021. https://www.cdc.gov/biomonitoring/245-TrichlorophenoxyaceticAcid_BiomonitoringSummary.html

[2.] HAZARD SUMMARY. Accessed May 10, 2022. https://nj.gov/health/eoh/rtkweb/documents/fs/1896.pdf 

[3.] Institute of Medicine (US) Committee to Review the Health Effects in Vietnam Veterans of Exposure to Herbicides. Veterans and Agent Orange: Health Effects of Herbicides Used in Vietnam. Washington (DC): National Academies Press (US); 1994. 2, History of the Controversy Over the Use of Herbicides. Available from: https://www.ncbi.nlm.nih.gov/books/NBK236351/

[4.] Institute of Medicine (US) Committee on Blue Water Navy Vietnam Veterans and Agent Orange Exposure. Blue Water Navy Vietnam Veterans and Agent Orange Exposure. Washington (DC): National Academies Press (US); 2011. 3, SELECTED CHEMICALS USED DURING THE VIETNAM WAR. Available from: https://www.ncbi.nlm.nih.gov/books/NBK209597/ 

[5.] PubChem. 2,4,5-Trichlorophenoxyacetic acid. pubchem.ncbi.nlm.nih.gov. Accessed April 29, 2024. https://pubchem.ncbi.nlm.nih.gov/compound/2_4_5-Trichlorophenoxyacetic-acid#section=Names-and-Identifiers 

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2,4,5-Trichlorophenoxyacetic acid

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