“…The mode of action for folpet-induced forestomach tumors is the same as for the mouse duodenal tumors; reactivity of folpet and thiophosgene with tissue thiol substituents, induction of cytotoxicity (accompanied by inflammation) with consequent increased squamous cell proliferation, hyperplasia (accompanied by hyperkeratosis), and ultimately tumors� The non-neoplastic changes were observed in mice and rats, but the extent of proliferation was adequate for tumor induction only in mice� The temporal relationship of this sequence of events is similar to that seen for a variety of agents, such as ethyl acrylate (Ghanayem et al�, 1994) and butylated hydroxy anisole (BHA) (Clayson et al�, 1990; Ito and Hirose, 1989)� The dose-response shows a somewhat lower dose for the toxicity, inflammatory, and hyperplastic changes compared to the doses required for tumors, also similar to the situation with other agents inducing forestomach tumors (Ghaneyem et al�, 1994;Clayson et al�, 1990;Ito and Hirose, 1989)� It is not surprising that the forestomach is affected by folpet� Squamous epithelial cells contain large amounts of cytokeratins, which notably contain a large percentage of cysteine moieties with available thiol groups� In the forestomach, the pH is generally mildly acidic, but not as acidic as in the lumen of the glandular stomach� To the extent that folpet reacts at higher pH levels (due to an increased production of thiophosgene through hydrolysis), cytotoxicity in the forestomach would be expected to be considerably greater than in the glandular stomach but somewhat less than in the proximal duodenum� The glandular stomach, in contrast to the forestomach, is markedly acidic (pH = 1�0-2�0), which would tend to stabilize folpet from hydrolysis� The half-life of folpet solubilized in blood (average pH is 7�4) is 4�9 s (Gordon et al�, 2001)� By comparison, solubilized thiophosgene has a half-life of 0�6 s (Arndt and Dohn, 2004)� The half-life of folpet in blood is somewhat longer than captan, which has a half life of 0�9 s, but the reverse is true for hydrolytic degradation in mild acid media, such as in the forestomach� Folpet is approximately 7-fold less stable, hydrolytically, at pH 5 than captan� Thus, in the stomach, folpet would be expected to generate thiophosgene faster than captan; this may explain the increased susceptibility of mice to folpet for forestomach tumors compared to captan� In mice, the proliferation in the forestomach induced by folpet occasionally leads to the development of forestomach tumors (see Tables 1 and 2)� Progression to tumors is not seen in the rat, although pathological inflammatory and proliferative findings are similar� The types of lesions of the forestomach and their incidences in one of the rat studies are listed in Table 7� The difference in extent of the tumorigenicity between these species is likely due in part to the exposure levels and possibly due to the degree of generation of thiophosgene occurring between the two species� Because of generalized toxicity, the doses used for the studies in rats are lower than in the mouse� These dose levels in rats, however, attained the MTD, inducing frank toxicity, and were higher than doses producing stomach tumors in mice but folpet did not induce tumors in rats� Differences between the species have been investigated� In mice with duodenal tumors, there was occasionally obst...…”