Evidence map›Paper›PMID 23249866›Full record

ReviewEnvironmental health perspectives2013

Human health effects of trichloroethylene: key findings and scientific issues.

Weihsueh A Chiu, Jennifer Jinot, Cheryl Siegel Scott, Susan L Makris, Glinda S Cooper, Rebecca C Dzubow, Ambuja S Bale, Marina V Evans, Kathryn Z Guyton, Nagalakshmi Keshava and 6 more

Open access · diamondAbstract readReview
In one paragraph

Review in Environmental health perspectives, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 89 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
89citing papers in PubMed, 1 pooled it
4.9field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

89 citing papers in PubMed, 1 synthesis or guideline pooled it, 231 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Observational
  6. Review
  7. Use of upcycled biosolids for bioremediation of groundwater contaminated with chlorinated solvents.Environmental science and pollution research international · 2026
    Article
  8. Article
  9. Article
  10. Review
  11. Environmental risk factors for liver cancer.Hepatology (Baltimore, Md.) · 2025
    Article
  12. Environmental Risk Factors for Parkinson's Disease: A Critical Review and Policy Implications.Movement disorders : official journal of the Movement Disorder Society · 2025
    Review
  13. Article
  14. Review
  15. Article
  16. Review
  17. Article
  18. Review
  19. Article
  20. Article

29 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 2 institutions in 2 countries.

Weihsueh A ChiuNational Center for Environmental Assessment, U.S. Environmental Protection Agency (EPA), Washington, DC, USA. chiu.weihsueh@epa.gov
Jennifer Jinot
Cheryl Siegel Scott
Susan L Makris
Glinda S Cooper
Rebecca C Dzubow
Ambuja S Bale
Marina V Evans
Kathryn Z Guyton
Nagalakshmi Keshava
John C Lipscomb
Stanley Barone
John F Fox
Maureen R Gwinn
John Schaum
Jane C Caldwell
National Center for Environmental Assessment (EPA) · USEnvironmental Protection Agency · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn support of the Integrated Risk Information System (IRIS), the U.S. Environmental Protection Agency (EPA) completed a toxicological review of trichloroethylene (TCE) in September 2011, which was the result of an effort spanning > 20 years.

objectivesWe summarized the key findings and scientific issues regarding the human health effects of TCE in the U.S. EPA's toxicological review.

methodsIn this assessment we synthesized and characterized thousands of epidemiologic, experimental animal, and mechanistic studies, and addressed several key scientific issues through modeling of TCE toxicokinetics, meta-analyses of epidemiologic studies, and analyses of mechanistic data. DISCUSSION: Toxicokinetic modeling aided in characterizing the toxicological role of the complex metabolism and multiple metabolites of TCE. Meta-analyses of the epidemiologic data strongly supported the conclusions that TCE causes kidney cancer in humans and that TCE may also cause liver cancer and non-Hodgkin lymphoma. Mechanistic analyses support a key role for mutagenicity in TCE-induced kidney carcinogenicity. Recent evidence from studies in both humans and experimental animals point to the involvement of TCE exposure in autoimmune disease and hypersensitivity. Recent avian and in vitro mechanistic studies provided biological plausibility that TCE plays a role in developmental cardiac toxicity, the subject of substantial debate due to mixed results from epidemiologic and rodent studies.

conclusionsTCE is carcinogenic to humans by all routes of exposure and poses a potential human health hazard for noncancer toxicity to the central nervous system, kidney, liver, immune system, male reproductive system, and the developing embryo/fetus.

Indexed as

AnimalsCarcinogenicity TestsCarcinogensHumansTrichloroethyleneCarcinogensTrichloroethylene

Identifiers

PMID23249866
PMCPMC3621199
OpenAlexW4210959301

What OpenQuestion holds

Textmetadata
LicenceCC0
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.