Evidence map›Paper›PMID 39888425›Full record

Trial reportArchives of toxicology2025

Tat_BioV: tattoo ink exposure and biokinetics of selected tracers in a short-term clinical study of 24 subjects.

Susanne Kochs, Sandra Schiewe, Milena Foerster, Kathrin Hillmann, Claudia Blankenstein, Martina C Meinke, Josephine Kugler, David Kocovic, Andreas Luch, Ulrike Blume-Peytavi and 1 more

Abstract readClinical Trial
In one paragraph

Trial report in Archives of toxicology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Review
  2. Article
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

11 authors.

Susanne KochsDepartment of Chemical and Product Safety, German Federal Institute for Risk Assessment (BfR), Berlin, Germany.ORCID 0000-0001-5363-8436
Sandra SchieweDepartment of Chemical and Product Safety, German Federal Institute for Risk Assessment (BfR), Berlin, Germany.
Milena FoersterInternational Agency for Research On Cancer (IARC), Environment and Lifestyle Epidemiology Branch, Lyon, France.ORCID 0000-0003-3912-1718
Kathrin HillmannDepartment of Dermatology, Venereology and Allergology, Clinical Research Center for Hair and Skin Science, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität Zu Berlin, Berlin, Germany.ORCID 0000-0001-7251-5351
Claudia BlankensteinDepartment of Dermatology, Venereology and Allergology, Clinical Research Center for Hair and Skin Science, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität Zu Berlin, Berlin, Germany.ORCID 0000-0002-2893-090X
Martina C MeinkeDepartment of Dermatology, Venereology and Allergology, Center of Experimental and Applied Cutaneous Physiology, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität Zu Berlin, Berlin, Germany.ORCID 0000-0002-3937-9906
Josephine KuglerDepartment of Chemical and Product Safety, German Federal Institute for Risk Assessment (BfR), Berlin, Germany.ORCID 0000-0001-9138-7551
David KocovicCenter for Inspection Supervision and Market Control, Institute for Medicines and Medical Devices of Montenegro, Podgorica, Montenegro.
Andreas LuchDepartment of Chemical and Product Safety, German Federal Institute for Risk Assessment (BfR), Berlin, Germany.ORCID 0000-0002-5866-901X
Ulrike Blume-PeytaviDepartment of Dermatology, Venereology and Allergology, Clinical Research Center for Hair and Skin Science, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität Zu Berlin, Berlin, Germany.ORCID 0000-0003-3528-3752
Ines SchreiverDepartment of Chemical and Product Safety, German Federal Institute for Risk Assessment (BfR), Berlin, Germany. Ines.Schreiver@bfr.bund.de.ORCID 0000-0001-9313-7193

Funding

Bundesinstitut für Risikobewertung 1322-808Bundesinstitut für Risikobewertung 1323-103Bundesinstitut für Risikobewertung 60-0102-02.P600World Health Organization 001
6 · The paper itself

Abstract

About one-fifth of people in industrialised countries are tattooed, potentially putting them at risk of exposure to possible carcinogenic or otherwise harmful substances. This study aims to determine the exposure to soluble tattoo ink ingredients and their excretion within 24 h after tattooing. In this clinical study, 24 subjects were tattooed with black or red tattoo ink to which the 3 tracer substances, potassium iodide, 4-aminobenzoic acid (PABA) and 2-phenoxyethanol (PEtOH), had been added to mimic known substances found in tattoo inks. Tracers and their metabolites were quantified in blood, urine, ink and consumables pre- and post-tattooing. Tattooed skin area was determined using picture analysis. PABA metabolism upon tattooing was compared to peroral administration. Skin fibroblasts and macrophages were tested in vitro for their ability to metabolise PABA. All tracers or their metabolites were identified in urine; iodide and the PABA metabolite 4-acetamidobenzoic acid (ACD) were identified in plasma. The worst-case scenario for systemic ink exposure was estimated to be 0.31 g ink per tattoo session (75th percentile). Peroral administration resulted in lower levels of ACD than tattooing. Fibroblasts and macrophages were capable of converting PABA into ACD. Our results are the first human in vivo data on soluble tattoo ink ingredients and suggest that the overall exposure might be lower than the estimates previously used for regulatory purposes. In addition, the first-pass effect by skin metabolism leads to an altered metabolite profile compared to oral exposure. Skin metabolism might also contribute to detoxification of certain carcinogenic substances through N-acetylation.

Indexed as

Coloring AgentsInkTattooing4-Aminobenzoic AcidAdultEthylene GlycolsFemaleHumansMalePotassium Iodide4-Aminobenzoic AcidColoring AgentsEthylene GlycolsphenoxyethanolPotassium IodideClinical studyEnvironmental exposureMass spectrometryMetabolismSkinTattooing

Identifiers

PMID39888425
PMCPMC11968518

What OpenQuestion holds

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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.