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The Activity and Safety of The Antimicrobial Agent: Bronopol (2.bromo.2.nitropropan.1, $-Diol)
The Activity and Safety of The Antimicrobial Agent: Bronopol (2.bromo.2.nitropropan.1, $-Diol)
29 3-24 (1978)
Synopsis
INTRODUCTION
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Activity
andsafety
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6 D.M. Bryce et al.
MICROBIOLOGY
AntibacterialActivity
The bacteriostaticactivity of Bronopolin comparisonwith that of a range of other
agentshasbeendeterminedby serialdilutionin 'Oxoid' nutrientagar (seeTablesI and
II). Plateswereinoculatedwith a multi-pointinoculator(13). The bacteriostaticactivity
againstsomepseudomonads, includingPs. aeruginosa,Ps.fluorescens
andpseudomonads
isolatedfrom paints,water,cosmetics and unpreserved pharmaceuticalformulationshas
been comparedusinga similartechnique.Of the antibacterialagentscomparedonly
Phenylmercuric Nitrate BP and Chlorhexidine AcetateBPChad similarbroad-spectrum
activityto that of Bronopol(TablesI andII). 2,4,4'-Trichloro-2'-hydroxydiphenylether
wasmoreactivethanBronopolagainstmostof the organisms tested,but thiscompound
wasmuchlessactiveagainstPs. aeruginosa. Of the agentstestedagainstpseudomonads
only Phenylmercuric Nitrate BP wasmore activethan Bronopol(seeTableIII).
Bronopol 23 5 18 0 0 0 0 0
Propyl HydroxybenzoateBP 23 0 0 0 0 0 0 23
Methyl HydroxybenzoateBP 23 0 0 0 0 0 0 23
PhenoxyethanolBPC 23 0 0 0 0 0 0 23
PhenylmercuricNitrate BP 23 19 2 2 0 0 0 0
PhenylethylAlcohol BPC 1963 23 0 0 0 0 0 0 23
Benzalkonium Chloride 23 0 0 0 0 0 19 4
Chlorocresol BP 23 0 0 0 0 0 23 0
Chlorbutol BP 23 0 0 0 0 0 0 23
Chlorhexidine Gluconate 23 0 0 3 20 0 0 0
Chlorhexidine Acetate BPC 23 0 4 18 1 0 0 0
6-Acetoxy-2,4-dimethyl-m-dioxane [1] 12 0 0 0 0 0 0 12
cis-isomerof 1-(3-chloroallyl)-3,5,7-triaza-
1-azonia-adamantanechloride [2] 12 0 0 0 0 5 3 4
Substitutedimidazolidinyl urea cpd. [3] 6 0 0 0 0 2 1 3
N-Trichloromethylthio-4-cyclohexene-l,2-
dicarboximide[4] 12 0 0 0 0 3 2 7
Zinc salt of 2-mereaptopyridine-l-oxide[5] 12 4 1 2 0 2 2 1
2,4,4'-Trichloro-2'-hydroxy-diphenyl ether [6] 6 0 0 0 0 0 0 6
Decrease (-fold) in
Additive bacteriostaticactivity*
10•o ox serum 0-2
50•o ox serum 4-8
10• human serum 2
50•o human serum 4
10• oxalatedhorseblood 4-8
50•o oxalatedhorseblood 32-64
10•o milk 0
1• polysorbate80 0
0.1Yolecithin 0
0.1•o cysteinehydrochloride 16-64
0'1•o sodiumthioglycollate 8-16
0'1•o sodiumthiosulphate 4-16
0.01% sodiummetabisulphite 8-16
* 2-fold serial dilution.
Using the filter paper strip technique(17) with Staphylococcusaureusas the test
organism,it has been shownthat there was no inhibition of the activity of Bronopol
by CetrimideBP, DomiphenBromideBP, BenzalkoniumChlorideBPC or trichloro-
carbanilide.
Furtherwork has confirmedthe reportby Croshawet al. (3) that thereis no evidence
of the developmentof Bronopol-resistant organismsafter passagein the presenceof
Bronopolfor 20 subcultures.In practiceBronopol-resistant
organisms havenot occurred.
Someinsightinto the modeof actionof Bronopolhasbeenobtained.SinceBronopol
is moreactiveagainstmetabolisingcellsthan restingcellsand its antibacterialactivityis
reversedby thiol-containingcompounds(3), thiol-containingenzymeswould appear to
be implicated.Bronopolforms disulphidebonds from thiol groupsand thesemay
accountfor the observedinhibitionof dehydrogenase activityby the compoundat con-
centrationsapproximatingthe minimuminhibitoryvaluefor eachorganism.Inhibition
of microbial membrane-bounddehydrogenaseenzymesmay causealterationsin mem-
branestructureand accountfor the cell leakageobservedon Bronopoltreatment(16).
Thus thiol-containingenzymesare involvedin the mode of action of Bronopolagainst
bacteria.The selectivityof the compoundfor micro-organisms,
indicatedby its very low
mammaliantoxicity, may be due in part to the rapid metabolismof Bronopolby the
body tissues.
g.l.c. (internal
standardmethod) g.l.c. (normalisationmethod)
weeks,
at 20 to 25øC
(a) at normal RH 99.5 99.6 0.43
(b) at 90•o RH 100.3 99.6 0.41
at 37øC 99.9 99.6 0.39
at 45øC 99.7 99.6 0.39
in north window 100.4 99.6 0.43
weeks
at 20 to 25øC
(a) at normal RH 99.7 99.6 0.40
(b) at 90•o RH 99.9 99.6 0.39
at 37øC 100.0 99.6 0.41
at 45øC 99.4 99.6 0.41
in north window 100.1 99.6 0.44
12 weeks
at 20 to 25øC
(a) at normal RH 99.8 99.5 0.49
(b) at 90•o RH 100-1 99.6 0.41
at 37øC 100.2 99.5 0.46
at 45øC 99.6 99.6 0.44
in north window 99.8 99.6 0.44
52 weeks
at 20 to 25øC
(a) at normal RH 100.2 99.5 0.50
(b) at 90•o RH 99-2 99-5 0.47
at 37øC 100.3 99.5 0.46
at 45øC 100-3 99.5 0.46
in north window 99.3 99.4 0.51
RH =relative humidity.
Rx(rel)--relative retention time.
Activity and safetyof Bronopol
Stabilityin AqueousSolution
Bryceand Smart(14) have shownthat aqueoussolutionsof Bronopolare reasonably
stablewhenacid.To investigate
the stabilityof the compoundin moredetail,aqueous
solutionsof Bronopol(0.2• w/v) werepreparedat pH 4 and6 (McIlvainebuffer)and
pH 8 (phosphate buffer).Thesolution
at pH 4 wasstoredin thedarkat 50øC,the solu-
tion at pH 8 at 30øC,andthe solutionat pH 6 at 30, 40 and 50øC.At appropriatetime
intervalsaliquotswereremovedandexaminedmicrobiologically, polarographically,gas-
chromatographically and for bromideion, nitrateion, nitriteion and formaldehyde.
Aqueoussolutionsof Bronopol(10• w/v) at aboutpH 6 were storedat temperatures
rangingfrom 40 to 100øC,the pH beingmaintainedby the additionof 5N sodium
hydroxide.Aliquotswereremovedandexaminedby thin-layerchromatography (t.l.c.)
and bioautography.
Attemptsweremadeto isolatethe decomposition productsfrom
partiallydecomposed
solutionsby preparativelayerand Sephadexcolumnchromato-
graphy.
The decomposition of Bronopolwasfoundto be acceleratedby increasing the pH
or thetemperature of thesolution.
Theseeffectsareshowngraphically in Figs.I and2;
usinga factorof approximately4 astheincrease
or decrease
in therateof decomposition
per 10øCtemperature change,thetimesfor 50• decomposition extrapolated to 20øC,
and basedon the g.l.c. assayresults,are as shownbelow:
Theinitialprocessin thedecomposition
of Bronopolappears to bea retroaldol
reaction
with theliberationof formaldehyde
andthe formationof bromonitroethanol'
NO• NO,
I I
HOCH•-- C -- CH•OH•CH• + HOCH•-- CH
I I
Br Br
10 D.M. Bryceet al.
I00 PH
4(m•rob•ologi•al
assay._..•)
IO[
PH
•(G
LC)•og,½al assoy)
I 2 5 4 5 6 7 8 9 I0
Time of storoge(weeks)
100
8O
2O
10
II 2
•ß 5.I .-'•--•_
I 5I•500C
4
(G/C)
6
• I
7 8
I
9
I
I0
Time of storage(weeks)
Bromonitroethanol
itself
isconsiderably
less
stable
thanBronopol
andintherangeof
conditions
investigated
themaximal
concentrations
didnotexceed
0'5•o
oftheinitial
Bronopolconcentrations.
Simultaneously
asecond-order
reaction
involving
Bronopol
and
formaldehyde
occurs
togive2-hydroxymethyl-2-nitro-
1,3-propanediol:
NO•
I H20 iH•
OH
HOCH2•C CH'•OH+
CH•O
• HOCH•C CH•OH
+HBr
I
Br
I
NO•
2_hydroxymethyl-2-nitro-l,3-propanediol
hasbeen
isolated
frompartially
decomposeu
10•ow/vsolutions
ofBronopol
bypreparative
layer
andSephadexcolumnchromato-
graphy.
Then.m.r.
andi.r.spectra
and
theelemental
analysis
support
theproposed
structure.
2_Hydroxymethyl-2-nitro-l,3-propanediol
itself
decomposeswiththeloss
of
formaldehyde.
This
reaction
isrelatively
slow,
however,
sothatafter
2-3Bronopol
half
lives
this
compound
accounts
for8-10•o
oftheorganic
material,
asshownbythethin
layerchromatogram
(Fig.3).
Solvent front
Bromonitroethanol
0 0 0 O 0 o o
OOoooooo Bronopol
o o o 0 0 0 o o
o o 0 0 0 0 o ø o
2-hy droxymet
hyl-2 -nitro-
oo oo000o0 1,3-propanediol
o o o o o 0 o o o
o o • o o---o 0 0 CL Origin
Timeof storageof solution
(min)
Figure
3.Thin-layer
chromatogram
ofBronopol
aqueous
solutions
(initially
10•ow/v)
storedat 100ø andmaintained
at pH 6
Inmore
dilute
solutions
thesecond
order
reaction
willbeless
important
andtheloss
ofbromine
follows
first
order
kinetics,
therate
ofloss
beingaboutone-half
oftheoverall
rateof decomposition
of Bronopol.
12 D.M. Bryce et al.
Analytical Methods
The methods described in this section have been used to obtain the results recorded in the
precedingsections,and to assayBronopolin the typesof formulationsin which it is
likely to be incorporated.
Pure Bronopolhasbeenassayed by the determinationof its brominecontent,by the
determinationof its nitrogencontentand by g.l.c.of the acetylatedand of the trimethyl-
silylated material, the methods using g.l.c. being the most specific.In formulations,
Bronopol has been estimatedby t.l.c., by a polarographicprocedure, by a micro-
biologicalprocedureand by g.l.c. The procedureby t.l.c. hasbeenappliedto ointments
(at a concentration of 0.1Yo),to barriercreams(at concentrations of 0.1 and 0'2Yo)and
to aerosolconcentrates (at a concentrationof 0.05•o). G.l.c. hasbeenappliedto aqueous
formulations(at concentrations of from 5 to 50 ppm). The polarographic procedurehas
been appliedto ointments,suppositories, creamsand gels(all at a concentrationof
0'2•o) and hasalsobeenusedto estimateBronopolin bufferedaqueoussolutionsand
in blood serum.The microbiological procedurehas beenappliedto creams,including
barrier creams(at concentrationsof 0.1 and 0'2•o), to liquid shampoosand also to
bufferedaqueoussolutions. The polarographic methodestimates thealkylnitrogroupand
therefore,althoughan acceptableprocedurefor freshly-prepared formulations,is not
Activityandsafetyof Bronopol 13
Solvent front
Bromonitroethanol
t• O O O o o o o
Bronopol
Origin
0 2 4 6 8 I0 16 20 25 30
MicrobioloicalAssay.Bronopolcan be assayedmicrobiologically
by agardiffusionusing
Ps. aeruginosa
in agar of the followingcomposition:
% w/v
Dextrose 0.1
Lemco beef extract 0.15
Difco yeastextract 0.•3
Sodium chloride 0.5
Difco casitone 0.08
Magnesiumsulphate(7H•O) 0.004
Oxoid peptone 0.6
Davis agar 1.8
Distilled water to 100, pH adjustedto 5.3.
AlternativelyDifco AssayAgar No. 11 (pH 7.9) with BacillussubtillsNCIB 8054canbe
used.The minimumdetectable levelof Bronopolin waterwith Bacillussubtilisis0'005•o.
A rapid diffusionmethodusingBacillusstearothermophilushasbeendescribed by Kabay
(18).
Determinationof Nitrite and Nitrate. Nitrite and nitrate were determinedby reaction
with 2,6-xylenol before and after decompositionof nitrite with sulphamicacid. This
methodwas not usedafter the preliminarywork as the resultswere in good agreement
with the polarographicestimationof alkyl nitro-groups.
TOXICOLOGY
Metabolism
Acute Toxicity
Bronopoladministeredin singledosesby the oral and intraperitonealroutesto rodents
causedgastrointestinallesionsand peritonitis.The LD50 valuesare shownin Table VII.
A small number of rats were injectedsubcutaneously with Bronopol and thosethat died
hadhaemorrhage andoedemaat the siteof injection,stomachlesionsandlungcongestion
and oedema.The LD50 wasapproximately200 mg/kg.After dermalapplicationto rats
of acetonesolutionsof Bronopolusingthe procedureof Noakes and Sanderson(21),
death occurredat 160 mg/kg or more.
Oral administrationof singledosesof 40 or 100mg/kg to dogscausedgastricirrita-
ion but no permanentinjury.
No methaemoglobinaemia was observedin cats over a 24 h period following a
maximum singleoral doseof 25 mg/kg of Bronopol,whereasa marked rise in blood
methaemoglobin concentration followed20 mg/kgof acetanilide.
ChronicToxicity
In repeated-dose studies
theobservations andlaboratoryinvestigations
generally
included
signsof poisoning,body-weight,food consumption, haematology,bloodbiochemistry,
ophthalmoscopy, organweights,macroscopic appearanceat autopsyandhistopathology,
Gastrointestinallesions,respiratorydistress
and somedeathsresultedfrom dailyadmini-
strationof 80 or 160mg/kg of Bronopolby oral intubationto male and femalerats for
90 dayswhereasdosesof 20 mg/kgwerewell tolerated.When Bronopolwasgivenin the
drinkingwater, rats maintainedon 160 mg/kg/dayfor six weekshad a reducedwater
intake and slightlyenlargedkidneyswhile amongthosegiventhe highestdoselevelof
300mg/kg/daya few deathsoccurred.In dogsgivena maximumdaily doseof 20 mg/kg
by oralintubationfor 90 days,apartfrom somevomiting,therewereno significant toxic
reactions.
Aqueous2'5•o methyl cellulosesolutionscontaining0.2 or 0'5•o Bronopolwere
appliedoncedailyat a dosageof 1 ml/kg for 3 weeksto the clippedand abradeddorsal
skin of rabbits.The vehiclealone and the 0.2• Bronopolsolutionelicitedlocal skin
erythemaand the 0.5•o Bronopolsolutionproducedmoderateerythema,oedemaand
scabbing,otherwisethe rabbitsshowedno ill-effectsclearlyattributableto treatment.
Activity and safetyof Bronopol 17
i.p. =intraperitoneal.
Carcinogenicity
A carcinogenicitystudywas carried out in mice by applicationof 0.3 ml of aqueous-
acetonesolutionscontaining0.2 or 0'5•o Bronopol to the shavedbacks three times
weekly for 80 weeks.The concentrationswere selectedafter a preliminary tolerance
studyshowedthat 1• or moreevokeda local skinreaction.Bronopoldid not alter the
spontaneous turnourprofileeitherlocallyor systemically.
A 2-yeartoxicityand tumorogenicity test,in whichratsreceived10, 40 or 160mg/kg
daily in the drinkingwater, providedno evidenceto suggestthat the administrationof
Bronopolaffectedtumourincidence. Therewasno indicationof toxicityat 10mg/kg/day,
whereasthe higherdoselevelsadverselyaffectedgrowth,food intake and survivalrate.
Renal changesassociated with diminishedwater intake, histologicalreactionsin stomach
andgastriclymphnodesprobablydueto irritancyfromprolonged exposure to Bronopol,
and an exacerbation
of spontaneous
morphological alterationsin the salivaryglandwere
also observedat the higher doselevelsin a dose-relatedmanner.
ReproductionStudies
The effectof Bronopolon reproductionwasinvestigatedin rats and rabbits.In rats
dosedfrom day 1 to 20 of pregnancywith 10, 30 or 100 mg/kg daily by oral intubation,
no embryotoxicor teratogeniceffectswereseeneventhoughthe damshad a dose-related
retardationin bodyweightgain and somedied from gastricand lung lesions.A slight
delayin calcificationof the foetalskeletonwasobservedat the highestdoselevel.Daily
application to theclippeddorsalskinof ratsof 0.5 or 2•o aqueoussolutions of Bronopol
thickenedwith 2'5•o methylcellulose in a doseof 1 ml/kg from day 6 to 15 of pregnancy
had no adverseeffectson the damsor foetusesapart from causinglocal skinreactionsat
the site of application.
Oral administrationof 1, 3.3 or 10 mg/kgdaily to rabbitsfrom day 8 to 16 of preg-
nancyalsofailed to produceembryotoxicor teratogeniceffectsthoughthe highestdose
level suppressed weightgainby the doesduringthe dosingperiod.
Bronopol,20 or 40 mg/kgdaily, givenorally to rats from day 15 of gestationand
throughout lactation did not affect parturition, litter size or postnatal survival and
developmentof the young.Fertility and generalreproductiveperformanceof rats were
unimpairedby thesedoselevelsgivento malesfrom 63 daysbeforematingand females
from 14 daysbeforematingup to day 12 of pregnancyor until the litterswere weaned
18 D. M. Bryceet al.
Mutagenicity
Bronopol did not exhibit mutagenicactivity under in vitro or in vivo conditions.It was
tested using Salmonellatyphimuriumin the 'Ames' systemand in the host-mediated
assayin mice; in a dominantlethal assayin mice, the only noteworthyfindingwas anti-
fertility arisingfrom toxicityrather than dominantlethality.
Bronopol Positive
Base concentration• skin response Degree of reaction
Soft
Paraffin 0 0/10 --
0.5 0/10 --
1 2/10 both slight erythema
2 4/10 all moderateerythema
Aqueous 0 0/10 --
buffer 0.50 0/10 --
pH 5.5 0.1 0/10 --
0.25 1/10 slight erythema
secondday which had faded by the fourth day, and one a moderateerythemaon the
secondday; this patient did not return for the secondexamination.
Marzulli and Maibach (23, 24) have studiedthe contactsensitisation in man of a
number of commonlyused biocides; and have concludedthat, under the conditionsof
a closedpatchtest,Bronopolin yellowsoftparaffinwas a potentialsensitizer.The chal-
lengeconcentrationin thesestudieswas 2'5•o which accordingto theseauthorswas a
non-irritantconcentration.However,the studiesreportedaboveare not consistentwith
thisview.The patchtestscarriedout by Marzulli and Maibachshoweda dose-response
relationship,and sincethe responsedecreased very rapidly to zero at an inductioncon-
centration of 2•o which is considerablygreater than that used in formulations, the
authorsinferredthat Bronopolmay be safelyusedin cosmeticformulations.In a further
study,Maibach (25), has confirmedthat Bronopolwas a direct irritant to human skin
at concentrations greaterthan 15/ounder theseconditions.A subsequentsensitisation
testincluded93 normalsubjects who wereinducedwith 10 applicationsof 5•o Bronopol
in yellowsoftparaffinunderan occlusivedressingover a period of 3 weeks.After a rest
periodof 2 weeksthe subjects werechallenged at 0'25•o Bronopolin yellowsoftparaffin
at a different site. No evidence of contact sensitisation was observed.
FORMULATION STUDIES
Table IX. Antibacterial activity of medicated cream formulations on human skin. Viable
organisms(per ml) from subjects(A-H) after contacttime of 30 min
Subjects
Cream A B C D E F G H
+ = uncountable numbers.
Activity and safetyof Bronopol 21
AlcoholicDeodorantSpray
An experimentalalcoholic deodorant spray formulation containing 0.12• w/w
Bronopolwasfound to be stableafter one-year'sstorageat room temperatureand 37ø
in a lacqueredtinplatecan, and showeda broad spectrumof antibacterialactivity.
Compositionof the spraywas as follows:
•o w/v
Diethyl PhthalateBPC 0.330 (v/v)
Propyleneglycol 0.167
DenaturedethanolB grade 750P 29.320
Perfume 0.083
Bronopol 0.100
Propellant11/12 (1: 1)to 100
Sample1 Sample2
Test organism (containingBronopol (containing
initially at 0.12•o w/w) no Bronopol)
Temperatureof storage Room temperature 37ø 37ø
$taph. aureus8452 29 30 13
$taph. aureusFDA 35 35 13
Staph. albusNCTC 7944 28 29 13
Esch. coli NCTC 5934 26 26 13
ProteusvulgarisNCTC 4635 26 26 13
Ps. aeruginosa10S 28 28 13
Candida albicans 239 13 13 13
Table XI. Antibacterial activity of Bronopol and chlorhexidinein a hygienespray formulation after
3 monthsstorageat room temperatureand 37øC
CONCLUSIONS
ACKNOWLEDGMENTS
The authors wish to acknowledgethe assistanceof the following staff of The Boots
CompanyLimitedin the productionof the data included:Dr D. F. Spooner(micro-
biology);Mr E. L. Crampton(chemistry);Mr D. A. Elvidge,the late Mr C. Vickers,and
Mr J. S Wragg (analysis);Dr P. C. Risdalland Miss M. M. Sutton(toxicology);and
Mr K. G. Jacksonand Dr D. P. Stokes(formulation).
In addition, the authorswish to thank Dr C. D. Calnan, Institute of Dermatology,
University of London; and ProfessorH. I. Maibach, Department of Dermatology,
Universityof Californiafor their help in the completionof the humanskin studies.
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