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In A Nutshell
- Inhaling common disinfectant chemicals was roughly 100 times more lethal to mice than swallowing them.
- Male mice were far more vulnerable than females. Only 17% of males survived a test dose of BAC that every female mouse survived.
- DDAC, a disinfectant ingredient found in many sprays, was about twice as lethal as BAC when inhaled at identical doses.
- Blood levels of these chemicals in exposed mice overlapped with concentrations already detected in human blood and breast milk, pointing to inhalation as a possible route of exposure.
Spray a little disinfectant on a kitchen counter, breathe in the mist, and think nothing of it. Millions of Americans do exactly that every day. But a new study suggests those chemicals may be more harmful when inhaled than previously assumed, and it puts fresh pressure on safety assumptions about products that became household staples during the COVID-19 pandemic.
Researchers at the University of California, Davis, found that two of the most widely used disinfectant chemicals, benzalkonium chloride (BAC) and didecyl dimethylammonium chloride (DDAC), were roughly 100 times more lethal to mice when inhaled than when swallowed.
Both belong to a family of compounds called quaternary ammonium compounds, or QACs, which show up in spray cleaners, disinfectant wipes, eye drops, nasal sprays, mouthwash, dryer sheets, and fabric softeners. EPA classifies them as high-production-volume chemicals, meaning more than a million pounds are produced or imported in the United States each year.
What gives the results added weight is an unsettling parallel between mouse and human biology. Mice exposed to doses that injured their lungs had blood QAC levels that closely overlapped with concentrations already detected in human blood and breast milk. That overlap raises a pointed question. Could breathing in disinfectant sprays help explain why these chemicals are already circulating inside people’s bodies?
Why Breathing in Disinfectant Sprays May Be Riskier Than Swallowing Them
For decades, scientists assumed QACs were largely harmless in small amounts because they barely penetrate the gut or skin. Less than 10 percent of swallowed QACs ever reached the bloodstream, and skin absorption was even lower. Yet QACs had already been detected in human blood and breast milk at higher levels than those routes could explain, leaving researchers without a satisfying answer.
To investigate, the UC Davis team exposed mice to BAC and DDAC through a controlled process that delivered a precisely measured liquid dose of each chemical directly into the airways, designed to model what happens when someone inhales a disinfectant spray. Comparing those results to existing data on oral dosing revealed a wide gap: the inhaled doses that killed half the test animals were roughly 100 times smaller than the swallowed doses required to produce the same outcome. Put another way, the lungs absorb these chemicals far more efficiently than the gut, and the body pays a far steeper price.
Lung injury told the same story. Prior research found that swallowed BAC caused significant lung damage only at very high doses. In this study, published in Environmental Science & Technology, inhaled BAC caused significant lung injury at far lower doses. The lungs are not just a more efficient route into the bloodstream, they absorb the brunt of the damage directly.
Men May Face Greater Risk From Disinfectant Spray Exposure
A clear sex difference also emerged in how the animals responded. Male mice died at lower doses of both chemicals than females. At a single test dose, every female mouse survived BAC exposure while only 17 percent of males did. For DDAC, 43 percent of females survived while none of the males did.
Researchers attribute part of this gap to how quickly each sex clears the chemicals from the lungs. Ten minutes after exposure, females had roughly 10 times more BAC in their blood than males given the same dose, suggesting the chemical moved out of their lungs faster. When QACs stay trapped in lung tissue rather than clearing to the blood, they appear to cause greater direct damage. Prior research has shown that human females also tend to clear fluid from the lungs faster than males, raising the possibility that this sex-based vulnerability may not be limited to mice.
Not All Disinfectant Sprays Are Equally Dangerous
DDAC and BAC are both QACs, but DDAC was consistently the more dangerous of the two. At identical doses, DDAC killed roughly twice as many mice as BAC and triggered significantly more lung inflammation. Four hours after exposure, DDAC-treated mice showed a significant spike in overall cellular infiltration and a roughly 200-fold surge in neutrophils, key immune cells that signal acute injury, compared to untreated animals. BAC-treated mice showed no significant increase in either measure at the same dose. Researchers suggest the difference comes down to how fast each chemical clears the lungs. BAC appears to move into the bloodstream relatively quickly, while DDAC lingers, giving it more time to cause damage at the source.
What These Findings Could Mean for Human Health
QAC use surged during the COVID-19 pandemic, with indoor air concentrations rising across American homes and workplaces. Nurses and other healthcare workers who regularly handle QAC-based disinfectants have been shown in prior studies to face elevated risks of asthma and chronic obstructive pulmonary disease. One large study of female nurses found a 33 percent higher risk of COPD among those exposed to disinfectant sprays compared to those who were not. The mouse data provide a biological basis for those patterns. Airborne exposure at doses that injure the lungs may be far more harmful than the field previously recognized.
If the lungs are a far more efficient entry point than the gut or skin, routine exposure to disinfectant sprays could be contributing to a gradual buildup of these chemicals in the body in ways other routes simply cannot match. Researchers also note that blood levels likely underestimate how much of these chemicals accumulate in lung tissue, and suggest those concentrations could be high enough to interfere with how cells produce energy, though this remains an area for further study.
Spray disinfectants have long been treated as safe enough for anyone who reads the label and follows the directions. Mouse studies cannot settle that question for humans, but this study indicates that the route of exposure, not just the dose, may matter far more than current safety standards assume.
Disclaimer: This article is based on findings from a mouse study and should not be interpreted as establishing specific risk levels for humans. Animal research does not always translate directly to human physiology, and real-world exposure conditions differ from those used in a laboratory setting. Consult a qualified healthcare professional for guidance on concerns related to chemical exposure.
Paper Notes
Limitations
This study was conducted entirely in mice using a single acute exposure, not the chronic, repeated exposure that characterizes real-world human use of disinfectants. Researchers note that differences in absorption, metabolism, and timing make direct comparisons between mouse blood QAC levels and human blood levels difficult to draw with confidence. Blood QAC measurements were taken only at 10 and 60 minutes post-exposure; additional time points would be needed to fully characterize how quickly these chemicals clear from the body. Group sizes were relatively small, ranging from 4 to 15 animals per group. Whether the sex differences observed in mice translate to humans requires further investigation.
Funding and Disclosures
This research was funded by the National Institutes of Health through grants R21ES033089 and 2P30ES023513. Authors declare no competing financial interests.
Publication Details
Lauren Adcock, Claire B. Montgomery, Sepehr Barkhordari, Sandipan Datta, Laura Van Winkle, Ryan Seguin, Libin Xu, Kyoungmi Kim, and Gino Cortopassi. “Differential and Sex-Specific Toxicity of Aspirated Quaternary Ammonium Compounds.” Environmental Science & Technology (2026). DOI: https://doi.org/10.1021/acs.est.5c13204. All primary authors are affiliated with the University of California, Davis.







