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A Comprehensive Safety Assessment of Algae Protein from Picochlorum for Human Consumption. 人类食用Picochlorum藻类蛋白的安全性综合评价。
IF 3 4区 医学 Q1 MEDICINE, LEGAL Pub Date : 2024-11-28 DOI: 10.1016/j.yrtph.2024.105753
Tomal Dattaroy, Manish R Shukla

The current trend happens to be that consumers are seeking nourishing, high quality sustainable protein sources to meet their nutritional needs, thus establishing a clear intent to broaden their protein horizon. Microalgae protein holds great promise in becoming the next vegan protein option. In the present study, protein extracted from the microalga Picochlorum maculatum has been thoroughly evaluated for its safety for human consumption through a battery of in-vivo and in-vitro tests. Bacterial reverse mutation assay indicates that the test substance is non-mutagenic and studies comprising of in-vitro chromosomal aberration test and the in-vivo mammalian micronucleus test showed that the test item is non-clastogenic, and therefore, lacks genotoxicity. Based the results of an acute oral toxicity study, the test item can be classified as "Category 5" as designated in a globally harmonized system for classification of chemicals. Further, 28-day and 90-day repeated dose oral toxicity studies did not result in any mortality or morbidity throughout the experimental period; none of the animal groups used in the study showed any abnormal clinical signs, establishing a "No Observed Adverse Effect Level" of Algae Protein Powder at 3000 mg kg bw-1. Moreover, the test item exhibited a positive impact on growth in test animals. Computational studies established extremely low allergenic potential of the test item.

目前的趋势是,消费者正在寻求营养丰富、高质量的可持续蛋白质来源,以满足他们的营养需求,从而建立了一个明确的意图,以扩大他们的蛋白质视野。微藻蛋白有望成为下一个纯素蛋白的选择。在本研究中,通过一系列体内和体外试验,对从微藻Picochlorum maculatum中提取的蛋白质进行了全面的安全性评估,以供人类食用。细菌反突变试验表明该试验物质不具有诱变性,体外染色体畸变试验和哺乳动物体内微核试验研究表明该试验项目不具有致裂性,因此不具有遗传毒性。根据急性口服毒性研究的结果,该测试项目可根据全球统一的化学品分类系统归类为“第5类”。此外,28天和90天的重复剂量口服毒性研究在整个实验期间没有导致任何死亡率或发病率;本研究使用的动物组均未出现任何异常临床症状,建立了3000 mg kg bw-1的藻类蛋白粉“未观察到不良反应水平”。此外,测试项目对实验动物的生长表现出积极的影响。计算研究证实该测试项目极低的致敏潜力。
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引用次数: 0
Considerations and derivations of permitted daily exposure limits for impurities from intravitreal pharmaceutical products 考虑并推导出玻璃体内药物杂质的每日允许接触限值。
IF 3 4区 医学 Q1 MEDICINE, LEGAL Pub Date : 2024-11-22 DOI: 10.1016/j.yrtph.2024.105745
Yi Yu Rice , David G. Dolan , Suren B. Bandara , Ryan E. Morgan , Michael Garry , Joyce Tsuji
Intravitreal (IVT) injection is an uncommon route of parenteral administration for therapeutic medications, but one of the most important for the treatment of ocular diseases, especially those related to macular degeneration. Nonetheless, there are currently no regulatory guidelines that specifically address how to establish a permitted daily exposure (PDE) for impurities and residual process reagents in IVT pharmaceutical drug products given the unique vulnerability of ocular tissues. The establishment of PDEs for IVT administration is complicated by the limited understanding of metabolism and clearance of small molecular weight chemicals from the human vitreous humor (VH), a problem compounded by the limited IVT-specific toxicological data. In this paper, we describe a feasible and comprehensive methodology for deriving PDE limits for impurities and residual process reagents from IVT drug products, as exemplified by five case studies, including inorganic elements, formic acid, polyethylene glycols, acetic acid, and caprolactam. The five case studies were selected to cover compounds with a wide range of impurity sources and toxicological data availability. The proposed framework considers both local ocular and systemic toxicity endpoints and advances the goal of a harmonized, science-based approach for deriving IVT PDE limits.
玻璃体内注射(IVT)是一种不常见的非肠道给药途径,但却是治疗眼部疾病(尤其是与黄斑变性有关的疾病)最重要的途径之一。然而,鉴于眼部组织的特殊脆弱性,目前还没有专门针对如何确定静脉注射药物产品中杂质和残留工艺试剂的允许日暴露量(PDE)的监管指南。由于对人类玻璃体液(VH)中小分子量化学物质的代谢和清除了解有限,制定静脉注射用药的 PDE 变得更加复杂,而静脉注射用药的特定毒理学数据有限又加剧了这一问题。在本文中,我们介绍了一种可行且全面的方法,用于推导静脉注射药物产品中杂质和残留工艺试剂的 PDE 限值,并通过无机元素、甲酸、聚乙二醇、乙酸和己内酰胺等五个案例研究加以说明。选择这五个案例研究是为了涵盖杂质来源和毒理学数据可用性范围广泛的化合物。建议的框架同时考虑了局部眼部和全身毒性终点,并推进了以科学为基础的统一方法推导 IVT PDE 限值的目标。
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引用次数: 0
Carcinogenicity assessment of inotersen in Tg.rasH2 mice and Sprague-Dawley rats: Implications for 2′-MOE antisense oligonucleotides Inotersen 在 Tg.rasH2 小鼠和 Sprague-Dawley 大鼠中的致癌性评估:2'-MOE反义寡核苷酸的意义。
IF 3 4区 医学 Q1 MEDICINE, LEGAL Pub Date : 2024-11-22 DOI: 10.1016/j.yrtph.2024.105743
Tae-Won Kim , Chris N. Papagiannis , Laura S. Zwick , Paul Snyder , Jeffery A. Engelhardt , Rosie Z. Yu , Christine M. Hoffmaster , Archit Rastogi , Scott P. Henry
Inotersen, a 2′-O-(2-methoxyethyl) modified antisense oligonucleotide (2′-MOE ASO), is approved for the treatment of hereditary transthyretin-mediated amyloidosis (hATTR). It underwent a comprehensive nonclinical safety evaluation, including safety pharmacology, repeat-dose toxicity, genotoxicity, reproductive and development toxicity, and carcinogenicity studies. Tumorigenic potential was assessed through dedicated carcinogenicity studies in transgenic rasH2 (Tg.rasH2) mice and Sprague Dawley (SD) rats. In the 26-week Tg.rasH2 mouse study, inotersen and a mouse-active surrogate (ISIS 401724) were administered as weekly subcutaneous (SC) doses up to 80 mg/kg and 30 mg/kg, respectively. Proinflammatory effects and ASO accumulation in the liver and kidney, both well-documented class effects, were observed; however, no treatment-related neoplasms were noted. Similarly, the mouse surrogate did not induce any treatment-related neoplasms. In the 2-year SD rat carcinogenicity study, inotersen was administered as weekly SC doses up to 6 mg/kg. The primary dose-limiting effect at doses ≥2 mg/kg/week was an increased incidence of chronic progressive nephropathy (CPN), which contributed to decreased survival at the 6 mg/kg/week dose level. Notably, no renal neoplasia was associated with the increased CPN. Increasing mononuclear cell infiltrates at the injection site were linked to an increased incidence of subcutaneous fibrosarcoma at doses ≥2 mg/kg/week. This inflammation-associated injection site tumor in rats administered inotersen has limited relevance for humans. Additionally, the long-term assessment of ASO effects in rats is somewhat limited due to the ASO exacerbation of CPN and its impact on survival. There was no evidence of genotoxicity in vitro or in vivo at limit doses. Collectively, these data support a conclusion that a single carcinogenicity assessment in the Tg.rasH2 mouse, along with data from chronic toxicology studies in the rodent and nonrodent, is sufficient to assess carcinogenic potential for this drug class.
Inotersen是一种2'-O-(2-甲氧基乙基)修饰的反义寡核苷酸(2'-MOE ASO),已被批准用于治疗遗传性经甲状腺素介导的淀粉样变性(hATTR)。该药物经过了全面的非临床安全性评估,包括安全性药理学、重复剂量毒性、遗传毒性、生殖和发育毒性以及致癌性研究。通过对转基因 rasH2(Tg.rasH2)小鼠和 Sprague Dawley(SD)大鼠进行专门的致癌性研究,对其致癌潜力进行了评估。在为期 26 周的 Tg.rasH2 小鼠研究中,inotersen 和小鼠活性替代物(ISIS 401724)的每周皮下注射(SC)剂量分别高达 80 毫克/千克和 30 毫克/千克。观察到了促炎效应以及 ASO 在肝脏和肾脏中的蓄积,这两种效应都是有据可查的一类效应;但是,没有发现与治疗相关的肿瘤。同样,小鼠代用品也没有诱发任何与治疗相关的肿瘤。在为期 2 年的 SD 大鼠致癌性研究中,伊诺替生的每周 SC 剂量最高为 6 毫克/千克。当剂量≥2 毫克/千克/周时,主要的剂量限制效应是慢性进行性肾病(CPN)的发病率增加,这导致了 6 毫克/千克/周剂量水平的存活率下降。值得注意的是,肾脏肿瘤与 CPN 的增加无关。注射部位单核细胞浸润的增加与剂量≥2 毫克/千克/周时皮下纤维肉瘤发病率的增加有关。大鼠注射伊诺特生后出现的注射部位炎症相关肿瘤与人类的相关性有限。此外,由于 ASO 会加重 CPN 及其对存活率的影响,因此对 ASO 对大鼠影响的长期评估具有一定的局限性。在极限剂量下,体外和体内均无遗传毒性证据。总之,这些数据支持这样一个结论,即在 Tg.rasH2 小鼠中进行一次致癌性评估,再加上在啮齿类动物和非啮齿类动物中进行的慢性毒理学研究数据,就足以评估这类药物的致癌性。
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引用次数: 0
Enhancing reliability of embryo-fetal developmental toxicity studies: A proposed design of replicate studies 提高胚胎-胎儿发育毒性研究的可靠性:拟议的重复研究设计
IF 3 4区 医学 Q1 MEDICINE, LEGAL Pub Date : 2024-11-20 DOI: 10.1016/j.yrtph.2024.105742
L. David Wise

Background

This report addresses the reliability of results from rat Embryo-Fetal Developmental Toxicity (EFDT) studies. Recent literature discusses the roles of reproducibility, replicability, and other influences on scientific reliability. Reproducibility is a re-analysis of the original data, while replicability addresses the same question with a separate study of some type. Concordance of rat and rabbit studies has been addressed previously, but replication of single-species EFDT studies was not found in the literature. A modest modification of the rat study is therefore proposed to assess replicability and possibly enhance reliability.

Methods

Regulatory guidelines were consulted and relevant literature was identified through online searches.

Results

Each replicate EFDT (r-EFDT) study in rats would consist of half the mated females of the definitive study. Studies would start at the same or different times in one testing facility. Separate shipments of animals (non-littermates) are required. All other procedures would be protocol-driven. The micro- and macro-environments of the animals would be held as constant as possible. Justification, design options, and interpretation methods are discussed.

Conclusion

Besides adding reliability, other benefits include reduced animal usage, and potentially reduced cost and time to final reports. By reducing the need for repeated studies due to questionable results, this modified study is viewed as a more efficient use of costly resources. The r-EFDT study design could easily be adapted to assess replicability of rabbit EFDT and some general toxicity studies. Future replicate studies are needed to critically evaluate replicability and the overall impact on study reliability.
背景:本报告探讨了大鼠胚胎-胎儿发育毒性(EFDT)研究结果的可靠性。最近的文献讨论了可重复性、可复制性以及对科学可靠性的其他影响因素的作用。可重复性是对原始数据的重新分析,而可复制性则是通过某种类型的单独研究来解决同一问题。以前曾讨论过大鼠和兔子研究的一致性,但在文献中没有发现单物种 EFDT 研究的可复制性。因此,建议对大鼠研究进行适度修改,以评估可重复性并可能提高可靠性:方法:参考监管指南,并通过在线搜索确定相关文献:在大鼠中进行的每项重复 EFDT(r-EFDT)研究将由最终研究中交配雌鼠的一半组成。研究将在同一试验设施的相同或不同时间开始。需要单独运送动物(非配对动物)。所有其他程序都将按规程进行。动物的微观和宏观环境将尽可能保持不变。结论:除了增加可靠性外,其他好处还包括减少动物用量,并有可能降低最终报告的成本和时间。由于减少了因结果可疑而进行重复研究的需要,这项修改后的研究被视为更有效地利用了昂贵的资源。r-EFDT研究设计可以很容易地用于评估兔EFDT和一些一般毒性研究的可重复性。今后需要进行重复研究,以严格评估可重复性以及对研究可靠性的总体影响。
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引用次数: 0
Target organ toxicity in Sprague Dawley rats following oral exposure to complex groundwater mixture: Assessment of dose-response relationships using histopathological and biochemical alterations 口服复合地下水混合物对 Sprague Dawley 大鼠靶器官的毒性:利用组织病理学和生化变化评估剂量-反应关系。
IF 3 4区 医学 Q1 MEDICINE, LEGAL Pub Date : 2024-11-19 DOI: 10.1016/j.yrtph.2024.105744
B. Boamah , S. Siciliano , N. Hogan , M. Hecker , M. Hanson , P. Campbell , R. Peters , A.N. Al-Dissi , L.P. Weber
Exposure to contaminant mixtures from industrial legacy sites presents unique challenges that require novel approaches such as effects-directed toxicity assessment. This study characterized the target organ toxicity of groundwater from a legacy contaminated pesticide plant in male and female Sprague Dawley rats exposed to low impact (10% v/v) groundwater, high impact (0.01% v/v, 0.1% v/v, 1% v/v, and 10% v/v) groundwater or tap water (control) for 60 days. Rats exposed to high impact (1% and 10%) and 10% low impact groundwater mixture showed statistically significant increases in liver necro-inflammation relative to control. A statistically significant reduction was observed in plasma albumin of exposed rats (except 0.01% high impact) and alpha 2 macroglobulin (all exposed) when compared to the control. All groundwater-exposed rats showed glomerulopathy, but there were sex-specific differences in acute tubular necrosis. Testes showed germinal cell vacuolation, necrosis, reduced seminiferous epithelial height, and Sertoli syndrome in exposed rats, accompanied by reduced plasma testosterone and increased testicular malondialdehyde. Taken together, this sub-chronic oral exposure to groundwater from a contaminated industrial site caused dose-dependent hepatic and testicular toxicity, while nephrotoxicity was both sex-dependent and dose-dependent. This study provides support for the essentiality of using effects-driven approaches in the risk assessment of complex mixtures.
暴露于工业遗留场地的污染物混合物带来了独特的挑战,需要采用新的方法,如效应导向毒性评估。这项研究描述了受遗留农药厂污染的地下水对雄性和雌性 Sprague Dawley 大鼠靶器官的毒性,这些大鼠分别接触了低影响(10% v/v)、高影响(0.01% v/v、0.1% v/v、1% v/v 和 10% v/v)地下水或自来水(对照组)60 天。与对照组相比,接触高浓度(1% 和 10%)和 10% 低浓度地下水混合物的大鼠肝脏坏死性炎症在统计学上显著增加。与对照组相比,接触地下水的大鼠血浆白蛋白(0.01% 高浓度影响除外)和甲 2 巨球蛋白(所有接触者)在统计学上有明显降低。所有接触地下水的大鼠都出现了肾小球病变,但急性肾小管坏死存在性别差异。接触地下水的大鼠睾丸出现生殖细胞空泡、坏死、曲细精管上皮高度降低和 Sertoli 综合征,并伴有血浆睾酮降低和睾丸丙二醛增加。总之,亚慢性口服接触受污染工业场地的地下水会导致剂量依赖性的肝脏和睾丸毒性,而肾毒性则具有性别依赖性和剂量依赖性。这项研究证明,在对复杂混合物进行风险评估时,必须采用效应驱动法。
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引用次数: 0
Minimizing the risk of ethylene glycol and diethylene glycol poisoning in medications: A regulatory and pharmacopoeial response 将药物中乙二醇和二甘醇中毒的风险降至最低:监管和药典对策》。
IF 3 4区 医学 Q1 MEDICINE, LEGAL Pub Date : 2024-11-18 DOI: 10.1016/j.yrtph.2024.105741
Pawan Kumar, Shruti Rastogi, Pawan Kumar Saini, Saurabh Sahoo, Rajeev Singh Raghuvanshi, Gaurav Pratap Singh Jadaun
Pharmaceutical and personal care products, including syrups and toothpastes, extensively use glycerin, sorbitol, and propylene glycol. However, past incidents of ethylene glycol (EG) and diethylene glycol (DEG) contamination in these products have raised serious health concerns. Recently, several child deaths linked to contaminated cough syrup consumption have heightened concerns regarding the safety of Indian pharmaceuticals. In response, Indian drug regulatory authorities and the Indian Pharmacopoeia have implemented several measures to enhance the quality, safety, and efficacy of pharmaceuticals manufactured in India. These measures encompass risk-based inspections of manufacturing facilities, rigorous quality control checks of medicinal products intended for export, and increased transparency in the supply chain of excipients prone to EG and DEG contamination. Further, the Indian Pharmacopoeia has updated monographs for five high-risk excipients: glycerin, propylene glycol, sorbitol solution (70%, both crystallizing and non-crystallizing), and liquid maltitol. These efforts are consistent with global regulatory standards and aim to ensure the overall quality and safety of pharmaceuticals produced in India.
包括糖浆和牙膏在内的医药和个人护理产品广泛使用甘油、山梨醇和丙二醇。然而,过去这些产品中出现的乙二醇(EG)和二甘醇(DEG)污染事件引起了严重的健康问题。最近,几起儿童死亡事件与饮用受污染的止咳糖浆有关,这加剧了人们对印度药品安全性的担忧。对此,印度药品监管机构和印度药典已采取多项措施,以提高印度生产的药品的质量、安全性和有效性。这些措施包括对生产设施进行基于风险的检查,对准备出口的医药产品进行严格的质量控制检查,以及提高易受 EG 和 DEG 污染的辅料供应链的透明度。此外,印度药典还更新了五种高风险辅料的各论:甘油、丙二醇、山梨醇溶液(70%,包括结晶型和非结晶型)和液体麦芽糖醇。这些努力符合全球监管标准,旨在确保印度生产的药品的整体质量和安全。
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引用次数: 0
Response to Letter to Editors submitted by PE Rasmussen, P Huntsman, TM Singer, MN Jacobs, and CC Trevithick-Sutton (Aug 2024) 对 PE Rasmussen、P Huntsman、TM Singer、MN Jacobs 和 CC Trevithick-Sutton 提交的致编辑信的回复(2024 年 8 月)。
IF 3 4区 医学 Q1 MEDICINE, LEGAL Pub Date : 2024-11-16 DOI: 10.1016/j.yrtph.2024.105740
Adriana Oller , João Barroso , Pilar Prieto , Violaine Verougstraete , Katherine Heim , Rayetta Henderson
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引用次数: 0
The definition of chemical contaminants in food: Ambiguity and consequences 食品中化学污染物的定义:模糊性和后果。
IF 3 4区 医学 Q1 MEDICINE, LEGAL Pub Date : 2024-11-14 DOI: 10.1016/j.yrtph.2024.105739
Ivonne M.C.M. Rietjens , Michelangelo Pascale , Gloria Pellegrino , Daniel Ribera , Armando Venâncio , Danlei Wang , Konrad Korzeniowski
Consumers may be exposed via foods to a diverse range of substances that could be considered as contaminants. However, it is not always straightforward to understand the definition of a ‘contaminant’. The present review evaluates how various categories of food-relevant substances are considered in terms of being ‘contaminants’. To this end these categories of food borne constituents are evaluated against the various criteria encountered in the available definitions of a food contaminant, including unintentional presence, harmful, existence of regulatory limits, and stakeholder perception. The categories of chemicals considered include: phytotoxins, mycotoxins, (heavy) metals, persistent organic pollutants (POPs), processing aids, process related contaminants, food contact materials (FCMs), pesticides and veterinary drugs. The evaluation revealed that usage of the term appears complex, and may differ between stakeholders. A common proposed definition of the term ‘contaminant’ could be ‘a substance considered to require control measures due to the unacceptability of its context within a food’. Use of a dimension of harm results in equivocal outcomes because risk depends on the level of exposure. As the term ‘contaminant’ has influence on risk management including public policy, the motivations for applying the term should be subject to more detailed analysis and understanding.
消费者可能会通过食品接触到各种可被视为污染物的物质。然而,要理解 "污染物 "的定义并非总是那么简单。本综述从 "污染物 "的角度评估了各类食品相关物质。为此,我们根据现有食品污染物定义中的各种标准,包括无意存在、有害、存在监管限制和利益相关者的看法,对这些类别的食源性成分进行了评估。考虑的化学品类别包括:植物毒素、霉菌毒素、(重)金属、持久性有机污染物、加工助剂、加工相关污染物、食品接触材料、杀虫剂和兽药。评估显示,该术语的用法似乎很复杂,而且利益相关者之间可能存在差异。污染物 "一词的常见拟议定义可以是 "由于其在食品中的不可接受性而被认为需要采取控制措施的物质"。使用危害维度会导致结果不明确,因为风险取决于暴露程度。由于 "污染物 "一词会对包括公共政策在内的风险管理产生影响,因此应更详细地分析和理解使用该词的动机。
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引用次数: 0
A framework for categorizing sources of uncertainty in in silico toxicology methods: Considerations for chemical toxicity predictions 硅学毒理学方法中不确定性来源的分类框架:对化学毒性预测的考虑。
IF 3 4区 医学 Q1 MEDICINE, LEGAL Pub Date : 2024-11-14 DOI: 10.1016/j.yrtph.2024.105737
Jerry Achar , James W. Firman , Mark T.D. Cronin , Gunilla Öberg
Improving regulatory confidence and acceptance of in silico toxicology methods for chemical risk assessment requires assessment of associated uncertainties. Therefore, there is a need to identify and systematically categorize sources of uncertainty relevant to the methods and their predictions. In the present study, we analyzed studies that have characterized sources of uncertainty across commonly applied in silico toxicology methods. Our study reveals variations in the kind and number of uncertainty sources these studies cover. Additionally, the studies use different terminologies to describe similar sources of uncertainty; consequently, a majority of the sources considerably overlap. Building on an existing framework, we developed a new uncertainty categorization framework that systematically consolidates and categorizes the different uncertainty sources described in the analyzed studies. We then illustrate the importance of the developed framework through a case study involving QSAR prediction of the toxicity of five compounds, as well as compare it with the QSAR Assessment Framework (QAF). The framework can provide a structured (and potentially more transparent) understanding of where the uncertainties reside within in silico toxicology models and model predictions, thus promoting critical reflection on appropriate strategies to address the uncertainties.
要提高监管机构对用于化学品风险评估的硅学毒理学方法的信心和接受程度,就需要对相关的不确定性进行评估。因此,有必要对与方法及其预测相关的不确定性来源进行识别和系统分类。在本研究中,我们分析了对常用硅学毒理学方法的不确定性来源进行定性的研究。我们的研究显示,这些研究涵盖的不确定性来源的种类和数量各不相同。此外,这些研究使用了不同的术语来描述类似的不确定性来源;因此,大多数不确定性来源存在很大重叠。在现有框架的基础上,我们开发了一个新的不确定性分类框架,对所分析研究中描述的不同不确定性源进行了系统整合和分类。然后,我们通过一个涉及五种化合物毒性 QSAR 预测的案例研究来说明所开发框架的重要性,并将其与 QSAR 评估框架 (QAF) 进行比较。该框架可以让人们有条理地(并有可能更加透明地)理解硅毒理学模型和模型预测中的不确定性所在,从而促进对解决不确定性的适当策略进行批判性思考。
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引用次数: 0
Mode of action Criteria for selection of the critical effect and safe dose range for PFOA by the Alliance for risk assessment 风险评估联盟选择 PFOA 临界效应和安全剂量范围的作用模式标准。
IF 3 4区 医学 Q1 MEDICINE, LEGAL Pub Date : 2024-11-13 DOI: 10.1016/j.yrtph.2024.105738
Harvey Clewell
In response to the current disparity in risk assessment values for PFOA from different agencies and countries, an international effort facilitated by the Alliance for Risk Assessment (ARA) was recently undertaken to characterize the range of scientifically supportable safe dose estimates. In this assessment (Burgoon et al., 2023), an evaluation of the evidence regarding the potential modes of action (MOA) for PFOA toxicity was performed first, so that it could be used to inform subsequent decisions regarding potential critical effects and studies. This review describes the evidence considered in the MOA evaluations that were performed as part of the ARA effort. The overall conclusions of this evaluation are that the available mechanistic data do not support any conclusion that reported epidemiological associations of blood concentrations of PFOA as low as 10 ng/mL with various health effects should be considered causal. It is more likely that the reported associations may instead reflect reverse causality/pharmacokinetic confounding. These conclusions are consistent with the opinions of the World Health Organization (WHO, 2022).
针对目前不同机构和国家对全氟辛烷磺酸风险评估值的差异,风险评估联盟(ARA)最近推动了一项国际工作,以确定科学上可支持的安全剂量估算范围。在这项评估(Burgoon 等人,2023 年)中,首先对有关 PFOA 毒性的潜在作用模式 (MOA) 的证据进行了评估,以便为后续有关潜在关键效应和研究的决策提供信息。本综述介绍了作为 ARA 工作一部分的 MOA 评估所考虑的证据。本次评估的总体结论是,现有的机理数据并不支持任何结论,即所报告的血液中低至10纳克/毫升的全氟辛烷磺酸浓度与各种健康影响之间的流行病学关联应被视为因果关系。更有可能的情况是,报告的关联可能反映了反向因果关系/药代动力学混杂。这些结论与世界卫生组织(WHO 2022)的意见一致。
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引用次数: 0
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Regulatory Toxicology and Pharmacology
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