化学致癌的剂量-反应曲线。

William J Waddell
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引用次数: 10

摘要

从啮齿类动物的高剂量化学致癌性研究,到人类的高剂量化学致癌性研究,再到我们所接触的低剂量化学致癌性研究,一直是毒理学中最具争议的问题之一。目前,许多化学致癌实验都是以剂量的线性尺度来评价的。对数剂量几十年来一直是药理学和毒理学对非癌症毒性的标准,没有理由认为它不适用于化学致癌作用。此外,对数剂量符合化学的基本原理。剂量的线性和对数刻度的直接比较说明了剂量线性图的欺骗性;低剂量是我们比较人体暴露的兴趣所在,它被压缩到无法用线性尺度来评估。当高剂量动物研究的剂量-反应曲线以对数尺度对剂量进行评估时,就会显示出明确的致癌性阈值。这一观察结果现在提出了与人类接触这些高剂量动物实验是否相关的问题。通过对数剂量对线性反应程序分析的研究表明,动物实验的阈值可用于计算人类接触的安全系数,并且人类比动物更能抵抗化学品的致癌作用。
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Dose-response curves in chemical carcinogenesis.

Extrapolation from studies of chemical carcinogenicity in rodents, at high doses, to humans, at the typically low doses to which we are exposed, has been one of the most controversial issues in toxicology. Many chemical carcinogenesis experiments currently are evaluated on a linear scale for dose. Log dose has been the standard for decades in pharmacology and toxicology for noncancer toxicities and there is no reason to think that it should not apply to chemical carcinogenesis. Furthermore, log dose is consistent with fundamental principles of chemistry. Direct comparisons of linear and logarithmic scales for dose illustrate the deceptive nature of linear plots for dose; low doses, which is where our interest lies in comparing human exposures, are compressed beyond evaluation by a linear scale. Unequivocal thresholds for carcinogenicity are shown when the dose-response curves for animal studies done at high doses are evaluated on a log scale for dose. This observation now raises the issue of the relevance to human exposures of these high-dose experiments in animals. Studies analyzed by this log dose to linear response procedure demonstrate that the thresholds from animal experiments can be used to calculate safety factors for human exposure and that humans are more resistant than animals to carcinogenesis from chemicals.

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