食品中的致癌物:管制毒理学的机遇与挑战

D. Lachenmeier
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引用次数: 11

摘要

食品中致癌物质引发癌症的风险是科学研究人员、食品政策制定者和食品监督机构以及公众广泛关注的问题。在评估致癌食品污染物或致癌食品本身(如酒精饮料)的风险时,应更清楚地反映科学证据的水平。过去,人们的兴趣往往集中在只有中等水平的致癌证据的“时髦”剂(如丙烯酰胺或呋喃);而具有最高水平证据的物质(例如,被国际癌症研究机构(IARC)归类为第1组的物质,即“对人类致癌”)有时被忽视。例如,重要的致癌物,如砷(饮用水中的一种污染物)、镉和其他重金属,还有苯,甚至在最近一篇关于致癌食品污染物的评论文章中都没有提到。食品中致癌物质的研究、控制和预防策略应包括以风险为导向的方法,不应忽视那些构成直接和科学可量化威胁的因素。合适的策略包括使用定量风险评估,例如使用风险敞口边际(MOE)。
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Carcinogens in Food: Opportunities and Challenges for Regulatory Toxicology
The risk of developing cancer from carcinogens occurring in food is of widespread interest to scientific researchers, food policymakers and food surveillance institutions, as well as to the general public. When evaluating the risk of carcinogenic food contaminants or carcinogenic foodstuff per se (e.g., alcoholic beverages), the level of scientific evidence should be reflected more clearly. In the past, interest often focused on ‘fashionable’ agents with only moderate levels of evidence of their carcinogenicity (e.g., acrylamide or furan); whereas agents with the highest level of evidence (e.g., substances classified by the International Agency for Research on Cancer (IARC) as group 1, being ‘carcinogenic to humans’) were sometimes disregarded. For example, important carcinogens such as arsenic (a contaminant in drinking water), cadmium and other heavy metals, but also benzene, were not even mentioned in a recent review article about carcinogenic food contaminants. Research, control and prevention strategies for carcinogenic agents in food should comprise a risk-oriented approach and should not lose sight of agents that pose an immediate and scientifically quantifiable threat. Suitable strategies include the use of quantitative risk assessments, for example the use of the Margin of Exposure (MOE)
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