Gold L S, Manley N B, Slone T H, Rohrbach L
Division of Biochemistry and Molecular Biology, University of California, Berkeley, California 94720-3202, USA.
Environ Health Perspect. 1999 Aug;107 Suppl 4(Suppl 4):527-600. doi: 10.1289/ehp.99107s4527.
The Carcinogenic Potency Database (CPDB) is a systematic and unifying analysis of results of chronic, long-term cancer tests. This paper presents a supplemental plot of the CPDB, including 513 experiments on 157 test compounds published in the general literature in 1993 and 1994 and in Technical Reports of the National Toxicology Program in 1995 and 1996. The plot standardizes the experimental results (whether positive or negative for carcinogenicity), including qualitative data on strain, sex, route of compound administration, target organ, histopathology, and author's opinion and reference to the published paper, as well as quantitative data on carcinogenic potency, statistical significance, tumor incidence, dose-response curve shape, length of experiment, duration of dosing, and dose rate. A numerical description of carcinogenic potency, the TD(subscript)50(/subscript), is estimated for each set of tumor incidence data reported. When added to the data published earlier, the CPDB now includes results of 5,620 experiments on 1,372 chemicals that have been reported in 1,250 published papers and 414 National Cancer Institute/National Toxicology Program Technical Reports. The plot presented here includes detailed analyses of 25 chemicals tested in monkeys for up to 32 years by the National Cancer Institute. Half the rodent carcinogens that were tested in monkeys were not carcinogenic, despite usually strong evidence of carcinogenicity in rodents and/or humans. Our analysis of possible explanatory factors indicates that this result is due in part to the fact that the monkey studies lacked power to detect an effect compared to standard rodent bioassays. Factors that contributed to the lack of power are the small number of animals on test; a stop-exposure protocol for model rodent carcinogens; in a few cases, toxic doses that resulted in stoppage of dosing or termination of the experiment; and in a few cases, low doses administered to monkeys or early termination of the experiment even though the doses were not toxic. Among chemicals carcinogenic in both monkeys and rodents, there is some support for target site concordance, but it is primarily restricted to liver tumors. Potency values are highly correlated between rodents and monkeys. The plot in this paper can be used in conjunction with the earlier results published in the CRC Handbook of Carcinogenic Potency and Genotoxicity Databases [Gold LS, Zeiger E, eds. Boca Raton FL:CRC Press, 1997] and with our web site (http://potency.berkeley.edu), which includes a guide to the plot of the database, a complete description of the numerical index of carcinogenic potency (TD50), and a discussion of the sources of data, the rationale for the inclusion of particular experiments and particular target sites, and the conventions adopted in summarizing the literature. Two summary tables permit easy access to the literature of animal cancer tests by target organ and by chemical. For readers using the CPDB extensively, a combined plot on diskette or other format is available from the first author. It includes all results published earlier and in this paper, ordered alphabetically by chemical. A SAS database is also available.
致癌强度数据库(CPDB)是对慢性长期癌症试验结果进行的系统统一分析。本文展示了CPDB的补充图表,包括1993年和1994年发表在普通文献以及1995年和1996年美国国家毒理学计划技术报告中的针对157种受试化合物的513项实验。该图表对实验结果(无论致癌性呈阳性还是阴性)进行了标准化处理,包括有关品系、性别、化合物给药途径、靶器官、组织病理学的定性数据,以及作者观点和对已发表论文的引用,还有关于致癌强度、统计显著性、肿瘤发生率、剂量反应曲线形状、实验时长、给药持续时间和剂量率的定量数据。针对每组报告的肿瘤发生率数据,估算了致癌强度的数值描述——半数致癌剂量(TD下标50下标)。当将这些数据与早期发表的数据相加时,CPDB现在包含了1250篇已发表论文和414份美国国家癌症研究所/美国国家毒理学计划技术报告中所报道的针对1372种化学物质的5620项实验结果。本文展示的图表包括了美国国家癌症研究所对25种化学物质在猴子身上进行长达32年测试的详细分析。在猴子身上测试的啮齿类致癌物中有一半没有致癌性,尽管在啮齿动物和/或人类中通常有很强的致癌证据。我们对可能的解释因素的分析表明,这一结果部分归因于与标准啮齿动物生物测定相比,猴子研究缺乏检测效应的能力。导致缺乏能力的因素包括受试动物数量少;对典型啮齿类致癌物采用停止暴露方案;在少数情况下,有毒剂量导致给药停止或实验终止;以及在少数情况下,给猴子施用低剂量或即使剂量无毒也提前终止实验。在猴子和啮齿动物中都致癌的化学物质中,有一些证据支持靶位点一致性,但主要仅限于肝肿瘤。啮齿动物和猴子之间的强度值高度相关。本文中的图表可与《CRC致癌强度和遗传毒性数据库手册》[戈尔德LS,蔡格E编。佛罗里达州博卡拉顿:CRC出版社,1997年]中早期发表的结果以及我们的网站(http://potency.berkeley.edu)结合使用,该网站包括数据库图表指南、致癌强度数值指数(TD50)的完整描述,以及数据来源、纳入特定实验和特定靶位点的基本原理以及总结文献时采用的惯例的讨论。两个汇总表便于按靶器官和化学物质查阅动物癌症试验文献。对于广泛使用CPDB的读者,第一作者可提供磁盘或其他格式的综合图表。它包括早期发表的所有结果以及本文中的结果,按化学物质字母顺序排列。还提供了一个SAS数据库。