Murata Katsuyuki, Dakeishi Miwako
Department of Hygiene, Akita University School of Medicine, 1-1-1 Hondo, Akita 010-8543, Japan.
Nihon Eiseigaku Zasshi. 2002 Sep;57(3):564-70. doi: 10.1265/jjh.57.564.
Recent interest concerning methylmercury that accumulates in the aquatic food chain appears to be directed not to the adverse effects of high-dose exposure in humans, but to the critical concentration at which methylmercury may affect the progeny of the exposed population. In epidemiological studies, however, uncertainties and limitations in estimating exposure make it difficult to quantify dose-response associations and can thereby lead to inaccuracies when deriving such concentrations. In this respect, benchmark dose calculation for quantitative outcomes may shed new light on the epidemiological procedure for estimating the critical concentration. After the epidemic outbreaks of methylmercury poisoning in Japan and Iraq, large-scale follow-up studies were carried out in the Faroe Islands, Seychelles and New Zealand, to clarify the effects of prenatal methylmercury exposure on child neurodevelopment in the latter half of the 1980s. This article presents an overview of the outcomes obtained from the Faroe Islands Prospective Study, as well as a brief interpretation of the benchmark dose calculation. Although the Faroe and Seychelles Islands studies did not seem to differ greatly in the study setting, such as the exposure level and sample size, the former study observed some significant dose-effect relationships between methylmercury concentrations at birth and neurobehavioral end-points, but the latter failed to find any significant associations except in one test. The discrepancy between the two conclusions is also discussed.
近期,人们对水生食物链中积累的甲基汞的关注,似乎并非针对高剂量甲基汞暴露对人类的不利影响,而是针对甲基汞可能影响受暴露人群后代的临界浓度。然而,在流行病学研究中,估算暴露量时存在的不确定性和局限性,使得难以量化剂量反应关系,从而在推导此类浓度时可能导致不准确的结果。在这方面,针对定量结果的基准剂量计算,可能会为估算临界浓度的流行病学程序带来新的启示。在日本和伊拉克发生甲基汞中毒疫情后,20世纪80年代后半期,在法罗群岛、塞舌尔和新西兰开展了大规模的随访研究,以阐明产前甲基汞暴露对儿童神经发育的影响。本文概述了法罗群岛前瞻性研究的结果,并对基准剂量计算进行了简要解读。尽管法罗群岛和塞舌尔群岛的研究在研究背景方面,如暴露水平和样本量,似乎没有太大差异,但前者研究观察到出生时甲基汞浓度与神经行为终点之间存在一些显著的剂量效应关系,而后者除一项测试外未发现任何显著关联。本文还讨论了这两个结论之间的差异。