Waddell William J
Department of Pharmacology and Toxicology, School of Medicine, University of Louisville, Louisville, Kentucky 40292, USA.
Toxicol Sci. 2003 Mar;72(1):158-63. doi: 10.1093/toxsci/kfg004.
The results of the articles on the carcinogenicity of 2-acetylaminofluorene (J. H. Farmer et al., 1980, J. Environ. Pathol. Toxicol. 3, 55-68; N. A. Littlefield et al., 1980, J. Environ. Pathol. Toxicol. 3, 17-34) in approximately 25,000 female mice were reanalyzed by the procedure proposed earlier (W. J. Waddell, 2002, TOXICOL: Sci. 68, 275-279) using the Rozman scale (K. K. Rozman et al., 1996, Drug Metab. Rev. 28, 29-52). In contrast to some conclusions of the lack of a threshold for carcinogenesis that have been made in the past from this study, this reanalysis showed a clear and consistent threshold for bladder neoplasms at about 10 19.5 molecules/kg/day and for liver neoplasms at about 10 19.1 molecules/kg/day. The slopes of the dose-response curves for bladder neoplasms from 17 months through 33 months were consistently very steep, while those for liver neoplasms increased from a shallow slope at 18 months to a steep slope at 33 months. This is interpreted to indicate that the mechanism of carcinogenesis may be different in the two organs. A linear response for percentage tumors plotted against dose on a logarithmic scale is confirmed by this analysis, which is based on the fundamental principle that chemical potential effects a linear response. Furthermore, this application continues to show a sharp threshold for carcinogenesis. The implications of these observations should be important in the extrapolation of results from animal experiments to human risk assessment.
利用罗兹曼量表(K.K.罗兹曼等人,1996年,《药物代谢评论》28卷,第29 - 52页),采用之前提出的方法(W.J.沃德尔,2002年,《毒理学:科学》68卷,第275 - 279页),对约25000只雌性小鼠进行的关于2 - 乙酰氨基芴致癌性的文章结果(J.H.法默等人,1980年,《环境病理学与毒理学杂志》3卷,第55 - 68页;N.A.利特菲尔德等人,1980年,《环境病理学与毒理学杂志》3卷,第17 - 34页)进行了重新分析。与过去从该研究得出的一些关于致癌作用不存在阈值的结论相反,此次重新分析表明,膀胱癌的明确且一致的阈值约为10^19.5分子/千克/天,肝癌的阈值约为10^19.1分子/千克/天。从17个月到33个月,膀胱癌剂量反应曲线的斜率始终非常陡峭,而肝癌的斜率则从18个月时的浅斜率增加到33个月时的陡峭斜率。这被解释为表明两个器官的致癌机制可能不同。基于化学势产生线性反应这一基本原理的分析证实,以对数尺度绘制的肿瘤百分比与剂量的线性反应。此外,这种应用继续显示出致癌作用的明显阈值。这些观察结果对于将动物实验结果外推至人类风险评估的意义应该是重大的。