Gold L S, Manley N B, Ames B N
Life Sciences Division, Lawrence Berkeley Laboratory, Berkeley, California 94720.
Risk Anal. 1992 Dec;12(4):579-88. doi: 10.1111/j.1539-6924.1992.tb00714.x.
Prediction of human cancer risk from the results of rodent bioassays requires two types of extrapolation: a qualitative extrapolation from short-lived rodent species to long-lived humans, and a quantitative extrapolation from near-toxic doses in the bioassay to low-level human exposures. Experimental evidence on the accuracy of prediction between closely related species tested under similar experimental conditions (rats, mice, and hamsters) indicates that: (1) if a chemical is positive in one species, it will be positive in the second species about 75% of the time; however, since about 50% of test chemicals are positive in each species, by chance alone one would expect a predictive value between species of about 50%. (2) If a chemical induces tumors in a particular target organ in one species, it will induce tumors in the same organ in the second species about 50% of the time. Similar predictive values are obtained in an analysis of prediction from humans to rats or from humans to mice for known human carcinogens. Limitations of bioassay data for use in quantitative extrapolation are discussed, including constraints on both estimates of carcinogenic potency and of the dose-response in experiments with only two doses and a control. Quantitative extrapolation should be based on an understanding of mechanisms of carcinogenesis, particularly mitogenic effects that are present at high and not low doses.
一种是从短命的啮齿动物物种到长寿的人类的定性外推,另一种是从生物测定中的接近毒性剂量到低水平人类暴露的定量外推。在相似实验条件下对密切相关物种(大鼠、小鼠和仓鼠)进行预测准确性的实验证据表明:(1)如果一种化学物质在一个物种中呈阳性,那么在第二个物种中呈阳性的概率约为75%;然而,由于每个物种中约50%的测试化学物质呈阳性,仅靠偶然因素,预计物种间的预测值约为50%。(2)如果一种化学物质在一个物种的特定靶器官中诱发肿瘤,那么在第二个物种的同一器官中诱发肿瘤的概率约为50%。对已知人类致癌物从人类到大鼠或从人类到小鼠的预测分析也得到了类似的预测值。文中讨论了用于定量外推的生物测定数据的局限性,包括在只有两个剂量和一个对照的实验中对致癌效力估计和剂量反应的限制。定量外推应基于对致癌机制的理解,特别是高剂量而非低剂量时存在的促有丝分裂效应。