Kaiser J C, Heidenreich W F, Monchaux G, Morlier J P, Collier C G
Institute of Radiation Protection, GSF--National Research Center for Environment and Health, 85764 Neuherberg, Germany.
Radiat Environ Biophys. 2004 Sep;43(3):189-201. doi: 10.1007/s00411-004-0251-x. Epub 2004 Sep 18.
Data sets of radon-exposed male rats from Wistar and Sprague-Dawley strains have been investigated with two different versions of the two-step clonal expansion (TSCE) model of carcinogenesis. These so-called initiation-promotion (IP) and initiation-transformation (IT) models are named after the cell-based processes that are assumed to be induced by radiation. The analysis was done with all malignant lung tumours taken to be incidental and with fatal tumours alone. For all tumours treated as incidental, both models could explain the tumour incidence data equally well. Owing to its better fit, only the IP model was applied in the analysis of fatal tumours that carry additional information on the time when they cause death. A statistical test rejected the hypothesis that a joint cohort of Wistar and Sprague-Dawley rats can be described with the same set of model parameters. Thus, the risk analysis has been carried out for the Wistar rats and the Sprague-Dawley rats separately and has been restricted to fatal tumours alone because of their similar effect in humans. Using a refined technique of age-adjustment, the lifetime excess absolute risk has been standardised with the survival function from competing risks in the control population. The age-adjusted excess risks for both strains of rats were of similar size, for animals with first exposure later in life they decreased markedly. For high cumulative exposure the excess risk increased with longer exposure duration, for low cumulative exposure it showed the opposite trend. In addition, high cumulative exposure exerted lethal effects other than lung cancer on the rats.
已使用两种不同版本的两步克隆扩增(TSCE)致癌模型,对来自Wistar和Sprague-Dawley品系的暴露于氡的雄性大鼠数据集进行了研究。这些所谓的启动-促进(IP)模型和启动-转化(IT)模型是以假定由辐射诱导的基于细胞的过程命名的。分析针对所有被视为偶发性的恶性肺肿瘤以及仅针对致命性肿瘤进行。对于所有被视为偶发性的肿瘤,两种模型都能同样好地解释肿瘤发病率数据。由于拟合效果更好,在分析携带有关其导致死亡时间的额外信息的致命性肿瘤时,仅应用了IP模型。一项统计检验拒绝了这样的假设,即可以用同一组模型参数来描述Wistar和Sprague-Dawley大鼠的联合队列。因此,分别对Wistar大鼠和Sprague-Dawley大鼠进行了风险分析,并且由于它们在人类中的相似效应,分析仅限于致命性肿瘤。使用一种改进的年龄调整技术,终生超额绝对风险已根据对照人群中竞争风险的生存函数进行了标准化。两种品系大鼠的年龄调整后超额风险大小相似,对于生命后期首次暴露的动物,风险明显降低。对于高累积暴露,超额风险随暴露持续时间延长而增加,对于低累积暴露则呈现相反趋势。此外,高累积暴露对大鼠除肺癌外还产生致命影响。