Fitzgerald D James, Robinson Neville I, Pester Beverly A
Environmental Health Service, Department of Health, PO Box 6 Rundle Mall, Adelaide, South Australia 5000, Australia.
Environ Health Perspect. 2004 Oct;112(14):1341-6. doi: 10.1289/ehp.6427.
Assessment of cancer risk from exposure to polycyclic aromatic hydrocarbons (PAHs) has been traditionally conducted by applying the conservative linearized multistage (LMS) model to animal tumor data for benzo(a)pyrene (BaP), considered the most potent carcinogen in PAH mixtures. Because it has been argued that LMS use of 95% lower confidence limits on dose is unnecessarily conservative, that assumptions of low-dose linearity to zero in the dose response imply clear mechanistic understanding, and that "acceptable" cancer risk rests on a policy decision, an alternative cancer risk assessment approach has been developed. Based in part on the emerging benchmark dose (BMD) method, the modified BMD method we used involves applying a suite of conventional mathematical models to tumor dose-response data. This permits derivation of the average dose corresponding to 5% extra tumor incidence (BMD0.05) to which a number of modifying factors are applied to achieve a guideline dose, that is, a daily dose considered safe for human lifetime exposure. Application of the modified BMD method to recent forestomach tumor data from BaP ingestion studies in mice suggests a guideline dose of 0.08 microg/kg/day. Based on this and an understanding of dietary BaP, and considering that BaP is a common contaminant in soil and therefore poses human health risk via soil ingestion, we propose a BaP soil guideline value of 5 ppm (milligrams per kilogram). Mouse tumor data from ingestion of coal tar mixtures containing PAHs and BaP show that lung and not forestomach tumors are most prevalent and that BaP content cannot explain the lung tumors. This calls into question the common use of toxicity equivalence factors based on BaP for assessing risk from complex PAH mixtures. Emerging data point to another PAH compound--H-benzo(c)fluorene--as the possible lung tumorigen.
传统上,通过将保守的线性化多阶段(LMS)模型应用于苯并(a)芘(BaP)的动物肿瘤数据来评估多环芳烃(PAH)暴露的癌症风险,BaP被认为是PAH混合物中最具致癌性的物质。由于有人认为LMS使用剂量的95%较低置信限过于保守,剂量反应中低剂量线性至零的假设意味着对机制有清晰的理解,且“可接受”的癌症风险取决于政策决定,因此开发了一种替代的癌症风险评估方法。部分基于新兴的基准剂量(BMD)方法,我们使用的改进BMD方法涉及将一组传统数学模型应用于肿瘤剂量反应数据。这允许推导对应于5%额外肿瘤发生率的平均剂量(BMD0.05),并对其应用一些修正因子以获得指导剂量,即认为对人类终身暴露安全的每日剂量。将改进的BMD方法应用于近期小鼠BaP摄入研究中的前胃肿瘤数据,得出的指导剂量为0.08微克/千克/天。基于此以及对膳食BaP的了解,并考虑到BaP是土壤中的常见污染物,因此通过土壤摄入会对人类健康构成风险,我们提出BaP土壤指导值为5 ppm(毫克/千克)。摄入含PAH和BaP的煤焦油混合物的小鼠肿瘤数据表明,肺部而非前胃肿瘤最为普遍,且BaP含量无法解释肺部肿瘤。这对基于BaP的毒性当量因子在评估复杂PAH混合物风险中的普遍使用提出了质疑。新出现的数据指出另一种PAH化合物——H-苯并(c)芴——可能是肺部肿瘤致癌物。