Crump Kenny S, Gibbs John P
Environ Health Sciences Institute, Ruston, Louisiana 71270, USA.
Environ Health Perspect. 2005 Aug;113(8):1001-8. doi: 10.1289/ehp.7814.
The presence of low concentrations of perchlorate in some drinking water sources has led to concern regarding potential effects on the thyroid. In a recently published report, the National Academy of Sciences indicated that the perchlorate dose required to cause hypothyroidism in adults would probably be > 0.40 mg/kg-day for months or longer. In this study, we calculated benchmark doses for perchlorate from thyroid-stimulating hormone (TSH) and free thyroxine (T4) serum indicators from two occupational cohorts with long-term exposure to perchlorate, and from a clinical study of volunteers exposed to perchlorate for 2 weeks. The benchmark dose for a particular serum indicator was defined as the dose predicted to cause an additional 5 or 10% of persons to have a serum measurement outside of the normal range. Using the data from the clinical study, we estimated the half-life of perchlorate in serum at 7.5 hr and the volume of distribution at 0.34 L/kg. Using these estimates and measurements of perchlorate in serum or urine, doses in the occupational cohorts were estimated and used in benchmark calculations. Because none of the three studies found a significant effect of perchlorate on TSH or free T4, all of the benchmark dose estimates were indistinguishable from infinity. The lower 95% statistical confidence limits on benchmark doses estimated from a combined analysis of the two occupational studies ranged from 0.21 to 0.56 mg/kg-day for free T4 index and from 0.36 to 0.92 mg/kg-day for TSH. Corresponding estimates from the short-term clinical study were within these ranges.
一些饮用水源中存在低浓度的高氯酸盐,这引发了人们对其对甲状腺潜在影响的担忧。在最近发表的一份报告中,美国国家科学院指出,成年人患甲状腺功能减退症所需的高氯酸盐剂量可能在数月或更长时间内大于0.40毫克/千克·天。在本研究中,我们根据两个长期接触高氯酸盐的职业队列以及一项志愿者接触高氯酸盐2周的临床研究中的促甲状腺激素(TSH)和游离甲状腺素(T4)血清指标,计算了高氯酸盐的基准剂量。特定血清指标的基准剂量定义为预计会使另外5%或10%的人血清测量值超出正常范围的剂量。利用临床研究的数据,我们估计血清中高氯酸盐的半衰期为7.5小时,分布容积为0.34升/千克。利用这些估计值以及血清或尿液中高氯酸盐的测量值,估算了职业队列中的剂量,并用于基准计算。由于这三项研究均未发现高氯酸盐对TSH或游离T4有显著影响,所有基准剂量估计值均与无穷大无法区分。两项职业研究综合分析得出的基准剂量的95%统计置信下限,游离T4指数为0.21至0.56毫克/千克·天,TSH为0.36至0.92毫克/千克·天。短期临床研究的相应估计值在这些范围内。