Waddell William J
Department of Pharmacology and Toxicology, School of Medicine, University of Louisville, Louisville, KY.
Nonlinearity Biol Toxicol Med. 2004 Jan;2(1):11-20. doi: 10.1080/15401420490426954.
Extrapolation from studies of chemical carcinogenicity in rodents, at high doses, to humans, at the typically low doses to which we are exposed, has been one of the most controversial issues in toxicology. Many chemical carcinogenesis experiments currently are evaluated on a linear scale for dose. Log dose has been the standard for decades in pharmacology and toxicology for noncancer toxicities and there is no reason to think that it should not apply to chemical carcinogenesis. Furthermore, log dose is consistent with fundamental principles of chemistry. Direct comparisons of linear and logarithmic scales for dose illustrate the deceptive nature of linear plots for dose; low doses, which is where our interest lies in comparing human exposures, are compressed beyond evaluation by a linear scale. Unequivocal thresholds for carcinogenicity are shown when the dose-response curves for animal studies done at high doses are evaluated on a log scale for dose. This observation now raises the issue of the relevance to human exposures of these high-dose experiments in animals. Studies analyzed by this log dose to linear response procedure demonstrate that the thresholds from animal experiments can be used to calculate safety factors for human exposure and that humans are more resistant than animals to carcinogenesis from chemicals.
将啮齿动物在高剂量下的化学致癌性研究结果外推至人类在通常低剂量暴露情况下的结果,一直是毒理学中最具争议的问题之一。目前许多化学致癌实验是按照剂量的线性尺度进行评估的。对数剂量在药理学和毒理学中作为非癌症毒性的标准已有数十年,没有理由认为它不适用于化学致癌作用。此外,对数剂量与化学基本原理相符。剂量线性尺度和对数尺度的直接比较说明了剂量线性图的欺骗性;低剂量是我们比较人类暴露情况时所关注的,但在线性尺度下被压缩到无法评估。当以剂量对数尺度评估高剂量动物研究的剂量反应曲线时,会显示出明确的致癌阈值。这一观察结果现在引发了动物高剂量实验与人类暴露相关性的问题。通过这种对数剂量到线性反应程序分析的研究表明,动物实验的阈值可用于计算人类暴露的安全系数,而且人类对化学物质致癌作用的抵抗力比动物更强。