Summit Toxicology LLP, Orange Village, OH 44022, United States.
Regul Toxicol Pharmacol. 2012 Mar;62(2):371-84. doi: 10.1016/j.yrtph.2011.11.001. Epub 2011 Nov 10.
A case study was prepared for noncancer risk assessment of 1,3-butadiene (BD) based upon the ovarian atrophy effects in rodents with specific consideration of the guidelines described by NAS (2009). Ovarian toxicity has been identified in the past as a sensitive endpoint for BD, and serves as the basis for noncancer risk assessment by regulatory agencies. A meta-analysis was conducted in which the available dose-response data from rats and mice were normalized using an internal dose estimate (DEB in blood) that is causally related to ovarian toxicity. A time-to-response (multistage-Weibull) model was used to simultaneously fit the pooled rodent data sets with exposure durations ranging from 13 to 105weeks. Human variation in ovarian follicle count was assumed to reflect variation in sensitivity to the adverse effects associated with follicle depletion (i.e., premature menopause). Information on follicle count in women was used in two ways: (1) the window of susceptibility (from birth to menopause) was defined as 49.6years for women born with an average follicle count, 38.7years for women born with a low follicle count, and 60.0years for women born with a high follicle count; and (2) follicle count was assumed to reflect human susceptibility due to toxicodynamic factors. The multistage-Weibull model was used to predict dose-response curves for three scenarios (average, low, and high follicle counts at birth to generate reference concentration values ranging from 0.2 to 20ppm). This case study illustrates how information on mode of action can be used to guide key decisions in the dose-response assessment with respect to identifying a dose measure, low-dose extrapolation method, background exposure, and sensitive subpopulations.
开展了一项基于啮齿动物卵巢萎缩效应的 1,3-丁二烯(BD)非致癌风险评估的案例研究,并特别考虑了 NAS(2009 年)所描述的准则。过去,卵巢毒性已被确定为 BD 的一个敏感终点,是监管机构进行非致癌风险评估的基础。进行了一项荟萃分析,其中使用与卵巢毒性因果相关的内部剂量估计值(血液中的 DEB)对大鼠和小鼠的可用剂量-反应数据进行了归一化。使用时间-反应(多阶段-Weibull)模型同时拟合了暴露时间范围从 13 周到 105 周的合并啮齿动物数据集。假设人类卵巢滤泡计数的变化反映了对与滤泡耗竭相关的不良影响(即过早绝经)的敏感性变化。女性滤泡计数的信息以两种方式使用:(1)从出生到绝经的易感窗口定义为平均滤泡计数出生的女性为 49.6 年,滤泡计数低的女性为 38.7 年,滤泡计数高的女性为 60.0 年;(2)假设滤泡计数反映了由于毒代动力学因素而导致的人类易感性。多阶段-Weibull 模型用于预测三种情况(出生时滤泡计数平均值、低和高)的剂量-反应曲线,以生成参考浓度值范围从 0.2 到 20ppm。本案例研究说明了如何利用作用模式信息来指导剂量-反应评估中的关键决策,包括确定剂量测量、低剂量外推方法、背景暴露和敏感亚群。