Roosevelt Academy, The Netherlands, University of Massachusetts, and Chemical Food Safety & Toxicity Working Group of the Global Harmonization Initiative.
Dose Response. 2012;10(2):155-76. doi: 10.2203/dose-response.11-018.Hanekamp. Epub 2011 Jul 12.
In this contribution we will show that research in the field of toxicology, pharmacology and physiology is by and large characterised by a pendulum swing of which the amplitudes represent risks and benefits of exposure. As toxicology usually tests at higher levels than the populace routinely is exposed to, it reverts to mostly linear extrapolative models that express the risks of exposure, irrespective of dosages, only. However, as we will explicate in two examples, depending on dosages, it is less easy to separate risks and benefits than current toxicological research and regulatory efforts suggest. The same chemical compound, in the final analysis, is represented within the boundaries of both amplitudes, that is, show a biphasic, hormetic, dose-response. This is notable, as low-level exposures from the food-matrix are progressively more under scrutiny as a result of increasing analytical capabilities. Presence of low-level concentrations of a chemical in food is a regulatory proxy for human health, but in light of this hormetic dose-response objectionable. Moreover, given that an ecological threshold probably holds for most, if not all, man-made (bio)organic chemicals, these will be found to be naturally present in the food matrix. Both aspects require toxicology to close the gap between reductionist models and its extrapolative deficiencies and real-life scenarios.
在这篇文章中,我们将展示毒理学、药理学和生理学领域的研究在很大程度上呈现出一种钟摆运动,其幅度代表着暴露的风险和益处。由于毒理学通常在比人群常规暴露更高的水平上进行测试,因此它主要回归到线性外推模型,这些模型只表达暴露的风险,而不考虑剂量。然而,正如我们将在两个例子中解释的那样,取决于剂量,与当前毒理学研究和监管工作所表明的相比,区分风险和益处并不那么容易。同一种化学物质,归根结底,都在这两个幅度的范围内,也就是说,表现出双相、兴奋、剂量反应。值得注意的是,由于分析能力的提高,食品基质中低水平暴露的情况越来越受到关注。食品中低水平浓度的化学物质的存在是人类健康的监管代理,但鉴于这种兴奋剂量反应是令人反感的。此外,鉴于大多数(如果不是全部)人为(生物)有机化学物质可能存在生态阈值,这些化学物质将被发现自然存在于食物基质中。这两个方面都要求毒理学缩小还原主义模型及其外推缺陷与现实场景之间的差距。