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使用半数致死剂量(TD50)对潜在致癌物危害进行排名的谬误。

The fallacy of ranking possible carcinogen hazards using the TD50.

作者信息

Wartenberg D, Gallo M A

机构信息

Department of Environmental and Community Medicine, Robert Wood Johnson Medical School, University of Medicine and Dentistry of New Jersey, Piscataway.

出版信息

Risk Anal. 1990 Dec;10(4):609-13. doi: 10.1111/j.1539-6924.1990.tb00546.x.

Abstract

Ames et al. have proposed a new model for evaluating carcinogenic hazards in the environment. They advocate ranking possible carcinogens on the basis of the TD50, the estimated dose at which 50% of the test animals would get tumors, and extrapolating that ranking to all other doses. We argue that implicit in this methodology is a simplistic and inappropriate statistical model. All carcinogens are assumed to act similarly and to have dose-response curves of the same shape that differ only in the value of one parameter. We show by counterexample that the rank order of cancer potencies for two chemicals can change over a reasonable range of doses. Ames et al.'s use of these TD50 ranks to compare the hazards from low level exposures to contaminants in our food and environment is wholly inappropriate and inaccurate. Their dismissal of public health concern for environmental exposures, in general, based on these comparisons, is not supported by the data.

摘要

艾姆斯等人提出了一种评估环境中致癌危害的新模型。他们主张根据半数致死剂量(TD50)对可能的致癌物进行排名,TD50是指估计能使50%的实验动物患上肿瘤的剂量,并将该排名外推至所有其他剂量。我们认为,这种方法隐含着一个简单且不恰当的统计模型。所有致癌物都被假定以类似方式起作用,且具有相同形状的剂量反应曲线,只是在一个参数的值上有所不同。我们通过反例表明,两种化学物质的致癌效力排名在合理的剂量范围内可能会发生变化。艾姆斯等人利用这些TD50排名来比较我们食物和环境中低水平接触污染物所带来的危害,这是完全不恰当且不准确的。他们基于这些比较,总体上对公众对环境接触的健康担忧不予理会,而这些数据并不支持他们的观点。

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