Wang Bing, Gray George
Food Safety and Technology Department, University of Nebraska, Lincoln, NE, USA.
Department of Environmental and Occupational Health and Center for Risk Science and Public Health, George Washington University Milken Institute School of Public Health, Washington, DC, USA.
Risk Anal. 2015 Jun;35(6):1154-66. doi: 10.1111/risa.12314. Epub 2014 Dec 24.
Prediction of noncancer toxicologic outcomes in rodent bioassays of 37 chemicals from the National Toxicology Program was evaluated. Using the nonneoplastic lesions noted by NTP pathologists, we evaluate both agreement in toxic lesions across experiments and the predictive value of the presence (or absence) of a lesion in one group for other groups. We compare lesions between mice and rats, male mice and male rats, and female mice and female rats in both short-term and long-term bioassays. We also examine whether lesions found in a specific organ in a short-term test are also found in the long-term test of the same chemical. We find agreement (concordance) across species for specific lesions, as evaluated by the Kappa statistic, ranging from 0.58 (for concordance of nasal lesions between female mice and rats in long-term studies) to -0.14 (lung lesions between mice and rats in long-term studies). Predictive values are limited by the relatively small numbers of observations of each type of lesion. Positive predictive values range from 100% to 0%. Comparing the lesions found in short-term tests to those found in long-term tests resulted in Kappa statistic values from 0.76 (spleen lesions in male rats) to -0.61 (lung lesions in female mice). Positive predictive values of short-term tests for long-term tests range from 70% to 0%. Overall, there is considerable uncertainty in predicting the site of toxic lesions in different species exposed to the same chemical and from short-term to long-term tests of the same chemical.
对美国国家毒理学计划中37种化学物质的啮齿动物生物测定中的非癌症毒理学结果进行了预测评估。利用美国国家毒理学计划病理学家记录的非肿瘤性病变,我们评估了不同实验中毒性病变的一致性,以及一组中病变的存在(或不存在)对其他组的预测价值。我们比较了短期和长期生物测定中小鼠和大鼠、雄性小鼠和雄性大鼠以及雌性小鼠和雌性大鼠之间的病变。我们还研究了在短期试验中特定器官发现的病变在同一化学物质的长期试验中是否也能发现。通过卡帕统计量评估,我们发现特定病变在不同物种间存在一致性(符合度),范围从0.58(长期研究中雌性小鼠和大鼠鼻腔病变的符合度)到 -0.14(长期研究中小鼠和大鼠肺部病变的符合度)。预测价值受到每种病变观察数量相对较少的限制。阳性预测值范围从100%到0%。将短期试验中发现的病变与长期试验中发现的病变进行比较,卡帕统计量值范围从0.76(雄性大鼠脾脏病变)到 -0.61(雌性小鼠肺部病变)。短期试验对长期试验的阳性预测值范围从70%到0%。总体而言,在预测接触相同化学物质的不同物种以及同一化学物质从短期到长期试验中毒性病变的部位时,存在相当大的不确定性。