Malaveille C, Bartsch H
J Toxicol Clin Exp. 1989;9(2 Pt 2):15-25.
To determine whether genotoxic and non-genotoxic carcinogens contribute similarly to the cancer burden in humans, an analysis was performed on agents that were evaluated in Supplements 6 and 7 to the I.A.R.C. Monographs for their carcinogenic effects in human and animals and for the activity in short-term tests. The prevalence of genotoxic carcinogens on four groups of agents, consisting of established human carcinogens (group 1, n = 30), probable human carcinogens (group 2A, n = 37), possible human carcinogens (group 2B, n = 113) and of agents with limited evidence of carcinogenicity in animals (a subset of group 3, n = 149) was determined. A high prevalence in the order of 80 to 90% of genotoxic carcinogens was found in each of the groups 1, 2A and 2B, which were also shown to be multi-species/multi-tissues carcinogens. Neither the prevalence of genotoxic carcinogens nor the distribution of carcinogenic potency in rodents reveal any specific characteristics of the human carcinogens in group 1 that differentiates them from agents in groups 2A and 2B or from many in group 3. This suggests that substances in group 2A and 2B and possibly several in group 3, are carcinogenic to humans. These results indicate that (a) an agent with unknown carcinogenic potential showing sufficient evidence of activity in in vitro/in vivo genotoxicity assays (involving as endpoints DNA damage, chromosomal/mutational damage) may represent a hazard to humans; and (b) an agent showing lack of activity in this spectrum of genotoxicity assays should undergo evaluation for carcinogenicity by rodent bioassay, in view of the present lack of validated short-term tests for non-genotoxic carcinogens.
为了确定遗传毒性致癌物和非遗传毒性致癌物对人类癌症负担的贡献是否相似,对国际癌症研究机构(IARC)专论补编6和7中评估过的、在人和动物中的致癌作用以及短期试验活性的物质进行了分析。确定了遗传毒性致癌物在四组物质中的流行情况,这四组物质包括已确定的人类致癌物(第1组,n = 30)、可能的人类致癌物(2A组,n = 37)、可能的人类致癌物(2B组,n = 113)以及在动物中致癌性证据有限的物质(第3组的一个子集,n = 149)。在第1、2A和2B组中,遗传毒性致癌物的流行率高达80%至90%,这些组也被证明是多物种/多组织致癌物。遗传毒性致癌物的流行率或啮齿动物致癌效力的分布均未揭示第1组人类致癌物有任何将它们与2A组和2B组物质或第3组中的许多物质区分开来的特定特征。这表明2A组和2B组中的物质以及第3组中可能的几种物质对人类具有致癌性。这些结果表明:(a)一种致癌潜力未知但在体外/体内遗传毒性试验(以DNA损伤、染色体/突变损伤为终点)中显示出足够活性证据的物质可能对人类构成危害;(b)鉴于目前缺乏针对非遗传毒性致癌物的有效短期试验,一种在这种遗传毒性试验范围内显示无活性的物质应通过啮齿动物生物测定法进行致癌性评估。