Gaylor D W
National Center for Toxicological Research, Jefferson, AR 72079.
Environ Health Perspect. 1989 Feb;79:243-6. doi: 10.1289/ehp.8979243.
Animal experiments are generally conducted at higher dose levels than anticipated human dose levels in order to elicit otherwise subtle changes in reproduction or developmental effects with relatively few animals. Based on animal data, regulatory strategy generally has been to postulate a no-observed-effect level (NOEL) for toxic effects and to divide this by a safety factor, usually 100, to establish acceptable levels for humans. Various authors have discussed the shortcomings of using NOEL and have suggested the use of an estimable effect level determined from a dose-response curve fitted to bioassay data, e.g., the dose at which 1% of the animals are adversely affected, and employing some form of conservative low dose extrapolation to control risks at lower doses. In this paper, 10 sets of bioassay data on fetal mortality or anomalies were used to compare the estimated upper limits of risk estimated at the NOEL/100 and the lower 95% confidence limit estimate of the dose producing adverse effects in 1% of the embryonic implants or fetuses divided by 100 (LED01/100). The latter quantity is expected to result in a risk (proportion affected) of less than 10(-4) (1 in 10,000). The estimated upper limits of risk associated with the NOEL/100 were from 2 x 10(-4) to 6 x 10(-4) for the 10 data sets investigated.
一般来说,动物实验所采用的剂量水平高于预期的人体剂量水平,以便在使用相对较少动物的情况下引发繁殖或发育效应方面原本细微的变化。基于动物数据,监管策略通常是假定毒性效应的未观察到效应水平(NOEL),并将其除以一个安全系数(通常为100),以确定人类可接受的水平。许多作者讨论了使用NOEL的缺点,并建议使用根据拟合生物测定数据的剂量反应曲线确定的可估计效应水平,例如,1%的动物受到不利影响时的剂量,并采用某种形式的保守低剂量外推法来控制较低剂量下的风险。在本文中,使用了10组关于胎儿死亡率或畸形的生物测定数据,以比较在NOEL/100时估计的风险上限与在1%的胚胎植入物或胎儿中产生不利影响的剂量的较低95%置信限估计值除以100(LED01/100)。预计后一个量将导致风险(受影响比例)小于10^(-4)(万分之一)。在所研究的10个数据集中,与NOEL/100相关的估计风险上限为2×10^(-4)至6×10^(-4)。