Hanover Medical School, Hannover, Germany; Bayer HealthCare, Wuppertal, Germany (retired).
Toxicol Lett. 2019 Nov;316:94-108. doi: 10.1016/j.toxlet.2019.09.001. Epub 2019 Sep 6.
The toxic effects resulting from inhalation exposure depend on both the concentration (C) of the inhaled substance and the exposure duration (t), including the assumptions that the exposure-limiting toxic effect is linearly linked with the accumulated C × t (inhaled dose), and detoxification or compensatory responses diminishing this dose are negligible. This interrelationship applies for both constant and fluctuating concentrations and is usually expressed by the toxic load equation C × t = constant effect (k). The toxic load exponent 'n' is derived from both C- and t-dependent exponents with C×t = k with n = b/b. This model is taken as a fundamental basis for assessing the acute hazard posed by atmospheric releases of noxious substances, whether deliberate or accidental. Despite its universal use, especially for inhaled irritants, the toxicological significance of this mathematical construct is still discussed controversially. With n = 1 this equation is called Haber's rule. The underlying assumption is that the exposure-based calculated and the actually inhaled C×t are identical. Unlike the calculated dose, the latter is dependent on the test species and its t-dependent change in respiratory minute volume (MV). The retention patterns of inhaled irritant vapors may differ in obligate nasal breathing rodents and oronasally breathing humans as well. Thus, due to the interdependence of n on both C, t and k, this mathematical construct generates a bioassay-specific 'n' which can hardly be considered as human-equivalent, especially following exposure to sensory irritants known to elicit reflex-related changes in MV. The C- and t-dependent impact on C × t = k was analyzed with the sensory irritant n-butyl monoisocyanate and compared with t-dependent changes elicited by highly, moderately, and poorly water-soluble sensory irritants ammonia, toluene diisocyanate, and phosgene, respectively. This comparison reveals that n depends on several factors: In cases where MV is instantly and plateau-like depressed with onset of exposure, n appears to be most dependent on C × MV whereas for a similar slower time-dependent response n becomes more dependent on MV × t. For any ensuing risk characterization that focuses on acute non-lethal threshold C × t's, the sensory irritation-related depression in MV must be known to arrive at meaningful conclusions. In summary, both C- and t-dependent dosimetry-related pitfalls may occur in acute bioassays on rodents following inhalation exposure to irritants. These must be identified and dealt with judiciously prior to translation to apparently similar human exposures. By default, extrapolations from one duration to another should start with that C × t eliciting the least depression in MV with n = 1.
吸入暴露引起的毒性效应既取决于吸入物质的浓度 (C),也取决于暴露持续时间 (t),包括以下假设:暴露限制毒性效应与累积的 C×t(吸入剂量)呈线性相关,并且解毒或代偿反应会降低该剂量。这种相互关系适用于恒定和波动浓度,通常用毒性负荷方程 C×t = 常数效应 (k) 表示。毒性负荷指数 'n' 是由 C 和 t 相关指数推导而来的,C×t = k,n=b/b。该模型被视为评估大气有害物质有意或无意释放造成的急性危害的基本依据。尽管它被广泛使用,特别是对于吸入性刺激物,但这种数学构建的毒理学意义仍存在争议。当 n=1 时,这个方程被称为哈伯法则。其基本假设是基于暴露计算出的 C×t 与实际吸入的 C×t 相同。与计算剂量不同,后者取决于测试物种及其 t 依赖性呼吸分钟量 (MV) 的变化。吸入性刺激物蒸气的保留模式在强制性鼻呼吸啮齿动物和口鼻呼吸人类中可能也不同。因此,由于 n 依赖于 C、t 和 k,这个数学构建产生了一个特定于生物测定的 'n',这个 'n' 几乎不能被认为是人类等效的,特别是在暴露于已知会引起 MV 反射相关变化的感官刺激物之后。用感官刺激物正丁基异氰酸酯分析了 C 和 t 对 C×t = k 的影响,并与高、中、低水溶性感官刺激物氨、甲苯二异氰酸酯和光气分别引起的 t 依赖性变化进行了比较。这一比较表明,n 取决于几个因素:在 MV 立即呈平台样下降且随着暴露开始的情况下,n 似乎最依赖于 C×MV,而对于类似的较慢的时间依赖性反应,n 则更依赖于 MV×t。对于任何关注急性非致死阈值 C×t 的风险特征描述,必须了解 MV 中与感官刺激相关的抑制,以便得出有意义的结论。总之,在吸入暴露于刺激性物质后,啮齿动物的急性生物测定中可能会出现 C 和 t 依赖性的剂量学相关缺陷。在将其转化为看似类似的人类暴露之前,必须识别并明智地处理这些缺陷。默认情况下,从一个持续时间到另一个持续时间的外推应从引起 MV 抑制最小的 C×t 开始,此时 n=1。