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线性无阈(LNT)无法通过多项毒理学压力测试:对持续政策应用的影响。

Linear non-threshold (LNT) fails numerous toxicological stress tests: Implications for continued policy use.

机构信息

Department of Environmental Health Sciences, Morrill I, N344, University of Massachusetts, Amherst, MA, 01003, USA.

出版信息

Chem Biol Interact. 2022 Sep 25;365:110064. doi: 10.1016/j.cbi.2022.110064. Epub 2022 Aug 5.

Abstract

The linear non-threshold (LNT) dose-response model has long been employed by regulatory agencies to assess cancer risks from exposures to chemical carcinogens and ionizing radiation. Herein a series of fundamental historical, physical, chemical, and biologically based toxicological "stress tests" were "administered" to the LNT model, showing important limitations for its use in low dose extrapolation for all endpoints but with particular focus on cancer risk assessment where it is commonly applied. These limitations reveal that its capacity to make low-dose cancer-risk predictions is seriously flawed, precluding its use as a reliable model to estimate low dose cancer risks.

摘要

线性无阈(LNT)剂量反应模型长期以来一直被监管机构用于评估化学致癌物和电离辐射暴露的癌症风险。在此,对 LNT 模型进行了一系列基于历史、物理、化学和生物学的基本毒性“压力测试”,表明其在低剂量外推所有终点方面的使用存在重要局限性,但特别关注癌症风险评估,因为它通常应用于该领域。这些局限性表明,其进行低剂量癌症风险预测的能力存在严重缺陷,因此不能将其用作可靠模型来估计低剂量癌症风险。

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