Grilli S, Lutz W K, Parodi S
J Cancer Res Clin Oncol. 1987;113(4):349-58. doi: 10.1007/BF00397718.
To date, all risk assessment studies on benzene have been based almost exclusively on epidemiological data. We have attempted a more integrated and quantitative evaluation of carcinogenic risk for humans, trying to utilize, in addition to the epidemiological data, all data available, specifically data on metabolism, genotoxicity, and carcinogenicity in small rodents. An integrated evaluation of the globality of the available data seems to suggest a progressive saturation of metabolic capacity both for man and rodents between 10 and 100 ppm. The most susceptible target cells seem to be different in humans (predominant induction of myelogenous leukemia) and small rodents (induction of a wide variety of tumors). Nevertheless, both epidemiological and experimental carcinogenicity data tend to indicate a flattening of the response for the highest dosages, again suggesting a general saturation of mechanisms of metabolic activation, extended to different target tissues. From a quantitative point of view, the data suggest a carcinogenic potency at 10 ppm two to three times higher than that computable by a linear extrapolation from data in the 100 ppm range. These observations are in accord with the recent proposal of the European Economic Community of reducing benzene time-weighted average occupational levels from 10 to 5 ppm.
迄今为止,所有关于苯的风险评估研究几乎完全基于流行病学数据。我们尝试对人类致癌风险进行更综合、定量的评估,除了流行病学数据外,还试图利用所有可得数据,特别是关于小型啮齿动物的代谢、遗传毒性和致癌性的数据。对现有数据整体性的综合评估似乎表明,对于人和啮齿动物而言,在10至100 ppm之间代谢能力逐渐饱和。最易受影响的靶细胞在人类(主要诱发髓性白血病)和小型啮齿动物(诱发多种肿瘤)中似乎有所不同。然而,流行病学和实验致癌性数据都倾向于表明,最高剂量时反应趋于平缓,这再次表明代谢激活机制普遍饱和,且扩展到了不同靶组织。从定量角度来看,数据表明10 ppm时的致癌效力比根据100 ppm范围内的数据进行线性外推计算得出的效力高两到三倍。这些观察结果与欧洲经济共同体最近提出的将苯的职业时间加权平均水平从10 ppm降至5 ppm的提议一致。