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剂量的路线间外推方法。

Methods for route-to-route extrapolation of dose.

作者信息

Pepelko W E, Withey J R

出版信息

Toxicol Ind Health. 1985 Dec;1(4):153-70. doi: 10.1177/074823378500100410.

Abstract

Results of acute toxicity studies for a variety of chemicals have indicated that, in most cases, although the inhalation route was more effective than the IG route, wide variations in toxicity occurred between these two routes. The major factors that may result in variations in toxicity between routes include: differences in absorption efficiency; differences in systemic effects; occurrence of critical toxicological effects at the portal of entry; first-pass effects resulting in inactivation or activation of the chemical agent before it reaches the target organ; and variations in temporal patterns of target organ concentrations. Extrapolation to determine safe exposure levels during chronic exposure becomes less reliable, not only as information relating to these factors decreases, but also as the quality or length of exposure decreases in the available toxicologic studies. VDC is an example of one of a few chemicals for which both chronic inhalation and oral toxicity data are available, along with detailed pharmacokinetic information. On the basis of the pharmacokinetic data, differences in toxicity between the two routes did not appear to be very likely for this chemical. This conjecture was supported by the results of chronic toxicity studies. Finally, assuming sufficient data and pharmacokinetic parameters are available, this paper presents a useful and practical approach to route extrapolation.

摘要

多种化学品的急性毒性研究结果表明,在大多数情况下,尽管吸入途径比腹腔注射途径更有效,但这两种途径之间的毒性存在很大差异。可能导致途径间毒性差异的主要因素包括:吸收效率差异;全身效应差异;在进入部位出现关键毒理学效应;化学物质在到达靶器官之前因首过效应而失活或活化;以及靶器官浓度的时间模式差异。在慢性暴露期间确定安全暴露水平的外推变得不太可靠,这不仅是因为与这些因素相关的信息减少,还因为现有毒理学研究中暴露的质量或持续时间缩短。VDC是少数几种既有慢性吸入毒性数据又有口服毒性数据以及详细药代动力学信息的化学品之一。根据药代动力学数据,该化学品两种途径之间的毒性差异似乎不太可能。慢性毒性研究结果支持了这一推测。最后,假设获得了足够的数据和药代动力学参数,本文提出了一种有用且实用的途径外推方法。

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