Garattini S
Crit Rev Toxicol. 1985;16(1):1-29. doi: 10.3109/10408448509041323.
This review attempts an analysis of the major components which make it extremely difficult to extrapolate toxicological data obtained with chemicals from animals to man. A first problem concerns the use of doses to express the unit of comparison across animal species; the dose is a parameter exogenous to the body and when a chemical enters the body concentrations should be utilized. There is in fact evidence that for several chemicals equal doses in different animal species do not mean equal concentrations in blood or tissues. Concentrations of chemicals should be measured for extrapolation purposes as close as possible to the site of the toxic effect. A second problem regards the fact that several chemical are transformed in the body into other chemical species--sometimes few and sometimes many--and some of these species (active metabolites) display biological activity in some cases higher than different from or antagonistic to those of the parent compounds. Some of these metabolites are highly reactive and therefore bind to body components, particularly macromolecules such as proteins and nucleic acids. There is evidence that metabolism is quantitatively and/or qualitatively different in various animal species. A third problem concerns the difference in various animal species in the biological substrates on which chemicals exert their toxic effects. Equal concentrations of chemicals and their metabolites do not mean equal toxic effects across animal species because endogenous metabolic processes, cell permeability, enzymes, and receptors are not necessarily the same in animals and man. To overcome these difficulties there is a need for closer integration of different disciplines in the toxicological evaluation of chemicals. A scientific rather than a routine approach in toxicology is emphasized.
本综述试图分析一些主要因素,正是这些因素使得将从动物身上获得的化学物质毒理学数据外推至人类变得极其困难。第一个问题涉及使用剂量来表示不同动物物种间的比较单位;剂量是一个体外参数,而当一种化学物质进入体内时,应该使用浓度。事实上,有证据表明,对于几种化学物质而言,不同动物物种中的等量剂量并不意味着血液或组织中的浓度相等。为了进行外推,应尽可能在接近毒性作用部位的地方测量化学物质的浓度。第二个问题在于,几种化学物质在体内会转化为其他化学物种——有时数量较少,有时较多——并且其中一些物种(活性代谢物)在某些情况下表现出的生物活性高于、不同于或拮抗母体化合物的生物活性。其中一些代谢物具有高反应性,因此会与身体成分结合,特别是与蛋白质和核酸等大分子结合。有证据表明,不同动物物种的代谢在数量和/或质量上存在差异。第三个问题涉及不同动物物种中化学物质产生毒性作用的生物底物的差异。不同动物物种中化学物质及其代谢物的浓度相等并不意味着毒性作用相同,因为动物和人类体内的内源性代谢过程、细胞通透性、酶和受体不一定相同。为克服这些困难,在化学物质的毒理学评估中需要不同学科更紧密地整合。强调在毒理学中应采用科学而非常规的方法。