Hayashi Y
Gan To Kagaku Ryoho. 1985 Mar;12(3 Pt 2):579-84.
Motivated by the epidemiological evidence suggesting that the majority of human cancers result from exposure to environmental carcinogens, an international cooperative project aiming at the primary prevention of cancers has been in progress to test a number of chemicals for potential carcinogenicity in animals. With accumulation of the test data, it has become apparent that for assessment of carcinogenic risk in humans, one sometimes needs, 2 kinds of additional information concerning the mechanism by which, and how intensely the test compounds can induce cancers in experimental animals. With regard to the mechanistic issues, extensive studies are now being conducted in various countries to establish a scientific basis for classifying chemical carcinogens into 3 categories, genotoxic (primary) carcinogens, epigenetic (secondary) carcinogens and promoters. As an approach to quantitative risk assessment of carcinogens, attempts have been made to estimate the "Virtually Safe Dose (VSD)" or carcinogenic doses at extremely low risk levels by downward extrapolation of animal dose-response data. Finally, it must be emphasized that most human cancers are probably etiologically attributable to a complex interaction of multiple factors. Therefore, the development of a methodology for evaluating the effect of combined or sequential exposure to 2 or more carcinogens is now regarded as an important project in cancer research.
鉴于流行病学证据表明大多数人类癌症是由接触环境致癌物所致,一项旨在进行癌症一级预防的国际合作项目一直在开展,以测试多种化学物质在动物体内的潜在致癌性。随着测试数据的积累,显而易见的是,为了评估人类的致癌风险,有时需要另外两类有关测试化合物在实验动物中诱发癌症的机制及其强度的信息。关于作用机制问题,各国目前正在进行广泛研究,以便为将化学致癌物分为三类建立科学依据,即遗传毒性(原发性)致癌物、表观遗传(继发性)致癌物和促癌剂。作为致癌物定量风险评估的一种方法,人们已尝试通过对动物剂量反应数据进行向下外推来估计“实际安全剂量(VSD)”或极低风险水平下的致癌剂量。最后,必须强调的是,大多数人类癌症在病因上可能归因于多种因素的复杂相互作用。因此,开发一种评估两种或更多种致癌物联合或相继接触效应的方法,目前被视为癌症研究中的一个重要项目。