Infante P F
Environ Health Perspect. 1977 Dec;21:251-4. doi: 10.1289/ehp.7721251.
Recent experimental evidence indicates that structural analogs of vinyl chloride namely, vinylidene chloride and trichloroethylene, are mutagenic. Carcinogenic response also has been observed in experimental animals following exposure to vinylidene chloride, trichloroethylene, and perchloroethylene. More recent observations demonstrate low-level vinyl chloride-induced mammary carcinoma. An additional chlorinated olefin, chloroprene, has demonstrated a mutagenic response in several test systems. Likewise, several studies have indicated significant excesses of chromosomal aberrations as well as adverse effects on reproductive function following male exposure to chloroprene. Although reports have indicated an increased incidence of lung and skin cancer among workers occupationally exposed to chloroprene, adequately designed studies have not been carried out which would allow the development of valid inferences regarding its carcinogenicity. The question facing the scientific community and society is whether observations in subhuman species are adequate to institute prudent public health practice by controlling these agents as carcinogens or mutagens or whether, once again, epidemiologic enumeration of the toll will be required.
最近的实验证据表明,氯乙烯的结构类似物,即偏二氯乙烯和三氯乙烯,具有致突变性。在实验动物接触偏二氯乙烯、三氯乙烯和全氯乙烯后,也观察到了致癌反应。最近的观察结果表明,低水平的氯乙烯会诱发乳腺癌。另一种氯化烯烃氯丁二烯,在多个测试系统中都表现出致突变反应。同样,多项研究表明,男性接触氯丁二烯后,染色体畸变显著增加,对生殖功能也有不良影响。尽管有报告指出,职业接触氯丁二烯的工人中肺癌和皮肤癌的发病率有所增加,但尚未开展充分设计的研究,无法就其致癌性得出有效的推论。科学界和社会面临的问题是,在非人类物种中的观察结果是否足以通过将这些物质作为致癌物或诱变剂进行控制来实施谨慎的公共卫生措施,或者是否再次需要通过流行病学统计伤亡人数。