Wilbourn J D, Haroun L, Vainio H, Montesano R
Toxicol Pathol. 1984;12(4):397-9. doi: 10.1177/019262338401200415.
Although both the epidemiologic and experimental studies have led to the identification of chemical carcinogens, the limitations in epidemiologic approaches and the need for primary prevention of cancer require a greater reliance on experimental studies. Long-term carcinogenicity studies in experimental animals have been instrumental in identifying chemicals with carcinogenic activity, and, in some cases, the experimental evidence has preceded the epidemiologic evidence (for 4-aminobiphenyl, aflatoxin B1, diethylstilbestrol, melphalan, mustard gas, and vinyl chloride). A better understanding of the multistage process of carcinogenesis and the findings from various short-term tests available more recently may provide a more solid basis for extrapolating experimental findings to man.
尽管流行病学研究和实验研究都已促成了化学致癌物的识别,但流行病学方法存在局限性且癌症一级预防存在需求,这就需要更多地依赖实验研究。实验动物的长期致癌性研究在识别具有致癌活性的化学物质方面发挥了重要作用,而且在某些情况下,实验证据先于流行病学证据(如4-氨基联苯、黄曲霉毒素B1、己烯雌酚、美法仑、芥子气和氯乙烯)。对致癌作用多阶段过程的更好理解以及最近可得的各种短期试验的结果,可能为将实验结果外推至人类提供更坚实的基础。