Kroes R
Ann N Y Acad Sci. 1983;407:398-408. doi: 10.1111/j.1749-6632.1983.tb47846.x.
Short-term tests designed to detect possible carcinogenicity have been extensively refined during the last years. Presently, many more or less simple and convenient systems are available to detect mutations, chromosome effects, DNA damage, and malignant transformation. Although their relevance to carcinogenicity is often reasonably good, inconsistencies in the pattern of response indicate that their role as predictive indicators of carcinogenicity is still uncertain. The use of short-term tests in carcinogen risk assessment does seem feasible. These tests, however, should not be the only characteristic taken into consideration in such a risk assessment. Other characteristics such as chemical structure, biotransformation, and pharmacokinetics, qualitative and quantitative physiological and/or morphological effects, species, strain, and organ specificity, dose-response relation, and information on human studies, if available, are of importance too. Current knowledge does not permit a rigid classification of carcinogens, but does warrant a subclassification into genotoxic and nongenotoxic compounds. Whereas for genotoxic compounds a real threshold cannot be expected on a theoretical basis, the existence of a threshold may well be expected for nongenotoxic compounds. In conjunction with other characteristics it may then be decided whether a genotoxic or nongenotoxic compound may be or may not be permitted in the human environment. In this evaluation process it is anticipated that for genotoxic compounds other extrapolation systems should be used, as compared to nongenotoxic compounds, where in fact a conventional food toxicology safety factor may be applied. Short-term tests are very important in the subclassification with respect to genotoxicity and seem to be of value for the detection of promoter activity as well.
旨在检测潜在致癌性的短期试验在过去几年中得到了广泛改进。目前,有更多或或多或少简单方便的系统可用于检测突变、染色体效应、DNA损伤和恶性转化。尽管它们与致癌性的相关性通常相当不错,但反应模式的不一致表明它们作为致癌性预测指标的作用仍不确定。在致癌物风险评估中使用短期试验似乎是可行的。然而,这些试验不应是此类风险评估中唯一考虑的特征。其他特征,如化学结构、生物转化和药代动力学、定性和定量的生理和/或形态学效应、物种、品系和器官特异性、剂量反应关系以及人体研究信息(如果可用)也很重要。目前的知识不允许对致癌物进行严格分类,但确实有理由将其细分为遗传毒性和非遗传毒性化合物。对于遗传毒性化合物,从理论上讲无法预期真正的阈值,而非遗传毒性化合物很可能存在阈值。结合其他特征,然后可以决定遗传毒性或非遗传毒性化合物在人类环境中是否可以或不可以被允许。在这个评估过程中,可以预期与非遗传毒性化合物相比,对于遗传毒性化合物应使用其他外推系统,实际上对于非遗传毒性化合物可以应用传统的食品毒理学安全系数。短期试验在关于遗传毒性的细分中非常重要,并且似乎对于检测启动子活性也有价值。