Sontag J M
Urol Clin North Am. 1980 Oct;7(3):803-14.
Classic principles of pharmacology and toxicology are not entirely applicable to carcinogenesis. The existence of thresholds for carcinogens has yet to be proved. The use of high dosages in laboratory animals is an acceptable and necessary practice in identifying carcinogens. Generally, carcinogenicity is a result of the intrinsic property of a chemical and is independent of dosage and duration of exposure; however, the detection of carcinogenicity is dose-related. Not all chemicals are carcinogens. A properly designed and conducted study in laboratory animals is a scientifically valid way of identifying carcinogens that may pose a risk to humans. The route by which a chemical is administered to laboratory animals need not be identical to the way in which humans are exposed. The target organs in laboratory animals may or may not be the same as in humans. The inherent limitations of epidemiologic studies severely restrict their usefulness for detecting cancer-causing agents in human beings. Therefore, carcinogens identified in laboratory animals should be treated as if they cause cancer in human beings as well.
药理学和毒理学的经典原理并不完全适用于致癌作用。致癌物阈值的存在尚未得到证实。在实验动物中使用高剂量是识别致癌物时可接受且必要的做法。一般来说,致癌性是化学物质固有特性的结果,与剂量和暴露持续时间无关;然而,致癌性的检测与剂量相关。并非所有化学物质都是致癌物。在实验动物中进行精心设计和实施的研究是识别可能对人类构成风险的致癌物的科学有效方法。给实验动物施用化学物质的途径不必与人类接触的方式相同。实验动物中的靶器官可能与人类相同,也可能不同。流行病学研究的固有局限性严重限制了它们在检测人类致癌物质方面的用途。因此,在实验动物中识别出的致癌物应被视为也会导致人类患癌。