Johnson E M
Annu Rev Pharmacol Toxicol. 1981;21:417-29. doi: 10.1146/annurev.pa.21.040181.002221.
State of the art teratology is sufficient to develop a screening system of teratogenic hazard potential if one remembers the basic developmental biology underlying teratogenesis. Understanding of teratogenic mechanisms may provide better systems but such knowledge is not yet available. The system described is an interim step and may not prove valid. Hopefully Karnofsky's law will remain in our attention thereby permitting our realization that the question, "Is table salt teratogenic?" is naive and largely irrelevant. The answer is "Yes" from the viewpoint of total well-being of the conceptus. What the question is really asking is: "What is the developmental hazard potential of table salt?" This question can be answered quantitatively and it is, "No, it is not a developmental hazard because it is a coeffective teratogen with a developmental hazard index of less than 0.1." If we could all understand these basics, we could realistically proceed to safeguard your grandchildren and mine.
如果记住致畸发生背后的基本发育生物学知识,那么目前最先进的畸形学足以开发一个致畸危险潜力筛查系统。对致畸机制的理解可能会提供更好的系统,但此类知识目前尚不具备。所描述的系统只是一个过渡步骤,可能并不被证明有效。希望卡诺夫斯基定律能始终引起我们的关注,从而让我们认识到,“食盐有致畸性吗?”这个问题很幼稚且基本无关紧要。从胚胎整体健康的角度来看,答案是“有”。这个问题真正想问的是:“食盐的发育危险潜力是什么?”这个问题可以定量回答,答案是:“不,它不是发育危险物,因为它是一种协同致畸物,发育危险指数小于0.1。”如果我们都能理解这些基本要点,就能切实地着手保护我们的孙辈。