MacDonald J S, Lankas G R, Morrissey R E
Merck Research Laboratories, West Point, Pennsylvania 19486.
Toxicol Pathol. 1994 Mar-Apr;22(2):124-40. doi: 10.1177/019262339402200206.
When chemicals that are nongenotoxic in conventional assays produce increases in tumor incidence in rodents in chronic bioassays, the determination of the significance of these data for human safety is a challenging task. An important first step in this process is consideration of available data on the mechanism of action and biological properties of the chemical as well as pharmacokinetic and metabolism data in the species showing the response. In recent years, there has been an increase in the understanding of so-called "secondary mechanisms" of carcinogenesis (e.g., thyroid tumors in rats following exposure to enzyme inducers). Application of these data may assist in determination of human risk. There are 2 important questions that will be explored and developed: Are there biological effects produced in the test species that could explain the increase in tumor incidence, and will these effects be reproduced in humans? What is the exposure to the chemical that is associated with the increase in tumors, and how does this relate to exposure in humans?
当常规试验中无基因毒性的化学物质在慢性生物测定中使啮齿动物的肿瘤发生率增加时,确定这些数据对人类安全的意义是一项具有挑战性的任务。这一过程中重要的第一步是考虑有关该化学物质作用机制和生物学特性的现有数据,以及显示出反应的物种中的药代动力学和代谢数据。近年来,对所谓致癌“次要机制”(如大鼠接触酶诱导剂后发生甲状腺肿瘤)的理解有所增加。应用这些数据可能有助于确定人类风险。有两个重要问题将得到探讨和深入研究:试验物种中产生的生物学效应是否可以解释肿瘤发生率的增加,以及这些效应是否会在人类中重现?与肿瘤增加相关的化学物质暴露情况如何,以及这与人类暴露有何关系?