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药代动力学在非癌症风险评估中的应用:以五氟氯苯为例。

Incorporation of pharmacokinetics in noncancer risk assessment: example with chloropentafluorobenzene.

作者信息

Clewell H J, Jarnot B M

机构信息

K.S. Crump Group, ICF Kaiser International, Ruston, Louisiana 71270.

出版信息

Risk Anal. 1994 Jun;14(3):265-76. doi: 10.1111/j.1539-6924.1994.tb00241.x.

Abstract

Noncancer risk assessment traditionally relies on applied dose measures, such as concentration in inhaled air or in drinking water, to characterize no-effect levels or low-effect levels in animal experiments. Safety factors are then incorporated to address the uncertainties associated with extrapolating across species, dose levels, and routes of exposure, as well as to account for the potential impact of variability of human response. A risk assessment for chloropentafluorobenzene (CPFB) was performed in which a physiologically based pharmacokinetic model was employed to calculate an internal measure of effective tissue dose appropriate to each toxic endpoint. The model accurately describes the kinetics of CPFB in both rodents and primates. The model calculations of internal dose at the no-effect and low-effect levels in animals were compared with those calculated for potential human exposure scenarios. These calculations were then used in place of default interspecies and route-to-route safety factors to determine safe human exposure conditions. Estimates of the impact of model parameter uncertainty, as estimated by a Monte Carlo technique, also were incorporated into the assessment. The approach used for CPFB is recommended as a general methodology for noncancer risk assessment whenever the necessary pharmacokinetic data can be obtained.

摘要

传统上,非癌症风险评估依赖于应用剂量测量方法,如吸入空气中或饮用水中的浓度,来确定动物实验中的无效应水平或低效应水平。然后纳入安全系数,以解决跨物种、剂量水平和暴露途径外推相关的不确定性,以及考虑人类反应变异性的潜在影响。对五氟氯苯(CPFB)进行了风险评估,其中采用基于生理学的药代动力学模型来计算适合每个毒性终点的有效组织剂量的内部测量值。该模型准确描述了CPFB在啮齿动物和灵长类动物中的动力学。将动物无效应和低效应水平下的内部剂量模型计算结果与潜在人类暴露情景下的计算结果进行了比较。然后,这些计算结果被用来替代默认的种间和途径间安全系数,以确定安全的人类暴露条件。通过蒙特卡罗技术估计的模型参数不确定性影响的估计值也被纳入评估。只要能够获得必要的药代动力学数据,CPFB所采用的方法就被推荐为非癌症风险评估的一般方法。

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