Eisenbrandt D L, Allen S L, Berry P H, Classen W, Bury D, Mellert W, Millischer R J, Schuh W, Bontinck W J
European Centre for Ecotoxicology and Toxicology of Chemicals, Brussels, Belgium.
Food Chem Toxicol. 1994 Jul;32(7):655-69. doi: 10.1016/0278-6915(94)90010-8.
This review provides a scientific view on how to evaluate effectively the neurotoxic potential of chemicals in order to provide adequate safeguards for human health. Detection of compounds that may cause direct, persistent, adverse effects on the nervous system should be given the most critical attention. Evaluation of the neurotoxic potential of a chemical should include descriptions of functional and morphological effects as well as the determination of the dose response, no-observed-effect level, time course and reversibility of effects. Evaluation of the nervous system in the context of standard toxicity studies that use a variety of species and study durations are appropriate screening tests (Tier 1) for the detection of potential neurotoxicity. Studies specifically designed to assess neurotoxicity (Tier 2) should be performed with chemicals for which there is an indication of neurotoxic potential and where the available data are inadequate for risk assessment. Tier 2 studies should evaluate the function and structure of the nervous system by comprehensive clinical examinations and neuropathological assessment. These studies may be conducted in conjunction with standard toxicity studies so that any potential neurotoxicity can be interpreted in the context of other systemic toxicity. More specific neurotoxicity tests (Tier 3) may be necessary for advanced characterization of discovered neurotoxicants.
本综述就如何有效评估化学物质的神经毒性潜力提供了科学观点,以便为人类健康提供充分保障。对可能对神经系统造成直接、持久不良影响的化合物的检测应给予最关键的关注。对一种化学物质神经毒性潜力的评估应包括对功能和形态学影响的描述,以及剂量反应、未观察到效应水平、效应的时间进程和可逆性的测定。在使用多种物种和不同研究持续时间的标准毒性研究背景下对神经系统进行评估,是检测潜在神经毒性的合适筛选试验(一级)。对于有神经毒性潜力迹象且现有数据不足以进行风险评估的化学物质,应开展专门设计用于评估神经毒性的研究(二级)。二级研究应通过全面的临床检查和神经病理学评估来评价神经系统的功能和结构。这些研究可与标准毒性研究结合进行,以便能在其他全身毒性的背景下解释任何潜在的神经毒性。对于已发现的神经毒物进行深入特征描述,可能需要更具体的神经毒性试验(三级)。