Tilson H A
Neurotoxicology Division (MD-74B), U.S. Environmental Protection Agency, Health Effects Research Laboratory, Research Triangle Park, NC 27711.
NIDA Res Monogr. 1993;136:1-30; discussion 31-3. doi: 10.1037/e495922006-003.
The use of neurobehavioral techniques in toxicology has increased dramatically over the past several years. Several national and international groups have recommended that neurobehavioral tests be included in the initial stages of hazard identification, and regulatory agencies have responded by preparing testing guidelines or requiring behavioral tests data for premarket approval of environmental and pharmaceutical chemicals. In addition, neurobehavioral data have been used to set exposure limits in the workplace. In the future, neurobehavioral data will be used more frequently in the area of risk assessment, which has been defined as the "characterization of the potential adverse effects of human exposure to environmental hazards" (National Academy of Sciences 1983). Good risk assessment depends on the ability to determine whether a particular agent is or is not causally linked to a particular health effect and on the availability of dose-response data for quantitative risk assessment. Neurobehavioral techniques used in animal behavioral toxicology measure neurobiological functions similar to those measured in humans. In addition, neurobehavioral procedures can be used in longitudinal studies where the onset and duration of effects of chemical exposure can be measured in the same animal. Neurobehavioral techniques are also amenable to the study of tolerance and compensation following repeated exposure or following recovery of function that can occur following cessation of exposure. Therefore, neurobehavioral procedures provide a valuable tool for research designed to reduce major uncertainties associated with the risk assessment process, such as animal to human extrapolation (homology of animal models) and dosing issues (i.e., high-to-low dose, acute vs. repeated dosing, and continuous vs. episodic dosing). Although the use of neurobehavioral procedures has had a significant impact on neurotoxicology, their use in the risk assessment process and in monitoring populations for possible subtle changes in neurobiological function will be limited if additional research is not done to understand the neural substrates underlying neurobehavioral endpoints. The ability to link chemically induced behavioral changes to alterations at the neurophysiological, neurochemical, and neuroanatomical levels will lead to a greater acceptance of the validity and reliability of neurobehavioral endpoints in defining adverse effects of chemicals on the nervous system.
在过去几年中,神经行为技术在毒理学中的应用急剧增加。几个国家和国际组织建议在危害识别的初始阶段纳入神经行为测试,监管机构也相应地制定了测试指南,或要求提供行为测试数据,以便对环境和药物化学品进行上市前批准。此外,神经行为数据已被用于设定工作场所的接触限值。未来,神经行为数据将在风险评估领域得到更频繁的应用,风险评估被定义为“对人类接触环境危害潜在不利影响的描述”(美国国家科学院,1983年)。良好的风险评估取决于确定特定物质是否与特定健康影响存在因果关系的能力,以及用于定量风险评估的剂量反应数据的可用性。动物行为毒理学中使用的神经行为技术测量的神经生物学功能与人类测量的功能相似。此外,神经行为程序可用于纵向研究,在同一动物身上测量化学物质接触的影响的起始和持续时间。神经行为技术也适用于研究重复接触后或接触停止后功能恢复后的耐受性和代偿情况。因此,神经行为程序为旨在减少与风险评估过程相关的主要不确定性的研究提供了有价值的工具,例如从动物到人类的外推(动物模型的同源性)和给药问题(即高剂量到低剂量、急性给药与重复给药、连续给药与间歇性给药)。尽管神经行为程序的使用对神经毒理学产生了重大影响,但如果不进行更多研究以了解神经行为终点背后的神经基础,它们在风险评估过程以及监测人群神经生物学功能可能的细微变化方面的应用将受到限制。将化学诱导的行为变化与神经生理、神经化学和神经解剖学水平的改变联系起来的能力,将导致人们更广泛地接受神经行为终点在定义化学物质对神经系统的不利影响方面的有效性和可靠性。