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[评估致癌物质的策略]

[Strategies for evaluating carcinogenic substances].

作者信息

Henschler D

机构信息

Institut für Toxikologie, Universität Würzburg.

出版信息

Zentralbl Hyg Umweltmed. 1995 Apr;197(1-3):180-7.

PMID:8579707
Abstract

Cancer from exposure to chemicals is known for more than two centuries. Today, approximately 40 compounds have been identified as unequivocally carcinogenic in humans, more than 300 have been shown to be carcinogenic in animal experimentation. Accordingly, an old system subdivides carcinogens as human carcinogens (A1), animal carcinogens (A2, and compounds being suspective of exerting carcinogenic activity. There exist no threshoulds of effect for notorious carcinogens. In order to improve the protection of those exposed to carcinogens in the working area, a special type of tolerance values has been introduced (technical guidance values, TRK). Contrary to MAK-values, these TRKs take into account a certain residual cancer risk which in most cases can not be quantified. The amount of acceptable residual risks is a matter of political consensus which has to be organized between the societal groups involved. For the purpose of quantitative comparisons, "unit risks" have been introduced; the problematics of this category is discussed to some extend.

摘要

接触化学物质导致癌症已有两个多世纪的历史。如今,约40种化合物已被明确认定为对人类有致癌性,300多种在动物实验中显示有致癌性。因此,一个旧的系统将致癌物细分为人类致癌物(A1)、动物致癌物(A2)以及疑似具有致癌活性的化合物。对于臭名昭著的致癌物不存在效应阈值。为了加强对工作场所接触致癌物人员的保护,引入了一种特殊类型的耐受值(技术指导值,TRK)。与MAK值不同,这些TRK考虑了一定的残余癌症风险,而在大多数情况下,这种风险无法量化。可接受的残余风险量是一个需要相关社会群体之间达成政治共识的问题。为了进行定量比较,引入了“单位风险”;对这一类别存在的问题进行了一定程度的讨论。

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