Waritz R S, Steinberg M, Kinoshita F K, Kelly C M, Richter W R
BioSante International, Inc., Wilmington, Delaware, USA.
Regul Toxicol Pharmacol. 1996 Oct;24(2 Pt 1):184-92. doi: 10.1006/rtph.1996.0124.
Historically, a direct and irreversible genotoxic reaction of a xenobiotic with DNA has been considered to be a universal and obligatory initiating event in the etiology of neoplasia, and it was assumed therefore that (1) there was no threshold other than zero exposure for cancer initiation, and (2) like radiation, exposure was additive over a lifetime. Human exposure to xenobiotics causing neoplasia in laboratory rodents has been regulated in many countries on that basis. In the last decade evidence has accumulated indicating that some neoplasia in laboratory rodents may not be caused by a direct and irreversible interaction of xenobiotics with DNA. In addition, it has been found that some neoplasia caused in laboratory rodents by xenobiotics may not be relevant for biochemical/physiological reasons. This has raised the question whether human exposure to these xenobiotics should be regulated by the no-threshold philosophy used for direct-acting genotoxic xenobiotics or whether they can be regulated by the threshold philosophy used for classical xenobiotic-induced toxic effects. In a bioassay carried out by the National Cancer Institute and published in 1979, toxaphene was found to cause an increase in the occurrence of two spontaneously occurring tumors in laboratory rodents that since have been found to have both genotoxic and nongenotoxic etiologies in laboratory rodents. Experiments described in this paper are part of a program to help elucidate whether the increased incidence of these two neoplasms in laboratory rodents could have had a nongenotoxic origin, and thus whether toxaphene could be regulated by a threshold approach. Forty male rats were orally intubated with 100 mg/kg/day technical grade toxaphene in corn oil for 3 days. The dose was reduced to 75 mg/ kg/day on Day 4 due to toxicity. This lower dose was administered daily for 25 days. Another group of 40 male rats was orally gavaged daily with equivalent volumes of corn oil. After 0, 7, 14, and 28 doses, 10 test and 10 vehicle control animals were sacrificed for gross and histopathological examination of thyroid, parathyroid, and pituitary glands. Weights of these endocrine organs, body weights, and brain weights were determined. Prior to sacrifice, a blood sample was obtained from each animal for preparation of serum for analyses of thyroid stimulating hormone (TSH), thyroxine (T4), thyroid hormone (T3), and reverse T3 (rT3). Thyroid glands were evaluated microscopically for follicular cell hypertrophy, hyperplasia, and colloid storage. There were significant time-related increases in serum TSH in the test animals after 7, 14, and 28 doses of toxaphene. The serum levels of T3, T4, rT3, and corrected T3 (CrT3) in the test group were not significantly different from controls at each interval. Thyroid gland weights and thyroid to brain weight ratios were not significantly (p > 0.05) increased in the test group at each sacrifice interval. Pituitary weight, brain weight, and the ratios of these organ weights to body weights were similar in the test and control groups at each sacrifice interval. Thyroid follicular cell hypertrophy and intrafollicular hyperplasia increased and thyroid follicular cell colloid stores decreased with duration of treatment with toxaphene. The hormonal and histopathologic changes seen in the test group were consistent with increased excretion of T3 and/or T4 resulting from cytochrome P450 enzyme induction in the liver. This mechanism for thyroid neoplasia is not known to occur in humans.
从历史上看,外源性物质与DNA发生直接且不可逆的基因毒性反应被认为是肿瘤形成病因中普遍且必然的起始事件,因此人们假定:(1)除零暴露外不存在癌症起始的阈值;(2)与辐射一样,一生的暴露是可累加的。基于此,许多国家对人类接触能在实验啮齿动物中引发肿瘤的外源性物质进行了管控。在过去十年中,越来越多的证据表明,实验啮齿动物中的某些肿瘤可能并非由外源性物质与DNA的直接且不可逆的相互作用所致。此外,还发现外源性物质在实验啮齿动物中引发的某些肿瘤可能因生化/生理原因而不具有相关性。这就引发了一个问题,即人类接触这些外源性物质是否应按照用于直接作用的基因毒性外源性物质的无阈值理念进行管控,或者它们是否可以按照用于经典外源性物质诱导的毒性效应的阈值理念进行管控。在1979年美国国立癌症研究所进行并发表的一项生物测定中,发现毒杀芬会导致实验啮齿动物中两种自发肿瘤的发生率增加,但后来发现这两种肿瘤在实验啮齿动物中既有基因毒性病因也有非基因毒性病因。本文所述的实验是一个项目的一部分,该项目旨在帮助阐明实验啮齿动物中这两种肿瘤发生率的增加是否可能有非基因毒性起源,从而毒杀芬是否可以通过阈值方法进行管控。40只雄性大鼠每天经口灌胃100毫克/千克技术级毒杀芬的玉米油溶液,持续3天。由于毒性,第4天剂量降至75毫克/千克/天。这个较低剂量每天给药25天。另一组40只雄性大鼠每天经口灌胃等量的玉米油。在给予0、7、14和28次剂量后,处死10只受试动物和10只赋形剂对照动物,对甲状腺、甲状旁腺和垂体进行大体和组织病理学检查。测定这些内分泌器官的重量、体重和脑重。在处死前,从每只动物采集血样以制备血清,用于分析促甲状腺激素(TSH)、甲状腺素(T4)、三碘甲状腺原氨酸(T3)和反三碘甲状腺原氨酸(rT3)。对甲状腺进行显微镜检查,评估滤泡细胞肥大、增生和胶体储存情况。在给予毒杀芬7、14和28次剂量后,受试动物血清TSH出现与时间相关的显著增加。在每个时间间隔,受试组的T3、T4、rT3和校正T3(CrT3)血清水平与对照组无显著差异。在每个处死间隔时,受试组的甲状腺重量和甲状腺与脑重量之比没有显著增加(p>0.05)。在每个处死间隔时,受试组和对照组的垂体重量、脑重量以及这些器官重量与体重之比相似。随着毒杀芬处理时间的延长,甲状腺滤泡细胞肥大和滤泡内增生增加,甲状腺滤泡细胞胶体储存减少。受试组中观察到的激素和组织病理学变化与肝脏中细胞色素P450酶诱导导致T3和/或T4排泄增加一致。这种甲状腺肿瘤形成的机制在人类中尚未发现。