Karstadt M
Am J Ind Med. 1998 Nov;34(5):519-25. doi: 10.1002/(sici)1097-0274(199811)34:5<519::aid-ajim15>3.0.co;2-4.
Between 1972 and 1996, the International Agency for Research on Cancer (IARC) identified 282 chemicals as having experimental evidence "sufficient" to conclude that the chemicals cause cancer in animals. Of the 282 IARC animal carcinogens, 7% (20) also had "sufficient" evidence from epidemiology studies. "Limited" human evidence was available for 5% (13) of the 282 IARC animal carcinogens. A 1996 IARC international compendium of cancer studies indicated that epidemiologic studies of chemicals determined by IARC to cause cancer in both humans and animals were considerably more common than studies of chemicals determined to cause cancer in animals but for which human data were inadequate or limited. Of the 1,101 studies reported to IARC by investigators, the IARC animal carcinogens, with the most ongoing studies were asbestos (50 studies) and benzene (26 studies). Both chemicals have sufficient evidence of carcinogenicity from studies of humans. There were epidemiologic studies ongoing for 65% (13/20) of the chemicals for which evidence of carcinogenicity was sufficient in both animals and humans. Epidemiologic studies were reported to IARC for 12% (30/247) of the IARC animal carcinogens for which human data were inadequate or for which no human data were available. Two factors appear critical in determining whether an IARC animal carcinogen becomes the subject of an epidemiologic study: the likelihood of overcoming methodological obstacles to carrying out successful epidemiologic studies, and the economic and/or regulatory interest in the chemical.
1972年至1996年间,国际癌症研究机构(IARC)认定282种化学物质有“充分”的实验证据,足以证明这些化学物质可在动物体内致癌。在这282种IARC动物致癌物中,7%(20种)也有流行病学研究的“充分”证据。对于这282种IARC动物致癌物中的5%(13种),有“有限”的人类证据。1996年IARC的一份国际癌症研究汇编表明,IARC认定对人类和动物均致癌的化学物质的流行病学研究,比那些被认定在动物体内致癌但人类数据不足或有限的化学物质的研究更为常见。在研究人员向IARC报告的1101项研究中,正在进行研究最多的IARC动物致癌物是石棉(50项研究)和苯(26项研究)。这两种化学物质都有来自人类研究的充分致癌性证据。对于在动物和人类中致癌性证据都充分的化学物质,65%(13/20)有正在进行的流行病学研究。对于人类数据不足或没有人类数据的247种IARC动物致癌物,有12%(30/247)向IARC报告了流行病学研究。在确定一种IARC动物致癌物是否会成为流行病学研究的对象时,有两个因素似乎至关重要:克服开展成功流行病学研究的方法学障碍的可能性,以及对该化学物质的经济和/或监管方面的关注。