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Quantitative risk analysis for quantal reproductive and developmental effects.

机译:用于定量生殖和发育影响的定量风险分析。

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摘要

Animal experiments are generally conducted at higher dose levels than anticipated human dose levels in order to elicit otherwise subtle changes in reproduction or developmental effects with relatively few animals. Based on animal data, regulatory strategy generally has been to postulate a no-observed-effect level (NOEL) for toxic effects and to divide this by a safety factor, usually 100, to establish acceptable levels for humans. Various authors have discussed the shortcomings of using NOEL and have suggested the use of an estimable effect level determined from a dose-response curve fitted to bioassay data, e.g., the dose at which 1% of the animals are adversely affected, and employing some form of conservative low dose extrapolation to control risks at lower doses. In this paper, 10 sets of bioassay data on fetal mortality or anomalies were used to compare the estimated upper limits of risk estimated at the NOEL/100 and the lower 95% confidence limit estimate of the dose producing adverse effects in 1% of the embryonic implants or fetuses divided by 100 (LED01/100). The latter quantity is expected to result in a risk (proportion affected) of less than 10(-4) (1 in 10,000). The estimated upper limits of risk associated with the NOEL/100 were from 2 x 10(-4) to 6 x 10(-4) for the 10 data sets investigated.
机译:通常以高于预期人类剂量水平的剂量水平进行动物实验,以引起相对较少的动物的生殖或发育效应的其他细微变化。根据动物数据,监管策略通常是假设毒性作用的水平未达到观察水平(NOEL),并将其除以安全系数(通常为100),以建立人类可接受的水平。许多作者讨论了使用NOEL的缺点,并建议使用根据适合生物测定数据的剂量反应曲线(例如1%的动物受到不利影响的剂量)确定的可估计效果水平,并采用某种形式保守的低剂量外推法以控制低剂量时的风险。在本文中,使用10组关于胎儿死亡率或异常的生物测定数据来比较NOEL / 100估计的风险上限和1%胚胎产生不良反应剂量的95%置信下限估计值植入物或胎儿除以100(LED01 / 100)。后者的数量预计将导致风险(受影响的比例)小于10(-4)(10,000个中的1个)。对于所研究的10个数据集,估计与NOEL / 100相关的风险上限为2 x 10(-4)至6 x 10(-4)。

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