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A consistent approach for the application of pharmacokinetic modeling in cancer and noncancer risk assessment.

机译:在癌症和非癌症风险评估中应用药代动力学模型的一致方法。

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摘要

Physiologically based pharmacokinetic modeling provides important capabilities for improving the reliability of the extrapolations across dose, species, and exposure route that are generally required in chemical risk assessment regardless of the toxic end point being considered. Recently, there has been an increasing focus on harmonization of the cancer and noncancer risk assessment approaches used by regulatory agencies. Although the specific details of applying pharmacokinetic modeling within these two paradigms may differ, it is possible to identify important elements common to both. These elements expand on a four-part framework for describing the development of toxicity: a) exposure, b) tissue dosimetry/pharmacokinetics, c) toxicity process/pharmacodynamics, and d) response. The middle two components constitute the mode of action. In particular, the approach described in this paper provides a common template for incorporating pharmacokinetic modeling to estimate tissue dosimetry into chemical risk assessment, whether for cancer or noncancer end points. Chemical risk assessments typically depend upon comparisons across species that often simplify to ratios reflecting the differences. In this paper we describe the uses of this ratio concept and discuss the advantages of a pharmacokinetic-based approach as compared to the use of default dosimetry.
机译:基于生理学的药代动力学建模提供了重要的功能,可提高化学风险评估中通常需要的剂量,物种和接触途径外推法的可靠性,而无需考虑毒性终点。最近,人们越来越关注协调机构使用的癌症和非癌症风险评估方法的协调性。尽管在这两种范式中应用药代动力学建模的具体细节可能有所不同,但有可能确定两种方法共有的重要要素。这些要素在描述毒性发展的四部分框架上扩展:a)暴露,b)组织剂量/药代动力学,c)毒性过程/药效学和d)反应。中间的两个部分构成了作用方式。特别是,本文中描述的方法提供了一个通用模板,用于将药代动力学模型纳入组织剂量,以将组织剂量测定法评估到化学风险评估中,无论是针对癌症还是非癌症终点。化学危险性评估通常取决于跨物种的比较,这些比较通常简化为反映差异的比率。在本文中,我们描述了该比率概念的用法,并讨论了与默认剂量法相比,基于药代动力学方法的优势。

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