Toxicity Assessment the process of determining the relationship between the exposure to a contaminant and the increased likelihood of the occurrence or severity of adverse effects Toxicological Terms Acute toxicity Cancer Procedures Included in Toxicity Assessment Hazard identification determines whether exposure to a contaminant causes increased adverse effects for humans and to what level of severity. Dose-response evaluation uses quantitative information on the dose of the contaminant and relates it to the incidence of adverse reactions in an exposed population. Carcinogen Carcinomas Chronic Toxicity The single factor that determines the degree of harmfulness of a compound is the dose of that compound (Loomis, 1978). Dose defined as the mass of chemical received by the animal or exposed individual usually expressed in units of milligrams per kilogram of body mass (mg · kg−1) Some authors use parts per million (ppm) instead of mg · kg−1. Where the dose is administered over time, the units may be mg · kg−1 · day−1. It should be noted that dose differs from the concentration of the compound in the medium (air, water, or soil) to which the animal or individual is exposed. The statistical relationship of organism response to dose is commonly expressed as a cumulativefrequency distribution known as a dose-response curve. (Insert graph here) Genotoxic Initiator Leukemias Lymphomas Metastasis Definition An adverse effect that has a rapid onset, short course, and pronounced symptoms. An abnormal growth process in which cells begin a phase of uncontrolled growth and spread A cancer-producing substance Cancers of epithelial tissues. Lung cancer and skin cancer are examples of carcinomas An adverse effect that frequently takes a long time to run its course and initial onset of symptoms may go undetected. Toxic to the genetic material (DNA) A chemical that starts the change in a cell that irreversibly converts the cell into a cancerous or precancerous state. Needs to have a promoter to develop cancer. Cancers of white blood cells and the tissue from which they are derived. Cancers of the lymphatic system. An example is Hodgkin’s disease. Process of spreading or migration of cancer cells throughout the body Neoplasm Oncogenic Promoter Reproductive Toxicity Sarcoma Subacute Toxicity Teratogenesis A new growth. Usually an abnormally fastgrowing tissue Causing cancers to form. A chemical that increases the incidence to a previous carcinogen exposure Decreases in fertility, increases in miscarriages, and fetal or embryonic toxicity as manifested in reduced birth weight or size Cancer of mesodermal tissue such as fat and muscle. Subacute toxicity is measured using daily dosing during the first 10% of the organism’s normal life expectancy and checking for effects throughout the normal lifetime. Production of a birth defect in the offspring after maternal or paternal exposure Example 6.1 EPA has selected a modification of the multistage model for toxicological assessment, called the linearized multistage model. This model assumes that we can extrapolate from high doses to low doses with a straight line. At low doses, the slope of the dose-response curve is represented by a slope factor (SF) expressed in units of risk per unit dose, or risk (kg · day · mg−1). The EPA maintains a toxicological data base called IRIS (the Integrated Risk Information System) that provides background information on potential carcinogens. IRIS includes suggested values for the slope factor. Limitations of Animal Studies. No species provides an exact duplicate of human response. Certain effects that occur in common lab animals generally occur in people. Many effects produced in people can, in retrospect, be produced in some species. Notable exceptions are toxicities dependent on immunogenic mechanisms. Most sensitization reactions are difficult if not impossible to induce in lab animals. The procedure in transferring animal data to people is then to find the “proper” species and study it in context. Observed differences are then often quantitative rather than qualitative. Carcinogenicity as a result of application or administration to lab animals is often assumed to be transposable to people because of the seriousness of the consequence of ignoring such evidence. However, slowly induced, subtle toxicity—because of the effects of ancillary factors (environment, age, etc.)—is difficult at best to transfer. This becomes even more difficult when the incidence of toxicity is restricted to a small hypersensitive subset of the population. Limitations of Epidemiological Studies. Epidemiological studies of toxicity in human populations present four difficulties. The first is that large populations are required to detect a low frequency of occurrence of a toxicological effect. Second, a long or highly variable latency period may be needed between the exposure to the toxicant and a measurable effect. Third, competing causes of the observed toxicological response make it difficult to attribute a direct cause and effect. For example, cigarette smoking; the use of alcohol or drugs; and personal characteristics such as gender, race, age, and prior disease states tend to mask environmental exposures. Fourth, epidemiological studies are often based on data collected in specific political boundaries that do not necessarily coincide with environmental boundaries such as those defined by an aquifer or the prevailing wind patterns.