Testing extrapolation of a biologically based exposure-response model from in vitro to in vivo conditions

Models of carcinogenesis may become so flexible as to preclude the possibility of being falsified by data. This problem is removed in part by stronger biophysical specification of processes and parameters within the model prior to fitting to in vivo data on the relationship between exposure and cancer incidence. This paper explores the use of a biophysical model of chromosomal damage, cellular transformation, repair, mitosis, initiation, promotion, progression, and cytotoxicity in developing exposure-response models for radiation-induced cancer. Many of the aspects of model form and parameter values are developed from in vitro data, and the model then is extrapolated to the in vivo setting using a dosimetric model to account for dose inhomogeneity within the lung tissue of rats exposed to radon progeny in air. The ability of the model to predict cancer incidence in the rats is assessed and is shown to be problematic at higher doses. This calls into question whether a full claim may be made about the ability of first-principle models to fully constrain models applied to in vivo data at present. Possible explanations for the discrepancy, and implications for extrapolation, are provided.