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Dose-dependence of chemical carcinogenicity: Biological mechanisms for thresholds and implications for risk
Rebecca A Clewell1, Chad M Thompson2, Harvey J Clewell3
1ToxStrategies, Inc., Cary, NC, USA.
Abstract:
Current regulatory practices for chemical carcinogens were established when scientific understanding of the molecular mechanisms of chemical carcinogenesis was in its infancy. Initial discovery that DNA mutation was the root of cancer led quickly to regulatory processes that assumed such a simple relationship could be described with a linear approach. This linear, no threshold approach has since become the default approach to risk assessment of chemicals with carcinogenic potential. Since then, a multitude of intrinsic processes have been identified at the molecular, cellular and organism level that work to prevent transient DNA damage from causing permanent mutations, and mutated cells from becoming cancer. Mounting evidence indicates that these protective mechanisms can prevent carcinogenesis at low doses of genotoxic chemicals, leading to non-linear dose-response. Further, a number of non-genotoxic mechanisms have demonstrated threshold-shaped dose-response for cancer outcomes. The existence of non-linear dose-response curves for both non-genotoxic and genotoxic chemical carcinogens stands in stark contrast to the default risk assessment approach that assumes low dose linearity. In this review, we highlight some of the key discoveries and technological advances that have influenced scientific understanding of chemical carcinogenesis over the last fifty years and provide case studies to demonstrate the utility of these modern technologies in providing a biologically robust evaluation of chemical dose-response for cancer risk assessment.
Insights
Current chemical carcinogen risk assessment uses a linear, no-threshold approach. New evidence shows protective mechanisms cause non-linear dose-response for genotoxic and non-genotoxic carcinogens, necessitating updated risk assessment strategies.
Area of Science:
- Toxicology
- Molecular Biology
- Risk Assessment
Background:
- Current regulatory practices for chemical carcinogens are based on outdated understanding of carcinogenesis.
- The default linear, no-threshold approach assumes a simple DNA mutation-cancer relationship.
- Advances in molecular and cellular biology reveal complex protective mechanisms against cancer initiation.
Purpose of the Study:
- To review scientific discoveries and technological advances in chemical carcinogenesis over the past 50 years.
- To highlight the shift from linear to non-linear dose-response models.
- To demonstrate the utility of modern technologies for biologically robust cancer risk assessment.
Main Methods:
- Review of historical scientific literature and technological advancements.
- Analysis of molecular, cellular, and organism-level protective mechanisms.
- Case studies illustrating modern dose-response evaluation techniques.
Main Results:
- Identification of intrinsic cellular processes preventing DNA damage from causing cancer.
- Evidence for non-linear dose-response, including threshold effects, for both genotoxic and non-genotoxic carcinogens at low chemical doses.
- Demonstration that protective mechanisms can mitigate carcinogenesis at low exposure levels.
Conclusions:
- The default linear, no-threshold risk assessment model for chemical carcinogens is challenged by modern scientific understanding.
- Non-linear dose-response relationships are prevalent for both genotoxic and non-genotoxic carcinogens.
- Biologically informed risk assessment using advanced technologies is crucial for accurate chemical safety evaluations.
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