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.

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  • Current regulatory practices for chemical carcinogens are based on outdated understanding of carcinogenesis.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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