在风险评估中使用观测数据时,应用定量不确定性评估来开发可信的毒性值范围:一项案例研究检查了PFOA和PFOS暴露与疫苗反应之间的关联
Daniele S Wikoff1, Melissa J Vincent1, Melissa M Heintz1
1ToxStrategies LLC, Asheville, NC 28801, United States.
概括
从观测数据中开发出毒性值,就像对 perfluorooctanoic acid (PFOA) 和 PFOS一样,存在很大的不确定性. 定量分析至关重要,但单独对因果剂量反应关系来说往往是不够的.
科学领域:
- 环境健康 环境健康
- 毒理学 毒理学 毒理学
- 风险评估 风险评估
背景情况:
- 传统的风险评估依赖于实验数据,但越来越多地使用观察性研究.
- 描述不确定性对于从各种数据源中开发可靠的毒性值至关重要.
研究的目的:
- 探索使用观测数据评估毒性价值发展中的不确定性方法.
- 将这些方法应用于涉及 perfluorooctanoic acid (PFOA), perfluorooctane sulfonic acid (PFOS) 和疫苗反应的案例研究中.
主要方法:
- 对15项观察性研究进行偏见的审查和评估.
- 选择用于剂量反应建模的代表性研究.
- 在毒性价值发展的每个阶段进行数据模拟和定量不确定性分析.
主要成果:
- 确定了研究设计,混和暴露/结果确定方面的重大不确定性.
- 模拟显示PFOA和PFOS的剂量反应大小和方向的不确定性很高.
- 仅仅通过观察数据,就无法对因果关系进行可靠的评估.
结论:
- 在使用观测数据用于毒性值时,定量不确定性分析是必不可少的.
- 需要额外的方法来评估因果关系和剂量反应特异性.
- 在风险评估中依赖关联研究需要强大的不确定性表征.
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