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Toxicology& Risk Analysis. Sumol Pavittranon, Ph. D. Dept. Of Medical Sciences sumol@dmsc.moph.go.th. RISK. EXPOSURE. standards. DOSE SENSiTIVITY. Extrapolate. Testing. Toxicology. “All substances are poisons; there is none which is not a poison.
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Toxicology& Risk Analysis Sumol Pavittranon, Ph. D. Dept. Of Medical Sciences sumol@dmsc.moph.go.th
RISK EXPOSURE standards DOSE SENSiTIVITY Extrapolate Testing
Toxicology “All substances are poisons; there is none which is not a poison. The right dose differentiates a poison and a remedy.” Paracelsus (1493-1541)
ความไม่รู้เป็นพิษที่สุดความไม่รู้เป็นพิษที่สุด “ Ignorance is the most toxic of all” Sumol Pavittranon
Toxic Agents • Chemicals • Food additives • Drugs • Pesticides • Metals • Solvents • Radiation • Toxin • Pollutants
Principle of toxicology Obtaining, gathering data to predict or hypothesize what happen in the future to man and the environment To do risk extrapolation Safety assesment Regulatory control
Factors influence risk estimate • Chemical property • Biological System • Effect or response • Exposure situation
Toxicity Testing • Acute toxicity • Subacute toxicity • Chronic toxicity • Reproductive toxicity • Genotoxicity • Neurotoxicity • Immunotoxicity
Acute toxicity testing • Adverse effect within 24 hr • Life threatening, accidental, overdose • Define intrinsic toxicity of the chemical • Oral, dermal, inhalation, skin, eye irritation • Define LD50 • LD50= Dose that cause 50 % mortality
Sub chronic testing • Repeated dose for up to 6 months • 10 % life span • 2 spp, rodent and non-rodent • reflect cumulative effect, latent period • and reversibility • non-lethal parameter • target organ arranged • Data for chronic study
Chronic toxicity testing • Life span of animal, 2 year in rat • 18 months in mice • Similar metabolism in man • Same route of administration • Exposure duration similar to man • 3 treatment groups • Maximum tolerated dose • Pathology data, bl. chem, urianalysis • Good Laboratory practice • To define safety factor
Animals Rodent and non-rodent Avain Fish Aquatic invertibrate Ferret non primates dog rabbit
Reproductive toxicity testing • Reproductive efficiency, 2 generation • Fertility profile 70 days • Semen analysis • Pathology, gross and histo • Oogenesis • In vitro method • Teratogenetic • Biochemistry parameters
Genotoxicity testing • Gene mutation assay (Ame’s assay) • Chromosome effect • Sister chromatic exchange • Micronucleus test • DNA interaction (DNA unscheduled synthesis) • Neoplastic cell tranformation • BALB/3T3 cells
Neurotoxicity testing • Condition behaviors • Unconditioned behaviors • Affective behaviors • Social behavior • Motor acts • Learning & Memory • Biochemical • NTE • cAMP, cGMP • GABA • Dopamines
Immunotoxicology testing Immune disfunction increase tumor susceptability decrease host resistance
Dose response Relationship Assumptions Response vary concentration Concentration vary dose dose related to response
Low level risk estimate One-hit model Linear Multistage Weibull Multihit Logit Probit Model
NOEL NOAEL LOEL LOAEL Critical Points * NOAEL = No Observed Adverse Effect Level * End Point / การเกิดพิษ * Uncertainty Factors (1, 5, 10, 100, 1000) * Exposure
Public Hearing Risk Assessment Risk Management Risk Communication Public Policy formulation Standards / Implimentation
Data submission for registration Toxicological data Mechanistic data Epidemiological data Exposure data Efficacy data NOAEL Reference dose (Rfd, ADI ) Carcinogenic potency Adverse health effect Total exposure Margin of safety Risk (MRL, TI, ) -Public health policy -Socio-economics -Politics Decision making Further data required Rejection Approval Post-marketing monitoring and surveillance Reassessment Reassessment
Environmental Toxicology Emission Control Transport Monitor Human response
Environmental Toxicology Water Pollution Ecology parameters Parameters BOD Physical property Total solids Oil & grease Metals Free Chlorine Phosphate Sulfide Nitrogen Bacteria Environmental Exposure Data Octonal/ Water Ratio Environmental fate Aquatic toxicity Bioaccumulation Sensitivity and High risk group
“The Toxicologist may be able to assess the risk of a compound, but an acceptable risk level will be set by the public”
References • Principles and Methods of Toxicology • A. Wallace Hayes, Student Edition • Casarett and Doull’s Toxicology: The basic Sciences of Poisons • J. Doull, C. D. Klaassen, and M. O. Amdur • Human Health and the Environment • US Dept of Health, Education, and Welfare, • DHEW Publication # NIH 77-1277