title: Risk assessment of peak exposure to genotoxic carcinogens: a pragmatic approach.
abstract: Short-term exposures to relatively high concentrations or doses are a regular cause of concern. Since carcinogenicity is often of great personal and social relevance the question arises whether short-term exposure (1-10 days) to a carcinogenic substance may contribute to tumour development and, if so, whether this contribution to the cancer risk can be quantified. The present object was to explore the possibility of a pragmatic estimation of the cancer risk of peak exposure to a genotoxic carcinogen relative to the cancer risk of the same cumulative dose of this carcinogen distributed over lifetime. A report published by the Health Council of The Netherlands served as point of departure. Published data strongly suggests that short-term or single exposure can indeed give rise to tumour formation in animal experiments. The application of a dose-rate correction factor (DRCF), defined as a factor by which the tumour incidence caused by a specific dose of a chemical carcinogen at low-dose rates is multiplied to derive the tumour incidence at high-dose rates, appears to be a feasible approach. Theoretical models calculated maximum values for the DRCF of up to seven for a young child acutely exposed to an initiator or first-stage carcinogen. A maximum value of 8.3 was calculated from animal experiments. A decision tree is presented which allows the pragmatic assessment of the carcinogenic risk following short-term exposure to genotoxic carcinogens. It is recommended to validate this decision tree with model-substances.
authors.affiliation: National Institute of Public Health and the Environment (RIVM), Centre for Substances and Integrated Risk Assessment, P.O. Box 1, NL 3720 BA Bilthoven, The Netherlands. peter.bos@rivm.nl
authors.forename: Peter M J
authors.initials: PM
authors.lastname: Bos
authors.forename: Bert-Jan
authors.initials: BJ
authors.lastname: Baars
authors.forename: Marcel T M
authors.initials: MT
authors.lastname: van Raaij
mesh_terms: D000367:Age Factors; D002273:Carcinogens / Q000633:toxicity*; D004781:Environmental Exposure / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008297:Male; D008452:Maximum Allowable Concentration; D009153:Mutagens / Q000633:toxicity*; D018570:Risk Assessment / Q000379:methods* / Q000592:standards; D012737:Sex Factors
chemical_list: D002273:Carcinogens; D009153:Mutagens