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PRINCIPLES OF TOXICOLOGY

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TABLE 13.10 The Poor Correlation in Organ Sites among Positive Rodent Tests<br />

Site of Cancer N Rats/Mice Percent N Mice/Rats Percent<br />

Liver 25/33 75 25/78 32<br />

Lung 2/7 29 2/18 11<br />

Hematopoietic system 3/14 21 3/11 27<br />

Kidney (tubular cells) 3/21 14 3/4 75<br />

Mammary gland 4/18 22 4/7 57<br />

Forestomach 8/14 57 8/15 53<br />

Thyroid gland 7/16 44 7/9 78<br />

Zymbal gland 2/12 17 2/2 100<br />

Urinary bladder 2/12 17 2/3 67<br />

Skin 3/11 27 3/3 100<br />

Clitoral/Preputial gland 0/7 — 0/3 —<br />

Circulatory system 2/4 50 2/10 20<br />

Adrenal medulla 0/4 — 0/4 —<br />

Total 61/173 35 61/167 37<br />

Source: Adapted from Haseman and Lockhart (1993).<br />

analysis but compares the data from a subsequent update of the original study as well, illustrating that<br />

as the number of chemicals tested expands, the agreement in results across species does not seem to<br />

be changing.<br />

From this analysis it is evident that when a chemical induces cancer in one of these two rodent<br />

species, it is also carcinogenic in the other species less than 50 percent of the time. This lack of<br />

concordance between these two phylogenetically similar species raises a concern voiced by many<br />

scientists when such data are extrapolated to humans without also considering mechanistic and<br />

pharmacokinetic data from both species that might help explain why such large differences exist.<br />

A similar problem arises when the issue of identifying the correct target organ is considered. A<br />

recent analysis of the predictivity of the target organ for a carcinogen when extrapolating across two<br />

rodent species found one could predict the correct target organ about only about 37 percent of the time<br />

(Table 13.10). So, it would appear that not only is the assumption that a positive response in animals<br />

can be assumed to predict the human response, but the likelihood that the correct target has been<br />

identified would also seem to be of some question.<br />

13.8 OCCUPATIONAL CARCINOGENS<br />

13.8 OCCUPATIONAL CARCINOGENS 301<br />

Although the first occupational carcinogen was identified by Sir Percival Pott in 1775, it was not until<br />

1970 with the passage of the Occupational Safety and Health Act and establishment of the Occupational<br />

Safety and Health Administration (OSHA) that the United States had enforcement authority granted<br />

to an agency to regulate the use of substances that were considered carcinogenic in the workplace.<br />

Prior to 1970, the source that was widely considered the most authoritative was the American<br />

Conference of Governmental Industrial Hygienists (ACGIH) and industry relied on this organization<br />

to regulate worker exposure to chemicals and agents. The other event occurring about this time that<br />

has shaped our current view of occupational carcinogens was the emergence of the cancer bioassay.<br />

The development and continued use of this bioassay over the years has identified many hundreds of<br />

industrial chemicals as having carcinogenic activity, at least in high-dose animal tests, many of which<br />

had never before been suspected of human carcinogenic activity. As certain chemicals or groups of<br />

chemicals became identified as carcinogens, this, in turn, brought to bear new pressures on industries<br />

as lower exposure levels or alternative chemicals were sought to reduce the possible risks associated

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