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William J. Waddell answers a
few questions about this month's fast breaking paper in the field of
Pharmacology & Toxicology.
From
•>>February 2004
Field:
Pharmacology & Toxicology
Article Title: Thresholds of carcinogenicity in the ED01 study
Authors: Waddell, WJ
Journal: TOXICOL SCI
Volume: 72
Page: 158-163
Year: MAR 2003
* 14300 Rose Wycombe Lane, Prospect, KY 40059 USA.
* Univ Louisville, Sch Med, Dept Pharmacol & Toxicol, Louisville, KY 40292 USA.
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Why
do you think your paper is highly cited?
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“My paper reevaluated the data from the original ED01 study from a totally new approach. My evaluation is based on the fundamental laws of chemistry and comes to a different conclusion.”
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This paper has been highly cited primarily because it is so
controversial. The monumental ED01 study was done on more than
24,000 mice about 30 years ago in an effort to finally answer
the important question of extrapolating carcinogenicity data
from animal experiments to humans. The doses used in animal
experiments on carcinogenicity are very large and human
exposures to those same chemicals are usually very low. The
question, therefore, is, and has been, how should those results
be extrapolated to human exposure? There has been considerable
discussion about the interpretation of those experiments;
however, all of the interpretations have been based on a
statistical approach. The prevailing opinion has been that only
a zero dose could result in zero cancer from a particular
chemical; that is, a single molecule could cause cancer in a
sufficiently large number of people. This opinion has dominated
public opinion and the policy of governmental agencies ever
since.
Does
it describe a new discovery or a new methodology that's useful to
others?
My paper reevaluated the data from the original ED01 study
from a totally new approach. My evaluation is based on the
fundamental laws of chemistry and comes to a different
conclusion. Instead of finding that the extrapolation should be
linear to zero dose and zero tumors, it concludes that the
animal data show that there is a threshold for carcinogenicity
only slightly below the large doses given to the animals.
Consequently, human exposures at even slightly lower doses
should be safe and the usual, much lower, doses to which humans
are exposed are of no consequence whatsoever. Obviously this has
profound implications and many are interested in deciding which
approach is correct. Many toxicologists are excited about and
support my approach, but many who have supported the prevailing
opinion are vehemently opposed. Unfortunately the paper seems to
have created a conflict between toxicologists, who in general
support the concept, and statisticians, who in general oppose
it. The surprise to me has been the intense emotional reaction
by some well-known scientists who are opposed; the new analysis
needs careful, deliberate consideration on its scientific merits
alone.
Could
you summarize the significance of your paper in layman's terms?
In layman’s terms, my analysis has enormous implications.
We, as a society, have assumed that if we are exposed to any
amount of a chemical that has been shown to be carcinogenic in
animal experiments, then we have some risk of developing cancer
as a result of that exposure. My analysis would change that
notion completely. Governmental agencies such as the EPA, etc.
would have to change their positions on what is and is not
carcinogenic. The evaluation would be based on the dose
received. Any exposure below a certain dose would not be labeled
carcinogenic, even if the animal experiments demonstrated that
it was "strongly carcinogenic."
How
did you become involved in this research?
My involvement in this analysis was entirely fortuitous. I
was a member of a committee evaluating the animal experiments on
the carcinogenicity of methyl eugenol, which is naturally
present in many foods that are consumed by humans. I decided to
evaluate those animal data in the way that I thought was most
appropriate from the laws of chemistry. The agreement with that
analysis was so good (correlation coefficient = 0.999983) that I
decided to examine other substances and studies by the same
approach. That led me to the major ED01 study, and to others,
which also have been published. My decision to base the analysis
on fundamental principles of chemistry was the result of a much
earlier interest in intracellular pH. The concept and definition
of pH was a big issue in biology in the 1960s and I spent a lot
of time then reconciling my concept with the laws of chemistry.
Those concepts from chemical thermodynamics have been with me
ever since.
William J. Waddell, M.D.
Professor and Chair, Emeritus
Department of Pharmacology and Toxicology
School of Medicine
University of Louisville
Louisville, KY, USA
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ESI Special Topics,
February 2004
Citing URL - http://www.esi-topics.com/fbp/2004/february04-WilliamJWaddell.html
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