Dk. La et Ja. Swenberg, DNA-ADDUCTS - BIOLOGICAL MARKERS OF EXPOSURE AND POTENTIAL APPLICATIONS TO RISK ASSESSMENT, Mutation research. Reviews in genetic toxicology, 365(1-3), 1996, pp. 129-146
DNA adducts have been investigated extensively during the past decade,
This research has been advanced, in part, by the development of ultra
sensitive analytical methods, such as P-32-postlabeling and mass spect
rometry, that enable detection of DNA adducts at concentrations as low
as one adduct per 10(9) to 10(10) normal nucleotides. Studies of muta
tions in activated oncogenes such as ras, inactivated tumor suppressor
genes such as p53, and surrogate genes such as hprt provide linkage b
etween DNA adducts and carcinogenesis. The measurement of DNA adducts,
or molecular dosimetry, has important applications for cancer risk as
sessment, Cancer risk assessment currently involves estimating the pro
bable effects of carcinogens in humans based on results of animal bioa
ssays. Estimates of risk are then derived from mathematical models tha
t fit data of tumor incidence at the high animal exposures and extrapo
late to probable human exposures that may be orders of magnitude lower
, Molecular dosimetry could extend the observable range of mechanistic
data several orders of magnitude lower than can be achieved in carcin
ogenesis bioassays. This measurement also compensates automatically fo
r individual and species differences in toxicokinetic factors, as well
as any nonlinearities that affect the quantitative relationships betw
een exposure and molecular dose. As a result, molecular dosimetry can
provide a basis for conducting high- to low-dose, route-to-route, and
interspecies extrapolations. The incorporation of such data into risk
assessment promises to reduce uncertainties and produce more accurate
estimates of risk compared to current methods.