The Agency for Toxic Substances and Disease Registry (ATSDR), in collaborat
ion with the Dutch Organization for Applied Scientific Research (TNO) Nutri
tion and Food Research Institute, is conducting studies to evaluate the rol
e of chemical interactions in the expression of toxicity from low-level exp
osure to combinations of chemicals. The goal of this collaborative effort i
s to use a weight-of-evidence (WOE) approach to estimate joint toxicity of
some simple chemical mixtures and to compare the estimations with test resu
lts from animal toxicity studies. The WOE approach uses individual chemical
dose-response assessments and algorithms that incorporate various assumpti
ons regarding potential chemical interactions, Qualitative evaluations were
prepared for binary combinations of chemicals for the effect of butyl hydr
oxyanisole on di(2-ethylhexyl) phthalate, the effect of stannous chloride o
n Cd chloride (CdCl2), and the effect of CdCl2 on loperamide, Analyses of t
hese evaluations and their comparison with the conclusions of laboratory an
imal experiments indicate that the WOE approach can be used to estimate qua
litatively the joint toxicity of such simple mixtures. To further test the
utility of the WOE approach, qualitative and semiquantitative evaluations w
ere prepared for two chemical mixtures-one with similarly acting halogenate
d aliphatics (trichloroethylene, tetrachlorcethylene, hexachloro-1,3-butadi
ene [HCBD], and 1,1, 2-trichloro-3,3,3-trifluoropropene [TCTFP]) and the ot
her with dissimilarly acting nephrotoxic components (mercuric chloride, lys
inolalanine, D-limonene, and HCBD). These two sets of data were used to est
imate the overall toxicities oi the mixtures using the WOE algorithm for th
e mixture. The comparison of the results of the estimated toxicity with exp
erimentally determined toxicity of the mixture of similarly acting nephroto
xicants demonstrated that the WOE approach correctly adjusted for the obser
ved interactions in experimental animal studies. However, this was not true
for the mixture of dissimilarly acting nephrotoxicants. This could be attr
ibuted to the fact that WOE evaluations are based on dose additivity that p
ostulates that all chemicals in a given mixture act in the same way-by the
same mechanism-and differ only in their potencies. In these cases the WOE a
pproach evaluations, based on consideration of common mechanisms for simple
chemical mixtures, can lead to better estimates of joint toxicity of chemi
cal mixtures than the default assumption of dose additivity. The results al
so show that the WOE evaluations should be target-organ specific because no
ne of the models tested could approximate the observed responses in organs
other than the target organs in the laboratory animal studies.