À propos des faibles doses qui contredisent l'adage « la dose fait le poison »
La review ne s'intéresse pas beaucoup à la santé humaine. Une section y est malgré tout dévolue (moins d'une page). Les auteurs indiquent que les perturbateurs endocriniens peuvent avoir des effets additifs ou synergétiques et que ces mélanges ont probablement des effets imprévus et imprédictibles sur les animaux et humains.
La revue met surtout en lumière les limites des tests et normes se fondant sur une dose minimale sûre. Les perturbateurs endocriniens ayant des effets non monotones, se reposer sur une telle hypothèse risque de fausser les tests de sûreté.
La review ne s'intéresse pas beaucoup au sujet de la santé humaine.
La review met en lumière les limites des recommandations actuelles (avec l'utilisation d'une dose minimale) et, concernant la santé humaine, se concentre sur les effets additifs.
For decades, studies of endocrine-disrupting chemicals (EDCs) have challenged traditional concepts in toxicology, in particular the dogma of “the dose makes the poison,” because EDCs can have effects at low doses that are not predicted by effects at higher doses. Here, we review two major concepts in EDC studies: low dose and nonmonotonicity. Low-dose effects were defined by the National Toxicology Program as those that occur in the range of human exposures or effects observed at doses below those used for traditional toxicological studies. We review the mechanistic data for low-dose effects and use a weight-of-evidence approach to analyze five examples from the EDC literature. Additionally, we explore nonmonotonic dose-response curves, defined as a nonlinear relationship between dose and effect where the slope of the curve changes sign somewhere within the range of doses examined. We provide a detailed discussion of the mechanisms responsible for generating these phenomena, plus hundreds of examples from the cell culture, animal, and epidemiology literature. We illustrate that nonmonotonic responses and low-dose effects are remarkably common in studies of natural hormones and EDCs. Whether low doses of EDCs influence certain human disorders is no longer conjecture, because epidemiological studies show that environmental exposures to EDCs are associated with human diseases and disabilities. We conclude that when nonmonotonic dose-response curves occur, the effects of low doses cannot be predicted by the effects observed at high doses. Thus, fundamental changes in chemical testing and safety determination are needed to protect human health.