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Citation
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HERO ID
625124
Reference Type
Journal Article
Subtype
Review
Title
Incorporating children's toxicokinetics into a risk framework
Author(s)
Ginsberg, G; Slikker, W, Jr; Bruckner, J; Sonawane, B
Year
2004
Is Peer Reviewed?
Yes
Journal
Environmental Health Perspectives
ISSN:
0091-6765
EISSN:
1552-9924
Volume
112
Issue
2
Page Numbers
272-283
Language
English
PMID
14754583
Web of Science Id
WOS:000189149800044
URL
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1241838/
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Abstract
Children's responses to environmental toxicants will be affected by the way in which their systems absorb, distribute, metabolize, and excrete chemicals. These toxicokinetic factors vary during development, from in utero where maternal and placental processes play a large role, to the neonate in which emerging metabolism and clearance pathways are key determinants. Toxicokinetic differences between neonates and adults lead to the potential for internal dosimetry differences and increased or decreased risk, depending on the mechanisms for toxicity and clearance of a given chemical. This article raises a number of questions that need to be addressed when conducting a toxicokinetic analysis of in utero or childhood exposures. These questions are organized into a proposed framework for conducting the assessment that involves problem formulation (identification of early life stage toxicokinetic factors and chemical-specific factors that may raise questions/concerns for children) ; data analysis (development of analytic approach, construction of child/adult or child/animal dosimetry comparisons) ; and risk characterization (evaluation of how children's toxicokinetic analysis can be used to decrease uncertainties in the risk assessment) . The proposed approach provides a range of analytical options, from qualitative to quantitative, for assessing children's dosimetry. Further, it provides background information on a variety of toxicokinetic factors that can vary as a function of developmental stage. For example, the ontology of metabolizing systems is described via reference to pediatric studies involving therapeutic drugs and evidence from in vitro enzyme studies. This type of resource information is intended to help the assessor begin to address the issues raised in this paper.
Keywords
children; dosimetry; risk assessment; toxicokinetics
Tags
IRIS
•
Chloroprene
Cited 2009 Draft
Cited 2010 Final
•
Trichloroethylene (TCE) (Final, 2011)
•
Trimethylbenzenes (Interagency Science Discussion Draft)
Primary Literature Search
Primary Literature Search- Considered
Cited
Cited August 2016
Cited Toxicological Review
•
Trimethylbenzenes (TMB)
Considered Studies
Human
Other
Cited Studies
Human Studies
Toxicokinetics H
Other
Susceptible Populations
Cited in Tox Review – Revised TMBs Draft
Cited in Revised TMBs Draft - All
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