Skip to main content
Article
Assessing the carcinogenic potential of low-dose exposures to chemical mixtures in the environment: the challenge ahead
Carcinogenesis (2015)
  • William H. Goodson, III, California Pacific Medical Center Research Institute
  • Leroy Lowe, Getting to Know Cancer
  • David O. Carpenter, University at Albany, State University of New York
  • Michael Gilbertson, Getting to Know Cancer
  • Abdul Manaf Ali, Sultan Zainal Abidin University
  • Adela Lopez de Cerain Salsamendi Lopez de Cerain Salsamendi, University of Navarra
  • Ahmed Lasfar, Rutgers University
  • Amancio Carnero, Universidad de Sevilla
  • Amaya Azqueta, University of Navarra
  • Amedeo Amedei, University of Florence
  • Amelia Charles, University of Reading
  • Andrew R. Collins, University of Oslo
  • Andrew Ward, University of Bath
  • Anna C. Salzberg, The Pennsylvania State University
  • Anna Maria Colacci, Environmental Protection and Health Prevention Agency, Bologna, Italy
  • Ann-Karin Olsen, Norwegian Institute of Public Health
  • Arthur Berg, The Pennsylvania State University
  • Barry J. Barclay, Planet Biotechnologies Inc., St Albert, Alberta T8N 5K4, Canada
  • Binhua P. Zhou, University of Kentucky
  • Carmen Blanco-Aparicio, Spanish National Cancer Research Centre
  • Carolyn J. Baglole, McGill University
  • Chenfang Dong, University of Kentucky
  • Chiara Mondello, Istituto di Genetica Molecolare, CNR, Via Abbiategrasso 207, 27100 Pavia, Italy
  • Chia-Wen Hsu, National Center for Advancing Translational Sciences, National Institutes of Health
  • Christian C. Naus, University of British Columbia
  • Clement Yedjou, Jackson State University
  • Colleen S. Curran, University of Wisconsin-Madison
  • Dale W. Laird, University of Western Ontario
  • Daniel C. Koch, Stanford University
  • Danielle J. Carlin, National Institute of Environmental Health Sciences
  • Dean W. Felsher, Stanford University
  • Debasish Roy, City University of New York
  • Dustin G. Brown, Colorado State University - Fort Collins
  • Edward Ratovitski, Johns Hopkins University
  • Elizabeth P. Ryan, Colorado State University - Fort Collins
  • Emanuela Corsini, UniversitĂ  degli Studi di Milano
  • Emilio Rojas, National Autonomous University of Mexico
  • Eun-Yi Moon, Sejong University
  • Ezio Laconi, University of Cagliari
  • Fabio Marongiu, University of Cagliari
  • Fahd Al-Mulla, Kuwait University
  • Ferdinando Chiaradonna, University of Milano-Bicocca
  • Firouz Darroudi, College of North Atlantic
  • Francis L. Martin, Lancaster University
  • Frederik J. Van Schooten, Maastricht University
  • Gary Goldberg, Rowan University School of Osteopathic Medicine
  • Gerard Wagemaker, Hacettepe University
  • Gladys N. Nangami, Meharry Medical College
  • Gloria M. Calaf, Columbia University
  • Graeme P. Williams, University of Reading
  • Gregory T. Wolf, University of Michigan
  • Gudrun Koppen, Flemish Institute for Technological Research
  • Gunnar Brunborg, Norwegian Institute of Public Health
  • H. Kim Lyerly, Duke University
  • Harini Krishnan, Rowan University School of Osteopathic Medicine
  • NOTE: Additional authors not added to this profile.
Abstract
Lifestyle factors are responsible for a considerable portion of cancer incidence worldwide, but credible estimates from the World Health Organization and the International Agency for Research on Cancer (IARC) suggest that the fraction of cancers attributable to toxic environmental exposures is between 7% and 19%. To explore the hypothesis that low-dose exposures to mixtures of chemicals in the environment may be combining to contribute to environmental carcinogenesis, we reviewed 11 hallmark phenotypes of cancer, multiple priority target sites for disruption in each area and prototypical chemical disruptors for all targets, this included dose-response characterizations, evidence of low-dose effects and cross-hallmark effects for all targets and chemicals. In total, 85 examples of chemicals were reviewed for actions on key pathways/mechanisms related to carcinogenesis. Only 15% (13/85) were found to have evidence of a dose-response threshold, whereas 59% (50/85) exerted low-dose effects. No dose-response information was found for the remaining 26% (22/85). Our analysis suggests that the cumulative effects of individual (non-carcinogenic) chemicals acting on different pathways, and a variety of related systems, organs, tissues and cells could plausibly conspire to produce carcinogenic synergies. Additional basic research on carcinogenesis and research focused on low-dose effects of chemical mixtures needs to be rigorously pursued before the merits of this hypothesis can be further advanced. However, the structure of the World Health Organization International Programme on Chemical Safety 'Mode of Action' framework should be revisited as it has inherent weaknesses that are not fully aligned with our current understanding of cancer biology.
Keywords
  • Cancer,
  • exposure,
  • risk assessment,
  • neoplasms,
  • carcinogenesis
Publication Date
June, 2015
DOI
10.1093/carcin/bgv039
Citation Information
William H. Goodson, Leroy Lowe, David O. Carpenter, Michael Gilbertson, et al.. "Assessing the carcinogenic potential of low-dose exposures to chemical mixtures in the environment: the challenge ahead" Carcinogenesis Vol. 36 Iss. Supplement 1 (2015) p. S254 - S296 ISSN: Online 1460-2180 Print 0143-3334
Available at: http://works.bepress.com/gary-s-goldberg/49/