T9: Risk assessment

19 important questions on T9: Risk assessment

What is the difference between risk and hazard?

Risk: Probability that an advers effect will occur.
Hazard: Potential danger of a compound or process

Risk assessment: the process by wich hazard, exposure and risk are determined.

How is the Estimated daily intake (EDI) calculated?

You determine the concentration of the compound of each product you think it is in and than you do the concentration times the amount of consuption to have the daily intake.

More advanced intake: probabilistic intake assessment.
Not all products have got the same concentration, so you can have a normal distribution of the concentration and also from the consumption and tis will give a normal ditribution of the intake., this is where you can calculate further.

What principle is used to determine what amount of exposure to an avoidable genotoxic (carcinogenic) contaminant will be allowed?

What principle is used to determine the amount of exposure to an unavoidable genotoxic (carcinogenic) contaminant will be allowed?

Avoidable genotoxic contaminant: zero tolerance (no exposure at all, the chemical may not be used)

Unavoidable genotoxic contaminant: ALARA principle = make the exposure As Low As Reasonably Achievable
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How is risk asseszment done for the non-genotoxic compounds?

First a graph or BMD graph is made. Than the ADI and TDI are calculated and then the NOAEL or BMDL x 1/10 x 1/10 x other UFs is done to include inter- and intraspecies differences and UF for if you think there are other factors.

1/10 is sometimes a bit overdone, but risk assessment is a really strickt thing so it needs to be totally save.

What is done to make a risk assessment for non-genotoxic chemicals?

  1. BMD graph (Bench Mark Dose method)
  2. Calculate ADI or TDI

What is stated for risk characterization?

Quotient method: EDI < ADI or < NOAEL or BMDL/100

Margin of safety (MOS) =
ADI/EDI --> should be > 1
or
NOAEL or BMDL/ EDI --> should be > 100

Which items play a role in the process of toxicological risk assessment?

-exposure assessment
-risk characterization
-margin of safety approach

What is the difference between genotoxic and non-genotoxic?

There is no NOAEL for genotoxic compounds because there is no save dose. But there could be a BMDL.

What is zero tolerance?

For avoidable contaminants that are genotoxic there is a zero tolerance. This means that the compound can not be present at all.

For unavoidable contaminants there is an ALARA: as low as reasonably achievable.
Also there is a Virtual safe dose (VSD): Define dose with acceptable cancer risk per 10^6 consumers
And a MOE: margin of exposure

How do you extrapolate from the high dose of testing to the low dose of 1 per million?

A lot of models are used to extrapolate this, but there was a lot of variation...

Now, the following is done:
the MOE is calculated. This is done by BMDL10/EDI(human)

MOE: used by risk managers to set priorities
MOE > 10000 low priority for risk management.

When the risk assessment for a non-genotoxic compound is made, a risk characterization can also be made: the Margin Of Safety MOS, which expresses how close the human exposure levels are to the risk assessment levels. In what 2 ways is this calculated?

  1. Acceptable daily intake ADI / Estimated daily intake EDI
  2. NOAEL or BMDL / Estimated daily intake EDI

How do we calculate in vitro data to in vivo data?

There is a concentration response curve from cells and this is input for a PBK model. This model will give you the answer on how the cells are part of the bigger picture and how the compound will react in the body.
The PBK model is used reverse.

In order for a non-genotoxic chemical to be deemed (?) according to the Margin of safety MOS, the outcomes of either calculation method
  1. ADI / EDI
  2. NOAEL or BMDL / EDI
should be equal to or higher than ... ?

  1. ADI / EDI > 1
  2. NOAEL or BMDL / EDI > 100

What types of risk assessment are used for unavoidable genotoxic chemicals?

  1. Virtual Safe Dose VSD: define dose with acceptable cancer risk, which is 1 in a million
  2. Margin of Exposure MOE: sets priority of risk management for cancer risks
  3. ALARA: As Low As Reasonably Achievable principle

What is reverse dosimetry?

Physiologically based kinetic modelling (PBK): prediction of internal concentrations of compounds (and metabolites)

Forward dosimetry: relate external toxic dose level to ctritical internal concentrations

Reverse dosimetry: Translate toxic in vitro concentrations to external toxic dose levels.

How do you calculate the Margin of Exposure to make a risk assessment for an unavoidable genotoxic chemical?

What value does the MOE have if the priority for risk management is NOT high?

MOE = BMDL10 / EDI
MOE > 10000 --> low priority
MOE < 10000 --> higher priority

What is the difference between a MOS and a MOE?

MOS: for non-genotoxic compounds
MOE: for genotoxic carcinogenic compounds

How do you calculate the Estimated Daily Intake EDI of a chemical within products?

EDI = sum of (concentration of chemical in products x consumption rate of product) / bodyweight BW (?)

Most products use different concentrations of a chemical and there are different consumption rates for them. The EDI can only be estimated for certain points, but a more advanced assessment can be used to make a normal distribution that integrates the concentration x the consumption of a chemical. What is this assessment?

Probabilistic intake assessment

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