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Bovee TF, Heusinkveld HJ, Dodd S, Peijnenburg A, Rijkers D, Blokland M, Sprong RC, Crépet A, Nolles A, Zwart EP, Gremmer ER, Ven LTVD. Dose addition in mixtures of compounds with dissimilar endocrine modes of action in in vitro receptor activation assays and the zebrafish sexual development test. Food Chem Toxicol 2024; 184:114432. [PMID: 38176580 DOI: 10.1016/j.fct.2023.114432] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2023] [Revised: 12/20/2023] [Accepted: 12/28/2023] [Indexed: 01/06/2024]
Abstract
BACKGROUND Human exposure to pesticides is being associated with feminisation for which a decrease of the anogenital distance (AGD) is a sensitive endpoint. Dose addition for the cumulative risk assessment of pesticides in food is considered sufficiently conservative for combinations of compounds with both similar and dissimilar modes of action (MoA). OBJECTIVE The present study was designed to test the dose addition hypothesis in a binary mixture of endocrine active compounds with a dissimilar mode of action for the endpoint feminisation. METHODS Compounds were selected from a list of chemicals of which exposure is related to a decrease of the AGD in rats and completed with reference compounds. These chemicals were characterised using specific in vitro transcriptional activation (TA) assays for estrogenic and androgenic properties, leading to a final selection of dienestrol as an ER-agonist and flutamide, linuron, and deltamethrin as AR-antagonists. These compounds were then tested in an in vivo model, i.e. in zebrafish (Danio rerio), using sex ratio in the population as an endpoint in order to confirm their feminising effect and MoA. Ultimately, the fish model was used to test a binary mixture of flutamide and dienestrol. RESULTS Statistical analysis of the binary mixture of flutamide and dienestrol in the fish sexual development tests (FSDT) with zebrafish supported dose addition.
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Affiliation(s)
- Toine Fh Bovee
- Wageningen Food Safety Research, Akkermaalsbos 2, 6708 WB, Wageningen, the Netherlands.
| | - Harm J Heusinkveld
- Centre for Health Protection, National Institute for Public Health and the Environment (RIVM), PO Box 1, 3720 BA, Bilthoven, the Netherlands
| | - Sophie Dodd
- Wageningen Food Safety Research, Akkermaalsbos 2, 6708 WB, Wageningen, the Netherlands
| | - Ad Peijnenburg
- Wageningen Food Safety Research, Akkermaalsbos 2, 6708 WB, Wageningen, the Netherlands
| | - Deborah Rijkers
- Wageningen Food Safety Research, Akkermaalsbos 2, 6708 WB, Wageningen, the Netherlands
| | - Marco Blokland
- Wageningen Food Safety Research, Akkermaalsbos 2, 6708 WB, Wageningen, the Netherlands
| | - R Corinne Sprong
- Centre for Nutrition, Prevention and Health Services, National Institute for Public Health and the Environment (RIVM), PO Box 1, 3720 BA, Bilthoven, the Netherlands
| | - Amélie Crépet
- ANSES, French Agency for Food, Environmental and Occupational Health and Safety, Risk Assessment Department, Methodology and Studies Unit, 947001, Maisons-Alfort, France
| | - Antsje Nolles
- Wageningen Food Safety Research, Akkermaalsbos 2, 6708 WB, Wageningen, the Netherlands
| | - Edwin P Zwart
- Centre for Health Protection, National Institute for Public Health and the Environment (RIVM), PO Box 1, 3720 BA, Bilthoven, the Netherlands
| | - Eric R Gremmer
- Centre for Health Protection, National Institute for Public Health and the Environment (RIVM), PO Box 1, 3720 BA, Bilthoven, the Netherlands
| | - Leo Tm van der Ven
- Centre for Health Protection, National Institute for Public Health and the Environment (RIVM), PO Box 1, 3720 BA, Bilthoven, the Netherlands
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Ghozal M, Kadawathagedara M, Delvert R, Divaret-Chauveau A, Raherison C, Varraso R, Bédard A, Crépet A, Sirot V, Charles MA, Adel-Patient K, de Lauzon-Guillain B. Prenatal dietary exposure to mixtures of chemicals is associated with allergy or respiratory diseases in children in the ELFE nationwide cohort. Environ Health 2024; 23:5. [PMID: 38195595 PMCID: PMC10775451 DOI: 10.1186/s12940-023-01046-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2023] [Accepted: 12/20/2023] [Indexed: 01/11/2024]
Abstract
INTRODUCTION Prenatal exposure to environmental chemicals may be associated with allergies later in life. We aimed to examine the association between prenatal dietary exposure to mixtures of chemicals and allergic or respiratory diseases up to age 5.5 y. METHODS We included 11,638 mother-child pairs from the French "Étude Longitudinale Française depuis l'Enfance" (ELFE) cohort. Maternal dietary exposure during pregnancy to eight mixtures of chemicals was previously assessed. Allergic and respiratory diseases (eczema, food allergy, wheezing and asthma) were reported by parents between birth and age 5.5 years. Associations were evaluated with adjusted logistic regressions. Results are expressed as odds ratio (OR[95%CI]) for a variation of one SD increase in mixture pattern. RESULTS Maternal dietary exposure to a mixture composed mainly of trace elements, furans and polycyclic aromatic hydrocarbons (PAHs) was positively associated with the risk of eczema (1.10 [1.05; 1.15]), this association was consistent across sensitivity analyses. Dietary exposure to one mixture of pesticides was positively associated with the risk of food allergy (1.10 [1.02; 1.18]), whereas the exposure to another mixture of pesticides was positively but slightly related to the risk of wheezing (1.05 [1.01; 1.08]). This last association was not found in all sensitivity analyses. Dietary exposure to a mixture composed by perfluoroalkyl acids, PAHs and trace elements was negatively associated with the risk of asthma (0.89 [0.80; 0.99]), this association was consistent across sensitivity analyses, except the complete-case analysis. CONCLUSION Whereas few individual chemicals were related to the risk of allergic and respiratory diseases, some consistent associations were found between prenatal dietary exposure to some mixtures of chemicals and the risk of allergic or respiratory diseases. The positive association between trace elements, furans and PAHs and the risk of eczema, and that between pesticides mixtures and food allergy need to be confirmed in other studies. Conversely, the negative association between perfluoroalkyl acids, PAHs and trace elements and the risk of asthma need to be further explored.
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Affiliation(s)
- Manel Ghozal
- Université Paris Cité and Université Sorbonne Paris Nord, Inserm, INRAE, Centre for Research in Epidemiology and StatisticS (CRESS) Equipe EAROH, Batiment Leriche, 16 avenue Paul Vaillant Couturier, Paris, Villejuif Cedex, 94807, France.
| | - Manik Kadawathagedara
- Université Paris Cité and Université Sorbonne Paris Nord, Inserm, INRAE, Centre for Research in Epidemiology and StatisticS (CRESS) Equipe EAROH, Batiment Leriche, 16 avenue Paul Vaillant Couturier, Paris, Villejuif Cedex, 94807, France
| | - Rosalie Delvert
- Université Paris-Saclay, UVSQ, Université Paris-Sud, Inserm, Équipe d'Épidémiologie Respiratoire Intégrative, CESP, Villejuif, 94805, France
| | - Amandine Divaret-Chauveau
- Unité d'allergologie pédiatrique, Hôpital d'enfants, CHRU de Nancy, Vandoeuvre les Nancy, France
- EA 3450 DevAH, Faculté de Médecine, Université de Lorraine, Vandoeuvre les Nancy, France
- UMR 6249 Chrono-Environnement, Université de Bourgogne Franche Comté, Besançon, France
| | - Chantal Raherison
- Inserm, Team EPICENE, Bordeaux Population Health Research Center, UMR 1219, Bordeaux University, Bordeaux, France
| | - Raphaëlle Varraso
- Université Paris-Saclay, UVSQ, Université Paris-Sud, Inserm, Équipe d'Épidémiologie Respiratoire Intégrative, CESP, Villejuif, 94805, France
| | - Annabelle Bédard
- Université Paris-Saclay, UVSQ, Université Paris-Sud, Inserm, Équipe d'Épidémiologie Respiratoire Intégrative, CESP, Villejuif, 94805, France
| | - Amélie Crépet
- ANSES, French Agency for Food, Environmental and Occupational Health and Safety, Risk Assessment Department, Methodology and Studies Unit, Maisons-Alfort, France
| | - Véronique Sirot
- ANSES, French Agency for Food, Environmental and Occupational Health and Safety, Risk Assessment Department, Methodology and Studies Unit, Maisons-Alfort, France
| | - Marie Aline Charles
- Université Paris Cité and Université Sorbonne Paris Nord, Inserm, INRAE, Centre for Research in Epidemiology and StatisticS (CRESS) Equipe EAROH, Batiment Leriche, 16 avenue Paul Vaillant Couturier, Paris, Villejuif Cedex, 94807, France
| | - Karine Adel-Patient
- Université Paris-Saclay, CEA, INRAE, Département Médicaments et Technologies pour la Santé (MTS), Gif-sur-Yvette, France
| | - Blandine de Lauzon-Guillain
- Université Paris Cité and Université Sorbonne Paris Nord, Inserm, INRAE, Centre for Research in Epidemiology and StatisticS (CRESS) Equipe EAROH, Batiment Leriche, 16 avenue Paul Vaillant Couturier, Paris, Villejuif Cedex, 94807, France
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Sprong RC, van den Brand AD, van Donkersgoed G, Blaznik U, Christodoulou D, Crépet A, da Graça Dias M, Hamborg Jensen B, Morretto A, Rauscher-Gabernig E, Ruprich J, Sokolić D, van Klaveren JD, Luijten M, Mengelers MJB. Combined chronic dietary exposure to four nephrotoxic metals exceeds tolerable intake levels in the adult population of 10 European countries. Food Addit Contam Part A Chem Anal Control Expo Risk Assess 2023; 40:1568-1588. [PMID: 37922338 DOI: 10.1080/19440049.2023.2272716] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2023] [Accepted: 10/12/2023] [Indexed: 11/05/2023]
Abstract
A mixture risk assessment (MRA) for four metals relevant to chronic kidney disease (CKD) was performed. Dietary exposure to cadmium or lead alone exceeded the respective reference values in the majority of the 10 European countries included in our study. When the dietary exposure to those metals and inorganic mercury and inorganic arsenic was combined following a classical or personalised modified reference point index (mRPI) approach, not only high exposure (95th percentile) estimates but also the mean exceeded the tolerable intake of the mixture in all countries studied. Cadmium and lead contributed most to the combined exposure, followed by inorganic arsenic and inorganic mercury. The use of conversion factors for inorganic arsenic and inorganic mercury from total arsenic and total mercury concentration data was a source of uncertainty. Other uncertainties were related to the use of different principles to derive reference points. Yet, MRA at the target organ level, as performed in our study, could be used as a way to efficiently prioritise assessment groups for higher-tier MRA. Since the combined exposure to the four metals exceeded the tolerable intake, we recommend a refined MRA based on a common, specific nephrotoxic effect and relative potency factors (RPFs) based on a similar effect size.
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Affiliation(s)
- R Corinne Sprong
- Department of Chemical Food Safety, RIVM, National Institute for Public Health and the Environment, Bilthoven, the Netherlands
| | - Annick D van den Brand
- Centre for Health Protection, RIVM, National Institute for Public Health and the Environment, Bilthoven, the Netherlands
| | - Gerda van Donkersgoed
- Department of Chemical Food Safety, RIVM, National Institute for Public Health and the Environment, Bilthoven, the Netherlands
| | - Urska Blaznik
- National Institute of Public Health, Environmental Health Centre, Ljubljana, Slovenia
| | | | - Amélie Crépet
- Risk Assessment Department, Methodology and Studies Unit, ANSES, French Agency for Food, Environmental and Occupational Health and Safety, Maisons-Alfort, France
| | | | - Bodil Hamborg Jensen
- Technical University of Denmark, National Food Institute, Research group for Chemical Risk Assessment and GMO, Lyngby, Denmark
| | - Angelo Morretto
- Department of Cardiac Thoracic Vascular and Public Health Sciences, University of Padova and Occupational Health Unit, Padova University Hospital, Padova, Italy
| | | | - Jiri Ruprich
- National Institute of Public Health in Prague, Centre for Health, Nutrition and Food, Brno, Czech Republic
| | - Darja Sokolić
- HAPIH, Croatian Agency for Agriculture and Food, Osijek, Croatia
| | - Jacob D van Klaveren
- Department of Chemical Food Safety, RIVM, National Institute for Public Health and the Environment, Bilthoven, the Netherlands
| | - Mirjam Luijten
- Centre for Health Protection, RIVM, National Institute for Public Health and the Environment, Bilthoven, the Netherlands
| | - Marcel J B Mengelers
- Department of Chemical Food Safety, RIVM, National Institute for Public Health and the Environment, Bilthoven, the Netherlands
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Ghozal M, Kadawathagedara M, Delvert R, Adel-Patient K, Tafflet M, Annesi-Maesano I, Crépet A, Sirot V, Charles MA, Heude B, de Lauzon-Guillain B. Prenatal dietary exposure to chemicals and allergy or respiratory diseases in children in the EDEN mother-child cohort. Environ Int 2023; 180:108195. [PMID: 37734145 DOI: 10.1016/j.envint.2023.108195] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/11/2023] [Revised: 08/01/2023] [Accepted: 09/06/2023] [Indexed: 09/23/2023]
Abstract
INTRODUCTION Maternal exposure to food chemicals may increase the risk of allergy and respiratory disorders in offspring. We aimed to assess the association of prenatal dietary exposure to single chemicals and chemical mixtures with allergy or respiratory events reported before age 8 y in children. METHODS We included 1428 mother-child pairs enrolled in the EDEN mother-child cohort. Maternal dietary exposure to 209 chemicals and eight associated mixtures was investigated. Allergic and respiratory diseases (wheezing, asthma, allergic rhinitis, eczema and food allergy) were reported by parents between birth and age 8 y. Associations with the studied outcomes were evaluated with three approaches based on adjusted logistic regression, estimating odds ratios (ORs) and 95 % confidence intervals (CIs). First, food chemicals were considered individually, with correction for multiple testing. Second, chemicals selected by elastic net regression were considered simultaneously in a multiple exposure model. Third, predefined mixtures were introduced in the same adjusted logistic regression. Results are expressed as odds ratio (OR[95 % CI]). RESULTS Prenatal single exposure to 74 food chemicals was associated with higher risk of allergic rhinitis. Prenatal single exposure to 11 chemicals was associated with higher risk of wheezing. In the multi-exposure approach, risk of wheezing was associated with the pesticides diazinon and triadimenol, and polycyclic aromatic hydrocarbon 5-methylchrysene. Phytoestrogen resveratrol was negatively associated with lower risk of both wheezing and allergic rhinitis, and mycotoxin monoacetoxyscirpenol was negatively associated with risk of eczema. Finally, a chemical mixture composed mainly of trace elements, furans and polycyclic aromatic hydrocarbons, was associated with higher risk of allergic rhinitis (1.33 [1.02;1.73]). CONCLUSION Prenatal dietary exposure to chemicals was associated with risk of allergic rhinitis or wheezing up to age 8 y. A few chemicals were associated with other allergic and respiratory diseases. Larger prospective studies are needed to confirm these findings.
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Affiliation(s)
- Manel Ghozal
- Université Paris Cité and Université Sorbonne Paris Nord, Inserm, INRAE, Centre for Research in Epidemiology and StatisticS (CRESS), Paris, France.
| | - Manik Kadawathagedara
- Université Paris Cité and Université Sorbonne Paris Nord, Inserm, INRAE, Centre for Research in Epidemiology and StatisticS (CRESS), Paris, France
| | - Rosalie Delvert
- Université Paris-Saclay, UVSQ, Université Paris-Sud, Inserm, Équipe d'Épidémiologie Respiratoire Intégrative, CESP, 94805 Villejuif, France
| | | | - Muriel Tafflet
- Université Paris Cité and Université Sorbonne Paris Nord, Inserm, INRAE, Centre for Research in Epidemiology and StatisticS (CRESS), Paris, France
| | - Isabella Annesi-Maesano
- Institute Desbrest of Epidemiology and Public Health (IDESP), Montpellier University and INSERM, Montpellier, France, Pneumology, Allergology and Thoracic Oncology Department, Montpellier University Hospital, Montpellier, France
| | - Amélie Crépet
- ANSES, French Agency for Food, Environmental and Occupational Health and Safety, Risk Assessment Department, Methodology and Studies Unit, Maisons-Alfort, France
| | - Véronique Sirot
- ANSES, French Agency for Food, Environmental and Occupational Health and Safety, Risk Assessment Department, Methodology and Studies Unit, Maisons-Alfort, France
| | - Marie Aline Charles
- Université Paris Cité and Université Sorbonne Paris Nord, Inserm, INRAE, Centre for Research in Epidemiology and StatisticS (CRESS), Paris, France
| | - Barbara Heude
- Université Paris Cité and Université Sorbonne Paris Nord, Inserm, INRAE, Centre for Research in Epidemiology and StatisticS (CRESS), Paris, France
| | - Blandine de Lauzon-Guillain
- Université Paris Cité and Université Sorbonne Paris Nord, Inserm, INRAE, Centre for Research in Epidemiology and StatisticS (CRESS), Paris, France
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Marques C, Frenoy P, Fiolet T, Crépet A, Severi G, Mancini FR. Challenges of studying the dietary exposure to chemical mixtures: Example of the association with mortality risk in the E3N French prospective cohort. Sci Total Environ 2023:164350. [PMID: 37236483 DOI: 10.1016/j.scitotenv.2023.164350] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/30/2023] [Revised: 04/24/2023] [Accepted: 05/18/2023] [Indexed: 05/28/2023]
Abstract
Food is contaminated by many chemicals which interact with each other, resulting in additive, synergistic or antagonistic effects. It is thus necessary to study the health effects of dietary exposure to chemical mixtures rather than single contaminants. We aimed to investigate the association between dietary exposure to chemical mixtures and mortality risk in the E3N French prospective cohort. We included 72,585 women from the E3N cohort who completed a food frequency questionnaire in 1993. From 197 chemicals, and using sparse non-negative matrix under-approximation (SNMU), we identified six main chemical mixtures to which these women were chronically exposed through the diet. We estimated the associations between dietary exposure to these mixtures and all-cause or cause-specific mortality using Cox proportional hazard models. During the follow-up (1993-2014), 6441 deaths occurred. We observed no association between dietary exposure to three mixtures and all-cause mortality, and a non-monotonic inverse association for the three other mixtures. These results could be explained by the fact that, despite the different dietary adjustment strategies tested, we did not fully succeed in excluding the residual confounding from the overall effect of the diet. We also questioned the number of chemicals to include in mixtures' studies, as a balance needs to be reached between including a large number of chemicals and the interpretability of the results. Integrating a priori knowledge, such as toxicological data, could lead to the identification of more parsimonious mixtures, thus to more interpretable results. Moreover, as the SNMU is a non-supervised method, which identifies the mixtures only on the basis of the correlations between the exposure variables, and not in relation to the outcome, it would be interesting to test supervised methods. Finally, further studies are needed to identify the most adequate approach to investigate the health effects of dietary exposure to chemical mixtures in observational studies.
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Affiliation(s)
- Chloé Marques
- Paris-Saclay University, UVSQ, Inserm, Gustave Roussy, "Exposome and Heredity" team, CESP U1018, 94805 Villejuif, France
| | - Pauline Frenoy
- Paris-Saclay University, UVSQ, Inserm, Gustave Roussy, "Exposome and Heredity" team, CESP U1018, 94805 Villejuif, France
| | - Thibault Fiolet
- Paris-Saclay University, UVSQ, Inserm, Gustave Roussy, "Exposome and Heredity" team, CESP U1018, 94805 Villejuif, France
| | - Amélie Crépet
- French Agency for Food, Environmental and Occupational Health and Safety (ANSES), Risk Assessment Department, Methodology and Survey Unit, 94701 Maisons-Alfort, France
| | - Gianluca Severi
- Paris-Saclay University, UVSQ, Inserm, Gustave Roussy, "Exposome and Heredity" team, CESP U1018, 94805 Villejuif, France; Department of Statistics, Computer Science, Applications "G. Parenti", University of Florence, Italy
| | - Francesca Romana Mancini
- Paris-Saclay University, UVSQ, Inserm, Gustave Roussy, "Exposome and Heredity" team, CESP U1018, 94805 Villejuif, France.
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Sprong C, Te Biesebeek JD, Chatterjee M, Wolterink G, van den Brand A, Blaznik U, Christodoulou D, Crépet A, Hamborg Jensen B, Sokolić D, Rauscher-Gabernig E, Ruprich J, Kortenkamp A, van Klaveren J. A case study of neurodevelopmental risks from combined exposures to lead, methyl-mercury, inorganic arsenic, polychlorinated biphenyls, polybrominated diphenyl ethers and fluoride. Int J Hyg Environ Health 2023; 251:114167. [PMID: 37149958 DOI: 10.1016/j.ijheh.2023.114167] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2022] [Revised: 04/03/2023] [Accepted: 04/04/2023] [Indexed: 05/09/2023]
Abstract
We performed a mixture risk assessment (MRA) case study of dietary exposure to the food contaminants lead, methylmercury, inorganic arsenic (iAs), fluoride, non-dioxin-like polychlorinated biphenyls (NDL-PCBs) and polybrominated diphenyl ethers (PBDEs), all substances associated with declines in cognitive abilities measured as IQ loss. Most of these chemicals are frequently measured in human biomonitoring studies. A component-based, personalised modified reference point index (mRPI) approach, in which we expressed the exposures and potencies of our chosen substances as lead equivalent values, was applied to perform a MRA for dietary exposures. We conducted the assessment for four different age groups (toddlers, children, adolescents, and women aged 18-45 years) in nine European countries. Populations in all countries considered exceeded combined tolerable levels at median exposure levels. NDL-PCBs in fish, other seafood and dairy, lead in grains and fruits, methylmercury in fish and other seafoods, and fluoride in water contributed most to the combined exposure. We identified uncertainties for the likelihood of co-exposure, assessment group membership, endpoint-specific reference values (ESRVs) based on epidemiological (lead, methylmercury, iAs, fluoride and NDL-PCBs) and animal data (PBDE), and exposure data. Those uncertainties lead to a complex pattern of under- and overestimations, which would require probabilistic modelling based on expert knowledge elicitation for integration of the identified uncertainties into an overall uncertainty estimate. In addition, the identified uncertainties could be used to refine future MRA for cognitive decline.
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Affiliation(s)
- Corinne Sprong
- RIVM, National Institute for Public Health and the Environment, PO Box 1, 3720 BA, Bilthoven, the Netherlands.
| | - Jan Dirk Te Biesebeek
- RIVM, National Institute for Public Health and the Environment, PO Box 1, 3720 BA, Bilthoven, the Netherlands
| | - Mousumi Chatterjee
- Brunel University London, Centre for Pollution Research and Policy, Uxbridge, UB8 3PH, United Kingdom
| | - Gerrit Wolterink
- RIVM, National Institute for Public Health and the Environment, PO Box 1, 3720 BA, Bilthoven, the Netherlands
| | - Annick van den Brand
- RIVM, National Institute for Public Health and the Environment, PO Box 1, 3720 BA, Bilthoven, the Netherlands
| | - Urska Blaznik
- National Institute of Public Health, Environmental Health Centre, Trubarjeva 2, Ljubljana, Slovenia
| | | | - Amélie Crépet
- ANSES, French Agency for Food, Environmental and Occupational Health and Safety, Risk Assessment Department, Methodology and Studies Unit, 947001, Maisons-Alfort, France
| | - Bodil Hamborg Jensen
- Technical University of Denmark, National Food Institute, Research group for Chemical Risk Assessment and GMO, Kemitorvet, Building 201, DK 2800, Lyngby, Denmark
| | - Darja Sokolić
- HAPIH, Croatian Agency for Agriculture and Food, Vinkovačka cesta 63C, 31000, Osijek, Croatia
| | - Elke Rauscher-Gabernig
- AGES, Austrian Agency for Health and Food Safety, Spargelfeldstraße 191, 1220, Vienna, Austria
| | - Jiri Ruprich
- National Institute of Public Health in Prague, Centre for Health, Nutrition and Food, Brno, Czech Republic
| | - Andreas Kortenkamp
- Brunel University London, Centre for Pollution Research and Policy, Uxbridge, UB8 3PH, United Kingdom
| | - Jacob van Klaveren
- RIVM, National Institute for Public Health and the Environment, PO Box 1, 3720 BA, Bilthoven, the Netherlands
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Crépet A, Vasseur P, Jean J, Badot PM, Nesslany F, Vernoux JP, Feidt C, Mhaouty-Kodja S. Integrating Selection and Risk Assessment of Chemical Mixtures: A Novel Approach Applied to a Breast Milk Survey. Environ Health Perspect 2022; 130:35001. [PMID: 35238606 PMCID: PMC8893236 DOI: 10.1289/ehp8262] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/10/2020] [Revised: 09/08/2021] [Accepted: 09/09/2021] [Indexed: 06/01/2023]
Abstract
BACKGROUND One of the main challenges of modern risk assessment is to account for combined exposure to the multitude of various substances present in food and the environment. OBJECTIVE The present work proposes a methodological approach to perform chemical risk assessment of contaminant mixtures across regulatory silos regarding an extensive range of substances and to do so when comprehensive relevant data concerning the specific effects and modes of action of the mixture components are not available. METHODS We developed a complete step-by-step approach using statistical methods to prioritize substances involved in combined exposure, and we used a component-based approach to cumulate the risk using dose additivity. The most relevant toxicological end point and the associated reference point were selected from the literature to construct a toxicological threshold for each substance. DISCUSSION By applying the proposed method to contaminants in breast milk, we observed that among the 19 substances comprising the selected mixture, ∑DDT, ∑PCBi, and arsenic were main joint contributors to the risk of neurodevelopmental and thyroid effects for infants. In addition, ∑PCCD/F contributed to the thyroid effect and ∑aldrin-dieldrin to the neurodevelopmental effect. Our case study on contaminants in breast milk demonstrated the importance of crossing regulatory silos when studying mixtures and the importance of identifying risk drivers to regulate the risk related to environmental contamination. Applying this method to another set of data, such as human biomonitoring or in ecotoxicology, will reinforce its relevance for risk assessment. https://doi.org/10.1289/EHP8262.
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Affiliation(s)
- Amélie Crépet
- Methodology and Studies Unit, Risk Assessment Department, French Agency for Food, Environmental and Occupational Health and Safety, Maisons-Alfort, France
| | - Paule Vasseur
- Université de Lorraine, Centre national de la recherche scientifique (CNRS), Laboratoire Interdisciplinaire des Environnements Continentaux, Metz, France
| | - Julien Jean
- Methodology and Studies Unit, Risk Assessment Department, French Agency for Food, Environmental and Occupational Health and Safety, Maisons-Alfort, France
| | - Pierre-Marie Badot
- Chrono-Environment Department, Franche-Comté University, CNRS, Besançon, France
| | - Fabrice Nesslany
- Université de Lille, Centre Hospitalier Universitaire de Lille, Institut Pasteur de Lille, EA4483-IMPacts de l’Environnement Chimique sur la Santé Humaine, Lille, France
- Laboratoire de Toxicologie Génétique, Institut Pasteur de Lille, Lille, France
| | - Jean-Paul Vernoux
- Université de Caen Normandie, Unité de Recherche Aliments Bioprocédés Toxicologie Environnements, EA4651, Caen, France
| | - Cyril Feidt
- Université de Lorraine, Unité de Recherche Animal et Fonctionnalités des Produits Animaux, Nancy, France
| | - Sakina Mhaouty-Kodja
- Sorbonne Université, CNRS, Institut national de la santé et de la recherche médicale, Neuroscience Paris Seine—Institut de Biologie Paris Seine, Paris, France
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More SJ, Bampidis V, Benford D, Bragard C, Hernandez‐Jerez A, Bennekou SH, Halldorsson TI, Koutsoumanis KP, Lambré C, Machera K, Naegeli H, Nielsen SS, Schlatter JR, Schrenk D, Silano V, Turck D, Younes M, Benfenati E, Crépet A, Te Biesebeek JD, Testai E, Dujardin B, Dorne JLCM, Hogstrand C. Guidance Document on Scientific criteria for grouping chemicals into assessment groups for human risk assessment of combined exposure to multiple chemicals. EFSA J 2021; 19:e07033. [PMID: 34976164 PMCID: PMC8681880 DOI: 10.2903/j.efsa.2021.7033] [Citation(s) in RCA: 24] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Abstract
This guidance document provides harmonised and flexible methodologies to apply scientific criteria and prioritisation methods for grouping chemicals into assessment groups for human risk assessment of combined exposure to multiple chemicals. In the context of EFSA's risk assessments, the problem formulation step defines the chemicals to be assessed in the terms of reference usually through regulatory criteria often set by risk managers based on legislative requirements. Scientific criteria such as hazard-driven criteria can be used to group these chemicals into assessment groups. In this guidance document, a framework is proposed to apply hazard-driven criteria for grouping of chemicals into assessment groups using mechanistic information on toxicity as the gold standard where available (i.e. common mode of action or adverse outcome pathway) through a structured weight of evidence approach. However, when such mechanistic data are not available, grouping may be performed using a common adverse outcome. Toxicokinetic data can also be useful for grouping, particularly when metabolism information is available for a class of compounds and common toxicologically relevant metabolites are shared. In addition, prioritisation methods provide means to identify low-priority chemicals and reduce the number of chemicals in an assessment group. Prioritisation methods include combined risk-based approaches, risk-based approaches for single chemicals and exposure-driven approaches. Case studies have been provided to illustrate the practical application of hazard-driven criteria and the use of prioritisation methods for grouping of chemicals in assessment groups. Recommendations for future work are discussed.
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9
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Vrijheid M, Basagaña X, Gonzalez JR, Jaddoe VWV, Jensen G, Keun HC, McEachan RRC, Porcel J, Siroux V, Swertz MA, Thomsen C, Aasvang GM, Andrušaitytė S, Angeli K, Avraam D, Ballester F, Burton P, Bustamante M, Casas M, Chatzi L, Chevrier C, Cingotti N, Conti D, Crépet A, Dadvand P, Duijts L, van Enckevort E, Esplugues A, Fossati S, Garlantezec R, Gómez Roig MD, Grazuleviciene R, Gützkow KB, Guxens M, Haakma S, Hessel EVS, Hoyles L, Hyde E, Klanova J, van Klaveren JD, Kortenkamp A, Le Brusquet L, Leenen I, Lertxundi A, Lertxundi N, Lionis C, Llop S, Lopez-Espinosa MJ, Lyon-Caen S, Maitre L, Mason D, Mathy S, Mazarico E, Nawrot T, Nieuwenhuijsen M, Ortiz R, Pedersen M, Perelló J, Pérez-Cruz M, Philippat C, Piler P, Pizzi C, Quentin J, Richiardi L, Rodriguez A, Roumeliotaki T, Sabin Capote JM, Santiago L, Santos S, Siskos AP, Strandberg-Larsen K, Stratakis N, Sunyer J, Tenenhaus A, Vafeiadi M, Wilson RC, Wright J, Yang T, Slama R. Advancing tools for human early lifecourse exposome research and translation (ATHLETE): Project overview. Environ Epidemiol 2021; 5:e166. [PMID: 34934888 PMCID: PMC8683140 DOI: 10.1097/ee9.0000000000000166] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2020] [Accepted: 06/28/2021] [Indexed: 11/26/2022] Open
Abstract
Early life stages are vulnerable to environmental hazards and present important windows of opportunity for lifelong disease prevention. This makes early life a relevant starting point for exposome studies. The Advancing Tools for Human Early Lifecourse Exposome Research and Translation (ATHLETE) project aims to develop a toolbox of exposome tools and a Europe-wide exposome cohort that will be used to systematically quantify the effects of a wide range of community- and individual-level environmental risk factors on mental, cardiometabolic, and respiratory health outcomes and associated biological pathways, longitudinally from early pregnancy through to adolescence. Exposome tool and data development include as follows: (1) a findable, accessible, interoperable, reusable (FAIR) data infrastructure for early life exposome cohort data, including 16 prospective birth cohorts in 11 European countries; (2) targeted and nontargeted approaches to measure a wide range of environmental exposures (urban, chemical, physical, behavioral, social); (3) advanced statistical and toxicological strategies to analyze complex multidimensional exposome data; (4) estimation of associations between the exposome and early organ development, health trajectories, and biological (metagenomic, metabolomic, epigenetic, aging, and stress) pathways; (5) intervention strategies to improve early life urban and chemical exposomes, co-produced with local communities; and (6) child health impacts and associated costs related to the exposome. Data, tools, and results will be assembled in an openly accessible toolbox, which will provide great opportunities for researchers, policymakers, and other stakeholders, beyond the duration of the project. ATHLETE's results will help to better understand and prevent health damage from environmental exposures and their mixtures from the earliest parts of the life course onward.
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Affiliation(s)
- Martine Vrijheid
- ISGlobal, Barcelona, Spain
- Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Madrid, Spain
- Universitat Pompeu Fabra, Barcelona, Spain
- Corresponding Author. Address: ISGlobal, Institute for Global Health, C. Doctor Aiguader 88, 08003 Barcelona, Spain. E-mail: (M. Vrijheid)
| | - Xavier Basagaña
- ISGlobal, Barcelona, Spain
- Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Madrid, Spain
- Universitat Pompeu Fabra, Barcelona, Spain
| | - Juan R. Gonzalez
- ISGlobal, Barcelona, Spain
- Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Madrid, Spain
- Universitat Pompeu Fabra, Barcelona, Spain
| | - Vincent W. V. Jaddoe
- The Generation R Study Group, Erasmus University Medical Center, Rotterdam, The Netherlands
- Department of Pediatrics, Erasmus University Medical Center, Rotterdam, The Netherlands
| | - Genon Jensen
- Health & Environment Alliance (HEAL), Brussels, Belgium
| | - Hector C. Keun
- Department of Surgery & Cancer and Department of Metabolism, Digestion & Reproduction, Imperial College London, London, United Kingdom
| | - Rosemary R. C. McEachan
- Bradford Institute for Health Research, Bradford Teaching Hospitals NHS Foundation Trust, Bradford,United Kingdom
| | - Joana Porcel
- ISGlobal, Barcelona, Spain
- Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Madrid, Spain
- Universitat Pompeu Fabra, Barcelona, Spain
| | - Valerie Siroux
- University Grenoble Alpes, Inserm, CNRS, IAB (Institute for Advanced Biosciences) Joint Research Center, Team of Environmental Epidemiology Applied to Development and Respiratory Health, Grenoble, France
| | - Morris A. Swertz
- University of Groningen, University Medical Center Groningen, Genomics Coordination Center, Groningen, The Netherlands
- University of Groningen, University Medical Center Groningen, Department of Genetics, Groningen, The Netherlands
| | - Cathrine Thomsen
- Department of Environmental Health, Norwegian Institute of Public Health, Oslo, Norway
| | - Gunn Marit Aasvang
- Department of Environmental Health, Norwegian Institute of Public Health, Oslo, Norway
| | - Sandra Andrušaitytė
- Department of Environmental Sciences, Vytautas Magnus University, Kaunas, Lithuania
| | - Karine Angeli
- French Agency for Food, Environmental and Occupational Health and Safety (ANSES), Risk Assessment Department, Maisons-Alfort, France
| | - Demetris Avraam
- Population Health Sciences Institute, Newcastle University, Newcastle, United Kingdom
| | - Ferran Ballester
- Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Madrid, Spain
- Epidemiology and Environmental Health Joint Research Unit, FISABIO-Universitat Jaume I-Universitat de València, València, Spain
- Faculty of Nursing and Chiropody, Universitat de València, Valencia, Spain
| | - Paul Burton
- Population Health Sciences Institute, Newcastle University, Newcastle, United Kingdom
| | - Mariona Bustamante
- ISGlobal, Barcelona, Spain
- Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Madrid, Spain
- Universitat Pompeu Fabra, Barcelona, Spain
| | - Maribel Casas
- ISGlobal, Barcelona, Spain
- Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Madrid, Spain
- Universitat Pompeu Fabra, Barcelona, Spain
| | - Leda Chatzi
- Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California
| | - Cécile Chevrier
- University Rennes, Inserm, EHESP, Irset (Institut de recherche en santé, environnement et travail)—UMR_S 1085, Rennes, France
| | | | - David Conti
- Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California
| | - Amélie Crépet
- French Agency for Food, Environmental and Occupational Health and Safety (ANSES), Risk Assessment Department, Maisons-Alfort, France
| | - Payam Dadvand
- ISGlobal, Barcelona, Spain
- Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Madrid, Spain
- Universitat Pompeu Fabra, Barcelona, Spain
| | - Liesbeth Duijts
- The Generation R Study Group, Erasmus University Medical Center, Rotterdam, The Netherlands
- Department of Pediatrics, Erasmus University Medical Center, Rotterdam, The Netherlands
| | - Esther van Enckevort
- University of Groningen, University Medical Center Groningen, Genomics Coordination Center, Groningen, The Netherlands
- University of Groningen, University Medical Center Groningen, Department of Genetics, Groningen, The Netherlands
| | - Ana Esplugues
- Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Madrid, Spain
- Epidemiology and Environmental Health Joint Research Unit, FISABIO-Universitat Jaume I-Universitat de València, València, Spain
- Faculty of Nursing and Chiropody, Universitat de València, Valencia, Spain
| | - Serena Fossati
- ISGlobal, Barcelona, Spain
- Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Madrid, Spain
- Universitat Pompeu Fabra, Barcelona, Spain
| | - Ronan Garlantezec
- CHU de Rennes, University Rennes, Inserm, EHESP, Irset (Institut de recherche en santé, environnement et travail)—UMR_S 1085, Rennes, France
| | - María Dolores Gómez Roig
- Institut de Recerca Sant Joan de Déu (IR-SJD), Barcelona, Spain
- Maternal and Child Health and Development Network II (SAMID II), Instituto de Salud Carlos III (ISCIII), Madrid, Spain
- BCNatal—Barcelona Center for Maternal Fetal and Neonatal Medicine, Hospital Sant Joan de Déu, Barcelona, Spain
| | | | - Kristine B. Gützkow
- Department of Environmental Health, Norwegian Institute of Public Health, Oslo, Norway
| | - Mònica Guxens
- ISGlobal, Barcelona, Spain
- Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Madrid, Spain
- Universitat Pompeu Fabra, Barcelona, Spain
- Department of Child and Adolescence Psychiatry, Erasmus MC, University Medical Center, Rotterdam, The Netherlands
| | - Sido Haakma
- University of Groningen, University Medical Center Groningen, Genomics Coordination Center, Groningen, The Netherlands
- University of Groningen, University Medical Center Groningen, Department of Genetics, Groningen, The Netherlands
| | - Ellen V. S. Hessel
- National Institute for Public Health and the Environment (RIVM), Bilthoven, The Netherlands
| | - Lesley Hoyles
- Department of Biosciences, Nottingham Trent University, Nottingham, United Kingdom
| | - Eleanor Hyde
- University of Groningen, University Medical Center Groningen, Genomics Coordination Center, Groningen, The Netherlands
- University of Groningen, University Medical Center Groningen, Department of Genetics, Groningen, The Netherlands
| | - Jana Klanova
- RECETOX Centre, Faculty of Science, Masaryk University, Brno, Czech Republic
| | - Jacob D. van Klaveren
- National Institute for Public Health and the Environment (RIVM), Bilthoven, The Netherlands
| | - Andreas Kortenkamp
- Brunel University London, College of Health, Medicine and Life Sciences, Uxbridge, United Kingdom
| | - Laurent Le Brusquet
- University Paris-Saclay, CNRS, CentraleSupélec, Laboratoire des Signaux et Systèmes, Gif-sur-Yvette, France
| | - Ivonne Leenen
- Health & Environment Alliance (HEAL), Brussels, Belgium
| | - Aitana Lertxundi
- Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Madrid, Spain
- University of Basque Country UPV/EHU, Basque Country, Bilbao, Spain
- Biodonostia, Research Health Institute, Donostia-San Sebastian, Spain
| | - Nerea Lertxundi
- University of Basque Country UPV/EHU, Basque Country, Bilbao, Spain
- Biodonostia, Research Health Institute, Donostia-San Sebastian, Spain
| | - Christos Lionis
- Department of Social Medicine, School of Medicine, University of Crete, Heraklion, Crete, Greece
| | - Sabrina Llop
- Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Madrid, Spain
- Epidemiology and Environmental Health Joint Research Unit, FISABIO-Universitat Jaume I-Universitat de València, València, Spain
| | - Maria-Jose Lopez-Espinosa
- Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Madrid, Spain
- Epidemiology and Environmental Health Joint Research Unit, FISABIO-Universitat Jaume I-Universitat de València, València, Spain
- Faculty of Nursing and Chiropody, Universitat de València, Valencia, Spain
| | - Sarah Lyon-Caen
- University Grenoble Alpes, Inserm, CNRS, IAB (Institute for Advanced Biosciences) Joint Research Center, Team of Environmental Epidemiology Applied to Development and Respiratory Health, Grenoble, France
| | - Lea Maitre
- ISGlobal, Barcelona, Spain
- Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Madrid, Spain
- Universitat Pompeu Fabra, Barcelona, Spain
| | - Dan Mason
- Bradford Institute for Health Research, Bradford Teaching Hospitals NHS Foundation Trust, Bradford,United Kingdom
| | - Sandrine Mathy
- University Grenoble Alpes, CNRS, INRAE, Grenoble INP, GAEL, Grenoble, France
| | - Edurne Mazarico
- Institut de Recerca Sant Joan de Déu (IR-SJD), Barcelona, Spain
- Maternal and Child Health and Development Network II (SAMID II), Instituto de Salud Carlos III (ISCIII), Madrid, Spain
- BCNatal—Barcelona Center for Maternal Fetal and Neonatal Medicine, Hospital Sant Joan de Déu, Barcelona, Spain
| | - Tim Nawrot
- Centre for Environmental Sciences, Hasselt University, Hasselt, Belgium
- Centre for Health and Environment, Leuven University, Leuven, Belgium
| | - Mark Nieuwenhuijsen
- ISGlobal, Barcelona, Spain
- Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Madrid, Spain
- Universitat Pompeu Fabra, Barcelona, Spain
| | - Rodney Ortiz
- ISGlobal, Barcelona, Spain
- Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Madrid, Spain
- Universitat Pompeu Fabra, Barcelona, Spain
| | - Marie Pedersen
- Department of Public Health, University of Copenhagen, Copenhagen, Denmark
| | | | - Míriam Pérez-Cruz
- Institut de Recerca Sant Joan de Déu (IR-SJD), Barcelona, Spain
- Maternal and Child Health and Development Network II (SAMID II), Instituto de Salud Carlos III (ISCIII), Madrid, Spain
- BCNatal—Barcelona Center for Maternal Fetal and Neonatal Medicine, Hospital Sant Joan de Déu, Barcelona, Spain
| | - Claire Philippat
- University Grenoble Alpes, Inserm, CNRS, IAB (Institute for Advanced Biosciences) Joint Research Center, Team of Environmental Epidemiology Applied to Development and Respiratory Health, Grenoble, France
| | - Pavel Piler
- RECETOX Centre, Faculty of Science, Masaryk University, Brno, Czech Republic
| | - Costanza Pizzi
- Cancer Epidemiology Unit, Department of Medical Sciences, University of Turin, Turin, Italy
| | - Joane Quentin
- University Grenoble Alpes, Inserm, CNRS, IAB (Institute for Advanced Biosciences) Joint Research Center, Team of Environmental Epidemiology Applied to Development and Respiratory Health, Grenoble, France
| | - Lorenzo Richiardi
- Cancer Epidemiology Unit, Department of Medical Sciences, University of Turin, Turin, Italy
| | | | - Theano Roumeliotaki
- Department of Social Medicine, School of Medicine, University of Crete, Heraklion, Crete, Greece
| | | | | | - Susana Santos
- The Generation R Study Group, Erasmus University Medical Center, Rotterdam, The Netherlands
- Department of Pediatrics, Erasmus University Medical Center, Rotterdam, The Netherlands
| | - Alexandros P. Siskos
- Department of Surgery & Cancer and Department of Metabolism, Digestion & Reproduction, Imperial College London, London, United Kingdom
| | | | - Nikos Stratakis
- ISGlobal, Barcelona, Spain
- Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California
| | - Jordi Sunyer
- ISGlobal, Barcelona, Spain
- Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Madrid, Spain
- Universitat Pompeu Fabra, Barcelona, Spain
| | - Arthur Tenenhaus
- University Paris-Saclay, CNRS, CentraleSupélec, Laboratoire des Signaux et Systèmes, Gif-sur-Yvette, France
| | - Marina Vafeiadi
- Department of Social Medicine, School of Medicine, University of Crete, Heraklion, Crete, Greece
| | - Rebecca C. Wilson
- Department of Public Health, Policy and Systems, University of Liverpool, Liverpool, United Kingdom
| | - John Wright
- Bradford Institute for Health Research, Bradford Teaching Hospitals NHS Foundation Trust, Bradford,United Kingdom
| | - Tiffany Yang
- Bradford Institute for Health Research, Bradford Teaching Hospitals NHS Foundation Trust, Bradford,United Kingdom
| | - Remy Slama
- University Grenoble Alpes, Inserm, CNRS, IAB (Institute for Advanced Biosciences) Joint Research Center, Team of Environmental Epidemiology Applied to Development and Respiratory Health, Grenoble, France
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10
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Mancini FR, Frenoy P, Fiolet T, Fagherazzi G, Crépet A. Identification of chemical mixtures to which women are exposed through the diet: Results from the French E3N cohort. Environ Int 2021; 152:106467. [PMID: 33711762 DOI: 10.1016/j.envint.2021.106467] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/16/2020] [Revised: 02/05/2021] [Accepted: 02/15/2021] [Indexed: 05/12/2023]
Abstract
Due to the large number of chemical food contaminants, consumers are exposed simultaneously to a wide range of chemicals which can interact and have a negative impact on health. Nevertheless, due to the multitude of possible chemical combinations it is unrealistic to test all combined toxicological effects. It is therefore essential to identify the most relevant mixtures to which the population is exposed through the diet and investigate their impact on heath. The present study aims to identify and describe the main chemical mixtures to which women enrolled in the E3N study, a large French prospective cohort, are chronically exposed through the diet. 74522 women who had answered a validated semi-quantitative food frequency questionnaire in 1993, were included in the present study. Dietary exposure to chemical contaminates was estimated based on the food contamination measured in 186 core food in France collected between 2007 and 2009 by the French agency for food, environment and occupational health, and safety (ANSES) in the framework of the second French total diet study (2TDS). The sparse non-negative matrix under-approximation (SNMU) was used to identify mixtures of chemical substances. A k-means clustering classification of the whole study population was then performed to define clusters with similar co-exposure profiles. Overall, 8 mixtures which explained 83% of the total variance, were retained. The first mixture, entitled "Minerals, inorganic contaminants, and furans", explained the highest proportion of the total variance (38%), and was correlated in particular with the consumption of "Offal" (rho = 0.22), "Vegetables except roots" (rho = 0.20), and "Eggs" (rho = 0.19). The other seven mixtures explained between 17% and 1% of the variance. Finally, 5 clusters were identified based on the adherence to the 8 mixtures. This study, being the largest ever conducted to identify dietary exposure to chemical mixtures, represents a concrete attempt to prioritize mixtures for which it is essential to investigate combined health effects based on exposure.
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Affiliation(s)
- Francesca Romana Mancini
- Université Paris-Saclay, UVSQ, Inserm, Gustave Roussy, "Exposome and Heredity" Team, CESP UMR1018, 94805 Villejuif, France.
| | - Pauline Frenoy
- Université Paris-Saclay, UVSQ, Inserm, Gustave Roussy, "Exposome and Heredity" Team, CESP UMR1018, 94805 Villejuif, France
| | - Thibault Fiolet
- Université Paris-Saclay, UVSQ, Inserm, Gustave Roussy, "Exposome and Heredity" Team, CESP UMR1018, 94805 Villejuif, France
| | - Guy Fagherazzi
- Deep Digital Phenotyping Research Unit, Department of Population Health, Luxembourg Institute of Health, 1A-B, Rue Thomas Edison, L-1445 Strassen, Luxembourg
| | - Amélie Crépet
- French Agency for Food, Environmental and Occupational Health and Safety (ANSES), Risk Assessment Department, Methodology and Survey Unit, 94701 Maisons-Alfort, France
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11
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Carne G, Leconte S, Sirot V, Breysse N, Badot PM, Bispo A, Deportes IZ, Dumat C, Rivière G, Crépet A. Mass balance approach to assess the impact of cadmium decrease in mineral phosphate fertilizers on health risk: The case-study of French agricultural soils. Sci Total Environ 2021; 760:143374. [PMID: 33213914 DOI: 10.1016/j.scitotenv.2020.143374] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/28/2020] [Revised: 10/23/2020] [Accepted: 10/24/2020] [Indexed: 06/11/2023]
Abstract
Cadmium is a ubiquitous and highly toxic contaminant that can cause serious adverse effects. The European Food Safety Authority (EFSA) and the French Agency for Food, Environmental and Occupational Health & Safety (ANSES) have shown that the risk related to food contamination by cadmium cannot be ruled out in Europe and France. Fertilizing material is one of the main sources of cadmium contamination in the food chain on which regulators can play to reduce cadmium exposure in the population. The aim of this work was to develop a mass-balance approach integrating the various environmental sources of cadmium to estimate the effects of a decrease in cadmium concentrations in crop fertilizers on dietary exposure and on the health risk. This approach led to a predictive model that can be used as a decision-making tool. Representative and protective fertilization scenarios associated with controlled cadmium levels in mineral phosphate fertilizers were simulated and converted into cadmium fluxes. Cadmium inputs from industrial mineral phosphate fertilizers were then compared with cadmium brought by the application of manure, sewage sludge and farm anaerobic digest, at the levels typical of French agricultural practices. Regardless of the fertilizer and scenario used, a flux lower than 2 g Cd.ha-1.year-1 reduces both the accumulation in soils and the transfer of cadmium in the food chain. It corresponds to a cadmium content of 20 mg.kg P2O5-1 or less in mineral phosphate fertilizers. Modelling the transfer of cadmium from the soil to consumed food made it possible to propose cadmium limits in fertilizers applied in France. In a global context of ecological transition to promote human health, this research will help risk managers and public authorities in the regulatory decision-making process for the reduction of environmental cadmium contamination and human exposure.
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Affiliation(s)
- G Carne
- ANSES, Risk Assessment Department, 14 rue Pierre et Marie Curie, F-94701 Maisons-Alfort Cedex, France.
| | - S Leconte
- ANSES, Risk Assessment Department, 14 rue Pierre et Marie Curie, F-94701 Maisons-Alfort Cedex, France
| | - V Sirot
- ANSES, Risk Assessment Department, 14 rue Pierre et Marie Curie, F-94701 Maisons-Alfort Cedex, France
| | - N Breysse
- ANSES, Regulated Products Assessment Department, 14 rue Pierre et Marie Curie, F-94701, Maisons-Alfort Cedex, France
| | - P-M Badot
- UMR 6249, Chrono-Environment, University of Franche-Comté/CNRS, 16, route de Gray, 25000 Besançon, France
| | - A Bispo
- INRAE, Orléans US1106 INFOSOL, 2163 avenue de la Pomme de Pin, CS 40001 Ardon, 45075 Orleans cedex 2, France
| | - I Z Deportes
- ADEME - Service Mobilisation et valorisation des Déchets, 20 avenue du Grésillé, 49004 Angers cedex 01, France
| | - C Dumat
- CERTOP, CNRS, UT2J, UPS, 5 Allée Antonio Machado, 31000 Toulouse, France
| | - G Rivière
- ANSES, Risk Assessment Department, 14 rue Pierre et Marie Curie, F-94701 Maisons-Alfort Cedex, France
| | - A Crépet
- ANSES, Risk Assessment Department, 14 rue Pierre et Marie Curie, F-94701 Maisons-Alfort Cedex, France
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12
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Quindroit P, Crépet A, Brochot C. Estimating human exposure to pyrethroids' mixtures from biomonitoring data using physiologically based pharmacokinetic modeling. Environ Res 2021; 192:110281. [PMID: 33031810 DOI: 10.1016/j.envres.2020.110281] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/09/2020] [Revised: 09/29/2020] [Accepted: 09/29/2020] [Indexed: 06/11/2023]
Abstract
Human biomonitoring data provide evidence to exposure of environmental chemicals. Physiologically based pharmacokinetic (PBPK) modelling together with an adequate exposure scenario allows to transpose measured concentrations of chemicals or their metabolites into exposure levels, as daily intakes. In France, high levels of urinary pyrethroids metabolites have been measured in populations. Our work aims at estimating the exposure of the French ENNS cohort to mixtures of four pyrethroids (deltamethrin, permethrin, cypermethrin, and cyfluthrin) from the urinary concentrations of five pyrethroids' metabolites commonly measured in biomonitoring studies. We developed a modelling approach based on a global toxicokinetic model that accounts for the cumulative exposure to pyrethroids as some of the metabolites can be shared by several parent compounds and for human inter-individual variability in metabolism. The median of the individual daily intakes was estimated to 8.1 ng/kg bw/day for permethrin, 17.7 ng/kg bw/day for cypermethrin, 20.4 ng/kg bw/day for cyfluthrin and 34.3 ng/kg bw/day for deltamethrin leading to similar weights for the pair permethrin and cypermethrin (36%), cyfluthrin (31%) and deltamethrin (33%) to the cumulative exposure. Accounting for human variability enabled to explain some of the variations in the metabolites' levels within the cohort. The cumulative exposure was then weighted by their toxicities towards three neurotoxic effects to calculate margins of exposure (MOE). Low MOE values were always associated with high measured concentrations of metabolites in urine and the lowest MOEs were observed for the autonomic division. No risks associated with reconstructed mixtures of pyrethroids were expected for the ENNS cohort. Our approach is an asset to analyse the biomarkers of exposure to pyrethroids simultaneously and could be easily adapted to any local or national specificities in pyrethroids' exposure or populations.
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Affiliation(s)
- Paul Quindroit
- Institut National de l'Environnement Industriel et des Risques (INERIS), Unité Modèles pour l'Ecotoxicologie et la Toxicologie (METO), Parc ALATA BP2, 60550, Verneuil en Halatte, France
| | - Amélie Crépet
- French Agency for Food, Environmental and Occupational Health and Safety (ANSES), Risk Assessment Department, Methodology and Studies Unit, 947001, Maisons-Alfort, France
| | - Céline Brochot
- Institut National de l'Environnement Industriel et des Risques (INERIS), Unité Modèles pour l'Ecotoxicologie et la Toxicologie (METO), Parc ALATA BP2, 60550, Verneuil en Halatte, France.
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13
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Vanacker M, Quindroit P, Angeli K, Mandin C, Glorennec P, Brochot C, Crépet A. Aggregate and cumulative chronic risk assessment for pyrethroids in the French adult population. Food Chem Toxicol 2020; 143:111519. [PMID: 32619558 DOI: 10.1016/j.fct.2020.111519] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2020] [Revised: 06/04/2020] [Accepted: 06/05/2020] [Indexed: 10/24/2022]
Abstract
Pyrethroids are commonly used as insecticides in households, in agriculture or in veterinary and medicinal products. This study aimed to assess cumulative aggregate exposure to cyfluthrin, cypermethrin, deltamethrin and permethrin in adults in France and the associated health risk, and to identify major contributions of exposure sources and routes. External chronic exposures were estimated from dietary and several environmental sources for the oral, inhalation and dermal routes. Internal concentrations of five associated metabolites were simulated with a physiologically-based pharmacokinetic model. The predicted urinary concentrations were in same order of magnitude as those of the French ENNS biomonitoring survey. Dietary exposure, especially from cereals and animal products, was the major source of exposure. For the 1% of adults most highly exposed, dermal exposure to permethrin through medicinal and veterinary products was an important source of exposure. Considering alterations of motor, sensory and autonomic division, all individual margins of exposure were higher than 100, suggesting that no neurotoxic risk associated with the cumulative aggregate exposure to these four pyrethroids is expected for the French adult population.
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Affiliation(s)
- Marie Vanacker
- French Agency for Food, Environmental and Occupational Health and Safety (ANSES), Risk Assessment Department, Methodology and Studies Unit, 947001, Maisons-Alfort, France
| | - Paul Quindroit
- Institut National de l'Environnement Industriel et des Risques (INERIS), Models for Ecotoxicology and Toxicology Unit, Parc ALATA, BP2, 60550, Verneuil-en-Halatte, France
| | - Karine Angeli
- French Agency for Food, Environmental and Occupational Health and Safety (ANSES), Risk Assessment Department, Chemicals Assessment Unit, 947001, Maisons-Alfort, France
| | - Corinne Mandin
- University of Paris-Est, Scientific and Technical Center for Building (CSTB), Health and Comfort Department, French Indoor Air Quality Observatory (OQAI), 84 Avenue Jean Jaurès, Champs-sur-Marne, 77447, Marne-la-Vallée Cedex 2, France
| | - Philippe Glorennec
- Univ Rennes, EHESP, INSERM, Research Institute for Environmental and Occupational Health (IRSET), UMR_S 1085, F-35000, Rennes, France
| | - Céline Brochot
- Institut National de l'Environnement Industriel et des Risques (INERIS), Models for Ecotoxicology and Toxicology Unit, Parc ALATA, BP2, 60550, Verneuil-en-Halatte, France
| | - Amélie Crépet
- French Agency for Food, Environmental and Occupational Health and Safety (ANSES), Risk Assessment Department, Methodology and Studies Unit, 947001, Maisons-Alfort, France.
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14
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Sprong C, Crépet A, Metruccio F, Blaznik U, Anagnostopoulos C, Christodoulou DL, Jensen BH, Kennedy M, González N, Rehurkova I, Ruprich J, Te Biesebeek JD, Vanacker M, Moretto A, van Klaveren J. Cumulative dietary risk assessment overarching different regulatory silos using a margin of exposure approach: A case study with three chemical silos. Food Chem Toxicol 2020; 142:111416. [PMID: 32439593 DOI: 10.1016/j.fct.2020.111416] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2020] [Revised: 04/24/2020] [Accepted: 05/04/2020] [Indexed: 11/19/2022]
Abstract
Risk assessment of chemicals occurring in our diet is commonly performed for single chemicals without considering exposure to other chemicals. We performed a case study on risk assessment of combined dietary exposure to chemicals from different regulatory silos, i.e. pesticides (PPRs), persistent organic pollutants (POPs) and food additives (FAs). Chemicals were grouped into the cumulative assessment group (CAG) liver steatosis using a component-based approach. Based on literature, the CAG included 144 PPRs, 49 POPS and 7 FAs for which concentration data were available. For each silo, chronic combined dietary exposure was assessed for adults and children of nine European countries following the most commonly used exposure methodologies in Europe and by using a relative potency factor approach. For risk characterization, a Margin of Exposure (MOE) was calculated. To overarch the risk across silos, a normalised combined margin of exposure (nMOET) approach was proposed. This case study demonstrated that risk assessment of combined exposure to chemicals can be performed within regulatory silos. It also highlighted important differences in the conservatism of exposure scenarios, the derivation of point of departures and the subsequent acceptable MOEs between the silos. To overarch the risk despite these differences, a nMOET approach can be used.
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Affiliation(s)
- Corinne Sprong
- RIVM, National Institute for Public Health and the Environment, PO Box 1, 3720 BA, Bilthoven, the Netherlands.
| | - Amélie Crépet
- ANSES, French Agency for Food, Environmental and Occupational Health and Safety, Risk Assessment Department, Methodology and Studies Unit, 947001, Maisons-Alfort, France
| | - Francesca Metruccio
- ICPS, International Centre for PPRs and Health Risk Prevention, ASST Fatebenefratelli Sacco, Ospedale L. Sacco Via GB Grassi 74, 20157, Milano, Italy
| | - Urska Blaznik
- National Institute of Public Health, Environmental Health Centre, Trubarjeva 2, Ljubljana, Slovenia
| | - Chris Anagnostopoulos
- Benaki Phytopathological Institute, Department of Pesticide Control and Phytopharmacy, Laboratory of Pesticide Residues, 8 Stefanou Delta Street, Kifissia, Athens, 14561, Greece
| | | | - Bodil Hamborg Jensen
- Technical University of Denmark, National Food Institute, Division of Risk Assessment and Nutrition, Kemitorvet, Building 201, DK 2800, Lyngby, Denmark
| | - Marc Kennedy
- Fera Science Ltd, Sand Hutton, York, YO41 1LZ, United Kingdom
| | - Neus González
- Laboratory of Toxicology and Environmental Health, School of Medecine, IISPV, Universitat Rovira I Virgili, Reus, Catalonia, Spain
| | - Irena Rehurkova
- National Institute of Public Health in Prague, Centre for Health, Nutrition and Food, Brno, Czech Republic
| | - Jiří Ruprich
- National Institute of Public Health in Prague, Centre for Health, Nutrition and Food, Brno, Czech Republic
| | - Jan Dirk Te Biesebeek
- RIVM, National Institute for Public Health and the Environment, PO Box 1, 3720 BA, Bilthoven, the Netherlands
| | - Marie Vanacker
- ANSES, French Agency for Food, Environmental and Occupational Health and Safety, Risk Assessment Department, Methodology and Studies Unit, 947001, Maisons-Alfort, France
| | - Angelo Moretto
- ICPS, International Centre for PPRs and Health Risk Prevention, ASST Fatebenefratelli Sacco, Ospedale L. Sacco Via GB Grassi 74, 20157, Milano, Italy; Department of Biomedical and Clinical Sciences, Università Degli Studi di Milano, Milan, Italy
| | - Jacob van Klaveren
- RIVM, National Institute for Public Health and the Environment, PO Box 1, 3720 BA, Bilthoven, the Netherlands
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15
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van der Voet H, Kruisselbrink JW, de Boer WJ, van Lenthe MS, van den Heuvel J(H, Crépet A, Kennedy MC, Zilliacus J, Beronius A, Tebby C, Brochot C, Luckert C, Lampen A, Rorije E, Sprong C, van Klaveren JD. The MCRA toolbox of models and data to support chemical mixture risk assessment. Food Chem Toxicol 2020; 138:111185. [DOI: 10.1016/j.fct.2020.111185] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2019] [Revised: 01/22/2020] [Accepted: 02/06/2020] [Indexed: 12/21/2022]
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16
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Vanacker M, Tressou J, Perouel G, Glorennec P, Crépet A. Combining data from heterogeneous surveys for aggregate exposure: Application to children exposure to lead in France. Environ Res 2020; 182:109069. [PMID: 31923848 DOI: 10.1016/j.envres.2019.109069] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/19/2018] [Revised: 12/18/2019] [Accepted: 12/19/2019] [Indexed: 06/10/2023]
Abstract
To assess human health risks related to the environment, it is necessary to aggregate exposure from multiple sources. The objective of this paper was to propose a relevant approach to combine data from heterogeneous populations and methodologies. Five different methods based on Monte-Carlo simulations were tested and compared. Differences were: taking into account or not stratification variable, timeline to assign exposure factors and concentration and way to account for concentration correlations. The methods were applied to estimate lead exposure from food, dust, soil, air, and tap water or French children aged between six months and three years old. Comparing results' uncertainty, it is recommended to 1) select a reference population representative of the target population, 2) select stratification variables to combine surveys, and 3) simulate a new population by randomly sampling individuals in the reference population and simultaneously assigning human exposure factors and environmental concentrations from other surveys in integrating correlations (MC1S). No difference was observed when taking into account correlations using vectors of determinist data from one survey or rank of correlations with the Iman-Conover method. Regardless the methods used to combine data, dust was the main exposure source, followed by soil and in a less extent by food. Exposures from air and tap water were found to be insignificant for most children.
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Affiliation(s)
- Marie Vanacker
- ANSES, French Agency for Food, Environmental and Occupational Health & Safety, Risk Assessment Department, 94701, Maisons-Alfort, France
| | - Jessica Tressou
- UMR MIA-Paris, AgroParisTech, INRA, Paris-Saclay University, 75005, Paris, France
| | - Guillaume Perouel
- ANSES, French Agency for Food, Environmental and Occupational Health & Safety, Risk Assessment Department, 94701, Maisons-Alfort, France
| | - Philippe Glorennec
- Univ Rennes, EHESP, INSERM, IRSET (Research Institute for Environmental and Occupational Health) - UMR_S 1085, F-35000, Rennes, France
| | - Amélie Crépet
- ANSES, French Agency for Food, Environmental and Occupational Health & Safety, Risk Assessment Department, 94701, Maisons-Alfort, France.
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Birot S, Crépet A, Remington BC, Madsen CB, Kruizinga AG, Baumert JL, Brockhoff PB. Frequentist and Bayesian approaches for food allergen risk assessment: risk outcome and uncertainty comparisons. Sci Rep 2019; 9:18206. [PMID: 31796875 PMCID: PMC6890679 DOI: 10.1038/s41598-019-54844-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2019] [Accepted: 11/18/2019] [Indexed: 11/12/2022] Open
Abstract
Peer-reviewed probabilistic methods already predict the probability of an allergic reaction resulting from an accidental exposure to food allergens, however, the methods calculate it in different ways. The available methods utilize the same three major input parameters in the risk model: the risk is estimated from the amount of food consumed, the concentration of allergen in the contaminated product and the distribution of thresholds among allergic persons. However, consensus is lacking about the optimal method to estimate the risk of allergic reaction and the associated uncertainty. This study aims to compare estimation of the risk of allergic reaction and associated uncertainty using different methods and suggest improvements. Four cases were developed based on the previous publications and the risk estimations were compared. The risk estimation was found to agree within 0.5% with the different simulation cases. Finally, an uncertainty analysis method is also presented in order to evaluate the uncertainty propagation from the input parameters to the risk.
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Affiliation(s)
- Sophie Birot
- DTU Compute, Richard Petersens Plads, DK-2800 Kgs, Lyngby, Denmark
| | - Amélie Crépet
- ANSES, French Agency for Food, Environmental and Occupational Health Safety, 14 rue Pierre et Marie Curie, 94701, Maisons-Alfort, France
| | - Benjamin C Remington
- The Netherlands Organization for Applied Scientific Research (TNO), Zeist, The Netherlands
| | - Charlotte B Madsen
- National Food Institute, Technical University of Denmark, Lyngby, Denmark.
| | - Astrid G Kruizinga
- The Netherlands Organization for Applied Scientific Research (TNO), Zeist, The Netherlands
| | - Joseph L Baumert
- Food Allergy Research and Resource Program, Department of Food Science & Technology, University of Nebraska, 143 Food Industry Complex, Lincoln, Nebraska, 68583-0919, United States
| | - Per B Brockhoff
- DTU Compute, Richard Petersens Plads, DK-2800 Kgs, Lyngby, Denmark
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18
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Karrer C, de Boer W, Delmaar C, Cai Y, Crépet A, Hungerbühler K, von Goetz N. Linking Probabilistic Exposure and Pharmacokinetic Modeling To Assess the Cumulative Risk from the Bisphenols BPA, BPS, BPF, and BPAF for Europeans. Environ Sci Technol 2019; 53:9181-9191. [PMID: 31294980 DOI: 10.1021/acs.est.9b01749] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
The bisphenols S, F, and AF (BPS, BPF, and BPAF) are used to replace the endocrine disrupting chemical bisphenol A (BPA) while exerting estrogenic effects of comparable potency. We assessed the cumulative risk for the aforementioned BPs in Europe and compared the risk before and after the year 2011, which was when the first BPA restrictions became effective. For this, we probabilistically modeled external exposures from food, personal care products (PCPs), thermal paper, and dust (using the tools MCRA and PACEM for exposures from food and PCPs, respectively). We calculated internal concentrations of unconjugated BPs with substance-specific PBPK models and cumulated these concentrations normalized by estrogenic potency. The resulting mean internal cumulative exposures to unconjugated BPs were 3.8 and 2.1 ng/kg bw/day before and after restrictions, respectively. This decline was mainly caused by the replacement of BPA by BPS in thermal paper and the lower dermal uptake of BPS compared to BPA. However, the decline was not significant: the selected uncertainty intervals overlapped (P2.5-P97.5 uncertainty intervals of 2.7-4.9 and 1.3-6.3 ng/kg bw/day before and after restrictions, respectively). The upper uncertainty bounds for cumulative exposure were higher after restrictions, which reflects the larger uncertainty around exposures to substitutes compared to BPA.
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Affiliation(s)
- Cecile Karrer
- Swiss Federal Institute of Technology (ETH) Zurich , Institute for Chemical and Bioengineering , 8093 Zurich , Switzerland
| | - Waldo de Boer
- Biometris , Wageningen University & Research , Droevendaalsesteeg 1 , 6708 PB Wageningen , The Netherlands
| | - Christiaan Delmaar
- National Institute for Public Health and the Environment (RIVM) , P.O. Box 1, 3720 BA Bilthoven , The Netherlands
| | - Yaping Cai
- Swiss Federal Institute of Technology (ETH) Zurich , Institute for Chemical and Bioengineering , 8093 Zurich , Switzerland
| | - Amélie Crépet
- ANSES, French Agency for Food , Environmental and Occupational Health Safety , 14 rue Pierre et Marie Curie , 94701 Maisons-Alfort , France
| | - Konrad Hungerbühler
- Swiss Federal Institute of Technology (ETH) Zurich , Institute for Chemical and Bioengineering , 8093 Zurich , Switzerland
| | - Natalie von Goetz
- Swiss Federal Institute of Technology (ETH) Zurich , Institute for Chemical and Bioengineering , 8093 Zurich , Switzerland
- Federal Office of Public Health , Schwarzenburgstrasse 157 , 3003 Bern , Switzerland
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19
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Elegbede CF, Papadopoulos A, Just J, Moneret-Vautrin DA, Deschildre A, Crépet A. Gender, prick test size and rAra h 2 sIgE level may predict the eliciting dose in patients with peanut allergy: Evidence from the Mirabel survey. Clin Exp Allergy 2019; 49:677-689. [PMID: 30689235 DOI: 10.1111/cea.13348] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2018] [Revised: 11/30/2018] [Accepted: 12/02/2018] [Indexed: 11/30/2022]
Abstract
BACKGROUND Peanut allergy management is based on active avoidance and access to emergency treatment including self-injectable adrenaline. Knowing the dose at which a patient is likely to react is crucial for risk assessment and could significantly improve management by integrating a personalized approach. OBJECTIVE To develop a threshold dose distribution curve model from routinely collected data. METHODS The MIRABEL survey is an observational study of 785 patients with peanut allergy/sensitization conducted in France, Belgium and Luxemburg. The current analysis included the 238 participants for whom medical and oral food challenge data were available. Several statistical models (Kaplan-Meier, Cox model, Weibull and Lognormal with predictive factors, basic Weibull and Lognormal) were compared to select the best model and predictive factor combination associated with the threshold doses. Inferences were made with a Bayesian approach. RESULTS Patients were mainly children (mean age: 9 years [IQR: 6-11]; 87% < 16 years) and males (62%). Median Ara h2 s IgE was of 8kUA/L [IQR: 1-55] and median skin prick test size of 10 mm [IQR: 7-13]. OFC was positive in 204 patients (86%). The median threshold dose was of 67 mg of peanut protein [IQR: 16-244]. The dose at which 1% of the patients are likely to react with objective symptoms was 0.26 [0.03; 2.24] mg of peanut protein. Gender, size of the skin prick test (SPT) and Ara h 2 specific IgE level had a significant impact on the threshold dose distribution curve. The Cox model was the most effective to predict threshold doses with this combination of factors. Girls react to lower doses than boys with a beta coefficient associated to the risk and a 95% credible interval of 0.44 [0.04; 0.77]. The higher the size of the SPT and the Ara h 2 specific IgE level are, the higher the risk of reacting to a small amount of peanut, with beta coefficients associated to the risk and 95% credible intervals of 0.05 [0.02; 0.08] and 0.01 [0.01; 0.02], respectively. CONCLUSION AND CLINICAL RELEVANCE According to the model, routinely collected data could be used to estimate the threshold dose. The consequences could be the identification of high-risk patients who are susceptible to react to small amounts of peanut and a personalized management of peanut allergy integrating the risk of allergic reaction. Limitations of this study are that assessors of OFC outcome were aware of SPT and Arah2 results, and a further validation study is required to confirm the predictive value of these parameters.
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Affiliation(s)
- Chabi Fabrice Elegbede
- French Agency for Food, Environmental and Occupational Health Safety (ANSES), Risk Assessment Department (DER), Methology and Studies Unit, Maisons-Alfort, France.,French National Institute for Agricultural Research (INRA), Paris Institute of Technology for Life, Food and Environmental Sciences (AgroParisTech), UMR Economie Publique INRA-AgroParisTech, Thiverval-Grignon, France
| | - Alexandra Papadopoulos
- French Agency for Food, Environmental and Occupational Health Safety (ANSES), Risk Assessment Department (DER), Methology and Studies Unit, Maisons-Alfort, France
| | - Jocelyne Just
- Asthma and Allergy Center, Hôpital d'Enfants Armand-Trousseau, Paris, France.,INSERM, UMR_S 1136, Sorbonne Universités, UPMC Univ Paris 06, Paris, France.,Institut Pierre Louis d'Epidémiologie et de Santé Publique, Equipe EPAR, Paris, France
| | - Denise Anne Moneret-Vautrin
- Allergy Department, Centre Hospitalier E Durckheim, Epinal, France.,Allergyvigilance Network, Vandoeuvre les Nancy, France.,Lorraine University, Nancy, France
| | - Antoine Deschildre
- Pediatric Pulmonology and Allergy Department, CHU Lille, Hôpital Jeanne de Flandre, Lille, France
| | - Amélie Crépet
- French Agency for Food, Environmental and Occupational Health Safety (ANSES), Risk Assessment Department (DER), Methology and Studies Unit, Maisons-Alfort, France
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20
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Crépet A, Vanacker M, Sprong C, de Boer W, Blaznik U, Kennedy M, Anagnostopoulos C, Christodoulou DL, Ruprich J, Rehurkova I, Domingo JL, Hamborg Jensen B, Metruccio F, Moretto A, Jacxsens L, Spanoghe P, Senaeve D, van der Voet H, van Klaveren J. Selecting mixtures on the basis of dietary exposure and hazard data: application to pesticide exposure in the European population in relation to steatosis. Int J Hyg Environ Health 2019; 222:291-306. [DOI: 10.1016/j.ijheh.2018.12.002] [Citation(s) in RCA: 25] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2018] [Revised: 11/30/2018] [Accepted: 12/03/2018] [Indexed: 11/27/2022]
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21
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Papadopoulos A, Elegbede CF, Ait-Dahmane S, Dubuisson C, Deschildre A, Crépet A. Tree nut allergy and anxiety related factors modulate food consumption behaviour in peanut-allergic patients: Results of the MIRABEL survey. Regul Toxicol Pharmacol 2018; 99:191-199. [DOI: 10.1016/j.yrtph.2018.09.020] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2018] [Revised: 09/18/2018] [Accepted: 09/21/2018] [Indexed: 10/28/2022]
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22
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Birot S, Madsen CB, Kruizinga AG, Crépet A, Christensen T, Brockhoff PB. Food groups for allergen risk assessment: Combining food consumption data from different countries in Europe. Food Chem Toxicol 2018; 118:371-381. [PMID: 29778497 DOI: 10.1016/j.fct.2018.05.042] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2018] [Revised: 05/15/2018] [Accepted: 05/17/2018] [Indexed: 11/25/2022]
Abstract
To prevent allergic reactions, food producers have to be able to make a knowledge based decision on whether to label their products with precautionary labelling. As many manufactured food products are sold in different countries across Europe, the allergen risk assessment should be estimated at the European levels. As currently, there are no pan-European food data suitable for food allergy risk assessment. The aim of this paper is to investigate if consumption data, at a meal level, from National Food Consumption Surveys, can be combined to form a common Food Consumption database. In this first attempt we developed a procedure to investigate, if national food consumption data can be combined and grouped using data from Netherlands, France and Denmark. The homogeneity of consumption patterns and the relevance of difference in risk of allergic reaction were compared, using a fixed framework of allergen concentration levels and threshold distribution. Thus, the relevance of using common consumption data across countries was verified. The food groups formed were subsequently evaluated and adjusted based on practical considerations. It resulted in designing 61 food groups that can be used for allergen risk assessment. The summary statistics and descriptive names for each food group are included.
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Affiliation(s)
- Sophie Birot
- DTU Compute, Technical University of Denmark, Denmark
| | - Charlotte B Madsen
- National Food Institute, Technical University of Denmark, Kemitorvet, DK-2800 Kgs. Lyngby, Denmark.
| | - Astrid G Kruizinga
- The Netherlands Organization for Applied Scientific Research (TNO), Zeist, The Netherlands.
| | - Amélie Crépet
- ANSES, French Agency for Food, Environmental and Occupational Health Safety, 14 rue Pierre et Marie Curie, 94701 Maisons-Alfort, France.
| | - Tue Christensen
- National Food Institute, Technical University of Denmark, Kemitorvet, DK-2800 Kgs. Lyngby, Denmark
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23
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Traoré T, Forhan A, Sirot V, Kadawathagedara M, Heude B, Hulin M, de Lauzon-Guillain B, Botton J, Charles M, Crépet A. To which mixtures are French pregnant women mainly exposed? A combination of the second French total diet study with the EDEN and ELFE cohort studies. Food Chem Toxicol 2018; 111:310-328. [DOI: 10.1016/j.fct.2017.11.016] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2017] [Revised: 11/02/2017] [Accepted: 11/11/2017] [Indexed: 11/15/2022]
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24
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Traoré T, Béchaux C, Sirot V, Crépet A. To which chemical mixtures is the French population exposed? Mixture identification from the second French Total Diet Study. Food Chem Toxicol 2016; 98:179-188. [DOI: 10.1016/j.fct.2016.10.028] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2016] [Revised: 10/26/2016] [Accepted: 10/27/2016] [Indexed: 11/24/2022]
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25
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Lalevée G, Sudre G, Montembault A, Meadows J, Malaise S, Crépet A, David L, Delair T. Polyelectrolyte complexes via desalting mixtures of hyaluronic acid and chitosan—Physicochemical study and structural analysis. Carbohydr Polym 2016; 154:86-95. [DOI: 10.1016/j.carbpol.2016.08.007] [Citation(s) in RCA: 34] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2016] [Revised: 07/20/2016] [Accepted: 08/03/2016] [Indexed: 12/22/2022]
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26
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Gazan R, Béchaux C, Crépet A, Sirot V, Drouillet-Pinard P, Dubuisson C, Havard S. Dietary patterns in the French adult population: a study from the second French national cross-sectional dietary survey (INCA2) (2006-2007). Br J Nutr 2016; 116:300-15. [PMID: 27189191 PMCID: PMC4910537 DOI: 10.1017/s0007114516001549] [Citation(s) in RCA: 46] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2015] [Revised: 02/20/2016] [Accepted: 03/21/2016] [Indexed: 11/17/2022]
Abstract
Identification and characterisation of dietary patterns are needed to define public health policies to promote better food behaviours. The aim of this study was to identify the major dietary patterns in the French adult population and to determine their main demographic, socio-economic, nutritional and environmental characteristics. Dietary patterns were defined from food consumption data collected in the second French national cross-sectional dietary survey (2006-2007). Non-negative-matrix factorisation method, followed by a cluster analysis, was implemented to derive the dietary patterns. Logistic regressions were then used to determine their main demographic and socio-economic characteristics. Finally, nutritional profiles and contaminant exposure levels of dietary patterns were compared using ANOVA. Seven dietary patterns, with specific food consumption behaviours, were identified: 'Small eater', 'Health conscious', 'Mediterranean', 'Sweet and processed', 'Traditional', 'Snacker' and 'Basic consumer'. For instance, the Health-conscious pattern was characterised by a high consumption of low-fat and light products. Individuals belonging to this pattern were likely to be older and to have a better nutritional profile than the overall population, but were more exposed to many contaminants. Conversely, individuals of Snacker pattern were likely to be younger, consumed more highly processed foods, had a nutrient-poor profile but were exposed to a limited number of food contaminants. The study identified main dietary patterns in the French adult population with distinct food behaviours and specific demographic, socio-economic, nutritional and environmental features. Paradoxically, for better dietary patterns, potential health risks cannot be ruled out. Therefore, this study demonstrated the need to conduct a risk-benefit analysis to define efficient public health policies regarding diet.
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Affiliation(s)
- R Gazan
- Risk Assessment Department,French Agency for Food, Environmental and Occupational Health & Safety (ANSES),94701 Maisons-Alfort,France
| | - C Béchaux
- Risk Assessment Department,French Agency for Food, Environmental and Occupational Health & Safety (ANSES),94701 Maisons-Alfort,France
| | - A Crépet
- Risk Assessment Department,French Agency for Food, Environmental and Occupational Health & Safety (ANSES),94701 Maisons-Alfort,France
| | - V Sirot
- Risk Assessment Department,French Agency for Food, Environmental and Occupational Health & Safety (ANSES),94701 Maisons-Alfort,France
| | - P Drouillet-Pinard
- Risk Assessment Department,French Agency for Food, Environmental and Occupational Health & Safety (ANSES),94701 Maisons-Alfort,France
| | - C Dubuisson
- Risk Assessment Department,French Agency for Food, Environmental and Occupational Health & Safety (ANSES),94701 Maisons-Alfort,France
| | - S Havard
- Risk Assessment Department,French Agency for Food, Environmental and Occupational Health & Safety (ANSES),94701 Maisons-Alfort,France
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Crépet A, Maai S, Sirot V, Béchaux C, Bodin L. Do toxicokinetic interactions for mixture improve aggregate exposure assessment? The case study of a metal mixture. Toxicol Lett 2015. [DOI: 10.1016/j.toxlet.2015.08.1003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Béchaux C, Amzal B, Crépet A, Dorne JL. Meta-analysis to better integrate human variability in toxicokinetic: CYP2D6-related uncertainty factors. Toxicol Lett 2015. [DOI: 10.1016/j.toxlet.2015.08.346] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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Boon PE, van Donkersgoed G, Christodoulou D, Crépet A, D’Addezio L, Desvignes V, Ericsson BG, Galimberti F, Ioannou-Kakouri E, Jensen BH, Rehurkova I, Rety J, Ruprich J, Sand S, Stephenson C, Strömberg A, Turrini A, van der Voet H, Ziegler P, Hamey P, van Klaveren JD. Cumulative dietary exposure to a selected group of pesticides of the triazole group in different European countries according to the EFSA guidance on probabilistic modelling. Food Chem Toxicol 2015; 79:13-31. [DOI: 10.1016/j.fct.2014.08.004] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2014] [Revised: 07/31/2014] [Accepted: 08/05/2014] [Indexed: 11/29/2022]
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Béchaux C, Zeilmaker M, Merlo M, Bokkers B, Crépet A. An integrative risk assessment approach for persistent chemicals: A case study on dioxins, furans and dioxin-like PCBs in France. Regul Toxicol Pharmacol 2014; 70:261-9. [DOI: 10.1016/j.yrtph.2014.07.004] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2013] [Revised: 07/03/2014] [Accepted: 07/04/2014] [Indexed: 11/27/2022]
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Crépet A, Héraud F, Béchaux C, Gouze M, Pierlot S, Fastier A, Leblanc J, Le Hégarat L, Takakura N, Fessard V, Tressou J, Maximilien R, de Sousa G, Nawaz A, Zucchini-Pascal N, Rahmani R, Audebert M, Graillot V, Cravedi J. The PERICLES research program: An integrated approach to characterize the combined effects of mixtures of pesticide residues to which the French population is exposed. Toxicology 2013; 313:83-93. [DOI: 10.1016/j.tox.2013.04.005] [Citation(s) in RCA: 36] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2012] [Revised: 09/28/2012] [Accepted: 04/08/2013] [Indexed: 10/27/2022]
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Crépet A, Tressou J, Graillot V, Béchaux C, Pierlot S, Héraud F, Leblanc JC. Identification of the main pesticide residue mixtures to which the French population is exposed. Environ Res 2013; 126:125-133. [PMID: 23777638 DOI: 10.1016/j.envres.2013.03.008] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/30/2011] [Revised: 03/25/2013] [Accepted: 03/27/2013] [Indexed: 06/02/2023]
Abstract
Owing to the intensive use of pesticides and their potential persistence in the environment, various pesticide residues can be found in the diet. Consumers are therefore exposed to complex pesticide mixtures which may have combined adverse effects on human health. By modelling food exposure to multiple pesticides, this paper aims to determine the main mixtures to which the general population is exposed in France. Dietary exposure of 3337 individuals from the INCA2 French national consumption survey was assessed for 79 pesticide residues, based on results of the 2006 French food monitoring programmes. Individuals were divided into groups with similar patterns of co-exposure using the clustering ability of a Bayesian nonparametric model. In the 5 groups of individuals with the highest exposure, mixtures are formed by pairs of pesticides with correlations above 0.7. Seven mixtures of 2-6 pesticides each were characterised. We identified the commodities that contributed the most to exposure. Pesticide mixtures can either be components of a single plant protection product applied together on the same crop or be from separate products that are consumed together during a meal. Of the 25 pesticides forming the mixtures, two--DDT and Dieldrin--are known persistent organic pollutants. The approach developed is generic and can be applied to all types of substances found in the diet in order to characterise the mixtures that should be studied first because of their adverse effects on health.
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Affiliation(s)
- A Crépet
- ANSES, French Agency for Food, Environmental and Occupational Health & Safety, 27-31 Avenue du général Leclerc, 94701 Maisons-Alfort, France.
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Béchaux C, Zetlaoui M, Tressou J, Leblanc JC, Héraud F, Crépet A. Identification of pesticide mixtures and connection between combined exposure and diet. Food Chem Toxicol 2013; 59:191-8. [DOI: 10.1016/j.fct.2013.06.006] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2013] [Revised: 05/31/2013] [Accepted: 06/05/2013] [Indexed: 11/25/2022]
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Crépet A, Elegbede CF, Marette S, Moneret-vautrin DA, Papadopoulos A, Roosen J. First results of MIRABEL: a research program to develop tools for risk and cost/benefit analysis of peanut allergy. Clin Transl Allergy 2013. [PMCID: PMC3723671 DOI: 10.1186/2045-7022-3-s3-p135] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Affiliation(s)
- A Crépet
- DER, ANSES, Maisons-Alfort, France
| | | | - S Marette
- Public Economy, INRA, Thiverval-Grignon, France
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Elegbede CF, Papadopoulos A, Crépet A. Sample size optimisation when designing sampling plan for risk assessment relating to adventitious presence of allergens in food. Clin Transl Allergy 2013. [PMCID: PMC3723737 DOI: 10.1186/2045-7022-3-s3-p137] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
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Béchaux C, Merlo M, Bokkers B, Zeilmaker M, Crépet A. Risk assessment for dioxins in France based on a dynamic modeling of exposure. Toxicol Lett 2012. [DOI: 10.1016/j.toxlet.2012.03.455] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Abstract
Chemical risk assessment for human health requires a multidisciplinary approach through four steps: hazard identification and characterization, exposure assessment, and risk characterization. Hazard identification and characterization aim to identify the metabolism and elimination of the chemical (toxicokinetics) and the toxicological dose-response (toxicodynamics) and to derive a health-based guidance value for safe levels of exposure. Exposure assessment estimates human exposure as the product of the amount of the chemical in the matrix consumed and the consumption itself. Finally, risk characterization evaluates the risk of the exposure to human health by comparing the latter to with the health-based guidance value. Recently, many research efforts in computational toxicology have been put together to characterize population variability and uncertainty in each of the steps of risk assessment to move towards more quantitative and transparent risk assessment. This chapter focuses specifically on modeling population variability and effects for each step of risk assessment in order to provide an overview of the statistical and computational tools available to toxicologists and risk assessors. Three examples are given to illustrate the applicability of those tools: derivation of pathway-related uncertainty factors based on population variability, exposure to dioxins, dose-response modeling of cadmium.
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Affiliation(s)
- Jean Lou Dorne
- Emerging Risks Unit, European Food Safety Authority, Parma, Italy.
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Crépet A, Héraud F, Marette S, Denise-Anne MV, Roosen J. MIRABEL: a research program to develop tools for risk and cost/benefit analysis of food allergens. Clin Transl Allergy 2011. [PMCID: PMC3354112 DOI: 10.1186/2045-7022-1-s1-o6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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40
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Crépet A, Stahl V, Carlin F. Development of a hierarchical Bayesian model to estimate the growth parameters of Listeria monocytogenes in minimally processed fresh leafy salads. Int J Food Microbiol 2009; 131:112-9. [PMID: 19239977 DOI: 10.1016/j.ijfoodmicro.2009.01.028] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2008] [Revised: 01/08/2009] [Accepted: 01/25/2009] [Indexed: 10/21/2022]
Abstract
The optimal growth rate mu(opt) of Listeria monocytogenes in minimally processed (MP) fresh leafy salads was estimated with a hierarchical Bayesian model at (mean+/-standard deviation) 0.33+/-0.16 h(-1). This mu(opt) value was much lower on average than that in nutrient broth, liquid dairy, meat and seafood products (0.7-1.3 h(-1)), and of the same order of magnitude as in cheese. Cardinal temperatures T(min), T(opt) and T(max) were determined at -4.5+/-1.3 degrees C, 37.1+/-1.3 degrees C and 45.4+/-1.2 degrees C respectively. These parameters were determined from 206 growth curves of L. monocytogenes in MP fresh leafy salads (lettuce including iceberg lettuce, broad leaf endive, curly leaf endive, lamb's lettuce, and mixtures of them) selected in the scientific literature and in technical reports. The adequacy of the model was evaluated by comparing observed data (bacterial concentrations at each experimental time for the completion of the 206 growth curves, mean log(10) increase at selected times and temperatures, L. monocytogenes concentrations in naturally contaminated MP iceberg lettuce) with the distribution of the predicted data generated by the model. The sensitivity of the model to assumptions about the prior values also was tested. The observed values mostly fell into the 95% credible interval of the distribution of predicted values. The mu(opt) and its uncertainty determined in this work could be used in quantitative microbial risk assessment for L. monocytogenes in minimally processed fresh leafy salads.
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Affiliation(s)
- Amélie Crépet
- UR 1204, INRA, Méthodologies d'analyse de risque alimentaire Mét@risk, Paris, F-75231, France
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Abstract
This article introduces an original methodology based on empirical likelihood, which aims at combining different food contamination and consumption surveys to provide risk managers with a risk measure, taking into account all the available information. This risk index is defined as the probability that exposure to a contaminant exceeds a safe dose. It is naturally expressed as a nonlinear functional of the different consumption and contamination distributions, more precisely as a generalized U-statistic. This nonlinearity and the huge size of the data sets make direct computation of the problem unfeasible. Using linearization techniques and incomplete versions of the U-statistic, a tractable "approximated" empirical likelihood program is solved yielding asymptotic confidence intervals for the risk index. An alternative "Euclidean likelihood program" is also considered, replacing the Kullback-Leibler distance involved in the empirical likelihood by the Euclidean distance. Both methodologies are tested on simulated data and applied to assess the risk due to the presence of methyl mercury in fish and other seafood.
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Affiliation(s)
- Amélie Crépet
- INRA, UR1204, Mét@risk, AgroParisTech, 16 rue Claude Bernard, F75231 Paris, France
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Crépet A, Albert I, Dervin C, Carlin F. Estimation of microbial contamination of food from prevalence and concentration data: application to Listeria monocytogenes in fresh vegetables. Appl Environ Microbiol 2007; 73:250-8. [PMID: 17098926 PMCID: PMC1797144 DOI: 10.1128/aem.00351-06] [Citation(s) in RCA: 61] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2006] [Accepted: 10/29/2006] [Indexed: 11/20/2022] Open
Abstract
A normal distribution and a mixture model of two normal distributions in a Bayesian approach using prevalence and concentration data were used to establish the distribution of contamination of the food-borne pathogenic bacteria Listeria monocytogenes in unprocessed and minimally processed fresh vegetables. A total of 165 prevalence studies, including 15 studies with concentration data, were taken from the scientific literature and from technical reports and used for statistical analysis. The predicted mean of the normal distribution of the logarithms of viable L. monocytogenes per gram of fresh vegetables was -2.63 log viable L. monocytogenes organisms/g, and its standard deviation was 1.48 log viable L. monocytogenes organisms/g. These values were determined by considering one contaminated sample in prevalence studies in which samples are in fact negative. This deliberate overestimation is necessary to complete calculations. With the mixture model, the predicted mean of the distribution of the logarithm of viable L. monocytogenes per gram of fresh vegetables was -3.38 log viable L. monocytogenes organisms/g and its standard deviation was 1.46 log viable L. monocytogenes organisms/g. The probabilities of fresh unprocessed and minimally processed vegetables being contaminated with concentrations higher than 1, 2, and 3 log viable L. monocytogenes organisms/g were 1.44, 0.63, and 0.17%, respectively. Introducing a sensitivity rate of 80 or 95% in the mixture model had a small effect on the estimation of the contamination. In contrast, introducing a low sensitivity rate (40%) resulted in marked differences, especially for high percentiles. There was a significantly lower estimation of contamination in the papers and reports of 2000 to 2005 than in those of 1988 to 1999 and a lower estimation of contamination of leafy salads than that of sprouts and other vegetables. The interest of the mixture model for the estimation of microbial contamination is discussed.
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Affiliation(s)
- Amélie Crépet
- INRA-Mét@risk, Méthodologies d'Analyse de Risque Alimentaire, INA-PG, 16 rue Claude Bernard, 75231 Paris Cedex 5, France.
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Crépet A, Tressou J, Verger P, Leblanc JC. Management options to reduce exposure to methyl mercury through the consumption of fish and fishery products by the French population. Regul Toxicol Pharmacol 2005; 42:179-89. [PMID: 15882918 DOI: 10.1016/j.yrtph.2005.03.006] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2004] [Indexed: 11/30/2022]
Abstract
This paper presents an updated assessment of exposure in France to methyl mercury through the consumption of fish and fishery products, and proposes several management scenarios which could reduce this exposure through changes to fish contamination levels or fish consumption patterns. The exposure model was applied in line with previous methodological results [Tressou, J., Crépet, A., Bertail, P., Feinberg, M.H., Leblanc J.Ch., 2004a. Probabilistic exposure assessment to food chemicals based on extreme value theory: application to heavy metals from fish and sea products. Food Chem. Toxicol. 42, 1349-1358; Tressou, J., Leblanc, J.Ch., Feinberg, M., Bertail, P., 2004b. Statistical methodology to evaluate food exposure to a contaminant and influence of sanitary limits: application to ochratoxin A. Regul. Toxicol. Pharmacol. 40, 252-263] so as to obtain a realistic estimate of probability and confidence intervals (95% CI) concerning French consumers exposed to levels exceeding the revised fixed provisional tolerable weekly intake (PTWI) for methyl mercury of 1.6 microg/week/kg of body weight, established by the Joint FAO/WHO Expert Committee on Food Additives in 2003. The results showed that young children aged between 3 and 6 years old or 7 and 10 years old, and women of childbearing age were at the risk groups. With respect to these groups and according to the fish consumers patterns (consumers of predatory fish only or consumers of predatory and nonpredatory fish), the results suggested that strategies to diminish MeHg exposure by reducing the amount of predatory fish consumed would be more efficient in significantly decreasing the probability of exceeding the PTWI than the implementation of international standards.
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Affiliation(s)
- A Crépet
- INRA Mét@risk, Food risk analysis methodologies, 16 rue Claude Bernard, 75231 Paris, Cedex 5, France.
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Tressou J, Crépet A, Bertail P, Feinberg MH, Leblanc JC. Probabilistic exposure assessment to food chemicals based on extreme value theory. Application to heavy metals from fish and sea products. Food Chem Toxicol 2004; 42:1349-58. [PMID: 15207386 DOI: 10.1016/j.fct.2004.03.016] [Citation(s) in RCA: 60] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2003] [Accepted: 03/27/2004] [Indexed: 11/29/2022]
Abstract
This paper presents new statistical methods in the field of exposure assessment. We focus on the estimation of the probability for the exposure to exceed a fixed safe level such as the provisional tolerable weekly intake (PTWI), when both consumption data and contamination data are independently available. Various calculations of exposure are proposed and compared. For many contaminants, PTWI belongs to the exposure tail distribution, which suggests the use of extreme value theory (EVT) to evaluate the risk. Our approach consists in modelling the exposure tail by a Pareto type distribution characterized by a Pareto index which may be seen as a measure of the risk of exceeding the PTWI. Using propositions by EVT specialists, we correct the bias of the usual Hill estimator to accurately estimate this risk index. We compare the results with an empirical plug-in method and show that the Pareto adjustment is relevant and efficient when exposure is low compared to the PTWI while the plug-in method should be used when exposure is higher. To illustrate our approach, we present some exposure assessment for heavy metals (lead, cadmium, mercury) via sea product consumption.
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Affiliation(s)
- J Tressou
- INRA-Mét@Risk, Méthodologies d'analyse de risque alimentaire, INA-PG, 16 rue Claude Bernard, 75231 Paris Cedex 5, France.
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