Integrating toxicogenomics into human health risk assessment: lessons learned from the benzo[a]pyrene case study.

The use of short-term toxicogenomic tests to predict cancer (or other health effects) offers considerable advantages relative to traditional toxicity testing methods. The advantages include increased throughput, increased mechanistic data, and significantly reduced costs. However, precisely how toxicogenomics data can be used to support human health risk assessment (RA) is unclear. In a companion paper ( Moffat et al. 2014 ), we present a case study evaluating the utility of toxicogenomics in the RA of benzo[a]pyrene (BaP), a known human carcinogen. The case study is meant as a proof-of-principle exercise using a well-established mode of action (MOA) that impacts multiple tissues, which should provide a best case example. We found that toxicogenomics provided rich mechanistic data applicable to hazard identification, dose-response analysis, and quantitative RA of BaP. Based on this work, here we share some useful lessons for both research and RA, and outline our perspective on how toxicogenomics can benefit RA in the short- and long-term. Specifically, we focus on (1) obtaining biologically relevant data that are readily suitable for establishing an MOA for toxicants, (2) examining the human relevance of an MOA from animal testing, and (3) proposing appropriate quantitative values for RA. We describe our envisioned strategy on how toxicogenomics can become a tool in RA, especially when anchored to other short-term toxicity tests (apical endpoints) to increase confidence in the proposed MOA, and emphasize the need for additional studies on other MOAs to define the best practices in the application of toxicogenomics in RA.

Comparison of toxicogenomics and traditional approaches to inform mode of action and points of departure in human health risk assessment of benzo[a]pyrene in drinking water.

Toxicogenomics is proposed to be a useful tool in human health risk assessment. However, a systematic comparison of traditional risk assessment approaches with those applying toxicogenomics has never been done. We conducted a case study to evaluate the utility of toxicogenomics in the risk assessment of benzo[a]pyrene (BaP), a well-studied carcinogen, for drinking water exposures. Our study was intended to compare methodologies, not to evaluate drinking water safety. We compared traditional (RA1), genomics-informed (RA2) and genomics-only (RA3) approaches. RA2 and RA3 applied toxicogenomics data from human cell cultures and mice exposed to BaP to determine if these data could provide insight into BaP's mode of action (MOA) and derive tissue-specific points of departure (POD). Our global gene expression analysis supported that BaP is genotoxic in mice and allowed the development of a detailed MOA. Toxicogenomics analysis in human lymphoblastoid TK6 cells demonstrated a high degree of consistency in perturbed pathways with animal tissues. Quantitatively, the PODs for traditional and transcriptional approaches were similar (liver 1.2 vs. 1.0 mg/kg-bw/day; lungs 0.8 vs. 3.7 mg/kg-bw/day; forestomach 0.5 vs. 7.4 mg/kg-bw/day). RA3, which applied toxicogenomics in the absence of apical toxicology data, demonstrates that this approach provides useful information in data-poor situations. Overall, our study supports the use of toxicogenomics as a relatively fast and cost-effective tool for hazard identification, preliminary evaluation of potential carcinogens, and carcinogenic potency, in addition to identifying current limitations and practical questions for future work.

The influence of precursors and treatment process on the formation of Iodo-THMs in Canadian drinking water.

The National Survey of Disinfection By-Products and Selected Emerging Contaminants investigated the formation of various disinfection by-products and contaminants in 65 water treatment systems (WTSs) across Canada. Results for six iodo-trihalomethanes (iodo-THMs) are reported in this paper. The participating water treatment systems included large, medium and small systems using water sources and treatment processes which were representative of Canadian drinking water. Five water samples (source water, treated water and three water samples along the distribution system) were collected from each treatment system, both under winter and summer conditions. Samples were stabilized, shipped cold and analysed for six iodo-THMs (dichloroiodomethane-DCIM; dibromoiodomethane-DBIM; bromochloroiodomethane-BCIM; chlorodiiodomethane-CDIM; bromodiiodomethane-BDIM and triiodomethane or iodoform-TIM), using a SPME-GC-ECD method developed in our laboratory (MDLs from 0.02 µg/L for iodoform to 0.06 µg/L for bromodiiodomethane). Concentrations of relevant precursors like dissolved organic carbon (DOC), bromide, iodide and total iodine, as well as other water quality parameters, were also determined. Detailed information about the treatment process used at each location was recorded using a questionnaire. The survey showed that one or more iodo-THMs were detected at 31 out of 64 water treatment systems (WTSs) under winter conditions and in 46 out of 64 WTSs under summer conditions (analytical results from one site were excluded due to sampling challenges). Total iodo-THM concentrations measured during this survey ranged from 0.02 µg/L to 21.66 µg/L. The highest total iodo-THM concentration was measured in WTS 63 where all six iodo-THMs were detected and iodoform was present in the highest concentration. The highest iodo-THM formation was found to occur in treatment systems where water sources had naturally occurring ammonium as well as high bromide, high iodide and/or total iodine concentrations. In two such water systems the total concentration of iodo-THMs exceeded the concentration of regulated THMs.

The impact of drinking water, indoor dust and paint on blood lead levels of children aged 1-5 years in Montréal (Québec, Canada).

Lead is neurotoxic at very low dose and there is a need to better characterize the impact of domestic sources of lead on the biological exposure of young children. A cross-sectional survey evaluated the contribution of drinking water, house dust and paint to blood lead levels (BLLs) of young children living in old boroughs of Montréal (Canada). Three hundred and six children aged 1 to 5 years and currently drinking tap water participated in the study. For each participant, residential lead was measured in kitchen tap water, floor dust, windowsill dust and house paint and a venous blood sample was analyzed. Multivariate logistic regression was used to evaluate the association between elevated BLL in the children (≥ 75th percentile) and indoor lead contamination by means of odds ratios (OR) using 95% confidence intervals (CI). There was an association between BLL ≥75th percentile (1.78 µg/dL) and water lead when the mean water concentration was >3.3 µg/L: adjusted OR=4.7 (95% CI: 2.1-10.2). Windowsill dust loading >14.1 µg/ft(2) was also associated with BLL ≥1.78 µg/dL: adjusted OR=3.2 (95% CI: 1.3-7.8). Despite relatively low BLLs, tap water and house dust lead contribute to an increase of BLLs in exposed young children.

Application of lead monitoring results to predict 0-7 year old children's exposure at the tap.

Dwellings with/without a lead service line [LSL] were sampled for lead in tap water in Montreal, during different seasons. Short-term simulations using these results and the batchrun mode of the Integrated Exposure Uptake Biokinetic (IEUBK) model showed that children's exposure to lead at the tap in the presence of an LSL varies seasonally, and according to the type of dwelling. From July to March, for single-family homes, the estimated geometric mean [GM] blood lead level [BLL] decreased from 2.3-3.6 µg/dL to 1.5-2.5 µg/dL, depending on the children's age. The wide seasonal variations in lead exposure result in a minimal fraction (0-6%) of children with a predicted BLL >5 µg/dL in winter, as opposed to a significant proportion (5-25%) in summer. These estimations are in close agreement with the BLLs measured in Montreal children in fall and winter, and simulations using summer water lead levels illustrate the importance of measuring BLLs during the summer. Finally, simulations for wartime residences with long LSLs confirm the need to prioritize the control of this lead exposure from tap water.