nomiracle: novel methods for integrated risk assessment of
TRANSCRIPT
NoMiracle: Novel Methods for Integrated Risk Assessment of Cumulative Stressors in Europe
Society of Toxicology Teleseminar13th June 2008
Dave Spurgeon, Claus Svendsen - Centre for Ecology and Hydrology, Wallingford, UKPete Kille, Cardiff University, Cardiff, UKSteve Stürzenbaum, Kings College, London, UKJan Baas – Vrije Universiteit, Amsterdam, The Netherlands
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Outline of the presentation:
• Science and Technology Objectives• Research Pillar on effects : Some results
– Mixture toxicity modelling– Toxicogenomics and “mode of action”– Dynamic energy budget models
• NoMiracle events and information
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Science & technology objectives
1. Refine methods for assessing the cumulative risks from combined exposures to mixtures of chemical and physical/biological agents.
2. Integration of the risk analysis of environmental and human health effects. – Open workshop Frankfurt 8/9 Sept 2008
3. To improve understanding of and develop adequate tools for effect assessment.
4. To develop a research framework for the description and interpretation of cumulative exposure and effect.
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Science & technology objectives
5. Quantify, characterise and reduce uncertainty in current risk assessment methodologies, e.g. by improving scientific basis for safety factors.
6. To develop assessment methods which take into account geographical, ecological, social and cultural differences in risk concepts and risk perceptions across Europe
7. To improve the provisions for the application of the precautionary principle and to promote its operational integration with evidence-based assessment methodologies
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KCL
NERI
ITM
RUAlterra
EKUT
UFZ
JRC
RIVM UJAG
LMCDISAV
URVUAVR CSIC
SYMLOG
SYKE
NERC UCAM
WRc ULANC
USOUTH
LHASA Ltd
VU
NIHP
WU
UALIMCO
USALZ
APINI
ETH
LEMTECRWTHA
ETC
UNIMIB
ENVI
EPFLDIA
The NoMiracle Consortium
KCL
UMFT
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RP1: RiskScenarios
RP2: ExposureStudies
RP3: EffectsStudies
RP4: RiskAssessment
Future EU Risk Policy
Consortium overall structure
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Research Pillar 3 structure
WP3.1: Chemical mixture
assessment
WP3.3: Toxicokinetics
WP3.4: Molecular mechanisms of mixture toxicity
WP3.2: Chemicals and
natural stressors
RP1: Data & Cases
RP2: Exposure information for relevant scenarios
RP4: Risk analysis based on available data
Ecotoxicology = 75%, Human health toxicology = 25%
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Science & technology objective 1
Refine methods for assessing the cumulative risks from combined exposures to mixtures of chemical and physical/biological agents.
Statistical tools for identification of interactions in mixtures
Slides from Claus Svendsen
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Models for non-interacting mixtures
• Similar action model: (concentration addition)
∑=
=n
iiTUM
1
][][
ECxi
ciTUi =
∏=
=n
iin chccch
121 )(),...,,(
• Dissimilar action model: (independent action)
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1) CA & IA 2) S/A 3A) DL or 3B) DRAdd parameter “a” Add parameter “b”
Extend the reference models by adding “deviation” parameters
The nesting allows statistical testing for best fit (using likelihood theory)
(Jonker et al ET&C 2005)
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An example: Cd + diuron in C. elegans
Building a database of binary mixture studies ~150 (collaboration with Nina Cedergreen University of Copenhagen)
Define the distribution of maximum deviations e.g. EC50 gives ECx
Species from bacteria to (in vitro) mammalian systems
Residuals of the mixture data after fitting IA to the complete data set
-80.00-60.00-40.00-20.00
0.0020.0040.0060.0080.00
0 10 20 30
Sum TU50
Res
idua
ls
Residuals of the mixture data after fitting SA to the complete data set
-80.00-60.00-40.00-20.00
0.0020.0040.0060.0080.00
100.00
0 2 4 6
Sum TU50
Res
idua
ls
Predict ECx values by IA and compare to data
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-40.00
-20.00
0.00
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-20.00 0.00 20.00 40.00 60.00 80.00 100.00
IA predicted ECx
ECx
(Dat
a &
IA S
/A M
odel
led)
IA S/A
IA
Data
IA residuals IA + S/A residuals Model fits
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So far binary – what about more complex?
• Build from binary mixtures knowledge
• Predict the level of deviation when mixing 3 chemicals with known binary interactions
• So far only CA and only synergism or antagonism (not dose level or dose ratio)
Ternary mixture modelling - approach
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X Data
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The Experimental design Singles
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The Experimental designSingles – Binary
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ata
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The Experimental designSingles – Binary - Ternary
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0
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100002 0000
30 000
40000 0200 0
400 06000
800010 000
1 20001400 016000
Mes
otrio
n E
C50
(µg
l-1)
G lyphosate EC 50 (µg l -1)
M echlorprop EC50 (
µg l-1 )
G lyM e cM e so 1
CA (reference plain)
Data analysis procedure –2 ways 1) Isobols & two step regression
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Data analysis procedure –1) Isobols & two step regression
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Data analysis procedure –1) Isobol & two step regression
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ata
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ata
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20:20:60
20:60:20
60:20:20
33:33:33
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a1+2
a2+3
a1+3
a1+2+3
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200
400
600
800
1000
1200
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1012
140 20 40 60 80 100 120 140
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ata
X Data
Y Data
Visualisation of response surface
Antagonism
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600
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1000
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1012
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2040
6080
100120
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ata
X Data
Y Data
0
5
10
15
20
25
30
500010000150002000025000
3000035000 0
500010000
1500020000
Mes
otrio
n EC
50 (µ
g L-1
)
Glyphosate EC50 (µg L -1) Mecoprop EC 50 (µ
g L-1 )
Results – Lemna antagonism for three herbicides
Data provided by Dr Nina Cedergreen University of Copenhagen, Denmark
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?
?
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0
5
10
15
20
25
30
500010000150002000025000
3000035000 0
500010000
1500020000
Mes
otrio
n EC
50 (µ
g L-1
)
Glyphosate EC50 (µg L -1) Mecoprop EC 50 (µ
g L-1 )
a1+2=0.86
a2+3=1.95
a1+3=0.78
Results - Lemna for three herbicides
Binary interactions
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Glyphosate – mecoprop - mesotrion
NoMiracle
0
5
10
15
20
25
30
500010000150002000025000
3000035000 0
500010000
1500020000
Mes
otrio
n EC
50 (µ
g L-1
)
Glyphosate EC50 (µg L -1) Mecoprop EC 50 (µ
g L-1 )
a1+2=0.86
a2+3=1.95
a1+3=0.78
A1+2+3=7.98
Results - Lemna
Ternary interactions
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Glyphosate – mecoprop - mesotrion
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0
5
10
15
20
25
30
500010000150002000025000
3000035000 0
500010000
1500020000
Mes
otrio
n EC
50 (µ
g L-1
)
Glyphosate EC50 (µg L -1) Mecoprop EC 50 (µ
g L-1 )
a1+2=0.86
a2+3=1.95
a1+3=0.78
A1+2+3=7.98
Conclusion:The ternary mixture is more antagonistic than the combination of binary antagonisms predict.
Question:How big is the under prediction and what is the deviation from CA??
Results - LemnaGlyphosate – mecoprop - mesotrion
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NoMiracleResults – Summary for Lemna studies
Lemna (Antagonism): For ternary if: 1) CA SA > IA = antagonism in the ternary mixture2) ΣTU CA SA < ΣTU CA SA+ = magnitude of maximum deviation in the
ternary greater than predicted based on antagonisms from the binaries.
Some ternary deviations greater than predictions for antagonism (some less). Not yet found for synergism
Chemicals
Chemical 1 Chemical 2 Chemical 3
Lemna minor:
Glyphosate Mecoprop Mesotrion
Glyphosate Mecoprop Mesotrion
Glyphosate Mecoprop Terbuthylazine
Glyphosate Mecoprop Terbuthylazine
Terbuthylazine Mesotrion Mecoprop
Terbuthylazine Mesotrion Mecoprop
Diquat Acifluorfen Mesotrion
Diquat Acifluorfen Mesotrion
ΣTU at max. dev.
bin. CA
SA
CA
SA+
1.97 2.89 2.84
1.63 1.63 2.03
1.41 1.41 1.45
1.64 1.64 2.04
2.19 2.19 2.19
1.25 1.25 1.78
2.22 2.22 2.19
1.66 1.87 1.74
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To improve understanding of and develop adequate tools for sound exposure assessment.
Toxicogenomic tools in model and non-model species
Science & technology objective 3
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• Free-living nematode -lives in the soil
• Bacterivorous
• Self-fertilizing, hermaphrodite
• Free-living in the soil
• Detritivorous
• Non-self-fertilizing, hermaphrodite
…the species…
1 mm10 cm
Caenorhabditis elegansLumbricus rubellus
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Getting the bits of earthworm DNA - ESTs
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Low dose = repro. EC10 = different from no dose
Cd Fluoranthene
Atrazine All exposed / controls
Patterns of effect
CtCt
Ct_Cd
Ct_AZEx_FA
Ex_FAEx_Cd
Ex_FACt_CdCt_FACt_CdCt_AZ
Ct_CdCt_AZCt_FACt_CdCt_AZ
Ct_FA
-80
-60
-40
-20
0
20
40
60
80
-100 -80 -60 -40 -20 0 20 40 60 80 100
Ct
Ct
CtCt
Ct
Ct
CtCt
Cd_43
Cd_43
Cd_43Cd_43
Axes
2
Axes 1
-60
-40
-20
0
20
40
60
-100 -80 -60 -40 -20 0 20 40 60 80 100
Ct
CtCt
CtCt
Ct
Fa_47
Fa_47Fa_47
Fa_47
Fa_47
Axe
s2
Axes 1
-100
-80
-60
-40
-20
0
20
40
60
80
100
-100 -80 -60 -40 -20 0 20 40 60 80 100
CtCt
Ct
Ct
Ct
Ct
CtCt
Az_20
Az_20
Az_20
Az_20
Az_20
Axe
s 2
Axes 1
-60
-40
-20
0
20
40
60
-60 -50 -40 -30 -20 -10 0 10 20 30 40 50 60
Ct_AZ
Ct_AZ
Ct_AZCt_AZ
Ex_AZEx_AZ
Ex_AZ
Ex_AZEx_AZ
Ct_Cd
Ct_Cd
Ct_CdEx_Cd
Ex_Cd
Ex_Cd
Ct_FA
Ct_FACt_FA
Ct_FA
Ct_FA
Ex_FA
Ex_FA
Axe
s2
Axes 1PC1 PC1
PC1 PC1
PC2
PC2
PC2
PC2
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Thymidine kinase
NAC-alpha
ATP synthase F0 subnit 6Mitochondrial ribosomal protein S24
Hypothetical protein DKFZp313I1240
Acyl CoA:monoacylglycerol acyltransferase 2
FTH1 protein
no significant hit
NADH dehydrogenase 1 alpha subcomplex
Ubiquitin ligase protein MIB1
Regucalcin
no significant hit
no significant hit
no significant hit
no significant hit
no significant hit
no significant hit
no significant hit
no significant hit
no significant hit
no significant hit
no significant hit
no significant hitno significant hit
no significant hit
Atra
zine
0 μ
g g-
1
Atr
azin
e 20
.7 μ
g g-
1
Cad
miu
m 0
μg
g-1
Cad
miu
m 4
4 μg
g-1
Fluo
rant
hene
0 μ
g g-
1
Fluo
rant
hene
47 μg
g-1
Thymidine kinase
NAC-alpha
ATP synthase F0 subnit 6Mitochondrial ribosomal protein S24
Hypothetical protein DKFZp313I1240
Acyl CoA:monoacylglycerol acyltransferase 2
FTH1 protein
no significant hit
NADH dehydrogenase 1 alpha subcomplex
Ubiquitin ligase protein MIB1
Regucalcin
no significant hit
no significant hit
no significant hit
no significant hit
no significant hit
no significant hit
no significant hit
no significant hit
no significant hit
no significant hit
no significant hit
no significant hitno significant hit
no significant hit
Atra
zine
0 μ
g g-
1
Atr
azin
e 20
.7 μ
g g-
1
Cad
miu
m 0
μg
g-1
Cad
miu
m 4
4 μg
g-1
Fluo
rant
hene
0 μ
g g-
1
Fluo
rant
hene
47 μg
g-1
Many unknowns
Some hypotheticals
Some other pathways e.g. protein degradation….
….but strong mitochondrial signature
Causes
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Resource allocation –dynamic energy budget
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Dose effect
aa b
b
c d c d e c d e f gc
c d e f
g h
i
g h i
Cadmium (mg L-1)
Vol
umet
ric le
ngth
(µm
)
0
70
90
110
130
150
0 0.25 0.5 1 2 3 4 6 8 10 12 14 16
aa b
b
c d c d e c d e f gc
c d e f
g h
i
g h i
Cadmium (mg L-1)
Vol
umet
ric le
ngth
(µm
)
0
70
90
110
130
150
0 0.25 0.5 1 2 3 4 6 8 10 12 14 16
Dose effect
Nematodes
Dose effect
0
0.2
0.4
0.6
0.8
1
1.2
0 200 400 600 800
Soil cadmium concentration (mg/kg)Fi
nal a
ttai
ned
wei
ght (
g)
Earthworms
Cadmium DEB effect– assimilation
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Cd changes on gene expression - nematodes
0 13 44 148 500Cadmium [mgkg-1]
Biological process Genes in Category
Genes in List in Category
p-Value
GO:31323: regulation of cellular metabolism 620 58 0.00211GO:19222: regulation of metabolism 625 58 0.00254GO:51244: regulation of cellular physiological process 641 59 0.00281GO:50794: regulation of cellular process 641 59 0.00281GO:50791: regulation of physiological process 642 59 0.00291GO:19219: regulation of nucleobase, nucleoside, nucleotide and nucleic acid metabolism 618 57 0.00316GO:6350: transcription 635 58 0.00361GO:45449: regulation of transcription 615 56 0.00451GO:6629: lipid metabolism 109 14 0.00975GO:44238: primary metabolism 2438 181 0.0107GO:8643: carbohydrate transport 22 5 0.0114GO:6355: regulation of transcription, DNA-dependent 570 50 0.0141GO:6351: transcription, DNA-dependent 581 50 0.0195GO:6139: nucleobase, nucleoside, nucleotide and nucleic acid metabolism 1024 81 0.0253GO:7155: cell adhesion 46 7 0.0262GO:50789: regulation of biological process 2085 153 0.03GO:50875: cellular physiological process 3791 265 0.0326GO:8152: metabolism 2770 198 0.0342GO:7582: physiological process 4588 316 0.0343GO:44237: cellular metabolism 2558 183 0.0417GO:6470: protein amino acid dephosphorylation 97 11 0.0461GO:44257: cellular protein catabolism 22 4 0.049GO:51603: proteolysis during cellular protein catabolism 22 4 0.049GO:19941: modification-dependent protein catabolism 22 4 0.049GO:6511: ubiquitin-dependent protein catabolism 22 4 0.049GO:6631: fatty acid metabolism 22 4 0.049GO:16311: dephosphorylation 98 11 0.0491
Condition tree Significant pathways
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– Lots of metabolic genes represented on array
– Many change expression
Cd changes on gene expression - earthwormsGlycolosis Electron transport chain
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Dose effectDose effect
Nematodes
Dose effect
Earthworms
Fluoranthene (µgL-1)
Vol
umet
ric le
ngth
(µm
)
0
120
130
140
150
0 25 50 75 100 175 250 375 500 750 1000 2000 4000
a
d
c efd e
a b g
d
a b g
c f h c e f hc
a b
Fluoranthene (µgL-1)
Vol
umet
ric le
ngth
(µm
)
0
120
130
140
150
0 25 50 75 100 175 250 375 500 750 1000 2000 4000
Fluoranthene (µgL-1)
Vol
umet
ric le
ngth
(µm
)
0
120
130
140
150
0 25 50 75 100 175 250 375 500 750 1000 2000 4000
a
d
c efd e
a b g
d
a b g
c f h c e f hc
a b
0
0.2
0.4
0.6
0.8
1
1.2
0 500 1000 1500
Soil fluoranthene concentration (mg/kg)
Fina
l att
aine
d w
eigh
t (g)
Fluoranthene DEB effect – somatic and maturity
maintenance
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Fluoranthene changes on gene expression
Condition tree Significant pathways
0 14 47 158553Fluoranthene [mgkg-1]
Biological process Genes in Category
Genes in List in Category
p-Value
GO:9309: amine biosynthesis 20 7 0.000291GO:44271: nitrogen compound biosynthesis 20 7 0.000291GO:6629: lipid metabolism 109 18 0.000573GO:6082: organic acid metabolism 112 17 0.0021GO:19752: carboxylic acid metabolism 112 17 0.0021GO:6397: mRNA processing 29 7 0.00336GO:16071: mRNA metabolism 29 7 0.00336GO:6519: amino acid and derivative metabolism 89 13 0.00929GO:6520: amino acid metabolism 80 12 0.00993GO:6118: electron transport 211 24 0.0136GO:6631: fatty acid metabolism 22 5 0.0166GO:6605: protein targeting 30 6 0.0167GO:6396: RNA processing 52 8 0.0282GO:6807: nitrogen compound metabolism 106 13 0.0354GO:9308: amine metabolism 106 13 0.0354GO:16070: RNA metabolism 88 11 0.0448
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Effect on body size? - Atrazine
Dose effect
Nematodes
Dose effect
Earthworms
Dose effectAtrazine DEB effect - assimilation
0
0.2
0.4
0.6
0.8
1
1.2
0 20 40 60 80
Soil atrazine concentration (mg/kg)
Fina
l att
aine
d w
eigh
t (g)
100
110
120
130
140
0 1 2.5 5 10 25 50 75 100 150 200 250 300
Atrazine (mgL-1)
Vol
umet
ric le
ngth
(µm
) a b
a b ca b c d a b c d
c d ec ef
f g f g h f g h i
gI j
g h I
j k
j k
a
100
110
120
130
140
0 1 2.5 5 10 25 50 75 100 150 200 250 300
Atrazine (mgL-1)
Vol
umet
ric le
ngth
(µm
) a b
a b ca b c d a b c d
c d ec ef
f g f g h f g h i
gI j
g h I
j k
j k
a
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Atrazine changes on gene expression
Condition tree Significant pathways
0 20 9 59 35Atrazine [mgkg-1]
Biological process Genes in Category
Genes in List in Category
p-Value
GO:7275: development 2666 186 3.13E-05GO:9791: post-embryonic development 1491 110 0.000348GO:9792: embryonic development (sensu Metazoa) 2072 145 0.000357GO:9790: embryonic development 2074 145 0.000373GO:2164: larval development 1376 102 0.000512GO:2119: larval development (sensu Nematoda) 1376 102 0.000512GO:3: reproduction 1220 91 0.000901GO:42303: molting cycle 97 12 0.00637GO:18988: molting cycle (sensu Protostomia and Nematoda) 97 12 0.00637GO:6259: DNA metabolism 200 20 0.0064GO:31323: regulation of cellular metabolism 620 48 0.00832GO:50789: regulation of biological process 2085 136 0.00942GO:19222: regulation of metabolism 625 48 0.00961GO:45449: regulation of transcription 615 47 0.0113GO:19219: regulation of nucleobase, nucleoside, nucleotide and nucleic acid metabo 618 47 0.0123GO:51244: regulation of cellular physiological process 641 48 0.0149GO:50794: regulation of cellular process 641 48 0.0149GO:50791: regulation of physiological process 642 48 0.0153GO:6355: regulation of transcription, DNA-dependent 570 43 0.0184GO:6350: transcription 635 47 0.0193GO:6351: transcription, DNA-dependent 581 43 0.0246GO:40007: growth 1856 119 0.0261GO:8643: carbohydrate transport 22 4 0.0294GO:9059: macromolecule biosynthesis 268 22 0.0364GO:44249: cellular biosynthesis 408 31 0.0382
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– Common effect on expression of metabolic genes (in the mitochondria)
– Toxicity through resource allocation (AKA the energy budget)
– Can use a combination of ecological models and transcript analysis to define exact link between toxicological and physiological “modes of action”for chemicals.
Conclusions
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To develop a research framework for the description and interpretation of cumulative exposure and effect.
Dynamic energy budget toxicity (DEBtox) models for mixtures.
Science & technology objective 4
Slides from Jan Baas
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LC50, NOEC, LOECNo Observed Effect No Observed Effect Concentration is a result Concentration is a result from a statistical test not from a statistical test not an indication of no effect.an indication of no effect.
High variation in the High variation in the control means: control means: NOEC>ECNOEC>EC5050
LC50, NOEC, LOEC all depend on the exposure time.
If no effect is desired why not focus on real no effect??
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Alternatives to single time point empirical approaches
Kinetics Dynamics
ExternalConcentration
InternalConcentration
Effect
Consider toxicity as a process in time using biological process based modeling to predict (no) effects
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Biological based models
time
inte
rnal
con
cent
ratio
n
time
inte
rnal
con
cent
ratio
n
elimination ra
te
internal concentration
haza
rd ra
te
internal concentration
haza
rd ra
te
NECNEC
blank valueblank value
killing ra
te
Effect depends on combination of internal concentration and hazard rate based on that internal concentration
Toxicokineticmodel
hazard ratehazard rate
toxicokineticsmodel
toxicokineticsmodel
survival probability
Hazard model Process model (DEBtox)
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concentration dieldrin ( µg l-1)time 0 3.2 5.6 10 18 32 56 100(d)0 20 20 20 20 20 20 20 201 20 20 20 20 18 18 17 52 20 20 19 17 15 9 6 03 20 20 19 15 9 2 1 04 20 20 19 14 4 1 0 05 20 20 18 12 4 0 0 06 20 19 18 9 3 0 0 07 20 18 18 8 2 0 0 0
Poecilia reticulataExample for dieldrin survival
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Poecilia reticulata
Elimination rate 0.73 d-1
Blank hazard rate 0.0064 d-1
NEC 2.8 (2.1-3.1) µg/L Killing rate 0.031 L/(µg d)
Example for dieldrin survival
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Applying process models for mixtures
Requirements for experiments for process modelling:
- Design that allows measurements at intermediate times- Design experimental setup that can find interactions
- Experiment with Folsomia candida held on compacted soil.- Exposure to 6 binary mixtures of Cd, Cu, Zn and Pb- 6 concentrations of each metal (36 combinations) in a factorial design
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Results using single time point models
Results for the mixture of Copper and Cadmium
Time point CA IA(days)2 – 3 No interaction Synergism4 – 5 Synergism Synergism6 Synergism DL Synergism7 – 9 DL Synergism DL Synergism10 – 15 No interaction DL Synergism16 DR Interaction DL Synergism17 No interaction DR Synergism18 – 21 Syn ld Antag hd DL Synergism
Comparison to Concentration Addition/Independent Action using analysis model of Jonker et al ET&C 2005
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Survival for the Cu/Cd mixture
Actually no interaction in this mixture.
Apparent interactions due to different kinetics
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DEB for complex mixtureDeveloping relations between parameters
Log NEC = - 1 Kow + 2.0
R2 = 0.91
Log b = +1 log Kow – 2.0
R2 = 0.74
Based on Pymephalus promelas data from Center for Lake Superior Environmental Studies 1985–1990
-8
-6
-4
-2
0
2
4
6
-2 0 2 4 6 8log(K ow )
log(NEC)
-6
-4
-2
0
2
4
6
8
-2 -1 0 1 2 3 4 5 6 7 8
log(Kow)
log(b)
Narcotics hazard model predicts relation between Kowand DEBtox parameters:
Log NEC = - log Kow + constantLog b (kill rate) = + log Kow + constantLog Ke (elimination rate) = -0.5 log Kow + constant
-4
-3
-2
-1
0
1
2
0 2 4 6 8
log(K ow )
log(k e)
Log NEC Log KR Log ER
All this seems to check out pretty much OK
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Experimental validation
Predicted mixture effect, based on measurements for phenantherene only (line) and use of DEBtoxparameter QSARs to predict measured mixture effect (x).
• Experiment with fully grown Folsomia candida• Test with phenantherene only• Test with mixture of phenanthrene, fluoranthene and pyrene• Measured survival over 28 days including intermediate times
0
5
10
15
20
25
30
35
0 5 10 15 20 25
time (days)
nr s
urvi
vors
sum PAH < 0.55 nmol/g dry soil
sum PAH = 0.61 nmol/g dry soil
sum PAH = 0.81 nmol/g dry soil
sum PAH = 1.62 nmol/g dry soil
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– Process based models such as DEBtox can describe the progression of toxicity in time
– DEBtox can be applied to mixtures and can explain why in some cases interactions are seen for particular timepoints
– For narcotic compounds they can be combined with QSAR to allow predictions of the long-term effects of complex mixtures.
Conclusions DEBtox models
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Open workshops and conferences
• Workshop: ”Integrated Assessment ofEnvironmental and Human Health”, Frankfurt:Cambridge, September 2008
• 5th NoMiracle Workshop: ”Cumulative RiskAssessment”, the Netherlands, spring 2009
• Final NoMiracle Workshop: September 2009, Aarhus, Denmark
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Acknowledgements
CEH Lindsay ListerJulian WrightJo TownsendJodie WrenPeter Hankard
CopenhagenNina Cedergreen
EdinburghMark BlaxterAnn Hedley
Cardiff John MorganJen Chasseley
AmsterdamBas KooijmanTjalling JagerKees Van GestelMieke Broerse
London (Kings/Imperial)Suresh SwainJake Bundy
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