1980
DOI: 10.1159/000225442
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A Model for Estimation of Human Exposure to Endogenous N-Nitrosodimethylamine

Abstract: A simple mathematical model is formulated to estimate the order of magnitude of the flux of N-nitrosodimethylamine, based upon blood concentrations and the assumption of a quasi steady state between formation and metabolism. The model predicts a total daily exposure which corresponds to an extrapolated risk well within the observed risk for liver cancer in the USA. The ramifications of this model are significant for cancer prevention and for the development of techniques of risk extrapolation.

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Cited by 17 publications
(4 citation statements)
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“…Significant human exposure is also derived from endogenous formation of NDMA in the stomach and possibly in other body compart-ments (5)(6)(7)(8). Accurate, direct estimation of endogenous exposure to NDMA is not possible, but, based on indirect evidence, it has been suggested that this mode of exposure may greatly exceed that arising from exogenous sources and may constitute a significant cancer risk factor for man (9,10). Although epidemiological studies have provided evidence compatible with a carcinogenic role of NDMA in man, such evidence is far from conclusive, possibly because the effectiveness of these studies was compromised by the difficulty of estimating the true extent of total NDMA exposure (11)(12)(13)(14)(15)(16)(17)(18).…”
Section: Introductionmentioning
confidence: 99%
“…Significant human exposure is also derived from endogenous formation of NDMA in the stomach and possibly in other body compart-ments (5)(6)(7)(8). Accurate, direct estimation of endogenous exposure to NDMA is not possible, but, based on indirect evidence, it has been suggested that this mode of exposure may greatly exceed that arising from exogenous sources and may constitute a significant cancer risk factor for man (9,10). Although epidemiological studies have provided evidence compatible with a carcinogenic role of NDMA in man, such evidence is far from conclusive, possibly because the effectiveness of these studies was compromised by the difficulty of estimating the true extent of total NDMA exposure (11)(12)(13)(14)(15)(16)(17)(18).…”
Section: Introductionmentioning
confidence: 99%
“…Despite the multiple possible sources of error in the estimates of endogenous formation of NDMA we have derived, it seems clear that formation rates approaching 1 mg/day are usual and in some individuals such formation can be significantly greater. Notably, Tannenbaum estimated that up to 670 μg/day of NDMA was formed endogenously using similar methodology.…”
Section: Discussionmentioning
confidence: 88%
“…Nevertheless, these data suggest that a large part of human exposure to NDMA (and presumably to NOC in general) may arise from endogenous formation. Moreover, by applying a similar methodology and formulating a simple mathematical model to estimate the order of magnitude of the NDMA flux, based on blood concentrations and assuming a quasi-steady state between formation and metabolism, Tannenbaum estimated that up to 670 µg/day of NDMA can be formed endogenously (Tannenbaum 1980 ).…”
Section: Exposure To N -Nitrosating Agents: the Co...mentioning
confidence: 99%