Synopsis
Driven by major scientific advances in analytical methods, biomonitoring,
computational tools, and a newly articulated vision for a greater impact in
public health, the field of exposure science is undergoing a rapid transition
from a field of observation to a field of prediction. Deployment of an
organizational and predictive framework for exposure science analogous to the
“systems approaches” used in the biological sciences is a
necessary step in this evolution. Here we propose the Aggregate Exposure Pathway
(AEP) concept as the natural and complementary companion in the exposure
sciences to the Adverse Outcome Pathway (AOP) concept in the toxicological
sciences. Aggregate exposure pathways offer an intuitive framework to organize
exposure data within individual units of prediction common to the field, setting
the stage for exposure forecasting. Looking farther ahead, we envision direct
linkages between aggregate exposure pathways and adverse outcome pathways,
completing the source to outcome continuum for more efficient integration of
exposure assessment and hazard identification. Together, the two pathways form
and inform a decision-making framework with the flexibility for risk-based,
hazard-based, or exposure-based decision making.