Little Pro on 2017-04-06
In toxicology, point of departure (POD) is defined as the point on a toxicological dose-response curve established from experimental data or observational data generally corresponding to an estimated low effect level or no effect level. It marks the beginning of extrapolation to toxicological reference dose RfD or reference concentration RfC.
US EPA defines RfD or RfC as follows. [Note: In EU, RfD may be called derived no-effect level (DNEL).]
Reference dose (RfD): An estimate (with uncertainty spanning perhaps an order of magnitude) of a daily oral or dermal exposure to the human population (including sensitive subgroups) that is likely to be without an appreciable risk of deleterious effects during a lifetime. Its unit is usually mg/kg bw/day or mg/kg.
Reference concentration (RfC): An estimate (with uncertainty spanning perhaps an order of magnitude) of a continuous inhalation exposure to the human population (including sensitive subgroups) that is likely to be without an appreciable risk of deleterious effects during a lifetime. Its unit is usually mg/L or ppm.
The most common POD used to derive RfD is no-observed-adverse-effect level (NOAEL), lowest-observed-adverse-effect level (LOAEL), or statistical benchmark dose (BMD). The picture below shows you the relationship between POD and RfD on a dose-response curve.
RfD or RfC values can be calculated by dividing the point of departure (i.e, chronic NOAEL or BMD) with corresponding uncertainty factors (UF). When deriving acute reference dose (ARfD) is necessary, NOAEL from short-term or single dose toxicity studies shall be used. In case of multiple NOAELs for different effects and specifies, the lowest NOAEL value will be chosen as the point of departure. Sometimes, you have to modify the point of departure first before using the equation below.
Uncertainty factors and modifying factors are used to address the differences between the experimental data and the human situation, taking into account the following uncertainties in the extrapolation procedure.
The table below summarizes standard uncertainty factors used by US EPA for risk assessment [Reference].
POD and RfD Example:
If 2 NOAEL values have been identified from long-term rat studies (10mg/kg bw/day for reproductive toxicity, 50mg/kg bw/day for dietary chronic toxicity), the point of departure (POD) will be 10mg/kg bw/day (the lowest NOAEL). The derived RfD for human health effects will be 0.1mg/kg bw/day (10mg/kg bw/day divided by 100). If human exposure level to a chemical substance by oral route is less than RfD 0.1mg/kg bw/day, the risk of the substance is acceptable.
Modification of point of departure is necessary if there are any differences below between exposure routes and between experimental animals and humans.
It should be noted that modification is not appropriate in cases where the dose descriptor is based on human data or where human exposure is evaluated based on biological monitoring data.
Both NOAEL and benchmark dose BMD can be used as the point of departure to derive RfD in USA or DNEL is EU. The BMD approach is now EPA’s preferred approach and is fast becoming the world’s standard for dose-response analysis. The BMD approach has distinct advantages over the NOAEL approach in that the modeled benchmark dose (BMD05 or BMD10) reflects the shape of the dose–response curve and is less effected by the choice of experimental concentrations. However, the BMD approach requires a robust data set and additional knowledge of statistical modelling.
In our next tutorial, we will give you an introduction to the definition of benchmark dose and how to use EPA's benchmark dose software (BMDS) to calculate BMD05 and BMD10, which will later be used as the POD to derive RfD values.
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