Evidence map›Paper›PMID 30170309›Full record

ReviewEnvironment international2018

Current EU research activities on combined exposure to multiple chemicals.

Stephanie K Bopp, Robert Barouki, Werner Brack, Silvia Dalla Costa, Jean-Lou C M Dorne, Paula E Drakvik, Michael Faust, Tuomo K Karjalainen, Stylianos Kephalopoulos, Jacob van Klaveren and 11 more

Abstract readReview
In one paragraph

Review in Environment international, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 69 papers.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

69 citing papers in PubMed.

  1. Review
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  19. Review
  20. Article

9 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors.

Stephanie K BoppEuropean Commission, Directorate General Joint Research Centre, Directorate F - Health, Consumers and Reference Materials, Ispra, Italy. Electronic address: stephanie.bopp@ec.europa.eu.
Robert BaroukiINSERM UMR-S 1124, Université Paris Descartes, Paris, France. Electronic address: robert.barouki@parisdescartes.fr.
Werner BrackHelmholtz Centre for Environmental Research - UFZ, Leipzig, Germany. Electronic address: werner.brack@ufz.de.
Silvia Dalla CostaEuropean Commission, Directorate General Joint Research Centre, Directorate B - Growth and Innovation, Ispra, Italy. Electronic address: silvia.dalla-costa@ec.europa.eu.
Jean-Lou C M DorneScientific Committee and Emerging Risks Unit, European Food Safety Authority (EFSA), Parma, Italy. Electronic address: jean-lou.dorne@efsa.europa.eu.
Paula E DrakvikSwetox, Karolinska Institutet, Unit of Toxicology Sciences, Södertälje, Sweden. Electronic address: elina.drakvik@swetox.se.
Michael FaustFaust & Backhaus Environmental Consulting, Bremen, Germany. Electronic address: faust@fb-envico.com.
Tuomo K KarjalainenEuropean Commission, Directorate General Research and Innovation, Directorate E - Health, Brussels, Belgium. Electronic address: tuomo.karjalainen@ec.europa.eu.
Stylianos KephalopoulosEuropean Commission, Directorate General Joint Research Centre, Directorate F - Health, Consumers and Reference Materials, Ispra, Italy. Electronic address: stylianos.kephalopoulos@ec.europa.eu.
Jacob van KlaverenNational Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands. Electronic address: jacob.van.klaveren@rivm.nl.
Marike Kolossa-GehringGerman Environment Agency, UBA, Berlin, Germany. Electronic address: marike.kolossa@uba.de.
Andreas KortenkampInstitute for Environment, Health and Societies, Brunel University, Uxbridge, United Kingdom. Electronic address: andreas.kortenkamp@brunel.ac.uk.
Erik LebretNational Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands; Institute of Risk Assessment Sciences - IRAS, Utrecht University, Utrecht, the Netherlands. Electronic address: erik.lebret@rivm.nl.
Teresa LettieriEuropean Commission, Directorate General Joint Research Centre, Directorate D - Sustainable Resources, Ispra, Italy. Electronic address: teresa.lettieri@ec.europa.eu.
Sofie NøragerEuropean Commission, Directorate General Research and Innovation, Directorate E - Health, Brussels, Belgium. Electronic address: sofie.norager@ec.europa.eu.
Joëlle RüeggSwetox, Karolinska Institutet, Unit of Toxicology Sciences, Södertälje, Sweden. Electronic address: joelle.ruegg@swetox.se.
Jose V TarazonaPesticides Unit, European Food Safety Authority (EFSA), Parma, Italy. Electronic address: jose.tarazona@efsa.europa.eu.
Xenia TrierEuropean Environment Agency, Copenhagen, Denmark. Electronic address: xenia.trier@eea.europa.eu.
Bob van de WaterLeiden Academic Centre for Drug Research, Leiden University, Leiden, the Netherlands. Electronic address: b.water@lacdr.leidenuniv.nl.
Jos van GilsDeltares, Delft, the Netherlands. Electronic address: jos.vangils@deltares.nl.
Åke BergmanSwetox, Karolinska Institutet, Unit of Toxicology Sciences, Södertälje, Sweden; School of Science and Technology, MTM, Örebro University, Örebro, Sweden. Electronic address: ake.bergman@swetox.se.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Humans and wildlife are exposed to an intractably large number of different combinations of chemicals via food, water, air, consumer products, and other media and sources. This raises concerns about their impact on public and environmental health. The risk assessment of chemicals for regulatory purposes mainly relies on the assessment of individual chemicals. If exposure to multiple chemicals is considered in a legislative framework, it is usually limited to chemicals falling within this framework and co-exposure to chemicals that are covered by a different regulatory framework is often neglected. Methodologies and guidance for assessing risks from combined exposure to multiple chemicals have been developed for different regulatory sectors, however, a harmonised, consistent approach for performing mixture risk assessments and management across different regulatory sectors is lacking. At the time of this publication, several EU research projects are running, funded by the current European Research and Innovation Programme Horizon 2020 or the Seventh Framework Programme. They aim at addressing knowledge gaps and developing methodologies to better assess chemical mixtures, by generating and making available internal and external exposure data, developing models for exposure assessment, developing tools for in silico and in vitro effect assessment to be applied in a tiered framework and for grouping of chemicals, as well as developing joint epidemiological-toxicological approaches for mixture risk assessment and for prioritising mixtures of concern. The projects EDC-MixRisk, EuroMix, EUToxRisk, HBM4EU and SOLUTIONS have started an exchange between the consortia, European Commission Services and EU Agencies, in order to identify where new methodologies have become available and where remaining gaps need to be further addressed. This paper maps how the different projects contribute to the data needs and assessment methodologies and identifies remaining challenges to be further addressed for the assessment of chemical mixtures.

Indexed as

Complex MixturesEnvironmental ExposureHazardous SubstancesRisk AssessmentAnimalsEuropean UnionHumansResearchComplex MixturesHazardous Substances

Identifiers

PMID30170309
PMCPMC6192826

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.