Evidence map›Paper›PMID 31854200›Full record

ArticleEnvironmental health perspectives2019

New Perspectives for Cancer Hazard Evaluation by the Report on Carcinogens: A Case Study Using Read-Across Methods in the Evaluation of Haloacetic Acids Found as Water Disinfection By-Products.

Stanley T Atwood, Ruth M Lunn, Sanford C Garner, Gloria D Jahnke

Open access · diamondAbstract read
In one paragraph

Article in Environmental health perspectives, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
0.8field-weighted citation impact, top 29% of its field
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

11 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Review
  3. The key characteristics concept.Current opinion in toxicology · 2025
    Article
  4. Current status and perspectives in environmental oncology.Chronic diseases and translational medicine · 2024
    Article
  5. Article
  6. Article
  7. Article
  8. Computational toxicology (Amsterdam, Netherlands) · 2021
    Article
  9. Article
  10. Analysis of Cumulative Cancer Risk Associated with Disinfection Byproducts in United States Drinking Water.International journal of environmental research and public health · 2020
    Article
  11. Application of the Key Characteristics of Carcinogens to Per and Polyfluoroalkyl Substances.International journal of environmental research and public health · 2020
    Review
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

4 authors at 2 institutions in 1 country.

Stanley T AtwoodContractor in Support of National Institute of Environmental Health Sciences (NIEHS) Report on Carcinogens, Integrated Laboratory Systems, Inc. (ILS), Research Triangle Park, North Carolina, USA.
Ruth M LunnOffice of the Report on Carcinogens, Division of the National Toxicology Program, NIEHS, Research Triangle Park, North Carolina, USA.
Sanford C GarnerContractor in Support of National Institute of Environmental Health Sciences (NIEHS) Report on Carcinogens, Integrated Laboratory Systems, Inc. (ILS), Research Triangle Park, North Carolina, USA.
Gloria D JahnkeOffice of the Report on Carcinogens, Division of the National Toxicology Program, NIEHS, Research Triangle Park, North Carolina, USA.
National Institute of Environmental Health Sciences · USResearch Triangle Park Foundation · US

Funding

NIEHS NIH HHS HHSN273201100004C
6 · The paper itself

Abstract

backgroundDue to the large number of chemicals not yet tested for carcinogenicity but to which people are exposed, the limited number of human and animal cancer studies conducted each year, and the frequent need for a timely response, mechanistic data are playing an increasingly important role in carcinogen hazard identification.

objectivesTo provide a targeted approach to identify relevant mechanistic data in our cancer evaluation of haloacetic acids (HAAs), we used several approaches including systematic review, the 10 key characteristics of carcinogens (KCs), and read-across methods. Our objective in this commentary is to discuss the strengths, limitations, and challenges of these approaches in a cancer hazard assessment.

methodsA cancer hazard assessment for 13 HAAs found as water disinfection by-products was conducted. Literature searches for mechanistic studies focused on the KCs and individual HAAs. Studies were screened for relevance and categorized by KCs and other relevant data, including chemical properties, toxicokinetics, and biological effects other than KCs. Mechanistic data were organized using the KCs, and strength of evidence was evaluated; this information informed potential modes of action (MOAs) and read-across-like approaches. Three read-across options were considered: evaluating HAAs as a class, as subclass(es), or as individual HAAs (analog approach). DISCUSSION: Because of data limitations and uncertainties, listing as a class or subclass(es) was ruled out, and an analog approach was used. Two brominated HAAs were identified as target (untested) chemicals based on their metabolism and similarity to source (tested) chemicals. In addition, four HAAs with animal cancer data had sufficient evidence for potential listing in the Report on Carcinogens (RoC). This is the first time that the KCs and other relevant data, in combination with read-across principles, were used to support a recommendation to list chemicals in the RoC that did not have animal cancer data. https://doi.org/10.1289/EHP5672.

Indexed as

Acetic AcidCarcinogensDisinfectantsNeoplasmsRisk AssessmentWater Pollution, ChemicalAcetic AcidCarcinogensDisinfectants

Identifiers

PMID31854200
PMCPMC6957284
OpenAlexW2995123099

What OpenQuestion holds

Textmetadata
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.