Evidence map›Paper›PMID 32542409›Full record

ReviewArchives of toxicology2020

Mode of action-based risk assessment of genotoxic carcinogens.

Andrea Hartwig, Michael Arand, Bernd Epe, Sabine Guth, Gunnar Jahnke, Alfonso Lampen, Hans-Jörg Martus, Bernhard Monien, Ivonne M C M Rietjens, Simone Schmitz-Spanke and 3 more

Erratum issuedAbstract readReview
In one paragraph

Review in Archives of toxicology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 59 papers.

0numbers the graph read from it
0cells of the map it votes in
59citing 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

59 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
  4. Alcohol Metabolism into Acetaldehyde in Developing Cerebral Arteries.International journal of molecular sciences · 2026
    Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Review
  11. Transferability and Reproducibility of the HepaRG CometChip Assay.Environmental and molecular mutagenesis · 2025
    Article
  12. Effects ofArhiv za higijenu rada i toksikologiju · 2025
    Article
  13. Article
  14. Review
  15. Article
  16. A perspective review on factors that influence mutagenicity in medicinal plants and their health implications.Toxicological sciences : an official journal of the Society of Toxicology · 2025
    Review
  17. Article
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

Andrea HartwigDepartment of Food Chemistry and Toxicology, Institute of Applied Biosciences (IAB), Karlsruhe Institute of Technology (KIT), Adenauerring 20a, 76131, Karlsruhe, Germany. andrea.hartwig@kit.edu.ORCID http://orcid.org/0000-0003-3826-3319
Michael ArandInstitute of Pharmacology and Toxicology, University of Zurich, 8057, Zurich, Switzerland.
Bernd EpeInstitute of Pharmacy and Biochemistry, University of Mainz, 55099, Mainz, Germany.
Sabine GuthDepartment of Toxicology, IfADo-Leibniz Research Centre for Working Environment and Human Factors, TU Dortmund, Ardeystr. 67, 44139, Dortmund, Germany.
Gunnar JahnkeDepartment of Food Chemistry and Toxicology, Institute of Applied Biosciences (IAB), Karlsruhe Institute of Technology (KIT), Adenauerring 20a, 76131, Karlsruhe, Germany.
Alfonso LampenDepartment of Food Safety, German Federal Institute for Risk Assessment (BfR), 10589, Berlin, Germany.
Hans-Jörg MartusNovartis Institutes for BioMedical Research, 4002, Basel, Switzerland.
Bernhard MonienDepartment of Food Safety, German Federal Institute for Risk Assessment (BfR), 10589, Berlin, Germany.
Ivonne M C M RietjensDivision of Toxicology, Wageningen University, Stippeneng 4, 6708 WE, Wageningen, The Netherlands.
Simone Schmitz-SpankeInstitute and Outpatient Clinic of Occupational, Social and Environmental Medicine, University of Erlangen-Nuremberg, Henkestr. 9-11, 91054, Erlangen, Germany.
Gerlinde Schriever-SchwemmerDepartment of Food Chemistry and Toxicology, Institute of Applied Biosciences (IAB), Karlsruhe Institute of Technology (KIT), Adenauerring 20a, 76131, Karlsruhe, Germany.
Pablo SteinbergMax Rubner-Institut, Federal Research Institute of Nutrition and Food, Haid-und-Neu-Str. 9, 76131, Karlsruhe, Germany.
Gerhard EisenbrandRetired Senior Professor for Food Chemistry and Toxicology, Kühler Grund 48/1, 69126, Heidelberg, Germany. eisenbra@rhrk.uni-kl.de.ORCID http://orcid.org/0000-0003-4079-2463

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The risk assessment of chemical carcinogens is one major task in toxicology. Even though exposure has been mitigated effectively during the last decades, low levels of carcinogenic substances in food and at the workplace are still present and often not completely avoidable. The distinction between genotoxic and non-genotoxic carcinogens has traditionally been regarded as particularly relevant for risk assessment, with the assumption of the existence of no-effect concentrations (threshold levels) in case of the latter group. In contrast, genotoxic carcinogens, their metabolic precursors and DNA reactive metabolites are considered to represent risk factors at all concentrations since even one or a few DNA lesions may in principle result in mutations and, thus, increase tumour risk. Within the current document, an updated risk evaluation for genotoxic carcinogens is proposed, based on mechanistic knowledge regarding the substance (group) under investigation, and taking into account recent improvements in analytical techniques used to quantify DNA lesions and mutations as well as "omics" approaches. Furthermore, wherever possible and appropriate, special attention is given to the integration of background levels of the same or comparable DNA lesions. Within part A, fundamental considerations highlight the terms hazard and risk with respect to DNA reactivity of genotoxic agents, as compared to non-genotoxic agents. Also, current methodologies used in genetic toxicology as well as in dosimetry of exposure are described. Special focus is given on the elucidation of modes of action (MOA) and on the relation between DNA damage and cancer risk. Part B addresses specific examples of genotoxic carcinogens, including those humans are exposed to exogenously and endogenously, such as formaldehyde, acetaldehyde and the corresponding alcohols as well as some alkylating agents, ethylene oxide, and acrylamide, but also examples resulting from exogenous sources like aflatoxin B

Indexed as

DNA DamageAnimalsCarcinogenicity TestsCarcinogensHumansMutagenicity TestsMutagensRisk AssessmentToxicogeneticsCarcinogensMutagensBiomarker dosimetryCarcinogensEndogenous exposureExogenous exposureGenotoxicityMode of actionMutagensRisk assessmentToxicogenomics

Identifiers

PMID32542409
PMCPMC7303094

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.