This study considers the implications and research needs arising from anticancer (also referred to as antineoplastic) drugs being released into the aquatic environment, for the entire therapeutic classes used: cytotoxic, cytostatic and endocrine therapy drugs.A categorization approach, based on French consumption amounts, allowed to highlight parent molecules and several metabolites on which further occurrence and ecotoxicological studies should be conducted.Investigations of consumption trends at a national and a local scale show an increase in the use of anticancer drugs between 2004 and 2008, thus leading to increased levels released in the environment. It therefore appears necessary to continue surveying their presence in surface waters and in wastewater treatment plant (WWTP) effluents.Furthermore, due to the rise of anticancer home treatments, most of the prescribed molecules are now available in town pharmacies. Consequently, hospital effluents are no longer the main expected entry route of anticancer drugs into the aquatic environment.Concerning ecotoxicological risks, current knowledge remains insufficient to support a definitive conclusion. Risk posed by cytotoxic molecules is still not well documented and it is not possible to conclude on their long-term effects on non-target organisms. To date, ecotoxicological effects have been assessed using standardized or in vitro assays. Such tests however may not be suitable for anticancer drugs, and further work should focus on full-life cycle or even multigenerational tests.Environmental significance (i.e. occurrence and effects) of cytostatics (protein kinases inhibitors and monoclonal antibodies), if any, is not documented. Protein kinases inhibitors, in particular, deserve further investigation due to their universal mode of action.Finally, concerning endocrine therapy drugs, molecules such as antiestrogen Tamoxifen and its active metabolites, could be of concern.Overall, to accurately assess the ecotoxicological risk of anticancer drugs, we discuss the need to break away from tests on isolated molecules and to test effects of mixtures at the low ng.l− 1 range. 相似文献
The nonsteroidal anti‐inflammatory drug (NSAID) diclofenac is highly toxic to Gyps vultures, and its recent widespread use in South Asia caused catastrophic declines in at least 3 scavenging raptors. The manufacture of veterinary formulations of diclofenac has since been banned across the region with mixed success. However, at least 12 other NSAIDs are available for veterinary use in South Asia. Aceclofenac is one of these compounds, and it is known to metabolize into diclofenac in some mammal species. The metabolic pathway of aceclofenac in cattle, the primary food of vultures in South Asia, is unknown. We gave 6 cattle the recommended dose of aceclofenac (2 mg/kg), collected blood thereafter at intervals for up to 12 h, and used liquid chromatography with mass spectrometry in a pharmacokinetic analysis of aceclofenac and diclofenac in the plasma. Nearly all the aceclofenac administered to the cattle was very rapidly metabolized into diclofenac. At 2 h, half the aceclofenac had been converted into diclofenac, and at 12 h four‐fifths of the aceclofenac had been converted into diclofenac. Therefore, administering aceclofenac to livestock poses the same risk to vultures as administering diclofenac to livestock. This, coupled with the risk that aceclofenac may replace diclofenac in the veterinary market, points to the need for an immediate ban on all aceclofenac formulations that can be used to treat livestock. Without such a ban, the recovery of vultures across South Asia will not be successful. 相似文献
Objective: The objective of this study was to determine the prevalence of alcohol and illicit drug use among victims of fatal traffic accidents in the Metropolitan Region of Vitória, Brazil, during the period 2011–2012.
Methods: Blood samples were collected and analyzed for the presence of drugs from 391 deceased victims of traffic crashes that occurred in the Metropolitan Region of Vitória, Brazil. The victims included drivers, passengers, and pedestrians. Sociodemographic variables such as age, gender, day of the week, and period of the year in which the accidents occurred were recorded. The analyses were performed by a gas chromatography–flame ionization method for alcohol and by a gas chromatography–mass spectrometry for amphetamines, cocaine, and cannabis.
Results: The results showed that 44.8% (n = 175) of all cases were positive for alcohol and/or illicit drugs. The detection of alcohol and/or drugs was more frequent in young males, aged 17 to 34, whose samples were positive in 46.8% of cases. Small differences among drivers, passengers, and pedestrians were observed (drivers = 45.9%, passengers = 46.4%, and pedestrians = 45.6%). In general, the most prevalent drug was alcohol, with 141 positive cases (36.1%), followed by cocaine, with 47 positive cases (12%). Amphetamines and cannabis had positivity rates of 4.1 and 4.3%, with 16 and 17 positive cases, respectively. The combined use of alcohol and other drugs was found in 36 cases (9.2%). Crack cocaine use was observed in 27.7% of the positive cases for cocaine.
Conclusions: For the effective reduction of traffic accidents related to driving under influence of drugs (DUID), we suggest the intensification of enforcement actions against the use of alcohol by drivers, the definition of which illicit drugs should be surveyed, as well the cutoff values, the promotion of changing legislation to oblige drivers to provide samples for toxicological testing, and the establishment of public information programs and specific actions aimed at young drivers to promote behavioral changes. 相似文献
- DOI: http://dx.doi.org/10.1065/espr2006.01.005
Background, Aims and Scope In view of the limited amount of information on the potential hazard of the ever increasing amounts of drugs in surface waters
to aquatic biota, a study was undertaken to determine the effect levels of 28 selected pharmaceuticals to the crustacean test
species Thamnocephalus platyurus. The drugs belong to 5 different groups: non steroidal anti-inflammatory agents, biocides,
cardiovascular compounds, nervous system drugs and purine alkaloids.
Methods Toxicity tests were carried out with the 1h Rapidtoxkit and the 24h Thamnotoxkit microbiotests in order to make a comparison
of sublethal effects (visible as stress through absence of feeding) measured after a very short time of exposure (1h) and
lethal effects after prolonged exposure (24h). Dilution series starting at 200 mg l–1 were prepared and applied, and median
effects levels were calculated and transformed into Toxic Units (TU) for easy data comparison.
Results and Discussion The toxic effects found have been ranked into 4 arbitrary toxicity classes: not toxic (TU<0.2), low toxicity (0.2<TU<1.0),
toxic (1.0<TU<10) and very toxic (TU>10). The toxicity levels noted ranged from virtually no effects for a few of the pharmaceuticals,
at the highest concentration tested out, to LC50's below 1 mg l–1 (>100 TU) for 3 nervous system drugs (Amitryptiline, Thioridazine
and Chlorpromazine). According to the toxicity classification, 17 of the 28 compounds (i.e. 67%), belong to the same class
for the lethal and the sublethal tests. More pronounced differences in effect levels between the two assays were observed
mainly for the pharmaceuticals which were either not toxic or only slightly toxic at the 200 mg l–1 level. For 90% of the
toxic drugs the ratio between the toxicity values for both tests is below 5.
Conclusion An overall correlation coefficient of 0.96 was found between the 2 microbiotests, confirming the good predictive potential
of the 1h stress-based Rapidtoxkit in revealing important biological effects (mortality) after more prolonged exposure of
the crustacean test species to chemical compounds.
Recommendation and Outlook The present study clearly shows that new microbiotests such as the 1h Rapidtoxkit and the 24h Thamnotoxkit are attractive
tools for rapid cost-effective screening of 'new' pollutants such as drugs which may threaten the biological communities of
the aquatic environment. 相似文献
The electron ionization mass spectra of the clinically used antithyroid agent 6‐n‐propyl‐2‐thiouracil (la), its minor metabolite, 6‐n‐propyluracil (lb) and their synthetic selenium and fluorinated analogs (1c and d) have been examined. The fragmentation pattern of these thiouracil and selenouracil studied bear strong similarities with those previously derived from a study of uracil analogs. Thus, the first step in the fragmentation is a retro Diel‐Alder decomposition with the loss of HCNX (X=O, S or Se) and the production of an ion radical which undergoes further fragmentation pathways which are discussed. 6‐n‐Propyl‐2‐selenouracil (1c) did show more complicated spectra due to the six natural isotopic abundance exhibited by the selenium atom. While the fluorinated analogs (1d) did substantiate the fact that the fragmentation pattern of these derivatives proceed through fragmentation between C2 and N3 bond since this produces the more resonance stabilized ion. 相似文献