Inadequacy of the LD50 Test
[The LD50] is now an anachronism
.I
do not think the LD50 test provides much useful information about
the health hazards to humans.
David Rall, Ph.D., former Director, National
Toxicology Program
The Lethal Dose 50 (LD50) test involves
the administration of a substance to a group of animals at increasing
doses in order to determine the dose that kills 50 percent of the
test subjects within a set time frame. Typically, administration
of the test substance is via a tube inserted down the esophagus
into the stomach. Other routes of administration include inhalation
and applying the substance to the animals skin. Several dose
levels of a chemical are given until the dose lethal to half of
the test population is attained. The test is typically allowed to
proceed for 14 days, at which time all the animals who have not
died from the test substance are killed. Animals
who have not died within the test period may be sick or near death.
The LD50 provides no information on what system failure led to the
death of the animals. Some deaths may be due to the quantity of
the test substance causing gastric rupture or other morbidity unrelated
to the toxicity of the test substance. The designers
of the LD50 test in 1927 acknowledged its serious inadequacies,
intending it only for certain narrow medical purposes.1
Nevertheless, use of the LD50 test has become widespread as a general
measurement of chemical toxicity. The LD50 has been challenged for
decades as both unreliable and uninformative.
The LD50 Is Highly Unreliable
Small changes
in test conditions can produce wildly varying outcomes. It has been
well documented that species,2 strain,3 and
age4 have marked effects on LD50 results, as do weight,5
sex,4 health,6 diet,4 whether the
animals are deprived of food before the test,7 the method
by which the chemical is administered,8 ambient temperature,9,10
and housing conditions of the animals.6,11 These factors
lead to LD50 measurements that differ by orders of magnitude. It
is likely that other factors, including humidity, weather, noise,
the light-dark cycle, and the dexterity of the laboratory personnel,
can also affect the outcome of the test. A study arranged by the
Commission of the European Communities found that LD50 values, based
on tests of the same substances performed in different laboratories,
differed by as much as a factor of 12. A second trial which attempted
to standardize conditions across laboratories still yielded results
differing by as much as a factor of eight from one laboratory to
the next.12 It is clear that the quantity measured by
the LD50 test is not a biological constant, and that the value therefore
has little significance in assessing toxicity.
The LD50 Has Little Relevance for Human Toxicity
Even
if the LD50 were reliable, the information it provides is of little
use to humans for several reasons.
- Species-to-species differences in sensitivity
give the LD50 test little predictive capability for assessing
toxicity in humans (see chart). Acetaminophen, for example, is
fatal to mice at 250-400 mg/kg due to liver necrosis, while the
LD50 for rats is about 1,000 mg/kg with little evidence of liver
damage.13 With such profound differences between mice
and rats, extrapolation to humans has little meaning. Indeed,
a comparison of the toxicities of various chemicals for humans
and animals found large differences to be typical.14
A recent multi-center study found that even under the most standardized
conditions, the correlation between animal LD50 values and acute
toxicity in humans was only 63 percent.15 As an Institute
for Toxicology scientist has commented, [E]ven if the LD50
could be measured exactly and reproducibly, the knowledge of its
precise numerical value would barely be of practical importance,
because extrapolation from the experimental animals to man is
hardly possible.16
- The LD50 measures only lethality, ignoring
other adverse effects which often correlate poorly with mortality.
Thus a chemical can have extremely harmful but nonlethal effects
at doses far short of the LD50 dosage.
- Pretreatment with small doses of some chemicals
(e.g., cadmium chloride) raises the LD50 level, and other substances
are lethal at 1/100th the LD50 value when taken daily.
- For pharmacologically inert compounds, the
LD50 may measure properties of no significance to human exposure.
For example, inosic acid, a flavor enhancer added to food in trace
amounts, was found lethal at doses of 20 g/kg, not from true toxicity,
but by raising stomach acidity high enough to cause corrosion
of the gastrointestinal lining. An equivalent dose in humans would
flavor six tons of food.17
- Roughly 80 to 90 percent of poisonings involve
children under five years of age, who commonly react very differently
from adults to chemical substances. A study comparing toxicity
in newborn and adult animals found large variations due to species-specific
developmental patterns that cannot be readily extrapolated to
human infants.4
- In practice, 50 percent of adult overdoses
and 90 percent of narcotic overdoses involve mixtures of drugs,
and often the substances ingested are not known. The LD50 test
does not account for drug interactions, and is therefore of little
use in such cases.18
The
serious inadequacies of the LD50 test leave it only marginally
informative, toxicologically inadequate, and misleading.19
The LD50 Is a Poor Choice of Test
Modifications,
such as the up-down and limit tests, are simply refinements of the
classic LD50 test, and suffer from the same deficiencies. However,
in vitro methods are available that produce highly reliable
results and provide more predictive information about the effects
of chemicals on human beings. As David Rall, Ph.D., then-director
of the National Toxicology Program (NTP), wrote in March 1983, the
LD50 is now an anachronism
.I do not think the LD50 test
provides much useful information about the health hazards to humans.20
The LD50 is a highly unsatisfactory measure of toxicity in humans.
| COMPARISON
OF THE LD50 IN RATS
AND MICE
(NIOSH/Registry of Toxic Effects of
Chemical Substances) |
| Chemical |
Rat
mg/kg |
Mouse
mg/kg |
Ratio
|
| Carbon
tetrachloride |
2,350 |
8,260 |
0.28 |
| Dextropropoxyphene
HCl |
84 |
225 |
0.37 |
| Dichloromethane |
1,600 |
873 |
1.8 |
| Diphenylhydantoin |
1,640 |
150 |
10.9 |
| Ethanol |
7,060 |
3,450 |
2.0 |
| Mercury
(II) chloride |
1 |
6 |
0.17 |
| Nicotine |
50 |
3 |
16.7 |
| Paracetamol |
2,400 |
340 |
7.0 |
| Sodium
oxalate |
11,200 |
5,100 |
2.2 |
| Thioridazine
HCl |
995 |
385 |
2.6 |
References
1. Trevan JW. The error of determination of toxicity. Proc Roy Soc
1927;101B:483-514.
2. Morrison JK et al. The purpose and value of LD50 determinations.
Modern Trends in Toxicology 1968; Butterworths, London: p.1.
3. Dieke SH, Richter CP. Acute toxicity to rats in relation to age,
diet, strain, and species variation. J Pharmacol Exp Ther 1945;83:195-202.
4. Goldenthal EI. A compilation of LD50 values in newborn and adult
animals. Toxicol Appl Pharmacol 1971;18:185-207.
5. Balazs T, Arena E, Barron CN. Protection against the cardiotoxic
effect of isoproterenol HCl by restricted food intake in rats. Toxicol
Appl Pharmacol 1972;21(2):237.
6. Weil CS, Wright GJ. Intra- and interlaboratory comparative evaluation
of single oral test. Toxicol Appl Pharmacol 1967;11:378-8.
7. Quinton RM, Reinert H, cited by Morrison et al.; 1968.
8. Ferguson HC. Dilution of dose and acute toxicity. Toxicol Appl
Pharmacol 1962;4:759-62.
9. Fuhrman GJ, Fuhrman FA. Effects of temperature on the action
of drugs. Ann Rev Pharmacol 1961;1:65-78.
10. Wiehe WH. The effect of ambient temperature on the action of
drugs. Ann Rev Pharmacol 1973;13:409-25.
11. Wilberg HC, Grice. Effect of prolonged individual caging on
toxicity parameters in rats. Food Cosmet Toxicol 1965;3:597-603.
12. Hunter WJ et al. An intercomparison study conducted by the Commission
of the European Communities on the determination of the single administration
toxicity in rats. Communicated by the Health and Safety Directorate
(unpublished). 1977, Commission of the EC and United States EPA,
1979.
13. Jollow DJ, Thorgeirsson SS, Potter WZ, Hashimoto M, Mitchell
JR. Acetaminophen-induced hepatic necrosis. VI. Metabolic disposition
of toxic and nontoxic doses of acetaminophen. Pharmacology 1974;12(4-5):251-71.
14. Müller R. Vergleich der im Tierexperiment und beim Menschen
rödlichen Dosen wichtiger Pharmaka. Diss Univ Frankfurt/Main
1948.
15. Multicenter Evaluation of In-Vitro Cytotoxicity Tests Trial,
1989-1999.
16. Lorke D. A new approach to practical acute toxicity testing.
Arch Toxicol 1983;54(4):275-87.
17. Zbinden G, Flury-Roversi M. Significance of the LD50-Test for
the Toxicological Evaluation of Chemical Substances. Arch Toxicol
1981;47:77-99.
18. Kaufmann SR, Cohen MJ. The clinical relevance of the LD50. Vet
Hum Toxicol 1986:29(1):39-41.
19. Sperling F. Nonlethal parameters as indices of acute toxicity:
inadequacy of the acute LD50. New concepts of safety evaluation
1976; John Wiley and Sons, NY: p.177.
20. Spira H. Winning with archimedian principles. ATLA 1985;13:117-22.
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