Substantiating indicators for assessing population health risks based on experimental investigation applying biomarkers of effect produced by n-nitrosamines
D.V. Suvorov1, P.Z. Shur1, S.E. Zelenkin1, D.N. Lir1, Nguyen Van Cuong2, Nguyen Thi Hong Ngoc2, Tran Cao Son2
1Federal Scientific Center for Medical and Preventive Health Risk Management Technologies, 82 Monastyrskaya Str., Perm, 614045, Russian Federation
2 National Institute for Food Control, 65 Pham Than Duat Str., Hanoi, Vietnam
N-Nitrosodimethylamine (NDMA) is a nitrosamine with established hepatotoxicity. However, unlike its well-studied carcinogenic effects in model organisms, quantitative indicators for assessing non-carcinogenic risks under chronic exposure remain undetermined. In the context of hepatotoxicity, key biomarkers include aspartate aminotransferase (AST), alanine aminotransferase (ALT), and gamma-glutamyl transferase (GGT). Analyzing changes in activity of these enzymes in controlled experimental conditions allows for identifying dose-response relationships even for non-specific liver injury markers.
The study aimed to establish health risk assessment indicators based on experimental research using biomarkers of effect established for N-nitrosamines.
A 6-month toxicological experiment was conducted on Wistar rats randomly divided into five groups that were administered different oral doses of NDMA to interpolate the dose-response curve.
Dose-effect relationships were assessed using nonlinear regression analysis. Safe exposure levels for NDMA were deter-mined using the Benchmark Dose Lower Limit (BMDL) approach with the sliding window method. Statistical analysis was per-formed using the Mann-Whitney U-test. Uncertainty factors were applied when converting BMDL to a reference dose (RfD).
Among the analyzed hepatotoxicity biomarkers, GGT demonstrated the highest diagnostic sensitivity and a pronounced dose-dependent response (p ≤ 0.05). Mathematical modeling of the GGT-NDMA dose relationship yielded statistically significant indicators characterizing hepatotoxic effects. Based on significant biomarker excess, a BMDL of 0.0055 mg/kg body weight was established, and an RfD was substantiated for chronic NDMA exposure equal to 5.73•10 –6 mg/kg body weight. Dose – response indicators were established (b0 = -2.94, b1 = 35.96) for assessing non-carcinogenic risks associated with liver dysfunction. Thus, this study provides quantitative indicators for evaluating health risks under chronic NDMA exposure.