Publication related to RSI or an RSI staff member
Severity scoring of manganese health effects for categorical regression.
Characterizing the U-shaped exposure response relationship for manganese (Mn) is necessary for estimating the risk of adverse health from Mn toxicity due to excess or deficiency. Categorical regression has emerged as a powerful tool for exposure-response analysis because of its ability to synthesize relevant information across multiple studies and species into a single integrated analysis of all relevant data. This paper documents the development of a database on Mn toxicity designed to support the application of categorical regression techniques. Specifically, we describe (i) the conduct of a systematic search of the literature on Mn toxicity to gather data appropriate for dose-response assessment; (ii) the establishment of inclusion/exclusion criteria for data to be included in the categorical regression modeling database; (iii) the development of a categorical severity scoring matrix for Mn health effects to permit the inclusion of diverse health outcomes in a single categorical regression analysis using the severity score as the outcome variable; and (iv) the convening of an international expert panel to both review the severity scoring matrix and assign severity scores to health outcomes observed in studies (including case reports, epidemiological investigations, and in vivo experimental studies) selected for inclusion in the categorical regression database. Exposure information including route, concentration, duration, health endpoint(s), and characteristics of the exposed population was abstracted from included studies and stored in a computerized manganese database (MnDB), providing a comprehensive repository of exposure-response information with the ability to support categorical regression modeling of oral exposure data.
Authors
- Mattison, Donald R, Mattison DR, Risk Sciences International, 55 Metcalfe Street, Suite 700, K1P 6L5, Ottawa, Canada; R. Samuel McLaughlin Centre for Population Health Risk Assessment, Faculty of Medicine, University of Ottawa, 118-850 Peter Morand Drive, Canada. Electronic address: dmattison@risksciences.com.
- Milton, Brittany, Milton B, Risk Sciences International, 55 Metcalfe Street, Suite 700, K1P 6L5, Ottawa, Canada.
- Krewski, Daniel, Krewski D, Risk Sciences International, 55 Metcalfe Street, Suite 700, K1P 6L5, Ottawa, Canada; R. Samuel McLaughlin Centre for Population Health Risk Assessment, Faculty of Medicine, University of Ottawa, 118-850 Peter Morand Drive, Canada.
- Levy, Len, Levy L, Institute of Environment and Health, Cranfield University, College Road, Cranfield MK43 0AL, Bedfordshire, United Kingdom.
- Dorman, David C, Dorman DC, College of Veterinary Medicine, North Carolina State University, 1060 William Moore Drive, Raleigh, NC 27607, USA.
- Aggett, Peter J, Aggett PJ, School of Medicine and Health, Lancaster University, Bailrigg, Lancaster, LA1 4YW, United Kingdom.
- Roels, Harry A, Roels HA, Louvain Centre for Toxicology and Applied Pharmacology (LTAP), Université catholique de Louvain, Avenue Mounier 53.02, 1200 Brussels, Belgium.
- Andersen, Melvin E, Andersen ME, ScitoVation, 6 Davis Drive, PO Box 110566, Research Triangle Park, NC, 27709-2137, USA.
- Karyakina, Nataliya A, Karyakina NA, Risk Sciences International, 55 Metcalfe Street, Suite 700, K1P 6L5, Ottawa, Canada; R. Samuel McLaughlin Centre for Population Health Risk Assessment, Faculty of Medicine, University of Ottawa, 118-850 Peter Morand Drive, Canada.
- Shilnikova, Natalia, Shilnikova N, Risk Sciences International, 55 Metcalfe Street, Suite 700, K1P 6L5, Ottawa, Canada; R. Samuel McLaughlin Centre for Population Health Risk Assessment, Faculty of Medicine, University of Ottawa, 118-850 Peter Morand Drive, Canada.
- Ramoju, Siva, Ramoju S, Risk Sciences International, 55 Metcalfe Street, Suite 700, K1P 6L5, Ottawa, Canada.
- McGough, Doreen, McGough D, International Manganese Institute, 17 rue Duphot, 75001 Paris, France. Electronic address: doreen.mcgough@manganese.org.
Characterizing the U-shaped exposure response relationship for manganese (Mn) is necessary for estimating the risk of adverse health from Mn toxicity due to excess or deficiency. Categorical regression has emerged as a powerful tool for exposure-response analysis because of its ability to synthesize relevant information across multiple studies and species into a single integrated analysis of all relevant data. This paper documents the development of a database on Mn toxicity designed to support the application of categorical regression techniques. Specifically, we describe (i) the conduct of a systematic search of the literature on Mn toxicity to gather data appropriate for dose-response assessment; (ii) the establishment of inclusion/exclusion criteria for data to be included in the categorical regression modeling database; (iii) the development of a categorical severity scoring matrix for Mn health effects to permit the inclusion of diverse health outcomes in a single categorical regression analysis using the severity score as the outcome variable; and (iv) the convening of an international expert panel to both review the severity scoring matrix and assign severity scores to health outcomes observed in studies (including case reports, epidemiological investigations, and in vivo experimental studies) selected for inclusion in the categorical regression database. Exposure information including route, concentration, duration, health endpoint(s), and characteristics of the exposed population was abstracted from included studies and stored in a computerized manganese database (MnDB), providing a comprehensive repository of exposure-response information with the ability to support categorical regression modeling of oral exposure data.
