Deriving a provisional tolerable intake for intravenous exposure to silver nanoparticles released from medical devices

作者：Savery Laura C; Vinas Rene; Nagy Amber M; Pradeep Prachi; Merrill Stephen J; Hood Alan M; Malghan Subhas G; Goering Peter L; Brown Ronald P

来源：Regulatory Toxicology and Pharmacology, 2017, 85: 108-118.

DOI：10.1016/j.yrtph.2017.01.007

• Silver nanoparticles
• Safety assessment
• Provisional tolerable intake
• Medical devices
• Intravenous
• Uncertainty factors
• Point of departure
• Annapolis accords
• ToxRTool

Silver nanoparticles (AgNP) are incorporated into medical devices for their anti-microbial characteristics. The potential exposure and toxicity of AgNPs is unknown due to varying physicochemical particle properties and lack of toxicological data. The aim of this safety assessment is to derive a provisional tolerable intake (pTI) value for AgNPs released from blood-contacting medical devices. A literature review of in vivo studies investigating critical health effects induced from intravenous (i.v.) exposure to AgNPs was evaluated by the Annapolis Accords principles and Toxicological Data Reliability Assessment Tool (ToxRTool). The point of departure (POD) was based on an i.v. 28-day repeated AgNP (20 nm) dose toxicity study reporting an increase in relative spleen weight in rats with a 5% lower confidence bound of the benchmark dose (BMDL05) of 0.14 mg/kg bw/day. The POD was extrapolated to humans by a modifying factor of 1,000 to account for intraspecies variability, interspecies differences and lack of long-term toxicity data. The pTI for long-term i.v. exposure to 20 nm AgNPs released from blood-contacting medical devices was 0.14 pg/kg bw/day. This pTI may not be appropriate for nanoparticles of other physicochemical properties or routes of administration. The methodology is appropriate for deriving pTls for nanoparticles in general. Published by Elsevier Inc.

• 出版日期2017-4