/pesticides/science/#exposure
DefiningBiomarkers
Biomarkersaremeasurablesubstancesorcharacteristicsinthehumanbodythat
canbeudtomonitortheprenceofachemicalinthebody,biologicalrespons,
ofbiomarkerswillhelpuvaluatepotential
exposurestopesticidesaswellaspredicteffectsthatmayresult,allowingusto
kersare
commonlygroupedintobiomarkersofexposure,effect,b
pagedescribesthegroupsofbiomarkersandprovidexamples.
Onthispage:
BiomarkersofExposure
BiomarkersofExposureCategories
BiomarkersofEffect
BiomarkersofEffectCategories
BiomarkersofSusceptibility
BiomarkersofExposure
Biomarkersofexposureareudtoassstheamountofachemicalthatisprent
emicalscanbemeasuredinurine,blood,saliva,and,if
theyarefatsoluble,inbodyfatandbreastmilk(e.g.,DDT).Biomarkersofexposure
provideinformationon
chemicalexposuresinindividuals,
changesinlevelsovertime,and
variabilityamongdifferentpopulations.
Theymayalsoprovideinformationontherelativeimportanceofdifferentexposure
portanttonotethatthemeasurementofa
chemicalinsomeone’sbodydoesnotbyitlfmeanthatchemicalhascaud
adverhealtheffects.
Additionally,thereareanumberofusrelatedtotheinterpretationofbiomarkers
mple,themeasurementof3-phenoxybenziocacid(3-PBA)in
urineisconsideredanon-specificbiomarkerofexposurebecau3-PBAisa
ore,additional
informationisneededtoresolvewhichpyrethroidwastheparentchemical.
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BiomarkersofExposureCategories
Chemical–Themostspecificexposurebiomarkerisdirectmeasurementof
lly,measurementofthe
chemicalismadeinanaccessiblebiologicalmatrix(e.g.,blood,urine).
Whilesomepesticidescanbedirectlymeasuredinthebody,itisgenerally
morecommontomeasuremetabolitesofpesticides.
Metabolite–Manychemicalsarerapidlymetabolizedordifficulttomeasure.
Inthecas,amorestablebreakdownproduct(metabolite)ofthe
metabolitemayderivefromanumberofdifferentchemicals(asinthe
3-PBAexampleabove),additionalinformationisneededtoresolveto
whichchemicalthepersonwaxpod.
Endogenoussurrogate–Insomecas,achemicalorclassofchemicals
mayresultinanendogenousrespon(responwithinthebody)thatis
esofthatrespon
canbeudasasurrogateinlieuofdirectmeasurementofthechemicalor
metaboliteconcentrationwhensufficientadditionalinformationisavailable.
Sincetherearemanyfactorsthatcaninfluenceendogenousrespons,
thistypeofexposurebiomarkerisaccompaniedbymanyuncertaintiesthat
shouldbeidentifiedanddiscusd.
SeeexamplesinTable1
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BiomarkersofEffect
Biomarkersofeffectareindicatorsofachangeinbiologicfunctioninrespontoa
,theymoredirectlyrelatetoinsightintothepotentialfor
adverhealtheffectscomparedwithbiomarkersofexposure.
Oneexampleofabiomarkerofeffectisbloodcholinestera,whichcanbecome
depresdfollowingexposuretoorganophosphateandN-methylcarbamate
ingcholinesteralevelscanbeaufultoolformonitoring
agriculturalworkersandidentifyingworkersthatmaypotentiallybeoverexpodto
pesticides.
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BiomarkersofEffectCategories
Bioindicator–Anidealbiomarkerofeffecthasanexplicitlyknown
cas,
thisisachievedbyasufficientunderstandingoftheadveroutcome
pathwayormodeofactionofthechemical,andthecausalorcorrelative
relationshipofbiologicaleventsbetweenthemarkerandtheadver
outcome.
Bioindicatorsprovideahighdegreeofconfidenceinpredictingthe
potentialforadvereffectsinanindividualorpopulationbadonmarker
rstandingoftheadveroutcomepathwayalsosupports
developmentofavarietyofbioindicatorsfordifferentkeyeventsor
outcomesofinterest(e.g.,markersforprecursoreventsleadingtoa
clinicallydetectableadveroutcometosupportearlydetectionand
prevention).
Whencellularormolecularinitiatingeventscanbeidentifiedascritical
stepsinanadveroutcomepathway,bioindicatorscanbedevelopedin
conjunctionwithhighthroughputscreeningassaystoprovidearapidand
efficientmeansforearlydetectionofadveroutcomesintarget
earchersareactivelydevelopingthisclassof
biomarkersofeffectsinsupportofToxicityTestinginthe21stCentury.
Undeterminedconquence–Thissubgroupofbiomarkersprovides
morelimitedanduncertainindicationofthepotentialforadvereffects,
becautheeventsordeterministiclinkagesinanadveroutcome
plewouldbemarkersofoxidative
stresswhereelevationshavebeenassociatedwithavarietyofadver
outcomes,ole
ofoxidativestressindifferentdiaprocess(andadveroutcome
pathways)becomesmoreclearlydefined,therewillbeincreasingcertainty
intheuofoxidativestressbiomarkerstopredictthepotentialfor
organism/ile,thebiomarkerscanbe
udinconjunctionwithotherbiomarkersinthisorothersubgroupsto
improvethespecificityandnsitivityoftheoveralltofmarkersfor
developmentofanadveroutcome.
Exogenoussurrogate–Somechemicalshavewellknownadvereffects,
whichareaccompaniedbyothereffectsthatcanbeudassurrogate
nexampleis
paranitrophenol,ementin
humansofparanitrophenolintheurinehasbeenudasanexogenous
surrogatebiomarkerofexposuretomethylparathion,andasanindicator
ofthepotentialfortoxicityduetomethylparathion-induced
acetylcholinesterainhibition.
Exogenoussurrogatebiomarkersaresuboptimalaffectsmarkers
becautheydonotdirectlycapturethecontributionofadditionalfactors
(intrinsicandextrinsic)thatmayinfluencetheincidenceorverityofan
helimitations,uofexogenoussurrogatesas
biomarkersismostlylimitedtomeasurementofthoeffectsthatare
predominantlyduetothechemicalofinterest(i.e.,toreducethenumber
ofpotentiallyconfoundingeffects,andtodecreauncertaintyassociated
withthemeasuredsurrogatebiomarker).
SeeexamplesinTable2
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BiomarkersofSusceptibility
Biomarkersofsusceptibilityarefactorsthatmaymakecertainindividualsmore
kersofsusceptibilityinclude:
geneticfactorsthatmayinfluencehowthebodyinteractswithachemical
otherbiologicalfactorsrelatedtonutritionalstatus,healthstatus,lifestyle,
andlifestagethatmayaffectanindividual’ssusceptibilitytochemical
exposure.
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Table1:ExamplesofBiomarkersofExposure
fromDifferentCategories
Exposure
Biomarker
Category
Biological
Matrix
ExampleAnalytesExternalstressor
ChemicalBreath
Styrene
(unmetabolized)
Styrene
ChemicalFeces
BisphenolA
(unmetabolized)
BisphenolA
ChemicalSerum/Urine8:28:2DiPap8:28:2DiPap
MetaboliteBloodStyreneOxideStyrene
MetaboliteUrine
BPA
monoglucuronide
BisphenolA
MetaboliteSerum/UrinePFOA
8:28:2DiPap,other
fluorinatedalkylacids
Endogenous
Surrogate
Urine/bloodTestosterone
BisphenolA,other
endocrineactive
compounds
Endogenous
Surrogate
Plasma
Butyrylcholinestera
inhibition
Toxicitydueto
acetylcholinestera
inhibition
Table2:ExamplesofBiomarkersofEffects
fromDifferentCategories
EffectBiomarker
Category
Biological
Matrix
ExampleAnalytes
AdverOutcome
/BiologicalProcess
Bioindicator
Redblood
cells
Acetylcholinestera
inhibition
Toxicitydueto
acetylcholinestera
inhibition
BioindicatorBloodMaternalT4/T3
Neurologicaldeficiency
inoffspring
Undetermined
Conquence
Blood/UrineMalondialdehydeOxidativestress
UndeterminedSerum/Urine8-OHdGOxidativestress
Conquence
Exogenous
Surrogate
BloodLeadNeurologicaldeficiency
Exogenous
Surrogate
Urine3-PBA
Toxicitydueto
modulationofneuronal
sodiumchannels
Exogenous
Surrogate
UrineParanitrophenol
Toxicitydueto
acetylcholinestera
inhibition
Abbreviations:
3-PBA:3-phenoxybenziocacid
8-OHdG:8-hydroxy-2'-deoxyguanosine
Acetylcholinestera:AChE
DiPap:Polyfluoroalkylphosphateester
PFOA:Perfluorooctanoicacid
T4:thyroxine(athyroidhormone)
1BiomarkersofeffectcorrespondtobiomarkersasdefinedbytheFDA:Biomarkers
DefinitionsWorkingGroup(2001).ClinicalPharmacologyandTherapeutics,69,p.
89–95.
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