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Median lethal dose

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Median lethal dose

In toxicology, the median lethal dose, LD50 (abbreviation for “lethal dose, 50%”), LC50 (lethal concentration, 50%) or LCt50 (lethal concentration & time) of a toxin, radiation, or pathogen is the dose required to kill half the members of a tested population after a specified test duration. LD50 figures are frequently used as a general indicator of a substance's acute toxicity. The test was created by J.W. Trevan in 1927.[1] The term semilethal dose is occasionally used with the same meaning, in particular in translations from non-English-language texts, but can also refer to a sublethal dose; because of this ambiguity, it is usually avoided. LD50 is usually determined by tests on animals such as laboratory mice. In 2011 the U.S. Food and Drug Administration approved alternative methods to LD50 for testing the cosmetic drug BOTOX.[2][3]

Conventions

The LD50 is usually expressed as the mass of substance administered per unit mass of test subject, typically as milligrams of substance per kilogram of body mass, but stated as nanograms (suitable for botulinum), micrograms, milligrams, or grams (suitable for paracetamol) per kilogram as toxicity decreases. Stating it this way allows the relative toxicity of different substances to be compared, and normalizes for the variation in the size of the animals exposed (although toxicity does not always scale simply with body mass).

The choice of 50% lethality as a benchmark avoids the potential for ambiguity of making measurements in the extremes and reduces the amount of testing required. However, this also means that LD50 is not the lethal dose for all subjects; some may be killed by much less, while others survive doses far higher than the LD50. Measures such as "LD1" and "LD99" (dosage required to kill 1% or 99%, respectively, of the test population) are occasionally used for specific purposes.[4]

Lethal dosage often varies depending on the method of administration; for instance, many substances are less toxic when administered orally than when intravenously administered. For this reason, LD50 figures are often qualified with the mode of administration, e.g., "LD50 i.v."

The related quantities LD50/30 or an LD50/60 are used to refer to a dose that without treatment will be lethal to 50% of the population within (respectively) 30 or 60 days. These measures are used more commonly within Radiation Health Physics, as survival beyond 60 days usually results in recovery.

A comparable measurement is LCt50, which relates to lethal dosage from exposure, where C is concentration and t is time. It is often expressed in terms of mg-min/m³. ICt50 is the dose that will cause incapacitation rather than death. These measures are commonly used to indicate the comparative efficacy of chemical warfare agents, and dosages are typically qualified by rates of breathing (e.g., resting = 10 l/min) for inhalation, or degree of clothing for skin penetration. The concept of Ct was first proposed by Fritz Haber and is sometimes referred to as Haber's Law, which assumes that exposure to 1 minute of 100 mg/m³ is equivalent to 10 minutes of 10 mg/m³ (1 × 100 = 100, as does 10 × 10 = 100).

Some chemicals, such as hydrogen cyanide, are rapidly detoxified by the human body, and do not follow Haber's Law. So, in these cases, the lethal concentration may be given simply as LC50 and qualified by a duration of exposure (e.g., 10 minutes). The Material Safety Data Sheets for toxic substances frequently use this form of the term even if the substance does follow Haber's Law.

For disease-causing organisms, there is also a measure known as the median infective dose and dosage. The median infective dose (ID50) is the number of organisms received by a person or test animal qualified by the route of administration (e.g., 1,200 org/man per oral). Because of the difficulties in counting actual organisms in a dose, infective doses may be expressed in terms of biological assay, such as the number of LD50's to some test animal. In biological warfare infective dosage is the number of infective doses per minute for a cubic meter (e.g., ICt50 is 100 medium doses - min/m³).

Limitation

As a measure of toxicity, LD50 is somewhat unreliable and results may vary greatly between testing facilities due to factors such as the genetic characteristics of the sample population, animal species tested, environmental factors and mode of administration.[5]

There can be wide variability between species as well; what is relatively safe for rats may very well be extremely toxic for humans, and vice versa. For example, chocolate, harmless to humans, is known to be toxic to many animals. When used to test venom from venomous creatures, such as snakes, LD50 results may be misleading due to the physiological differences between mice, rats, and humans. Many venomous snakes are specialized predators on mice, and their venom may be adapted specifically to incapacitate mice; and mongooses may be exceptionally resistant. While most mammals have a very similar physiology, LD50 results may or may not be directly relevant to humans.

A low LD50 in animals is always a cause for concern for humans, but a high animal value does not guarantee that a substance is similarly harmful to humans.

Examples

NOTE: Comparing substances (especially drugs) to each other by LD50 can be misleading in many cases due (in part) to differences in effective dose (ED50). Therefore, it is more useful to compare such substances by therapeutic index, which is simply the ratio of LD50 to ED50.

The following examples are listed in reference to LD50 values, in descending order, and accompanied by LC50 values, {bracketed}, when appropriate.

Substance Animal, Route LD50
{LC50}
LD50 : g/kg
{LC50 : g/L}
standardized
Reference
Water rat, oral >700490000000000000090,000 mg/kg >90 [6]
Sucrose (table sugar) rat, oral 700429700000000000029,700 mg/kg 29.7 [7]
Monosodium glutamate (MSG) rat, oral 700416600000000000016,600 mg/kg 16.6 [8]
Vitamin C (ascorbic acid) rat, oral 700411900000000000011,900 mg/kg 11.9 [9]
Cyanuric acid rat, oral 70037700000000000007,700 mg/kg 7.7 [10]
cadmium sulfide rat, oral 70037080000000000007,080 mg/kg 7.08 [11]
Grain alcohol (ethanol) rat, oral 70037060000000000007,060 mg/kg 7.06 [12]
Melamine rat, oral 70036000000000000006,000 mg/kg 6 [10]
Melamine cyanurate rat, oral 70034100000000000004,100 mg/kg 4.1 [10]
Sodium molybdate rat, oral 4,000 mg/kg 4 [13]
Table Salt rat, oral 3,000 mg/kg 3 [14]
Paracetamol (acetaminophen) rat, oral 1,944 mg/kg 1.944 [15]
Delta-9-tetrahydrocannabinol (THC) rat, oral 1,270 mg/kg 1.270 [16]
Metallic Arsenic rat, oral 763 mg/kg 0.763 [17]
Alkyl dimethyl benzalkonium chloride (ADBAC) rat, oral
fish, immersion
aq. invertebrates, imm.
304.5 mg/kg
{0.28 mg/L}
{0.059 mg/L}
0.3045
{0.00028}
{0.000059}
[18]
Coumarin (benzopyrone, from Cinnamomum aromaticum and other plants) rat, oral 293 mg/kg 0.293 [19]
Aspirin (acetylsalicylic acid) rat, oral 200 mg/kg 0.2 [20]
Caffeine rat, oral 192 mg/kg 0.192 [21]
Arsenic trisulfide rat, oral 185–6,400 mg/kg 0.185 [22]
Sodium nitrite rat, oral 180 mg/kg 0.18 [23]
Bisoprolol mouse, oral 100 mg/kg 0.1 [24]
Cobalt(II) chloride rat, oral 80 mg/kg 0.08 [25]
Cadmium oxide rat, oral 72 mg/kg 0.072 [26]
Sodium fluoride rat, oral 52 mg/kg 0.052 [27]
Nicotine rat, oral
mice, oral
50 mg/kg
3.3 mg/kg
0.05
0.0033
[28]
[29]
Pentaborane human, oral <50 mg/kg <0.05 [30]
Capsaicin mouse, oral 47.2 mg/kg 0.0472 [31]
Mercury(II) chloride rat, dermal 41 mg/kg 0.041 [32]
Lysergic acid diethylamide (LSD) rat, intravenous 16.5 mg/kg 0.0165 [33]
Arsenic trioxide rat, oral 14 mg/kg 0.014 [34]
Metallic Arsenic rat, intraperitoneal 13 mg/kg 0.013 [35]
Sodium cyanide rat, oral 6.4 mg/kg 0.0064 [36]
White phosphorus rat, oral 3.03 mg/kg 0.00303 [37]
Strychnine human, oral 1–2 mg/kg(estimated) 0.001 [38]
Cantharidin human, oral 0.5 mg/kg 0.0005
Aflatoxin B1 (from Aspergillus flavus) rat, oral 0.48 mg/kg 0.00048 [39]
Venom of the Inland Taipan (Australian snake) rat, subcutaneous 699825000000000000025 µg/kg 0.000025 [40]
Ricin rat, intraperitoneal
rat, oral
699822000000000000022 μg/kg
20–30 mg/kg
0.000022
0.02
[41]
Dioxin (TCDD) rat, oral 699820000000000000020 µg/kg 0.00002 [42]
Sarin mouse, subcutaneous injection 699817230999990000017.23 µg/kg (estimated) 0.0000172 [43]
VX human, oral, inhalation, absorption through skin/eyes 69972300000000000002.3 µg/kg (estimated) 0.0000023 [44]
Batrachotoxin (from poison dart frog) human, sub-cutaneous injection 69972000000000000002-7 µg/kg (estimated) 0.000002 [45]
Venom of Hydrophis belcheri (Belcher's Sea Snake) mouse, intraperitoneal 69962500000000000000.25 µg/kg 0.00000025 [46]
Maitotoxin mouse, intraperitoneal 69961299900000999990.13 µg/kg 0.00000013 [47]
Polonium-210 human, inhalation 699510000000000000010 ng/kg (estimated) 0.00000001 [48]
Botulinum toxin (Botox) human, oral, injection, inhalation 69941000000000000001 ng/kg (estimated) 0.000000001 [49]
Ionizing radiation human, irradiation 3-6 Gy

Animal rights concerns

Animal-rights and animal-welfare groups, such as Animal Rights International,[50] have campaigned against LD50 testing on animals in particular as, in the case of some substances, causing the animals to die slow, painful deaths. Several countries, including the UK, have taken steps to ban the oral LD50, and the Organization for Economic Co-operation and Development (OECD) abolished the requirement for the oral test in 2001 (see Test Guideline 401, Trends in Pharmacological Sciences Vol 22, February 22, 2001).

See also

Other measures of toxicity

Related measures

  • TCID50 Tissue Culture Infective Dosage
  • EID50 Egg Infective Dosage
  • ELD50 Egg Lethal Dosage
  • Plaque forming units (pfu)

References

  1. ^ What is an LD50 and LC50
  2. ^ "Allergan Receives FDA Approval for First-of-Its-Kind, Fully in vitro, Cell-Based Assay for BOTOX® and BOTOX® Cosmetic (onabotulinumtoxinA)". Allergan Web site. Page last updated 24 June 2011. Retrieved 2012-08-15.
  3. ^ "In U.S., Few Alternatives To Testing On Animals". Washington Post. Page last updated 12 April 2008. Retrieved 2011-06-26.
  4. ^ REGISTRY OF TOXIC EFFECTS OF CHEMICAL SUBSTANCES (RTECS)
    COMPREHENSIVE GUIDE TO THE RTECS
  5. ^ Ernest Hodgson - A Textbook of Modern Toxicology; Wiley-Interscience 2004 (3rd Edition)
  6. ^ [1] - see to Section 11: Toxicological Information for the LD50 verification
  7. ^ Safety (MSDS) data for sucrose
  8. ^ Walker R, Lupien JR (April 2000). "The safety evaluation of monosodium glutamate". Journal of Nutrition 130 (4S Suppl): 1049S–52S. PMID 10736380.
  9. ^ "Safety (MSDS) data for ascorbic acid". Oxford University. 2005-10-09. Retrieved 2007-02-21.
  10. ^ a b c A.A. Babayan, A.V.Aleksandryan, "Toxicological characteristics of melamine cyanurate, melamine and cyanuric acid", Zhurnal Eksperimental'noi i Klinicheskoi Meditsiny, Vol.25, 345-9 (1985). Original article in Russian.
  11. ^ Advanced Search - Alfa Aesar - A Johnson Matthey Company. Alfa.com. Retrieved on 2013-07-17.
  12. ^ Safety (MSDS) data for ethyl alcohol
  13. ^ Safety (MSDS) data for sodium molybdate
  14. ^ Safety (MSDS) data for sodium chloride
  15. ^ Safety (MSDS) data for 4-acetamidophenol
  16. ^ LD50 values of THC in fischer rats
  17. ^ [2]
  18. ^ Frank T. Sanders, ed. (August 2006). Reregistration Eligibility Decision for Alkyl Dimethyl Benzyl Ammonium Chloride (ADBAC) (Report). U.S. Environmental Protection Agency Office of Prevention, Pesticides, and Toxic Substances. pp. 114. Retrieved 2009-03-31.
  19. ^ Coumarin Material Safety Data Sheet (MSDS)
  20. ^ Safety (MSDS) data for acetylsalicylic acid
  21. ^ Safety (MSDS) data for caffeine
  22. ^ [3]
  23. ^ Safety (MSDS) data for sodium nitrite
  24. ^ DrugBank data for bisoprolol
  25. ^ Safety (MSDS) data for cobalt (II) chloride
  26. ^ Safety (MSDS) data for cadmium oxide
  27. ^ Sodium Fluoride MSDS
  28. ^ Safety (MSDS) data for nicotine
  29. ^ IPCS INCHEM
  30. ^ Pentaborane chemical and safety data
  31. ^ "Capsaicin Material Safety Data Sheet" (PDF). sciencelab.com. 2007. Retrieved 2007-07-13.
  32. ^
  33. ^ Erowid LSD (Acid) Vault : Fatalities / Deaths. Erowid.org. Retrieved on 2013-07-17.
  34. ^ Safety (MSDS) data for arsenic trioxide
  35. ^ Safety (MSDS) data for metallic arsenic
  36. ^ Safety (MSDS) data for sodium cyanide
  37. ^
  38. ^ INCHEM: Chemical Safety Information from Intergovernmental Organizations:Strychnine.
  39. ^ Safety (MSDS) data for aflatoxin B1
  40. ^ LD50 for various snakes. Seanthomas.net. Retrieved on 2013-07-17.
  41. ^ EFSA - Scientific Opinion of the CONTAM Panel: Ricin (from Ricinus communis) as undesirable substances in animal feed [1] - Scientific Opinion of the Panel on Contaminants in the Food Chain. Efsa.europa.eu. Retrieved on 2013-07-17.
  42. ^ U.S. National Toxicology Program acute toxicity studies for Dioxin (2,3,7,8-TCDD)
  43. ^ Histochemical Demonstration of Calcium Accumulation in Muscle Fibres after Experimental Organophosphate Poisoning. Het.sagepub.com (1990-07-01). Retrieved on 2013-07-17.
  44. ^ Toxicity of the Organophosphate Chemical Warfare Agents GA, GB, and VX: Implications for Public Protection
  45. ^ Brief Review of Natural Nonprotein Neurotoxins
  46. ^ The Deadliest Snakes in the World | The Steve Irwin Mosaic Tribute Project. Crikeymatemosaic.wordpress.com (2006-10-17). Retrieved on 2013-07-17.
  47. ^ Yokoyama, Akihiro; Murata, Michio; Oshima, Yasukatsu; Iwashita, Takashi; Yasumoto, Takeshi (1988). "Some Chemical Properties of Maitotoxin, a Putative Calcium Channel Agonist Isolated from a MarineDinoflagellate". J. Biochem. 104 (2): 184–187. PMID 3182760.
  48. ^ Topic 2 Toxic Chemicals and Toxic Effects
  49. ^ Fleming, Diane O.; Hunt, Debra Long (2000). Biological Safety: principles and practices. Washington, DC: ASM Press. p. 267. ISBN 1-55581-180-9.
  50. ^ Thirty-Two Years of Measurable Change

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