Skip to main content
. 2015 May 22;123(12):1241–1254. doi: 10.1289/ehp.1409385

Table 2.

Summary of unified probabilistic framework.

Step and goal New input(s) for each step Output(s) for each step
1. Critical ED in animal. Estimate the uncertainty distribution for ADM*, the animal dose associated with the critical effect size M*.
  • Animal dose–response data

  • Toxicologically equivalent effect metric (M)

  • Critical effect size (M*)

  • Appropriate BMD analysis

ADM* = uncertainty distribution for BMD based on analysis of animal dose–response data.
2. Equipotent dose in median human. Infer the uncertainty distribution for HDM* = HD(0.5≥M*), the human dose at which 50% of the human population has effects greater than or equal to the critical effect size M*.
  • ADM* from step 1

  • DAF, distribution for the dosimetric adjustment factor due to differences in body size between animal and human

  • AHU, distribution for the “animal-to-human uncertainties” due to unknown chemical- and/or species-specific toxicokinetic or toxicodynamic differences

  • OU, the distributions for “other uncertainties” due to study- and/or endpoint-specific conditions that differ from the target conditions

HDM* = ADM* × DAF/ (AHU × OU) = uncertainty distribution derived by multiplying ADM* by uncertain factors.
3. Equipotent dose in sensitive human (for an exposure limit). Infer HDM*I* = HD(I*M*), the dose at which a target incidence I*M* yields effects of size ≥ M*. Select a particular value HD* from the uncertainty distribution based on level of confidence.
  • HD(0.5≥M*) from step 2, serving as the uncertainty distribution for the median of the human variability distribution

  • A log-normal human variability distribution, and a separate uncertainty distribution for its variance σH2a

  • A target incidence I*, from which a human variability factor HVI* for the ratio between the “sensitive” and median individual is calculated [= exp(zI* σH) for a log-normal distribution, where zI is the normal z-score for the I* quantile]

HDM*I* = HDM* × HVI* = uncertainty distribution for the I* percentile of a human variability distribution with median equal to HDM* and standard deviation on log scale of σH.
aWe use a log-normal distribution for the uncertainty in the variance, but other distributions could in principle be used.