Risk assessment of combined exposure to cadmium and arsenic in Isatidis Radix based on target-organ toxicity dose modification of HI method
Objective:To determine the contents of Cd and As in Isatidis Radix and to explore the application of target-organ toxicity dose(TTD)modification of hazard index(HI)method in assessing the risk of combined exposure to heavy metals and harmful elements in traditional Chinese medicines(TCMs).Methods:According to the monitoring data of Cd and As in Isatidis Radix,the exposure doses were calculated.The health risk caused by combined exposure to Cd and As was preliminary screened by HI method.Moreover,a more accurate TTD method was used.Results:The qualified rates of Cd in 29 batches of Isatidis Radix were 100%.However,5 batches of As contents exceeded the limit standard.The HQ values of As in 5 batches of Isatidis Radix were more than 1.The results of TTD method showed that for the end points of cardiovascular system,blood,nervous system,the HI values of 5 batches of Isatidis Radix were more than 1,and the health risk was not acceptable.Conclusion:The cumulative risk assessment of heavy metals in TCMs is proposed in this study,which offers novel ideas for the development of risk assessment methods of exogenous harmful residues in TCMs,and provides techni-cal support for formulating scientific limit standards.
target-organ toxicity dose(TTD)modification of HI methodcadmiumarsenicIsatidis Radixcombined exposurecumulative risk assessmenttraditional Chinese medicine