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Cited by 424

The DOI matches its Crossref record; 10 of the 10 references it cites were found in a registry or an index.

Understanding the human health effects of chemical mixtures.

Open access
Carpenter, David O, Arcaro, Kathleen, Spink, David C·2002·Environmental Health Perspectives

Abstract

Most research on the effects of chemicals on biologic systems is conducted on one chemical at a time. However, in the real world people are exposed to mixtures, not single chemicals. Although various substances may have totally independent actions, in many cases two substances may act at the same site in ways that can be either additive or nonadditive. Many even more complex interactions may occur if two chemicals act at different but related targets. In the extreme case there may be synergistic effects, in which case the effects of two substances together are greater than the sum of either effect alone. In reality, most persons are exposed to many chemicals, not just one or two, and therefore the effects of a chemical mixture are extremely complex and may differ for each mixture depending on the chemical composition. This complexity is a major reason why mixtures have not been well studied. In this review we attempt to illustrate some of the principles and approaches that can be used to study effects of mixtures. By the nature of the state of the science, this discussion is more a presentation of what we do not know than of what we do know about mixtures. We approach the study of mixtures at three levels, using specific examples. First, we discuss several human diseases in relation to a variety of environmental agents believed to influence the development and progression of the disease. We present results of selected cellular and animal studies in which simple mixtures have been investigated. Finally, we discuss some of the effects of mixtures at a molecular level.

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Metadata

Authors
Carpenter, D. O., Arcaro, K., & Spink, D. C.
Venue
Environmental Health Perspectives
Published
2002-02
Volume
110
Issue
suppl 1
Pages
25-42
ISSN
  • 0091-6765 (ISSN-L)
  • 1552-9924
OpenAlex
W2052966509
Cited by
424
References
10
FWCI
7.86
Type
journal article
Language
en
Open access
gold

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CoChat. (2026). Citation check: Understanding the human health effects of chemical mixtures. https://app.cochat.ai/papers/10.1289/ehp.02110s125
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Carpenter, D. O., Arcaro, K., & Spink, D. C. (2002). Understanding the human health effects of chemical mixtures. Environmental Health Perspectives. https://doi.org/10.1289/ehp.02110s125

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