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 accessAbstract
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.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
Copper, iron and zinc in Alzheimer's disease senile plaques
Lovell, M. A., Robertson, J. D., Teesdale, W. J., Campbell, J. L., & Markesbery, W. R. (1998) · Journal of the Neurological Sciences · doi:10.1016/s0022-510x(98)00092-6 · Cited by 2,120
Role of Quinones in Toxicology
Bolton, J. L., Trush, M. A., Penning, T. M., Dryhurst, G., & Monks, T. J. (2000) · Chemical Research in Toxicology · doi:10.1021/tx9902082 · Cited by 1,703
Preferential Formation of Benzo[ a ]pyrene Adducts at Lung Cancer Mutational Hotspots in P53
Denissenko, M. F., Pao, A., Tang, M.-S., & Pfeifer, G. P. (1996) · Science · doi:10.1126/science.274.5286.430 · Cited by 1,650
Intellectual impairment in children exposed to polychlorinated biphenyls in utero
Jacobson, J. L., & Jacobson, S. W. (1996) · New England Journal of Medicine · doi:10.1056/nejm199609123351104 · Cited by 1,132
Maltepe, E., Schmidt, J. V., Baunoch, D., Bradfield, C. A., & Simon, M. C. (1997) · Nature · doi:10.1038/386403a0 · Cited by 781
Salonen, J. T., Seppänen, K., Nyyssönen, K., Korpela, H., Kauhanen, J., Kantola, M., Tuomilehto, J., Esterbauer, H., Tatzber, F., & Salonen, R. (1995) · Circulation · doi:10.1161/01.cir.91.3.645 · Cited by 578
Gradin, K., McGuire, J., Wenger, R. H., Kvietikova, I., Whitelaw, M. L., Toftgård, R., Tora, L., Gassmann, M., & Poellinger, L. (1996) · Molecular and Cellular Biology · doi:10.1128/mcb.16.10.5221 · Cited by 470
Indirubin and Indigo Are Potent Aryl Hydrocarbon Receptor Ligands Present in Human Urine
Adachi, J., Mori, Y., Matsui, S., Takigami, H., Fujino, J., Kitagawa, H., Miller, C. A., Kato, T., Saeki, K., & Matsuda, T. (2001) · Journal of Biological Chemistry · doi:10.1074/jbc.c100238200 · Cited by 407
Male Reproductive Health and Environmental Xenoestrogens
Toppari, J., Larsen, J. C., Christiansen, P., Giwercman, A., Grandjean, P., Guillette, L. J., Jegou, B., Jensen, T. K., Jouannet, P., Keiding, N., et al. (1996) · Environmental Health Perspectives · doi:10.2307/3432709 · Cited by 348
Stepping Backward to Improve Assessment of PCB Congener Toxicities
Hansen, L. G. (1998) · Environmental Health Perspectives · doi:10.2307/3433919 · Cited by 336
Cited by
Biotechnology—a sustainable alternative for chemical industry
Gavrilescu, M., & Chisti, Y. (2005) · Biotechnology Advances · doi:10.1016/j.biotechadv.2005.03.004 · Cited by 713
Environmental Side Effects of Pharmaceutical Cocktails: What We Know and What We Should Know
Vasquez, M. I., Lambrianides, A., Schneider, M., Kümmerer, K., & Fatta-Kassinos, D. (2014) · Journal of Hazardous Materials · doi:10.1016/j.jhazmat.2014.06.069 · Cited by 295
Silicone Wristbands as Personal Passive Samplers
O’Connell, S. G., Kincl, L. D., & Anderson, K. A. (2014) · Environmental Science & Technology · doi:10.1021/es405022f · Cited by 276
Amegah, A. K., Quansah, R., & Jaakkola, J. J. K. (2014) · PLoS ONE · doi:10.1371/journal.pone.0113920 · Cited by 262
Arsenic–selenium and mercury–selenium bonds in biology
GAILER, J. (2007) · Coordination Chemistry Reviews · doi:10.1016/j.ccr.2006.07.018 · Cited by 180
Metadata
- Authors
- Carpenter, D. O., Arcaro, K., & Spink, D. C.
- Venue
- Environmental Health Perspectives
- Publisher
- American Chemical Society (ACS)
- 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
How to cite
Cite CoChat for the checks on this page, and the paper for its own findings.
- This page
- CoChat. (2026). Citation check: Understanding the human health effects of chemical mixtures. https://app.cochat.ai/papers/10.1289/ehp.02110s125
- The paper
- 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
Data sources
Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.