Median lethal dose



In toxicology, the median lethal dose, LD50 (abbreviation for "lethal dose, 50%"), LC50 (lethal concentration, 50%) or LCt50 is a measure of the lethal dose of a toxin, radiation, or pathogen. The value of LD50 for a substance 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. A lower LD50 is indicative of increased toxicity.


The test was created by J.W. Trevan in 1927.[1] The term semilethal dose is occasionally used in the same sense, in particular with translations of foreign language text, but can also refer to a sublethal dose. 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 without animal tests.[2][3]




Contents





  • 1 Conventions


  • 2 Limitation


  • 3 Examples


  • 4 Animal rights concerns


  • 5 See also

    • 5.1 Other measures of toxicity


    • 5.2 Related measures



  • 6 References


  • 7 External links




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, sometimes also stated as nanograms (suitable for botulinum), micrograms, or grams (suitable for paracetamol) per kilogram. 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). For substances in the environment, such as poisonous vapors or substances in water that are toxic to fish, the concentration in the environment (per cubic metre or per litre) is used, giving a value of LC50. But in this case, the exposure time is important (see below).


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 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 cubic metre of air times the number of minutes of exposure (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 (cf. paracetamol toxicity), and vice versa. For example, chocolate, comparatively 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 have equal bearing upon every mammal species, such as humans, etc.



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.[citation needed]


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

>90,000 mg/kg
>90
[6]

Sucrose (table sugar)
rat, oral

29,700 mg/kg
29.7
[7]

Glucose (blood sugar)
rat, oral

25,800 mg/kg
25.8
[8]

Monosodium glutamate (MSG)
rat, oral

16,600 mg/kg
16.6
[9]

Stevioside (from stevia)
mice and rats, oral

>15,000 mg/kg
>15
[10]

Vitamin C (ascorbic acid)
rat, oral

11,900 mg/kg
11.9
[11]

Glyphosate (isopropylamine salt of)
rat, oral

10,537 mg/kg
10.537
[12]

Lactose (milk sugar)
rat, oral

>10,000 mg/kg
>10
[13]

Aspartame
mice, oral

>10,000 mg/kg
>10
[14]

Urea
rat, oral

8,471 mg/kg
8.471
[15]

Cyanuric acid
rat, oral

7,700 mg/kg
7.7
[16]

Cadmium sulfide
rat, oral

7,080 mg/kg
7.08
[17]

Ethanol (Grain alcohol)
rat, oral

7,060 mg/kg
7.06
[18]
Sodium isopropyl methylphosphonic acid (IMPA, metabolite of sarin)
rat, oral

6,860 mg/kg
6.86
[19]

Melamine
rat, oral

6,000 mg/kg
6
[16]

Methanol
rat, oral

5,628 mg/kg
5.628
[20]

Taurine
rat, oral

>5,000 mg/kg
>5
[21]

Melamine cyanurate
rat, oral

4,100 mg/kg
4.1
[16]

Fructose (fruit sugar)
rat, oral
4,000 mg/kg
4
[22]

Sodium molybdate
rat, oral
4,000 mg/kg
4
[23]

Sodium chloride (table salt)
rat, oral
3,000 mg/kg
3
[24]

Paracetamol (acetaminophen)
mouse, oral
338 mg/kg
0.338
[25]

Delta-9-tetrahydrocannabinol (THC)
rat, oral
1270 mg/kg
1.27
[26]

Cannabidiol (CBD)
rat, oral
980 mg/kg
0.98
[27]
Metallic Arsenic
rat, oral
763 mg/kg
0.763
[28]

Ibuprofen
rat, oral
636 mg/kg
0.636
[29]

Formaldehyde
rat, oral
600–800 mg/kg
0.6
[30]

Solanine main alkaloid in the several plants in Solanaceae amongst them Solanum tuberosum
rat, oral (2.8 mg/kg human, oral)

590 mg/kg
0.590
[31]

Alkyl dimethyl benzalkonium chloride (ADBAC)
rat, oral
fish, immersion
aquatic invertebrates, immersion
304.5 mg/kg
0.28 mg/L
0.059 mg/L
0.3045
0.00028
0.000059
[32]

Coumarin (benzopyrone, from Cinnamomum aromaticum and other plants)
rat, oral
293 mg/kg
0.293
[33]

Psilocybin (from magic mushrooms)
mouse, oral
280 mg/kg
0.280
[34]

Hydrochloric acid
rat, oral
238–277 mg/kg
0.238
[35]

Ketamine
rat, intraperitoneal
229 mg/kg
0.229
[36]

Aspirin (acetylsalicylic acid)
rat, oral
200 mg/kg
0.2
[37]

Caffeine
rat, oral
192 mg/kg
0.192
[38]

Arsenic trisulfide
rat, oral
185–6,400 mg/kg
0.185–6.4
[39]

Sodium nitrite
rat, oral
180 mg/kg
0.18
[40]

Methylenedioxymethamphetamine (MDMA, ecstasy)
rat, oral
160 mg/kg
0.18
[41]

Uranyl acetate dihydrate
mouse, oral
136 mg/kg
0.136
[42]

Dichlorodiphenyltrichloroethane (DDT)
mouse, oral
135 mg/kg
0.135
[43]

Uranium
mice, oral

114 mg/kg (estimated)
0.114
[44]

Bisoprolol
mouse, oral
100 mg/kg
0.1
[45]

Cocaine
mouse, oral
96 mg/kg
0.096
[46]

Cobalt(II) chloride
rat, oral
80 mg/kg
0.08
[47]

Cadmium oxide
rat, oral
72 mg/kg
0.072
[48]

Thiopental sodium (used in lethal injection)
rat, oral
64 mg/kg
0.064
[49]

Methamphetamine
rat, intraperitoneal
57 mg/kg
0.057
[50]

Sodium fluoride
rat, oral
52 mg/kg
0.052
[51]

Pentaborane
human, oral
<50 mg/kg
<0.05
[52]

Capsaicin
mouse, oral
47.2 mg/kg
0.0472
[53]

Mercury(II) chloride
rat, dermal
41 mg/kg
0.041
[54]

Vitamin D3 (cholecalciferol)
rat, oral
37 mg/kg
0.037
[55]

Piperidine (from black pepper)
rat, oral
30 mg/kg
0.030
[56]

Heroin (diamorphine)
mouse, intravenous
21.8 mg/kg
0.0218
[57]

Lysergic acid diethylamide (LSD)
rat, intravenous
16.5 mg/kg
0.0165
[58]

Arsenic trioxide
rat, oral
14 mg/kg
0.014
[59]
Metallic Arsenic
rat, intraperitoneal
13 mg/kg
0.013
[60]

Nicotine
human, oral

mice, oral


6.5–13 mg/kg (estimated)

3.34 mg/kg


0.0065–0.013

0.0034



[61]

[62]



Sodium cyanide
rat, oral
6.4 mg/kg
0.0064
[63]

Hydrogen cyanide
mouse, oral
3.7 mg/kg
0.0037
[64]

Chlorotoxin (CTX, from scorpions)
mice
4.3 mg/kg
0.0043
[65]

Carfentanil
rat, intravenous
3.39 mg/kg
0.00339
[66]

White phosphorus
rat, oral
3.03 mg/kg
0.00303
[67]

Strychnine
human, oral
1–2 mg/kg (estimated)
0.001–0.002
[68]

Cantharidin (from blister beetles)
human, oral
500 µg/kg
0.0005


Aflatoxin B1 (from Aspergillus flavus mold)
rat, oral
480 µg/kg
0.00048
[69]

Plutonium
dog, intravenous
320 µg/kg
0.00032
[70]

Amatoxin (from Amanita phalloides mushrooms)
rat
300-700 µg/kg
0.0007
[71]

Tetrodotoxin (TTX, from blue-ringed octopus)
mice, oral
334 µg/kg
0.000334
[72]

Fentanyl
monkey
300 µg/kg
0.0003
[73]

Bufotoxin (from Bufo toads)
cat, intravenous

300 µg/kg
0.0003
[74]

Sarin
mouse, subcutaneous injection

172 µg/kg
0.000172
[75]

Robustoxin (from Sydney funnel-web spider)
mice

150 µg/kg
0.000150
[76]

VX
human, oral, inhalation, absorption through skin/eyes

140 µg/kg (estimated)
0.00014
[77]
Venom of the Brazilian wandering spider
rat, subcutaneous

134 µg/kg
0.000134
[78]

Aconitine main alkaloid in Aconitum napellus and related species
rat, intraveneous

80 µg/kg
0.000080
[79]
Venom of the Inland Taipan (Australian snake)
rat, subcutaneous

25 µg/kg
0.000025
[80]

Ricin (from castor oil plant)
rat, intraperitoneal
rat, oral

22 μg/kg
20–30 mg/kg
0.000022
0.02
[81]

2,3,7,8-Tetrachlorodibenzodioxin (TCDD, in Agent Orange)
rat, oral

20 µg/kg
0.00002

CrTX-A (from box jellyfish venom)
crayfish, intraperitoneal

5 µg/kg
0.000005
[82]

Latrotoxin (from widow spider venom)
mice

4.3 µg/kg
0.0000043
[83]

Batrachotoxin (from poison dart frog)
human, sub-cutaneous injection

2–7 µg/kg (estimated)
0.000002
[84]

Abrin (from rosary pea)
mice, intravenously

human, inhalation


human, oral


0.7 µg/kg

3.3 µg/kg


10–1000 µg/kg


0.0000007

0.0000033


0.00001–0.001




Maitotoxin (from ciguateric fish)
mouse, intraperitoneal
130 ng/kg
0.00000013
[85]

Polonium-210
human, inhalation

10 ng/kg (estimated)
0.00000001
[86]

Diphtheria toxin
mice

10 ng/kg
0.00000001
[87]

Shiga toxin (from dysentery)
mice

2 ng/kg
0.000000002
[87]

Tetanospasmin (tetanus toxin)
mice

2 ng/kg
0.000000002
[87]

Botulinum toxin (Botox)
human, oral, injection, inhalation

1 ng/kg (estimated)
0.000000001
[88]

Ionizing radiation
human, irradiation
5 Gy

[89]


Animal rights concerns


Animal-rights and animal-welfare groups, such as Animal Rights International,[90] have campaigned against LD50 testing on animals. Several countries, including the UK, have taken steps to ban the oral LD50, and the Organisation 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


  • Animal testing

  • Reed-Muench method


  • The dose makes the poison (Latin: sola dosis facit venenum), the toxicology adage that high quantities of any substance is lethal, such as water.


Other measures of toxicity



  • IDLH

  • Certain safety factor

  • Therapeutic index

  • Protective index


  • Fixed Dose Procedure to estimate LD50


  • Median toxic dose (TD50)

  • Lowest published toxic concentration (TCLo)


  • Lowest published lethal dose (LDLo)


  • EC50 (half maximal effective concentration)


  • IC50 (half maximal inhibitory concentration)

  • Draize test

  • Indicative limit value


  • No-observed-adverse-effect level (NOAEL)


  • Lowest-observed-adverse-effect level (LOAEL)

  • Up-and-down procedure



Related measures



  • TCID50 Tissue Culture Infective Dosage

  • EID50 Egg Infective Dosage

  • ELD50 Egg Lethal Dosage


  • Plaque forming units (pfu)


References




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External links


  • Canadian Centre for Occupational Health and Safety


  • Lipnick RL, Cotruvo JA, Hill RN, Bruce RD, Stitzel KA, Walker AP, Chu I, Goddard M, Segal L, Springer JA (March 1995). "Comparison of the up-and-down, conventional LD50, and fixed-dose acute toxicity procedures". Food and Chemical Toxicology. 33 (3): 223–31. doi:10.1016/0278-6915(94)00136-C. PMID 7896233.








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