A biomonitoring framework to support exposure and risk assessments

BackgroundBiomonitoring is used in exposure and risk assessments to reduce uncertainties along the source-to-outcome continuum. Specifically, biomarkers can help identify exposure sources, routes, and distributions, and reflect kinetic and dynamic processes following exposure events. A variety of computational models now utilize biomarkers to better understand exposures at the population, individual, and sub-individual (target) levels. However, guidance is needed to clarify biomonitoring use given available measurements and models.ObjectiveThis article presents a biomonitoring research framework designed to improve biomarker use and interpretation in support of exposure and risk assessments.DiscussionThe biomonitoring research framework is based on a modified source-to-outcome continuum. Five tiers of biomonitoring analyses are included in the framework, beginning with simple cross-sectional and longitudinal analyses, and ending with complex analyses using various empirical and mechanistic models. Measurements and model requirements of each tier are given, as well as considerations to enhance analyses. Simple theoretical examples are also given to demonstrate applications of the framework for observational exposure studies.ConclusionThis biomonitoring framework can be used as a guide for interpreting existing biomarker data, designing new studies to answer specific exposure- and risk-based questions, and integrating knowledge across scientific disciplines to better address human health risks.

► We present a framework to improve biomarker use and interpretation. ► The framework utilizes a source-to-outcome continuum and tiered analytical approaches. ► Requirements, considerations, and examples are presented for each tiered approach. ► This framework can guide the analysis of existing data and the design of new studies.