﻿<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD 2.3 20070202//EN" "journalpublishing.dtd">
<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" article-type="letter">
  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher-id">EXCLI J</journal-id>
      <journal-title>EXCLI Journal</journal-title>
      <issn pub-type="epub">1611-2156</issn>
      <publisher>
        <publisher-name>Leibniz Research Centre for Working Environment and Human Factors</publisher-name>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="publisher-id">2018-1581</article-id>
      <article-id pub-id-type="doi">10.17179/excli2018-1581</article-id>
      <article-id pub-id-type="pii">Doc800</article-id>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Letter to the editor</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Glyphosate toxicity and carcinogenicity</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <name>
            <surname>Kawada</surname>
            <given-names>Tomoyuki</given-names>
          </name>
          <xref ref-type="corresp" rid="COR1">&#x0002a;</xref>
          <xref ref-type="aff" rid="A1">1</xref>
        </contrib>
      </contrib-group>
      <aff id="A1">
        <label>1</label>Department of Hygiene and Public Health, Nippon Medical School</aff>
      <author-notes>
        <corresp id="COR1">*To whom correspondence should be addressed: Tomoyuki Kawada, Department of Hygiene and Public Health, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-Ku, Tokyo 113-8602, Japan; Phone number: +81-3-3822-2131, E-mail: <email>kawada@nms.ac.jp</email></corresp>
      </author-notes>
      <pub-date pub-type="epub">
        <day>16</day>
        <month>08</month>
        <year>2018</year>
      </pub-date>
      <pub-date pub-type="collection">
        <year>2018</year>
      </pub-date>
      <volume>17</volume>
      <fpage>800</fpage>
      <lpage>801</lpage>
      <history>
        <date date-type="received">
          <day>30</day>
          <month>07</month>
          <year>2018</year>
        </date>
        <date date-type="accepted">
          <day>08</day>
          <month>08</month>
          <year>2018</year>
        </date>
      </history>
      <permissions>
        <copyright-statement>Copyright &#xA9; 2018 Kawada</copyright-statement>
        <copyright-year>2018</copyright-year>
        <license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/4.0/">
          <p>This is an Open Access article distributed under the terms of the Creative Commons Attribution Licence (http://creativecommons.org/licenses/by/4.0/) You are free to copy, distribute and transmit the work, provided the original author and source are credited.</p>
        </license>
      </permissions>
      <self-uri xlink:href="http://www.excli.de/vol17/Kawada_16082018_proof.pdf">This article is available from http://www.excli.de/vol17/Kawada_16082018_proof.pdf</self-uri>
    </article-meta>
  </front>
  <body>
    <sec>
      <title>⁯⁯</title><p>Dear Editor,</p><p>Tarazona et al. (2017[<xref ref-type="bibr" rid="R5">5</xref>]) reviewed the association between glyphosate toxicity and carcinogenicity. They described that the levels of glyphosate exposure were under the reference values based on human bio-monitoring and food residues monitoring. In addition, the low incidence of specific cancer would lead to the lack of statistical power for the analysis. Andreotti et al. (2018[<xref ref-type="bibr" rid="R1">1</xref>]) reported that there was no significant association between glyphosate use and subsequent cancer incidence. The present letter discusses these associations.</p><p>First, protective equipment against glyphosate exposure would reduce the total amount of load, and the biological monitoring of glyphosate exposure is recommended for the risk assessment (Connolly et al., 2017[<xref ref-type="bibr" rid="R3">3</xref>]). Although the biological monitoring of glyphosate exposure would be difficult for large populations, the dose-response relationship between glyphosate exposure and cancer incidence should be evaluated quantitatively in human studies.</p><p>Second, Tarone (2018[<xref ref-type="bibr" rid="R6">6</xref>]) assessed glyphosate as a probable human carcinogen and mentioned that cancer prevention activities should be based on scientific assessment of carcinogenic agents. In combination with laboratory data on chemical toxicity, Chang and Delzell (2016[<xref ref-type="bibr" rid="R2">2</xref>]) conducted a meta-analysis of glyphosate exposure and the risk of leukemia, presenting a pooled relative risk (95 &#x25; confidence interval) of 1.0 (0.6-1.5). They included only three studies, and further epidemiological reports are needed for stable estimates.</p><p>Finally, Connolly et al. (2018[<xref ref-type="bibr" rid="R4">4</xref>]) presented a report on glyphosate exposure levels in adults without occupational exposure. Glyphosate was detectable in 20 &#x25; of the samples collected from Irish adults and the widespread use of glyphosate was suspected. The effect of chronic low-dose exposure to glyphosate on human health should also be evaluated.</p></sec>
    <sec>
      <title>Conflict of interest</title><p>The author declares no conflict of interest.</p></sec>
  </body>
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