Preclinical in vivo Neurotoxicity Studies of Drug Candidates

N. Eremina, L. Kolik, R. Ostrovskaya, A. Durnev
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引用次数: 1

Abstract

Neurotoxic effects are one of the common reasons for discontinuation of preclinical and/or clinical studies. Preclinical evaluation of neurotoxic effects is complicated due to a wide range of manifestations and degrees of severity. Current experimental approaches to neurotoxicity assessment are cumbersome, laborious and not adapted enough for preclinical studies in the early stages of drug development. The aim of the study was to review existing approaches to experimental assessment of neurotoxic potential of new drugs and to discuss the need for and feasibility of developing and using integrated rapid neurotoxicity tests for early assessment of a pharmacological project’s potential. The authors reviewed scientific literature and guidance documents and analysed current approaches to chemical compound neurotoxicity assessment in laboratory animals. The paper analyses the main issues of neurotoxicity assessment for new drugs and compares Irwin tests with the functional observation battery. It analyses issues related to assessment of drugs’ effects on the development and maturation of central nervous system functions at pre- and postnatal stages. It was determined that the current practice is not sufficient for assessment of potential adverse effects on cognitive functions. The authors assessed factors affecting cognitive functions of rodents during studies. The “Acute suppression of the exploratory and orientation response” and “Extrapolation escape task” tests were proposed for validation as potential rapid tests for detection of an array of organic and functional neurotoxic disorders at early stages of preclinical studies.
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候选药物的临床前体内神经毒性研究
神经毒性作用是临床前和/或临床研究中断的常见原因之一。神经毒性的临床前评估是复杂的,由于广泛的表现和严重程度。目前神经毒性评估的实验方法繁琐、费力,而且不足以适应药物开发早期阶段的临床前研究。这项研究的目的是审查现有的对新药的神经毒性潜力进行实验评估的方法,并讨论开发和使用综合快速神经毒性测试来早期评估药理学项目潜力的必要性和可行性。作者回顾了科学文献和指导性文件,分析了目前实验室动物化学化合物神经毒性评价的方法。本文分析了新药神经毒性评价的主要问题,并将欧文试验与功能观察电池进行了比较。它分析了与药物对产前和产后中枢神经系统功能发育和成熟的影响评估有关的问题。人们认为,目前的做法不足以评估对认知功能的潜在不利影响。作者在研究中评估了影响啮齿动物认知功能的因素。“探索性和定向反应的急性抑制”和“外推逃避任务”测试被提议作为临床前研究早期阶段检测一系列器质性和功能性神经毒性疾病的潜在快速测试进行验证。
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