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Synergistic toxicity in alcohol-associated liver disease and PFAS exposure. 酒精相关肝病和PFAS暴露的协同毒性
IF 4.1 3区 医学 Q2 TOXICOLOGY Pub Date : 2025-11-01 DOI: 10.1093/toxsci/kfaf110
Arthur D Stem, Ricardo Scheufen Tieghi, Vaia Lida Chatzi, Nicole Kleinstreuer, Damaskini Valvi, David C Thompson, Vasilis Vasiliou

Alcohol-associated liver disease (ALD) remains a leading contributor to global morbidity and mortality. Chronic ethanol intake drives hepatocellular damage through multiple mechanisms, such as acetaldehyde-induced cytotoxicity, dysregulated lipid metabolism, oxidative stress, and inflammation. Per- and polyfluoroalkyl substances (PFAS) have emerged as major environmental contaminants, characterized by their persistence, bioaccumulation, and capacity to disrupt hepatic function. PFAS share pathogenic pathways with ALD, including interference with mitochondrial function, oxidative stress induction, and steatosis promotion via altered lipid homeostasis. As exposure to PFAS becomes increasingly widespread and the burden of ALD continues to rise, understanding their potential synergistic impact on liver function is crucial. This review synthesizes current findings on the central mechanisms of ALD pathology, summarizes the hepatotoxic effects of PFAS, and explores their converging roles in exacerbating liver injury. Key pathways of interest include shared disruption of fatty acid oxidation, additive oxidative stress, and immunomodulation. The potential for concurrent exposure in high-risk populations (such as occupational groups with elevated PFAS exposure and higher-than-average alcohol use) warrants concern, particularly given that these people often face more limited healthcare access. By identifying mechanistic convergences, this review underscores the need for targeted studies that address how common co-exposures to PFAS and alcohol may intensify liver pathology, the value of a systems biology approach for future investigations, and the importance of implementing strategies to mitigate these synergistic hazards.

酒精相关性肝病(ALD)仍然是全球发病率和死亡率的主要原因。慢性乙醇摄入通过多种机制驱动肝细胞损伤,如乙醛诱导的细胞毒性、脂质代谢失调、氧化应激和炎症。全氟和多氟烷基物质(PFAS)已成为主要的环境污染物,其特点是其持久性、生物蓄积性和破坏肝功能的能力。PFAS与ALD有共同的致病途径,包括干扰线粒体功能、氧化应激诱导和通过改变脂质稳态促进脂肪变性。随着PFAS暴露越来越普遍,ALD负担持续增加,了解它们对肝功能的潜在协同影响至关重要。本文综述了目前关于ALD病理中心机制的研究成果,总结了PFAS的肝毒性作用,并探讨了它们在加剧肝损伤中的作用。感兴趣的关键途径包括脂肪酸氧化的共同破坏,添加剂氧化应激和免疫调节。高风险人群(如PFAS暴露量高且酒精使用量高于平均水平的职业群体)同时暴露的可能性值得关注,特别是考虑到这些人往往面临更有限的医疗保健机会。通过确定机制趋同,本综述强调需要进行有针对性的研究,以解决常见的PFAS和酒精共同暴露如何加剧肝脏病理,系统生物学方法在未来调查中的价值,以及实施减轻这些协同危害的策略的重要性。
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引用次数: 0
Context-dependent contribution of peptidyl arginine deiminase 4 (PAD4) to neutrophil extracellular trap formation and liver injury in acute and chronic hepatotoxicant challenge. 肽基精氨酸脱亚胺酶4 (PAD4)在急性和慢性肝毒性攻击中对中性粒细胞胞外陷阱形成和肝损伤的环境依赖性贡献
IF 4.1 3区 医学 Q2 TOXICOLOGY Pub Date : 2025-11-01 DOI: 10.1093/toxsci/kfaf123
Gina E Capece, Amish K Patel, Daniel Hu, Tayana Roychowdhury, Bianca Hazel, Jessica Kothapalli, Noah A Mac, Frederik Denorme, Robert A Campbell, Lauren G Poole

Neutrophils play a complex role in the pathogenesis of chronic liver disease and have been linked to both liver damage and injury resolution. Recent reports propose that neutrophils drive liver injury and fibrosis through the formation of neutrophil extracellular traps (NETs). This study tests the hypothesis that the enzyme peptidyl arginine deiminase-4 (PAD4) drives NET formation and liver fibrosis in experimental chronic liver injury. Wild-type (PAD4+/+) and PAD4-deficient (PAD4-/-) mice were chronically challenged twice weekly with carbon tetrachloride (CCl4, 1 ml/kg, i.p) or vehicle (corn oil) for 6 weeks, and samples were collected 24 h after the final challenge. In separate studies, mice were challenged once, and samples were collected 24 to 48 h later. Circulating NET biomarkers (e.g. myeloperoxidase-DNA complexes) were elevated in chronic CCl4-challenged wild-type mice compared to vehicle, though surprisingly, intrahepatic NETs were rarely observed. In contrast to our hypothesis, PAD4 deficiency did not eliminate circulating NET markers in chronic challenge. Furthermore, PAD4 deficiency did not impact liver fibrosis assessed by picrosirius red labeling or the myofibroblast marker α-smooth muscle actin but caused a modest, sex-specific decrease in hepatic collagen type I immunolabeling. Interestingly, plasma NET biomarkers and intrahepatic NETs were both increased following acute CCl4 challenge in a PAD4-dependent manner. Furthermore, PAD4 deficiency reduced coagulation activity after 24 h and decreased hepatocellular necrosis 48 h after challenge. Our studies ultimately suggest that PAD4 affects liver injury uniquely, depending on the stage of disease and that mechanisms of NET formation may occur independent of PAD4 in chronic liver injury.

中性粒细胞在慢性肝病的发病机制中起着复杂的作用,并与肝损伤和损伤消退有关。最近的报道提出,中性粒细胞通过形成中性粒细胞胞外陷阱(NETs)驱动肝损伤和纤维化。本研究验证了肽基精氨酸脱亚胺酶-4 (PAD4)在实验性慢性肝损伤中驱动NET形成和肝纤维化的假设。野生型(PAD4+/+)和PAD4缺失型(PAD4-/-)小鼠每周用四氯化碳(CCl4, 1 ml/kg, i.p)或对照剂(玉米油)慢性刺激2次,持续6周,并在最后一次刺激后24小时收集样本。在单独的研究中,老鼠被挑战一次,并在24-48小时后收集样本。与对照相比,慢性ccl4刺激野生型小鼠的循环NET生物标志物(如髓过氧化物酶-DNA复合物)升高,但令人惊讶的是,肝内NETs很少被观察到。与我们的假设相反,PAD4缺乏并没有消除慢性挑战中的循环NET标记物。此外,PAD4缺乏并不影响肝纤维化(通过小天狼红标记或肌成纤维细胞标记α-平滑肌肌动蛋白进行评估),但会引起肝I型胶原免疫标记的适度、性别特异性降低。有趣的是,血浆NET生物标志物和肝内NET均在急性CCl4刺激后以pad4依赖的方式增加。此外,PAD4缺乏降低了24 h后的凝血活性,减少了48 h后的肝细胞坏死。我们的研究最终表明,PAD4对肝损伤的影响取决于疾病的阶段,慢性肝损伤中NET的形成机制可能独立于PAD4而发生。
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引用次数: 0
Are New Approach Methodologies (NAMs) the Holy Grail of toxicology? 新方法(NAMs)是毒理学的圣杯吗?
IF 4.1 3区 医学 Q2 TOXICOLOGY Pub Date : 2025-11-01 DOI: 10.1093/toxsci/kfaf113
Hartmut Jaeschke, Anup Ramachandran

New Approach Methodologies (NAMs), including organoids, microphysiological systems, and computer modeling, are gaining increased popularity for toxicological testing and even mechanistic research. With the use of human cells, the primary objectives of NAMs are to develop more human-relevant test systems and to reduce, and ultimately eliminate, animal experiments. There are many advantages of using NAMs for biological research. For example, NAMs can be used to test the dose- and time-dependent toxicity of numerous chemicals and mixtures in a cost-effective way and reduce animal use. Although these are worthwhile goals when considering the big picture, the problems lie in the details. First, in vivo insight is needed to build and refine NAMs, including computer modeling. Second, primary human cells are difficult to obtain reliably and in sufficient quantities; substitutes such as immortalized cell lines or induced pluripotent stem cells have the advantage of being more robust and available in unlimited numbers, but their basal and stress-induced gene expression profiles are quite different compared with primary cells. Third, critical aspects such as metabolic competency, the presence of various cell types in an organ, spatial aspects, oxygen gradients, and the role of inflammatory cells are very difficult to replicate in vitro. Therefore, in vivo experiments are necessary to verify results obtained with NAMs. Importantly, the results of both NAMs and the in vivo animal experiments need to be translatable to human disease processes. The advantages and limitations of NAMs are being discussed using the challenges of investigating mechanisms of drug hepatotoxicity as an example.

新的方法方法(NAMs),包括类器官、微生理系统和计算机建模,在毒理学测试甚至机制研究中越来越受欢迎。随着人类细胞的使用,NAMs的主要目标是开发更多与人类相关的测试系统,减少并最终消除动物实验。在生物学研究中使用NAMs有许多优点。例如,NAMs可用于以具有成本效益的方式测试许多化学品和混合物的剂量和时间依赖性毒性,并减少动物使用。虽然考虑到大局,这些都是有价值的目标,但问题在于细节。首先,需要在体内的洞察力来建立和完善NAMs,包括计算机建模。其次,很难可靠地获得足够数量的人类原代细胞;诸如永生化细胞系或诱导多能干细胞(iPSCs)的替代品具有更强大和无限数量的优势,但与原代细胞相比,它们的基础和应激诱导基因表达谱有很大不同。第三,代谢能力、器官中各种细胞类型的存在、空间方面、氧梯度、炎症细胞的作用等关键方面很难在体外复制。因此,有必要进行体内实验来验证用NAMs获得的结果。重要的是,NAMs和体内动物实验的结果都需要转化为人类疾病过程。以研究药物肝毒性机制的挑战为例,讨论了NAMs的优点和局限性。
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引用次数: 0
A systems toxicology approach implicates post-transcriptional regulatory networks in reproductive defects from PFAS exposure. 系统毒理学方法暗示了PFAS暴露导致生殖缺陷的转录后调控网络。
IF 4.1 3区 医学 Q2 TOXICOLOGY Pub Date : 2025-11-01 DOI: 10.1093/toxsci/kfaf111
Abigail P Bline, Hui Jiang, Max Levenson, Patrick Allard

Per- and polyfluoroalkyl substances (PFAS) are highly persistent in the environment and widespread in consumer products, environmental media, and biological samples. However, limited toxicology data exist for many of the over 15,000 chemicals belonging to the PFAS family. Data are particularly lacking for exposures during germ cell development, which can have consequences for later-life fecundity. Here, we leverage the tractability of the model organism Caenorhabditis elegans to compare a "legacy" PFAS, i.e. perfluorooctane sulfonic acid (PFOS), with a chlorinated ether analog, 6:2 chlorinated polyfluoroalkyl ether sulfonic acid (6:2 Cl-PFESA). We consistently observed negative effects of both PFOS and 6:2 Cl-PFESA on germ cell numbers along with increases in germline apoptosis and defective meiotic progression. These cellular observations corresponded with increases in embryonic lethality in offspring from developmentally exposed adults. Messenger RNA and small RNA sequencing revealed a clear signature of perturbation of the non-coding RNA-mediated germline regulatory network consistent with observed ex vivo disruption of P granules, liquid-like assemblages of RNA, and protein. Remarkably, we identified a strong gene-environment interaction between PFOS and 6:2 Cl-PFESA with another liquid-like structure, the synaptonemal complex (SC); syp3(OK758) hypomorphic mutants exhibited near-complete embryonic lethality with PFAS exposure. Thus, while performed at relatively high concentrations to ensure robust effect detection, our mechanistic findings provide a foundation for understanding the reproductive toxicity of PFAS across exposure scenarios. Altogether, our data show that the impacts of PFAS on germ cell development and function are associated with perturbation of liquid-like condensates, suggesting that PFAS physicochemical properties may contribute to their pleiotropic effects on biological systems.

全氟和多氟烷基物质(PFAS)在环境中具有高度持久性,广泛存在于消费品、环境介质和生物样品中。然而,在属于PFAS家族的超过15,000种化学品中,许多化学品的毒理学数据有限。生殖细胞发育期间的暴露数据尤其缺乏,这可能对以后的生育能力产生影响。在这里,我们利用模式生物秀丽隐杆线虫的可追溯性来比较“遗留”PFAS,即全氟辛烷磺酸与氯化醚类似物6:2 Cl-PFESA。我们一致地观察到PFOS和6:2 cl - PFOS对生殖细胞数量的负面影响,以及生殖细胞凋亡和减数分裂过程缺陷的增加。这些细胞观察结果与发育暴露的成年人的后代的胚胎致死率增加相一致。信使RNA和小RNA测序揭示了非编码RNA介导的种系调控网络受到扰动的明确特征,这与观察到的P颗粒、液体状RNA和蛋白质组合的体外破坏一致。值得注意的是,我们发现PFOS和6:2 cl - ppfesa与另一种液体状结构突触复合物之间存在强烈的基因-环境相互作用;syp3(OK758)亚型突变体在PFAS暴露下表现出几乎完全的胚胎致死性。因此,虽然在相对较高的浓度下进行以确保稳健的效应检测,但我们的机制发现为了解PFAS在不同暴露情景下的生殖毒性提供了基础。总之,我们的数据表明,PFAS对生殖细胞发育和功能的影响与液体状凝聚物的扰动有关,这表明PFAS的理化性质可能有助于它们对生物系统的多效性作用。
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引用次数: 0
ToxPoint: The indispensable role of zebrafish as a new approach methodology (NAM) in toxicology. 斑马鱼作为一种毒理学新方法在毒理学研究中不可缺少的作用。
IF 4.1 3区 医学 Q2 TOXICOLOGY Pub Date : 2025-11-01 DOI: 10.1093/toxsci/kfaf121
Robyn L Tanguay
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引用次数: 0
Adolescent exposure to Δ9-tetrahydrocannabinol impairs testicular function in young adult male mice. 青少年接触Δ9-tetrahydrocannabinol (THC)会损害年轻成年雄性小鼠的睾丸功能。
IF 4.1 3区 医学 Q2 TOXICOLOGY Pub Date : 2025-11-01 DOI: 10.1093/toxsci/kfaf035
Jinhwan Lim, Caitlin Quach, Julie Nguyen, Andrew Rizk, Samantha Getze, Kwang-Mook Jung, Stephen V Mahler, Daniele Piomelli, Ulrike Luderer

Cannabis use typically starts in early to mid-adolescence. Δ9-tetrahydrocannabinol (THC), the primary psychoactive component of cannabis, targets cannabinoid receptors (CBRs) to exert its pharmacological effects. Expression of CBRs has been observed in human and rodent testes, but their potential role in the control of reproductive function remains unclear. We aimed to elucidate how THC exposure during adolescence or young adulthood affects the reproductive health of males. C57BL/6N male mice were given THC (5 mg/kg) or vehicle, once daily by intraperitoneal injection from postnatal day (PND) 30 to PND 43 (adolescent exposure) or PND 70 to PND 83 (adult exposure), and testes were harvested at PND 70 and PND 110, respectively. Results showed that CBRs (CB1R and CB2R) and enzymes that biosynthesize or inactivate the endocannabinoids anandamide-N-acylphosphatidylethanolamine phospholipase D or fatty acid amide hydrolase, respectively-are expressed in the mouse testis. THC exposure in adolescence decreased sperm numbers and increased seminiferous tubule degeneration in young adult testes, whereas adult exposure did not affect spermatogenesis and seminiferous tubule morphology. Both adolescent and adult THC exposure resulted in decreased plasma testosterone levels; however, only mice with adolescent THC exposure showed impaired steroidogenesis with dysregulated expression of steroidogenic acute regulatory protein and steroid 17-alpha-hydroxylase/17,20 lyase (CYP17A1). Our results support that adolescent THC exposure may cause testicular toxicity through direct and aberrant activation of CBRs in the testis. These studies show that the adolescent testis is more sensitive than the adult testis to THC-induced disruption of spermatogenesis.

大麻的使用通常始于青春期的早期到中期。Δ9-tetrahydrocannabinol (THC)是大麻的主要精神活性成分,以大麻素受体(CBRs)为靶点发挥其药理作用。在人类和啮齿类动物的睾丸中已经观察到CBRs的表达,但它们在控制生殖功能方面的潜在作用尚不清楚。我们的目的是阐明四氢大麻酚暴露在青春期或青年成年期如何影响男性生殖健康。从出生后第30天(PND)至第43天(青春期暴露)或第70天至第83天(成年暴露),C57BL/6N雄性小鼠每天1次腹腔注射四氢大麻酚(5 mg/kg)或对照物,分别在第70天和第110天收获睾丸。结果表明,小鼠睾丸中分别表达了cbr (CB1R和CB2R)和生物合成或灭活内源性大麻素anandamide (AEA)的酶- n -酰基磷脂酰乙醇胺磷脂酶D (NAPE-PLD)或脂肪酸酰胺水解酶(FAAH)。青少年时期的四氢大麻酚暴露降低了青年睾丸的精子数量,增加了精管变性,而成年时期的四氢大麻酚暴露对精子发生和精管形态没有影响。青少年和成人四氢大麻酚暴露均导致血浆睾酮水平下降;然而,只有青春期四氢大麻酚暴露的小鼠出现类固醇生成受损,类固醇生成急性调节蛋白(StAR)和类固醇17- α -羟化酶/17,20裂解酶(CYP17A1)表达异常。我们的研究结果支持青少年THC暴露可能通过睾丸中cbr的直接和异常激活引起睾丸毒性。这些研究表明,青少年睾丸比成人睾丸对四氢大麻酚诱导的精子发生破坏更敏感。
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引用次数: 0
Navigating complexity in modern toxicology: the role of omics in short-term in vivo studies. 在现代毒理学中导航复杂性:组学在短期体内研究中的作用。
IF 4.1 3区 医学 Q2 TOXICOLOGY Pub Date : 2025-11-01 DOI: 10.1093/toxsci/kfaf120
Constance A Mitchell, Leah Wehmas, David Rouquié, Florian Caiment, Richard A Currie, Christine E Crute

Toxicology is shifting toward predictive, mechanism-based approaches that support quicker, more human-relevant risk assessments and reduce reliance on animal testing. Central to this shift are short-term in vivo studies enriched with omics endpoints, which provide early molecular indicators of toxicity. These data enable the derivation of molecular points of departure and other biologically anchored metrics that can inform potency ranking, hazard identification, and risk assessment. This commentary summarizes insights from the 2025 Society of Toxicology session of the same name and highlights the importance of aligning technical advances with regulatory needs. Next-Generation Risk Assessment (NGRA) is a safety evaluation approach that incorporates emerging tools such as in vitro methods, computational models, and omics data to inform decision-making for human health and the environment, while aiming to reduce dependence on traditional animal testing. NGRA frameworks, while potentially generic in principle, must be tailored to the specific regulatory requirements and exposure contexts of different product sectors, including pharmaceuticals, industrial chemicals, agrochemicals, and cosmetics. Short-term mechanistic animal studies serve as a bridge between traditional long-term animal testing and new approach methodologies. From a technical standpoint, the generation, analysis, and interpretation of omics data have matured considerably, bringing regulatory acceptance within reach. Remaining challenges include standardizing bioinformatics pipelines, building confidence through validation against apical endpoints, and expanding training. Addressing these gaps through collaborative science and flexible regulatory frameworks will be key to realizing the full potential of omics-enabled hazard profiles to support NGRA.

毒理学正在转向预测性、基于机制的方法,以支持更快、更与人类相关的风险评估,并减少对动物试验的依赖。这种转变的核心是短期体内研究,这些研究丰富了组学终点,提供了毒性的早期分子指标。这些数据可以推导出分子离点(mPODs)和其他生物锚定指标,从而为效力排序、危害识别和风险评估提供信息。本评论总结了2025年毒理学学会(SOT)同名会议的见解,并强调了将技术进步与监管需求相结合的重要性。下一代风险评估(NGRA)是一种安全评估方法,它结合了诸如体外方法、计算模型和组学数据等新兴工具,为人类健康或环境的决策提供信息,同时旨在减少对传统动物试验的依赖。NGRA框架虽然在原则上可能是通用的,但必须针对不同产品部门(包括药品、工业化学品、农用化学品和化妆品)的具体监管要求和暴露环境进行调整。短期机械动物实验是传统的长期动物实验和新方法方法之间的桥梁。从技术角度来看,组学数据的生成、分析和解释已经相当成熟,使监管机构可以接受。剩下的挑战包括标准化生物信息学管道,通过对顶点的验证建立信心,以及扩大培训。通过协作科学和灵活的监管框架来解决这些差距,将是实现基因组学支持NGRA的危害概况的全部潜力的关键。
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引用次数: 0
Testing the effects of two different zebrafish exposure paradigms on transcriptomic-based chemical risk assessment using the flame retardant triphenyl phosphate. 使用阻燃剂磷酸三苯酯测试两种不同斑马鱼暴露模式对基于转录组学的化学品风险评估的影响。
IF 4.1 3区 医学 Q2 TOXICOLOGY Pub Date : 2025-11-01 DOI: 10.1093/toxsci/kfaf124
Michael G Morash, Morgan W Kirzinger, John C Achenbach, Ananda B Venkatachalam, Joseph P M Hui, Susanne Penny, Kevin Stemmler, Joëlle Pinsonnault Cooper, Deborah E Ratzlaff, Cindy L A Woodland, Lee D Ellis

In the zebrafish larval toxicity model, phenotypic changes induced by chemical exposure can potentially be explained and predicted by the analysis of gene expression changes at sub-phenotypic concentrations. The increase in knowledge of gene pathway-specific effects arising from the zebrafish transcriptomic model has the potential to enhance the role of the larval zebrafish as a component of Integrated Approaches to Testing and Assessment (IATA). In this paper, we compared the transcriptomic responses to triphenyl phosphate between 2 standard exposure paradigms, the Zebrafish Embryo Toxicity (ZET) and General and Behavioral Toxicity (GBT) assays. The ZET assay represents a developmental model with chemical exposure from 6 to 120 h post fertilization (hpf), which covers organogenesis, whereas the GBT represents a juvenile model with exposure from 72 to 120 hpf, which occurs post-organogenesis. This comparison demonstrates both similarities and differences between the 2 assays. Although both models identified similar xenobiotic metabolism pathways, the difference in exposure window length and the time of transcriptomic sampling between the 2 methods also yielded unique sets of affected pathways, demonstrating their complimentary nature. Both data sets support previously described effects of triphenyl phosphate on aquatic and mammalian systems. This work validates and strengthens the use of both exposure paradigms and continues to demonstrate that zebrafish larvae are a valuable tool in the context of IATA toward reduced reliance on the use of higher vertebrate derived data for chemical risk assessment.

在斑马鱼幼虫毒性模型中,化学物质暴露引起的表型变化可以通过分析亚表型浓度下的基因表达变化来解释和预测。从斑马鱼转录组学模型中产生的基因通路特异性效应知识的增加,有可能增强斑马鱼幼虫作为综合测试和评估方法(IATA)组成部分的作用。在本文中,我们比较了两种标准暴露范式,斑马鱼胚胎毒性(ZET)和一般和行为毒性(GBT)试验中磷酸三苯酯的转录组反应。ZET试验代表了受精后6-120小时化学物质暴露的发育模型,涵盖了器官发生,而GBT试验代表了72-120小时化学物质暴露的幼年模型,发生在器官发生后。这种比较既表明了两种测定法的相似之处,也表明了它们之间的差异。虽然两种模型都确定了相似的异种代谢途径,但两种方法之间暴露窗口长度和转录组采样时间的差异也产生了独特的受影响途径,证明了它们的互补性质。这两个数据集都支持先前描述的磷酸三苯酯对水生和哺乳动物系统的影响。这项工作验证并加强了这两种暴露模式的使用,并继续证明斑马鱼幼虫是国际航空运输协会减少对使用高级脊椎动物衍生数据进行化学品风险评估的宝贵工具。
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引用次数: 0
Why rat oral cavity tumors should not be the basis of quantitative cancer risk assessment for oral exposure to hexavalent chromium. 为什么大鼠口腔肿瘤不应作为口腔六价铬暴露定量癌症风险评估的基础。
IF 4.1 3区 医学 Q2 TOXICOLOGY Pub Date : 2025-11-01 DOI: 10.1093/toxsci/kfaf112
Deborah Proctor, Xiaohui Jiang, Heidi Reichert, Chad Thompson

Several regulatory agencies have developed threshold-based drinking water guidelines for hexavalent chromium [Cr(VI)] protective of nonneoplastic and neoplastic lesions in rodents using small intestine tumor data in mice. However, in 2024, the US Environmental Protection Agency Integrated Risk Information System (IRIS) set an oral cancer slope factor based on oral cavity tumors in rats following chronic exposure to up to 180 ppm Cr(VI) in drinking water. Herein, we review previously published in vivo mechanistic data in rat oral cavity tissue indicating the absence of mutation responses in oral cavity tissue of transgenic Big Blue® rats and the absence of transcriptomic responses in F344 rats indicative of toxicological or homeostatic changes in the oral cavity following exposures up to 180 ppm Cr(VI). In addition, we extended an IRIS meta-analysis of gastrointestinal cancers by including oral cavity cancers, using the same epidemiological studies and approach as IRIS. We observed a significantly decreased meta-relative risk (meta-relative risk: 0.81, 95% CI: 0.69 to 0.95 and 0.74, 95% CI: 0.068 to 0.81 using random and fixed effect models). Given the lack of evidence for genotoxicity or even homeostatic responses to Cr(VI) in the rat oral cavity and the absence of oral cancer risk in humans, oral toxicity criteria for Cr(VI) should not be based on oral cavity tumors in rats. Many agencies have instead developed threshold-based toxicity criteria using nonneoplastic intestinal lesions observed in mice due to strong evidence for a cytotoxicity/regenerative proliferation mode of action for intestinal tumors, which were observed at lower drinking water concentrations than rat oral tumors.

一些监管机构已经根据小鼠小肠肿瘤数据制定了六价铬[Cr(VI)]对啮齿动物非肿瘤性和肿瘤性病变的保护的阈值饮用水指南。然而,在2024年,美国环境保护局综合风险信息系统(IRIS)根据长期暴露于饮用水中高达180 ppm Cr(VI)的大鼠口腔肿瘤设定了口腔癌斜率因子。在此,我们回顾了先前发表的大鼠口腔组织的体内机制数据,这些数据表明转基因大蓝®大鼠口腔组织中没有突变反应,F344大鼠中没有转录组反应,这表明在180ppm Cr(VI)暴露后,口腔中没有毒理学或稳态变化。此外,我们扩展了IRIS对胃肠道癌症的荟萃分析,包括口腔癌,使用与IRIS相同的流行病学研究和方法。我们观察到meta-相对风险显著降低(meta-RR: 0.81, 95%CI: 0.69-0.95和0.74,95%CI: 0.068-0.81,使用随机效应和固定效应模型)。考虑到Cr(VI)在大鼠口腔中的遗传毒性甚至稳态反应缺乏证据,以及人类没有口腔癌风险,Cr(VI)的口服毒性标准不应基于大鼠口腔肿瘤。由于有强有力的证据表明,与大鼠口腔肿瘤相比,在较低的饮用水浓度下观察到的肠道肿瘤具有细胞毒性/再生增殖模式,因此许多机构采用在小鼠中观察到的非肿瘤性肠道病变制定了基于阈值的毒性标准。
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引用次数: 0
Advanced cardiac organoid model for studying doxorubicin-induced cardiotoxicity. 研究阿霉素致心脏毒性的先进心脏类器官模型。
IF 4.1 3区 医学 Q2 TOXICOLOGY Pub Date : 2025-11-01 DOI: 10.1093/toxsci/kfaf115
Xian Wu, Savanna Williams, Jacques Robidoux, Srinivas Sriramula, Abdel Abdel-Rahman

Cardiac organoids provide an in vitro platform for studying heart disease mechanisms and drug responses. However, a major limitation is the immaturity of cardiomyocytes, restricting their ability to mimic adult cardiac physiology. Additionally, the inadequacy of commonly used extracellular matrices (ECMs), which fail to replicate the biochemical and mechanical properties of natural heart tissue, poses significant challenges. Consequently, structural integrity in cardiac organoids is impaired. Moreover, scalability remains an obstacle, as conventional ECM substitutes hinder mass production of organoids for high-throughput toxicology screening. To overcome these challenges, we developed an advanced model promoting fibroblast-driven ECM self-secretion, enabling physiologically relevant tissue architecture and function. Using the ECM-free, mature cardiomyocyte-integrated organoid model, we investigated the cardiotoxicity of doxorubicin, a widely used chemotherapeutic agent known to impair cardiac function. Cardiomyocytes derived from induced pluripotent stem cells were characterized for maturity by immunostaining for cardiac troponin T and myosin regulatory light chain 2 alongside gene expression analysis. Organoids treated with doxorubicin showed reduced size and increased collagen deposition. These structural changes correlated with functional impairments, including decreased beating rate and disrupted synchronous beating. In 2D culture, exposure to doxorubicin induced fibroblast activation, promoted early molecular signatures of endothelial-to-mesenchymal transition in endothelial cells, and triggered cytotoxic effects in cardiomyocytes. This study highlights the importance of ECM remodeling in advancing cardiac organoid models and demonstrates its potential for more accurate cardiotoxicity assessment. Addressing these limitations enhances the physiological relevance of cardiac organoid systems for drug safety assessment and cardiac disease modeling.

心脏类器官为研究心脏病机制和药物反应提供了一个体外平台。然而,一个主要的限制是心肌细胞的不成熟,限制了它们模仿成人心脏生理的能力。此外,常用的细胞外基质(ECM)的不足,不能复制天然心脏组织的生化和机械特性,带来了重大挑战。因此,心脏类器官的结构完整性受损。此外,可扩展性仍然是一个障碍,因为传统的ECM替代品阻碍了高通量毒理学筛选类器官的大规模生产。为了克服这些挑战,我们开发了一种先进的模型,促进成纤维细胞驱动的ECM自我分泌,实现与生理相关的组织结构和功能。使用无ecm的成熟心肌细胞整合类器官模型,我们研究了阿霉素的心脏毒性,阿霉素是一种广泛使用的化疗药物,已知会损害心功能。通过cTNT和MYL2的免疫染色以及基因表达分析,鉴定了诱导多能干细胞衍生的心肌细胞的成熟度。阿霉素处理的类器官显示体积减小,胶原沉积增加。这些结构变化与功能损伤相关,包括心跳速率下降和同步心跳中断。在二维培养中,暴露于阿霉素诱导成纤维细胞活化,促进内皮细胞向间充质转化的早期分子特征,并触发心肌细胞的细胞毒性作用。这项研究强调了ECM重塑在推进心脏类器官模型中的重要性,并证明了其在更准确的心脏毒性评估方面的潜力。解决这些限制可以增强心脏类器官系统在药物安全性评估和心脏病建模方面的生理学相关性。
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Toxicological Sciences
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