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Beyond chemicals: Opportunities and challenges of integrating non-chemical stressors in adverse outcome pathways. 超越化学物质:将非化学压力源整合到不利结果途径中的机遇和挑战。
IF 5.6 2区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-01-01 Epub Date: 2023-11-17 DOI: 10.14573/altex.2307061
Laure-Alix Clerbaux, Julija Filipovska, Penny Nymark, Vinita Chauhan, Katherina Sewald, Miriam Alb, Madgalini Sachana, Anna Beronius, Maria-Joao Amorim, Clemens Wittwehr

The adverse outcome pathways (AOPs) were developed to accelerate evidence-based chemical risk assessment by leveraging data from new approach methodologies. Thanks to their stressor-agnostic approach, AOPs were seen as instrumental in other fields. Here, we present AOPs that report non-chemical stressors along with the challenges encountered for their development. Challenges regarding AOPs linked to nanomaterials include non-specific molecular initiating events, limited understanding of nanomaterial biodistribution, and needs for adaptations of the in silico modeling and testing systems. Development of AOPs for radiation face challenges in how to incorporate ionizing events type, dose rate, energy deposition, and how to account for targeting multiple macromolecules. AOPs for COVID-19 required the inclusion of SARS-CoV-2-specific replicative steps to capture the essential events driving the disease. Developing AOPs to evaluate efficacy and toxicity of cell therapies necessitates addressing the cellular nature and the therapeutic function of the stressor. Finally, addressing toxicity of emerging biological stressors like microbial pesticides can learn from COVID-19 AOPs. We further discuss that the adaptations needed to expand AOP applicability beyond chemicals are mainly at the molecular and cellular levels while downstream key events at tissue or organ level, such as inflammation, are shared by many AOPs initiated by various stressors. In conclusion, although it is challenging to integrate non-chemical stressors within AOPs, this expands opportunities to account for real-world scenarios, to identify vulnerable individuals, and to bridge knowledge on mechanisms of adversity.

不良后果路径(AOPs)的开发是为了利用新方法方法的数据来加速基于证据的化学品风险评估。由于他们的压力不可知的方法,AOPs被视为在其他领域的工具。在这里,我们提出的AOPs报告了非化学应激源及其发展中遇到的挑战。与纳米材料相关的AOPs面临的挑战包括非特异性分子起始事件,对纳米材料生物分布的有限理解,以及对计算机建模和测试系统的适应需求。辐射AOPs的发展面临着如何结合电离事件类型、剂量率、能量沉积以及如何考虑靶向多大分子等方面的挑战。针对COVID-19的AOPs需要纳入sars - cov -2特异性复制步骤,以捕捉导致该疾病的基本事件。开发AOPs来评估细胞疗法的疗效和毒性,需要解决细胞性质和应激源的治疗功能。最后,解决微生物农药等新兴生物压力源的毒性问题可以从COVID-19 AOPs中学习。我们进一步讨论了将AOP的适用性扩展到化学物质之外所需的适应主要是在分子和细胞水平上,而组织或器官水平的下游关键事件,如炎症,是由各种应激源启动的许多AOP所共有的。综上所述,尽管在AOPs中整合非化学压力源具有挑战性,但这增加了考虑现实世界情景、识别弱势个体以及建立逆境机制知识桥梁的机会。
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引用次数: 0
The benefits of validation of methods for toxicity testing outweigh its costs 逐步淘汰动物实验计划。
IF 4.5 2区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-01-01 Epub Date: 2024-03-19 DOI: 10.14573/altex.2403051
Anne Gourmelon, Philippe Hubert, Elise Grignard, Lisa Baumann, Sharon Munn, Cécile Michel

The 4th Annual Forum on Endocrine Disrupters organized by the European Commission brought together the authors of this article around the topic: “From bench to validated test guidelines: (pre)val­idation of test methods”. Validation activities are meant to demonstrate the relevance and reliability of methods and approaches used in regulatory safety testing. These activities are essential to facil­itate regulatory use, still they are largely underfunded and unattractive to the scientific community. In the last decade, large amounts of funding have been invested in European research towards the development of approaches that can be used in regulatory decision-making, including for the identification of endocrine disrupters. There is a vast pool of candidate test methods for potential reg­ulatory applications, but most of them will not be used due to the absence of consideration of their relevance and reliability outside the method developer’s laboratory. This article explains the reasons why such a gap exists between the outputs of research projects and the uptake in a regulatory context. In parallel, there are also increasing expectations from the regulatory science community that validation becomes more efficient with respect to time and resources. This article shares some of the lessons learned and proposes paths forward for validation of new methods that are not intended as one-to-one replacements of animal studies. This includes submitting only mature methods for validation that were developed following good practices and good documentation, proposing a greater emphasis on well-documented transferability studies, and adopting a cost-sharing model among those who benefit from validated methods.

在欧盟委员会组织的第四届内分泌干扰物年度论坛上,本文作者围绕以下主题展开了讨论:"从工作台到验证测试指南:测试方法的(预)验证"。验证活动旨在证明用于监管安全测试的方法和途径的相关性和可靠性。这些活动对促进监管使用至关重要,但它们在很大程度上资金不足,对科学界缺乏吸引力。在过去十年中,欧洲投入了大量资金,用于开发可用于监管决策的方法,包括用于识别内分泌干扰物的方法。目前有大量候选检测方法可用于潜在的监管应用,但由于没有考虑方法开发者实验室之外的相关性和可靠性,其中大多数方法都不会被使用。文章解释了研究项目成果与监管应用之间存在差距的原因。与此同时,监管科学界对验证在时间和资源方面提高效率的期望也越来越高。本文分享了一些经验教训,并提出了验证不打算一对一取代动物实验的新方法的途径。这包括只提交按照良好实践和良好文档开发的成熟方法进行验证,建议更加重视有据可查的可转移性研究,以及在从验证方法中获益的各方之间采用成本分担模式。
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引用次数: 0
Assessing proarrhythmic potential of environmental chemicals using a high throughput in vitro-in silico model with human induced pluripotent stem cell-derived cardiomyocytes_suppl2 利用人诱导多能干细胞衍生心肌细胞的高通量体外硅模型评估环境化学物质的促心律失常电位
2区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-01-01 DOI: 10.14573/altex.2306231s2
Hsing-Chieh Lin
QT prolongation and the potentially fatal arrhythmia Torsades de Pointes are common causes for withdrawing or restricting drugs; however, little is known if environmental chemicals may have similar liabilities. Current in vitro-in silico models for testing proarrhythmic liabilities, using human induced pluripotent stem cell-derived cardiomyocytes (hiPSC-CM), provide an opportunity to address this data gap. These methods are still low- to medium-throughput and not suitable for testing the tens of thousands of chemicals in commerce. We hypothesized that combining high-throughput population-based in vitro testing in hiPSC-CMs with a fully in silico data analysis workflow can offer sensitive and specific predictions of proarrhythmic potential. We calibrated the model with a published hiPSC-CM dataset of drugs known to be positive or negative for proarrhythmia and tested its performance using internal cross-validation and external validation. Additionally, we used computational down-sampling to examine three study designs for hiPSC-CM data: one replicate of one donor, five replicates of one donor, and one replicate of a population of five donors. We found that the population of five donors had the best performance for predicting proarrhythmic potential. The resulting model was then applied to predict the proarrhythmic potential of environmental chemicals, additionally characterizing risk through margin of exposure (MOE) calculations. Out of over 900 environmental chemicals tested, over 150 were predicted to have proarrhythmic potential, but only seven chemicals have MOE < 1. We conclude that a high throughput in vitro-in silico approach using population-based hiPSC-CM testing provides a reasonable approach to screening environmental chemicals for proarrhythmic potential.
QT间期延长和潜在致命性心律失常是停药或限制用药的常见原因;然而,人们对环境化学品是否也有类似的责任知之甚少。目前使用人类诱导多能干细胞衍生心肌细胞(hiPSC-CM)测试促心律失常性的体外硅模型为解决这一数据缺口提供了机会。这些方法仍然是中低通量,不适合测试商业上数以万计的化学品。我们假设结合hiPSC-CMs的高通量基于人群的体外测试与全硅数据分析工作流程可以提供敏感和特定的心律失常电位预测。我们使用已发表的hiPSC-CM数据集校准了该模型,该数据集包含已知对心律失常呈阳性或阴性的药物,并使用内部交叉验证和外部验证测试了其性能。此外,我们使用计算降采样来检查hiPSC-CM数据的三种研究设计:一个供体的一个重复,一个供体的五个重复,以及五个供体的一个重复。我们发现5个供体在预测心律失常的可能性方面表现最好。然后将所得模型应用于预测环境化学物质的致心律失常潜力,并通过暴露边际(MOE)计算进一步表征风险。在测试的900多种环境化学物质中,预计有150多种具有诱发心律失常的潜力,但只有7种化学物质具有MOE。1. 我们得出结论,采用基于人群的hiPSC-CM测试的高通量体外硅方法为筛选环境化学物质的促心律失常电位提供了合理的方法。
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引用次数: 0
Intestinal in vitro transport assay combined with physiologically based kinetic modeling as a tool to predict bile acid levels in vivo_suppl2 肠道体外转运试验结合基于生理的动力学模型作为预测体内胆汁酸水平的工具2
2区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-01-01 DOI: 10.14573/altex.2302011s2
Véronique de Bruijn
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引用次数: 0
Applications of microphysiological systems to disease models in the biopharmaceutical industry: Opportunities and challenges. 微生理系统在生物制药业疾病模型中的应用:机遇与挑战。
IF 5.6 2区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-01-01 DOI: 10.14573/altex.2204071
Onyi Irrechukwu, Ronnie Yeager, Rhiannon David, Jason Ekert, Anitha Saravanakumar, Colin K Choi

Disease models enable researchers to investigate, test, and identify therapeutic targets that would alter the patients’ disease condition and improve quality of life. Advances in genetic alteration and analytical techniques have enabled rapid devel­opment of disease models using preclinical animals and cell cultures. However, success rates of drug development remain low due to limited recapitulation of clinical pathophysiology by these models. To resolve this challenge, the pharmaceutical industry has explored microphysiological system (MPS) disease models, which are complex in vitro systems that include but are not limited to organ-on-a-chip, organoids, spheroids, and 3D bioengineered tissues (e.g., 3D printing, hydrogels). Capable of integrating key in vivo properties, such as disease-relevant human cells, multi-cellularity/dimensionality of organs, and/or well-controlled physical and molecular cues, MPS disease models are being developed for a variety of indications. With on-going qualifications or validations for wide adoption within the pharmaceutical industry, MPS disease models hold exciting potential to enable in-depth investigation of in vivo pathophysiology and enhance drug discovery and development processes. To introduce the present status of MPS disease models, this paper describes notable examples in six disease areas: cancer, liver/kidney diseases, respiratory diseases/COVID-19, neurodegenerative diseases, gastrointestinal diseases, and select rare diseases. Additionally, we describe current technical limitations and provide recommendations for future development that would expand application opportunities within the pharmaceutical industry.

疾病模型使研究人员能够调查、测试和确定可以改变患者疾病状况和改善生活质量的治疗靶点。遗传改变和分析技术的进步使得利用临床前动物和细胞培养快速开发疾病模型成为可能。然而,由于这些模型对临床病理生理学的重现有限,药物开发的成功率仍然很低。为了解决这一挑战,制药行业已经探索了微生理系统(MPS)疾病模型,这是一种复杂的体外系统,包括但不限于芯片上的器官、类器官、球体和3D生物工程组织(例如,3D打印、水凝胶)。MPS疾病模型能够整合关键的体内特性,例如与疾病相关的人类细胞,器官的多细胞性/维度,和/或良好控制的物理和分子线索,目前正在开发用于各种适应症的MPS疾病模型。随着在制药行业广泛采用的持续资格或验证,MPS疾病模型具有令人兴奋的潜力,可以深入研究体内病理生理学并增强药物发现和开发过程。为了介绍MPS疾病模型的现状,本文介绍了六个疾病领域的值得注意的例子:癌症、肝脏/肾脏疾病、呼吸系统疾病/COVID-19、神经退行性疾病、胃肠道疾病和部分罕见疾病。此外,我们描述了当前的技术限制,并为未来的发展提供了建议,以扩大制药行业的应用机会。
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引用次数: 2
Assessing proarrhythmic potential of environmental chemicals using a high throughput in vitro-in silico model with human induced pluripotent stem cell-derived cardiomyocytes_suppl1 利用人诱导多能干细胞衍生心肌细胞的高通量体外硅模型评估环境化学物质的促心律失常电位
2区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-01-01 DOI: 10.14573/altex.2306231s1
Hsing-Chieh Lin
QT prolongation and the potentially fatal arrhythmia Torsades de Pointes are common causes for withdrawing or restricting drugs; however, little is known if environmental chemicals may have similar liabilities. Current in vitro-in silico models for testing proarrhythmic liabilities, using human induced pluripotent stem cell-derived cardiomyocytes (hiPSC-CM), provide an opportunity to address this data gap. These methods are still low- to medium-throughput and not suitable for testing the tens of thousands of chemicals in commerce. We hypothesized that combining high-throughput population-based in vitro testing in hiPSC-CMs with a fully in silico data analysis workflow can offer sensitive and specific predictions of proarrhythmic potential. We calibrated the model with a published hiPSC-CM dataset of drugs known to be positive or negative for proarrhythmia and tested its performance using internal cross-validation and external validation. Additionally, we used computational down-sampling to examine three study designs for hiPSC-CM data: one replicate of one donor, five replicates of one donor, and one replicate of a population of five donors. We found that the population of five donors had the best performance for predicting proarrhythmic potential. The resulting model was then applied to predict the proarrhythmic potential of environmental chemicals, additionally characterizing risk through margin of exposure (MOE) calculations. Out of over 900 environmental chemicals tested, over 150 were predicted to have proarrhythmic potential, but only seven chemicals have MOE < 1. We conclude that a high throughput in vitro-in silico approach using population-based hiPSC-CM testing provides a reasonable approach to screening environmental chemicals for proarrhythmic potential.
QT间期延长和潜在致命性心律失常是停药或限制用药的常见原因;然而,人们对环境化学品是否也有类似的责任知之甚少。目前使用人类诱导多能干细胞衍生心肌细胞(hiPSC-CM)测试促心律失常性的体外硅模型为解决这一数据缺口提供了机会。这些方法仍然是中低通量,不适合测试商业上数以万计的化学品。我们假设结合hiPSC-CMs的高通量基于人群的体外测试与全硅数据分析工作流程可以提供敏感和特定的心律失常电位预测。我们使用已发表的hiPSC-CM数据集校准了该模型,该数据集包含已知对心律失常呈阳性或阴性的药物,并使用内部交叉验证和外部验证测试了其性能。此外,我们使用计算降采样来检查hiPSC-CM数据的三种研究设计:一个供体的一个重复,一个供体的五个重复,以及五个供体的一个重复。我们发现5个供体在预测心律失常的可能性方面表现最好。然后将所得模型应用于预测环境化学物质的致心律失常潜力,并通过暴露边际(MOE)计算进一步表征风险。在测试的900多种环境化学物质中,预计有150多种具有诱发心律失常的潜力,但只有7种化学物质具有MOE。1. 我们得出结论,采用基于人群的hiPSC-CM测试的高通量体外硅方法为筛选环境化学物质的促心律失常电位提供了合理的方法。
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引用次数: 0
Women in Alternatives. 女性的选择。
IF 5.6 2区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-01-01 DOI: 10.14573/altex.2303211
Francesca Caloni, Isabella De Angelis, Laura Gribaldo, Tuula Heinonen, Helena Kandarova, Vivian Kral, Silvia Letasiova, Fenna Sillé, Lena Smirnova, Maria Pilar Vinardell, Thomas Hartung
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引用次数: 0
Beyond Animal Testing Index: Benchmarking tool for a world beyond animal testing_suppl3 超越动物测试指数:超越动物测试世界的基准工具
IF 5.6 2区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-01-01 DOI: 10.14573/altex.2304161s3
C. Krul
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引用次数: 0
Evaluation of 147 perfluoroalkyl substances for immunotoxic and other (patho)physiological activities through phenotypic screening of human primary cells. 通过对人类原代细胞进行表型筛选,评估 147 种全氟烷基物质的免疫毒性和其他(病理)生理活性。
IF 4.5 2区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-01-01 Epub Date: 2022-09-15 DOI: 10.14573/altex.2203041
Keith A Houck, Katie Paul Friedman, Madison Feshuk, Grace Patlewicz, Marci Smeltz, M Scott Clifton, Barbara A Wetmore, Sharlene Velichko, Antal Berenyi, Ellen L Berg

A structurally diverse set of 147 per- and polyfluoroalkyl substances (PFAS) was screened in a panel of 12 human primary cell systems by measuring 148 biomarkers relevant to (patho)physiological pathways to inform hypotheses about potential mechanistic effects of data-poor PFAS in human model systems. This analysis focused on immunosuppressive activity, which was previously reported as an in vivo effect of perfluorooctanoic acid (PFOA) and perfluorooctanesulfonic acid (PFOS), by comparing PFAS responses to four pharmacological immunosuppressants. The PFOS response profile had little correlation with reference immunosuppressants, suggesting in vivo activity does not occur by similar mechanisms. The PFOA response profile did share features with the profile of dexamethasone, although some distinct features were lacking. Other PFAS, including 2,2,3,3-tetrafluoropropyl acrylate, demonstrated more similarity to the reference immunosuppressants but with additional activities not found in the reference immunosuppressive drugs. Correlation of PFAS profiles with a database of environmental chemical responses and pharmacological probes identified potential mechanisms of bioactivity for some PFAS, including responses similar to ubiquitin ligase inhibitors, deubiquitylating enzyme (DUB) inhibitors, and thioredoxin reductase inhibitors. Approximately 21% of the 147 PFAS with confirmed sample quality were bioactive at nominal testing concentrations in the 1-60 micromolar range in these human primary cell systems. These data provide new hypotheses for mechanisms of action for a subset of PFAS and may further aid in development of a PFAS categorization strategy useful in safety assessment.

通过测量与(病理)生理途径相关的 148 个生物标记物,在 12 个人类原代细胞系统中筛选了一组结构多样的 147 种全氟化烷基和多氟化烷基物质(PFAS),以便为有关缺乏数据的 PFAS 在人类模型系统中的潜在机理效应的假设提供信息。通过比较全氟辛烷磺酸和全氟辛烷磺酸与四种药理免疫抑制剂的反应,该分析重点关注了免疫抑制活性,之前有报道称免疫抑制活性是全氟辛酸和全氟辛烷磺酸的体内效应。全氟辛烷磺酸的反应谱与参考免疫抑制剂几乎没有关联,这表明体内活性不是通过类似的机制产生的。全氟辛烷磺酸的反应谱与地塞米松的反应谱有相似之处,但缺乏一些明显的特征。包括 2,2,3,3- 四氟丙烯酸酯在内的其他全氟辛烷磺酸与参考免疫抑制剂更为相似,但具有参考免疫抑制剂所没有的额外活性。全氟辛烷磺酸的特征与环境化学反应和药理学探针数据库的相关性确定了某些全氟辛烷磺酸的潜在生物活性机制,包括与泛素连接酶抑制剂、去泛素化酶(DUB)抑制剂和硫代氧化还原酶抑制剂相似的反应。在样品质量得到确认的 147 种全氟辛烷磺酸中,约有 21% 在这些人类原代细胞系统中的标称测试浓度为 1-60 微摩尔范围时具有生物活性。这些数据为全氟辛烷磺酸子集的作用机制提供了新的假设,并可能进一步帮助制定有助于安全评估的全氟辛烷磺酸分类策略。
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引用次数: 0
Exploration of the GARD™skin applicability domain: Indirectly acting haptens, hydrophobic substances and UVCBs. 探索GARD™皮肤适用领域:间接作用半抗原,疏水物质和uvcb。
IF 5.6 2区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2023-01-01 DOI: 10.14573/altex.2201281
Andy Forreryd, Robin Gradin, Charles Humfrey, Len Sweet, Henrik Johansson

Hazard assessments of skin sensitizers are increasingly performed using new approach methodologies (NAMs), with several in chemico, in vitro, and most recently, also defined approaches accepted for regulatory use. However, keeping track of potential limitations of each method to define applicability domains remains a crucial component to ensure adequate predictivity and to facilitate the appropriate selection of method(s) for each hazard assessment task. The objective of this report is to share test results generated with the GARD™skin assay on chemicals that have traditionally been considered difficult to test in some of the conventional in vitro and in chemico OECD Test Guidelines for skin sensitization. Such compounds may include, for example, indirectly acting haptens, hydrophobic substances, and substances of unknown or variable composition, complex reaction products or biological substances (UVCBs). Based on the results of this study, the sensitivity for prediction of skin sensitizing hazard of indirectly acting haptens was 92.4% and 87.5% when compared with local lymph node assay (LLNA) (n = 25) and human data (n = 8), respectively. Similarly, the sensitivity for prediction of skin sensitizing hazard of hydrophobic substances was 85.1% and 100% when compared with LLNA (n = 24) and human data (n = 9), respectively. Lastly, a case study involving assessment of a set of hydrophobic UVCBs (n = 7) resulted in a sensitivity of 100% compared to available reference data. These data provide support for the inclusion of such chemistries in the GARD™skin applicability domain without an increased risk of false negative classifications.

皮肤致敏剂的危害评估越来越多地使用新的方法方法(NAMs)进行,其中有几种化学方法、体外方法和最近也定义了用于监管使用的方法。然而,跟踪每种方法的潜在局限性以确定适用领域仍然是确保充分的预测性和促进为每个危害评估任务适当选择方法的关键组成部分。本报告的目的是分享GARD™皮肤试验对传统上被认为难以在一些常规体外和OECD皮肤致敏化学测试指南中测试的化学品产生的测试结果。这些化合物可以包括,例如,间接作用的半抗原、疏水物质、未知或可变组成的物质、复杂反应产物或生物物质(UVCBs)。根据本研究结果,与局部淋巴结测定法(LLNA) (n = 25)和人体数据(n = 8)相比,间接作用半抗原预测皮肤致敏危害的敏感性分别为92.4%和87.5%。同样,与LLNA (n = 24)和人类数据(n = 9)相比,该方法预测疏水物质皮肤致敏危害的敏感性分别为85.1%和100%。最后,一项涉及一组疏水uvcb评估的案例研究(n = 7)与现有参考数据相比,其灵敏度为100%。这些数据为将这些化学物质纳入GARD™皮肤适用性领域提供了支持,而不会增加假阴性分类的风险。
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引用次数: 3
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Altex-Alternatives To Animal Experimentation
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