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Caloni.
Io ho svolto l’esame nella sessione estiva del 2024, pertanto le informazioni sono aggiornate alla tale
data.
1) Phototoxicity: in vitro validated test
Phototoxicity, or photoirritation, is an acute skin reaction related to non-immunological xenobiotic
exposure in the presence of light, particularly in the UVA range (320-400 nm). It is caused by
simultaneous exposure to xenobiotic and light. The OECD has not yet accepted a guideline for
photoirritation in vivo but recommended those in vitro.
Tier approach:
- 3T3 NRU: Phototoxicity test
Workflow:
1. Treatment with the test substance
2. Irradiation
3. Neutral Red Uptake a say —> viability test
It is predictive for photosensitizing and non-photosensitizing substances, but it is limited for
water-soluble test substances.
The Neutral Red Uptake assay indicates that if the cells are red, they have retained the red
compound in their lysosomes (they are alive). On the contrary, if they are pink, they are dead.
- RhE PT test = Reconstructed human Epidermis Phototoxicity Test
The test chemical is applied topically to a three-dimensional (3D) RhE tissue composed of human-
derived keratinocytes.
This test is valid also for complex mixtures and pharmacological patch, and being 3D allow
histological evaluation.
Moreover, it can test water soluble substances.
Endpoint = cell viability —> MTT test
2) IATA definition
IATA means Integrated Approach for Testing and Assestment.
It includes:
- In vitro
- In vivo 1 Alternative Methods in Toxicology – domande e risposte
- In silico
- In chemico
- Omic technologies
3) What is meant for “validation”?
Validation is meant an approach that allows identifying the Reliability, Reproducibility, Relevance
and Predictivity of a method.
To validate an Alternative Method is mandatory to follow 5 steps:
1. Development of the test
It’s important to establish the Field of Application, the Test Protocol and the Prediction
Model.
2. Pre-validation
Improve the Test Protocol and the Prediction Model
▪ Inter-laboratory comparison
▪
3. Validation
Interlaboratory test under Blind Conditions (EU-NETVAL, Network of lab)
▪ Relevance and Reliability for the Field of Application designed
▪
4. Independent evaluation (Peer review) —> ESAC (Expert Scientific Advisory Committee)
5. Official approval —> OECD guideline
The validation studies can be:
- IN PERSPECTIVE = data generated through collaborative studies between different labs
- RETROSPECTIVE = existing data produced by the inventor during development
- CATCH UP/ME-TOO = data from similar methods
4) Skin irritation and Alternative Method
The skin irritation is a local inflammation of non-immunological origin, characterized by erythema,
edema or necrosis due to single or repeated exposure to a substance (e.g., HCl or HF).
An irritating potential can cause effects on the stratum corneum, epidermis and dermis.
The most important characteristics is the REVERSIBILITY.
Alternative methods that can be used instead of the Draize test (in vivo test on albino rabbits) include:
Reconstructed Human Epidermis (RhE) models:
• EPISKIM
• EPIDERM TG 439
• SKINETHIC
The endpoint for the 3 tests is the cell viability/cytotoxicity analyzed using MTT test (from yellow
tetrazolium salt to a blue formazan salt):
≤
- Cell viability 50% —> IRRITANT 2 Alternative Methods in Toxicology – domande e risposte
- Cell viability > 50% —> NON-IRRITANT
Episkin analyses also the release of interleukin-1alpha
These tests allow to differentiate between different chemicals, in particular allowing to differentiate
between substances not classifiable by irritation (No cat.) and irritants (Cat.2) but not for week irritant
(Cat.1).
Moreover, they are not useful for aerosol and gaseous substances.
5) OECD definition
OECD stands for Organization for Economic Cooperation and Development.
6) TG definition
TG stands for Test Guideline.
7) BCOP
BCOP is an acronym for Bovine Cornea and Permeability test.
It’s an EX VIVO model that allows to study the eye irritation, which involves ocular changes following
the application of test substance ON THE FRONT SURFACE of the eye, totally reversible within 21
days from application.
BCOP helps analyze chemicals inducing severe damage and identify those not requiring
classification for eye irritation or serious eye damage.
The endpoints are: Corneal Opacity (decrease in light transmission) and Corneal Permeability
(fluorescein).
The In Vitro Irritancy Score (IVIS) ranges:
0 - 3 Non-irritants
3,1 - 25 Weak irritant
25,1 - 55 Moderate irritant
>55,1 Severe/corrosive irritant
8) Internal Dose Concept
The internal dose concept refers to the free concentration able to reach the cellular target.
3 Alternative Methods in Toxicology – domande e risposte
9) mEST
mEST stands for “Murine Embryonic Stem Cell Test” and is an alternative method used to determine
the embryotoxicity of a substance. It uses D3 cells (undifferentiated embryonic cells) and BALB-3T3
fibroblasts (adult cells).
The two lines are incubated with potential embryotoxicity substance for 10 days, testing both
inhibition of differentiation and proliferation.
Procedure:
- Day 0= hanging drops
- Day 1-3= aggregation of stem cells
- Day 3-5= embryoid bodies
- Day 5-10= contracting cardiomyocytes
The endpoints are:
- Cytotoxicity D3 analyzed through MTT test —> IC D3
50
- Cytotoxicity BALB/3T3 analyzed through MTT test —> IC 3T3
50
- Developmental toxicity (cardiomyocytes) —> ID
50
In this way is possible to say if a substance is NO EMBRYOTOXIC, WEAK EMBRYOTOXIC or STRONG
EMBRYOTOXIC.
10) NAM definition
NAM can mean:
- New Alternative Methodologies
- Non-Animal Method
11) ITS definition
ITS stand for Integrated Testing Strategy.
12) Skin corrosion and Alternative Methods
Skin corrosion is an irreversible skin damage due to the exposure to an external xenobiotic. Different
substances, including chemicals and cosmetics, can be corrosive.
Alternative Methods available today include:
- TER = Trans Epithelial Electrical Resistance (TG 430)
It’s an ex vivo method that uses rat skin to differentiate between corrosive and non-
corrosive substances. The endpoint is the alteration of the skin barrier.
However, it is not useful for gaseous and areosol substances.
- EPISKIN/ EPIDERM/ SKINETHIC/ EPISC = RhE Model test (TG 431)
4 Alternative Methods in Toxicology – domande e risposte
These are all Recostructed Human Epidermis that are useful to study chemicals and
mixtures but not formulations. The endpoint, analyzed through MTT test, is cytotoxicity.
+ CORROSITEX (not validated yet)
It’s an in vitro membrane barrier test. It has a limited application (it is useful only for certain acids,
bases and their derivates). It performs a colorimetric reaction.
13) Skin sensitization and Alternative Methods
Skin sensitization is an immune reaction to external substances in genetically predisposed subjects,
manifesting as itching, urticaria and eczema and it is possible to identify two different phases,
INDUCTION (= memory induction) and ELICITATION (= cell-mediated response) and 6 different steps
(key points):
1. Percutaneous absorption
2. Protein binding
3. Cytokine release
4. Activation of DC
5. Maturation and migration of DC
6. Antigen presentation to T lymphocytes helper
LLNA (TG 429) is one of the alternative methods. It means Local Lymph Nodes Assay and is an in vivo
model based on the “reduction-refinement method” compared to the Guinea Pig models. It provides
quantitative data; it reduces the number of animals used and their sufferance (no stimulation of skin
hypersensitive reaction and no use of adjuvants).
Sensitizers induce lymphocytes proliferation in lymph nodes evaluated through the Stimulation index
(SI), the ration between the proliferation of the lymphocytes in treated groups and that of the negative
controls.
The test uses female mice (nulliparous and not pregnant, aged between 8 and 12 weeks) with the
positive control being mercaptobenzothiazole.
Normally, the number of animals used is 20:
• Day 1-3 = application of the substance
• Day 6= injection of the 3H-methil thymidine (radioactive)
• After 5h = sacrifice of the animals —> isolation of the ear lymph nodes
• Cell suspension —> SI (measurement of incorporated 3H-methyl thiamidine)
SI > 2,5 = skin sensitizer
SI < 1,7 = no skin sensitizer
This test particularly assesses key point 6. However, following an AOP strategy, other key points can be
analyzed, such as:
- Key point 4 —> ARE-Nrf2 Luciferase test method (keratinocytes + luciferase)
5 Alternative Methods in Toxicology – domande e risposte
- Key point 2 —> DPRA (Direct Peptide Reactivity Assay)
It is an in chemico test that quantify the ability of a substance to bind a synthetic peptide
monitoring the cysteine and lysine depletion.
14) EDC definition
EDC stands for “Endocrine Disruptor chemicals”.
15) AOP definition
AOP stands for “Adverse Outcome Paghway”.
16) Endocrine Disruptor chemicals: testing approach
Endocrine disruptors are exogenous substances or mixtures that alter the function of the endocrine
system, causing adverse health effects in an organism, its progeny, or population. To study endocrine
disruptors, no single test can provide all the necessary information. Available tests target estrogen,
androgen, thyroid, or steroidogenesis (EATS) receptors. The testing strategy combines in vitro, in vivo,
and in silico methods.
It is possible to identify 5 different levels:
- Level 1 = all information (physico-chemical characteristics, standardized and non-
standardized test, epidemiological and filed studies and in silico studies)
- Level 2 = in vitro methods such as Estrogen or Androgen Receptor binding Affinity,
Steroidogenesis in vitro and thyroid disruption assay.
- Level 3 = in vivo studies to evaluate a specific mechanism
- Level 4 = in vivo studies to evaluate ad erse effects
- Level 5 = in vivo studies for more information
17) ITS: some examples
ITS stands for Integrated Testing Strategy.
Examples of ITS are:
- the AMES test + Micronucleus test
AMES Test: Also known as the Bacterial Reverse Mutation Test, it uses Salmonella
typhimurium mutant His-, which cannot biosynthesize histidine and requires exogenous histidine. To
determine if a substance is mutagenic, it is introduced into a culture of His- bacteria. After an
incubation period of 2 days at 37ºC, if histidine is present, it indicates that the substance caused the
bacteria to revert back, proving it is mutagenic.
Micronucleus Assay: This genotoxicity test detects micronuclei in the cytoplasm