Abstract
The replacement of animals in acute systemic toxicity testing remains a considerable challenge. Only animal data are currently accepted by regulators, including data generated by reduction and refinement methods. The development of integrated approaches to testing and assessment (IATA) is hampered by an insufficient understanding of the numerous toxicity pathways that lead to acute systemic toxicity. Therefore, central to our work has been the collection and evaluation of the mechanistic information on eight organs identified as relevant for acute systemic toxicity (nervous system, cardiovascular system, liver, kidney, lung, blood, gastrointestinal system, and immune system). While the nervous and cardiovascular systems are the most frequent targets, no clear relationship emerged between specific mechanisms of target organ toxicity and the level (category) of toxicity. From a list of 114 chemicals with acute oral in vivo and in vitro data, 97 were identified with target organ specific effects, of which 94% (91/97) were predicted as acutely toxic by the 3T3 neutral red uptake cytotoxicity assay and 6% (6/97) as non-toxic. Although specific target organ mechanisms of toxicity could in some cases explain the false negative prediction obtained with the cytotoxicity assay, in general it is difficult to explain in vitro misclassifications only on the basis of mechanistic information. This analysis will help to prioritize the development of adverse outcome pathways for acute oral toxicity, which will support the assessment of chemicals using mechanistically informed IATA.
Highlights
Acute systemic toxicity after oral, dermal, or inhalation exposure requires that the substance becomes bioavailable at the target site and induces lethality through general toxicity or a specific mechanism
This study describes the analysis of mechanistic information collected on eight potential organs (i.e., nervous system, cardiovascular system, liver, kidney, lung, blood, gastrointestinal system (GI), and immune system) identified as relevant for acute systemic toxicity and using a set of chemicals inducing acute toxicity after oral exposure
3.2.4 Acute oral toxicity category 4 General mechanisms of toxicity are reported for 49% of the compounds correctly assigned to the acute oral toxicity category 4
Summary
Acute systemic toxicity after oral, dermal, or inhalation exposure requires that the substance becomes bioavailable at the target site and induces lethality through general toxicity or a specific mechanism. This means that kinetic factors, and mainly absorption, are important determinants of toxicity (EURL ECVAM, 2015). The assessment of acute systemic toxicity is a core component of the safety assessment of substances in the context of EU and international legislations (Hamm et al, 2017). These studies are no longer required by default to support first clinical trials in humans (Robinson et al, 2008; ICH, 2009; Chapman et al, 2010)
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