Abstract

The potential immunotoxicity of xenobiotics has been the focus of a growing concern during the past decade. Even though a large number of experimental studies, mainly in rodents, suggested that the immune system is a likely target organ of toxicity for many pharmaceutical products and occupational as well as environmental chemicals (Descotes 1988), little is actually known of their immunotoxic effects in man (Newcombe et al. 1992; Burrell et al. 1992). Among possible approaches to identify those chemical exposures more likely to induce immunotoxic effects, namely clinical consequences associated with immunosuppression and immunostimulation, hypersensitivity, and autoimmunity, biomarkers of immunotoxicity have been first considered for use. Sentinel screening is proposed as an alternative to biomarkers that are still poorly, if at all, standardized and validated.

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