A regrettable tendency throughout recorded human history is that neurotoxicants have initially been discovered during human epidemics of neurotoxicity. Well-known agents illustrating this trend include ethanol, n-hexane, lead, mercury, polychlorinated biphenyls (PCBs), and tri-ortho cresyl phosphate (TOCP) (Costa et al. 2004; Inoue et al. 1988). During the late 20th and early 21st centuries, neural dysfunction has remained a key occupational hazard for adults (Connelly and Malkin 2007; Gobba 2003) and a devastating congenital event in children (Bearer 2001). Both of these age groups may be exposed to neurotoxicants via endogenous production of toxic metabolites during the course of certain diseases (ammonia, unconjugated bilirubin) or, more commonly, by contact with exogenous materials in the external habitat (e.g., agrochemicals, metals, pesticides, solvents) or deliberately introduced into the body (i.e., biopharmaceuticals, drugs, natural toxins [animals, microbes, plants]). The potential scale of toxicant-induced neuropathology is enormous. Each year, about 85,000 chemicals are manufactured and another 2,000 to 3,000 new compounds are registered in the United States alone (Goldman 1998). At least 2,500 (3%) of these entities are thought to be neurotoxic to some extent (Claudio 1992), though many—including up to two-thirds of chemicals made annually in amounts exceeding one million pounds—have not received a detailed analysis to assess their neurotoxic potential (Environmental Defense Fund 1997). Thus, a main aim of neurotoxicologic research today is to prospectively identify the neurotoxic capacity of novel compounds rather than to discover it retrospectively after neurotoxicity epidemics appear in humans. Many toxicologic pathologists are outstanding contributors to this public health effort. The collective interest by the toxicologic pathology community has resulted in the selection of ‘‘Toxicologic Neuropathology’’ as the focus of the Society of Toxicologic Pathology’s annual scientific symposium about every decade during the past 30 years, with the subsequent production of dedicated issues of Toxicologic Pathology that collate the then current, state-of-the-art concepts and practices in this field. (Prior STP symposium issues devoted to toxicologic neuropathology may be accessed in Toxicologic Pathology [1990] 18, 81–224 and Toxicologic Pathology [2000] 28, 1–214.) The rapid growth of the discipline in the past decade again led to the choice of toxicologic neuropathology for the STP’s 29th annual scientific symposium, which was jointly sponsored by the International Federation of Societies of Toxicologic Pathologists (IFSTP) and held in Chicago, Illinois, USA, June 20–24, 2010. As noted during the previous STP symposium on toxicologic neuropathology, the three factors driving growth in this field are (1) our greatly increased understanding of neural structure and function; (2) an intense effort to find new therapies for treating neurodegenerative, neurooncologic, and neurovascular diseases; and (3) a greater demand by global regulatory agencies for specific neurotoxicity testing in the registration packages for new products (Fix 2000). These same factors retain their importance at the present time.
Read full abstract