1. La direttiva 2010/63/UE e i laboratori di
riferimento dell’UE per la convalida
dei metodi alternativi
C. Rovida
CAAT Europe – University of Konstanz
costanza.rovida@chimici.it
8 febbraio 2018
RICERCA E INNOVAZIONE
NELL’AMBITO DEI METODI SOSTITUTIVI
8. Article 4
Principle of replacement, reduction and refinement
Principio della sostituzione, della riduzione e del perfezionamento
• 1. Member States shall ensure that, wherever
possible, a scientifically satisfactory method or
testing strategy, not entailing the use of live
animals, shall be used instead of a procedure.
Gli Stati membri assicurano che, ove possibile, un
metodo o una strategia di sperimentazione
scientificamente soddisfacente che non comporti
l’uso di animali vivi possa essere utilizzato in
sostituzione di una procedura
9. Article 47 - Alternative approaches
1. The Commission and the Member States shall contribute to the development
and validation of alternative approaches which could provide the same or higher
levels of information as those obtained in procedures using animals, but which
do not involve the use of animals or use fewer animals or which entail less
painful procedures, and they shall take such other steps as they consider
appropriate to encourage research in this field.
2. Member States shall assist the Commission in identifying and nominating
suitable specialised and qualified laboratories to carry out such validation
studies.
3. After consulting the Member States, the Commission shall set the priorities for
those validation studies and allocate the tasks between the laboratories for
carrying out those studies.
4. Member States shall, at national level, ensure the promotion of alternative
approaches and the dissemination of information thereon.
5. Member States shall nominate a single point of contact to provide advice on the
regulatory relevance and suitability of alternative approaches proposed for
validation.
6. The Commission shall take appropriate action with a view to obtaining
international acceptance of alternative approaches validated in the Union.
15. DECRETO LEGISLATIVO 4 marzo 2014, n. 26
Attuazione della direttiva 2010/63/UE sulla protezione degli animali utilizzati a
fini scientifici. (14G00036) (GU Serie Generale n.61 del 14-03-2014)
note: Entrata in vigore del provvedimento: 29/03/2014
Articolo 1(2). E' consentito l'utilizzo degli animali ai fini scientifici o educativi soltanto
quando, per ottenere il risultato ricercato, non sia possibile utilizzare altro metodo o
una strategia di sperimentazione scientificamente valida, ragionevolmente e
praticamente applicabile che non implichi l'impiego di animali vivi.
Articolo 5(2). Non possono essere autorizzate le procedure:
… e) per le ricerche sulle sostanze d'abuso
Articolo 13. Scelta dei metodi
(1). Non sono autorizzabili le procedure che prevedono l'impiego di animali vivi per le
quali esistono altri metodi o strategie di sperimentazione, riconosciute dalla
legislazione dell'Unione europea, ovvero prevedono metodi vietati dalla normativa
vigente nazionale.
“non sono autorizzabili”???
16.
17. Uso dei conigli a scopo scientifico
• Irritazione dermale e oculare
– Sostituzione con modelli di epidermide
ricostituitIrritazione dermale e oculare
– Sostituzione con modelli di epidermide ricostituita
completamente accettati
• Seconda specie per test di sviluppo
– Tante possibilità, ma poco esplorate
• Test dei pirogeni
– LAL, come il coniglio positive solo
– MAT, applicabilità universale
completamente accettata
21. (Animal)
Model
Test Validated
Test
Accepted
Test
A definition of the scientific purpose of the method
A description of its mechanistic basis
The case for its relevance
The availability of an optimized protocol, including:
- standard operation procedures
- specification of endpoints and endpoint measurements
- derivation, expression and interpretation of results
(preliminary prediction model)
- the inclusion of adequate controls
An indication of limitations (preliminary applicability domain)
Quality assurance (GLP, Good Cell Culture Practice)
Pre-validation & Validation
22. https://eurl-ecvam.jrc.ec.europa.eu/test-submission
Step 1: Presubmission - is based on the EURL ECVAM Test
Presubmission Form (TPF) and is a mandatory requirement
for a test method to be eventually considered for the EURL
ECVAM validation process. The completed TPF filled in all its
parts will allow EURL ECVAM to perform a preliminary
assessment of the status of development, optimisation
and/or validation of the test method and its potential
relevance with regard to the 3Rs (replacement, reduction,
refinement of animal testing).
23. 1. INTRODUCTION
2. PURPOSE
3. METHOD OUTLINE
4. LIMITATIONS
5. DEFINITIONS/ABBREVIATIONS
6. MATERIALS
6.1. Cell
6.2. Technical Equipment
6.3. Reagents, Media, Sera, Culture Plates
6.4. Preparation of media and solutions
7. METHODS
7.1. Cell maintenance and culture conditions
7.2. Quality check of cells
7.3. Handling of chemicals
7.4. Cell viability
7.6. Measure of endpoints
7.7. Data Analysis
7.8. Final Report
8. HEALTH SAFETY AND ENVIRONMENT
9. REFERENCES
10. APPENDIX
Protocol Template
Sens-it-iv Newsletter 23, http://www.sens-it-iv.eu
https://ecvam-dbalm.jrc.ec.europa.eu/home/contribute
24. Annex 1 Good Cell Culture Practice (GCCP)
Annex 2 Good Cell Culture Practice for stem cells and stem-cell
derived models
[Good Cell Culture Practice: human (stem) cells and organoids]
OECD
GUIDANCE DOCUMENT ON GOOD IN VITRO
METHOD
PRACTICES (GIVIMP) FOR THE DEVELOPMENT
AND IMPLEMENTATION OF IN VITRO METHODS
FOR REGULATORY USE IN HUMAN SAFETY
ASSESSMENT
http://www.oecd.org/officialdocuments/publicdisplaydocumentpdf/?cote=ENV/JM/MONO(2018)19&doclanguage=en
25. (Animal)
Model
Test Validated
Test
Accepted
Test
Validation is the independent
assessment of the scientific basis,
the reproducibility and the
predictive capacity of a test.
Prerequisite since 2005 for all new
OECD test guidelines also for animal
tests
Pre-validation & Validation
30. 428 Skin Absorption: In Vitro Method
430 In Vitro Skin Corrosion: Transcutaneous Electrical Resistance Test (TER)
431 In Vitro Skin Corrosion: Human Skin Model Test
432 In Vitro 3T3 NRU Phototoxicity Test
435 In Vitro Membrane Barrier Test Method for Skin Corrosion
437 Bovine Corneal Opacity and Permeability Test Method for Identifying Ocular Corrosives and Severe Irritants
438 Isolated Chicken Eye Test Method for Identifying Ocular Corrosives and Severe Irritants
439 In Vitro Skin Irritation: Reconstructed Human Epidermis Test Method
471 Bacterial Reverse Mutation Test
472 Genetic Toxicology: Escherichia coli, Reverse Assay
473 In Vitro Mammalian Chromosome Aberration Test
474 Mammalian Erythrocyte Micronucleus Test
476 In Vitro Mammalian Cell Gene Mutation Test
477 Genetic Toxicology: Sex-Linked Recessive Lethal Test in Drosophilia melanogaster
479 Genetic Toxicology: In Vitro Sister Chromatid Exchange assay in Mammalian Cells
480 Genetic Toxicology: Saccharomyces cerevisiae, Gene Mutation Assay
481 Genetic Toxicology: Saccharomyces cerevisiae, Mitotic Recombination Assay
482 Genetic Toxicology: DNA Damage and Repair, Unscheduled DNA Synthesis in Mammalian Cells In Vitro
483 Mammalian Spermatagonial Chromosome Aberration Test
487 In Vitro Mammalian Cell Micronucleus Test
OECD Methods
31. 428 Skin Absorption: In Vitro Method
430 In Vitro Skin Corrosion: Transcutaneous Electrical Resistance Test (TER)
431 In Vitro Skin Corrosion: Human Skin Model Test
432 In Vitro 3T3 NRU Phototoxicity Test
435 In Vitro Membrane Barrier Test Method for Skin Corrosion
437 Bovine Corneal Opacity and Permeability Test Method for Identifying Ocular Corrosives and Severe Irritants
438 Isolated Chicken Eye Test Method for Identifying Ocular Corrosives and Severe Irritants
439 In Vitro Skin Irritation: Reconstructed Human Epidermis Test Method
471 Bacterial Reverse Mutation Test
472 Genetic Toxicology: Escherichia coli, Reverse Assay
473 In Vitro Mammalian Chromosome Aberration Test
474 Mammalian Erythrocyte Micronucleus Test
476 In Vitro Mammalian Cell Gene Mutation Test
477 Genetic Toxicology: Sex-Linked Recessive Lethal Test in Drosophilia melanogaster
479 Genetic Toxicology: In Vitro Sister Chromatid Exchange assay in Mammalian Cells
480 Genetic Toxicology: Saccharomyces cerevisiae, Gene Mutation Assay
481 Genetic Toxicology: Saccharomyces cerevisiae, Mitotic Recombination Assay
482 Genetic Toxicology: DNA Damage and Repair, Unscheduled DNA Synthesis in Mammalian Cells In Vitro
483 Mammalian Spermatagonial Chromosome Aberration Test
487 In Vitro Mammalian Cell Micronucleus Test
442c In Chemico Skin Sensitisation (DPRA)
442d In Vitro Skin Sensitisation ARE-Nrf2 Luciferase Test Method
OECD Methods
33. NAMs: Origin
Two motivating drivers for the workshop were:
• A better understanding of the underlying biology behind how chemicals
cause adverse effects to human health; and
• New tools and techniques that provide a huge amount of data to be used
in solving regulatory issues.
34. In 2025 the Netherlands could
be world leader
animal-free innovations!
“NCad, I urge you to develop a
roadmap for the phasing out of the
use of animals in scientific
research”
35.
36. Phasing out of animal
testing is impossible:
We need animals
Animal testing
should be banned
immediately
3R’s are important
but cannot
replace animals
Scientists:
Society, NGO’s, other
organisations, news, social
media, and political pressure
37. Validity status of reprotox testing
1) Not robust (about 25% equivocal studies), [Bailey et al., 2005]
2) 74 industrial chemicals tested in New Chemical Database: 34
showed effects on offspring, but only 2 chemicals have been
classified as developmental toxic [Bremer & Hartung, 2004]
3) 55% of positives in screening studies not in multi-generation
studies [Bremer & Hartung, 2004]
4) Group size limits statistical power [Hotchkiss 2008]
5) 61% inter-species correlation [Hurrt 2003, Bailey 2005]
Moreover
a) Lack of objectivity of in vivo tests
b) Tests at high concentration
ALTEX 2018, 35:139-162
42. Il passato prossimo:
Metodo tradizionale
GPMT e Buehler test
30 cavie
Applicazione con un irritante per 8
giorni sulla spalla
Verifica di una eventuale reazione
allergica al 20° giorno
43. Il passato prossimo:
Metodo tradizionale
GPMT e Buehler test
30 cavie
Applicazione con un irritante per 8
giorni sulla spalla
Verifica di una eventuale reazione
allergica al 20° giorno
Magnusson B. and Kligman A.M. (1969). The identification of contact allergens by animal
assay. The guinea pig maximisation test. J. Invest. Dermatol., 52, 268
44. Il passato prossimo:
Metodo tradizionale
GPMT e Buehler test
30 cavie
Applicazione con un irritante per 8
giorni sulla spalla
Verifica di una eventuale reazione
allergica al 20° giorno
Magnusson B. and Kligman A.M. (1969). The identification of contact allergens by animal
assay. The guinea pig maximisation test. J. Invest. Dermatol., 52, 268
OECD TG 406
45. Primo metodo "alternativo"
LOCAL LYMPH NODE ASSAY
Days 1, 2 & 3
Apply Chemical
Day 6 - Inject
H-Thymidine3
5 hours Later
Remove Lymph
Nodes
Make Cell
Suspension
Determine H-Thymidine
Incorporation by Liquid
Scintillation Counting
3
46. LLNA
Kimber, I. and Basketter, D.A. (1992), The murine local lymph node assay;
collaborative studies and new directions: A commentary, Food Chem. Toxicol., 30,
165-169
OECD (2002), Skin Sensitisation: Local Lymph Node Assay. OECD Guideline for the
Testing of Chemicals No 429, Paris. http://www.oecd.org/env/testguidelines
47. … intanto
11 settembre 2004:
proibizione di testare prodotti cosmetici sugli animali
11 marzo 2009:
proibizione di testare ingredienti cosmetici sugli animali
(con qualche eccezione)
11 marzo 2013:
proibizione completa di testare sugli animali qualunque
ingrediente/prodotto cosmetico
48. Sensibilizzazione della pelle: in vitro
Assorbimento attraverso la pelle
Metabolismo
Attivazione delle cellule dendritiche
Migrazione verso i linfonodi
Risposta dei linfonodi
51. Scientific American article
(translated into Arabian,
Chinese, German, Italian,
Japanese, Korean, Polish,
Portugese, Spanish…)
Humane science is the best
science!
52. Non si conoscono
Sono più difficili da applicare
Spesso sono più costosi
Non si è sicuri che vengano accettati
Si è sempre fatto in un altro modo
Altex 27, 3/10
54. Molecular
properties
Molecular
initiating events
Cellular
responses
Organ
response
Organism
response
Skin absorption
and access to the
viable epidermis
OECD 428
Q(SAR)s
Binding to protein
to form a
complete antigen
(haptenation)
Electrophilic
reactivity
(direct or via
auto-
oxidation or
metabolism)
Activation of
keratinocytes (KC)
and dendritic cells
(DC)
Antigen
presentation
and specific T
cell activation
ADVERSE OUTCOME PATHWAY
Allergic
contact
dermatitis
DPRA (Gerberick et al., 2008)
Human T cell
priming assay
(Martin et al.,
2010)Q(SAR)s (Patlewicz et al., 2007)
ARE reporter gene
assays (Natsch et al.,
2007)
KC/EE and IL-18
(Corsini et al., 2009;
Gibbs et al., in press)
KC DC
KC and gene profile
(Vandebriel et al., 2010)
hCLAT (Sakaguchi et al.,
2009)
GARD (Johansson et al.,
2011)
MUSST (Python et al.,
2007)
Primary DC (see dos
Santos et al., 2009 for
review)
VitoSens (Hooyberghs
et al., 2008)
55. Existing data on physico-chemical properties
1 Is the substance a strong acid (pH≤ 2.0) or base (pH≥ 11.5),
corrosive to the skin or (spontaneously) flammable in air at room
temperature?
Existing human data
2 Are there adequate existing human data, which provide evidence
that the substance is a skin sensitiser?
Existing animal data from sensitisation studies
3 Are there data from existing studies on skin sensitisation in
laboratory animals (LLNA, GPMT, or Buehler test, OECD TGs 429,
442A, 442B and 406), which provide sound conclusive evidence
that the substance is a sensitiser, or non-sensitiser?
Existing (Q)SAR data and read-across
4 Do “read-across” from structurally and mechanistically related
substances and do suitable (Q)SAR predictions reliably indicate
56. ARE toxicity pathway in an EU/OECD adopted in vitro test (e.g.
OECD TG 442d)? (Key event 2 of the AOP)
In vitro test methods that have been validated and are considered
scientifically valid but are not yet adopted by the EU and/or OECD
may also be used if the provisions defined in Annex XI to the
REACH Regulation are met.
7c Does the substance demonstrate induction of the cell surface
markers (CD54 and/or CD86) on monocytic cells in an validated in
vitro test (e.g. h CLAT)? (Key event 3 of the AOP)
In vitro test methods that have been validated and are considered
scientifically valid but are not yet adopted by the EU and/or OECD
may also be used if the provisions defined in Annex XI to the
REACH Regulation are met.
7d Is any additional testing/generation of data considered necessary
in order to conclude on classification, or e.g. to explain the
inconsistent data obtained in previous elements or to address the
Key event 4 of the AOP (T cell proliferation) with an in vitro test? d
57. Weight-of-Evidence analysis
8 The “elements” described above may be arranged as appropriate.
Taking all existing and relevant data (elements 1-7) into account,
is there sufficient information to meet the respective information
requirement of Section 8.3 of Annex VII and to make a decision
on whether classification and labelling are warranted?
For specific guidance on Weight of Evidence see below.
Generation of new in vivo data for sensitisation as a last resort
(Annex VII to the REACH Regulation)
9 Does the substance demonstrate sensitising properties in an
EU/OECD adopted in vivo test, the LLNA (EU B.42/OECD TG 429,
EU B.50/442A or EU B.51/442Be)? →
63. Aop: 3
AOP Title: Inhibition of the mitochondrial complex I of nigro-striatal neurons
leads to parkinsonian motor deficits
Short name: Mitochondrial dysfunction and Neurotoxicity
?
https://aopwiki.org/aops/3
AOP: un esempio
64.
65. Regenerative medicine-based strategies
for the treatment of Parkinson's disease
Development 2015 142: 1918-1936; doi: 10.1242/dev.097394
X
Commercialmente
disponibili (20 anni!)
Dal paziente
Mouse Embryo
66. Cell Biological Processes necessary
for Brain Development
With courtesy from William Mundy, U.S. Environmental Protection
Agency and John Havel, SRA International, Inc.
Endpoint
Cell Death
Proliferation
Migration
Differentiation
Neurite
Outgrowth
GFAP
Network
Formation
Myelination
69. Zika Virus Infects Human Cortical Neural
Progenitors and Attenuates Their Growth
Tang, H. et al. Cell Stem Cell 18, 1–4, May 5, 2016
Neural stem cells (NSCs)
Ventricular zone (VZ)
Subventricular zone (SVZ)
Inner and Outer SVZ (ISVZ and OSVZ)
Intermediate zone (IZ)
Cortical plate (CP)
Kelava and Lancaster (2016).
Stem Cell Models of Human Brain Development. Cell Stem Cell
Toxicology and Applied Pharmacology 354 (2018) 3–6
83. Nessun pallone e nessun
aeroplano avranno mai
successo in pratica (1902)
Le macchine volanti più
pesanti dell'aria non sono
possibili (1895)
William Thomson, noto anche come Lord Kelvin (1824-1907),
presidente della Royal Society e padre della scala di temperatura che porta il suo nome.
CAAT Europe is located at the University of Konstanz I Germany. It is within the department of in vitro toxicology in the Faculty of Biology
Aanpak voor de beantwoording van ons advies was: De ‘snelkookpan’.
In korte tijd hebben we vele experts en maatschappelijke groeperingen geconsulteerd op allerlei gebied. Van transitiedenkers, tot CEO’s van innovatieve bedrijven, van fundamenteel wetenschappelijk onderzoekers tot beoordelingsautoriteiten op het gebied van geneesmiddelen. En nog vele anderen (die natuurlijk allemaal genoemd en bedankt zijn achterin het advies)
Natuurlijk hebben we ook literatuuronderzoek gedaan. Niet alleen wetenschappelijke literatuur, ook kranten en nieuwbladen hebben we hierin betrokken.
En zoals dat hoort in deze tijd, hebben we discussies gepoogd te entameren buiten de groep van bekende stakeholders door op social media via een Linked Inn groep ene discussie groep te starten. Een groep studenten van de VU heeft gepoogd meer zicht te krijgen op de bereidheid van burgers en patienten om risico’s te ondergaan die verbonden zijn aan afschaffing van dierproeven.
Limulus amebocyte lysate Assay
Lal solo gram + e interferenze con alcune sostanze
MAT monocyte activation tests
That’s the story to get to the concept of NAM
Let’s do a step back to understand the evolution from 3Rs to NAMs
34 membri, compresa UE, USA Canada e Giappone. Purtroppo ancora non la Cina
I metodi della sezione 4 sono quelli relativi alla salute umana. Come vedete I numeri sono molto alti. IL metodo 401 è la tossicità acuta orale, ancora su 100 animali, che ovviamente non usa più nessuno
Regolamento REACH dice che che posso usare qualunque OECD, ma comunuque BCOP è stato già incluso nel regolamento 440
Se leggo la linea guida OECD vedo che è adatto per distinguere I corrosivi dagli irritanti, anche se il valore molto negativo è accettato. Restano in dubbio gli irritanti leggeri.
Torniamo al nostro BCOP
In 2016, ECHA organised a very important workshop that decided a new way to consider the approach. Two motivating drivers…
For the first time they used the terminology “NAMs” to indicate something that is disruptive with the past.
Zowel in de maatschappij als in de politiek wordt regelmatig de vraag gesteld of onderzoek niet zonder dieren of met veel minder dieren kan. Binnen de wetenschap worden vragen gesteld over de voorspellende waarde van diermodellen voor de situatie van mensen. Niet nieuw, want dat is voor wetenschappers altijd een vraag, maar ik vermoed dat het stellen van vragen in zowel de wetenschappelijke, als de maatschappelijke als de politiek hoek over de waarde van dierproeven ertoe heeft bijgedragen dat de staatssecretaris on op 8 april j.l de vraag stelde om een afbouwschema dierproeven op te stellen.
Commotie nav de vraag van de EZ was ook voor ons NCad merkbaar.
Reacties varieerden van…
‘Het is onmogelijk’ tot ‘per direct stoppen!
‘en daar tussenin: ‘misschien kunnen we meer vermindering realiseren in een hoger tempo’.
De vervolgragen bij ‘afbouw’ zijn:
welke risico’s neem je daar? Voor patienten, burgers en voor de wetenschappelijk in NL?
Wat zijn nu echt reele alternatieven?
It should be acknowledged that in vivo methods have some limitations. Regarding reproductive toxicity…
Also the EOGRTS guideline contains no recommendation for human relevance of the animal data. Human exposure is several order of magnitude lower than doses used in animal studies.
I 2007 the NIH asked for a report to understand how to change the approach to solve two main problemas:
Few chemicals have a full toxicological characterization
There is concern on some chemicals that do not have explanations
What’s written in this book is that the traditional model is based on animals
39
What is at the base of any toxicological process is the adverse outcome pathways
…..
OECD is very much committed in this sense
Sostanza applicata sulla spalla rasata della cavia insieme ad un irritante per 8 giorni
Riposo
0 = no visible change
1 = discrete or patchy erythema
2 = moderate and confluent erythema
3 = intense erythema and swelling
Sostanza applicata sulla spalla rasata della cavia insieme ad un irritante per 8 giorni
Riposo
0 = no visible change
1 = discrete or patchy erythema
2 = moderate and confluent erythema
3 = intense erythema and swelling
Sostanza applicata sulla spalla rasata della cavia insieme ad un irritante per 8 giorni
Riposo
0 = no visible change
1 = discrete or patchy erythema
2 = moderate and confluent erythema
3 = intense erythema and swelling
Unfortunately, I don't know when it will be published. Our work of revision is just finished. Now, we need the approval of some official committees and I am afraid that final approval will arrive next summer.
The first guideline was published in 2008. I was involved in that because at that time I was in ECVAM. I still remember how much I had to discuss to make in vitro considered. Now the word in vitro is mentioned 36 times.
I personally prepared this flow and I really had to fight to keep the box about in vitro methods. Now I am very happy to announce that the wind has changed
The past century saw also the beginning of animal welfare movements.
CAAT was founded in 1981, but the turn arrived with this paper, translated in many languages and written by Alan Goldberg the founder of CAAT and Thomas Hartung the director now of CAAT
It was the beginning of the awareness that in vitro tests and alternative strategies may represent a tremendous improvement of toxicology
What is at the base of any toxicological process is the adverse outcome pathways
…..
OECD is very much committed in this sense
Check the validity of the listed methods
– Adverse outcome pathway with potential non-animal methods for contact hypersensitivity. DPRA, direct peptide reactivity assay; EE, epidermal equivalent; Q(SAR), quantitative structure–activity relationship models
Questo è un modello meraviglioso, su cui si deve lavorare, ma mantenendo sempre un occhio rivolto al futuro. Questa deve essere la vera ricerca
Reprotoxicity
The reproductive cycle is one of the most complex set of processes that organisms undergo.
We currently still rely on animal tests to predict the potential for chemicals to cause reproductive harm in humans.
(reproduction/fertility, prenatal development, postnatal development), or as a single protocol (two-generation test).
The purpose of SAAOP is to promote and advance scientific research that fosters the development and use of adverse outcome pathways (more info). The SAAOP maintains the AOP-Wiki under the guidance of the OECD Expert Advisory Group on Molecular Screening and Toxicogenomics (EAGMST).
This Adverse outcome Pathway (AOP) describes the linkage between inhibition of complex I (CI) of the mitochondrial respiratory chain and motor deficit as in parkinsonian disorders. Binding of an inhibitor to complex I has been defined as the molecular initiating event (MIE) that triggers mitochondrial dysfunction, impaired proteostasis, which then cause degeneration of dopaminergic (DA) neurons of the nigro-striatal pathway. Neuroinflammation is triggered early in the neurodegenerative process and exacerbates it significantly. These causatively linked cellular key events result in motor deficit symptoms, typical for parkinsonian disorders, including Parkinson's disease (PD), described in this AOP as an Adverse Outcome (AO). Since the release of dopamine in the striatum by DA neurons of the Substantia Nigra pars compacta (SNpc) is essential for motor control, the key events refer to these two brain structures. The weight-of-evidence supporting the relationship between the described key events is based mainly on effects observed after an exposure to the chemicals rotenone and 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP), i.e. two well-known inhibitors of complex I. Data from experiments with these two chemicals reveal a significant concordance in the dose-response relationships between the MIE and AO and within key events (KEs). Also essentiality of the described KEs for this AOP is strong since there is evidence from knock out animal models, engineered cells or replacement therapies that blocking, preventing or attenuating an upstream KE is mitigating the AO. Similarly, there is proved experimental support for the key event relationships (KERs) as multiple studies performed with modulating factors that attenuate (particularly with antioxidants) or augment (e.g. overexpression of viral-mutated α-synuclein) a KE up show that such interference leads to an increase of KE down or the AO. Information from in vitro and in vivo experiments is complemented by human studies in brain tissues from individuals with sporadic Parkinson's disease (Keeney et al., 2006) to support the pathways of toxicity proposed in this AOP.
Regenerative medicine-based strategies for the treatment of Parkinson's disease. (A) Human fetal ventral midbrain (VM) tissue has been the classical source of tissue for transplantation and has provided proof of principle for cell replacement therapy in Parkinson's disease (PD). (B,C) Midbrain dopaminergic neurons have also been generated from human PSCs, derived either from blastocysts (ESCs; B) or by reprogramming of fibroblasts (iPSCs; C). Protocols involve following the developmental steps to first generate ectoderm, neural plate (NP) and neuroepithelial cells (NEP), followed by midbrain floor plate (mFP), midbrain dopaminergic (mDA) progenitors (mDP), mDA postmitotic neuroblasts (mDNb) and mDA neurons. (D) An alternative way to create mDA neurons is by direct reprogramming of fibroblasts into induced mDA neurons. (E) mDA neurons and iDA cells can be used for transplantation. (F) Direct reprogramming could also be performed in vivo, to generate iDA neurons in situ, from host cells in the adult brain, without the need for cell transplantation. (G) mDA neurons derived from PD patients or with introduced PD mutations can be compared with controls or corrected mutations and used for disease modeling and drug discovery.
Brain development needs a multitude of cell biological processes and each process is guided by a plethora of signaling pathways. Therefore, translating the new AOP concept to DNT is a challenging approach because there is a multitude of MIE and KE guiding defects in the different developmental processes.
Myelination is the process by which a fatty layer, called myelin, accumulates around nerve cells (neurons). Myelin particularly forms around the long shaft, or axon, of neurons. Myelination enables nerve cells to transmit information faster and allows for more complex brain processes. Thus, the process is vitally important to healthy central nervous system functioning.
The human brain develops through a series of developmental stages that must occur in a particular sequence and at the right time. The current reliance on DNT testing in rodents to predict effects in humans is called into question.
It’s not science fiction and first applications are already available
For example, it was used to demonstrate the activity of the Zika virus that affects the embryo neural cells causing immediate death or defective maturation. The possibility to isolate the precise step when the effect occurs is also very helpful to investigate the pharmacological solution.
There are also studies that demonstrate the difference between human and rats, the latter resembling in vivo experiments, but different than the experiment performed with human material
We are not 70Kg rats, but we’re also not a 70Kg cells. We need to move towards a higher awareness of the mechanism behind a possible effect
Non sto a entrare nei dettagli dei tipi di cellule che si possono utilizzare
6 millions from EPA to develop The primary goal of the new center is to develop a series of 3-D human cell cultures that are heavily wired up with different sensors to record how they respond when exposed to small concentrations of potentially toxic chemicals.
include: exposure differences between in vitro and
in vivo studies, accumulation of the compound in the fetal
compartment, maternal metabolism, altered maternal status
(e.g., hypoglycemia, hemodynamic changes), effects on placental
function, and a sensitive window or other mechanistic
aspect missing from the alternative assay
No in vitro model is perfect, but given the everincreasing
rate of technologic change (see Kurzweil 2005), one
can realistically imagine a time in the not-too-distant future
when the bulk of safety assessment work will be done in these
sorts of constructs, particularly as they represent more and
more of the natural complexity of the in vivo situations, and
the results from these models will enable scientists to make
reliable predictions of what would happen in vivo
The current approach is first to test unknown chemicals in animal tests. This limits overall throughput and leads to a high rate of false
positives and false negatives. Mixtures are hardly ever tested because of the limitation of resources. High costs in combination with a
low predictivity lead to many cases of “no testing”. Mechanistic studies are only carried out in few cases of particular interest to identify
the factors causing the toxicity. The new approach, suggested here, is based on 21st century in silico and in vitro methods identifying
PoT. This will in most cases lead to an amount of data that is sufficient to decide whether a substance is toxic (positive) or non-toxic
(negative) for the intended scenario. Only in few cases, when not enough information can be obtained, will animal tests be performed as
an additional source of information. Good information can be provided on all chemicals and, due to the high throughput of the approach,
also on mixtures.
Hypothesis driven testing
The current approach is first to test unknown chemicals in animal tests. This limits overall throughput and leads to a high rate of false
positives and false negatives. Mixtures are hardly ever tested because of the limitation of resources. High costs in combination with a
low predictivity lead to many cases of “no testing”. Mechanistic studies are only carried out in few cases of particular interest to identify
the factors causing the toxicity. The new approach, suggested here, is based on 21st century in silico and in vitro methods identifying
PoT. This will in most cases lead to an amount of data that is sufficient to decide whether a substance is toxic (positive) or non-toxic
(negative) for the intended scenario. Only in few cases, when not enough information can be obtained, will animal tests be performed as
an additional source of information. Good information can be provided on all chemicals and, due to the high throughput of the approach,
also on mixtures.