Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Wongwiwat Tassaneeyakul Department of Toxicology Khon Kaen University 614 351 1 To understand the important role of toxicity test in drug/chemical development, Can describe the component of toxicity test commonly used, Understand the relationship between these tests. 614 351 2 ~100 Discovery Approaches High Risk Process: 11-15 Years, $800MM+ Millions of Compounds Screened Preclinical Pharmacology Preclinical Safety 1-2 Products Clinical Pharmacology & Safety Discovery Exploratory Development Phase I 0 Idea Full Development Phase II Phase III 15 10 5 11 - 15 Years 614 351 Drug 3 Frame work for Systems Toxicology Waters & Fostel, 2004 614 351 4 Procedures on Living Animals : Great Britain 2000 Total number of Procedures Total number of animals used 2,714,726 2,642,993 Total number of toxicology procedures 454,904 (16.8%) • Total number of acute lethal tests in the rat (LD50/LC50) 2292 Total number of Procedures in Dogs 7,632 (0.3%) Total number of procedures in primates 3,690 (0.1%) 614 351 5 Toxicity Tests 1. 2. 3. 4. Acute toxicity test (single dose) Subchronic toxicity test (repeated dose) Chronic toxicity test (repeated dose) Special test 4.1 Mutagenicity test 4.2 Development and reproductive test 4.3 Carcinogenic test 4.4 Neurotoxicity, 4.5 etc…………………. 614 351 6 Animals Toxicity Tests Assumption 1) Extrapolation from animal to human is possible 1.1 Appropriate dosage adjustment 1.2 Known human carcinogen are carcinogenic in (some) animals 1.3 Species differences mostly due to different metabolic pathways 2) High dose exposure is a necessary (to reduce a less number of animal used) 614 351 7 Acute Toxicity Test It involves lethal dose/concentrations and short-term exposures, Appear immediately after exposure, The end point is usually death, hence it is used to derive LD50 /LC50 An LD50 is a dose of a toxic chemical that kills half of the population. LD50 is obtained by plotting, for a given dose the proportion of the population that responded to that dose and all lower doses 614 351 8 Acute Toxicity Tests OBJECTIVES 1. Estimate LD50 or LC50 for comparison 2. Identify target organ of intoxication to predict toxicity effect in human 3. Establish reversibility of toxicity 4. Calculate dose range guiding for further repeated-dose test COMPONENTS Acute lethality + Eye irritation + Skin test 614 351 9 Acute Lethality Tests (LD50 test) METHOD Route: intended route (e.g. p.o. or parenteral) Species: 1 rodent + 1 non-rodent Dose : > 5 level Observed period: up to 14 days INDICATORS LD50 + 95% confidence interval Functional toxicity Histo/pathology, hematology, autopsy, etc. 614 351 10 Alternative acute toxicity tests 1. Approximate lethal dose (ALD) “1.5” 2. Up and down method 3. The British Society of Toxicology (BST) protocol 5, 50, 500 mg/kg then up and down adjust 4. The “Fixed Dose” procedure 5, 50, 500, 2000 mg/kg very toxic, toxic, harmful, nontoxic 614 351 11 Up and down method 614 351 12 Aquatic toxicity testing Daphnia (water flea) Daphnia toxicity test “White rat of aquatic toxicity testing” 614 351 13 Example problem Dose 0 mg/L (control) 1 3 10 30 100 614 351 % alive 100 100 90 30 20 0 14 Eye Irritation (Draize) Test METHOD Exception of test : pH <2 or >12 Route: eye Species: Rabbit (New Zealand White) Dose : 0.01- 0.1 ml or 100 mg Control : contralateral eye Measurement : cornea, iris, conjunctiva 614 351 15 614 351 16 Skin Irritation Test 614 351 17 Skin Sensitization Test 614 351 18 Subchronic Toxicity Tests OBJECTIVES 1. Estimate NOAEL (No observed adverse effect level), MTD (maximal tolerable dose) 2. Identify target organ of intoxication after repeated dose exposure 3. Calculate dose range guiding for chronic toxicity test 614 351 19 MTD = highest dose that suppress <10% body wt gain in 90-days when compare to control group. 614 351 20 Subchronic Toxicity Tests METHOD Route: intended route Species: 1 rodent + 1 non-rodent Dose : > 3 level + control high dose ………….. < 10% fatality ………… low dose ……………. No apparent toxicity Observed period: 30-90 days 614 351 21 Subchronic Toxicity Tests MEASUREMENT 1) Interim test : to establish baseline of appearance food consumption, body wt hematological/ biochemical test urinanalysi 2) Termination test : as interim + histopathological /autopsy 614 351 22 Chronic Toxicity Tests It involves Sub-lethal concentration and longterm exposure, Effect could be anything (biochemical, physiological), but not death, Chronic toxic response can last a long time or be permanent, Under chronic conditions the organism survives but production or gene frequency could be affected, 614 351 23 Chronic Toxicity Tests OBJECTIVES 1. Identify the spectrum of toxicity over a broad range of dose 2. Extrapolation of adverse effect to human 3. Prediction of safe level of exposure in human (Safety Factor, SF) 614 351 24 Chronic Toxicity Tests METHOD Route: intended route Species: 1 rodent + 1 non-rodent Dose : > 3 level + control high dose ………….. MTD then 1/4, 1/8, ……….. Observed period: >90 days to 2 yrs 614 351 25 Development and Reproductive Toxicity Test (DART) Objective: To evaluate potential toxicity on developmental animals and reproductive system. Study Type Multigenerational (2-3 G) study Three-segments single generation study 614 351 26 Embryonic development and critical period for teratogenesis 614 351 27 614 351 28 614 351 29 Possible Targets in DART Reproductive system Key hormones Spermatogenesis/ Ovulation Mating function Sperm viability/ Fertilization Placentation Maternal behavior Developing offspring Implantation development Organ development & maturation Embryo / fetal growth Suckling behavior 614 351 30 Indices used in DART 1. Fertility index = # females pregnant # females paired 2. Implantation index = # implantation sites # corpora lutea 3. Gestational (live birth) index = # lived pups born # pups delivered 4. Viability index = # pups surviving 4 days # lived pups at birth 5. Sex ratio = # male offspring X 100 # female offspring 614 351 31 (A) Litter size after exposure to herbicide mixture; summary of groups (n = 275). Distribution of litter size in each dosing group: (B) control (n = 62); (C) very low dose (n = 31); (D) low dose (n = 58); (E) intermediate dose (n = 61); (F) high dose (n = 63). Interm, intermediate. *p < 0.05, ANOVA, Bonferroni. 614 351 32 Multigenerational study F0 mating F1B mating F1A autopsy F2A autopsy F3A autopsy 614 351 F2B mating F3B 33 DNA REPAIR MECHANISMS SHORT-TERM CONSEQUENCES PHYSIOLOGICAL DYSFUNCTION CELL DEATH Decreased Genomic cellular instability proliferation ABNORMAL GROWTH & METABOLISM Impaired protein/ gene expression Defective signalling pathways LONG-TERM CONSEQUENCES Ageing Cancer Disease 614 351 Test of Genetic Damage DNA DAMAGE 34 The Ames/Salmonella Test “I know, let’s invent the Ames test” 614 351 35 Prototrophic Bacteria Cell (His+/+) Energy Source 1 3 B A C 5 D 2 7 E 4 F G Histidine + Other amino acids Protein synthesis 6 Cell Growth Waste Product Auxotrophic Bacteria Cell (His-/-) Energy Source 1 A 3 B C 2 Waste Product 5 7 No histidine+ Other amino acids D 4 Protein synthesis decrease 6 No Cell Growth Mutation in enzyme 4 614 351 36 614 351 37 614 351 38 http://faculty.washington.edu/jclara/301/M301lecOut/MuRepair.html 614 351 39 614 351 40