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Respiratory sensitization: Advances in assessing the risk of respiratory inflammation and irritation
Authors:Rob Vandebriel  Conchita Callant Cransveld  Daan Crommelin  Zuzana Diamant  Berend Glazenburg  Guy Joos  Frieke Kuper  Andreas Natsch  Frans Nijkamp  Hub Noteborn  Raymond Pieters  David Roberts  Erwin Roggen  Emiel Rorije  Martin Seed  Katharina Sewald  Rosette van den Heuvel  Jacqueline van Engelen  Sandra Verstraelen  Henk van Loveren
Affiliation:aNational Institute of Public Health & the Environment, Bilthoven, The Netherlands;bSenterNovem, The Hague, The Netherlands;cTop Institute Pharma, Leiden, The Netherlands;dCenter for Human Drug Research, Leiden, The Netherlands;eBronovo Hospital, The Hague, The Netherlands;fGhent University, Ghent, Belgium;gTNO, Zeist, The Netherlands;hGivaudan, Duebendorf, Switzerland;iUtrecht University, Utrecht, The Netherlands;jFood and Consumer Product Safety Authority, The Hague, The Netherlands;kLiverpool University, Liverpool, United Kingdom;lNovozymes, Bagsvaerd, Denmark;mManchester University, Manchester, United Kingdom;nFraunhofer Institute of Toxicology and Experimental Medicine, Hannover, Germany;oVITO, Mol, Belgium
Abstract:Respiratory sensitization provides a case study for a new approach to chemical safety evaluation, as the prevalence of respiratory sensitization has increased considerably over the last decades, but animal and/or human experimental/predictive models are not currently available. Therefore, the goal of a working group was to design a road map to develop an ASAT approach for respiratory sensitisers. This approach should aim at (i) creating a database on respiratory functional biology and toxicology, (ii) applying data analyses to understand the multi-dimensional sensitization response, and how this predisposes to respiratory inflammation and irritation, and (iii) building a systems model out of these analyses, adding pharmacokinetic–pharmacodynamic modeling to predict respiratory responses to low levels of sensitisers. To this end, the best way forward would be to follow an integrated testing approach. Experimental research should be targeted to (i) QSAR-type approaches to relate potential as a respiratory sensitizer to its chemical structure, (ii) in vitro models and (iii) in vitroin vivo extrapolation/validation.
Keywords:ASAT   Respiratory tract   Sensitization   Rhinitis   Asthma   Integrated testing   Risk assessment   QSAR   In vitro   In vivo
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