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实验用比格犬、食蟹猴和狨猴的自发性及药物性肝脏病变。

Spontaneous and drug-induced hepatic pathology of the laboratory beagle dog, the cynomolgus macaque and the marmoset.

作者信息

Foster John R

机构信息

AstraZeneca Pharmaceuticals, Cheshire, SK10 4TG, England.

出版信息

Toxicol Pathol. 2005;33(1):63-74. doi: 10.1080/01926230590890196.

Abstract

This review focuses on the background hepatic pathology present in three of the most commonly used species in the safety assessment of drugs, namely the beagle dog, the marmoset and the cynomolgus macaque. Both the nonneoplastic and neoplastic pathology are reviewed with a discussion on the potential impact that significant background pathology might have on the interpretation of any drug-induced pathology during subsequent testing. Although specific instances, such as parasitological infection in wild-caught primates can pose problems of interpretation, in general the background pathology in both the dog and the nonhuman primates, is not significantly different from that seen in the liver of laboratory rodents and with experience should not pose significant problems for the experienced pathologist. The relative merits of the primate versus the dog as a choice of second species are also considered in some detail. Although there is an inbuilt prejudice that the primate will more closely mimic subsequent effects that might occur in man in the clinic, insofar as the liver is concerned, there are many instances where the dog has been more representative of human exposure and metabolism and there is little evidence to show that the nonhuman primate is consistently better than dog in predicting human liver toxicity. As with most areas of science, comparative toxicology would dictate that the more information gained, from as wide a range of species as is practical, will give the best assessment for any subsequent problems in the clinic. This pragmatic approach should prove to be more successful than one based entirely upon an assumption, and in many cases the assumption is incorrect, that the primate always predicts human toxicity better than the nonprimate, including the dog.

摘要

本综述聚焦于药物安全性评估中最常用的三个物种,即比格犬、狨猴和食蟹猴所存在的背景肝脏病理学情况。对非肿瘤性和肿瘤性病理学均进行了综述,并讨论了显著的背景病理学在后续测试中可能对任何药物诱导的病理学解释产生的潜在影响。尽管特定情况,如野生捕获的灵长类动物中的寄生虫感染可能会带来解释问题,但总体而言,犬类和非人灵长类动物的背景病理学与实验室啮齿动物肝脏中的情况并无显著差异,且对于经验丰富的病理学家来说,通常不应构成重大问题。还详细考虑了将灵长类动物与犬类作为第二种物种选择的相对优点。尽管有一种内在的偏见,认为灵长类动物在临床上会更紧密地模拟人类可能出现的后续效应,但就肝脏而言,有许多情况表明犬类更能代表人类的暴露和代谢情况,而且几乎没有证据表明非人灵长类动物在预测人类肝脏毒性方面始终比犬类更好。与大多数科学领域一样,比较毒理学表明,从尽可能广泛的物种中获取更多信息,将能对临床中的任何后续问题做出最佳评估。这种务实的方法应该比完全基于一种假设(在许多情况下这种假设是错误的,即灵长类动物总是比非灵长类动物,包括犬类,更能预测人类毒性)的方法更成功。

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