Moffit Jeffrey S, Her Leah S, Mineo Anthony M, Knight Brian L, Phillips Jonathan A, Thibodeau Michael S
Nonclinical Drug Safety US, Boehringer Ingelheim Pharmaceuticals, Inc., Ridgefield, CT 06877, USA.
Birth Defects Res B Dev Reprod Toxicol. 2013 Feb;98(1):17-28. doi: 10.1002/bdrb.21045. Epub 2013 Jan 30.
Although histopathology is considered the gold standard for assessing testicular toxicity in the nonclinical setting, identification of noninvasive biomarkers for testicular injury are desirable to improve safety monitoring capabilities for clinical trials. Inhibin B has been investigated as a noninvasive biomarker for testicular toxicity. This study investigates the correlation of Inhibin B in Wistar Han rats with the onset and reversibility of testicular histopathology from classical testicular toxicants carbendazim, cetrorelix acetate (CTX), and 1,2-dibromo-3-chloropropane (DBCP). The dose regimen included Interim (day 8), Drug (day 29), and nondosing Recovery (day 58) Phases. Inhibin B was not effective at predicting the onset of carbendazim- or CTX-mediated testicular pathology in rats. Inhibin B was reduced by DBCP administration at the end of the Drug Phase only, acting as a leading indicator of the onset of testicular toxicity before the onset of germ cell depletion. However, since Inhibin B was only decreased at the end of the Dosing Phase and not at the Recovery Phase, when the onset of testicular pathology occurred, it is unclear if monitoring Inhibin B would provide sufficient advanced warning for the onset of testicular pathology. Furthermore, follicle stimulating hormone was decreased following CTX and DBCP administration in the Interim Phase and CTX in the Drug Phase. Inhibin B has limited predictive capacity as a leading testicular biomarker in rats.
虽然组织病理学被认为是在非临床环境中评估睾丸毒性的金标准,但确定用于睾丸损伤的非侵入性生物标志物对于提高临床试验的安全监测能力是很有必要的。抑制素B已被作为睾丸毒性的非侵入性生物标志物进行研究。本研究调查了Wistar Han大鼠体内抑制素B与经典睾丸毒物多菌灵、醋酸西曲瑞克(CTX)和1,2-二溴-3-氯丙烷(DBCP)所致睾丸组织病理学变化的发生及可逆性之间的相关性。给药方案包括中期(第8天)、给药期(第29天)和非给药恢复期(第58天)阶段。抑制素B在预测大鼠多菌灵或CTX介导的睾丸病理变化的发生方面无效。仅在给药期结束时,DBCP给药可使抑制素B降低,它可作为生殖细胞耗竭发生之前睾丸毒性发生的一个领先指标。然而,由于抑制素B仅在给药期结束时降低,而在睾丸病理变化发生的恢复期并未降低,因此尚不清楚监测抑制素B是否能为睾丸病理变化的发生提供足够的提前预警。此外,在中期给予CTX和DBCP以及在给药期给予CTX后,促卵泡激素降低。抑制素B作为大鼠睾丸领先生物标志物的预测能力有限。