Bal-Price Anna, Crofton Kevin M, Sachana Magdalini, Shafer Timothy J, Behl Mamta, Forsby Anna, Hargreaves Alan, Landesmann Brigitte, Lein Pamela J, Louisse Jochem, Monnet-Tschudi Florianne, Paini Alicia, Rolaki Alexandra, Schrattenholz André, Suñol Cristina, van Thriel Christoph, Whelan Maurice, Fritsche Ellen
European Commission Joint Research Centre, Institute for Health and Consumer Protection , Ispra , Italy.
Crit Rev Toxicol. 2015 Jan;45(1):83-91. doi: 10.3109/10408444.2014.981331.
The Adverse Outcome Pathway (AOP) framework provides a template that facilitates understanding of complex biological systems and the pathways of toxicity that result in adverse outcomes (AOs). The AOP starts with an molecular initiating event (MIE) in which a chemical interacts with a biological target(s), followed by a sequential series of KEs, which are cellular, anatomical, and/or functional changes in biological processes, that ultimately result in an AO manifest in individual organisms and populations. It has been developed as a tool for a knowledge-based safety assessment that relies on understanding mechanisms of toxicity, rather than simply observing its adverse outcome. A large number of cellular and molecular processes are known to be crucial to proper development and function of the central (CNS) and peripheral nervous systems (PNS). However, there are relatively few examples of well-documented pathways that include causally linked MIEs and KEs that result in adverse outcomes in the CNS or PNS. As a first step in applying the AOP framework to adverse health outcomes associated with exposure to exogenous neurotoxic substances, the EU Reference Laboratory for Alternatives to Animal Testing (EURL ECVAM) organized a workshop (March 2013, Ispra, Italy) to identify potential AOPs relevant to neurotoxic and developmental neurotoxic outcomes. Although the AOPs outlined during the workshop are not fully described, they could serve as a basis for further, more detailed AOP development and evaluation that could be useful to support human health risk assessment in a variety of ways.
不良结局途径(AOP)框架提供了一个模板,有助于理解复杂的生物系统以及导致不良结局(AO)的毒性途径。AOP始于分子起始事件(MIE),即化学物质与生物靶标相互作用,随后是一系列连续的关键事件(KE),这些关键事件是生物过程中的细胞、解剖学和/或功能变化,最终导致个体生物和种群中出现不良结局。它已被开发为一种基于知识的安全评估工具,依赖于对毒性机制的理解,而不仅仅是观察其不良结局。已知大量细胞和分子过程对中枢神经系统(CNS)和周围神经系统(PNS)的正常发育和功能至关重要。然而,记录充分的途径相对较少,这些途径包括因果相关的分子起始事件和关键事件,导致中枢神经系统或周围神经系统出现不良结局。作为将AOP框架应用于与接触外源性神经毒性物质相关的不良健康结局的第一步,欧盟替代动物试验参考实验室(EURL ECVAM)组织了一次研讨会(2013年3月,意大利伊斯普拉),以确定与神经毒性和发育性神经毒性结局相关的潜在AOP。尽管研讨会期间概述的AOP没有得到充分描述,但它们可以作为进一步更详细的AOP开发和评估的基础,这可能有助于以各种方式支持人类健康风险评估。