Li Abby A, Sheets Larry P, Raffaele Kathleen, Moser Virginia, Hofstra Angela, Hoberman Alan, Makris Susan L, Garman Robert, Bolon Brad, Kaufmann Wolfgang, Auer Roland, Lau Edmund, Vidmar Thomas, Bowers Wayne J
Exponent Health Science, Inc., USA.
Bayer CropScience, USA.
Neurotoxicol Teratol. 2017 Sep;63:24-45. doi: 10.1016/j.ntt.2017.07.001. Epub 2017 Jul 27.
The potential for developmental neurotoxicity (DNT) of environmental chemicals may be evaluated using specific test guidelines from the US Environmental Protection Agency or the Organisation for Economic Cooperation and Development (OECD). These guidelines generate neurobehavioral, neuropathological, and morphometric data that are evaluated by regulatory agencies globally. Data from these DNT guideline studies, or the more recent OECD extended one-generation reproductive toxicity guideline, play a pivotal role in children's health risk assessment in different world areas. Data from the same study may be interpreted differently by regulatory authorities in different countries resulting in inconsistent evaluations that may lead to inconsistencies in risk assessment decisions internationally, resulting in regional differences in public health protection or in commercial trade barriers. These issues of data interpretation and reporting are also relevant to juvenile and pre-postnatal studies conducted more routinely for pharmaceuticals and veterinary medicines. There is a need for development of recommendations geared toward the operational needs of the regulatory scientific reviewers who apply these studies in risk assessments, as well as the scientists who generate DNT data sets. The workshops summarized here draw upon the experience of the authors representing government, industry, contract research organizations, and academia to discuss the scientific issues that have emerged from diverse regulatory evaluations. Although various regulatory bodies have different risk management decisions and labeling requirements that are difficult to harmonize, the workshops provided an opportunity to work toward more harmonized scientific approaches for evaluating DNT data within the context of different regulatory frameworks. Five speakers and their coauthors with neurotoxicology, neuropathology, and regulatory toxicology expertise discussed issues of variability, data reporting and analysis, and expectations in DNT data that are encountered by regulatory authorities. In addition, principles for harmonized evaluation of data were suggested using guideline DNT data as case studies.
环境化学物质的发育神经毒性(DNT)潜力可使用美国环境保护局或经济合作与发展组织(OECD)的特定测试指南进行评估。这些指南会生成神经行为学、神经病理学和形态学数据,供全球监管机构评估。这些DNT指南研究的数据,或OECD最新的一代扩展生殖毒性指南的数据,在不同世界地区的儿童健康风险评估中起着关键作用。同一研究的数据在不同国家的监管机构可能会有不同的解释,导致评估不一致,进而可能导致国际风险评估决策不一致,造成公共卫生保护方面的地区差异或商业贸易壁垒。这些数据解释和报告问题也与更常规开展的药品和兽药的青少年及产前产后研究相关。需要针对在风险评估中应用这些研究的监管科学评审员以及生成DNT数据集的科学家的操作需求制定建议。此处总结的研讨会借鉴了代表政府、行业、合同研究组织和学术界的作者的经验,讨论了不同监管评估中出现的科学问题。尽管各监管机构有不同的风险管理决策和标签要求,难以统一,但这些研讨会提供了一个机会,以便在不同监管框架内努力采用更统一的科学方法来评估DNT数据。五位具有神经毒理学、神经病理学和监管毒理学专业知识的发言者及其合著者讨论了监管机构在DNT数据中遇到的变异性、数据报告与分析以及预期等问题。此外,还以指南DNT数据为案例研究,提出了数据统一评估的原则。