Biomarkers in Toxicology ISBN 0124046304, 9780124046306 Complete Volume Download
Biomarkers in Toxicology ISBN 0124046304, 9780124046306 Complete Volume Download
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mitochondrial dysfunction and toxicity, and biomar- Greece, Hungary, India, Italy, Japan, Portugal, South
kers of oxidative and nitrosative stress. There are also Africa, and Spain. Professor Gupta deserves our
chapters on citrulline as a biomarker of diseases and gratitude for assembling such a distinguished group of
toxicities and pathological biomarkers in toxicology. experts to produce a comprehensive book on this
Part VIII is devoted to applications of biomarkers in rapidly growing and very important field.
toxicology with ten extremely comprehensive chapters.
Timothy C Marrs
The 64-chapter book has an outstanding array of
Edenbridge, UK
authors from the USA, Canada, Denmark, Finland,
List of Contributors
xiii
xiv LIST OF CONTRIBUTORS
Yi Lu Brian M. Nolen
Department of Pathology and Laboratory Medicine, University of Pittsburgh Cancer Institute, Hillman
University of Tennessee Health Science Center, Cancer Center, Pittsburgh, PA, USA
Memphis, TN, USA
Meliton N. Novilla
Chikezie Madu Shin Nippon Biomedical Laboratories USA, Ltd,
Department of Pathology and Laboratory Medicine, Everett, WA, USA; Adjunct Associate Professor of
University of Tennessee Health Science Center, Pathobiology, School of Veterinary Medicine, Purdue
Memphis, TN, USA University, West Lafayette, IN, USA
1
Introduction
Ramesh C. Gupta
Biomarkers can be broadly defined as indicators or sig- some cases, as the metabolite of a drug can be used as a
naling events in biological systems or samples of mea- biomarker, and the drug and/or its metabolite has to be
surable changes at the molecular, biochemical, cellular, patented by the United States Patent Office and by a
physiological, pathological, or behavioral levels in similar governmental office/agency in other countries.
response to xenobiotics. The Biomarkers Definitions In the past, many drugs were developed with bio-
Working Group of the National Institutes of Health marker assays that guided their use, and this trend is
(NIH) has defined the biomarker as “a characteristic likely to continue in the future for drug discovery and
that is objectively measured and evaluated as an indica- development. With the judicious use of biomarkers, as
tor of normal biological processes or pharmacological in evidence-based medicine, patients are most likely to
responses to a therapeutic agent.” In the field of toxicol- benefit from select treatments and least likely to suffer
ogy, biomarkers have been classified as markers of from their adverse effects. On the contrary, utilization
exposure, effect, and susceptibility. Measurement of bio- of a bad biomarker can be as harmful to a patient as a
markers reflects the time-course of an injury and pro- bad drug. Therefore, biomarkers need to be validated
vides information on the molecular mechanisms of and evaluated by an accredited laboratory, which parti-
toxicity. These biomarkers provide us the confidence of cipates in a proficiency testing program, to provide a
accurate diagnosis, prognosis, and treatment. The bio- high level of confidence to both clinicians and patients.
markers of early chemical exposure can occur in concert In the toxicology field, biomarkers should be specific,
with biomarkers of early disease detection, and that accurate, sensitive, valid, biologically or clinically rele-
information aids in avoiding further chemical exposure vant, and easy and fast to perform in order to be useful
and in strategic development of a novel treatment, as predictive tools for toxicity testing and surveillance
including personalized medicine (i.e. treating the and for improving quantitative estimates of exposure
patient, and not the disease). In essence, with the utili- and dose. Therefore, biomarkers are utilized in biomo-
zation of specific biomarkers, an ounce of prevention nitoring data that are useful in a variety of applications,
can be worth a pound of treatment. from exposure assessment to risk assessment and
Biomarkers are used in drug development, during management.
preclinical and clinical trials, for efficacy and safety In the early 1990s, Dr. Maria Cristina Fossi, from the
assessment. Safety biomarkers can be used to predict, University of Siena, Italy, emphasized the approach for
detect, and monitor drug-induced toxicity during both the development and validation of nondestructive bio-
preclinical studies and human clinical trials. Developing markers over destructive biomarkers in the field of toxi-
highly sensitive methods and their validation for mea- cology. She described the ideal biomarker as being:
surement of biomarkers and understanding the resul- measurable in readily available tissues or biological pro-
tant data are complex processes that require a great ducts and obtainable in a noninvasive way; related to
deal of time, effort, and intellectual input. Furthermore, exposure and/or degree of harm to the organism; directly
understanding drug metabolism seems essential in related to the mechanism of action of the contaminants;
R. Gupta (Ed): Biomarkers in Toxicology. © 2014 Elsevier Inc. All rights reserved.
ISBN: 978-0-12-404630-6 DOI: http://dx.doi.org/10.1016/B978-0-12-404630-6.00001-4
3
4 1. INTRODUCTION
highly sensitive with techniques that require minimal invasive approach, and nondestructive biomarkers over
quantities of sample and are easy to perform and cost destructive biomarkers, but this may not be possible in
effective; and suitable for different species. The develop- all cases. Recently, the 2011 Joint SOT/EUROTOX-
ment and validation of new techniques in the laboratory Debate proposed that “biomarkers from blood and urine
may provide the basis for a valuable field method. But, will replace traditional histopathological evaluation to
before a new biomarker’s application, some basic infor- determine adverse responses,” identifying and compar-
mation is required, such as dose response relationships, ing the strengths and limitations of histopathology with
and biological and environmental factors, which can serum and urine biomarkers. Unlike histopathological
influence the baseline values of responses. It is important techniques, blood and urine biomarkers are noninvasive,
to mention that, when dealing with a biochemical or met- quantifiable, and of translational value. Of course, the
abolic biomarker, species differences can be the biggest complete replacement of histopathological biomarkers
challenge for any toxicologist. with blood and urine may not be possible in the near
Biomarkers have applications in all areas of toxicol- future, as in some instances histopathological biomarkers
ogy, especially in the field of pesticides, metals, myco- will still be used because of recent developments in
toxins, and drugs. In the case of veterinary toxicology, invaluable molecular pathology techniques.
biomarkers of plant toxins deserve equal attention. For the quest of developing the most sensitive and
Farmers, pesticide application workers, and greenhouse reliable biomarkers, integration of novel and existing
workers are exposed to pesticides by direct contact and biomarkers with a multidisciplinary approach appears
their family members can be exposed via second-hand fruitful. Furthermore, a multi-biomarkers approach
exposure. Measurement of residues of pesticides and seems more informative and accurate than a single bio-
their metabolites, and metals in urine, serves as the marker approach. The latest technologies, such as
most accurate and reliable biomarkers of exposure in microRNAs (miRNAs), have been well recognized as
agriculture, industrial, and occupational safety and reliable and robust biomarkers for early detection of
health settings. Recent evidence suggests that in utero or diseases, birth defects, pathological changes, cancer,
early life-exposure to certain pesticides, metals, and and toxicities. Because they are stable in biofluids, such
other environmental contaminants may cause neurode- as blood, there is rapidly growing interest in using
generative (Alzheimer’s, Parkinson’s, schizophrenia, miRNAs as diagnostic, prognostic, and predictive bio-
Huntington’s, ALS, and others), metabolic, and cardio- markers, and the outlook for the clinical application of
vascular diseases, and cancer later in life. In these dis- miRNA discoveries is promising, especially in molecu-
eases and many others, specific and sensitive lar medicine. The application of miRNAs is still very
biomarkers play important roles in early diagnosis, and new. Soon incorporating pharmacological and toxico-
this can serve as the cornerstone for timely therapeutic logical targeting of miRNAs into the development of
intervention. innovative therapeutic strategies will be routine. Still,
Mycotoxin related toxicity, carcinogenesis, and other more innovative biomarkers need to be developed that
health ailments are encountered in man and animals will be highly sensitive (biotechnology-based techni-
around the world. In developing countries, where regu- ques), require minimum quantities of sample, and will
latory guidelines are not strictly followed, adverse promise high throughput screening.
health effects (especially reproductive and developmen- At the recent annual meetings of the Society of
tal effects) are devastating. In these scenarios, early bio- Toxicology in San Francisco, CA, and San Antonio, TX,
markers of exposure play a pivotal role in avoiding USA, the EUROTOX in Stockholm, Sweden, and
further exposure to the contaminated food/feed and International Congress of Toxicology in Seoul, South
thus safeguard human and animal health. Korea, a large number of toxicologists emphasized the
With the current knowledge of system biology, meta- importance of biomarkers in health, disease, and toxic-
bonomics, and various mathematical and computa- ity. Accordingly, the Biomarkers in Toxicology book is
tional/chemometric modelings, undetectable biomarkers prepared to meet the challenges of today’s toxicologists,
can be discovered and these biomarkers can predict how pharmacologists, and physicians in academia, industry,
tissues respond to toxicants and drugs and/or their and government. This reference book may be of partic-
metabolites, and how the tissue damage and repair pro- ular interest to those in governmental agencies, such as
cesses compromise the tissue’s function. Imaging and USEPA, USFDA, NIOSH, OSHA, CDC, REACH, EFSA,
chemometric biomarkers are of greater sensitivity and etc. This is the most comprehensive biomarkers book to
carry more information than conventional biomarkers, as date as it covers every possible aspect of exposure,
they detect: (1) low levels of chemical exposure (expo- effects, and susceptibility to chemicals. There are many
sure biomarker), and (2) an early tissue response (endog- novel topics that are not covered in any previous book.
enous response biomarker). The priority will always be This book identifies and establishes the most sensitive,
for the development of a noninvasive approach over an accurate, unique, and validated biomarkers that can be
1. INTRODUCTION 5
used as indicators of exposure and effect(s) of chemi- dedicated to the application of biomarkers in toxicol-
cals, and chemical-related long-term diseases, such as ogy, including the latest strategies and technologies in
cardiovascular, metabolic and neurodegenerative dis- the development of biomarkers, biomarkers in drug
eases, and cancer. Sixty-four chapters are organized development, safety evaluation, and toxicity testing
under eight sections with a user-friendly format, and and integration of biomarkers in biomonitoring of
each chapter is enriched with current literature and chemical exposure and risk assessment, especially in
references for further reading. The book begins with the context of environmental and occupational
general concepts of toxicity and safety testing and bio- medicine.
marker development using various animal and animal The editor remains indebted to the contributors of
alternative models, pharmacokinetic/PBPK modeling, this book for their hard work and dedication. These
followed by biomarkers of system/organ toxicity, che- contributors are highly qualified and considered author-
micals and biotoxins. There are several chapters on bio- ities in the fields of toxicology and pharmacology. He
markers of pharmaceuticals, nutraceuticals, petroleum expresses his gratitude to Ms. Denise Gupta for index-
products, chemical mixtures, radiation, nanoparticles, ing, and to Ms. Robin B. Doss and Ms. Michelle A.
epigenetics, genotoxicity, and carcinogenesis. Seven Lasher for their continuous support in technical assis-
chapters are devoted to special topics including bio- tance and text and reference checking. Finally, the edi-
markers of neurodegenerative diseases (Alzheimer’s tor would like to thank Ms. Mary Preap, Ms. Kristine
and Parkinson’s), mitochondrial dysfunction and toxic- Jones, Ms Marion Stockton, Ms Melissa Read and Mr
ity, oxidative/nitrosative stress, citrulline as a bio- Roderick Crews (Academic Press/Elsevier) for their
marker in diseases and toxicities, and pathological immense support at every stage of the production of
biomarkers. Lastly, a large number of chapters are this book.
C H A P T E R
2
Rodents model for toxicity testing
and biomarkers
Shayne C. Gad
R. Gupta (Ed): Biomarkers in Toxicology. © 2014 Elsevier Inc. All rights reserved.
ISBN: 978-0-12-404630-6 DOI: http://dx.doi.org/10.1016/B978-0-12-404630-6.00002-6
7
8 2. RODENTS MODEL FOR TOXICITY TESTING AND BIOMARKERS
TABLE 2.2 Association of changes in biochemical parameters with actions at particular target organs
Parameter Blood Heart Lung Kidney Liver Bone Intestine Pancreas Notes
Albumin k k Produced by the liver; very significant reductions
indicate extensive liver damage
ALP m m m Elevations usually associated with cholestasis; bone
alkaline phosphatase tends to be higher in young
animals
ALT m Elevations usually associated with hepatic damage or
(formerly disease
SGPT)
AST (formerly m m m m Present in skeletal muscle and heart and most
SGOT) commonly associated with damage to them
Beta-2- m
microglobulin
Bilirubin m m Usually elevated due to cholestasis, due to either
(total) obstruction or hepatopathy
BUN m k Estimates blood filtering capacity of the kidneys; does
not become significantly elevated until the kidney
function is reduced to 6075%
Calcium m Can be life threatening and result in acute death
Cholinesterase m k Found in plasma, brain, and RBC
CPK m Most often elevated due to skeletal muscle damage but
can also be produced by cardiac muscle damage; can be
more sensitive than histopathology
Creatinine m Also estimates blood filtering capacity of kidney as
BUN does
Glucose m Alterations other than those associated with stress
uncommon and reflect an effect on the pancreatic islets
or anorexia
GGT m Elevated in cholestasis; this is a microsomal enzyme,
and levels often increase in response to microsomal
enzyme induction
HBDH m m —
KIM-1 m
LDH m m m m Increase usually due to skeletal muscle, cardiac muscle,
or liver damage; not very specific
Protein (total) k k Absolute alterations usually associated with decreased
production (liver) or increased loss (kidney); can see
increase in case of muscle wasting (catabolism)
SDH mk Liver enzyme that can be quite sensitive but is fairly
unstable; samples should be processed as soon as
possible
Troponin m
Note: m, increase in chemistry values; k, decrease in chemistry values; ALP, alkaline phosphatase; BUN, blood urea nitrogen; CPK, creatinine phosphokinase;
GGT, gamma glutamyl transferase; HBDH, hydroxybutyric dehydrogenase; LDH, lactic dehydrogenase; RBC, red blood cells; SDH, sorbitol dehydrogenase;
SGOT, serum glutamic oxaloacetic transaminase (also called AST [aspartate amino transferase]); SGPT, serum glutamic pyruvic transaminase (also called ALT
[alanine amino transferase]).
THE RAT 9
identification of a more specific set of clinical chemistry of cell membrane from cytoskeleton; stretching of the
biomarkers for key potential target organs, and these cell membrane results in increased membrane damage.
can be shown in this grouping: iv. Reactive Oxygen Species. Produced within the cell
and by infiltrating neutrophils and macrophages,
especially after restoration of blood flow to an area
Heart Troponins Zethelius et al. (2008)
(reperfusion injury). Cell injury triggers release of a
Kidney KIM-1, Albumin, Beta- Hoffmann et al. (2010);
2-Microglobulin Ozer et al. (2010); Vaidya
number of inflammatory cytokines and chemokines
et al. (2010) which amplify the host immune response and
Liver DILI (Drug Induced Shi et al. (2010) attract neutrophils to the site.
Liver Injury), ALT, BUN, v. Lipid Breakdown Products. Unesterified free fatty
coagulation factor acids, acyl carnitine, and lysophospholipids. These
have a detergent effect on membranes and may
exchange with membrane phospholipids, causing
Other recently identified biomarkers for specific tar-
permeability changes.
gets include:
for this purpose. Therefore, the choice of an appropriate incidence of spontaneous glomerular sclerosis (Bolton
species for toxicology studies should be based upon a et al., 1976), sensitivity to the carcinogenic actions of
comparison of the pharmacokinetics and metabolism of 7,12-dimethylbenz(a)anthracene (Boyland and Sydnor,
the test compound in different laboratory species and 1962), the effects of trimethyltin on operant behavior
man. In the absence of this data this choice is often and hippocampal GFAP (MacPhail et al., 2003), differ-
based upon practicality and economics. The rat has ences in renal carcinogenesis (Hino et al., 2003), differ-
become a species of choice because of metabolic similar- ences in cytochrome P4501A1 gene expression caused
ities, as well as their small size, relatively docile nature, by 2,3,7,8-tetrachlorodibenzo-p-dioxin in the liver (Jana
short life span, and short gestation period. The exten- et al., 1998), susceptibility to 4-nitroquinoline 1-oxide
sive use of the rat in research has led to the develop- inducing carcinoma (Kitano et al., 1992), and differences
ment of a large historical database of their nutrition, in the levels of drug-metabolizing enzymes (Page and
diseases, and general biology. Vesell, 1969). In recent years, research and breeding
programs have been focused on producing inbred and
Characteristics outbred strains focused on specific disease models and
susceptibility to the development of certain carcinoma.
While the rat is a species of choice in toxicology research When choosing a strain for use, it is important to con-
because of the many physiological similarities and ana- sider these differences.
tomical characteristics, differences exist that must be Of importance for carcinogenicity studies, strain dif-
considered when designing and conducting studies with ferences have been found in the incidence of spontane-
this animal. Rats are obligate nose breathers, and, as ous tumors. Table 2.4 gives the incidence of
such, an inhaled test material is subject to nasal filtration spontaneous tumors found in commonly used strains in
and absorption. The placenta is considerably more carcinogenicity studies. The historical incidence is
porous in the rat. This difference may increase the important to the analysis of a study in that a high spon-
chance of fetal exposure to an administered test material taneous rate may mask a small test material related
or increase the overall level of fetal exposure to an increase in tumor incidence.
administered test material. The overall distribution of Due to lower spontaneous tumor rates, the Wistar has
intestinal microflora is different in the rat, which may become the most popular strain in toxicological research.
lead to differences in the metabolism of an orally admin-
istered test material. These and other differences in the Normal physiological values
rat may lead to positive signs of toxicity to a test material
that may not be present in a different species. General values for selected physiological parameters are
given in Tables 2.5 and 2.6. Normal values will vary
based upon the strain of animal, supplier, feed, and
Strain differences
housing conditions. These tables should be used as a
Breeding rats for specific characteristics has produced point of reference only.
some physiological differences between strains of rats.
Some of these differences are known to affect how the
various strains react to toxicants. Among others, strain-
Study designs
specific differences have been found in sensitivity to
thiourea (Dieke and Richter, 1945), sensitivity to acet- The length and design of toxicology studies used to pre-
aminophen nephrotoxicity (Newton et al., 1985a,b), the dict human risk are governed by guidelines issued by
TABLE 2.4 Incidence of common spontaneous tumors in Fischer 344 and CD (SD)IGS rats
Organ Tumor Type Male Female Male Female Male Female Male Female
Adrenal gland Pheochromocytoma 10.0 2.3 11.3 2.3 11.9 3.2 3.2 1.3
Mammary gland Fibroadenoma 1.4 44.5 1.3 16.7 0.8 7.1 1.2 30.2
Pancreas Islet cell adenoma 3.6 1.4 4.0 0.3 1.5 0.2 5.3 1.9
Pituitary Gland Adenoma pars distalis 33.6 56.8 35.7 50.3 12.4 28.2 41.1 65.8
Testis Interstitial cell tumor 1.8 7.0 74.6 4.3
Thyroid gland C-Cell Adenoma 10.5 5.0 5.0 5.7 12.5 8.2 10.1 10.7