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21st Century: A Vision and a Strategy’<br />

(NRC, 2007), Sens-it-iv emphasised the<br />

necessity of physiologically-relevant,<br />

metabolic competent and robust assays.<br />

Furthermore, -omics based strategies<br />

were followed enabling the identification<br />

of key pathways of toxicity.<br />

The concordance of this two-tiered<br />

approach with the LLNA is 79% for potency<br />

ranking and 92% for classification into the<br />

correct potency groups (extreme, strong,<br />

moderate, weak).<br />

2. Lung EC<br />

1. Keratinocytes<br />

Most advanced among the tests for skin<br />

sensitisation is a two-tiered combination<br />

of the keratinocyte assays mentioned<br />

in Table 2 and illustrated in Figure 3.<br />

Intracellular production of IL-18 by a<br />

keratinocyte cell line such as NCTC2544<br />

(tier 1) quantitatively indicates skin<br />

sensitisers (including many pro-haptens)<br />

but not respiratory sensitisers. The<br />

irritation assay (tier 2) of identified<br />

skin sensitisers in epidermal equivalent<br />

cultures (e.g., CEST1000 (CEllSystems),<br />

RHE (SkinEthics) among others) permits<br />

their grading according to potency.<br />

The assays for respiratory sensitisers<br />

include induction of typical activation<br />

markers in reconstituted alveolar<br />

(developed by Iris Hermanns, Mainz<br />

University, Germany) or bronchial<br />

epithelium cultures (MucilAir, Epithelix,<br />

Switserland) as well as human precision<br />

cut lung slices (PCLS) to simulate an in<br />

vivo-like situation. These tests have been<br />

extensively evaluated on both chemicals<br />

and proteins, which provided confidence<br />

in the capacity of these test systems to<br />

identify respiratory sensitisers.<br />

The alveolar and bronchial cell-based<br />

tests are presently further assessed<br />

Figure 3. The two-tiered principle.<br />

References (see also Publication section for detailed references): Spiekstra SW, et al. Toxicol In Vitro. 2009; 23,<br />

349-55; Corsini E et al. Toxicol. In Vitro. 2009; 23, 789-96.<br />

PROGRESS REPORTS FROM EU-FUNDED PROJECTS<br />

Progress Report 2011 & AXLR8-2 Workshop Report<br />

167

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