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Here - Stiftung Forschung 3R

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Discussion Summary<br />

• There was a general view among BOG3 participants that progress in the field<br />

of skin sensitisation testing over the last 10 years has been substantial. Several<br />

research groups have unraveled key mechanisms related to chemically-induced skin<br />

sensitisation, which is a complex process, which involves the chemical reactivity<br />

of compounds with the surrounding extracellular matrix of the skin, as well as<br />

reactivity with specific cell types. Structure-activity approaches have defined<br />

key characteristics and an in silico-in vitro strategy is being developed to identify<br />

sensitising chemicals. The initial cellular events at the level of dendritic cells and<br />

keratinocytes are now largely understood. Advanced technologies such as genomics<br />

and proteomics have been introduced and have contributed to the elucidation of<br />

the sensitisation phase in keratinocytes and dendritic cells. This has enabled the<br />

development of a testing strategy based on mechanistic understanding of the<br />

crucial steps leading to skin sensitisation by low-molecular-weight chemicals.<br />

• The current working strategy is largely in line with the pathway-based concept of ‘21 st<br />

century’ toxicology. The process was successful in unraveling basic immunological<br />

processes for skin sensitisation and yielding a test battery that covers the key<br />

essential pathways except for T-cell responses. BOG3 recommends further work<br />

to build on the success in the skin area and to apply a similar approach towards a<br />

testing strategy for respiratory sensitisation.<br />

Challenges for the future:<br />

• The BOG emphasises that a conceptual framework needs to be built on integration<br />

of already available building blocks of assays and computational knowledge. This<br />

integrating framework should not be developed empirically but should be based<br />

on mechanistic insights. New experimental data should be generated that permit<br />

validation of an integrated in silico simulation.<br />

• Better consumer exposure scenarios are needed as an input into the testing framework.<br />

Human exposure pathways and dose patterns are not yet well defined. Information<br />

on the dose range of interest and the likelihood of continuous or repeated<br />

dosing should permit simulation of real-life exposures. These scenarios are needed<br />

to obtain useful results from the in silico/in vitro testing strategy, thereby addressing<br />

thresholds of adverse effects based on mechanistic insights.<br />

• Realistic scenarios should include cost-effective models for topical application, and<br />

should also take into account that exposure to a sensitising chemical occurs typically<br />

in combination with other chemicals. Testing strategies should include the testing<br />

of formulations. Interaction with other ingredients such as irritants or impaired<br />

sensitivity due to damaged or diseased skin should be considered.<br />

• The BOG identified in particular the lack of predictive clinical data as a drawback<br />

AXLR8-2 WORKSHOP REPORT<br />

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

345

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