2016
DOI: 10.1093/toxsci/kfw207
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How Adverse Outcome Pathways Can Aid the Development and Use of Computational Prediction Models for Regulatory Toxicology

Abstract: Efforts are underway to transform regulatory toxicology and chemical safety assessment from a largely empirical science based on direct observation of apical toxicity outcomes in whole organism toxicity tests to a predictive one in which outcomes and risk are inferred from accumulated mechanistic understanding. The adverse outcome pathway (AOP) framework provides a systematic approach for organizing knowledge that may support such inference. Likewise, computational models of biological systems at various scale… Show more

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Cited by 135 publications
(96 citation statements)
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“…Strategies such as the Tox21 Initiative (40) are designed to improve the predictability of adverse outcomes and to reduce the use of animals in systems-level analysis in preclinical pharmacology and toxicology. Recent efforts have focused on developing in vitro models, such as in silico PK/PD modeling, high-throughput screening for nuclear receptor signaling and stress pathway assays, and adverse outcome pathway-based toxicity modeling (41). Finally, to our knowledge, this is the first example of microfluidically linked human organs-on-chips being applied to this type of investigation.…”
Section: Discussionmentioning
confidence: 99%
“…Strategies such as the Tox21 Initiative (40) are designed to improve the predictability of adverse outcomes and to reduce the use of animals in systems-level analysis in preclinical pharmacology and toxicology. Recent efforts have focused on developing in vitro models, such as in silico PK/PD modeling, high-throughput screening for nuclear receptor signaling and stress pathway assays, and adverse outcome pathway-based toxicity modeling (41). Finally, to our knowledge, this is the first example of microfluidically linked human organs-on-chips being applied to this type of investigation.…”
Section: Discussionmentioning
confidence: 99%
“…An assessment of the action and efficacy of, for example, a chemotherapeutic agent, according to a single endpoint is therefore extremely limited. Computational modelling approaches to predictive toxicity, such as that of adverse outcome pathways , have sought to deconvolute the action of exogenous agents, in terms of the molecular initiating event (MIE) and the subsequent cascade of key event (KE) that reflect the causal progression from the initial perturbation of the system towards the adverse outcome. In the context of the action of chemotherapeutic drugs in vitro, the MIE can be considered the chemical interaction of the drug, for example, in the cell nucleus, while the subsequent cascade of events can determine the efficacy of a drug action.…”
Section: Cytotoxicity Assays and Their Limitsmentioning
confidence: 99%
“…Although a standard approach to considering adverse outcome pathways assumes a linear, unidirectional scheme such as shown in Figure , biological systems are more likely to be complex, and adverse outcome pathways are interconnected in multiple ways and directions (Browne, Noyes, Casey, & Dix, ; Wittewehr et al, ; Figure ). If we envision all possible interconnected pathways involved in development, we would get a very busy diagram.…”
Section: Revolutionmentioning
confidence: 99%