Document Detail


Interpretation of skeletal variations for human risk assessment: delayed ossification and wavy ribs.
MedLine Citation:
PMID:  18157903     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Delayed (or incomplete) ossification of developing fetal bones and wavy ribs are some of the most common skeletal variations encountered in regulatory guideline developmental toxicity studies. Although they tend to be regarded as minor effects, they can be quite sensitive and consequently may influence the study lowest-observed-adverse-effect levels (LOAELs), and thus, impact classification, labeling, and risk assessment. In this study, we review the underlying mechanisms of these skeletal variations, evaluate different scenarios in which they have been observed, offer guidance for their interpretation, and comment on their use for risk assessment. Both minor delays in ossification and wavy ribs seem to be readily repairable via postnatal skeletal remodeling, are not mechanistically linked to malformation, and often are seen in the presence of maternal or fetal toxicity. As such, these minor variations would not generally be considered adverse in and of themselves but should be interpreted in the context of other maternal and fetal findings, information available on normal skeletogenesis patterns, mode of action of the test agent, and historical control incidence using a weight of evidence approach.
Authors:
Edward W Carney; Carole A Kimmel
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Birth defects research. Part B, Developmental and reproductive toxicology     Volume:  80     ISSN:  1542-9741     ISO Abbreviation:  Birth Defects Res. B Dev. Reprod. Toxicol.     Publication Date:  2007 Dec 
Date Detail:
Created Date:  2007-12-27     Completed Date:  2008-02-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101155115     Medline TA:  Birth Defects Res B Dev Reprod Toxicol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  473-96     Citation Subset:  IM    
Copyright Information:
(c) 2007 Wiley-Liss, Inc.
Affiliation:
Toxicology & Environmental Research and Consulting, The Dow Chemical Company, Midland, Michigan 48674, USA. EWCarney@dow.com
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MeSH Terms
Descriptor/Qualifier:
Abnormalities, Drug-Induced*
Animals
Humans
Osteogenesis / drug effects*
Rats
Ribs / abnormalities,  drug effects*
Risk Assessment / methods
Skull / abnormalities,  drug effects*
Teratogens / classification,  toxicity*
Time Factors
Toxicity Tests / methods
Xenobiotics / classification,  toxicity*
Chemical
Reg. No./Substance:
0/Teratogens; 0/Xenobiotics

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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