Objective: To elaborate the importance and key points of quality control for anatomical pathology of toxicological studies, so as to provide references for improving the quality control for anatomical pathology in facilities for nonclinical safety evaluation of drugs in China. Methods: The organization and management, Standard Operating Procedures (SOPs), anatomical pathology examination, pathology report preparation, and the key points of quality control in histopathology examination of the pathology division in facilities for nonclinical safety evaluation of drugs are reviewed one by one. Results: Quality control for anatomical pathology of toxicological studies could ensure the authenticity, accuracy, completeness and reliability of pathological data, and provide reliable data support for determining the target organs, adverse effects and mechanism of action of the test articles. Conclusion: Toxicological pathology is an important part of the toxicological studies in facilities for nonclinical safety evaluation of drugs. The quality control for anatomical pathology in toxicological studies is very important and should be given high priority.
[1] Kerlin R,Burkhardt B,Burkhardt J,et al.Recommended(“Best”)Practices for Determining,Communicating,and Using Adverse Effect Data from Nonclinical Studies [J].Toxicol Pathol,2016,44(2):147-162.
[2] Ramaiah L,Tomlinson L,Tripathi NK,et al.Principles for Assessing Adversity in Toxicologic Clinical Pathology [J].Toxicol Pathol,2017,45(2):260-266.
[3] 国家食品药品监督管理总局.国家食品药品监督管理总局令第34号药物非临床研究质量管理规范.[EB/OL].(2017-07-27)[2019-08-02].http://www.sda.gov.cn/WS01/CL0053/175598.html.
[4] Bancroft J D,Gamble M主编.组织学技术的理论与实践[M].周小鸽,刘勇主译.北京大学医学出版社,2010:9.
[5] 王捷.毒性病理学[M].沈阳:辽宁科学技术出版社,2004:10.
[6] 吕建军,霍桂桃,林志,等.非临床毒理学实验毒性病理学家培训现状简介[J].中国药事,2016,30(10):988-996.
[7] 屈哲,吕建军,林志,等.非临床药物安全性评价中毒性病理学评价基本要素[J].中国药事,2017,31(5):472-478.
[8] 霍桂桃,吕建军,屈哲,等.毒性病理学评价中动物剖检及大体病理学检查原则[J].药物评价研究,2017,40(10):1365-1371.
[9] 张妙红,吕建军,姜德建,等主译.毒理研究者实用病理学:实验动物病理学原则和实践[M].北京科学技术出版社,2020.
[10] Greaves P.Histopathology of Preclinical Toxicity Studies:Interpretation and Relevance in Drug Safety Evaluation [M].4th ed.Amsterdam:Academic/Elsevier,2012:1-7.
[11] 霍桂桃,吕建军,林志,等.非临床毒性试验和致癌性试验动物死亡原因分析方法简介[J].中国药事,2018,32(3):412.
[12] 张頔,姜华,杨艳伟,等.临床前药物安全性评价中关于脏器质量的探讨[J].药物评价研究,2020,43(5):797-802.
[13] Michael B,Yano B,Sellers RS,et al.Evaluation of Organ Weights for Rodent and Non-Rodent Toxicity Studies:A Review of Regulatory Guidelines and Survey of Current Practice[J].Toxicol Pathol,2007,35:742-750.
[14] 张平,樊栓良,叶小琨,等.兔脏器组织固定前后重量变化及法医学意义[J].中国法医学杂志,2011,26(3):403.
[15] Reichl F X,Schwenk M.Regulatory Toxicology [M]//Kaufmann W,Jacobsen M.Examination of Organ Toxicity,Berlin Heidelberg:Springer,2014:89-98.
[16] 任进.毒性病理学基本原则和方法的探讨[J].毒理学杂志,2007,21(4):280-281.
[17] Crissman JW,Goodman DG,Hildebrandt PK,et al.Best Practices Guideline:Toxicologic Histopathology[J].Toxicol Pahtol,2004,32:126-131.
[18] 霍桂桃,吕建军,林志,等.临床前药物安全评价毒性靶器官毒性的检查及评价[J].药物评价研究,2017,40(9):1235-11239.
[19] 吕建军,林志,屈哲,等.药物临床前安全性评价毒性病理学诊断术语和诊断标准项目及数据库简介[J].药物分析杂志,2013,33(9):1640-1644
[20] 吕建军,屈哲,霍桂桃,等,OECD组织病理学同行评议GLP要求指导原则解读[J].中国药事,2016,30(10):968-976.
[21] GB/T 22275.6-2008 良好实验室规范实施要求:第6部分良好实验室规范原则在计算机化的系统中的应用 [S].2008.
[22] 霍桂桃,张曦,吕建军,等.药物临床前安全评价机构计算机化系统的验证[J].药物评价研究,2017,40(11):1525-1530.
[23] 吕建军,霍桂桃,王三龙,等.统计学在临床前药物毒理学安全性评价中的应用[J].中国药事,2016,30(6):27-33.
[24] Schaarschmidt F,Sill M,Hothorn LA.Poly-k-trend Tests for Survival Adjusted Analysis of Tumor Rates Formulated as Approximate Multiple Contrast Test[J].J Biopharm Stat,2008,18(5):934-948.
[25] 霍桂桃,杨艳伟,林志,等.非临床毒理学试验中组织病理学同行评议的GLP流程及关键点探讨[J].药物评价研究,2019,42(1):1-9.
[26] 中国国家认证认可监督管理委员会.RB/T193-2015 良好实验室规范在组织病理学同行评议中的应用指南 [M].北京:中国标准出版社,2016:4.
[27] Fikes JD,Patrick DJ,Francke S,et al.Scientific and Regulatory Policy Committee Review:Review of the Organization for Economic Co-operation and Development(OECD)Guidance on the GLP Requirements for Peer Review of Histopathology[J].Toxicol Pathol,2015,43(7):907-914.
[28] 吕建军,霍桂桃,林志,等.组织病理学同行评议病理工作组简介[J].中国药事,2016,30(10):977-981.
[29] Organisation for Economic Cooperation and Development(OECD).OECD Series on Principles of Good Laboratory Practice and Compliance Monitoring:No.16,Advisory Document of the Working Group on Good Laboratory Practice Guidance on the GLP Requirements for Peer Review of Histopathology[EB/OL].(2014-12-15)[2019-07-20].http://www.oecd-ilibrary.org/content/book/9789264228306-en.
[30] 吕建军,霍桂桃,林志,等.全切片图像在组织病理学同行评议和病理工作组中的应用[J].中国药事,2016,30(10):982-987.