Toxicologic pathology is the science that integrates the disciplines of pathology and toxicology and is concerned about the effects of potentially noxious substances. The histopathology evaluation in the toxicology study has developed a standard technical procedure through long-term practice of toxicologic pathologists, which plays an important role in the identification of drug risk. This paper briefly introduced the internationally recognized fundamental elements in the nonclinical safety evaluation of drugs, such as the pathologist's qualification and responsibilities, the data and information obtained by the pathologist before microscopic examination, the general procedure of toxicologic pathology evaluation, several factors affecting accuracy and consistency of toxicologic pathology evaluation, etc. At the same time, to complete toxicologic histopathology evaluation in nonclinical toxicology studies in accordance with standard technical procedures could reduce the pathology diagnostic bias, and ultimately get high-quality pathology report and provide high-value data and information for pathologists, toxicologists and reviewers in regulators.
Qu Zhe, Lv Jianjun, Lin Zhi, Huo Guitao, Yang Yanwei, Zhang Di, Zhang Shuo, HuoYan, Wang Xue, Li Bo
. A Brief Introduction of Fundamental Elements of the Toxicologic Pathology Evaluation in the Nonclinical Safety Evaluation of Drugs[J]. Chinese Pharmaceutical Affairs, 2017
, 31(5)
: 472
-478
.
DOI: 10.16153/j.1002-7777.2017.05.003
[1] Steadman. Steadman's Medical Dictionary[M]. Hagerstown, MD.:Lippincott Williams & Wilkins,2000:277-289.
[2] Wester P. International Federations of Societies of Toxicologic Pathologists,Report of the IFSTP Professional Standards Subcommittee(PSSC)[J]. Toxicol. Pathol,2003,31(5):562-565.
[3] Greaves P. Histopathology of Preclinical Toxicity Studies[M]. the Netherlands:Elsevier,Amsterdam,2012:197-203.
[4] Wester P. Report of the IFSTP Professional Standards Subcommittee(PSSC)[J]. Exp & Toxicol Pathol,2003,55: 221-225.
[5] Morgan K T,Eustis S L. Criteria for Classification of Neoplasms for Pathologists and Statisticians,in Carcinogenicity:The Design,Analysis, and Interpretation of Long-Term Animal Studies[M]. New York:Springer-Verlag,1988:75-82.
[6] Crissman J W,Goodman D C,Hildebrandt P.K.,et al. Best Practices Guideline:Toxicologic Histopathology[J]. Toxicol Pathol,2004,32(1):126-129.
[7] Bancroft J D,Cook H C. Manual of Histological Techniques and their Diagnostic Application[M]. Edinburgh:Churchill Livingstone,1994:333-357.
[8] Morawietz G,Ruehl-Fehlert C,Kittelet B,et al. Revised Guides for Organ Sampling and Trimming in Rats and Mice[J]. Part 3,Exp. Toxicol. Pathol.,2004,55(6):433-449.
[9] Bancroft J D,Gamble M. Theory and Practice of Histological Techniques[M]. New York:Churchill Livingstone,2008:155-167.
[10] Fikes J D,Patrick D J,Francke S,et al. Scientific and Regulatory Policy Committee Review: Review of the Organisation 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.
[11] Peters T S. Pathology Peer Review - A Concept for Consideration [J]. Toxicol Pathol,1996,24(5):654-656.
[12] Morton D. Best Practices for Reporting Pathology Interpretations within GLP Toxicology Studies[J]. Toxicol. Pathol.,2006,34(6):806-809.
[13] Mann P C. International Harmonization of Toxicologic Pathology Nomenclature:An Overview and Review of Basic Principles[J]. Toxicol. Pathol.,2012,40(4):7S-13S.
[14] STP,ARP,AFIP. Standardized System of Nomenclature and Diagnostic Criteria(SSNDC):Guides for Toxicologic Pathology [DB/OL]. [2017-03-07]. https://www.toxpath.org/ssndc.asp.
[15] STP. International Harmonization of Nomenclature and Diagnostic Criteria for Lesions in Rats and Mice(INHAND)[ DB/OL]. [2017-03-07]. http://www.toxpath.org/inhand.asp.
[16] Haschek W M,Rousseaux C G,Wallig M A. Handbook of Toxicologic Pathology[M]. San Diego,CA:Academic Press,2002:187-362.
[17] Mohr U. International Classification of Rodent Tumors [series]:International Agency for Research on Cancer [M]. Oxford, U.K.:Oxford University Press,1992: 92-98.
[18] Herbert R A. Nomenclature in Handbook of Toxicologic Pathology[M]. San Diego,CA: Academic Press,2002:947-950.
[19] Glaister J R. General Pathology in Principals of Toxicologic Pathology[M]. London,U.K.:Taylor & Francis Group,1986: 267-299.
[20] Eustis S L. The Sequential Development of Cancer: A Morphological Perspective[J]. Toxicol. Lett.,1989,49(2-3):267-268.
[21] Shackelford C. Qualitative and Quantitative Analysis of Nonneoplastic Lesions in Toxicology Studies[J]. Toxicol. Pathol.,2002,30(1):93-96.
[22] Hardisty J F,Eustis S L. Toxicologic Pathology:A Critical Stage in Study Interpretation, in Progress in Predictive Toxicology[M]. Netherlands Clayton:Elsevier,Amsterdam,1990:41-55.
[23] Goodman D G. Factors Affecting Histopathologic Interpretation of Toxicity-Carcinogenicity Studies in Carcinogenicity:The Design, Analysis, and Interpretation of Long-Term Animal Studies[M]. New York:Springer-Verlag,1988:109-118.
[24] Temple R. The Case for Blind Side Reading[J]. Comm. Toxicol.,1988,2:99-100.
[25] STP. Society of Toxicologic Pathologists' Position Paper on Blind Slide Reading[J]. Toxicol. Pathol.,1986,14(4):493-494.
[26] Wolf J C. Counterpoint to "Analysis of Unbiased Histopathology Data from Rodent Toxicity Studies (or, are These Groups Different Enough to Ascribe to Treatment?)"[J]. Toxicol. Pathol.,2011,39(6):1017-1019.