Joint poster with L’Oreal: Point of Departure for risk assessment

Improved Confidence of Quantitative Sensitizing Potency Assessment for Point of Departure Using GARD®skin Dose-Response


Presented at SOT and Eurotox 2024

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Conclusion

In conclusion, the readouts from GARDskin Dose-Response derive a quantitative continuous potency estimate of skin sensitizers that may be used directly as a PoD for a seamless integration into downstream NGRA.

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Abstract

Identification of skin sensitization hazard and potency characterization are central aspects of risk assessment of chemicals. Current legislation advocates a transition from hazard assessment using in vivo methods to UN GHS potency subclassification and quantitative risk assessment by use of New Approach Methodologies (NAM:s) as well as Defined Approaches (DA). However, the ability of NAM assays to quantitatively estimate sensitizing potency and thereby establish a point of departure (POD) for next-generation risk assessment (NGRA) strategies is currently lacking.

To this end, the GARDskin Dose-Response (DR) method, adapted from the OECD TG 442E method GARDskin, was recently introduced. The GARDskin DR method evaluates test chemicals in a titrated range of concentrations, in order to investigate the dose-response relationship between the output from the GARDskin prediction algorithm (Decision Values; DV:s) and test chemical concentration. The combined information can be used to derive a quantitative estimation of sensitizing potency, defined as the cDV0-value, i.e, the least required dose required to elicit a positive response by the prediction model.

The current work focuses on optimizing the ability of GARDskin DR to derive a quantitative POD based on conversion to a composite Potency Value (PV; µg/cm2), taking into account both human and in vivo reference data sources. A total of 25 chemicals were used to construct predictive regression models fitted to reference PV:s. Results show that the updated models fitted to reference PV:s produced more accurate potency predictions compared with models fitted with, and aiming to predict, only LLNA EC3 and NOEL, respectively. Mean fold-change errors ranged between 2.8 and 3.2, with predicted POD:s being within or close to the range of the variation of the historical in vivo data. In addition, uncertainty in predictions was reduced, as estimated by a minimum 2-fold reduction of 95%-confidence intervals, when comparing models fitted to reference PV:s with models fitter with only LLNA EC3 and human NOEL, respectively.

In conclusion, these improvements constitute a major step forward for the ability of NAM:s to assess quantitative sensitizing potency. It demonstrates how GARDskin Dose-Response can accurately estimate a POD and be incorporated into downstream strategies for quantitative risk assessment (QRA), to ultimately contribute to the assessment of safe use levels of chemicals.

Keywords: NAM, GARDskin Dose-Response, Sensitizing potency, Quantitative risk assessment, Point of departure

Joint poster with Cargill: Case study on Hydrophobic Esters

The applicability of GARD®skin for assessing skin sensitization potential of hydrophobic esters during product development


Presented at Eurotox 2024

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Conclusion

In conclusion, the inclusion of GARD®skin in the OECD test guidelines has expanded the applicability of NAMs for skin sensitization assessment.
This study demonstrates the applicability of the GARDskin assay to assess skin-sensitizing hazard of hydrophobic esters, which provides an ethical alternative to animal methods for safety assessment during product development.

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Abstract

The field of skin sensitization assessment is rapidly evolving and the recent advancements in New Approach Methodologies (NAMs) has made it possible for the industry to perform in vitro skin ssensitization testing with good predictivity across a large chemical space. However, challenges remain for “difficult-to-test” chemicals, those with challenging physical/chemical properties or of Unknown or Variable composition, Complex reaction products or Biological materials (UVCBs), which are often outside the applicability domain of conventional cell-based assays. GARDskin (OECD TG 442E) is a genomic-based assay with demonstrated applicability to “difficult-to-test” substances.

The aim of this study is to assess the skin sensitization potential of two ester substances of biological origin, substance A and B, using the GARDskin assay. These substances are very hydrophobic and fall outside of the applicability domain of the conventional in vitro assays.

Both substances were successfully solubilised in cell media by utilizing a combination of heating, sonication, and selection of appropriate solvent vehicles (ethanol or acetone). No cytotoxicity was observed for either substance, thus 500 μM was chosen as the input concentration for cellular stimulations. GARDskin combines a genomic readout with machine learning to predict skin sensitizing hazard, where values above the threshold (DV=0) is predicted as skin sensitizing and below as non-sensitizing. Both substances resulted in negative mean Decisions Values and thus were classified as non-sensitizers in GARDskin (A: -1.54, B: -0.339).

In conclusion, with the inclusion of GARDskin into the OECD test guidelines, the range to where NAMs are appropriate has been increased. This study demonstrates the applicability of the GARDskin assay to assess skin sensitizing hazard of hydrophobic ethyl esters, which provides an ethical alternative to animal methods for safety assessment during product development.

Keywords: NAM, skin sensitization, difficult-to-test, UVCB, Applicability domain

Joint poster with Sonova: Integrating NAMs into early-stage screening of novel materials

Case studies on the use of GARD®skin Medical Device for in vitro skin sensitization assessment


Presented at SOT and Eurotox 2024

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Conclusion

In conclusion, GARDskin Medical Device can detect signals from diluted and complex extracts of solid devices, with a sensitivity superior to animal methods.

This may significantly reduce the need of animal studies, improve the safety of the final product, and avoid potential costly late-stage failures.

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Abstract

The recent advancements in New Approach Methodologies enables the use of in vitro method for skin sensitization assessment as part of the biocompatibility testing for medical devices, which is conventionally tested in vivo. GARDskin OECD TG 442E is included in ISO 10993-10:2021 as the only OECD validated in vitro assay that is compatible with both polar and non-polar extraction vehicles, in line with ISO 10993-12:2021.  GARDskin Medical Device is an adaptation of the GARDskin assay, including a pre-sample treatment procedure where solid devices are extracted using both polar and non-polar vehicles.

The aim of this study is to demonstrate the benefits of using GARD for early-stage screening of materials intended for use in medical devices for assessing their skin sensitization potential. Results from two case studies were summarized in which GARDskin Medical Device was used for skin sensitization assessment. The first case study describes the testing of an acrylic-based device with a coating consisting of a UV-cured lacquer, where chemical analysis indicated the potential for skin sensitization. The second case study describes the testing of a polymeric material consisting of Cellulose-Acetate Propionate (CAP) with a plasticizer (Triethylene glycol bis (2-ethylhexanoate), CAS# 94-28-0), with contradictive existing in vivo (negative) and in vitro (positive) data.

In the first case study, the acrylic-based device induced a positive response in both polar and non-polar vehicles in GARDskin Medical Device and was thus classified as a skin sensitizer. It was hypothesized that the positive results may be due to inadequate curing of the lacquer within cavitary structures of the devices, where UV light exposure was insufficient. To confirm the hypothesis, follow-up testing was performed on an identical device, but without cavities, which was classified as non-sensitizer. In vivo data confirmed the outcome of the in vitro assay. Consequently, a modification was made in the manufacturing process to prevent the presence of lacquer in cavitary structures of the device.

In the second case study, the CAP material was positive in the non-polar vehicle and was thus labelled as a skin sensitizer. The plasticizer was identified as a potential culprit, considering a borderline negative result in LLNA (SI=2.97) and reported positive clinical data. To support the hypothesis a follow-up study was conducted using another adaptation of the GARDskin protocol capable of providing continuous potency predictions. The results classified the plasticizer as a weak contact allergen. As a result, a different material was selected for the device.

Keywords: Biocompatiblity, ISO 10993-10, GARDskin Medical Device, Skin Sensitization, ISO 10993-12