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Published on: August 26, 2014
Alternative mouse models for carcinogenicity assessment: industry use and issues with pathology interpretation
Gerald G Long1, Daniel Morton, Terry Peters
1Lilly Research Laboratories, Indianapolis, Indiana 46225, USA. Long_gerald_g@lilly.com
Abstract:
The Carcinogenicity Alternative Mouse Models (CAMM) Working Group of the Society of Toxicologic Pathology (STP) surveyed the membership to define current practices and opinions in industry regarding the use of alternative mouse models for carcinogenicity testing. The results of the survey indicated that CAMM are used most often to fulfill a regulatory requirement (e.g., to replace the two-year mouse bioassay) and are being accepted by regulatory agencies. Alternative models are also sometimes used for internal decision making or to address a mechanistic question. The CAMM most commonly used are the p53+/- and rasH2. The rasH2 appears to be the currently accepted model for general carcinogenicity testing. Problems with study interpretation included lack of historic background data, unexpected tumor finding, and tumor identification/characterization of early lesions. Problems with implementation or conduct of the study included extent of the pathology evaluation, numbers of animals, survival, and study duration. Recommendations were developed for, frequency and type of positive control testing, extent of histopathologic examination of test article-treated and positive control animals, current use and future development of diagnostic criteria; increased availability and use of historic data, and use of other genetically modified mice in carcinogenicity testing.
Insights
The Carcinogenicity Alternative Mouse Models (CAMM) survey shows these models are increasingly accepted by regulatory agencies to replace traditional long-term mouse bioassays. Key challenges include data interpretation and study conduct, with recommendations for standardization.
Area of Science:
- Toxicologic Pathology
- Genetically Modified Mouse Models
- Carcinogenicity Testing
Background:
- Industry practices and opinions on alternative mouse models for carcinogenicity testing were surveyed.
- The Carcinogenicity Alternative Mouse Models (CAMM) Working Group of the Society of Toxicologic Pathology (STP) conducted the survey.
Purpose of the Study:
- To define current industry practices and opinions on using alternative mouse models for carcinogenicity testing.
- To identify challenges and develop recommendations for the implementation and interpretation of these models.
Main Methods:
- A survey was distributed to members of the Society of Toxicologic Pathology.
- Results were analyzed to identify common practices, regulatory acceptance, and challenges associated with CAMM.
Main Results:
- CAMM are primarily used to meet regulatory requirements, replacing the two-year mouse bioassay and gaining regulatory acceptance.
- The p53+/- and rasH2 models are most common, with rasH2 being widely accepted for general carcinogenicity testing.
- Challenges include lack of historical data, unexpected tumor findings, pathology evaluation, animal numbers, survival, and study duration.
Conclusions:
- CAMM are a viable alternative to traditional carcinogenicity testing, with growing regulatory acceptance.
- Recommendations focus on standardizing positive control testing, histopathologic examination, diagnostic criteria, and historical data utilization.
- Further development and use of genetically modified mice in carcinogenicity testing are encouraged.
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