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Addressing Immune Response Dysfunction in an Integrated Approach for Testing and Assessment for Non-Genotoxic
Annamaria Colacci1,2, Emanuela Corsini3, Miriam Naomi Jacobs4
1Agency for Prevention, Environment and Energy, Emilia-Romagna (Arpae), Via Po 5, 40139 Bologna, Italy.
International Journal of Molecular Sciences
|July 12, 2025
Summary
Non-genotoxic carcinogens (NGTxC) can impair immune function, leading to cancer. This review explores immune dysfunction mechanisms and biomarkers for regulatory assessment of NGTxC.
Area of Science:
- Toxicology
- Immunology
- Carcinogenesis
Background:
- Chemical carcinogens typically induce DNA damage, but non-genotoxic carcinogenic (NGTxC) mechanisms also exist.
- Immune dysfunction, including immunotoxicity and immune evasion, is a key event modulated by NGTxCs.
- The immune system is crucial for detecting and eliminating transformed cells.
Purpose of the Study:
- To review key events of immune dysfunction related to NGTxC.
- To identify molecular players disrupting anti-cancer immune signaling pathways.
- To assess regulatory applicability of current test methods and biomarkers for NGTxC.
Main Methods:
- Literature review focusing on immune dysfunction mechanisms and NGTxC.
- Analysis of molecular pathways involving cytokines and the Aryl hydrocarbon Receptor.
- Evaluation of biomarkers from cancer biopsy studies for regulatory use.
Main Results:
- Key immune dysfunction events include immunotoxicity, immune evasion, and suppression.
- Cytokines and the Aryl hydrocarbon Receptor are critical in NGTxC-mediated immune disruption.
- Biomarkers such as MAPK, PD-L1, TILs, Tregs, and cytokines (IL-17, TNFα) are identified.
Conclusions:
- Understanding NGTxC-induced immune dysfunction is vital for chemical hazard assessment.
- An integrated testing and assessment approach is proposed for NGTxC regulation.
- Biomarker validation is crucial for regulatory application in NGTxC identification.
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