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Proceedings of the 2024 Classic Examples in Toxicologic Pathology XXXI
Charlotte Lempp1, Emmanuelle Balme1, Robert Lee Johnson2
1Boehringer Ingelheim Pharma GmbH & Co. KG, Biberach (Riss), Germany.
Toxicologic Pathology
|December 29, 2025
Summary
This review discusses toxicologic pathology cases, including progesterone receptor antagonists impacting uterine tumors in rats and off-target hepatotoxicity from small interfering RNA (siRNA). It also covers orexin receptor antagonists and reactive metabolites.
Area of Science:
- Veterinary Pathology
- Toxicologic Pathology
- Experimental Pathology
Background:
- The European Society of Toxicologic Pathology (ESTP) jointly organizes a slide seminar series.
- The seminar "Classic Examples in Toxicologic Pathology" presents and discusses classical and novel cases.
- This article reviews 6 selected presentations from the 31st seminar held in March 2024.
Purpose of the Study:
- To summarize key findings from selected presentations at the toxicologic pathology seminar.
- To illustrate representative lesions from cases involving test item-induced pathology.
- To provide insights into diverse toxicologic pathology mechanisms and outcomes.
Main Methods:
- Review of 6 presentations from the "Classic Examples in Toxicologic Pathology" seminar.
- Inclusion of images depicting representative pathological lesions.
- Summarization of findings related to specific test items and their effects.
Main Results:
- Progesterone receptor antagonist linked to uterine tumor development in rats.
- Hybridization-dependent off-target hepatotoxicity observed with N-acetylgalactosamine (GalNAc)-conjugated small interfering RNA (siRNA) in rats.
- Orexin-1/-2 receptor antagonist associated with liver enzyme induction.
- Cases involving reactive metabolites, GPR40 agonist effects, and dysgeusia were also presented.
Conclusions:
- The presented cases highlight diverse mechanisms of chemically induced pathology.
- Understanding these examples is crucial for accurate toxicologic pathology assessment.
- The seminar serves as a valuable platform for discussing complex cases in the field.
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