Immunotoxicity testing and risk assessment: Summary of a 1994 workshop

An alternative mode of action of endocrine-disrupting chemicals and chemoprevention

Endocrine-disrupting chemicals (EDCs) produce a wide variety of endocrine-disruption effects, including developmental disorders, carcinogenicity, and mutagenicity. Our recent study demonstrated that about 94% of the 48 EDCs classified by Centers for Disease Control and Prevention (CDC) generated free radicals and that this free radical generation induced by EDCs might represent a common toxic mechanism of action of EDCs. The chemoprevention of endocrine-disrupting effects, such as employed in the control of caner by interfering with common toxic mechanisms of action of EDCs, represents a promising approach to this problem. In this context, it is proposed that EDCs may produce endocrine-disrupting effects including carcinogenicity via the generation of free radicals, and thus the effects may be modulated or prevented by scavenging free radicals with antioxidants, such as vitamins, curcumin, isoflavonoids, resveratrol, and plant polysaccharides. Here, an alternative mode of action of EDCs and their possible chemoprevention are proposed.

Immunotoxicological effects of piperine in mice

The immunotoxicological effects of piperine were investigated in Swiss male mice, gavaged at a dose of 1.12, 2.25 or 4.5 mg/kg body weight for five consecutive days. All the dose levels had no overt toxic effect and the liver gained weight normally. Treatment at highest dose, however, resulted in significant decrease in the weight of spleen, thymus and mesenteric lymph nodes, but not of peripheral lymph nodes. All the dose levels suppressed the cellular population of lymphoid organs, except for the spleen, where the doses of 1.12 and 2.25 caused an increase. Haematologically, doses of 2.25 and 4.5 mg/kg caused a significant reduction in total leucocyte counts and differential leucocyte counts showed an increase in the percentage of neutrophils. The higher doses of 2.25 and 4.5 mg/kg suppressed the mitogenic response of B-lymphocyte to lipopolysaccharide. The number of primary antibody (IgM) forming cells in the spleen and the level of primary antibody in serum, was decreased. The doses of 1.12 and 2.25 mg/kg suppressed the mitogenic response of T-lymphocytes to phytohaemagglutinin and the nitroblue tetrazolium (NBT) dye reducing activity of peritoneal exudate cells (PECs). Since the lowest dose of 1.12 mg of piperine per kg body weight had no immunotoxic effect, it may be considered as immunologically safe "no observed adverse effect level (NOAEL)" dose.

Immune responses: adverse versus non-adverse effects

The adaptive immune system in vertebrates has evolved to provide host resistance to infectious microorganisms and malignant disease. Normal immune function and the induction of specific immune responses require the orchestrated interaction between cells and molecules both within and outside the lymphoid system. Immunotoxicology can be defined as the study of adverse health effects that may result from the interaction of xenobiotics with the immune system. In general terms such effects can take one of two forms. The first of these is immunotoxicity (or immunosuppression) where there is a perturbation of, or damage to, one or more components of the immune system resulting in impaired immune function and reduced host resistance. The design and interpretation of experimental immunotoxicity studies and the investigation of clinical immunosuppression require consideration of the relationship between changes in the structure and/or function of discrete components of the immune system and holistic changes in the susceptibility to infectious and malignant disease. The other main way in which chemicals may cause adverse health effects secondary to interaction with the immune system is through stimulation of specific immune responses that result in allergic disease. Allergy to chemicals and proteins can take many forms, including allergic contact dermatitis, allergic sensitization of the respiratory tract (associated with rhinitis and/or asthma), systemic allergic reactions (associated frequently with drug treatment), and gastrointestinal disease. Here there is a need to distinguish between immunogenic responses per se and those immune responses that are of sufficient vigor and of the quality necessary to provoke allergic sensitization. The purpose of this article is to explore the extent to which distinctions can be drawn between adverse and nonadverse effects in the context of immunotoxicity and allergy.

Evaluation of toxic assault on the immune system

As a consequence of increased industrialization, human exposure to environmental toxins is growing daily. The effects of this exposure on the immune system is potentially a major health problem. Studies following human exposure have not unambiguously demonstrated a biologically significant weakening of the immune system, primarily because tests which show a high correlation with disease susceptibility have not been utilized. Such assessment of the immune system is particularly important in developing countries where regulation of environmental contamination may be less vigorous. At the same time, the ability to perform screening of large population in this setting is impaired. Measurement of the antibody response to an antigen used for routine immunizations provides a simple but very informative assessment and is particularly well suited as a minimalist approach to immune system assessment in developing countries.

Use of immunotoxicity data in health risk assessments: uncertainties and research to improve the process

A number of environmental contaminants can suppress immune responses and enhance susceptibility to infectious and/or neoplastic disease. Most of the evidence for immunotoxicity of such contaminants has been obtained from laboratory animal studies and risk assessors must make decisions about risk to the human population based on these studies. Uncertainties associated with this process include determining what level of immune suppression is adverse, extrapolating across species from rodent to human, and across levels of biologic organization from effects on immune function at the cellular level to effects on incidence of disease at the population level, accounting for intra-species variability, and assessing the relationship between effects following acute, subchronic, and chronic exposure. This paper reviews immunotoxicity data that may be applied to the development of risk assessment methods and models designed to reduce some of these uncertainties.

Immunotoxicology: hazard identification and risk assessment

In summary, immunotoxicology is a relatively new science that can be defined as the study of the consequences of exposure to drugs, chemicals, and environmental toxicants on the structure and function of the immune system. Laboratory animal studies over the last 20 years have clearly demonstrated as association between suppressed immune function and altered host defense. Furthermore, rodent-based screening approaches, even with their limitations, have been reasonably successful and have added to this knowledge base. The challenges for the future lie in using these data to design better prospective human exposure studies and to improve the basis for immunotoxicology risk assessment.