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TABLE 7.2 Structural Alerts Leading to High Risks of Carcinogenicity
Number
Structural Motif Alerting
for Carcinogenicity Metabolic Activation (if any)
1 Primary alky halides
a
2 Aryl amines and alkylated aryl amines In situ formation of nitrenium ion 3 Aromatic nitro (and some aliphatic nitro) In situ formation of nitrenium ion 4 Azo compounds
b
Via reduction and in situ
formation of diazonium ion
5 Unsymmetrical hydrazines
b
In situ formation of carbocation
or diazonium species
6 Di-substituted hydrazines
b
Via reduction and in situ
formation of diazonium ion 7 Alkyl aldehydes 8 Epoxides (both alkyl and aryl)
c
9 Aziridines (both alkyl and aryl)
c
10 N-nitroso Via formation of carbocation or
diazonium species
11 Esters of sulfonic and phosphonic acids
(both alkyl and aryl)
a
12 Aza N-oxides, Aryl N-oxides 13 N-chloro amines
a
Accumulation possible
14 Michael reagents (amides, e.g., acrylamide,
nitriles, a,b-unsaturated esters)
b
15 Carbamate derivatives (urethanes) 16 N-methyol derivatives 17 N- and S-mustards (b-haloethyl) 18 Propiolactones (and their thiolated
derivatives, propiosultones) 19 Monohaloalkenes 20 Heavy metal compounds
d
21 Polycyclic amines In situ formation of nitrenium ion 22 Organophosphorous compounds
d
23 Aflatoxin-like compounds
c
In situ formation of epoxide
24 Azoxy compounds
b
Via reduction and in situ
formation of diazonium ion
25 Benzidine compounds
e
In situ formation of nitrenium ion
26 Steroid-like compounds
f
27 Tetra-halogenated dibenzodioxins and
dibenzofurans
f
Accumulation possible
28 Vinyl-containing compounds
c
In situ formation of epoxide
29 N-hydroxy aminoaryls 30 N-acetylated aminoaryls
a
Part of miscellaneous Ashby alerts [21].
b
Part of Cheeseman’s original hydrazine grouping [20].
c
Part of Cheeseman’s original strained ring grouping [20].
d
Often viewed separately under neurotoxic classification [21].
e
Benzidine is often included in polycyclic amine grouping [21].
f
Part of Cheeseman’s original endocrine disrupters grouping [20].
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The N-nitroso compounds would be expected to demonstrate toxicity via meta-
bolic activation to either the carbocation or diazonium ions via similar pathways. These compounds are about 100-fold more potent (MALV ¼ 6.79) compared to the nonalerting elements in the database.
The endocrine disruptors include estrogen mimetics that disrupt endocrine-
mediatedbiologicalpathways and include substituted dibenzodioxins,tetra-substituted dibenz ofurans, ergot-derived alkaloids, flavenoids, and polychlorinated pesticides. Other researchers have divided this original subgroup into four further subgroups: steroids, highly chlorinated compounds, organotin compounds, and tetra-halogenated dibenzodioxins and structurally similar compounds [21]. Some members of this original endocrine disruptor class have the common 1,2­cyclopentanophenathrene ring system which is characteristic of the steroids and the structurally related motifs observed in the flavone ring systems and ergot alkaloids. Other r elate d structural moieties include the multiple substituted diben­xodioxins and dibenzofurans and the polychlorinated ring sy st ems in some pesti­cides. These findings are in broad agreement with the structural motifs required to bind to the endocrine receptor sites [24]. These compounds are about 40-fold more potent (MALV ¼ 6.45) versus the nonalerting elements in the database.
The strained heterocyclic ring compounds include those that do not require
metabolic activation, for example, epoxides, aziridines, strained lactones, and alkyl imines; as well as those undergoing bioactivation to produce these structures in vivo, for example, polycyclic aromatic hydrocarbons and the extremely potent aflatoxins. These compounds are about 10 times more potent (MALV ¼ 5.95) versus the nonalerting elements in the database . Subsequently, other research groups have subdivided this original class into epoxides and aziridines (strained ring systems) and three additional groups of compounds that are established as expressing their toxicology after metabolic activation via strained ring metabolites, for example, aflatoxin-like compounds, polycyclic aromatic hydrocarbons, and compounds con­taining a vinyl structural moiety [21].
In a similar fashion to N-nitroso analytes, the aromatic nitro (and related aromatic
amine) compounds undergo metabolic activation to form the very reactive nitrenium ions. Cheeseman and colleagues [20] narrowed this group to a nitro-substituted furan ring with the substituent alpha to the heterocyclic oxygen and, for example, the related nitrogen-substituted imidazole and sulfur-substituted thienyl compounds. However, as other researchers have indicated, the whole class of aromatic nitro groups are highly alerting for mutagenicity and carcinogenicity. The MALV (5.90) for this more restricted class of nitroaromatics shows 10-fold greater potency than the nonalerting elements in the database.
The heavy metals, exemplified by lead, cadmium, mercury, and some of the
precious metals, for example, platinum and palladium have been long recognized as being highly toxic. It is also probable that this class also forms a significant subset of the potent neurotoxins, as well as alerting for mutagenicity and carcinogenicity. The MALV (5.91) is very similar to the previous class of alerting compounds.
Hydrazines, azoarenes, and related triazenes, azides, and azoxy compounds all
share a common structural alert and, similar to the N-nitroso group, demonstrate
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toxicity via metabolic activation to either the carbocation or diazonium ions. The MALV (5.88) is again about 10 times more potent than the nonalerting elements in the database. Latterly, other researchers have concluded that this grouping is too broad and have recommended a subdivision into hydrazines, azoxy compounds, and azo compounds [21].
Polycyclic amines, which include polyheterocyclic amines, biphenyl amines, aromatic acetamides, benzidines as well as the ubiquitous polycyclic aromatic amines are often encountered in nature via overcooked meats, fish, and poultry. Their toxicity is via bioactivation to form the highly reactive nitrenium ion in a similar fashion to nitroarenes. Benzidine is one of the more potent subgroups in this group causing carcinogenicity after even limited exposure and is sometimes extracted as a separate group. The MALV (5.82) is again about 10 times more potent than the nonalerting elements in the database.
Finally, organophosphorous compounds are the least potent of this highly alerting subgroup, with a MALVof 5.67. They act via their intrinsic ability to phosphorylate or alkylate biomolecules. Similar to the heavy metals, organophosphorous compounds are neurotoxic in nature and anticholinesterase substrates due to phosphorylation of this neurotransmitter.
Different authors have advocated that heavy metals and organophosphorous compounds should be excluded from any databases predicting solely for mutagenicity and carcinogenicity. These compounds, particularly organophosphates, should be extracted into a separate neurotoxicant database to avoid biases towards high potency based on both numbers of compounds and high toxicity [21].
Kroes and colleagues [21] identified five different high concern groups: aflatoxin­like, N-nitroso, azoxy, steroids, and polyhalogenated compounds, for example, halogenated dibenzo-p-dioxins and dibenzofurans and defined these as the “cohort of concern”. Steroids and polyhalogenated compounds are considered to be non­genotoxic carcinogens with thresholded-toxicity.
In addition to the structurally alerting motif, metabolic, and other toxicokinetic considerations should be evaluated. Besides the functional groups present, for example, nitro, epoxide, and so on; the potential of that group to be metabolically activated is critical [25]. This is exemplified by the decision tree used for the safety evaluation of flavors [26, 27]. This identified structural motifs with a high potential for toxicity. These included (1) safrole-like structural motifs, (2) unionized moieties containing elements in addition to C,H,N, O, divalent S, for example, halide substituted compounds, (3) strained ring systems, for example, aziridines, epoxides, (4) a,b-unsaturated lactone, or fused lactones, (5) aliphatic secondary nitrile, quaternary N, amino, N-nitroso, diazo, and so on, (6) aryl unsubstituted groups, and (7) multifunctional groupings, excluding methoxy groups and classifying esters and acids as one functional grouping.
Most structurally alerting compounds are rapidly metabolized and do not pose a threat towards accumulation. However, halogenated molecules (where halogen is directly substituted onto carbon atom) are poorly metabolized. These substituents may block normal metabolism at that carbon or at the adjacent carbon atoms, for example, a-C atom. Structural moieties that particularly alert for accumulation are
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multiple halogenated substituted alkyl groups, for example, CF3, CHF2, and so on, and multisubstituted aryl halides, where either all ring substituents are halides or are adjacent to halide-substituted ring carbon atoms, for example, C
6Cl6
,
hexachlorophene [27].
Some authors advocated additional structural groupings, for example, aromatic amines and aromatic nitro groups based on structural alerts identified previously by Ashby and Tennant [15]. As with all rule-based Expert systems, some of the generic structural alerts appear to be quite nonspecific such as the generic alert for aromatic amines [28]. It was proposed by other researchers that the various alkylating agents, for example, N-chloro amines, alkyl chlorides, sulfonate, and phosphonate esters were combined into a group labeled “miscellaneous Ashby alerts” [21].
Dobo and colleagues [11] evaluated 272 pharmaceutical starting materials and intermediates using structure based analysis (DEREK for Windows [29]; TOX­NET [30]; and SCIFINDER [31]). These compounds had already being tested for mutagenicity using Ames tests. However, on a blinded basis, without the benefit of this biological information, these materials were then classified into five separate categories (see Table 7.3).
Based on the Ames test data there were 18% (48) mutagens contained in the data set. The percentage concordance of the actual mutagenicity (based on Ames testing) versus the predicted mutagenicity (based on stru cture–activity relationships) was then evaluated for each of the five categories; with the exception of category 3, where no predictions were undertaken. The data showed a very high degree of concordance, with 100% predictivity for category 1 (n ¼ 2), 76% for category 2 (n ¼ 25), 96% for category 4 (n ¼ 67), and 94% for category 5 (n ¼ 111). The overall predictivity within the data set was 92%, with a higher predictivity value for negative concordance (94%) versus positive concordance (74%).
Based on the available Ames test data for the category 3 data set (n ¼ 67), 25% were actually mutagenic. The authors [11] assessed within each category the occurrence of a particular alerting motif that is either known or suspected of
TABLE 7.3 Compound Classification with Respect to Mutagenicity or Carcinogenicity
Classification Mutagenicity or Carcinogenicity
1 Literature precedent for mutagenicity or carcinogenicity 2 Known mutagens, but with unknown carcinogenic potential or the chemical
structure gave a positive alert for mutagenicity and a closely related structural analogue was identified as a known mutagen
3 Alerting structure for mutagenicity or carcinogenicity, without the necessary
supporting evidence to confirm/deny biological relevance of data
4 Alerting structure for mutagenicity or carcinogenicity, with data on related
compounds that demonstrate negative Ames tests and are consequently considered to be nonmutagenic
5 No alerting structure for mutagenicity or carcinogenicity
Based on Ref. 11.
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bestowing mutagenicity (or carcinogenicity) onto the structure. In those cases where more than one alerting moiety was present, then the motif that gave the highest alert for mutagenicity (or carcinogenicity) was selected. The data are summarized in Table 7.4.
Both of the category 1 structural motifs were aniline derivatives. In contrast, in
category 2 just over half of the alerting structures were comprised of aromatic nitro
TABLE 7.4 The Percentage Frequency of an Alerting Structural Motif in each Category
Category Alerting Structural Motif Percentage Frequency
1 Aromatic amine 0.74 2 Aromatic nitro 4.78
Aromatic amine 1.48 Secondary amine 1.48 Alkylating agent 0.37 a-Haloether 0.37 Acid halide 0.37 Hydrazine 0.37
3 Aromatic nitro 5.15
Alkylating agent 4.78 Aromatic amide 4.41 Aromatic amine 2.57 Halogenated quinoline 1.48 Michel acceptors 1.48 Aliphatic nitro 0.74 Halogenated heterocyclic 0.74 Pyridine dialdehyde 0.74 Acid halide 0.37 Alkyl ester 0.37 a-Haloether 0.37 Epoxide 0.37 Hydrazine 0.37 N-methyol derivative 0.37 Oxime 0.37
4 Secondary amine 9.93
Aromatic amide 4.41 Aromatic amine 2.94 Aldehyde 1.47 Alkyl aldehyde 1.47 Dialdehyde 1.10 Vinyl ketone 1.10 Aliphatic carboxylic acid 0.74 Hydroxamic acid 0.74 Halogenated alkene 0.37 Alkyl carbamate 0.37
5 No alerting structural motif 40.80
Based on Ref. 11.
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compounds (52%) and just under a third comprised of amines (30%). The rest were a very diverse group of structural moieties (16 in total). In category 3, 21% of the alerting structures were comprised of aromatic nitro compounds, with similar representation from alkylating agents (19%) and aromatic amides (18%) and 10% were aromatic amines. The remainder alerting structures were less common. Sim­ilarly, in category 4, 40% of the total comprised of secondary amines, 18% comprised of aromatic amides and 12% were aromatic amines. The remainder of the group comprised of less common structural motifs. Finally, category 5 compounds were represented by aromatic/aliphatic ring systems with a wide ranging of carboxylic and heterocyclic ring structures.
Dobo and colleagues [11] reported that although the concordance analysis gave highly predictive outcomes, 25% of the compounds were allocated into category 3 where mutagenic potential was not easily predictable. This was attributed to the complexity as well as the novelty of the compound with few literature precedent structures. However, the authors indicated that this should not be considered surprising. They cited the work of Shimizu et al. [32], who related the position of substituents on the aromatic ring and Vance and Levin [33], who related the number of ring systems to the overall mutage nicity of aromatic nitro groups. The authors concluded that there was little literature precedence for nitro-substituted hetero­cycles. In a similar fashion, Ninomiya et al. [34] had previously demonstrated that the structure of both the alkyl and the sulfonic acid moieties were intrinsically linked with mutagenicity of alkyl sulfonates.
The FDA has initiated an Informatics and Computational Safety Analysis Staffing (ICSAS) group within the Office of Pharmaceutica l Science (OPS) to provide QSAR assessment of the safety implications of structural motifs (both known and unknown). This group has constructed QSAR models for molecules where both individual and groups of genotoxic and reproductive toxicity (reprotoxic) tests data are available and correlated those results with the findings of rodent carcinogenicity bioassays [35, 36]. The group used in silico experiments based on MultiCASE, MC4PC software program [37], which was selected because of proven predictability for correlating mutagenicity with rodent carcinogenicity data [7, 8, 38]. This program identifies QSAR motifs and/or molecular fragments that correlate with either enhanced or reduced biological activity for groups of chemicals sharing a common structural alert. Interestingly, the associated physicochemical attributes of the molecule, for example, log P are considered to be fairly inconsequential in comparison to a significant structural alert.
The authors utilized a database with a total of 7205 compounds, comprising of 4961 with genotoxic end points, 2173 with reprotoxic end points, and 2173 with rodent carcinogenicity bioassay end points. The correlation of genotoxic and reprotox end points with carcinogenicity data was evaluated using a correlation indicator (CI) which is defined as the average of high specificity (SP), positive predictivity value (PPV), and low false positive (FP) rates. Of the 27 genotoxic and reprotoxicity tests evaluated, just over 50% (14/27) showed high CI values and 48% (13/27) were suitable for QSAR modeling using the MC4PC program. The authors found four alerting structures (aziridine, epoxide, N-nitroso, and sulfonate esters) that alerted in
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multiple genotoxic and reprotoxic animal models and termed these trans-genera alerts. The majority of trans-genera alerts were the same types of polar electrophilic molecules that are also identified in human expert systems [15, 19].
Although this exercise dem onstrated high correlation (80.9% CI, 83.1% SP, 78.6% PPV, and 16.9% FP), mos t of the QSAR assessments were of low sensitivity. This was based on two underlying factors: the relatively small size of the training data sets coupled with the comparatively rigid expert rules within the MC4PC program. Relaxing the expert rules of the system inevitably increases FP and lowers the specificity. The latter can be addressed by increasing the size of the training data set, using multiple validated QSAR programs to predict toxicity, and by combination of the results of related toxicological endpoints to predict the overall toxicity of the chemical.
Medicinal chemists are now actively encouraged to avoid structures with embed­ded genotoxic moieties. A good example of the changing perceptions of chemists can be ascertained by looking at the structural evolution of the dihydropyridine (DHP) calcium channel blockers. The first generation of DHPs, for example, nifedipine (2,6­dimethyl-4-(2-nitrophenyl)-1,4-dihydropyridine-3,5-dicarboxylate) had a 2-subsi­tuted aryl nitro group. Pharmacological activity is linked to noncoplanarity of the two ring systems. Initially bulky nitro groups in the ortho position were utilized to facilitate this requirement, but this does have a structural alert for genotoxicity. In contrast, the third gener ation DHPs, for example, amlodipine (3-ethyl-5-methyl (4RS)-2-[(2-aminoethoxy)methyl]-4-(2-chlorophenyl)-6-methyl-1,4-dihydropyri­dine-3,5-dicarboxylate) replaced the alerting structural m otif with a 2-chlorophe­nyl moiety. This substitution was still bulky to prevent coplanarity but without the genotoxic liability.
7.5 GENOTOXICITY ASSAYS FOR SCREENING
In this section, regulatory genotoxicity assays are briefly introduced in the context of early profiling and are contrasted with the distinctive properties of discovery­stage screening assays. Table 7.5 provides a summary of the properties of tests suitable for early screening. The regulatory assays are summarized and the reader is referred to published guidelines for detailed information. The various regulatory and screening tests are considered in three basic classes according to the endpoint of the assay: (1) gene mutation; (2) chromosome damage, including single and double-strand breaks and aneugenesis; and (3) genotoxin-induced gene expres­sion. Screening assays that have been derived from regulatory assays are described noting protocol differences from the parent assays, as well as the strengths and weaknesses of all the assays, which might be considered for use in the profiling context.
The current ICH tripartite guideline for genotoxicity testing of pharmaceuticals (S2B) defines a battery of standard in vitro and in vivo tests. The 3-test battery consists of the following:
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1. bacterial gene mutation test (Ames)
2. in vitro mammalian cell test (cytogenetic evaluation of chromosomal damage or mouse lymphoma forward mutation thymidine kinase (TK) assay)
3. in vivo test for genetic damage.
The in vivo assays suggested to be most useful are based in rodent hemato­poietic cells and comprise either assessment of chromosomal damage in bone marrow cells or micronuclei in bone marrow or peripheral blood erythrocytes. If all the tests in the battery give negative results then this is usually considered sufficient to demonstrate the lack of potential human genotoxic activity. However, according to the current guideline, compounds yielding positive results may require more extensive testing, provided in the form of the ICH S2A “Guidance on Specific Aspects of Regulatory Genotoxicity Tests for Pharmaceuticals.” This current guidance suggests that for a compound producing biologically relevant positive results in one or more in vitro tests, further useful information may be obtained by performing another in vivo test in an alternative tissue. The target tissue for the compound and the endpoint measured in the in vitro test both impact on the choice of the additional in vivo test.
In 2008, the ICH proposed revisions to its S2 battery guideline and issued guidance on specific aspects [9]. In the combined revision, S2(R1), there is a new option for regulatory submissions in which the bacterial mutation assay is the only required in vitro test, but two in vivo endpoints are required [9]. Table 7.1 provides a summary of existing and proposed testing regimes (see also Section 7.9). Further advice is
TABLE 7.5 Properties of Tests Suitable for Profiling
Test Endpoint Category
Validation:
Transfer Application Throughput
Bacterial mutation Ames II Yes: Yes Candidates/
leads
50/week;
2,500/year
Bacterial mutation Biolum Yes: No Candidates 20/week;
1,000/year
Bacterial reporter Escherichia SOS Yes: Yes Candidates/
leads
180/week;
9,000/year Yeast deletion DEL Yes: No Candidates Unknown Yeast reporter RAD54-GFP Yes: Yes Candidates/
leads
160/week;
8,000/year Mammalian DNA
damage
MNT imaging Yes: Yes Candidates 55/week;
2,750/year Mammalian DNA
damage
MNT flow Yes: Yes Candidates 40/week;
2,000/year Mammalian DNA
damage
Comet Yes: Yes Candidates 30/week;
1,500/year Mammalian reporter GADD45a-GFP Yes: Yes Candidates/
leads
200/week;
10,000/year
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GENETIC TOXICITY: IN VITRO APPROACHES FOR MEDICINAL CHEMISTS
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offered on the choice of in vivo test and top conce ntration for testing. ICH guidelines do not intend to affect the development of an effectiveearly screening strategy. It is not anticipated that early profiling and screening will replace the regulatory battery in the near future. Instead, they are complimentary strategies that allow for safer compounds to be promoted from discovery to regulatory testing stage.
7.5.1 Bacterial Gene Mutation Assays
The bacterial and mammalian cell assays for gene mutation were developed to measure statistically significant increases in mutation rate. Mutations are infrequent (< 10
–5
) so many millions of exposed cells must be plated out to provide robust assessment. This generates hundreds of Petri dishes for counting cells and is not practical for profiling. The Salmonella typhimurium reverse mutation assay (“Ames” test) is carried out in a variety of different mutant strains selected to identify the various classes of mutation. For example, TA98and TA1537for frameshift mutations, TA100 for base pair mutations, TA102 for oxidative damage, and TA1535 for base pair substitution.
The “mouse lymphoma assay” (MLA) is one of several mammalian cell mutations assays. MLA assesses mutation at the TK locus in murine lymphoma cells (L5178Y), though TK mutation data are produced in the human lymphoblastoid cell line TK6, and from the HGPRT (hypoxanthine–guanine phosphoribosyl-transferase) locus in Chinese Hamster ovary or lung (V79) cells and mouse lymphoma cells. Since Ames mutation data and often mammalian cell mutation data may cause the abando nment of a drug, efforts have been made to increase throughput of the tests and apply them appropriately during the candidate selection stage.
The Ames Test Variants Many laboratories use streamlined versions of the regu­latory Ames test in which a reduced set of strains is used, and a smaller number of colonies may be counted to estimate mutation rate [39]. While practical for candidate selection, this is still not suitable for profiling assessments. A more recent develop­ment is the Pfizer “BioLum” test [1]. In this assay, bacterial mutation assays are incorporated into the Salmonella tester strains of a gene encoding a light-emitting protein under the control of the constitutively expressed kanamycin resistance gene. Cells that can form even small colonies (for the Ames test, revertant mutant colonies selected for histidine prototrophy) will emit light and are readily counted using electronic imaging systems. This allows highe r cell densities to be plated in micro­plate format with the concomitant reduction in use of plastic ware and test article [1]. Initial validation work was performed in 24-well microplates with a throughput of around 20 compounds per week in the authors’ laboratories. The authors believe that the simple protocol and amenability to automation should mean that significantly higher throughputs are possible.
Fluctuation Tests Mutation rate can also be estimated using fluctuation tests (cited in OECD 471). Multiple wells containing a specified number of cells are
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scored for growth in selective media. The mutation rates are derived from the number of cells whe re growth occurs. A further improvement in the efficiency of these methods is the use of “mixes” of tester strains in addition to single strains. After a series of handling and treatment steps in larger volumes, cells are transferred to 384-well microplates for incubation and scoring. Assay preparation can be efficiently handled robotically. Cell proliferation can be detected with colorimetric indicators of cell growth (e.g., purple to yellow change), permitting the use of spectrophotometric plate readers for data collection. The method can be established independently, but is also available commercially as either “Ames MPF” or “Ames II” (Xenometrix by Endotell GmbH). The difference between the two commercially available assays lies in the Salmonella strains employed: Ames MPF uses up to 4 of the classical TA strains (98, 100, 1535, and
1537). Ames II uses TA98 and then a TA mix, consisting of the TA700X series of strains.
The Ames II test is reported to use at least threefold less test compound and sixfold less plastic ware than the traditional Ames test. This assay may be developed into a rather high-throughput test: one study reported screening 2698 compounds in a little more than a year [40]. An interlaboratory “ring trial” with 19 coded compounds concluded that the method provides an effective reproducible and reliable higher throughput screening alternative to the standard Ames test [41].
7.5.2 Mammalian Cell Mutatio n Assays
The mouse lymphoma assay detects gene mutations as well as chromos omal muta­tions with the difference inferred from colony size and confirmed by secondary assays. Both colony-counting and well-counting methods are used in microplate format for the calculation of mutant frequency. Cells are first exposed to the test chemical, then after a wash step are allowed an expression/recovery phase before an estimate of cell growth. This is followed by another wash step, plating for growth, colony counting, and derivation of mutation rate. Small and large colony types are identified by inspection. The assay requires weeks rather than hours or days. The slower growth of mammalian cells coupled with the complex handling protocols make these the least promising assays to adapt for use in hit and lead profiling. At present there are no reports of these assays being used routinely earlier than preclinical drug candidate selection.
7.5.3 Saccharomyces cerevisiae (“Yeast”) Mutation Assays The use of yeast cells, as a eukaryotic complement to the prokaryotic Ames test led to the development of several new protocols for the detection of mutation, gene conversion, and recombination. The formal introduction of methods [42], followed by much development work from Dr. Zimmermann’s laboratory, led to large systematic studies [43, 44] and OECD guidelines for the test battery (OECD 480, 481). However, those early assays are now rarely used partially due to concerns over low sensitivity presumably from limited permeability of the cell wall.
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