| Methods to Identify and Characterize Developmental Neurotoxicity for Human Health Risk Assessment. III: Pharmacokinetic and Pharmacodynamic Considerations David C. Dorman,1 Sandra L. Allen,2 Janusz Z. Byczkowski,3 Luz Claudio,4 J. Edward Fisher Jr.,5 Jeffrey W. Fisher,6 G. Jean Harry,7 Abby A. Li,8 Susan L. Makris,9 Stephanie Padilla,10 Lester G. Sultatos,11 and Beth E. Mileson12 1Chemical Industry Institute of Toxicology, Research Triangle Park, North Carolina, USA; 2Zeneca Central Toxicology Laboratory, Macclesfield, Cheshire, United Kingdom; 3Consultant, Fairborn, Ohio, USA; 4Mount Sinai School of Medicine, Division of Environmental and Occupational Medicine, New York, New York, USA; 5Center for Drug Evaluation and Research, U.S. Food and Drug Administration, Rockville, MD, USA; 6Department of Environmental Health Science, University of Georgia, Athens, Georgia, USA; 7Neurotoxicology Group, National Institute of Environmental Health Sciences, Research Triangle Park, North Carolina, USA; 8Metabolism and Safety Evaluation-Newstead Laboratory, Monsanto Company, St. Louis, Missouri, USA; 9Office of Prevention, Pesticides and Toxic Substances, U.S. Environmental Protection Agency, Washington, DC, USA; 10Neurotoxicology Division, U.S. Environmental Protection Agency, Research Triangle Park, North Carolina, USA; 11Department of Pharmacology and Toxicology, University of Medicine and Dentistry of New Jersey, New Jersey Medical School, Newark, New Jersey, USA; 12ARCADIS Geraghty & Miller, Millersville, MD, USA Abstract We review pharmacokinetic and pharmacodynamic factors that should be considered in the design and interpretation of developmental neurotoxicity studies. Toxicologic effects on the developing nervous system depend on the delivered dose, exposure duration, and developmental stage at which exposure occurred. Several pharmacokinetic processes (absorption, distribution, metabolism, and excretion) govern chemical disposition within the dam and the nervous system of the offspring. In addition, unique physical features such as the presence or absence of a placental barrier and the gradual development of the blood-brain barrier influence chemical disposition and thus modulate developmental neurotoxicity. Neonatal exposure may depend on maternal pharmacokinetic processes and transfer of the xenobiotic through the milk, although direct exposure may occur through other routes (e.g., inhalation) . Measurement of the xenobiotic in milk and evaluation of biomarkers of exposure or effect following exposure can confirm or characterize neonatal exposure. Physiologically based pharmacokinetic and pharmacodynamic models that incorporate these and other determinants can estimate tissue dose and biologic response following in utero or neonatal exposure. These models can characterize dose-response relationships and improve extrapolation of results from animal studies to humans. In addition, pharmacologic data allow an experimenter to determine whether exposure to the test chemical is adequate, whether exposure occurs during critical periods of nervous system development, whether route and duration of exposure are appropriate, and whether developmental neurotoxicity can be differentiated from direct actions of the xenobiotic. Key words: developmental neurotoxicity, pharmacodynamics, pharmacokinetics, physiologically based pharmacokinetic modeling, rat. -- Environ Health Perspect 109(suppl 1) :101-111 (2001) . http://ehpnet1.niehs.nih.gov/docs/2001/suppl-1/101-111dorman/abstract.html The full version of this article is available for free in HTML format. |