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PHARMD THIRD YEAR – PHARMACOLOGY II
Khwaja Amtul Raouf Qazi
Assistant Professor
Department of Pharmacology
Sultan-Ul-Uloom College of Pharmacy
Syeda Hafsa Hussaini
19451T0030
PharmD Third Year
Sultan Ul Uloom College of
Pharmacy
PRINCIPLES OF ANIMALS TOXICOLOGY
ACUTE, SUBACUTE AND CHRONIC TOXICITY
• Key Terms Covered:
• Toxicology: It is the study of the adverse effects of chemicals on living organisms. A toxicologist is
trained to examine the nature of those effects (including their cellular, biochemical, and molecular
mechanisms of action) and assess the probability of their occurrence.
• Animal Toxicology: Descriptive animal toxicity testing assumes that the effects produced by a
compound in laboratory animals, when properly qualified, are applicable to humans, and that exposure
of experimental animals to toxic agents in high doses is a necessary and valid method of discovering
possible hazards in humans.
WHAT IS A DRUG AND HOW CAN IT CAUSE TOXICITY?
• Drugs: Any substance (other than food) that is used to prevent, diagnose, treat, or relieve symptoms of
a disease or abnormal condition. Drugs can also affect how the brain and the rest of the body work and
cause changes in mood, awareness, thoughts, feelings, or behavior. Some types of drugs, such as
opioids, may be abused or lead to addiction.
• Drug Toxicity: 'Drug toxicity' can be defined as a diverse array of adverse effects which are brought
about through drug use at either therapeutic or non-therapeutic doses.
CLASSIFICATION OF TOXICITY
Toxicity
Acute
Toxicity
Sub Acute
Toxicity
Chronic
Toxicity
• Acute Toxicity: It refers to those adverse effects occurring following oral or dermal
administration of a single dose of a substance, or multiple doses given within 24 hours, or an
inhalation exposure of 4 hours.
• Subacute Toxicity: Subacute toxicity (repeat dose toxicity) focuses on adverse effects occurring
after administration of a single dose or multiple doses of a test sample per day given during a
period of from 14 to 28 days.
• Chronic Toxicity: It is defined as adverse effects occurring after the repeated or continuous
administration of a test sample for a major part of the life span.
DRUG DISCOVERY PHASES
TOXICOLOGICAL STUDIES
• Toxicology studies are used to characterize the toxicity profile of a drug by identifying its impact on
organ structure and / or functionality. This includes assessment of the severity and reversibility of
toxicity, as well as dose ranges and their relationship to exposure.
• Toxicology Studies in Relation with Pharmacology and Clinical Trials of Drugs:
WHAT IS LD50?
• LD stands for "Lethal Dose". LD50 is the amount of a material, given all at once, which causes the death
of 50% (one half) of a group of test animals. The LD50 is one way to measure the short-term poisoning
potential (acute toxicity) of a material.
• Proposed Relationship between LD50 and Toxicology: (MSDS is the safety sheet)
ACUTE TOXICOLOGY STUDIES
• Acute toxicity studies are conducted to determine the short-term adverse effects of a drug when
administered in a single dose, or in multiple doses during a period of 24 hours in two mammalian
species (one non-rodent). Acute toxicity studies provide information on:
 The potential for acute toxicity in humans;
 An estimate of safe acute doses for humans;
 The potential target organs of toxicity;
 Time-course of drug-induced clinical observations;
 The appropriate dosage for multiple-dose toxicity studies; and
 Species differences in toxicity.
• The first toxicity test performed on a new chemical is acute toxicity. The LD50 and other acute toxic
effects are determined after one or more routes of administration (one route being oral or the intended
route of exposure) in one or more species, usually the mouse and rat, but sometimes the rabbit and
dog. Daily examination of the animals and tabulation of the number of animals that die in a 14-day
period after a single dosage occurs. Acute toxicity tests:
• (1) give a quantitative estimate of acute toxicity (LD50),
• (2) identify target organs and other clinical manifestations of acute toxicity,
• (3) identify species differences and susceptible species,
• (4) establish the reversibility of the toxic response, and (5) provide dose-ranging guidance for other
studies.
SUB-ACUTE TOXICITY STUDIES
• A subacute study is usually conducted in two species (rat and dog for FDA; mouse and rat for EPA) by
the route of intended exposure. At least three doses are employed (a high dose that produces toxicity
but less than 10 percent fatalities, a low dose that produces no apparent toxic effects, and an
intermediate dose). Animals should be observed once or twice daily for signs of toxicity. All premature
deaths should be recorded and necropsied.
• Severely moribund animals should be terminated immediately to preserve tissues and reduce
unnecessary suffering. At the end of the 90-day study, all the remaining animals should be terminated
and blood and tissues should be collected for further analysis.
• The gross and microscopic conditions of the organs and tissues are recorded and evaluated.
Hematology, blood chemistry, and urinalysis measurements are usually done before, in the middle of,
and at the termination of exposure.
CHRONIC TOXICITY
• Long-term or chronic exposure studies are performed similarly to subacute studies except that the
period of exposure is usually for 6 months to 2 years. Chronic toxicity tests are often designed to assess
both the cumulative toxicity and the carcinogenic potential of chemicals.
• Both gross and microscopic pathological examinations are made not only on animals that survive the
chronic exposure, but also on those that die prematurely.
• Dose selection is critical to ensure that premature mortality from chronic toxicity does not limit the
number of animals that survive to a normal life expectancy. Most regulatory guidelines require that the
highest administered dose be the estimated maximum tolerable dose (MTD), that is, the dose that
suppresses body weight gain slightly in a 90-day subacute study. Generally, one or two additional doses,
usually one-half and one-quarter MTD, and a control group are tested.
• Chronic toxicity assays commonly evaluate the potential oncogenicity of test substances. Both benign
and malignant tumors must be reported. Properly designed chronic oncogenicity studies require a
concurrent control group matched for variables such as age, diet, and housing conditions.
AN EXAMPLE STUDY
EXAMPLE RESULTS OF
TOXICOLOGY STUDIES
IN CANCER
REFERENCES
• https://accesspharmacy.mhmedical.com/content.aspx?sectionid=39910767&bookid=449#6479229
• https://www.thebalancecareers.com/forensic-toxicologist-job-and-salary-information-974647
• https://www.drugtargetreview.com/news/56804/multi-organ-on-a-chip-developed-for-drug-toxicity-
screening/
• https://www.sciencedirect.com/science/article/pii/S2214750017300720
THANK YOU!

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Pharmacology -II(5 Unit)

  • 1. PHARMD THIRD YEAR – PHARMACOLOGY II Khwaja Amtul Raouf Qazi Assistant Professor Department of Pharmacology Sultan-Ul-Uloom College of Pharmacy Syeda Hafsa Hussaini 19451T0030 PharmD Third Year Sultan Ul Uloom College of Pharmacy
  • 2. PRINCIPLES OF ANIMALS TOXICOLOGY ACUTE, SUBACUTE AND CHRONIC TOXICITY • Key Terms Covered: • Toxicology: It is the study of the adverse effects of chemicals on living organisms. A toxicologist is trained to examine the nature of those effects (including their cellular, biochemical, and molecular mechanisms of action) and assess the probability of their occurrence. • Animal Toxicology: Descriptive animal toxicity testing assumes that the effects produced by a compound in laboratory animals, when properly qualified, are applicable to humans, and that exposure of experimental animals to toxic agents in high doses is a necessary and valid method of discovering possible hazards in humans.
  • 3.
  • 4. WHAT IS A DRUG AND HOW CAN IT CAUSE TOXICITY? • Drugs: Any substance (other than food) that is used to prevent, diagnose, treat, or relieve symptoms of a disease or abnormal condition. Drugs can also affect how the brain and the rest of the body work and cause changes in mood, awareness, thoughts, feelings, or behavior. Some types of drugs, such as opioids, may be abused or lead to addiction. • Drug Toxicity: 'Drug toxicity' can be defined as a diverse array of adverse effects which are brought about through drug use at either therapeutic or non-therapeutic doses.
  • 5. CLASSIFICATION OF TOXICITY Toxicity Acute Toxicity Sub Acute Toxicity Chronic Toxicity • Acute Toxicity: It refers to those adverse effects occurring following oral or dermal administration of a single dose of a substance, or multiple doses given within 24 hours, or an inhalation exposure of 4 hours. • Subacute Toxicity: Subacute toxicity (repeat dose toxicity) focuses on adverse effects occurring after administration of a single dose or multiple doses of a test sample per day given during a period of from 14 to 28 days. • Chronic Toxicity: It is defined as adverse effects occurring after the repeated or continuous administration of a test sample for a major part of the life span.
  • 7. TOXICOLOGICAL STUDIES • Toxicology studies are used to characterize the toxicity profile of a drug by identifying its impact on organ structure and / or functionality. This includes assessment of the severity and reversibility of toxicity, as well as dose ranges and their relationship to exposure. • Toxicology Studies in Relation with Pharmacology and Clinical Trials of Drugs:
  • 8. WHAT IS LD50? • LD stands for "Lethal Dose". LD50 is the amount of a material, given all at once, which causes the death of 50% (one half) of a group of test animals. The LD50 is one way to measure the short-term poisoning potential (acute toxicity) of a material. • Proposed Relationship between LD50 and Toxicology: (MSDS is the safety sheet)
  • 9. ACUTE TOXICOLOGY STUDIES • Acute toxicity studies are conducted to determine the short-term adverse effects of a drug when administered in a single dose, or in multiple doses during a period of 24 hours in two mammalian species (one non-rodent). Acute toxicity studies provide information on:  The potential for acute toxicity in humans;  An estimate of safe acute doses for humans;  The potential target organs of toxicity;  Time-course of drug-induced clinical observations;  The appropriate dosage for multiple-dose toxicity studies; and  Species differences in toxicity.
  • 10. • The first toxicity test performed on a new chemical is acute toxicity. The LD50 and other acute toxic effects are determined after one or more routes of administration (one route being oral or the intended route of exposure) in one or more species, usually the mouse and rat, but sometimes the rabbit and dog. Daily examination of the animals and tabulation of the number of animals that die in a 14-day period after a single dosage occurs. Acute toxicity tests: • (1) give a quantitative estimate of acute toxicity (LD50), • (2) identify target organs and other clinical manifestations of acute toxicity, • (3) identify species differences and susceptible species, • (4) establish the reversibility of the toxic response, and (5) provide dose-ranging guidance for other studies.
  • 11. SUB-ACUTE TOXICITY STUDIES • A subacute study is usually conducted in two species (rat and dog for FDA; mouse and rat for EPA) by the route of intended exposure. At least three doses are employed (a high dose that produces toxicity but less than 10 percent fatalities, a low dose that produces no apparent toxic effects, and an intermediate dose). Animals should be observed once or twice daily for signs of toxicity. All premature deaths should be recorded and necropsied. • Severely moribund animals should be terminated immediately to preserve tissues and reduce unnecessary suffering. At the end of the 90-day study, all the remaining animals should be terminated and blood and tissues should be collected for further analysis. • The gross and microscopic conditions of the organs and tissues are recorded and evaluated. Hematology, blood chemistry, and urinalysis measurements are usually done before, in the middle of, and at the termination of exposure.
  • 12. CHRONIC TOXICITY • Long-term or chronic exposure studies are performed similarly to subacute studies except that the period of exposure is usually for 6 months to 2 years. Chronic toxicity tests are often designed to assess both the cumulative toxicity and the carcinogenic potential of chemicals. • Both gross and microscopic pathological examinations are made not only on animals that survive the chronic exposure, but also on those that die prematurely. • Dose selection is critical to ensure that premature mortality from chronic toxicity does not limit the number of animals that survive to a normal life expectancy. Most regulatory guidelines require that the highest administered dose be the estimated maximum tolerable dose (MTD), that is, the dose that suppresses body weight gain slightly in a 90-day subacute study. Generally, one or two additional doses, usually one-half and one-quarter MTD, and a control group are tested.
  • 13. • Chronic toxicity assays commonly evaluate the potential oncogenicity of test substances. Both benign and malignant tumors must be reported. Properly designed chronic oncogenicity studies require a concurrent control group matched for variables such as age, diet, and housing conditions.
  • 15. EXAMPLE RESULTS OF TOXICOLOGY STUDIES IN CANCER
  • 16. REFERENCES • https://accesspharmacy.mhmedical.com/content.aspx?sectionid=39910767&bookid=449#6479229 • https://www.thebalancecareers.com/forensic-toxicologist-job-and-salary-information-974647 • https://www.drugtargetreview.com/news/56804/multi-organ-on-a-chip-developed-for-drug-toxicity- screening/ • https://www.sciencedirect.com/science/article/pii/S2214750017300720