Non-animal methodologies within biomedical research and toxicity testing.

Laboratory animal models are limited by scientific constraints on human applicability, and increasing regulatory restrictions, driven by social concerns. Reliance on laboratory animals also incurs marked - and in some cases, prohibitive - logistical challenges, within high-throughput chemical testing programmes, such as those currently underway within Europe and the US. However, a range of non-animal methodologies is available within biomedical research and toxicity testing. These include: mechanisms to enhance the sharing and assessment of existing data prior to conducting further studies, and physicochemical evaluation and computerised modelling, including the use of structure-activity relationships and expert systems. Minimally-sentient animals from lower phylogenetic orders or early developmental vertebral stages may be used, as well as microorganisms and higher plants. A variety of tissue cultures, including immortalised cell lines, embryonic and adult stem cells, and organotypic cultures, are also available. In vitro assays utilising bacterial, yeast, protozoal, mammalian or human cell cultures exist for a wide range of toxic and other endpoints. These may be static or perfused, and may be used individually, or combined within test batteries. Human hepatocyte cultures and metabolic activation systems offer potential assessment of metabolite activity and organ-organ interaction. Microarray technology may allow genetic expression profiling, increasing the speed of toxin detection, well prior to more invasive endpoints. Enhanced human clinical trials utilising micro- dosing, staggered dosing, and more representative study populations and durations, as well as surrogate human tissues, advanced imaging modalities and human epidemiological, sociological and psycho- logical studies, may increase our understanding of illness aetiology and pathogenesis, and facilitate the development of safe and effective pharmacologic interventions. Particularly when human tissues are used, non-animal models may generate faster, cheaper results, more reliably predictive for humans, whilst yielding greater insights into human biochemical processes. Greater commitment to their development and implementation is necessary, however, to efficiently meet the needs of high-throughput chemical testing programmes, important emerging testing needs, and the ongoing development of human clinical interventions.

[1]  S Green,et al.  The TestSmart-HPV Program--development of an integrated approach for testing high production volume chemicals. , 2001, Regulatory toxicology and pharmacology : RTP.

[2]  K Bottrill,et al.  Strategies for replacing animals in biomedical research. , 1997, Molecular medicine today.

[3]  Manfred Fleischer,et al.  Testing Costs and Testing Capacity According to the REACH Requirements - Results of a Survey of Independent and Corporate GLP Laboratories in the EU and Switzerland , 2007 .

[4]  B. Fleischmann,et al.  The use of quantitative image analysis in the assessment of in vitro embryotoxicity endpoints based on a novel embryonic stem cell clone with endoderm-related GFP expression. , 2002, Toxicology in vitro : an international journal published in association with BIBRA.

[5]  Thomas Hartung,et al.  Food for thought... on animal tests. , 2008, ALTEX.

[6]  Coenraad F M Hendriksen,et al.  Towards eliminating the use of animals for regulatory required vaccine quality control. , 2006, ALTEX.

[7]  A. Seiler,et al.  [Improving the embryonic stem cell test (EST) by establishing molecular endpoints of tissue specific development using murine embryonic stem cells (D3 cells)]. , 2002, ALTEX.

[8]  N. Clemann,et al.  The embryonic stem cell test for the early selection of pharmaceutical compounds. , 2007, ALTEX.

[9]  E Sabbioni,et al.  Cell Transformation Assays as Predictors of Human Carcinogenicity , 1999, Alternatives to laboratory animals : ATLA.

[10]  André Schrattenholz,et al.  Neuronal cell culture from human embryonic stem cells as in vitro model for neuroprotection. , 2007, ALTEX.

[11]  R D Combes,et al.  The use of structure-activity relationships and markers of cell toxicity to detect non-genotoxic carcinogens. , 2000, Toxicology in vitro : an international journal published in association with BIBRA.

[12]  Marilyn J Aardema,et al.  Toxicology and genetic toxicology in the new era of "toxicogenomics": impact of "-omics" technologies. , 2002, Mutation research.

[13]  A. Luttun,et al.  A Perspective on Stem Cells as a Tool for In Vitro Testing , 2005 .

[14]  R. Walmsley,et al.  The GreenScreen genotoxicity assay: a screening validation programme. , 2004, Mutagenesis.

[15]  E. Flory,et al.  Safety testing of cell-based medicinal products: opportunities for the monocyte activation test for pyrogens. , 2007, ALTEX.

[16]  H. Ellinger-Ziegelbauer,et al.  Prediction of a carcinogenic potential of rat hepatocarcinogens using toxicogenomics analysis of short-term in vivo studies. , 2008, Mutation research.

[17]  Albert P. Li,et al.  Human hepatocytes as an effective alternative experimental system for the evaluation of human drug properties: general concepts and assay procedures. , 2008, ALTEX.

[18]  K. Mills,et al.  Evaluation of proximal facial nerve conduction by transcranial magnetic stimulation. , 1988, Journal of neurology, neurosurgery, and psychiatry.

[19]  A. Vedani,et al.  VirtualToxLab - in silico prediction of the toxic potential of drugs and environmental chemicals: evaluation status and internet access protocol. , 2007, ALTEX.

[20]  Romualdo Benigni,et al.  Structure-activity relationships for the mutagenicity and carcinogenicity of simple and alpha-beta unsaturated aldehydes. , 2003, Environmental and molecular mutagenesis.

[21]  T Tsuchiya,et al.  Improvement in the efficiency of the in vitro transformation assay method using BALB/3T3 A31-1-1 cells. , 1995, Carcinogenesis.

[22]  Michael Balls,et al.  Are Animal Tests Inherently Valid? , 2004, Alternatives to laboratory animals : ATLA.

[23]  David S. Wishart,et al.  Improving Early Drug Discovery through ADME Modelling , 2007 .

[24]  L. Gold,et al.  Supplement to the Carcinogenic Potency Database (CPDB): results of animal bioassays published in the general literature in 1993 to 1994 and by the National Toxicology Program in 1995 to 1996. , 1999, Environmental health perspectives.

[25]  Kay Brune,et al.  Refinement and reduction in animal experimentation: options for new imaging techniques. , 2008, ALTEX.

[26]  J. Contrera,et al.  A new highly specific method for predicting the carcinogenic potential of pharmaceuticals in rodents using enhanced MCASE QSAR-ES software. , 1998, Regulatory toxicology and pharmacology : RTP.

[27]  J. Poiley,et al.  Morphological transformation of early passage Golden Syrian Hamster embryo cells derived from cryopreserved primary cultures as a reliable in vitro bioassay for identifying diverse carcinogens , 1977, International journal of cancer.

[28]  David S Wishart,et al.  Improving early drug discovery through ADME modelling: an overview. , 2007, Drugs in R&D.

[29]  Chad B. Sandusky,et al.  Strategies to Reduce Animal Testing in US EPA's HPV Programme , 2006 .

[30]  W. Pichler Predicting drug hypersensitivity by in vitro tests. , 2007, ALTEX.

[31]  D. Brusick,et al.  In vitro mutagenesis assays as predictors of chemical carcinogenesis in mammals. , 1977, Clinical toxicology.

[32]  J. G. Hengstler,et al.  Alternative methods to safety studies in experimental animals: role in the risk assessment of chemicals under the new European Chemicals Legislation (REACH) , 2008, Archives of Toxicology.

[33]  Aldert Piersma,et al.  The ECVAM International Validation Study on In Vitro Embryotoxicity Tests: Results of the Definitive Phase and Evaluation of Prediction Models , 2002, Alternatives to laboratory animals : ATLA.

[34]  J. Landolph,et al.  Chemical transformation in C3H 10T1/2 Cl 8 mouse embryo fibroblasts: historical background, assessment of the transformation assay, and evolution and optimization of the transformation assay protocol. , 1985, IARC scientific publications.

[35]  J. Hermens,et al.  Estimating Acute Toxicity Based on In Vitro Cytotoxicity: Role of Biokinetic Modelling , 2005 .

[36]  R. Dunn,et al.  Concise review: gene expression applied to toxicology. , 1999, Toxicological sciences : an official journal of the Society of Toxicology.

[37]  Walter Luyten,et al.  Genetically Engineered Cell Lines: Characterisation and Applications in Toxicity Testing , 1997 .

[38]  Raymond Tice,et al.  Validation via Weight-of-Evidence Approaches , 2006 .

[39]  J. Rosenberg,et al.  Medical surveillance and biomonitoring for occupational cancer endpoints. , 1990, Occupational Medicine.

[40]  M. Mitterhauser,et al.  An in vitro model for the comparative evaluation of bone seeking pharmaceuticals. , 2008, ALTEX.

[41]  Bruce Zhi Gao,et al.  Dimensionless parameters for the design of optical traps and laser guidance systems. , 2004, Applied optics.

[42]  H J Clewell,et al.  Pharmacokinetics, biochemical mechanism and mutation accumulation: a comprehensive model of chemical carcinogenesis. , 1988, Toxicology letters.

[43]  R D Combes,et al.  Early microdose drug studies in human volunteers can minimise animal testing: Proceedings of a workshop organised by Volunteers in Research and Testing. , 2003, European journal of pharmaceutical sciences : official journal of the European Federation for Pharmaceutical Sciences.

[44]  A. Vedani,et al.  Virtual test kits for predicting harmful effects triggered by drugs and chemicals mediated by specific proteins. , 2005, ALTEX.

[45]  Roland Buesen,et al.  Improvement of an in vitro stem cell assay for developmental toxicity: the use of molecular endpoints in the embryonic stem cell test. , 2004, Reproductive toxicology.

[46]  M. Leist,et al.  Food for thought... on the real success of 3R approaches. , 2008, ALTEX.

[47]  Grantley D Charles,et al.  In vitro models in endocrine disruptor screening. , 2004, ILAR journal.

[48]  Eva Schlede,et al.  Development and Prevalidation of a List of Structure–Activity Relationship Rules to be Used in Expert Systems for Prediction of the Skin-sensitising Properties of Chemicals , 2004, Alternatives to laboratory animals : ATLA.

[49]  E. Winzeler,et al.  Genomics, gene expression and DNA arrays , 2000, Nature.

[50]  Thomas Hartung,et al.  The dawning of a new age of toxicology. , 2008, ALTEX.

[51]  R. T. Bunch,et al.  The Syrian Hamster Embryo (SHE) Cell Transformation Assay: Review of the Methods and Results , 2001, Toxicologic pathology.

[52]  Jonathan Balcombe,et al.  Animal Carcinogenicity Studies: 1. Poor Human Predictivity , 2006, Alternatives to laboratory animals : ATLA.

[53]  John D. Walker,et al.  Quantitative structure‐activity relationships for predicting potential ecological hazard of organic chemicals for use in regulatory risk assessments , 2003, Environmental toxicology and chemistry.

[54]  Anthony R Scialli,et al.  The challenge of reproductive and developmental toxicology under REACH. , 2008, Regulatory toxicology and pharmacology : RTP.

[55]  George Loizou,et al.  The Third FRAME Toxicity Committee: Working toward Greater Implementation of Alternatives in Toxicity Testing , 2004, Alternatives to laboratory animals : ATLA.

[56]  D. Odde,et al.  Laser-guided direct writing of living cells. , 2000, Biotechnology and bioengineering.

[57]  S. Fennrich,et al.  Pyrogen testing of lipidic parenterals with a novel in vitro test--application of the IPT based on cryopreserved human whole blood. , 2006, Pharmeuropa scientific notes.

[58]  Steven K. Gibb Toxicity testing in the 21st century: a vision and a strategy. , 2008, Reproductive toxicology.

[59]  Worth Andrew,et al.  Alternative (Non-Animal) Methods for Chemicals Testing: Current Status and Future Prospects (A Report Prepared by ECVAM and the ECVAM WG on Chemicals) , 2002 .

[60]  David Kirkland,et al.  Evaluation of the ability of a battery of three in vitro genotoxicity tests to discriminate rodent carcinogens and non-carcinogens III. Appropriate follow-up testing in vivo. , 2005, Mutation research.

[61]  William S Stokes,et al.  Selecting appropriate animal models and experimental designs for endocrine disruptor research and testing studies. , 2004, ILAR journal.

[62]  Thomas Hartung,et al.  Food for thought... on cell culture. , 2007, ALTEX.

[63]  J. Kleinjans,et al.  Biomonitoring of tobacco smoke carcinogenicity by dosimetry of DNA adducts and genotyping and phenotyping of biotransformational enzymes: a review on polycyclic aromatic hydrocarbons , 2002, Biomarkers : biochemical indicators of exposure, response, and susceptibility to chemicals.

[64]  Susan Green,et al.  Medical progress depends on animal models – doesn't it? , 2008, Journal of the Royal Society of Medicine.

[65]  Andrew Knight,et al.  Systematic Reviews of Animal Experiments Demonstrate Poor Human Clinical and Toxicological Utility , 2007, Alternatives to laboratory animals : ATLA.

[66]  M. Cimino,et al.  Considerations in the U.S. Environmental Protection Agency's testing approach for mutagenicity. , 1991, Mutation research.

[67]  A. Barker,et al.  NON-INVASIVE MAGNETIC STIMULATION OF HUMAN MOTOR CORTEX , 1985, The Lancet.

[68]  Jon Brumbaugh,et al.  DEPARTMENT OF HEALTH AND HUMAN SERVICES FOOD AND DRUG ADMINISTRATION , 2000 .

[69]  J. Ludwig,et al.  A yeast-based method for the detection of cyto and genotoxicity. , 2003, Toxicology in vitro : an international journal published in association with BIBRA.

[70]  Thomas Hartung,et al.  Food for thought ... on the evolution of toxicology and the phasing out of animal testing. , 2008, ALTEX.

[71]  J. Eckert Alternatives to animal experimentation in parasitology. , 1997, Veterinary parasitology.

[72]  Jaroslav Mackerle,et al.  Finite Element Modelling and Simulations in Dentistry: A Bibliography 1990–2003 , 2004, Computer methods in biomechanics and biomedical engineering.

[73]  Andrew P Worth,et al.  Quantitative structure‐activity relationships for human health effects: Commonalities with other endpoints , 2003, Environmental toxicology and chemistry.

[74]  Other Scientific Purposes European Convention for the Protection of Vertebrate Animals used for Experimental and Other Scientific Purposes = Convention européenne sur la protection des animaux vertébrés utilisés à des fins expérimentales ou à d'autres fins scientifiques , 1987 .

[75]  M. Stephens,et al.  Animal pain and distress in vaccine testing in the United States. , 2002, Developments in biologicals.

[76]  Robert D. Combes,et al.  14 – In Vitro Genotoxicity and Cell Transformation Assessment , 1996 .

[77]  A. Rowan The Third R: Refinement , 1995, Alternatives to laboratory animals : ATLA.

[78]  Richard M Walmsley,et al.  High-specificity and high-sensitivity genotoxicity assessment in a human cell line: validation of the GreenScreen HC GADD45a-GFP genotoxicity assay. , 2006, Mutation research.

[79]  F. Collins,et al.  Transforming Environmental Health Protection , 2008, Science.

[80]  W. Purcell,et al.  Mast cells in neuroimmune function: Neurotoxicological and neuropharmacological perspectives , 1995, Neurochemical Research.

[81]  Jung-Hwan Kwon,et al.  Development of an in vitro system for modeling bioaccumulation of neutral, ionizable, and metabolically active organic pollutants in fish. , 2007, ALTEX.

[82]  I Yoshimura,et al.  An Interlaboratory Validation Study of the Improved Transformation Assay Employing Balb/c 3T3 Cells: Results of a Collaborative Study on the Two-stage Cell Transformation Assay by the Non-genotoxic Carcinogen Study Group , 1999, Alternatives to laboratory animals : ATLA.

[83]  Markus A Lill,et al.  Predicting the toxic potential of drugs and chemicals in silico. , 2007, ALTEX.

[84]  Robert Combes Developing, Validating and Using Test Batteries and Tiered (Hierarchical) Testing Schemes , 2007, Alternatives to laboratory animals : ATLA.

[85]  D. Morton Advances in Refinement in Animal Experimentation over the past 25 Years , 1995, Alternatives to laboratory animals : ATLA.

[86]  J. Huggins Alternatives to animal testing: research, trends, validation, regulatory acceptance. , 2003, ALTEX.

[87]  R. W. Hansen,et al.  The price of innovation: new estimates of drug development costs. , 2003, Journal of health economics.

[88]  Susanne Bremer,et al.  Validation of the Embryonic Stem Cell Test in the International ECVAM Validation Study on Three In Vitro Embryotoxicity Tests , 2004, Alternatives to laboratory animals : ATLA.

[89]  Valérie Zuang,et al.  Alternative (non-animal) methods for chemicals testing: Current status and future prospects - Overview , 2002 .

[90]  The incidence of adverse drug reactions , 1985 .

[91]  Robert Combes,et al.  Proposed Integrated Decision-tree Testing Strategies for Mutagenicity and Carcinogenicity in Relation to the EU REACH Legislation , 2007, Alternatives to laboratory animals : ATLA.

[92]  K. Kolaja,et al.  Acute molecular markers of rodent hepatic carcinogenesis identified by transcription profiling. , 2004, Chemical research in toxicology.

[93]  B. Fleischmann,et al.  Establishment of an in vitro reporter gene assay for developmental cardiac toxicity. , 2001, Toxicology in vitro : an international journal published in association with BIBRA.

[94]  G. Langley,et al.  Estimates for Worldwide Laboratory Animal Use in 2005 , 2008 .

[95]  C. Silliman,et al.  The merits of in vitro versus in vivo modeling in investigation of the immune system. , 2006, Environmental toxicology and pharmacology.

[96]  M. Gallas,et al.  Three-dimensional numerical simulation of dental implants as orthodontic anchorage. , 2005, European journal of orthodontics.

[97]  D. Amacher,et al.  The morphological transformation of Syrian hamster embryo cells by chemicals reportedly nonmutagenic to Salmonella typhimurium. , 1983, Carcinogenesis.

[98]  Lutz Müller,et al.  Evaluation of the ability of a battery of three in vitro genotoxicity tests to discriminate rodent carcinogens and non-carcinogens I. Sensitivity, specificity and relative predictivity. , 2005, Mutation research.

[99]  Andrew Knight,et al.  127 Million Non-human Vertebrates Used Worldwide for Scientific Purposes in 2005 , 2005 .

[100]  W. Russell,et al.  Ethical and Scientific Considerations Regarding Animal Testing and Research , 2011, PloS one.

[101]  Stephen T Holgate,et al.  Replacing animal experiments: choices, chances and challenges. , 2007, BioEssays : news and reviews in molecular, cellular and developmental biology.

[102]  J. Bleby Animals (Scientific Procedures) Act 1986 , 1986, Veterinary Record.

[103]  M E Andersen,et al.  Physiological modelling of organic compounds. , 1991, The Annals of occupational hygiene.

[104]  Barnett S Kramer,et al.  Getting It Right: Being Smarter about Clinical Trials , 2006, PLoS medicine.

[105]  S. Epstein The politics of cancer revisited , 1998 .

[106]  A. Monro,et al.  Evaluation of the Carcinogenic Potential of Pharmaceuticals , 1998, Drug safety.

[107]  Jodie A. Kulpa-Eddy,et al.  Overview of the Regulatory Requirements for the Consideration of Alternatives , 2005 .

[108]  Thomas Hartung,et al.  Developmental toxicity testing from animal towards embryonic stem cells. , 2005, ALTEX.

[109]  R. Tennant,et al.  Prediction of the outcome of rodent carcinogenicity bioassays currently being conducted on 44 chemicals by the National Toxicology Program. , 1990, Mutagenesis.

[110]  S. Fennrich,et al.  Fever in the test tube--towards a human(e) pyrogen test. , 2007, ALTEX.

[111]  Jan G Hengstler,et al.  Use of a standardised and validated long-term human hepatocyte culture system for repetitive analyses of drugs: repeated administrations of acetaminophen reduces albumin and urea secretion. , 2007, ALTEX.

[112]  R. Tennant,et al.  Definitive relationships among chemical structure, carcinogenicity and mutagenicity for 301 chemicals tested by the U.S. NTP. , 1991, Mutation research.

[113]  Paul Jennings,et al.  Assessment of a new cell culture perfusion apparatus for in vitro chronic toxicity testing. Part 2: toxicological evaluation. , 2004, ALTEX.

[114]  Jonathan Balcombe,et al.  Animal Carcinogenicity Studies: 3. Alternatives to the Bioassay , 2006, Alternatives to laboratory animals : ATLA.

[115]  C. Crespi Xenobiotic-metabolizing human cells as tools for pharmacological and toxicological research , 1995 .

[116]  Alan M Goldberg,et al.  TestSmart and Toxic Ignorance , 2004, Alternatives to laboratory animals : ATLA.

[117]  Clive Hollands,et al.  THE ANIMALS (SCIENTIFIC PROCEDURES) ACT 1986 , 1986, The Lancet.

[118]  Romualdo Benigni,et al.  Structure–activity relationships for the mutagenicity and carcinogenicity of simple and α‐β unsaturated aldehydes , 2003 .

[119]  P. Fenner-Crisp,et al.  The Endocrine Disruptor Screening Program Developed by the U.S. Environmental Protection Agency , 2000 .

[120]  M Balls,et al.  Replacement of animal procedures: alternatives in research, education and testing , 1994, Laboratory animals.

[121]  J. Goodman A Perspective on Current and Future Uses of Alternative Models for Carcinogenicity Testing , 2001, Toxicologic pathology.

[122]  T. Hartung,et al.  Alternatives to animal experimentation in basic research. , 2004, ALTEX.

[123]  T Seidle,et al.  The development of new concepts for assessing reproductive toxicity applicable to large scale toxicological programmes. , 2007, Current pharmaceutical design.

[124]  Patrizia Crivori,et al.  Evaluation of a basic physiologically based pharmacokinetic model for simulating the first-time-in-animal study. , 2007, European journal of pharmaceutical sciences : official journal of the European Federation for Pharmaceutical Sciences.

[125]  B. Myhr,et al.  Enhancement of the morphological transformation of Syrian hamster embryo (SHE) cells by reducing incubation time of the target cells. , 2004, Mutation research.

[126]  Leif Bjermer,et al.  Airway hyperresponsiveness to methacholine, adenosine 5-monophosphate, mannitol, eucapnic voluntary hyperpnoea and field exercise challenge in elite cross-country skiers , 2010, British Journal of Sports Medicine.

[127]  T. Hartung,et al.  Monitoring of teratogenic effects in vitro by analysing a selected gene expression pattern. , 2004, Toxicology in vitro : an international journal published in association with BIBRA.

[128]  Sebastian Hoffmann,et al.  International validation of pyrogen tests based on cryopreserved human primary blood cells. , 2006, Journal of immunological methods.

[129]  B. Fleischmann,et al.  Functional Characteristics of ES Cell–derived Cardiac Precursor Cells Identified by Tissue-specific Expression of the Green Fluorescent Protein , 1998, The Journal of cell biology.

[130]  Robert Combes,et al.  TGN1412: Time to Change the Paradigm for the Testing of New Pharmaceuticals , 2006, Alternatives to laboratory animals : ATLA.

[131]  Albert P. Li,et al.  In vitro evaluation of human xenobiotic toxicity: scientific concepts and the novel integrated discrete multiple cell co-culture (IdMOC) technology. , 2008, ALTEX.

[132]  T. Hartung Thoughts on limitations of animal models. , 2008, Parkinsonism & related disorders.

[133]  A. Knight Estimates of Worldwide Laboratory Animal Use , 2008 .

[134]  T Lavé,et al.  Challenges and opportunities with modelling and simulation in drug discovery and drug development , 2007, Xenobiotica; the fate of foreign compounds in biological systems.

[135]  N A Brown,et al.  Teratogenicity testing in vitro: status of validation studies. , 1987, Archives of toxicology. Supplement. = Archiv fur Toxikologie. Supplement.

[136]  Sally Robinson,et al.  A European pharmaceutical company initiative challenging the regulatory requirement for acute toxicity studies in pharmaceutical drug development. , 2008, Regulatory toxicology and pharmacology : RTP.

[137]  Kimmo Louekari,et al.  In Vitro Tests within the REACH Information Strategies , 2006, Alternatives to laboratory animals : ATLA.

[138]  Mitchell S. Wilbanks,et al.  EUROPEAN CENTRE FOR ECOTOXICOLOGY AND TOXICOLOGY OF CHEMICALS , 2005 .

[139]  B. Christ,et al.  Albumin effects on drug absorption and metabolism in reconstructed epidermis and excised pig skin. , 2003, ALTEX.

[140]  L. Samuelson,et al.  Vital staining of cardiac myocytes during embryonic stem cell cardiogenesis in vitro. , 1996, Circulation research.

[141]  Marilyn J. Aardema,et al.  Toxicology and genetic toxicology in the new era of "toxicogenomics": impact of "-omics" technologies. , 2002 .

[142]  L. Wiesmüller,et al.  Proof of principle: detection of genotoxicity by a fluorescence-based recombination test in mammalian cells. , 2003, ALTEX.

[143]  F. Guengerich,et al.  Cytochrome P450s and other enzymes in drug metabolism and toxicity , 2006, The AAPS Journal.

[144]  Roland Buesen,et al.  Trends in improving the embryonic stem cell test (EST): an overview. , 2004, ALTEX.