ICCVAM evaluation of the murine local lymph node assay. Conclusions and recommendations of an independent scientific peer review panel.

The validation status of the murine local lymph node assay (LLNA), a method for assessing the allergic contact dermatitis potential of chemicals, was evaluated by an independent peer review panel (Panel) convened by the Interagency Coordinating Committee on the Validation of Alternative Methods (ICCVAM). The LLNA measures lymphocyte proliferation using incorporation of radioactive thymidine or iododeoxyuridine into cells of the draining lymph nodes of mice topically exposed to a test article. The Panel concluded that the assay performed as well as currently accepted guinea pig methods [guinea pig maximization test (GPMT)/Buehler assay (BA)] for the hazard identification of strong to moderate chemical sensitizing agents, but that it might not correctly identify all weak sensitizers or metals (potential false negative response) or all strong irritants (potential false positive response). The Panel concluded also that the LLNA involves less pain and distress than conventional guinea pig methods. The Panel unanimously recommended the LLNA as a stand-alone alternative for contact sensitization hazard assessment, provided that certain protocol modifications were made. These included collection of individual, rather than pooled, animal response data; the inclusion of a concurrent positive control; and consideration of dose-response information and statistical analyses. A standardized LLNA protocol is provided.

[1]  G F Gerberick,et al.  Local lymph node assay: differentiating allergic and irritant responses using flow cytometry. , 1999, Methods.

[2]  T. Tsuchiya,et al.  Evaluation of contact sensitivity of rubber chemicals using the murine local lymph node assay , 1993, Contact dermatitis.

[3]  P. Botham Classification of chemicals as sensitisers based on new test methods. , 1992, Toxicology letters.

[4]  G F Gerberick,et al.  Phenotypic analysis of lymphocyte subpopulations in lymph nodes draining the ear following exposure to contact allergens and irritants. , 1996, Fundamental and applied toxicology : official journal of the Society of Toxicology.

[5]  J. Knop,et al.  A new method for phenotyping proliferating cell nuclear antigen positive cells using flow cytometry: implications for analysis of the immune response in vivo. , 1995, Journal of immunological methods.

[6]  J Montelius,et al.  Murine local lymph node assay for predictive testing of allergenicity: two irritants caused significant proliferation. , 1998, Acta dermato-venereologica.

[7]  I. Kimber,et al.  Identification of contact allergens using the murine local lymph node assay: Comparisons with the buehler occluded patch test in guinea pigs , 1990, Journal of applied toxicology : JAT.

[8]  H. Schuppe,et al.  An integrated model for the differentiation of chemical-induced allergic and irritant skin reactions. , 1998, Toxicology and applied pharmacology.

[9]  Sunil Krishnan,et al.  Dietary vitamin A enhances sensitivity of the local lymph node assay. , 1995, Toxicology.

[10]  B. Homey,et al.  A modified murine local lymph node assay for the differentiation of contact photoallergy from phototoxicity by analysis of cytokine expression in skin-draining lymph node cells. , 1998, Toxicology.

[11]  B H Margolin,et al.  ICCVAM evaluation of the murine local lymph node assay. Data analyses completed by the National Toxicology Program Interagency Center for the Evaluation of Alternative Toxicological Methods. , 2001, Regulatory toxicology and pharmacology : RTP.

[12]  I Kimber,et al.  Strategies for identifying false positive responses in predictive skin sensitization tests. , 1998, Food and chemical toxicology : an international journal published for the British Industrial Biological Research Association.

[13]  H. Schuppe,et al.  A local lymph node assay to analyse immunosuppressive effects of topically applied drugs. , 1997, European journal of pharmacology.

[14]  D. Basketter,et al.  The local lymph node assay: An interlaboratory evaluation of Interleukin 6 (IL‐6) production by draining lymph node cells , 1994, Journal of applied toxicology : JAT.

[15]  Ikarashii Yoshiaki,et al.  Detection of contact sensitivity of metal salts using the murine local lymph node assay , 1992 .

[16]  H. Schuppe,et al.  Detection of photoreactivity demonstrated in a modified local lymph node assay in mice. , 1994, Photodermatology, photoimmunology & photomedicine.

[17]  T. Tsuchiya,et al.  Contact sensitivity to Tinuvin® P in mice , 1994, Contact dermatitis.

[18]  I Kimber,et al.  Identification of metal allergens in the local lymph node assay. , 1999, American journal of contact dermatitis : official journal of the American Contact Dermatitis Society.

[19]  I Kimber,et al.  The local lymph node assay: developments and applications. , 1994, Toxicology.

[20]  M. Demedts,et al.  Assessment of the sensitization potential of five metal salts in the murine local lymph node assay. , 1997, Toxicology.

[21]  D. Basketter,et al.  Interlaboratory Evaluation of the Local Lymph Node Assay with 25 Chemicals and Comparison with Guinea Pig Test Data , 1991 .

[22]  D. Basketter,et al.  The local lymph node assay: status of validation. , 1996, Food and chemical toxicology : an international journal published for the British Industrial Biological Research Association.

[23]  D. Basketter,et al.  The performance of the local lymph node assay with chemicals identified as contact allergens in the human maximization test. , 1994, Food and chemical toxicology : an international journal published for the British Industrial Biological Research Association.

[24]  D A Basketter,et al.  Comparison of the local lymph node assay with the guinea-pig maximization test for the detection of a range of contact allergens. , 1992, Food and chemical toxicology : an international journal published for the British Industrial Biological Research Association.

[25]  Y. Ikarashi,et al.  Assessment of contact sensitivity of four thiourea rubber accelerators: comparison of two mouse lymph node assays with the guinea pig maximization test. , 1994, Food and chemical toxicology : an international journal published for the British Industrial Biological Research Association.

[26]  W S Stokes,et al.  ICCVAM evaluation of the murine local lymph node assay. The ICCVAM review process. , 2001, Regulatory toxicology and pharmacology : RTP.

[27]  Tilney Nl Patterns of lymphatic drainage in the adult laboratory rat. , 1971 .

[28]  M Hatao,et al.  Development of a non-radioactive endpoint in a modified local lymph node assay. , 1999, Food and chemical toxicology : an international journal published for the British Industrial Biological Research Association.

[29]  Y. Ikarashi,et al.  Influence of irritants on lymph node cell proliferation and the detection of contact sensitivity to metal salts in the murine local lymph node assay , 1993, Contact dermatitis.

[30]  J. Montelius,et al.  Experience with the murine local lymph node assay: inability to discriminate between allergens and irritants. , 1994, Acta dermato-venereologica.

[31]  A. Boman,et al.  The Murine local lymph node assay: search for an alternative, more adequate, vehicle than acetone/olive oil (4:1) , 1996, Contact dermatitis.

[32]  I. Kimber,et al.  The local lymph node assay: Results of a final inter‐laboratory validation under field conditions , 1992, Journal of applied toxicology : JAT.

[33]  S C Gad,et al.  The mouse ear swelling test (MEST) in the 1990s. , 1994, Toxicology.

[34]  H. Maibach,et al.  Effect of topical cis‐urocanic acid on local lymph node activation during contact sensitization in mouse, rat and guinea‐pig , 1996, The British journal of dermatology.

[35]  M. Demedts,et al.  Assessment of the ear swelling test and the local lymph node assay in hamsters. , 1996, Journal of pharmacological and toxicological methods.

[36]  K. G. Dossou,et al.  Local lymph node assay: study of the in vitro proliferation and control of the specificity of the response by FACScan analysis. , 1993, Toxicology in vitro : an international journal published in association with BIBRA.

[37]  N. Bloksma,et al.  Local lymph node activation in rats after dermal application of the sensitizers 2,4-dinitrochlorobenzene and trimellitic anhydride. , 1996, Food and chemical toxicology : an international journal published for the British Industrial Biological Research Association.

[38]  A. Karlberg,et al.  Skin sensitization to linalyl hydroperoxide: support for radical intermediates. , 1997, Chemical research in toxicology.

[39]  B. Meade,et al.  Comparison of mouse strains using the local lymph node assay. , 2000, Toxicology.

[40]  J Hilton,et al.  Further evaluation of the local lymph node assay in the final phase of an international collaborative trial. , 1996, Toxicology.

[41]  K. Landsteiner,et al.  STUDIES ON THE SENSITIZATION OF ANIMALS WITH SIMPLE CHEMICAL COMPOUNDS , 1935, The Journal of experimental medicine.

[42]  D. Holder,et al.  Evaluation of lymphocyte proliferation by immunohistochemistry in the local lymph node assay , 1995, Journal of applied toxicology : JAT.

[43]  I. Kimber,et al.  The murine local lymph node assay for identification of contact allergens: a preliminary evaluation of in situ measurement of lymphocyte proliferation , 1989, Contact dermatitis.

[44]  J Hilton,et al.  Assessment of the skin sensitization potential of topical medicaments using the local lymph node assay: an interlaboratory evaluation. , 1998, Journal of toxicology and environmental health. Part A.

[45]  S Kato,et al.  A modification of the local lymph node assay for contact allergenicity screening: measurement of interleukin-2 as an alternative to radioisotope-dependent proliferation assay. , 1995, Toxicology.

[46]  D. Basketter,et al.  The impact of vehicle on assessment of relative skin sensitization potency of 1,4-dihydroquinone in the local lymph node assay. , 1999, American journal of contact dermatitis : official journal of the American Contact Dermatitis Society.

[47]  N. Bloksma,et al.  Local lymph node activation and IgE responses in brown Norway and Wistar rats after dermal application of sensitizing and non-sensitizing chemicals. , 1997, Toxicology.

[48]  I Kimber,et al.  The local lymph node assay: a viable alternative to currently accepted skin sensitization tests. , 1996, Food and chemical toxicology : an international journal published for the British Industrial Biological Research Association.

[49]  G. Frank Gerberick,et al.  Examination of the local lymph node assay for use in contact sensitization risk assessment. , 1992 .

[50]  J Hilton,et al.  An international evaluation of the murine local lymph node assay and comparison of modified procedures. , 1995, Toxicology.

[51]  T. Tsuchiya,et al.  Differences of draining lymph node cell proliferation among mice, rats and guinea pigs following exposure to metal allergens. , 1992, Toxicology.

[52]  D. A. Edwards,et al.  Screening Petrochemicals for Contact Hypersensitivity Potential: A Comparison of the Murine Local Lymph Node Assay with Guinea Pig and Human Test Data , 1994 .

[53]  T. Gray,et al.  The murine local lymph node assay: results of an inter-laboratory trial. , 1991, Toxicology letters.