359 © 2008, Japanese Society for Alternatives to Animal Experiments
Comparison of human skin irritation and photo-irritation patch test data
with cellular in vitro assays and animal in vivo data
Dagmar Jirova
1
, Manfred Liebsch
2
, David Basketter
3
, Erin Spiller
4
, Kristina Kejlova
1
,
Hana Bendova
1
, Marie Marriott
5
and Helena Kandarova
4
1
National Institute of Public Health,
2
ZEBET, Federal Institute for Risk Assessment,
3
St John's Institute of Dermatology, St Thomas' Hospital,
4
MatTek Corporation,
5
Safety and Environmental Assurance Center, Unilever Colworth Laboratory
Corresponding author: Dagmar Jirova
National Institute of Public Health, Prague, Czech Republic
Phone: +(420)-26-708-2439, Fax: +(420)-267-08-2386, jirova@szu.cz
Abstract
Replacement of the rabbit Draize skin irritation test or the animal photo-irritation test is in course in Europe
under the REACH chemical strategy and the Cosmetics Directive. Various in vitro protocols, including
3D skin models, have been assessed. One key difficulty in determining the validity of alternative in vitro
methods is that the in vivo animal data is both scarce and often of limited utility for prediction of effects
in man. Consequently, we have examined in human 4h patch tests a number of chemicals of EU borderline
classification. In addition, in a specific group of cosmetic ingredients we assessed the potential of photo-
irritation using results obtained in 3D skin models and in human photopatch tests. Several chemicals reported
to be irritant in the rabbit were found to be without effect in humans. 3D skin model assays and human patch
tests provided concordant results particularly in case of non-irritating and non-phototoxic substances. In our
view, skin model tests seem to be a useful tool for the prediction of human skin irritation or phototoxicity
hazard, particularly for consideration of initial concentration for confirmatory human patch tests to prove
substance and product safety.
Keywords: skin irritation, photo-irritation, human patch test, human epidermal model, rabbit Draize test
Introduction
The in vivo skin irritation/corrosion test in rabbits
was introduced by Draize in the 1940s to predict
hazardous effects of substances and formulations
coming into contact with human skin (Draize et al.,
1944). Several decades later, it was recognized that
the design of the test and visual grading of the effects
is highly subjective and that the test performed has
low predictivity and relevance towards humans (Nixon
et al., 1975, Basketter et al., 2004). Reproducibility of
the assay has also been questioned (Weil and Scala,
1971). These studies concluded that results of the
animal test should not be relied upon exclusively as
1) the test over predicts irritating effects of chemicals
in relation to human skin; 2) although accepted by
regulators, the test has never been scientifically
validated. The replacement of the in vivo rabbit skin
test is therefore not only matter of scientific effort
but recently also a legal requirement of the European
Cosmetics Directive (EC, 2003).
During the past two decades, a number of
reconstructed human epidermal (RHE) models
became available, that can be used for studies of
hazardous effects of topically applied substances.
In the area of skin irritation, two assays using RHE
models (EPISKIN
TM
, EpiDerm
TM
) were recently
evaluated in the ECVAM Skin Irritation Validation
study (Spielmann et al., 2007). For EPISKIN assay,
satisfactory levels of specificity and sensitivity were
obtained when compared to existing rabbit data.
The EpiDerm assay revealed high specificity but
relatively low sensitivity, and further optimization of
the protocol was recommended to reach concordance
with the regulatory accepted in vivo test. However,
knowing the overpredictive nature of the in vivo
rabbit assay, it was further recommended to search
and analyze relevant human skin irritation data and to
look at the reasons for disconcordant classifications.
In consequence, we decided to perform a limited
number of human patch tests with some substances
from the ECVAM skin irritation validation study and
several other commercially available chemicals and
AATEX 14, Special Issue, 359-365
Proc. 6th World Congress on Alternatives & Animal Use in the Life Sciences
August 21-25, 2007, Tokyo, Japan