PMID- 18509253 OWN - NLM STAT- MEDLINE DCOM- 20080909 LR - 20080711 IS - 1660-5535 (Electronic) IS - 1660-5527 (Linking) VI - 21 IP - 4 DP - 2008 TI - Skin irritation and sensitization: mechanisms and new approaches for risk assessment. PG - 191-202 LID - 10.1159/000135635 [doi] AB - Allergic contact dermatitis (ACD) is a common skin disease with a significant social and economic impact. In contrast to irritation, skin sensitization is a response of the adaptive immune system, in which there is a delayed T-cell-mediated allergic response to chemically modified skin proteins. The chemicals that can covalently modify the skin proteins and trigger an allergic reaction are referred to as haptens or sensitizers. Attempts have been made in many countries to reduce the problems of ACD by the implementation of legislations related to skin-sensitizing chemicals, as well as by the early detection and risk assessment of substances with sensitizing properties. For many years, the simple identification of sensitizing chemicals was performed in guinea pig tests. A murine test, the local lymph node assay (LLNA), has been validated as a replacement for the guinea pig tests. Despite the recent introduction of in vitro methods for the identification of sensitizing chemicals, the LLNA results (when coupled with good exposure data) can be used as the starting point for a quantitative risk assessment. The quantitative risk assessment is aimed to identify the safe use thresholds for any potential skin sensitizer. CI - (c) 2008 S. Karger AG, Basel. FAU - Basketter, D AU - Basketter D AD - DABMEB Consultancy Ltd., Sharnbrook, UK. FAU - Darlenski, R AU - Darlenski R FAU - Fluhr, J W AU - Fluhr JW LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20080529 PL - Switzerland TA - Skin Pharmacol Physiol JT - Skin pharmacology and physiology JID - 101188418 SB - IM MH - Animals MH - Dermatitis, Allergic Contact/diagnosis/*etiology/immunology MH - Dermatitis, Irritant/diagnosis/*etiology/immunology MH - Disease Models, Animal MH - Dose-Response Relationship, Drug MH - Guinea Pigs MH - Humans MH - Local Lymph Node Assay MH - Risk Assessment MH - Skin Tests/methods RF - 91 EDAT- 2008/05/30 09:00 MHDA- 2008/09/10 09:00 CRDT- 2008/05/30 09:00 PHST- 2008/05/30 09:00 [pubmed] PHST- 2008/09/10 09:00 [medline] PHST- 2008/05/30 09:00 [entrez] AID - 000135635 [pii] AID - 10.1159/000135635 [doi] PST - ppublish SO - Skin Pharmacol Physiol. 2008;21(4):191-202. doi: 10.1159/000135635. Epub 2008 May 29.