Evaluation of in Silico and in Vitro Screening Methods for EDC Hazard Characterisation

Total Page:16

File Type:pdf, Size:1020Kb

Evaluation of in Silico and in Vitro Screening Methods for EDC Hazard Characterisation ` CRANFIELD UNIVERSITY Louise Claire Youngs EVALUATION OF IN SILICO AND IN VITRO SCREENING METHODS FOR CHARACTERISING ENDOCRINE DISRUPTING CHEMICAL HAZARDS SCHOOL OF ENERGY, ENVIRONMENT AND AGRIFOOD PhD Thesis Doctor of Philosophy Academic Year: 2014 Supervisor: Dr Ruth Bevan Nov 2014 CRANFIELD UNIVERSITY SCHOOL OF ENERGY, ENVIRONMENT AND AGRIFOOD Institute for Environment, Health, Risk and Futures PhD Thesis Academic Year 2014 Louise Claire Youngs EVALUATION OF IN SILICO AND IN VITRO SCREENING METHODS FOR CHARACTERISING ENDOCRINE DISRUPTING CHEMICAL HAZARDS Supervisor: Dr Ruth Bevan Nov 2014 © Cranfield University 2014. All rights reserved. No part of this publication may be reproduced without the written permission of the copyright owner. ABSTRACT Anthropogenic activities have drastically altered chemical exposure, with traces of synthetic chemicals detected ubiquitously in the environment. Many of these chemicals are thought to perturb endocrine function, leading to declines in reproductive health and fertility, and increases in the incidence of cancer, metabolic disorders and diabetes. There are over 90 million unique chemicals registered under the Chemical Abstracts Service (CAS), of which only 308,000 were subject to inventory and/or regulation, in September 2013. However, as a specific aim of the EU REACH regulations, the UK is obliged to reduce the chemical safety initiatives reliance on in vivo apical endpoints, promoting the development and validation of alternative mechanistic methods. The human health cost of endocrine disrupting chemical (EDC) exposure in the EU, has been estimated at €31 billion per annum. In light of the EU incentives, this study aims to evaluate current in silico and in vitro tools for EDC screening and hazard characterisation; testing the hypothesis that in silico virtual screening accurately predicts in vitro mechanistic assays. Nuclear receptor binding interactions are the current focus of in silico and in vitro tools to predict EDC mechanisms. To the author’s knowledge, no single study has quantitatively assessed the relationship between in silico nuclear receptor binding and in vitro mechanistic assays, in a comprehensive manner. Tripos ® SYBYL software was used to develop 3D-molecular models of nuclear receptor binding domains. The ligand binding pockets of estrogen (ERα and ERβ), androgen (AR), progesterone (PR) and peroxisome proliferator activated (PPARγ) receptors were successfully modelled from X-ray crystal structures. A database of putative-EDC ligands (n= 378), were computationally ‘docked’ to the pseudo-molecular targets, as a virtual screen for nuclear receptor activity. Relative to in vitro assays, the in silico screen demonstrated a sensitivity of 94.5%. The SYBYL Surflex-Dock method surpassed the OECD Toolbox ER-Profiler, DfW and binary classification models, in correctly identifying endocrine active substances (EAS). Aiming to evaluate the current in vitro tools for endocrine MoA, standardised ERα transactivation (HeLa9903), stably transfected AR transactivation (HeLa4-11) assays in addition to novel transiently transfected reporter gene assays, predicted the mechanism and potency of test substances prioritised from the in silico results (n = 10 potential-EDCs and 10 hormone controls). In conclusion, in silico SYBYL molecular modelling and Surflex-Dock virtual screening sensitively predicted the binding of ERα/β, AR, PR and PPARγ potential EDCs, and was identified as a potentially useful regulatory tool, to support EAS hazard identification. Keywords: Endocrine Disrupt*, Test Methods, Prioritisation, Regulation, SYBYL Surflex-Dock Page i ACKNOWLEDGEMENTS “From the world we actually live in, the world that is given by our senses, our intuitions of beauty and goodness, our emotions and impulses, our moods and sentiments, the man of science abstracts a simplified and private universe of things possessing only those qualities which used to be called “primary”. Arbitrarily, because it happens to be convenient, because his methods do not allow him to deal with the immense complexity of reality, he selects from the whole of experience only those elements which can be weighed, measured, numbered, or which lend themselves in any other way to mathematical treatment. By using this technique of simplification and abstraction, the scientist has succeeded to an astounding degree in understanding and dominating the physical environment. The success was intoxicating and, with an illogicality which, in the circumstances, was doubtless pardonable, many scientists and philosophers came to imagine that this useful abstraction from reality was reality itself” Aldous Huxley. Firstly, I would like to thank all those who have aided my plight for scientific abstraction, and in particular Ruth Bevan, Mike Roberts and Joe Lunec, who supported the project from the beginning and throughout its duration. Thanks also goes to: the ol’ IEH team (Paul Harrison, Terry Brown, Derrick Crump, Lini Ashdown and Christina Tam); Kal Karim; Phil Holmes; Taisen Iguchi; and Miyagawa Shinichi for their support. However, the largest thanks’ goes to those that reminded me life is not just facts, error and statistical significance, but the beauty of anomalies. My home girls - Milner, HG, Pols, Digby, Dale, Bibby, Root and Cobbie – you have filled my life with love and laughter for over 15 years. Always accepting me, from the red hair and nose ring to PhD, you have given me the strength to be whatever it is I am. To the friends that opened my doors of perception at Exeter, I am eternally grateful and constantly inspired by you - Sammy, Els, Sweeney, Shells and Ellie, I love and thank you. Thanks also goes to the friends I’ve met along the way; Zineb, Natalia, Rob, Stefan, Thierry, Dave, Gail, Paul and the countless others who have helped me cope with the social and psychological isolation of Cranfield. Last, but by no means least, I would like to thank my family. Always feeling free, supported and loved, I grew up naïve to how existence is for some. As an adult I know how lucky I was to feel this freedom and see these opportunities. Mumges, Dadge and Sedge - without you, none of this would have been possible. Page iii TABLE OF CONTENTS ABSTRACT ...................................................................................................................... i ACKNOWLEDGEMENTS ............................................................................................ iii LIST OF FIGURES ......................................................................................................... ix LIST OF TABLES .......................................................................................................... xi LIST OF ABBREVIATIONS ....................................................................................... xiii 1 INTRODUCTION ......................................................................................................... 1 1.1 The Scientific Context ............................................................................................ 1 1.1.1 A Human Health Concern? ............................................................................. 2 1.1.2 Mechanism of Action ...................................................................................... 3 1.2 A Regulatory Conundrum ...................................................................................... 6 1.2.1 Chemical Safety Testing Strategies ................................................................. 6 1.3 The EDC Problem .................................................................................................. 8 1.4 Research Aims and Objectives ............................................................................... 9 2 BACKGROUND INFORMATION ............................................................................ 13 2.1 The ‘Start’ of the Science ..................................................................................... 13 2.1.1 Endocrinology ............................................................................................... 13 2.1.2 The Rise of Environmentalism ...................................................................... 15 2.1.3 Wildlife Effects ............................................................................................. 16 2.1.4 Summary ........................................................................................................ 20 2.2 Evidence for Endocrine Disruption in Humans: A Human Health Concern? ...... 21 2.2.1 Reproductive Health ...................................................................................... 21 2.2.2 Hormonal Cancers ......................................................................................... 25 2.2.3 Metabolism and Development ....................................................................... 26 2.2.4 Summary ........................................................................................................ 27 2.3 Chemical Regulation and Testing ......................................................................... 28 2.3.1 Legislation & Regulation .............................................................................. 28 2.3.2 A Defined Mode-of-Action? ......................................................................... 29 2.3.3 Chemical Safety Test Guidelines .................................................................. 30 2.3.4 Alternative (Non-Animal) Methods .............................................................. 33 2.3.5 Exposure
Recommended publications
  • US 2014/0116112 A1 HUMPHREY Et Al
    US 201401 16112A1 (19) United States (12) Patent Application Publication (10) Pub. No.: US 2014/0116112 A1 HUMPHREY et al. (43) Pub. Date: May 1, 2014 (54) METHODS FOR DETERMINING THE Publication Classification PRESENCE OR ABSENCE OF CONTAMINANTS IN A SAMPLE (51) Int. Cl. GOIN30/72 (2006.01) (71) Applicant: K & D LABORATORIES, INC., Lake (52) U.S. Cl. Oswego, OR (US) CPC .................................. G0IN30/7206 (2013.01) USPC ......................................................... T3/23.37 (72) Inventors: David Kent HUMPHREY, Reno, NV (US); Nicholas Joseph GEISE, Portland, OR (US) (57) ABSTRACT (73) Assignee: K & D LABORATORIES, INC., Lake Oswego, OR (US) Methods are provided for rapidly determining the presence or absence of large numbers of contaminants in a test sample, (21) Appl. No.: 13/830,388 Such as a raw material intended for use in the preparation of a nutraceutical. The disclosed methods employ gas chromatog (22) Filed: Mar 14, 2013 raphy-mass spectrometry techniques together with the spe cific use of software in combination with a database to ana Related U.S. Application Data lyze data collected after ionization of the sample and (60) Provisional application No. 61/718,607, filed on Oct. determine the presence or absence of the contaminants in the 25, 2012. sample. US 2014/01161 12 A1 May 1, 2014 METHODS FOR DETERMINING THE 0007. In one embodiment, methods for detecting the pres PRESENCE OR ABSENCE OF ence or absence of a plurality of contaminants in a sample are CONTAMINANTS IN A SAMPLE provided, such methods comprising: (a) extracting the sample with a water-miscible solvent in the presence of a high con REFERENCE TO RELATED APPLICATIONS centration of salts to provide a sample extract; (b) shaking and centrifuging the sample extract to provide a Supernatant; (c) 0001.
    [Show full text]
  • Urinary Paraben Concentrations and Ovarian Aging Among Women from a Fertility Center
    Urinary Paraben Concentrations and Ovarian Aging among Women from a Fertility Center The Harvard community has made this article openly available. Please share how this access benefits you. Your story matters Citation Smith, Kristen W., Irene Souter, Irene Dimitriadis, Shelley Ehrlich, Paige L. Williams, Antonia M. Calafat, and Russ Hauser. 2013. “Urinary Paraben Concentrations and Ovarian Aging among Women from a Fertility Center.” Environmental Health Perspectives 121 (11-12): 1299-1305. doi:10.1289/ehp.1205350. http://dx.doi.org/10.1289/ehp.1205350. Published Version doi:10.1289/ehp.1205350 Citable link http://nrs.harvard.edu/urn-3:HUL.InstRepos:11879222 Terms of Use This article was downloaded from Harvard University’s DASH repository, and is made available under the terms and conditions applicable to Other Posted Material, as set forth at http:// nrs.harvard.edu/urn-3:HUL.InstRepos:dash.current.terms-of- use#LAA All EHP content is accessible to individuals with disabilities. A fully accessible (Section 508–compliant) HTML version of this article is available at http://dx.doi.org/10.1289/ehp.1205350. Research Urinary Paraben Concentrations and Ovarian Aging among Women from a Fertility Center Kristen W. Smith,1 Irene Souter,2 Irene Dimitriadis,1,2 Shelley Ehrlich,1 Paige L. Williams,3 Antonia M. Calafat,4 and Russ Hauser1,2 1Department of Environmental Health, Harvard School of Public Health, Boston, Massachusetts, USA; 2Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, Harvard Medical School/Massachusetts General Hospital Fertility Center, Boston, Massachusetts, USA; 3Department of Biostatistics, Harvard School of Public Health, Boston, Massachusetts, USA; 4National Center for Environmental Health, Centers for Disease Control and Prevention, Atlanta, Georgia, USA In 2008, the Cosmetic Ingredient Review BACKGROUND: Parabens are preservatives commonly used in personal care products, pharmaceuticals, Panel concluded that parabens used in cos- and foods.
    [Show full text]
  • A Thesis Entitled Evaluating UVB and UVA Boosting Technologies For
    A Thesis entitled Evaluating UVB and UVA Boosting Technologies for Chemical and Physical Sunscreens by An Ngoc Hiep Huynh Submitted to the Graduate Faculty as partial fulfillment of the requirements for the Master of Science Degree in Pharmaceutical Sciences Industrial Pharmacy ___________________________________________ Gabriella Baki, Ph.D., Committee Chair ___________________________________________ Jerry Nesamony, Ph.D., Committee Member ___________________________________________ Matthew W. Liberatore, Ph.D., Committee Member ___________________________________________ Dr. Amanda C. Bryant-Friedrich, Dean College of Graduate Studies The University of Toledo May 2020 Copyright 2020 An Ngoc Hiep Huynh This document is copyrighted material. Under copyright law, no parts of this document may be reproduced without the expressed permission of the author. An Abstract of Evaluating UVB and UVA Boosting Technologies for Chemical and Physical Sunscreens by An Ngoc Hiep Huynh Submitted to the Graduate Faculty as partial fulfillment of the requirements for the Master of Science Degree in Pharmaceutical Sciences Industrial Pharmacy The University of Toledo May 2020 There are currently 14 organic and 2 inorganic UV filters approved in the United States. Due to coral reef safety concerns, octinoxate and oxybenzone have been banned in Hawaii, Key West, FL and the US Virgin Islands; and octocrylene is also being studied for its potential impact on coral reef safety, leaving 11 organic UV filters as viable options for sunscreen manufacturers – with limitations on their combination. Since consumers are always looking for sunscreens with high SPF and broad-spectrum protection, the need for UVB and UVA protection boosting technologies is greater than ever. In a preliminary study, about two dozen emollients were scanned for their SPF boosting capability with selected organic UV filters.
    [Show full text]
  • Factors Influencing Pesticide Resistance in Psylla Pyricola Foerster and Susceptibility Inits Mirid
    AN ABSTRACT OF THE THESIS OF: Hugo E. van de Baan for the degree ofDoctor of Philosopbv in Entomology presented on September 29, 181. Title: Factors Influencing Pesticide Resistance in Psylla pyricola Foerster and Susceptibility inits Mirid Predator, Deraeocoris brevis Knight. Redacted for Privacy Abstract approved: Factors influencing pesticide susceptibility and resistance were studied in Psylla pyricola Foerster, and its mirid predator, Deraeocoris brevis Knight in the Rogue River Valley, Oregon. Factors studied were at the biochemical, life history, and population ecology levels. Studies on detoxification enzymes showed that glutathione S-transferase and cytochrome P-450 monooxygenase activities were ca. 1.6-fold higherin susceptible R. brevis than in susceptible pear psylla, however, esterase activity was ca. 5-fold lower. Esterase activity was ca. 18-fold higher in resistant pear psylla than in susceptible D. brevis, however, glutathione S-transferase and cytochrome P-450 monooxygenase activities were similar. Esterases seem to be a major factor conferring insecticideresistance in P. Pvricola. Although the detoxification capacities of P. rivricola and D. brevis were quite similar, pear psylla has developed resistance to many insecticides in the Rogue River Valley, whereas D. brevis has remained susceptible. Biochemical factors may be important in determining the potential of resistance development, however, they are less important in determining the rate at which resistance develops. Computer simulation studies showed that life history and ecological factors are probably of greater importancein determining the rate at which resistance develops in P. pvricola and D. brevis. High fecundity and low immigration of susceptible individuals into selected populations appear to be major factors contributing to rapid resistance development in pear psylla compared with D.
    [Show full text]
  • Sun Protection, Sunscreens and Vitamin D
    SunSun protection,protection, sunscreenssunscreens andand VitaminVitamin DD GPGP NationalNational ConferenceConference RotoruaRotorua EnergyEnergy EventsEvents CentreCentre JuneJune 20092009 Dr. Louise Reiche Dermatologist New Zealand Dermatological Society Incorporated MelanomaMelanoma SkinSkin cancercancer andand sunlightsunlight Exposure to UVR causes > 90% of skin cancers Skin cancer is commonest cancer in NZ >50,000 new cases per year ~300 deaths per year ~$33.4 NZ million per year International Agency for Research on Cancer. IARC Monographs on the evaluation of carcinogenic risks to humans. Solar ultraviolet radiation. Lyon: International Agency for Research on Cancer, 1992. Armstrong BK. How sun exposure causes skin cancer. In: Hill D, Elwood JM, English DR, Eds. Prevention of Skin Cancer. Dordrecht: Kluwer Academic Publishers, 2004. O’Dea D. The Costs of Skin Cancer to New Zealand. Wellington: Cancer Society of New Zealand, 2000. New Zealand Health Information Service. Cancer, New Registrations and Deaths. Wellington: New Zealand Health Information Service, 2004. MelanomaMelanoma 1842 new cases in 2002 328 directly attributable to severe sunburn (Sneyd and Cox 2006) Authors recommended, “to reduce burden of melanoma in NZ, need to prevent excessive sun exposure and (facilitate) early diagnosis” Whilst cancer overall is rare in adolescence, melanoma was commonest cancer MelanomaMelanoma NZ incidence and death rate among world highest 56.2/100,000 in European population of Auckland highest reported worldwide men
    [Show full text]
  • Studies on the Effects of Paraben Mixtures on MCF-7 Breast Cancer
    Studies on the Effects of Paraben Mixtures on MCF-7 Breast Cancer Cells in Culture A thesis submitted in partial fulfilment of the requirements for the Degree of Masters of Science in Biochemistry In the Department of Chemistry At the University of Canterbury New Zealand By Kristie Webber University of Canterbury 2013 Table of Contents Acknowledgements .............................................................................................................................. i Abstract ............................................................................................................................................... ii Abbreviations ..................................................................................................................................... iii List of figures and tables .................................................................................................................... iv 1 Introduction ......................................................................................................................................... 1 1.1 Hormones and the endocrine system ........................................................................................... 2 1.2 Estrogens ....................................................................................................................................... 5 1.2.1 What are estrogens? .............................................................................................................. 5 1.2.2 17β-Estradiol .........................................................................................................................
    [Show full text]
  • Lambda Cyhalothrin Elicited Dose Response Toxicity On
    TOXICOLOGY AND FORENSIC MEDICINE http://dx.doi.org/10.17140/TFMOJ-1-107 Open Journal Research Lambda Cyhalothrin Elicited Dose *Corresponding author Response Toxicity on Haematological, Sujata Maiti Choudhury, PhD Department of Human Physiology with Community Health Hepatic, Gonadal and Lipid Metabolic Vidyasagar University Midnapore, West Bengal, India Biomarkers in Rat and Possible Modulatory Tel. + 9474444646 Fax: + 3222 275 329 Role of Taurine E-mail: [email protected]; [email protected] Rini Ghosh, MSc; Tuhina Das, MSc; Anurag Paramanik, MSc; Sujata Maiti Choudhury, Volume 1 : Issue 2 PhD* Article Ref. #: 1000TFMOJ1107 Department of Human Physiology with Community Health, Vidyasagar University, Midnapore Article History 721102, West Bengal, India Received: September 10th, 2016 Accepted: October 5th, 2016 Published: October 6th, 2016 ABSTRACT Extensive application of pesticides is usually accompanied with serious problems of pollution Citation and health hazards. Lambda-cyhalothrin (LCT), a type II synthetic pyrethroid, is widely used Ghosh R, Das T, Paramanik A, Maiti in agriculture, home pest control and protection of foodstuff. This study designed to evalu- Choudhury S. Lambda cyhalothrin elicited dose response toxicity on hae- ate the dose dependent haematological, hepatic and gonadal toxicity of LCT at different dose matological, hepatic, gonadal and lipid levels in Wistar rat. Investigations were also done to find out the toxic effect of lambda cyha- metabolic biomarkers in rat and possi- lothrin on lipid metabolism in female rat and its amelioration by taurine. Rats were exposed ble modulatory role of taurine. Toxicol to different doses of lambda cyhalothrin over a period of 14 consecutive days. Exposure to Forensic Med Open J.
    [Show full text]
  • (Danio Rerio). (In Vivo/ in Vitro
    Lire la première partie de la thèse IV. Métabolisme de la BP2 et du BPS dans des modèles in vitro issus de l’Homme et du poisson zèbre utilisés dans l’évaluation toxicologique et le criblage des substances à activité œstrogénique Article 3 Cell-specific biotransformation of benzophenone 2 and Bisphenol-S in zebrafish and human in vitro models used for toxicity and estrogenicity screening Vincent Le Fola,b,c, Selim Aït-Aïssaa,*, Nicolas Cabatonb,c, Laurence Dolob,c, Marina Grimaldid, Patrick Balaguerd, Elisabeth Perdub,c, Laurent Debrauwerb,c, François Briona, Daniel Zalkob,c,* a Institut National de l’Environnement Industriel et des Risques (INERIS), Unité Écotoxicologie in vitro et in vivo, F-60550 Verneuil-en-Halatte, France b INRA, UMR1331, Toxalim, Research Centre in Food Toxicology, F-31027 Toulouse, France c Toulouse University, INP, UMR 1331 TOXALIM, F-31000 Toulouse, France. d Institut de Recherche en Cancérologie de Montpellier, Institut National de la Santé et de la Recherche Médicale U896, Institut Régional de Cancérologie de Montpellier, Université Montpellier 1, F-34298 Montpellier, France. * corresponding authors: E-mail: [email protected], phone +33 561 285 004, fax +33 561 285 244 E-mail: [email protected], phone +33 344 556 511, fax +33 344 556 767 185 L’étude du devenir de la BP2 et du BPS dans différents modèles in vitro du poisson zèbre fait suite à la mise en évidence des différences de réponse œstrogénique observées entre les modèles cellulaires, larvaires et adultes. En complément de ces modèles poisson zèbre, cette étude de devenir de la BP2 et du BPS a également été conduite dans des modèles in vitro humain d’origine hépatique ou mammaire et couramment utilisés dans l’évaluation toxicologique du potentiel œstrogénique des xénobiotiques.
    [Show full text]
  • Science of the Total Environment 445–446 (2013) 299–305
    Science of the Total Environment 445–446 (2013) 299–305 Contents lists available at SciVerse ScienceDirect Science of the Total Environment journal homepage: www.elsevier.com/locate/scitotenv Relationship between urinary triclosan and paraben concentrations and serum thyroid measures in NHANES 2007–2008 Erika S. Koeppe, Kelly K. Ferguson, Justin A. Colacino, John D. Meeker ⁎ Department of Environmental Health Sciences, University of Michigan School of Public Health, Ann Arbor, MI, United States HIGHLIGHTS ► Triclosan and parabens are widely used in the US and elsewhere. ► Biomarkers of exposure were examined in relation to serum thyroid hormone levels. ► In adults, we observed inverse associations between parabens and thyroid hormones. ► In adolescents, we observed positive associations between triclosan and total T3. ► Future research is necessary to confirm findings and explore clinical relevance. article info abstract Article history: Triclosan and parabens are broad spectrum antimicrobials used in a range of consumer products. In vitro and Received 28 September 2012 animal studies have suggested the potential for these compounds to disrupt thyroid function, though studies Received in revised form 17 December 2012 in humans have been limited. The objective of the study was to assess the relationship of urinary concentra- Accepted 17 December 2012 tions of triclosan and parabens with serum thyroid measures in a large, representative sample of the US pop- Available online 20 January 2013 ulation. We conducted an exploratory, cross-sectional analysis of data on urinary biomarkers of triclosan and paraben exposure and serum thyroid measures obtained from 1831 subjects (ages≥12 years) as part of the Keywords: – Biomarkers 2007 2008 National Health and Nutrition Examination Survey (NHANES).
    [Show full text]
  • FACTA UNIVERSITATIS COBISS.SR-ID 32415756 Series Medicine and Biology Vol
    UNIVERSITY OF NIŠ ISSN 0354-2017 (Print) ISSN 2406-0526 (Online) FACTA UNIVERSITATIS COBISS.SR-ID 32415756 Series Medicine and Biology Vol. 19, No 2, 2017 Contents UNIVERSITY OF NIŠ OF UNIVERSITY FACTA UNIVERSITATIS Editorial WARNING: A MAJOR GLAND IS IN PERIL ..................................................................................................i Invited Review Article Series MEDICINE AND BIOLOGY Leonidas H. Duntas Vol. 19, No 2, 2017 THE THYROID UNDER THREAT IN A WORLD OF PLASTICS ...............................................................47 Original Articles Miodrag Vrbic, Maja Jovanovic, Lidija Popovic-Dragonjic, Aleksandar Rankovic, Marina Djordjevic-Spasic MONITORING OF IMMUNE RESPONSE IN VIROLOGIC SUCCESSFULLY TREATED HIV-INFECTED PATIENTS IN SOUTHEASTERN SERBIA ........................................................................51 Dragana Stokanovic, Valentina N. Nikolic, Jelena Lilic, Svetlana R. Apostolovic, Milan Pavlovic, Vladimir S. Zivkovic, Dusan Milenkovic, Dane Krtinic, Gorana Nedin-Rankovic, Tatjana Jevtovic-Stoimenov 2, 2017 ONE-YEAR CARDIOVASCULAR OUTCOME IN PATIENTS ON CLOPIDOGREL o ANTI-PLATELET THERAPY AFTER ACUTE MYOCARDIAL INFARCTION .........................................55 Slobodan Davinić, Ivana Davinic, Ivan Tasic ASSESSMENT OF CARDIOVASCULAR RISK AND COMORBIDITY IN PATIENTS 19, N Vol. WITH CHRONIC KIDNEY DISEASE ............................................................................................................61 Dragoljub Živanović, Ivona Đorđević, Milan Petrović APPENDICITIS
    [Show full text]
  • FDA Proposes Sunscreen Regulation Changes February 2019
    FDA Proposes Sunscreen Regulation Changes February 2019 The U.S. Food and Drug Administration (FDA) regulates sunscreens to ensure they meet safety and eectiveness standards. To improve the quality, safety, and eectiveness of sunscreens, FDA issued a proposed rule that describes updated proposed requirements for sunscreens. Given the recognized public health benets of sunscreen use, Americans should continue to use broad spectrum sunscreen with SPF 15 or higher with other sun protective measures as this important rulemaking eort moves forward. Highlights of FDA’s Proposals Sunscreen active ingredient safety and eectiveness Two ingredients (zinc oxide and titanium dioxide) are proposed to be safe and eective for sunscreen use and two (aminobenzoic acid (PABA) and trolamine salicylate) are 1 proposed as not safe and eective for sunscreen use. FDA proposes that it needs more safety information for the remaining 12 sunscreen ingredients (cinoxate, dioxybenzone, ensulizole, homosalate, meradimate, octinoxate, octisalate, octocrylene, padimate O, sulisobenzone, oxybenzone, avobenzone). New proposed sun protection factor Sunscreen dosage forms (SPF) and broad spectrum Sunscreen sprays, oils, lotions, creams, gels, butters, pastes, ointments, and sticks are requirements 2 proposed as safe and eective. FDA 3 • Raise the maximum proposed labeled SPF proposes that it needs more data for from SPF 50+ to SPF 60+ sunscreen powders. • Require any sunscreen SPF 15 or higher to be broad spectrum • Require for all broad spectrum products SPF 15 and above, as SPF increases, broad spectrum protection increases New proposed label requirements • Include alphabetical listing of active ingredients on the front panel • Require sunscreens with SPF below 15 to include “See Skin Cancer/Skin Aging alert” on the front panel 4 • Require font and placement changes to ensure SPF, broad spectrum, and water resistance statements stand out Sunscreen-insect repellent combination 5 products proposed not safe and eective www.fda.gov.
    [Show full text]
  • Chemical UVR Absorbers
    Chemical UVR Absorbers The names given in bold and used Diisopropyl methyl cinnamate Glyceryl ethyihexanoate dimethoxy- throughout this handbook are those of Empirical formula: cinnamate the International Nomenclature of C 6H22O2 Chemical names. Cosmetic Ingredients. Glyceryl octanoate dimethoxycinnamate; Chemical names: 2-propenoic acid, 3-(4-methoxyphenyl)-, 2-Propenoic acid, 3-12,4bis(1 diester with 1 ,3-dihydroxy-2-(2-ethyl-1 - methylethyphenyl-methyl ester; 2,5- oxohexyl)oxypropane diisopropyl methyl cinnamate _ lsoamyl-para-methoxycinnamate Ethyihexyl methoxycinnamate Empirical formula: Empirical formula: C151-12003 C 8H26O3 Chemical names: Cinnamates Chemical names: Amyl4-methoxycinnamate; isopentyl-4- 2-Ethylhexyl-4-methoxycin nam ate; methoxycinnamate; isopenlyl-para- Cinoxate 2-ethyl-hexyl-para-methoxycinnamate; methoxy-cinnamate; 3-(4-methoxyphenyl)- Empirical formula: para-methoxycinnamic acid, 2-ethylhexyl 2-propenoic acid, isopentyl ester Ci4HieO4 ester; 3-(4-methoxyphenyl)-2-propenoic acid, 2-ethylhexyl ester; octinoxate; octyl Trade names: Chemical names: methoxycinnamate; 2-propenoic acid, 3- Neo Heliopan type E 1000; Solarum AMC 2- Ethoxyothyl-para-methoxyci n nam ate; (4-methoxyphenyl)-2-ethylhexyl ester 2-propenoic acid, 3-(4-methoxyphery- para-A minobenzoic acids (PA BAs) 2-ethoxyethyl ester; 2-ethoxyethyl-4- Trade names: methoxycinnamate AEC Octyl Methoxycinnamate; Escalol Amyl dimethyl FABA 557; Eusolex 2292; Heliosol 3; Empirical formula: Trade names: Jeescreen OMC; Katoscreen OMC; Nec C14H21 NO2 Giv Tan F; Phiasol
    [Show full text]