American Journal of Contact Dermatitis · 2000 · 178 citations · 0 references
MedicineOncologyPathologyClinical Trial RegulationDiagnostic PathologyAssay ValidationLymph Node MetastasisLymph Node PathologyLymphoid TissueSentinel Lymph Node BiopsySentinel Lymph Node MappingClinical Assessment Of LymphadenopathyLocal Lymph Node AssayLymph Node MetastasesLymph Node Metastasis AssessmentRegional Lymph Node ExaminationRegional Lymph Node InvolvementSentinel Lymph Node Identification
For the prediction of skin sensitization potential of substances, the murine local lymph node assay (LLNA) is an alternative to the widely used guinea pig tests. For more than 10 years, this method has undergone extensive development, evaluation, and validation. In this review, the validation status of the LLNA is considered, specifically with regard to its use for regulatory identification of skin sensitization hazards. The LLNA is a method for the predictive identification of chemicals that have a potential to cause skin sensitization. Activity is measured as a function of lymph node cell proliferative responses stimulated by topical application of test chemicals. The LLNA has successfully passed all reasonable validation stages. It provides a reliable and relevant source of predictive skin sensitization data, which unlike results from guinea pig tests, are reproducible from laboratory to laboratory. In summary, the LLNA is now ready for acceptance as a viable and complete alternative to traditional methods, offering a substantial reduction in animal numbers and refinement opportunities without compromising the standards for the identification of important skin sensitizers.