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The ethics of research involving animals - Nuffield Council on ...

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T h e e t h i c s o f r e s e a r c h i n v o l v i n g a n i m a l s<br />

■ As discussed in Chapter 9, the ‘classical’ LD 50 test was used for many years to estimate the<br />

oral toxicity <str<strong>on</strong>g>of</str<strong>on</strong>g> a single dose <str<strong>on</strong>g>of</str<strong>on</strong>g> a chemical (paragraph 9.14). Although a few LD 50 tests<br />

are still used in some circumstances, widespread and enduring oppositi<strong>on</strong> to this test <strong>on</strong><br />

animal-welfare grounds led to the development <str<strong>on</strong>g>of</str<strong>on</strong>g> several alternative methods in which<br />

fewer <str<strong>on</strong>g>animals</str<strong>on</strong>g> were dosed, in a stepwise manner. 12<br />

■ Tiered testing strategies have been employed to reduce the use <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>animals</str<strong>on</strong>g> in several areas <str<strong>on</strong>g>of</str<strong>on</strong>g><br />

toxicity testing. For example, the irritancy <str<strong>on</strong>g>of</str<strong>on</strong>g> chemicals for the skin and eye was previously<br />

assessed by using rabbits, without any prior testing. <str<strong>on</strong>g>The</str<strong>on</strong>g> currently recommended procedure<br />

involves assessing the chemical properties <str<strong>on</strong>g>of</str<strong>on</strong>g> the test materials and the use <str<strong>on</strong>g>of</str<strong>on</strong>g> in vitro methods<br />

as a first stage. Assessment <str<strong>on</strong>g>of</str<strong>on</strong>g> skin irritancy is undertaken before the eye test. Only if n<strong>on</strong>e <str<strong>on</strong>g>of</str<strong>on</strong>g><br />

the previous assessments indicate irritancy is the eye test performed <strong>on</strong> live rabbits. 13<br />

■ Vaccines that are produced from living organisms (e.g. viruses and bacterial toxoids) are<br />

tested for safety and/or efficacy at a number <str<strong>on</strong>g>of</str<strong>on</strong>g> points during manufacture, and batches<br />

are usually tested more than <strong>on</strong>ce to ascertain their efficacy (Box 8.5). <str<strong>on</strong>g>The</str<strong>on</strong>g>se tests involve<br />

the use <str<strong>on</strong>g>of</str<strong>on</strong>g> large numbers <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>animals</str<strong>on</strong>g>, and <str<strong>on</strong>g>of</str<strong>on</strong>g>ten involve infecting both vaccinated and<br />

unvaccinated <str<strong>on</strong>g>animals</str<strong>on</strong>g> with the relevant pathogen, leading to severe suffering in some<br />

unprotected <str<strong>on</strong>g>animals</str<strong>on</strong>g>. 14 Some <str<strong>on</strong>g>of</str<strong>on</strong>g> these ‘challenge tests’ for vaccine potency can be<br />

replaced with serological methods in which the presence <str<strong>on</strong>g>of</str<strong>on</strong>g> specific antibodies in the<br />

blood <str<strong>on</strong>g>of</str<strong>on</strong>g> immunised <str<strong>on</strong>g>animals</str<strong>on</strong>g> is used to dem<strong>on</strong>strate protecti<strong>on</strong> against challenge by the<br />

pathogen. A major success <str<strong>on</strong>g>of</str<strong>on</strong>g> this approach has been the development and validati<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g><br />

serological methods for the potency testing <str<strong>on</strong>g>of</str<strong>on</strong>g> tetanus vaccines, which have reduced the<br />

number <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>animals</str<strong>on</strong>g> required.<br />

CHAPTER 12 REDUCTION AND REFINEMENT<br />

■ Prompt deleti<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> obsolete or redundant tests from testing requirements is a high priority<br />

for avoiding unnecessary use <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>animals</str<strong>on</strong>g>. For example, tests for abnormal toxicity, which<br />

were general tests for adverse effects <str<strong>on</strong>g>of</str<strong>on</strong>g> vaccines, have been deleted from most<br />

m<strong>on</strong>ographs <str<strong>on</strong>g>of</str<strong>on</strong>g> the European Pharmacopoeia. Also, two types <str<strong>on</strong>g>of</str<strong>on</strong>g> animal test that were<br />

previously required for toxicity testing <str<strong>on</strong>g>of</str<strong>on</strong>g> diphtheria and tetanus vaccines have been<br />

eliminated. Substantial reducti<strong>on</strong>s in the number <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>animals</str<strong>on</strong>g> used per batch have been<br />

achieved by modificati<strong>on</strong>s to five other tests <strong>on</strong> diphtheria, tetanus and pertussis vaccines. 15<br />

Refinement<br />

Definiti<strong>on</strong> and scope<br />

12.9 <str<strong>on</strong>g>The</str<strong>on</strong>g> original definiti<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> Refinement by Russell and Burch was ‘any decrease in the<br />

incidence or severity <str<strong>on</strong>g>of</str<strong>on</strong>g> inhumane procedures applied to those <str<strong>on</strong>g>animals</str<strong>on</strong>g> which still have to<br />

be used [in experiments]’. This definiti<strong>on</strong> 16 has been modified to encompass the positive<br />

12 <str<strong>on</strong>g>The</str<strong>on</strong>g> Fixed Dose Procedure (FDP) uses approximately <strong>on</strong>e quarter <str<strong>on</strong>g>of</str<strong>on</strong>g> the <str<strong>on</strong>g>animals</str<strong>on</strong>g> required by the LD50 test. FDP avoids the<br />

death <str<strong>on</strong>g>of</str<strong>on</strong>g> the <str<strong>on</strong>g>animals</str<strong>on</strong>g> as an endpoint, recording signs <str<strong>on</strong>g>of</str<strong>on</strong>g> "evident toxicity" instead. <str<strong>on</strong>g>The</str<strong>on</strong>g> Up-and-Down Procedure (UDP) is a<br />

stepwise approach where <strong>on</strong>e animal receives the dose thought to be the best estimate <str<strong>on</strong>g>of</str<strong>on</strong>g> the LD 50 dose. Depending <strong>on</strong> the<br />

outcome (death/life), the dose for the next animal is adjusted. After reaching the reversal <str<strong>on</strong>g>of</str<strong>on</strong>g> the initial outcome (i.e. the<br />

point where an increasing or decreasing dose pattern is reversed by giving a smaller or higher dose) four additi<strong>on</strong>al <str<strong>on</strong>g>animals</str<strong>on</strong>g><br />

receive the dose, to replicate the finding. UDP requires more time than the previous methods and is more expensive, but<br />

uses fewer <str<strong>on</strong>g>animals</str<strong>on</strong>g>; See Test Guideline No 420: Fixed Dose Method and Test Guideline No 425: Up-and-Down Procedure in<br />

OECD (2001) Guidelines for Testing <str<strong>on</strong>g>of</str<strong>on</strong>g> Chemicals (Paris: OECD).<br />

13 Guideline 405 Acute eye irritati<strong>on</strong>/corrosi<strong>on</strong> in OECD (2001) Guidelines for Testing <str<strong>on</strong>g>of</str<strong>on</strong>g> Chemicals (Paris: OECD).<br />

14 Associate Parliamentary Group for Animal Welfare (2005) <str<strong>on</strong>g>The</str<strong>on</strong>g> use <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>animals</str<strong>on</strong>g> in vaccine testing for humans, available at:<br />

http://www.apgaw.org/userimages/Vaccinetesting.pdf. Accessed <strong>on</strong>: 9 May 2005.<br />

15 Associate Parliamentary Group for Animal Welfare (2005) <str<strong>on</strong>g>The</str<strong>on</strong>g> use <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>animals</str<strong>on</strong>g> in vaccine testing for humans, available at:<br />

http://www.apgaw.org/userimages/Vaccinetesting.pdf. Accessed <strong>on</strong>: 9 May 2005.<br />

16 Refinement is sometimes referred to incorrectly as ‘the refinement <str<strong>on</strong>g>of</str<strong>on</strong>g> experiments to get more data’. This is clearly an<br />

important goal, but it is not an interpretati<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> Refinement as originally defined in the Three Rs.<br />

209

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