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220   Principles and Methods

        in vivo studies. In vivo studies traditionally require a major route of expo-
        sure (inhalation, dermal uptake, ingestion, or systemic injection) that
        reflects how the material is produced or used in the workplace and/or
        marketplace. The ideal approach would be to use an animal model in
        which a disease process or pathological event is linked to a mechanism of
        injury that can be followed by cellular studies. If toxicity does occur in vivo,
        this could act as the departure point to perform more detailed evaluation
        of NM dosimetry, toxicokinetics, and toxicodynamics. These are expensive
        and labor-intensive studies that should be used under select circumstances,
        for example, materials that show definitive in vitro toxicity as well as in
        vivo pathological outcomes. Finally, a number of animal models are avail-
        able to allow one to study mechanistic pathways by live imaging procedures
        [51]. These animal models are further discussed below.
          While comprehensive coverage of in vivo study methods falls outside the
        scope of this chapter, suffice it to mention that the ideal approach would
        be to use animal models that address disease outcome in terms of a spe-
        cific mechanism of injury. Rats and mice are currently the best animal
        models for which an extensive database has been developed to assess
        chemical toxicity. For particle exposures, the best protocols are for pul-
        monary exposure, using inhalation or intratracheal instillation methods.
        Inhalation is more physiologically relevant and the preferred approach for
        hazard identification and generating dose-response data. However, intra-
        tracheal instillation or pharyngeal aspiration are acceptable procedures
        to gather proof-of-principal evidence for an in vivo toxicological outcome.
        Relevant endpoints are the assessment of airway and interstitial inflam-
        mation, as well as the assessment of oxidative stress markers in the lung
        by bronchoalveolar lavage and histopathology. It is also possible to assess
        cardiovascular pathology by inhalation exposure, such as assessing the
        effect of ambient PM on atherosclerosis, blood clotting, and the generation
        of cardiac arrhythmias [52]. The performance of these cardiovascular and
        pulmonary studies can be further enhanced by susceptible animal models,
        for example, allergen-sensitized mice to perform asthma studies, apoE
        knockout animals to conduct atherosclerosis studies, or animals impaired
        in one or more aspects of antioxidant defense to show accelerated disease
        development either in the lung or cardiovascular system. The approach to
        the performance and assessment of dermal and gastrointestinal toxicity
        is described elsewhere (see reference 12).
          In vivo imaging could be used to study the hierarchical oxidative
        stress paradigm. One example is the use of a transgenic mouse model
        in which the HO-1 promoter has been linked to a luciferase reporter [51].
        The HO-l-luc Tg mouse was developed by Dr. Christopher Contag at
        Stanford University by injecting a full-length HO-1 promoter-luciferase
        construct into FVB mouse pronuclei [51, 53–55]. Transgenic pups were
        screened by bioluminescent imaging and by HO-1 luc-specific PCR.
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