The major challenges in neurotoxicity testing relate to the complexity
of the nervous system, the diversity of cell types involved, and the
level of integration in the mammalian nervous system. In addition, com
pounds which have selective pharmacological effects as receptor agonis
ts/antagonists (for example, strychnine) may be neurotoxic at non-cyto
toxic concentrations. Tests should answer the following questions: a)
when is an effect toxic?, b) when is a substance to be considered toxi
c? and c) is the long-term risk assessment valid? The two major strate
gies used in the development of in vitro neurotoxicity tests are: mech
anistic, in which an attempt is made to elucidate the biochemical proc
esses involved in neurotoxicity, and disease based, which could ultima
tely be the most useful strategy but which is currently constrained by
lack of knowledge of the aetiology of most neurological illnesses. Po
tential in vitro test systems which are being developed include: a) si
mple tests which measure the activity of an enzyme (for example, acety
lcholine esterase); b) studies involving single cell type culture (for
example, neuroblastomas or dorsal root ganglion cells); c) complex pr
imary co-culture systems (for example, reaggregate culture; 1, 2); and
d) combinations of these, including tiered testing and battery testin
g (3). Unfortunately, the more complex a system is, the more extensive
is the characterisation needed, and, arguably, such systems will neve
r fully mimic the intact central nervous system/peripheral nervous sys
tem (CNS/PNS).To demonstrate some of the problems inherent in neurotox
icity test development, the use of a system which involves the inhibit
ion of outgrowth is described. The ideas are developed to include the
shift toward proliferation and/or apoptosis of non-terminally differen
tiated neurons. The most realistic objective for the optimised, integr
ated and validated in vitro reductionist approach for neurotoxicologic
al assessment is for the screening of new compounds in parallel with:
a) the in vivo holistic approach (for example, to obtain pharmacokinet
ics and absorption/receptor-binding data); and b) quantitative structu
re activity relationships (QSARs). This is necessarily a selective rev
iew, and more details of methodologies and strategies are presented in
other publications (3, 4).