Am. Pilling, The role of the toxicologic pathologist in the preclinical safety evaluation of biotechnology-derived pharmaceuticals, TOX PATHOL, 27(6), 1999, pp. 678-688
Biotechnology-derived pharmaceuticals, or biopharmaceuticals, represent a s
pecial class of complex, high-molecular weight products, such as monoclonal
antibodies, recombinant proteins, and nucleic acids. With these compounds,
it is not appropriate to follow conventional safety testing programs, and
the preclinical "package" for each biopharmaceutical needs to be individual
ly designed. In addition to standard histopathology, the use of molecular p
athology techniques is often required either in conventional animal studies
or in in vitro tests. In this review, the safety evaluation of biopharmace
uticals is discussed from the perspective of the toxicologic pathologist an
d appropriate examples are given of the use of molecular pathology procedur
es. Examples include the use of in situ hybridization to localize gene ther
apy vectors, the assessment of vector integration into genomic DNA by the p
olymerase chain reaction (PCR), and the use of immunohistochemistry to eval
uate the potential cross-reactivity of monoclonal antibodies. In situ PCR t
echniques may allow for confirmation of the germ cell localization of nucle
ic acids and may therefore facilitate the risk assessment of germline trans
mission. Increased involvement with biopharmaceuticals will present challen
ging opportunities for the toxicologic pathologist and will allow for much
greater use of molecular techniques, which have a critical role in the prec
linical development of these compounds.