Better Science
II. PROBLEMS WITH IN VIVO ANIMAL-BASED
METHODS
Alternatives have played a critical role in the
advancement of biomedical research and modern medical practice.
By any objective measure the Nobel Prizes in Physiology and Medicine
represent the best and most significant accomplishments in the biomedical
sciences. An analysis of the specific projects for which these awards
were given since their inception in 1901 documented that more than
two-thirds of them were for work that was either partially or entirely
based on the use of alternative methods. This percentage is even
higher for the past few decades due to the increasing importance
of in vitro and mathematical techniques.
Nobel Prizes are frequently awarded for the development of major
new experimental techniques, not for new animal models. Enders received
his Nobel Prize in 1954 for creating an in vitro means, utilizing
human cells, for growing the poliovirus. This new method is widely
acknowledged as the key event leading to the first successful polio
vaccine. Researchers using hundreds of thousands of monkeys to study
polio did not receive similar recognition.
Historically, the concept of "animal models" of human
health problems was formulated in response to legitimate concerns
about infectious diseases. The basic assumption was that if animals
used in laboratories experimentally contracted an infection and
were cured, there was a high probability of stopping the same disease
in humans. Although a useful concept at the time, such uses can
now be replaced in most instances by available alternatives and
clinical studies of naturally-occurring diseases in human and non-human
animals.
The traditional animal "model" approach to studying human
illness rapidly collapses and is most questionable when the focus
switches from introduction of a common disease-causing organism
to species-specific health problems such as psychopathology, cancer,
drug addiction, Alzheimer's and AIDS. As originally conceived, to
be a valid model of human health concerns, the animal disease must
have the same biological mechanisms, symptoms and responses to treatment
as the theoretically similar human counterpart. Failure to meet
one or more of these criteria invalidates the animal "model."
It is not sufficient to artificially produce a condition in an animal
in a laboratory that only mimics, resembles, imitates or is similar
to the so-called human equivalent. The current epidemic of iatrogenic
(disease or injury caused by medical treatments) diseases -- one
of the leading causes of death in the United States -- is partly
the result of using inappropriate animal "models" to predict
human responses to drugs and other treatments. Patients then have
unexpected reactions or die from exposure to these supposedly safe
drugs and chemicals.
In an attempt to overcome the severe limitations of traditional
animal "models," researchers now are genetically engineering
animals by either removing or adding genes believed to be related
to specific human diseases. The underlying assumption here is that
these new genetically constructed animals will be more human-like.
The fact that existing animal models need to be genetically "improved"
is further evidence of their original lack of biological and/or
clinical relevance.
The concept of animal models becomes even more tenuous when it
is applied to the fields of toxicology and risk assessment. After
exposure to potentially toxic or dangerous substances, both the
inter- and intra-specific (between and within a species of animal)
differences in morphology (anatomy), physiology and biochemistry
between humans and the species commonly used in such tests introduce
multiple significant biasing factors which cannot be avoided. The
data derived from such experiments are not scientifically relevant
to the purposes of the tests. Consider that in some carcinogenicity
(cancer promotion) studies there is no effective correlation between
the results for mice and rats (closely related rodents), let alone
relevance to evolutionarily more distantly related humans.
Although seldom mentioned, essentially all of the in vivo animal
safety and toxicity tests currently in use were never validated
and would be unlikely to pass present scientific validation procedures.
These in vivo tests continue to be used for reasons of familiarity,
tradition and checkbox/six-pack regulatory schemes. They are not
used because they are the result of proven relevance and reliability.
In vivo tests are subject to a series of basic biasing factors
that simply do not exist for their in vitro and in silico (computer)
replacements. Differences in lifespan and maturation processes between
humans and rodents are significant. There are meaningful contrasts
between processes that develop naturally over the course of time
versus accelerated laboratory tests of induced, unnatural levels
and routes of exposure. Commercial in vivo safety testing usually
sacrifices accuracy and relevance for speed and cost. These problems
are especially applicable to chronic (long-term) toxicity testing,
the results of which may be no more accurate than simply flipping
a coin.
Because of the multiple, well-documented differences in responses,
the use of non-human species in toxicity testing requires the application
of often complex mathematical equations to extrapolate the results
to potential human exposure. Major differences are associated with
simple differences in body size. Extrapolations between species
are not and should not be based on such simplistic criteria as length
or weight differences.
The husbandry conditions under which animals are typically bred,
raised and housed seriously biases any data derived from their use.
This is true for even the best state-of-the-art laboratory animal
facilities. Recent studies suggest that much, if not all, of
the research and testing done utilizing captive laboratory species
in traditional cage environments may be so biased as to be useless,
even if it can be replicated.
In vitro replacement alternatives, especially with regard to safety
and toxicity testing, have a number of positive characteristics:
-
They were scientifically validated and proven to be relevant
to the desired endpoints.
-
They allow multiple, simultaneous tests under a range of concentrations
and controlled conditions.
-
They allow larger numbers of tests in shorter periods of time.
-
They are easily adapted to high throughput (high volume and
high speed) conditions that cannot be replicated by in vivo
methods.
-
They are logistically simpler and economically less costly.
For example, several decades ago the National Cancer Institute
adopted an in vitro replacement for their standard animal-based
procedures to identify potential anti-cancer compounds. This single
decision dramatically increased the number of tests conducted; significantly
reduced the per unit cost of the program; and saved more than a
million rodent lives every year.
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