Main areas for using health-associated reference intervals for toxicological studies.
«Institute of Toxicology» of Federal Medico-Biological Agency of Russia
Brief summary
The article substantiates the approaches to determining the reference intervals of biometric features of laboratory animals and the main directions of their use in conducting scientific toxicological studies. It is shown that the procedure for establishing reference intervals is normatively fixed in international and domestic documents and they are widely used in clinical practice. At the same time, the methodological basis for obtaining and using reference intervals during experimental toxicological studies is not fully represented. The increasing importance of the preclinical stage of drug development, for example, in the study of the effectiveness and safety of antidotes, which are possible mainly in laboratory animals, requires an increase in the validity of decisions. The implementation of methodological approaches and the establishment of reference intervals on the basis of a research institution will improve the quality of the preclinical stage of the development of therapeutic and preventive pharmacological preparations, as well as interpretation of the results of toxicological studies based on an integrated assessment of the state of the organism of laboratory animals.
Key words
reference interval, laboratory animals, toxicological study, interpretation of results, quantitative integral assessment
4. Ridefelt P., Hellberg D., Aldrimer M., Gustafsson J. Estimating reliable pediatrics reference intervals in clinical chemistry and haematology. Acta Paediatr. 2014; 103 (1): 10-5.
5. CLSI. Defining, Establishing, and Verifying Reference Intervals in the Clinical Laboratory; Approved Guideline - Third Edition. CLSI document EP28-A3c. Wayne, PA: Clinical and Laboratory Standards Institute; 2008.
6 GOST R 53022.3-2008. Tehnologii laboratornie klinicheskie. Trebovaniya k kachestvy klinicheskih laboratornih issledovanii. Chast 3. Pravila ocenki klinicheskoi informativnosti laboratornih testov. Avaible at: http://www.consultant.ru/cons/cgi/online.cgi?req=doc&base=OTN&n=8881#010847410208015529
7. Grasbeck R., Fellman J. Normal values and statistics. Scand. J. Clin. Lab. Invest. 1968; 21: 193-5.
8. Grasbeck R., Saris N.E. Establishment and use of normal values. Scand. J. Clin. Lab. Invest. 1969; 26: 62-3.
10. International Federation of Clinical Chemistry (IFCC), Scientific Committee, Clinical Section, Expert Panel on Theory of Reference Values, and International Committee for Standardization in Haematology (ICSH), Standing Committee on Reference Values. Approved Recommendation (1986) on the theory of reference values. Part 1. The concept of reference values. J. Clin. Chem. Clin. Biochem. 1987; 25: 337-42.
11 Siest G., Heimy J., Grasbeck R., Wilding P., Petitclerc C., Queraltd J., Petersen P. The theory of reference values: an unfinished symphony. Clin. Chem. Lab. Med. 2013; 51 (1): 47-64.
12. Dybkaer R., Solberg H.E. International Federation of Clinical Chemistry (IFCC). Approved recommendation on the theory of reference values. Part 6. Presentation of observed values related to reference values. J. Clin. Chem. Clin. Biochem. 1987; 25: 657-662.
14. Malov A.M., Ivanova T.M., Semenov E.V., Sizova K.V., Elaeva N.L., Shestova G.V. O dopystimih referensnih znacheniyah rtyti v krovi cheloveka. Zdorove i okryjaushaya sreda. 2009; 13: 390-5.
15. Kristen R.F., Kendal E.H., Kathy P.F., Balazs S., Raquel M.W., Kirstin F.B. et al. ASVCP reference interval guidelines: determination of de novo reference intervals in veterinary species and other related topics. Vet. Clin. Pathol. 2012; 41 (4): 441-53.
16. Hoffmann R.G. Statistics in the practice of medicine. J. Am. Med. Assoc. 1963; 185: 864-73.
17. Bhattacharya C.A. Simple method of resolution of a distribution into Gaussian components. Biometrics. 1967; 23: 115-35.
18. Ozarda Y, Higgins V, AdeU K. Verification of reference intervals in routine clinical laboratories: practical challenges and recommendations. Clin. Chem. Lab. Med. 2018; 57 (1): 30-7.
19. Gysev A. V., Zarybina T. V. Podderjka prinyatiya vrachebnih reshenii v medicinskih informacionnih sistemah medicinskoi organizacii. Vrach i informacionnie tehnologii. 2017; 2: 60-72.
20. Trahtenberg I.M., Sova R. E., Sheftel V. O., Onikienko F. A. Problema normi v toksikologii (sovremennie predstavleniya i metodicheskie podhodi, osnovnie parametri i konstanti). M.: Medicina; 1991.