<?xml version="1.0" encoding="UTF-8"?>
<data xmlns="http://www.aopkb.org/aop-xml">
  <chemical id="b1397799-effd-4a53-8853-0a923f0ad854">
    <casrn>117-81-7</casrn>
    <jchem-inchi-key>BJQHLKABXJIVAM-UHFFFAOYNA-N</jchem-inchi-key>
    <indigo-inchi-key>BJQHLKABXJIVAM-UHFFFAOYSA-N</indigo-inchi-key>
    <preferred-name>Di(2-ethylhexyl) phthalate</preferred-name>
    <synonyms>
      <synonym>1,2-Benzenedicarboxylic acid, bis(2-ethylhexyl) ester</synonym>
      <synonym>DEHP</synonym>
      <synonym>1,2-Benzedicarboxylic acid, bis(2-ethyl-hexyl) ester</synonym>
      <synonym>1,2-Benzenedicarboxylic acid bis(2-ethylhexyl) ester</synonym>
      <synonym>1,2-Benzenedicarboxylic acid, 1,2-bis(2-ethylhexyl) ester</synonym>
      <synonym>1,2-Benzenedicarboxylic acid,bis(2-ethylhexylester)</synonym>
      <synonym>Bis(2-ethylhexyl) 1,2-benzenedicarboxylate</synonym>
      <synonym>Bis(2-ethylhexyl) o-phthalate</synonym>
      <synonym>bis(2-ethylhexyl) phthalate</synonym>
      <synonym>Bis(2-ethylhexyl)phthalat</synonym>
      <synonym>Bis(2-ethylhexyl)phthalate</synonym>
      <synonym>Bisoflex 81</synonym>
      <synonym>Bisoflex DOP</synonym>
      <synonym>Corflex 400</synonym>
      <synonym>Di(2-ethylhexyl)phthalate</synonym>
      <synonym>Di(isooctyl) phthalate</synonym>
      <synonym>Di-2-ethylhexlphthalate</synonym>
      <synonym>Di-2-ethylhexyl phthalate</synonym>
      <synonym>DI-2-ETHYLHEXYL-PHTHALATE</synonym>
      <synonym>Diacizer DOP</synonym>
      <synonym>Diethylhexyl phthalate</synonym>
      <synonym>Dioctylphthalate</synonym>
      <synonym>DOF</synonym>
      <synonym>Ergoplast FDO</synonym>
      <synonym>Ergoplast FDO-S</synonym>
      <synonym>ETHYLHEXYL PHTHALATE</synonym>
      <synonym>Eviplast 80</synonym>
      <synonym>Eviplast 81</synonym>
      <synonym>Fleximel</synonym>
      <synonym>Flexol DOD</synonym>
      <synonym>Flexol DOP</synonym>
      <synonym>ftlalato de bis(2-etilhexilo)</synonym>
      <synonym>Garbeflex DOP-D 40</synonym>
      <synonym>Good-rite GP 264</synonym>
      <synonym>Hatco DOP</synonym>
      <synonym>Jayflex DOP</synonym>
      <synonym>Kodaflex DEHP</synonym>
      <synonym>Kodaflex DOP</synonym>
      <synonym>Monocizer DOP</synonym>
      <synonym>NSC 17069</synonym>
      <synonym>Palatinol AH</synonym>
      <synonym>Palatinol AH-L</synonym>
      <synonym>Phtalate de Bis (Ethyle-2-Hexyle)</synonym>
      <synonym>Phtalate de bis(2-ethylhexyle)</synonym>
      <synonym>PHTHALATE, BIS(2-ETHYLHEXYL)</synonym>
      <synonym>Phthalic acid di(2-ethylhexyl) ester</synonym>
      <synonym>Phthalic acid, bis(2-ethylhexyl) ester</synonym>
      <synonym>PHTHALIC ACID, BIS(2-ETHYLHEXYL)ESTER</synonym>
      <synonym>PHTHALSAEURE-BIS-(2-AETHYLHEXYL)-ESTER</synonym>
      <synonym>Pittsburgh PX 138</synonym>
      <synonym>Plasthall DOP</synonym>
      <synonym>Reomol D 79P</synonym>
      <synonym>Sansocizer DOP</synonym>
      <synonym>Sansocizer R 8000</synonym>
      <synonym>Sconamoll DOP</synonym>
      <synonym>Staflex DOP</synonym>
      <synonym>Truflex DOP</synonym>
      <synonym>Vestinol AH</synonym>
      <synonym>Vinycizer 80</synonym>
      <synonym>Vinycizer 80K</synonym>
      <synonym>Witcizer 312</synonym>
    </synonyms>
    <dsstox-id>DTXSID5020607</dsstox-id>
  </chemical>
  <chemical id="447cfedb-e5a4-486d-b721-1a2e512bf02c">
    <casrn>51-52-5</casrn>
    <jchem-inchi-key>KNAHARQHSZJURB-UHFFFAOYSA-N</jchem-inchi-key>
    <indigo-inchi-key>KNAHARQHSZJURB-UHFFFAOYSA-N</indigo-inchi-key>
    <preferred-name>6-Propyl-2-thiouracil</preferred-name>
    <synonyms>
      <synonym>6-Propyl-2 thiouracil (PTU)</synonym>
      <synonym>4(1H)-Pyrimidinone, 2,3-dihydro-6-propyl-2-thioxo-</synonym>
      <synonym>2,3-Dihydro-6-propyl-2-thioxo-4(1H)-pyrimidinone</synonym>
      <synonym>2-Mercapto-4-hydroxy-6-n-propylpyrimidine</synonym>
      <synonym>2-Mercapto-4-hydroxy-6-propylpyrimidine</synonym>
      <synonym>2-Mercapto-6-propylpyrimidin-4-ol</synonym>
      <synonym>2-Thio-4-oxo-6-propyl-1,3-pyrimidine</synonym>
      <synonym>2-Thio-6-propyl-1,3-pyrimidin-4-one</synonym>
      <synonym>6-n-Propyl-2-thiouracil</synonym>
      <synonym>6-n-Propylthiouracil</synonym>
      <synonym>6-Propyl-2-thio-2,4(1H,3H)pyrimidinedione</synonym>
      <synonym>6-Propylthiouracil</synonym>
      <synonym>NSC 6498</synonym>
      <synonym>NSC 70461</synonym>
      <synonym>Procasil</synonym>
      <synonym>Propacil</synonym>
      <synonym>propiltiouracilo</synonym>
      <synonym>Propycil</synonym>
      <synonym>Propyl-Thiorist</synonym>
      <synonym>Propylthiorit</synonym>
      <synonym>propylthiouracil</synonym>
      <synonym>Propylthiouracile</synonym>
      <synonym>Propyl-Thyracil</synonym>
      <synonym>Prothiucil</synonym>
      <synonym>Prothiurone</synonym>
      <synonym>Prothycil</synonym>
      <synonym>Prothyran</synonym>
      <synonym>Protiural</synonym>
      <synonym>Thiuragyl</synonym>
      <synonym>Thyreostat II</synonym>
      <synonym>URACIL, 4-PROPYL-2-THIO-</synonym>
      <synonym>Uracil, 6-propyl-2-thio-</synonym>
    </synonyms>
    <dsstox-id>DTXSID5021209</dsstox-id>
  </chemical>
  <chemical id="7762bd13-b17e-4ddb-9c42-6d2a97f68d82">
    <casrn>60-56-0</casrn>
    <jchem-inchi-key>PMRYVIKBURPHAH-UHFFFAOYSA-N</jchem-inchi-key>
    <indigo-inchi-key>PMRYVIKBURPHAH-UHFFFAOYSA-N</indigo-inchi-key>
    <preferred-name>Methimazole</preferred-name>
    <synonyms>
      <synonym>2H-Imidazole-2-thione, 1,3-dihydro-1-methyl-</synonym>
      <synonym>1,3-Dihydro-1-methyl-2H-imidazole-2-thione</synonym>
      <synonym>1-Methyl-1,3-dihydroimidazole-2-thione</synonym>
      <synonym>1-Methyl-1H-imidazole-2-thiol</synonym>
      <synonym>1-Methyl-2-mercapto-1H-imidazole</synonym>
      <synonym>1-Methyl-2-mercaptoimidazole</synonym>
      <synonym>1-Methyl-4-imidazoline-2-thione</synonym>
      <synonym>1-Methylimidazole-2(3H)-thione</synonym>
      <synonym>1-Methylimidazole-2-thiol</synonym>
      <synonym>1-Methylimidazole-2-thione</synonym>
      <synonym>2-Mercapto-1-methyl-1H-imidazole</synonym>
      <synonym>2-Mercapto-1-methylimidazole</synonym>
      <synonym>2-Mercapto-N-methylimidazole</synonym>
      <synonym>4-Imidazoline-2-thione, 1-methyl-</synonym>
      <synonym>Basolan</synonym>
      <synonym>Danantizol</synonym>
      <synonym>Favistan</synonym>
      <synonym>Frentirox</synonym>
      <synonym>Imidazole-2-thiol, 1-methyl-</synonym>
      <synonym>Mercaptazole</synonym>
      <synonym>Mercazole</synonym>
      <synonym>Mercazolyl</synonym>
      <synonym>Metazolo</synonym>
      <synonym>Methimazol</synonym>
      <synonym>Methylmercaptoimidazole</synonym>
      <synonym>Metothyrin</synonym>
      <synonym>Metothyrine</synonym>
      <synonym>Metotirin</synonym>
      <synonym>N-Methyl-2-mercaptoimidazole</synonym>
      <synonym>N-Methylimidazolethiol</synonym>
      <synonym>NSC 38608</synonym>
      <synonym>Strumazol</synonym>
      <synonym>Tapazole</synonym>
      <synonym>Thacapzol</synonym>
      <synonym>Thiamazol</synonym>
      <synonym>thiamazole</synonym>
      <synonym>Thycapzol</synonym>
      <synonym>Thymidazol</synonym>
      <synonym>Thymidazole</synonym>
      <synonym>tiamazol</synonym>
    </synonyms>
    <dsstox-id>DTXSID4020820</dsstox-id>
  </chemical>
  <chemical id="532f9e9e-142f-4356-a81c-25a7a2787065">
    <casrn>14797-73-0</casrn>
    <jchem-inchi-key>VLTRZXGMWDSKGL-UHFFFAOYSA-M</jchem-inchi-key>
    <indigo-inchi-key>VLTRZXGMWDSKGL-UHFFFAOYSA-M</indigo-inchi-key>
    <preferred-name>Perchlorate</preferred-name>
    <synonyms>
      <synonym>Perchlorate ion</synonym>
      <synonym>Perchlorate ion (ClO41-)</synonym>
      <synonym>Perchlorate ion(1-)</synonym>
      <synonym>Perchlorate(1-)</synonym>
      <synonym>Perchloric acid, ion(1-)</synonym>
    </synonyms>
    <dsstox-id>DTXSID6024252</dsstox-id>
  </chemical>
  <chemical id="a63c114a-3757-4954-b451-78c6f0468b97">
    <casrn>60-35-5</casrn>
    <jchem-inchi-key>DLFVBJFMPXGRIB-UHFFFAOYSA-N</jchem-inchi-key>
    <indigo-inchi-key>DLFVBJFMPXGRIB-UHFFFAOYSA-N</indigo-inchi-key>
    <preferred-name>Acetamide</preferred-name>
    <synonyms>
      <synonym>Acetamid</synonym>
      <synonym>acetamida</synonym>
      <synonym>Acetic acid amide</synonym>
      <synonym>Acetimidic acid</synonym>
      <synonym>Ethanamide</synonym>
      <synonym>Ethanimidic acid</synonym>
      <synonym>Methanecarboxamide</synonym>
      <synonym>NSC 25945</synonym>
    </synonyms>
    <dsstox-id>DTXSID7020005</dsstox-id>
  </chemical>
  <chemical id="567f583e-ca13-4402-bada-2b531d0d5d81">
    <casrn>103-90-2</casrn>
    <jchem-inchi-key>RZVAJINKPMORJF-UHFFFAOYSA-N</jchem-inchi-key>
    <indigo-inchi-key>RZVAJINKPMORJF-UHFFFAOYSA-N</indigo-inchi-key>
    <preferred-name>Acetaminophen</preferred-name>
    <synonyms>
      <synonym>4-Acetamidophenol</synonym>
      <synonym>APAP</synonym>
      <synonym>Paracetamol</synonym>
      <synonym>4-hydroxyacetanilide</synonym>
      <synonym>Acetamide, N-(4-hydroxyphenyl)-</synonym>
      <synonym>4-(Acetylamino)phenol</synonym>
      <synonym>4-(N-Acetylamino)phenol</synonym>
      <synonym>4-Acetaminophenol</synonym>
      <synonym>4'-Hydroxyacetanilide</synonym>
      <synonym>Abensanil</synonym>
      <synonym>Acetagesic</synonym>
      <synonym>Acetalgin</synonym>
      <synonym>ACETAMIDE, N-(4-HYDROXYPHENYL)</synonym>
      <synonym>Acetaminofen</synonym>
      <synonym>Acetanilide, 4'-hydroxy-</synonym>
      <synonym>ACETANILIDE, 4-HYDROXY-</synonym>
      <synonym>Algotropyl</synonym>
      <synonym>Alvedon</synonym>
      <synonym>Anaflon</synonym>
      <synonym>Apamide</synonym>
      <synonym>Banesin</synonym>
      <synonym>Ben-u-ron</synonym>
      <synonym>Bickie-mol</synonym>
      <synonym>Biocetamol</synonym>
      <synonym>Cetadol</synonym>
      <synonym>Citramon P</synonym>
      <synonym>Claratal</synonym>
      <synonym>Clixodyne</synonym>
      <synonym>Dafalgan</synonym>
      <synonym>Daphalgan</synonym>
      <synonym>Dial-a-gesic</synonym>
      <synonym>Disprol</synonym>
      <synonym>Doliprane</synonym>
      <synonym>Dolprone</synonym>
      <synonym>Dymadon</synonym>
      <synonym>Efferalgan</synonym>
      <synonym>Endophy</synonym>
      <synonym>Febrilex</synonym>
      <synonym>Febrilix</synonym>
      <synonym>Febro-Gesic</synonym>
      <synonym>Febrolin</synonym>
      <synonym>Fepanil</synonym>
      <synonym>Finimal</synonym>
      <synonym>Gattaphen T</synonym>
      <synonym>Gelocatil</synonym>
      <synonym>Gutte Enteric</synonym>
      <synonym>Homoolan</synonym>
      <synonym>Jin Gang</synonym>
      <synonym>Lestemp</synonym>
      <synonym>Liquagesic</synonym>
      <synonym>Lonarid</synonym>
      <synonym>Lyteca Syrup</synonym>
      <synonym>Minoset</synonym>
      <synonym>Momentum</synonym>
      <synonym>N-(4-Hydroxyphenyl)acetamide</synonym>
      <synonym>N-Acetyl-4-aminophenol</synonym>
      <synonym>N-Acetyl-4-hydroxyaniline</synonym>
      <synonym>N-Acetyl-p-aminophenol</synonym>
      <synonym>Napafen</synonym>
      <synonym>Naprinol</synonym>
      <synonym>Nobedon</synonym>
      <synonym>NSC 109028</synonym>
      <synonym>NSC 3991</synonym>
      <synonym>Ortensan</synonym>
      <synonym>p-(Acetylamino)phenol</synonym>
      <synonym>p-Aceaminophenol</synonym>
      <synonym>Pacemol</synonym>
      <synonym>p-Acetamidophenol</synonym>
      <synonym>p-Acetoaminophen</synonym>
      <synonym>P-ACETYLAMINOPHENOL</synonym>
      <synonym>Paldesic</synonym>
      <synonym>panadeine</synonym>
      <synonym>Panadol</synonym>
      <synonym>Panadol Actifast</synonym>
      <synonym>Panadol Extend</synonym>
      <synonym>Panaleve</synonym>
      <synonym>Panasorb</synonym>
      <synonym>Panodil</synonym>
      <synonym>Paracetamol DC</synonym>
      <synonym>Paracetamole</synonym>
      <synonym>Parageniol</synonym>
      <synonym>Paramol</synonym>
      <synonym>Paraspen</synonym>
      <synonym>Parelan</synonym>
      <synonym>Pasolind N</synonym>
      <synonym>Perfalgan</synonym>
      <synonym>Phenaphen</synonym>
      <synonym>Phendon</synonym>
      <synonym>p-Hydroxyacetanilide</synonym>
      <synonym>Prodafalgan</synonym>
      <synonym>Puerxitong</synonym>
      <synonym>Pyrinazine</synonym>
      <synonym>Resfenol</synonym>
      <synonym>Resprin</synonym>
      <synonym>Rhodapop NCR</synonym>
      <synonym>Salzone</synonym>
      <synonym>Tabalgin</synonym>
      <synonym>Tachipirina</synonym>
      <synonym>Tempanal</synonym>
      <synonym>Tralgon</synonym>
      <synonym>Tylenol</synonym>
      <synonym>TylolHot</synonym>
      <synonym>Valadol</synonym>
      <synonym>Valgesic</synonym>
      <synonym>Vermidon</synonym>
      <synonym>Vick Pyrena</synonym>
    </synonyms>
    <dsstox-id>DTXSID2020006</dsstox-id>
  </chemical>
  <chemical id="588415a6-0334-4633-8d78-609df49e6b4b">
    <casrn>968-81-0</casrn>
    <jchem-inchi-key>VGZSUPCWNCWDAN-UHFFFAOYSA-N</jchem-inchi-key>
    <indigo-inchi-key>VGZSUPCWNCWDAN-UHFFFAOYSA-N</indigo-inchi-key>
    <preferred-name>Acetohexamide</preferred-name>
    <synonyms>
      <synonym>Benzenesulfonamide, 4-acetyl-N-[(cyclohexylamino)carbonyl]-</synonym>
      <synonym>1-(p-Acetylbenzenesulfonyl)-3-cyclohexylurea</synonym>
      <synonym>1-[(p-Acetylphenyl)sulfonyl]-3-cyclohexylurea</synonym>
      <synonym>Acetohexamid</synonym>
      <synonym>acetohexamida</synonym>
      <synonym>Dimelin</synonym>
      <synonym>Dimelor</synonym>
      <synonym>Dymelor</synonym>
      <synonym>Gamadiabet</synonym>
      <synonym>Hypoglicil</synonym>
      <synonym>Metaglucina</synonym>
      <synonym>Minoral</synonym>
      <synonym>N-(p-Acetylphenylsulfonyl)-N'-cyclohexylurea</synonym>
      <synonym>Ordimel</synonym>
      <synonym>Tsiklamid</synonym>
      <synonym>Urea, 1-[(p-acetylphenyl)sulfonyl]-3-cyclohexyl-</synonym>
    </synonyms>
    <dsstox-id>DTXSID7020007</dsstox-id>
  </chemical>
  <chemical id="d2df790b-2f8f-44c0-b8e2-e269c97e6b88">
    <casrn>67-66-3</casrn>
    <jchem-inchi-key>HEDRZPFGACZZDS-UHFFFAOYSA-N</jchem-inchi-key>
    <indigo-inchi-key>HEDRZPFGACZZDS-UHFFFAOYSA-N</indigo-inchi-key>
    <preferred-name>Chloroform</preferred-name>
    <synonyms>
      <synonym>Trichloromethane</synonym>
      <synonym>Methane, trichloro-</synonym>
      <synonym>CARBON TRICHLORIDE</synonym>
      <synonym>Chloroforme</synonym>
      <synonym>cloroformo</synonym>
      <synonym>Formyl trichloride</synonym>
      <synonym>Methane trichloride</synonym>
      <synonym>Methane,trichloro-</synonym>
      <synonym>NSC 77361</synonym>
      <synonym>Trichloroform</synonym>
      <synonym>UN 1888</synonym>
    </synonyms>
    <dsstox-id>DTXSID1020306</dsstox-id>
  </chemical>
  <chemical id="2a5844af-4a41-460f-8978-473f4e9b1269">
    <casrn>110-00-9</casrn>
    <jchem-inchi-key>YLQBMQCUIZJEEH-UHFFFAOYSA-N</jchem-inchi-key>
    <indigo-inchi-key>YLQBMQCUIZJEEH-UHFFFAOYSA-N</indigo-inchi-key>
    <preferred-name>Furan</preferred-name>
    <synonyms>
      <synonym>Divinylene oxide</synonym>
      <synonym>furanne</synonym>
      <synonym>Furfuran</synonym>
      <synonym>Oxacyclopentadiene</synonym>
      <synonym>Tetrole</synonym>
      <synonym>UN 2389</synonym>
    </synonyms>
    <dsstox-id>DTXSID6020646</dsstox-id>
  </chemical>
  <chemical id="bd50de74-d419-4b7a-93b0-98bf3dee2d19">
    <casrn>7429-90-5</casrn>
    <jchem-inchi-key>XAGFODPZIPBFFR-UHFFFAOYSA-N</jchem-inchi-key>
    <indigo-inchi-key>AZDRQVAHHNSJOQ-UHFFFAOYSA-N</indigo-inchi-key>
    <preferred-name>Aluminum</preferred-name>
    <synonyms>
      <synonym>Aisin Metal Fiber</synonym>
      <synonym>Al 050P-H24</synonym>
      <synonym>ALC Fine</synonym>
      <synonym>Alcan XI 1391</synonym>
      <synonym>Almi-Paste SSP 303AR</synonym>
      <synonym>Aloxal 3010</synonym>
      <synonym>Alpaste 00-0506</synonym>
      <synonym>Alpaste 0100M</synonym>
      <synonym>Alpaste 0100MA</synonym>
      <synonym>Alpaste 0100M-C</synonym>
      <synonym>Alpaste 0200M</synonym>
      <synonym>Alpaste 0200T</synonym>
      <synonym>Alpaste 0230M</synonym>
      <synonym>Alpaste 0230T</synonym>
      <synonym>Alpaste 0241M</synonym>
      <synonym>Alpaste 0300M</synonym>
      <synonym>Alpaste 0500M</synonym>
      <synonym>Alpaste 0539X</synonym>
      <synonym>Alpaste 0620MS</synonym>
      <synonym>Alpaste 0625TS</synonym>
      <synonym>Alpaste 0638-70C</synonym>
      <synonym>Alpaste 0700M</synonym>
      <synonym>Alpaste 0780M</synonym>
      <synonym>Alpaste 0900M</synonym>
      <synonym>Alpaste 100M</synonym>
      <synonym>Alpaste 100MS</synonym>
      <synonym>Alpaste 100MSR</synonym>
      <synonym>Alpaste 1100M</synonym>
      <synonym>Alpaste 1100MA</synonym>
      <synonym>Alpaste 1100N</synonym>
      <synonym>Alpaste 1100NA</synonym>
      <synonym>Alpaste 1109MA</synonym>
      <synonym>Alpaste 1109MC</synonym>
      <synonym>Alpaste 1200M</synonym>
      <synonym>Alpaste 1200T</synonym>
      <synonym>Alpaste 1260MS</synonym>
      <synonym>Alpaste 1500MA</synonym>
      <synonym>Alpaste 1700NL</synonym>
      <synonym>Alpaste 1810YL</synonym>
      <synonym>Alpaste 1830YL</synonym>
      <synonym>Alpaste 1900M</synonym>
      <synonym>Alpaste 1900XS</synonym>
      <synonym>Alpaste 1950M</synonym>
      <synonym>Alpaste 1950N</synonym>
      <synonym>Alpaste 210N</synonym>
      <synonym>Alpaste 2172EA</synonym>
      <synonym>Alpaste 2173</synonym>
      <synonym>Alpaste 240T</synonym>
      <synonym>Alpaste 241M</synonym>
      <synonym>Alpaste 417</synonym>
      <synonym>Alpaste 46-046</synonym>
      <synonym>Alpaste 4-621</synonym>
      <synonym>Alpaste 4919</synonym>
      <synonym>Alpaste 50-63</synonym>
      <synonym>Alpaste 50-635</synonym>
      <synonym>Alpaste 51-148B</synonym>
      <synonym>Alpaste 51-231</synonym>
      <synonym>Alpaste 5205N</synonym>
      <synonym>Alpaste 5207N</synonym>
      <synonym>Alpaste 52-509</synonym>
      <synonym>Alpaste 52-568</synonym>
      <synonym>Alpaste 5301N</synonym>
      <synonym>Alpaste 5302N</synonym>
      <synonym>Alpaste 53-119</synonym>
      <synonym>Alpaste 5422NS</synonym>
      <synonym>Alpaste 54-452</synonym>
      <synonym>Alpaste 54-497</synonym>
      <synonym>Alpaste 54-542</synonym>
      <synonym>Alpaste 55-516</synonym>
      <synonym>Alpaste 55-519</synonym>
      <synonym>Alpaste 55-574</synonym>
      <synonym>Alpaste 5620NS</synonym>
      <synonym>Alpaste 5630NS</synonym>
      <synonym>Alpaste 5640NS</synonym>
      <synonym>Alpaste 56-501</synonym>
      <synonym>Alpaste 5650NS</synonym>
      <synonym>Alpaste 5653NS</synonym>
      <synonym>Alpaste 5654NS</synonym>
      <synonym>Alpaste 5680N</synonym>
      <synonym>Alpaste 5680NS</synonym>
      <synonym>Alpaste 60-600</synonym>
      <synonym>Alpaste 60-760</synonym>
      <synonym>Alpaste 60-768</synonym>
      <synonym>Alpaste 62-356</synonym>
      <synonym>Alpaste 6340NS</synonym>
      <synonym>Alpaste 6370NS</synonym>
      <synonym>Alpaste 6390NS</synonym>
      <synonym>Alpaste 640NS</synonym>
      <synonym>Alpaste 65-388</synonym>
      <synonym>Alpaste 66NLB</synonym>
      <synonym>Alpaste 710N</synonym>
      <synonym>Alpaste 7130N</synonym>
      <synonym>Alpaste 7160N</synonym>
      <synonym>Alpaste 7160NS</synonym>
      <synonym>Alpaste 725N</synonym>
      <synonym>Alpaste 740NS</synonym>
      <synonym>Alpaste 7430NS</synonym>
      <synonym>Alpaste 7580NS</synonym>
      <synonym>Alpaste 7620NS</synonym>
      <synonym>Alpaste 7640NS</synonym>
      <synonym>Alpaste 7670M</synonym>
      <synonym>Alpaste 7670NS</synonym>
      <synonym>Alpaste 7675NS</synonym>
      <synonym>Alpaste 7679NS</synonym>
      <synonym>Alpaste 7680N</synonym>
      <synonym>Alpaste 7680NS</synonym>
      <synonym>Alpaste 76840NS</synonym>
      <synonym>Alpaste 7730N</synonym>
      <synonym>Alpaste 7770N</synonym>
      <synonym>Alpaste 7830N</synonym>
      <synonym>Alpaste 8004</synonym>
      <synonym>Alpaste 8080N</synonym>
      <synonym>Alpaste 8260NAR</synonym>
      <synonym>Alpaste 891K</synonym>
      <synonym>Alpaste 91-0562</synonym>
      <synonym>Alpaste 92-0592</synonym>
      <synonym>Alpaste 93-0595</synonym>
      <synonym>Alpaste 93-0647</synonym>
      <synonym>Alpaste 94-2315</synonym>
      <synonym>Alpaste 95-0570</synonym>
      <synonym>Alpaste 96-0635</synonym>
      <synonym>Alpaste 96-2104</synonym>
      <synonym>Alpaste 97-0510</synonym>
      <synonym>Alpaste 97-0534</synonym>
      <synonym>Alpaste AW 520B</synonym>
      <synonym>Alpaste AW 612</synonym>
      <synonym>Alpaste AW 9800</synonym>
      <synonym>Alpaste F 795</synonym>
      <synonym>Alpaste FM 7680K</synonym>
      <synonym>Alpaste FX 440</synonym>
      <synonym>Alpaste FX 910</synonym>
      <synonym>Alpaste FZ 0534</synonym>
      <synonym>Alpaste FZU 40C</synonym>
      <synonym>Alpaste G</synonym>
      <synonym>Alpaste HR 8801</synonym>
      <synonym>Alpaste HS 2</synonym>
      <synonym>Alpaste J</synonym>
      <synonym>Alpaste K 9800</synonym>
      <synonym>Alpaste MC 666</synonym>
      <synonym>Alpaste MC 707</synonym>
      <synonym>Alpaste MF 20</synonym>
      <synonym>Alpaste MG 01</synonym>
      <synonym>Alpaste MG 1000</synonym>
      <synonym>Alpaste MG 1300</synonym>
      <synonym>Alpaste MG 500</synonym>
      <synonym>Alpaste MG 600</synonym>
      <synonym>Alpaste MH 6601</synonym>
      <synonym>Alpaste MH 8801</synonym>
      <synonym>Alpaste MH 9901</synonym>
      <synonym>Alpaste MR 7000</synonym>
      <synonym>Alpaste MR 9000</synonym>
      <synonym>Alpaste MS 630</synonym>
      <synonym>Alpaste N 1700NL</synonym>
      <synonym>Alpaste NS 7670</synonym>
      <synonym>Alpaste O 100N</synonym>
      <synonym>Alpaste O 2130</synonym>
      <synonym>Alpaste O 300M</synonym>
      <synonym>Alpaste P 0100</synonym>
      <synonym>Alpaste P 1950</synonym>
      <synonym>Alpaste S</synonym>
      <synonym>Alpaste SAP 110</synonym>
      <synonym>Alpaste SAP 414P</synonym>
      <synonym>Alpaste SAP 550N</synonym>
      <synonym>Alpaste SCR 5070</synonym>
      <synonym>Alpaste TCR 2020</synonym>
      <synonym>Alpaste TCR 2060</synonym>
      <synonym>Alpaste TCR 2070</synonym>
      <synonym>Alpaste TCR 3010</synonym>
      <synonym>Alpaste TCR 3030</synonym>
      <synonym>Alpaste TCR 3040</synonym>
      <synonym>Alpaste TCR 3130</synonym>
      <synonym>Alpaste TD 200T</synonym>
      <synonym>Alpaste UF 500</synonym>
      <synonym>Alpaste WB 0230</synonym>
      <synonym>Alpaste WD 500</synonym>
      <synonym>Alpaste WJP-U 75C</synonym>
      <synonym>Alpaste WX 0630</synonym>
      <synonym>Alpaste WX 7830</synonym>
      <synonym>Alpaste WXA 7640</synonym>
      <synonym>Alpaste WXM 0630</synonym>
      <synonym>Alpaste WXM 0650</synonym>
      <synonym>Alpaste WXM 0660</synonym>
      <synonym>Alpaste WXM 1415</synonym>
      <synonym>Alpaste WXM 1440</synonym>
      <synonym>Alpaste WXM 5422</synonym>
      <synonym>Alpaste WXM 760b</synonym>
      <synonym>Alpaste WXM 7640</synonym>
      <synonym>Alpaste WXM 7675</synonym>
      <synonym>Alpaste WXM-T 60B</synonym>
      <synonym>Alpaste WXM-U 75</synonym>
      <synonym>Alpaste WXM-U 75C</synonym>
      <synonym>Altop X</synonym>
      <synonym>Aluchrome Ultrafin Super</synonym>
      <synonym>Alumat 1600</synonym>
      <synonym>Alumet H 30</synonym>
      <synonym>aluminio</synonym>
      <synonym>Aluminium</synonym>
      <synonym>Aluminium Flake</synonym>
      <synonym>Aluminum 27</synonym>
      <synonym>Aluminum atom</synonym>
      <synonym>Aluminum element</synonym>
      <synonym>Aluminum Flake PCF 7620</synonym>
      <synonym>Aluminum granules</synonym>
      <synonym>ALUMINUM METAL/GRANULE</synonym>
      <synonym>ALUMINUM PASTE</synonym>
      <synonym>ALUMINUM PIGMENT</synonym>
      <synonym>ALUMINUM TURNINGS</synonym>
      <synonym>Alumi-paste 640NS</synonym>
      <synonym>Alumipaste 91-0562</synonym>
      <synonym>Alumipaste 98-1822T</synonym>
      <synonym>Alumipaste AW 620</synonym>
      <synonym>Alumipaste CR 300</synonym>
      <synonym>Alumipaste GX 180A</synonym>
      <synonym>Alumipaste GX 201A</synonym>
      <synonym>Alumipaste HR 7000</synonym>
      <synonym>Alumipaste HR 850</synonym>
      <synonym>Alumipaste MG 11</synonym>
      <synonym>Alumipaste MH 8801</synonym>
      <synonym>Aquamet NPW 2900</synonym>
      <synonym>Aquapaste 205-5</synonym>
      <synonym>Aquasilver LPW</synonym>
      <synonym>Astroflake 40</synonym>
      <synonym>Astroflake Black N 020</synonym>
      <synonym>Astroflake Black N 070</synonym>
      <synonym>Astroflake LG 40</synonym>
      <synonym>Astroflake LG 70</synonym>
      <synonym>Astroflake Silver N 040</synonym>
      <synonym>Astroshine NJ 1600</synonym>
      <synonym>Astroshine T 8990</synonym>
      <synonym>Atomizalumi VA 200</synonym>
      <synonym>C.I. PIGMENT METAL 1</synonym>
      <synonym>Chromal IV</synonym>
      <synonym>Chromal X</synonym>
      <synonym>Decomet 1001/10</synonym>
      <synonym>Decomet 2018/10</synonym>
      <synonym>Decomet High Gloss Al 1002/10</synonym>
      <synonym>Ecka AS 081</synonym>
      <synonym>Eckart 9155</synonym>
      <synonym>Eterna Brite 301-1</synonym>
      <synonym>Eterna Brite 601-1</synonym>
      <synonym>Eterna Brite 651-1</synonym>
      <synonym>Eterna Brite EBP 251PA</synonym>
      <synonym>Eterna Brite Primier 251PA</synonym>
      <synonym>Ferro FX 53-038</synonym>
      <synonym>Friend Color F 500GR-W</synonym>
      <synonym>Friend Color F 500WT</synonym>
      <synonym>Friend Color F 700RE-W</synonym>
      <synonym>Friend Color F 701RE-W</synonym>
      <synonym>Hi Print 60T</synonym>
      <synonym>High Print 60T</synonym>
      <synonym>Hisparkle HS 2</synonym>
      <synonym>Hydro Paste 8726</synonym>
      <synonym>Hydrolac WHH 2153</synonym>
      <synonym>Hydrolan 3560</synonym>
      <synonym>Hydrolux Reflexal 100</synonym>
      <synonym>Hydroshine WS 1001</synonym>
      <synonym>JISA 51010P</synonym>
      <synonym>Kryal Z</synonym>
      <synonym>Lansford 243</synonym>
      <synonym>LE Sheet 800</synonym>
      <synonym>Leafing Alpaste</synonym>
      <synonym>LG-H Silver 25</synonym>
      <synonym>Lunar Al-V 95</synonym>
      <synonym>Metallux 161</synonym>
      <synonym>Metallux 2154</synonym>
      <synonym>Metallux 2192</synonym>
      <synonym>Metalure</synonym>
      <synonym>Metalure 55350</synonym>
      <synonym>Metalure L 55350</synonym>
      <synonym>Metalure L 59510</synonym>
      <synonym>Metalure W 2001</synonym>
      <synonym>Metapor</synonym>
      <synonym>Metasheen 1800</synonym>
      <synonym>Metasheen HR 0800</synonym>
      <synonym>Metasheen KM 100</synonym>
      <synonym>Metasheen KM 1000</synonym>
      <synonym>Metasheen Slurry 1807</synonym>
      <synonym>Metasheen Slurry 1811</synonym>
      <synonym>Metasheen Slurry KM 100</synonym>
      <synonym>Metax G</synonym>
      <synonym>Metax S</synonym>
      <synonym>Mirror Glow 1000</synonym>
      <synonym>Mirror Glow 600</synonym>
      <synonym>Mirrorsheen</synonym>
      <synonym>Noral Aluminium</synonym>
      <synonym>Noral Ink Grade Aluminium</synonym>
      <synonym>Obron 10890</synonym>
      <synonym>Offset FM 4500</synonym>
      <synonym>Puratronic</synonym>
      <synonym>Reflexal 145</synonym>
      <synonym>Reynolds 400</synonym>
      <synonym>Reynolds 4-301</synonym>
      <synonym>Reynolds 4-591</synonym>
      <synonym>Reynolds 667</synonym>
      <synonym>SAP 260PW-HS</synonym>
      <synonym>SAP-FM 4010</synonym>
      <synonym>SBC 516-20Z</synonym>
      <synonym>Scotchcal 7755SE</synonym>
      <synonym>Serumekku</synonym>
      <synonym>Setanium 50MIS-H8</synonym>
      <synonym>Siberline ET 2025</synonym>
      <synonym>Siberline ST 21030E1</synonym>
      <synonym>Silvar A</synonym>
      <synonym>Silver VT 522</synonym>
      <synonym>Silverline SSP 353</synonym>
      <synonym>Silvex 793-20C</synonym>
      <synonym>Sparkle Silver 3141ST</synonym>
      <synonym>Sparkle Silver 3500</synonym>
      <synonym>Sparkle Silver 3641</synonym>
      <synonym>Sparkle Silver 5000AR</synonym>
      <synonym>Sparkle Silver 516AR</synonym>
      <synonym>Sparkle Silver 5242AR</synonym>
      <synonym>Sparkle Silver 5245AR</synonym>
      <synonym>Sparkle Silver 5271AR</synonym>
      <synonym>Sparkle Silver 5500</synonym>
      <synonym>Sparkle Silver 5745</synonym>
      <synonym>Sparkle Silver 7000AR</synonym>
      <synonym>Sparkle Silver 7005AR</synonym>
      <synonym>Sparkle Silver 7500</synonym>
      <synonym>Sparkle Silver 960-25E1</synonym>
      <synonym>Sparkle Silver E 1745AR</synonym>
      <synonym>Sparkle Silver L 1526AR</synonym>
      <synonym>Sparkle Silver Premier 751</synonym>
      <synonym>Sparkle Silver SS 3130</synonym>
      <synonym>Sparkle Silver SS 5242AR</synonym>
      <synonym>Sparkle Silver SS 5588</synonym>
      <synonym>Sparkle Silver SSP 132AR</synonym>
      <synonym>Special PCR 507</synonym>
      <synonym>Splendal 6001BG</synonym>
      <synonym>Spota Mobil 801</synonym>
      <synonym>SSP 760-20C</synonym>
      <synonym>Stapa Aloxal PM 2010</synonym>
      <synonym>Stapa Aloxal PM 3010</synonym>
      <synonym>Stapa Aloxal PM 4010</synonym>
      <synonym>Stapa Hydrolac BG 8n.1</synonym>
      <synonym>Stapa Hydrolac BGH Chromal X</synonym>
      <synonym>Stapa Hydrolac PM Chromal VIII</synonym>
      <synonym>Stapa Hydrolac W 60NL</synonym>
      <synonym>Stapa Hydrolac WH 16</synonym>
      <synonym>Stapa Hydrolac WH 66NL</synonym>
      <synonym>Stapa Hydrolux 2192</synonym>
      <synonym>Stapa Hydrolux 8154</synonym>
      <synonym>Stapa IL Hydrolan 2192-55900G</synonym>
      <synonym>Stapa Metallic R 607</synonym>
      <synonym>Stapa Metallux 1050</synonym>
      <synonym>Stapa Metallux 211</synonym>
      <synonym>Stapa Metallux 212</synonym>
      <synonym>Stapa Metallux 2196</synonym>
      <synonym>Stapa Metallux 274</synonym>
      <synonym>Stapa Mobilux 181</synonym>
      <synonym>Stapa Offset 3000</synonym>
      <synonym>Stapa PV 10</synonym>
      <synonym>Stapa VP 46432G</synonym>
      <synonym>Starbrite 2100</synonym>
      <synonym>Super Fine 18000</synonym>
      <synonym>Super Fine 22000</synonym>
      <synonym>Supramex 2022</synonym>
      <synonym>Toyo Aluminum 02-0005</synonym>
      <synonym>Toyo Aluminum 93-3040</synonym>
      <synonym>Transmet K 102HE</synonym>
      <synonym>Tufflake 3645</synonym>
      <synonym>Tufflake 5843</synonym>
      <synonym>UN 1396</synonym>
      <synonym>US Aluminum 809</synonym>
      <synonym>Valimet H 2</synonym>
      <synonym>Valimet H 3</synonym>
      <synonym>White Silver 7080N</synonym>
      <synonym>White Silver 7130N</synonym>
    </synonyms>
    <dsstox-id>DTXSID3040273</dsstox-id>
  </chemical>
  <chemical id="5b64a2c0-51a3-4527-a6d7-7d8f624392f1">
    <casrn>7440-43-9</casrn>
    <jchem-inchi-key>BDOSMKKIYDKNTQ-UHFFFAOYSA-N</jchem-inchi-key>
    <indigo-inchi-key>BDOSMKKIYDKNTQ-UHFFFAOYSA-N</indigo-inchi-key>
    <preferred-name>Cadmium</preferred-name>
    <synonyms>
      <synonym>Cadimium</synonym>
      <synonym>CADMIUM BLUE</synonym>
      <synonym>CADMIUM, IN PLATTEN, STANGEN, BROCKEN,KOERNER</synonym>
    </synonyms>
    <dsstox-id>DTXSID1023940</dsstox-id>
  </chemical>
  <chemical id="8f68cb11-114a-4577-815b-1c41ef6bbd0d">
    <casrn>7439-97-6</casrn>
    <jchem-inchi-key>QSHDDOUJBYECFT-UHFFFAOYSA-N</jchem-inchi-key>
    <indigo-inchi-key>QSHDDOUJBYECFT-UHFFFAOYSA-N</indigo-inchi-key>
    <preferred-name>Mercury</preferred-name>
    <synonyms>
      <synonym>Liquid silver</synonym>
      <synonym>Mercure</synonym>
      <synonym>MERCURIC METAL TRIPLE DISTILLED</synonym>
      <synonym>mercurio</synonym>
      <synonym>Mercury element</synonym>
      <synonym>Quecksilber</synonym>
      <synonym>Quicksilver</synonym>
      <synonym>UN 2024</synonym>
      <synonym>UN 2809</synonym>
    </synonyms>
    <dsstox-id>DTXSID1024172</dsstox-id>
  </chemical>
  <chemical id="ff0e3b03-8ca8-4e5d-b8e6-7470676da393">
    <casrn>7440-61-1</casrn>
    <jchem-inchi-key>JFALSRSLKYAFGM-UHFFFAOYSA-N</jchem-inchi-key>
    <indigo-inchi-key>JFALSRSLKYAFGM-UHFFFAOYSA-N</indigo-inchi-key>
    <preferred-name>Uranium</preferred-name>
    <synonyms>
      <synonym>Uranium, isotope of mass 238</synonym>
      <synonym>238U Element</synonym>
      <synonym>UN 2979 (DOT)</synonym>
      <synonym>Uranium I</synonym>
    </synonyms>
    <dsstox-id>DTXSID1042522</dsstox-id>
  </chemical>
  <chemical id="fa7fe195-056d-4f4c-a543-3e6766a06b8c">
    <casrn>7440-38-2</casrn>
    <jchem-inchi-key>RQNWIZPPADIBDY-UHFFFAOYSA-N</jchem-inchi-key>
    <indigo-inchi-key>RQNWIZPPADIBDY-UHFFFAOYSA-N</indigo-inchi-key>
    <preferred-name>Arsenic</preferred-name>
    <synonyms>
      <synonym>As</synonym>
      <synonym>Arsenic black</synonym>
      <synonym>ARSENIC METAL</synonym>
      <synonym>arsenico</synonym>
      <synonym>Grey arsenic</synonym>
      <synonym>UN 1558</synonym>
    </synonyms>
    <dsstox-id>DTXSID4023886</dsstox-id>
  </chemical>
  <chemical id="13d13764-5c9e-4711-bfd6-ca6f10ca74b1">
    <casrn>7440-22-4</casrn>
    <jchem-inchi-key>BQCADISMDOOEFD-UHFFFAOYSA-N</jchem-inchi-key>
    <indigo-inchi-key>BQCADISMDOOEFD-UHFFFAOYSA-N</indigo-inchi-key>
    <preferred-name>Silver</preferred-name>
    <synonyms>
      <synonym>Ag Nanopaste NPS-J 90</synonym>
      <synonym>Ag Sphere 2</synonym>
      <synonym>Ag-C-GS</synonym>
      <synonym>Algaedyn</synonym>
      <synonym>Arctic Silver 3</synonym>
      <synonym>Argentum</synonym>
      <synonym>Astroflake 5</synonym>
      <synonym>Carey Lea silver</synonym>
      <synonym>Colloidal silver</synonym>
      <synonym>Dotite XA 208</synonym>
      <synonym>Du Pont 4943</synonym>
      <synonym>ECM 100AF4810</synonym>
      <synonym>Enlight 600</synonym>
      <synonym>Enlight silver plate 600</synonym>
      <synonym>Epinall</synonym>
      <synonym>Finesphere SVND 102</synonym>
      <synonym>Fordel DC</synonym>
      <synonym>FP 5369-502</synonym>
      <synonym>Jelcon SH 1</synonym>
      <synonym>Jungindai Takasago 300</synonym>
      <synonym>KS (metal)</synonym>
      <synonym>LCP 1-19SFS</synonym>
      <synonym>Metz 3000-1</synonym>
      <synonym>Nanomelt AGC-A</synonym>
      <synonym>Nanomelt Ag-XA 301</synonym>
      <synonym>Nanomelt Ag-XF 301</synonym>
      <synonym>Nanomelt Ag-XF 301H</synonym>
      <synonym>Nanopaste NPS-J 90</synonym>
      <synonym>Perfect Silver</synonym>
      <synonym>Puff Silver X 1200</synonym>
      <synonym>RT 1710S-C1</synonym>
      <synonym>SD (metal)</synonym>
      <synonym>Shell Silver</synonym>
      <synonym>Silbest E 20</synonym>
      <synonym>Silbest F 20</synonym>
      <synonym>Silbest J 18</synonym>
      <synonym>Silbest TC 12</synonym>
      <synonym>Silbest TC 20E</synonym>
      <synonym>Silbest TC 25A</synonym>
      <synonym>Silbest TCG 1</synonym>
      <synonym>Silbest TCG 7</synonym>
      <synonym>Silcoat AgC 103</synonym>
      <synonym>Silcoat AgC 2011</synonym>
      <synonym>Silcoat AgC 209</synonym>
      <synonym>Silcoat AgC 2190</synonym>
      <synonym>Silcoat AgC 222</synonym>
      <synonym>Silcoat AgC 2411</synonym>
      <synonym>Silcoat AgC 74T</synonym>
      <synonym>Silcoat AgC-A</synonym>
      <synonym>Silcoat AgC-AO</synonym>
      <synonym>Silcoat AgC-B</synonym>
      <synonym>Silcoat AgC-BO</synonym>
      <synonym>Silcoat AgC-D</synonym>
      <synonym>Silcoat AgC-G</synonym>
      <synonym>Silcoat AgC-GS</synonym>
      <synonym>Silcoat AgC-L</synonym>
      <synonym>Silcoat AgC-O</synonym>
      <synonym>Silcoat GS</synonym>
      <synonym>Silcoat RF 200</synonym>
      <synonym>Silflake 135</synonym>
      <synonym>Silsphere 514</synonym>
      <synonym>Silver atom</synonym>
      <synonym>Silver element</synonym>
      <synonym>Silver Flake 1</synonym>
      <synonym>Silver Flake 25</synonym>
      <synonym>Silver Flake 52</synonym>
      <synonym>Silver Flake 7A</synonym>
      <synonym>SILVER FLAKES</synonym>
      <synonym>Silver metal</synonym>
      <synonym>Silvest TCG 11N</synonym>
      <synonym>Technic 299</synonym>
      <synonym>Technic 450</synonym>
      <synonym>Techno Alpha 175</synonym>
    </synonyms>
    <dsstox-id>DTXSID4024305</dsstox-id>
  </chemical>
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    <casrn>7439-96-5</casrn>
    <jchem-inchi-key>PWHULOQIROXLJO-UHFFFAOYSA-N</jchem-inchi-key>
    <indigo-inchi-key>PWHULOQIROXLJO-UHFFFAOYSA-N</indigo-inchi-key>
    <preferred-name>Manganese</preferred-name>
    <synonyms>
      <synonym>Colloidal manganese</synonym>
      <synonym>Cutaval</synonym>
      <synonym>Manganese element</synonym>
      <synonym>Manganese fulleride</synonym>
      <synonym>Manganese metal alloy</synonym>
      <synonym>Manganese-55</synonym>
      <synonym>manganeso</synonym>
    </synonyms>
    <dsstox-id>DTXSID2024169</dsstox-id>
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    <casrn>7440-02-0</casrn>
    <jchem-inchi-key>PXHVJJICTQNCMI-UHFFFAOYSA-N</jchem-inchi-key>
    <indigo-inchi-key>PXHVJJICTQNCMI-UHFFFAOYSA-N</indigo-inchi-key>
    <preferred-name>Nickel</preferred-name>
    <synonyms>
      <synonym>Carbonyl 255</synonym>
      <synonym>Carbonyl Ni 123</synonym>
      <synonym>Carbonyl Ni 283</synonym>
      <synonym>Carbonyl Nickel 123</synonym>
      <synonym>Carbonyl Nickel 283</synonym>
      <synonym>Carbonyl Nickel 287</synonym>
      <synonym>Cerac N 2003</synonym>
      <synonym>CNS 10 Micron</synonym>
      <synonym>Exmet 4 Ni X-4/0</synonym>
      <synonym>Fibrex P</synonym>
      <synonym>Incofoam</synonym>
      <synonym>Nickel element</synonym>
      <synonym>NICKEL ROUND ANODES</synonym>
      <synonym>Nicrobraz LM:BNi 2</synonym>
      <synonym>Ni-Flake 95</synonym>
      <synonym>Novamet 123</synonym>
      <synonym>Novamet 4SP</synonym>
      <synonym>Novamet 4SP10</synonym>
      <synonym>Novamet 525</synonym>
      <synonym>Novamet CNS 400</synonym>
      <synonym>Novamet HCA 1</synonym>
      <synonym>Novamet NI 255</synonym>
      <synonym>Raney nickel</synonym>
      <synonym>Raney nickel 2800</synonym>
      <synonym>UN 1325</synonym>
      <synonym>UN 2881</synonym>
    </synonyms>
    <dsstox-id>DTXSID2020925</dsstox-id>
  </chemical>
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    <casrn>7440-66-6</casrn>
    <jchem-inchi-key>HCHKCACWOHOZIP-UHFFFAOYSA-N</jchem-inchi-key>
    <indigo-inchi-key>HCHKCACWOHOZIP-UHFFFAOYSA-N</indigo-inchi-key>
    <preferred-name>Zinc</preferred-name>
    <synonyms>
      <synonym>Zn</synonym>
      <synonym>Asarco L 15</synonym>
      <synonym>C.I. Pigment Black 16</synonym>
      <synonym>Merrillite</synonym>
      <synonym>NC-Zinc</synonym>
      <synonym>Rheinzink</synonym>
      <synonym>Stapa TE Zinc AT</synonym>
      <synonym>UF (metal)</synonym>
      <synonym>UN 1436</synonym>
      <synonym>Zinc dust</synonym>
      <synonym>Zinc Dust 3</synonym>
      <synonym>Zinc Dust 500 mesh</synonym>
      <synonym>Zinc Dust LS 2</synonym>
      <synonym>Zinc Dust MCS</synonym>
      <synonym>Zinc Flakes GTT</synonym>
      <synonym>ZINC METAL</synonym>
      <synonym>ZINC MOSSY</synonym>
      <synonym>ZINC STRIP</synonym>
      <synonym>ZINC, MOSSY</synonym>
      <synonym>Zincsalt GTT</synonym>
    </synonyms>
    <dsstox-id>DTXSID7035012</dsstox-id>
  </chemical>
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    <source-id>GO:0045281</source-id>
    <source>GO</source>
    <name>succinate dehydrogenase complex</name>
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    <source-id>CHEBI:30660</source-id>
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    <name>thyroxine</name>
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    <source>CHEBI</source>
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    <source>CHEBI</source>
    <name>thyroid hormone</name>
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    <source-id>GO:0000104</source-id>
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    <name>succinate dehydrogenase activity</name>
  </biological-process>
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    <source-id>GO:0046443</source-id>
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  </biological-process>
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    <source-id>GO:0006105</source-id>
    <source>GO</source>
    <name>succinate metabolic process</name>
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  <biological-process id="1a3e639c-950e-461d-8f5b-6714bc0b8dc1">
    <source-id>HP:0000855</source-id>
    <source>HP</source>
    <name>Insulin resistance</name>
  </biological-process>
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    <source-id>MP:0005475</source-id>
    <source>MP</source>
    <name>abnormal circulating thyroxine level</name>
  </biological-process>
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    <source>GO</source>
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    <creation-timestamp>2016-11-29T18:42:26</creation-timestamp>
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    <creation-timestamp>2016-11-29T18:42:22</creation-timestamp>
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    <creation-timestamp>2016-11-29T18:42:26</creation-timestamp>
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    <source-id>WCS_9606</source-id>
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    <name>human</name>
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    <source-id>10090</source-id>
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    <name>mouse</name>
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    <name>fathead minnow</name>
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    <name>Sus scrofa</name>
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    <source/>
    <name>mammals</name>
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  <key-event id="52ad2ab4-b39a-4ac1-91b2-ddf2debc9101">
    <title>Succinate dehydrogenase, inhibited</title>
    <short-name>SDH, inhibited</short-name>
    <biological-organization-level>Molecular</biological-organization-level>
    <description>&lt;p&gt;Eukaryotic succinate dehydrogenase (SDH, EC1.3.5.1 (Brenda, IntEnz)) is an enzyme complex comprising four polypeptide chains (SDHA - SDHD) with associated FAD,&amp;nbsp; Fe-S and haem prosthetic groups that catalyses the reversible oxidation (dehydrogenation) of succinate to fumarate with concomitant reduction of ubiquinone to ubiquinol, serving to channel reducing equivalents from succinate, a tricarboxylic acid (TCA) cycle intermediate, to ubiquinol, an intermediate of the mitochondrial electron transfer chain (Du et al, 2023).&lt;/p&gt;

&lt;p&gt;The overall reaction:&lt;/p&gt;

&lt;p style="margin-left:40px"&gt;succinate + ubiquinone = fumarate + ubiquinol&lt;/p&gt;

&lt;p&gt;comprises two, reversible half-reactions:&lt;/p&gt;

&lt;p style="margin-left:40px"&gt;(1) succinate + FAD = fumarate + FADH&lt;sub&gt;2&lt;/sub&gt;&lt;/p&gt;

&lt;p&gt;and:&lt;/p&gt;

&lt;p style="margin-left:40px"&gt;(2) FADH&lt;sub&gt;2&lt;/sub&gt; + ubiquinone = FAD + ubiquinol&lt;/p&gt;

&lt;p&gt;each of which is catalysed at a different active site.&lt;/p&gt;

&lt;p&gt;The active site of reaction 1 is in the hydrophilic protein SDHA that contains the covalently bound FAD group, and protudes from the inner mitochondrial membrane (IMM) into the mitochondrial matrix, making it available to exchange succinate and fumarate within the TCA cycle. The active site of reaction 2 is in a more hydrophobic region comprising transmembrane domains of proteins SDHC and SCHD that insert complex II into the IMM (Du et al, 2023), making it available to ubiquinol and ubiquinone shuttling within the IMM.&lt;/p&gt;

&lt;p&gt;The presence of two distinct and different active sites enables SDH inibition to be effected in at least two ways: by inhibition of either active site, with potentially different biochemical and physiological consequences, and by inhibitors with differing characteristics.&lt;/p&gt;

&lt;p&gt;Inhibition of SDH can result in reduction of mitochondrial electron transport, and subsequent inhibition of oxidative phosphorylation (e.g. Chen et al, 2021), and also generation of superoxide in the mitochondria, leading to with subsequently deleterious effects such as initiation of apoptosis or necrosis (Murphy et al, 2009).&lt;/p&gt;
</description>
    <measurement-methodology>&lt;p&gt;Succinate dehydrogenase activity is generally measured by the spectrophotometric detection of colour change in the presence of an&amp;nbsp; electron acceptor, with succinate (succinic acid) as substrate. Alteration in rate of colour change in the presence of a putative inhibitor determining the strength of that inhibition. The fact that the overall reaction is comprised of two consecutive sub-reactions enables the rate of each sub-reaction - and their inhibition - to be measured separately by appropriate choice of electron acceptor in the presence of succinate as a substrate (e.g. Miyadera et al, 2003). Activities are frequently measured in isolated mitochondria, in order to reduce interference by extra-cytosolic enaymes and intermediates; mitochondria can be sonicated to obviate rate limitation by mitochondrial upake of succinate (e.g. Guo et al, 2016).&lt;/p&gt;

&lt;p&gt;&lt;strong&gt;SDH activity&lt;/strong&gt;&lt;/p&gt;

&lt;p&gt;Succinate dehydrogenase (SDH) activity corresponds to reaction (1), above. It can be measured by use of the water-soluble dye 2-(4,5-dimethyl-2-thiazolyl)-3,5-diphenyl-2H-tetrazolium bromide (MTT) in the presence of the intermediate electron carrier phenazine methosulfate (PMS), to intercept electrons before their transport to ubiquinone, and convey them to MTT, which changes colour following its reduction.&lt;br /&gt;
&amp;nbsp;&lt;/p&gt;

&lt;p&gt;&lt;strong&gt;SQR activity&lt;/strong&gt;&lt;/p&gt;

&lt;p&gt;Succinate quinone reductase (SQR) activity corresponds to the overall reaction (i.e. 1 and 2), above. It can be measured by reduction of 2,6-dichlorophenolindophenol (DCPIP) in the presence of the 2,3-dimethoxy-6-methyl-1,4-benzoquinone (UQ&lt;sub&gt;2&lt;/sub&gt;), which accepts electrons from the ubiquinone reduction site and transfers them to DCPIP, thus being a measure of the rate of the entire reaction catalysed by complex II.&lt;/p&gt;
</measurement-methodology>
    <evidence-supporting-taxonomic-applicability>&lt;p&gt;SDH inhibition by phthalate esters has been measured and quantified in mitochondria of hepatocytes of adult male CD rats (Melnick and Schiller, 1982; Melnick and Schiller, 1985). Inter-species differences in SDH structure may lead to different susceptibilities in different taxa.&lt;/p&gt;

&lt;p&gt;SDH inhibition has been demonstrated by lonidamine, 3-nitroproprionic acid (3-NPA) and 2-thenoyltrifluoroacetone (TTFA) in DB-1, HepG2, HCT116 and HeLa cells, and by lonidamine in mitochondria isolated from adult mouse liver (Guo et al, 2016).&lt;/p&gt;
</evidence-supporting-taxonomic-applicability>
    <organ-term>
      <source-id>UBERON:0001280</source-id>
      <source>UBERON</source>
      <name>liver parenchyma</name>
    </organ-term>
    <cell-term>
      <source-id>CL:0000182</source-id>
      <source>CL</source>
      <name>hepatocyte</name>
    </cell-term>
    <applicability>
      <sex>
        <evidence>High</evidence>
        <sex>Male</sex>
      </sex>
      <life-stage>
        <evidence>High</evidence>
        <life-stage>Adult</life-stage>
      </life-stage>
      <taxonomy taxonomy-id="1c0a9a12-a701-4a93-bc82-2683ae2701f0">
        <evidence>High</evidence>
      </taxonomy>
    </applicability>
    <biological-events>
      <biological-event process-id="297cf131-2046-419d-9b85-6c1f3aa5cbba" action-id="ee59aae2-ea21-4eed-9ec6-0456a763166e"/>
      <biological-event object-id="3372d85e-f836-495f-a740-bd123c6f9462" process-id="57112f48-5215-4e03-8d1a-fff4c8aa9cbd" action-id="ee59aae2-ea21-4eed-9ec6-0456a763166e"/>
      <biological-event object-id="3372d85e-f836-495f-a740-bd123c6f9462" process-id="a70d8235-6202-477b-baea-e8f0f2f4c52d" action-id="ee59aae2-ea21-4eed-9ec6-0456a763166e"/>
    </biological-events>
    <references>&lt;p&gt;Brenda, &amp;quot;Information on EC 1.3.5.1 - succinate dehydrogenase&amp;quot;, &lt;a href="https://www.brenda-enzymes.org/enzyme.php?ecno=1.3.5.1"&gt;https://www.brenda-enzymes.org/enzyme.php?ecno=1.3.5.1&lt;/a&gt;, accessed 28/04/2023.&lt;/p&gt;

&lt;p&gt;Chen, L. et al (2021) &amp;quot;Citrus-derived DHCP inhibits mitochondrial complex II to enhance TRAIL sensitivity via ROS-induced DR5 upregulation&amp;quot;, &lt;em&gt;Journal of Biological Chemistry&lt;/em&gt;, Vol 296, 100515&lt;/p&gt;

&lt;p&gt;Du, Z. et al (2023) &amp;quot;Structure of the human respiratory complex II&amp;quot;, &lt;em&gt;Proceedings of the National Academy of Sciences&lt;/em&gt;&amp;quot;, Vol 120, e2216713120.&lt;/p&gt;

&lt;p&gt;Guo, L. et al (2016) &amp;quot;Inhibition of Mitochondrial Complex II by the Anticancer Agent Lonidamine&amp;quot;, &lt;em&gt;Journal of Biological Chemistry&lt;/em&gt;, Vol 291. pp42-57.&lt;/p&gt;

&lt;p&gt;IntEnz, &amp;quot;IntEnz Enzyme Nomenclature, EC 1.3.5.1&amp;quot;, &lt;a href="https://www.ebi.ac.uk/intenz/query?cmd=SearchID&amp;amp;id=1525&amp;amp;view=INTENZ"&gt;https://www.ebi.ac.uk/intenz/query?cmd=SearchID&amp;amp;id=1525&amp;amp;view=INTENZ&lt;/a&gt;, accessed 28/04/2023.&lt;/p&gt;

&lt;p&gt;Melnick, R.L. and Schiller, C.M. (1982), &amp;quot;Mitochondrial toxicity of phthalate esters&amp;quot;, &lt;em&gt;Environmental Healh Perspectives&lt;/em&gt;, Vol 45, pp51-56.&lt;/p&gt;

&lt;p&gt;Melnick, R.L. and Schiller, C.M. (1985), &amp;quot;Effect of phthalate esters on energy coupling and succinate oxidation in rat liver mitochondria&amp;quot;,&amp;nbsp;&lt;em&gt;Toxicology&lt;/em&gt;, Vol 34, pp13-27.&lt;/p&gt;

&lt;p&gt;Miyadera, H. et al (2003) &amp;quot;Atpenins, potent and specific inhibitors of mitochondrial complex II (succinateubiquinone oxidoreductase)&amp;quot;, &lt;em&gt;Proceedings of the National Academy of Sciences&lt;/em&gt;, Vol 100, pp473-477.&lt;/p&gt;

&lt;p&gt;Murphy, M.P. (2009), &amp;quot;How mitochondria produce reactive oxygen species&amp;quot;, &lt;em&gt;Biochemical Journal&lt;/em&gt;, Vol 417, pp1-13.&lt;/p&gt;
</references>
    <source>AOPWiki</source>
    <creation-timestamp>2023-04-03T10:56:31</creation-timestamp>
    <last-modification-timestamp>2023-05-04T11:49:24</last-modification-timestamp>
  </key-event>
  <key-event id="91ff1fad-eb2e-49bb-8a95-1545eeec24e9">
    <title>Increase, Insulin resistance</title>
    <short-name>Increase, Insulin resistance</short-name>
    <biological-organization-level>Organ</biological-organization-level>
    <description>&lt;p&gt;Under normal physiological conditions, an increase in plasma glucose, for instance in the post-prandial phase, leads to increased insulin secretion by the pancreas, and consequent increase in plasma&amp;nbsp;insulin concentration. The insulin increases glucose uptake into peripheral tissues, and inhibits hepatic glycogenolysis and gluconeogenesis. In times of stress, the insulin response can be inhibited by stress hormones and proinhibitory cytokines, a mechanism known as insulin resistance (IR), that serves to maintain blood glucose levels during&amp;nbsp;stress response (Tsatsoulis et al, 2013). Inappropriate stress hormone&amp;nbsp;and cytokine generation can lead to i&lt;span style="font-size:1rem"&gt;ndividuals showing inappropriate insulin resistance, manifested as lack of&amp;nbsp;insulin-stimulation of&amp;nbsp;glucose uptake into adipose and muscle, and lack of&amp;nbsp;insulin suppression of hepatic glucose release.&amp;nbsp;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;IR is associated with multiple health conditions including obesity, type 2 diabetes mellitus, metabolic syndrome, cardiovascular disease, metabolism associated fatty liver disease and polycystic ovary syndrome. It is a complex metabolic disorder, the exact causes of which are still to be fully resolved&amp;nbsp;(Li et&amp;nbsp;al, 2022). The mechanism by which IR manifests itself is primarily by abnormalities in insulin signal transduction (Pei et al, 2022).&lt;/p&gt;
</description>
    <measurement-methodology>&lt;p&gt;Clinical detection of insulin resistance generally requires measurement of plasma insulin and/or glucose under controlled circumstances, or alongside specific interventions designed to elicit a physiological insulin response. Multiple methods&amp;nbsp;of differing complexity, technical challenge, invasiveness and reliability have been devised (see Sharma et al, 2020 for a review). The hyperinsulineamic euglycaemic clamp (HEC), involving intravenous infusion of insulin to reach steady state glycemic is considered the gold standard, but is challenging, expensive and invasive. Other methods, such as the homeostatic model for insulin resistance (HOMA-IR), a single sample method,&amp;nbsp;are simpler and less invasive, but show greater interindividual variability and only moderate agreement with&amp;nbsp;the HEC. They are more suitable as epidemiological tools for population assessments (Sharma et al, 2020).&lt;/p&gt;
</measurement-methodology>
    <evidence-supporting-taxonomic-applicability>&lt;p&gt;IR, as determined by clinical measurements, as above,&amp;nbsp;can&amp;nbsp;be determined&amp;nbsp;for male and female adult and young&amp;nbsp;humans.&lt;/p&gt;
</evidence-supporting-taxonomic-applicability>
    <applicability>
      <sex>
        <evidence>High</evidence>
        <sex>Male</sex>
      </sex>
      <sex>
        <evidence>High</evidence>
        <sex>Female</sex>
      </sex>
      <life-stage>
        <evidence>High</evidence>
        <life-stage>Adult</life-stage>
      </life-stage>
      <taxonomy taxonomy-id="b0719813-fce2-414a-9357-68b866bbc4d0">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="1c0a9a12-a701-4a93-bc82-2683ae2701f0">
        <evidence>High</evidence>
      </taxonomy>
    </applicability>
    <biological-events>
      <biological-event process-id="1a3e639c-950e-461d-8f5b-6714bc0b8dc1" action-id="2fff5ac1-f827-47a7-88de-72221a56b3b4"/>
    </biological-events>
    <references>&lt;p&gt;Li, M. et al (2022), &amp;quot;Trends in insulin resistance: insights into mechanisms and therapeutic strategy&amp;quot;, &lt;em&gt;Signal Transduction and Targeted Therapy&lt;/em&gt;, Vol 7,&amp;nbsp;216.&lt;/p&gt;

&lt;p&gt;Pei, J. et al (2022), &amp;quot;Current studies on molecular mechanisms of insulin resistance&amp;quot;, &lt;em&gt;Journal of Diabetes Research,&lt;/em&gt; Vol 2022, Article ID 1863429.&lt;/p&gt;

&lt;p&gt;Sharma V.R. et al (2020), &amp;quot;Measuring Insulin Resistance in Humans&amp;quot;, &lt;em&gt;Hormone Research in Paediatrics&lt;/em&gt;, Vol 93, pp 577-588.&lt;/p&gt;

&lt;p&gt;Tsatsoulis, A. et al&amp;nbsp;(2013), &amp;quot;Insulin resistance: An adaptive mechanism becomes maladaptive in the current environment &amp;mdash; An evolutionary perspective&amp;quot;,&amp;nbsp;&lt;em&gt;Metabolism&lt;/em&gt;, Vol 62, pp 622-633.&lt;/p&gt;
</references>
    <source>AOPWiki</source>
    <creation-timestamp>2023-04-03T12:14:39</creation-timestamp>
    <last-modification-timestamp>2026-02-11T05:50:02</last-modification-timestamp>
  </key-event>
  <key-event id="82cf3729-140c-466b-89a5-f636437feb92">
    <title> Thyroxine (T4) in serum, Decreased</title>
    <short-name>T4 in serum, Decreased</short-name>
    <biological-organization-level>Tissue</biological-organization-level>
    <description>&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;All iodothyronines are derived from the modification of tyrosine molecules (Taurog, 2000). There are two biologically active thyroid hormones (THs) in serum, triiodothyronine (T3) and T4, and a few less active iodothyronines, reverse T3 (rT3), &amp;nbsp;and 3,3&amp;#39;-Diiodothyronine (3,5-T2). T4 is the predominant TH in circulation, comprising approximately 80% of the TH excreted from the thyroid gland in mammals and is the pool from which the majority of T3 in serum is generated (Zoeller et al., 2007). As such, serum T4 changes usually precede changes in other serum THs. Decreased thyroxine (T4) in serum results from one or more MIEs upstream and is considered a key biomarker of altered TH homeostasis (DeVito et al., 1999).&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Serum T4 is used as a biomarker of TH status because the circulatory system serves as the major transport and delivery system for TH delivery to tissues. The majority of THs in the blood are bound to transport proteins (Bartalena and Robbins, 1993). In serum, it is the unbound, or &amp;lsquo;free&amp;rsquo; form of the hormone that is thought to be available for transport into tissues. Free hormones are approximately 0.03 and 0.3 percent for T4 and T3, respectively. There are major species differences in the predominant binding proteins and their affinities for THs (see below). However, there is broad agreement that changes in serum concentrations of THs is diagnostic of thyroid disease or chemical-induced disruption of thyroid homeostasis across vertebrates (DeVito et al., 1999; Miller et al., 2009; Zoeller et al., 2007; Carr and Pati&amp;ntilde;o, 2011).&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Normal serum T4 reference ranges can be species and lifestage specific. In&amp;nbsp;&lt;strong&gt;rodents&lt;/strong&gt;, serum THs are low in the fetal circulation, increasing as the fetal thyroid gland becomes functional on gestational day 17, just a few days prior to birth. After birth serum hormones increase steadily, peaking at two weeks, and falling slightly to adult levels by postnatal day 21 (Walker et al., 1980; Harris et al., 1978; Goldey et al., 1995; Lau et al., 2003). Similarly, in&amp;nbsp;&lt;strong&gt;humans&lt;/strong&gt;, adult reference ranges for THs do not reflect the normal ranges for children at different developmental stages, with TH concentrations highest in infants, still increased in childhood, prior to a decline to adult levels coincident with pubertal development (Corcoran et al. 1977; Kapelari et al., 2008).&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;In some&amp;nbsp;&lt;strong&gt;frog&amp;nbsp;&lt;/strong&gt;species, there is an analogous peak in &lt;/span&gt;&lt;span style="color:black"&gt;THs&amp;nbsp;&lt;/span&gt;&lt;span style="color:black"&gt;in tadpoles that starts around embryonic NF stage 56, peaks at &lt;/span&gt;&lt;span style="color:black"&gt;s&lt;/span&gt;&lt;span style="color:black"&gt;tage 62 and the declines to lower levels by &lt;/span&gt;&lt;span style="color:black"&gt;s&lt;/span&gt;&lt;span style="color:black"&gt;tage 56 (Sternberg et al., 2011; Leloup and Buscaglia, 1977).&amp;nbsp;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Additionally, ample evidence is available from studies investigating responses to inhibitors of &lt;/span&gt;&lt;span style="color:black"&gt;TH&amp;nbsp;&lt;/span&gt;&lt;span style="color:black"&gt;synthesis in&amp;nbsp;&lt;strong&gt;fish&lt;/strong&gt;. For example, Stinckens et al. (2020) showed reduced whole body T4 concentrations in zebrafish larvae exposed to&amp;nbsp;50 or 100 mg/L methimazole, a potent TPO inhibitor,&amp;nbsp;from immediately after fertilization until 21 or 32 days of age. Exposure to 37 or 111 mg/L propylthiouracil also reduced T4 levels after exposure up to 14, 21 and 32 days in the same study. Walter et al. (2019) showed that propylthiouracil had no effect on T4 levels in 24h old zebrafish, but decreased T4 levels of 72h old zebrafish. This difference is probably due to the onset of embryonic TH production between the age of 24 and 72 hours (Opitz et al., 2011). Stinckens et al. (2016) showed that exposure to 2-mercaptobenzothiazole (MBT), an environmentally relevant TPO inhibitor, decreased whole body T4 levels in continuously exposed 5 and 32 day old zebrafish larvae. A high concentration of MBT also decreased whole body T4 levels in 6 day old fathead minnows, but recovery was observed at the age of 21 days although the fish were kept in the exposure medium (Nelson et al., 2016). Crane et al. (2006) showed decreased T4 levels in 28 day old fathead minnows continuously exposed to 32 or 100 &amp;micro;g/L methimazole.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
</description>
    <measurement-methodology>&lt;p&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Serum T3 and T4 can be measured as free (unbound) or total (bound + unbound). Free hormone concentrations are clinically considered more direct indicators of T4 and T3 activities in the body, but in animal studies, total T3 and T4 are typically measured. Historically, the most widely used method in toxicology is the radioimmunoassay (RIA). The method is routinely used in rodent endocrine and toxicity studies. The ELISA method is commonly used as a human clinical test method. Analytical determination of iodothyronines (T3, T4, rT3, T2) and their conjugates, through methods employing HPLC, liquid chromatography, immuno luminescence, and mass spectrometry are less common, but are becoming increasingly available (Hornung et al., 2015; DeVito et al., 1999; Baret and Fert, 1989; Spencer, 2013; Samanidou V.F et al., 2000; Rathmann D. et al., 2015 ). In fish early life stages most evidence for the ontogeny of thyroid hormone synthesis comes from measurements of whole body thyroid hormone levels using LC-MS techniques (Hornung et al., 2015) which are increasingly used to accurately quantify whole body thyroid hormone levels as a proxy for serum thyroid hormone levels (Nelson et al., 2016; Stinckens et al., 2016; Stinckens et al., 2020). It is important to note that thyroid hormones concentrations can be influenced by a number of intrinsic and extrinsic factors (e.g., circadian rhythms, stress, food intake, housing, noise) (see for example, D&amp;ouml;hler et al., 1979).&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Any of these measurements should be evaluated for the relationship to the actual endpoint of interest, repeatability, reproducibility, and lower limits of quantification using a fit-for-purpose approach. This is of particular significance when assessing the very low levels of TH present in fetal serum. Detection limits of the assay must be compatible with the levels in the biological sample. All three of the methods summarized above would be fit-for-purpose, depending on the number of samples to be evaluated and the associated costs of each method. Both RIA and ELISA measure THs by an indirect methodology, whereas analytical determination is the most direct measurement available. All these methods, particularly RIA, are repeatable and reproducible.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
</measurement-methodology>
    <evidence-supporting-taxonomic-applicability>&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;strong&gt;&lt;span style="color:black"&gt;Taxonomic&lt;/span&gt;&lt;/strong&gt;&lt;span style="color:black"&gt;: This KE is plausibly applicable across vertebrates and the overall evidence supporting taxonomic applicability is strong. THs are evolutionarily conserved molecules present in all vertebrate species (Hulbert, 2000; Yen, 2001). Moreover, their crucial role in zebrafish development, embryo-to-larval transition and larval-to-juvenile transition (Thienpont et al., 2011; Liu and Chan, 2002), and amphibian and lamprey metamorphoses is well established (Manzon and Youson, 1997; Yaoita and Brown, 1990; Furlow and Neff, 2006). &lt;/span&gt;&lt;span style="color:black"&gt;T&lt;/span&gt;&lt;span style="color:black"&gt;heir role as environmental messenger via exogenous routes in echinoderms confirms the hypothesis that these molecules are widely distributed among the living organisms (Heyland and Hodin, 2004). However, the role of TH&lt;/span&gt;&lt;span style="color:black"&gt;s&lt;/span&gt;&lt;span style="color:black"&gt; in the different species depends on the expression and function of specific proteins (e.g receptors or enzymes) under TH control and may vary across species and tissues. As such&lt;/span&gt;&lt;span style="color:black"&gt;,&lt;/span&gt;&lt;span style="color:black"&gt; extrapolation regarding TH action across species and developmental stages should be done with caution.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;With few exceptions, vertebrate species have circulating T4 (and T3) that are bound to transport proteins in blood. Clear species differences exist in serum transport proteins (Dohler et al., 1979; Yamauchi and Isihara, 2009). There are three major transport proteins in mammals; thyroid binding globulin (TBG), transthyretin (TTR), and albumin. In adult humans, the percent bound to these proteins is about 75, 15 and 10 percent, respectively (Schussler 2000).&amp;nbsp; In contrast, in adult rats the majority of THs are bound to TTR. Thyroid&lt;/span&gt;&lt;span style="color:black"&gt;-&lt;/span&gt;&amp;nbsp;&lt;span style="color:black"&gt;binding proteins are developmentally regulated in rats. TBG is expressed in rats until approximately postnatal day (PND) 60, with peak expression occurring during weaning (Savu et al., 1989). However, low levels of TBG persist into adult ages in rats and can be experimentally induced by hypothyroidism, malnutrition, or caloric restriction (Rouaze-Romet et al., 1992). While these species differences impact TH half-life (Capen, 1997) and possibly regulatory feedback mechanisms, there is little information on quantitative dose-response relationships of binding proteins and serum hormones during development across different species. Serum THs are still regarded as the most robust measurable key event causally linked to downstream adverse outcomes.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;strong&gt;&lt;span style="color:black"&gt;Life stage&lt;/span&gt;&lt;/strong&gt;&lt;span style="color:black"&gt;: The earliest life stages of teleost fish rely on maternally transferred THs to regulate certain developmental processes until embryonic TH synthesis is active (Power et al., 2001). As a result, T4 levels are not expected to decrease in response to exposure to inhibitors of TH synthesis during these earliest stages of development. In zebrafish, Opitz et al. (2011) showed the formation of a first thyroid follicle at 55 hours post fertilization (hpf), Chang et al. (2012) showed a first significant TH increase at 120 hpf and Walter et al. (2019) showed clear TH production already at 72 hpf but did not analyse time points between 24 and 72 hpf. In fathead minnows, a significant increase of whole body &lt;/span&gt;&lt;span style="color:black"&gt;TH&amp;nbsp;&lt;/span&gt;&lt;span style="color:black"&gt;levels was already observed between 1 and 2 dpf, which corresponds to the appearance of the thyroid anlage at 35 hpf prior to the first observation of thyroid follicles at 58 hpf (Wabuke-Bunoti and Firling, 1983). It is still uncertain when exactly embryonic TH synthesis is activated and how this determines sensitivity to TH &lt;/span&gt;&lt;span style="color:black"&gt;system &lt;/span&gt;&lt;span style="color:black"&gt;disruptors.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;strong&gt;&lt;span style="color:black"&gt;Sex&lt;/span&gt;&lt;/strong&gt;&lt;span style="color:black"&gt;:&amp;nbsp;The KE is plausibly applicable to both sexes. &lt;/span&gt;&lt;span style="color:black"&gt;THs&lt;/span&gt;&amp;nbsp;&lt;span style="color:black"&gt;are essential in both sexes and the components of the HPT-axis are identical in both sexes. There can however be sex-dependent differences in the sensitivity to the disruption of &lt;/span&gt;&lt;span style="color:black"&gt;TH&lt;/span&gt;&amp;nbsp;&lt;span style="color:black"&gt;levels and the magnitude of the response. In humans, females appear more susceptible to hypothyroidism compared to males when exposed to certain halogenated chemicals (Hernandez‐Mariano et al., 2017; Webster et al., 2014). In adult zebrafish, Liu et al. (2019) showed sex-dependent changes in &lt;/span&gt;&lt;span style="color:black"&gt;TH&lt;/span&gt;&amp;nbsp;&lt;span style="color:black"&gt;levels and mRNA expression of regulatory genes including corticotropin releasing hormone (crh), thyroid stimulating hormone (tsh) and deiodinase 2 after exposure to organophosphate flame retardants. The underlying mechanism of any sex-related differences remains unclear.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
</evidence-supporting-taxonomic-applicability>
    <organ-term>
      <source-id>UBERON:0001977</source-id>
      <source>UBERON</source>
      <name>serum</name>
    </organ-term>
    <applicability>
      <sex>
        <evidence>High</evidence>
        <sex>Female</sex>
      </sex>
      <sex>
        <evidence>High</evidence>
        <sex>Male</sex>
      </sex>
      <life-stage>
        <evidence>High</evidence>
        <life-stage>All life stages</life-stage>
      </life-stage>
      <taxonomy taxonomy-id="b0719813-fce2-414a-9357-68b866bbc4d0">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="1c0a9a12-a701-4a93-bc82-2683ae2701f0">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="8f4786e9-c2a3-4b43-97a7-a451d4ee7af6">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="d24c48eb-137f-49b3-b9ab-56e623e05228">
        <evidence>Moderate</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="2b3c38bf-8d1a-4ea6-9830-5eab544ce023">
        <evidence>Moderate</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="27b1eb5a-454a-40fa-a000-907f99c8eafc">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="7832825c-4f13-4624-a270-21100a33688e">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="eefd2591-181c-452d-b4f0-b4f8e397b8ec">
        <evidence>High</evidence>
      </taxonomy>
    </applicability>
    <biological-events>
      <biological-event object-id="69940813-8af9-4646-b550-a59b386055e2" process-id="48cbf20c-69f5-4972-9626-e8bdf02fee15" action-id="ee59aae2-ea21-4eed-9ec6-0456a763166e"/>
    </biological-events>
    <references>&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Axelrad DA, Baetcke K, Dockins C, Griffiths CW, Hill RN, Murphy PA, Owens N, Simon NB, Teuschler LK. Risk assessment for benefits analysis: framework for analysis of a thyroid-disrupting chemical. J Toxicol Environ Health A. 2005 68(11-12):837-55.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Baret A. and Fert V.&amp;nbsp; T4 and ultrasensitive TSH immunoassays using luminescent enhanced xanthine oxidase assay. J Biolumin Chemilumin. 1989. 4(1):149-153&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Bartalena L, Robbins J. Thyroid hormone transport proteins. Clin Lab Med. 1993 Sep;13(3):583-98. Bassett JH, Harvey CB, Williams GR. (2003). Mechanisms of thyroid hormone receptor-specific nuclear and extra nuclear actions. Mol Cell Endocrinol. 213:1-11.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Capen CC. Mechanistic data and risk assessment of selected toxic end points of the thyroid gland. Toxicol Pathol. 1997 25(1):39-48.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Carr JA, Patino R. 2011. The hypothalamus-pituitary-thyroid axis in teleosts and amphibians: Endocrine disruption and its consequences to natural populations. General and Comparative Endocrinology. 170(2):299-312.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Chang J, Wang M, Gui W, Zhao Y, Yu L, Zhu G. 2012. Changes in thyroid hormone levels during zebrafish development. Zoological Science. 29(3):181-184.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Cope RB, Kacew S, Dourson M. A reproductive, developmental and neurobehavioral study following oral exposure of tetrabromobisphenol A on Sprague-Dawley rats. Toxicology. 2015 329:49-59.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Corcoran JM, Eastman CJ, Carter JN, Lazarus L. (1977). Circulating thyroid hormone levels in children. Arch Dis Child. 52: 716-720.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Crane HM, Pickford DB, Hutchinson TH, Brown JA. 2006. The effects of methimazole on development of the fathead minnow, pimephales promelas, from embryo to adult. Toxicological Sciences. 93(2):278-285.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Crofton KM. Developmental disruption of thyroid hormone: correlations with hearing dysfunction in rats. Risk Anal. 2004 Dec;24(6):1665-71.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;DeVito M, Biegel L, Brouwer A, Brown S, Brucker-Davis F, Cheek AO, Christensen R, Colborn T, Cooke P, Crissman J, Crofton K, Doerge D, Gray E, Hauser P, Hurley P, Kohn M, Lazar J, McMaster S, McClain M, McConnell E, Meier C, Miller R, Tietge J, Tyl R. (1999). Screening methods for thyroid hormone disruptors. Environ Health Perspect. 107:407-415.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;D&amp;ouml;hler KD, Wong CC, von zur M&amp;uuml;hlen A (1979).&amp;nbsp;&amp;nbsp; The rat as model for the study of drug effects on thyroid function: consideration of methodological problems.&amp;nbsp; Pharmacol Ther B. 5:305-18.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Eales JG. (1997). Iodine metabolism and thyroid related functions in organisms lacking thyroid follicles: Are thyroid hormones also vitaminsProc Soc Exp Biol Med. 214:302-317.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Furlow JD, Neff ES. (2006). A developmental switch induced by thyroid hormone: Xenopus laevis metamorphosis. Trends Endocrinol Metab. 17:40&amp;ndash;47.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Goldey ES, Crofton KM. Thyroxine replacement attenuates hypothyroxinemia, hearing loss, and motor deficits following developmental exposure to Aroclor 1254 in rats. &lt;/span&gt;&lt;span style="color:black"&gt;Toxicol Sci. 1998 45(1):94-10&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Goldey ES, Kehn LS, Lau C, Rehnberg GL, Crofton KM.&amp;nbsp; &lt;/span&gt;&lt;span style="color:black"&gt;Developmental exposure to polychlorinated biphenyls (Aroclor 1254) reduces circulating thyroid hormone concentrations and causes hearing deficits in rats. Tox Appl Pharmacol. 1995 135(1):77-88.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Harris AR, Fang SL, Prosky J, Braverman LE, Vagenakis AG.&amp;nbsp; Decreased outer ring monodeiodination of thyroxine and reverse triiodothyronine in the fetal and neonatal rat.&amp;nbsp; Endocrinology. 1978 Dec;103(6):2216-22&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Hernandez-Mariano JA, Torres-Sanchez L, Bassol-Mayagoitia S, Escamilla-Nunez M, Cebrian ME, Villeda-Gutierrez EA, Lopez-Rodriguez G, Felix-Arellano EE, Blanco-Munoz J. 2017. Effect of exposure to p,p &amp;#39;-dde during the first half of pregnancy in the maternal thyroid profile of female residents in a mexican floriculture area. Environmental Research. 156:597-604.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Heyland A, Hodin J. (2004). Heterochronic developmental shift caused by thyroid hormone in larval sand dollars and its implications for phenotypic plasticity and the evolution of non-feeding development. Evolution. 58: 524-538.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Heyland A, Moroz LL. (2005). Cross-kingdom hormonal signaling: an insight from thyroid hormone functions in marine larvae. J Exp Biol. 208:4355-4361.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Hill RN, Crisp TM, Hurley PM, Rosenthal SL, Singh DV. Risk assessment of thyroid follicular cell tumors.&amp;nbsp; Environ Health Perspect. 1998 Aug;106(8):447-57.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Hornung MW, Kosian P, Haselman J, Korte J, Challis K, Macherla C, Nevalainen E, Degitz S (2015) In vitro, ex vivo and in vivo determination of thyroid hormone modulating activity of benzothiazoles. Toxicol Sci 146:254-264.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Hulbert AJ. Thyroid hormones and their effects: a new perspective. Biol Rev Camb Philos Soc. 2000 Nov;75(4):519-631. Review.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Kapelari K, Kirchlechner C,&amp;nbsp;H&amp;ouml;gler W,&amp;nbsp;Schweitzer K,&amp;nbsp;Virgolini I,&amp;nbsp;Moncayo R. 2008. Pediatric reference intervals for thyroid hormone levels from birth to adulthood: a retrospective study. BMC Endocr Disord. 8: 15.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Lau C, Thibodeaux JR, Hanson RG, Rogers JM, Grey BE, Stanton ME, Butenhoff JL, Stevenson LA.&amp;nbsp; Exposure to perfluorooctane sulfonate during pregnancy in rat and mouse. II: postnatal evaluation.&amp;nbsp; Toxicol Sci. 2003 Aug;74(2):382-92.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Leloup, J., and M. Buscaglia. La triiodothyronine: hormone de la m&amp;eacute;tamorphose des amphibiens. CR Acad Sci 284 (1977): 2261-2263.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Liu J, Liu Y, Barter RA, Klaassen CD.: Alteration of thyroid homeostasis by UDP-glucuronosyltransferase inducers in rats: a dose-response study. J Pharmacol Exp Ther 273, 977-85, 1994&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Liu XS, Cai Y, Wang Y, Xu SH, Ji K, Choi K. 2019. Effects of tris(1,3-dichloro-2-propyl) phosphate (tdcpp) and triphenyl phosphate (tpp) on sex-dependent alterations of thyroid hormones in adult zebrafish. Ecotoxicology and Environmental Safety. 170:25-32.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Liu YW, Chan WK. 2002. Thyroid hormones are important for embryonic to larval transitory phase in zebrafish. Differentiation. 70(1):36-45.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Manzon RG, Youson JH. (1997). The effects of exogenous thyroxine (T4) or triiodothyronine (T3), in the presence and absence of potassium perchlorate, on the incidence of metamorphosis and on serum T4 and T3 concentrations in larval sea lampreys (Petromyzon marinus L.). Gen Comp Endocrinol. 106:211-220.&amp;nbsp;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;McClain RM. Mechanistic considerations for the relevance of animal data on thyroid neoplasia to human risk assessment. Mutat Res. 1995 Dec;333(1-2):131-42&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Miller MD, Crofton KM, Rice DC, Zoeller RT.&amp;nbsp; Thyroid-disrupting chemicals: interpreting upstream biomarkers of adverse outcomes. Environ Health Perspect. 2009 117(7):1033-41&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Morse DC, Wehler EK, Wesseling W, Koeman JH, Brouwer A. Alterations in rat brain thyroid hormone status following pre- and postnatal exposure to polychlorinated biphenyls (Aroclor 1254). Toxicol Appl Pharmacol. 1996 Feb;136(2):269-79.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Nelson K, Schroeder A, Ankley G, Blackwell B, Blanksma C, Degitz S, Flynn K, Jensen K, Johnson R, Kahl M et al. 2016. Impaired anterior swim bladder inflation following exposure to the thyroid peroxidase inhibitor 2-mercaptobenzothiazole part i: Fathead minnow. Aquatic Toxicology. 173:192-203.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;NTP National Toxicology Program.: NTP toxicology and carcinogenesis studies of 3,3&amp;#39;-dimethylbenzidine dihydrochloride (CAS no. 612-82-8) in F344/N rats (drinking water studies). Natl Toxicol Program Tech Rep Ser 390, 1-238, 1991.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;O&amp;#39;Connor, J. C., J. C. Cook, et al. (1998). &amp;quot;An ongoing validation of a Tier I screening battery for detecting endocrine-active compounds (EACs).&amp;quot; Toxicol Sci 46(1): 45-60.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;O&amp;#39;Connor, J. C., L. G. Davis, et al. (2000). &amp;quot;Detection of dopaminergic modulators in a tier I screening battery for identifying endocrine-active compounds (EACs).&amp;quot; Reprod Toxicol 14(3): 193-205.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Opitz R, Maquet E, Zoenen M, Dadhich R, Costagliola S. 2011. Tsh receptor function is required for normal thyroid differentiation in zebrafish. Molecular Endocrinology. 25(9):1579-1599.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Power DM, Llewellyn L, Faustino M, Nowell MA, Bjornsson BT, Einarsdottir IE, Canario AV, Sweeney GE. 2001. Thyroid hormones in growth and development of fish. Comp Biochem Physiol C Toxicol Pharmacol. 130(4):447-459.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Rathmann D, Rijntjes E, Lietzow J, K&amp;ouml;hrle J. (2015) Quantitative Analysis of Thyroid Hormone Metabolites in Cell Culture Samples Using LC-MS/MS. Eur Thyroid J. Sep;4(Suppl 1):51-8.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Rouaze-Romet M, Savu L, Vranckx R, Bleiberg-Daniel F, Le Moullac B, Gouache P, Nunez EA. 1992. Reexpression of thyroxine-binding globulin in postweaning rats during protein or energy malnutrition. Acta Endocrinol (Copenh).127:441-448.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Samanidou VF, Kourti PV. (2009) Rapid HPLC method for the simultaneous monitoring of duloxetine, venlaflaxine, fluoxetine and paroxetine in biofluids. Bioanalysis. 2009 Aug;1(5):905-17.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Savu L, Vranckx R, Maya M, Gripois D, Blouquit MF, Nunez EA. 1989. Thyroxine-binding globulin and thyroxinebinding prealbumin in hypothyroid and hyperthyroid developing rats. &lt;/span&gt;&lt;span style="color:black"&gt;BiochimBiophys Acta. 992:379-384.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Schneider S, Kaufmann W, Strauss V, van Ravenzwaay B.&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;/span&gt;&lt;span style="color:black"&gt;Vinclozolin: a feasibility and sensitivity study of the ILSI-HESI F1-extended one-generation rat reproduction protocol. Regul Toxicol Pharmacol. 2011 Feb;59(1):91-100.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Schussler, G.C. (2000). The thyroxine-binding proteins. Thyroid 10:141&amp;ndash;149.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Spencer, CA. (2013). Assay of thyroid hormone and related substances. In De Groot, LJ et al. (Eds). Endotext. South Dartmouth, MA&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Sternberg RM, Thoemke KR, Korte JJ, Moen SM, Olson JM, Korte L, Tietge JE, Degitz SJ Jr. &lt;/span&gt;&lt;span style="color:black"&gt;Control of pituitary thyroid-stimulating hormone synthesis and secretion by thyroid hormones during Xenopus metamorphosis. Gen Comp Endocrinol. 2011. 173(3):428-37&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Stinckens E, Vergauwen L, Blackwell BR, Anldey GT, Villeneuve DL, Knapen D. 2020. &lt;/span&gt;&lt;span style="color:black"&gt;Effect of thyroperoxidase and deiodinase inhibition on anterior swim bladder inflation in the zebrafish. Environmental Science &amp;amp; Technology. 54(10):6213-6223.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Stinckens E, Vergauwen L, Schroeder A, Maho W, Blackwell B, Witters H, Blust R, Ankley G, Covaci A, Villeneuve D et al. 2016. Impaired anterior swim bladder inflation following exposure to the thyroid peroxidase inhibitor 2-mercaptobenzothiazole part ii: Zebrafish. Aquatic Toxicology. 173:204-217.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Taurog A. 2005. Hormone synthesis. In: Werner and Ingbar&amp;rsquo;s The Thyroid: A Fundamental and Clinical Text (Braverman LE, Utiger RD, eds). Philadelphia:Lippincott, Williams and Wilkins, 47&amp;ndash;81Walker P, Dubois JD, Dussault JH.&amp;nbsp; Free thyroid hormone concentrations during postnatal development in the rat.&amp;nbsp; Pediatr Res. 1980 Mar;14(3):247-9.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Thienpont B, Tingaud-Sequeira A, Prats E, Barata C, Babin PJ, Rald&amp;uacute;a D. Zebrafish eleutheroembryos provide a suitable vertebrate model for screening chemicals that impair thyroid hormone synthesis. Environ Sci Technol. 2011 Sep 1;45(17):7525-32.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Wabukebunoti MAN, Firling CE. 1983. The prehatching development of the thyroid-gland of the fathead minnow, pimephales-promelas (rafinesque). General and Comparative Endocrinology. 49(2):320-331.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Walter KM, Miller GW, Chen XP, Yaghoobi B, Puschner B, Lein PJ. 2019. Effects of thyroid hormone disruption on the ontogenetic expression of thyroid hormone signaling genes in developing zebrafish (danio rerio). General and Comparative Endocrinology. 272:20-32.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Webster GM, Venners SA, Mattman A, Martin JW. 2014. Associations between perfluoroalkyl acids (pfass) and maternal thyroid hormones in early pregnancy: A population-based cohort study. Environmental Research. 133:338-347.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Yamauchi K1, Ishihara A. Evolutionary changes to transthyretin: developmentally regulated and tissue-specific gene expression. FEBS J. 2009. 276(19):5357-66.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Yaoita Y, Brown DD. (1990). A correlation of thyroid hormone receptor gene expression with amphibian metamorphosis. Genes Dev. 4:1917-1924.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Yen PM. (2001). Physiological and molecular basis of thyroid hormone action. Physiol Rev. 81:1097-1142.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Zoeller RT, Tan SW, Tyl RW. General background on the hypothalamic-pituitary-thyroid (HPT) axis. Crit Rev Toxicol. 2007 Jan-Feb;37(1-2):11-53&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Zoeller, R. T., R. Bansal, et al. (2005). &amp;quot;Bisphenol-A, an environmental contaminant that acts as a thyroid hormone receptor antagonist in vitro, increases serum thyroxine, and alters RC3/neurogranin expression in the developing rat brain.&amp;quot; Endocrinology 146(2): 607-612.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
</references>
    <source>AOPWiki</source>
    <creation-timestamp>2016-11-29T18:41:23</creation-timestamp>
    <last-modification-timestamp>2022-10-10T08:52:30</last-modification-timestamp>
  </key-event>
  <key-event id="22c85f4d-e610-49f7-abb1-18f4c7db2a63">
    <title>Superoxide generation, increased</title>
    <short-name>Superoxide generation, increased</short-name>
    <biological-organization-level>Cellular</biological-organization-level>
    <description>&lt;p&gt;Superoxide, a reactive oxygen radical, is generated by incomplete (1-electron) reduction of molecular oxygen, O&lt;sub&gt;2&lt;/sub&gt;. It is generated in, amongst other locations, the mitochondrial matrix, by the operation of the electron transport chain. Electron transport-mediated generation of superoxide is a quantitatively important route of generation. Superoxide has important cellular signalling functions but, being highly reactive, excess generation can result in damage to mitochondrial macromolecules with consequent deleterious impact on the cell&amp;nbsp;(Murphy, 2009).&lt;/p&gt;
</description>
    <measurement-methodology>&lt;p&gt;Mitochondrial superoxide is difficult to measure because of the high activity of superoxide dismutase in the mitochondrial matrix, which rapidly catalyses the dismutation of superoxide to O&lt;sub&gt;2&lt;/sub&gt;&amp;nbsp;and hydrogen peroxide, H&lt;sub&gt;2&lt;/sub&gt;O&lt;sub&gt;2&lt;/sub&gt;, so measurement of mitochondrial superoxide is not routinely performed. Purified&amp;nbsp;mitochondrial proteins&amp;nbsp;can be manipulated so as to produce superoxide, but this is of limited physiological relevance. However, the H&lt;sub&gt;2&lt;/sub&gt;O&lt;sub&gt;2&lt;/sub&gt;&amp;nbsp;generated by dismutation within the mitochondrial matrix diffuses rapidly to the exterior, meaning that H&lt;sub&gt;2&lt;/sub&gt;O&lt;sub&gt;2&lt;/sub&gt; generation by isolated mitochondria can be used to measure superoxide generation&amp;nbsp;(Murphy, 2009).&lt;/p&gt;
</measurement-methodology>
    <evidence-supporting-taxonomic-applicability>&lt;p&gt;The mitochondrial generation of superoxide is widespread in aerobic cells (Murphy, 2009).&lt;/p&gt;
</evidence-supporting-taxonomic-applicability>
    <cell-term>
      <source-id>CL:0000255</source-id>
      <source>CL</source>
      <name>eukaryotic cell</name>
    </cell-term>
    <applicability>
      <sex>
        <evidence>High</evidence>
        <sex>Mixed</sex>
      </sex>
      <life-stage>
        <evidence>High</evidence>
        <life-stage>Adult</life-stage>
      </life-stage>
      <taxonomy taxonomy-id="86d778c1-258a-4a41-b8a7-b6ffeb09e799">
        <evidence>High</evidence>
      </taxonomy>
    </applicability>
    <biological-events>
      <biological-event object-id="42229440-25a9-4c2f-8bb5-59410b25c8cb" process-id="3ffebfb9-33fd-4415-b472-a5dc4c1de242" action-id="2fff5ac1-f827-47a7-88de-72221a56b3b4"/>
    </biological-events>
    <references>&lt;p&gt;Murphy, H.P. (2009), &amp;quot;How mitochondria produce reactive oxygen species&amp;quot;, &lt;em&gt;Biochemical Journal&lt;/em&gt;, Vol 417, pp1-13&lt;/p&gt;
</references>
    <source>AOPWiki</source>
    <creation-timestamp>2023-04-03T12:50:24</creation-timestamp>
    <last-modification-timestamp>2023-04-17T06:40:06</last-modification-timestamp>
  </key-event>
  <key-event id="06596f0a-9735-4674-92ed-9c9ce5547f5e">
    <title>Thyroid hormone synthesis, Decreased</title>
    <short-name>TH synthesis, Decreased</short-name>
    <biological-organization-level>Cellular</biological-organization-level>
    <description>&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;The thyroid hormones (TH), triiodothyronine (T3) and thyroxine (T4) are thyrosine&lt;/span&gt;&lt;span style="color:black"&gt;-&lt;/span&gt;&lt;span style="color:black"&gt;based hormones. Synthesis of TH&lt;/span&gt;&lt;span style="color:black"&gt;s is regulated by thyroid-stimulating hormone (TSH) binding to its receptor and thyroidal availability of iodine via the sodium iodide symporter (NIS). Other proteins contributing to TH production in the thyroid gland, including thyroperoxidase (TPO), dual oxidase enzymes (DUOX), and the transport protein pendrin are also necessary for iodothyronine production (Zoeller et al., 2007).&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;The production of THs in the thyroid gland and resulting serum concentrations are controlled by a negatively regulated feedback mechanism.&amp;nbsp;Decreased T4 and T3 serum concentrations activates the hypothalamus-pituitary-thyroid (HPT) axis which upregulates thyroid-stimulating hormone (TSH) that acts to increase production of additional THs (Zoeller and Tan, 2007). This regulatory system includes: 1) the hypothalamic secretion of the thyrotropin-releasing hormone (TRH); 2) the thyroid-stimulating hormone (TSH) secretion from the anterior pituitary; 3) hormonal transport by the plasma binding proteins; 4) cellular uptake mechanisms at the tissue level; 5) intracellular control of TH concentration&lt;/span&gt;&lt;span style="color:black"&gt;s&lt;/span&gt;&lt;span style="color:black"&gt; by deiodinating mechanisms; 6) transcriptional function of the nuclear TH receptor; and 7) in the fetus, the transplacental passage of T4 and T3 (Zoeller et al., 2007).&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;TRH and the TSH primarily regulate the production of T4, often considered a &amp;ldquo;pro-hormone,&amp;rdquo; and to a lesser extent of T3, the transcriptionally active TH. Most of the hormone released from the thyroid gland into circulation is in the form of T4, while peripheral deiodination of T4 is responsible for the majority of circulating T3. Outer ring deiodination of T4 to T3 is catalyzed by the deiodinases 1 and 2 (DIO1 and DIO2), with DIO1 expressed mainly in liver and kidney, and DIO2 expressed in several tissues including the brain (Bianco et al., 2006). Conversion of T4 to T3 takes place mainly in &lt;/span&gt;&lt;span style="color:black"&gt;the &lt;/span&gt;&lt;span style="color:black"&gt;liver and kidney, but also in other target organs such as in the brain, the anterior pituitary, brown adipose tissue, thyroid and skeletal muscle (Gereben et al., 2008; Larsen, 2009).&amp;nbsp;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:black"&gt;In &lt;strong&gt;mammals&lt;/strong&gt;, most evidence for the ontogeny of TH synthesis comes from measurements of serum hormone concentrations. And, importantly, the impact of xenobiotics on fetal hormones must include the influence of the maternal compartment since a majority of fetal THs are derived from maternal blood early in fetal life, with a transition during mid-late gestation to fetal production of THs that is still supplemented by maternal THs. In humans, THs can be found in the fetus as early as gestational weeks 10-12, and concentations rise continuously until birth. At term, fetal T4 is similar to maternal levels, but T3 remains 2-3 fold lower than maternal levels. In rats, THs can be detected in the fetus as early as the second gestational week, but fetal synthesis does not start until gestational day 17 with birth at gestational day 22-23. Maternal THs continue to supplement fetal production until parturition. (see Howdeshell, 2002; Santisteban and Bernal, 2005 for review). Due to the maternal factor, the life stage specific impact of TPO inhibition after exposure to environmental chemicals is complex (Ramhoj et al., 2022).&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Decreased TH synthesis in the thyroid gland may result from several possible molecular-initiating events (MIEs) including: 1) Disruption of key catalytic enzymes or cofactors needed for TH synthesis, including TPO, NIS, or dietary iodine insufficiency. Theoretically, decreased synthesis of Tg could also affect TH production (Kessler et al., 2008; Yi et al., 1997). Mutations in genes that encode requisite proteins in the thyroid may also lead to impaired TH synthesis, including mutations in pendrin associated with Pendred Syndrome (Dossena et al., 2011), mutations in TPO and Tg (Huang and Jap 2015), and mutations in NIS (Spitzweg and Morris, 2010). 2) Decreased TH synthesis in cases of clinical hypothyroidism may be due to Hashimoto&amp;#39;s thyroiditis or other forms of thyroiditis, or physical destruction of the thyroid gland as in radioablation or surgical treatment of thyroid lymphoma. 3) It is possible that TH synthesis may also be reduced subsequent to disruption of the negative feedback mechanism governing TH homeostasis, e.g. pituitary gland dysfunction may result in a decreased TSH signal with concomitant T3 and T4 decreases. 4) More rarely, hypothalamic dysfunction can result in decreased TH synthesis.&amp;nbsp;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Increased fetal &lt;/span&gt;&lt;span style="color:black"&gt;TH&lt;/span&gt;&amp;nbsp;&lt;span style="color:black"&gt;levels are also possible.&amp;nbsp;Maternal Graves disease, which results in fetal thyrotoxicosis (hyperthyroidism and increased serum T4 levels), has been successfully treated by maternal administration of TPO inhibitors (c.f., Sato et al., 2014). &amp;nbsp;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;It should be noted that different species and different life&lt;/span&gt; &lt;span style="color:black"&gt;stages store different amounts of TH precursor&lt;/span&gt;&lt;span style="color:black"&gt;s&lt;/span&gt;&lt;span style="color:black"&gt; and iodine within the thyroid gland. Thus, decreased TH synthesis via transient iodine insufficiency or inhibition of TPO may not affect TH release from the thyroid gland until depletion of stored iodinated Tg. Adult humans may store sufficient Tg-DIT residues to serve for several months to a year of TH demand (Greer et al., 2002; Zoeller, 2004). Neonates and infants have a much more limited supply of less than a week.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;While the &lt;/span&gt;&lt;span style="color:black"&gt;TH&lt;/span&gt;&amp;nbsp;&lt;span style="color:black"&gt;system is highly conserved across vertebrates, there are some taxon-specific considerations.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Zebrafish and fathead minnows are oviparous&amp;nbsp;&lt;strong&gt;fish&lt;/strong&gt;&amp;nbsp;species in which maternal &lt;/span&gt;&lt;span style="color:black"&gt;THs&amp;nbsp;&lt;/span&gt;&lt;span style="color:black"&gt;are transferred to the eggs and regulate early embryonic developmental processes during external (versus intra-uterine in mammals) development (Power et al., 2001; Campinho et al., 2014; Ruuskanen and Hsu, 2018) until embryonic &lt;/span&gt;&lt;span style="color:black"&gt;TH&amp;nbsp;&lt;/span&gt;&lt;span style="color:black"&gt;synthesis is initiated. Maternal transfer of &lt;/span&gt;&lt;span style="color:black"&gt;THs&amp;nbsp;&lt;/span&gt;&lt;span style="color:black"&gt;to the eggs has been demonstrated in zebrafish (Walpita et al., 2007; Chang et al., 2012) and fathead minnows (Crane et al., 2004; Nelson et al., 2016).&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Decreases in TH synthesis can only occur after initiation of embryonic TH synthesis. The components of the TH system responsible for TH synthesis are highly conserved across vertebrates and therefore interference with the same molecular targets compared to mammals can lead to decreased TH synthesis (TPO, NIS, etc.) in fish. Endogenous transcription profiles of thyroid-related genes in zebrafish and fathead minnow showed that mRNA coding for these genes is also maternally transferred and increasing expression of most transcripts during hatching and embryo-larval transition indicates a fully functional HPT axis in larvae (Vergauwen et al., 2018). Although the HPT axis is highly conserved, there are some differences between fish and mammals (Blanton and Specker, 2007; Deal and Volkoff, 2020). For example, in fish, corticotropin releasing hormone (CRH) often plays a more important role in regulating thyrotropin (TSH) secretion by the pituitary and thus &lt;/span&gt;&lt;span style="color:black"&gt;TH&lt;/span&gt;&amp;nbsp;&lt;span style="color:black"&gt;synthesis compared to TSH-releasing hormone (TRH). Also, in most fish species thyroid follicles are more diffusely located in the pharyngeal region rather than encapsulated in a gland.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
</description>
    <measurement-methodology>&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Decreased TH synthesis is often implied by measurement of TPO and NIS inhibition measured clinically and in laboratory models as these enzymes are essential for TH synthesis. Rarely is decreased TH synthesis measured directly, but rather the impact of chemicals on the quantity of T4 produced in the thyroid gland, or the amount of T4 present in serum is used as a marker of decreased T4 release from the thyroid gland (e.g., Romaldini et al., 1988). Methods used to assess TH synthesis include, incorporation of &lt;/span&gt;&lt;span style="color:black"&gt;radiolabeled&amp;nbsp;&lt;/span&gt;&lt;span style="color:black"&gt;tracer compounds, radioimmunoassay, ELISA, and analytical detection. &amp;nbsp;&amp;nbsp;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Recently, amphibian thyroid explant cultures have been used to demonstrate direct effects of chemicals on TH synthesis, as this model contains all necessary synthesis enzymes including TPO and NIS (Hornung et al., 2010). For this work THs was measured by HPLC/ICP-mass spectometry. Decreased TH synthesis and release, using T4 release as the endpoint, has been shown for thiouracil antihyperthyroidism drugs including MMI, PTU, and the NIS inhibitor perchlorate (Hornung et al., 2010).&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Techniques for &lt;/span&gt;&lt;em&gt;&lt;span style="color:black"&gt;in vivo&lt;/span&gt;&lt;/em&gt;&lt;span style="color:black"&gt; analysis of &lt;/span&gt;&lt;span style="color:black"&gt;TH&lt;/span&gt;&amp;nbsp;&lt;span style="color:black"&gt;system disruption among other drug-related effects in fish were reviewed by Raldua and Pi&amp;ntilde;a (2014). TIQDT (Thyroxine-immunofluorescence quantitative disruption test) is a method that provides an immunofluorescent based estimate of thyroxine in the gland of zebrafish (Raldua and Babin, 2009; Thienpont et al., 2011; Jomaa et al., 2014; Rehberger et al., 2018). &amp;nbsp;Thienpont used this method with ~25 xenobiotics (e.g., amitrole, perchlorate, methimazole, PTU, DDT, PCBs). The method detected changes for all chemicals known to directly impact TH synthesis in the thyroid gland (e.g., NIS and TPO &lt;/span&gt;&lt;span style="color:black"&gt;inhibitors&lt;/span&gt;&lt;span style="color:black"&gt;), but not those that upregulate hepatic catabolism of T4. Rehberger et al. (2018) updated the method to enable simultaneous semi-quantitative visualization of intrafollicular T3 and T4 levels. Most often, whole body &lt;/span&gt;&lt;span style="color:black"&gt;TH&lt;/span&gt;&lt;span style="color:black"&gt;&amp;nbsp;level measurements in fish early life stages are used as indirect evidence of decreased &lt;/span&gt;&lt;span style="color:black"&gt;TH&lt;/span&gt;&amp;nbsp;&lt;span style="color:black"&gt;synthesis (Nelson et al., 2016; Stinckens et al., 2016; Stinckens et al., 2020). Analytical determination of &lt;/span&gt;&lt;span style="color:black"&gt;TH&amp;nbsp;&lt;/span&gt;&lt;span style="color:black"&gt;levels by LC-MS is becoming increasingly available (Hornung et al., 2015).&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;More recently, transgenic zebrafish with fluorescent thyroid follicles are being used to visualize the compensatory proliferation of the thyroid follicles following inhibition of &lt;/span&gt;&lt;span style="color:black"&gt;TH&lt;/span&gt;&amp;nbsp;&lt;span style="color:black"&gt;synthesis&lt;/span&gt;&lt;span style="color:black"&gt; among others&lt;/span&gt;&lt;span style="color:black"&gt; (Opitz et al., 2012).&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
</measurement-methodology>
    <evidence-supporting-taxonomic-applicability>&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;strong&gt;&lt;span style="color:black"&gt;Taxonomic&lt;/span&gt;&lt;/strong&gt;&lt;span style="color:black"&gt;: This KE is plausibly applicable across vertebrates. Decreased TH synthesis resulting from TPO or NIS inhibition is conserved across vertebrate taxa, with&amp;nbsp;&lt;em&gt;in vivo&lt;/em&gt;&amp;nbsp;evidence from humans, rats, amphibians, some fish speci&lt;/span&gt;&lt;span style="color:black"&gt;es, and birds, and&amp;nbsp;&lt;em&gt;in vitro&lt;/em&gt;&amp;nbsp;evidence from rat and porcine microsomes. Indeed, TPO and NIS mutations result in congenital hypothyroidism in humans (Bakker et al., 2000; Spitzweg and Morris, 2010), demonstrating the essentiality of TPO and NIS function toward maintaining euthyroid status. Though decreased serum T4 is used as a surrogate measure to indicate chemical-mediated decreases in TH synthesis, clinical and veterinary management of hyperthyroidism and Graves&amp;rsquo; disease using propylthiouracil and methimazole, known to decrease TH synthesis, indicates strong evidence for chemical inhibition of TPO (Zoeller and Crofton, 2005).&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;strong&gt;&lt;span style="color:black"&gt;Life stage&lt;/span&gt;&lt;/strong&gt;&lt;span style="color:black"&gt;: Applicability to certain life stages may depend on the species and their dependence on maternally transferred &lt;/span&gt;&lt;span style="color:black"&gt;THs&lt;/span&gt;&amp;nbsp;&lt;span style="color:black"&gt;during the earliest phases of development. The earliest life stages of teleost fish (e.g., fathead minnow, zebrafish) rely on maternally transferred THs to regulate certain developmental processes until embryonic TH synthesis is active (Power et al., 2001). In externally developing fish species, decreases in TH synthesis can only occur after initiation of embryonic TH synthesis. In zebrafish, Opitz et al. (2011) showed the formation of a first thyroid follicle at 55 hours post fertilization (hpf), Chang et al. (2012) showed a first significant TH increase at 120 hpf and Walter et al. (2019) showed clear TH production already at 72 hpf but did not analyse time points between 24 and 72 hpf. TPO inhibition in a homozygous knockout line abolished the T4 production in thyroid follicles of mutant zebrafish with phenotypic abnormalities occurring from 20 dpf onwards but not before 10 dpf (Fang et al., 2022). Therefore, it is still uncertain when exactly embryonic TH synthesis is activated and thus when exactly this process becomes sensitive to disruption. In fathead minnows, a significant increase of whole body TH&lt;/span&gt;&amp;nbsp;&lt;span style="color:black"&gt;levels was already observed between 1 and 2 dpf, which corresponds to the appearance of the thyroid anlage at 35 hpf prior to the first observation of thyroid follicles at 58 hpf (Wabuke-Bunoti and Firling, 1983). It currently remains unclear when exactly embryonic &lt;/span&gt;&lt;span style="color:black"&gt;TH&amp;nbsp;&lt;/span&gt;&lt;span style="color:black"&gt;production is initiated in zebrafish.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;strong&gt;&lt;span style="color:black"&gt;Sex&lt;/span&gt;&lt;/strong&gt;&lt;span style="color:black"&gt;:&amp;nbsp;The KE is plausibly applicable to both sexes. &lt;/span&gt;&lt;span style="color:black"&gt;THs&amp;nbsp;&lt;/span&gt;&lt;span style="color:black"&gt;are essential in both sexes and the components of the HPT-axis are identical in both sexes. There can however be sex-dependent differences in the sensitivity to the disruption of &lt;/span&gt;&lt;span style="color:black"&gt;TH&lt;/span&gt;&lt;span style="color:black"&gt;&amp;nbsp;levels and the magnitude of the response. In humans, females appear more susceptible to hypothyroidism compared to males when exposed to certain halogenated chemicals (Hernandez‐Mariano et al., 2017; Webster et al., 2014). In adult zebrafish, Liu et al. (2019) showed sex-dependent changes in &lt;/span&gt;&lt;span style="color:black"&gt;TH&lt;/span&gt;&amp;nbsp;&lt;span style="color:black"&gt;levels and mRNA expression of regulatory genes including corticotropin releasing hormone (crh), thyroid stimulating hormone (tsh) and deiodinase 2 after exposure to organophosphate flame retardants. The underlying mechanism of any sex-related differences remains unclear.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&amp;nbsp;&lt;/p&gt;
</evidence-supporting-taxonomic-applicability>
    <organ-term>
      <source-id>UBERON:0002046</source-id>
      <source>UBERON</source>
      <name>thyroid gland</name>
    </organ-term>
    <cell-term>
      <source-id>CL:0002258</source-id>
      <source>CL</source>
      <name>thyroid follicular cell</name>
    </cell-term>
    <applicability>
      <sex>
        <evidence>High</evidence>
        <sex>Male</sex>
      </sex>
      <sex>
        <evidence>High</evidence>
        <sex>Female</sex>
      </sex>
      <life-stage>
        <evidence>High</evidence>
        <life-stage>All life stages</life-stage>
      </life-stage>
      <taxonomy taxonomy-id="1c0a9a12-a701-4a93-bc82-2683ae2701f0">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="b0719813-fce2-414a-9357-68b866bbc4d0">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="2b3c38bf-8d1a-4ea6-9830-5eab544ce023">
        <evidence>Moderate</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="27b1eb5a-454a-40fa-a000-907f99c8eafc">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="7832825c-4f13-4624-a270-21100a33688e">
        <evidence>Moderate</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="eefd2591-181c-452d-b4f0-b4f8e397b8ec">
        <evidence>High</evidence>
      </taxonomy>
    </applicability>
    <biological-events>
      <biological-event object-id="bd748244-d868-4fed-a8f2-dc1c91248bb7" process-id="77ec3712-befd-4bd0-89b7-66313bd88aeb" action-id="ee59aae2-ea21-4eed-9ec6-0456a763166e"/>
    </biological-events>
    <references>&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Bakker B, Bikker H, Vulsma T, de Randamie JS, Wiedijk BM, De Vijlder JJ. 2000. &lt;/span&gt;&lt;span style="color:black"&gt;Two decades of screening for congenital hypothyroidism in The Netherlands: TPO gene mutations in total iodide organification defects (an update). The Journal of clinical endocrinology and metabolism.&amp;nbsp; 85:3708-3712.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Bianco AC, Kim BW. (2006). Deiodinases: implications of the local control of thyroid hormone action. J Clin Invest. 116: 2571&amp;ndash;2579.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Blanton ML, Specker JL. 2007. The hypothalamic-pituitary-thyroid (hpt) axis in fish and its role in fish development and reproduction. Crit Rev Toxicol. 37(1-2):97-115.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Campinho MA, Saraiva J, Florindo C, Power DM. 2014. Maternal thyroid hormones are essential for neural development in zebrafish. Molecular Endocrinology. 28(7):1136-1149.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Chang J, Wang M, Gui W, Zhao Y, Yu L, Zhu G. 2012. Changes in thyroid hormone levels during zebrafish development. Zoological Science. 29(3):181-184.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Crane HM, Pickford DB, Hutchinson TH, Brown JA. 2004. Developmental changes of thyroid hormones in the fathead minnow, pimephales promelas. General and Comparative Endocrinology. 139(1):55-60.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Deal CK, Volkoff H. 2020. The role of the thyroid axis in fish. &lt;/span&gt;&lt;span style="color:black"&gt;Frontiers in Endocrinology. 11.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Dossena S,&amp;nbsp;Nofziger C,&amp;nbsp;Brownstein Z,&amp;nbsp;Kanaan M,&amp;nbsp;Avraham KB,&amp;nbsp;Paulmichl M. (2011). &lt;/span&gt;&lt;span style="color:black"&gt;Functional characterization of&amp;nbsp;pendrin&amp;nbsp;mutations found in the Israeli and Palestinian populations. Cell Physiol Biochem. 28: 477-484.Gereben B, Zavacki AM, Ribich S, Kim BW, Huang SA, Simonides WS, Ze&amp;ouml;ld A, Bianco AC. (2008). Cellular and molecular basis of deiodinase-regulated thyroid hormone signalling. Endocr Rev. 29:898&amp;ndash;938.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Fang, Y., Wan, J. P., Zhang, R. J., Sun, F., Yang, L., Zhao, S. X., Dong, M., &amp;amp; Song, H. D. (2022). Tpo knockout in zebrafish partially recapitulates clinical manifestations of congenital hypothyroidism and reveals the involvement of TH in proper development of glucose homeostasis. General and Comparative Endocrinology, 323&amp;ndash;324. https://doi.org/10.1016/j.ygcen.2022.114033&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Gereben B, Ze&amp;ouml;ld A, Dentice M, Salvatore D, Bianco AC.&amp;nbsp; Activation and inactivation of thyroid hormone by deiodinases: local action with general consequences.&amp;nbsp; Cell Mol Life Sci. 2008 Feb;65(4):570-90&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Greer MA, Goodman G, Pleus RC, Greer SE. Health effects assessment for environmental perchlorate contamination: the dose response for inhibition of thyroidal radioiodine uptake in humans. Environ Health Perspect. 2002. 110:927-937.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Hernandez-Mariano JA, Torres-Sanchez L, Bassol-Mayagoitia S, Escamilla-Nunez M, Cebrian ME, Villeda-Gutierrez EA, Lopez-Rodriguez G, Felix-Arellano EE, Blanco-Munoz J. 2017. Effect of exposure to p,p &amp;#39;-dde during the first half of pregnancy in the maternal thyroid profile of female residents in a mexican floriculture area. Environmental Research. 156:597-604.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Hornung MW, Degitz SJ, Korte LM, Olson JM, Kosian PA, Linnum AL, Tietge JE. 2010. Inhibition of thyroid hormone release from cultured amphibian thyroid glands by methimazole, 6-propylthiouracil, and perchlorate. Toxicol Sci 118:42-51.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Hornung MW, Kosian PA, Haselman JT, Korte JJ, Challis K, Macherla C, Nevalainen E, Degitz SJ. 2015. In vitro, ex vivo, and in vivo determination of thyroid hormone modulating activity of benzothiazoles. Toxicological Sciences. 146(2):254-264.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Howdeshell KL. 2002. A model of the development of the brain as a construct of the thyroid system. Environ Health Perspect. 110 Suppl 3:337-48.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Huang CJ and Jap TS. 2015. A systematic review of genetic studies of thyroid disorders in Taiwan. J Chin Med Assoc. 78: 145-153.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Jomaa B, Hermsen SAB, Kessels MY, van den Berg JHJ, Peijnenburg AACM, Aarts JMMJG, Piersma AH, Rietjens IMCM. 2014. Developmental toxicity of thyroid-active compounds in a zebrafish embryotoxicity test. Altex-Alternatives to Animal Experimentation. 31(3):303-317.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Kessler J, Obinger C, Eales G. Factors influencing the study of peroxidase-generated iodine species and implications for thyroglobulin synthesis. Thyroid. 2008 Jul;18(7):769-74. doi: 10.1089/thy.2007.0310&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Larsen PR. (2009). Type 2 iodothyronine deiodinase in human skeletal muscle: new insights into its physiological role and regulation. J Clin Endocrinol Metab. 94:1893-1895.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Liu XS, Cai Y, Wang Y, Xu SH, Ji K, Choi K. 2019. Effects of tris(1,3-dichloro-2-propyl) phosphate (tdcpp) and triphenyl phosphate (tpp) on sex-dependent alterations of thyroid hormones in adult zebrafish. Ecotoxicology and Environmental Safety. 170:25-32.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Nelson K, Schroeder A, Ankley G, Blackwell B, Blanksma C, Degitz S, Flynn K, Jensen K, Johnson R, Kahl M et al. 2016. Impaired anterior swim bladder inflation following exposure to the thyroid peroxidase inhibitor 2-mercaptobenzothiazole part i: Fathead minnow. Aquatic Toxicology. 173:192-203.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Opitz R, Maquet E, Huisken J, Antonica F, Trubiroha A, Pottier G, Janssens V, Costagliola S. 2012. Transgenic zebrafish illuminate the dynamics of thyroid morphogenesis and its relationship to cardiovascular development. Developmental Biology. 372(2):203-216.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Opitz R, Maquet E, Zoenen M, Dadhich R, Costagliola S. 2011. Tsh receptor function is required for normal thyroid differentiation in zebrafish. Molecular Endocrinology. 25(9):1579-1599.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Power DM, Llewellyn L, Faustino M, Nowell MA, Bjornsson BT, Einarsdottir IE, Canario AV, Sweeney GE. 2001. Thyroid hormones in growth and development of fish. Comp Biochem Physiol C Toxicol Pharmacol. 130(4):447-459.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Raldua D, Babin PJ. 2009. Simple, rapid zebrafish larva bioassay for assessing the potential of chemical pollutants and drugs to disrupt thyroid gland function. Environmental Science &amp;amp; Technology. 43(17):6844-6850.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Raldua D, Pina B. 2014. In vivo zebrafish assays for analyzing drug toxicity. Expert Opinion on Drug Metabolism &amp;amp; Toxicology. 10(5):685-697.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Ramhoj, L., Svingen, T., Fradrich, C., Rijntjes, E., Wirth, E.K., Pedersen, K., Kohrle, J., Axelstad, M., 2022. Perinatal exposure to the thyroperoxidase inhibitors methimazole and amitrole perturbs thyroid hormone system signaling and alters motor activity in rat offspring. Toxicology Letters 354, 44-55.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Rehberger K, Baumann L, Hecker M, Braunbeck T. 2018. Intrafollicular thyroid hormone staining in whole-mount zebrafish (danio rerio) embryos for the detection of thyroid hormone synthesis disruption. Fish Physiology and Biochemistry. 44(3):997-1010.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Romaldini JH, Farah CS, Werner RS, Dall&amp;#39;Antonia J&amp;uacute;nior RP, Camargo RS. 1988.&amp;nbsp; &amp;quot;In vitro&amp;quot; study on release of cyclic AMP and thyroid hormone in autonomously functioning thyroid nodules.&amp;nbsp; Horm Metab Res.20:510-2.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Ruuskanen S, Hsu BY. 2018. Maternal thyroid hormones: An unexplored mechanism underlying maternal effects in an ecological framework. Physiological and Biochemical Zoology. 91(3):904-916.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Santisteban P, Bernal J. Thyroid development and effect on the nervous system. Rev Endocr Metab Disord. 2005 Aug;6(3):217-28.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Spitzweg C, Morris JC. 2010. Genetics and phenomics of hypothyroidism and goiter due to NIS mutations. Molecular and cellular endocrinology. 322:56-63.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Stinckens E, Vergauwen L, Blackwell BR, Anldey GT, Villeneuve DL, Knapen D. 2020. Effect of thyroperoxidase and deiodinase inhibition on anterior swim bladder inflation in the zebrafish. Environmental Science &amp;amp; Technology. 54(10):6213-6223.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Stinckens E, Vergauwen L, Schroeder A, Maho W, Blackwell B, Witters H, Blust R, Ankley G, Covaci A, Villeneuve D et al. 2016. Impaired anterior swim bladder inflation following exposure to the thyroid peroxidase inhibitor 2-mercaptobenzothiazole part ii: Zebrafish. Aquatic Toxicology. 173:204-217.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Thienpont B, Tingaud-Sequeira A, Prats E, Barata C, Babin PJ, Rald&amp;uacute;a D.&amp;nbsp; Zebrafish eleutheroembryos provide a suitable vertebrate model for screening chemicals that impair thyroid hormone synthesis.&amp;nbsp; Environ Sci Technol. 2011. 45(17):7525-32.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Vergauwen L, Cavallin JE, Ankley GT, Bars C, Gabriels IJ, Michiels EDG, Fitzpatrick KR, Periz-Stanacev J, Randolph EC, Robinson SL et al. 2018. Gene transcription ontogeny of hypothalamic-pituitary-thyroid axis development in early-life stage fathead minnow and zebrafish. General and Comparative Endocrinology. 266:87-100.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Wabukebunoti MAN, Firling CE. 1983. The prehatching development of the thyroid-gland of the fathead minnow, pimephales-promelas (rafinesque). General and Comparative Endocrinology. 49(2):320-331.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Walpita CN, Van der Geyten S, Rurangwa E, Darras VM. 2007. The effect of 3,5,3&amp;#39;-triiodothyronine supplementation on zebrafish (danio rerio) embryonic development and expression of iodothyronine deiodinases and thyroid hormone receptors. &lt;/span&gt;&lt;span style="color:black"&gt;Gen Comp Endocrinol. 152(2-3):206-214.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Walter KM, Miller GW, Chen XP, Yaghoobi B, Puschner B, Lein PJ. 2019. &lt;/span&gt;&lt;span style="color:black"&gt;Effects of thyroid hormone disruption on the ontogenetic expression of thyroid hormone signaling genes in developing zebrafish (danio rerio). General and Comparative Endocrinology. 272:20-32.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Webster GM, Venners SA, Mattman A, Martin JW. 2014. Associations between perfluoroalkyl acids (pfass) and maternal thyroid hormones in early pregnancy: A population-based cohort study. Environmental Research. 133:338-347.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Yi X, Yamamoto K, Shu L, Katoh R, Kawaoi A. Effects of Propyithiouracil (PTU) Administration on the Synthesis and Secretion of Thyroglobulin in the Rat Thyroid Gland: A Quantitative Immuno-electron Microscopic Study Using Immunogold Technique. Endocr Pathol. 1997 Winter;8(4):315-325.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Zoeller RT, Crofton KM. 2005.&amp;nbsp; Mode of action: developmental thyroid hormone insufficiency--neurological abnormalities resulting from exposure to propylthiouracil. Crit Rev Toxicol. 35:771-81&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Zoeller RT, Tan SW, Tyl RW. 2007. General background on the hypothalamic-pituitary-thyroid (HPT) axis. Critical reviews in toxicology. &amp;nbsp;37:11-53.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Zoeller RT.&amp;nbsp; Interspecies differences in susceptibility to perturbation of thyroid hormone homeostasis requires a definition of &amp;quot;sensitivity&amp;quot; that is informative for risk analysis. Regul Toxicol Pharmacol. 2004 Dec;40(3):380.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&amp;nbsp;&lt;/p&gt;
</references>
    <source>AOPWiki</source>
    <creation-timestamp>2016-11-29T18:41:23</creation-timestamp>
    <last-modification-timestamp>2022-11-04T09:25:39</last-modification-timestamp>
  </key-event>
  <key-event id="befca21b-3385-467a-abae-8ce2322d4cfe">
    <title>Increase, Oxidative Stress </title>
    <short-name>Increase, Oxidative Stress </short-name>
    <biological-organization-level>Molecular</biological-organization-level>
    <description>&lt;p&gt;Oxidative stress is defined as an imbalance in the production of reactive oxygen species (ROS) and antioxidant defenses. High levels of oxidizing free radicals can be very damaging to cells and molecules within the cell.  As a result, the cell has important defense mechanisms to protect itself from ROS. For example, Nrf2 is a transcription factor and master regulator of the oxidative stress response. During periods of oxidative stress, Nrf2-dependent changes in gene expression are important in regaining cellular homeostasis (Nguyen, et al., 2009) and can be used as indicators of the presence of oxidative stress in the cell.&amp;nbsp;&lt;/p&gt;

&lt;p&gt;In addition to the directly damaging actions of ROS, cellular oxidative stress also changes cellular activities on a molecular level. Redox sensitive proteins have altered physiology in the presence and absence of ROS, which is caused by the oxidation of sulfhydryls to disulfides on neighboring amino acids (Antelmann &amp;amp; Helmann 2011). Importantly Keap1, the negative regulator of Nrf2, is regulated in this manner (Itoh, et al. 2010).&amp;nbsp;&lt;/p&gt;

&lt;p&gt;ROS also undermine the mitochondrial defense system from oxidative damage. The antioxidant systems consist of superoxide dismutase, catalase, glutathione peroxidase and glutathione reductase, as well as antioxidants such as &amp;alpha;-tocopherol and ubiquinol, or antioxidant vitamins and minerals including vitamin E, C, carotene, lutein, zeaxanthin, selenium, and zinc (Fletcher, 2010). The enzymes, vitamins and minerals catalyze the conversion of ROS to non-toxic molecules such as water and O2. However, these antioxidant systems are not perfect and endogenous metabolic processes and/or exogenous oxidative influences can trigger cumulative oxidative injuries to the mitochondria, causing a decline in their functionality and efficiency, which further promotes cellular oxidative stress (Balasubramanian, 2000; Ganea &amp;amp; Harding, 2006; Guo et al., 2013; Karimi et al., 2017). &amp;nbsp;&lt;/p&gt;

&lt;p&gt;However, an emerging viewpoint suggests that ROS-induced modifications may not be as detrimental as previously thought, but rather contribute to signaling processes (Foyer et al., 2017).&amp;nbsp;&lt;/p&gt;

&lt;p&gt;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;&lt;strong&gt;Sources of ROS Production&amp;nbsp;&lt;/strong&gt;&lt;/p&gt;

&lt;p&gt;&lt;strong&gt;Direct Sources: &lt;/strong&gt;Direct sources involve the deposition of energy onto water molecules, breaking them into active radical species. When ionizing radiation hits water, it breaks it into hydrogen (H*) and hydroxyl (OH*) radicals by destroying its bonds. The hydrogen will create hydroxyperoxyl free radicals (HO2*) if oxygen is available, which can then react with another of itself to form hydrogen peroxide (H2O2) and more O2 (Elgazzar and Kazem, 2015). Antioxidant mechanisms are also affected by radiation, with catalase (CAT) and peroxidase (POD) levels rising as a result of exposure (Seen et al. 2018; Ahmad et al. 2021).&amp;nbsp;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;&lt;strong&gt;Indirect Sources&lt;/strong&gt;: An indirect source of ROS is the mitochondria, which is one of the primary producers in eukaryotic cells (Powers et al., 2008).&amp;nbsp; As much as 2% of the electrons that should be going through the electron transport chain in the mitochondria escape, allowing them an opportunity to interact with surrounding structures. Electron-oxygen reactions result in free radical production, including the formation of hydrogen peroxide (H2O2) (Zhao et al., 2019). The electron transport chain, which also creates ROS, is activated by free adenosine diphosphate (ADP), O2, and inorganic phosphate (Pi) (Hargreaves et al. 2020; Raimondi et al. 2020; Vargas-Mendoza et al. 2021). The first and third complexes of the transport chain are the most relevant to mammalian ROS production (Raimondi et al., 2020). The mitochondria has its own set of DNA and it is a prime target of oxidative damage (Guo et al., 2013). ROS is also produced through nicotinamide adenine dinucleotide phosphate oxidase (Nox) stimulation, an event commenced by angiotensin II, a product/effector of the renin-angiotensin system (Nguyen Dinh Cat et al. 2013; Forrester et al. 2018). Other ROS producers include xanthine oxidase, immune cells (macrophage, neutrophils, monocytes, and eosinophils), phospholipase A2 (PLA2), monoamine oxidase (MAO), and carbon-based nanomaterials (Powers et al. 2008; Jacobsen et al. 2008; Vargas-Mendoza et al. 2021).&amp;nbsp;&lt;/p&gt;
</description>
    <measurement-methodology>&lt;p&gt;&lt;strong&gt;Oxidative Stress:&lt;/strong&gt; Direct measurement of ROS is difficult because ROS are unstable. The presence of ROS can be assayed indirectly by measurement of cellular antioxidants, or by ROS-dependent cellular damage. Listed below are common methods for detecting the KE, however there may be other comparable methods that are not listed&amp;nbsp;&lt;/p&gt;

&lt;ul&gt;
	&lt;li&gt;Detection of ROS by chemiluminescence (https://www.sciencedirect.com/science/article/abs/pii/S0165993606001683)&amp;nbsp;&lt;/li&gt;
	&lt;li&gt;Detection of ROS by chemiluminescence is also described in OECD TG 495 to assess phototoxic potential.&amp;nbsp;&lt;/li&gt;
	&lt;li&gt;Glutathione (GSH) depletion. GSH can be measured by assaying the ratio of reduced to oxidized glutathione (GSH:GSSG) using a commercially available kit (e.g., http://www.abcam.com/gshgssg-ratio-detection-assay-kit-fluorometric-green- ab138881.html).&amp;nbsp;&lt;/li&gt;
	&lt;li&gt;TBARS. Oxidative damage to lipids can be measured by assaying for lipid peroxidation using TBARS (thiobarbituric acid reactive substances) using a commercially available kit.&amp;nbsp;&lt;/li&gt;
	&lt;li&gt;8-oxo-dG. Oxidative damage to nucleic acids can be assayed by measuring 8-oxo-dG adducts (for which there are a number of ELISA based commercially available kits),or HPLC, described in Chepelev et al. (Chepelev, et al. 2015).&amp;nbsp;&lt;/li&gt;
&lt;/ul&gt;

&lt;p&gt;&amp;nbsp;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;&lt;strong&gt;Molecular Biology:&lt;/strong&gt; Nrf2. Nrf2&amp;rsquo;s transcriptional activity is controlled post-translationally by oxidation of Keap1. Assay for Nrf2 activity include:&amp;nbsp;&lt;/p&gt;

&lt;ul&gt;
	&lt;li&gt;Immunohistochemistry for increases in Nrf2 protein levels and translocation into the nucleus Western blot for increased Nrf2 protein levels&amp;nbsp;&lt;/li&gt;
	&lt;li&gt;Western blot of cytoplasmic and nuclear fractions to observe translocation of Nrf2 protein from the cytoplasm to the nucleus qPCR of Nrf2 target genes (e.g., Nqo1, Hmox-1, Gcl, Gst, Prx, TrxR, Srxn), or by commercially available pathway-based qPCR array (e.g., oxidative stress array from SABiosciences)&amp;nbsp;&lt;/li&gt;
	&lt;li&gt;Whole transcriptome profiling by microarray or RNA-seq followed by pathway analysis (in IPA, DAVID, metacore, etc.) for enrichment of the Nrf2 oxidative stress response pathway (e.g., Jackson et al. 2014)&amp;nbsp;&lt;/li&gt;
	&lt;li&gt;OECD TG422D describes an ARE-Nrf2 Luciferase test method&amp;nbsp;&lt;/li&gt;
&lt;/ul&gt;

&lt;p&gt;In general, there are a variety of commercially available colorimetric or fluorescent kits for detecting Nrf2 activation.&lt;/p&gt;

&lt;table border="1"&gt;
	&lt;tbody&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;&lt;strong&gt;Assay Type &amp;amp; Measured Content&amp;nbsp;&lt;/strong&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;&lt;strong&gt;Description&amp;nbsp;&lt;/strong&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;&lt;strong&gt;Dose Range Studied&amp;nbsp;&lt;/strong&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;&lt;strong&gt;Assay Characteristics (Length/Ease of use/Accuracy)&amp;nbsp;&lt;/strong&gt;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;ROS&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;Formation in the Mitochondria assay (Shaki et al., 2012)&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;&amp;ldquo;The mitochondrial ROS measurement was performed flow cytometry using DCFH-DA. Briefly, isolated kidney mitochondria were incubated with UA (0, 50, 100 and 200 &amp;micro;M) in respiration buffer containing (0.32 mM sucrose, 10mM Tris, 20 mM Mops, 50 &amp;micro;M EGTA, 0.5 mM MgCl2, 0.1 mM KH2PO4 and 5 mM sodium succinate) [32]. In the interval times of 5, 30 and 60 min following the UA addition, a sample was taken and DCFH-DA was added (final concentration, 10 &amp;micro;M) to mitochondria and was then incubated for 10 min.Uranyl acetate-induced ROS generation in isolated kidney mitochondria were determined through the flow cytometry (Partec, Deutschland) equipped with a 488-nm argon ion laser and supplied with the Flomax software and the signals were obtained using a 530-nm bandpass filter (FL-1 channel). Each determination is based on the mean fluorescence intensity of 15,000 counts.&amp;rdquo;&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;0, 50,100 and 200 &amp;micro;M of Uranyl Acetate&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;&amp;nbsp;Long/ Easy High accuracy&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;Mitochondrial Antioxidant Content Assay Measuring GSH content&amp;nbsp;(Shaki et al., 2012)&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;&amp;ldquo;GSH content was determined using DTNB as the indicator and spectrophotometer method for the isolated mitochondria. The mitochondrial fractions (0.5 mg protein/ml) were incubated with various concentrations of uranyl acetate for 1 h at 30 &amp;deg;C and then 0.1 ml of mitochondrial fractions was added into 0.1 mol/l of phosphate buffers and 0.04% DTNB in a total volume of 3.0 ml (pH 7.4). The developed yellow color was read at 412 nm on a spectrophotometer (UV-1601 PC, Shimadzu, Japan). GSH content was expressed as &amp;micro;g/mg protein.&amp;rdquo;&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;0, 50,&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;100, or&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;200 &amp;micro;M&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;Uranyl Acetate&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;H2O2 Production Assay Measuring H2O2 Production in isolated mitochondria (Heyno et al., 2008)&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;&amp;ldquo;Effect of CdCl2 and antimycin A (AA) on H2O2 production in isolated mitochondria from potato. H2O2 production was measured as scopoletin oxidation. Mitochondria were incubated for 30 min in the measuring buffer&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;(see the Materials and Methods) containing 0.5 mM succinate as an electron donor and 0.2 &amp;micro;M mesoxalonitrile 3‐chlorophenylhydrazone (CCCP) as an uncoupler, 10 U horseradish peroxidase and 5 &amp;micro;M scopoletin.&amp;rdquo; &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;0, 10, 30&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;&amp;micro;M Cd2+&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;&amp;nbsp;&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;2 &amp;micro;M antimycin A&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;Flow Cytometry ROS &amp;amp; Cell Viability&amp;nbsp;(Kruiderig et al., 1997)&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;&amp;ldquo;For determination of ROS, samples taken at the indicated time points were directly transferred to FACScan tubes. Dih123 (10 mM, final concentration) was added and cells were incubated at 37&amp;deg;C in a humidified atmosphere (95% air/5% CO2) for 10 min. At t 5 9, propidium iodide (10 mM, final concentration) was added, and cells were analyzed by flow cytometry at 60 ml/min. Nonfluorescent Dih123 is cleaved by ROS to fluorescent R123 and detected by the FL1 detector as described above for Dc (Van de Water 1995)&amp;rdquo;&amp;ldquo;For determination of ROS, samples taken at the indicated time points were directly transferred to FACScan tubes. Dih123 (10 mM, final concentration) was added and cells were incubated at 37&amp;deg;C in a humidified atmosphere (95% air/5% CO2) for 10 min. At t 5 9, propidium iodide (10 mM, final concentration) was added, and cells were analyzed by flow cytometry at 60 ml/min. Nonfluorescent Dih123 is cleaved by ROS to fluorescent R123 and detected by the FL1 detector as described above for Dc (Van de Water 1995)&amp;rdquo;&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;Strong/easy medium&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;DCFH-DA&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;Assay Detection of hydrogen peroxide production (Yuan et al.,&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;2016)&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;Intracellular ROS production was measured using DCFH-DA as a probe. Hydrogen peroxide oxidizes DCFH to DCF. The probe is hydrolyzed intracellularly to DCFH carboxylate anion. No direct reaction with H2O2 to form fluorescent production.&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;0-400&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;&amp;micro;M&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;Long/ Easy High accuracy&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;H2-DCF-DAAssay Detection of superoxide production (Thiebault etal., 2007)&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;This dye is a stable nonpolar compound which diffuses readily into the cells and yields H2-DCF. Intracellular OH or ONOO- react with H2-DCF when cells contain peroxides, to form the highly fluorescent compound DCF, which effluxes the cell. Fluorescence intensity of DCF is measured using a fluorescence spectrophotometer.&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;0&amp;ndash;600&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;&amp;micro;M&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;Long/ Easy High accuracy&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;CM-H2DCFDA&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;Assay (Eruslanov &amp;nbsp;&amp;amp; Kusmartsev, 2009)&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;The dye (CM-H2DCFDA) diffuses into the cell and is cleaved by esterases, the thiol reactive chlormethyl group reacts with intracellular glutathione which can be detected using flow cytometry.&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;Long/Easy/ High Accuracy&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
	&lt;/tbody&gt;
&lt;/table&gt;

&lt;p&gt;&amp;nbsp;&lt;/p&gt;

&lt;table border="1"&gt;
	&lt;tbody&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;&lt;strong&gt;Method of Measurement &amp;nbsp;&lt;/strong&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;&lt;strong&gt;References &amp;nbsp;&lt;/strong&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;&lt;strong&gt;Description &amp;nbsp;&lt;/strong&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td colspan="2"&gt;
			&lt;p&gt;&lt;strong&gt;OECD-Approved Assay&amp;nbsp;&lt;/strong&gt;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;Chemiluminescence &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;(Lu, C. et al., 2006; &amp;nbsp;&lt;/p&gt;

			&lt;p&gt;Griendling, K. K., et al., 2016)&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;ROS can induce electron transitions in molecules, leading to electronically excited products. When the electrons transition back to ground state, chemiluminescence is emitted and can be measured. Reagents such as luminol and lucigenin are commonly used to amplify the signal. &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td colspan="2"&gt;
			&lt;p&gt;No&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;Spectrophotometry &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;(Griendling, K. K., et al., 2016)&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;NO has a short half-life. However, if it has been reduced to nitrite (NO2-), stable azocompounds can be formed via the Griess Reaction, and further measured by spectrophotometry. &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td colspan="2"&gt;
			&lt;p&gt;No&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;Direct or Spin Trapping-Based electron paramagnetic resonance (EPR) Spectroscopy &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;(Griendling, K. K., et al., 2016)&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;The unpaired electrons (free radicals) found in ROS can be detected with EPR and is known as electron paramagnetic resonance. A variety of spin traps can be used. &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td colspan="2"&gt;
			&lt;p&gt;No&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;Nitroblue Tetrazolium Assay &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;(Griendling, K. K., et al., 2016)&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;The Nitroblue Tetrazolium assay is used to measure O2.&amp;minus; levels. O2.&amp;minus; reduces nitroblue tetrazolium (a yellow dye) to formazan (a blue dye), and can be measured at 620 nm. &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td colspan="2"&gt;
			&lt;p&gt;No&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;Fluorescence analysis of dihydroethidium (DHE) or Hydrocyans &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;(Griendling, K. K., et al., 2016)&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;Fluorescence analysis of DHE is used to measure O2.&amp;minus; levels.&amp;nbsp; O2.&amp;minus; is reduced to O2 as DHE is oxidized to 2-hydroxyethidium, and this reaction can be measured by fluorescence. Similarly, hydrocyans can be oxidized by any ROS, and measured via fluorescence. &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td colspan="2"&gt;
			&lt;p&gt;No&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;Amplex Red Assay &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;(Griendling, K. K., et al., 2016)&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;Fluorescence analysis to measure extramitochondrial or extracellular H2O2 levels. In the presence of horseradish peroxidase and H2O2, Amplex Red is oxidized to resorufin, a fluorescent molecule measurable by plate reader. &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td colspan="2"&gt;
			&lt;p&gt;No&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;Dichlorodihydrofluorescein Diacetate (DCFH-DA) &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;(Griendling, K. K., et al., 2016)&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;An indirect fluorescence analysis to measure intracellular H2O2 levels.&amp;nbsp; H2O2 interacts with peroxidase or heme proteins, which further react with DCFH, oxidizing it to dichlorofluorescein (DCF), a fluorescent product. &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td colspan="2"&gt;
			&lt;p&gt;No&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;HyPer Probe &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;(Griendling, K. K., et al., 2016)&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;Fluorescent measurement of intracellular H2O2 levels. HyPer is a genetically encoded fluorescent sensor that can be used for in vivo and in situ imaging. &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td colspan="2"&gt;
			&lt;p&gt;No&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;Cytochrome c Reduction Assay &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;(Griendling, K. K., et al., 2016)&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;The cytochrome c reduction assay is used to measure O2.&amp;minus; levels. O O2.&amp;minus; is reduced to O2 as ferricytochrome c is oxidized to ferrocytochrome c, and this reaction can be measured by an absorbance increase at 550 nm. &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td colspan="2"&gt;
			&lt;p&gt;No&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;Proton-electron double-resonance imaging (PEDRI) &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;(Griendling, K. K., et al., 2016)&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;The redox state of tissue is detected through nuclear magnetic resonance/magnetic resonance imaging, with the use of a nitroxide spin probe or biradical molecule. &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td colspan="2"&gt;
			&lt;p&gt;No&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;Glutathione (GSH) depletion &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;(Biesemann, N. et al., 2018) &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;A downstream target of the Nrf2 pathway is involved in GSH synthesis. As an indication of oxidation status, GSH can be measured by assaying the ratio of reduced to oxidized glutathione (GSH:GSSG) using a commercially available kit (e.g., &lt;a href="http://www.abcam.com/gshgssg-ratio-detection-assay-kit-fluorometric-green-ab138881.html" rel="noreferrer noopener" target="_blank"&gt;http://www.abcam.com/gshgssg-ratio-detection-assay-kit-fluorometric-green-ab138881.html&lt;/a&gt;).  &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td colspan="2"&gt;
			&lt;p&gt;No&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;Thiobarbituric acid reactive substances (TBARS) &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;(Griendling, K. K., et al., 2016)&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;Oxidative damage to lipids can be measured by assaying for lipid peroxidation with TBARS using a commercially available kit.  &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td colspan="2"&gt;
			&lt;p&gt;No&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;Protein oxidation (carbonylation)&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;(Azimzadeh et al., 2017; Azimzadeh et al., 2015; Ping et al., 2020)&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;Can be determined with ELISA or a commercial assay kit. Protein oxidation can indicate the level of oxidative stress.&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td colspan="2"&gt;
			&lt;p&gt;No&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;Seahorse XFp Analyzer&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;Leung et al. 2018&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;The Seahorse XFp Analyzer provides information on mitochondrial function, oxidative stress, and metabolic dysfunction of viable cells by measuring respiration (oxygen consumption rate; OCR) and extracellular pH (extracellular acidification rate; ECAR).&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;No&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
	&lt;/tbody&gt;
&lt;/table&gt;

&lt;p&gt;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Molecular Biology: Nrf2. Nrf2&amp;rsquo;s transcriptional activity is controlled post-translationally by oxidation of Keap1. Assays for Nrf2 activity include: &amp;nbsp;&lt;/p&gt;

&lt;table border="1"&gt;
	&lt;tbody&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;Method of Measurement &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;References &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;Description &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;OECD-Approved Assay&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;Immunohistochemistry &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;(Amsen, D., de Visser, K. E., and Town, T., 2009)&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;Immunohistochemistry for increases in Nrf2 protein levels and translocation into the nucleus  &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;No&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;qPCR &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;(Forlenza et al., 2012)&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;qPCR of Nrf2 target genes (e.g., Nqo1, Hmox-1, Gcl, Gst, Prx, TrxR, Srxn), or by commercially available pathway-based qPCR array (e.g., oxidative stress array from SABiosciences) &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;No&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;Whole transcriptome profiling via microarray or via RNA-seq followed by a pathway analysis&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;(Jackson, A. F. et al., 2014)&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;Whole transcriptome profiling by microarray or RNA-seq followed by pathway analysis (in IPA, DAVID, metacore, etc.) for enrichment of the Nrf2 oxidative stress response pathway&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;No&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
	&lt;/tbody&gt;
&lt;/table&gt;

&lt;p&gt;&lt;span style="color:#16a085"&gt;&lt;em&gt;&lt;strong&gt;Update - non-endorsed (by You Song, 02/09/2026)&lt;/strong&gt;&lt;/em&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;ToxCast/Tox21 assays (invitrodb v4.3):&amp;nbsp;ATG_NRF2_ARE_CIS; Tox21_ARE_BLA_Agonist_ratio; TOX21_ARE_KS_LUC_Agonist; LTEA_HepaRG_NFE2L2; LTEA_HepaRG_GCLC; LTEA_HepaRG_CAT&lt;/p&gt;
</measurement-methodology>
    <evidence-supporting-taxonomic-applicability>&lt;p&gt;&lt;span style="color:#27ae60"&gt;&lt;strong&gt;Taxonomic applicability: &lt;/strong&gt;Occurrence of oxidative stress is not species specific. &amp;nbsp;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="color:#27ae60"&gt;&lt;strong&gt;Life stage applicability:&lt;/strong&gt; Occurrence of oxidative stress is not life stage specific.&amp;nbsp;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="color:#27ae60"&gt;&lt;strong&gt;Sex applicability: &lt;/strong&gt;Occurrence of oxidative stress is not sex specific.&amp;nbsp;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="color:#27ae60"&gt;&lt;strong&gt;Evidence for perturbation by prototypic stressor:&lt;/strong&gt; There is evidence of the increase of oxidative stress following perturbation from a variety of stressors including exposure to ionizing radiation and altered gravity (Bai et al., 2020; Ungvari et al., 2013; Zhang et al., 2009). &amp;nbsp;&lt;/span&gt;&lt;/p&gt;
</evidence-supporting-taxonomic-applicability>
    <applicability>
      <sex>
        <evidence>High</evidence>
        <sex>Mixed</sex>
      </sex>
      <life-stage>
        <evidence>High</evidence>
        <life-stage>All life stages</life-stage>
      </life-stage>
      <taxonomy taxonomy-id="6fb8cada-ec27-4d50-87e7-e0f651211a85">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="6d4f2de5-40b7-43f2-b8de-cdeeaac2d24e">
        <evidence>High</evidence>
      </taxonomy>
    </applicability>
    <biological-events>
      <biological-event process-id="05cca04d-ae19-4127-846d-5a3926652667" action-id="2fff5ac1-f827-47a7-88de-72221a56b3b4"/>
    </biological-events>
    <references>&lt;p&gt;Ahmad, S. et al. (2021), &amp;ldquo;60Co-&amp;gamma; Radiation Alters Developmental Stages of Zeugodacus cucurbitae (Diptera: Tephritidae) Through Apoptosis Pathways Gene Expression&amp;rdquo;, Journal Insect Science, Vol. 21/5, Oxford University Press, Oxford, &lt;a href="https://doi.org/10.1093/jisesa/ieab080" rel="noreferrer noopener" target="_blank"&gt;https://doi.org/10.1093/jisesa/ieab080&lt;/a&gt;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Antelmann, H. and J. D. Helmann (2011), &amp;ldquo;Thiol-based redox switches and gene regulation.&amp;rdquo;, Antioxidants &amp;amp; Redox Signaling, Vol. 14/6, Mary Ann Leibert Inc., Larchmont, &lt;a href="https://doi.org/10.1089/ars.2010.3400" rel="noreferrer noopener" target="_blank"&gt;https://doi.org/10.1089/ars.2010.3400&lt;/a&gt;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Amsen, D., de Visser, K. E., and Town, T. (2009), &amp;ldquo;Approaches to determine expression of inflammatory cytokines&amp;rdquo;, in Inflammation and Cancer, Humana Press, Totowa, &lt;a href="https://doi.org/10.1007/978-1-59745-447-6_5" rel="noreferrer noopener" target="_blank"&gt;https://doi.org/10.1007/978-1-59745-447-6_5&lt;/a&gt; &amp;nbsp;&lt;/p&gt;

&lt;p&gt;Azimzadeh, O. et al. (2015), &amp;ldquo;Integrative Proteomics and Targeted Transcriptomics Analyses in Cardiac Endothelial Cells Unravel Mechanisms of Long-Term Radiation-Induced Vascular Dysfunction&amp;rdquo;, Journal of Proteome Research, Vol. 14/2, American Chemical Society, Washington, &lt;a href="https://doi.org/10.1021/pr501141b" rel="noreferrer noopener" target="_blank"&gt;https://doi.org/10.1021/pr501141b&lt;/a&gt;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Azimzadeh, O. et al. (2017), &amp;ldquo;Proteome analysis of irradiated endothelial cells reveals persistent alteration in protein degradation and the RhoGDI and NO signalling pathways&amp;rdquo;, International Journal of Radiation Biology, Vol. 93/9, Informa, London, &lt;a href="https://doi.org/10.1080/09553002.2017.1339332" rel="noreferrer noopener" target="_blank"&gt;https://doi.org/10.1080/09553002.2017.1339332&lt;/a&gt;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Azzam, E. I. et al. (2012), &amp;ldquo;Ionizing radiation-induced metabolic oxidative stress and prolonged cell injury&amp;rdquo;, Cancer Letters, Vol. 327/1-2, Elsevier, Ireland, https://doi.org/10.1016/j.canlet.2011.12.012&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Bai, J. et al. (2020), &amp;ldquo;Irradiation-induced senescence of bone marrow mesenchymal stem cells aggravates osteogenic differentiation dysfunction via paracrine signaling&amp;rdquo;, American Journal of Physiology - Cell Physiology, Vol. 318/5, American Physiological Society, Rockville, &lt;a href="https://doi.org/10.1152/ajpcell.00520.2019." rel="noreferrer noopener" target="_blank"&gt;https://doi.org/10.1152/ajpcell.00520.2019.&lt;/a&gt;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Balasubramanian, D (2000), &amp;ldquo;Ultraviolet radiation and cataract&amp;rdquo;, Journal of ocular pharmacology and therapeutics, Vol. 16/3, Mary Ann Liebert Inc., Larchmont, &lt;a href="https://doi.org/10.1089/jop.2000.16.285.%22%20/t%20%22_blank" rel="noreferrer noopener" target="_blank"&gt;https://doi.org/10.1089/jop.2000.16.285.&lt;/a&gt;  &amp;nbsp;&lt;/p&gt;

&lt;p&gt;Biesemann, N. et al., (2018), &amp;ldquo;High Throughput Screening of Mitochondrial Bioenergetics in Human Differentiated Myotubes Identifies Novel Enhancers of Muscle Performance in Aged Mice&amp;rdquo;, Scientific Reports, Vol. 8/1, Nature Portfolio, London, &lt;a href="https://doi.org/10.1038/s41598-018-27614-8" rel="noreferrer noopener" target="_blank"&gt;https://doi.org/10.1038/s41598-018-27614-8&lt;/a&gt;. &amp;nbsp;&lt;/p&gt;

&lt;p&gt;Elgazzar, A. and N. Kazem. (2015), &amp;ldquo;Chapter 23: Biological effects of ionizing radiation&amp;rdquo; in The Pathophysiologic Basis of Nuclear Medicine, Springer, New York, pp. 540-548&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Eruslanov, E., &amp;amp; Kusmartsev, S. (2010). Identification of ROS using oxidized DCFDA and flow-cytometry.&amp;nbsp;Methods in molecular biology ,N.J.,&amp;nbsp; Vol. 594, &amp;nbsp;https://doi.org/10.1007/978-1-60761-411-1_4&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Fletcher, A. E (2010), &amp;ldquo;Free radicals, antioxidants and eye diseases: evidence from epidemiological studies on cataract and age-related macular degeneration&amp;rdquo;, Ophthalmic Research, Vol. 44, Karger International, Basel, &lt;a href="https://doi.org/10.1159/000316476.%22%20/t%20%22_blank" rel="noreferrer noopener" target="_blank"&gt;https://doi.org/10.1159/000316476.&lt;/a&gt; &amp;nbsp;&lt;/p&gt;

&lt;p&gt;Forlenza, M. et al. (2012), &amp;ldquo;The use of real-time quantitative PCR for the analysis of cytokine mRNA levels&amp;rdquo; in Cytokine Protocols, Springer, New York, https://doi.org/10.1007/978-1-61779-439-1_2 &amp;nbsp;&lt;/p&gt;

&lt;p&gt;Forrester, S.J. et al. (2018), &amp;ldquo;Angiotensin II Signal Transduction: An Update on Mechanisms of Physiology and Pathophysiology&amp;rdquo;, Physiological Reviews, Vol. 98/3, American Physiological Society, Rockville, &lt;a href="https://doi.org/10.1152/physrev.00038.201" rel="noreferrer noopener" target="_blank"&gt;https://doi.org/10.1152/physrev.00038.201&lt;/a&gt;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Foyer, C. H., A. V. Ruban, and G. Noctor (2017), &amp;ldquo;Viewing oxidative stress through the lens of oxidative signalling rather than damage&amp;rdquo;, Biochemical Journal, Vol. 474/6, Portland Press, England, https://doi.org/10.1042/BCJ20160814&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Ganea, E. and J. J. Harding (2006), &amp;ldquo;Glutathione-related enzymes and the eye&amp;rdquo;, Current eye research, Vol. 31/1, Informa, London, &lt;a href="https://doi.org/10.1080/02713680500477347.%22%20/t%20%22_blank" rel="noreferrer noopener" target="_blank"&gt;https://doi.org/10.1080/02713680500477347.&lt;/a&gt; &amp;nbsp;&lt;/p&gt;

&lt;p&gt;Griendling, K. K. et al. (2016), &amp;ldquo;Measurement of reactive oxygen species, reactive nitrogen species, and redox-dependent signaling in the cardiovascular system: a scientific statement from the American Heart Association&amp;rdquo;, Circulation research, Vol. 119/5, Lippincott Williams &amp;amp; Wilkins, Philadelphia, &lt;a href="https://doi.org/10.1161/RES.0000000000000110" rel="noreferrer noopener" target="_blank"&gt;https://doi.org/10.1161/RES.0000000000000110&lt;/a&gt;&amp;nbsp;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Guo, C. et al. (2013), &amp;ldquo;Oxidative stress, mitochondrial damage and neurodegenerative diseases&amp;rdquo;, Neural regeneration research, Vol. 8/21, Publishing House of Neural Regeneration Research, China, &lt;a href="https://doi.org/10.3969/j.issn.1673-5374.2013.21.009" rel="noreferrer noopener" target="_blank"&gt;https://doi.org/10.3969/j.issn.1673-5374.2013.21.009&lt;/a&gt;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Hargreaves, M., and L. L. Spriet (2020), &amp;ldquo;Skeletal muscle energy metabolism during exercise.&amp;rdquo;, Nature Metabolism, Vol. 2, Nature Portfolio, London, &lt;a href="https://doi.org/10.1038/s42255-020-0251-4" rel="noreferrer noopener" target="_blank"&gt;https://doi.org/10.1038/s42255-020-0251-4&lt;/a&gt;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Hladik, D. and S. Tapio (2016), &amp;ldquo;Effects of ionizing radiation on the mammalian brain&amp;rdquo;, Mutation Research/Reviews in Mutation Research, Vol. 770, Elsevier, Amsterdam, &lt;a href="https://doi.org/10.1016/j.mrrev.2016.08.003" rel="noreferrer noopener" target="_blank"&gt;https://doi.org/10.1016/j.mrrev.2016.08.003&lt;/a&gt;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Itoh, K., J. Mimura and M. Yamamoto (2010), &amp;ldquo;Discovery of the negative regulator of Nrf2, Keap1: a historical overview&amp;rdquo;, Antioxidants &amp;amp; Redox Signaling, Vol. 13/11, Mary Ann Leibert Inc., Larchmont, &lt;a href="https://doi.org/10.1089/ars.2010.3222" rel="noreferrer noopener" target="_blank"&gt;https://doi.org/10.1089/ars.2010.3222&lt;/a&gt;&amp;nbsp;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Jackson, A.F. et al. (2014), &amp;ldquo;Case study on the utility of hepatic global gene expression profiling in the risk assessment of the carcinogen furan.&amp;rdquo;, Toxicology and Applied Pharmacology, Vol. 274/11, Elsevier, Amsterdam, &lt;a href="https://doi.org/10.1016/j.taap.2013.10.019" rel="noreferrer noopener" target="_blank"&gt;https://doi.org/10.1016/j.taap.2013.10.019&lt;/a&gt;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Jacobsen, N.R. et al. (2008), &amp;ldquo;Genotoxicity, cytotoxicity, and reactive oxygen species induced by single-walled carbon nanotubes and C60 fullerenes in the FE1-MutaTM Mouse lung epithelial cells&amp;rdquo;, Environmental and Molecular Mutagenesis, Vol. 49/6, John Wiley &amp;amp; Sons, Inc., Hoboken, &lt;a href="https://doi.org/10.1002/em.20406" rel="noreferrer noopener" target="_blank"&gt;https://doi.org/10.1002/em.20406&lt;/a&gt;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Karimi, N. et al. (2017), &amp;ldquo;Radioprotective effect of hesperidin on reducing oxidative stress in the lens tissue of rats&amp;rdquo;, International Journal of Pharmaceutical Investigation, Vol. 7/3, Phcog Net, Bengaluru, &lt;a href="https://doi.org/10.4103/jphi.JPHI_60_17.%E2%80%AF" rel="noreferrer noopener" target="_blank"&gt;https://doi.org/10.4103/jphi.JPHI_60_17. &lt;/a&gt;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Leung, D.T.H., and Chu, S. (2018), &amp;ldquo;Measurement of Oxidative Stress: Mitochondrial Function Using the Seahorse System&amp;rdquo; In: Murthi, P., Vaillancourt, C. (eds) Preeclampsia. Methods in Molecular Biology, vol 1710. Humana Press, New York, NY. https://doi.org/10.1007/978-1-4939-7498-6_22&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Lu, C., G. Song, and J. Lin (2006), &amp;ldquo;Reactive oxygen species and their chemiluminescence-detection methods&amp;rdquo;, TrAC Trends in Analytical Chemistry, Vol. 25/10, Elsevier, Amsterdam, &lt;a href="https://doi.org/10.1016/j.trac.2006.07.007" rel="noreferrer noopener" target="_blank"&gt;https://doi.org/10.1016/j.trac.2006.07.007&lt;/a&gt;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Nguyen Dinh Cat, A. et al. (2013), &amp;ldquo;Angiotensin II, NADPH oxidase, and redox signaling in the vasculature&amp;rdquo;, Antioxidants &amp;amp; redox signaling, Vol. 19/10, Mary Ann Liebert, Larchmont, &lt;a href="https://doi.org/10.1089/ars.2012.4641" rel="noreferrer noopener" target="_blank"&gt;https://doi.org/10.1089/ars.2012.4641&lt;/a&gt;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Ping, Z. et al. (2020), &amp;ldquo;Oxidative Stress in Radiation-Induced Cardiotoxicity&amp;rdquo;, Oxidative Medicine and Cellular Longevity, Vol. 2020, Hindawi, &lt;a href="https://doi.org/10.1155/2020/3579143" rel="noreferrer noopener" target="_blank"&gt;https://doi.org/10.1155/2020/3579143&lt;/a&gt;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Powers, S.K. and M.J. Jackson. (2008), &amp;ldquo;Exercise-Induced Oxidative Stress: Cellular Mechanisms and Impact on Muscle Force Production&amp;rdquo;, Physiological Reviews, Vol. 88/4, American Physiological Society, Rockville, &lt;a href="https://doi.org/10.1152/physrev.00031.2007" rel="noreferrer noopener" target="_blank"&gt;https://doi.org/10.1152/physrev.00031.2007&lt;/a&gt;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Raimondi, V., F. Ciccarese and V. Ciminale. (2020), &amp;ldquo;Oncogenic pathways and the electron transport chain: a dangeROS liason&amp;rdquo;, British Journal of Cancer, Vol. 122/2, Nature Portfolio, London, &lt;a href="https://doi.org/10.1038/s41416-019-0651-y" rel="noreferrer noopener" target="_blank"&gt;https://doi.org/10.1038/s41416-019-0651-y&lt;/a&gt;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Seen, S. and L. Tong. (2018), &amp;ldquo;Dry eye disease and oxidative stress&amp;rdquo;, Acta Ophthalmologica, Vol. 96/4, John Wiley &amp;amp; Sons, Inc., Hoboken, &lt;a href="https://doi.org/10.1111/aos.13526" rel="noreferrer noopener" target="_blank"&gt;https://doi.org/10.1111/aos.13526&lt;/a&gt;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Ungvari, Z. et al. (2013), &amp;ldquo;Ionizing Radiation Promotes the Acquisition of a Senescence-Associated Secretory Phenotype and Impairs Angiogenic Capacity in Cerebromicrovascular Endothelial Cells: Role of Increased DNA Damage and Decreased DNA Repair Capacity in Microvascular Radiosensitivity&amp;rdquo;, The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, Vol. 68/12, Oxford University Press, Oxford, &lt;a href="https://doi.org/10.1093/gerona/glt057." rel="noreferrer noopener" target="_blank"&gt;https://doi.org/10.1093/gerona/glt057.&lt;/a&gt;&amp;nbsp;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Vargas-Mendoza, N. et al. (2021), &amp;ldquo;Oxidative Stress, Mitochondrial Function and Adaptation to Exercise: New Perspectives in Nutrition&amp;rdquo;, Life, Vol. 11/11, Multidisciplinary Digital Publishing Institute, Basel, &lt;a href="https://doi.org/10.3390/life11111269" rel="noreferrer noopener" target="_blank"&gt;https://doi.org/10.3390/life11111269&lt;/a&gt;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Wang, H. et al. (2019), &amp;ldquo;Radiation-induced heart disease: a review of classification, mechanism and prevention&amp;rdquo;, International Journal of Biological Sciences, Vol. 15/10, Ivyspring International Publisher, Sydney, &lt;a href="https://doi.org/10.7150/ijbs.35460" rel="noreferrer noopener" target="_blank"&gt;https://doi.org/10.7150/ijbs.35460&lt;/a&gt;&amp;nbsp;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Zhang, R. et al. (2009), &amp;ldquo;Blockade of AT1 receptor partially restores vasoreactivity, NOS expression, and superoxide levels in cerebral and carotid arteries of hindlimb unweighting rats&amp;rdquo;, Journal of applied physiology, Vol. 106/1, American Physiological Society, Rockville, &lt;a href="https://doi.org/10.1152/japplphysiol.01278.2007" rel="noreferrer noopener" target="_blank"&gt;https://doi.org/10.1152/japplphysiol.01278.2007&lt;/a&gt;.&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Zhao, R. Z. et al. (2019), &amp;ldquo;Mitochondrial electron transport chain, ROS generation and uncoupling&amp;rdquo;, International journal of molecular medicine, Vol. 44/1, Spandidos Publishing Ltd., Athens, &lt;a href="https://doi.org/10.3892/ijmm.2019.4188" rel="noreferrer noopener" target="_blank"&gt;https://doi.org/10.3892/ijmm.2019.4188&lt;/a&gt;&amp;nbsp;&lt;/p&gt;
</references>
    <source>AOPWiki</source>
    <creation-timestamp>2017-05-30T13:58:17</creation-timestamp>
    <last-modification-timestamp>2026-09-02T04:19:05</last-modification-timestamp>
  </key-event>
  <key-event-relationship id="478534c4-dfcb-42dc-89d3-3024adc2614d">
    <title>
      <upstream-id>52ad2ab4-b39a-4ac1-91b2-ddf2debc9101</upstream-id>
      <downstream-id>22c85f4d-e610-49f7-abb1-18f4c7db2a63</downstream-id>
    </title>
    <description>&lt;p&gt;Succinate dehydrogenase (SDH) is a 4 subunit mitochondrial enzyme that oxidises succinate to fumarate, with the corresponding reduction of FAD to FADH&lt;sub&gt;2&lt;/sub&gt;. FADH&lt;sub&gt;2&lt;/sub&gt; is subsequently reoxidised by transfer of electrons to the mitochondrial electron transfer chain (ETC). SDH thus links the tricarboxylic acid (TCA) cycle to mitochondrial electron transfer. It is the only TCA cycle enzyme to be embedded in the mitochondrial inner membrane, as opposed to located free in the mitochondrial matrix, comprising complex II of the ETC. The mitochondrial ETC is the largest source of superoxide radicals in most mammalian cells, complex II being one source of those radicals.&lt;/p&gt;

&lt;p&gt;Inhibition of mammalian complex II activity has been recorded for many chemicals, including fungicides, other environmental chemicals and pharmaceuticals, being associated with an increase in superoxide generation in some instances. Because of the size and complexity of complex II, with multipled potential binding sites for inhibitors, generation of superoxide radical is not, per se, a guaranteed outcome of inhibition of succinate oxidation. The site and nature of the enzyme-inhibitor interaction is potential determining factor.&lt;/p&gt;

&lt;p&gt;This KER is concerned with the direct reversible or irreversible binding of inhibitory chemicals to complex II, leading to a reduction in the dehydrogenation of succinate, and the potential for consequent generation of mitochondrial superoxide radicals. Other effects, such as reduction in expression of complex II components, are not covered.&lt;/p&gt;

&lt;p&gt;&amp;nbsp;&lt;/p&gt;
</description>
    <evidence-collection-strategy>&lt;p&gt;The following search was executed in Pubmed on 27/04/2023:&lt;/p&gt;

&lt;p style="margin-left:40px"&gt;(&amp;quot;complex II&amp;quot;[Title] and inhibit* and mitochond*) OR (&amp;quot;succinate dehydrogenase&amp;quot; AND inhibition)&lt;/p&gt;

&lt;p&gt;generating 2341 hits. In order to reduce the hits to a more tractable set a further specification of &amp;quot;superoxide&amp;quot; was added to the second bracketed term&lt;/p&gt;

&lt;p style="margin-left:40px"&gt;(&amp;quot;complex II&amp;quot;[Title] and inhibit* and mitochond*) OR (&amp;quot;succinate dehydrogenase&amp;quot; AND inhibition AND superoxide)&lt;/p&gt;

&lt;p&gt;generating 286 hits whose abstracts were reviewed for further reference to direct chemical inhibition of SDH or complex II activity. As the search term contains &amp;quot;superoxide&amp;quot;, some hits from this search also included information about potential impact on superoxide generation. Several articles provided evidence for multiple interactions by a chemical that could also potentially give rise to increase in superoxide concentrations (e.g. interactions at both ETC complexes II and III). Such articles have not been cited as supporting evidence for this KER. In those articles that have been cited in support of this KER, the lack of evidence presented for additional interactions, other than SDH inhibition, that could potentially give rise to increased superoxide production does not rule out the possibility of such interactions being observed in the future.&lt;/p&gt;

&lt;p&gt;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;&amp;nbsp;&lt;/p&gt;
</evidence-collection-strategy>
    <weight-of-evidence>
      <value>&lt;p&gt;Evidence is provided in terms of (i) the biological plausibility of the KER, and (ii) empirical evidence that supports, quantitatively or qualitatively, the manifestation of the relationship in mammals in vivo, or in mammalian ex vivo or in vitro systems.&lt;/p&gt;

&lt;p&gt;&amp;nbsp;&lt;/p&gt;
</value>
      <biological-plausibility>&lt;ol&gt;
	&lt;li&gt;multiple inhibitors of SDH/mitochondrial complex II are known,&lt;/li&gt;
	&lt;li&gt;interference with the mitochondrial ETC is widely known to result in generation of excess superoxide,&lt;/li&gt;
	&lt;li&gt;complex II is known to be able to generate superoxide radical under certain conditions.&lt;/li&gt;
&lt;/ol&gt;

&lt;p&gt;Consequently, inhibition of SDH/complex II is potentially liable to alter the production of superoxide radicals.&lt;/p&gt;
</biological-plausibility>
      <emperical-support-linkage>&lt;p&gt;Numerous instances of chemicals both inhibiting SDH/complex II and generating excess mitochondrial superoxide have been reported.&lt;/p&gt;

&lt;p&gt;2-thenoyltrifluoroacetone (TTFA) and the anticancer agent lonidamine have been shown to inhibit succinate dehydrogenation to fumarate in a variety of cell lines (DB-1, HepG2, HCT116 and HeLa), and to inhibit the generation of fumarate and malate (into which fumarate is converted by the TCA cycle enzyme fumarase) in isolated mouse liver mitochondria.&amp;nbsp; Both compounds additionally lead to an increase in reactive oxygen (ROS) species generation in DM-1 cells (Guo et al, 2016). Similarly,&lt;span style="font-size:16px"&gt; trans-4,5-dihydroxy-2-cyclopentene-1-one (DCHP), derived from heat-treated citrus pectin inhibits complex II, in HCT116 cells, and leads to an increase in ROS generation in mitochondria isolated from HCT-116 cells (Chen et al, 2021).&lt;/span&gt;&lt;/p&gt;
</emperical-support-linkage>
      <uncertainties-or-inconsistencies></uncertainties-or-inconsistencies>
    </weight-of-evidence>
    <known-modulating-factors></known-modulating-factors>
    <quantitative-understanding>
      <description>&lt;p&gt;Succinate dehydrogenase is a large, multi-protein, multi-centre enzyme, with separate binding sites for succinate (which is oxidised to fumarate) and ubiquinone (which is reduced to ubiquinol) in the two part-reactions that together comprise the full reaction (succinate + ubiquinone -&amp;gt; fumarate + ubiquinol). Electrons can be released at different sites for the reduction of oxygen to superoxide, so the relationship between inhibition of two-electron succinate oxidation, inhibition of two-electron ubiquinone reduction, and stiumlation of one-electron reduction of oxygen to superoxide depends on the particular inhibition mechanism and characteristics of a specific inhibitor. Thus, 3-nitroproprionate (3-NPA), a structural analogue of succinate, inhibits the succinate oxidation step, but does not generate ROS (Guo et al, 2016), so there is a complete disconnect between inhibition of the enzyme and generation of superoxide for this compound.&lt;/p&gt;

&lt;p&gt;For compounds that both inhibit the reaction, and generate superoxide, a quantitative linkage has to be defined in terms of:&lt;/p&gt;

&lt;ol&gt;
	&lt;li&gt;On the one hand the rate of superoxide generation, and&lt;/li&gt;
	&lt;li&gt;On the either hand:
	&lt;ol&gt;
		&lt;li&gt;The extent of inhibition of succinate oxidation, and/or&lt;/li&gt;
		&lt;li&gt;The extent of inhibition of ubiquinone reduction.&lt;/li&gt;
	&lt;/ol&gt;
	&lt;/li&gt;
&lt;/ol&gt;

&lt;p&gt;These relationships may not be quantitatively equal.&lt;/p&gt;

&lt;p&gt;&amp;nbsp;&lt;/p&gt;
</description>
      <response-response-relationship></response-response-relationship>
      <time-scale>&lt;p&gt;Reversible or irreversible binding to, and inhibition of, succinate dehydrogenase potentially occurs within seconds or minutes of exposure in in vitro or in vivo systems. In the presence of continued inhibition, superoxide concentrations build up in respiring mitochondria or cells occurs over a period of minutes to hours. The consequent downstream increases in intracellular superoxide generation can have multiple impacts on affected cells, leading to inhibition of susceptible enzymes, changes in enzyme expression levels and apoptosis. These changes can occur within minutes to hours of exposure. Thus, separating the proximal manifestation of the KER - the production of superoxide - from the distal manifestation of consequent events - is limited to a period of seconds to minutes for practical interpretation, relatively free of the downstream consequences.&lt;/p&gt;

&lt;p&gt;ROS generation in DB-1 cells has been observed during 4 h incubations with lonidamine and with TTFA (Guo et al, 2016).&lt;/p&gt;

&lt;p&gt;&amp;nbsp;&lt;/p&gt;
</time-scale>
      <feedforward-feedback-loops>&lt;p&gt;&lt;br /&gt;
&amp;nbsp;&lt;/p&gt;
</feedforward-feedback-loops>
    </quantitative-understanding>
    <applicability>
    </applicability>
    <evidence-supporting-taxonomic-applicability>&lt;p&gt;The simultaneous inibition of the reduction of succinate to fumarate, and the generation of ROS has been demonstrated in isolated mouse liver mitochondria (Guo et al, 2016)&lt;/p&gt;
</evidence-supporting-taxonomic-applicability>
    <references>&lt;p&gt;Chen, L. et al (2021) &amp;quot;Citrus-derived DHCP inhibits mitochondrial complex II to enhance TRAIL sensitivity via ROS-induced DR5 upregulation&amp;quot;, &lt;em&gt;Journal of Biological Chemistry&lt;/em&gt;, Vol 296, 100515&lt;/p&gt;

&lt;p&gt;Guo, L. et al (2016) &amp;quot;Inhibition of Mitochondrial Complex II by the Anticancer Agent Lonidamine&amp;quot;, &lt;em&gt;Journal of Biological Chemistry&lt;/em&gt;, Vol 291, pp42-57.&lt;/p&gt;
</references>
    <source>AOPWiki</source>
    <creation-timestamp>2023-04-03T12:51:59</creation-timestamp>
    <last-modification-timestamp>2023-05-04T07:10:23</last-modification-timestamp>
  </key-event-relationship>
  <key-event-relationship id="75accd97-c7ab-4ed9-b07f-6ba7891d02f0">
    <title>
      <upstream-id>22c85f4d-e610-49f7-abb1-18f4c7db2a63</upstream-id>
      <downstream-id>befca21b-3385-467a-abae-8ce2322d4cfe</downstream-id>
    </title>
    <description>&lt;div&gt;
&lt;p&gt;Superoxide, a reactive oxygen radical is produced by one-electron reduction of molecular oxygen by multiple intracellular enzymes. Under normal physiological conditions, superoxide generation and breakdown are held in balance by the enzymatic and non-enzymatic components of the cell, including superoxide dismutase, with the result that dangerous levels of superoxide are not produced; under conditions in which superoxide production exceeds the ability of the cell to catabolise it, reactive oxygen molecules can accumulate, resulting in oxidative damage to cell components, a condition known as oxidative stress.&lt;/p&gt;
&lt;/div&gt;
</description>
    <evidence-collection-strategy>&lt;div&gt;
&lt;p&gt;The following pubmed search was performed on 30/05/2023:&lt;/p&gt;

&lt;p&gt;&amp;quot;superoxide&amp;quot;[Title] and &amp;quot;oxidative stress&amp;quot;[Title] AND mitochondri*[Title]&lt;/p&gt;

&lt;p&gt;which generated 37 hits. The abstracts were read to identify articles that appeared relevant to the development of this KER, resulting in 12 being selected for study.&lt;/p&gt;
&lt;/div&gt;
</evidence-collection-strategy>
    <weight-of-evidence>
      <value>&lt;div&gt;
&lt;p&gt;This KER is supported both by its biological plausibility and by empirical data.&lt;/p&gt;
&lt;/div&gt;
</value>
      <biological-plausibility>&lt;div&gt;
&lt;p&gt;Superoxide (O&lt;sub&gt;2&lt;/sub&gt;&lt;sup&gt;-.&lt;/sup&gt;) is produced by one-electron reduction of molecular oxygen (O&lt;sub&gt;2&lt;/sub&gt;) by multiple intracellular enzymes, including xanthine oxidase, nitric oxide synthase, aldehyde oxidase, NADPH oxidases, fumarase, and complexes within the mitochondrial electron transport chain, the latter source being quantitatively the most important in most tissues. Superoxide dismutase isozymes in the mitochondria, cytoplasm and extracellular fluid catalyse the disproportionation of superoxide to molecular oxygen and hydrogen peroxide (H&lt;sub&gt;2&lt;/sub&gt;O&lt;sub&gt;2&lt;/sub&gt;):&lt;/p&gt;

&lt;p&gt;2O&lt;sub&gt;2&lt;/sub&gt;&lt;sup&gt;-.&lt;/sup&gt; + 2H&lt;sup&gt;+&lt;/sup&gt; -&amp;gt; H&lt;sub&gt;2&lt;/sub&gt;O&lt;sub&gt;2&lt;/sub&gt; + O&lt;sub&gt;2&lt;/sub&gt;&lt;/p&gt;

&lt;p&gt;Hydogen peroxide can be catabolised by catalase or glutathione peroxidase, reducing the risk of reactions involving the peroxide ion (O&lt;sub&gt;2&lt;/sub&gt;&lt;sup&gt;2-&lt;/sup&gt;).&lt;/p&gt;

&lt;p&gt;Superoxide can also generate the highly reactive hydroxyl radical (HO&lt;sup&gt;.&lt;/sup&gt;) by Fe&lt;sup&gt;2+&lt;/sup&gt;-catalysed reaction with hydrogen peroxide:&lt;/p&gt;

&lt;p&gt;O&lt;sub&gt;2&lt;/sub&gt;&lt;sup&gt;-.&lt;/sup&gt; + H&lt;sub&gt;2&lt;/sub&gt;O&lt;sub&gt;2&lt;/sub&gt;&amp;nbsp; -&amp;gt; HO&lt;sup&gt;.&lt;/sup&gt; + O&lt;sub&gt;2&lt;/sub&gt;&lt;/p&gt;

&lt;p&gt;and peroxynitrite (ONOO&lt;sup&gt;.&lt;/sup&gt;), a strong oxidant, by reaction with nitric oxide (NO&lt;sup&gt;.&lt;/sup&gt;):&lt;/p&gt;

&lt;p&gt;O&lt;sub&gt;2&lt;/sub&gt;&lt;sup&gt;-.&lt;/sup&gt; + NO&lt;sup&gt;.&lt;/sup&gt;&amp;nbsp; -&amp;gt; ONOO&lt;sup&gt;.&lt;/sup&gt;&lt;/p&gt;

&lt;p&gt;Under normal physiological conditions, superoxide generation and breakdown are held in balance by the enzymatic and non-enzymatic (such as glutathione) components of the cell&amp;#39;s antioxidant capability. Under conditions, however, in which superoxide production exceeds the ability of the cell to catabolise it, reactive oxygen molecules can accumulate with detrimental impact on the cell components, a condition known as oxidative stress. See Indo et al (2015) for a review.&lt;/p&gt;
&lt;/div&gt;
</biological-plausibility>
      <emperical-support-linkage>&lt;div&gt;
&lt;ol&gt;
	&lt;li&gt;&lt;span style="font-size:11.0pt"&gt;&lt;span style="font-family:Calibri"&gt;Treatment with 25-250ug/mL calcium oxalate monohydrate increased the rate of superoxide generation from mitochondria of permeabilised renal epithelial cells (LLC-PK1 and MDCK), and led to a decrease in both total and reduced glutathione content&lt;/span&gt;&lt;/span&gt; (Khand et al, 2001).&lt;/li&gt;
	&lt;li&gt;
	&lt;p&gt;&lt;span style="font-size:11.0pt"&gt;&lt;span style="font-family:Calibri"&gt;sod2-/- (mitochondrial SOD) mice treated with antioxidants EUK-8, EUK134 and EU-189 show reduced lethal and neurodegenerative effects of excess superoxide generation (Hinderfield et al, 2004).&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
	&lt;/li&gt;
	&lt;li&gt;
	&lt;p&gt;&lt;span style="font-size:11.0pt"&gt;&lt;span style="font-family:Calibri"&gt;Overexpression of MnSOD in diabetic mice prevented: (i) the diabetes-induced decreases in retinal glutathione concentration and total antioxidant capacity, and (ii) the diabetes-induced increases in the levels of 8-hydroxy 2&amp;#39;-deoxyguanosine and nitrotyrosine, all markers of oxidative stress (Kowluru et al, 2006).&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
	&lt;/li&gt;
&lt;/ol&gt;

&lt;p&gt;Further evidence is cited in Indo et al (2015).&lt;/p&gt;
&lt;/div&gt;
</emperical-support-linkage>
      <uncertainties-or-inconsistencies></uncertainties-or-inconsistencies>
    </weight-of-evidence>
    <known-modulating-factors></known-modulating-factors>
    <quantitative-understanding>
      <description>&lt;div&gt;
&lt;p&gt;The quantiative understanding of this KER is low&lt;/p&gt;
&lt;/div&gt;
</description>
      <response-response-relationship></response-response-relationship>
      <time-scale></time-scale>
      <feedforward-feedback-loops></feedforward-feedback-loops>
    </quantitative-understanding>
    <applicability>
      <sex>
        <evidence>High</evidence>
        <sex>Unspecific</sex>
      </sex>
      <life-stage>
        <evidence>High</evidence>
        <life-stage>Adult</life-stage>
      </life-stage>
      <taxonomy taxonomy-id="86d778c1-258a-4a41-b8a7-b6ffeb09e799">
        <evidence>High</evidence>
      </taxonomy>
    </applicability>
    <evidence-supporting-taxonomic-applicability></evidence-supporting-taxonomic-applicability>
    <references>&lt;div&gt;
&lt;p&gt;Hinderfield, D. et al (2004), &amp;quot;Endogenous mitochondrial oxidative stress: neurodegeneration, proteomic analysis, specific respiratory chain defects, and efficacious antioxidant therapy in superoxide dismutase 2 null mice&amp;quot;, &lt;em&gt;Journal of Neurochemistry&lt;/em&gt;, Vol 88, pp 657-67.&lt;/p&gt;

&lt;p&gt;Indo, H.P. et al (2015), &amp;quot;A mitochondrial superoxide theory for oxidative stress diseases and aging&amp;quot;, &lt;em&gt;Journal of Clinical Biochemistry and Nutrition&lt;/em&gt;&amp;quot;, Vol 56, pp 1-7.&lt;/p&gt;

&lt;p&gt;Khand, F.D. et al (2002), &amp;quot;Mitochondrial superoxide production during oxalate-mediated oxidative stress in renal epithelial cells&amp;quot;, &lt;em&gt;Free Radicals in Biology and Medicine&lt;/em&gt;, Vol 32, pp 1339-50.&lt;/p&gt;

&lt;p&gt;Kowrulu, R.A. et al (2006), &amp;quot;Overexpression of mitochondrial superoxide dismutase in mice prevents the retina from diabetes-induced oxidative stress&amp;quot;, &lt;em&gt;Free Radicals in Biology and Medicine&lt;/em&gt;, Vol 41, pp 1191-6.&lt;/p&gt;
&lt;/div&gt;
</references>
    <source>AOPWiki</source>
    <creation-timestamp>2024-07-04T13:17:00</creation-timestamp>
    <last-modification-timestamp>2024-07-04T13:23:23</last-modification-timestamp>
  </key-event-relationship>
  <key-event-relationship id="78e6dd1e-9a4d-4190-a167-90e95d49f4a8">
    <title>
      <upstream-id>befca21b-3385-467a-abae-8ce2322d4cfe</upstream-id>
      <downstream-id>06596f0a-9735-4674-92ed-9c9ce5547f5e</downstream-id>
    </title>
    <description>&lt;div&gt;
&lt;p&gt;Increases in oxidative stress in the thyroid gland in vivo and in thyroid cells or cell lines in vitro have been shown to cause detrimental change to multiple aspects of thyroid structure and function. Within this KER, evidence is collated that such changes could include reduction in thyroxine (T4) synthesis, with consequential reduction in T4 secretion into the blood.&lt;/p&gt;
&lt;/div&gt;
</description>
    <evidence-collection-strategy>&lt;div&gt;
&lt;p&gt;A search of Pubmed was made for the following terms:&lt;/p&gt;

&lt;p&gt;((thyroxine[Title] OR thyroid[Title]) AND &amp;quot;oxidative stress&amp;quot;[Title]) OR (thyroxine[Title/Abstract] AND ROS[Title/Abstract])&lt;/p&gt;

&lt;p&gt;that retrieved 194 hits on 10/05/2023. The abstracts of these hits were individually inspected for any indication of reference to data relevant to the impact of oxidative stress on thyroid hormone synthesis/release (whether stimuatory, inhibitive or without effect). This inspection resulted in the identification of 33 publications for initial detailed investigation. These publications were reviewed in full, along with any citations within them that indicated further information regarding this KER - supportive or otherwise - could be found within them.&lt;/p&gt;
&lt;/div&gt;
</evidence-collection-strategy>
    <weight-of-evidence>
      <value>&lt;p&gt;Evidence is provided in terms of (i) the biological plausibility of the KER, and (ii) empirical evidence that supports, quantitatively or qualitatively, the manifestation of the relationship in mammals in vivo, or in mammalian ex vivo or in vitro systems.&lt;/p&gt;
</value>
      <biological-plausibility>&lt;div&gt;
&lt;p&gt;Increases in oxidative stress in the thyroid gland in vivo and in thyroid cells or cell lines in vitro have been shown to cause detrimental change to multiple aspects of thyroid structure and function, as is observed in a wide range of organs, tissues and cells or cell lines, and are implicaated in the aetiology of numerous thyroid disorders, including the development of thyroid nodules, Hashimoto&amp;#39;s thyroiditis, Graves disease and thyroid cancer (see Kochman et al (2021) and Macvanin et al (2023) for overviews).&lt;/p&gt;

&lt;p&gt;Given that one of the major functions of the thyroid is to generate thyroxine (along with its structural analogue triiodothyronine (T3)), it is plausible that cellular dysfunction can lead to a reduction in the synthesis of T4 and T3.&lt;/p&gt;
&lt;/div&gt;
</biological-plausibility>
      <emperical-support-linkage>&lt;div&gt;
&lt;p&gt;Male albino rats treated with 3mg/kg carbon tetrachloride (CCL&lt;sub&gt;4&lt;/sub&gt;) intraperitonally (ip) on two occasions 3 days apart showed significantly reduced serum triiodithyronine (T3) and thyroxine (T4) and increase in TSH. Thyroid weight, and relative thyroid weight increased, as did thyroidal DNA damage. Follicular colloid was depleted, blood thyroidal blood vessels were congested and follicular cells showed hyperplasia. Thyroidal glutathione (GSH) decreased, but thyroidal TBARS (thiobarbituric acid reactive substances), hydrogen peroxide (H2O2) and nitrites increased. Protein content of thyroid 12000g supernatant decreased. Catalase and peroxidase activities and superoxide dismutase specific activities were significantly reduced, as were the specific activities of glutathione transferase, glutathione reductase, glutathione peroxidase and quinone reductase. The specific activity of gamma-glutamyl transferase, an enzyme of the glutathione cycle, involved in the synthesis of glutathione, was increased. The decrease in glutathione, and the increases in TBARS and H2O2 demonstrate an increase in oxidative stress, supported by the observation of increased DNA damage. The enzyme changes observed could be contributory factors in that oxidative stress increase.&amp;nbsp; The histological observations indicate significant changes in thyroidal form and function, potentially leading to a decrease in net T4 synthesis and secretion. All observed and measured changes were mitigated by administration of a methanolic extract of &lt;em&gt;Sonchus asper&lt;/em&gt;, an effect hypothesised to be mediated by anti-oxidant compounds (sesquiterpene lactone alkaloids, ascorbic acid and carotenoids) in the plant. Most effects were mitigated in a dose-dependent manner (using 100 or 200mg/kg of extract administered orally). &lt;em&gt;Sonchus asper&lt;/em&gt; extract given alone did not significantly effect any of the biochemical measurements or histological observations (Khan 2012).&lt;/p&gt;

&lt;p&gt;Male Sprague-Dawley rats treated with DEHP (250, 500, 750mg/kg/day)for 30 days showed a decrease in plasma total free and total triiodothyronine (fT3 and tT3), free and total thyroxine (fT4 and tT4) and thyrotropin releasing hormone (TRH), with unchanged levels of plasma TSH. Histological assessment of the thyroid showed dose-dependent increases in the number of follicular cells and reduction in the follicular cavity volume. Ultrastructural changes observed with TEM included changes to nucleus, dilation of the RER and appearance of vacuoles. Reactive oxygen species (ROS) were generated in the liver. In vitro, Nthy-ori 3-1 cells treated with 400&amp;micro;M for 24hours showed an increase in ROS generation over controls that was largely diminished by the presence of 1mM N-acetyl cycteine, a ROS scavenger (Ye et al, 2017).&lt;/p&gt;

&lt;p&gt;Male Wistar rats treated with the synthetic pyrethroid insecticide lambda-cyhalothrin&lt;span style="font-size:18px"&gt; (&lt;span style="font-family:Calibri"&gt;&amp;alpha;-cyano-3-phenoxy -benzyl-3-(2-chloro-3, 3,3-trifluoro-1-propenyl)-2, 2-dimethylcyclopropanecarboxylate, LCT) &lt;/span&gt;&lt;/span&gt;at 0.79mg/kg (1% of the LD&lt;sub&gt;50&lt;/sub&gt;) for 3 days/week for 4 weeks for a total study duration of 30 days showed significant decreases in plasma T3 and T4 and a significant increase in TSH. Investigations of the thyroid in treated rats showed multiple structural, biochemical and pathological alterations, including degeneration of thyroid follicles; reduction in periodic acid-Schiff staining in colloid and mercury bromophenol blue staining in colloid and follicular cells indicating, respectively, reduction in carbohydrate-containing macromolecules and protein content; reduction of mean follicular diameter from 35&amp;micro;m to 23&amp;micro;m; statistically significant increases in measures of DNA damage (tail length and percent of DNA damaged) determined in the comet assay. Statistical increases in plasma malondialdehyde (MDA, a marker of reactive oxygen species (ROS) activity), superoxide dismutase and catalase indicate an increase in the body burden of ROS caused by LCT treatment (Al-Amoudi et al, 2018). All of these changes were ameliorated by co-administration of ginger extract with LCT, an effect ascribed to the anti-oxidant propeties of compounds in the ginger extract.&lt;/p&gt;

&lt;p&gt;Male albino rats treated with 200mg/kg/day bisphenol A (BPA) orally for 35 days showed significant increase in serum TSH and decrease in T3 and T4 compared to control animals. Thyroid weight, but not body weight was significantly reduced. Markers of increased oxidative stress or damage in the thyroid include inreased malondialdehyde concentration, DNA damage (increased tail length and moment, and increased % damaged DNA in the comet assay) and decreased reduced glutathione concentration. Thyroidal gene or protein expression changes included increased induction of myeloperoxidase, decrease in nuclear factor erythroid-derived 2-like 2 (Nrf-2) gene expression and protein concentration and haem-oxygenase 1 (HO-1) expression, and increase in inducible nitric oxide synthase (iNOS) compared to control. mRNA levels of TSHR, TPO and NIS were all reduced. Histological evaluation of the thyroid revealed BPA-induced congestion of capillaries, increased lymphocyte infiltration, increase in variability of follicle size and marked decrease in colloid content compared to control animals. Nearly all effects were wholly or partially ameliorated by co-administration of ginger extract (Mohammed et al, 2020).&lt;/p&gt;

&lt;p&gt;Male Wistar rates exposed to PCB118 for 13 weeks showed a dose-dependent decrease in plasma free triiodothyronine (fT3), plasma free thyroxine (fT4) and increase in plasma thyroid stimulating hormone (TSH) over doses of 0,10,100 and 1000&amp;micro;g/kg/day. Thyroids from treated rats, and FRTL-5 cells treated with a range of concentrations up to 25nM showed histological and biochemical signs of disruption, and evidence for generation of reactive oxygen species (Xu et al, 2022).&lt;/p&gt;

&lt;p&gt;These compounds have been shown to generate reactive oxygen species or oxidative stress in vivo (Amjad et al, 2020; Mondal and Bandyopadhyay, 2023; Unsal et al, 2020; Wang et al, 2023; Yang et al, 2020).&lt;/p&gt;
&lt;/div&gt;
</emperical-support-linkage>
      <uncertainties-or-inconsistencies>&lt;div&gt;
&lt;p&gt;The bulk of the empirical evidence described above supports the view that administration of high doses of certain xenobiotics (e.g. bisphenol A, CCL&lt;sub&gt;4&lt;/sub&gt;, DEHP, lambda-cyhalothrin) in vivo results in oxidative stress in the thyroid, frequently with clear histological evidence of structural disruption, including loss of colloidal material, and hypothyroidism; namely reduced plasma concentrations of T3 and T4, and elevated plasma TSH. These compounds are, though, well documented as generators of reactive oxygen species or oxidative stress. Similarly, though, several of the compounds are documented as stimulators of T4 clearance. Furthermore, the relatively long-term duration of the studies, and the high doses used, raises the possibility that any changes in T4 secretion rate are consequences of thyroidal changes brought about by other mechanisms, rather than direct response increased oxidative stress in the thyroid: the thyroidal oxidative stress observed could be a consequence of thyroidal damage, without, itself, necessarily being a cause of reduced T4 synthesis. As a result, the observed changes in plasma T4 concentration could be a consequence of contributions from:&lt;/p&gt;

&lt;ol&gt;
	&lt;li&gt;Increased T4 clearance and/or&lt;/li&gt;
	&lt;li&gt;Reduced T4 synthesis and secretion:
	&lt;ol&gt;
		&lt;li&gt;Arising from increase in oxidative stress, and/or&lt;/li&gt;
		&lt;li&gt;Arising from other mechanisms that may cause an increase in oxidative stress.&lt;/li&gt;
	&lt;/ol&gt;
	&lt;/li&gt;
&lt;/ol&gt;

&lt;p&gt;The balance between these contributions can be expected to differ between compounds. Further evidence regarding timings and the chain of events is necessary to determine cause and effect, and the balance of these contributions for different compounds.&lt;/p&gt;

&lt;p&gt;In contrast to the empirical evidence presented above, treatment of female wistar rats with 40mg/kg/day bisphenol A for 15 days led to an increase in total T3 of 33% over controls, despite evidence for increase in thyroidal reactive oxygen species (specifically H&lt;sub&gt;2&lt;/sub&gt;O&lt;sub&gt;2&lt;/sub&gt;), reduction in radioactive iodine uptake, and detrimental histological changes in the thyroid gland, including loss of follicular colloid (da Silva et al, 2018).&lt;/p&gt;
&lt;/div&gt;
</uncertainties-or-inconsistencies>
    </weight-of-evidence>
    <known-modulating-factors></known-modulating-factors>
    <quantitative-understanding>
      <description></description>
      <response-response-relationship></response-response-relationship>
      <time-scale></time-scale>
      <feedforward-feedback-loops></feedforward-feedback-loops>
    </quantitative-understanding>
    <applicability>
      <sex>
        <evidence>Moderate</evidence>
        <sex>Male</sex>
      </sex>
      <life-stage>
        <evidence>Moderate</evidence>
        <life-stage>Adult</life-stage>
      </life-stage>
      <taxonomy taxonomy-id="86d778c1-258a-4a41-b8a7-b6ffeb09e799">
        <evidence>Moderate</evidence>
      </taxonomy>
    </applicability>
    <evidence-supporting-taxonomic-applicability></evidence-supporting-taxonomic-applicability>
    <references>&lt;div&gt;
&lt;p&gt;Al-Amoudi, W.M. (2018), &amp;quot;Toxic effects of lambda-cyalothrin on the rat thyroid: involvement of oxidative stress and ameliorative effect of ginger extract&amp;quot;, &lt;em&gt;Toxicology Reports&lt;/em&gt;, Vol 5, pp 728-736.&lt;/p&gt;

&lt;p&gt;Amjad, S. et al (2020), &amp;quot;Role of antioxidants in alleviating bisphenol A toxicity&amp;quot;, &lt;em&gt;Biomolecules&lt;/em&gt;, Vol 10, 1105.&lt;/p&gt;

&lt;p&gt;da Silva, M.M. et al (2018), &amp;quot;Bisphenol A increases hydrigen peroxide generation by thyrocytes both in vivo and in vitro&amp;quot;, &lt;em&gt;Endocrine Connections&lt;/em&gt;, Vol 7, pp 1196-1207.&lt;/p&gt;

&lt;p&gt;Khan, R.A. (2012), &amp;quot;&lt;span style="font-size:18px"&gt;&lt;span style="font-family:&amp;quot;Calibri Light&amp;quot;"&gt;Protective effects of &lt;em&gt;Sonchus asper&lt;/em&gt; (L.) Hill, (Asteraceae) against CCl4-induced oxidative stress in the thyroid tissue of rats&lt;/span&gt;&lt;/span&gt;&amp;quot;, &lt;em&gt;BMC Complementary and Alternative Medicine&lt;/em&gt;, Vol 12, 181.&lt;/p&gt;

&lt;p&gt;Kochman, J. et al (2012), &amp;quot;The influence of oxidative stress on thyroid diseases&amp;quot;, &lt;em&gt;Antioxidants&lt;/em&gt;, Vol 10, 1442.&lt;/p&gt;

&lt;p&gt;Macvanin, M.T. et al (2023), &amp;quot;The protective role of nutritional antioxidants against oxidative stress in thyorid disorders&amp;quot;, &lt;em&gt;Frontiers in Endocrinology&lt;/em&gt;, Vol 13, 1092837.&lt;/p&gt;

&lt;p&gt;Mohammed, E.T. et al (2020), &amp;quot;Ginger extract ameliorates bisphenol A (BPA)-induced disruption in thyroid hormones synthesis and metabolism: involvement of Nr-2/HO-1 pathway&amp;quot;, &lt;em&gt;Science of the Total Environment&lt;/em&gt;, Vol 73, 134664.&lt;/p&gt;

&lt;p&gt;Mondal, S. and Bandyopadhyay, A. (2023), &amp;quot;From oxidative imbalance to compromised standard sperm parameters: toxicological aspects of phthalate esters on spermatozoa&amp;quot;, &lt;em&gt;Environmental Toxicology and Pharmacology&lt;/em&gt;, Vol 98, 104085.&lt;/p&gt;

&lt;p&gt;Unsal, V. et al (2020), &amp;quot;Toxicity of carbon tetrachloride, free radicals and role of antioxidants&amp;quot;, &lt;em&gt;Research in Environmental Health&lt;/em&gt;, Vol 36, pp279-295.&lt;/p&gt;

&lt;p&gt;Wang, Q.-Y. et al (2023), &amp;quot;2,3&amp;#39;,4,4&amp;#39;,5-Pentachlorophenol induces mitochondria-dependent apoptosis mediated by AhR/Cyp1a1 in mouse germ cells&amp;quot;, &lt;em&gt;Journal of Hazard Materials&lt;/em&gt;, Vol 445, 130457.&lt;/p&gt;

&lt;p&gt;Xu, W. et al (2022), &amp;quot;2,3&amp;rsquo;,4,4&amp;rsquo;,5-Pentachlorobiphenyl induced thyroid dysfunction by increasing mitochondrial oxidative stress&amp;quot;, &lt;em&gt;The Journal of Toxicological Sciences&lt;/em&gt;, Vol 47, pp 555-565.&lt;/p&gt;

&lt;div&gt;
&lt;p&gt;Yang, C. et al (2020), &amp;quot;Mediation of oxidative stress toxicity induced by pyrethroid pesticides in fish&amp;quot;, &lt;em&gt;Comp Biochem Physiol C Toxicol Pharmacol.&lt;/em&gt;, Vol 234, 108758.&lt;/p&gt;

&lt;p&gt;Ye, H. et al (2017), &amp;quot;Di2-ethylhexyl phthalate disrupts thyroid hormone homeostasis through activating the Ras/Akt/TRHr pathway and inducing hepatic enzymes&amp;quot;, &lt;em&gt;Scientific Reports&lt;/em&gt;, Vol 7, 40153.&lt;/p&gt;
&lt;/div&gt;
&lt;/div&gt;
</references>
    <source>AOPWiki</source>
    <creation-timestamp>2024-07-04T13:52:47</creation-timestamp>
    <last-modification-timestamp>2024-07-04T14:13:34</last-modification-timestamp>
  </key-event-relationship>
  <key-event-relationship id="eade1597-0fee-40a9-af8c-b9c2c5e35afd">
    <title>
      <upstream-id>06596f0a-9735-4674-92ed-9c9ce5547f5e</upstream-id>
      <downstream-id>82cf3729-140c-466b-89a5-f636437feb92</downstream-id>
    </title>
    <description>&lt;p&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Thyroid hormones (THs), thyroxine (T4) and triiodothyronine (T3) are synthesized by NIS and TPO in the thyroid gland as iodinated thyroglobulin (Tg) and stored in the colloid of thyroid follicles across vertebrates. Secretion from the follicle into serum is a multi-step process. The first involves thyroid stimulating hormone (TSH) stimulation of the separation of the peptide linkage between Tg and TH. The next steps involve endocytosis of colloid, fusion of the endosome with the basolateral membrane of the thyrocyte, and finally release of TH into blood. More detailed descriptions of this process can be found in reviews by Braverman and Utiger (2012) and Zoeller et al. (2007).&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
</description>
    <evidence-collection-strategy></evidence-collection-strategy>
    <weight-of-evidence>
      <value>&lt;p&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;The weight of evidence linking these two KEs of decreased TH synthesis and decreased T4 in serum is strong. It is commonly accepted dogma that decreased synthesis in the thyroid gland will result in decreased circulating TH (serum T4).&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
</value>
      <biological-plausibility>&lt;p&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;The biological relationship between two KEs in this KER is well understood and documented fact within the scientific community.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
</biological-plausibility>
      <emperical-support-linkage>&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;It is widely accepted that TPO inhibition leads to declines in serum T4 levels in adult&amp;nbsp;&lt;strong&gt;mammals&lt;/strong&gt;. This is due to the fact that the sole source for circulating T4 derives from hormone synthesis in the thyroid gland. Indeed, it has been known for decades that insufficient dietary iodine will lead to decreased serum TH concentrations due to inadequate synthesis. Strong qualitative and quantitative relationships exist between reduced TH synthesis and reduced serum T4 (Ekerot et al., 2013; Degon et al., 2008; Cooper et al., 1982; 1983; Leonard et al., 2016; Zoeller and Tan, 2007).&amp;nbsp; There is more limited evidence supporting the relationship between decreased TH synthesis and lowered circulating hormone levels during development.&amp;nbsp; Lu and Anderson (1994) followed the time course of TH synthesis, measured as thyroxine secretion rate, in non-treated pregnant rats and correlated it with serum T4 levels. Modeling of TH in the rat fetus demonstrates the quantitative relationship between TH synthesis and serum T4 concentrations (Hassan et al., 2017, 2020; Handa et al., 2021). Furthermore, a wide variety of drugs and chemicals that inhibit TPO are known to result in decreased release of TH from the thyroid gland, as well as decreased circulating TH concentrations. This is evidenced by a very large number of studies that employed a wide variety of techniques, including thyroid gland explant cultures, tracing organification of 131-I and &lt;/span&gt;&lt;em&gt;&lt;span style="color:black"&gt;in vivo&lt;/span&gt;&lt;/em&gt;&lt;span style="color:black"&gt; treatment of a variety of animal species with known TPO inhibitors (King and May,1984; Atterwill et al., 1990; Brown et al., 1986; Brucker-Davis, 1998; Haselman et al., 2020; Hornung et al., 2010; Hurley et al., 1998; Kohrle, 2008; Tietge et al., 2010).&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Additionally, evidence is available from studies investigating responses to TPO inhibitors in&amp;nbsp;&lt;strong&gt;fish&lt;/strong&gt;. For example, Stinckens et al. (2020) showed reduced whole body T4 concentrations in zebrafish larvae exposed to&amp;nbsp;50 or 100 mg/L methimazole, a potent TPO inhibitor,&amp;nbsp;from immediately after fertilization until 21 or 32 days of age. Exposure to 37 or 111 mg/L propylthiouracil also reduced T4 levels after exposure up to 14, 21 and 32 days in the same study. Walter et al. (2019) showed that propylthiouracil had no effect on T4 levels in 24h old zebrafish, but decreased T4 levels of 72h old zebrafish. This difference is probably due to the onset of embryonic TH production between the age of 24 and 72 hours (Opitz et al., 2011). Stinckens et al. (2016) showed that exposure to 2-mercaptobenzothiazole (MBT), an environmentally relevant TPO inhibitor, decreased whole body T4 levels in continuously exposed 5 and 32 day old zebrafish larvae. Several other studies have also shown that chemically induced Inhibition of TPO results in reduced TH synthesis in zebrafish (Van der Ven et al., 2006; Raldua and Babin, 2009; Liu et al., 2011; Thienpont et al., 2011; Rehberger et al., 2018). A high concentration of MBT also decreased whole body T4 levels in 6 day old fathead minnows, but recovery was observed at the age of 21 days although the fish were kept in the exposure medium (Nelson et al., 2016). Crane et al. (2006) showed decreased T4 levels in 28 day old fathead minnows continuously exposed to 32 or 100 &amp;micro;g/L methimazole.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;em&gt;&lt;span style="color:black"&gt;Temporal Evidence:&lt;/span&gt;&lt;/em&gt;&lt;span style="color:black"&gt;&amp;nbsp;In&amp;nbsp;&lt;strong&gt;mammals&lt;/strong&gt;, the temporal nature of this KER is applicable to all life stages, including development (Seed et al., 2005).&amp;nbsp; There are currently no studies that measured both TPO synthesis and TH production during development. However, the impact of decreased TH synthesis on serum hormones is similar across all ages in mammals. Good evidence for the temporal relationship comes from thyroid system modeling of the impacts of iodine deficiency and NIS inhibition (e.g., Degon et al., 2008; Fisher et al., 2013). In addition, recovery experiments have demonstrated that serum thyroid hormones recovered in athyroid mice following grafting of in-vitro derived follicles (Antonica et al., 2012).&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;In&amp;nbsp;&lt;strong&gt;&lt;em&gt;Xenopus&lt;/em&gt;&lt;/strong&gt;, it has been shown that depression of TH synthesis in the thyroid gland precedes depression of circulating TH within 7 days of exposure during pro-metamorphosis (Haselman et al., 2020).&amp;nbsp; &amp;nbsp;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;In oviparous&amp;nbsp;&lt;strong&gt;fish&lt;/strong&gt;&amp;nbsp;such as zebrafish and fathead minnow, the nature of this KER depends on the life stage since the earliest stages of embryonic development rely on maternal &lt;/span&gt;&lt;span style="color:black"&gt;TH&lt;/span&gt;&lt;span style="color:black"&gt;s transferred to the eggs. Embryonic &lt;/span&gt;&lt;span style="color:black"&gt;TH&lt;/span&gt;&amp;nbsp;&lt;span style="color:black"&gt;synthesis is activated later during embryo-larval development. (See Domain of applicability)&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;em&gt;&lt;span style="color:black"&gt;Dose-response Evidence&lt;/span&gt;&lt;/em&gt;&lt;span style="color:black"&gt;: Dose-response data is lacking from studies that include concurrent measures of both TH synthesis and serum TH&amp;nbsp;concentrations. However, data is available demonstrating correlations between thyroidal TH and serum TH concentrations during gestation and lactation during development (Gilbert et al., 2013).&amp;nbsp;This data was used to develop a rat quantitative biologically-based dose-response model for iodine deficiency (Fisher et al., 2013). In&amp;nbsp;&lt;em&gt;Xenopus&lt;/em&gt;, dose-responses were demonstrated in both thyroidal&amp;nbsp;T4 and circulating T4 following exposure to three TPO inhibitors (Haselman et al., 2020).&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
</emperical-support-linkage>
      <uncertainties-or-inconsistencies>&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;There are no inconsistencies in this KER, but there are some uncertainties. The first uncertainty stems from the paucity of data for quantitative modeling of the relationship between the degree of synthesis decrease and resulting changes in circulating T4 concentrations. In addition, most of the data supporting this KER comes from inhibition of TPO, and there are a number of other processes (e.g., endocytosis, lysosomal fusion, basolateral fusion and release) that are not as well studied.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;For example, Kim et al. (2015) investigated the adverse effects of Triphenyl phosphate (TPP), a substance that disrupts the thyroid&amp;nbsp;system. Therefore,&lt;strong&gt;&amp;nbsp;Rat pituitary&lt;/strong&gt;&amp;nbsp;(GH3) and&amp;nbsp;&lt;strong&gt;thyroid follicular cell lines&lt;/strong&gt;&amp;nbsp;(FRTL-5) were studied. In the GH3 cells, TPP led to an upregulation of the&amp;nbsp;expression of important thyroid genes (tsh&lt;/span&gt;&lt;span style="color:black"&gt;, tr&amp;nbsp;&lt;/span&gt;&lt;span style="color:black"&gt;alpha&lt;/span&gt;&amp;nbsp;&lt;span style="color:black"&gt;and tr&amp;nbsp;&lt;/span&gt;&lt;span style="color:black"&gt;beta&lt;/span&gt;&lt;span style="color:black"&gt;) while T3, a positive control, downregulated the expression of these genes. In FRTL-5 cells, the expression of nis and tpo genes was significantly upregulated, suggesting that TPP stimulates &lt;/span&gt;&lt;span style="color:black"&gt;TH&lt;/span&gt;&amp;nbsp;&lt;span style="color:black"&gt;synthesis in the thyroid gland.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;In&amp;nbsp;&lt;strong&gt;zebrafish larvae&amp;nbsp;&lt;/strong&gt;at the age of 7&amp;nbsp;days post-fertilisation (dpf), TPP exposure resulted in a significant&amp;nbsp;&lt;strong&gt;increase in T3 and T4&lt;/strong&gt;&amp;nbsp;concentrations&amp;nbsp;and the expression of genes involved in thyroid hormone synthesis. Exposure to TPP also significantly regulated the&amp;nbsp;expression of genes involved in the metabolism (dio1), transport (ttr) and excretion (ugt1ab) of &lt;/span&gt;&lt;span style="color:black"&gt;TH&lt;/span&gt;&lt;span style="color:black"&gt;s. The down-regulation of the crh and tsh&amp;nbsp;genes in the zebrafish larvae suggests the activation of a central regulatory feedback mechanism that is triggered by the increased T3 levels in vivo. Taken together, these observations indicate that TPP increases &lt;/span&gt;&lt;span style="color:black"&gt;TH&lt;/span&gt;&amp;nbsp;&lt;span style="color:black"&gt;concentrations in early life stages of zebrafish by disrupting central regulatory and hormone synthesis pathways.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&amp;nbsp;&lt;/p&gt;
</uncertainties-or-inconsistencies>
    </weight-of-evidence>
    <known-modulating-factors>&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;During&amp;nbsp;&lt;em&gt;Xenopus&lt;/em&gt;&amp;nbsp;metamorphosis, circulating T4 steadily increases to peak levels at metamorphic climax. Therefore, during&amp;nbsp;&lt;em&gt;Xenopus&lt;/em&gt;&amp;nbsp;metamorphosis, this KER is operable at an increased rate as compared to a system that is maintaining steady circulating T4 levels through homeostatic control. In this case, developmental status is a modulating factor for the rates and trajectories of these KEs.&amp;nbsp;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
</known-modulating-factors>
    <quantitative-understanding>
      <description>&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;In rats, Hassan et al. (2020) demonstrated&lt;/span&gt;&lt;em&gt;&lt;span style="color:black"&gt; in vitro: ex vivo&lt;/span&gt;&lt;/em&gt;&lt;span style="color:black"&gt; correlations of TPO inhibition using PTU and MMI and constructed a quantitative model relating level of TPO inhibition with changes in circulating T4 levels. They determined that 30% inhibition of TPO was sufficient to decrease circulating T4 levels by 20%. This is further supported by studies of Hassan et al. (2017) and Handa et al. (2021)&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;In&amp;nbsp;&lt;em&gt;Xenopus&lt;/em&gt;, Haselman et al. (2020) collected temporal and dose-response data for both thyroidal and&amp;nbsp;circulating T4 which showed strong qualitative concordance of the response-response relationship. A&amp;nbsp;quantitative relationship exists there in, but is yet to be demonstrated mathematically in this species.&amp;nbsp;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
</description>
      <response-response-relationship>&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Fisher et al. (2013) published a quantitative biologically-based dose-response model for iodine deficiency in the rat. This model provides quantitative relationships for thyroidal T4 synthesis (iodine organification) and predictions of serum T4 concentrations in developing rats. There are other computational models that include thyroid hormone synthesis. Ekerot et al. (2012) modeled TPO, T3, T4 and TSH in dogs and humans based on exposure to myeloperoxidase inhibitors that also inhibit TPO.&amp;nbsp; This model was recently adapted for rat&lt;/span&gt;&lt;span style="color:black"&gt;s&lt;/span&gt;&lt;span style="color:black"&gt;(Leonard et al., 2016) and Hassan et al (2017) have extended it to include the pregnant rat dam in response to TPO inhibition induced by PTU. While the original model predicted serum TH and TSH levels as a function of oral dose, it was not used to explicitly predict the relationship between serum hormones and TPO inhibition, or &lt;/span&gt;&lt;span style="color:black"&gt;TH&lt;/span&gt;&amp;nbsp;&lt;span style="color:black"&gt;synthesis. Leonard et al. (2016) recently incorporated TPO inhibition into the model. Degon et al (2008) developed a human thyroid model that includes TPO, but does not make quantitative prediction of organification changes due to inhibition of the TPO enzyme. Further empirical support for the response-response relationship has been demonstrated in the amphibian model,&amp;nbsp;&lt;em&gt;Xenopus laevis&lt;/em&gt;, exposed to TPO inhibitors during pro-metamorphosis (Haselman et al., 2020) wherein temporal profiles were measured for both thyroidal and circulating T4.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
</response-response-relationship>
      <time-scale>&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Given that the thyroid gland contains follicular lumen space filled with stored thyroglobulin/T4, complete inhibition of&amp;nbsp;thyroid hormone synthesis at a given point in time will not result in an instantaneous decrease in circulating T4. The system will be capable of maintaining sufficient circulating T4 levels until the gland stores are depleted. The time it takes to deplete stored hormone will greatly depend on&amp;nbsp;species, developmental status and numerous other factors.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;In&amp;nbsp;&lt;em&gt;Xenopus&lt;/em&gt;, Haselman et al. (2020) demonstrated an approximately 5 day difference between a significant decrease in thyroidal T4 preceding a significant decrease in circulating T4 while exposed to a potent TPO inhibitor (MMI) continuously&amp;nbsp;during pro-metamorphosis.&amp;nbsp;&amp;nbsp;&amp;nbsp;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
</time-scale>
      <feedforward-feedback-loops>&lt;p&gt;This KER is entirely influenced by the feedback loop between circulating T4 originating from the thyroid gland and circulating TSH originating from the pituitary. Intermediate biochemical processes exist within the hypothalamus to affirm feedback and coordinately release TSH from the pituitary. However, quantitative representations of these feedback processes are limited to models discussed previously.&lt;/p&gt;

&lt;p&gt;In &lt;em&gt;Xenopus&lt;/em&gt;, circulating levels of T4 increase through pro-metamorphosis indicating a &amp;quot;release&amp;quot; of feedback to allow circulating levels of T4 to increase and drive metamorphic changes (Sternberg et al., 2011). This provides evidence that homeostatic control of feedback can be developmentally dependent, and likely species dependent.&amp;nbsp;&amp;nbsp;&lt;/p&gt;
</feedforward-feedback-loops>
    </quantitative-understanding>
    <applicability>
      <sex>
        <evidence>High</evidence>
        <sex>Male</sex>
      </sex>
      <sex>
        <evidence>High</evidence>
        <sex>Female</sex>
      </sex>
      <life-stage>
        <evidence>High</evidence>
        <life-stage>All life stages</life-stage>
      </life-stage>
      <taxonomy taxonomy-id="b0719813-fce2-414a-9357-68b866bbc4d0">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="1c0a9a12-a701-4a93-bc82-2683ae2701f0">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="8f4786e9-c2a3-4b43-97a7-a451d4ee7af6">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="2b3c38bf-8d1a-4ea6-9830-5eab544ce023">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="27b1eb5a-454a-40fa-a000-907f99c8eafc">
        <evidence>Low</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="7832825c-4f13-4624-a270-21100a33688e">
        <evidence>Low</evidence>
      </taxonomy>
    </applicability>
    <evidence-supporting-taxonomic-applicability>&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;strong&gt;&lt;span style="color:black"&gt;Taxonomic&lt;/span&gt;&lt;/strong&gt;&lt;span style="color:black"&gt;: This KER is plausibly applicable across vertebrates. While a majority of the empirical evidence comes from work with laboratory rodents, there is a large amount of supporting data from humans (with anti-hyperthyroidism drugs including propylthiouracil and methimazole), some amphibian species (e.g., frog), fish species (e.g., zebrafish and fathead minnow), and some avian species (e.g, chicken).&amp;nbsp; The following are samples from a large literature that supports this concept: Cooper et al. &lt;/span&gt;&lt;span style="color:black"&gt;(1982; 1983); Hornung et al. (2010); Van Herck et al. (2013); Paul et al. (2013); Nelson et al. (2016); Alexander et al. (2017); Stinckens et al. &lt;/span&gt;&lt;span style="color:black"&gt;(2020).&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;strong&gt;&lt;span style="color:black"&gt;Life stage&lt;/span&gt;&lt;/strong&gt;&lt;span style="color:black"&gt;: Applicability to certain life stages may depend on the species and their dependence on maternally transferred thyroid hormones &lt;/span&gt;&lt;span style="color:black"&gt;(TH) &lt;/span&gt;&lt;span style="color:black"&gt;during the earliest phases of development. The earliest life stages of teleost fish rely on maternally transferred THs to regulate certain developmental processes until embryonic TH synthesis is active (Power et al., 2001). As a result, TPO inhibition is not expected to decrease TH synthesis during these earliest stages of development. In zebrafish, Opitz et al. (2011) showed the formation of a first thyroid follicle at 55 hours post fertilization (hpf), Chang et al. (2012) showed a first significant TH increase at 120 hpf and Walter et al. (2019) showed clear TH production already at 72 hpf but did not analyse time points between 24 and 72 hpf. In fathead minnows, a significant increase of whole body &lt;/span&gt;&lt;span style="color:black"&gt;TH&lt;/span&gt;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; &lt;span style="color:black"&gt;&amp;nbsp;levels was already observed between 1 and 2 dpf, which corresponds to the appearance of the thyroid anlage at 35 hpf prior to the first observation of thyroid follicles at 58 hpf (Wabuke-Bunoti and Firling, 1983). It is still uncertain when exactly embryonic TH synthesis is activated and how this determines sensitivity to TH &lt;/span&gt;&lt;span style="color:black"&gt;system &lt;/span&gt;&lt;span style="color:black"&gt;disruptors.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;strong&gt;&lt;span style="color:black"&gt;Sex&lt;/span&gt;&lt;/strong&gt;&lt;span style="color:black"&gt;:&amp;nbsp;The KE is plausibly applicable to both sexes. Thyroid hormones are essential in both sexes and the components of the HPT-axis are identical in both sexes. There can however be sex-dependent differences in the sensitivity to the disruption of thyroid hormone levels and the magnitude of the response. In humans, females appear more susceptible to hypothyroidism compared to males when exposed to certain halogenated chemicals (Hernandez‐Mariano et al., 2017; Webster et al., 2014). In adult zebrafish, Liu et al. (2019) showed sex-dependent changes in thyroid hormone levels and mRNA expression of regulatory genes including corticotropin releasing hormone (crh), thyroid stimulating hormone (tsh) and deiodinase 2 after exposure to organophosphate flame retardants. The underlying mechanism of any sex-related differences remains unclear.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
</evidence-supporting-taxonomic-applicability>
    <references>&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Alexander EK, Pearce EN, Brent GA, Brown RS, Chen H, Dosiou C, Grobman WA, Laurberg P, Lazarus JH, Mandel SJ, Peeters RP, Sullivan S.&amp;nbsp; 2017 Guidelines of the American Thyroid Association for the Diagnosis and Management of Thyroid Disease During Pregnancy and the Postpartum. Thyroid. 2017 Mar;27(3):315-389.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Antonica F, Kasprzyk DF, Opitz R, Iacovino M, Liao XH, Dumitrescu AM, Refetoff S, Peremans K, Manto M, Kyba M, Costagliola S.&amp;nbsp; Generation of functional thyroid from embryonic stem cells.&amp;nbsp; Nature. 2012 491(7422):66-71.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Atterwill CK, Fowler KF. A comparison of cultured rat FRTL-5 and porcine thyroid cells for predicting the thyroid toxicity of xenobiotics. Toxicol In Vitro. 1990. 4(4-5):369-74.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Braverman, L.E. and Utiger, R.D. (2012). Werner and Ingbar&amp;#39;s The Thyroid: A Fundamental and Clinical Text (10 ed.). Philadelphia, PA: Lippincott Williams &amp;amp; Wilkins. pp. 775-786. ISBN 978-1451120639.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Brown CG, Fowler KL, Nicholls PJ, Atterwill C. Assessment of thyrotoxicity using in vitro cell culture systems. Food Chem Toxicol. 1986 24(6-7):557-62.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Brucker-Davis F. Effects of environmental synthetic chemicals on thyroid function. Thyroid. 1998 8(9):827-56.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Chang J, Wang M, Gui W, Zhao Y, Yu L, Zhu G. 2012. Changes in thyroid hormone levels during zebrafish development. Zoological Science. 29(3):181-184.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Cooper DS, Kieffer JD, Halpern R, Saxe V, Mover H, Maloof F, Ridgway EC (1983) Propylthiouracil (PTU) pharmacology in the rat. II. Effects of PTU on thyroid function. Endocrinology 113:921-928.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Cooper DS, Saxe VC, Meskell M, Maloof F, Ridgway EC.Acute effects of propylthiouracil (PTU) on thyroidal iodide organification and peripheral iodothyronine deiodination: correlation with serum PTU levels measured by radioimmunoassay. J Clin Endocrinol Metab. 1982 54(1):101-7.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Crane HM, Pickford DB, Hutchinson TH, Brown JA. 2006. The effects of methimazole on development of the fathead minnow, pimephales promelas, from embryo to adult. Toxicological Sciences. 93(2):278-285.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Degon, M., Chipkin, S.R., Hollot, C.V., Zoeller, R.T., and Chait, Y. (2008). A computational model of the human thyroid. Mathematical Biosciences 212, 22&amp;ndash;53&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Ekerot P, Ferguson D, Gl&amp;auml;msta EL, Nilsson LB, Andersson H, Rosqvist S, Visser SA. Systems pharmacology modeling of drug-induced modulation of thyroid hormones in dogs and translation to human. Pharm Res. 2013 30(6):1513-24.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Fisher JW, Li S, Crofton K, Zoeller RT, McLanahan ED, Lumen A, Gilbert ME.&amp;nbsp; Evaluation of iodide deficiency in the lactating rat and pup using a biologically based dose-response model. Toxicol Sci. 2013 132(1):75-86.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Gilbert ME, Hedge JM, Valent&amp;iacute;n-Blasini L, Blount BC, Kannan K, Tietge J, Zoeller RT, Crofton KM, Jarrett JM, Fisher JW.&amp;nbsp; An animal model of marginal iodine deficiency during development: the thyroid axis and neurodevelopmental outcome.&amp;nbsp; Toxicol Sci. 2013 132(1):177-95.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Handa S, Hassan I, Gilbert M, El-Masri H. 2021. Mechanistic Computational Model for Extrapolating In Vitro Thyroid Peroxidase (TPO) Inhibition Data to Predict Serum Thyroid Hormone Levels in Rats. Toxicological Sciences 183(1):36-48.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Haselman, J.T., Olker, J.H., Kosian, P.A., Korte, J.J., Swintek, J.A., Denny, J.S., Nichols, J.W., Tietge, J.E., Hornung, M.W. and Degitz, S.J., 2020. Targeted pathway-based in vivo testing using thyroperoxidase inhibition to evaluate plasma thyroxine as a surrogate metric of metamorphic success in model amphibian Xenopus laevis.&amp;nbsp;Toxicological Sciences,&amp;nbsp;175(2), pp.236-250.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Hassan, I, El-Masri, H., Kosian, PA, Ford, J, Degitz, SJ and Gilbert, ME. Quantitative Adverse Outcome Pathway for Neurodevelopmental Effects of Thyroid Peroxidase-Induced Thyroid Hormone Synthesis Inhibition. Toxicol Sci. 2017 Nov 1;160(1):57-73&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Hassan, I., El-Masri, H., Ford, J., Brennan, A., Handa, S., Paul Friedman, K. and Gilbert, M.E., 2020. Extrapolating in vitro screening assay data for thyroperoxidase inhibition to predict serum thyroid hormones in the rat.&amp;nbsp;Toxicological Sciences,&amp;nbsp;173(2), pp.280-292.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Hernandez-Mariano JA, Torres-Sanchez L, Bassol-Mayagoitia S, Escamilla-Nunez M, Cebrian ME, Villeda-Gutierrez EA, Lopez-Rodriguez G, Felix-Arellano EE, Blanco-Munoz J. 2017. Effect of exposure to p,p &amp;#39;-dde during the first half of pregnancy in the maternal thyroid profile of female residents in a mexican floriculture area. Environmental Research. 156:597-604.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Hornung MW, Degitz SJ, Korte LM, Olson JM, Kosian PA, Linnum AL, Tietge JE. Inhibition of thyroid hormone release from cultured amphibian thyroid glands by methimazole, 6-propylthiouracil, and perchlorate. Toxicol Sci. 2010 118(1):42-51.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Hurley PM. Mode of carcinogenic action of pesticides inducing thyroid follicular cell tumors in rodents. Environ Health Perspect. 1998 106(8):437-45.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="font-size:13.5pt"&gt;&lt;span style="color:black"&gt;Kim, S., Jung, J., Lee, I., Jung, D., Youn, H., &amp;amp; Choi, K. (2015). Thyroid disruption by triphenyl phosphate, an organophosphate flame retardant, in zebrafish (Danio rerio) embryos/larvae, and in GH3 and FRTL-5 cell lines.&amp;nbsp;&lt;em&gt;Aquatic Toxicology&lt;/em&gt;,&amp;nbsp;&lt;em&gt;160&lt;/em&gt;, 188&amp;ndash;196. https://doi.org/10.1016/j.aquatox.2015.01.016&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;King DB, May JD. Thyroidal influence on body growth. J Exp Zool. 1984 Dec;232(3):453-60.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;K&amp;ouml;hrle J. Environment and endocrinology: the case of thyroidology. Ann Endocrinol (Paris). 2008 69(2):116-22.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Leonard JA, Tan YM, Gilbert M, Isaacs K, El-Masri H. Estimating margin of exposure to thyroid peroxidase inhibitors using high-throughput in vitro data, high-throughput exposure modeling, and physiologically based pharmacokinetic/pharmacodynamic modeling. Toxicol Sci. 2016 151(1):57-70.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Liu CS, Zhang XW, Deng J, Hecker M, Al-Khedhairy A, Giesy JP, Zhou BS. 2011. Effects of prochloraz or propylthiouracil on the cross-talk between the hpg, hpa, and hpt axes in zebrafish. Environmental Science &amp;amp; Technology. 45(2):769-775.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Liu XS, Cai Y, Wang Y, Xu SH, Ji K, Choi K. 2019. Effects of tris(1,3-dichloro-2-propyl) phosphate (tdcpp) and triphenyl phosphate (tpp) on sex-dependent alterations of thyroid hormones in adult zebrafish. Ecotoxicology and Environmental Safety. 170:25-32.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Lu, M-H, and Anderson, RR. Thyroxine secretion rats during pregnancy in the rat.&amp;nbsp; Endo Res. 1994. 20(4):343-364.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Nelson K, Schroeder A, Ankley G, Blackwell B, Blanksma C, Degitz S, Flynn K, Jensen K, Johnson R, Kahl M et al. 2016. Impaired anterior swim bladder inflation following exposure to the thyroid peroxidase inhibitor 2-mercaptobenzothiazole part i: Fathead minnow. Aquatic Toxicology. 173:192-203.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Opitz R, Maquet E, Zoenen M, Dadhich R, Costagliola S. 2011. Tsh receptor function is required for normal thyroid differentiation in zebrafish. Molecular Endocrinology. 25(9):1579-1599.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Paul KB, Hedge JM, Macherla C, Filer DL, Burgess E, Simmons SO, Crofton KM, Hornung MW. Cross-species analysis of thyroperoxidase inhibition by xenobiotics demonstrates conservation of response between pig and rat. Toxicology. 2013. 312:97-107.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Power DM, Llewellyn L, Faustino M, Nowell MA, Bjornsson BT, Einarsdottir IE, Canario AV, Sweeney GE. 2001. Thyroid hormones in growth and development of fish. Comp Biochem Physiol C Toxicol Pharmacol. 130(4):447-459.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Raldua D, Babin PJ. 2009. Simple, rapid zebrafish larva bioassay for assessing the potential of chemical pollutants and drugs to disrupt thyroid gland function. Environmental Science &amp;amp; Technology. 43(17):6844-6850.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Rehberger K, Baumann L, Hecker M, Braunbeck T. 2018. Intrafollicular thyroid hormone staining in whole-mount zebrafish (danio rerio) embryos for the detection of thyroid hormone synthesis disruption. Fish Physiology and Biochemistry. 44(3):997-1010.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Sternberg, R.M., Thoemke, K.R., Korte, J.J., Moen, S.M., Olson, J.M., Korte, L., Tietge, J.E. and Degitz Jr, S.J., 2011. Control of pituitary thyroid-stimulating hormone synthesis and secretion by thyroid hormones during Xenopus metamorphosis.&amp;nbsp;General and comparative endocrinology,&amp;nbsp;173(3), pp.428-437.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Stinckens E, Vergauwen L, Blackwell BR, Anldey GT, Villeneuve DL, Knapen D. 2020. Effect of thyroperoxidase and deiodinase inhibition on anterior swim bladder inflation in the zebrafish. Environmental Science &amp;amp; Technology. 54(10):6213-6223.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Stinckens E, Vergauwen L, Schroeder A, Maho W, Blackwell B, Witters H, Blust R, Ankley G, Covaci A, Villeneuve D et al. 2016. Impaired anterior swim bladder inflation following exposure to the thyroid peroxidase inhibitor 2-mercaptobenzothiazole part ii: Zebrafish. Aquatic Toxicology. 173:204-217.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Thienpont B, Tingaud-Sequeira A, Prats E, Barata C, Babin PJ, Raldua D. 2011. Zebrafish eleutheroembryos provide a suitable vertebrate model for screening chemicals that impair thyroid hormone synthesis. Environmental Science &amp;amp; Technology. 45(17):7525-7532.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Tietge, J.E., Butterworth, B.C., Haselman, J.T., Holcombe, G.W., Hornung, M.W., Korte, J.J., Kosian, P.A., Wolfe, M. and Degitz, S.J., 2010. Early temporal effects of three thyroid hormone synthesis inhibitors in Xenopus laevis. Aquatic Toxicology, 98(1), pp.44-50.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;van der Ven LTM, van den Brandhof EJ, Vos JH, Power DM, Wester PW. 2006. Effects of the antithyroid agent propylthiouracil in a partial life cycle assay with zebrafish. Environmental Science &amp;amp; Technology. 40(1):74-81.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Van Herck SL, Geysens S, Delbaere J, Darras VM.&amp;nbsp; Regulators of thyroid hormone availability and action in embryonic chicken brain development. Gen Comp Endocrinol. 2013. 190:96-104.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Wabukebunoti MAN, Firling CE. 1983. The prehatching development of the thyroid-gland of the fathead minnow, pimephales-promelas (rafinesque). General and Comparative Endocrinology. 49(2):320-331.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Walter KM, Miller GW, Chen XP, Yaghoobi B, Puschner B, Lein PJ. 2019. Effects of thyroid hormone disruption on the ontogenetic expression of thyroid hormone signaling genes in developing zebrafish (danio rerio). General and Comparative Endocrinology. 272:20-32.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Webster GM, Venners SA, Mattman A, Martin JW. 2014. Associations between perfluoroalkyl acids (pfass) and maternal thyroid hormones in early pregnancy: A population-based cohort study. Environmental Research. 133:338-347.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:start"&gt;&lt;span style="font-size:medium"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:#000000"&gt;&lt;span style="color:black"&gt;Zoeller, R. T., Tan, S. W., and Tyl, R. W. (2007). General background on the hypothalamic-pituitary-thyroid (HPT) axis. Critical reviews in toxicology 37(1-2), 11-53.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
</references>
    <source>AOPWiki</source>
    <creation-timestamp>2016-11-29T18:41:33</creation-timestamp>
    <last-modification-timestamp>2022-10-10T08:56:38</last-modification-timestamp>
  </key-event-relationship>
  <key-event-relationship id="0919d6e1-6d98-4eea-bbd5-56ed2314b2dc">
    <title>
      <upstream-id>82cf3729-140c-466b-89a5-f636437feb92</upstream-id>
      <downstream-id>91ff1fad-eb2e-49bb-8a95-1545eeec24e9</downstream-id>
    </title>
    <description>&lt;p&gt;Hypothyroidism in rats and humans leads to an increase in insulin resistance, as determined from in vivo or ex vivo measurements.&lt;/p&gt;
</description>
    <evidence-collection-strategy>&lt;p&gt;&lt;strong&gt;Step 1: Identify primary evidence for clinical overt hypothyroidism leading to increase in IR&lt;/strong&gt;&lt;/p&gt;

&lt;p&gt;In order to focus on T&lt;sub&gt;4&lt;/sub&gt;&amp;nbsp;changes, rather than widespread changes to the hypothalamus-pituitary axis that can be involved in sub-clinical hypothyroidism, a search was made to identify clinical studies messing insulin resistance in the presence of&amp;nbsp;T&lt;sub&gt;4&lt;/sub&gt;&amp;nbsp;reduction below normal levels (overt hypothyroidism).&amp;nbsp;&lt;/p&gt;

&lt;p&gt;The following Pubmed&amp;nbsp;search was performed on 18/04/2023, returning 3 relevant references, spanning the period 2012 - 2021 (Prats-Puig et al;&amp;nbsp;2012, Nada, 2013; Stepanek et al, 2021).&lt;/p&gt;

&lt;p&gt;&amp;nbsp;&lt;/p&gt;
</evidence-collection-strategy>
    <weight-of-evidence>
      <value>&lt;p&gt;Impact of&amp;nbsp;clinical overt hypothyroidism on insulin resistance&lt;/p&gt;

&lt;ol&gt;
	&lt;li&gt;&amp;nbsp;In a cross-sectional study of 234 euthyroid prepubertal children (113 boys, 121 girls)&amp;nbsp;in Spain, HOMA-IR was compared to serum free T&lt;sub&gt;4&lt;/sub&gt;&amp;nbsp;(Prats-Puig et al, 2012):

	&lt;ol&gt;
		&lt;li&gt;For boys, there was no significant difference.&lt;/li&gt;
		&lt;li&gt;For girls, HOMA-IR increased 30% from the highest to the lowest tertile of serum free T&lt;sub&gt;4&lt;/sub&gt;.&lt;/li&gt;
	&lt;/ol&gt;
	&lt;/li&gt;
	&lt;li&gt;In two groups of healthy S.W. Asian females, 27 with overt hypothyroidism&amp;nbsp;and 15 euthyroid, matched for age and BMI, there was no significant difference between the groups for fasting plasma glucose, insulin or HOMA-IR. Six months after starting thyroxine therapy to return the hypothyroid individuals&amp;nbsp;to the euthyroid state, there was no significant change in fasting glucose or HOMA-IR, although fasting insulin had increased significantly above the level measured originally in the euthyroid cohort. However, the relevant parameters in the euthyroid group were not measured, so no longitudinal comparison was possible.&lt;/li&gt;
	&lt;li&gt;In a&amp;nbsp;study of 1425 middle-aged individuals (317 male, 1108 female) in Poland, divided into 3 groups (euthyroid (EU), subclinical hypothyroidism (SH) and overt hypothyroidism(OH)), HOMA-IR, fasting insulin and two-hour levels of oral glucose tolerance test (OGTT)&amp;nbsp;showed steady, yet insignificant increases from the EU, through SH to OH states (Stepanek et al, 2021). Free T&lt;sub&gt;4&lt;/sub&gt;&amp;nbsp;showed a positive, but not signicant, correlation with HOMA-IR. The ratio of free T&lt;sub&gt;3&lt;/sub&gt;/free T&lt;sub&gt;4&lt;/sub&gt;&amp;nbsp;was strongly and sigificantly correlated with HOMA-IR. This indicates that if free T&lt;sub&gt;4&lt;/sub&gt;&amp;nbsp;decreases, then HOMA-IR will increase if&amp;nbsp;T&lt;sub&gt;3&lt;/sub&gt;&amp;nbsp;simultaneously&amp;nbsp;decreases to a proportionally lesser extent than T&lt;sub&gt;4&lt;/sub&gt;.&lt;/li&gt;
&lt;/ol&gt;

&lt;p&gt;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;&lt;strong&gt;Evidence gleaned from in vivo and ex vivo&amp;nbsp;rodent studies&lt;/strong&gt;&lt;/p&gt;

&lt;p&gt;In vivo and ex vivo experiments in the rat indicate an increase in insulin resistance in hypothyroidism. In young (50-60g) and old (160g) male Wistar rats made hypothyroid by administration of propylthiouracil for 4-5 weeks, leading to dramatic reduction in plasma triiodothyronine (T&lt;sub&gt;3&lt;/sub&gt;) concentration, plasma&amp;nbsp;glucose concentration was increased (approximately 10%) in the presence of an approximately&amp;nbsp;50% (but not significant)&amp;nbsp;insulin concentration&amp;nbsp;increase, compared to euthyroid animals (Dimitriadis et al, 1989). In a soleus muscle preparation from hypothyroid animals,&amp;nbsp;total&amp;nbsp;glucose disposition was decreased compared to a preparation from euthyroid animals:&lt;/p&gt;

&lt;ul&gt;
	&lt;li&gt;rates of lactate formation and glucose oxidation were decreased at all insulin concentrations tested, from physiological to supraphysiological;&lt;/li&gt;
	&lt;li&gt;rate of glycogen synthesis was decreased at supraphysiological insulin concentrations.&lt;/li&gt;
&lt;/ul&gt;

&lt;p&gt;&amp;nbsp;&lt;/p&gt;
</value>
      <biological-plausibility></biological-plausibility>
      <emperical-support-linkage></emperical-support-linkage>
      <uncertainties-or-inconsistencies></uncertainties-or-inconsistencies>
    </weight-of-evidence>
    <known-modulating-factors>&lt;div&gt;
&lt;table class="table table-bordered table-fullwidth"&gt;
	&lt;thead&gt;
		&lt;tr&gt;
			&lt;th&gt;Modulating Factor (MF)&lt;/th&gt;
			&lt;th&gt;MF Specification&lt;/th&gt;
			&lt;th&gt;Effect(s) on the KER&lt;/th&gt;
			&lt;th&gt;Reference(s)&lt;/th&gt;
		&lt;/tr&gt;
	&lt;/thead&gt;
	&lt;tbody&gt;
		&lt;tr&gt;
			&lt;td&gt;&amp;nbsp;&lt;/td&gt;
			&lt;td&gt;&amp;nbsp;&lt;/td&gt;
			&lt;td&gt;&amp;nbsp;&lt;/td&gt;
			&lt;td&gt;&amp;nbsp;&lt;/td&gt;
		&lt;/tr&gt;
	&lt;/tbody&gt;
&lt;/table&gt;
&lt;/div&gt;
</known-modulating-factors>
    <quantitative-understanding>
      <description></description>
      <response-response-relationship></response-response-relationship>
      <time-scale></time-scale>
      <feedforward-feedback-loops></feedforward-feedback-loops>
    </quantitative-understanding>
    <applicability>
      <sex>
        <evidence>Moderate</evidence>
        <sex>Mixed</sex>
      </sex>
      <life-stage>
        <evidence>Moderate</evidence>
        <life-stage>Adult</life-stage>
      </life-stage>
      <taxonomy taxonomy-id="b0719813-fce2-414a-9357-68b866bbc4d0">
        <evidence>Moderate</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="1c0a9a12-a701-4a93-bc82-2683ae2701f0">
        <evidence>High</evidence>
      </taxonomy>
    </applicability>
    <evidence-supporting-taxonomic-applicability></evidence-supporting-taxonomic-applicability>
    <references>&lt;p&gt;Brenta, G. (2011), &amp;quot;Why can insulin resistance be a natural consequence of thyroid dysfunction?&amp;quot;,&amp;nbsp;&lt;em&gt;Journal of Thyroid Research&lt;/em&gt;, Vol 2011, Article ID 152850.&lt;/p&gt;

&lt;p&gt;Dimitriadis, G.D. et al (1989) &amp;quot;Effects of hypothyroidism on the sensitivity of glycolysis and glycogen synthesis to insulin in the soleus muscle of the rat&amp;quot;,&lt;sub&gt;&lt;em&gt;&amp;nbsp;&lt;/em&gt;&lt;/sub&gt;&lt;em&gt;Biochemical Journal&lt;/em&gt;, Vol 257, pp369-373.&lt;/p&gt;

&lt;p&gt;Nada, A.M. (2013), &amp;quot;Effect of treatment of overt hypothyroidism on insulin resistance&amp;quot;,&amp;nbsp;&lt;em&gt;World Journal of Diabetes&lt;/em&gt;, Vol 4, pp 157-61.&lt;/p&gt;

&lt;p&gt;Prats-Puig, A. et al (2012), &amp;quot;Relative hypothyroidism, insulin resistance and increased visceral fat in euthyroid prepubertal girls with low-normal serum and free thyroxine&amp;quot;,&amp;nbsp;&lt;em&gt;Obesity (Silver Spring)&lt;/em&gt;, Vol 20, pp 1455-61.&lt;/p&gt;

&lt;p&gt;Stepanek, L. et al (2021), &amp;quot;Free triiodothyronine/free thyroxine (FT3/FT4) ratio is strongly associated with insulin resistance in euthyroid and hypothyroid adults: a cross-sectional study&amp;quot;,&amp;nbsp;&lt;em&gt;Endokrynologia Polska&lt;/em&gt;, Vol 72, pp 8-13.&lt;/p&gt;
</references>
    <source>AOPWiki</source>
    <creation-timestamp>2023-04-03T12:17:50</creation-timestamp>
    <last-modification-timestamp>2023-04-20T08:15:52</last-modification-timestamp>
  </key-event-relationship>
  <aop id="1d32fd85-3090-4b39-927e-876431409701">
    <title>Succinate dehydrogenase inhibition leading to increased insulin resistance through reduction in circulating thyroxine</title>
    <short-name>Succinate dehydrogenase inhibition leading to increased insulin resistance</short-name>
    <point-of-contact>Simon Thomas</point-of-contact>
    <authors>&lt;div&gt;
&lt;p&gt;Prakash Patel PhD; Cyprotex Discovery Ltd., An Evotec Company, Alderley Park, Cheshire, SK10 4TG, UK.&lt;/p&gt;

&lt;p&gt;Simon Thomas PhD; Cyprotex Discovery Ltd., An Evotec Company, Alderley Park, Cheshire, SK10 4TG, UK.&lt;/p&gt;

&lt;p&gt;&amp;nbsp;&lt;/p&gt;
&lt;/div&gt;
</authors>
    <coaches>
    </coaches>
    <external_links>
    </external_links>
    <status>
      <wiki-license>Open for adoption</wiki-license>
    </status>
    <oecd-project/>
    <handbook-version>2.0</handbook-version>
    <abstract>&lt;p&gt;Many environmental contaminants are known&amp;nbsp;or suspected&amp;nbsp;to generate adverse effects through multiple mechanisms,&amp;nbsp;within&amp;nbsp;multiple cell types, and potentially acting across multiple biological systems, thus rendering elucidation of cause and effect highly challenging. The purpose of creating&amp;nbsp;this AOP is&amp;nbsp;to collate&amp;nbsp;evidence for&amp;nbsp;a plausible pathway by which inhibition of a mitochondrial enzyme, succinate dehydrogenase, could, via disruption of the hypothalamus-pituitary-thydroid axis, contribute to the development of a clinically significant metabolic disruption, namely an increase in insulin resistance (IR).&lt;/p&gt;

&lt;p&gt;Key to identifying a&amp;nbsp;metabolic effect mediated by thyroid disruption from a direct xenobiotic impact on metabolism is the existence of evidence that qualitatively or quantitatively differentiates between potential impacts via the two routes. Clinical data&amp;nbsp;support&amp;nbsp;the hypothesis that&amp;nbsp;exposure to DEHP - as determined by renal excretion of its major metabolites - has components of&amp;nbsp;both thyroid-mediated (via reduction in circulating free thyroxine concentration)&amp;nbsp;and direct impacts on increase in IR.&amp;nbsp;&lt;em&gt;In vitro&lt;/em&gt;&amp;nbsp;data support the&amp;nbsp;hypotheses that (i) inhibition of succinate dehydrogenase can lead to oxidative stress, and (ii) increasing oxidative stress in the thyroid follicular cells can lead to reduction in thyroid hormone secretion. Thus, a plausible link can be established between thyroidal succinate&amp;nbsp;dehydrogenase inhibition and increase in IR.&lt;/p&gt;

&lt;p&gt;It must be borne in mind that additional molecular initiating events (MIEs) and alternative pathways to increase in IR are plausible for many xenobiotics.&lt;/p&gt;

&lt;p&gt;&amp;nbsp;&lt;/p&gt;
</abstract>
    <background>&lt;p&gt;This AOP was created in order to collate information, and attempt to drive understanding, around several key issues concerning xenobiotic driven disruption of energy metabolism, and the subsequent development of related pathologies. Specifically, the focus is on the nature and extent of the component of this disruption that can potentially be mediated via alteration of thyroid gland function, and consequent changes in circulating thyroid hormone concentrations (Huang et al, 2021).&lt;/p&gt;

&lt;p&gt;Amongst classes of xenobiotics, fragmentary evidence indicates that this is one possible route - amongst many - by which toxicity of phthalate esters could manifest itself. This evidence includes the observations that :&lt;/p&gt;

&lt;ol&gt;
	&lt;li&gt;Phthalate esters can increase reactive oxygen species (ROS) concentrations in multiple &lt;em&gt;in vitro&lt;/em&gt; systems and &lt;em&gt;in vivo&lt;/em&gt; (see, for example, Mondal and Bandypoadhayay, 2023).&lt;/li&gt;
	&lt;li&gt;Phthalate esters can decrease concentrations of thyroid hormones &lt;em&gt;in vivo&lt;/em&gt; (Kim et al, 2019).&lt;/li&gt;
	&lt;li&gt;Phthalate ester exposure has been correlated to pathologies of energy metabolism, such as insulin resistance (Shoshtari-Yeganeh et al, 2019; Gao et al, 2021).&lt;/li&gt;
	&lt;li&gt;Decrease in circulating thyroid hormones has been linked to the development of insulin resistance (Brenta, 2011).&lt;/li&gt;
&lt;/ol&gt;

&lt;p&gt;Given the role of thyroid hormones in regulating energy metabolism, including glucose and lipids, the possibility exists for phthalate-induced disruptions in energy metabolism and contribution to subsequent pathologies to be mediated at least, in part, through their impacts on thyroid function.&lt;/p&gt;

&lt;p&gt;This AOP was developed as part of the ScreenED project, which&amp;nbsp;has received funding from the European Union&amp;rsquo;s Horizon 2020 research and innovation programme under grant agreement No 825745.&lt;/p&gt;

&lt;p&gt;&amp;nbsp;&lt;/p&gt;
</background>
    <development-strategy>&lt;h1&gt;Identification of molecular initiating event&lt;/h1&gt;

&lt;p&gt;A significant body of data indicates that:&lt;/p&gt;

&lt;ol&gt;
	&lt;li&gt;Many xenobiotics generate ROS &lt;em&gt;in vitro&lt;/em&gt; and/or &lt;em&gt;in vivo&lt;/em&gt; (e.g. Amjad et al, 2020; Mondal and Bandypoadhayay, 2023; Unsal et al, 2020; Wang et al, 2023; Yang et al, 2020).&lt;/li&gt;
	&lt;li&gt;ROS generation resulting in oxidative stress can be a contributing factor - potentially the most important factor for some xenobiotics - in the induction of toxic, pathological outcomes (e.g. Amjad et al, 2020; Mondal and Bandypoadhayay, 2023; Unsal et al, 2020; Wang et al, 2023; Yang et al, 2020).&lt;/li&gt;
	&lt;li&gt;Multiple mechanisms of excess ROS generation are known, including mechanisms specific to particular cell types, and mechanisms specific to particular xenobiotics or xenobiotic classes (see ArulJothi et al, 2023, for review)&lt;/li&gt;
	&lt;li&gt;The main source of ROS generation under normal physiological conditions in most cell types is the electron transport chain of the mitochondria (Murphy, 2009).&lt;/li&gt;
&lt;/ol&gt;

&lt;p&gt;Consequently, of the multiple potential routes of ROS generation, a mechanism involving increased mitochondrial generation is a strong candidate for a potential MIA.&lt;/p&gt;

&lt;h1&gt;Identification of adverse outcome&lt;/h1&gt;

&lt;p&gt;Xenobiotic-induced metabolic disfunction can manifest itself in multiple biochemical and physiolological outcomes. These can be of clinical significance in themselves, of significance when taken in conjunction with other measures, and/or indicators of potential progression to further endpoints that may be of clinical significance. Insulin resistance (IR), a measure of the extent to which cells do not respond normally to insulin, is a component of metabolic syndrome, which, in turn, predisposes to type 2 diabetes and cardiovascular disease. Given this central position in the development of metabolic pathologies, and that it can be determined by simple blood measurements, it represents a quantifiable endpoint of clinical relevance, suitable for identification as a significant adverse outcome in and of itself.&lt;/p&gt;
</development-strategy>
    <molecular-initiating-event key-event-id="52ad2ab4-b39a-4ac1-91b2-ddf2debc9101">
      <evidence-supporting-chemical-initiation></evidence-supporting-chemical-initiation>
    </molecular-initiating-event>
    <key-events>
      <key-event key-event-id="22c85f4d-e610-49f7-abb1-18f4c7db2a63"/>
      <key-event key-event-id="befca21b-3385-467a-abae-8ce2322d4cfe"/>
      <key-event key-event-id="06596f0a-9735-4674-92ed-9c9ce5547f5e"/>
      <key-event key-event-id="82cf3729-140c-466b-89a5-f636437feb92"/>
    </key-events>
    <adverse-outcome key-event-id="91ff1fad-eb2e-49bb-8a95-1545eeec24e9">
      <examples>&lt;p&gt;There are currently no examples of IR being used in a regulatory role.&lt;/p&gt;
</examples>
    </adverse-outcome>
    <key-event-relationships>
      <relationship id="478534c4-dfcb-42dc-89d3-3024adc2614d">
        <adjacency>adjacent</adjacency>
        <quantitative-understanding-value>Low</quantitative-understanding-value>
        <evidence>High</evidence>
      </relationship>
      <relationship id="75accd97-c7ab-4ed9-b07f-6ba7891d02f0">
        <adjacency>adjacent</adjacency>
        <quantitative-understanding-value>Low</quantitative-understanding-value>
        <evidence>High</evidence>
      </relationship>
      <relationship id="78e6dd1e-9a4d-4190-a167-90e95d49f4a8">
        <adjacency>adjacent</adjacency>
        <quantitative-understanding-value>Low</quantitative-understanding-value>
        <evidence>Moderate</evidence>
      </relationship>
      <relationship id="eade1597-0fee-40a9-af8c-b9c2c5e35afd">
        <adjacency>adjacent</adjacency>
        <quantitative-understanding-value>Not Specified</quantitative-understanding-value>
        <evidence>High</evidence>
      </relationship>
      <relationship id="0919d6e1-6d98-4eea-bbd5-56ed2314b2dc">
        <adjacency>adjacent</adjacency>
        <quantitative-understanding-value>Moderate</quantitative-understanding-value>
        <evidence>Moderate</evidence>
      </relationship>
    </key-event-relationships>
    <applicability>
      <sex>
        <evidence>Moderate</evidence>
        <sex>Mixed</sex>
      </sex>
      <life-stage>
        <evidence>Moderate</evidence>
        <life-stage>Adult</life-stage>
      </life-stage>
      <taxonomy taxonomy-id="b0719813-fce2-414a-9357-68b866bbc4d0">
        <evidence>Moderate</evidence>
      </taxonomy>
    </applicability>
    <overall-assessment>
      <description>&lt;p&gt;The first iteration of the AOP has been developed in order to outline a plausible route by which stressors that induce&amp;nbsp;oxidative stress&amp;nbsp;could contribute to the global burden of metabolic pathologies acting, specifically, via reduction in thyroid hormone synthesis, and corresponding reduction in circulating thyroxine levels. It was also considered important to identify a particular mechanism that can induce oxidative stress. For phthalate esters, particularly DEHP, there is documented evidence for the chain of events leading from succinate dehydrogenase inhibition, through an increase in thyroid gland oxidative stress and&amp;nbsp;reduction in circulating thyroxine levels, to an increase in insulin resistance (Huang et al, 2021).&lt;/p&gt;
</description>
      <applicability>&lt;p&gt;&lt;em&gt;In vivo&lt;/em&gt;&amp;nbsp;evidence for this AOP supports its applicability&amp;nbsp;to adult humans (Huang&amp;nbsp;et al, 2021).&lt;/p&gt;
</applicability>
      <key-event-essentiality-summary>&lt;table border="1" cellpadding="1" cellspacing="1" style="width:500px"&gt;
	&lt;caption&gt;Essentiality of Key Events&lt;/caption&gt;
	&lt;thead&gt;
		&lt;tr&gt;
			&lt;th scope="row"&gt;Key Event&lt;/th&gt;
			&lt;th scope="col"&gt;Defining question&lt;/th&gt;
			&lt;th scope="col"&gt;High (strong)&lt;/th&gt;
			&lt;th scope="col"&gt;Moderate&lt;/th&gt;
			&lt;th scope="col"&gt;Low (weak)&lt;/th&gt;
		&lt;/tr&gt;
	&lt;/thead&gt;
	&lt;tbody&gt;
		&lt;tr&gt;
			&lt;th scope="row"&gt;&amp;nbsp;&lt;/th&gt;
			&lt;td&gt;Are downstream KEs and/or the AO prevented if an&amp;nbsp; upstream KE is blocked?&lt;/td&gt;
			&lt;td&gt;Direct evidence from specifically designed experimental studies illustrating essentiality for at least one of the important KEs&lt;/td&gt;
			&lt;td&gt;Indirect evidence that sufficient modification of an expected modulating factor attenuates or augments a KE&lt;/td&gt;
			&lt;td&gt;No or contradictory experimental evidence of the essentiality of any of the KEs&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;th scope="row" style="text-align:left"&gt;KE 2118 (MIE): Succinate dehydrogenase, inhibited&lt;/th&gt;
			&lt;td&gt;&amp;nbsp;&lt;/td&gt;
			&lt;td&gt;&amp;nbsp;&lt;/td&gt;
			&lt;td&gt;&amp;nbsp;&lt;/td&gt;
			&lt;td&gt;No direct evidence identified&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;th scope="row" style="text-align:left"&gt;KE 2120: Superoxide generation, increased&lt;/th&gt;
			&lt;td&gt;&amp;nbsp;&lt;/td&gt;
			&lt;td&gt;&amp;nbsp;&lt;/td&gt;
			&lt;td&gt;&amp;nbsp;&lt;/td&gt;
			&lt;td&gt;No direct evidence identified&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;th scope="row" style="text-align:left"&gt;KE 1392: Oxidative Stress&lt;/th&gt;
			&lt;td&gt;&amp;nbsp;&lt;/td&gt;
			&lt;td&gt;&amp;nbsp;&lt;/td&gt;
			&lt;td&gt;&amp;nbsp;&lt;/td&gt;
			&lt;td&gt;&amp;nbsp;&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;th scope="row" style="text-align:left"&gt;KE 277: Thyroid hormone synthesis, Decreased&lt;/th&gt;
			&lt;td&gt;&amp;nbsp;&lt;/td&gt;
			&lt;td&gt;&amp;nbsp;&lt;/td&gt;
			&lt;td&gt;Pharmacological inhibition of thyroid synthesis has been observed to lead to increase in insulin resistance in animals.&lt;/td&gt;
			&lt;td&gt;&amp;nbsp;&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;th scope="row" style="text-align:left"&gt;KE 281: Thyroxine (T4) in serum, Decreased&lt;/th&gt;
			&lt;td&gt;&amp;nbsp;&lt;/td&gt;
			&lt;td&gt;&amp;nbsp;&lt;/td&gt;
			&lt;td&gt;Reduction in T4 concentration contributing to an increase in insulin resistance in humans has been inferred using mediation analysis (Huang et al, 2021).&lt;/td&gt;
			&lt;td&gt;&amp;nbsp;&lt;/td&gt;
		&lt;/tr&gt;
	&lt;/tbody&gt;
&lt;/table&gt;

&lt;p&gt;&amp;nbsp;&lt;/p&gt;
</key-event-essentiality-summary>
      <weight-of-evidence-summary>&lt;table border="1" cellpadding="1" cellspacing="1" style="width:500px"&gt;
	&lt;caption&gt;Plausibility of Key Event Relationships&lt;/caption&gt;
	&lt;thead&gt;
		&lt;tr&gt;
			&lt;th scope="row"&gt;Key Event Relationship&lt;/th&gt;
			&lt;th scope="col"&gt;Defining question&lt;/th&gt;
			&lt;th scope="col"&gt;High (strong)&lt;/th&gt;
			&lt;th scope="col"&gt;Moderate&lt;/th&gt;
			&lt;th scope="col"&gt;Low (weak)&lt;/th&gt;
		&lt;/tr&gt;
	&lt;/thead&gt;
	&lt;tbody&gt;
		&lt;tr&gt;
			&lt;th scope="row"&gt;&amp;nbsp;&lt;/th&gt;
			&lt;td&gt;Is there a mechanistic (i.e., structural or functional) relationship between KEup and KEdown consistent with established biological knowledge?&lt;/td&gt;
			&lt;td&gt;Extensive understanding based on extensive previous documentation and broad acceptance -Established mechanistic basis&lt;/td&gt;
			&lt;td&gt;The KER is plausible based on analogy to accepted biological relationships but scientific understanding is not completely established.&lt;/td&gt;
			&lt;td&gt;There is empirical support for a statistical association between KEs (See 3.), but the structural or functional relationship between them is not understood.&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;th scope="row" style="text-align:left"&gt;SDH, inhibited leads to superoxide generation, increased&lt;/th&gt;
			&lt;td&gt;&amp;nbsp;&lt;/td&gt;
			&lt;td&gt;Inhibition of mitochondrial succinate dehydrogenase has been demonstrated to lead to an increase in mitochondrial superoxide generation in in vitro studies&lt;/td&gt;
			&lt;td&gt;&amp;nbsp;&lt;/td&gt;
			&lt;td&gt;&amp;nbsp;&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;th scope="row" style="text-align:left"&gt;Superoxide generation, increased leads to Increase, Oxidative Stress&lt;/th&gt;
			&lt;td&gt;&amp;nbsp;&lt;/td&gt;
			&lt;td&gt;Activation of superoxide generation, and superoxide dismutase overexpression have been shown to lead, respectively, to increase and decrease of markers of oxidative stress within cells.&lt;/td&gt;
			&lt;td&gt;&amp;nbsp;&lt;/td&gt;
			&lt;td&gt;&amp;nbsp;&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;th scope="row" style="text-align:left"&gt;Increase, Oxidative Stress leads to TH synthesis, Decreased&lt;/th&gt;
			&lt;td&gt;&amp;nbsp;&lt;/td&gt;
			&lt;td&gt;&amp;nbsp;&lt;/td&gt;
			&lt;td&gt;Increased oxidative stress leads to adverse biochemical and histological outcomes in thyroid cells in vitro and in vivo, including reduced follicular colloidal amounts&lt;/td&gt;
			&lt;td&gt;&amp;nbsp;&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;th scope="row" style="text-align:left"&gt;TH synthesis, Decreased leads to T4 in serum, Decreased&lt;/th&gt;
			&lt;td&gt;&amp;nbsp;&lt;/td&gt;
			&lt;td&gt;Inhibition of T4 synthesis in vivo is expected to&amp;nbsp; lead to reduction in circulating T4 concentration, though mediated by the counterbalancing effect of negative feedback in the&lt;/td&gt;
			&lt;td&gt;&amp;nbsp;&lt;/td&gt;
			&lt;td&gt;&amp;nbsp;&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;th scope="row" style="text-align:left"&gt;T4 in serum, Decreased leads to Insulin resistance, increased&lt;/th&gt;
			&lt;td&gt;&amp;nbsp;&lt;/td&gt;
			&lt;td&gt;Decreased T4 serum concentration has been demonstrated to result in increase in insulin resistance in rodent studies and in humans&lt;/td&gt;
			&lt;td&gt;&amp;nbsp;&lt;/td&gt;
			&lt;td&gt;&amp;nbsp;&lt;/td&gt;
		&lt;/tr&gt;
	&lt;/tbody&gt;
&lt;/table&gt;

&lt;p&gt;&amp;nbsp;&lt;/p&gt;
</weight-of-evidence-summary>
      <known-modulating-factors>&lt;div&gt;
&lt;table class="table table-bordered table-fullwidth"&gt;
	&lt;thead&gt;
		&lt;tr&gt;
			&lt;th&gt;Modulating Factor (MF)&lt;/th&gt;
			&lt;th&gt;Influence or Outcome&lt;/th&gt;
			&lt;th&gt;KER(s) involved&lt;/th&gt;
		&lt;/tr&gt;
	&lt;/thead&gt;
	&lt;tbody&gt;
		&lt;tr&gt;
			&lt;td&gt;&amp;nbsp;&lt;/td&gt;
			&lt;td&gt;&amp;nbsp;&lt;/td&gt;
			&lt;td&gt;&amp;nbsp;&lt;/td&gt;
		&lt;/tr&gt;
	&lt;/tbody&gt;
&lt;/table&gt;
&lt;/div&gt;
</known-modulating-factors>
      <quantitative-considerations>&lt;p&gt;Quantitative understanding of the AOP is currently low.&lt;/p&gt;
</quantitative-considerations>
    </overall-assessment>
    <potential-applications></potential-applications>
    <aop-stressors>
      <aop-stressor stressor-id="5c0c2f23-e395-423c-af09-f2717b1f844d">
        <evidence>Not Specified</evidence>
      </aop-stressor>
      <aop-stressor stressor-id="c2e0a6a9-9705-4be5-8edc-67dfca399c8f">
        <evidence>Not Specified</evidence>
      </aop-stressor>
    </aop-stressors>
    <references>&lt;p&gt;Amjad, S. et al (2020), &amp;quot;Role of antioxidants in alleviating bisphenol A toxicity&amp;quot;, &lt;em&gt;Biomolecules&lt;/em&gt;, Vol 10, 1105.&lt;/p&gt;

&lt;p&gt;ArulJothi, K.N. et al (2023), &amp;quot;Implications of reactive oxygen species in lung cancer and exploiting it for therapeutic interventions&amp;quot;, &lt;em&gt;Medical Oncology&lt;/em&gt;, Vol 40, 43.&lt;/p&gt;

&lt;p&gt;Brenta, G. (2011), &amp;quot;Why can insulin resistance be a natural consequence of thyroid dysfunction?&amp;quot;, &lt;em&gt;Journal of Thyroid Research&lt;/em&gt;, 152850.&lt;/p&gt;

&lt;p&gt;Gao, H. et al (2021), &amp;quot;Association between phthalate exposure and insulin resistance: a systemic review and meta-analysis update&amp;quot;, &lt;em&gt;Environmental Science and Pollution Research International&amp;quot;&lt;/em&gt;, Vol 28, pp 55967-55980.&lt;/p&gt;

&lt;p&gt;Huang, H-B&amp;nbsp;et al&lt;em&gt;&amp;nbsp;&lt;/em&gt;(2021), &amp;quot;Mediation effects of thyroid function in the associations between phthalate exposure and glucose metabolism in adults&amp;quot;, &lt;em&gt;Environmental Pollution&lt;/em&gt; Vol 278, 116799.&lt;/p&gt;

&lt;p&gt;Kim, M.J. et al (2019), &amp;quot;Association between Diethylhexyl phthalate exposure and thyroid function: a meta-analysis&amp;quot;, &lt;em&gt;Thyroid&lt;/em&gt;, Vol 29, pp 183-192, with correction in Vol 29, 752.&lt;/p&gt;

&lt;p&gt;Mondal, S. and Bandyopadhyay, A. (2023), &amp;quot;From oxidative imbalance to compromised standard sperm parameters: toxicological aspects of phthalate esters on spermatozoa&amp;quot;, &lt;em&gt;Environmental Toxicology and Pharmacology&lt;/em&gt;, Vol 98, 104085.&lt;/p&gt;

&lt;p&gt;Murphy, M.P. (2009), &amp;quot;How mitochondria produce reactive oxygen species&amp;quot;, &lt;em&gt;Biochemical Journal&lt;/em&gt;, Vol 417, pp 1-13.&lt;/p&gt;

&lt;p&gt;Shoshtari-Yeganeh, B, et al (2019) &amp;quot;Systematic review and meta-analysis on the association between phthalates exposure and insulin resistance&amp;quot;, &lt;em&gt;Environmental Science and Pollution Research International&amp;quot;&lt;/em&gt;, Vol 26, pp 9435-9442.&lt;/p&gt;

&lt;p&gt;Unsal, V. et al (2020), &amp;quot;Toxicity of carbon tetrachloride, free radicals and role of antioxidants&amp;quot;, &lt;em&gt;Research in Environmental Health&lt;/em&gt;, Vol 36, pp279-295.&lt;/p&gt;

&lt;p&gt;Wang, Q.-Y. et al (2023), &amp;quot;2,3&amp;#39;,4,4&amp;#39;,5-Pentachlorophenol induces mitochondria-dependent apoptosis mediated by AhR/Cyp1a1 in mouse germ cells&amp;quot;, &lt;em&gt;Journal of Hazard Materials&lt;/em&gt;, Vol 445, 130457.&lt;/p&gt;

&lt;p&gt;Yang, C. et al (2020), &amp;quot;Mediation of oxidative stress toxicity induced by pyrethroid pesticides in fish&amp;quot;, &lt;em&gt;Comp Biochem Physiol C Toxicol Pharmacol.&lt;/em&gt;, Vol 234, 108758.&lt;/p&gt;
</references>
    <source>AOPWiki</source>
    <creation-timestamp>2022-06-30T09:47:52</creation-timestamp>
    <last-modification-timestamp>2024-07-04T14:15:29</last-modification-timestamp>
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