Human Skin Model Test: in vitro Skin Corrosion
Human Skin Model Test with Medical Devices: In Vitro Skin Irritation
(EpiDerm™ or SkinEthic™)
At Eurofins Biopharma Product Testing Munich GmbH the Human Skin Model Test can be used for detection of skin irritation potential of medical devices. The prediction and classification can be done by the assessment of the effect on EpiDermTM model or SkinEthicTM model.
The modified Human Skin Model Test for medical devices is a reliable in vitro test method and is performed in accordance with the draft ISO guideline 10993-10 Part 10 at Eurofins1.
Assessment of Skin Irritation Potential of Medical Devices
- Acute irritation characte
Human Skin Model Test: in vitro Skin Corrosion
(EpiDerm™ and EPISKIN-SM™)
The prediction and classification of skin corrositivity potential of substances can be performed by the assessment of the effect on EpiDerm and EPISKIN-SM™ models.
The Human Skin Model Test is validated by the EURL ECVAM (European Union Reference Laboratory for Alternatives to Animal Testing) and is performed in accordance with the OECD guidance (OECD 431) at Eurofins BioPharma Product Testing Munich GmbH1 with chemicals, cosmetics or personal care products and pharmaceuticals.
Assessment of skin corrosion potential
- Corrosion represents irreversible tissue damage of the skin (visible necrosis) after application of a substance. The underlying mechanisms are either the destruction of the skin penetration barrier or the rapid penetration of highly cytotoxic chemicals through the skin without its destruction.
- The EpiDerm™ and EPISKIN-SM™ represent a reconstituted three-dimensional human epidermis (RhE) model which consists of human epidermal keratinocytes. This in vitro model mimics biochemical and physiological properties of the upper human skin.
- To determine skin corrosion potential chemicals are applied directly on the skin tissue surface and the cell viability is measured by MTT assay.
- The EpiDerm™ and EPISKIN-SM™ human skin model test can be used as a reliable in vitro method to distinguish between corrosive and non-corrosive chemicals. Additionally, sub-categorisation in "Category 1A" or a combination of sub-categories "1B" and "1C" is possible with this test².
- The skin corrosion test can be performed subsequently to a positive skin irritation test for a final classification. If the skin corrosion test is performed at first, a negative result can be followed by an irritation test to conclude if the chemical has irritant potential or not.
Corrosion represents irreversible tissue damage of the skin (visible necrosis) after application of chemicals. The underlying mechanisms are either the destruction of the skin penetration barrier or the rapid penetration of highly cytotoxic chemicals through the skin without its destruction.
ProcedurePrinciples of the Human Skin Model Test
Protocol
Model
EpiDerm
EpiSkin
Supplier
MatTek
Skin Ethic
Analysis
Corrosivity potential: cytotoxicity measurement with MTT (mean tissue viability compared to negative control)
Test chemical concentrations
Liquids: 50 µL (undiluted)
Solids: 25 mg + 25 µL H2O
Liquids: 50 µL (undiluted)
Solids: 20 mg + 100 µL NaCl
Exposure time
3 min and 60 min incubation with dose groups
3 min, 60 min and 240 min incubation with dose groups
Quality controls
Positive control: 8 N (KOH)
Negative control: H2O
Positive control: glacial acetic acid
Negative control: NaCl
Pre-tests
To determine if additional controls are needed:
NSMTT*: mixing of test item with MTT medium to determine if test item alone can reduce MTT
à blue colouring: in main experiment two killed tissues treated with test item and two untreated killed tissues were added as controls
NSCliving#: mixing of test item with H2O or isopropanol to determine if strong own colour of test item can discolour at contact with this liquids
à optical discolouring (measuring of spectrum): in main experiment two living tissues without incubation with MTT medium were added as controls
NSCkilled§: if the two other controls were determined
à in main experiment two killed tissues without incubation with MTT medium were added as controls
Application
Direct topical application of chemicals on skin tissue
Two tissue replicates per dose group
Data delivery
Optical density (OD) value with microplate spectrophotometer at 570 nm
*NSMTT: non-specific MTT reduction
#NSCliving: non-specific colouring of living tissues
$NSCkilled: non-specific colouring of killed tissues
Procedure
Prediction Model of the Human Skin Model Test
Prediction EpiDerm™
Prediction EPISKIN-SM™
Mean tissue viability
(% negative control)Prediction
optional sub-categorisationMean tissue viability
(% negative control)Prediction
optional sub-categorisationStep 1
--
< 50% after 3 min exp.
Corrosive
< 35% after 3 min exp.
Corrosive
Optional sub-category 1A (risk of over-prediction)³ 50% after 3 min exp.
and
< 15% after 60 min exp.
Corrosive
A combination of optional sub-categories 1B and 1C
³ 35% after 3 min and < 35% after 60 min exp.
or
³ 35% after 60 min and < 35% after 4 h exp.
Corrosive
A combination of optional sub-categories 1B and 1C³ 50% after 3 min exp.
and
³ 15% after 60 min exp.Non-Corrosive
³ 35% after 4 h exp.
Non-Corrosive
Step 2
--
< 25% after 3 min exp.
Optional sub-category 1A
≥ 25% after 3 min exp.
A combination of optional sub-categories 1B and 1CExp. = exposure
Table 1: Prediction model of the corrosivity potential of the EpiDermTM and the EPISKIN-SMTM tissues dependent on the mean tissue viability.1
Based on the mean tissue viability, chemicals can be classified with the skin corrosion test into corrosive and non-corrosive and can be furthermore sub-categorised.
Data
Eurofins Data for demonstration technical proficiency of the Human Skin Model Test (EpiDerm™ and EPISKIN-SM™)
Chemical
UN GHS category
EF category for EpiDerm™
EF category for EPISKIN-SM™
Corrosive chemicals (sub-category 1A)
Bromoacetic acid
1A
1A
1A
Boron trifluoride dihydrate
1A
1A
1A
Phenol
1A
1A
1A
Dichloroacetyl chloride
1A
1A
1A
Corrosive chemicals (combination of sub-categories 1B and 1C)
Glyoxylic acid monohydrate
1B and 1C
1B and 1C
1B and 1C
Lactic acid
1B and 1C
1B and 1C
1B and 1C
Ethanolamine
1B and 1C
1B and 1C
1B and 1C
Hydrochloric acid (14.4%)
1B and 1C
1B and 1C
1B and 1C
Non-corrosive chemicals
Phenethyl bromide
NC
NC
NC
4-Amino-1,2,4-triazole
NC
NC
NC
4-(Methylthio)-benzaldehyde
NC
NC
NC
Lauric acid
NC
NC
NC
EF = Eurofins Munich GmbH NC = Non-Corrosive
Table 2: Eurofins data of in vitro skin corrosion with EpiDerm™ and EPISKIN-SM™ of twelve tested proficiency chemicals compared to the data of the OECD guideline 431 1.
In Table 2 the obtained data from the in vitro skin corrosion with EpiDerm™ and EPISKIN-SM™ of eight corrosive and four non-corrosive chemicals are shown. The prediction of all tested chemicals was correct in comparison to the classification of the OECD guideline 431.
References
- OECD (2016). OECD Guideline for the Testing of Chemicals. No. 431: In Vitro Skin Corrosion: Reconstructed Human Epidermis (RHE) Test Method, 29 July, 2016
- UN (2015), United Nations Globally Harmonized System of Classification and Labelling of Chemicals (GHS), Sixth revised edition, UN New York and Geneva
- The EpiDermTM and the SkinEthicTM model represent a reconstituted three-dimensional human epidermis (RhE) model which consists of human epidermal keratinocytes. This in vitro model mimics biochemical and physiological properties of the upper human skin.
- To determine skin irritation potential the test item is extracted and applied directly on the skin tissue surface. The cell viability is measured by MTT assay.
- The Skin Irritation Test can be used as a reliable in vitro test method to identify chemicals in extracts from medical devices as "irritant" or "non-irritant"3.
Acute irritation characterizes a local, reversible inflammatory response of normal living skin to direct injury after application of irritant substances2. |
Procedure
Principles of the Human Skin Model Test with Medical Devices
Protocol |
||
Model |
EpiDermTM (Reconstructed human skin model) supplied from MatTek |
SkinEthicTM (Reconstructed human skin model) supplied from EpiSkin |
Analysis |
skin irritation potential: cytotoxicity measurement with MTT (mean tissue viability compared to negative control tissues) optional: Interleukin-1α (IL-1α) release into the tissue culture medium |
|
Test chemical concentrations |
100 µL undiluted extract in 0.9% NaCl (polar) 100 µL undiluted extract in sesame oil (non-polar) |
|
Extraction and absorption capacity |
extraction at 37 ± 1 °C for 72 ± 2 h in 0.9% NaCl or sesame oil with continuous agitation/shaking determination of the absorption capacity of the test item in NaCl (polar) or in sesame oil (non-polar) |
|
Exposure time |
18 ± 0.5 h in the incubator |
24 ± 2 h in the incubator |
Quality controls |
positive control: 1% SDS in NaCl and sesame oil negative control: DPBS vehicle controls: → 0.9% NaCl as solvent for polar extracts → sesame oil as solvent for non-polar extracts |
|
Pre-tests |
to determine if additional controls are needed: NSMTT*: mixing of test item extract with MTT medium to determine if test item alone can reduce MTT → blue colouring: in main experiment two killed tissues treated with test item and two untreated killed tissues were added as controls NSCliving*: mixing of test item extract with H2O or isopropanol to determine if strong own colour of test item can discolour at contact with this liquids → optical discolouring (measuring of spectrum): in main experiment two living tissues without incubation with MTT medium were added as controls NSCkilled*: if the two other controls were determined → in main experiment two killed tissues without incubation with MTT medium were added as controls |
|
Application |
direct topical application of extracts on skin tissues three tissue replicates per dose group |
|
Data delivery |
optical density (OD) value with microplate spectrophotometer at 570 nm tissue viability of each dose group |
|
Prediction model |
mean tissue viability (% negative control): ≤ 50%: Irritant; (IL-1α > 60 pg/mL) > 50%: Non-Irritant; (IL-1α ≤ 60 pg/mL) |
*NSMTT: non-specific MTT reduction
#NSCliving: non-specific colouring of living tissues
§NSCkilled: non-specific colouring of killed tissues
References
- ISO 10993-10, 2010(E), “Biological evaluation of medical devices - Part 10: Tests for irritation and skin sensitization“. Annex D: In vitro tests for skin irritation
- UN (2015). United Nations Globally Harmonized System of Classification and Labelling of Chemicals (GHS), sixth revised edition, UN New York and Geneva
- DeJong W., Hoffmann S., Lee M., Kandárova H., Pellevoisin, C., Haishima Y., Rollins B., Zdawczyk A., Willoughby J., Bachelor M., Schatz T., Skoog S., Parker S., Sawyer A., Pescio P., Fant K., Kim, KM., Kwon JS., Gehrke H., Hofman-Hüther H., Meloni, M., Julius C., Briotet D., Letasiova S., Kato R., Miyajima A., De La Fonteyne L., Videau C. Tornier C., Turley A.P., Christiano N., Rollins T.S. and Coleman K.P., (2018) Round robin study to evaluate the reconstructed human epidermis (RhE) model as an in vitro skin irritation test for detection of irritant activity in medical device extracts. Toxicology in Vitro.