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ToxSci Advance Access originally published online on December 15, 2008
Toxicological Sciences 2009 108(1):194-206; doi:10.1093/toxsci/kfn261
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© The Author 2008. Published by Oxford University Press on behalf of the Society of Toxicology. All rights reserved. For permissions, please email: journals.permissions@oxfordjournals.org

Inflammatory Biomarkers of Sulfur Mustard Analog 2-Chloroethyl Ethyl Sulfide–Induced Skin Injury in SKH-1 Hairless Mice

Neera Tewari-Singh*, Sumeet Rana*, Mallikarjuna Gu*, Arttatrana Pal*, David J. Orlicky{dagger}, Carl W. White{ddagger} and Rajesh Agarwal*,1

* Department of Pharmaceutical Sciences, School of Pharmacy {dagger} Department of Pathology, University of Colorado Denver, Aurora, Colorado 80045 {ddagger} Department of Pediatrics, National Jewish Medical and Research Center, Denver, Colorado 80206

1 To whom correspondence should be addressed at Department of Pharmaceutical Sciences, School of Pharmacy, University of Colorado Denver, 12700 East 19th Avenue, Box C238 P-15 Research 2, Aurora, CO 80045. Fax: (303) 724-7266. E-mail: Rajesh.Agarwal{at}ucdenver.edu.

Received October 16, 2008; accepted December 10, 2008


   Abstract

Sulfur mustard (HD) is an alkylating and cytotoxic chemical warfare agent, which inflicts severe skin toxicity and an inflammatory response. Effective medical countermeasures against HD-caused skin toxicity are lacking due to limited knowledge of related mechanisms, which is mainly attributed to the requirement of more applicable and efficient animal skin toxicity models. Using a less toxic analog of HD, chloroethyl ethyl sulfide (CEES), we identified quantifiable inflammatory biomarkers of CEES-induced skin injury in dose- (0.05–2 mg) and time- (3–168 h) response experiments, and developed a CEES-induced skin toxicity SKH-1 hairless mouse model. Topical CEES treatment at high doses caused a significant dose-dependent increase in skin bi-fold thickness indicating edema. Histopathological evaluation of CEES-treated skin sections revealed increases in epidermal and dermal thickness, number of pyknotic basal keratinocytes, dermal capillaries, neutrophils, macrophages, mast cells, and desquamation of epidermis. CEES-induced dose-dependent increases in epidermal cell apoptosis and basal cell proliferation were demonstrated by the terminal deoxynucleotidyl transferase (tdt)-mediated dUTP-biotin nick end labeling and proliferative cell nuclear antigen stainings, respectively. Following an increase in the mast cells, myeloperoxidase activity in the inflamed skin peaked at 24 h after CEES exposure coinciding with neutrophil infiltration. F4/80 staining of skin integuments revealed an increase in the number of macrophages after 24 h of CEES exposure. In conclusion, these results establish CEES-induced quantifiable inflammatory biomarkers in a more applicable and efficient SKH-1 hairless mouse model, which could be valuable for agent efficacy studies to develop potential prophylactic and therapeutic interventions for HD-induced skin toxicity.

Key Words: CEES; inflammatory biomarkers; SKH-1 hairless mouse; epidermal thickness; mast cells; macrophages.


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