ORIGINAL RESEARCH article

Front. Toxicol.

Sec. Computational Toxicology and Informatics

Volume 7 - 2025 | doi: 10.3389/ftox.2025.1564864

This article is part of the Research TopicApplication of New Approach Methodologies in Toxicological Assessment of Next Generation Tobacco and Nicotine ProductsView all 3 articles

Quantitative adverse outcome pathway modeling for cigarette smoke-inducible airway mucus hypersecretion. Part 2: Bayesian network modeling for probabilistic risk estimation

Provisionally accepted
Shigeaki  ItoShigeaki Ito*Sakuya  IchikawaSakuya IchikawaRisa  MatsumotoRisa MatsumotoShugo  MurataniShugo MurataniKeigo  SanoKeigo SanoAkina  MoriAkina MoriKazuo  EramiKazuo Erami
  • Japan Tobacco (Japan), Tokyo, Japan

The final, formatted version of the article will be published soon.

The development of in vitro tests that reproduce real-world situations is crucial for toxicity-and disease-risk assessment without animal testing. Because signs and symptoms of health concerns can be complex, it is helpful to create a simplified representation of such manifestations using a conceptual framework such as an adverse outcome pathway (AOP). Combining an AOP with computational models could be a potential tool for the extrapolation of in vitro results to real-world scenarios. Here, we applied Bayesian network-based probabilistic quantitative models for disease-related risk estimation using an in vitro dataset on the AOP of mucus hypersecretion-a known representative symptom of chronic airway disease-obtained by repeated exposure of human bronchial epithelial cells to whole cigarette smoke. We also used a computational aerosol dosimetry model to account for differences between in vitro exposure concentrations and human exposure scenarios. The results revealed dose-and exposure repetition-dependent increases in adverse outcome probability, suggesting that the model reflects the risk continuum of cigarette smoking. Furthermore, under certain assumptions, dosimetry modeling indicated that our in vitro exposure concentrations were similar to actual smoking scenarios. As an exercise, we also calculated in vitro odds ratios for chronic bronchitis that were comparable to the range of real-world odds ratios for chronic bronchitis due to cigarette smoking. Our combinatory risk-assessment approach could be a valuable tool for estimating the chronic inhalation effects of inhalable products and chemicals.

Keywords: qAOP modeling, chronic bronchitis, repeated exposure, Inhalation, New approach methodology

Received: 22 Jan 2025; Accepted: 21 Mar 2025.

Copyright: © 2025 Ito, Ichikawa, Matsumoto, Muratani, Sano, Mori and Erami. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Shigeaki Ito, Japan Tobacco (Japan), Tokyo, Japan

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