Cited by 46Contact Dermatitis and AllergiesAnimal testing and alternativesImmunotoxicology and immune responses

The borderline range of toxicological methods: quantification and implications for evaluating precision

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Leontaridou, Maria·2017·ALTEX

Abstract

Test methods to assess the skin sensitization potential of a substance usually use threshold criteria to dichotomize continuous experimental read-outs into yes/no conclusions. The threshold criteria are prescribed in the respective OECD test guidelines and the conclusion is used for regulatory hazard assessment, i.e., classification and labelling of the substance. We can identify a borderline range (BR) around the classification threshold within which test results are inconclusive due to a test method's biological and technical variability. We quantified BRs in the prediction models of the non-animal test methods DPRA, LuSens and h-CLAT, and of the animal test LLNA, respectively. Depending on the size of the BR, we found that between 6% and 28% of the substances in the sets tested with these methods were considered borderline. When the results of individual non-animal test methods were combined into integrated testing strategies (ITS), borderline test results of individual tests also affected the overall assessment of the skin sensitization potential of the testing strategy. This was analyzed for the 2-out-of-3 ITS: Four out of 40 substances (10%) were considered borderline. Based on our findings we propose expanding the standard binary classification of substances into "positive"/"negative" or "hazardous"/"non-hazardous" by adding a "borderline" or "inconclusive" alert for cases where test results fall within the borderline range.

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Crossref · 10.14573/altex.1606271

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  • Assay variability near decision points may be large enough to affect classification, particularly where the threshold is close to the steep part of a concentration-response curve.

    “Ring-trial and validation data indicate that assay variability near decision points may be large enough to affect classification, particularly where the threshold is close to the steep part of a concentration-response curve (Kolle et al., 2021; Gabbert et al., 2022; Leontaridou, 2017).”

    From Cytotoxicity across OECD methods is not a single endpoint: context-dependent roles, variability and implications for decision-making (2026) · cites this paper as Leontaridou, 2017

    The Abstract says biological and technical variability can make results near classification thresholds inconclusive and can affect the overall assessment. It does not link that effect specifically to thresholds on the steep part of a concentration-response curve or identify ring-trial data as its basis. (LLM, conf=0.85)

    Experimental — accuracy not yet measured
  • The concept of borderline ranges is well established for several defined approaches and in vitro skin sensitization methods.

    “The concept is well established for several defined approaches and in vitro skin sensitization methods (Kolle et al., 2021; Gabbert et al., 2022; Leontaridou, 2017; OECD, 2025e).”

    From Cytotoxicity across OECD methods is not a single endpoint: context-dependent roles, variability and implications for decision-making (2026) · cites this paper as Leontaridou, 2017

    The Abstract reports quantified borderline ranges for three non-animal skin-sensitization methods and examines their effect on one integrated testing strategy. It does not establish that borderline ranges were already well established across several defined approaches; instead, it proposes adding a borderline alert to standard classifications. (LLM, conf=0.85)

    Experimental — accuracy not yet measured

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Research works printed but not linked: 10

  1. Mirjam Luijten, Matthias Herzler, Femke Affourtit, Dave Allen, Muhammad Waqar Ashraf, Nicholas Ball, Elisabet Berggren, Sandra Berndt, Pierre-André Billat, Eike Cöllen, John Colbourne, Marco Corvaro, Richard Currie, Michael Guy Diemar, Hubert Dirven, Nadine Dreser, Sylvia E. Escher, Iain Gardner, Rafael Gozalbes, Stefan Hahn, Astrid Heiland, Claudia Hempt, Giel Hendriks, Oliver Henschel, Trine Husøy, Barira Islam, Keld Alstrup Jensen, Hennicke Kamp, Spyros Karakitsios, George E. N. Kass, Vikas Kumar, Robert Landsiedel, Thomas Loret, Patrik Lundquist, Catherine Mahony, Philip Marx-Stoelting, Martijn J. Moné, Ilse Ottenbros, Gladys Ouédraogo, Manuel Pastor, Magdalini Sachana, Sebastian Schmeisser, Stefan Scholz, Katrin Schütte, Kristie Sullivan, Silvia Tangianu, Adrian Tristram, Janette Turner, Mathieu Vinken, Jelle Vlaanderen, Bob van de Water, Andrew White, Marcel Leist, Stakeholder input towards further refinement and consolidation of the Alternative Safety Profiling Algorithm (ASPA) for next generation risk assessment (NGRA) , ALTEX - Alternatives to Animal Experimentation: Vol. 43 No. 3 (2026)
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  4. Natalie Alépée, Anthony Bahinski, Mardas Daneshian, Bart De Wever, Ellen Fritsche, Alan Goldberg, Jan Hansmann, Thomas Hartung, John Haycock, Helena T. Hogberg, Lisa Hoelting, Jens M. Kelm, Suzanne Kadereit, Emily McVey, Robert Landsiedel, Marcel Leist, Marc Lübberstedt, Fozia Noor, Christian Pellevoisin, Dirk Petersohn, Uwe Pfannenbecker, Kerstin Reisinger, Tzutzuy Ramirez, Barbara Rothen-Rutishauser, Monika Schäfer-Korting, Katrin Zeilinger, Marie-Gabriele Zurich, State-of-the-art of 3D cultures (organs-on-a-chip) in safety testing and pathophysiology , ALTEX - Alternatives to Animal Experimentation: Vol. 31 No. 4 (2014)
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  9. Britta Wareing, Susanne N. Kolle, Barbara Birk, Nathalie Alépée, Tina Haupt, Rishil Kathawala, Petra S. Kern, Laurent Nardelli, Hans Raabe, Marián Rucki, Cindy A. Ryan, Sjoerd Verkaart, Walter M. A. Westerink, Robert Landsiedel, Andreas Natsch, The kinetic direct peptide reactivity assay (kDPRA): Intra- and inter-laboratory reproducibility in a seven-laboratory ring trial , ALTEX - Alternatives to Animal Experimentation: Vol. 37 No. 4 (2020)
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Cited by

Sorted by citations

Authors
Leontaridou, M.
Affiliations
BASF (Germany) (DE)
Corresponding author
Leontaridou, Maria
Venue
ALTEX
Publisher
ALTEX Edition
Published
2017
Volume
34
Issue
4
Pages
525-538
ISSN
  • 0946-7785 (ISSN-L)
  • 1868-596X
OpenAlex
W2765277177
Cited by
46
References
0
Citations by year
2026: 2 · 2025: 2 · 2024: 1 · 2023: 1 · 2022: 7 · 2021: 4 · 2020: 7 · 2019: 5 · 2018: 11 · 2017: 6
FWCI
9.01
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • ALTEX (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Socio-Environmental Systems Modeling (acceptedVersion, cc-by)
  • Zenodo (CERN European Organization for Nuclear Research) (submittedVersion, cc-by)
  • Data Archiving and Networked Services (DANS) (submittedVersion, cc-by)
Topics
  • Health Sciences › Medicine › Dermatology › Contact Dermatitis and Allergies
  • Health Sciences › Veterinary › Small Animals › Animal testing and alternatives
  • Life Sciences › Immunology and Microbiology › Immunology › Immunotoxicology and immune responses
Keywords
skin sensitization, classification threshold, DprA, integrated testing strategies, test precision, hazard assessment, indeterminate results, binary classification
MeSH terms
Animal Testing Alternatives, Humans, Reference Values, Toxicity Tests, Skin Irritancy Tests

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