Abstract
Tests of pulmonary function are useful tools for evaluating the potential for compounds to produce toxicity affecting the pulmonary system. Insults to the pulmonary system (i.e., due to drugs, biologics, toxins) can cause detectable dysfunction through multiple mechanisms. Manifestation of the response to insults will depend on the component(s) involved and the compensatory mechanism(s) initiated. The purpose of this chapter is to introduce the concepts of pulmonary testing as it is applied to the preclinical evaluation of pharmaceutical test articles. The topics will include the techniques and methods that have been developed for use in nonclinical (animal) subjects and the parameters that are routinely measured.
Keywords
- Blood gases
- Compliance
- ICH S7A
- Oscillometry
- Oxygen saturation
- Plethysmography
- Pneumotachograph
- Resistance
- Respiratory inductance plethysmography (RIP)
- Respiratory rate
- Tidal volume
This is a preview of subscription content, access via your institution.
Buying options




References
Adler A, Cieslewicz G, Irvin CG (2004) Unrestrained plethysmography is an unreliable measure of airway responsiveness in BALB/c and C57BL/6 mice. J Appl Physiol 97:286–292
Authier S, Legaspi M, Gauvin D, Chaurand F, Fournier S, Troncy E (2008) Validation of respiratory safety pharmacology models: conscious and anesthetized beagle dogs. J Pharmacol Toxicol Methods 57(1):52–60
Authier S, Legaspi M, Gauvin D, Troncy E (2009) Respiratory safety pharmacology: positive control drug responses in Sprague–Dawley rats, Beagle dogs and cynomolgus monkeys. Regul Toxicol Pharmacol 55(2):229–235
Authier S, Gervais J, Fournier S, Gauvin D, Maghezzi S, Troncy E (2011) Cardiovascular and respiratory safety pharmacology in Göttingen minipigs: pharmacological characterization. J Pharmacol Toxicol Methods 64(1):53–59
Bassett L, Troncy E, Robichaud A, Schuessler TF, Pouliot M, Ascah A, Authier S (2014) Non-invasive measure of respiratory mechanics and conventional respiratory parameters in conscious large animals by high frequency Airwave Oscillometry. J Pharmacol Toxicol Methods 70(1):62–65
Brouillette RT, Morrow AS, Weese-Mayer DE, Hunt CE (1987) Comparison of respiratory inductive plethysmography and thoracic impedance for apnea monitoring. J Pediatr 111(3):377–383
Chaui-Berlinck JG, Bicudo JEPW (1998) The signal in total-body plethysmography: errors due to adiabatic-isothermic difference. Respir Physiol 113(3):259–270
Costa DL, Tepper JS, Raub JA (1992) Interpretations and limitations of pulmonary function testing in small laboratory animals. In: Parent RA (ed) Comparative biology of the normal lung, vol 1, CRC Press. Boca Raton, FL, pp 367–399
Delaunois A, Dedoncker P, Hanon E, Guyaux M (2009) Repeated assessment of cardiovascular and respiratory functions using combined telemetry and whole-body plethysmography in the rat. Sixth Annual Focused Issue on Methods in Safety Pharmacology [Part II] 60(2):117–129
DeLorme MP, Moss OR (2002) Pulmonary function assessment by whole-body plethysmography in restrained versus unrestrained mice. J Pharmacol Toxicol Methods 47(1):1–10
Diamond L, O’Donnell M (1977) Pulmonary mechanics in normal rats. J Appl Physiol 43(6):942–948
Drorbaugh JE, Fenn WO (1955) A barometric method for measuring ventilation in newborn infants. Pediatrics 16(1):81–87
Epstein MA, Epstein RA (1978) A theoretical analysis of the barometric method for measurement of tidal volume. Respir Physiol 32(1):105–120
Erasmus JJ, Page McAdams H, Rossi SE (2002) Drug-induced lung injury. Diffuse Lung Dis 37(1):72–81
Ewart LC, Haley M, Bickerton S, Bright J, Elliott K, McCarthy A, Valentin JP (2010) Pharmacological validation of a telemetric model for the measurement of bronchoconstriction in conscious rats. J Pharmacol Toxicol Methods 61(2):219–229
FDA (2001) S7A safety pharmacology studies for human pharmaceuticals. In Guidance for industry
Ferguson JS, Schaper M, Stock MF, Weyel DA, Alarie Y (1986) Sensory and pulmonary irritation with exposure to methyl isocyanate. Toxicol Appl Pharmacol 82(2):329–335
Fiamma MN, Samara Z, Baconnier P, Similowski T, Straus C (2007) Respiratory inductive plethysmography to assess respiratory variability and complexity in humans. Respir Physiol Neurobiol 156(2):234–239
Flandre TD, Leroy PL, Desmecht DJ (2003) Effect of somatic growth, strain, and sex on double-chamber plethysmographic respiratory function values in healthy mice. J Appl Physiol 94:1129–1136
Frantz S, Nihlén U, Dencker M, Engström G, Löfdahl CG, Wollmer P (2012) Impulse oscillometry may be of value in detecting early manifestations of COPD. Respir Med 106(8):1116–1123
Gad S (2004) Safety pharmacology in pharmaceutical development and approval. CRC Press, Boca Raton, FL
Glaab T, Hoymann HG, Hohlfeld JM, Korolewitz R, Hecht M, Alarie Y, Fabel H (2002) Noninvasive measurement of midexpiratory flow indicates bronchoconstriction in allergic rats. J Appl Physiol 93(4):1208–1214
Goineau S, Rompion S, Guillaume P, Picard S (2010) Ventilatory function assessment in safety pharmacology: optimization of rodent studies using normocapnic or hypercapnic conditions. Toxicol Appl Pharmacol 247(3):191–197
Gube M, Brand P, Conventz A, Ebel J, Goeen T, Holzinger K, Kraus T (2009) Spirometry, impulse oscillometry and capnovolumetry in welders and healthy male subjects. Respir Med 103(9):1350–1357
Halloy DJ, Kirschvink NA, Vincke GL, Hamoir JN, Delvaux FH, Gustin PG (2004) Whole body barometric plethysmography: a screening method to investigate airway reactivity and acute lung injuries in freely moving pigs. Vet J 168(3):276–284
Hamelmann E, Schwarze J, Takeda K, Oshiba A, Larsen GL, Irvin CG, Gelfand EW (1997) Noninvasive measurement of airway responsiveness in allergic mice using barometric plethysmography. Am J Respir Crit Care Med 156:766–775
Hammer J, Newth CJL (2009) Assessment of thoraco-abdominal asynchrony. Paediatr Respir Rev 10(2):75–80
Hirt RA, Leinker S, Mosing M, Wiederstein I (2008) Comparison of barometric whole body plethysmography and its derived parameter enhanced pause (PENH) with conventional respiratory mechanics in healthy Beagle dogs. Vet J 176(2):232–239
Hoffman AM (2007) Airway physiology and clinical function testing. Respir Physiol Diagn Dis 37(5):829–843
ICH (2000) Safety pharmacology studies for human pharmaceuticals S7A. Presented at the international conference on harmonisation
Ingram-Ross JL, Curran AK, Miyamoto M, Sheehan J, Thomas G, Verbeeck J, Pugsley MK (2012) Cardiorespiratory safety evaluation in non-human primates. J Pharmacol Toxicol Methods 66(2):114–124
Jackson AC, Watson JW (1982) Oscillatory mechanics of the respiratory system in normal rats. Respir Physiol 48(3):309–322
Jackson AC, Watson JW, Kotlikoff MI (1984) Respiratory system, lung, and chest wall impedances in anesthetized dogs. J Appl Physiol 57(1):34–39
Jacky JP (1980) Barometric measurement of tidal volume: effects of pattern and nasal temperature. J Appl Physiol 49(2):319–325
Kearney K, Metea M, Gleason T, Edwards T, Atterson P (2010) Evaluation of respiratory function in freely moving Beagle dogs using implanted impedance technology. J Pharmacol Toxicol Methods 62(2):119–126
Legaspi M, Authier S, Gauvin D, Moreau M, Beauchamp G, Chaurand F, Troncy E (2010) Respiratory safety pharmacology: concurrent validation of volume, rate, time, flow and ratio variables in conscious male Sprague–Dawley rats. Regul Toxicol Pharmacol 58(3):444–450
Lindgren S, Bass AS, Briscoe R, Bruse K, Friedrichs GS, Kallman MJ, Pugsley MK (2008) Benchmarking Safety Pharmacology regulatory packages and best practice. Fifth Annual Focused Issue on Methods in Safety Pharmacology 58(2):99–109
Lomask M (2006) Further exploration of the Penh parameter. Exp Toxicol Pathol 57, Supplement 2(0):13–20
Lundblad LK, Irvin CG, Adler A, Bates JH (2002) A reevaluation of the validity of unrestrained plethysmography in mice. J Appl Physiol 93:1198–1207
Maucote J, El Amrani F, Loriot S, El Amrani AI, Forster R, Legrand JJ (2013) Evaluation of respiratory function in conscious, non-restrained cynomolgus monkey using respiratory inductive plethysmography. 10th Annual focused issue on methods in safety. Pharmacology 68(1):e42
Mauderly JL (1989) Effect of inhaled toxicants on pulmonary function. In: McClellan R, Henderson R (eds) Concepts in inhalation toxicology. Hemisphere Publishing Company, New York, pp 347–402
Mazan MR, Hoffman AM (2003) Clinical techniques for diagnosis of inflammatory airway disease in the horse. Equine Sports Med 2(3):238–257
Milano SP, Bpry C., Boucheix O, Lor I, Dupuis C, Moon B (2011) Assessment of thoracic impedance pneumography telemetry to ambulatory and restrained respiration measurement standards in the dog. Eighth Annual Focused Issue on Methods in Safety Pharmacology 64(1): e56
Mitzner W, Tankersley C (2003) Interpreting Penh in mice. J Appl Physiol 94:828–831
Murphy DJ (2014a) Optimizing the use of methods and measurement endpoints in respiratory safety pharmacology. J Pharmacol Toxicol Methods 70(3):204–209
Murphy DJ (2014b) Respiratory safety pharmacology – current practice and future directions. Regul Toxicol Pharmacol 69(1):135–140
Murphy DJ, Renninger JP, Gossett KA (1998) A novel method for chronic measurement of pleural pressure in conscious rats. J Pharmacol Toxicol Methods 39(3):137–141
Murphy DJ, Renninger JP, Coatney RW (2001) A novel method for chronic measurement of respiratory function in the conscious monkey. J Pharmacol Toxicol Methods 46(1):13–20
Murphy DJ (2002) Assessment of respiratory function in safety pharmacology. Fundam Clin Pharmacol 16(3):183–196
Murphy DJ, Renninger JP, Schramek D (2010) Respiratory inductive plethysmography as a method for measuring ventilatory parameters in conscious, non-restrained dogs. J Pharmacol Toxicol Methods 62(1):47–53
Pennock BE, Cox CP, Rogers RM, Cain WA, Wells JH (1979) A noninvasive technique for measurement of changes in specific airway resistance. J Appl Physiol 46(2):399–406
Peslin R, Fredberg J (1986) Oscillation mechanics of the respiratory system. In: Macklem P, Mead J (eds) Mechanics of breathing, Part 1, vol III. American Physiological Society, Bethesda, MD
Purbrick S, Jordan S, Moore S, Butler D, French A, Jones D, Meecham K (2012) Evaluation of Respiratory Inductive Plethysmography using the EMKABelt (Jacket) system in the conscious beagle dog. Ninth Annual Focused Issue on Methods in Safety Pharmacology 66(2):183–184
Redfern WS, Ewart LC, Lainee P, Pinches M, Robinson S, Valentin JP (2013) Functional assessments in repeat-dose toxicity studies: the art of the possible. Toxicol Res 2(4):209–234
Remmers J (1976) Analysis of ventilatory response. Chest 70:134–137
Renninger JP, Murphy DJ, Kohrs LC (2012) Evaluation of a combined model for assessing respiratory and cardiovascular function in the conscious non-restrained monkey. Ninth Annual Focused Issue on Methods in Safety Pharmacology 66(2):178
Talavera J, Kirschvink N, Schuller S, Garrérès AL, Gustin P, Detilleux J, Clercx C (2006) Evaluation of respiratory function by barometric whole-body plethysmography in healthy dogs. Vet J 172(1):67–77
Truchetti G, Troncy E, Robichaud A, Gold L, Schuessler T, Maghezzi S, Authier S (2014) Respiratory mechanics: comparison of Beagle dogs, Gottingen minipigs and Cynomolgus monkeys. J Pharmacol Toxicol Methods 70(1):48–54
Tyler W, Julian MD (1992) Gross and subgross anatomy of the lungs, pleura, connective tissue septa, distal airways, and structural units. In: Parent RA (ed) Comparative biology of the normal lung, vol 1, CRC Press. Boca Raton, FL, pp 37–48
Watson J (1992) Elastic, resistive, and inertial properties of the lung. In: Parent RA (ed) Comparative biology of the normal lung, vol 1. CRC Press, Boca Raton, FL, pp 175–216
Watson JW, Jackson AC (1985) Frequency dependence of CO2 elimination and respiratory resistance in monkeys. J Appl Physiol 58(2):653–657
Wegner CD, Jackson AC, Berry JD, Gillespie JR (1984) Dynamic respiratory mechanics in monkeys measured by forced oscillations. Respir Physiol 55(1):47–61
Zupnick HM, Brown LK, Miller A, Moros DA (1990) Respiratory dysfunction due to L-Dopa therapy for parkinsonism: diagnosis using serial pulmonary function tests and respiratory inductive plethysmography. Am J Med 89(1):109–114
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2015 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Stonerook, M. (2015). Overview of Respiratory Studies to Support ICH S7A. In: Pugsley, M., Curtis, M. (eds) Principles of Safety Pharmacology. Handbook of Experimental Pharmacology, vol 229. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-46943-9_6
Download citation
DOI: https://doi.org/10.1007/978-3-662-46943-9_6
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-46942-2
Online ISBN: 978-3-662-46943-9
eBook Packages: Biomedical and Life SciencesBiomedical and Life Sciences (R0)