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    <source>CL</source>
    <name>epithelial cell</name>
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  <biological-object id="012daba9-6d88-4514-865b-40a0cf5b0c00">
    <source-id>D010212</source-id>
    <source>MESH</source>
    <name>papilloma</name>
  </biological-object>
  <biological-object id="331b39d2-6933-463b-80f3-e461fd71afab">
    <source-id>D002277</source-id>
    <source>MESH</source>
    <name>Carcinoma</name>
  </biological-object>
  <biological-process id="bcfb7a88-b02b-4dae-8153-830b4d7732ea">
    <source-id>GO:0008219</source-id>
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    <name>cell death</name>
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  <biological-process id="defaca00-65c7-4dc6-b2a9-efa04f1d358e">
    <source-id>GO:0006954</source-id>
    <source>GO</source>
    <name>inflammatory response</name>
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    <source-id>GO:0008283</source-id>
    <source>GO</source>
    <name>cell proliferation</name>
  </biological-process>
  <biological-process id="ce07c751-eede-438b-8725-49aab37a85c9">
    <source-id>MP:0005493</source-id>
    <source>MP</source>
    <name>stomach epithelial hyperplasia</name>
  </biological-process>
  <biological-action id="ec1b3d44-0cdf-4c37-bdd9-307ff6c2d4d2">
    <source-id>1</source-id>
    <source>WIKI</source>
    <name>increased</name>
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  <stressor id="9c685718-8ed0-4726-a290-aa2ea0382f96">
    <name>Propylene oxide</name>
    <description></description>
    <exposure-characterization></exposure-characterization>
    <creation-timestamp>2016-11-29T18:42:27</creation-timestamp>
    <last-modification-timestamp>2016-11-29T18:42:27</last-modification-timestamp>
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    <name>Homo sapiens</name>
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    <source>NCBI</source>
    <name>Mus musculus</name>
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  <taxonomy id="08eea929-00b0-4efa-b7d3-d95860f25a1a">
    <source-id>10116</source-id>
    <source>NCBI</source>
    <name>Rattus norvegicus</name>
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  <key-event id="68e45ccf-45ad-4970-810c-c696897383e7">
    <title>Increase, Cytotoxicity (epithelial cells)</title>
    <short-name>Increase, Cytotoxicity (epithelial cells)</short-name>
    <biological-organization-level>Cellular</biological-organization-level>
    <description>&lt;p&gt;This key event is often associated with gavaged administration.
&lt;/p&gt;</description>
    <measurement-methodology></measurement-methodology>
    <evidence-supporting-taxonomic-applicability></evidence-supporting-taxonomic-applicability>
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      <source-id>CL:0000066</source-id>
      <source>CL</source>
      <name>epithelial cell</name>
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    <applicability>
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    <references></references>
    <source>AOPWiki</source>
    <creation-timestamp>2016-11-29T18:41:27</creation-timestamp>
    <last-modification-timestamp>2017-09-16T10:16:14</last-modification-timestamp>
  </key-event>
  <key-event id="85cc8e5a-fab4-458a-add7-69050a09a7fb">
    <title>Increase, Inflammation</title>
    <short-name>Increase, Inflammation</short-name>
    <biological-organization-level>Cellular</biological-organization-level>
    <description>&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Inflammation is complex to define.&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Villeneuve et al. (2018) analyzed the varied biological responses, provided guidance to simplify the &amp;nbsp;process representing inflammation in adverse outcome pathways, and recommended 3 key steps: 1. Tissue resident cell activation 2. Increased Pro-inflammatory mediators 3. Leukocyte recruitment/activation.&amp;nbsp; Tissue resident cell activation generally occurs when healthy tissue is exposed to a stressor, or when damage occurs, initiating a signal response of pro-inflammatory mediators (ex. cytokines).&amp;nbsp; Pro-inflammatory mediators result in the production of lipids and proteins, signaling, and initiate leukocyte recruitment/activation.&amp;nbsp; Leukocyte recruitment/activation initiate inflammation and other morphological changes.&amp;nbsp; &lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;In cancer, inflammation is a cascade of events created by the host in response to the spread of the cancer (Coussens and Werb, 2002). In response to an injury or the presence of cancer, the host heals itself through inflammation. Indeed, the activation and the migration of&amp;nbsp; leukocytes (neutrophils, monocytes and eosinophils) to the wound induces the healing process. These inflammatory cells provide an extracellular matrix that forms upon which fibroblast and endothelial cells proliferate and migrate in order to recreate a normal environment. Damage to the epithelial layer initiate inflammatory reactions (Palmer et al. 2011).&amp;nbsp; In cancer, this inflammatory state induces cell proliferation, increases the production of reactive oxygen species leading to oxidative DNA damage, and reduces DNA repair (Coussens and Werb, 2002).&amp;nbsp;&amp;nbsp;For review of inflammation caused by microplastics in mammals, see Wright and Kelly (2017).&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;&amp;nbsp;&lt;/p&gt;

&lt;p style="text-align:justify"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:Aptos,sans-serif"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;Inflammation can be defined as the response of the organism to a tissue injury (Coussens). Indeed, in order to heal this injury, a multitude of chemical signals initiate and maintain a host response. Leukocytes &lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#212121"&gt;(neutrophils, monocytes and eosinophils)&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#212121"&gt; are recruited to the site of the damage through the attraction by chemokines (&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#212121"&gt;TNF-&amp;alpha; (tumour necrosis factor-&amp;alpha;)&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#212121"&gt;, interleukines&amp;hellip;). A &lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#212121"&gt;provisional extracellular matrix (ECM)&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#212121"&gt; is created, and f&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#212121"&gt;ibroblast and endothelial cells proliferate and migrate&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#212121"&gt; to it. Wound healing is an example of physiological inflammation and is self-limiting (Coussens). In case of a dysregulation, inflammation can lead to pathologies.&amp;nbsp;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:Aptos,sans-serif"&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#212121"&gt;Inflammation can be &lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#212121"&gt;caused by physical injury, ischemic injury, infection, exposure to toxins, or other types of trauma&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#212121"&gt; (Singh).&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:justify"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:Aptos,sans-serif"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;Inflammation was described as one of the hallmarks of cancer by Hannahan et al. as a response to tumor invasion through mainly two mechanisms: promoting genetic instatbility and supply pro-tumorogenic factors.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:justify"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:Aptos,sans-serif"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;First, inflammation in cancer promotes genetic instability (&lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#303030"&gt;Mantovani&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#303030"&gt;, colotta). Macrophages, in contact with the inflammatory site can be responsible of a reactive stress oxygen reaction (ROS) (&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#303030"&gt;Maeda&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#303030"&gt;, Pollard, &lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#212121"&gt;Grivennikov&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#303030"&gt;). Indeed, they &lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#212121"&gt;generate high levels of reactive oxygen and nitrogen species&amp;nbsp;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#212121"&gt;which &lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#212121"&gt;produce mutagenic agents&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#212121"&gt; (&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#212121"&gt;peroxynitrite&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#212121"&gt;)&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#212121"&gt;, which &lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#212121"&gt;in turn &lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#212121"&gt;cause&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#212121"&gt;s&lt;/span&gt;&lt;/span&gt;&lt;/span&gt; &lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#212121"&gt;DNA &lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#212121"&gt;mutation&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#212121"&gt;s.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:justify"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:Aptos,sans-serif"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;Second, &lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#212121"&gt;in inflammation, the tumor micro environment plays a critical role (Coussens). Indeed, in can supply &lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#505050"&gt;growth factors, survival factors, proangiogenic factors, extracellular matrix-modifying enzymes that facilitate angiogenesis, invasion, and metastasis, and inductive signals that lead to activation of EMT and other hallmark-facilitating programs&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#505050"&gt; (Hannahan). For example, &lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#212121"&gt;macrophages can become tumor associated macrophage which promote &lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#212121"&gt;cell proliferation, angiogenesis, and invasio&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#212121"&gt;n (Singh, Lin, Qian)&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#212121"&gt;.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:justify"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:Aptos,sans-serif"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;Moreover, chronic inflammation can also lead to tumorigenesis (Karin, &lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#212121"&gt;Singh&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;). Indeed, since 1863, Virchow has hypothesized that chronic inflammation causes cell proliferation (Balkwill). &lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#212121"&gt;According to Aggarwall, s&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#212121"&gt;everal pro-inflammatory &lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#212121"&gt;markers&lt;/span&gt;&lt;/span&gt;&lt;/span&gt; &lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#212121"&gt;such as &lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#212121"&gt;TNF and members of its superfamily, IL-1alpha, IL-1beta, IL-6, IL-8, IL-18, chemokines, MMP-9, VEGF, COX-2, and 5-LOX&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt; &lt;span style="background-color:white"&gt;&lt;span style="color:#212121"&gt;mediate&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#212121"&gt; suppression of apoptosis, proliferation, angiogenesis, invasion, and metastasis&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#212121"&gt; (Aggarwal).&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
</description>
    <measurement-methodology>&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Inflammation is generally detected in histopathological examination of organs (ex. liver, intestines) or in changes in gene expression (ex. interleukins).&amp;nbsp; Activation of the innate immune response and the release of various inflammatory cytokines can also be assessed (Flake and Morgan, 2017). &lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&amp;nbsp;&lt;/p&gt;

&lt;p style="text-align:justify"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:Aptos,sans-serif"&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#303030"&gt;Several assays can be used to measure inflammation: &lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;ul&gt;
	&lt;li style="text-align:justify"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:Aptos,sans-serif"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;Histopathology on samples. Several scoring tools exist (Goeboes)&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/li&gt;
	&lt;li style="text-align:justify"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:Aptos,sans-serif"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;Measuring chemokines in the blood (&lt;/span&gt;&lt;span style="background-color:#fffcf0"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#212121"&gt;ELISA, multiplex bead assays&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&amp;nbsp;&lt;span style="background-color:#fffcf0"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#212121"&gt;: &lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;interleukines (IL1, IL6), TNF, interferon&amp;hellip; ) (Brenner) and histopathology samples&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/li&gt;
	&lt;li style="text-align:justify"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:Aptos,sans-serif"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;Measuring &lt;/span&gt;&lt;span style="background-color:#fffcf0"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#212121"&gt;Prostaglandin&lt;/span&gt;&lt;/span&gt;&lt;/span&gt; &lt;span style="background-color:#fffcf0"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#212121"&gt;levels, &lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:#fffcf0"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#212121"&gt;COX-2&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:#fffcf0"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#212121"&gt; (&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:#fffcf0"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#212121"&gt;ELISA&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;br /&gt;
	&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#212121"&gt;&lt;span style="background-color:#fffcf0"&gt;Liquid chromatography/tandem mass spectrometry&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:#fffcf0"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#212121"&gt;, IHC)&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/li&gt;
	&lt;li style="text-align:justify"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:Aptos,sans-serif"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;Transcription factors : &lt;/span&gt;&lt;span style="background-color:#fffcf0"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#212121"&gt;STAT3 Activation&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:#fffcf0"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#212121"&gt;, &lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:#fffcf0"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#212121"&gt;NF-&amp;kappa;B Activation&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:#fffcf0"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#212121"&gt; (&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:#fffcf0"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#212121"&gt;ELISA&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;br /&gt;
	&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#212121"&gt;&lt;span style="background-color:#fffcf0"&gt;RtPCR to measure mRNA&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/li&gt;
	&lt;li style="text-align:justify"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:Aptos,sans-serif"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;Biomarkers (white cell count, CRP) ratios, and predictive score using &lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/li&gt;
	&lt;li style="text-align:justify"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:Aptos,sans-serif"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;Measuring ROS(&lt;/span&gt;&lt;span style="background-color:#d3e3fd"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#040c28"&gt;DCFDA&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:#d3e3fd"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#040c28"&gt;, &lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#222222"&gt;horseradish peroxidase (HRP)-oxidizing substrates&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#222222"&gt;, &lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#222222"&gt;SOD-inhibitable reduction of cytochrome&amp;thinsp;c&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="background-color:#d3e3fd"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#040c28"&gt;) (Murphy).&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/li&gt;
&lt;/ul&gt;

&lt;p style="margin-left:48px; text-align:justify"&gt;&amp;nbsp;&lt;/p&gt;

&lt;p style="text-align:justify"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:Aptos,sans-serif"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;Methods are extensively reviewed in Marchand et al and Murphy et al.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
</measurement-methodology>
    <evidence-supporting-taxonomic-applicability>&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:&amp;quot;Calibri&amp;quot;,sans-serif"&gt;Taxonomic:&amp;nbsp;appears to be present broadly, with representative studies focused on mammals (humans, lab mice, lab rats).&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&amp;nbsp;&lt;/p&gt;

&lt;p style="text-align:justify"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:Aptos,sans-serif"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;Extensive data exists on the presence of inflammation in human&lt;/span&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt; (Coussens, Aggarwal, Hannhan, Mantovani..) In human, many examples of chronic inflammation leading to cancer or cancer progression exist. For instance, Helicobacter pylori infection leads to gut cancer (Wang).&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&amp;nbsp;&lt;/p&gt;
</evidence-supporting-taxonomic-applicability>
    <cell-term>
      <source-id>CL:0000255</source-id>
      <source>CL</source>
      <name>eukaryotic cell</name>
    </cell-term>
    <applicability>
      <sex>
        <evidence>High</evidence>
        <sex>Unspecific</sex>
      </sex>
      <life-stage>
        <evidence>High</evidence>
        <life-stage>All life stages</life-stage>
      </life-stage>
      <taxonomy taxonomy-id="9fc4840d-bb31-4e9f-bdfe-ade6666758de">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="9d8726fe-6afd-4ee8-9c68-0a1e7d2aee83">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="08eea929-00b0-4efa-b7d3-d95860f25a1a">
        <evidence>High</evidence>
      </taxonomy>
    </applicability>
    <biological-events>
      <biological-event process-id="defaca00-65c7-4dc6-b2a9-efa04f1d358e" action-id="ec1b3d44-0cdf-4c37-bdd9-307ff6c2d4d2"/>
    </biological-events>
    <references>&lt;p&gt;&lt;span style="font-size:16px"&gt;Flake, G.P., and&amp;nbsp;Morgan, D.L. 2017. Pathology of diacetyl and 2,3-pentanedione airway lesions in a rat model of obliterative bronchiolitis. &lt;em&gt;Toxicology&lt;/em&gt;, &lt;em&gt;388&lt;/em&gt;, 40&amp;ndash;47. &lt;a href="https://doi.org/10.1016/j.tox.2016.10.013"&gt;&lt;u&gt;https://doi.org/10.1016/j.tox.2016.10.013&lt;/u&gt;&lt;/a&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:16px"&gt;Palmer, S.M., Flake, G.P., Kelly, F.L., Zhang, H.L., Nugent, J.L., Kirby, P.J., Zhang, H.L., Nugent, J.L., Kirby, P.J., Foley, J.F., Gwinn, W.M., and Morgan, D.L. 2011. Severe airway epithelial injury, aberrant repair and Bronchiolitis obliterans develops after diacetyl instillation in rats. &lt;em&gt;PLoS ONE&lt;/em&gt;,&amp;nbsp;&lt;em&gt;6&lt;/em&gt;(3).&amp;nbsp;&lt;a href="https://doi.org/10.1371/journal.pone.0017644"&gt;&lt;u&gt;https://doi.org/10.1371/journal.pone.0017644&lt;/u&gt;&lt;/a&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&amp;nbsp;&lt;/p&gt;

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&lt;p style="text-align:justify"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:Aptos,sans-serif"&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#303030"&gt;Balkwill F, Mantovani A. Inflammation and cancer: back to Virchow?&amp;nbsp;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;em&gt;Lancet.&amp;nbsp;&lt;/em&gt;2001;357:539&amp;ndash;545&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

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&lt;p style="text-align:justify"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:Aptos,sans-serif"&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#303030"&gt;Cancer-related inflammation, the seventh hallmark of cancer: Links to genetic instability.&amp;nbsp;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

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&lt;p style="text-align:justify"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:Aptos,sans-serif"&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#212121"&gt;Grivennikov SI, Greten FR, Karin M. Immunity, inflammation, and cancer. Cell. 2010 Mar 19;140(6):883-99. doi: 10.1016/j.cell.2010.01.025. PMID: 20303878; PMCID: PMC2866629.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

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&lt;p style="text-align:justify"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:Aptos,sans-serif"&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#222222"&gt;Murphy, M.P., Bayir, H., Belousov, V.&amp;nbsp;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;em&gt;et al.&lt;/em&gt;&amp;nbsp;Guidelines for measuring reactive oxygen species and oxidative damage in cells and in vivo.&amp;nbsp;&lt;em&gt;Nat Metab&lt;/em&gt;&amp;nbsp;&lt;strong&gt;4&lt;/strong&gt;, 651&amp;ndash;662 (2022). &lt;a href="https://doi.org/10.1038/s42255-022-00591-z" style="color:#467886; text-decoration:underline"&gt;https://doi.org/10.1038/s42255-022-00591-z&lt;/a&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:justify"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:Aptos,sans-serif"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#333333"&gt;Geboes&amp;nbsp;K,&amp;nbsp;Riddell&amp;nbsp;R,&amp;nbsp;&amp;Ouml;st&amp;nbsp;A&lt;em&gt;, et al&lt;/em&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:justify"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:Aptos,sans-serif"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#333333"&gt;A reproducible grading scale for histological assessment of inflammation in ulcerative colitis&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:justify"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:Aptos,sans-serif"&gt;&lt;em&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#333333"&gt;Gut&amp;nbsp;&lt;/span&gt;&lt;/span&gt;&lt;/em&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#333333"&gt;2000;&lt;strong&gt;47:&lt;/strong&gt;404-409.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:justify"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:Aptos,sans-serif"&gt;&lt;span style="background-color:white"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&lt;span style="color:#212121"&gt;Brenner DR, Scherer D, Muir K, Schildkraut J, Boffetta P, Spitz MR, Le Marchand L, Chan AT, Goode EL, Ulrich CM, Hung RJ. A review of the application of inflammatory biomarkers in epidemiologic cancer research. Cancer Epidemiol Biomarkers Prev. 2014 Sep;23(9):1729-51. doi: 10.1158/1055-9965.EPI-14-0064. Epub 2014 Jun 24. PMID: 24962838; PMCID: PMC4155060.&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
</references>
    <source>AOPWiki</source>
    <creation-timestamp>2016-11-29T18:41:23</creation-timestamp>
    <last-modification-timestamp>2024-02-28T06:33:44</last-modification-timestamp>
  </key-event>
  <key-event id="62539e78-f856-444a-bdb6-586818ff6a11">
    <title>Increase, Regenerative cell proliferation (forestomach epithelial cells)</title>
    <short-name>Increase, Regenerative cell proliferation (forestomach epithelial cells)</short-name>
    <biological-organization-level>Cellular</biological-organization-level>
    <description></description>
    <measurement-methodology></measurement-methodology>
    <evidence-supporting-taxonomic-applicability></evidence-supporting-taxonomic-applicability>
    <organ-term>
      <source-id>UBERON:0008827</source-id>
      <source>UBERON</source>
      <name>murine forestomach</name>
    </organ-term>
    <applicability>
    </applicability>
    <biological-events>
      <biological-event object-id="aeae988b-f060-4b51-bf9b-e6c4c556b4c5" process-id="40abd802-e052-4a9a-b985-d3691ecfc916" action-id="ec1b3d44-0cdf-4c37-bdd9-307ff6c2d4d2"/>
    </biological-events>
    <references></references>
    <source>AOPWiki</source>
    <creation-timestamp>2016-11-29T18:41:27</creation-timestamp>
    <last-modification-timestamp>2017-09-16T10:16:14</last-modification-timestamp>
  </key-event>
  <key-event id="10077341-d9f2-412d-9a93-28c0f9e0cb07">
    <title>Increase, Hyperplasia (forestomach epithelial cells)</title>
    <short-name>Increase, Hyperplasia (forestomach epithelial cells)</short-name>
    <biological-organization-level>Cellular</biological-organization-level>
    <description></description>
    <measurement-methodology></measurement-methodology>
    <evidence-supporting-taxonomic-applicability></evidence-supporting-taxonomic-applicability>
    <organ-term>
      <source-id>UBERON:0008827</source-id>
      <source>UBERON</source>
      <name>murine forestomach</name>
    </organ-term>
    <applicability>
    </applicability>
    <biological-events>
      <biological-event object-id="aeae988b-f060-4b51-bf9b-e6c4c556b4c5" process-id="ce07c751-eede-438b-8725-49aab37a85c9" action-id="ec1b3d44-0cdf-4c37-bdd9-307ff6c2d4d2"/>
    </biological-events>
    <references></references>
    <source>AOPWiki</source>
    <creation-timestamp>2016-11-29T18:41:27</creation-timestamp>
    <last-modification-timestamp>2017-09-16T10:16:14</last-modification-timestamp>
  </key-event>
  <key-event id="e04e9a49-9f18-4548-a7ba-2926dbd5cba4">
    <title>Increase, Papillomas/carcinomas (squamous cells)</title>
    <short-name>Increase, Papillomas/carcinomas (squamous cells)</short-name>
    <biological-organization-level>Cellular</biological-organization-level>
    <description></description>
    <measurement-methodology></measurement-methodology>
    <evidence-supporting-taxonomic-applicability></evidence-supporting-taxonomic-applicability>
    <cell-term>
      <source-id>CL:0000076</source-id>
      <source>CL</source>
      <name>squamous epithelial cell</name>
    </cell-term>
    <applicability>
    </applicability>
    <biological-events>
      <biological-event object-id="012daba9-6d88-4514-865b-40a0cf5b0c00" action-id="ec1b3d44-0cdf-4c37-bdd9-307ff6c2d4d2"/>
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    </biological-events>
    <references></references>
    <source>AOPWiki</source>
    <creation-timestamp>2016-11-29T18:41:27</creation-timestamp>
    <last-modification-timestamp>2017-09-16T10:16:12</last-modification-timestamp>
  </key-event>
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    <title>
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    <description></description>
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      <biological-plausibility></biological-plausibility>
      <emperical-support-linkage></emperical-support-linkage>
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      <description></description>
      <response-response-relationship/>
      <time-scale/>
      <feedforward-feedback-loops/>
    </quantitative-understanding>
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    </applicability>
    <evidence-supporting-taxonomic-applicability></evidence-supporting-taxonomic-applicability>
    <references></references>
    <source>AOPWiki</source>
    <creation-timestamp>2016-11-29T18:41:35</creation-timestamp>
    <last-modification-timestamp>2016-12-03T16:38:00</last-modification-timestamp>
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      <downstream-id>62539e78-f856-444a-bdb6-586818ff6a11</downstream-id>
    </title>
    <description></description>
    <evidence-collection-strategy/>
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      <biological-plausibility></biological-plausibility>
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    </weight-of-evidence>
    <known-modulating-factors/>
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      <description></description>
      <response-response-relationship/>
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      <feedforward-feedback-loops/>
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    <applicability>
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    <evidence-supporting-taxonomic-applicability></evidence-supporting-taxonomic-applicability>
    <references></references>
    <source>AOPWiki</source>
    <creation-timestamp>2016-11-29T18:41:35</creation-timestamp>
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    </title>
    <description>&lt;p&gt;Sustained regenerative cell proliferation directly leads to hyperplasia.
&lt;/p&gt;</description>
    <evidence-collection-strategy/>
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      <value></value>
      <biological-plausibility></biological-plausibility>
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    <evidence-supporting-taxonomic-applicability></evidence-supporting-taxonomic-applicability>
    <references></references>
    <source>AOPWiki</source>
    <creation-timestamp>2016-11-29T18:41:35</creation-timestamp>
    <last-modification-timestamp>2016-12-03T16:38:00</last-modification-timestamp>
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    <evidence-supporting-taxonomic-applicability></evidence-supporting-taxonomic-applicability>
    <references></references>
    <source>AOPWiki</source>
    <creation-timestamp>2016-11-29T18:41:35</creation-timestamp>
    <last-modification-timestamp>2016-12-03T16:38:00</last-modification-timestamp>
  </key-event-relationship>
  <aop id="59d2f9aa-9e77-42af-836c-07ea0d5bf0b8">
    <title>Epithelial cytotoxicity leading to forestomach tumors (in mouse and rat)</title>
    <short-name>Epithelial cytotoxicity- forestomach tumor</short-name>
    <point-of-contact>Charles Wood</point-of-contact>
    <authors>&lt;p&gt;Cancer AOP group. National Health and Environmental Effects Research Laboratory, Office of Research and Development, Integrated Systems Toxicology Division, US Environmental Protection Agency, Research Triangle Park, NC. Corresponding author for wiki entry (wood.charles@epa.gov)&lt;/p&gt;
</authors>
    <coaches>
    </coaches>
    <external_links>
    </external_links>
    <status>
      <wiki-license>BY-SA</wiki-license>
    </status>
    <oecd-project/>
    <handbook-version>1.0</handbook-version>
    <abstract>&lt;p&gt;This putative adverse outcome pathway (AOP) outlines potential key events leading to a tumor outcome in standard carcinogenicity models. This information is based largely on modes of action described previously in cited literature sources and is intended as a resource template for AOP development and data organization. Presentation in this Wiki does not indicate EPA acceptance of a particular pathway for a given reference agent, only that the information has been proposed in some manner. In addition, this putative AOP relates to the model species indicated and does not directly address issues of human relevance.&lt;/p&gt;
</abstract>
    <molecular-initiating-event key-event-id="68e45ccf-45ad-4970-810c-c696897383e7">
      <evidence-supporting-chemical-initiation></evidence-supporting-chemical-initiation>
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    <key-events>
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    </key-events>
    <adverse-outcome key-event-id="e04e9a49-9f18-4548-a7ba-2926dbd5cba4">
      <examples/>
    </adverse-outcome>
    <key-event-relationships>
      <relationship id="691ac0b5-0226-42b5-9c1b-c4258cbfc057">
        <adjacency>adjacent</adjacency>
        <quantitative-understanding-value>Not Specified</quantitative-understanding-value>
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      </relationship>
      <relationship id="4d64dc88-8f17-4031-b096-6ca03be56726">
        <adjacency>adjacent</adjacency>
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      </relationship>
      <relationship id="ee249d88-4dda-4040-83a3-cd08fd16a78b">
        <adjacency>adjacent</adjacency>
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      </relationship>
      <relationship id="3b1bb65c-eda2-4f9b-afda-a472fc13391e">
        <adjacency>adjacent</adjacency>
        <quantitative-understanding-value>Not Specified</quantitative-understanding-value>
        <evidence>Not Specified</evidence>
      </relationship>
    </key-event-relationships>
    <applicability>
      <sex>
        <evidence>Not Specified</evidence>
        <sex>Male</sex>
      </sex>
      <sex>
        <evidence>Not Specified</evidence>
        <sex>Female</sex>
      </sex>
      <taxonomy taxonomy-id="9d8726fe-6afd-4ee8-9c68-0a1e7d2aee83">
        <evidence>Not Specified</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="08eea929-00b0-4efa-b7d3-d95860f25a1a">
        <evidence>Not Specified</evidence>
      </taxonomy>
    </applicability>
    <overall-assessment>
      <description></description>
      <applicability></applicability>
      <key-event-essentiality-summary></key-event-essentiality-summary>
      <weight-of-evidence-summary></weight-of-evidence-summary>
      <known-modulating-factors/>
      <quantitative-considerations></quantitative-considerations>
    </overall-assessment>
    <potential-applications></potential-applications>
    <references>&lt;p&gt;Proctor, D. M., Gatto, N. M., Hong, S. J., &amp;amp; Allamneni, K. P. (2007). Mode-of-action framework for evaluating the relevance of rodent forestomach tumors in cancer risk assessment. Toxicol Sci, 98(2), 313-326. doi: 10.1093/toxsci/kfm075&lt;/p&gt;
</references>
    <source>AOPWiki</source>
    <creation-timestamp>2016-11-29T18:41:16</creation-timestamp>
    <last-modification-timestamp>2026-01-11T16:56:07</last-modification-timestamp>
  </aop>
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