<?xml version="1.0" encoding="UTF-8"?>
<data xmlns="http://www.aopkb.org/aop-xml">
  <chemical id="495d6029-2ab4-422b-9d8f-a0c88d8c789b">
    <casrn>7440-61-1</casrn>
    <jchem-inchi-key>JFALSRSLKYAFGM-UHFFFAOYSA-N</jchem-inchi-key>
    <indigo-inchi-key>JFALSRSLKYAFGM-UHFFFAOYSA-N</indigo-inchi-key>
    <preferred-name>Uranium</preferred-name>
    <synonyms>
      <synonym>Uranium, isotope of mass 238</synonym>
      <synonym>238U Element</synonym>
      <synonym>UN 2979 (DOT)</synonym>
      <synonym>Uranium I</synonym>
    </synonyms>
    <dsstox-id>DTXSID1042522</dsstox-id>
  </chemical>
  <chemical id="84a21e06-7caa-4785-9a68-ba8f06dadba6">
    <casrn>7440-43-9</casrn>
    <jchem-inchi-key>BDOSMKKIYDKNTQ-UHFFFAOYSA-N</jchem-inchi-key>
    <indigo-inchi-key>BDOSMKKIYDKNTQ-UHFFFAOYSA-N</indigo-inchi-key>
    <preferred-name>Cadmium</preferred-name>
    <synonyms>
      <synonym>Cadimium</synonym>
      <synonym>CADMIUM BLUE</synonym>
      <synonym>CADMIUM, IN PLATTEN, STANGEN, BROCKEN,KOERNER</synonym>
    </synonyms>
    <dsstox-id>DTXSID1023940</dsstox-id>
  </chemical>
  <chemical id="f68a1a57-7913-4b8f-8082-fe7c74c6b39d">
    <casrn>60-35-5</casrn>
    <jchem-inchi-key>DLFVBJFMPXGRIB-UHFFFAOYSA-N</jchem-inchi-key>
    <indigo-inchi-key>DLFVBJFMPXGRIB-UHFFFAOYSA-N</indigo-inchi-key>
    <preferred-name>Acetamide</preferred-name>
    <synonyms>
      <synonym>Acetamid</synonym>
      <synonym>acetamida</synonym>
      <synonym>Acetic acid amide</synonym>
      <synonym>Acetimidic acid</synonym>
      <synonym>Ethanamide</synonym>
      <synonym>Ethanimidic acid</synonym>
      <synonym>Methanecarboxamide</synonym>
      <synonym>NSC 25945</synonym>
    </synonyms>
    <dsstox-id>DTXSID7020005</dsstox-id>
  </chemical>
  <chemical id="2f80c97f-3b37-4e07-9e8e-a781d25a89c0">
    <casrn>103-90-2</casrn>
    <jchem-inchi-key>RZVAJINKPMORJF-UHFFFAOYSA-N</jchem-inchi-key>
    <indigo-inchi-key>RZVAJINKPMORJF-UHFFFAOYSA-N</indigo-inchi-key>
    <preferred-name>Acetaminophen</preferred-name>
    <synonyms>
      <synonym>4-Acetamidophenol</synonym>
      <synonym>APAP</synonym>
      <synonym>Paracetamol</synonym>
      <synonym>4-hydroxyacetanilide</synonym>
      <synonym>Acetamide, N-(4-hydroxyphenyl)-</synonym>
      <synonym>4-(Acetylamino)phenol</synonym>
      <synonym>4-(N-Acetylamino)phenol</synonym>
      <synonym>4-Acetaminophenol</synonym>
      <synonym>4'-Hydroxyacetanilide</synonym>
      <synonym>Abensanil</synonym>
      <synonym>Acetagesic</synonym>
      <synonym>Acetalgin</synonym>
      <synonym>ACETAMIDE, N-(4-HYDROXYPHENYL)</synonym>
      <synonym>Acetaminofen</synonym>
      <synonym>Acetanilide, 4'-hydroxy-</synonym>
      <synonym>ACETANILIDE, 4-HYDROXY-</synonym>
      <synonym>Algotropyl</synonym>
      <synonym>Alvedon</synonym>
      <synonym>Anaflon</synonym>
      <synonym>Apamide</synonym>
      <synonym>Banesin</synonym>
      <synonym>Ben-u-ron</synonym>
      <synonym>Bickie-mol</synonym>
      <synonym>Biocetamol</synonym>
      <synonym>Cetadol</synonym>
      <synonym>Citramon P</synonym>
      <synonym>Claratal</synonym>
      <synonym>Clixodyne</synonym>
      <synonym>Dafalgan</synonym>
      <synonym>Daphalgan</synonym>
      <synonym>Dial-a-gesic</synonym>
      <synonym>Disprol</synonym>
      <synonym>Doliprane</synonym>
      <synonym>Dolprone</synonym>
      <synonym>Dymadon</synonym>
      <synonym>Efferalgan</synonym>
      <synonym>Endophy</synonym>
      <synonym>Febrilex</synonym>
      <synonym>Febrilix</synonym>
      <synonym>Febro-Gesic</synonym>
      <synonym>Febrolin</synonym>
      <synonym>Fepanil</synonym>
      <synonym>Finimal</synonym>
      <synonym>Gattaphen T</synonym>
      <synonym>Gelocatil</synonym>
      <synonym>Gutte Enteric</synonym>
      <synonym>Homoolan</synonym>
      <synonym>Jin Gang</synonym>
      <synonym>Lestemp</synonym>
      <synonym>Liquagesic</synonym>
      <synonym>Lonarid</synonym>
      <synonym>Lyteca Syrup</synonym>
      <synonym>Minoset</synonym>
      <synonym>Momentum</synonym>
      <synonym>N-(4-Hydroxyphenyl)acetamide</synonym>
      <synonym>N-Acetyl-4-aminophenol</synonym>
      <synonym>N-Acetyl-4-hydroxyaniline</synonym>
      <synonym>N-Acetyl-p-aminophenol</synonym>
      <synonym>Napafen</synonym>
      <synonym>Naprinol</synonym>
      <synonym>Nobedon</synonym>
      <synonym>NSC 109028</synonym>
      <synonym>NSC 3991</synonym>
      <synonym>Ortensan</synonym>
      <synonym>p-(Acetylamino)phenol</synonym>
      <synonym>p-Aceaminophenol</synonym>
      <synonym>Pacemol</synonym>
      <synonym>p-Acetamidophenol</synonym>
      <synonym>p-Acetoaminophen</synonym>
      <synonym>P-ACETYLAMINOPHENOL</synonym>
      <synonym>Paldesic</synonym>
      <synonym>panadeine</synonym>
      <synonym>Panadol</synonym>
      <synonym>Panadol Actifast</synonym>
      <synonym>Panadol Extend</synonym>
      <synonym>Panaleve</synonym>
      <synonym>Panasorb</synonym>
      <synonym>Panodil</synonym>
      <synonym>Paracetamol DC</synonym>
      <synonym>Paracetamole</synonym>
      <synonym>Parageniol</synonym>
      <synonym>Paramol</synonym>
      <synonym>Paraspen</synonym>
      <synonym>Parelan</synonym>
      <synonym>Pasolind N</synonym>
      <synonym>Perfalgan</synonym>
      <synonym>Phenaphen</synonym>
      <synonym>Phendon</synonym>
      <synonym>p-Hydroxyacetanilide</synonym>
      <synonym>Prodafalgan</synonym>
      <synonym>Puerxitong</synonym>
      <synonym>Pyrinazine</synonym>
      <synonym>Resfenol</synonym>
      <synonym>Resprin</synonym>
      <synonym>Rhodapop NCR</synonym>
      <synonym>Salzone</synonym>
      <synonym>Tabalgin</synonym>
      <synonym>Tachipirina</synonym>
      <synonym>Tempanal</synonym>
      <synonym>Tralgon</synonym>
      <synonym>Tylenol</synonym>
      <synonym>TylolHot</synonym>
      <synonym>Valadol</synonym>
      <synonym>Valgesic</synonym>
      <synonym>Vermidon</synonym>
      <synonym>Vick Pyrena</synonym>
    </synonyms>
    <dsstox-id>DTXSID2020006</dsstox-id>
  </chemical>
  <chemical id="79550e5b-2c4a-49e1-88fa-3f5f6d0fed2a">
    <casrn>968-81-0</casrn>
    <jchem-inchi-key>VGZSUPCWNCWDAN-UHFFFAOYSA-N</jchem-inchi-key>
    <indigo-inchi-key>VGZSUPCWNCWDAN-UHFFFAOYSA-N</indigo-inchi-key>
    <preferred-name>Acetohexamide</preferred-name>
    <synonyms>
      <synonym>Benzenesulfonamide, 4-acetyl-N-[(cyclohexylamino)carbonyl]-</synonym>
      <synonym>1-(p-Acetylbenzenesulfonyl)-3-cyclohexylurea</synonym>
      <synonym>1-[(p-Acetylphenyl)sulfonyl]-3-cyclohexylurea</synonym>
      <synonym>Acetohexamid</synonym>
      <synonym>acetohexamida</synonym>
      <synonym>Dimelin</synonym>
      <synonym>Dimelor</synonym>
      <synonym>Dymelor</synonym>
      <synonym>Gamadiabet</synonym>
      <synonym>Hypoglicil</synonym>
      <synonym>Metaglucina</synonym>
      <synonym>Minoral</synonym>
      <synonym>N-(p-Acetylphenylsulfonyl)-N'-cyclohexylurea</synonym>
      <synonym>Ordimel</synonym>
      <synonym>Tsiklamid</synonym>
      <synonym>Urea, 1-[(p-acetylphenyl)sulfonyl]-3-cyclohexyl-</synonym>
    </synonyms>
    <dsstox-id>DTXSID7020007</dsstox-id>
  </chemical>
  <chemical id="c91f05a3-a647-4207-baed-cbc5f6f656e5">
    <casrn>67-66-3</casrn>
    <jchem-inchi-key>HEDRZPFGACZZDS-UHFFFAOYSA-N</jchem-inchi-key>
    <indigo-inchi-key>HEDRZPFGACZZDS-UHFFFAOYSA-N</indigo-inchi-key>
    <preferred-name>Chloroform</preferred-name>
    <synonyms>
      <synonym>Trichloromethane</synonym>
      <synonym>Methane, trichloro-</synonym>
      <synonym>CARBON TRICHLORIDE</synonym>
      <synonym>Chloroforme</synonym>
      <synonym>cloroformo</synonym>
      <synonym>Formyl trichloride</synonym>
      <synonym>Methane trichloride</synonym>
      <synonym>Methane,trichloro-</synonym>
      <synonym>NSC 77361</synonym>
      <synonym>Trichloroform</synonym>
      <synonym>UN 1888</synonym>
    </synonyms>
    <dsstox-id>DTXSID1020306</dsstox-id>
  </chemical>
  <chemical id="8c536a06-dfb6-46c6-af4a-74880c5b8de2">
    <casrn>110-00-9</casrn>
    <jchem-inchi-key>YLQBMQCUIZJEEH-UHFFFAOYSA-N</jchem-inchi-key>
    <indigo-inchi-key>YLQBMQCUIZJEEH-UHFFFAOYSA-N</indigo-inchi-key>
    <preferred-name>Furan</preferred-name>
    <synonyms>
      <synonym>Divinylene oxide</synonym>
      <synonym>furanne</synonym>
      <synonym>Furfuran</synonym>
      <synonym>Oxacyclopentadiene</synonym>
      <synonym>Tetrole</synonym>
      <synonym>UN 2389</synonym>
    </synonyms>
    <dsstox-id>DTXSID6020646</dsstox-id>
  </chemical>
  <chemical id="95102b58-0f52-4d4c-a5f7-772308fb80e4">
    <casrn>7429-90-5</casrn>
    <jchem-inchi-key>XAGFODPZIPBFFR-UHFFFAOYSA-N</jchem-inchi-key>
    <indigo-inchi-key>AZDRQVAHHNSJOQ-UHFFFAOYSA-N</indigo-inchi-key>
    <preferred-name>Aluminum</preferred-name>
    <synonyms>
      <synonym>Aisin Metal Fiber</synonym>
      <synonym>Al 050P-H24</synonym>
      <synonym>ALC Fine</synonym>
      <synonym>Alcan XI 1391</synonym>
      <synonym>Almi-Paste SSP 303AR</synonym>
      <synonym>Aloxal 3010</synonym>
      <synonym>Alpaste 00-0506</synonym>
      <synonym>Alpaste 0100M</synonym>
      <synonym>Alpaste 0100MA</synonym>
      <synonym>Alpaste 0100M-C</synonym>
      <synonym>Alpaste 0200M</synonym>
      <synonym>Alpaste 0200T</synonym>
      <synonym>Alpaste 0230M</synonym>
      <synonym>Alpaste 0230T</synonym>
      <synonym>Alpaste 0241M</synonym>
      <synonym>Alpaste 0300M</synonym>
      <synonym>Alpaste 0500M</synonym>
      <synonym>Alpaste 0539X</synonym>
      <synonym>Alpaste 0620MS</synonym>
      <synonym>Alpaste 0625TS</synonym>
      <synonym>Alpaste 0638-70C</synonym>
      <synonym>Alpaste 0700M</synonym>
      <synonym>Alpaste 0780M</synonym>
      <synonym>Alpaste 0900M</synonym>
      <synonym>Alpaste 100M</synonym>
      <synonym>Alpaste 100MS</synonym>
      <synonym>Alpaste 100MSR</synonym>
      <synonym>Alpaste 1100M</synonym>
      <synonym>Alpaste 1100MA</synonym>
      <synonym>Alpaste 1100N</synonym>
      <synonym>Alpaste 1100NA</synonym>
      <synonym>Alpaste 1109MA</synonym>
      <synonym>Alpaste 1109MC</synonym>
      <synonym>Alpaste 1200M</synonym>
      <synonym>Alpaste 1200T</synonym>
      <synonym>Alpaste 1260MS</synonym>
      <synonym>Alpaste 1500MA</synonym>
      <synonym>Alpaste 1700NL</synonym>
      <synonym>Alpaste 1810YL</synonym>
      <synonym>Alpaste 1830YL</synonym>
      <synonym>Alpaste 1900M</synonym>
      <synonym>Alpaste 1900XS</synonym>
      <synonym>Alpaste 1950M</synonym>
      <synonym>Alpaste 1950N</synonym>
      <synonym>Alpaste 210N</synonym>
      <synonym>Alpaste 2172EA</synonym>
      <synonym>Alpaste 2173</synonym>
      <synonym>Alpaste 240T</synonym>
      <synonym>Alpaste 241M</synonym>
      <synonym>Alpaste 417</synonym>
      <synonym>Alpaste 46-046</synonym>
      <synonym>Alpaste 4-621</synonym>
      <synonym>Alpaste 4919</synonym>
      <synonym>Alpaste 50-63</synonym>
      <synonym>Alpaste 50-635</synonym>
      <synonym>Alpaste 51-148B</synonym>
      <synonym>Alpaste 51-231</synonym>
      <synonym>Alpaste 5205N</synonym>
      <synonym>Alpaste 5207N</synonym>
      <synonym>Alpaste 52-509</synonym>
      <synonym>Alpaste 52-568</synonym>
      <synonym>Alpaste 5301N</synonym>
      <synonym>Alpaste 5302N</synonym>
      <synonym>Alpaste 53-119</synonym>
      <synonym>Alpaste 5422NS</synonym>
      <synonym>Alpaste 54-452</synonym>
      <synonym>Alpaste 54-497</synonym>
      <synonym>Alpaste 54-542</synonym>
      <synonym>Alpaste 55-516</synonym>
      <synonym>Alpaste 55-519</synonym>
      <synonym>Alpaste 55-574</synonym>
      <synonym>Alpaste 5620NS</synonym>
      <synonym>Alpaste 5630NS</synonym>
      <synonym>Alpaste 5640NS</synonym>
      <synonym>Alpaste 56-501</synonym>
      <synonym>Alpaste 5650NS</synonym>
      <synonym>Alpaste 5653NS</synonym>
      <synonym>Alpaste 5654NS</synonym>
      <synonym>Alpaste 5680N</synonym>
      <synonym>Alpaste 5680NS</synonym>
      <synonym>Alpaste 60-600</synonym>
      <synonym>Alpaste 60-760</synonym>
      <synonym>Alpaste 60-768</synonym>
      <synonym>Alpaste 62-356</synonym>
      <synonym>Alpaste 6340NS</synonym>
      <synonym>Alpaste 6370NS</synonym>
      <synonym>Alpaste 6390NS</synonym>
      <synonym>Alpaste 640NS</synonym>
      <synonym>Alpaste 65-388</synonym>
      <synonym>Alpaste 66NLB</synonym>
      <synonym>Alpaste 710N</synonym>
      <synonym>Alpaste 7130N</synonym>
      <synonym>Alpaste 7160N</synonym>
      <synonym>Alpaste 7160NS</synonym>
      <synonym>Alpaste 725N</synonym>
      <synonym>Alpaste 740NS</synonym>
      <synonym>Alpaste 7430NS</synonym>
      <synonym>Alpaste 7580NS</synonym>
      <synonym>Alpaste 7620NS</synonym>
      <synonym>Alpaste 7640NS</synonym>
      <synonym>Alpaste 7670M</synonym>
      <synonym>Alpaste 7670NS</synonym>
      <synonym>Alpaste 7675NS</synonym>
      <synonym>Alpaste 7679NS</synonym>
      <synonym>Alpaste 7680N</synonym>
      <synonym>Alpaste 7680NS</synonym>
      <synonym>Alpaste 76840NS</synonym>
      <synonym>Alpaste 7730N</synonym>
      <synonym>Alpaste 7770N</synonym>
      <synonym>Alpaste 7830N</synonym>
      <synonym>Alpaste 8004</synonym>
      <synonym>Alpaste 8080N</synonym>
      <synonym>Alpaste 8260NAR</synonym>
      <synonym>Alpaste 891K</synonym>
      <synonym>Alpaste 91-0562</synonym>
      <synonym>Alpaste 92-0592</synonym>
      <synonym>Alpaste 93-0595</synonym>
      <synonym>Alpaste 93-0647</synonym>
      <synonym>Alpaste 94-2315</synonym>
      <synonym>Alpaste 95-0570</synonym>
      <synonym>Alpaste 96-0635</synonym>
      <synonym>Alpaste 96-2104</synonym>
      <synonym>Alpaste 97-0510</synonym>
      <synonym>Alpaste 97-0534</synonym>
      <synonym>Alpaste AW 520B</synonym>
      <synonym>Alpaste AW 612</synonym>
      <synonym>Alpaste AW 9800</synonym>
      <synonym>Alpaste F 795</synonym>
      <synonym>Alpaste FM 7680K</synonym>
      <synonym>Alpaste FX 440</synonym>
      <synonym>Alpaste FX 910</synonym>
      <synonym>Alpaste FZ 0534</synonym>
      <synonym>Alpaste FZU 40C</synonym>
      <synonym>Alpaste G</synonym>
      <synonym>Alpaste HR 8801</synonym>
      <synonym>Alpaste HS 2</synonym>
      <synonym>Alpaste J</synonym>
      <synonym>Alpaste K 9800</synonym>
      <synonym>Alpaste MC 666</synonym>
      <synonym>Alpaste MC 707</synonym>
      <synonym>Alpaste MF 20</synonym>
      <synonym>Alpaste MG 01</synonym>
      <synonym>Alpaste MG 1000</synonym>
      <synonym>Alpaste MG 1300</synonym>
      <synonym>Alpaste MG 500</synonym>
      <synonym>Alpaste MG 600</synonym>
      <synonym>Alpaste MH 6601</synonym>
      <synonym>Alpaste MH 8801</synonym>
      <synonym>Alpaste MH 9901</synonym>
      <synonym>Alpaste MR 7000</synonym>
      <synonym>Alpaste MR 9000</synonym>
      <synonym>Alpaste MS 630</synonym>
      <synonym>Alpaste N 1700NL</synonym>
      <synonym>Alpaste NS 7670</synonym>
      <synonym>Alpaste O 100N</synonym>
      <synonym>Alpaste O 2130</synonym>
      <synonym>Alpaste O 300M</synonym>
      <synonym>Alpaste P 0100</synonym>
      <synonym>Alpaste P 1950</synonym>
      <synonym>Alpaste S</synonym>
      <synonym>Alpaste SAP 110</synonym>
      <synonym>Alpaste SAP 414P</synonym>
      <synonym>Alpaste SAP 550N</synonym>
      <synonym>Alpaste SCR 5070</synonym>
      <synonym>Alpaste TCR 2020</synonym>
      <synonym>Alpaste TCR 2060</synonym>
      <synonym>Alpaste TCR 2070</synonym>
      <synonym>Alpaste TCR 3010</synonym>
      <synonym>Alpaste TCR 3030</synonym>
      <synonym>Alpaste TCR 3040</synonym>
      <synonym>Alpaste TCR 3130</synonym>
      <synonym>Alpaste TD 200T</synonym>
      <synonym>Alpaste UF 500</synonym>
      <synonym>Alpaste WB 0230</synonym>
      <synonym>Alpaste WD 500</synonym>
      <synonym>Alpaste WJP-U 75C</synonym>
      <synonym>Alpaste WX 0630</synonym>
      <synonym>Alpaste WX 7830</synonym>
      <synonym>Alpaste WXA 7640</synonym>
      <synonym>Alpaste WXM 0630</synonym>
      <synonym>Alpaste WXM 0650</synonym>
      <synonym>Alpaste WXM 0660</synonym>
      <synonym>Alpaste WXM 1415</synonym>
      <synonym>Alpaste WXM 1440</synonym>
      <synonym>Alpaste WXM 5422</synonym>
      <synonym>Alpaste WXM 760b</synonym>
      <synonym>Alpaste WXM 7640</synonym>
      <synonym>Alpaste WXM 7675</synonym>
      <synonym>Alpaste WXM-T 60B</synonym>
      <synonym>Alpaste WXM-U 75</synonym>
      <synonym>Alpaste WXM-U 75C</synonym>
      <synonym>Altop X</synonym>
      <synonym>Aluchrome Ultrafin Super</synonym>
      <synonym>Alumat 1600</synonym>
      <synonym>Alumet H 30</synonym>
      <synonym>aluminio</synonym>
      <synonym>Aluminium</synonym>
      <synonym>Aluminium Flake</synonym>
      <synonym>Aluminum 27</synonym>
      <synonym>Aluminum atom</synonym>
      <synonym>Aluminum element</synonym>
      <synonym>Aluminum Flake PCF 7620</synonym>
      <synonym>Aluminum granules</synonym>
      <synonym>ALUMINUM METAL/GRANULE</synonym>
      <synonym>ALUMINUM PASTE</synonym>
      <synonym>ALUMINUM PIGMENT</synonym>
      <synonym>ALUMINUM TURNINGS</synonym>
      <synonym>Alumi-paste 640NS</synonym>
      <synonym>Alumipaste 91-0562</synonym>
      <synonym>Alumipaste 98-1822T</synonym>
      <synonym>Alumipaste AW 620</synonym>
      <synonym>Alumipaste CR 300</synonym>
      <synonym>Alumipaste GX 180A</synonym>
      <synonym>Alumipaste GX 201A</synonym>
      <synonym>Alumipaste HR 7000</synonym>
      <synonym>Alumipaste HR 850</synonym>
      <synonym>Alumipaste MG 11</synonym>
      <synonym>Alumipaste MH 8801</synonym>
      <synonym>Aquamet NPW 2900</synonym>
      <synonym>Aquapaste 205-5</synonym>
      <synonym>Aquasilver LPW</synonym>
      <synonym>Astroflake 40</synonym>
      <synonym>Astroflake Black N 020</synonym>
      <synonym>Astroflake Black N 070</synonym>
      <synonym>Astroflake LG 40</synonym>
      <synonym>Astroflake LG 70</synonym>
      <synonym>Astroflake Silver N 040</synonym>
      <synonym>Astroshine NJ 1600</synonym>
      <synonym>Astroshine T 8990</synonym>
      <synonym>Atomizalumi VA 200</synonym>
      <synonym>C.I. PIGMENT METAL 1</synonym>
      <synonym>Chromal IV</synonym>
      <synonym>Chromal X</synonym>
      <synonym>Decomet 1001/10</synonym>
      <synonym>Decomet 2018/10</synonym>
      <synonym>Decomet High Gloss Al 1002/10</synonym>
      <synonym>Ecka AS 081</synonym>
      <synonym>Eckart 9155</synonym>
      <synonym>Eterna Brite 301-1</synonym>
      <synonym>Eterna Brite 601-1</synonym>
      <synonym>Eterna Brite 651-1</synonym>
      <synonym>Eterna Brite EBP 251PA</synonym>
      <synonym>Eterna Brite Primier 251PA</synonym>
      <synonym>Ferro FX 53-038</synonym>
      <synonym>Friend Color F 500GR-W</synonym>
      <synonym>Friend Color F 500WT</synonym>
      <synonym>Friend Color F 700RE-W</synonym>
      <synonym>Friend Color F 701RE-W</synonym>
      <synonym>Hi Print 60T</synonym>
      <synonym>High Print 60T</synonym>
      <synonym>Hisparkle HS 2</synonym>
      <synonym>Hydro Paste 8726</synonym>
      <synonym>Hydrolac WHH 2153</synonym>
      <synonym>Hydrolan 3560</synonym>
      <synonym>Hydrolux Reflexal 100</synonym>
      <synonym>Hydroshine WS 1001</synonym>
      <synonym>JISA 51010P</synonym>
      <synonym>Kryal Z</synonym>
      <synonym>Lansford 243</synonym>
      <synonym>LE Sheet 800</synonym>
      <synonym>Leafing Alpaste</synonym>
      <synonym>LG-H Silver 25</synonym>
      <synonym>Lunar Al-V 95</synonym>
      <synonym>Metallux 161</synonym>
      <synonym>Metallux 2154</synonym>
      <synonym>Metallux 2192</synonym>
      <synonym>Metalure</synonym>
      <synonym>Metalure 55350</synonym>
      <synonym>Metalure L 55350</synonym>
      <synonym>Metalure L 59510</synonym>
      <synonym>Metalure W 2001</synonym>
      <synonym>Metapor</synonym>
      <synonym>Metasheen 1800</synonym>
      <synonym>Metasheen HR 0800</synonym>
      <synonym>Metasheen KM 100</synonym>
      <synonym>Metasheen KM 1000</synonym>
      <synonym>Metasheen Slurry 1807</synonym>
      <synonym>Metasheen Slurry 1811</synonym>
      <synonym>Metasheen Slurry KM 100</synonym>
      <synonym>Metax G</synonym>
      <synonym>Metax S</synonym>
      <synonym>Mirror Glow 1000</synonym>
      <synonym>Mirror Glow 600</synonym>
      <synonym>Mirrorsheen</synonym>
      <synonym>Noral Aluminium</synonym>
      <synonym>Noral Ink Grade Aluminium</synonym>
      <synonym>Obron 10890</synonym>
      <synonym>Offset FM 4500</synonym>
      <synonym>Puratronic</synonym>
      <synonym>Reflexal 145</synonym>
      <synonym>Reynolds 400</synonym>
      <synonym>Reynolds 4-301</synonym>
      <synonym>Reynolds 4-591</synonym>
      <synonym>Reynolds 667</synonym>
      <synonym>SAP 260PW-HS</synonym>
      <synonym>SAP-FM 4010</synonym>
      <synonym>SBC 516-20Z</synonym>
      <synonym>Scotchcal 7755SE</synonym>
      <synonym>Serumekku</synonym>
      <synonym>Setanium 50MIS-H8</synonym>
      <synonym>Siberline ET 2025</synonym>
      <synonym>Siberline ST 21030E1</synonym>
      <synonym>Silvar A</synonym>
      <synonym>Silver VT 522</synonym>
      <synonym>Silverline SSP 353</synonym>
      <synonym>Silvex 793-20C</synonym>
      <synonym>Sparkle Silver 3141ST</synonym>
      <synonym>Sparkle Silver 3500</synonym>
      <synonym>Sparkle Silver 3641</synonym>
      <synonym>Sparkle Silver 5000AR</synonym>
      <synonym>Sparkle Silver 516AR</synonym>
      <synonym>Sparkle Silver 5242AR</synonym>
      <synonym>Sparkle Silver 5245AR</synonym>
      <synonym>Sparkle Silver 5271AR</synonym>
      <synonym>Sparkle Silver 5500</synonym>
      <synonym>Sparkle Silver 5745</synonym>
      <synonym>Sparkle Silver 7000AR</synonym>
      <synonym>Sparkle Silver 7005AR</synonym>
      <synonym>Sparkle Silver 7500</synonym>
      <synonym>Sparkle Silver 960-25E1</synonym>
      <synonym>Sparkle Silver E 1745AR</synonym>
      <synonym>Sparkle Silver L 1526AR</synonym>
      <synonym>Sparkle Silver Premier 751</synonym>
      <synonym>Sparkle Silver SS 3130</synonym>
      <synonym>Sparkle Silver SS 5242AR</synonym>
      <synonym>Sparkle Silver SS 5588</synonym>
      <synonym>Sparkle Silver SSP 132AR</synonym>
      <synonym>Special PCR 507</synonym>
      <synonym>Splendal 6001BG</synonym>
      <synonym>Spota Mobil 801</synonym>
      <synonym>SSP 760-20C</synonym>
      <synonym>Stapa Aloxal PM 2010</synonym>
      <synonym>Stapa Aloxal PM 3010</synonym>
      <synonym>Stapa Aloxal PM 4010</synonym>
      <synonym>Stapa Hydrolac BG 8n.1</synonym>
      <synonym>Stapa Hydrolac BGH Chromal X</synonym>
      <synonym>Stapa Hydrolac PM Chromal VIII</synonym>
      <synonym>Stapa Hydrolac W 60NL</synonym>
      <synonym>Stapa Hydrolac WH 16</synonym>
      <synonym>Stapa Hydrolac WH 66NL</synonym>
      <synonym>Stapa Hydrolux 2192</synonym>
      <synonym>Stapa Hydrolux 8154</synonym>
      <synonym>Stapa IL Hydrolan 2192-55900G</synonym>
      <synonym>Stapa Metallic R 607</synonym>
      <synonym>Stapa Metallux 1050</synonym>
      <synonym>Stapa Metallux 211</synonym>
      <synonym>Stapa Metallux 212</synonym>
      <synonym>Stapa Metallux 2196</synonym>
      <synonym>Stapa Metallux 274</synonym>
      <synonym>Stapa Mobilux 181</synonym>
      <synonym>Stapa Offset 3000</synonym>
      <synonym>Stapa PV 10</synonym>
      <synonym>Stapa VP 46432G</synonym>
      <synonym>Starbrite 2100</synonym>
      <synonym>Super Fine 18000</synonym>
      <synonym>Super Fine 22000</synonym>
      <synonym>Supramex 2022</synonym>
      <synonym>Toyo Aluminum 02-0005</synonym>
      <synonym>Toyo Aluminum 93-3040</synonym>
      <synonym>Transmet K 102HE</synonym>
      <synonym>Tufflake 3645</synonym>
      <synonym>Tufflake 5843</synonym>
      <synonym>UN 1396</synonym>
      <synonym>US Aluminum 809</synonym>
      <synonym>Valimet H 2</synonym>
      <synonym>Valimet H 3</synonym>
      <synonym>White Silver 7080N</synonym>
      <synonym>White Silver 7130N</synonym>
    </synonyms>
    <dsstox-id>DTXSID3040273</dsstox-id>
  </chemical>
  <chemical id="8ad4bbe1-6d93-4848-b5e8-7d752c933a2a">
    <casrn>7439-97-6</casrn>
    <jchem-inchi-key>QSHDDOUJBYECFT-UHFFFAOYSA-N</jchem-inchi-key>
    <indigo-inchi-key>QSHDDOUJBYECFT-UHFFFAOYSA-N</indigo-inchi-key>
    <preferred-name>Mercury</preferred-name>
    <synonyms>
      <synonym>Liquid silver</synonym>
      <synonym>Mercure</synonym>
      <synonym>MERCURIC METAL TRIPLE DISTILLED</synonym>
      <synonym>mercurio</synonym>
      <synonym>Mercury element</synonym>
      <synonym>Quecksilber</synonym>
      <synonym>Quicksilver</synonym>
      <synonym>UN 2024</synonym>
      <synonym>UN 2809</synonym>
    </synonyms>
    <dsstox-id>DTXSID1024172</dsstox-id>
  </chemical>
  <chemical id="585166d8-c683-4d9b-860f-1bb4e0196048">
    <casrn>7440-38-2</casrn>
    <jchem-inchi-key>RQNWIZPPADIBDY-UHFFFAOYSA-N</jchem-inchi-key>
    <indigo-inchi-key>RQNWIZPPADIBDY-UHFFFAOYSA-N</indigo-inchi-key>
    <preferred-name>Arsenic</preferred-name>
    <synonyms>
      <synonym>As</synonym>
      <synonym>Arsenic black</synonym>
      <synonym>ARSENIC METAL</synonym>
      <synonym>arsenico</synonym>
      <synonym>Grey arsenic</synonym>
      <synonym>UN 1558</synonym>
    </synonyms>
    <dsstox-id>DTXSID4023886</dsstox-id>
  </chemical>
  <chemical id="3187a192-29ef-4fb2-8414-6573c3b7533a">
    <casrn>7440-22-4</casrn>
    <jchem-inchi-key>BQCADISMDOOEFD-UHFFFAOYSA-N</jchem-inchi-key>
    <indigo-inchi-key>BQCADISMDOOEFD-UHFFFAOYSA-N</indigo-inchi-key>
    <preferred-name>Silver</preferred-name>
    <synonyms>
      <synonym>Ag Nanopaste NPS-J 90</synonym>
      <synonym>Ag Sphere 2</synonym>
      <synonym>Ag-C-GS</synonym>
      <synonym>Algaedyn</synonym>
      <synonym>Arctic Silver 3</synonym>
      <synonym>Argentum</synonym>
      <synonym>Astroflake 5</synonym>
      <synonym>Carey Lea silver</synonym>
      <synonym>Colloidal silver</synonym>
      <synonym>Dotite XA 208</synonym>
      <synonym>Du Pont 4943</synonym>
      <synonym>ECM 100AF4810</synonym>
      <synonym>Enlight 600</synonym>
      <synonym>Enlight silver plate 600</synonym>
      <synonym>Epinall</synonym>
      <synonym>Finesphere SVND 102</synonym>
      <synonym>Fordel DC</synonym>
      <synonym>FP 5369-502</synonym>
      <synonym>Jelcon SH 1</synonym>
      <synonym>Jungindai Takasago 300</synonym>
      <synonym>KS (metal)</synonym>
      <synonym>LCP 1-19SFS</synonym>
      <synonym>Metz 3000-1</synonym>
      <synonym>Nanomelt AGC-A</synonym>
      <synonym>Nanomelt Ag-XA 301</synonym>
      <synonym>Nanomelt Ag-XF 301</synonym>
      <synonym>Nanomelt Ag-XF 301H</synonym>
      <synonym>Nanopaste NPS-J 90</synonym>
      <synonym>Perfect Silver</synonym>
      <synonym>Puff Silver X 1200</synonym>
      <synonym>RT 1710S-C1</synonym>
      <synonym>SD (metal)</synonym>
      <synonym>Shell Silver</synonym>
      <synonym>Silbest E 20</synonym>
      <synonym>Silbest F 20</synonym>
      <synonym>Silbest J 18</synonym>
      <synonym>Silbest TC 12</synonym>
      <synonym>Silbest TC 20E</synonym>
      <synonym>Silbest TC 25A</synonym>
      <synonym>Silbest TCG 1</synonym>
      <synonym>Silbest TCG 7</synonym>
      <synonym>Silcoat AgC 103</synonym>
      <synonym>Silcoat AgC 2011</synonym>
      <synonym>Silcoat AgC 209</synonym>
      <synonym>Silcoat AgC 2190</synonym>
      <synonym>Silcoat AgC 222</synonym>
      <synonym>Silcoat AgC 2411</synonym>
      <synonym>Silcoat AgC 74T</synonym>
      <synonym>Silcoat AgC-A</synonym>
      <synonym>Silcoat AgC-AO</synonym>
      <synonym>Silcoat AgC-B</synonym>
      <synonym>Silcoat AgC-BO</synonym>
      <synonym>Silcoat AgC-D</synonym>
      <synonym>Silcoat AgC-G</synonym>
      <synonym>Silcoat AgC-GS</synonym>
      <synonym>Silcoat AgC-L</synonym>
      <synonym>Silcoat AgC-O</synonym>
      <synonym>Silcoat GS</synonym>
      <synonym>Silcoat RF 200</synonym>
      <synonym>Silflake 135</synonym>
      <synonym>Silsphere 514</synonym>
      <synonym>Silver atom</synonym>
      <synonym>Silver element</synonym>
      <synonym>Silver Flake 1</synonym>
      <synonym>Silver Flake 25</synonym>
      <synonym>Silver Flake 52</synonym>
      <synonym>Silver Flake 7A</synonym>
      <synonym>SILVER FLAKES</synonym>
      <synonym>Silver metal</synonym>
      <synonym>Silvest TCG 11N</synonym>
      <synonym>Technic 299</synonym>
      <synonym>Technic 450</synonym>
      <synonym>Techno Alpha 175</synonym>
    </synonyms>
    <dsstox-id>DTXSID4024305</dsstox-id>
  </chemical>
  <chemical id="3ed28a30-d299-4a7e-b066-3722501b0afb">
    <casrn>7439-96-5</casrn>
    <jchem-inchi-key>PWHULOQIROXLJO-UHFFFAOYSA-N</jchem-inchi-key>
    <indigo-inchi-key>PWHULOQIROXLJO-UHFFFAOYSA-N</indigo-inchi-key>
    <preferred-name>Manganese</preferred-name>
    <synonyms>
      <synonym>Colloidal manganese</synonym>
      <synonym>Cutaval</synonym>
      <synonym>Manganese element</synonym>
      <synonym>Manganese fulleride</synonym>
      <synonym>Manganese metal alloy</synonym>
      <synonym>Manganese-55</synonym>
      <synonym>manganeso</synonym>
    </synonyms>
    <dsstox-id>DTXSID2024169</dsstox-id>
  </chemical>
  <chemical id="bd42145d-a408-4d2b-901f-3e2bc3368203">
    <casrn>7440-02-0</casrn>
    <jchem-inchi-key>PXHVJJICTQNCMI-UHFFFAOYSA-N</jchem-inchi-key>
    <indigo-inchi-key>PXHVJJICTQNCMI-UHFFFAOYSA-N</indigo-inchi-key>
    <preferred-name>Nickel</preferred-name>
    <synonyms>
      <synonym>Carbonyl 255</synonym>
      <synonym>Carbonyl Ni 123</synonym>
      <synonym>Carbonyl Ni 283</synonym>
      <synonym>Carbonyl Nickel 123</synonym>
      <synonym>Carbonyl Nickel 283</synonym>
      <synonym>Carbonyl Nickel 287</synonym>
      <synonym>Cerac N 2003</synonym>
      <synonym>CNS 10 Micron</synonym>
      <synonym>Exmet 4 Ni X-4/0</synonym>
      <synonym>Fibrex P</synonym>
      <synonym>Incofoam</synonym>
      <synonym>Nickel element</synonym>
      <synonym>NICKEL ROUND ANODES</synonym>
      <synonym>Nicrobraz LM:BNi 2</synonym>
      <synonym>Ni-Flake 95</synonym>
      <synonym>Novamet 123</synonym>
      <synonym>Novamet 4SP</synonym>
      <synonym>Novamet 4SP10</synonym>
      <synonym>Novamet 525</synonym>
      <synonym>Novamet CNS 400</synonym>
      <synonym>Novamet HCA 1</synonym>
      <synonym>Novamet NI 255</synonym>
      <synonym>Raney nickel</synonym>
      <synonym>Raney nickel 2800</synonym>
      <synonym>UN 1325</synonym>
      <synonym>UN 2881</synonym>
    </synonyms>
    <dsstox-id>DTXSID2020925</dsstox-id>
  </chemical>
  <chemical id="814182f9-9fbd-4741-864b-9f8cb722af77">
    <casrn>7440-66-6</casrn>
    <jchem-inchi-key>HCHKCACWOHOZIP-UHFFFAOYSA-N</jchem-inchi-key>
    <indigo-inchi-key>HCHKCACWOHOZIP-UHFFFAOYSA-N</indigo-inchi-key>
    <preferred-name>Zinc</preferred-name>
    <synonyms>
      <synonym>Zn</synonym>
      <synonym>Asarco L 15</synonym>
      <synonym>C.I. Pigment Black 16</synonym>
      <synonym>Merrillite</synonym>
      <synonym>NC-Zinc</synonym>
      <synonym>Rheinzink</synonym>
      <synonym>Stapa TE Zinc AT</synonym>
      <synonym>UF (metal)</synonym>
      <synonym>UN 1436</synonym>
      <synonym>Zinc dust</synonym>
      <synonym>Zinc Dust 3</synonym>
      <synonym>Zinc Dust 500 mesh</synonym>
      <synonym>Zinc Dust LS 2</synonym>
      <synonym>Zinc Dust MCS</synonym>
      <synonym>Zinc Flakes GTT</synonym>
      <synonym>ZINC METAL</synonym>
      <synonym>ZINC MOSSY</synonym>
      <synonym>ZINC STRIP</synonym>
      <synonym>ZINC, MOSSY</synonym>
      <synonym>Zincsalt GTT</synonym>
    </synonyms>
    <dsstox-id>DTXSID7035012</dsstox-id>
  </chemical>
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    <source-id>CHEBI:35366</source-id>
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    <source-id>CHEBI:26523</source-id>
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    <source-id>GO:0006635</source-id>
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    <source-id>GO:1903409</source-id>
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    <exposure-characterization></exposure-characterization>
    <creation-timestamp>2022-02-04T14:36:54</creation-timestamp>
    <last-modification-timestamp>2022-02-04T14:36:54</last-modification-timestamp>
  </stressor>
  <stressor id="06c2fa0d-f698-4e02-9393-86eab7873bf6">
    <name>Aluminum</name>
    <description></description>
    <chemicals>
      <chemical-initiator chemical-id="95102b58-0f52-4d4c-a5f7-772308fb80e4" user-term="Aluminum"/>
    </chemicals>
    <exposure-characterization></exposure-characterization>
    <creation-timestamp>2022-02-04T14:42:11</creation-timestamp>
    <last-modification-timestamp>2022-02-04T14:42:11</last-modification-timestamp>
  </stressor>
  <stressor id="5d64f32f-05d8-4a77-82fb-6955b6e85734">
    <name>Mercury</name>
    <description></description>
    <chemicals>
      <chemical-initiator chemical-id="8ad4bbe1-6d93-4848-b5e8-7d752c933a2a" user-term="Mercury"/>
    </chemicals>
    <exposure-characterization></exposure-characterization>
    <creation-timestamp>2016-11-29T18:42:19</creation-timestamp>
    <last-modification-timestamp>2016-11-29T18:42:19</last-modification-timestamp>
  </stressor>
  <stressor id="80b64f10-e84e-44b2-a88a-9c891804b03e">
    <name>Arsenic</name>
    <description></description>
    <chemicals>
      <chemical-initiator chemical-id="585166d8-c683-4d9b-860f-1bb4e0196048" user-term="Arsenic"/>
    </chemicals>
    <exposure-characterization></exposure-characterization>
    <creation-timestamp>2021-04-27T00:15:21</creation-timestamp>
    <last-modification-timestamp>2021-04-27T00:15:21</last-modification-timestamp>
  </stressor>
  <stressor id="79016650-626b-4ff1-8869-920d6df9136e">
    <name>Silver </name>
    <description></description>
    <chemicals>
      <chemical-initiator chemical-id="3187a192-29ef-4fb2-8414-6573c3b7533a" user-term="Silver"/>
    </chemicals>
    <exposure-characterization></exposure-characterization>
    <creation-timestamp>2022-02-03T11:20:11</creation-timestamp>
    <last-modification-timestamp>2022-02-03T11:20:11</last-modification-timestamp>
  </stressor>
  <stressor id="647a9a5f-3fdf-4b5b-af29-ccf96def1551">
    <name>Manganese</name>
    <description></description>
    <chemicals>
      <chemical-initiator chemical-id="3ed28a30-d299-4a7e-b066-3722501b0afb" user-term="Manganese"/>
    </chemicals>
    <exposure-characterization></exposure-characterization>
    <creation-timestamp>2022-02-04T14:47:23</creation-timestamp>
    <last-modification-timestamp>2022-02-04T14:47:23</last-modification-timestamp>
  </stressor>
  <stressor id="2c74a1c9-82e3-4a0a-a5f2-b21d544c6cdc">
    <name>Nickel</name>
    <description></description>
    <chemicals>
      <chemical-initiator chemical-id="bd42145d-a408-4d2b-901f-3e2bc3368203" user-term="Nickel"/>
    </chemicals>
    <exposure-characterization></exposure-characterization>
    <creation-timestamp>2022-02-04T14:47:59</creation-timestamp>
    <last-modification-timestamp>2022-02-04T14:47:59</last-modification-timestamp>
  </stressor>
  <stressor id="7939b51d-ef16-4b84-8f5b-2a5ed9c64a8c">
    <name>Zinc</name>
    <description></description>
    <chemicals>
      <chemical-initiator chemical-id="814182f9-9fbd-4741-864b-9f8cb722af77" user-term="Zinc"/>
    </chemicals>
    <exposure-characterization></exposure-characterization>
    <creation-timestamp>2022-02-04T15:05:00</creation-timestamp>
    <last-modification-timestamp>2022-02-04T15:05:00</last-modification-timestamp>
  </stressor>
  <stressor id="99e07843-4ae3-4654-9712-641cd81f48b3">
    <name>nanoparticles</name>
    <description></description>
    <exposure-characterization></exposure-characterization>
    <creation-timestamp>2016-12-21T09:40:06</creation-timestamp>
    <last-modification-timestamp>2016-12-21T09:40:06</last-modification-timestamp>
  </stressor>
  <taxonomy id="d4661b01-f0bc-4d6e-8fe7-5a9ef21617e5">
    <source-id>9606</source-id>
    <source>NCBI</source>
    <name>Homo sapiens</name>
  </taxonomy>
  <taxonomy id="6611a24e-1838-4ade-960a-1ebbf3945f1f">
    <source-id>WikiUser_28</source-id>
    <source/>
    <name>Vertebrates</name>
  </taxonomy>
  <taxonomy id="c2db6a2e-3401-473b-84e5-079f40fbe100">
    <source-id>WCS_9606</source-id>
    <source>common toxicological species</source>
    <name>human</name>
  </taxonomy>
  <taxonomy id="8a47825b-d7ba-47f0-9981-93a1c9484e74">
    <source-id>WikiUser_25</source-id>
    <source>Wikiuser: Cyauk</source>
    <name>human and other cells in culture</name>
  </taxonomy>
  <taxonomy id="f405428a-ee27-43e8-9f04-699255b6e930">
    <source-id>10090</source-id>
    <source>NCBI</source>
    <name>mouse</name>
  </taxonomy>
  <taxonomy id="8ca91917-900b-4eb6-be38-0220b3256120">
    <source-id>WCS_35525</source-id>
    <source>common ecological species</source>
    <name>crustaceans</name>
  </taxonomy>
  <taxonomy id="91788551-96f4-468e-a94a-90b3f558b532">
    <source-id>WCS_4472</source-id>
    <source>common ecological species</source>
    <name>Lemna minor</name>
  </taxonomy>
  <taxonomy id="fc19352c-29bf-4c60-83c6-ce663c238909">
    <source-id>WCS_7955</source-id>
    <source>common ecological species</source>
    <name>zebrafish</name>
  </taxonomy>
  <taxonomy id="4ac1ccd3-2607-41d7-b358-cd052388fb16">
    <source-id>10116</source-id>
    <source>NCBI</source>
    <name>rat</name>
  </taxonomy>
  <taxonomy id="7f9384fd-28be-4e76-afca-fcd57fcb0757">
    <source-id>WCS_7227</source-id>
    <source>common ecological species</source>
    <name>Drosophila melanogaster</name>
  </taxonomy>
  <taxonomy id="f3af1148-8fc3-41ca-9c9a-ebe9a8741001">
    <source-id>6239</source-id>
    <source>NCBI</source>
    <name>Caenorhabditis elegans</name>
  </taxonomy>
  <taxonomy id="865dc554-832d-40af-9a87-24c8521ccb1c">
    <source-id>WikiUser_26</source-id>
    <source>ApacheUser</source>
    <name>rodents</name>
  </taxonomy>
  <taxonomy id="3c15468b-03e2-428c-be06-115a13d45738">
    <source-id>39108</source-id>
    <source>NCBI</source>
    <name>Murinae gen. sp.</name>
  </taxonomy>
  <key-event id="8635a986-8fcd-4056-8452-8aaab7659641">
    <title>Estrogen receptor alpha inactivation</title>
    <short-name>ERa inactivation</short-name>
    <biological-organization-level>Molecular</biological-organization-level>
    <description></description>
    <measurement-methodology></measurement-methodology>
    <evidence-supporting-taxonomic-applicability></evidence-supporting-taxonomic-applicability>
    <applicability>
    </applicability>
    <references></references>
    <source>AOPWiki</source>
    <creation-timestamp>2023-04-05T05:36:56</creation-timestamp>
    <last-modification-timestamp>2023-04-10T13:29:15</last-modification-timestamp>
  </key-event>
  <key-event id="d4ab3f13-f3de-486d-8214-cec237064218">
    <title>Decrease, Fatty acid beta-oxidation</title>
    <short-name>Decrease, Fatty acid β-oxidation</short-name>
    <biological-organization-level>Cellular</biological-organization-level>
    <description>&lt;p&gt;Fatty acid oxidation in liver tissue is controlled by PPARalpha signaling networks (Evans et al 2004). The PPARalpha signaling network controls expression of the genes within metabolic pathways that catalyze fatty acid oxidation reactions (Desvergne and Wahli 1999).&lt;/p&gt;
</description>
    <measurement-methodology>&lt;p&gt;A variety of approaches establishing the effects of PPARalpha signaling on fatty acid oxidation are reviewed in Evans et al (2004).&lt;/p&gt;
</measurement-methodology>
    <evidence-supporting-taxonomic-applicability>&lt;p&gt;See review for Human PPARalpha signaling in (Evans et al 2004).&lt;/p&gt;
</evidence-supporting-taxonomic-applicability>
    <applicability>
      <taxonomy taxonomy-id="d4661b01-f0bc-4d6e-8fe7-5a9ef21617e5">
        <evidence>High</evidence>
      </taxonomy>
    </applicability>
    <biological-events>
      <biological-event object-id="4ae86512-d057-48fc-9487-85b3e7bff8a8" process-id="6d34e17b-5b67-4bd4-a8fd-3c1f02b513d3" action-id="572928ba-1641-4808-b1b5-d82f732b0021"/>
    </biological-events>
    <references>&lt;p&gt;&lt;br /&gt;
Desvergne B, Wahli W (1999) Peroxisome proliferator-activated receptors: nuclear control of metabolism. Endocrine Reviews 20(5): 649-688.&lt;/p&gt;

&lt;p&gt;Evans RM, Barish GD, Wang YX: PPARs and the complex journey to obesity. Nat Med 2004, 10(4):355-361.&lt;/p&gt;
</references>
    <source>AOPWiki</source>
    <creation-timestamp>2016-11-29T18:41:23</creation-timestamp>
    <last-modification-timestamp>2025-05-23T06:50:10</last-modification-timestamp>
  </key-event>
  <key-event id="9a0f5914-8411-42fb-ac73-224fbde9c548">
    <title>Increase, Reactive oxygen species</title>
    <short-name>Increase, ROS</short-name>
    <biological-organization-level>Cellular</biological-organization-level>
    <description>&lt;p&gt;Biological State: increased reactive oxygen species (ROS)&lt;/p&gt;

&lt;p&gt;Biological compartment: an entire cell -- may be cytosolic, may also enter organelles.&lt;/p&gt;

&lt;p&gt;Reactive oxygen species (ROS) are O&lt;sub&gt;2&lt;/sub&gt;- derived molecules that can be both free radicals (e.g. superoxide, hydroxyl, peroxyl, alcoxyl) and non-radicals (hypochlorous acid, ozone and singlet oxygen) (Bedard and Krause 2007; Ozcan and Ogun 2015). ROS production occurs naturally in all kinds of tissues inside various cellular compartments, such as mitochondria and peroxisomes (Drew and Leeuwenburgh 2002; Ozcan and Ogun 2015). Furthermore, these molecules have an important function in the regulation of several biological processes &amp;ndash; they might act as antimicrobial agents or triggers of animal gamete activation and capacitation (Goud et al. 2008; Parrish 2010; Bisht et al. 2017).&amp;nbsp;&lt;br /&gt;
However, in environmental stress situations (exposure to radiation, chemicals, high temperatures) these molecules have its levels drastically increased, and overly interact with macromolecules, namely nucleic acids, proteins, carbohydrates and lipids, causing cell and tissue damage (Brieger et al. 2012; Ozcan and Ogun 2015).&amp;nbsp;&lt;/p&gt;

&lt;div&gt;
&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;Reactive oxygen species (ROS) refers to the chemical species superoxide, hydrogen peroxide, and their secondary reactive products. In the biological context, ROS are signaling molecules with important roles in cell energy metabolism, cell proliferation, and fate. Therefore, balancing ROS levels at the cellular and tissue level is an important part of many biological processes. Disbalance, mainly an increase in ROS levels, can cause cell dysfunction and irreversible cell damage.&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;ROS are produced from both exogenous stressors and normal endogenous cellular processes, such as the mitochondrial electron transport chain (ETC). Inhibition of the ETC can result in the accumulation of ROS. Exposure to chemicals, heavy metal ions, or ionizing radiation can also result in increased production of ROS. Chemicals and heavy metal ions can deplete cellular antioxidants reducing the cell&amp;rsquo;s ability to control cellular ROS and resulting in the accumulation of ROS. Cellular antioxidants include glutathione (GSH), protein sulfhydryl groups, superoxide dismutase (SOD). &lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;ROS are radicals, ions, or molecules that have a single unpaired electron in their outermost shell of electrons, which can be categorized into two groups: free oxygen radicals and non-radical ROS [Liou et al., 2010]. &lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;&amp;lt;Free oxygen radicals&amp;gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;div&gt;
&lt;table cellspacing="0" class="MsoTableGrid" style="border-collapse:collapse; border:none"&gt;
	&lt;tbody&gt;
		&lt;tr&gt;
			&lt;td style="border-bottom:2px solid black; border-left:2px solid black; border-right:2px solid black; border-top:2px solid black; vertical-align:top; width:290px"&gt;
			&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;superoxide&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:2px solid black; border-left:none; border-right:2px solid black; border-top:2px solid black; vertical-align:top; width:290px"&gt;
			&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;O&lt;sub&gt;2&lt;/sub&gt;&amp;middot;&lt;sup&gt;-&lt;/sup&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td style="border-bottom:2px solid black; border-left:2px solid black; border-right:2px solid black; border-top:none; vertical-align:top; width:290px"&gt;
			&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;hydroxyl radical&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:2px solid black; border-left:none; border-right:2px solid black; border-top:none; vertical-align:top; width:290px"&gt;
			&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;&amp;middot;OH&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td style="border-bottom:2px solid black; border-left:2px solid black; border-right:2px solid black; border-top:none; vertical-align:top; width:290px"&gt;
			&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;nitric oxide&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:2px solid black; border-left:none; border-right:2px solid black; border-top:none; vertical-align:top; width:290px"&gt;
			&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;NO&amp;middot;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td style="border-bottom:2px solid black; border-left:2px solid black; border-right:2px solid black; border-top:none; vertical-align:top; width:290px"&gt;
			&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;organic radicals&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:2px solid black; border-left:none; border-right:2px solid black; border-top:none; vertical-align:top; width:290px"&gt;
			&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;R&amp;middot;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td style="border-bottom:2px solid black; border-left:2px solid black; border-right:2px solid black; border-top:none; vertical-align:top; width:290px"&gt;
			&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;peroxyl radicals&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:2px solid black; border-left:none; border-right:2px solid black; border-top:none; vertical-align:top; width:290px"&gt;
			&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;ROO&amp;middot;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td style="border-bottom:2px solid black; border-left:2px solid black; border-right:2px solid black; border-top:none; vertical-align:top; width:290px"&gt;
			&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;alkoxyl radicals&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:2px solid black; border-left:none; border-right:2px solid black; border-top:none; vertical-align:top; width:290px"&gt;
			&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;RO&amp;middot;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td style="border-bottom:2px solid black; border-left:2px solid black; border-right:2px solid black; border-top:none; vertical-align:top; width:290px"&gt;
			&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;thiyl radicals&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:2px solid black; border-left:none; border-right:2px solid black; border-top:none; vertical-align:top; width:290px"&gt;
			&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;RS&amp;middot;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td style="border-bottom:2px solid black; border-left:2px solid black; border-right:2px solid black; border-top:none; vertical-align:top; width:290px"&gt;
			&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;sulfonyl radicals&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:2px solid black; border-left:none; border-right:2px solid black; border-top:none; vertical-align:top; width:290px"&gt;
			&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;ROS&amp;middot;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td style="border-bottom:2px solid black; border-left:2px solid black; border-right:2px solid black; border-top:none; vertical-align:top; width:290px"&gt;
			&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;thiyl peroxyl radicals&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:2px solid black; border-left:none; border-right:2px solid black; border-top:none; vertical-align:top; width:290px"&gt;
			&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;RSOO&amp;middot;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td style="border-bottom:2px solid black; border-left:2px solid black; border-right:2px solid black; border-top:none; vertical-align:top; width:290px"&gt;
			&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;disulfides&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:2px solid black; border-left:none; border-right:2px solid black; border-top:none; vertical-align:top; width:290px"&gt;
			&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;RSSR&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
	&lt;/tbody&gt;
&lt;/table&gt;
&lt;/div&gt;

&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;&amp;lt;Non-radical ROS&amp;gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;div&gt;
&lt;table cellspacing="0" class="MsoTableGrid" style="border-collapse:collapse; border:none"&gt;
	&lt;tbody&gt;
		&lt;tr&gt;
			&lt;td style="border-bottom:2px solid black; border-left:2px solid black; border-right:2px solid black; border-top:2px solid black; vertical-align:top; width:290px"&gt;
			&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;hydrogen peroxide&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:2px solid black; border-left:none; border-right:2px solid black; border-top:2px solid black; vertical-align:top; width:290px"&gt;
			&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;H&lt;sub&gt;2&lt;/sub&gt;O&lt;sub&gt;2&lt;/sub&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td style="border-bottom:2px solid black; border-left:2px solid black; border-right:2px solid black; border-top:none; vertical-align:top; width:290px"&gt;
			&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;singlet oxygen&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:2px solid black; border-left:none; border-right:2px solid black; border-top:none; vertical-align:top; width:290px"&gt;
			&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;&lt;sup&gt;1&lt;/sup&gt;O&lt;sub&gt;2&lt;/sub&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td style="border-bottom:2px solid black; border-left:2px solid black; border-right:2px solid black; border-top:none; vertical-align:top; width:290px"&gt;
			&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;ozone/trioxygen&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:2px solid black; border-left:none; border-right:2px solid black; border-top:none; vertical-align:top; width:290px"&gt;
			&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;O&lt;sub&gt;3&lt;/sub&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td style="border-bottom:2px solid black; border-left:2px solid black; border-right:2px solid black; border-top:none; vertical-align:top; width:290px"&gt;
			&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;organic hydroperoxides&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:2px solid black; border-left:none; border-right:2px solid black; border-top:none; vertical-align:top; width:290px"&gt;
			&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;ROOH&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td style="border-bottom:2px solid black; border-left:2px solid black; border-right:2px solid black; border-top:none; vertical-align:top; width:290px"&gt;
			&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;hypochlorite&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:2px solid black; border-left:none; border-right:2px solid black; border-top:none; vertical-align:top; width:290px"&gt;
			&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;ClO&lt;sup&gt;-&lt;/sup&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td style="border-bottom:2px solid black; border-left:2px solid black; border-right:2px solid black; border-top:none; vertical-align:top; width:290px"&gt;
			&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;peroxynitrite&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:2px solid black; border-left:none; border-right:2px solid black; border-top:none; vertical-align:top; width:290px"&gt;
			&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;ONOO&lt;sup&gt;-&lt;/sup&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td style="border-bottom:2px solid black; border-left:2px solid black; border-right:2px solid black; border-top:none; vertical-align:top; width:290px"&gt;
			&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;nitrosoperoxycarbonate anion&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:2px solid black; border-left:none; border-right:2px solid black; border-top:none; vertical-align:top; width:290px"&gt;
			&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;O=NOOCO&lt;sub&gt;2&lt;/sub&gt;&lt;sup&gt;-&lt;/sup&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td style="border-bottom:2px solid black; border-left:2px solid black; border-right:2px solid black; border-top:none; vertical-align:top; width:290px"&gt;
			&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;nitrocarbonate anion&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:2px solid black; border-left:none; border-right:2px solid black; border-top:none; vertical-align:top; width:290px"&gt;
			&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;O&lt;sub&gt;2&lt;/sub&gt;NOCO&lt;sub&gt;2&lt;/sub&gt;&lt;sup&gt;-&lt;/sup&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td style="border-bottom:2px solid black; border-left:2px solid black; border-right:2px solid black; border-top:none; vertical-align:top; width:290px"&gt;
			&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;dinitrogen dioxide&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:2px solid black; border-left:none; border-right:2px solid black; border-top:none; vertical-align:top; width:290px"&gt;
			&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;N&lt;sub&gt;2&lt;/sub&gt;O&lt;sub&gt;2&lt;/sub&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td style="border-bottom:2px solid black; border-left:2px solid black; border-right:2px solid black; border-top:none; vertical-align:top; width:290px"&gt;
			&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;nitronium&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:2px solid black; border-left:none; border-right:2px solid black; border-top:none; vertical-align:top; width:290px"&gt;
			&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;NO&lt;sub&gt;2&lt;/sub&gt;&lt;sup&gt;+&lt;/sup&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td colspan="2" style="border-bottom:2px solid black; border-left:2px solid black; border-right:2px solid black; border-top:none; vertical-align:top; width:580px"&gt;
			&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;highly reactive lipid- or carbohydrate-derived carbonyl compounds&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
	&lt;/tbody&gt;
&lt;/table&gt;
&lt;/div&gt;

&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;Potential sources of ROS include NADPH oxidase, xanthine oxidase, mitochondria, nitric oxide synthase, cytochrome P450, lipoxygenase/cyclooxygenase, and monoamine oxidase [Granger&amp;nbsp;et al., 2015]. ROS are generated through NADPH oxidases consisting of p47&lt;sup&gt;phox&lt;/sup&gt; and p67&lt;sup&gt;phox&lt;/sup&gt;. ROS are generated through xanthine oxidase activation in sepsis [Ramos&amp;nbsp;et al., 2018]. Arsenic produces ROS [Zhang et al., 2011]. Mitochondria-targeted paraquat and metformin mediate&amp;nbsp;ROS production [Chowdhury&amp;nbsp;et al., 2020]. ROS are generated by bleomycin [Lu&amp;nbsp;et al., 2010]. Radiation induces dose-dependent ROS production [Ji&amp;nbsp;et al., 2019]. &lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;ROS are generated in the course of cellular respiration, metabolism, cell signaling, and inflammation [Dickinson and Chang 2011; Egea&amp;nbsp;et al. 2017]. Hydrogen peroxide is also made by the endoplasmic reticulum in the course of protein folding. Nitric oxide (NO) is produced at the highest levels by nitric oxide synthase in endothelial cells and phagocytes. NO production is one of the main mechanisms by which phagocytes kill bacteria [Wang et al., 2017]. The other species are produced by reactions with superoxide or peroxide, or by other free radicals or enzymes.&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;ROS activity is principally local. Most ROS have short half-lives, ranging from nano- to milliseconds, so diffusion is limited, while reactive nitrogen species (RNS) nitric oxide or peroxynitrite can survive long enough to diffuse across membranes [Calcerrada&amp;nbsp;et al. 2011]. Consequently, local concentrations of ROS are much higher than average cellular concentrations, and signaling is typically controlled by colocalization with redox buffers [Dickinson and Chang 2011; Egea&amp;nbsp;et al. 2017]. &lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;Although their existence is limited temporally and spatially, ROS interact with other ROS or with other nearby molecules to produce more ROS and participate in a feedback loop to amplify the ROS signal, which can increase RNS. Both ROS and RNS also move into neighboring cells, and ROS can increase intracellular ROS signaling in neighboring cells [Egea&amp;nbsp;et al. 2017].&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;In the primary event, photoreactive chemicals are excited by the absorption of photon energy.&amp;nbsp; The energy of the photoactivated chemicals transfer to oxygen and then generates the reactive oxygen species (ROS), including superoxide (O&lt;sub&gt;2&lt;/sub&gt;&lt;sup&gt;&amp;minus;&lt;/sup&gt;) via type I reaction and singlet oxygen (&lt;sup&gt;1&lt;/sup&gt;O&lt;sub&gt;2&lt;/sub&gt;) via type II reaction, as principal intermediate species in phototoxic reaction (Foote, 1991, Onoue et al. , 2009).&lt;/p&gt;
&lt;/div&gt;
</description>
    <measurement-methodology>&lt;p&gt;Photocolorimetric assays (Sharma et al. 2017; Griendling et al. 2016) or through commercial kits purchased from specialized companies.&lt;/p&gt;

&lt;p&gt;Yuan, Yan, et al., (2013) described ROS monitoring by using H&lt;sub&gt;2&lt;/sub&gt;-DCF-DA, a redox-sensitive fluorescent dye. Briefly, the harvested cells were incubated with H&lt;sub&gt;2&lt;/sub&gt;-DCF-DA (50 &amp;micro;mol/L final concentration) for 30 min in the dark at 37&amp;deg;C. After treatment, cells were immediately washed twice, re-suspended in PBS, and analyzed on a BD-FACS Aria flow cytometry. ROS generation was based on fluorescent intensity which was recorded by excitation at 504 nm and emission at 529 nm.&lt;/p&gt;

&lt;p&gt;Lipid peroxidation (LPO) can be measured as an indicator of oxidative stress damage Yen, Cheng Chien, et al., (2013).&lt;/p&gt;

&lt;p&gt;Chattopadhyay, Sukumar, et al. (2002) assayed the generation of free radicals within the cells and their extracellular release in the medium by addition of yellow NBT salt solution (Park et al., 1968). Extracellular release of ROS converted NBT to a purple colored formazan. The cells were incubated with 100 ml of 1 mg/ml NBT solution for 1 h at 37&amp;nbsp;&amp;deg;C and the product formed was assayed at 550 nm in an Anthos 2001 plate reader. The observations of the &amp;lsquo;cell-free system&amp;rsquo; were confirmed by cytological examination of parallel set of explants stained with chromogenic reactions for NO and ROS.&lt;/p&gt;

&lt;p&gt;On the basis of the pathogenesis of drug-induced phototoxicity, a reactive oxygen species (ROS) assay was proposed to evaluate the phototoxic risk of chemicals. The ROS assay can monitor generation of ROS, such as singlet oxygen and superoxide, from photoirradiated chemicals, and the ROS data can be used to evaluate the photoreactivity of chemicals (Onoue et al. , 2014, Onoue et al. , 2013, Onoue and Tsuda, 2006).&amp;nbsp; The ROS assay is a recommended approach by guidelines to evaluate the phototoxic risk of chemicals (ICH, 2014, PCPC, 2014).&lt;/p&gt;

&lt;div&gt;
&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;&lt;strong&gt;&amp;lt;Direct detection&amp;gt;&lt;/strong&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;Many fluorescent compounds can be used to detect ROS, some of which are specific, and others are less specific. &lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;・ROS can be detected by fluorescent probes such as &lt;em&gt;p&lt;/em&gt;-methoxy-phenol derivative [Ashoka et al., 2020].&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;・Chemiluminescence analysis can detect the superoxide, where some probes have a wider range for detecting hydroxyl radical, hydrogen peroxide, and peroxynitrite [Fuloria et al., 2021].&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;・ROS in the blood can be detected using superparamagnetic iron oxide nanoparticles (SPION)-based biosensor [Lee et al., 2020].&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;・Hydrogen peroxide (H&lt;sub&gt;2&lt;/sub&gt;O&lt;sub&gt;2&lt;/sub&gt;) can be detected with a colorimetric probe, which reacts with H&lt;sub&gt;2&lt;/sub&gt;O&lt;sub&gt;2&lt;/sub&gt; in a 1:1 stoichiometry to produce a bright pink colored product, followed by the detection with a standard colorimetric microplate reader with a filter in the 540-570 nm range.&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;・The levels of ROS can be quantified using multiple-step amperometry using a stainless steel counter electrode and non-leak Ag|AgCl reference node [Flaherty et al., 2017].&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;・Singlet oxygen can be measured by monitoring the bleaching of &lt;em&gt;p&lt;/em&gt;-nitrosodimethylaniline at 440 nm using a spectrophotometer with imidazole as a selective acceptor of singlet oxygen [Onoue et al., 2014].&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;&lt;strong&gt;&amp;lt;Indirect Detection&amp;gt;&lt;/strong&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Arial,Helvetica,sans-serif"&gt;Alternative methods involve the detection of redox-dependent changes to cellular constituents such as proteins, DNA, lipids, or glutathione [Dickinson and Chang 2011; Wang et al. 2013; Griendling et al. 2016]. However, these methods cannot generally distinguish between the oxidative species behind the changes and cannot provide good resolution for the kinetics of oxidative activity.&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
&lt;/div&gt;
</measurement-methodology>
    <evidence-supporting-taxonomic-applicability>&lt;p&gt;ROS is a normal constituent found in all organisms, &lt;em&gt;lifestages, and sexes.&lt;/em&gt;&lt;/p&gt;
</evidence-supporting-taxonomic-applicability>
    <organ-term>
      <source-id>UBERON:0000062</source-id>
      <source>UBERON</source>
      <name>organ</name>
    </organ-term>
    <cell-term>
      <source-id>CL:0000000</source-id>
      <source>CL</source>
      <name>cell</name>
    </cell-term>
    <applicability>
      <sex>
        <evidence>High</evidence>
        <sex>Unspecific</sex>
      </sex>
      <sex>
        <evidence>High</evidence>
        <sex>Mixed</sex>
      </sex>
      <life-stage>
        <evidence>High</evidence>
        <life-stage>All life stages</life-stage>
      </life-stage>
      <taxonomy taxonomy-id="6611a24e-1838-4ade-960a-1ebbf3945f1f">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="c2db6a2e-3401-473b-84e5-079f40fbe100">
        <evidence>Moderate</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="8a47825b-d7ba-47f0-9981-93a1c9484e74">
        <evidence>Moderate</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="f405428a-ee27-43e8-9f04-699255b6e930">
        <evidence>Moderate</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="8ca91917-900b-4eb6-be38-0220b3256120">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="91788551-96f4-468e-a94a-90b3f558b532">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="fc19352c-29bf-4c60-83c6-ce663c238909">
        <evidence>High</evidence>
      </taxonomy>
    </applicability>
    <biological-events>
      <biological-event object-id="7352986b-3c8f-4f60-820f-616961e34973" process-id="b7c8b406-326f-4b90-aca0-faa33c8c432a" action-id="7c438983-50b6-4bf5-945f-5b5fe4bc4bc2"/>
    </biological-events>
    <references>&lt;p&gt;Akai, K., et al. (2004). &amp;quot;Ability of ferric nitrilotriacetate complex with three pH-dependent conformations to induce lipid peroxidation.&amp;quot; Free Radic Res. Sep;38(9):951-62. doi: 10.1080/1071576042000261945&lt;/p&gt;

&lt;p&gt;Ashoka, A. H., et al. (2020). &amp;quot;Recent Advances in Fluorescent Probes for Detection of HOCl and HNO.&amp;quot; ACS omega, 5(4), 1730-1742. doi:10.1021/acsomega.9b03420&lt;/p&gt;

&lt;p&gt;B.H. Park, S.M. Fikrig, E.M. Smithwick Infection and nitroblue tetrazolium reduction by neutrophils: a diagnostic aid Lancet, 2 (1968), pp. 532-534&lt;/p&gt;

&lt;p&gt;Bedard, Karen, and Karl-Heinz Krause. 2007. &amp;ldquo;The NOX Family of ROS-Generating NADPH Oxidases: Physiology and Pathophysiology.&amp;rdquo; Physiological Reviews 87 (1): 245&amp;ndash;313.&lt;/p&gt;

&lt;p&gt;Bisht, Shilpa, Muneeb Faiq, Madhuri Tolahunase, and Rima Dada. 2017. &amp;ldquo;Oxidative Stress and Male Infertility.&amp;rdquo; Nature Reviews. Urology 14 (8): 470&amp;ndash;85.&lt;/p&gt;

&lt;p&gt;Brieger, K., S. Schiavone, F. J. Miller Jr, and K-H Krause. 2012. &amp;ldquo;Reactive Oxygen Species: From Health to Disease.&amp;rdquo; Swiss Medical Weekly 142 (August): w13659.&lt;/p&gt;

&lt;p&gt;Calcerrada, P., et al. (2011). &amp;quot;Nitric oxide-derived oxidants with a focus on peroxynitrite: molecular targets, cellular responses and therapeutic implications.&amp;quot; Curr Pharm Des 17(35): 3905-3932.&lt;/p&gt;

&lt;p&gt;Chattopadhyay, Sukumar, et al. &amp;quot;Apoptosis and necrosis in developing brain cells due to arsenic toxicity and protection with antioxidants.&amp;quot; Toxicology letters 136.1 (2002): 65-76.&lt;/p&gt;

&lt;p&gt;Chowdhury, A. R., et al. (2020). &amp;quot;Mitochondria-targeted paraquat and metformin mediate ROS production to induce multiple pathways of retrograde signaling: A dose-dependent phenomenon.&amp;quot; Redox Biol. doi: 10.1016/j.redox.2020.101606. PMID: 32604037; PMCID: PMC7327929.&lt;/p&gt;

&lt;p&gt;Dickinson, B. C. and Chang C. J. (2011). &amp;quot;Chemistry and biology of reactive oxygen species in signaling or stress responses.&amp;quot; Nature chemical biology 7(8): 504-511.&lt;/p&gt;

&lt;p&gt;Drew, Barry, and Christiaan Leeuwenburgh. 2002. &amp;ldquo;Aging and the Role of Reactive Nitrogen Species.&amp;rdquo; Annals of the New York Academy of Sciences 959 (April): 66&amp;ndash;81.&lt;/p&gt;

&lt;p&gt;Egea, J., et al. (2017). &amp;quot;European contribution to the study of ROS: A summary of the findings and prospects for the future from the COST action BM1203 (EU-ROS).&amp;quot; Redox biology 13: 94-162.&lt;/p&gt;

&lt;p&gt;Flaherty, R. L., et al. (2017). &amp;quot;Glucocorticoids induce production of reactive oxygen species/reactive nitrogen species and DNA damage through an iNOS mediated pathway in breast cancer.&amp;quot; Breast Cancer Research, 19(1), 1&amp;ndash;13. https://doi.org/10.1186/s13058-017-0823-8&lt;/p&gt;

&lt;p&gt;Foote CS. Definition of type I and type II photosensitized oxidation. Photochem Photobiol. 1991;54:659.&lt;/p&gt;

&lt;p&gt;Fuloria, S., et al. (2021). &amp;quot;Comprehensive Review of Methodology to Detect Reactive Oxygen Species (ROS) in Mammalian Species and Establish Its Relationship with Antioxidants and Cancer.&amp;quot;&amp;nbsp;Antioxidants (Basel, Switzerland)&amp;nbsp;10(1) 128. doi:10.3390/antiox10010128&lt;/p&gt;

&lt;p&gt;Go, Y. M. and Jones, D. P. (2013). &amp;quot;The redox proteome.&amp;quot; J Biol Chem 288(37): 26512-26520.&lt;/p&gt;

&lt;p&gt;Goud, Anuradha P., Pravin T. Goud, Michael P. Diamond, Bernard Gonik, and Husam M. Abu-Soud. 2008. &amp;ldquo;Reactive Oxygen Species and Oocyte Aging: Role of Superoxide, Hydrogen Peroxide, and Hypochlorous Acid.&amp;rdquo; Free Radical Biology &amp;amp; Medicine 44 (7): 1295&amp;ndash;1304.&lt;/p&gt;

&lt;p&gt;Granger, D. N. and Kvietys, P. R. (2015). &amp;quot;Reperfusion injury and reactive oxygen species: The evolution of a concept&amp;quot; Redox Biol. doi: 10.1016/j.redox.2015.08.020. PMID: 26484802; PMCID: PMC4625011.&lt;/p&gt;

&lt;p&gt;Griendling, K. K., et al. (2016). &amp;quot;Measurement of Reactive Oxygen Species, Reactive Nitrogen Species, and Redox-Dependent Signaling in the Cardiovascular System: A Scientific Statement From the American Heart Association.&amp;quot; Circulation research 119(5): e39-75.&lt;/p&gt;

&lt;p&gt;Griendling, Kathy K., Rhian M. Touyz, Jay L. Zweier, Sergey Dikalov, William Chilian, Yeong-Renn Chen, David G. Harrison, Aruni Bhatnagar, and American Heart Association Council on Basic Cardiovascular Sciences. 2016. &amp;ldquo;Measurement of Reactive Oxygen Species, Reactive Nitrogen Species, and Redox-Dependent Signaling in the Cardiovascular System: A Scientific Statement From the American Heart Association.&amp;rdquo; Circulation Research 119 (5): e39&amp;ndash;75.&lt;/p&gt;

&lt;p&gt;ICH. ICH Guideline S10 Guidance on Photosafety Evaluation of Pharmaceuticals.: International Council on Harmonisation of Technical Requirements for Registration of Pharmaceuticals for Human Use; 2014.&lt;/p&gt;

&lt;p&gt;Itziou, A., et al. (2011). &amp;quot;In vivo and in vitro effects of metals in reactive oxygen species production, protein carbonylation, and DNA damage in land snails Eobania vermiculata.&amp;quot; Archives of Environmental Contamination and Toxicology, 60(4), 697&amp;ndash;707. https://doi.org/10.1007/s00244-010-9583-5&lt;/p&gt;

&lt;p&gt;Ji, W. O., et al. &amp;quot;Quantitation of the ROS production in plasma and radiation treatments of biotargets.&amp;quot; Sci Rep. 2019 Dec 27;9(1):19837. doi: 10.1038/s41598-019-56160-0. PMID: 31882663; PMCID: PMC6934759.&lt;/p&gt;

&lt;p&gt;Kruk, J. and Aboul-Enein, H. Y. (2017). &amp;quot;Reactive Oxygen and Nitrogen Species in Carcinogenesis: Implications of Oxidative Stress on the Progression and Development of Several Cancer Types.&amp;quot; Mini-Reviews in Medicinal Chemistry, 17:11. doi:10.2174/1389557517666170228115324&lt;/p&gt;

&lt;p&gt;Lee, D. Y., et al. (2020). &amp;quot;PEGylated Bilirubin-coated Iron Oxide Nanoparticles as a Biosensor for Magnetic Relaxation Switching-based ROS Detection in Whole Blood.&amp;quot; Theranostics, 10(5), 1997-2007. doi:10.7150/thno.39662&lt;/p&gt;

&lt;p&gt;Li, Z., et al. (2020). &amp;quot;Inhibition of MiR-25 attenuates doxorubicin-induced apoptosis, reactive oxygen species production and DNA damage by targeting pten.&amp;quot; International Journal of Medical Sciences, 17(10), 1415&amp;ndash;1427. https://doi.org/10.7150/ijms.41980&lt;/p&gt;

&lt;p&gt;Liou, G. Y. and Storz, P. &amp;quot;Reactive oxygen species in cancer.&amp;quot; Free Radic Res. 2010 May;44(5):479-96. doi:10.3109/10715761003667554. PMID: 20370557; PMCID: PMC3880197.&lt;/p&gt;

&lt;p&gt;Lu, Y., et al. (2010). &amp;quot;Phosphatidylinositol-3-kinase/akt regulates bleomycin-induced fibroblast proliferation and collagen production.&amp;quot; American journal of respiratory cell and molecular biology, 42(4), 432&amp;ndash;441. https://doi.org/10.1165/rcmb.2009-0002OC&lt;/p&gt;

&lt;p&gt;Onoue, S., et al. (2013). &amp;quot;Establishment and intra-/inter-laboratory validation of a standard protocol of reactive oxygen species assay for chemical photosafety evaluation.&amp;quot; J Appl Toxicol. 33(11):1241-50. doi: 10.1002/jat.2776. Epub 2012 Jun 13. PMID: 22696462.&lt;/p&gt;

&lt;p&gt;Onoue S, Hosoi K, Toda T, Takagi H, Osaki N, Matsumoto Y, et al. Intra-/inter-laboratory validation study on reactive oxygen species assay for chemical photosafety evaluation using two different solar simulators. Toxicology in vitro : an international journal published in association with BIBRA. 2014;28:515-23.&lt;/p&gt;

&lt;p&gt;Onoue S, Hosoi K, Wakuri S, Iwase Y, Yamamoto T, Matsuoka N, et al. Establishment and intra-/inter-laboratory validation of a standard protocol of reactive oxygen species assay for chemical photosafety evaluation. Journal of applied toxicology : JAT. 2013;33:1241-50.&lt;/p&gt;

&lt;p&gt;Onoue S, Kawamura K, Igarashi N, Zhou Y, Fujikawa M, Yamada H, et al. Reactive oxygen species assay-based risk assessment of drug-induced phototoxicity: classification criteria and application to drug candidates. J Pharm Biomed Anal. 2008;47:967-72.&lt;/p&gt;

&lt;p&gt;Onoue S, Seto Y, Gandy G, Yamada S. Drug-induced phototoxicity; an early&lt;em&gt; in vitro&lt;/em&gt; identification of phototoxic potential of new drug entities in drug discovery and development. Current drug safety. 2009;4:123-36.&lt;/p&gt;

&lt;p&gt;Onoue S, Tsuda Y. Analytical studies on the prediction of photosensitive/phototoxic potential of pharmaceutical substances. Pharmaceutical research. 2006;23:156-64.&lt;/p&gt;

&lt;p&gt;Ozcan, Ayla, and Metin Ogun. 2015. &amp;ldquo;Biochemistry of Reactive Oxygen and Nitrogen Species.&amp;rdquo; In Basic Principles and Clinical Significance of Oxidative Stress, edited by Sivakumar Joghi Thatha Gowder. Rijeka: IntechOpen.&lt;/p&gt;

&lt;p&gt;Parrish, A. R. 2010. &amp;ldquo;2.27 - Hypoxia/Ischemia Signaling.&amp;rdquo; In Comprehensive Toxicology (Second Edition), edited by Charlene A. McQueen, 529&amp;ndash;42. Oxford: Elsevier.&lt;/p&gt;

&lt;p&gt;PCPC. PCPC 2014 safety evaluation guidelines; Chapter 7: Evaluation of Photoirritation and Photoallergy potential. Personal Care Products Council; 2014.&lt;/p&gt;

&lt;p&gt;Ramos, M. F. P., et al. (2018). &amp;quot;Xanthine oxidase inhibitors and sepsis.&amp;quot;&amp;nbsp;Int J Immunopathol Pharmacol. 32:2058738418772210. doi:10.1177/2058738418772210&lt;/p&gt;

&lt;p&gt;Ravanat, J. L., et al. (2014). &amp;quot;Radiation-mediated formation of complex damage to DNA: a chemical aspect overview.&amp;quot; Br J Radiol 87(1035): 20130715.&lt;/p&gt;

&lt;p&gt;Schutzendubel, A. and Polle, A. (2002). &amp;quot;Plant responses to abiotic stresses: heavy metal-induced oxidative stress and protection by mycorrhization.&amp;quot; Journal of Experimental Botany, 53(372), 1351&amp;ndash;1365. https://doi.org/10.1093/jexbot/53.372.1351&lt;/p&gt;

&lt;p&gt;Seto Y, Kato M, Yamada S, Onoue S. Development of micellar reactive oxygen species assay for photosafety evaluation of poorly water-soluble chemicals. Toxicology in vitro : an international journal published in association with BIBRA. 2013;27:1838-46.&lt;/p&gt;

&lt;p&gt;Sharma, Gunjan, Nishant Kumar Rana, Priya Singh, Pradeep Dubey, Daya Shankar Pandey, and Biplob Koch. 2017. &amp;ldquo;p53 Dependent Apoptosis and Cell Cycle Delay Induced by Heteroleptic Complexes in Human Cervical Cancer Cells.&amp;rdquo; Biomedicine &amp;amp; Pharmacotherapy = Biomedecine &amp;amp; Pharmacotherapie 88 (April): 218&amp;ndash;31.&lt;/p&gt;

&lt;p&gt;Silva, R., et al. (2019). &amp;quot;Light exposure during growth increases riboflavin production, reactive oxygen species accumulation and DNA damage in Ashbya gossypii riboflavin-overproducing strains.&amp;quot; FEMS Yeast Research, 19(1), 1&amp;ndash;7. https://doi.org/10.1093/femsyr/foy114&lt;/p&gt;

&lt;p&gt;Tsuchiya K, et al. (2005). &amp;quot;Oxygen radicals photo-induced by ferric nitrilotriacetate complex.&amp;quot; Biochim Biophys Acta. 1725(1):111-9. doi:10.1016/j.bbagen.2005.05.001&lt;/p&gt;

&lt;p&gt;Wang, J., et al. (2017). &amp;quot;Glucocorticoids Suppress Antimicrobial Autophagy and Nitric Oxide Production and Facilitate Mycobacterial Survival in Macrophages.&amp;quot;&amp;nbsp;Scientific reports,&amp;nbsp;7(1), 982. https://doi.org/10.1038/s41598-017-01174-9&lt;/p&gt;

&lt;p&gt;Wang, X., et al. (2013). &amp;quot;Imaging ROS signaling in cells and animals.&amp;quot; Journal of molecular medicine 91(8): 917-927.&lt;/p&gt;

&lt;p&gt;Yen, Cheng Chien, et al. &amp;quot;Inorganic arsenic causes cell apoptosis in mouse cerebrum through an oxidative stress-regulated signaling pathway.&amp;quot; Archives of toxicology 85 (2011): 565-575.&lt;/p&gt;

&lt;p&gt;Yuan, Yan, et al. &amp;quot;Cadmium-induced apoptosis in primary rat cerebral cortical neurons culture is mediated by a calcium signaling pathway.&amp;quot; PloS one 8.5 (2013): e64330.&lt;/p&gt;

&lt;p&gt;Zhang, Z., et al. (2011). &amp;quot;Reactive oxygen species mediate arsenic induced cell transformation and tumorigenesis through Wnt/&amp;beta;-catenin pathway in human colorectal adenocarcinoma DLD1 cells. &amp;quot; Toxicology and Applied Pharmacology, 256(2), 114-121. doi:10.1016/j.taap.2011.07.016&lt;/p&gt;
</references>
    <source>AOPWiki</source>
    <creation-timestamp>2016-11-29T18:41:29</creation-timestamp>
    <last-modification-timestamp>2025-06-12T01:27:08</last-modification-timestamp>
  </key-event>
  <key-event id="4f8271ec-376c-48b1-8e74-e4a60a297d7f">
    <title>Impaired insulin signaling</title>
    <short-name>Impaired insulin signaling</short-name>
    <biological-organization-level>Cellular</biological-organization-level>
    <description></description>
    <measurement-methodology></measurement-methodology>
    <evidence-supporting-taxonomic-applicability></evidence-supporting-taxonomic-applicability>
    <applicability>
    </applicability>
    <references></references>
    <source>AOPWiki</source>
    <creation-timestamp>2023-05-25T09:46:54</creation-timestamp>
    <last-modification-timestamp>2023-05-25T09:46:54</last-modification-timestamp>
  </key-event>
  <key-event id="c5ae85db-8e82-4958-b0b7-b5f31009ae33">
    <title>Metabolic syndrome</title>
    <short-name>Metabolic syndrome</short-name>
    <biological-organization-level>Population</biological-organization-level>
    <description></description>
    <measurement-methodology></measurement-methodology>
    <evidence-supporting-taxonomic-applicability></evidence-supporting-taxonomic-applicability>
    <applicability>
    </applicability>
    <references></references>
    <source>AOPWiki</source>
    <creation-timestamp>2023-05-25T09:51:12</creation-timestamp>
    <last-modification-timestamp>2023-05-25T09:51:12</last-modification-timestamp>
  </key-event>
  <key-event id="c3ac130e-7a8b-4153-9b1c-28a4ed18997d">
    <title>Increase, Mitochondrial dysfunction</title>
    <short-name>Increase, Mitochondrial dysfunction</short-name>
    <biological-organization-level>Cellular</biological-organization-level>
    <description>&lt;p&gt;Mitochondrial dysfunction is a consequence of inhibition of the respiratory chain leading to oxidative stress.&lt;/p&gt;

&lt;p&gt;Mitochondria can be found in all cells and are considered the most important cellular consumers of oxygen. Furthermore, mitochondria possess numerous redox enzymes capable of transferring single electrons to oxygen, generating the superoxide (O2-). Some mitochondrial enzymes that are involved in reactive oxygen species (ROS) generation include the electron-transport chain (ETC) complexes I, II and III; pyruvate dehydrogenase (PDH) and glycerol-3-phosphate dehydrogenase (GPDH). The transfer of electrons to oxygen, generating superoxide, happens mainly when these redox carriers are charged enough with electrons and the potential energy for transfer is elevated, like in the case of high mitochondrial membrane potential. In contrast, ROS generation is decreased if there are not enough electrons and the potential energy for the transfer is not sufficient (reviewed in Lin and Beal, 2006).&lt;/p&gt;

&lt;p&gt;Cells are also able to detoxify the generated ROS due to an extensive antioxidant defence system that includes superoxide dismutases, glutathione peroxidases, catalase, thioredoxins, and peroxiredoxins in various cell organelles (reviewed in Lin and Beal, 2006). It is worth mentioning that, as in the case of ROS generation, antioxidant defences are also closely related to the redox and energetic status of mitochondria. If mitochondria are structurally and functionally healthy, an antioxidant defence mechanism balances ROS generation, and there is not much available ROS production. However, in case of mitochondrial damage, the antioxidant defence capacity drops and ROS generation takes over. Once this happens, a vicious cycle starts and ROS can further damage mitochondria, leading to more free-radical generation and further loss of antioxidant capacity. During mitochondrial dysfunction the availability of ATP also decreases, which is considered necessary for repair mechanisms after ROS generation.&lt;/p&gt;

&lt;p&gt;A number of proteins bound to the mitochondria or endoplasmic reticulum (ER), especially in the mitochondria-associated ER membrane (MAM), are playing an important role of communicators between these two organelles (reviewed Mei et al., 2013). ER stress induces mitochondrial dysfunction through regulation of Ca2+ signaling and ROS production (reviewed Mei et al., 2013). Prolonged ER stress leads to release of Ca2+ at the MAM and increased Ca2+ uptake into the mitochondrial matrix, which induces Ca2+-dependent mitochondrial outer membrane permeabilization and apoptosis. At the same, ROS are produced by proteins in the ER oxidoreductin 1 (ERO1) family. ER stress activates ERO1 and leads to excessive production of ROS, which, in turn, inactivates SERCA and activates inositol-1,4,5- trisphosphate receptors (IP3R) via oxidation, resulting in elevated levels of cytosolic Ca2+, increased mitochondrial uptake of Ca2+, and ultimately mitochondrial dysfunction. Just as ER stress can lead to mitochondrial dysfunction, mitochondrial dysfunction also induces ER Stress (reviewed Mei et al., 2013). For example, nitric oxide disrupts the mitochondrial respiratory chain and causes changes in mitochondrial Ca2+ flux which induce ER stress. Increased Ca2+ flux triggers loss of mitochondrial membrane potential (MMP), opening of mitochondrial permeability transition pore (mPTP), release of cytochrome c and apoptosis inducing factor (AIF), decreasing ATP synthesis and rendering the cells more vulnerable to both apoptosis and necrosis (Wang and Qin, 2010).&lt;/p&gt;

&lt;p&gt;&lt;u&gt;Metal-induced Mitochondrial Dysfunction&lt;/u&gt;&lt;br /&gt;
Mitochondria are an important site of Ca2+ regulation and storage, taking up Ca2+ ions electrophoretically from the cytosol through a Ca2+ uniporter, which can then accumulate in the mitochondria (Roos et al., 2012; Orrenius et al., 2015). Similarities between calcium and metals, such as cadmium and lead, makes the entrance and accumulation of these metals into the mitochondria via calcium metals possible by mode of molecular mimicry (Mathews et al., 2013; Adiele et al., 2012). The outer mitochondrial membrane also contains the divalent metal transporter (DMT1), which allows for mitochondrial uptake of divalent metals such as Fe and Mn. When cells are under heavy metal-induced stress, DMT has been shown to be overexpressed in the mitochondrial membrane, making the mitochondria targets of metal toxicity and accumulation.&lt;/p&gt;

&lt;p&gt;Heavy metal exposure in aerobic organisms increases ROS formation through redox cycling, where metals with different valence states (Fe, Cu, Cr, etc.) directly produce ROS as they are reduced by cellular antioxidants and then react with oxygen (Shaki et al., 2012; Shaki et al., 2013; Pourahmad et al., 2006; Santos et al., 2007). The production of highly reactive hydroxyl radicals under mitochondrial oxidative stress and in the presence of transition metals occurs via the Fenton reaction or Haber-Weiss reaction (Hancock et al., 2001; Valko et al., 2005; Adam-Vizi et al., 2010). Metals and ROS are capable of damaging mitochondrial DNA as well as mechanisms of DNA repair and proliferation arrest (Valko et al., 2005). Metals and ROS have the potential to directly damage mitochondrial membranes and structure by binding to and oxidizing membrane lipids and proteins. This structural damage can collapse the MMP and lead to the opening of the MPTP (Orrenius et al., 2015; Roos et al., 2012; Pourahmad et al., 2006). Uranium and mercury, for example, have both been shown to directly inhibit the mitochondrial electron transport chain and interfere with ATP production (Shaki et al., 2012; Roos et al., 2012). Furthermore, as previously mentioned, metals have been shown to inhibit ROS-detoxifying enzymes. By binding to these enzymes, metals can inhibit their antioxidant functions, and cause an accumulation of ROS and increased synthesis of more antioxidant enzymes in order to combat the oxidative stress (Blajszczak and Bonini, 2017).&lt;/p&gt;

&lt;p&gt;&lt;strong&gt;Summing up:&lt;/strong&gt; Mitochondria play a pivotal role in cell survival and cell death because they are regulators of both energy metabolism and apoptotic/necrotic pathways (Fiskum, 2000; Wieloch, 2001; Friberg and Wieloch, 2002). The production of ATP via oxidative phosphorylation is a vital mitochondrial function (Kann and Kov&amp;aacute;cs, 2007; Nunnari and Suomalainen, 2012). The ATP is continuously required for signalling processes (e.g. Ca2+ signalling), maintenance of ionic gradients across membranes, and biosynthetic processes (e.g. protein synthesis, heme synthesis or lipid and phospholipid metabolism) (Kang and Pervaiz, 2012), and (Green, 1998; McBride et al., 2006). Inhibition of mitochondrial respiration contributes to various cellular stress responses, such as deregulation of cellular Ca2+ homeostasis (Graier et al., 2007) and ROS production (Nunnari and Suomalainen, 2012; reviewed Mei et al., 2013).). It is well established in the existing literature that mitochondrial dysfunction may result in: (a) an increased ROS production and a decreased ATP level, (b) the loss of mitochondrial protein import and protein biosynthesis, (c) the reduced activities of enzymes of the mitochondrial respiratory chain and the Krebs cycle, (d) the loss of the mitochondrial membrane potential, (e) the loss of mitochondrial motility, causing a failure to re-localize to the sites with increased energy demands (f) the destruction of the mitochondrial network, and (g) increased mitochondrial Ca2+ uptake, causing Ca2+ overload (reviewed in Lin and Beal, 2006; Graier et al., 2007), (h) the rupture of the mitochondrial inner and outer membranes, leading to (i) the release of mitochondrial pro-death factors, including cytochrome c (Cyt. c), apoptosis-inducing factor, or endonuclease G (Braun, 2012; Martin, 2011; Correia et al., 2012; Cozzolino et al., 2013), which eventually leads to apoptotic, necrotic or autophagic cell death (Wang and Qin, 2010). Due to their structural and functional complexity, mitochondria present multiple targets for various compounds.&lt;/p&gt;
</description>
    <measurement-methodology>&lt;p&gt;Mitochondrial dysfunction can be detected using isolated mitochondria, intact cells or cells in culture as well as in vivo studies. Such assessment can be performed with a large range of methods (revised by Brand and Nicholls, 2011) for which some important examples are given. All approaches to assess mitochondrial dysfunction fall into two main categories: the first assesses the consequences of a loss-of-function, i.e. impaired functioning of the respiratory chain and processes linked to it. Some assay to assess this have been described for KE1, with the limitation that they are not specific for complex I. In the context of overall mitochondrial dysfunction, the same assays provide useful information, when performed under slightly different assay conditions (e.g. without addition of complex III and IV inhibitors). The second approach assesses a &amp;lsquo;non-desirable gain-of-function&amp;rsquo;, i.e. processes that are usually only present to a very small degree in healthy cells, and that are triggered in a cell, in which mitochondria fail.&lt;/p&gt;

&lt;p&gt;I. Mitochondrial dysfunction assays assessing a loss-of function.&lt;/p&gt;

&lt;p&gt;1. Cellular oxygen consumption.&lt;/p&gt;

&lt;p&gt;See KE1 for details of oxygen consumption assays. The oxygen consumption parameter can be combined with other endpoints to derive more specific information on the efficacy of mitochondrial function. One approach measures the ADP-to-O ratio (the number of ADP molecules phosphorylated per oxygen atom reduced (Hinkle, 1995 and Hafner et al., 1990). The related P/O ratio is calculated from the amount of ADP added, divided by the amount of O&lt;sub&gt;2&lt;/sub&gt; consumed while phosphorylating the added ADP (Ciapaite et al., 2005; Diepart et al., 2010; Hynes et al., 2006; James et al., 1995; von Heimburg et al., 2005).&lt;/p&gt;

&lt;p&gt;2. Mitochondrial membrane potential (&amp;Delta;&amp;psi;m ).&lt;/p&gt;

&lt;p&gt;&lt;strong&gt;- Revision of AOP3 (Project:&amp;nbsp;&lt;/strong&gt;&lt;a href="https://www.efsa.europa.eu/en/call/npefsaprev202402-development-aop-network-parkinsonian-motor-symptoms" rel="noreferrer noopener" target="_blank"&gt;NP/EFSA/PREV/2024/02&lt;/a&gt;&lt;strong&gt;):&lt;/strong&gt; The mitochondrial membrane potential (&amp;Delta;&amp;psi;m) is the electric potential difference across the inner mitochondrial membrane. It requires a functioning respiratory chain in the absence of mechanisms that dissipate the proton gradient without coupling it to ATP production. Quantitative assessment of &amp;Delta;&amp;Psi;m in living cells is most commonly achieved through the use of cationic, lipophilic fluorescent probes that accumulate within the mitochondrial matrix in proportion to the electrochemical gradient (Leonard et al., 2014). Among these, tetramethylrhodamine derivatives such as TMRE (tetramethylrhodamine ethyl ester) and TMRM (tetramethylrhodamine methyl ester) are widely employed due to their reversible, potential-dependent distribution across the inner mitochondrial membrane (Scaduto and Grotyohann, 1999; Creed and McKenzie, 2019). When applied at non-quenching, nanomolar concentrations, these dyes allow linear and quantitative detection of &amp;Delta;&amp;Psi;m, as fluorescence intensity directly correlates with mitochondrial polarization. Detection can be performed by flow cytometry for population-level quantification, by high-content microscopy for spatially resolved analysis, or by fluorescence plate readers for higher throughput (Wong and Cortopassi, 2002; Valdebenito and Dunchen, 2022). Quantitative interpretation requires the use of appropriate controls, typically involving treatment with protonophores such as FCCP or CCCP, which fully dissipate &amp;Delta;&amp;Psi;m and thereby establish baseline fluorescence, and inhibitors such as oligomycin or antimycin A to reveal different components of mitochondrial respiration. In parallel, dyes such as JC-1 are also used, though their ratiometric readout is less sensitive at low potentials and more prone to artifacts compared with TMRE or TMRM (Leonard et al., 2022). For accurate normalization, measurements are often corrected for cell number, mitochondrial content, or total protein, and fluorescence changes are expressed relative to maximal depolarization. In addition to chemical probes, genetically encoded sensors, such as mitochondria-targeted fluorescent proteins fused to potential-sensitive domains, provide complementary tools for &amp;Delta;&amp;Psi;m monitoring in live-cell and in vivo contexts (Leonard et al., 2022).&amp;nbsp;&lt;strong&gt;- Not endorsed&lt;/strong&gt;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;3. Enzymatic activity of the electron transport system (ETS).&lt;/p&gt;

&lt;p&gt;Determination of ETS activity can be dene&amp;nbsp;following Owens and King&amp;#39;s assay (1975). The technique is based on a cell-free homogenate that is incubated with NADH to saturate the mitochondrial ETS and an artificial electron acceptor [l - (4 -iodophenyl) -3 - (4 -nitrophenyl) -5-phenylte trazolium chloride (INT)] to register the electron transmission rate. The oxygen consumption rate is calculated from the molar production rate of INT-formazan which is determined spectrophotometrically (Cammen et al., 1990).&lt;/p&gt;

&lt;p&gt;4. ATP content.&lt;/p&gt;

&lt;p&gt;For the evaluation of ATP levels, various commercially-available ATP assay kits are offered &amp;nbsp;based on luciferin and luciferase activity. For isolated mitochondria various methods are available to continuously measure ATP with electrodes (Laudet 2005), with luminometric methods, or for obtaining more information on different nucleotide phosphate pools (e.g. Ciapaite et al., (2005).&lt;/p&gt;

&lt;div&gt;
&lt;p&gt;&lt;span style="font-size:12.0pt"&gt;&lt;span style="font-family:Arial"&gt;&lt;span style="background-color:white"&gt;&lt;strong&gt;&lt;span style="color:#212529"&gt;- Revision of AOP3 (Project:&lt;/span&gt;&lt;/strong&gt;&lt;/span&gt;&amp;nbsp;&lt;a href="https://www.efsa.europa.eu/en/call/npefsaprev202402-development-aop-network-parkinsonian-motor-symptoms"&gt;&lt;span style="background-color:white"&gt;NP/EFSA/PREV/2024/02&lt;/span&gt;&lt;/a&gt;&lt;span style="background-color:white"&gt;&lt;strong&gt;&lt;span style="color:#212529"&gt;)&lt;/span&gt;&lt;/strong&gt;&lt;/span&gt;&lt;span style="background-color:white"&gt;&lt;span style="color:#212529"&gt;: &lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;strong&gt;Determination of mitochondrial ATP production based on extracellular flux analysis&amp;nbsp;&amp;nbsp;&lt;/strong&gt;&lt;/p&gt;

&lt;p&gt;The method is based on the detection of OCR (Oxygen Consumption Rate) that represents mitochondrial respiration as well as on the detection of ECAR (extracellular acidification rate) / proton efflux rate (PER): reflects extracellular acidification, a proxy for glycolysis (lactate release) plus contributions from CO₂/HCO₃⁻. PER is preferred over raw ECAR since it corrects for CO₂-derived acidification (Desousa et al., 2023; Espinosa et al., 2022). Application of inhibitors of individual complexes of the respiratory chain allows the detection of ATP-linked OCR: portion of oxygen consumption directly driving ATP synthesis (lost after ATP synthase inhibition) (Yoo et al., 2024). The proton leak &amp;amp; non-mitochondrial OCR represents remaining oxygen consumption after ATP synthase and electron transport chain inhibitor addition. The difference yields the ATP-coupled respiration component.&amp;nbsp;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;&lt;strong&gt;Calculation of mitochondrial ATP production&amp;nbsp;&lt;/strong&gt;&lt;/p&gt;

&lt;p&gt;Mito ATP production rate (pmol ATP/min) = OCRATP (pmol O2/min) &amp;times; 2 &amp;times; P/O&amp;nbsp;&amp;nbsp;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;OCR_ATP: ATP-coupled portion of OCR.&amp;nbsp;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Factor 2: each O₂ molecule contains two oxygen atoms.&amp;nbsp;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;P/O ratio: number of ATP molecules synthesized per oxygen atom reduced. A mean P/O &amp;asymp; 2.75 is typically assumed (validated across many cell types but substrate- and condition-dependent) (Plitzko and Loesgen, 2018; Mookerjee et al., 2017; Motawe et al., 2024).&amp;nbsp;&amp;nbsp;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;&lt;strong&gt;Limitations&lt;/strong&gt;&amp;nbsp;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;P/O ratio varies by substrate (glucose vs. fatty acids), cell type, and conditions. Fixed values are approximations.&amp;nbsp;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Non-mitochondrial oxygen consumption (oxidases, peroxidases, etc.) can confound OCR, hence use of ETC inhibitors.&amp;nbsp;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;PER vs. ECAR: CO₂-driven acidification must be corrected to avoid overestimating glycolytic ATP.&amp;nbsp;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Normalization: results are usually expressed per cell, protein content, DNA, or mitochondrial mass &amp;mdash; interpretation depends on normalization method.&amp;nbsp;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12.0pt"&gt;&lt;span style="font-family:Arial"&gt;&lt;span style="color:#212529"&gt;&lt;span style="background-color:white"&gt;&lt;strong&gt;- Not endorsed&lt;/strong&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
&lt;/div&gt;

&lt;p&gt;&lt;br /&gt;
II. Mitochondrial dysfunction assays assessing a gain-of function.&lt;/p&gt;

&lt;p&gt;&lt;br /&gt;
1. Mitochondrial permeability transition pore opening (PTP).&lt;/p&gt;

&lt;p&gt;The opening of the PTP is associated with a permeabilization of mitochondrial membranes, so that different compounds and cellular constituents can change intracellular localization. This can be measured by assessment of the translocation of cytochrome c, adenylate kinase or AIF from mitochondria to the cytosol or nucleus. The translocation can be assessed biochemically in cell fractions, by imaging approaches in fixed cells or tissues or by life-cell imaging of GFP fusion proteins (Single 1998; Modjtahedi 2006). An alternative approach is to measure the accessibility of cobalt to the mitochondrial matrix in a calcein fluorescence quenching assay in live permeabilized cells (Petronilli et al., 1999).&lt;/p&gt;

&lt;p&gt;2. mtDNA damage as a biomarker of mitochondrial dysfunction.&lt;/p&gt;

&lt;p&gt;Various quantitative polymerase chain reaction (QPCR)-based assays have been developed to detect changes of DNA structure and sequence in the mitochondrial genome. mtDNA damage can be detected in blood after low-level rotenone exposure, and the damage persists even after CI activity has returned to normal. With a more sustained rotenone exposure, mtDNA damage is also detected in skeletal muscle. These data support the idea that mtDNA damage in peripheral tissues in the rotenone model may provide a biomarker of past or ongoing mitochondrial toxin exposure (Sanders et al., 2014a and 2014b).&lt;/p&gt;

&lt;p&gt;3. Generation of ROS and resultant oxidative stress.&lt;/p&gt;

&lt;p&gt;a. General approach. Electrons from the mitochondrial ETS may be transferred &amp;lsquo;erroneously&amp;rsquo; to molecular oxygen to form superoxide anions. This type of side reaction can be strongly enhanced upon mitochondrial damage. As superoxide may form hydrogen peroxide, hydroxyl radicals or other reactive oxygen species, a large number of direct ROS assays and assays assessing the effects of ROS (indirect ROS assays) are available (Adam-Vizi, 2005; Fan and Li 2014). Direct assays are based on the chemical modification of fluorescent or luminescent reporters by ROS species. Indirect assays assess cellular metabolites, the concentration of which is changed in the presence of ROS (e.g. glutathione, malonaldehyde, isoprostanes,etc.) At the animal level the effects of oxidative stress are measured from biomarkers in the blood or urine.&lt;/p&gt;

&lt;p&gt;b. Measurement of the cellular glutathione (GSH) status. GSH is regenerated from its oxidized form (GSSH) by the action of an NADPH dependent reductase (GSSH + NADPH + H+ &amp;agrave; 2 GSH + NADP+). The ratio of GSH/GSSG is therefore a good indicator for the cellular NADH+/NADPH ratio (i.e. the redox potential). GSH and GSSH levels can be determined by HPLC, capillary electrophoresis, or biochemically with DTNB (Ellman&amp;rsquo;s reagent). As excess GSSG is rapidly exported from most cells to maintain a constant GSH/GSSG ratio, a reduction of total glutathione (GSH/GSSG) is often a good surrogate measure for oxidative stress.&lt;/p&gt;

&lt;p&gt;c. Quantification of lipid peroxidation. Measurement of lipid peroxidation has historically relied on the detection of thiobarbituric acid (TBA)-reactive compounds such as malondialdehyde generated from the decomposition of cellular membrane lipid under oxidative stress (Pryor et al., 1976). This method is quite sensitive, but not highly specific. A number of commercial assay kits are available for this assay using absorbance or fluorescence detection technologies. The formation of F2-like prostanoid derivatives of arachidonic acid, termed F2-isoprostanes (IsoP) has been shown to be more specific for lipid peroxidation. A number of commercial ELISA kits have been developed for IsoPs, but interfering agents in samples requires partial purification before analysis. Alternatively, GC/MS may be used, as robust (specific) and sensitive method.&lt;/p&gt;

&lt;p&gt;d. Detection of superoxide production. Generation of superoxide by inhibition of complex I and the methods for its detection are described by Grivennikova and Vinogradov (2014). A range of different methods is also described by BioTek (&lt;a class="external free" href="http://www.biotek.com/resources/articles/reactive-oxygen-species.html" rel="nofollow" target="_blank"&gt;http://www.biotek.com/resources/articles/reactive-oxygen-species.html&lt;/a&gt;). The reduction of ferricytochrome c to ferrocytochrome c may be used to assess the rate of superoxide formation (McCord, 1968). Like in other superoxide assays, specificity can only be obtained by measurements in the&amp;nbsp;absence and presence of superoxide dismutase. Chemiluminescent reactions have been used for their increased sensitivity. The most widely used chemiluminescent substrate is lucigenin. Coelenterazine has also been used as a chemiluminescent substrate. Hydrocyanine dyes are fluorogenic sensors for superoxide and hydroxyl radical, and they become membrane impermeable after oxidation (trapping at site of formation). The best characterized of these probes are Hydro-Cy3 and Hydro-Cy5. generation of superoxide in mitochondria can be visualized using fluorescence microscopy with MitoSOX&amp;trade; Red reagent (Life Technologies). MitoSOX&amp;trade; Red reagent is a cationic derivative of dihydroethidium that permeates live cells and accumulates in mitochondria.&lt;/p&gt;

&lt;p&gt;e. Detection of hydrogen peroxide (H&lt;sub&gt;2&lt;/sub&gt;O&lt;sub&gt;2&lt;/sub&gt;) production. There are a number of fluorogenic substrates, which serve as hydrogen donors that have been used in conjunction with horseradish peroxidase (HRP) enzyme to produce intensely fluorescent products in the presence of hydrogen peroxide (Zhou et al., 1997: Ruch et al., 1983). The more commonly used substrates include diacetyldichloro-fluorescein, homovanillic acid, and Amplex&amp;reg; Red. In these examples, increasing amounts of H&lt;sub&gt;2&lt;/sub&gt;O&lt;sub&gt;2&lt;/sub&gt; form increasing amounts of fluorescent product (Tarpley et al., 2004).&lt;/p&gt;

&lt;p&gt;Summing up, mitochondrial dysfunction can be measured by: &amp;bull; ROS production: superoxide (O2-), and hydroxyl radicals (OH&amp;minus;) &amp;bull; Nitrosative radical formation such as ONOO&amp;minus; or directly by: &amp;bull; Loss of mitochondrial membrane potential (MMP) &amp;bull; Opening of mitochondrial permeability transition pores (mPTP) &amp;bull; ATP synthesis &amp;bull; Increase in mitochondrial Ca2+ &amp;bull; Cytochrome c release &amp;bull; AIF (apoptosis inducing factor) release from mitochondria &amp;bull; Mitochondrial Complexes enzyme activity &amp;bull; Measurements of mitochondrial oxygen consumption &amp;bull; Ultrastructure of mitochondria using electron microscope and mitochondrial fragmentation measured by labelling with DsRed-Mito expression (Knott et al, 2008) Mitochondrial dysfunction-induced oxidative stress can be measured by: &amp;bull; Reactive carbonyls formations (proteins oxidation) &amp;bull; Increased 8-oxo-dG immunoreactivity (DNA oxidation) &amp;bull; Lipid peroxidation (formation of malondialdehyde (MDA) and 4- hydroxynonenal (HNE) &amp;bull; 3-nitrotyrosine (3-NT) formation, marker of protein nitration &amp;bull; Translocation of Bid and Bax to mitochondria &amp;bull; Measurement of intracellular free calcium concentration ([Ca2+]i): Cells are loaded with 4 &amp;mu;M fura-2/AM). &amp;bull; Ratio between reduced and oxidized form of glutathione (GSH depletion) (Promega assay, TB369; Radkowsky et al., 1986) &amp;bull; Neuronal nitric oxide synthase (nNOS) activation that is Ca2+-dependent. All above measurements can be performed as the assays for each readout are well established in the existing literature (e.g. Bal-Price and Brown, 2000; Bal-Price et al., 2002; Fujikawa, 2015; Walker et al., 1995). See also KE &lt;a href="/wiki/index.php/Event:209" title="Event:209"&gt; Oxidative Stress, Increase&lt;/a&gt;&lt;/p&gt;

&lt;table border="1" cellpadding="1" cellspacing="1"&gt;
	&lt;tbody&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;&lt;strong&gt;Assay Type &amp;amp; Measured Content&lt;/strong&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;&lt;strong&gt;Description&lt;/strong&gt;&lt;/td&gt;
			&lt;td&gt;&lt;strong&gt;Dose Range Studied&lt;/strong&gt;&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;&lt;strong&gt;Assay Characteristics&lt;/strong&gt;&lt;/p&gt;

			&lt;p&gt;&lt;strong&gt;(Length/Ease of use/Accuracy)&lt;/strong&gt;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;&lt;strong&gt;Rhodamine 123 Assay&lt;/strong&gt;&lt;/p&gt;

			&lt;p&gt;Measuring Mitochondrial membrane potential (MMP) and its collapse&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;(Shaki et al., 2012)&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;Mitochondrial uptake of cationic fluorescent dye, rhodamine 123, is used for estimation of mitochondrial membrane potential. The fluorescence was monitored using Schimadzou RF-5000U fluorescence spectrophotometer at the excitation and emission wavelength of 490 nm and 535 nm, respectively.&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;50, 100 and 500 &amp;mu;M of uranyl acetate&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;Short / easy&lt;/p&gt;

			&lt;p&gt;Medium accurancy&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;&lt;strong&gt;TMRE fluorescence Assay&lt;/strong&gt;&lt;/p&gt;

			&lt;p&gt;Measuring Mitochondrial permeability transition pore (mPTP) opening&lt;/p&gt;

			&lt;p&gt;(Huser et al., 1998)&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;Laser scanning confocal microscopy in combination with the potentiometric fluorescence dye tetramethylrhodamine ethyl ester to monitor relative changes in membrane potential in single isolated cardiac mitochondria. The cationic dye distributes across the membrane in a voltage-dependent manner. Therefore, the large potential gradient across the inner mitochondrial membrane results in the accumulation of the fluorescent dye within the matrix compartment. Rapid depolarizations are caused by the opening of the transition pore.&lt;/td&gt;
			&lt;td&gt;1 &amp;micro;M cyclosporin A&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;Short / easy&lt;/p&gt;

			&lt;p&gt;Low accurancy&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;&lt;strong&gt;GSH / GSSG Determination Assay&lt;/strong&gt;&lt;/p&gt;

			&lt;p&gt;Measuring&amp;nbsp; cellular glutathione (GSH) status; ratio of GSH/GSSG&lt;/p&gt;

			&lt;p&gt;(Owen &amp;amp; Butterfield, 2010; Shaki et al., 2013)&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;GSH and GSSG levels are determinted biochemically with DTNB (Ellman&amp;rsquo;s reagent). The developed yellow color was read at 412 nm on a spectrophotometer.&lt;/td&gt;
			&lt;td&gt;100 &amp;micro;M uranyl acetate&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;Short / easy&lt;/p&gt;

			&lt;p&gt;Low accurancy&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;&lt;strong&gt;TBARS Assay&lt;/strong&gt;&lt;/p&gt;

			&lt;p&gt;Quantification of lipid peroxidation&lt;/p&gt;

			&lt;p&gt;(Yuan et al., 2016)&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;MDA content, a product of lipid peroxidation, was measured using a thiobarbituric acid reactive substances (TBARS) assay. Briefly, the kidney cells were collected in 1 ml PBS buffer solution (pH 7.4) and sonicated. MDA reacts with thiobarbituric acid forming a colored product which can be measured at an absorbance of 532 nm.&lt;/td&gt;
			&lt;td&gt;200, 400, 800 &amp;micro;M uranyl acetate&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;Medium / medium&lt;/p&gt;

			&lt;p&gt;High accurancy&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;&lt;strong&gt;Aequorin-based bioluminescence assay&lt;/strong&gt;&lt;/p&gt;

			&lt;p&gt;Increase in mitochondrial Ca&lt;sup&gt;2+&lt;/sup&gt; influx&lt;/p&gt;

			&lt;p&gt;(Pozzan &amp;amp; Rudolf, 2009)&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;Together with GFP, the aequorin moiety acts as Ca&lt;sup&gt;2+&lt;/sup&gt;&amp;nbsp;sensor &lt;em&gt;in vivo&lt;/em&gt;, which delivers emission energy to the GFP acceptor molecule in a BRET (Bioluminescence Resonance Energy Transfer) process; the Ca2+ can then be visualized with fluorescence microscopy.&lt;/td&gt;
			&lt;td&gt;&amp;nbsp;&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;Short / easy&lt;/p&gt;

			&lt;p&gt;Low accurancy&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;&lt;strong&gt;Western blot &amp;amp; immunostaining analyses&lt;/strong&gt;&lt;/p&gt;

			&lt;p&gt;Measuring cytochrome c release&lt;/p&gt;
			(Chen et al., 2000)&lt;/td&gt;
			&lt;td&gt;Examining the redistribution of Cyto c in cytosolic and mitochondrial cellular fractions. Cells are homogenized and centrifuged, then prepared for immunoblots. Cellular fractions were washed in PBS and lysed in 1% NP-40 buffer. Cellular proteins were separated by SDS&amp;ndash;PAGE, transferred onto nitrocellulose membranes, probed using immunoblot analyses with antibodies specific to cyto c (6581A for Western and 65971A for immunostaining; Pharmingen)&lt;/td&gt;
			&lt;td&gt;&amp;nbsp;&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;Short / easy&lt;/p&gt;

			&lt;p&gt;Medium accurancy&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;&lt;strong&gt;Quantikine Rat/Mouse Cytochrome c Immunoassay&lt;/strong&gt;&lt;/p&gt;

			&lt;p&gt;Measuring cytochrome c release&lt;/p&gt;

			&lt;p&gt;(Shaki et al., 2012)&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;Cytochrome C release was measured a monoclonal antibody specific for rat/mouse cytochrome c was precoated onto the microplate. Seventy-five microliter of conjugate (containing mono- clonal antibody specific for cytochrome c conjugated to horseradish peroxidase). After 2 h of incubation, the substrate solution (100 &amp;mu;l) was added to each well and incubated for 30 min. After 100 &amp;mu;l of the stop solution was added to each well; the optical density of each well was determined by the aforementioned microplate spectrophotometer set to 450 nm.&lt;/td&gt;
			&lt;td&gt;&amp;nbsp;&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;Short / easy&lt;/p&gt;

			&lt;p&gt;Low accurancy&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;&lt;strong&gt;Membrane potential and cell viability &amp;ndash; Flow Cytometry&lt;/strong&gt;&lt;/p&gt;

			&lt;p&gt;Measuring cytochrome c release&lt;/p&gt;

			&lt;p&gt;(Kruidering et al., 1997)&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;&amp;ldquo;Dc and viability were determined by analyzing the R123 and propidium iodide fluorescence intensity with a FACScan flow cytometer (Becton Dickinson, San Jose, CA) equipped with an argon laser, with the Lysis software program (Becton Dickinson). R123 is a cationic dye that accumulates in the negatively charged inner side of the mitochondria. When the potential drops, less R123 accumulates in the mitochondria, which results in a lower fluorescence signal. The potential was measured as follows: at the indicated times, a 500-ml sample of the cell suspension was taken and transferred to an Eppendorf minivial. To this sample, 100 ml of 6 mM R123 in buffer D was added. After incubation for 10 min at 37&amp;deg;C, the cell suspension was centrifuged for 5 min at 80 3 &lt;em&gt;g&lt;/em&gt;. The cell pellet was resuspended in 200 ml of buffer D, containing 0.2 mM R123 and 10 mM propidium iodide, to prevent loss of R123 and to stain nonviable cells, respectively. The samples were transferred to FACScan tubes and analyzed immediately. Analysis was performed at a flow rate of&lt;br /&gt;
			60 ml/min. R123 fluorescence was detected by the FL1 detector with an emission detection limit below 560 nm. Propidium iodide fluorescence was detected by the FL3 detector, with emission detection above 620 nm. Per sample 3,000 to 5,000 cells were counted (Van de Water &lt;em&gt;et al.&lt;/em&gt;, 1993)&amp;rdquo;&lt;/td&gt;
			&lt;td&gt;&amp;nbsp;&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;Short / easy&lt;/p&gt;

			&lt;p&gt;Medium accurancy&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
	&lt;/tbody&gt;
&lt;/table&gt;

&lt;p&gt;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;&amp;nbsp;&lt;/p&gt;
</measurement-methodology>
    <evidence-supporting-taxonomic-applicability>&lt;p&gt;Mitochondrial dysfunction is a universal event occurring in cells of any species (Farooqui and Farooqui, 2012). Many invertebrate species (drosophila, C, elegans) are considered as potential models to study mitochondrial function. New data on marine invertebrates, such as molluscs and crustaceans and non-Drosophila species, are emerging (Martinez-Cruz et al., 2012). Mitochondrial dysfunction can be measured in animal models used for toxicity testing (Winklhofer and Haass, 2010; Waerzeggers et al., 2010) as well as in humans (Winklhofer and Haass, 2010).&lt;/p&gt;

&lt;p&gt;&lt;strong&gt;- Revision of AOP3 (Project:&amp;nbsp;&lt;/strong&gt;&lt;a href="https://www.efsa.europa.eu/en/call/npefsaprev202402-development-aop-network-parkinsonian-motor-symptoms" rel="noreferrer noopener" target="_blank"&gt;NP/EFSA/PREV/2024/02&lt;/a&gt;&lt;strong&gt;)&lt;/strong&gt;:&amp;nbsp;Endogenous ROS formation by complex I: In mammals, complex I is a dominant site of mitochondrial ROS, especially via RET. In plants (Senkler et al. 2017; Maldonado), mitochondria contain alternative NAD(P)H dehydrogenases and an alternative oxidase (AOX) that bypass Complex I and III These pathways reduce ROS formation by preventing over-reduction of the ETC. Complex I still produces ROS, but generally less damaging due to AOX. Yeast: S. cerevisiae lacks a canonical Complex I entirely, relying instead on alternative NADH dehydrogenases. Consequently, mitochondrial ROS production from a Complex I-like source is absent. Other fungi with true Complex I (e.g., Neurospora crassa) do generate ROS similar to animals. &lt;strong&gt;- Not endorsed&lt;/strong&gt;&lt;/p&gt;
</evidence-supporting-taxonomic-applicability>
    <organ-term>
      <source-id>UBERON:0000062</source-id>
      <source>UBERON</source>
      <name>organ</name>
    </organ-term>
    <cell-term>
      <source-id>CL:0000255</source-id>
      <source>CL</source>
      <name>eukaryotic cell</name>
    </cell-term>
    <applicability>
      <sex>
        <evidence>High</evidence>
        <sex>Male</sex>
      </sex>
      <sex>
        <evidence>High</evidence>
        <sex>Female</sex>
      </sex>
      <life-stage>
        <evidence>Not Specified</evidence>
        <life-stage>All life stages</life-stage>
      </life-stage>
      <taxonomy taxonomy-id="c2db6a2e-3401-473b-84e5-079f40fbe100">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="f405428a-ee27-43e8-9f04-699255b6e930">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="4ac1ccd3-2607-41d7-b358-cd052388fb16">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="7f9384fd-28be-4e76-afca-fcd57fcb0757">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="f3af1148-8fc3-41ca-9c9a-ebe9a8741001">
        <evidence>High</evidence>
      </taxonomy>
    </applicability>
    <biological-events>
      <biological-event object-id="7455ed72-ea52-49af-8e4d-b2e8ab0995ec" action-id="81822c47-7c04-4c8e-8b17-97abe133ee0e"/>
    </biological-events>
    <references>&lt;p&gt;Adam-Vizi V. Production of reactive oxygen species in brain mitochondria: contribution by electron transport chain and non-electron transport chain sources. Antioxid Redox Signal. 2005, 7(9-10):1140-1149.&lt;/p&gt;

&lt;p&gt;Adam-Vizi, V., &amp;amp; Starkov, A. A. (2010). Calcium and mitochondrial reactive oxygen species generation: How to read the facts.&amp;nbsp;Journal of Alzheimer&amp;#39;s Disease : JAD,&amp;nbsp;20 Suppl 2, S413-S426. doi:10.3233/JAD-2010-100465&lt;/p&gt;

&lt;p&gt;Adiele, R. C., Stevens, D., &amp;amp; Kamunde, C. (2012). Differential inhibition of electron transport chain enzyme complexes by cadmium and calcium in isolated rainbow trout (oncorhynchus mykiss) hepatic mitochondria.&amp;nbsp;Toxicological Sciences,&amp;nbsp;127(1), 110-119. doi:10.1093/toxsci/kfs091&lt;/p&gt;

&lt;p&gt;Bal-Price A. and Guy C. Brown. Nitric-oxide-induced necrosis and apoptosis in PC12 cells mediated by mitochondria. J. Neurochemistry, 2000, 75: 1455-1464.&lt;/p&gt;

&lt;p&gt;Bal-Price A, Matthias A, Brown GC., Stimulation of the NADPH oxidase in activated rat microglia removes nitric oxide but induces peroxynitrite production. J. Neurochem. 2002, 80: 73-80.&lt;/p&gt;

&lt;p&gt;Belyaeva, E. A., Sokolova, T. V., Emelyanova, L. V., &amp;amp; Zakharova, I. O. (2012). Mitochondrial electron transport chain in heavy metal-induced neurotoxicity : Effects of cadmium , mercury , and copper.&amp;nbsp;Thescientificworld,&amp;nbsp;2012, 1-14. doi:10.1100/2012/136063&lt;/p&gt;

&lt;p&gt;Blajszczak, C., &amp;amp; Bonini, M. G. (2017). Mitochondria targeting by environmental stressors: Implications for redox cellular signaling.&amp;nbsp;Toxicology,&amp;nbsp;391, 84-89. doi:10.1016/j.tox.2017.07.013&lt;/p&gt;

&lt;p&gt;Brand MD, Nicholls DG. Assessing mitochondrial dysfunction in cells. Biochem J. 2011 Apr 15;435(2):297-312.&lt;/p&gt;

&lt;p&gt;Braun RJ. (2012). Mitochondrion-mediated cell death: dissecting yeast apoptosis for a better understanding of neurodegeneration. Front Oncol 2:182.&lt;/p&gt;

&lt;p&gt;Cammen M. Corwin, Susannah Christensen. John P. (1990) Electron transport system (ETS) activity as a measure of benthic macrofaunal metabolism MARINE ECOLOGY PROGRESS SERIES- (65)&amp;nbsp;: 171-182.&lt;/p&gt;

&lt;p&gt;Chen, Q., Gong, B., &amp;amp; Almasan, A. (2000). Distinct stages of cytochrome c release from mitochondria: Evidence for a feedback amplification loop linking caspase activation to mitochondrial dysfunction in genotoxic stress induced apoptosis.&amp;nbsp;Cell Death and Differentiation,&amp;nbsp;7(2), 227-233. doi:10.1038/sj.cdd.4400629&lt;/p&gt;

&lt;p&gt;Ciapaite, Lolita Van Eikenhorst, Gerco Bakker, Stephan J.L. Diamant, Michaela. Heine, Robert J Wagner, Marijke J. V. Westerhoff, Hans and Klaas Krab (2005) Modular Kinetic Analysis of the Adenine Nucleotide Translocator&amp;ndash;Mediated Effects of Palmitoyl-CoA on the Oxidative Phosphorylation in Isolated Rat Liver Mitochondria Diabetes 54:4 944-951.&lt;/p&gt;

&lt;p&gt;Correia SC, Santos RX, Perry G, Zhu X, Moreira PI, Smith MA. (2012). Mitochondrial importance in Alzheimer&amp;rsquo;s, Huntington&amp;rsquo;s and Parkinson&amp;rsquo;s diseases. Adv Exp Med Biol 724:205 &amp;ndash; 221.&lt;/p&gt;

&lt;p&gt;Cozzolino M, Ferri A, Valle C, Carri MT. (2013). Mitochondria and ALS: implications from novel genes and pathways. Mol Cell Neurosci 55:44 &amp;ndash; 49.&lt;/p&gt;

&lt;p&gt;Creed S, McKenzie M. Measurement of Mitochondrial Membrane Potential with the Fluorescent Dye Tetramethylrhodamine Methyl Ester (TMRM). Methods Mol Biol. 2019;1928:69-76. doi: 10.1007/978-1-4939-9027-6_5. PMID: 30725451.&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Desousa BR, Kim KK, Jones AE, Ball AB, Hsieh WY, Swain P, Morrow DH, Brownstein AJ, Ferrick DA, Shirihai OS, Neilson A, Nathanson DA, Rogers GW, Dranka BP, Murphy AN, Affourtit C, Bensinger SJ, Stiles L, Romero N, Divakaruni AS. Calculation of ATP production rates using the Seahorse XF Analyzer. EMBO Rep. 2023 Oct 9;24(10):e56380. doi: 10.15252/embr.202256380. Epub 2023 Aug 7. PMID: 37548091; PMCID: PMC10561364.&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Diepart, C, Verrax, J Calderon, PU, Feron, O., Jordan, BF, Gallez, B (2010) Comparison of methods for measuring oxygen consumption in tumor cells in vitroAnalytical Biochemistry 396 (2010) 250&amp;ndash;256.&lt;/p&gt;

&lt;p&gt;Espinosa JA, Pohan G, Arkin MR, Markossian S. Real-Time Assessment of Mitochondrial Toxicity in HepG2 Cells Using the Seahorse Extracellular Flux Analyzer. Curr Protoc. 2021 Mar;1(3):e75. doi: 10.1002/cpz1.75. Erratum in: Curr Protoc. 2022 Aug;2(8):e551. doi: 10.1002/cpz1.551. PMID: 33735523.&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Farooqui T. and . Farooqui, A. A (2012) Oxidative stress in Vertebrates and Invertebrate: molecular aspects of cell signalling. Wiley-Blackwell,Chapter 27, pp:377- 385.&lt;/p&gt;

&lt;p&gt;Fan LM, Li JM. Evaluation of methods of detecting cell reactive oxygen species production for drug screening and cell cycle studies. J Pharmacol Toxicol Methods. 2014 Jul-Aug;70(1):40-7.&lt;/p&gt;

&lt;p&gt;Fiskum G. Mitochondrial participation in ischemic and traumatic neural cell death. J Neurotrauma. 2000 Oct;17(10):843-55.&lt;/p&gt;

&lt;p&gt;Friberg H, Wieloch T. (2002). Mitochondrial permeability transition in acute neurodegeneration. Biochimie 84:241&amp;ndash;250.&lt;/p&gt;

&lt;p&gt;Fujikawa DG, The Role of Excitotoxic Programmed Necrosis in Acute Brain Injury. Computational and Structural Biotechnology Journal, 2015, 13: 212&amp;ndash;221.&lt;/p&gt;

&lt;p&gt;Graier WF, Frieden M, Malli R. (2007). Mitochondria and Ca2+ signaling: old guests, new functions. Pflugers Arch 455:375&amp;ndash;396.&lt;/p&gt;

&lt;p&gt;Green DR. (1998). Apoptotic pathways: the roads to ruin. Cell 94:695-698.&lt;/p&gt;

&lt;p&gt;Grivennikova VG, Vinogradov AD. Generation of superoxide by the mitochondrial Complex I. Biochim Biophys Acta. 2006 May-Jun;1757(5-6):553-61. doi: 10.1016/j.bbabio.2006.03.013. Epub 2006 Apr 17. PMID: 16678117.&amp;nbsp;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Hafner RP, Brown GC, Brand MD: Analysis of the control of respiration rate, phosphorylation rate, proton leak rate and protonmotive force in isolated mitochondria using the &amp;lsquo;top-down&amp;rsquo; approach of metabolic control theory. Eur J Biochem188&amp;nbsp;:313 &amp;ndash;319,1990.&lt;/p&gt;

&lt;p&gt;Hancock, J. T., Desikan, R., &amp;amp; Neill, S. J. (2001). Role of reactive oxygen species in cell signalling pathways.&amp;nbsp;Biochemical Society Transactions,&amp;nbsp;29(Pt 2), 345-350. doi:10.1042/0300-5127:0290345 [doi]&lt;/p&gt;

&lt;p&gt;Hao, Y., Huang, J., Liu, C., Li, H., Liu, J., Zeng, Y., . . . Li, R. (2016). Differential protein expression in metallothionein protection from depleted uranium-induced nephrotoxicity.&amp;nbsp;Scientific Reports,&amp;nbsp;doi:10.1038/srep38942&lt;/p&gt;

&lt;p&gt;Hao, Y., Ren, J., Liu, C., Li, H., Liu, J., Yang, Z., . . . Su, Y. (2014). Zinc protects human kidney cells from depleted uranium induced apoptosis.&amp;nbsp;Basic &amp;amp; Clinical Pharmacology &amp;amp; Toxicology,&amp;nbsp;114, 271-280. doi:10.1111/bcpt.12167&lt;/p&gt;

&lt;p&gt;Hinkle PC (1995) Measurement of ADP/O ratios. In Bioenergetics: A Practical Approach. Brown GC, Cooper CE, Eds. Oxford, U.K., IRL Press, p.5 &amp;ndash;6.&lt;/p&gt;

&lt;p&gt;Huerta-Garc&amp;iacute;a, E., Perez-Arizti, J. A., Marquez-Ramirez, S. G., Delgado-Buenrostro, N. L., Chirino, Y. I., Iglesias, G. G., &amp;amp; Lopez-Marure, R. (2014). Titanium dioxide nanoparticles induce strong oxidative stress and mitochondrial damage in glial cells.&amp;nbsp;Free Radical Biology and Medicine,&amp;nbsp;73, 84-94. doi:10.1016/j.freeradbiomed.2014.04.026&lt;/p&gt;

&lt;p&gt;H&amp;uuml;ser, J., Rechenmacher, C. E., &amp;amp; Blatter, L. A. (1998). Imaging the permeability pore transition in single mitochondria.&amp;nbsp;Biophysical Journal,&amp;nbsp;74(4), 2129-2137. doi:10.1016/S0006-3495(98)77920-2&lt;/p&gt;

&lt;p&gt;Hynes, J.. Marroquin, L.D Ogurtsov, V.I. Christiansen, K.N. Stevens, G.J. Papkovsky, D.B. Will, Y. (2006)) Investigation of drug-induced mitochondrial toxicity using fluorescence-based oxygen-sensitive probes, Toxicol. Sci. 92 186&amp;ndash;200.&lt;/p&gt;

&lt;p&gt;James, P.E. Jackson, S.K.. Grinberg, O.Y Swartz, H.M. (1995) The effects of endotoxin on oxygen consumption of various cell types in vitro: an EPR oximetry study, Free Radic. Biol. Med. 18 (1995) 641&amp;ndash;647.&lt;/p&gt;

&lt;p&gt;Kang J, Pervaiz S. (2012). Mitochondria: Redox Metabolism and Dysfunction. Biochem Res Int 2012:896751.&lt;/p&gt;

&lt;p&gt;Kann O, Kov&amp;aacute;cs R. (2007). Mitochondria and neuronal activity. Am J Physiol Cell Physiol 292:C641-576.&lt;/p&gt;

&lt;p&gt;Karlsson, H. L., Gustafsson, J., Cronholm, P., &amp;amp; M&amp;ouml;ller, L. (2009). Size-dependent toxicity of metal oxide particles&amp;mdash;A comparison between nano- and micrometer size.&amp;nbsp;Toxicology Letters,&amp;nbsp;188(2), 112-118. doi:&lt;a href="https://doi.org/10.1016/j.toxlet.2009.03.014" target="_blank"&gt;10.1016/j.toxlet.2009.03.014&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;Knott Andrew B., Guy Perkins, Robert Schwarzenbacher &amp;amp; Ella Bossy-Wetzel. Mitochondrial fragmentation in neurodegeneration. Nature Reviews Neuroscience, 2008, 229: 505-518.&lt;/p&gt;

&lt;p&gt;Kruidering, M., Van De Water, B., De Heer, E., Mulder, G. J., &amp;amp; Nagelkerke, J. F. (1997). Cisplatin-induced nephrotoxicity in porcine proximal tubular cells: Mitochondrial dysfunction by inhibition of complexes I to IV of the respiratory chain.&amp;nbsp;The Journal of Pharmacology and Experimental Therapeutics,&amp;nbsp;280(2), 638-649.&lt;/p&gt;

&lt;p&gt;Llaudet E, Hatz S, Droniou M, Dale N. Microelectrode biosensor for real-time measurement of ATP in biological tissue. Anal Chem. 2005, 77(10):3267-73.&lt;/p&gt;

&lt;p&gt;Lee HC, Wei YH. (2012). Mitochondria and aging. Adv Exp Med Biol 942:311-327.&lt;/p&gt;

&lt;p&gt;Leonard AP, Cameron RB, Speiser JL, Wolf BJ, Peterson YK, Schnellmann RG, Beeson CC, Rohrer B. Quantitative analysis of mitochondrial morphology and membrane potential in living cells using high-content imaging, machine learning, and morphological binning. Biochim Biophys Acta. 2015 Feb;1853(2):348-60. doi: 10.1016/j.bbamcr.2014.11.002. Epub 2014 Nov 13. PMID: 25447550; PMCID: PMC4289477.&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Li N, Ragheb K, Lawler G, Sturgis J, Rajwa B, et al. Mitochondrial complex I inhibitor rotenone induces apoptosis through enhancing mitochondrial reactive oxygen species production. J Biol Chem.2003;278:8516&amp;ndash;8525.&lt;/p&gt;

&lt;p&gt;Lin MT, Beal MF. Mitochondrial dysfunction and oxidative stress in neurodegenerative diseases. Nature 2006. 443:787-795.&lt;/p&gt;

&lt;p&gt;Maldonado M, Padavannil A, Zhou L, Guo F, Letts JA. Atomic structure of a mitochondrial complex I intermediate from vascular plants. Elife. 2020 Aug 25;9:e56664. doi: 10.7554/eLife.56664. PMID: 32840211; PMCID: PMC7447434.&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Martin LJ. (2011). Mitochondrial pathobiology in ALS. J Bioenerg Biomembr 43:569 &amp;ndash; 579.&lt;/p&gt;

&lt;p&gt;Martinez-Cruz, Oliviert Sanchez-Paz, Arturo Garcia-Carre&amp;ntilde;o, Fernando Jimenez-Gutierrez, Laura Ma. de los Angeles Navarrete del Toro and Adriana Muhlia-Almazan. Invertebrates Mitochondrial Function and Energetic Challenges (www.intechopen.com), Bioenergetics, Edited by Dr Kevin Clark, &lt;a class="internal mw-magiclink-isbn" href="/wiki/index.php/Special:BookSources/9789535100904"&gt;ISBN 978-953-51-0090-4&lt;/a&gt;, Publisher InTech, 2012, 181-218.&lt;/p&gt;

&lt;p&gt;Mathews, C. K., Holde, K. E. van, Appling, D. R., &amp;amp; Anthony-Cahill, S. J. (2013). Biochemistry (4th ed.). Toronto: Pearson.&lt;/p&gt;

&lt;p&gt;McBride HM, Neuspiel M, Wasiak S. (2006). Mitochondria: more than just a powerhouse. Curr Biol 16:R551&amp;ndash;560.&lt;/p&gt;

&lt;p&gt;McCord, J.M. and I. Fidovich (1968) The Reduction of Cytochrome C by Milk Xanthine Oxidase. J. Biol. Chem. 243:5733-5760.&lt;/p&gt;

&lt;p&gt;Mei Y, Thompson MD, Cohen RA, Tong X. (2013) Endoplasmic Reticulum Stress and Related Pathological Processes. J Pharmacol Biomed Anal.. 1:100-107.&lt;/p&gt;

&lt;p&gt;Miccadei, S., &amp;amp; Floridi, A. (1993). Sites of inhibition of mitochondrial electron transport by cadmium.&amp;nbsp;Elsevier Scientific Publishers Ireland Ltd.,&amp;nbsp;89, 159-167.Xu, X. M., &amp;amp; M&amp;oslash;ller, S. G. (2010). ROS removal by DJ-1: Arabidopsis as a new model to understand Parkinson&amp;#39;s Disease.&amp;nbsp;Plant signaling &amp;amp; behavior,&amp;nbsp;5(8), 1034&amp;ndash;1036. doi:10.4161/psb.5.8.12298&lt;/p&gt;

&lt;p&gt;Modjtahedi N, Giordanetto F, Madeo F, Kroemer G. Apoptosis-inducing factor: vital and lethal. Trends Cell Biol. 2006 May;16(5):264-72.&lt;/p&gt;

&lt;p&gt;Mookerjee SA, Gerencser AA, Nicholls DG, Brand MD. Quantifying intracellular rates of glycolytic and oxidative ATP production and consumption using extracellular flux measurements. J Biol Chem. 2017 Apr 28;292(17):7189-7207. doi: 10.1074/jbc.M116.774471. Epub 2017 Mar 7. Erratum in: J Biol Chem. 2018 Aug 10;293(32):12649-12652. doi: 10.1074/jbc.AAC118.004855. PMID: 28270511; PMCID: PMC5409486.&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Motawe ZY, Abdelmaboud SS, Breslin JW. Evaluation of Glycolysis and Mitochondrial Function in Endothelial Cells Using the Seahorse Analyzer. Methods Mol Biol. 2024;2711:241-256. doi: 10.1007/978-1-0716-3429-5_20. PMID: 37776463; PMCID: PMC11368073.&lt;/p&gt;

&lt;p&gt;Nunnari J, Suomalainen A. (2012). Mitochondria: in sickness and in health. Cell 148:1145&amp;ndash;1159. Hajn&amp;oacute;czky G, Csord&amp;aacute;s G, Das S, Garcia-Perez C, Saotome M, Sinha Roy S, Yi M. (2006). Mitochondrial calcium signalling and cell death: approaches for assessing the role of mitochondrial Ca2+ uptake in apoptosis. Cell Calcium 40:553-560.&lt;/p&gt;

&lt;p&gt;Oliviert Martinez-Cruz, Arturo Sanchez-Paz, Fernando Garcia-Carre&amp;ntilde;o, Laura Jimenez-Gutierrez, Ma. de los Angeles Navarrete del Toro and Adriana Muhlia-Almazan. Invertebrates Mitochondrial Function and Energetic Challenges (www.intechopen.com), Bioenergetics, Edited by Dr Kevin Clark, &lt;a href="/wiki/index.php/Special:BookSources/9789535100904"&gt;ISBN 978-953-51-0090-4&lt;/a&gt;, Publisher InTech, 2012, 181-218.&lt;/p&gt;

&lt;p&gt;Orrenius, S., Gogvadze, V., &amp;amp; Zhivotovsky, B. (2015). Calcium and mitochondria in the regulation of cell death.&amp;nbsp;Biochemical and Biophysical Research Communications,&amp;nbsp;460(1), 72-81. doi:10.1016/j.bbrc.2015.01.137&lt;/p&gt;

&lt;p&gt;Owen, J. B., &amp;amp; Butterfield, D. A. (2010). Measurement of oxidized/reduced glutathione ratio.&amp;nbsp;Methods in Molecular Biology (Clifton, N.J.),&amp;nbsp;648, 269-277. doi:10.1007/978-1-60761-756-3_18 [doi]&lt;/p&gt;

&lt;p&gt;Owens R.G. and King F.D. The measurement of respiratory lectron-transport system activity in marine zooplankton. Mar. Biol. 1975, 30:27-36.&lt;/p&gt;

&lt;p&gt;Pan, Y., Leifer, A., Ruau, D., Neuss, S., Bonrnemann, J., Schmid, G., . . . Jahnen-Dechent, W. (2009). Gold nanoparticles of diameter 1.4 nm trigger necrosis by oxidative stress and mitochondrial damage. Small, 5(8), 2067-2076. doi:10.1002/smll.200900466&lt;/p&gt;

&lt;p&gt;Petronilli V, Miotto G, Canton M, Brini M, Colonna R, Bernardi P, Di Lisa F: Transient and long-lasting openings of the mitochondrial permeability transition pore can be monitored directly in intact cells by changes in mitochondrial calcein fluorescence. Biophys J 1999, 76:725-734.&lt;/p&gt;

&lt;p&gt;Plitzko B, Loesgen S. Measurement of Oxygen Consumption Rate (OCR) and Extracellular Acidification Rate (ECAR) in Culture Cells for Assessment of the Energy Metabolism. Bio Protoc. 2018 May 20;8(10):e2850. doi: 10.21769/BioProtoc.2850. PMID: 34285967; PMCID: PMC8275291.&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Pourahmad, J., Ghashang, M., Ettehadi, H. A., &amp;amp; Ghalandari, R. (2006). A search for cellular and molecular mechanisms involved in depleted uranium (DU) toxicity.&amp;nbsp;Environmental Toxicology,&amp;nbsp;21(4), 349-354. doi:10.1002/tox.20196&lt;/p&gt;

&lt;p&gt;Pozzan, T., &amp;amp; Rudolf, R. (2009). Measurements of mitochondrial calcium in vivo.&amp;nbsp;Biochimica Et Biophysica Acta (BBA) - Bioenergetics,&amp;nbsp;1787(11), 1317-1323. doi:&lt;a href="https://doi.org/10.1016/j.bbabio.2008.11.012" target="_blank"&gt;https://doi.org/10.1016/j.bbabio.2008.11.012&lt;/a&gt;&lt;/p&gt;

&lt;p&gt;Promega GSH-Glo Glutathione Assay Technical Bulletin, TB369, Promega Corporation, Madison, WI.&lt;/p&gt;

&lt;p&gt;Pryor, W.A., J.P. Stanley, and E. Blair. (1976) Autoxidation of polyunsaturated fatty acids: II. A Suggested mechanism for the Formation of TBA-reactive materials from prostaglandin-like Endoperoxides. Lipids, 11:370-379.&lt;/p&gt;

&lt;p&gt;Radkowsky, A.E. and E.M. Kosower (1986) Bimanes 17. (Haloalkyl)-1,5-diazabicyclo[3.3.O]octadienediones (halo-9,10- dioxabimanes): reactivity toward the tripeptide thiol, glutathione, J. Am. Chem. Soc 108:4527-4531.&lt;/p&gt;

&lt;p&gt;Roos, D., Seeger, R., Puntel, R., &amp;amp; Vargas Barbosa, N. (2012). Role of calcium and mitochondria in MeHg-mediated cytotoxicity.&amp;nbsp;Journal of Biomedicine and Biotechnology,&amp;nbsp;2012, 1-15. doi:10.1155/2012/248764&lt;/p&gt;

&lt;p&gt;Ruch, W., P.H. Cooper, and M. Baggiollini (1983) Assay of H2O2 production by macrophages and neutrophils with Homovanillic acid and horseradish peroxidase. J. Immunol Methods 63:347-357.&lt;/p&gt;

&lt;p&gt;Sanders LH, McCoy J, Hu X, Mastroberardino PG, Dickinson BC, Chang CJ, Chu CT, Van Houten B, Greenamyre JT. (2014a). Mitochondrial DNA damage: molecular marker of vulnerable nigral neurons in Parkinson&amp;#39;s disease. Neurobiol Dis. 70:214-23.&lt;/p&gt;

&lt;p&gt;Sanders LH, Howlett EH2, McCoy J, Greenamyre JT. (2014b) Mitochondrial DNA damage as a peripheral biomarker for mitochondrial toxin exposure in rats. Toxicol Sci. Dec;142(2):395-402.&lt;/p&gt;

&lt;p&gt;Santos, N. A. G., Cat&amp;atilde;o, C. S., Martins, N. M., Curti, C., Bianchi, M. L. P., &amp;amp; Santos, A. C. (2007). Cisplatin-induced nephrotoxicity is associated with oxidative stress, redox state unbalance, impairment of energetic metabolism and apoptosis in rat kidney mitochondria.&amp;nbsp;Archives of Toxicology,&amp;nbsp;81(7), 495-504. doi:10.1007/s00204-006-0173-2&lt;/p&gt;

&lt;p&gt;Scaduto RC Jr, Grotyohann LW. Measurement of mitochondrial membrane potential using fluorescent rhodamine derivatives. Biophys J. 1999 Jan;76(1 Pt 1):469-77. doi: 10.1016/S0006-3495(99)77214-0. PMID: 9876159; PMCID: PMC1302536.&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Senkler J, Senkler M, Braun HP. Structure and function of complex I in animals and plants - a comparative view. Physiol Plant. 2017 Sep;161(1):6-15. doi: 10.1111/ppl.12561. Epub 2017 Apr 26. Erratum in: Physiol Plant. 2018 Nov;164(3):364-365. doi: 10.1111/ppl.12844. PMID: 28261805.&amp;nbsp;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Shaki, F., Hosseini, M. J., Ghazi-Khansari, M., &amp;amp; Pourahmad, J. (2012). Toxicity of depleted uranium on isolated rat kidney mitochondria.&amp;nbsp;Biochimica Et Biophysica Acta - General Subjects,&amp;nbsp;1820(12), 1940-1950. doi:10.1016/j.bbagen.2012.08.015&lt;/p&gt;

&lt;p&gt;Shaki, F., Hosseini, M., Ghazi-Khansari, M., &amp;amp; Pourahmad, J. (2013). Depleted uranium induces disruption of energy homeostasis and oxidative stress in isolated rat brain mitochondria.&amp;nbsp;Metallomics,&amp;nbsp;5(6), 736-744. doi:10.1039/c3mt00019b&lt;/p&gt;

&lt;p&gt;Single B, Leist M, Nicotera P. Simultaneous release of adenylate kinase and cytochrome c in cell death. Cell Death Differ. 1998 Dec;5(12):1001-3.&lt;/p&gt;

&lt;p&gt;Tahira Farooqui and Akhlaq A. Farooqui. (2012) Oxidative stress in Vertebrates and Invertebrate: molecular aspects of cell signalling. Wiley-Blackwell,Chapter 27, pp:377- 385.&lt;/p&gt;

&lt;p&gt;Tarpley, M.M., D.A. Wink, and M.B. Grisham (2004) Methods for detection of reactive Metabolites of Oxygen and Nitrogen: in vitro and in vivo considerations. Am . J. Physiol Regul Integr Comp Physiol. 286:R431-R444.&lt;/p&gt;

&lt;p&gt;Valdebenito GE, Duchen MR. Monitoring Mitochondrial Membrane Potential in Live Cells Using Time-Lapse Fluorescence Imaging. Methods Mol Biol. 2022;2497:319-324. doi: 10.1007/978-1-0716-2309-1_22. PMID: 35771453.&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Valko, M., Morris, H., &amp;amp; Cronin, M. T. (2005). Metals, toxicity and oxidative stress.&amp;nbsp;Current Medicinal Chemistry,&amp;nbsp;12(10), 1161-1208. doi:10.2174/0929867053764635 [doi]&lt;/p&gt;

&lt;p&gt;von Heimburg, D. Hemmrich, K. Zachariah S.,. Staiger, H Pallua, N.(2005) Oxygen consumption in undifferentiated versus differentiated adipogenic mesenchymal precursor cells, Respir. Physiol. Neurobiol. 146 (2005) 107&amp;ndash;116.&lt;/p&gt;

&lt;p&gt;Waerzeggers, Yannic Monfared, Parisa Viel, Thomas Winkeler, Alexandra Jacobs, Andreas H. (2010) Mouse models in neurological disorders: Applications of non-invasive imaging, Biochimica et Biophysica Acta (BBA) - Molecular Basis of Disease, Volume 1802, Issue 10, Pages 819-839.&lt;/p&gt;

&lt;p&gt;Walker JE, Skehel JM, Buchanan SK. (1995) Structural analysis of NADH: ubiquinone oxidoreductase from bovine heart mitochondria. Methods Enzymol.;260:14&amp;ndash;34.&lt;/p&gt;

&lt;p&gt;Wang A, Costello S, Cockburn M, Zhang X, Bronstein J, Ritz B. (2011). Parkinson&amp;rsquo;s disease risk from ambient exposure to pesticides. Eur J Epidemiol 26:547-555.&lt;/p&gt;

&lt;p&gt;Wang, L., Li, J., Li, J., &amp;amp; Liu, Z. (2009). Effects of lead and/or cadmium on the oxidative damage of rat kidney cortex mitochondria.&amp;nbsp;Biol.Trace Elem.Res.,&amp;nbsp;137, 69-78. doi:10.1007/s12011-009-8560-1&lt;/p&gt;

&lt;p&gt;Wang Y., and Qin ZH., Molecular and cellular mechanisms of excitotoxic neuronal death, Apoptosis, 2010, 15:1382-1402.&lt;/p&gt;

&lt;p&gt;Wieloch T. (2001). Mitochondrial Involvement in Acute Neurodegeneration 52:247&amp;ndash;254.&lt;/p&gt;

&lt;p&gt;Winklhofer, K. Haass,C (2010) Mitochondrial dysfunction in Parkinson&amp;#39;s disease, Biochimica et Biophysica Acta (BBA) - Molecular Basis of Disease, 1802: 29-44.&lt;/p&gt;

&lt;p&gt;Wong A, Cortopassi GA. High-throughput measurement of mitochondrial membrane potential in a neural cell line using a fluorescence plate reader. Biochem Biophys Res Commun. 2002 Nov 15;298(5):750-4. doi: 10.1016/s0006-291x(02)02546-9. PMID: 12419317.&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Yoo I, Ahn I, Lee J, Lee N. Extracellular flux assay (Seahorse assay): Diverse applications in metabolic research across biological disciplines. Mol Cells. 2024 Aug;47(8):100095. doi: 10.1016/j.mocell.2024.100095. Epub 2024 Jul 18. PMID: 39032561; PMCID: PMC11374971.&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Yuan, Y., Zheng, J., Zhao, T., Tang, X., &amp;amp; Hu, N. (2016). Uranium-induced rat kidney cell cytotoxicity is mediated by decreased endogenous hydrogen sulfide (H2S) generation involved in reduced Nrf2 levels.&amp;nbsp;Toxicology Research,&amp;nbsp;5(2), 660-673. doi:10.1039/C5TX00432B&lt;/p&gt;

&lt;p&gt;Zhang, H., Chang, Z., Mehmood, K., Abbas, R. Z., Nabi, F., Rehman, M. U., . . . Zhou, D. (2018). Nano copper induces apoptosis in PK-15 cells via a mitochondria-mediated pathway.&amp;nbsp;Biological Trace Element Research,&amp;nbsp;181(1), 62-70. doi:10.1007/s12011-017-1024-0&lt;/p&gt;

&lt;p&gt;Zhou, M., Z.Diwu, Panchuk-Voloshina, N. and R.P. Haughland (1997), A Stable nonfluorescent derivative of resorufin for the fluorometric determination of trace hydrogen peroxide: application in detecting the activity of phagocyte NADPH oxidase and other oxidases. Anal. Biochem 253:162-168.&lt;/p&gt;
</references>
    <source>AOPWiki</source>
    <creation-timestamp>2016-11-29T18:41:23</creation-timestamp>
    <last-modification-timestamp>2026-02-11T07:06:25</last-modification-timestamp>
  </key-event>
  <key-event id="dfd2050b-0ef7-4d41-8ebf-91a872d74b98">
    <title>Increase, Insulin resistance</title>
    <short-name>Increase, Insulin resistance</short-name>
    <biological-organization-level>Organ</biological-organization-level>
    <description>&lt;p&gt;Under normal physiological conditions, an increase in plasma glucose, for instance in the post-prandial phase, leads to increased insulin secretion by the pancreas, and consequent increase in plasma&amp;nbsp;insulin concentration. The insulin increases glucose uptake into peripheral tissues, and inhibits hepatic glycogenolysis and gluconeogenesis. In times of stress, the insulin response can be inhibited by stress hormones and proinhibitory cytokines, a mechanism known as insulin resistance (IR), that serves to maintain blood glucose levels during&amp;nbsp;stress response (Tsatsoulis et al, 2013). Inappropriate stress hormone&amp;nbsp;and cytokine generation can lead to i&lt;span style="font-size:1rem"&gt;ndividuals showing inappropriate insulin resistance, manifested as lack of&amp;nbsp;insulin-stimulation of&amp;nbsp;glucose uptake into adipose and muscle, and lack of&amp;nbsp;insulin suppression of hepatic glucose release.&amp;nbsp;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;IR is associated with multiple health conditions including obesity, type 2 diabetes mellitus, metabolic syndrome, cardiovascular disease, metabolism associated fatty liver disease and polycystic ovary syndrome. It is a complex metabolic disorder, the exact causes of which are still to be fully resolved&amp;nbsp;(Li et&amp;nbsp;al, 2022). The mechanism by which IR manifests itself is primarily by abnormalities in insulin signal transduction (Pei et al, 2022).&lt;/p&gt;
</description>
    <measurement-methodology>&lt;p&gt;Clinical detection of insulin resistance generally requires measurement of plasma insulin and/or glucose under controlled circumstances, or alongside specific interventions designed to elicit a physiological insulin response. Multiple methods&amp;nbsp;of differing complexity, technical challenge, invasiveness and reliability have been devised (see Sharma et al, 2020 for a review). The hyperinsulineamic euglycaemic clamp (HEC), involving intravenous infusion of insulin to reach steady state glycemic is considered the gold standard, but is challenging, expensive and invasive. Other methods, such as the homeostatic model for insulin resistance (HOMA-IR), a single sample method,&amp;nbsp;are simpler and less invasive, but show greater interindividual variability and only moderate agreement with&amp;nbsp;the HEC. They are more suitable as epidemiological tools for population assessments (Sharma et al, 2020).&lt;/p&gt;
</measurement-methodology>
    <evidence-supporting-taxonomic-applicability>&lt;p&gt;IR, as determined by clinical measurements, as above,&amp;nbsp;can&amp;nbsp;be determined&amp;nbsp;for male and female adult and young&amp;nbsp;humans.&lt;/p&gt;
</evidence-supporting-taxonomic-applicability>
    <applicability>
      <sex>
        <evidence>High</evidence>
        <sex>Male</sex>
      </sex>
      <sex>
        <evidence>High</evidence>
        <sex>Female</sex>
      </sex>
      <life-stage>
        <evidence>High</evidence>
        <life-stage>Adult</life-stage>
      </life-stage>
      <taxonomy taxonomy-id="c2db6a2e-3401-473b-84e5-079f40fbe100">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="4ac1ccd3-2607-41d7-b358-cd052388fb16">
        <evidence>High</evidence>
      </taxonomy>
    </applicability>
    <biological-events>
      <biological-event process-id="53664475-4c86-4921-bd8a-e28bc627b039" action-id="7c438983-50b6-4bf5-945f-5b5fe4bc4bc2"/>
    </biological-events>
    <references>&lt;p&gt;Li, M. et al (2022), &amp;quot;Trends in insulin resistance: insights into mechanisms and therapeutic strategy&amp;quot;, &lt;em&gt;Signal Transduction and Targeted Therapy&lt;/em&gt;, Vol 7,&amp;nbsp;216.&lt;/p&gt;

&lt;p&gt;Pei, J. et al (2022), &amp;quot;Current studies on molecular mechanisms of insulin resistance&amp;quot;, &lt;em&gt;Journal of Diabetes Research,&lt;/em&gt; Vol 2022, Article ID 1863429.&lt;/p&gt;

&lt;p&gt;Sharma V.R. et al (2020), &amp;quot;Measuring Insulin Resistance in Humans&amp;quot;, &lt;em&gt;Hormone Research in Paediatrics&lt;/em&gt;, Vol 93, pp 577-588.&lt;/p&gt;

&lt;p&gt;Tsatsoulis, A. et al&amp;nbsp;(2013), &amp;quot;Insulin resistance: An adaptive mechanism becomes maladaptive in the current environment &amp;mdash; An evolutionary perspective&amp;quot;,&amp;nbsp;&lt;em&gt;Metabolism&lt;/em&gt;, Vol 62, pp 622-633.&lt;/p&gt;
</references>
    <source>AOPWiki</source>
    <creation-timestamp>2023-04-03T12:14:39</creation-timestamp>
    <last-modification-timestamp>2026-02-11T05:50:02</last-modification-timestamp>
  </key-event>
  <key-event id="22e45636-d8d6-4f45-9791-5c81604781de">
    <title>Increase, Oxidative Stress </title>
    <short-name>Increase, Oxidative Stress </short-name>
    <biological-organization-level>Molecular</biological-organization-level>
    <description>&lt;p&gt;Oxidative stress is defined as an imbalance in the production of reactive oxygen species (ROS) and antioxidant defenses. High levels of oxidizing free radicals can be very damaging to cells and molecules within the cell.  As a result, the cell has important defense mechanisms to protect itself from ROS. For example, Nrf2 is a transcription factor and master regulator of the oxidative stress response. During periods of oxidative stress, Nrf2-dependent changes in gene expression are important in regaining cellular homeostasis (Nguyen, et al., 2009) and can be used as indicators of the presence of oxidative stress in the cell.&amp;nbsp;&lt;/p&gt;

&lt;p&gt;In addition to the directly damaging actions of ROS, cellular oxidative stress also changes cellular activities on a molecular level. Redox sensitive proteins have altered physiology in the presence and absence of ROS, which is caused by the oxidation of sulfhydryls to disulfides on neighboring amino acids (Antelmann &amp;amp; Helmann 2011). Importantly Keap1, the negative regulator of Nrf2, is regulated in this manner (Itoh, et al. 2010).&amp;nbsp;&lt;/p&gt;

&lt;p&gt;ROS also undermine the mitochondrial defense system from oxidative damage. The antioxidant systems consist of superoxide dismutase, catalase, glutathione peroxidase and glutathione reductase, as well as antioxidants such as &amp;alpha;-tocopherol and ubiquinol, or antioxidant vitamins and minerals including vitamin E, C, carotene, lutein, zeaxanthin, selenium, and zinc (Fletcher, 2010). The enzymes, vitamins and minerals catalyze the conversion of ROS to non-toxic molecules such as water and O2. However, these antioxidant systems are not perfect and endogenous metabolic processes and/or exogenous oxidative influences can trigger cumulative oxidative injuries to the mitochondria, causing a decline in their functionality and efficiency, which further promotes cellular oxidative stress (Balasubramanian, 2000; Ganea &amp;amp; Harding, 2006; Guo et al., 2013; Karimi et al., 2017). &amp;nbsp;&lt;/p&gt;

&lt;p&gt;However, an emerging viewpoint suggests that ROS-induced modifications may not be as detrimental as previously thought, but rather contribute to signaling processes (Foyer et al., 2017).&amp;nbsp;&lt;/p&gt;

&lt;p&gt;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;&lt;strong&gt;Sources of ROS Production&amp;nbsp;&lt;/strong&gt;&lt;/p&gt;

&lt;p&gt;&lt;strong&gt;Direct Sources: &lt;/strong&gt;Direct sources involve the deposition of energy onto water molecules, breaking them into active radical species. When ionizing radiation hits water, it breaks it into hydrogen (H*) and hydroxyl (OH*) radicals by destroying its bonds. The hydrogen will create hydroxyperoxyl free radicals (HO2*) if oxygen is available, which can then react with another of itself to form hydrogen peroxide (H2O2) and more O2 (Elgazzar and Kazem, 2015). Antioxidant mechanisms are also affected by radiation, with catalase (CAT) and peroxidase (POD) levels rising as a result of exposure (Seen et al. 2018; Ahmad et al. 2021).&amp;nbsp;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;&lt;strong&gt;Indirect Sources&lt;/strong&gt;: An indirect source of ROS is the mitochondria, which is one of the primary producers in eukaryotic cells (Powers et al., 2008).&amp;nbsp; As much as 2% of the electrons that should be going through the electron transport chain in the mitochondria escape, allowing them an opportunity to interact with surrounding structures. Electron-oxygen reactions result in free radical production, including the formation of hydrogen peroxide (H2O2) (Zhao et al., 2019). The electron transport chain, which also creates ROS, is activated by free adenosine diphosphate (ADP), O2, and inorganic phosphate (Pi) (Hargreaves et al. 2020; Raimondi et al. 2020; Vargas-Mendoza et al. 2021). The first and third complexes of the transport chain are the most relevant to mammalian ROS production (Raimondi et al., 2020). The mitochondria has its own set of DNA and it is a prime target of oxidative damage (Guo et al., 2013). ROS is also produced through nicotinamide adenine dinucleotide phosphate oxidase (Nox) stimulation, an event commenced by angiotensin II, a product/effector of the renin-angiotensin system (Nguyen Dinh Cat et al. 2013; Forrester et al. 2018). Other ROS producers include xanthine oxidase, immune cells (macrophage, neutrophils, monocytes, and eosinophils), phospholipase A2 (PLA2), monoamine oxidase (MAO), and carbon-based nanomaterials (Powers et al. 2008; Jacobsen et al. 2008; Vargas-Mendoza et al. 2021).&amp;nbsp;&lt;/p&gt;
</description>
    <measurement-methodology>&lt;p&gt;&lt;strong&gt;Oxidative Stress:&lt;/strong&gt; Direct measurement of ROS is difficult because ROS are unstable. The presence of ROS can be assayed indirectly by measurement of cellular antioxidants, or by ROS-dependent cellular damage. Listed below are common methods for detecting the KE, however there may be other comparable methods that are not listed&amp;nbsp;&lt;/p&gt;

&lt;ul&gt;
	&lt;li&gt;Detection of ROS by chemiluminescence (https://www.sciencedirect.com/science/article/abs/pii/S0165993606001683)&amp;nbsp;&lt;/li&gt;
	&lt;li&gt;Detection of ROS by chemiluminescence is also described in OECD TG 495 to assess phototoxic potential.&amp;nbsp;&lt;/li&gt;
	&lt;li&gt;Glutathione (GSH) depletion. GSH can be measured by assaying the ratio of reduced to oxidized glutathione (GSH:GSSG) using a commercially available kit (e.g., http://www.abcam.com/gshgssg-ratio-detection-assay-kit-fluorometric-green- ab138881.html).&amp;nbsp;&lt;/li&gt;
	&lt;li&gt;TBARS. Oxidative damage to lipids can be measured by assaying for lipid peroxidation using TBARS (thiobarbituric acid reactive substances) using a commercially available kit.&amp;nbsp;&lt;/li&gt;
	&lt;li&gt;8-oxo-dG. Oxidative damage to nucleic acids can be assayed by measuring 8-oxo-dG adducts (for which there are a number of ELISA based commercially available kits),or HPLC, described in Chepelev et al. (Chepelev, et al. 2015).&amp;nbsp;&lt;/li&gt;
&lt;/ul&gt;

&lt;p&gt;&amp;nbsp;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;&lt;strong&gt;Molecular Biology:&lt;/strong&gt; Nrf2. Nrf2&amp;rsquo;s transcriptional activity is controlled post-translationally by oxidation of Keap1. Assay for Nrf2 activity include:&amp;nbsp;&lt;/p&gt;

&lt;ul&gt;
	&lt;li&gt;Immunohistochemistry for increases in Nrf2 protein levels and translocation into the nucleus Western blot for increased Nrf2 protein levels&amp;nbsp;&lt;/li&gt;
	&lt;li&gt;Western blot of cytoplasmic and nuclear fractions to observe translocation of Nrf2 protein from the cytoplasm to the nucleus qPCR of Nrf2 target genes (e.g., Nqo1, Hmox-1, Gcl, Gst, Prx, TrxR, Srxn), or by commercially available pathway-based qPCR array (e.g., oxidative stress array from SABiosciences)&amp;nbsp;&lt;/li&gt;
	&lt;li&gt;Whole transcriptome profiling by microarray or RNA-seq followed by pathway analysis (in IPA, DAVID, metacore, etc.) for enrichment of the Nrf2 oxidative stress response pathway (e.g., Jackson et al. 2014)&amp;nbsp;&lt;/li&gt;
	&lt;li&gt;OECD TG422D describes an ARE-Nrf2 Luciferase test method&amp;nbsp;&lt;/li&gt;
&lt;/ul&gt;

&lt;p&gt;In general, there are a variety of commercially available colorimetric or fluorescent kits for detecting Nrf2 activation.&lt;/p&gt;

&lt;table border="1"&gt;
	&lt;tbody&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;&lt;strong&gt;Assay Type &amp;amp; Measured Content&amp;nbsp;&lt;/strong&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;&lt;strong&gt;Description&amp;nbsp;&lt;/strong&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;&lt;strong&gt;Dose Range Studied&amp;nbsp;&lt;/strong&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;&lt;strong&gt;Assay Characteristics (Length/Ease of use/Accuracy)&amp;nbsp;&lt;/strong&gt;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;ROS&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;Formation in the Mitochondria assay (Shaki et al., 2012)&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;&amp;ldquo;The mitochondrial ROS measurement was performed flow cytometry using DCFH-DA. Briefly, isolated kidney mitochondria were incubated with UA (0, 50, 100 and 200 &amp;micro;M) in respiration buffer containing (0.32 mM sucrose, 10mM Tris, 20 mM Mops, 50 &amp;micro;M EGTA, 0.5 mM MgCl2, 0.1 mM KH2PO4 and 5 mM sodium succinate) [32]. In the interval times of 5, 30 and 60 min following the UA addition, a sample was taken and DCFH-DA was added (final concentration, 10 &amp;micro;M) to mitochondria and was then incubated for 10 min.Uranyl acetate-induced ROS generation in isolated kidney mitochondria were determined through the flow cytometry (Partec, Deutschland) equipped with a 488-nm argon ion laser and supplied with the Flomax software and the signals were obtained using a 530-nm bandpass filter (FL-1 channel). Each determination is based on the mean fluorescence intensity of 15,000 counts.&amp;rdquo;&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;0, 50,100 and 200 &amp;micro;M of Uranyl Acetate&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;&amp;nbsp;Long/ Easy High accuracy&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;Mitochondrial Antioxidant Content Assay Measuring GSH content&amp;nbsp;(Shaki et al., 2012)&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;&amp;ldquo;GSH content was determined using DTNB as the indicator and spectrophotometer method for the isolated mitochondria. The mitochondrial fractions (0.5 mg protein/ml) were incubated with various concentrations of uranyl acetate for 1 h at 30 &amp;deg;C and then 0.1 ml of mitochondrial fractions was added into 0.1 mol/l of phosphate buffers and 0.04% DTNB in a total volume of 3.0 ml (pH 7.4). The developed yellow color was read at 412 nm on a spectrophotometer (UV-1601 PC, Shimadzu, Japan). GSH content was expressed as &amp;micro;g/mg protein.&amp;rdquo;&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;0, 50,&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;100, or&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;200 &amp;micro;M&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;Uranyl Acetate&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;H2O2 Production Assay Measuring H2O2 Production in isolated mitochondria (Heyno et al., 2008)&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;&amp;ldquo;Effect of CdCl2 and antimycin A (AA) on H2O2 production in isolated mitochondria from potato. H2O2 production was measured as scopoletin oxidation. Mitochondria were incubated for 30 min in the measuring buffer&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;(see the Materials and Methods) containing 0.5 mM succinate as an electron donor and 0.2 &amp;micro;M mesoxalonitrile 3‐chlorophenylhydrazone (CCCP) as an uncoupler, 10 U horseradish peroxidase and 5 &amp;micro;M scopoletin.&amp;rdquo; &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;0, 10, 30&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;&amp;micro;M Cd2+&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;&amp;nbsp;&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;2 &amp;micro;M antimycin A&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;Flow Cytometry ROS &amp;amp; Cell Viability&amp;nbsp;(Kruiderig et al., 1997)&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;&amp;ldquo;For determination of ROS, samples taken at the indicated time points were directly transferred to FACScan tubes. Dih123 (10 mM, final concentration) was added and cells were incubated at 37&amp;deg;C in a humidified atmosphere (95% air/5% CO2) for 10 min. At t 5 9, propidium iodide (10 mM, final concentration) was added, and cells were analyzed by flow cytometry at 60 ml/min. Nonfluorescent Dih123 is cleaved by ROS to fluorescent R123 and detected by the FL1 detector as described above for Dc (Van de Water 1995)&amp;rdquo;&amp;ldquo;For determination of ROS, samples taken at the indicated time points were directly transferred to FACScan tubes. Dih123 (10 mM, final concentration) was added and cells were incubated at 37&amp;deg;C in a humidified atmosphere (95% air/5% CO2) for 10 min. At t 5 9, propidium iodide (10 mM, final concentration) was added, and cells were analyzed by flow cytometry at 60 ml/min. Nonfluorescent Dih123 is cleaved by ROS to fluorescent R123 and detected by the FL1 detector as described above for Dc (Van de Water 1995)&amp;rdquo;&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;Strong/easy medium&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;DCFH-DA&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;Assay Detection of hydrogen peroxide production (Yuan et al.,&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;2016)&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;Intracellular ROS production was measured using DCFH-DA as a probe. Hydrogen peroxide oxidizes DCFH to DCF. The probe is hydrolyzed intracellularly to DCFH carboxylate anion. No direct reaction with H2O2 to form fluorescent production.&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;0-400&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;&amp;micro;M&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;Long/ Easy High accuracy&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;H2-DCF-DAAssay Detection of superoxide production (Thiebault etal., 2007)&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;This dye is a stable nonpolar compound which diffuses readily into the cells and yields H2-DCF. Intracellular OH or ONOO- react with H2-DCF when cells contain peroxides, to form the highly fluorescent compound DCF, which effluxes the cell. Fluorescence intensity of DCF is measured using a fluorescence spectrophotometer.&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;0&amp;ndash;600&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;&amp;micro;M&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;Long/ Easy High accuracy&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;CM-H2DCFDA&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;Assay (Eruslanov &amp;nbsp;&amp;amp; Kusmartsev, 2009)&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;The dye (CM-H2DCFDA) diffuses into the cell and is cleaved by esterases, the thiol reactive chlormethyl group reacts with intracellular glutathione which can be detected using flow cytometry.&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;Long/Easy/ High Accuracy&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
	&lt;/tbody&gt;
&lt;/table&gt;

&lt;p&gt;&amp;nbsp;&lt;/p&gt;

&lt;table border="1"&gt;
	&lt;tbody&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;&lt;strong&gt;Method of Measurement &amp;nbsp;&lt;/strong&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;&lt;strong&gt;References &amp;nbsp;&lt;/strong&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;&lt;strong&gt;Description &amp;nbsp;&lt;/strong&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td colspan="2"&gt;
			&lt;p&gt;&lt;strong&gt;OECD-Approved Assay&amp;nbsp;&lt;/strong&gt;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;Chemiluminescence &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;(Lu, C. et al., 2006; &amp;nbsp;&lt;/p&gt;

			&lt;p&gt;Griendling, K. K., et al., 2016)&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;ROS can induce electron transitions in molecules, leading to electronically excited products. When the electrons transition back to ground state, chemiluminescence is emitted and can be measured. Reagents such as luminol and lucigenin are commonly used to amplify the signal. &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td colspan="2"&gt;
			&lt;p&gt;No&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;Spectrophotometry &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;(Griendling, K. K., et al., 2016)&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;NO has a short half-life. However, if it has been reduced to nitrite (NO2-), stable azocompounds can be formed via the Griess Reaction, and further measured by spectrophotometry. &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td colspan="2"&gt;
			&lt;p&gt;No&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;Direct or Spin Trapping-Based electron paramagnetic resonance (EPR) Spectroscopy &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;(Griendling, K. K., et al., 2016)&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;The unpaired electrons (free radicals) found in ROS can be detected with EPR and is known as electron paramagnetic resonance. A variety of spin traps can be used. &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td colspan="2"&gt;
			&lt;p&gt;No&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;Nitroblue Tetrazolium Assay &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;(Griendling, K. K., et al., 2016)&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;The Nitroblue Tetrazolium assay is used to measure O2.&amp;minus; levels. O2.&amp;minus; reduces nitroblue tetrazolium (a yellow dye) to formazan (a blue dye), and can be measured at 620 nm. &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td colspan="2"&gt;
			&lt;p&gt;No&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;Fluorescence analysis of dihydroethidium (DHE) or Hydrocyans &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;(Griendling, K. K., et al., 2016)&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;Fluorescence analysis of DHE is used to measure O2.&amp;minus; levels.&amp;nbsp; O2.&amp;minus; is reduced to O2 as DHE is oxidized to 2-hydroxyethidium, and this reaction can be measured by fluorescence. Similarly, hydrocyans can be oxidized by any ROS, and measured via fluorescence. &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td colspan="2"&gt;
			&lt;p&gt;No&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;Amplex Red Assay &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;(Griendling, K. K., et al., 2016)&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;Fluorescence analysis to measure extramitochondrial or extracellular H2O2 levels. In the presence of horseradish peroxidase and H2O2, Amplex Red is oxidized to resorufin, a fluorescent molecule measurable by plate reader. &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td colspan="2"&gt;
			&lt;p&gt;No&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;Dichlorodihydrofluorescein Diacetate (DCFH-DA) &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;(Griendling, K. K., et al., 2016)&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;An indirect fluorescence analysis to measure intracellular H2O2 levels.&amp;nbsp; H2O2 interacts with peroxidase or heme proteins, which further react with DCFH, oxidizing it to dichlorofluorescein (DCF), a fluorescent product. &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td colspan="2"&gt;
			&lt;p&gt;No&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;HyPer Probe &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;(Griendling, K. K., et al., 2016)&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;Fluorescent measurement of intracellular H2O2 levels. HyPer is a genetically encoded fluorescent sensor that can be used for in vivo and in situ imaging. &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td colspan="2"&gt;
			&lt;p&gt;No&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;Cytochrome c Reduction Assay &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;(Griendling, K. K., et al., 2016)&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;The cytochrome c reduction assay is used to measure O2.&amp;minus; levels. O O2.&amp;minus; is reduced to O2 as ferricytochrome c is oxidized to ferrocytochrome c, and this reaction can be measured by an absorbance increase at 550 nm. &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td colspan="2"&gt;
			&lt;p&gt;No&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;Proton-electron double-resonance imaging (PEDRI) &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;(Griendling, K. K., et al., 2016)&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;The redox state of tissue is detected through nuclear magnetic resonance/magnetic resonance imaging, with the use of a nitroxide spin probe or biradical molecule. &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td colspan="2"&gt;
			&lt;p&gt;No&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;&amp;nbsp;&lt;/p&gt;

			&lt;p&gt;&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;Glutathione (GSH) depletion &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;(Biesemann, N. et al., 2018) &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;A downstream target of the Nrf2 pathway is involved in GSH synthesis. As an indication of oxidation status, GSH can be measured by assaying the ratio of reduced to oxidized glutathione (GSH:GSSG) using a commercially available kit (e.g., &lt;a href="http://www.abcam.com/gshgssg-ratio-detection-assay-kit-fluorometric-green-ab138881.html" rel="noreferrer noopener" target="_blank"&gt;http://www.abcam.com/gshgssg-ratio-detection-assay-kit-fluorometric-green-ab138881.html&lt;/a&gt;).  &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td colspan="2"&gt;
			&lt;p&gt;No&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;Thiobarbituric acid reactive substances (TBARS) &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;(Griendling, K. K., et al., 2016)&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;Oxidative damage to lipids can be measured by assaying for lipid peroxidation with TBARS using a commercially available kit.  &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td colspan="2"&gt;
			&lt;p&gt;No&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;Protein oxidation (carbonylation)&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;(Azimzadeh et al., 2017; Azimzadeh et al., 2015; Ping et al., 2020)&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;Can be determined with ELISA or a commercial assay kit. Protein oxidation can indicate the level of oxidative stress.&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td colspan="2"&gt;
			&lt;p&gt;No&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;Seahorse XFp Analyzer&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;Leung et al. 2018&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;The Seahorse XFp Analyzer provides information on mitochondrial function, oxidative stress, and metabolic dysfunction of viable cells by measuring respiration (oxygen consumption rate; OCR) and extracellular pH (extracellular acidification rate; ECAR).&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;No&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
	&lt;/tbody&gt;
&lt;/table&gt;

&lt;p&gt;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Molecular Biology: Nrf2. Nrf2&amp;rsquo;s transcriptional activity is controlled post-translationally by oxidation of Keap1. Assays for Nrf2 activity include: &amp;nbsp;&lt;/p&gt;

&lt;table border="1"&gt;
	&lt;tbody&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;Method of Measurement &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;References &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;Description &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;OECD-Approved Assay&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;Immunohistochemistry &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;(Amsen, D., de Visser, K. E., and Town, T., 2009)&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;Immunohistochemistry for increases in Nrf2 protein levels and translocation into the nucleus  &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;No&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;qPCR &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;(Forlenza et al., 2012)&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;qPCR of Nrf2 target genes (e.g., Nqo1, Hmox-1, Gcl, Gst, Prx, TrxR, Srxn), or by commercially available pathway-based qPCR array (e.g., oxidative stress array from SABiosciences) &amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;No&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td&gt;
			&lt;p&gt;Whole transcriptome profiling via microarray or via RNA-seq followed by a pathway analysis&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;(Jackson, A. F. et al., 2014)&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;Whole transcriptome profiling by microarray or RNA-seq followed by pathway analysis (in IPA, DAVID, metacore, etc.) for enrichment of the Nrf2 oxidative stress response pathway&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td&gt;
			&lt;p&gt;No&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
	&lt;/tbody&gt;
&lt;/table&gt;

&lt;p&gt;&amp;nbsp;&lt;/p&gt;
</measurement-methodology>
    <evidence-supporting-taxonomic-applicability>&lt;p&gt;&lt;span style="color:#27ae60"&gt;&lt;strong&gt;Taxonomic applicability: &lt;/strong&gt;Occurrence of oxidative stress is not species specific. &amp;nbsp;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="color:#27ae60"&gt;&lt;strong&gt;Life stage applicability:&lt;/strong&gt; Occurrence of oxidative stress is not life stage specific.&amp;nbsp;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="color:#27ae60"&gt;&lt;strong&gt;Sex applicability: &lt;/strong&gt;Occurrence of oxidative stress is not sex specific.&amp;nbsp;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="color:#27ae60"&gt;&lt;strong&gt;Evidence for perturbation by prototypic stressor:&lt;/strong&gt; There is evidence of the increase of oxidative stress following perturbation from a variety of stressors including exposure to ionizing radiation and altered gravity (Bai et al., 2020; Ungvari et al., 2013; Zhang et al., 2009). &amp;nbsp;&lt;/span&gt;&lt;/p&gt;
</evidence-supporting-taxonomic-applicability>
    <applicability>
      <sex>
        <evidence>High</evidence>
        <sex>Mixed</sex>
      </sex>
      <life-stage>
        <evidence>High</evidence>
        <life-stage>All life stages</life-stage>
      </life-stage>
      <taxonomy taxonomy-id="865dc554-832d-40af-9a87-24c8521ccb1c">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="d4661b01-f0bc-4d6e-8fe7-5a9ef21617e5">
        <evidence>High</evidence>
      </taxonomy>
    </applicability>
    <biological-events>
      <biological-event process-id="faf0cfc4-dbb9-42ef-92af-17624b9a9d68" action-id="7c438983-50b6-4bf5-945f-5b5fe4bc4bc2"/>
    </biological-events>
    <references>&lt;p&gt;Ahmad, S. et al. (2021), &amp;ldquo;60Co-&amp;gamma; Radiation Alters Developmental Stages of Zeugodacus cucurbitae (Diptera: Tephritidae) Through Apoptosis Pathways Gene Expression&amp;rdquo;, Journal Insect Science, Vol. 21/5, Oxford University Press, Oxford, &lt;a href="https://doi.org/10.1093/jisesa/ieab080" rel="noreferrer noopener" target="_blank"&gt;https://doi.org/10.1093/jisesa/ieab080&lt;/a&gt;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Antelmann, H. and J. D. Helmann (2011), &amp;ldquo;Thiol-based redox switches and gene regulation.&amp;rdquo;, Antioxidants &amp;amp; Redox Signaling, Vol. 14/6, Mary Ann Leibert Inc., Larchmont, &lt;a href="https://doi.org/10.1089/ars.2010.3400" rel="noreferrer noopener" target="_blank"&gt;https://doi.org/10.1089/ars.2010.3400&lt;/a&gt;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Amsen, D., de Visser, K. E., and Town, T. (2009), &amp;ldquo;Approaches to determine expression of inflammatory cytokines&amp;rdquo;, in Inflammation and Cancer, Humana Press, Totowa, &lt;a href="https://doi.org/10.1007/978-1-59745-447-6_5" rel="noreferrer noopener" target="_blank"&gt;https://doi.org/10.1007/978-1-59745-447-6_5&lt;/a&gt; &amp;nbsp;&lt;/p&gt;

&lt;p&gt;Azimzadeh, O. et al. (2015), &amp;ldquo;Integrative Proteomics and Targeted Transcriptomics Analyses in Cardiac Endothelial Cells Unravel Mechanisms of Long-Term Radiation-Induced Vascular Dysfunction&amp;rdquo;, Journal of Proteome Research, Vol. 14/2, American Chemical Society, Washington, &lt;a href="https://doi.org/10.1021/pr501141b" rel="noreferrer noopener" target="_blank"&gt;https://doi.org/10.1021/pr501141b&lt;/a&gt;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Azimzadeh, O. et al. (2017), &amp;ldquo;Proteome analysis of irradiated endothelial cells reveals persistent alteration in protein degradation and the RhoGDI and NO signalling pathways&amp;rdquo;, International Journal of Radiation Biology, Vol. 93/9, Informa, London, &lt;a href="https://doi.org/10.1080/09553002.2017.1339332" rel="noreferrer noopener" target="_blank"&gt;https://doi.org/10.1080/09553002.2017.1339332&lt;/a&gt;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Azzam, E. I. et al. (2012), &amp;ldquo;Ionizing radiation-induced metabolic oxidative stress and prolonged cell injury&amp;rdquo;, Cancer Letters, Vol. 327/1-2, Elsevier, Ireland, https://doi.org/10.1016/j.canlet.2011.12.012&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Bai, J. et al. (2020), &amp;ldquo;Irradiation-induced senescence of bone marrow mesenchymal stem cells aggravates osteogenic differentiation dysfunction via paracrine signaling&amp;rdquo;, American Journal of Physiology - Cell Physiology, Vol. 318/5, American Physiological Society, Rockville, &lt;a href="https://doi.org/10.1152/ajpcell.00520.2019." rel="noreferrer noopener" target="_blank"&gt;https://doi.org/10.1152/ajpcell.00520.2019.&lt;/a&gt;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Balasubramanian, D (2000), &amp;ldquo;Ultraviolet radiation and cataract&amp;rdquo;, Journal of ocular pharmacology and therapeutics, Vol. 16/3, Mary Ann Liebert Inc., Larchmont, &lt;a href="https://doi.org/10.1089/jop.2000.16.285.%22%20/t%20%22_blank" rel="noreferrer noopener" target="_blank"&gt;https://doi.org/10.1089/jop.2000.16.285.&lt;/a&gt;  &amp;nbsp;&lt;/p&gt;

&lt;p&gt;Biesemann, N. et al., (2018), &amp;ldquo;High Throughput Screening of Mitochondrial Bioenergetics in Human Differentiated Myotubes Identifies Novel Enhancers of Muscle Performance in Aged Mice&amp;rdquo;, Scientific Reports, Vol. 8/1, Nature Portfolio, London, &lt;a href="https://doi.org/10.1038/s41598-018-27614-8" rel="noreferrer noopener" target="_blank"&gt;https://doi.org/10.1038/s41598-018-27614-8&lt;/a&gt;. &amp;nbsp;&lt;/p&gt;

&lt;p&gt;Elgazzar, A. and N. Kazem. (2015), &amp;ldquo;Chapter 23: Biological effects of ionizing radiation&amp;rdquo; in The Pathophysiologic Basis of Nuclear Medicine, Springer, New York, pp. 540-548&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Eruslanov, E., &amp;amp; Kusmartsev, S. (2010). Identification of ROS using oxidized DCFDA and flow-cytometry.&amp;nbsp;Methods in molecular biology ,N.J.,&amp;nbsp; Vol. 594, &amp;nbsp;https://doi.org/10.1007/978-1-60761-411-1_4&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Fletcher, A. E (2010), &amp;ldquo;Free radicals, antioxidants and eye diseases: evidence from epidemiological studies on cataract and age-related macular degeneration&amp;rdquo;, Ophthalmic Research, Vol. 44, Karger International, Basel, &lt;a href="https://doi.org/10.1159/000316476.%22%20/t%20%22_blank" rel="noreferrer noopener" target="_blank"&gt;https://doi.org/10.1159/000316476.&lt;/a&gt; &amp;nbsp;&lt;/p&gt;

&lt;p&gt;Forlenza, M. et al. (2012), &amp;ldquo;The use of real-time quantitative PCR for the analysis of cytokine mRNA levels&amp;rdquo; in Cytokine Protocols, Springer, New York, https://doi.org/10.1007/978-1-61779-439-1_2 &amp;nbsp;&lt;/p&gt;

&lt;p&gt;Forrester, S.J. et al. (2018), &amp;ldquo;Angiotensin II Signal Transduction: An Update on Mechanisms of Physiology and Pathophysiology&amp;rdquo;, Physiological Reviews, Vol. 98/3, American Physiological Society, Rockville, &lt;a href="https://doi.org/10.1152/physrev.00038.201" rel="noreferrer noopener" target="_blank"&gt;https://doi.org/10.1152/physrev.00038.201&lt;/a&gt;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Foyer, C. H., A. V. Ruban, and G. Noctor (2017), &amp;ldquo;Viewing oxidative stress through the lens of oxidative signalling rather than damage&amp;rdquo;, Biochemical Journal, Vol. 474/6, Portland Press, England, https://doi.org/10.1042/BCJ20160814&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Ganea, E. and J. J. Harding (2006), &amp;ldquo;Glutathione-related enzymes and the eye&amp;rdquo;, Current eye research, Vol. 31/1, Informa, London, &lt;a href="https://doi.org/10.1080/02713680500477347.%22%20/t%20%22_blank" rel="noreferrer noopener" target="_blank"&gt;https://doi.org/10.1080/02713680500477347.&lt;/a&gt; &amp;nbsp;&lt;/p&gt;

&lt;p&gt;Griendling, K. K. et al. (2016), &amp;ldquo;Measurement of reactive oxygen species, reactive nitrogen species, and redox-dependent signaling in the cardiovascular system: a scientific statement from the American Heart Association&amp;rdquo;, Circulation research, Vol. 119/5, Lippincott Williams &amp;amp; Wilkins, Philadelphia, &lt;a href="https://doi.org/10.1161/RES.0000000000000110" rel="noreferrer noopener" target="_blank"&gt;https://doi.org/10.1161/RES.0000000000000110&lt;/a&gt;&amp;nbsp;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Guo, C. et al. (2013), &amp;ldquo;Oxidative stress, mitochondrial damage and neurodegenerative diseases&amp;rdquo;, Neural regeneration research, Vol. 8/21, Publishing House of Neural Regeneration Research, China, &lt;a href="https://doi.org/10.3969/j.issn.1673-5374.2013.21.009" rel="noreferrer noopener" target="_blank"&gt;https://doi.org/10.3969/j.issn.1673-5374.2013.21.009&lt;/a&gt;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Hargreaves, M., and L. L. Spriet (2020), &amp;ldquo;Skeletal muscle energy metabolism during exercise.&amp;rdquo;, Nature Metabolism, Vol. 2, Nature Portfolio, London, &lt;a href="https://doi.org/10.1038/s42255-020-0251-4" rel="noreferrer noopener" target="_blank"&gt;https://doi.org/10.1038/s42255-020-0251-4&lt;/a&gt;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Hladik, D. and S. Tapio (2016), &amp;ldquo;Effects of ionizing radiation on the mammalian brain&amp;rdquo;, Mutation Research/Reviews in Mutation Research, Vol. 770, Elsevier, Amsterdam, &lt;a href="https://doi.org/10.1016/j.mrrev.2016.08.003" rel="noreferrer noopener" target="_blank"&gt;https://doi.org/10.1016/j.mrrev.2016.08.003&lt;/a&gt;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Itoh, K., J. Mimura and M. Yamamoto (2010), &amp;ldquo;Discovery of the negative regulator of Nrf2, Keap1: a historical overview&amp;rdquo;, Antioxidants &amp;amp; Redox Signaling, Vol. 13/11, Mary Ann Leibert Inc., Larchmont, &lt;a href="https://doi.org/10.1089/ars.2010.3222" rel="noreferrer noopener" target="_blank"&gt;https://doi.org/10.1089/ars.2010.3222&lt;/a&gt;&amp;nbsp;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Jackson, A.F. et al. (2014), &amp;ldquo;Case study on the utility of hepatic global gene expression profiling in the risk assessment of the carcinogen furan.&amp;rdquo;, Toxicology and Applied Pharmacology, Vol. 274/11, Elsevier, Amsterdam, &lt;a href="https://doi.org/10.1016/j.taap.2013.10.019" rel="noreferrer noopener" target="_blank"&gt;https://doi.org/10.1016/j.taap.2013.10.019&lt;/a&gt;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Jacobsen, N.R. et al. (2008), &amp;ldquo;Genotoxicity, cytotoxicity, and reactive oxygen species induced by single-walled carbon nanotubes and C60 fullerenes in the FE1-MutaTM Mouse lung epithelial cells&amp;rdquo;, Environmental and Molecular Mutagenesis, Vol. 49/6, John Wiley &amp;amp; Sons, Inc., Hoboken, &lt;a href="https://doi.org/10.1002/em.20406" rel="noreferrer noopener" target="_blank"&gt;https://doi.org/10.1002/em.20406&lt;/a&gt;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Karimi, N. et al. (2017), &amp;ldquo;Radioprotective effect of hesperidin on reducing oxidative stress in the lens tissue of rats&amp;rdquo;, International Journal of Pharmaceutical Investigation, Vol. 7/3, Phcog Net, Bengaluru, &lt;a href="https://doi.org/10.4103/jphi.JPHI_60_17.%E2%80%AF" rel="noreferrer noopener" target="_blank"&gt;https://doi.org/10.4103/jphi.JPHI_60_17. &lt;/a&gt;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Leung, D.T.H., and Chu, S. (2018), &amp;ldquo;Measurement of Oxidative Stress: Mitochondrial Function Using the Seahorse System&amp;rdquo; In: Murthi, P., Vaillancourt, C. (eds) Preeclampsia. Methods in Molecular Biology, vol 1710. Humana Press, New York, NY. https://doi.org/10.1007/978-1-4939-7498-6_22&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Lu, C., G. Song, and J. Lin (2006), &amp;ldquo;Reactive oxygen species and their chemiluminescence-detection methods&amp;rdquo;, TrAC Trends in Analytical Chemistry, Vol. 25/10, Elsevier, Amsterdam, &lt;a href="https://doi.org/10.1016/j.trac.2006.07.007" rel="noreferrer noopener" target="_blank"&gt;https://doi.org/10.1016/j.trac.2006.07.007&lt;/a&gt;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Nguyen Dinh Cat, A. et al. (2013), &amp;ldquo;Angiotensin II, NADPH oxidase, and redox signaling in the vasculature&amp;rdquo;, Antioxidants &amp;amp; redox signaling, Vol. 19/10, Mary Ann Liebert, Larchmont, &lt;a href="https://doi.org/10.1089/ars.2012.4641" rel="noreferrer noopener" target="_blank"&gt;https://doi.org/10.1089/ars.2012.4641&lt;/a&gt;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Ping, Z. et al. (2020), &amp;ldquo;Oxidative Stress in Radiation-Induced Cardiotoxicity&amp;rdquo;, Oxidative Medicine and Cellular Longevity, Vol. 2020, Hindawi, &lt;a href="https://doi.org/10.1155/2020/3579143" rel="noreferrer noopener" target="_blank"&gt;https://doi.org/10.1155/2020/3579143&lt;/a&gt;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Powers, S.K. and M.J. Jackson. (2008), &amp;ldquo;Exercise-Induced Oxidative Stress: Cellular Mechanisms and Impact on Muscle Force Production&amp;rdquo;, Physiological Reviews, Vol. 88/4, American Physiological Society, Rockville, &lt;a href="https://doi.org/10.1152/physrev.00031.2007" rel="noreferrer noopener" target="_blank"&gt;https://doi.org/10.1152/physrev.00031.2007&lt;/a&gt;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Raimondi, V., F. Ciccarese and V. Ciminale. (2020), &amp;ldquo;Oncogenic pathways and the electron transport chain: a dangeROS liason&amp;rdquo;, British Journal of Cancer, Vol. 122/2, Nature Portfolio, London, &lt;a href="https://doi.org/10.1038/s41416-019-0651-y" rel="noreferrer noopener" target="_blank"&gt;https://doi.org/10.1038/s41416-019-0651-y&lt;/a&gt;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Seen, S. and L. Tong. (2018), &amp;ldquo;Dry eye disease and oxidative stress&amp;rdquo;, Acta Ophthalmologica, Vol. 96/4, John Wiley &amp;amp; Sons, Inc., Hoboken, &lt;a href="https://doi.org/10.1111/aos.13526" rel="noreferrer noopener" target="_blank"&gt;https://doi.org/10.1111/aos.13526&lt;/a&gt;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Ungvari, Z. et al. (2013), &amp;ldquo;Ionizing Radiation Promotes the Acquisition of a Senescence-Associated Secretory Phenotype and Impairs Angiogenic Capacity in Cerebromicrovascular Endothelial Cells: Role of Increased DNA Damage and Decreased DNA Repair Capacity in Microvascular Radiosensitivity&amp;rdquo;, The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, Vol. 68/12, Oxford University Press, Oxford, &lt;a href="https://doi.org/10.1093/gerona/glt057." rel="noreferrer noopener" target="_blank"&gt;https://doi.org/10.1093/gerona/glt057.&lt;/a&gt;&amp;nbsp;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Vargas-Mendoza, N. et al. (2021), &amp;ldquo;Oxidative Stress, Mitochondrial Function and Adaptation to Exercise: New Perspectives in Nutrition&amp;rdquo;, Life, Vol. 11/11, Multidisciplinary Digital Publishing Institute, Basel, &lt;a href="https://doi.org/10.3390/life11111269" rel="noreferrer noopener" target="_blank"&gt;https://doi.org/10.3390/life11111269&lt;/a&gt;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Wang, H. et al. (2019), &amp;ldquo;Radiation-induced heart disease: a review of classification, mechanism and prevention&amp;rdquo;, International Journal of Biological Sciences, Vol. 15/10, Ivyspring International Publisher, Sydney, &lt;a href="https://doi.org/10.7150/ijbs.35460" rel="noreferrer noopener" target="_blank"&gt;https://doi.org/10.7150/ijbs.35460&lt;/a&gt;&amp;nbsp;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Zhang, R. et al. (2009), &amp;ldquo;Blockade of AT1 receptor partially restores vasoreactivity, NOS expression, and superoxide levels in cerebral and carotid arteries of hindlimb unweighting rats&amp;rdquo;, Journal of applied physiology, Vol. 106/1, American Physiological Society, Rockville, &lt;a href="https://doi.org/10.1152/japplphysiol.01278.2007" rel="noreferrer noopener" target="_blank"&gt;https://doi.org/10.1152/japplphysiol.01278.2007&lt;/a&gt;.&amp;nbsp;&lt;/p&gt;

&lt;p&gt;Zhao, R. Z. et al. (2019), &amp;ldquo;Mitochondrial electron transport chain, ROS generation and uncoupling&amp;rdquo;, International journal of molecular medicine, Vol. 44/1, Spandidos Publishing Ltd., Athens, &lt;a href="https://doi.org/10.3892/ijmm.2019.4188" rel="noreferrer noopener" target="_blank"&gt;https://doi.org/10.3892/ijmm.2019.4188&lt;/a&gt;&amp;nbsp;&lt;/p&gt;
</references>
    <source>AOPWiki</source>
    <creation-timestamp>2017-05-30T13:58:17</creation-timestamp>
    <last-modification-timestamp>2026-02-11T07:05:27</last-modification-timestamp>
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    <description></description>
    <evidence-collection-strategy/>
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      <emperical-support-linkage></emperical-support-linkage>
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    </weight-of-evidence>
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    <references></references>
    <source>AOPWiki</source>
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    <last-modification-timestamp>2023-05-25T10:01:47</last-modification-timestamp>
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    <source>AOPWiki</source>
    <creation-timestamp>2023-05-25T10:03:48</creation-timestamp>
    <last-modification-timestamp>2023-05-25T10:03:48</last-modification-timestamp>
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    </title>
    <description></description>
    <evidence-collection-strategy/>
    <weight-of-evidence>
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      <emperical-support-linkage></emperical-support-linkage>
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    <source>AOPWiki</source>
    <creation-timestamp>2024-03-13T17:25:07</creation-timestamp>
    <last-modification-timestamp>2024-03-13T17:25:07</last-modification-timestamp>
  </key-event-relationship>
  <key-event-relationship id="715557d4-f0d2-4890-bfac-d3b166aa3c16">
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      <downstream-id>22e45636-d8d6-4f45-9791-5c81604781de</downstream-id>
    </title>
    <description>&lt;p&gt;Induction of oxidative stress occurs as a result of an imbalance between the production of radical species and the antioxidant defense systems (Juan et al. 2021).&amp;nbsp; ROS can damage DNA, lipids, and proteins (Shields et al. 2021).&amp;nbsp; Superoxide dismutase is an enzyme in a common cellular defense pathway, in which superoxide dismutase converts superoxide radicals to hydrogen peroxide.&amp;nbsp; When cellular defense mechanisms are unable to mitigate ROS formation from mitochondrial respiration and stressors (biological, chemical, radiation), increased ROS levels cause oxidative stress.&lt;/p&gt;
</description>
    <evidence-collection-strategy>&lt;p&gt;This KER was identified as part of an Environmental Protection Agency effort to increase the impact of AOPs published in the peer-reviewed literature, but heretofore unrepresented in the AOP-Wiki,&amp;nbsp;by facilitating their entry and update.&amp;nbsp; The originating works for this AOP were &lt;strong&gt;da Silva, J., Goncalves, R. V., de Melo, F. C. S. A., Sarandy, M. M., &amp;amp; da Matta, S. L. P. (2021). Cadmium exposure and testis susceptibility: A systematic review in murine models. Biological Trace Element Research, 199(7), 2663-2676 &lt;/strong&gt;and&amp;nbsp;&lt;strong&gt;Jeong and Choi (2020)&lt;/strong&gt;. This publication, and the work cited within, were used create and support this AOP and its respective KE and KER pages.&lt;/p&gt;

&lt;p&gt;Evidence from the da Silva (2021) publication was assembled using Medline/PubMed and Scopus in September 2018.&amp;nbsp; For all databases, the search filters were based on three complementary levels: (i) animals, (ii) testis, and (iii) cadmium and studies that didn&amp;#39;t evaluate the Cd exposure in the testicular histomorphology of murine models were excluded.&lt;/p&gt;

&lt;p&gt;&lt;!--EndFragment --&gt;&lt;/p&gt;
</evidence-collection-strategy>
    <weight-of-evidence>
      <value></value>
      <biological-plausibility>&lt;p&gt;The biological plausibility linking increases in oxidative stress to reactive oxygen species (ROS) is strong.&amp;nbsp;&amp;nbsp;Reactive oxygen species (ROS) are produced by many normal cellular processes (ex. cellular respiration, mitochondrial electron transport, specialized enzyme reactions) and occur in multiple chemical forms (ex. superoxide anion, hydroxyl radical, hydrogen peroxide).&amp;nbsp; Antioxidant enzymes play a major role in reducing reactive oxygen species (ROS) levels in cells (Ray et al. 2012) to prevent cellular damage to lipids, proteins, and DNA (Juan et al. 2021).&amp;nbsp; Oxidative stress occurs when antioxidant enzymes do not prevent ROS levels from increasing in cells, often induced by environmental stressors (biological, chemical, radiation).&lt;/p&gt;
</biological-plausibility>
      <emperical-support-linkage>&lt;table cellspacing="0" class="MsoTableGrid" style="border-collapse:collapse; border:none"&gt;
	&lt;tbody&gt;
		&lt;tr&gt;
			&lt;td style="background-color:#d0cece; border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:1px solid black; vertical-align:top; width:138px"&gt;
			&lt;p style="text-align:center"&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:black"&gt;Taxa&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="background-color:#d0cece; border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; vertical-align:top; width:486px"&gt;
			&lt;p style="text-align:center"&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:black"&gt;Support&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td style="background-color:white; border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:none; vertical-align:top; width:138px"&gt;
			&lt;p style="text-align:center"&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:black"&gt;Mammals&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="background-color:white; border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:486px"&gt;
			&lt;p style="text-align:center"&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:black"&gt;Deng et al. 2017; Schrinzi et al. 2017&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td style="background-color:white; border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:none; vertical-align:top; width:138px"&gt;
			&lt;p style="text-align:center"&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:black"&gt;Fish&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="background-color:white; border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:486px"&gt;
			&lt;p style="text-align:center"&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:black"&gt;Lu et al. 2016; Alomar et al. 2017; Chen et al. 2017; Veneman et al. 2017; Barboza et al. 2018; Choi et al. 2018; Espinosa et al. 2018&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td style="background-color:white; border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:none; vertical-align:top; width:138px"&gt;
			&lt;p style="text-align:center"&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:black"&gt;Invertebrates&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="background-color:white; border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:486px"&gt;
			&lt;p style="text-align:center"&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:black"&gt;Browne et al. 2013; Jeong et al. 2016, 2017; Paul-Pont et al. 2016; Lei et al. 2018; Yu et al. 2018&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
	&lt;/tbody&gt;
&lt;/table&gt;

&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;The accumulation of reactive oxygen species (ROS), and resulting oxidative stress, is well-established (see Shields 2021 for overview).&amp;nbsp; &amp;nbsp;In the studies listed in the above table, changes in enzyme activity and changes in gene expression are the most common oxidative stress effects detected due to increases in reactive oxygen species (see additional study details in table below).&amp;nbsp; Increases in gene expression or enzyme activity of superoxide dismutase, catalase, glutathione peroxidase, and other antioxidants are frequently used as indicators of oxidative stress.&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;table cellspacing="0" class="MsoTableGrid" style="border-collapse:collapse; border:none"&gt;
	&lt;tbody&gt;
		&lt;tr&gt;
			&lt;td style="background-color:#d9d9d9; border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:1px solid black; vertical-align:top; width:114px"&gt;
			&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:black"&gt;Species&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="background-color:#d9d9d9; border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; vertical-align:top; width:72px"&gt;
			&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:black"&gt;Duration&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="background-color:#d9d9d9; border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; vertical-align:top; width:120px"&gt;
			&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:black"&gt;Dose&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="background-color:#d9d9d9; border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; vertical-align:top; width:48px"&gt;
			&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:black"&gt;Increased ROS?&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="background-color:#d9d9d9; border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; vertical-align:top; width:66px"&gt;
			&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:black"&gt;Increased Oxidative Stress?&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="background-color:#d9d9d9; border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; vertical-align:top; width:116px"&gt;
			&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:black"&gt;Summary&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="background-color:#d9d9d9; border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; vertical-align:top; width:87px"&gt;
			&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;span style="color:black"&gt;Citation&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:none; vertical-align:top; width:114px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Lab mice (&lt;em&gt;Mus musculus&lt;/em&gt;)&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:72px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;28 days&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:120px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Diet exposure of 0.01, 0.1, 0.5 mg/day of 5 and 20 um polystyrene microplastic particles.&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:48px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Assumed&lt;sup&gt;1&lt;/sup&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:66px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Yes&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:116px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Five-week old male mice showed changes in enzyme levels responsible for eliminating ROS.&amp;nbsp; Decreased catalase at 0.1/0.5 mg/day, increased glutathione peroxidase at all doses, increased superoxide dismutase at all doses.&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:87px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Deng et al. (2017)&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:none; vertical-align:top; width:114px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Human (&lt;em&gt;Homo sapiens&lt;/em&gt;)&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:72px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;48 hours&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:120px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;In vitro exposure of 0.5, 1, 5, 10 mg/L fullerene soot, fullerol, graphene, cerium oxide, zirconium oxide, titanium oxide, aluminum oxide, silver nanoparticles, gold particles; in vitro exposure of 0.05, 0.1, 1, 10 mg/L polyethylene microspheres, polystyrene microspheres.&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:48px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Yes&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:66px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Yes&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:116px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Cerebral and epithelial human cell lines showed measured increased percent effect of ROS (as superoxide generated) with corresponding decreases in cell viability.&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:87px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Schirinzi et al. (2017)&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:none; vertical-align:top; width:114px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Zebrafish&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;(&lt;em&gt;Danio rerio&lt;/em&gt;) &lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:72px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;7 days&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:120px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Aquatic exposure of 20, 200, 2000 ug/L of 5 and 20 um polystyrene microplastics.&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:48px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Assumed&lt;sup&gt;1&lt;/sup&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:66px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Yes&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:116px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Adult five-month old fish showed changes in enzyme levels responsible for eliminating ROS.&amp;nbsp; Increased catalase at 200/2000 ug/L, increased superoxide dismutase at all doses.&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:87px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Lu et al. (2016)&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:none; vertical-align:top; width:114px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Striped red mullet (&lt;em&gt;Mullus surmuletus&lt;/em&gt;)&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:72px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;NA&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:120px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Survey of wild fish with microplastic ingestion versus no microplastic ingestion.&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:48px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Assumed&lt;sup&gt;1&lt;/sup&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:66px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Yes&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:116px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Fish showed changes in enzyme levels responsible for eliminating ROS associated with microplastic ingestion, and associated proteins.&amp;nbsp; Increased glutathione S-transferase, superoxide dismutase, catalase, malondialdehyde, only glutathione S-transferase was statistically significant&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:87px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Alomar et al. (2017)&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:none; vertical-align:top; width:114px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Zebrafish&amp;nbsp;&lt;/span&gt;&lt;/span&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;(&lt;em&gt;Danio rerio&lt;/em&gt;)&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:72px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;72 hours&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:120px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Aquatic exposure of 1 mg/L polystyrene microplastics (45 um) and nanoplastics (50 nm), aquatic exposure of 2, 20 ug/L positive control 17alpha-Ethinylestradiol, and mixture.&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:48px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Assumed&lt;sup&gt;1&lt;/sup&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:66px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Yes&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:116px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Larval fish showed changes in enzyme levels responsible for eliminating ROS.&amp;nbsp; Increased catalase, increased glutathione peroxidase, increased glutathione S-transferase.&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:87px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Chen et al. (2017)&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:none; vertical-align:top; width:114px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Zebrafish&amp;nbsp;&lt;/span&gt;&lt;/span&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;(&lt;em&gt;Danio rerio&lt;/em&gt;)&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:72px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;3 days&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:120px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Injection exposure of 5 mg/mL of 700 nm polystyrene particles&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:48px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Assumed&lt;sup&gt;1&lt;/sup&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:66px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Yes&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:116px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Larva fish showed increased oxidative stress from gene ontology analysis.&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:87px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Veneman et al. (2017)&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:none; vertical-align:top; width:114px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;European&amp;nbsp;&lt;/span&gt;&lt;/span&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Seabass (&lt;em&gt;Dicentrarchus labrax&lt;/em&gt;)&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:72px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;96 hours&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:120px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Aquatic exposure of 0.010, 0.016 mg/L of Mercury chloride, 0.26, 0.69 mg/L of 1-5 um polymer microspheres, and mixture.&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:48px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Yes&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:66px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Yes&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:116px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Juvenile fish showed increased ROS (Brain and muscle lipid peroxidation levels) and corresponding changes in enzyme levels (increases in muscle lactate dehydrogenase, decreases in isocitrate dehydrogenase). &lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:87px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Barboza et al. (2018)&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:none; vertical-align:top; width:114px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Sheepshead minnow (&lt;em&gt;Cyprinodon variegatus&lt;/em&gt;)&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:72px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;4 days&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:120px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Aquatic exposure of 50, 250 mg/L of 150-180 um, 300-355 um polyethylene microspheres&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:48px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Yes&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:66px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Yes&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:116px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Adult fish showed increased ROS generation and corresponding changes in gene expression (increased catalase, increased superoxide dismutase).&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:87px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Choi et al. (2018)&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:none; vertical-align:top; width:114px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;European sea bass&amp;nbsp;&lt;/span&gt;&lt;/span&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;(&lt;em&gt;Dicentrarchus labrax&lt;/em&gt;) and gilthead seabream (&lt;em&gt;Sparus aurata&lt;/em&gt;)&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:72px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;24 hours&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:120px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;In vitro exposure of 100 mg/L of polyvinylchloride and polyethylene microplastics&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:48px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Assumed&lt;sup&gt;1&lt;/sup&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:66px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Yes&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:116px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Fish head-kidney leucocytes showed increased gene expression of nuclear factor (nrf2), associated with oxidative stress, only statistically significant in S. aurata.&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:87px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Espinosa et al. (2018)&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:none; vertical-align:top; width:114px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Lugworms (&lt;em&gt;Arenicola&amp;nbsp;&lt;/em&gt;&lt;/span&gt;&lt;/span&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;&lt;em&gt;marina&lt;/em&gt;)&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:72px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;10 days&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:120px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Aquatic exposure of nonylphenol (0.69-692.00 ug/g), phenanthrene (0.11-115.32 ug/g), PBDE (9.49-158.11 ug/g), triclosan (57.30-1097.87 ug/g) sorbed onto polyvinyl chloride, sand, or both.&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:48px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Yes&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:66px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Yes&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:116px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Lugworms showed decreased ability to respond to ROS by ferric reducing antioxidant power (FRAP) assay, statistically significant only with phenanthrene.&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:87px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Browne et al. (2013)&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:none; vertical-align:top; width:114px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Rotifer&amp;nbsp;&lt;/span&gt;&lt;/span&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;(&lt;em&gt;Brachionus koreanus&lt;/em&gt;)&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:72px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;24 hours&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:120px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Aquatic exposure of 10 ug/mL of 0.05, 0.5, 6 um diameter polystyrene microbeads.&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:48px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Yes&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:66px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Yes&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:116px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Rotifers showed increased ROS levels, changes in phosphorylation of MAPK signaling proteins, and &amp;nbsp;corresponding changes in enzyme and protein levels (decreased glutathione, increased superoxide dismutase, increased glutathione reductase, increased glutathione reductase, glutathione S-transferase). Enzyme statistical significance was seen most frequently with 0.05 diameter size class).&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:87px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Jeong et al. (2016)&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:none; vertical-align:top; width:114px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Copepod&amp;nbsp;&lt;/span&gt;&lt;/span&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;(&lt;em&gt;Paracyclopina nana&lt;/em&gt;)&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:72px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;24 hours&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:120px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Aquatic exposure of 20 ug/mL of 0.05, 0.5, 6 um diameter polystyrene microbeads.&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:48px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Yes&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:66px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Yes&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:116px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Copepods showed increased ROS for 0.05 um diameter size class only.&amp;nbsp; Corresponding increases in enzymes were also seen only in 0.05 um diameter size class (glutathione reductase, glutathione peroxidase, glutathione S-transferase, superoxide disumutase).&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:87px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Jeong et al. (2017)&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:none; vertical-align:top; width:114px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Mussel (&lt;em&gt;Mytilus&lt;/em&gt; sp.)&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:72px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;7 days&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:120px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Aquatic exposure of 30 ug/L fluoranthene, 32 ug/L of 2 and 6 um polystyrene microbeads, and mixture for 7 days and depuration for 7 days.&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:48px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Yes&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:66px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Yes&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:116px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Mussels showed increased ROS production in all treatments for 7 days, changes in enzyme and gene levels were observed for catalase, superoxide dismutase, glutathione S-transferase, glutathione reductase, and lipid peroxidation, statistical significance was not always observed.&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:87px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Paul-Pont et al. (2016)&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:none; vertical-align:top; width:114px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Nematode (&lt;em&gt;Caenorhabditis elegans&lt;/em&gt;)&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:72px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;2 day&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:120px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Environmental exposure of 5.0 mg/mL of microplastic particles (polyamides&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;(PA), polyethylene (PE), polypropylene (PP), polyvinyl chloride (PVC), and 0.1, 1.0, 5.0 um size polystyrene (PS)).&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:48px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Assumed&lt;sup&gt;1&lt;/sup&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:66px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Yes&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:116px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Larval (L2) nematodes showed increased glutathione S-transferase gene expression for all but polyamide (PA) exposure.&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:87px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Lei et al. (2018)&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
		&lt;tr&gt;
			&lt;td style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:none; vertical-align:top; width:114px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Crab (&lt;em&gt;Eriocheir sinensis&lt;/em&gt;)&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:72px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;21 days&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:120px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Aquatic exposure of 40, 400, 4000, 40000 ug/L&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:48px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Assumed&lt;sup&gt;1&lt;/sup&gt;&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:66px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Yes&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:116px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Juvenile fish showed dose-dependent changes in hepatopancreas enzyme levels (superoxide dismutase, catalase, glutathione peroxidase, glutathione S-transferase), protein levels&amp;nbsp;&lt;/span&gt;&lt;/span&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;(glutathione, malondialdehyde) and gene expression (superoxide dismutase, catalase, glutathione peroxidase, glutathione S-transferase), as well as changes in MAPK signaling gene expression.&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

			&lt;p&gt;&amp;nbsp;&lt;/p&gt;
			&lt;/td&gt;
			&lt;td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; vertical-align:top; width:87px"&gt;
			&lt;p&gt;&lt;span style="font-size:11pt"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Yu et al. (2018)&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
			&lt;/td&gt;
		&lt;/tr&gt;
	&lt;/tbody&gt;
&lt;/table&gt;

&lt;p&gt;1 Assumed: study&amp;nbsp;selected stressor(s) known to elevate reactive oxygen species (ROS) levels, endpoints verified increased oxidative stress and disrupted pathway.&lt;/p&gt;

&lt;p&gt;&amp;nbsp;&lt;/p&gt;
</emperical-support-linkage>
      <uncertainties-or-inconsistencies></uncertainties-or-inconsistencies>
    </weight-of-evidence>
    <known-modulating-factors></known-modulating-factors>
    <quantitative-understanding>
      <description>&lt;p&gt;The reactive oxygen species (ROS) increase needed to elicit oxidative stress is highly dependent on many other variables including age, tissue, sex, nutritional status, and co-exposures to other stressors.&amp;nbsp; It is consistently characterised as an &amp;#39;excess&amp;#39; of ROS in order to create a state of oxidative stress.&amp;nbsp; Consequently, the quantitative relationship is not easily generalized.&amp;nbsp;&lt;/p&gt;

&lt;p&gt;&lt;!--EndFragment --&gt;&lt;/p&gt;

&lt;p&gt;Some examples of normal levels have been reported at 1-8&amp;nbsp;​&amp;mu;M&amp;nbsp;​(H2O2) in normal human plasma, while only 1&amp;nbsp;​&amp;mu;M ROS present in healthy cells (Lacy et al. 2000).&amp;nbsp; Inflammatory lung diseases can cause H2O2 excesses to the level of a 20-fold increment.&amp;nbsp; It can also cause the level of H2O2&amp;nbsp;in&amp;nbsp;ischemia&amp;nbsp;and reperfusion to reach 160&amp;nbsp;​&amp;mu;M (Burgoyne et al. 2013).&lt;/p&gt;
</description>
      <response-response-relationship></response-response-relationship>
      <time-scale></time-scale>
      <feedforward-feedback-loops>&lt;p&gt;AP-1 and NF-&amp;kappa;B are ROS sensing transcription factors and act as redox sensors due to the presence of a single Cys in their DNA-binding domains (Abate et al. 2006). Oxidation of these Cys residues blocks their binding to the respective consensus DNA sequences. Apurinic/apyrimidinic (AP) endonuclease 1 (APE1), functions as a reducing agent for various transcription factors (Evans et al. 2000). This ubiquitous multifunctional protein is induced by ROS (Ramana et al. 1998) and is involved in base excision repair (Demple and Sung 2005). Although reducing condition is favorable for DNA binding, both AP-1 and NF-&amp;kappa;B can be activated by oxidative stress via induction of APE1. A Zn-finger DNA-binding protein, early growth response gene-1 (Egr-1), is activated by ROS, and a positive feedback loop between APE1 and Egr-1 regulates their early transcriptional activation after oxidative stress (Pines et al. 2005). Egr-1 also induces SOD1 and thus reduces free radical-induced damage (Minc et al. 1999).&lt;/p&gt;
</feedforward-feedback-loops>
    </quantitative-understanding>
    <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="c2db6a2e-3401-473b-84e5-079f40fbe100">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="f405428a-ee27-43e8-9f04-699255b6e930">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="4ac1ccd3-2607-41d7-b358-cd052388fb16">
        <evidence>High</evidence>
      </taxonomy>
      <taxonomy taxonomy-id="3c15468b-03e2-428c-be06-115a13d45738">
        <evidence>High</evidence>
      </taxonomy>
    </applicability>
    <evidence-supporting-taxonomic-applicability>&lt;p&gt;&lt;span style="font-size:16px"&gt;&lt;span style="font-family:Calibri,sans-serif"&gt;Life Stage: The life stage applicable to this key event relationship is all life stages.&amp;nbsp; Older individuals are more likely to manifest this adverse outcome pathway (adults &amp;gt; juveniles &amp;gt; embryos) due to accumulation of reactive oxygen species.&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;Sex: This key event relationship applies to both males and females.&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;Taxonomic: This key event relationship appears to be present broadly, with representative studies including mammals (humans, lab mice, lab rats), teleost fish, and invertebrates (cladocerans, mussels).&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
</evidence-supporting-taxonomic-applicability>
    <references>&lt;p&gt;Abate, C., Patel, L., Rauscher III, F. J., &amp;amp; Curran, T. (1990). Redox regulation of fos and jun DNA-binding activity in vitro.&amp;nbsp;Science,&amp;nbsp;249(4973), 1157-1161.&lt;/p&gt;

&lt;p&gt;Alomar, C., Sureda, A., Capo, X., Guijarro, B., Tejada, S. and Deudero, S.&amp;nbsp; 2017.&amp;nbsp; Microplastic ingestion by Mullus surmuletus Linnaeus, 1758 fish and its potential for causing oxidative stress.&amp;nbsp; Environmental Research 159: 135-142.&lt;/p&gt;

&lt;p&gt;Barboza, LG.A., Vieira, L.R., Branco, V., Figueiredo, N., Carvalho, F., Carvalho, C., and Guilhermino, L. 2018.&amp;nbsp; Microplastics cause neurotoxicity, oxidative damage and energy-related changes and interact with the bioaccumulation of mercury in the European seabass, Dicentrachus labrux (Linneaeus, 1758).&amp;nbsp; Aquatic Toxicology 195: 49-57.&lt;/p&gt;

&lt;p&gt;Browne, M.A. Niven, S.J., Galloway, T.S., Rowland, S.J., and Thompson, R.C.&amp;nbsp; 2013.&amp;nbsp; Microplastic moves pollutants and additives to worms, reducing functions linked to health and biodiversity.&amp;nbsp; Current Biology 23: 2388-2392.&lt;/p&gt;

&lt;p&gt;Burgoyne, J. R., Oka, S. I., Ale-Agha, N., &amp;amp; Eaton, P. (2013). Hydrogen peroxide sensing and signaling by protein kinases in the cardiovascular system.&amp;nbsp;Antioxidants &amp;amp; redox signaling,&amp;nbsp;18(9), 1042-1052.&lt;/p&gt;

&lt;p&gt;Chen, Q., Gundlach, M., Yang, S., Jiang, J., Velki, M., Yin, D., and Hollert, H.&amp;nbsp; 2017 Quantitative investigation of the mechanisms of microplastics and nanoplastics toward larvae locomotor activity.&amp;nbsp; Science of the Total Environment 584-585: 1022-1031.&lt;/p&gt;

&lt;p&gt;Choi, J.S., Jung, Y.J., Hong, N.H., Hong, S.H., and Park, J.W. 2018.&amp;nbsp; Toxicological effects of irregularly shaped and spherical microplastics in a marine teleost, the sheepshead minnow (Cyprinodon variegatus).&amp;nbsp; Marine Pollution Bulletin 129: 231-240.&lt;/p&gt;

&lt;p&gt;Demple, B., &amp;amp; Sung, J. S. (2005). Molecular and biological roles of Ape1 protein in mammalian base excision repair.&amp;nbsp;DNA repair,&amp;nbsp;4(12), 1442-1449.&lt;/p&gt;

&lt;p&gt;Deng, Y., Zhang, Y., Lemos, B., and Ren, H.&amp;nbsp; 2017.&amp;nbsp; Tissue accumulation of microplastics in mice and biomarker responses suggest widespread health risks of exposure.&amp;nbsp; Science Reports 7: 1-10.&lt;/p&gt;

&lt;p&gt;Espinosa, C., Garcia Beltran, J.M., Esteban, M.A., and Cuesta, A.&amp;nbsp; 2018.&amp;nbsp; In vitro effects of virgin microplastics on fish head-kidney leucocyte activities.&amp;nbsp; Environmental Pollution 235: 30-38.&lt;/p&gt;

&lt;p&gt;Evans, A. R., Limp-Foster, M., &amp;amp; Kelley, M. R. (2000). Going APE over ref-1.&amp;nbsp;Mutation Research/DNA Repair,&amp;nbsp;461(2), 83-108.&lt;/p&gt;

&lt;p&gt;Imhof, H.K., Rusek, J., Thiel, M., Wolinska, J., and Laforsch, C. 2017.&amp;nbsp; Do microplastic particles affect Daphnia magna at the morphological life history and molecular level?&amp;nbsp; Public Library of Science One 12: 1-20.&lt;/p&gt;

&lt;p&gt;Jeong, J. and Choi, J.&amp;nbsp; 2020.&amp;nbsp; Development of AOP relevant to microplastics based on toxicity mechanisms of chemical additives using ToxCast&amp;trade; and deep learning models combined approach.&amp;nbsp; Environment International 137:105557.&lt;/p&gt;

&lt;p&gt;Jeong, C.B., Kang, H.M., Lee, M.C., Kim, D.H., Han, J., Hwang, D.S. Souissi, S., Lee, S.J., Shin, K.H., Park, H.G., and Lee, J.S.&amp;nbsp; 2017.&amp;nbsp; Adverse effects of microplastics and oxidative stress-induced MAPK/NRF2 pathway-mediated defense mechanisms in the marine copepod Paracyclopina nana.&amp;nbsp; Science Reports 7: 1-11.&lt;/p&gt;

&lt;p&gt;Jeong, C.B., Wong, E.J., Kang, H.M., Lee, M.C., Hwang, D.S., Hwang, U.K., Zhou, B., Souissi, S., Lee, S.J., and Lee, J.S.&amp;nbsp; 2016.&amp;nbsp; Microplastic size-dependent toxicity, oxidative stress induction, and p-JNK and p-p38 activation in the Monogonout rotifer (Brachionus koreanus). Environmental Science and Technology 50: 8849-8857.&lt;/p&gt;

&lt;p&gt;Juan, C.A., de la Lastra, J.M.P., Plou, F.J., and Lebena, E.P.&amp;nbsp; 2021. &amp;nbsp;The chemistry of reactive oxygen species (ROS) revisited: Outlining their role in biological macromolecules (DNA, lipids and proteins) and induced pathologies.&amp;nbsp; International Journal of Molecular Sciences&amp;nbsp; 22: 4642.&lt;/p&gt;

&lt;p&gt;&lt;span style="background-color:#ffffff; color:#222222; font-family:Arial,sans-serif; font-size:13px"&gt;Lacy, F., Kailasam, M. T., O&amp;rsquo;Connor, D. T., Schmid-Schönbein, G. W., &amp;amp; Parmer, R. J. (2000). Plasma hydrogen peroxide production in human essential hypertension: role of heredity, gender, and ethnicity.&amp;nbsp;&lt;/span&gt;&lt;em&gt;Hypertension&lt;/em&gt;&lt;span style="background-color:#ffffff; color:#222222; font-family:Arial,sans-serif; font-size:13px"&gt;,&amp;nbsp;&lt;/span&gt;&lt;em&gt;36&lt;/em&gt;&lt;span style="background-color:#ffffff; color:#222222; font-family:Arial,sans-serif; font-size:13px"&gt;(5), 878-884.&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;Lei, L., Wu, S., Lu, S., Liu, M., Song, Y., Fu, Z., Shi, H., Raley-Susman, K.M., and He, D.&amp;nbsp; 2018.&amp;nbsp; Microplastic particles cause intestinal damage and other adverse effects in zebrafish Danio rerio and nematode Caenorhabditis elegans.&amp;nbsp; Science of the Total Environment 619-620: 1-8.&lt;/p&gt;

&lt;p&gt;Marshall, H. E., Merchant, K., &amp;amp; Stamler, J. S. (2000). Nitrosation and oxidation in the regulation of gene expression.&amp;nbsp;The FASEB Journal,&amp;nbsp;14(13), 1889-1900.&lt;/p&gt;

&lt;p&gt;Minc, E., De Coppet, P., Masson, P., Thiery, L., Dutertre, S., Amor-Gu&amp;eacute;ret, M., &amp;amp; Jaulin, C. (1999). The human copper-zinc superoxide dismutase gene (SOD1) proximal promoter is regulated by Sp1, Egr-1, and WT1 via non-canonical binding sites.&amp;nbsp;Journal of Biological Chemistry,&amp;nbsp;274(1), 503-509.&lt;/p&gt;

&lt;p&gt;Paul-Pont, I., Lacroix, C., Gonzalez Fernandez, D., Hegaret, H., Lambert, C., Le Goic, N., Frere, L., Cassone, A.L., Sussarellu, R. Fabioux, C., Guyomarch, J., Albentosa, M., Huvet, A., and Soudant, P.&amp;nbsp; 2016.&amp;nbsp; Exposure of marine mussels Mytillus spp. to polystyrene microplastics: Toxicity and influence on fluoranthene bioaccumulation.&amp;nbsp; Environmental Pollution 216: 724-737.&lt;/p&gt;

&lt;p&gt;Pines, A., Bivi, N., Romanello, M., Damante, G., Kelley, M. R., Adamson, E. D., ... &amp;amp; Tell, G. (2005). Cross-regulation between Egr-1 and APE/Ref-1 during early response to oxidative stress in the human osteoblastic HOBIT cell line: evidence for an autoregulatory loop.&amp;nbsp;Free radical research,&amp;nbsp;39(3), 269-281.&lt;/p&gt;

&lt;p&gt;Ramana, C. V., Boldogh, I., Izumi, T., &amp;amp; Mitra, S. (1998). Activation of apurinic/apyrimidinic endonuclease in human cells by reactive oxygen species and its correlation with their adaptive response to genotoxicity of free radicals.&amp;nbsp;Proceedings of the National Academy of Sciences,&amp;nbsp;95(9), 5061-5066.&lt;/p&gt;

&lt;p&gt;Ray, P.D., Huang, B.-W., and Tsuji, Y.&amp;nbsp; 2012.&amp;nbsp; Reactive oxygen species (ROS) homeostasis and redox regulation in cellular signalling.&amp;nbsp; Cellular Signalling 24:981-990.&lt;/p&gt;

&lt;p&gt;Schrinzi, G.F., Perez-Pomeda, I., Sanchis, J., Rossini, C., Farre, M., and Barcelo, D.&amp;nbsp; 2017.&amp;nbsp; Cytotoxic effects of commonly used nanomaterials and microplastics on cerebral and epithelial human cells. Environmental Research 159: 579-587.&lt;/p&gt;

&lt;p&gt;Shields, H.J., Traa, A., and Van Raamsdonk, J.M.&amp;nbsp; 2021.&amp;nbsp; Beneficial and Detrimental Effects of Reactive Oxygen Species on Lifespan: A Comprehensive Review of Comparative and Experimental Studies.&lt;/p&gt;

&lt;p&gt;Veneman, W.J., Spaink, H.P., Brun, N.R., Bosker, T., and Vijver, M.G.&amp;nbsp; 2017.&amp;nbsp; Pathway analysis of systemic transcriptome responses to injected polystyrene particles in zebrafish larvae.&amp;nbsp; Aquatic Toxicology 190: 112-120.&lt;/p&gt;

&lt;p&gt;Yu, P., Liu, Z., Wu, D., Chen, M., Lv, W., and Zhao, Y.&amp;nbsp; 2018.&amp;nbsp; Accumulation of polystyrene microplastics in juvenile Eriocheir sinensis and oxidative stress effects in the liver.&amp;nbsp; Aquatic Toxicology 200: 28-36.&lt;/p&gt;

&lt;p&gt;&amp;nbsp;&lt;/p&gt;

&lt;p&gt;&amp;nbsp;&lt;/p&gt;
</references>
    <source>AOPWiki</source>
    <creation-timestamp>2019-12-03T20:49:51</creation-timestamp>
    <last-modification-timestamp>2024-08-02T15:40:13</last-modification-timestamp>
  </key-event-relationship>
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      <value></value>
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      <emperical-support-linkage></emperical-support-linkage>
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    <evidence-supporting-taxonomic-applicability></evidence-supporting-taxonomic-applicability>
    <references></references>
    <source>AOPWiki</source>
    <creation-timestamp>2024-03-13T17:26:46</creation-timestamp>
    <last-modification-timestamp>2024-03-13T17:26:46</last-modification-timestamp>
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    <evidence-supporting-taxonomic-applicability></evidence-supporting-taxonomic-applicability>
    <references></references>
    <source>AOPWiki</source>
    <creation-timestamp>2024-07-04T12:29:03</creation-timestamp>
    <last-modification-timestamp>2024-07-04T12:29:03</last-modification-timestamp>
  </key-event-relationship>
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    <weight-of-evidence>
      <value></value>
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      <emperical-support-linkage></emperical-support-linkage>
      <uncertainties-or-inconsistencies></uncertainties-or-inconsistencies>
    </weight-of-evidence>
    <known-modulating-factors/>
    <quantitative-understanding>
      <description></description>
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    <applicability>
    </applicability>
    <evidence-supporting-taxonomic-applicability></evidence-supporting-taxonomic-applicability>
    <references></references>
    <source>AOPWiki</source>
    <creation-timestamp>2024-04-09T16:51:38</creation-timestamp>
    <last-modification-timestamp>2024-04-09T16:51:38</last-modification-timestamp>
  </key-event-relationship>
  <key-event-relationship id="bd1ba8e2-e38f-4ce5-bc5e-390eb74c7ac7">
    <title>
      <upstream-id>dfd2050b-0ef7-4d41-8ebf-91a872d74b98</upstream-id>
      <downstream-id>c5ae85db-8e82-4958-b0b7-b5f31009ae33</downstream-id>
    </title>
    <description></description>
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    <weight-of-evidence>
      <value></value>
      <biological-plausibility></biological-plausibility>
      <emperical-support-linkage></emperical-support-linkage>
      <uncertainties-or-inconsistencies></uncertainties-or-inconsistencies>
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      <description></description>
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    <evidence-supporting-taxonomic-applicability></evidence-supporting-taxonomic-applicability>
    <references></references>
    <source>AOPWiki</source>
    <creation-timestamp>2024-04-09T16:51:54</creation-timestamp>
    <last-modification-timestamp>2024-04-09T16:51:54</last-modification-timestamp>
  </key-event-relationship>
  <key-event-relationship id="d7b63af4-db4c-472e-8667-6a4ab00a380e">
    <title>
      <upstream-id>22e45636-d8d6-4f45-9791-5c81604781de</upstream-id>
      <downstream-id>c3ac130e-7a8b-4153-9b1c-28a4ed18997d</downstream-id>
    </title>
    <description>&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;Oxidative stress is a cellular state in which there is excess generation of reactive oxygen species (ROS) and oxidation of macromolecules (Guo et al., 2013). The oxidation of macromolecules in particular can lead to many sources of mitochondrial dysfunction, such as the peroxidation of proteins essential to calcium homeostasis within the cell, dysfunction of the mitochondrial permeability transition pore (mPTP), altered mitochondrial membrane potential, and changes in antioxidant gene expression (Kruidering et al., 1997; Belyaeva et al., 2012; Guo et al., 2013).&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
</description>
    <evidence-collection-strategy></evidence-collection-strategy>
    <weight-of-evidence>
      <value></value>
      <biological-plausibility>&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;The biological rationale for linking increased oxidative stress with an increase in mitochondrial dysfunction is strong. This is supported by a variety of articles (Bhatti, Bhatti, and Reddy, 2017). &lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;ROS molecules attack proteins, lipids, and nucleic acids non-specifically, which then continues to cause increased mitochondrial dysfunction (Kruidering et al., 1997). One example of a sign of mitochondrial dysfunction is the opening of the MPT pore, which is induced by calcium overload within the mitochondria, elevated phosphate levels, adenine nucleotide depletion, and conditions of oxidative stress (Belyaeva et al., 2012). Calcium homoeostasis proteins are known to be particularly vulnerable to ROS attack, resulting in oxidative stress leading to calcium excess in the mitochondria (Guo et al., 2013). Increased oxidative stress is also known to lead to changes in membrane potential and changes in antioxidant gene expression for genes such as superoxide dismutase (SOD) (Huerta-Garc&amp;iacute;a et al., 2014). Mitochondrial changes occur in situations of increased oxidative stress due to the increased content of oxidized macromolecules within the cell as oxidative stress progresses (Guo et al., 2013).&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
</biological-plausibility>
      <emperical-support-linkage>&lt;h3&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Calibri Light&amp;quot;,sans-serif"&gt;&lt;span style="color:#1f4d78"&gt;Dose concordance&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/h3&gt;

&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;There were several studies which directly assessed the dose concordance between increased oxidative stress and increased mitochondrial dysfunction. One study compared the ROS formation and mitochondrial membrane potential in pig kidney mitochondria when treated with cisplatin concentrations of 100 and 500 &amp;mu;M (Kruidering et al., 1997). They found ROS formation, which was dose-dependant, caused a likewise dose-dependant decrease in mitochondrial membrane potential, which had a lower rate of change than ROS production (Kruidering et al., 1997). Another study found that rat kidney mitochondria treated with uranium acetate for 30 minutes showed significant ROS formation and lipid peroxidation with 100 &amp;mu;M treatment, while mitochondrial membrane potential was not altered significantly until 200 &amp;mu;M (Shaki et al., 2012). &amp;nbsp;In addition, &amp;nbsp;following treatment for an hour, rat kidney mitochondria did not show mitochondrial outer membrane integrity loss until treated with 200 &amp;mu;M uranium acetate. ROS production and GSH depletion were both significant as of 50 &amp;mu;M (Shaki et al., 2012). A study of copper, cadmium, and mercury on human kidney cells found that when treated for 3 hours with cadmium and mercury, significant increases in ROS formation occurred at 10 &amp;mu;M, while proton leakage across the mitochondrial membrane was not significantly increased from the control until 100 or 50 &amp;mu;M (Belyaeva et al., 2012). Another article found that copper nanoparticle treatment for 12 hours resulted in oxidative stress, characterized by increased lipid peroxidation and decreased SOD activity, which occurred at a dose of 20 &amp;mu;g/mL; however,mitochondrial membrane potential was not significantly decreased until 60 &amp;mu;g/mL (Zhang et al., 2018). &lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;h3&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Calibri Light&amp;quot;,sans-serif"&gt;&lt;span style="color:#1f4d78"&gt;Temporal concordance&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/h3&gt;

&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;Very few studies have shown temporal concordance between increased oxidative stress and increased mitochondrial dysfunction. One study found that rat kidney mitochondria treated with 100 &amp;mu;M uranium acetate showed significant ROS formation after 30 minutes of treatment, while mitochondrial membrane potential and mitochondrial membrane permeability were not altered significantly until 40 minutes after treatment, at which point both showed time-dependant decreases (Shaki et al., 2012). &lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;strong&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Calibri Light&amp;quot;,sans-serif"&gt;&lt;span style="color:#1f4d78"&gt;Incidence concordance&lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/strong&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;Some studies showed incidence concordance for the relationship between increased oxidative stress and increased mitochondrial dysfunction. &lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;One article assessed the impact of 500 &amp;mu;M depleted uranium treatment on human proximal tubular cell mitochondria for 24 hours and found that ROS production increased by 4.62 times compared to the control level while mitochondrial membrane potential was reduced by only 3.8 times compared to the control (Hao et al., 2014). Another study investigated the effects of 20 &amp;mu;g/cm&lt;sup&gt;2&lt;/sup&gt; titanium nanoparticle treatment for 24 h on rat cancerous brain cells (Huerta-Garc&amp;iacute;a et al., 2014). They found that ROS production increased by 5.5 times the control level and that mitochondrial depolarization was increased by only 3.4 times the control level (Huerta-Garc&amp;iacute;a et al., 2014). A study of the effects of Au1.4MS gold nanoparticles on HeLa cells found that 100 &amp;mu;M treatment showed a dose-dependant increase in oxidative stress that was seen as early as 12 hours post-treatment and mitochondrial potential was also decreased in a dose-dependant manner at the same time (Pan et al., 2009). Another study conducted on rats treated with mercury at a dose of 3 mg/kg body weight for 24 hours found that kidney mitochondria from treated rats showed an increase of 11.5 times the control level of lipid peroxidation and also showed a decreased ability to accumulate calcium ions within the mitochondria and decreased transmembrane potential of the mitochondria (Buelna-Chontal et al., 2017). This study also showed that there was a decrease in mitochondrial respiratory function that was reflected in the ratio between the oxygen consumption rate after the addition of ADP and the oxygen consumption rate without ADP (the RC). The control RC was 4.7 times higher than the RC of the treated rat mitochondria . A study of the effects of cisplatin on rat kidney mitochondria found that the GSH/GSSG ratio was lower 76% than the control. In treated mitochondria, lipid peroxidation was increased by 1.6 times, and carbonyl protein was increased by 1.9 times the control levels, while a 25% reduction in ATP content was observed compared tothe control (Santos et al., 2007). Mouse embryo fibroblasts treated with 6.25 &amp;mu;g/mL of nickel-refining fumes for 24 hours resulted in GSH content and ATP levels that were both significantly decreased from the control (Wang et al., 2016).&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;h3&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Calibri Light&amp;quot;,sans-serif"&gt;&lt;span style="color:#1f4d78"&gt;Essentiality &lt;/span&gt;&lt;/span&gt;&lt;/span&gt;&lt;/h3&gt;

&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;There is evidence that in the absence of the induction of oxidative stress, and particularly of ROS production, mitochondrial dysfunction and cellular death were completely blocked (Almofti et al., 2003; Miyayama et al., 2013). The prevention of oxidative stress was achieved through treatment with thiol-containing antioxidants such as GSH and MT, which are able to chelate metal ions themselves and deplete ROS molecules within the cell to their proper concentration (Almofti et al., 2003; Jozefczak et al., 2012; Miyayama et al., 2013). The induction of changes in mitochondrial membrane potential independent of ROS production, have also been shown to cause changes in ROS production rate (Suski et al., 2012). &lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
</emperical-support-linkage>
      <uncertainties-or-inconsistencies>&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;Uncertainties and inconsistencies in this KER are listed below:&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;ol&gt;
	&lt;li&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;One article had data which showed that a decrease in membrane potential preceded ROS formation when investigating temporal concordance (Kruidering et al., 1997). A decrease in mitochondrial membrane potential occurred after 10 or 15 minutes but ROS formation did not occur until 30 or 40 minutes when pig kidney mitochondria were treated with 100 and 500 &amp;mu;M of cisplatin. &amp;nbsp;&lt;/span&gt;&lt;/span&gt;&lt;/li&gt;
&lt;/ol&gt;
</uncertainties-or-inconsistencies>
    </weight-of-evidence>
    <known-modulating-factors>&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;One modulating factor for the relationship between oxidative stress and mitochondrial dysfunction is age. Many sources have confirmed that mitochondrial ROS production is increased as a result of the mitohormesis hypothesis (Nissanka and Moraes, 2018; Zelenka, Dvorak, and Alan, 2015; Wei et al., 2015; Kudryavtseva et al., 2016). This theory explains that as organisms undergo cellular stresses, ROS are employed as signalling molecules for the stress response pathway (Nissanka and Moraes, 2018; Zelenka, Dvorak, and Alan, 2015; Wei et al., 2015; Kudryavtseva et al., 2016). However, as cells age, they eventually reach a threshhold of age-dependant damage whereupon ROS signalling would become chronic and would lead to mitochondrial dysfunction (Nissanka and Morans, 2018; Zelenka, Dvorak, and Alan, 2015; Wei et al., 2015; Kudryavtseva et al., 2016).&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;Another known modulating factor between oxidative stress and mitochondrial dysfunction is diabetes. Several studies show that mitochondrial ROS generation, mitochondrial calcium accumulation leading to mitochondrial swelling, and the opening of the mitochondrial permeability transition pore are increased in renal mitochondria from diabetic cases compared to non-diabetic renal mitochondria, and result in a quicker progression from oxidative stress to mitochondrial dysfunction (Forbes and Thorburn, 2018; Schiffer and Friederich-Persson, 2017). Diabetes causes changes in ROS generation due to the fact that cellular hyperglycemia induces increased pyruvate concentrations in the mitochondria (Forbes and Thorburn, 2018; Schiffer and Friederich-Persson, 2017). When pyruvate is used too quickly to supply the ETC with electrons the mitochondrial membrane becomes hyperpolarized and there is a resulting increase in ROS production (Schiffer and Friederich-Persson, 2017). Excessive nutrients in the cell also results in an increased need for insulin production that affects the endoplasmic reticulum (ER).because a large number of sulfide bonds must be formed to create insulin molecules and these reactions increase ROS production as a byproduct (Patergnani et al., 2021). This causes ER dysfunction and impaired protein folding, leading to a vicious cycle of mitochondrial stress leading to ER stress which leads to further mitochondrial stress, eventually inducing apoptosis. The hyperglycemic state of the cells also becomes chronic, leading to the further development of diabetes . These increases in oxidative stress are thereby able to induce heightened mitochondrial dysfunction at a faster rate than in a non-diabetic cell (Patergnani et al., 2021). &lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;Similarly, high fat diets (HFD) have been known to induce renal dysfunction through mitochondrial dysfunction and oxidative stress (Sun et al., 2020). HFD-fed mice developed oxidative stress and mitochondrial dysfunction as a result of the upregulated expression of Gp91, a subunit of NADPH oxidase that is commonly identified as a marker of oxidative stress . Mitochondria were also more numerous in the HFD-fed mice and were releasing increased cytochrome c content, indicating that mitochondrial dysfunction was present and that it was initiating apoptosis (Sun et al., 2020). &lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
</known-modulating-factors>
    <quantitative-understanding>
      <description></description>
      <response-response-relationship>&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;There are not many studies showing a response-response relationship for oxidative stress leading to mitochondrial dysfunction. There is one study which shows the relationship between mitochondrial superoxide production and mitochondrial content in mouse embryo fibroblasts using benzo[a]pyrene (B[a]P) to induce mitochondrial superoxides with varying polyphenols to modulate the response (Omidian, Rafiei, and Bandy, 2020). The mitochondrial content can be used to observe changes in the rate of mitochondrial biogenesis and mitophagy, allowing for observation of mitochondrial dysfunction in the cell (Miller and Hamilton, 2012; Omidian, Rafiei, and Bandy, 2020). As mtROS content increased, the mitochondrial content in the cells decreased, with the relationship being strongly negative (r = -0.86) (Omidian, Rafiei, and Bandy, 2020). There was one other study which also showed the correlation between superoxide concentration and decreased mitochondrial function in human fibroblasts (Yakes and Van Houten, 1997). The mitochondrial function in the treated cells was assessed via the reduction of 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl tetrazolium bromide (MTT) . This study found that when the fibroblasts were treated with H&lt;sub&gt;2&lt;/sub&gt;O&lt;sub&gt;2&lt;/sub&gt; concentrations from 0 to 400 &amp;mu;M, the cells showed a steep linear reduction of MTT up to 200 &amp;mu;M reaching approximately 20% of the MTT unreduced in comparison with the control . Further examination of their figure revealed that the correlation coefficient for the treatments up to 200 &amp;mu;M showed a very strong negative correlation (r = -0.99). Treatment with 400 &amp;mu;M H&lt;sub&gt;2&lt;/sub&gt;O&lt;sub&gt;2&lt;/sub&gt; did not result in a significant further reduction of MTT (Yakes and Van Houten, 1997).&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
</response-response-relationship>
      <time-scale>&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;There are too few studies showing the temporal aspect of the relationship between oxidative stress and mitochondrial dysfunction to identify a time-scale. Further research will be required in order to understand the timing of this relationship. &lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
</time-scale>
      <feedforward-feedback-loops>&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;There is a known feedback loop for the relationship between oxidative stress and calcium homeostasis. The formation of ROS within the mitochondria leads to the disruption of homeostasis, causing the opening of the mitochondrial permeability transition pore and a decrease in membrane permeability when sufficient ROS is accumulated to reach the mPTP ROS threshold (Rottenberg and Hoek, 2017; Zorov, Juhaszova, and Sollott, 2006; Zorov, Juhaszova, and Sollott, 2014; Park, Lee, and Choi, 2011). The opening of the mPTP also induces a burst of ROS formation, which is delayed by a few seconds from the loss of mitochondrial membrane potential, and is a result of conformational changes to complex I of the mitochondrial electron transport chain (Zorov, Juhaszova, and Sollott, 2006; Park, Lee, and Choi, 2011). This ROS burst is able to leave the affected mitochondria due to the open mPTP and the decrease in membrane permeability. These molecules then go on to interact with other mitochondria . These ROS molecules act as secondary messengers, activating the RIRR process in neighbouring mitochondria until the cell eventually undergoes apoptosis (Zorov, Juhaszova, and Sollott, 2006; Zorov, Juhaszova, and Sollott, 2014; Park, Lee, and Choi, 2011). &lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
</feedforward-feedback-loops>
    </quantitative-understanding>
    <applicability>
    </applicability>
    <evidence-supporting-taxonomic-applicability>&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;The domain of applicability pertains to only eukaryotic organisms, as prokaryotic organisms do not have mitochondria (Lynch and Marinov, 2017).&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
</evidence-supporting-taxonomic-applicability>
    <references>&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;Almofti, M.R., Ichikawa, T., Yamashita, K., Terada, H., Shinohara, Y. (2003). Silver&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="margin-left:48px"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;ion induces a cyclosporine a-insensitive permeability transition in rat liver&lt;br /&gt;
mitochondria and release of apoptogenic cytochrome c. &lt;em&gt;J. Biochem., 134&lt;/em&gt;, 43&amp;ndash;49. doi: 10.1093/jb/mvg111&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;Belyaeva, E. A., Sokolova, T. V., Emelyanova, L. V., &amp;amp; Zakharova, I. O. (2012). Mitochondrial &lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="margin-left:48px"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;electron transport chain in heavy metal-induced neurotoxicity : Effects of cadmium, mercury, and copper.&lt;em&gt;&amp;nbsp;Thescientificworld,&amp;nbsp;2012&lt;/em&gt;, 1-14. doi:10.1100/2012/136063&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;Bhatti, J. S., Bhatti, G. K., &amp;amp; Reddy, P. H. (2017). Mitochondrial dysfunction and oxidative&lt;/p&gt;

&lt;p style="margin-left:48px"&gt;stress in metabolic disorders - A step towards mitochondrial based therapeutic strategies.&lt;em&gt;&amp;nbsp;Biochimica Et Biophysica Acta (BBA) - Molecular Basis of Disease,&amp;nbsp;1863&lt;/em&gt;(5), 1066-1077. doi:10.1016/j.bbadis.2016.11.010&lt;/p&gt;

&lt;p&gt;Buelna-Chontal, M., Franco, M., Hernandez-Esquivel, L., Pavon, N., Rodriguez-Zalvala, J. S.,&lt;/p&gt;

&lt;p style="margin-left:48px"&gt;Correa, F., . . . Chavez, E. (2017). CDP-choline circumvents mercury-induced mitochondrial damage and renal dysfunction.&lt;em&gt;&amp;nbsp;Cell Biology International,&amp;nbsp;41&lt;/em&gt;, 1356-1366. doi:10.1002/cbin.10871&lt;/p&gt;

&lt;p&gt;Forbes, J. M., &amp;amp; Thorburn, D. R. (2018). Mitochondrial dysfunction in diabetic kidney&lt;/p&gt;

&lt;p style="margin-left:48px"&gt;disease.&lt;em&gt;&amp;nbsp;Nature Review Nephrology,&amp;nbsp;14&lt;/em&gt;(5), 291. doi:10.1038/nrneph.2018.9&lt;/p&gt;

&lt;p&gt;Guo, C., Sun, L., Chen, X., &amp;amp; Zhang, D. (2013). Oxidative stress, mitochondrial damage and&lt;/p&gt;

&lt;p style="margin-left:48px"&gt;neurodegenerative diseases.&lt;em&gt;&amp;nbsp;Neural Regen Rex,&amp;nbsp;8&lt;/em&gt;(21), 2003-2014. doi:0.3969/j.issn.1673-5374.2013.21.009&lt;/p&gt;

&lt;p&gt;Hao, Y., Ren, J., Liu, C., Li, H., Liu, J., Yang, Z., . . . Su, Y. (2014). Zinc protects human kidney&lt;/p&gt;

&lt;p style="margin-left:48px"&gt;cells from depleted uranium induced apoptosis.&lt;em&gt;&amp;nbsp;Basic &amp;amp; Clinical Pharmacology &amp;amp; Toxicology,&amp;nbsp;114&lt;/em&gt;, 271-280. doi:10.1111/bcpt.12167&lt;/p&gt;

&lt;p&gt;Huerta-Garc&amp;iacute;a, E., Perez-Arizti, J. A., Marquez-Ramirez, S. G., Delgado-Buenrostro, N. L.,&lt;/p&gt;

&lt;p style="margin-left:48px"&gt;Chirino, Y. I., Iglesias, G. G., &amp;amp; Lopez-Marure, R. (2014). Titanium dioxide nanoparticles induce strong oxidative stress and mitochondrial damage in glial cells.&lt;em&gt;&amp;nbsp;Free Radical Biology and Medicine,&amp;nbsp;73&lt;/em&gt;, 84-94. doi:10.1016/j.freeradbiomed.2014.04.026&lt;/p&gt;

&lt;p&gt;Jozefczak, M., Remans, T., Vangronsveld, J., &amp;amp; Cuypers, A. (2012).&amp;nbsp;Glutathione is a key player&lt;/p&gt;

&lt;p style="margin-left:48px"&gt;in metal-induced oxidative stress defenses.&lt;em&gt;&amp;nbsp;&lt;/em&gt;&lt;em&gt;Int.J.Mol.Sci.,&amp;nbsp;13&lt;/em&gt;(3), 3145-3175. doi:10.3390/ijms13033145&lt;/p&gt;

&lt;p&gt;Kruidering, M., Van De Water, B., De Heer, E., Mulder, G. J., &amp;amp; Nagelkerke, J. F. (1997).&lt;/p&gt;

&lt;p style="margin-left:48px"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;Cisplatin-induced nephrotoxicity in porcine proximal tubular cells: Mitochondrial dysfunction by inhibition of complexes I to IV of the respiratory chain.&lt;em&gt;&amp;nbsp;The Journal of Pharmacology and Experimental Therapeutics,&amp;nbsp;280&lt;/em&gt;(2), 638-649.&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;Kudryavtseva, A. V., Krasnov, G. S., Dmitriev, A. A., Alekseev, B. Y., Kardymon, O. L., &lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="margin-left:48px"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;Sadritdinova, A. F., . . . Snezhkina, A. V. (2016). Mitochondrial dysfunction and oxidative stress in aging and cancer.&lt;em&gt;&amp;nbsp;Oncotarget,&amp;nbsp;7&lt;/em&gt;(29), 44879-44905. doi:10.18632/oncotarget.9821&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;Miller, B. F., &amp;amp; Hamilton, K. L. (2012). A perspective on teh determination of mitochondrial &lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="margin-left:48px"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;biogenesis.&lt;em&gt;&amp;nbsp;Am. J. Physiol. Endocrinol. Metab.,&amp;nbsp;302&lt;/em&gt;(5), 496-499. doi:10.1152/ajpendo.00578.2011 &lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;Miyayama, T., Arai, Y., Suzuki, N., &amp;amp; Hirano, S. (2013). Mitochondrial electron transport is &lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="margin-left:48px"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;inhibited by disappearance of metallothionein in human bronchial epithelial cells follwoing exposure to silver nitrate.&lt;em&gt;&amp;nbsp;Toxicology,&amp;nbsp;305&lt;/em&gt;, 20-29. doi:10.1016/j.tox.2013.01.004&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;Nissanka, N., &amp;amp; Moraes, C. T. (2018). Mitochondrial DNA damage and reactive oxygen species &lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="margin-left:48px"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;in neurodegenerative disease.&lt;em&gt;&amp;nbsp;FEBS Lett.,&amp;nbsp;592&lt;/em&gt;(5), 728-742. doi:10.1002/1873-3468.12956 &lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;Lynch, M., &amp;amp; Marinov, G. K. (2017). Membranes, energetics, and evolution across the &lt;/span&gt;&lt;/span&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;prokaryote-eukaryote&amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; divide.&amp;nbsp;&lt;em&gt;eLife&lt;/em&gt;,&amp;nbsp;&lt;em&gt;6&lt;/em&gt;, e20437. 10.7554/eLife.20437&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;Omidian, K., Rafiei, H., &amp;amp; Bandy, B. (2020). Increased mitochondrial content and function by &lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="margin-left:48px"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;resveratrol and select flavonoids protects against benzo[a]pyrene-induced bioenergetic dysfunction and ROS generation in a cell model of neoplastic transformation. Free Radical Biology and Medicine, 152, 767-775. doi:https://doi-org.proxy.lib.uwaterloo.ca/10.1016/j.freeradbiomed.2020.01.021&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&amp;nbsp;Pan, Y., Leifer, A., Ruau, D., Neuss, S., Bonrnemann, J., Schmid, G., . . . Jahnen-Dechent, W. &lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="margin-left:48px"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;(2009). Gold nanoparticles of diameter 1.4 nm trigger necrosis by oxidative stress and mitochondrial damage.&lt;em&gt;&amp;nbsp;Small,&amp;nbsp;5&lt;/em&gt;(8), 2067-2076. doi:10.1002/smll.200900466&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;Park, J., Lee, J., &amp;amp; Choi, C. (2011). Mitochondrial network determines intracellular ROS &lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="margin-left:48px"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;dynamics and sensitivity to oxidative stress through switching inter-mitochondrial messengers.&lt;em&gt;&amp;nbsp;&lt;/em&gt;&lt;em&gt;Plos One,&amp;nbsp;6&lt;/em&gt;(8), e23211. doi:10.1371/journal.pone.0023211&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;Patergnani, S., Bouhamida, E., Leo, S., Pinton, P., &amp;amp; Rimessi, A. (2021). Mitochondrial &lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="margin-left:48px"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;oxidative stress and &amp;quot;mito-inflammation&amp;quot;: Actors in the diseases.&lt;em&gt;&amp;nbsp;&lt;/em&gt;&lt;em&gt;Biomedicines,&amp;nbsp;9&lt;/em&gt;(2), 216. doi:10.3390/biomedicines9020216&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;Santos, N. A. G., Cat&amp;atilde;o, C. S., Martins, N. M., Curti, C., Bianchi, M. L. P., &amp;amp; Santos, A. C. &lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="margin-left:48px"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;(2007). Cisplatin-induced nephrotoxicity is associated with oxidative stress, redox state unbalance, impairment of energetic metabolism and apoptosis in rat kidney mitochondria.&lt;em&gt;&amp;nbsp;Archives of Toxicology,&amp;nbsp;81&lt;/em&gt;(7), 495-504. doi:10.1007/s00204-006-0173-2&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;Schiffer, T. A., &amp;amp; Friederich-Persson, M. (2017). Mitochondrial reactive oxygen species and &lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="margin-left:48px"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;kidney hypoxia in the development of diabetic nephropathy.&lt;em&gt;&amp;nbsp;&lt;/em&gt;&lt;em&gt;Front. Physiol.,&amp;nbsp;8&lt;/em&gt;:211. doi:10.3389/fphys.2017.00211&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;Shaki, F., Hosseini, M. J., Ghazi-Khansari, M., &amp;amp; Pourahmad, J. (2012). Toxicity of depleted &lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="margin-left:48px"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;uranium on isolated rat kidney mitochondria.&lt;em&gt;&amp;nbsp;Biochimica Et Biophysica Acta - General Subjects,&amp;nbsp;1820&lt;/em&gt;(12), 1940-1950. doi:10.1016/j.bbagen.2012.08.015&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;Sun, Y., Ge, X., He, J., Wei, X., Du, J., Sum, J., . . . Li, Y. C. (2020). High-fat diet promotes &lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="margin-left:48px"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;renal injury by inducing oxidative stress and mitochondrial dysfunction.&lt;em&gt;&amp;nbsp;Cell Death and Disease,&amp;nbsp;11&lt;/em&gt;, 914. doi:10.1038/s41419-020-03122-4&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;Suski, J. M., Lebiedzinska, M., Bonora, M., Pinton, P., Duszynski, J., &amp;amp; Wieckowski. M.R. &lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="margin-left:48px"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;(2012). Relation between mitochondrial membrane potential and ROS formation. Mitochondrial Bioenergetics, 810, 183-205. doi:10.1007/978-1-61779-382-0_12 &lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;Wang, Y., Wang, S., Jia, L., Zhang, L., Ba, J., Han, D., . . . Wu, Y. (2016). Nickel-refining &lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="margin-left:48px"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;fumes induced DNA damage and apoptosis of NIH/3T3 cells via oxidative stress.&lt;em&gt;&amp;nbsp;International Journal of Environmental Research and Public Health,&amp;nbsp;13&lt;/em&gt;(7), 629-644. doi:10.3390/ijerph13070629&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;Wei, Y., Zhang, Y., Cai, Y., &amp;amp; Xu, M. (2015). The role of mitochondria in mTOR-regulated &lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="margin-left:48px"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;longevity.&lt;em&gt;&amp;nbsp;Biol. Rev.,&amp;nbsp;90&lt;/em&gt;, 167-181. doi:10.1111/brv.12103&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;Yakes, F. M., &amp;amp; Van Houten, B. (1997). Mitochondrial DNA damage is more extensive and &lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="margin-left:48px"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;persists longer than nuclear DNA damage in human cells following oxidative stress.&lt;em&gt;&amp;nbsp;Proc.Natl.Acad.Sci.U.S.A.,&amp;nbsp;94&lt;/em&gt;, 514-519. doi:10.1073/pnas.94.2.514&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;&amp;nbsp;Zelenka, J., Dvorak, A., &amp;amp; Alan, L. (2015). L-lactate protects skin fibroblasts against aging-&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="margin-left:48px"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;asociated mitochondrial dysfunction via mitohormesis.&lt;em&gt;&amp;nbsp;Oxidative Medicine and Cellular Longevity,&amp;nbsp;2015&lt;/em&gt;&amp;nbsp;doi:10.1155/2015/351698&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;Zhang, H., Chang, Z., Mehmood, K., Abbas, R. Z., Nabi, F., Rehman, M. U., . . . Zhou, D. &lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="margin-left:48px"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;(2018). Nano copper induces apoptosis in PK-15 cells via a mitochondria-mediated pathway.&lt;em&gt;&amp;nbsp;Biological Trace Element Research,&amp;nbsp;181&lt;/em&gt;(1), 62-70. doi:10.1007/s12011-017-1024-0&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;Zorov, D. B., Juhaszova, M., &amp;amp; Sollot, S. J. (2006). Mitochondrial ROS-induced ROS release: &lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="margin-left:48px"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;An update and review.&lt;em&gt;&amp;nbsp;Biochimica Et Biophysica Acta,&amp;nbsp;5&lt;/em&gt;(1757), 509-517. doi:10.1016/j.bbabio.2006.04.029&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;Zorov, D. B., Juhaszova, M., &amp;amp; Sollot, S. J. (2014). Mitochondrial reactive oxygen species &lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="margin-left:48px"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;(ROS) and ROS-induced ROS release.&lt;em&gt;&amp;nbsp;Physiol. Rev.,&amp;nbsp;94&lt;/em&gt;(3), 909-950. doi:10.1152/physrev.00026.2013&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;
</references>
    <source>AOPWiki</source>
    <creation-timestamp>2024-02-17T13:18:35</creation-timestamp>
    <last-modification-timestamp>2024-05-31T17:58:26</last-modification-timestamp>
  </key-event-relationship>
  <aop id="aa716d9d-acf9-4355-bc57-fc8a7183d27d">
    <title>ERa inactivation alters mitochondrial functions and insulin signalling in skeletal muscle and leads to insulin resistance and metabolic syndrome</title>
    <short-name>ERa inactivation leads to insulin resistance in skeletal muscle and metabolic syndrome</short-name>
    <point-of-contact>Min Ji Kim</point-of-contact>
    <authors>&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;Min Ji Kim&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;Jean-Pascal De Bandt&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;Antoine Girardon&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;Etienne Blanc&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;Xavier Coumoul &lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;Karine Audouze&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&amp;nbsp;&lt;/p&gt;
</authors>
    <coaches>
    </coaches>
    <external_links>
    </external_links>
    <status>
      <wiki-license>BY-SA</wiki-license>
    </status>
    <oecd-project/>
    <handbook-version>2.6</handbook-version>
    <abstract>&lt;p style="text-align:justify"&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;Estrogens are not only important in the development and functions of the reproductive system, but also play a role in metabolic functions and insulin sensitivity. Thus, before menopause,&amp;nbsp; women display higher insulin sensitivity and lower propensity to develop metabolic dysfunction-related diseases such as insulin resistance, type 2 diabetes, cancers and cardiovascular diseases than men but, after menopause, incidence of these diseases is similar in both sex [1]. In parallel, hormone replacement therapy has positive effects on insulin resistance [2]. Similarly, men with a mutation in the aromatase gene, who don&amp;rsquo;t have circulating estrogen, develop insulin resistance that can be reversed by estrogen therapy [3]. &lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="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:&amp;quot;Times New Roman&amp;quot;,serif"&gt;Skeletal muscle is known to play a central role in the development of insulin resistance (IR). Due to the important mass of skeletal muscle (30 to 40% of total body mass), any defect in glucose entry into the muscle cells, caused by muscle IR, significantly affects whole body glucose disposition. Subsequently, IR in skeletal muscle favors hyperglycemia and increase the risk of type 2 diabetes [4]. The importance of estrogens and their effects mediated through ER&lt;span style="font-family:Symbol"&gt;a&lt;/span&gt; in insulin resistance was suggested by whole body ER&lt;span style="font-family:Symbol"&gt;a&lt;/span&gt; knock-out (KO) and muscle-specific ER&lt;span style="font-family:Symbol"&gt;a&lt;/span&gt; KO mice that are obese and insulin resistant [5,6]. A negative association between muscle ER&lt;span style="font-family:Symbol"&gt;a&lt;/span&gt; expression and fat mass or insulinemia is observed in women and in genetically obese mice emphasizing the importance of muscle ER&lt;span style="font-family:Symbol"&gt;a&lt;/span&gt; signaling in insulin sensitivity [6]. Thus, the alterations resulting from reduced muscle ER&lt;span style="font-family:Symbol"&gt;a&lt;/span&gt; activity is important to consider to better understand mechanisms leading to muscle insulin resistance. &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:&amp;quot;Times New Roman&amp;quot;,serif"&gt;Decreased mitochondrial oxidative capacity, increased production of reactive oxygen species and impaired insulin signaling should be considered as they are known to be key features of insulin-resistant muscle [7] and are also present in ER&lt;span style="font-family:Symbol"&gt;a&lt;/span&gt; KO mice [5,6]. &lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="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:&amp;quot;Times New Roman&amp;quot;,serif"&gt;Thus, the AOP that we propose here links the inactivation of ER&lt;span style="font-family:Symbol"&gt;a&lt;/span&gt; in skeletal muscle to one of the hallmarks of the metabolic syndrome that is insulin resistance taking account the following events &amp;ldquo;decreased mitochondrial fatty acid oxidation&amp;rdquo;, &amp;ldquo;increased reactive oxygen species&amp;rdquo;, &amp;ldquo;mitochondrial dysfunction&amp;rdquo;, &amp;ldquo;increased oxidative stress&amp;rdquo; and &amp;ldquo;impaired insulin signaling&amp;rdquo;.&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p style="text-align:justify"&gt;&amp;nbsp;&lt;/p&gt;

&lt;p style="text-align:justify"&gt;&amp;nbsp;&lt;/p&gt;
</abstract>
    <molecular-initiating-event key-event-id="8635a986-8fcd-4056-8452-8aaab7659641">
      <evidence-supporting-chemical-initiation></evidence-supporting-chemical-initiation>
    </molecular-initiating-event>
    <key-events>
      <key-event key-event-id="d4ab3f13-f3de-486d-8214-cec237064218"/>
      <key-event key-event-id="9a0f5914-8411-42fb-ac73-224fbde9c548"/>
      <key-event key-event-id="c3ac130e-7a8b-4153-9b1c-28a4ed18997d"/>
      <key-event key-event-id="22e45636-d8d6-4f45-9791-5c81604781de"/>
      <key-event key-event-id="4f8271ec-376c-48b1-8e74-e4a60a297d7f"/>
    </key-events>
    <adverse-outcome key-event-id="dfd2050b-0ef7-4d41-8ebf-91a872d74b98">
      <examples>&lt;p&gt;There are currently no examples of IR being used in a regulatory role.&lt;/p&gt;
</examples>
    </adverse-outcome>
    <adverse-outcome key-event-id="c5ae85db-8e82-4958-b0b7-b5f31009ae33">
      <examples/>
    </adverse-outcome>
    <key-event-relationships>
      <relationship id="9f25848a-c0ba-4118-99ba-8b330c075f88">
        <adjacency>adjacent</adjacency>
        <quantitative-understanding-value>Not Specified</quantitative-understanding-value>
        <evidence>High</evidence>
      </relationship>
      <relationship id="d6b8c874-9bd1-4962-aa91-ca7a718095f5">
        <adjacency>adjacent</adjacency>
        <quantitative-understanding-value>Not Specified</quantitative-understanding-value>
        <evidence>High</evidence>
      </relationship>
      <relationship id="ad488348-1a79-494d-b8d7-9e2ec6e6654b">
        <adjacency>adjacent</adjacency>
        <quantitative-understanding-value>Not Specified</quantitative-understanding-value>
        <evidence>High</evidence>
      </relationship>
      <relationship id="715557d4-f0d2-4890-bfac-d3b166aa3c16">
        <adjacency>adjacent</adjacency>
        <quantitative-understanding-value>Not Specified</quantitative-understanding-value>
        <evidence>High</evidence>
      </relationship>
      <relationship id="f923a34c-36b3-45f0-bb76-a3a8df47885d">
        <adjacency>adjacent</adjacency>
        <quantitative-understanding-value>Not Specified</quantitative-understanding-value>
        <evidence>Moderate</evidence>
      </relationship>
      <relationship id="f3d270c7-4b63-4963-8cb0-2885e8ce8215">
        <adjacency>adjacent</adjacency>
        <quantitative-understanding-value>Not Specified</quantitative-understanding-value>
        <evidence>High</evidence>
      </relationship>
      <relationship id="7cb2bdb0-0d6a-4169-9ead-f4e4414a7aca">
        <adjacency>adjacent</adjacency>
        <quantitative-understanding-value>Not Specified</quantitative-understanding-value>
        <evidence>High</evidence>
      </relationship>
      <relationship id="bd1ba8e2-e38f-4ce5-bc5e-390eb74c7ac7">
        <adjacency>adjacent</adjacency>
        <quantitative-understanding-value>Not Specified</quantitative-understanding-value>
        <evidence>High</evidence>
      </relationship>
      <relationship id="d7b63af4-db4c-472e-8667-6a4ab00a380e">
        <adjacency>adjacent</adjacency>
        <quantitative-understanding-value>Not Specified</quantitative-understanding-value>
        <evidence>High</evidence>
      </relationship>
    </key-event-relationships>
    <applicability>
    </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>&lt;div&gt;
&lt;table class="table table-bordered table-fullwidth"&gt;
	&lt;thead&gt;
		&lt;tr&gt;
			&lt;th&gt;Modulating Factor (MF)&lt;/th&gt;
			&lt;th&gt;Influence or Outcome&lt;/th&gt;
			&lt;th&gt;KER(s) involved&lt;/th&gt;
		&lt;/tr&gt;
	&lt;/thead&gt;
	&lt;tbody&gt;
		&lt;tr&gt;
			&lt;td&gt;&amp;nbsp;&lt;/td&gt;
			&lt;td&gt;&amp;nbsp;&lt;/td&gt;
			&lt;td&gt;&amp;nbsp;&lt;/td&gt;
		&lt;/tr&gt;
	&lt;/tbody&gt;
&lt;/table&gt;
&lt;/div&gt;
</known-modulating-factors>
      <quantitative-considerations></quantitative-considerations>
    </overall-assessment>
    <potential-applications></potential-applications>
    <references>&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;[1]&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; M.C. Carr, The emergence of the metabolic syndrome with menopause, J Clin Endocrinol Metab. 88 (2003) 2404&amp;ndash;2411. https://doi.org/10.1210/jc.2003-030242.&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;[2]&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; F. Mauvais-Jarvis, J.E. Manson, J.C. Stevenson, V.A. Fonseca, Menopausal Hormone Therapy and Type 2 Diabetes Prevention: Evidence, Mechanisms, and Clinical Implications, Endocr Rev. 38 (2017) 173&amp;ndash;188. https://doi.org/10.1210/er.2016-1146.&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;[3]&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; V. Rochira, B. Madeo, L. Zirilli, G. Caffagni, L. Maffei, C. Carani, Oestradiol replacement treatment and glucose homeostasis in two men with congenital aromatase deficiency: evidence for a role of oestradiol and sex steroids imbalance on insulin sensitivity in men, Diabet Med. 24 (2007) 1491&amp;ndash;1495. https://doi.org/10.1111/j.1464-5491.2007.02304.x.&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;[4]&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; R.A. DeFronzo, D. Tripathy, Skeletal muscle insulin resistance is the primary defect in type 2 diabetes, Diabetes Care. 32 Suppl 2 (2009) S157-163. https://doi.org/10.2337/dc09-S302.&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;[5]&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; V. Ribas, M.T.A. Nguyen, D.C. Henstridge, A.-K. Nguyen, S.W. Beaven, M.J. Watt, A.L. Hevener, Impaired oxidative metabolism and inflammation are associated with insulin resistance in ERalpha-deficient mice, Am J Physiol Endocrinol Metab. 298 (2010) E304-319. https://doi.org/10.1152/ajpendo.00504.2009.&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;[6]&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; V. Ribas, B.G. Drew, Z. Zhou, J. Phun, N.Y. Kalajian, T. Soleymani, P. Daraei, K. Widjaja, J. Wanagat, T.Q. de Aguiar Vallim, A.H. Fluitt, S. Bensinger, T. Le, C. Radu, J.P. Whitelegge, S.W. Beaven, P. Tontonoz, A.J. Lusis, B.W. Parks, L. Vergnes, K. Reue, H. Singh, J.C. Bopassa, L. Toro, E. Stefani, M.J. Watt, S. Schenk, T. Akerstrom, M. Kelly, B.K. Pedersen, S.C. Hewitt, K.S. Korach, A.L. Hevener, Skeletal muscle action of estrogen receptor &amp;alpha; is critical for the maintenance of mitochondrial function and metabolic homeostasis in females, Sci Transl Med. 8 (2016) 334ra54. https://doi.org/10.1126/scitranslmed.aad3815.&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&lt;span style="font-size:12pt"&gt;&lt;span style="font-family:&amp;quot;Times New Roman&amp;quot;,serif"&gt;[7]&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; S. Di Meo, S. Iossa, P. Venditti, Skeletal muscle insulin resistance: role of mitochondria and other ROS sources, J Endocrinol. 233 (2017) R15&amp;ndash;R42. https://doi.org/10.1530/JOE-16-0598.&lt;/span&gt;&lt;/span&gt;&lt;/p&gt;

&lt;p&gt;&amp;nbsp;&lt;/p&gt;
</references>
    <source>AOPWiki</source>
    <creation-timestamp>2023-05-25T08:44:03</creation-timestamp>
    <last-modification-timestamp>2024-07-04T12:38:30</last-modification-timestamp>
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