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Overview and Recommendations
The murine local lymph node assay (LLNA) is a stand-alone test method for assessing the hazard
potential of a test substance to induce allergic contact dermatitis (ACD). ICCVAM evaluated the use
of the LLNA for potency categorization of chemicals causing ACD in humans. ICCVAM concluded that the
LLNA can be used to categorize substances as strong sensitizers (Globally Harmonized System of
Classification and Labelling of Chemicals Subcategory 1A). However, substances that are not
identified as strong sensitizers using the LLNA require additional information to categorize
them as other than strong sensitizers (Globally Harmonized System of
Classification and Labelling of Chemicals Subcategory 1B). Strong sensitizers are those
substances considered to have a significant potential for causing hypersensitivity.
See below for letters to Federal agencies communicating ICCVAM recommendations and agency responses
Background
For over 10 years, the LLNA has been accepted worldwide as a valid alternative to traditionally
accepted guinea pig test methods for assessing ACD hazard potential for most testing situations.
However, the use of the LLNA has been limited to a “yes/no” determination of whether or not a
substance has the potential to cause ACD in humans.
In January 2007, the U.S. Consumer Product Safety Commission (CPSC) requested that NICEATM and
ICCVAM assess the validation status of the LLNA as a stand-alone test method to classify
skin-sensitizing chemicals according to potency. The CPSC, under the Federal Hazardous Substances
Act, currently only requires products that are considered to be strong skin sensitizers to carry
hazard labels warning of ACD hazard potential. Results from tests that could be used to identify
potential strong human skin sensitizers would be helpful for the purposes of hazard identification
for CPSC and other agencies with an interest in identifying strong skin sensitizers.
Accordingly, NICEATM and ICCVAM evaluated the extent that LLNA results could be used to correctly
predict “strong” versus “other than strong” human skin sensitizers. The ICCVAM interagency
Immunotoxicity Working Group (IWG), working with NICEATM, prepared a draft background review
document (BRD) and draft recommendations for use of the LLNA for potency categorization of chemicals
that cause ACD in humans.
The draft BRD and draft ICCVAM recommendations were reviewed in a public meeting of an
international independent scientific peer review panel in March 2008. The peer review panel agreed
with ICCVAM that the LLNA can be used as part of a weight-of-evidence evaluation for categorizing
skin sensitizers based on potency, although it should not be used as a stand-alone test method for
this purpose. The peer review panel also recommended that NICEATM perform additional analyses using alternative
approaches that might provide more appropriate thresholds for the human reference data for
evaluating the use of the LLNA for potency categorization of human skin sensitizers.
Read peer review panel report (May 2008)

View peer review panel meeting agenda

View references relevant to the rLLNA evaluation

The final ICCVAM recommendations stating that the LLNA can be used to categorize substances as
strong sensitizers are included in the ICCVAM Test Method Evaluation Report: Usefulness and
Limitations of the Murine Local Lymph Node Assay for Potency Categorization of Chemicals Causing
Allergic Contact Dermatitis in Humans. The test method evaluation report also includes an updated
ICCVAM-recommended protocol for the LLNA and recommendations for future studies to further evaluate
the usefulness and limitations of the LLNA for potency determinations. The final BRD, including the
data and analyses on which the recommendations are based, is included as an appendix to the test
method evaluation report.
Transmittal of Recommendations to Federal Agencies
- National Institute of Environmental Health Sciences (NIEHS)
- Agency for Toxic Substances and Disease Registry (ATSDR)
- Letter from Dr. Birnbaum to Thomas R. Frieden, M.D., M.P.H., Director, Centers for Disease
Control, and Administrator, ATSDR

- Response from Christopher J. Portier, Ph.D., Director, National Center for Environmental Health and ATSDR
(received January 5, 2012)
- Consumer Product Safety Commission (CPSC)
- Environmental Protection Agency (EPA)
- Food and Drug Administration (FDA)
- National Cancer Institute (NCI)
- National Institutes of Health (NIH)
- National Institute for Occupational Safety and Health (NIOSH)
- National Library of Medicine (NLM)
- Occupational Safety and Health Administration (OSHA)
- U.S. Department of Agriculture
- U.S. Department of Defense
- U.S. Department of Energy
- U.S. Department of the Interior
- U.S. Department of Transportation
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