TY - JOUR PY - 2023// TI - Animal model considerations for medical countermeasure development for radiation and sulfur mustard exposures JO - Disaster medicine and public health preparedness A1 - Jackson, Isabel Lauren A1 - Doyle-Eisele, Melanie SP - ePub EP - ePub VL - ePub IS - ePub N2 - Development of medical countermeasures (MCM) to mitigate and/or treat the pulmonary complications associated with exposure to chemical, radiological, and/or nuclear weapons is a United States (U.S.) national public health preparedness posture priority. Pulmonary exposure to either sulfur mustard vapor or radiation causes oxidative damage, vascular injury, hyperinflammation, and pro-fibrotic signaling cascades that lead to life-threatening and potentially debilitating lung disease. There is no MCM currently approved by the U.S. Food and Drug Administration (FDA) to mitigate and/or treat lung injury caused by sulfur mustard or radiation exposure. Thus, there remains a major unmet public health need for development of threat-agnostic, host-directed therapeutics that target common pathophysiological mechanisms underlying the progression of acute and/or late lung injury independent of the etiology of disease. This review describes the clinical manifestations and underlying mechanisms of sulfur mustard and radiation-induced lung injury and regulatory considerations for MCM development under the non-traditional Animal Rule pathway.

Language: en

LA - en SN - 1935-7893 UR - http://dx.doi.org/10.1017/dmp.2023.180 ID - ref1 ER -