Evidence map›Paper›PMID 42098892›Full record

ArticleHuman genomics2026

Bridging the life-course exposome approach with a life-cycle perspective in safe and sustainable by design (SSbD) for chemical risk.

Dimosthenis Sarigiannis, Fotini Nikiforou, Achilleas Karakoltzidis, Nafsika Papaioannou, Spyros Karakitsios

Abstract read
In one paragraph

Article in Human genomics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Dimosthenis SarigiannisNational Hellenic Research Foundation, 48 Vassileos Constantinou Avenue, 11635, Athens, Greece. sarigiannis@eie.gr.
Fotini NikiforouDepartment of Chemical Engineering, Environmental Engineering Laboratory, Aristotle University of Thessaloniki, University Campus, 54124, Thessaloniki, Greece.
Achilleas KarakoltzidisDepartment of Chemical Engineering, Environmental Engineering Laboratory, Aristotle University of Thessaloniki, University Campus, 54124, Thessaloniki, Greece.
Nafsika PapaioannouNational Hellenic Research Foundation, 48 Vassileos Constantinou Avenue, 11635, Athens, Greece.
Spyros KarakitsiosNational Hellenic Research Foundation, 48 Vassileos Constantinou Avenue, 11635, Athens, Greece.

Funding

European Commission 101157269
6 · The paper itself

Abstract

Safe and Sustainable by Design (SSbD) and life‑course exposome science share a primary‑prevention goal: reducing harmful exposures by intervening early in the chemical and product life cycle. Here we propose an integrated, replacement‑first decision workflow that links life‑course exposure considerations to SSbD stage‑gates using New Approach Methodologies (NAMs). The framework combines: (i) problem formulation informed by susceptible windows and populations; (ii) AOP‑guided selection and curation of mechanistic in vitro bioactivity evidence (e.g., ToxCast/Tox21, transcriptomics); (iii) physiologically based pharmacokinetic (PBPK) modelling with quantitative in vitro‑to‑in vivo extrapolation to translate in vitro potency into internal dose anchors; and (iv) transparent multi‑criteria synthesis to support early design trade‑offs. We illustrate this approach with an endocrine‑relevant substitution scenario comparing bisphenol A (BPA) with a structurally similar alternative (BPAP) and a bio‑based monomer candidate (isosorbide). Estrogen receptor (ER) bioactivity anchors derived from curated HTS assays are contrasted with PBPK‑predicted internal concentration ranges to generate an internal margin for stage‑gate decisions. The example shows how candidates with weak or absent pathway‑relevant bioactivity can be advanced, while structurally similar alternatives with ER potency approaching predicted internal concentrations can be deprioritised or redesigned pending improved exposure controls. By explicitly mapping NAM outputs to AOP key events and life‑course windows, the workflow operationalises the 3Rs by replacing broad exploratory animal testing with targeted, human‑relevant evidence and reducing unnecessary in vivo studies through early prioritisation.

Indexed as

Environmental ExposureExposomeAnimalsBenzhydryl CompoundsBisphenol A CompoundsHumansPhenolsRisk AssessmentBenzhydryl Compoundsbisphenol ABisphenol A CompoundsPhenolsAIExposomeNAMsSafe and sustainable by design

Identifiers

PMID42098892
PMCPMC13321451

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.