adverse outcome pathway (AOP); developmental immunotoxicity (DIT); human immune system development; new approach methodologies (NAMs); physiological map (PM); systems biology; Animals; Humans; Immune System; Immunoinformatics; Immunology and Allergy; Immunology
Abstract :
[en] Human immune system development is established through a sequence of tightly regulated processes occurring across multiple embryonic and fetal organs. Despite extensive research, our mechanistic understanding still relies largely on animal models, which often lack translational precision for human biology. This gap is particularly relevant for developmental immunotoxicity (DIT), where early-life exposure to environmental contaminants such as dioxins, PCBs, and PFAS has been associated with long-term immune dysfunction, including reduced vaccine responsiveness in children. To address this need, we created the Human Immune System Development Map (HIDmap), a curated, findability, accessibility, interoperability, and reusability (FAIR)-compliant digital resource that systematically captures prenatal immune ontogeny. The HIDmap integrates literature-derived data into a modular, three-layered structure linking anatomical niches, cell migration, and differentiation trajectories across 24 organs. Implemented in the MINERVA (Molecular Interaction NEtwoRks VisuAlization) platform, the HIDmap allows interactive exploration of developmental processes and molecular markers relevant to immune function. By embedding the HIDmap within the Adverse Outcome Pathway (AOP) framework, we constructed a putative AOP to demonstrate how the map can help to connect molecular initiating events related to environmental exposures - such as Aryl hydrocarbon receptor (AhR) activation - to downstream immunological key events and adverse outcomes. This resource offers a human-centered foundation for curating and visualizing human developmental immunobiology and may support the future development of predictive in vitro New Approach Methodologies (NAMs). In the future, the HIDmap may contribute to the identification of critical windows of susceptibility and support the advancement of mechanism-based, animal-free approaches in developmental immunotoxicology.
Disciplines :
Life sciences: Multidisciplinary, general & others
Author, co-author :
Spruck, Christiane; IUF-Leibniz Research Institute for Environmental Medicine, Duesseldorf, Germany
Maia Ladeira, Luiz Carlos ; Université de Liège - ULiège > GIGA > GIGA Molecular & Computational Biology - Biomechanics Research Unit
Kuchovska, Eliska; IUF-Leibniz Research Institute for Environmental Medicine, Duesseldorf, Germany
Ostaszewski, Marek; Luxembourg Centre for Systems Biomedicine, University of Luxembourg, Esch-sur-Alzette, Luxembourg
de Caro, Emilia Rita; IUF-Leibniz Research Institute for Environmental Medicine, Duesseldorf, Germany
Corsini, Emanuela; Department of Pharmacological and Biomolecular Sciences ‘Rodolfo Paoletti’, Università degli Studi di Milano, Milan, Italy
Geris, Liesbet ; Université de Liège - ULiège > Département d'aérospatiale et mécanique > Génie biomécanique ; Skeletal Biology and Engineering Research Center, Katholieke Universiteit (KU) Leuven, Leuven, Belgium ; Biomechanics Section, Department of Mechanical Engineering, Katholieke Universiteit (KU) Leuven, Leuven, Belgium
Staumont, Bernard ; Université de Liège - ULiège > Département d'aérospatiale et mécanique > Génie biomécanique
Fayyaz, Susann; Clariant Produkte (Deutschland) GmbH, Frankfurt am Main, Germany
Li, Qiang; Clariant Produkte (Deutschland) GmbH, Frankfurt am Main, Germany
Grimm, Fabian; Clariant Produkte (Deutschland) GmbH, Frankfurt am Main, Germany
Fritsche, Ellen; DNTOX GmbH, Duesseldorf, Germany ; SCAHT - Swiss Centre for Applied Human Toxicology, Basel, Switzerland ; Department of Pharmaceutical Sciences, University of Basel, Basel, Switzerland
Koch, Katharina; IUF-Leibniz Research Institute for Environmental Medicine, Duesseldorf, Germany ; DNTOX GmbH, Duesseldorf, Germany
Tigges, Julia; IUF-Leibniz Research Institute for Environmental Medicine, Duesseldorf, Germany
The author(s) declared that this work received funding from Clariant Produkte (Deutschland) GmbH. The funder was involved in the review and approval of the final manuscript.The author(s) declared that financial support was received for this work and/or its publication. The work was funded by the IUF - Leibniz Research Institute for Environmental Medicine. This work also received funding from the European Research Council under the European Union\u2019s Horizon 2020 Framework Program (H2020/2014-2021)/ERC grant agreement No 772418 (INSITE).
1 Balaur I, Welter D, Rougny A, Inau ET, Mazein A, Ghosh S, et al. Fair assessment of disease maps fosters open science and scientific crowdsourcing in systems biomedicine. Sci Data. (2025) 12:1–7. doi: 10.1038/s41597-025-05147-w, 40410181.
2 Wang X, Li N, Ma M, Han Y, Rao K. Immunotoxicity in vitro assays for environmental pollutants under paradigm shift in toxicity tests. Int J Environ Res Public Health. (2023) 20. doi: 10.3390/ijerph20010273, 36612599.
3 Hossain Z, Reza AHMM, Qasem WA, Friel JK, Omri A. Development of the immune system in the human embryo. Pediatr Res. (2022) 92:951–5. doi: 10.1038/s41390-022-01940-0, 35042957.
4 Jain N. The early life education of the immune system: Moms, microbes and (missed) opportunities. Gut Microbes. (2020) 12:1–20. doi: 10.1080/19490976.2020.1824564, 33043833.
5 Feyaerts D, Urbschat C, Gaudillière B, Stelzer IA. Establishment of tissue-resident immune populations in the fetus. Semin Immunopathol. (2022) 44:747–66. doi: 10.1007/s00281-022-00931-x, 35508672.
6 Zheng H, Chen Y, Luo Q, Zhang J, Huang M, Xu Y, et al. Generating hematopoietic cells from human pluripotent stem cells: approaches, progress and challenges. Cell Regener. (2023) 12:1–21. doi: 10.1186/s13619-023-00175-6, 37656237.
7 Zhang X, Zhivaki D, Lo-Man R. Unique aspects of the perinatal immune system. Nat Rev Immunol. (2017) 17:495–507. doi: 10.1038/nri.2017.54, 28627520.
8 Soares-da-Silva F, Peixoto M, Cumano A, Pinto-do-Ó P. Crosstalk between the hepatic and hematopoietic systems during embryonic development. Front Cell Dev Biol. (2020) 8. doi: 10.3389/fcell.2020.00612, 32793589.
9 Tang MH, Ligthart I, Varga S, Lebeer S, van Overveld FJ, Rijkers GT. Mutual interactions between microbiota and the human immune system during the first 1000 days of life. Biol (Basel). (2025) 14:1–34. doi: 10.3390/biology14030299, 40136555.
10 Cain TL, Derecka M, McKinney-Freeman S. The role of the haematopoietic stem cell niche in development and ageing. Nat Rev Mol Cell Biol. (2025) 26:32–50. doi: 10.1038/s41580-024-00770-8, 39256623.
11 Skaggs H, Chellman GJ, Collinge M, Enright B, Fuller CL, Krayer J, et al. Comparison of immune system development in nonclinical species and humans: Closing information gaps for immunotoxicity testing and human translatability. Reprod Toxicol. (2019) 89:178–88. doi: 10.1016/j.reprotox.2019.06.005, 31233776.
12 Kuper CF, van Bilsen J, Cnossen H, Houben G, Garthoff J, Wolterbeek A. Development of immune organs and functioning in humans and test animals: Implications for immune intervention studies. Reprod Toxicol. (2016) 64:180–90. doi: 10.1016/j.reprotox.2016.06.002, 27282947.
13 Nguyen H-M, Rogers K, Collinge M. Comparative immune system development. In: McQueen CA, , editor. Comprehensive Toxicology, 4th ed. Amsterdam: Elsevier Ltd (2024). p. 85–105. doi: 10.1016/B978-0-323-95488-4.00173-X.
14 Hochstenbach K, Van Leeuwen DM, Gmuender H, Gottschalk RW, Stølevik SB, Nygaard UC, et al. Toxicogenomic profiles in relation to maternal immunotoxic exposure and immune functionality in newborns. Toxicol Sci. (2012) 129:315–24. doi: 10.1093/toxsci/kfs214, 22738990.
15 Corsini E, Iulini M, Galbiati V, Maddalon A, Pappalardo F, Russo G, et al. Efsa project on the use of NAMs to explore the immunotoxicity of PFAS. EFSA Support Publ. (2024) 21. doi: 10.2903/sp.efsa.2024.en-8926.
16 DeWitt JC, Sarah J, Blossom LAS. Exposure to per- and polyfluoroalkyl substances leads to immunotoxicity: Epidemiological and toxicological evidence. J Expo Sci Env Epidemiol. (2019) 29:148–56. doi: 10.1038/s41370-018-0097-y, 30482935.
17 Abraham K, Mielke H, Fromme H, Völkel W, Menzel J, Peiser M, et al. Internal exposure to perfluoroalkyl substances (PFASs) and biological markers in 101 healthy 1-year-old children: Associations between levels of perfluorooctanoic acid (PFOA) and vaccine response. Arch Toxicol. (2020) 94:2131–47. doi: 10.1007/s00204-020-02715-4, 32227269.
18 Grandjean P, Heilmann C, Weihe P, Nielsen F, Mogensen UB, Budtz-Jørgensen E. Serum vaccine antibody concentrations in adolescents exposed to perfluorinated compounds. Environ Health Perspect. (2017) 125:1–7. doi: 10.1289/EHP275, 28749778.
19 Kielsen K, Shamim Z, Ryder LP, Nielsen F, Grandjean P, Budtz-Jørgensen E, et al. Antibody response to booster vaccination with tetanus and diphtheria in adults exposed to perfluorinated alkylates. J Immunotoxicol. (2016) 13:270–3. doi: 10.3109/1547691X.2015.1067259, 26181512.
20 European Chemicals Agency (ECHA) . Key areas of regulatory challenge. (2023). doi: 10.2823/568850.
21 Chief editor: Wim De Coen, European Chemicals Agency (ECHA) . Key areas of regulatory challenge. (2024). doi: 10.2823/858284.
22 Chief editor: Wim De Coen, European Chemicals Agency (ECHA) . Key areas of regulatory challenge. (2025). doi: 10.2823/8572710.
23 Iulini M, de Bruijn V, Hurem S, Nygaard UC, Kerdine-Römer S, Spruck C, et al. From animal models to NAMs: a paradigm shift in developmental immunotoxicity testing. Arch Toxicol. (2026). doi: 10.1007/s00204-026-04424-w, 42128927.
24 Villeneuve DL, Crump D, Hecker M, Hutchinson TH, Lalone CA, Landesmann B, et al. Adverse outcome pathway (AOP) development I : strategies and principles. (2014) 142:312–20. doi: 10.1093/toxsci/kfu199.
25 Villeneuve DL, Crump D, Hecker M, Hutchinson TH, Lalone CA, Landesmann B, et al. Adverse outcome pathway development II : best practices. (2014) 142:321–30. doi: 10.1093/toxsci/kfu200.
26 Jaylet T, Coustillet T, Smith NM, Viviani B, Lindeman B, Vergauwen L, et al. Comprehensive mapping of the AOP-Wiki database: identifying biological and disease gaps. (2024) 6:1–22. doi: 10.3389/ftox.2024.1285768.
27 Pitzer EM, Shafer TJ, Herr DW. Neurotoxicology identification of neurotoxicology (NT)/ developmental neurotoxicology (DNT) adverse outcome pathways and key event linkages with in vitro DNT screening assays. Neurotoxicology. (2023) 99:184–94. doi: 10.1016/j.neuro.2023.10.007, 37866692.
28 Bajard L, Adamovsky O, Audouze K, Baken K, Barouki R, Beltman JB, et al. Application of AOPs to assist regulatory assessment of chemical risks – Case studies, needs and recommendations. (2023) 217:. doi: 10.1016/j.envres.2022.114650.
29 Hernandez-Jerez A, Adriaanse P, Aldrich A, Berny P, Coja T, Duquesne S, et al. Development of integrated approaches to testing and assessment (IATA) case studies on developmental neurotoxicity (DNT) risk assessment. EFSA J. (2021) 19. doi: 10.2903/j.efsa.2021.6599.
30 Blum J, Masjosthusmann S, Bartmann K, Bendt F, Dolde X, Dönmez A, et al. Establishment of a human cell-based in vitro battery to assess developmental neurotoxicity hazard of chemicals. Chemosphere. (2023) 311. doi: 10.1016/j.chemosphere.2022.137035, 36328314.
31 Masjosthusmann S, Blum J, Bartmann K, Dolde X, Holzer A, Stürzl L, et al. Establishment of an a priori protocol for the implementation and interpretation of an in‐vitro testing battery for the assessment of developmental neurotoxicity. EFSA Support Publ. (2020) 17. doi: 10.2903/sp.efsa.2020.en-1938.
32 Koch K, Bartmann K, Hartmann J, Kapr J, Klose J, Kuchovská E, et al. Scientific validation of human neurosphere assays for developmental neurotoxicity evaluation. Front Toxicol. (2022) 4. doi: 10.3389/ftox.2022.816370, 35295221.
33 Lein P, Locke P, Goldberg A. Meeting report: Alternatives for developmental neurotoxicity testing. Environ Health Perspect. (2007) 115:764–8. doi: 10.1289/ehp.9841, 17520065.
34 Fritsche E, Grandjean P, Crofton KM, Aschner M, Goldberg A, Heinonen T, et al. Consensus statement on the need for innovation, transition and implementation of developmental neurotoxicity (DNT) testing for regulatory purposes. Toxicol Appl Pharmacol. (2018) 354:3–6. doi: 10.1016/j.taap.2018.02.004, 29447839.
35 Bal-Price A, Hogberg HT, Crofton KM, Daneshian M, FitzGerald RE, Fritsche E, et al. Recommendation on test readiness criteria for new approach methods (NAM) in toxicology: exemplified for developmental neurotoxicity (DNT). ALTEX. (2018) 35:306–52. doi: 10.14573/altex.1712081, 29485663.
36 Staumont B, Ladeira L, Gamba A, Heusinkveld HJ, Piersma A, Fritsche E, et al. Mapping physiology: a systems biology approach for the 1 development of alternative methods in toxicology (2025). Available online at: https://www.oecd.org/en/topics/sub-issues/testing-of-chemicals/adverse-outcome-pathways.html (Accessed October 08, 2025).
37 Vinken M, Benfenati E, Busquet F, Castell J, Clevert DA, de Kok TM, et al. Safer chemicals using less animals: Kick-off of the European ONTOX project. Toxicology. (2021) 458:1–7. doi: 10.1016/j.tox.2021.152846, 34216698.
38 Ostaszewski M, Gebel S, Kuperstein I, Mazein A, Zinovyev A, Dogrusoz U, et al. Community-driven roadmap for integrated disease maps. Brief Bioinform. (2019) 20:659–70. doi: 10.1093/bib/bby024, 29688273.
39 Mazein A, Ostaszewski M, Kuperstein I, Watterson S, Le Novère N, Lefaudeux D, et al. Systems medicine disease maps: Community-driven comprehensive representation of disease mechanisms. NPJ Syst Biol Appl. (2018) 4. doi: 10.1038/s41540-018-0059-y, 29872544.
40 Mazein A, Shoaib M, Alb M, Sakellariou C, Sommer C, Sewald K, et al. Using interactive platforms to encode, manage and explore immune-related adverse outcome pathways. J Immunotoxicol. (2024) 21:S5–S12. doi: 10.1080/1547691X.2024.2345154, 39655493.
41 Basha S, Surendran N, Pichichero M. Immune responses in neonates. Expert Rev Clin Immunol. (2014) 10:1171–84. doi: 10.1586/1744666X.2014.942288, 25088080.
42 Calvanese V, Capellera-Garcia S, Ma F, Fares I, Liebscher S, Ng ES, et al. Mapping human haematopoietic stem cells from haemogenic endothelium to birth. Nature. (2022) 604:534–40. doi: 10.1038/s41586-022-04571-x, 35418685.
44 De Moraes-Pinto MI, Suano-Souza F, Aranda CS. Immune system: Development and acquisition of immunological competence. J Pediatr (Rio J). (2021) 97:S59–66. doi: 10.1016/j.jped.2020.10.006, 33181111.
45 Holt PG, Jones CA. The development of the immune system during pregnancy and early life. Allergy Eur J Allergy Clin Immunol. (2000) 55:688–97. doi: 10.1034/j.1398-9995.2000.00118.x, 10955693.
46 Popescu DM, Botting RA, Stephenson E, Green K, Webb S, Jardine L, et al. Decoding human fetal liver haematopoiesis. Nature. (2019) 574:365–71. doi: 10.1038/s41586-019-1652-y, 31597962.
47 Suo C, Dann E, Goh I, Jardine L, Kleshchevnikov V, Park JE, et al. Mapping the developing human immune system across organs. Science (80-). (2022) 376. doi: 10.1126/science.abo0510, 35549310.
48 Ygberg S, Nilsson A. The developing immune system - From foetus to toddler. Acta Paediatr Int J Paediatr. (2012) 101:120–7. doi: 10.1111/j.1651-2227.2011.02494.x, 22003882.
49 Bozada T, Borden J, Workman J, Del Cid M, Malinowski J, Luechtefeld T. Sysrev: A FAIR platform for data curation and systematic evidence review. Front Artif Intell. (2021) 4. doi: 10.3389/frai.2021.685298, 34423285.
50 Bian Z, Gong Y, Huang T, Lee CZW, Bian L, Bai Z, et al. Deciphering human macrophage development at single-cell resolution. Nature. (2020) 582:571–6. doi: 10.1038/s41586-020-2316-7, 32499656.
51 Dege C, Fegan KH, Creamer JP, Berrien-Elliott MM, Luff SA, Kim D, et al. Potently cytotoxic natural killer cells initially emerge from erythro-myeloid progenitors during mammalian development. (2021) 53:229–39. doi: 10.1016/j.devcel.2020.02.016.
52 Kang HJ, Mesquitta WT, Jung HS, Moskvin OV, Thomson JA, Slukvin II. GATA2 is dispensable for specification of hemogenic endothelium but promotes endothelial-to-hematopoietic transition. Stem Cell Rep. (2018) 11:197–211. doi: 10.1016/j.stemcr.2018.05.002, 29861167.
53 Uenishi GI, Jung HS, Slukvin II. Assessment of endothelial-to-hematopoietic transition of individual hemogenic endothelium and bulk populations in defined conditions. In: Kannan N, Beer PA, , editors. Stem Cell Assays. Methods in Molecular Biology. (2022) Vol. 2454. New York, NY: Humana; 2022. p. 103–12. doi: 10.1007/978-1-0716-1979-7_8.
54 Jardine L, Hani M. Reconstructing human DC, monocyte and macrophage development in utero using single cell technologies. Mol Immu. (2020) 123:1–6. doi: 10.1016/j.molimm.2020.04.023, 32380279.
55 Kumar BV, Connors T, Farber DL. Human T cell development, localization, and function throughout life. Immunity. (2019) 48:202–13. doi: 10.1016/j.immuni.2018.01.007, 29466753.
56 Lewis K, Yoshimoto M, Takebe T. Fetal liver hematopoiesis: from development to delivery. Stem Cell Res Ther. (2021) 12:139. doi: 10.1186/s13287-021-02189-w, 33597015.
57 Najafi S, Ghanavat M, Saki N. The effect of inflammatory factors and their inhibitors on the hematopoietic stem cells fate. Cell Biol Int. (2021) 45(5):900–12. doi: 10.1002/cbin.11545, 33386770.
58 Park J, Jardine L, Gottgens B. Prenatal development of human immunity. Science. (2022) 368:600–3. doi: 10.1126/science.aaz9330, 32381715.
59 Rothenberg EV. Single-cell insights into the hematopoietic generation of T lymphocyte precursors in mouse and man. Exp Hematol. (2022) 95:1–12. doi: 10.1016/j.exphem.2020.12.005, 33454362.
60 Xin Z, Zhang W, Gong S, Zhu J, Li Y. Mapping human pluripotent stem cell-derived erythroid differentiation by single-cell transcriptome analysis. Genomics Proteomics Bioinf. (2021) 19:358–76. doi: 10.1016/j.gpb.2021.03.009, 34284135.
61 Zeng Y, Liu C, Gong Y, Lan Y, Liu B, Zeng Y, et al. Single-cell RNA sequencing resolves spatiotemporal development of pre-thymic lymphoid progenitors and thymus organogenesis in human embryos resource single-cell RNA sequencing resolves spatiotemporal development of pre-thymic lymphoid progenitors and thym. Immunity. (2019) 51:930–948.e6. doi: 10.1016/j.immuni.2019.09.008, 31604687.
62 Hucka M, Finney A, Sauro HM, Bolouri H, Doyle JC, Kitano H, et al. The systems biology markup language (SBML): a medium for representation and exchange of biochemical network models. Bioinformatics. (2003) 19:524–31. doi: 10.1093/bioinformatics/btg015, 12611808.
63 Hoksza D, Gawron P, Ostaszewski M, Hasenauer J, Schneider R. Closing the gap between formats for storing layout information in systems biology. Brief Bioinform. (2019) 21:1249–60. doi: 10.1093/bib/bbz067, 31273380.
64 Junker A, Sorokin A, Czauderna T, Schreiber F, Mazein A. Wiring diagrams in biology: towards the standardized representation of biological information. Trends Biotechnol. (2012) 30:555–7. doi: 10.1016/j.tibtech.2012.08.003, 22979995.
65 Novère NL, Hucka M, Mi H, Moodie S, Schreiber F, Sorokin A, et al. The systems biology graphical notation. Nat Biotechnol. (2009) 27:735–41. doi: 10.1038/nbt.1558, 19668183.
66 Touré V, Le Novère N, Waltemath D, Wolkenhauer O. Quick tips for creating effective and impactful biological pathways using the systems biology graphical notation. PloS Comput Biol. (2018) 14:1–6. doi: 10.1371/journal.pcbi.1005740, 29447151.
67 Juty N, Le Nove N, Laibe C. Identifiers.org and MIRIAM Registry: community resources to provide persistent identification. Nucleic Acids Res. (2012) 40:580–6. doi: 10.1093/nar/gkr1097, 22140103.
68 Gawron P, Ostaszewski M, Satagopam V, Gebel S, Mazein A, Kuzma M, et al. MINERVA—a platform for visualization and curation of molecular interaction networks. NPJ Syst Biol Appl. (2016) 2:1–6. doi: 10.1038/npjsba.2016.20, 28725475.
69 Acencio ML, Lopata O, Hemedan AA, Dand N, Weidinger S, Paternoster L, et al. The inflammatory skin disease map: an interactive computational resource focused on molecular mechanisms in psoriasis and atopic dermatitis. Br J Dermatol. (2025) 194:597–9. doi: 10.1093/bjd/ljaf491, 41329629.
70 Seal RL, Braschi B, Gray K, Jones TEM, Tweedie S, Haim-Vilmovsky L, et al. Genenames.org: the HGNC resources in 2023. Nucleic Acids Res. (2023) 51:D1003–9. doi: 10.1093/nar/gkac888, 36243972.
71 OECD . Guidance document on developing and assessing adverse outcome pathways. (2017).
72 Wilkinson MD, Dumontier M, Aalbersberg I, Appleton G, Axton M, Baak A, et al. Comment: the FAIR guiding principles for scientific data management and stewardship. Sci Data. (2016) 3:1–9. doi: 10.1038/sdata.2016.18, 26978244.
73 Niarakis A, Ostaszewski M, Mazein A, Kuperstein I, Kutmon M, Gillespie ME, et al. Drug-target identification in COVID-19 disease mechanisms using computational systems biology approaches. Front Immunol. (2023) 14. doi: 10.3389/fimmu.2023.1282859, 38414974.
74 Fujita KA, Ostaszewski M, Matsuoka Y, Ghosh S, Glaab E, Trefois C, et al. Integrating pathways of Parkinson’s disease in a molecular interaction map. Mol Neurobiol. (2014) 49:88–102. doi: 10.1007/s12035-013-8489-4, 23832570.
75 Mazein A, Lopata O, Reiche K, Sewald K, Alb M, Sakellariou C, et al. An explorable model of an adverse outcome pathway of cytokine release syndrome related to the administration of immunomodulatory biotherapeutics and cellular therapies. Front Immunol. (2025) 16. doi: 10.3389/fimmu.2025.1601670, 40861455.
76 AOP-Wiki . Thyroperoxidase Inhibition Leading to Decreased Amphibian Metamorphosis (AOP 154). Available online at: https://aopwiki.org/aops/154 (Accessed October 15, 2025).
77 AOP-Wiki . Impaired IL-1R1 Signaling Leading to Impaired T-Cell Dependent Antibody Response (AOP 277). Available online at: https://aopwiki.org/aops/277 (Accessed October 15, 2025).
78 Marshall NB, Vorachek WR, Steppan LB, Mourich DV, Kerkvliet NI. Functional characterization and gene expression analysis of CD4+ CD25+ regulatory T cells generated in mice treated with 2, 3, 7, 8-tetrachlorodibenzo-p-dioxin. J Immunol. (2008) 181:1–7. doi: 10.4049/jimmunol.181.4.2382, 18684927.
79 Lindsey S, Papoutsakis ET. The evolving role of the aryl hydrocarbon receptor (AHR) in the normophysiology of hematopoiesis. Stem Cell Rev Rep. (2012) 8:1223–35. doi: 10.1007/s12015-012-9384-5, 22628113.
80 Khan DMIO, Crawford RB, Kaminski NE. Regulation of in vitro human hematopoietic differentiation by dioxin-like compounds. Toxicology. (2025) 514:154136. doi: 10.1016/j.tox.2025.154136, 40187479.
81 Esser C, Temchura V, Majora M, Hundeiker C, Schwärzler C, Günthert U. Signaling via the AHR leads to enhanced usage of CD44v10 by murine fetal thymic emigrants: possible role for CD44 in emigration. Int Immunopharmacol. (2004) 4:805–18. doi: 10.1016/j.intimp.2004.03.006, 15135321.
82 Khan DMIO, Karmaus PWF, Bach A, Crawford RB, Kaminski NE. An in vitro model of human hematopoiesis identifies a regulatory role for the aryl hydrocarbon receptor. Blood Adv. (2023) 7:6253–65. doi: 10.1182/bloodadvances.2023010169, 37477592.
83 Casado FL, Singh KP, Gasiewicz TA. Aryl hydrocarbon receptor activation in hematopoietic stem/progenitor cells alters cell function and pathway-specific gene modulation reflecting changes in cellular trafficking and migration. Mol Pharmacol. (2011) 80:673–82. doi: 10.1124/mol.111.071381, 21791576.
84 Silbergeld EK, Mattison DR. Experimental and clinical studies on the reproductive toxicology of 2, 3, 7, 8‐tetrachlorodibenzo‐p‐dioxin. Am J Ind Med. (1987) 11:131–44. doi: 10.1002/ajim.4700110203, 3548340.
85 Holladay SD, Lindstrom P, Blaylock BL, Comment CE, Germolec DR, Heindell JJ, et al. Perinatal thymocyte antigen expression and postnatal immune development altered by gestational exposure to tetrachlorodibenzo‐p‐dioxin (TCDD). Teratology. (1991) 44:385–93. doi: 10.1002/tera.1420440405, 1683717.
86 Fiorito F, Santamaria R, Irace C, De Martino L, Iovane G. 2, 3, 7, 8-Tetrachlorodibenzo-P-dioxin and the viral infection. Environ Res. (2017) 153:27–34. doi: 10.1016/j.envres.2016.11.004, 27883971.
87 Zhou J, Blevins LK, Crawford RB, Kaminski NE. Role of programmed cell death protein-1 and lymphocyte specific protein tyrosine kinase in the aryl hydrocarbon receptor- mediated impairment of the IgM response in human CD5+ innate-like B cells. Front Immunol. (2022) 13. doi: 10.3389/fimmu.2022.884203, 35558082.
88 Lummus ZL, Henningsen G. Modulation of T-cell ontogeny by transplacental benzo(a)pyrene. Int J Immunopharmacol. (1995) 17:339–50. doi: 10.1016/0192-0561(94)00098-9, 7672884.
89 Mustafa A, Holladay SD, Goff M, Witonsky SG, Kerr R, Reilly CM, et al. An enhanced postnatal autoimmune profile in 24 week-old C57BL/6 mice developmentally exposed to TCDD. Toxicol Appl Pharmacol. (2008) 23:1–7. doi: 10.1016/j.taap.2008.04.015, 18534654.
90 Rodriguez JW, Kirlin WG, Wirsiy YG, Matheravidathu S, Hodge TW, Urso P. Maternal exposure to benzo[a]pyrene alters development of T lymphocytes in offspring. Immunopharmacol Immunotoxicol. (1999) 21:379–96. doi: 10.3109/08923979909052769, 10319287.
91 Gehrs BC, Riddle MM, Williams WC, Smialowicz RJ. Erratum: alterations in the developing immune system of the F344 rat after perinatal exposure to 2, 3, 7, 8-tetrachlorodibenzo-p-dioxin II. Effects on the pup and the adult. Toxicology. (1998) 130:71. doi: 10.1016/S0300-483X(98)00113-9.
92 Grasman KA, Whitacre LL. Effects of PCB 126 on thymocyte surface marker expression and immune organ development in chicken embryos. J Toxicol Environ Heal - Part A. (2001) 62:191–206. doi: 10.1080/009841001458307, 11212945.
93 Van Grevenynghe J, Bernard M, Langouet S, Le Berre C, Fest T, Fardel O. Human CD34-positive hematopoietic stem cells constitute targets for carcinogenic polycyclic aromatic hydrocarbons. J Pharmacol Exp Ther. (2005) 314:693–702. doi: 10.1124/jpet.105.084780, 15860575.
94 Wang C, Petriello MC, Zhu B, Hennig B. PCB 126 induces monocyte/macrophage polarization and inflammation through AhR and NF-κB pathways. Toxicol Appl Pharmacol. (2019) 367:71–81. doi: 10.1016/j.taap.2019.02.006, 30768972.
95 Kanehisa M, Furumichi M, Sato Y, Matsuura Y, Ishiguro-Watanabe M. KEGG: biological systems database as a model of the real world. Nucleic Acids Res. (2025) 53:D672–7. doi: 10.1093/nar/gkae909, 39417505.
96 Ragueneau E, Gong C, Sinquin P, Sevilla C, Beavers D, Grentner A, et al. The reactome knowledgebase 2026. Nucleic Acids Res. (2026) 54:D673–81. doi: 10.1093/nar/gkaf1223, 41251150.
97 Agrawa A, Balcı H, Hanspers KCS, Martens M, Slenter DN, Digles D, et al. WikiPathways 2024: next generation pathway database. Nucleic Acids Res. (2024) 52:679–89. doi: 10.1093/nar/gkad960, 37941138.
98 Krämer A, Green J, Pollard J, Tugendreich S. Causal analysis approaches in ingenuity pathway analysis. Bioinformatics. (2014) 30:523–30. doi: 10.1093/bioinformatics/btt703, 24336805.
99 Regev A, Teichmann SA, Lander ES, Amit I, Benoist C, Birney E, et al. The human cell atlas. Elife. (2017), 1–30. doi: 10.7554/eLife.27041.001.
100 Smith NM, Bruijn VMP, Vandebriel RJ, Hargitai R, Lumniczky K, Janssen AWF, et al. New approach methodologies (NAMs) to support regulatory assessment of developmental immunotoxicity – a new PARC project. (2026) 8:1–11. doi: 10.3389/ftox.2026.1740390.
101 Poli MC, Aksentijevich I, Bousfiha AA, Cunningham-Rundles C, Hambleton S, Klein C, et al. Human inborn errors of immunity: 2022 update on the classification from the International Union of Immunological Societies Expert Committee. J ClinImmunol. (2022) 42:1473–507. doi: 10.1007/s10875-022-01289-3, 35748970.