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. Author manuscript; available in PMC: 2025 Sep 18.
Published in final edited form as: Regul Toxicol Pharmacol. 2025 Jul 9;162:105906. doi: 10.1016/j.yrtph.2025.105906

Table 2.

Mutagenicity and genotoxicity evaluation of ten nitrosamine drug substance-related impurities (NDSRIs).

NDSRIs Mutation
MN
Comet
γH2A.X
Enhanced Amesa TK/HPRT b TK6 no S9b TK6 + 2 % hamster S9b 2D HepaRG 3D HepaRG 2D HepaRG 3D HepaRG 3D HepaRG

N-nitroso-duloxetine + + + + + + + + +
N-nitroso-fluoxetine + + + + + + + + +
N-nitroso-lorcaserin + + + + + + +
N-nitroso-nortriptyline + + + + + + + + +
N-nitroso-varenicline + + + + + + +
N-nitroso-diclofenac +
N-nitroso-folic acid N/A N/A N/A c
N-nitroso-paroxetine
N-nitroso-desvaleryl-valsartan
N-nitroso-desvaleryl-valsartan methyl ester + c
a

The Ames responses were obtained from Heflich et al. (2024).

b

The responses in TK6 cells were obtained from Li et al. (2024).

c

Positive/equivocal when 3D spheroids were exposed to NDSRIs with hEGF for 72 h (Fig. 4).