Abstract
Adverse drug reactions (ADRs) are a major cause of drug attrition during development and withdrawal from market. Hepatotoxicity is among the most common reasons given for drug attrition or withdrawal; this occurs for a multitude of reasons among which is certainly the lack of adequate models able to recapitulate hepatotoxicity in vitro. The loss of compounds in late-stage testing or after marketing is a major financial burden for the pharmaceutical industry and improved models capable of predicting human toxicity of novel compounds at the early stages of testing are highly sought-after. An ideal novel hepatotoxicity model of should be amenable to high-throughput screening and able to recapitulate the hepatic phenotype over an extended period and also model idiosyncratic drug-induced liver injury (DILI). There are no currently models able to fulfill these requirements.
Pluripotent stem cell-derived hepatocyte-like cells (PSC-HLCs) are a developing model which show promise for hepatotoxicity testing. However, the current phenotype of PSC-HLCs is closer to a fetal hepatocyte than an adult hepatocyte. The methodologies for generating mature PSC-HLCs close to an idealized hepatotoxicity model remain to be developed, though incremental improvements to the state-of-the-art are frequently made. Novel PSC-HLC technologies are being developed independently in many research groups; as such there is a need for standardization in benchmarking of these cells and for evaluating the performance and functionality of newly developed HLC models.
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Wong, M.W., Pridgeon, C.S., Schlott, C., Park, B.K., Goldring, C.E.P. (2018). Status and Use of Induced Pluripotent Stem Cells (iPSCs) in Toxicity Testing. In: Chen, M., Will, Y. (eds) Drug-Induced Liver Toxicity. Methods in Pharmacology and Toxicology. Humana, New York, NY. https://doi.org/10.1007/978-1-4939-7677-5_10
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