De-risking drug development: Using the power of Organ-on-a-Chip (OOC) to reduce liver injury

Organ-On-A-Chip News

De-risking drug development: Using the power of Organ-on-a-Chip (OOC) to reduce liver injury
OOCLiver InjuryDrug Development
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This article talks about how Organ-on-a-chip (OOC) could be used to develop safer drugs and reduce drug-induced liver injury (DILI).

Sponsored Content by CN-BioReviewed by Aimee MolineuxAug 1 2024 The liver is accountable for metabolizing most medications and is therefore one of the primary tissues affected by adverse drug reactions. Most classes of medicine can cause drug-induced liver injury .

However, there are numerous obstacles to overcome to de-risk this process efficiently. This includes: 2D batch screens generally identify approximately one-third of drugs that have adverse effects on the liver. However, a collaborative study between AstraZeneca and InSphero, employing 3D primary human hepatocyte and non-parenchymal cell spheroids, improved upon this by detecting up to 60 % of DILI-positive compounds.4

Other tissues and organs can modulate how hepatocytes metabolize drugs. For example, the kinetics of drug absorption by the gut can influence metabolite-driven toxicity within the liver. Similarly, the presence of disease pathophysiology, such as Metabolic dysfunction associated liver disease , can also affect how the liver reacts to a drug, with the potential to exacerbate injury from smaller doses.

Figure 2. Liver-on-a-chip models recreate the liver microarchitecture and can recapitulate the phenotype of metabolic diseases such as NASH. Image Credit: CN Bio Innovations Limited Answering more questions with multiple endpoints Although basic 3D liver models successfully identify the presence or absence of a liver toxicity signal earlier than ever before in drug discovery, they are complemented by more complex perfused OOCs—which provide further detail.

This high content capability enables researchers to extend past the simple identification of acute or chronic liver toxicity, or the translation of results gained in vitro into a clinical setting. It enables the exploration of the mechanism behind the cause. 5 Gaining toxicology insights beyond small molecules Conventional toxicology research has focused on small-molecule compounds. However, novel human-specific modalities have moved to the forefront of discovery and development.

Range of approaches OOC allows in-depth toxicological insights that were not previously possible. Keen regulatory interest and political pressure to reduce animal usage in drug discovery, and an established consensus about OOC’s effectiveness, are driving its adoption. If OOC is embedded in drug discovery to uncover safety toxicology issues earlier, there will undoubtedly be reduced risk and increased efficiency.

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