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Updated: Jun 26, 2026

A Strategy to Identify Compounds that Affect Cell Growth and Survival in Cultured Mammalian Cells at Low-to-Moderate Throughput
Published on: September 22, 2019
High-throughput screening for analysis of in vitro toxicity
Willem G E J Schoonen1, Walter M A Westerink, G Jean Horbach
1Department of Pharmacology, NV Organon (Schering-Plough), Oss, The Netherlands. willem.schoonen@spcorp.com
Early toxicity screening assays are crucial for reducing drug attrition rates in pharmaceutical development. This review details state-of-the-art genotoxicity, cytotoxicity, and reprotoxicity assays to improve drug safety.
Area of Science:
- Pharmacology and Toxicology
- Drug Discovery and Development
- Biotechnology
Background:
- Combinatorial chemistry and high-throughput screening (HTS) have significantly impacted drug discovery.
- Despite technological advances, drug attrition rates in clinical trials due to toxicity remain high (40-50%).
- There is a critical need for early toxicity screening assays to mitigate late-stage failures.
Purpose of the Study:
- To provide a comprehensive overview of current early toxicity screening assays.
- To highlight advancements in genotoxicity, cytotoxicity, carcinogenicity, and reprotoxicity testing.
- To discuss methods for analyzing enzyme induction and receptor-mediated effects.
Main Methods:
- Review of established and novel assays for various toxicity endpoints.
- Discussion of genotoxicity assays including Ames, Ames II, Vitotox, GreenScreen GC, and RadarScreen.
- Description of cytotoxicity assays measuring cellular proliferation, mitochondrial activity, and apoptosis.
- Examination of high-content screening (HCS) for cytotoxicity and genotoxicity.
- Overview of alternative assays for embryotoxicity, endocrine disruption, and reprotoxicity using nuclear and membrane receptors.
- Methods for analyzing enzyme induction via nuclear receptor activation (AhR, CAR, PXR, PPAR, FXR, LXR, TR, RAR).
Main Results:
- Detailed descriptions of multiple assays for assessing genotoxicity, cytotoxicity, and carcinogenicity.
- Exploration of HCS capabilities for analyzing cellular damage and specific toxicities.
- Presentation of alternative assays for rapid assessment of reproductive and developmental toxicity.
- Solutions for evaluating enzyme induction by various nuclear receptors are provided.
Conclusions:
- The development and application of diverse early toxicity screening assays are essential for improving drug safety and reducing clinical attrition.
- State-of-the-art assays offer enhanced capabilities for predicting potential drug toxicities.
- These assays facilitate faster and more reliable drug development pipelines.
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