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Updated: May 30, 2026

Human Liver Microphysiological System for Assessing Drug-Induced Liver Toxicity In Vitro
Published on: January 31, 2022
Identification and categorization of liver toxicity markers induced by a related pair of drugs
Ching-Wei Chang1, Frederick A Beland, Wade M Hines
1Division of Personalized Nutrition and Medicine, National Center for Toxicological Research, FDA, Jefferson, AR 72079, USA;
Abstract:
Drug-induced liver injury (DILI) is the primary adverse event that results in the withdrawal of drugs from the market and a frequent reason for the failure of drug candidates in the pre-clinical or clinical phases of drug development. This paper presents an approach for identifying potential liver toxicity genomic biomarkers from a liver toxicity biomarker study involving the paired compounds entacapone ("non-liver toxic drug") and tolcapone ("hepatotoxic drug"). Molecular analysis of the rat liver and plasma samples, combined with statistical analysis, revealed many similarities and differences between the in vivo biochemical effects of the two drugs. Six hundred and ninety-five genes and 61 pathways were selected based on the classification scheme. Of the 61 pathways, 5 were specific to treatment with tolcapone. Two of the 12 animals in the tolcapone group were found to have high ALT, AST, or TBIL levels. The gene Vars2 (valyl-tRNA synthetase 2) was identified in both animals and the pathway to which it belongs, the aminoacyl-tRNA biosynthesis pathway, was one of the three most significant tolcapone-specific pathways identified.
Insights
This study identified potential genomic biomarkers for drug-induced liver injury (DILI) by comparing entacapone and tolcapone in rats. The aminoacyl-tRNA biosynthesis pathway and the Vars2 gene were highlighted as significant indicators of liver toxicity.
Area of Science:
- Pharmacogenomics
- Toxicology
- Biomarker Discovery
Background:
- Drug-induced liver injury (DILI) is a major cause of drug withdrawal and development failure.
- Identifying reliable biomarkers for DILI is crucial for drug safety and development.
- This study investigates genomic differences between a non-liver toxic drug (entacapone) and a hepatotoxic drug (tolcapone).
Purpose of the Study:
- To develop an approach for identifying potential liver toxicity genomic biomarkers.
- To compare the in vivo biochemical effects of entacapone and tolcapone in rat liver and plasma.
- To pinpoint specific genes and pathways associated with tolcapone-induced hepatotoxicity.
Main Methods:
- Molecular analysis of rat liver and plasma samples.
- Statistical analysis to compare drug effects.
- Gene and pathway selection based on a classification scheme.
Main Results:
- 695 genes and 61 pathways were identified.
- Five pathways were specific to tolcapone treatment.
- The Vars2 gene and the aminoacyl-tRNA biosynthesis pathway were significantly associated with tolcapone-induced liver injury in affected animals.
Conclusions:
- The study successfully identified potential genomic biomarkers for DILI.
- The aminoacyl-tRNA biosynthesis pathway and Vars2 gene may serve as predictive markers for tolcapone hepatotoxicity.
- This approach can aid in the early detection of liver toxicity during drug development.
Related Concept Videos
Drug toxicity: Idiosyncratic Reactions
Effect of Hepatic Disease on Pharmacokinetics: Pathophysiologic Assessment and Liver Function Test
Drug Toxicity: Overview
Drug toxicity: Drug–Drug Interaction
Drug Toxicity: Dose-Dependent Reactions
Drug Toxicity: Risk factors
