Classification of Cholestatic and Necrotic Hepatotoxicants Using Transcriptomics on Human Precision-Cut Liver Slices

Suresh Vatakuti, Jeroen L A Pennings1, Emilia Gore

  • 1National Institute for Public Health and the Environment , Bilthoven, The Netherlands.

Insights

Human precision-cut liver slices (PCLS) effectively predict drug-induced liver toxicity phenotypes. Gene expression profiling identified key biomarkers for hepatotoxicity screening, improving early-stage drug safety assessment.

Area of Science:

  • Toxicology
  • Genomics
  • Drug Development

Background:

  • Hepatotoxicity is a primary cause of drug withdrawal, necessitating early screening methods.
  • Current toxicity screening models (animal, cell lines) have limitations in human relevance.
  • Transcriptomics offers insights into toxicity mechanisms but requires physiologically relevant models.

Purpose of the Study:

  • To classify known hepatotoxicants based on their toxicity phenotype in humans.
  • To utilize gene expression profiles from human precision-cut liver slices (PCLS) for toxicity classification.
  • To identify novel biomarkers for predicting drug-induced liver injury.

Main Methods:

  • Hepatotoxicants inducing necrosis or cholestasis were tested in human PCLS at varying cytotoxicity levels.
  • Gene expression profiles were analyzed using Random Forest and Support Vector Machine algorithms.
  • A leave-one-compound-out cross-validation method was employed for classification accuracy.

Main Results:

  • The classification model accurately predicted toxicity phenotypes with 70-80% accuracy.
  • Classification performance was slightly better for low cytotoxicity compared to medium cytotoxicity.
  • A consensus list of biomarkers, including endoplasmic reticulum stress genes and SLC10A7, was identified.

Conclusions:

  • Human PCLS represent a valuable model for predicting drug-induced hepatotoxicity phenotypes.
  • The identified consensus biomarkers could form the basis for a novel hepatotoxicity screening tool.
  • Further validation with additional compounds is recommended to refine the biomarker set for a PCR-array.

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