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Updated: Feb 13, 2026

Human Liver Microphysiological System for Assessing Drug-Induced Liver Toxicity In Vitro
Published on: January 31, 2022
A Sensitive In Vitro Approach to Assess the Hybridization-Dependent Toxic Potential of High Affinity Gapmer
Andreas Dieckmann1, Peter H Hagedorn2, Yvonne Burki1
1Roche Pharma Research and Early Development, Roche Innovation Center Basel, 4070 Basel, Switzerland.
Abstract:
The successful development of high-affinity gapmer antisense oligonucleotide (ASO) therapeutics containing locked nucleic acid (LNA) or constrained ethyl (cEt) substitutions has been hampered by the risk of hepatotoxicity. Here, we present an in vitro approach using transfected mouse fibroblasts to predict the potential hepatic liabilities of LNA-modified ASOs (LNA-ASOs), validated by assessing 236 different LNA-ASOs with known hepatotoxic potential. This in vitro assay accurately reflects in vivo findings and relates hepatotoxicity to RNase H1 activity, off-target RNA downregulation, and LNA-ASO-binding affinity. We further demonstrate that the hybridization-dependent toxic potential of LNA-ASOs is also evident in different cell types from different species, which indicates probable translatability of the in vitro results to humans. Additionally, we show that the melting temperature (Tm) of LNA-ASOs maintained below a threshold level of about 55°C greatly diminished the hepatotoxic potential. In summary, we have established a sensitive in vitro screening approach for assessing the hybridization-dependent toxic potential of LNA-ASOs, enabling prioritization of candidate molecules in drug discovery and early development.
Insights
A new in vitro assay accurately predicts liver toxicity for locked nucleic acid antisense oligonucleotides (LNA-ASOs). Maintaining a melting temperature below 55°C significantly reduces LNA-ASO hepatotoxicity, aiding drug development.
Area of Science:
- Pharmacology
- Oligonucleotide Therapeutics
- Toxicology
Background:
- High-affinity antisense oligonucleotide (ASO) therapeutics, including those with locked nucleic acid (LNA) or constrained ethyl (cEt) substitutions, face challenges due to potential hepatotoxicity.
- Predicting and mitigating liver toxicity is crucial for the successful development of these ASO drugs.
Purpose of the Study:
- To develop and validate an in vitro assay for predicting the hepatic liabilities of LNA-modified ASOs (LNA-ASOs).
- To identify key factors correlating with LNA-ASO-induced hepatotoxicity and establish methods for its reduction.
Main Methods:
- Utilized transfected mouse fibroblasts as an in vitro model to assess 236 different LNA-ASOs with known in vivo hepatotoxic potential.
- Correlated in vitro findings with in vivo results, examining RNase H1 activity, off-target RNA downregulation, and LNA-ASO binding affinity.
- Evaluated the translatability of the assay across different cell types and species.
Main Results:
- The in vitro assay demonstrated high accuracy in predicting in vivo hepatotoxicity of LNA-ASOs.
- Hepatotoxicity was linked to RNase H1 activity, off-target effects, and binding affinity.
- The toxic potential was observed across various cell types and species, suggesting human relevance.
- Maintaining LNA-ASO melting temperature (Tm) below approximately 55°C substantially reduced hepatotoxicity.
Conclusions:
- An effective in vitro screening method for assessing hybridization-dependent toxicity of LNA-ASOs has been established.
- This assay facilitates the prioritization of LNA-ASO candidates during drug discovery and early development.
- Controlling LNA-ASO Tm is a viable strategy to mitigate liver toxicity and advance therapeutic development.
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