Pluripotent Stem Cell-Derived Hepatocytes Phenotypic Screening Reveals Small Molecules Targeting the

Maddalena Parafati1,2, Sang Hyo Bae1, R Jason Kirby2

  • 1Department of Pharmacodynamics, College of Pharmacy, University of Florida, Gainesville, FL 32610, USA.

Insights

Researchers identified compounds that reduce fat buildup in liver cells, offering new hope for treating non-alcoholic fatty liver disease (NAFLD). This discovery accelerates the development of effective anti-steatotic medicines for NAFLD and non-alcoholic steatohepatitis (NASH).

Area of Science:

  • Hepatology and Drug Discovery
  • Stem Cell Biology and Disease Modeling

Background:

  • Non-alcoholic fatty liver disease (NAFLD) is a significant global health concern, characterized by hepatic steatosis (triglyceride accumulation).
  • Developing effective therapeutics for NAFLD and its progression to non-alcoholic steatohepatitis (NASH) is a medical and scientific priority.
  • Human induced pluripotent stem cell (hiPSC) technology offers a robust platform for disease modeling and therapeutic assessment.

Purpose of the Study:

  • To identify novel compounds that reduce intracellular neutral lipid content in a human-relevant model of NAFLD.
  • To leverage hiPSC technology and high-content screening for accelerated drug discovery of anti-steatotic medicines.
  • To elucidate the mechanism of action for identified therapeutic compounds.

Main Methods:

  • Screening of AstraZeneca's chemogenomic library (13,000 compounds) using hiPSC-derived hepatocytes.
  • Application of multiplexed high-content screening to quantify intracellular neutral lipid accumulation.
  • Investigating the molecular pathways affected by hit compounds, including the CDK2-4/C/EBPα/DGAT2 pathway.

Main Results:

  • Identification of compounds that significantly reduce lipid droplet accumulation in hiPSC-derived hepatocytes.
  • Demonstration that identified hits protect against endoplasmic reticulum stress-induced steatosis.
  • Elucidation of a mechanism involving inhibition of the CDK2-4/C/EBPα/DGAT2 pathway and downstream gene alterations.

Conclusions:

  • The developed phenotypic screening platform reliably identifies novel drug candidates for fatty liver disease.
  • The study successfully identified compounds targeting key pathways implicated in NAFLD pathogenesis.
  • This approach accelerates the discovery of efficacious anti-steatotic medicines and deepens understanding of NAFLD mechanisms.

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