A well-characterized mechanistic model for exploring known or hypothesized T cell mediated drug induced liver injury:

Lara Clemens1, Christina Battista1, Zackary R Kenz1

  • 1QSP Solutions, Simulations Plus, Inc., Research Triangle Park, NC, USA.

Abstract

Insights

Quantitative systems toxicology modeling now includes CD8+ T cell-mediated drug-induced liver injury (DILI). This approach successfully reproduced DILI data in mouse and human models, offering a promising direction for reducing DILI in drug development.

Area of Science:

  • * Toxicology and Pharmacology
  • * Computational Biology and Systems Toxicology

Background:

  • * Drug-induced liver injury (DILI) poses a significant challenge in drug development, often linked to adaptive immune responses.
  • * While drug-specific T cell responses are implicated, a comprehensive understanding of CD8+ T cell-mediated DILI remains incomplete.

Purpose of the Study:

  • * To extend a quantitative systems toxicology (QST) model of DILI to incorporate CD8+ T cell-mediated mechanisms.
  • * To address limitations in quantitative data for CD8+ T cell-mediated DILI through a translational modeling strategy.

Main Methods:

  • * A translational strategy adapted a mouse ovalbumin (OVA) model to represent amodiaquine (AQ)-specific CD8+ T cell-mediated DILI in mice.
  • * Further adaptations were made to model human AQ-specific CD8+ T cell-mediated DILI using the DILIsym platform.

Main Results:

  • * The DILIsym model accurately reproduced published data for mouse OVA-specific CD8+ T cell-mediated hepatotoxicity.
  • * The model successfully simulated mouse and human AQ-specific CD8+ T cell-mediated DILI.
  • * Key drivers of the CD8+ T cell response were identified, highlighting areas for future *in vitro* data integration.

Conclusions:

  • * The DILIsym CD8+ T cell sub-model provides a framework for systematic investigation of CD8+ T cell-mediated DILI.
  • * While not yet predictive, the model represents a promising advancement for mitigating DILI during drug development.