A broad kinase inhibitor library live cell imaging screen using liver, kidney and cardiac hiPSC-ICAM1-eGFP reporter

Matthijs Vlasveld1, Linda van den Berk1, Janet Piñero2

  • 1Division of Cell Systems and Drug Safety, Leiden Academic Centre for Drug Research (LACDR), Leiden University, Einsteinweg 55, 2333CC, Leiden, The Netherlands.

Archives of Toxicology
|November 5, 2025
PubMed

Insights

This study screened 760 kinase inhibitors (KIs) and found that some KIs can increase ICAM1 expression, potentially causing organ toxicity. Clinically used KIs linked to kidney damage were identified, highlighting a new method for predicting KI safety.

Area of Science:

  • Pharmacology
  • Toxicology
  • Cell Biology

Background:

  • Kinase inhibitors (KIs) are crucial therapeutics for cancer and autoimmune diseases.
  • KI selectivity remains a challenge, leading to potential toxicity in organs like the heart, liver, and kidney.
  • Tumor necrosis factor-alpha (TNFα)-mediated signaling, modulated by kinases, impacts cell survival and adverse outcomes.

Purpose of the Study:

  • To systematically screen a large panel of kinase inhibitors for their effects on TNFα-mediated ICAM1 expression.
  • To identify specific kinase inhibitors that induce adverse effects in kidney, heart, and liver cells.
  • To correlate in vitro findings with clinical adverse events and validate a novel reporter system for KI safety assessment.

Main Methods:

  • Screened 760 kinase inhibitors using hiPSC-derived renal proximal tubule-like cells (PTLCs), cardiomyocytes-like cells (CMLC), and hepatocyte-like cells (HLC) with an ICAM1-eGFP reporter.
  • Analyzed kinase inhibitor activity data from the ChEMBL database to identify off-target effects.
  • Correlated in vitro results with clinical data on renal adverse events associated with specific KIs.

Main Results:

  • Four kinase inhibitors (Palbociclib, Miltefosine, Gilteritinib, Erdafitinib) increased ICAM1-eGFP reporter expression and chemokine release.
  • Off-target kinase inhibition was associated with enhanced ICAM1-eGFP expression.
  • KIs that increased ICAM1-eGFP expression in PTLCs were linked to renal adverse events in patients.

Conclusions:

  • Imaging-based hiPSC-derived reporter cells offer a valuable tool for identifying kinase inhibitor liabilities.
  • This approach can predict potential TNFα pathway modulation and associated organ toxicities.
  • The study provides a framework for early detection of adverse effects of novel kinase inhibitors.

Related Concept Videos