A high-throughput liver-kidney metabolic interaction chip for insights into the nephrotoxicity mechanisms of

Siyu Liu1, Yun Yang1, Yifei Yang1

  • 1Institute of Chinese Materia Medica, China Academy of Chinese Medical Sciences, State Key Laboratory for Quality Ensurance and Sustainable Use of Dao-di Herbs, Beijing, 100700, China. syliu2024@163.com.

Lab on a Chip
|January 28, 2026
PubMed

Insights

A new high-throughput liver-kidney organ-on-a-chip (HLKOC) system enhances drug toxicity testing by incorporating liver metabolism. This advanced model reveals triptolide

Area of Science:

  • Biomedical Engineering
  • Toxicology
  • Organ-on-a-Chip Technology

Background:

  • Current kidney organ-on-a-chip (OoC) models lack liver metabolism, limiting their accuracy in assessing drug-induced nephrotoxicity.
  • High-throughput screening is crucial for efficient drug development and toxicity evaluation.

Purpose of the Study:

  • To develop and validate a high-throughput liver-kidney organ-on-a-chip (HLKOC) system.
  • To investigate the nephrotoxicity of triptolide (TPL) and its mechanisms using the HLKOC system.
  • To demonstrate the advantages of the HLKOC over single-kidney OoC models for drug toxicity assessment.

Main Methods:

  • Development of a microfluidic HLKOC system integrating precision-cut liver slices (PCLS) and 3D kidney cell spheroids.
  • Optimization of endothelial barrier function, liver and kidney tissue viability, and metabolic activity.
  • Integration of multi-omics analyses (metabolomics, transcriptomics), biochemical assays, and computational toxicology to study TPL nephrotoxicity.

Main Results:

  • The HLKOC system demonstrated robust liver biosynthetic capacity and simulated in vivo conditions more effectively than a single kidney OoC.
  • Triptolide-induced urea elevation, indicative of nephrotoxicity, was detected exclusively in the HLKOC system, highlighting its superior sensitivity.
  • Multi-omics analysis revealed TPL-induced alterations in linoleic acid metabolism, vesicle-mediated processes, and downregulation of key transport proteins (cubilin, GLUT1).

Conclusions:

  • The high-throughput liver-kidney organ-on-a-chip (HLKOC) system offers enhanced sensitivity and accuracy for drug-induced nephrotoxicity assessment.
  • The HLKOC system provides deeper mechanistic insights into drug toxicity compared to single-organ models.
  • This advanced model holds significant potential for improving preclinical drug safety evaluations.

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