- Research Article
- 10.14573/altex.2403272s
Improved identification of human hepatotoxic potential by summary variables of gene expression_suppl
- Jan 01, 2025
- ALTEX
- Wiebke Albrecht + 19 more +19
Prediction of hepatotoxicity in humans remains an unresolved challenge. Recently, an in vitro/in silico method was established to predict blood concentrations of test compounds with an increased risk of causing human hepatotoxicity. In the present study, we addressed the question whether gene expression data can improve the quality of hepatotoxicity prediction compared to cytotoxicity analysis alone. A particular challenge is that high-dimensional gene expression data must be summarized into variables that allow the determination of the lowest test compound concentration that causes altered gene expression. To address this challenge, we analyzed 60 hepatotoxic and non-hepatotoxic substances in a concentration-dependent manner for cytotoxicity and expression of 3,524 probes previously reported to be influenced by hepatotoxicants. The toxicity separation index (TSI) was applied to quantify how well specific summary variables of gene expression can differentiate between the set of hepatotoxic and non-hepatotoxic substances. The best TSI was obtained when the lowest concentration of a test compound that led to differential expression of two genes when compared to vehicle controls was considered positive. Furthermore, the best gene expression-based summary variable was superior to cytotoxicity-based variables alone, and the combination of the best summary variables of gene expression and cytotoxicity data further improved the TSI compared to each category alone. In conclusion, the method used to derive summary variables of gene expression is critical, and the best summary variables improve the prediction of hepatotoxic substances in relation to oral doses and blood concentrations in humans. Plain language summary Liver injury is a relevant side effect of many drugs. It represents the most common cause of acute liver failure in Western countries as well as the most common reason for late-stage drug development failure or withdrawal of drugs from the market. We show that a genome-wide gene expression analysis of cultured human hepatocytes exposed to drugs can identify hepatotoxic and non-hepatotoxic substances. To achieve this, we have developed a technique to summarize all gene expression variables to determine the lowest concentration at which a test substance begins to influence gene expression. We find that the cell test must include the highest concentration of the drug that is intended to be reached in the blood of patients at therapeutic doses. This approach can reduce the number of animals needed in pre-clinical safety studies as liver-damaging drug candidates would be detected and eliminated prior to studies in rodents.
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