PMID- 27344345 OWN - NLM STAT- MEDLINE DCOM- 20170306 LR - 20191210 IS - 1432-0738 (Electronic) IS - 0340-5761 (Print) IS - 0340-5761 (Linking) VI - 91 IP - 3 DP - 2017 Mar TI - Validation of precision-cut liver slices to study drug-induced cholestasis: a transcriptomics approach. PG - 1401-1412 LID - 10.1007/s00204-016-1778-8 [doi] AB - Hepatotoxicity is one of the major reasons for withdrawal of drugs from the market. Therefore, there is a need to screen new drugs for hepatotoxicity in humans at an earlier stage. The aim of this study was to validate human precision-cut liver slices (PCLS) as an ex vivo model to predict drug-induced cholestasis and identify the possible mechanisms of cholestasis-induced toxicity using gene expression profiles. Five hepatotoxicants, which are known to induce cholestasis (alpha-naphthyl isothiocyanate, chlorpromazine, cyclosporine, ethinyl estradiol and methyl testosterone) were used at concentrations inducing low (<30 %) and medium (30-50 %) toxicity, based on ATP content. Human PCLS were incubated with the drugs in the presence of a non-toxic concentration (60 microM) of a bile acid mixture (portal vein concentration and composition) as model for bile acid-induced cholestasis. Regulated genes include bile acid transporters and cholesterol transporters. Pathway analysis revealed that hepatic cholestasis was among the top ten regulated pathways, and signaling pathways such as farnesoid X receptor- and liver X receptor-mediated responses, which are known to play a role in cholestasis, were significantly affected by all cholestatic compounds. Other significantly affected pathways include unfolded protein response and protein ubiquitination implicating the role of endoplasmic reticulum stress. This study shows that human PCLS incubated in the presence of a physiological bile acid mixture correctly reflect the pathways affected in drug-induced cholestasis in the human liver. In the future, this human PCLS model can be used to identify cholestatic adverse drug reactions of new chemical entities. FAU - Vatakuti, Suresh AU - Vatakuti S AD - Division of Pharmacokinetics, Toxicology and Targeting, Groningen Research Institute for Pharmacy, University of Groningen, Antonius Deusinglaan 1, 9713 AV, Groningen, The Netherlands. FAU - Olinga, Peter AU - Olinga P AD - Division of Pharmaceutical Technology and Biopharmacy, Groningen Research Institute for Pharmacy, University of Groningen, Groningen, The Netherlands. FAU - Pennings, Jeroen L A AU - Pennings JLA AD - National Institute for Public Health and the Environment, Bilthoven, The Netherlands. FAU - Groothuis, Geny M M AU - Groothuis GMM AD - Division of Pharmacokinetics, Toxicology and Targeting, Groningen Research Institute for Pharmacy, University of Groningen, Antonius Deusinglaan 1, 9713 AV, Groningen, The Netherlands. g.m.m.groothuis@rug.nl. LA - eng PT - Journal Article PT - Validation Study DEP - 20160625 PL - Germany TA - Arch Toxicol JT - Archives of toxicology JID - 0417615 RN - 423D2T571U (Ethinyl Estradiol) RN - 551-06-4 (1-Naphthylisothiocyanate) RN - 83HN0GTJ6D (Cyclosporine) RN - U42B7VYA4P (Chlorpromazine) RN - V9EFU16ZIF (Methyltestosterone) SB - IM MH - 1-Naphthylisothiocyanate/toxicity MH - Aged MH - Chlorpromazine/adverse effects MH - Cholestasis/*chemically induced/genetics MH - Cyclosporine/adverse effects MH - Dose-Response Relationship, Drug MH - Ethinyl Estradiol/adverse effects MH - Female MH - Gene Expression Profiling/methods MH - Humans MH - Liver/*drug effects MH - Male MH - Methyltestosterone/adverse effects MH - Middle Aged MH - Signal Transduction/drug effects/genetics MH - Transcriptome/drug effects MH - Young Adult PMC - PMC5316400 OTO - NOTNLM OT - Cholestasis OT - Hepatotoxicity OT - Precision-cut liver slices OT - Transcriptomics COIS- The authors declare that they have no conflict of interest. EDAT- 2016/06/28 06:00 MHDA- 2017/03/07 06:00 PMCR- 2016/06/25 CRDT- 2016/06/27 06:00 PHST- 2015/11/30 00:00 [received] PHST- 2016/06/20 00:00 [accepted] PHST- 2016/06/28 06:00 [pubmed] PHST- 2017/03/07 06:00 [medline] PHST- 2016/06/27 06:00 [entrez] PHST- 2016/06/25 00:00 [pmc-release] AID - 10.1007/s00204-016-1778-8 [pii] AID - 1778 [pii] AID - 10.1007/s00204-016-1778-8 [doi] PST - ppublish SO - Arch Toxicol. 2017 Mar;91(3):1401-1412. doi: 10.1007/s00204-016-1778-8. Epub 2016 Jun 25.