PMID- 28391356 OWN - NLM STAT- MEDLINE DCOM- 20180719 LR - 20220408 IS - 1432-0738 (Electronic) IS - 0340-5761 (Print) IS - 0340-5761 (Linking) VI - 91 IP - 10 DP - 2017 Oct TI - Rat precision-cut liver slices predict drug-induced cholestatic injury. PG - 3403-3413 LID - 10.1007/s00204-017-1960-7 [doi] AB - Drug-induced cholestasis (DIC) is one of the leading manifestations of drug-induced liver injury (DILI). As the underlying mechanisms for DIC are not fully known and specific and predictive biomarkers and pre-clinical models are lacking, the occurrence of DIC is often only reported when the drug has been approved for registration. Therefore, appropriate models that predict the cholestatic potential of drug candidates and/or provide insight into the mechanism of DIC are highly needed. We investigated the application of rat precision-cut liver slices (PCLS) to predict DIC, using several biomarkers of cholestasis: hepatocyte viability, intracellular accumulation of total as well as individual bile acids and changes in the expression of genes known to play a role in cholestasis. Rat PCLS exposed to the cholestatic drugs chlorpromazine, cyclosporine A and glibenclamide for 48 h in the presence of a 60 muM physiological bile acid (BA) mix reflected various changes associated with cholestasis, such as decrease in hepatocyte viability, accumulation and changes in the composition of BA and changes in the gene expression of Fxr, Bsep and Ntcp. The toxicity of the drugs was correlated with the accumulation of BA, and especially DCA and CDCA and their conjugates, but to a different extent for different drugs, indicating that BA toxicity is not the only cause for the toxicity of cholestatic drugs. Moreover, our study supports the use of several biomarkers to test drugs for DIC. In conclusion, our results indicate that PCLS may represent a physiological and valuable model to identify cholestatic drugs and provide insight into the mechanisms underlying DIC. FAU - Starokozhko, Viktoriia AU - Starokozhko V AD - Division of Pharmacokinetics Toxicology and Targeting, Groningen Research Institute for Pharmacy, University of Groningen, Groningen, The Netherlands. FAU - Greupink, Rick AU - Greupink R AD - Department of Pharmacology and Toxicology, Radboud University Medical Center, Nijmegen, The Netherlands. FAU - van de Broek, Petra AU - van de Broek P AD - Department of Pharmacology and Toxicology, Radboud University Medical Center, Nijmegen, The Netherlands. FAU - Soliman, Nashwa AU - Soliman N AD - Division of Pharmacokinetics Toxicology and Targeting, Groningen Research Institute for Pharmacy, University of Groningen, Groningen, The Netherlands. FAU - Ghimire, Samiksha AU - Ghimire S AD - Division of Pharmacokinetics Toxicology and Targeting, Groningen Research Institute for Pharmacy, University of Groningen, Groningen, The Netherlands. FAU - de Graaf, Inge A M AU - de Graaf IAM AD - Division of Pharmacokinetics Toxicology and Targeting, Groningen Research Institute for Pharmacy, University of Groningen, Groningen, 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, Groningen, The Netherlands. g.m.m.groothuis@rug.nl. LA - eng PT - Journal Article DEP - 20170408 PL - Germany TA - Arch Toxicol JT - Archives of toxicology JID - 0417615 RN - 0 (ATP Binding Cassette Transporter, Subfamily B, Member 11) RN - 0 (Abcb11 protein, rat) RN - 0 (Bile Acids and Salts) RN - 0 (Organic Anion Transporters, Sodium-Dependent) RN - 0 (Symporters) RN - 145420-23-1 (sodium-bile acid cotransporter) SB - IM MH - ATP Binding Cassette Transporter, Subfamily B, Member 11/genetics MH - Animals MH - Bile Acids and Salts/metabolism MH - Chemical and Drug Induced Liver Injury/*etiology MH - Cholestasis/chemically induced MH - Gene Expression Regulation/drug effects MH - Liver/*drug effects/metabolism/pathology MH - Male MH - Organ Culture Techniques/*methods MH - Organic Anion Transporters, Sodium-Dependent/genetics MH - Rats, Wistar MH - Symporters/genetics MH - Toxicity Tests/*methods PMC - PMC5608839 OTO - NOTNLM OT - Bile acids OT - Drug-induced cholestasis OT - Drug-induced liver injury OT - Precision-cut liver slices EDAT- 2017/04/10 06:00 MHDA- 2018/07/20 06:00 PMCR- 2017/04/08 CRDT- 2017/04/10 06:00 PHST- 2016/11/09 00:00 [received] PHST- 2017/03/21 00:00 [accepted] PHST- 2017/04/10 06:00 [pubmed] PHST- 2018/07/20 06:00 [medline] PHST- 2017/04/10 06:00 [entrez] PHST- 2017/04/08 00:00 [pmc-release] AID - 10.1007/s00204-017-1960-7 [pii] AID - 1960 [pii] AID - 10.1007/s00204-017-1960-7 [doi] PST - ppublish SO - Arch Toxicol. 2017 Oct;91(10):3403-3413. doi: 10.1007/s00204-017-1960-7. Epub 2017 Apr 8.