日本毒性学会学術年会
第47回日本毒性学会学術年会
セッションID: P-218
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PBMC及び肝癌由来細胞株の共培養による薬剤性肝障害の予測
*織田 進吾内田 有香Michael D. ALEOPetra H. KOZA-TAYLOR檜杖 昌則Lisa D. MARROQUINJessica WHRITENOUR内田 恵里横井 毅
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会議録・要旨集 フリー

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Preventing clinical drug-induced liver injury (DILI) remains a major challenge because DILI develops via multifactorial mechanisms and its prediction at the preclinical stage is not straightforward. Immune and inflammatory reactions are considered important mechanisms of DILI; however, biomarkers from in vitro systems using immune cells have not been comprehensively studied. The aims of this study were 1) to identify promising biomarker genes for predicting DILI in an in vitro coculture model of peripheral blood mononuclear cells (PBMCs) with a human liver cell line, and 2) to evaluate these genes as predictors of DILI using a panel of drugs with different clinical DILI risk. Transcriptome-wide analysis of PBMCs cocultured with HepG2 or differentiated HepaRG cells that were treated with several drugs revealed an appropriate separation of DILI-positive and DILI-negative drugs, from which 12 putative biomarker genes were selected. To evaluate the predictive performance of these genes, PBMCs cocultured with HepG2 cells were exposed to 77 differentdrugs, and gene expression levels in PBMCs were determined. The MET proto-oncogene receptor tyrosine kinase (MET) showed the highest area under the receiver operating characteristic curve (ROC-AUC) value of 0.81 among the 12 genes with a high sensitivity/specificity(85/66%). However, a stepwise logistic regression model using the 12 identifiedgenes showed the highest AUC value of 0.94 with a high sensitivity/specificity (93/86%). Together, we established a coculture system using PBMCs and HepG2 cells and selected biomarkers that can predict DILI risk. The established model would be useful in detecting the DILI potential of compounds, in particular those that involve an immune mechanism.

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