Department of Physiology and Pharmacology, Karolinska Institutet, Stockholm, 17177, Sweden.
Dr. Margarete Fischer-Bosch Institute of Clinical Pharmacology, 70376, Stuttgart, Germany.
Adv Healthc Mater. 2024 Apr;13(11):e2303561. doi: 10.1002/adhm.202303561. Epub 2023 Dec 10.
Organotypic and microphysiological systems (MPS) that can emulate the molecular phenotype and function of human tissues, such as liver, are increasingly used in preclinical drug development. However, despite their improved predictivity, drug development success rates have remained low with most compounds failing in clinical phases despite promising preclinical data. Here, it is tested whether absorption of small molecules to polymers commonly used for MPS fabrication can impact preclinical pharmacological and toxicological assessments and contribute to the high clinical failure rates. To this end, identical devices are fabricated from eight different MPS polymers and absorption of prototypic compounds with different physicochemical properties are analyzed. It is found that overall absorption is primarily driven by compound hydrophobicity and the number of rotatable bonds. However, absorption can differ by >1000-fold between polymers with polydimethyl siloxane (PDMS) being most absorptive, whereas polytetrafluoroethylene (PTFE) and thiol-ene epoxy (TEE) absorbed the least. Strikingly, organotypic primary human liver cultures successfully flagged hydrophobic hepatotoxins in lowly absorbing TEE devices at therapeutically relevant concentrations, whereas isogenic cultures in PDMS devices are resistant, resulting in false negative safety signals. Combined, these results can guide the selection of MPS materials and facilitate the development of preclinical assays with improved translatability.
器官型和微生理系统(MPS)能够模拟人类组织的分子表型和功能,例如肝脏,越来越多地用于临床前药物开发。然而,尽管它们的预测能力有所提高,但药物开发的成功率仍然很低,尽管有很有前途的临床前数据,但大多数化合物在临床阶段都失败了。在这里,研究人员测试了小分子对用于 MPS 制造的聚合物的吸收是否会影响临床前的药理学和毒理学评估,并导致高临床失败率。为此,研究人员从八种不同的 MPS 聚合物中制造了相同的器件,并分析了具有不同物理化学性质的原型化合物的吸收情况。结果发现,总体吸收主要由化合物疏水性和可旋转键的数量决定。然而,聚合物之间的吸收差异可以超过 1000 倍,其中聚二甲基硅氧烷(PDMS)的吸收性最强,而聚四氟乙烯(PTFE)和硫醇-烯环氧(TEE)的吸收性最差。引人注目的是,在具有低吸收率的 TEE 装置中,原代人肝脏组织成功地标记了疏水性肝毒物,而在 PDMS 装置中的同基因培养物则具有抗性,导致假阴性安全信号。综上所述,这些结果可以指导 MPS 材料的选择,并有助于开发具有更高可翻译性的临床前检测方法。