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Increasing costs due to the rising attrition of drug candidates in late developmental phases alongside post-marketing withdrawal of drugs challenge the pharmaceutical industry to further improve their current preclinical safety assessment strategies. One of the most common reasons for the termination of drug candidates is drug induced hepatotoxicity, which more often than not remains undetected in early developmental stages, thus emphasizing the necessity for improved and more predictive preclinical test systems. One reason for the very limited value of currently applied in vitro test systems for the detection of potential hepatotoxic liabilities is the lack of organotypic and tissue-specific physiology of hepatocytes cultured in ordinary monolayer culture formats.
The thesis at hand primarily deals with the evaluation of both two- and three-dimensional cell culture approaches with respect to their relative ability to predict the hepatotoxic potential of drug candidates in early developmental phases. First, different hepatic cell models, which are routinely used in pharmaceutical industry (primary human hepatocytes as well as the three cell lines HepG2, HepaRG and Upcyte hepatocytes), were investigated in conventional 2D monolayer culture with respect to their ability to detect hepatotoxic effects in simple cytotoxicity studies. Moreover, it could be shown that the global protein expression levels of all cell lines substantially differ from that of primary human hepatocytes, with the least pronounced difference in HepaRG cells.
The introduction of a third dimension through the cultivation of spheroids enables hepatocytes to recapitulate their typical native polarity and furthermore dramatically increases the contact surface of adjacent cells. These differences in cellular architecture have a positive influence on hepatocyte longevity and the expression of drug metabolizing enzymes and transporters, which could be proven via immunofluorescent (IF) staining for at least 14 days in PHH and at least 28 days in HepaRG spheroids, respectively. Additionally, the IF staining of three different phase III transporters (MDR1, MRP2 and BSEP) indicated a bile canalicular network in spheroids of both cell models. A dose-dependent inducibility of important cytochrome P450 isoenzymes in HepaRG spheroids could be shown on the protein level via IF for at least 14 days. CYP inducibility of HepaRG cells cultured in 2D and 3D was compared on the mRNA level for up to 14 days and inducibility was generally lower in 3D compared to 2D under the conditions of this study. In a comparative cytotoxicity study, both PHH and HepaRG spheroids as well as HepaRG monolayers have been treated with five hepatotoxic drugs for up to 14 days and viability was measured at three time points (days 3, 7 and 14). A clear time- and dose-dependent onset of the drug-induced hepatotoxic effects was observable in all conditions tested, indicated by a shift of the respective EC50 value towards lower doses by increasing exposure. The observed effects were most pronounced in PHH spheroids, thus indicating those as the most sensitive cell model in this study. Moreover, HepaRG cells were more sensitive in spheroid culture compared to monolayers, which suggests a potential application of spheroids as long-term test system for the detection of hepatotoxicities with slow onset. Finally, the basal protein expression levels of three antigens (CYP1A2, CYP3A4 and NAT 1/2) were analyzed via Western Blotting in HepaRG cells cultured in three different cell culture formats (2D, 3D and QV) in order to estimate the impact of the cell culture conditions on protein expression levels. In the QV system enables a pump-driven flow of cell culture media, which introduces both mechanical stimuli through shear and molecular stimuli through dynamic circulation to the monolayer. Those stimuli resulted in a clearly positive effect on the expression levels of the selected antigens by an increased expression level in comparison to both 2D and 3D. In contrast, HepaRG spheroids showed time-dependent differences with the overall highest levels at day 7.
The studies presented in this thesis delivered valuable information on the increased physiological relevance in dependence on the cell culture format: three-dimensionality as well as the circulation of media lead to a more differentiated phenotype in hepatic cell models. Those cell culture formats are applicable in preclinical drug development in order to obtain more relevant information at early developmental stages and thus help to create a more efficient drug development process. Nonetheless, further studies are necessary to thoroughly characterize, validate and standardize such novel cell culture approaches prior to their routine application in industry.