Cited by 1173D Printing in Biomedical ResearchTissue Engineering and Regenerative MedicineDrug-Induced Hepatotoxicity and Protection

Human biomimetic liver microphysiology systems in drug development and precision medicine

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Gough, Albert, Soto-Gutierrez, Alejandro, Vernetti, Lawrence, Ebrahimkhani, Mo R., Stern, Andrew M., Taylor, D. Lansing·2021·Nature Reviews Gastroenterology & Hepatology

Abstract

Microphysiology systems (MPS), also called organs-on-chips and tissue chips, are miniaturized functional units of organs constructed with multiple cell types under a variety of physical and biochemical environmental cues that complement animal models as part of a new paradigm of drug discovery and development. Biomimetic human liver MPS have evolved from simpler 2D cell models, spheroids and organoids to address the increasing need to understand patient-specific mechanisms of complex and rare diseases, the response to therapeutic treatments, and the absorption, distribution, metabolism, excretion and toxicity of potential therapeutics. The parallel development and application of transdisciplinary technologies, including microfluidic devices, bioprinting, engineered matrix materials, defined physiological and pathophysiological media, patient-derived primary cells, and pluripotent stem cells as well as synthetic biology to engineer cell genes and functions, have created the potential to produce patient-specific, biomimetic MPS for detailed mechanistic studies. It is projected that success in the development and maturation of patient-derived MPS with known genotypes and fully matured adult phenotypes will lead to advanced applications in precision medicine. In this Review, we examine human biomimetic liver MPS that are designed to recapitulate the liver acinus structure and functions to enhance our knowledge of the mechanisms of disease progression and of the absorption, distribution, metabolism, excretion and toxicity of therapeutic candidates and drugs as well as to evaluate their mechanisms of action and their application in precision medicine and preclinical trials.

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Crossref · 10.1038/s41575-020-00386-1

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  • The goal of HBL-MPS is to accurately represent the structure and function of the hepatic lobule, including oxygen gradients, zonation, vascularization, and cell signaling.

    “The goal of HBL-MPS is to accurately represent the structure and function of the hepatic lobule, including oxygen gradients, zonation, vascularization, and cell signaling (Fig. 10A) [179].”

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Research works printed but not linked: 5

  1. [1]Alex A, Harris CJ, Keighley WW & Smith DA In Attrition in the Pharmaceutical Industry: Reasons, Implications, and Pathways Forward (eds Alex A, Harris CJ & Smith DA) 106– 127 (Wiley, 2015).
  2. [17]Vernetti L in Drug Efficacy, Safety, and Biologics Discovery: Emerging Technologies and Tools (eds Ekins S & Xu JJ) Ch. 3, 53– 73 (Wiley & Sons, 2009).
  3. [30]European Medicines Agency. Meeting Report: First EMA workshop on non-animal approaches in support of medicinal product development – challenges and opportunities for use of micro-physiological systems (EMA/CHMP/SWP/250438/2018) (European Medicines Agency, 2018).
  4. [105]Colnot S & Perret C in Molecular Pathology of Liver Diseases (ed. Satdarshan S & Monga P) 7– 16 (Springer, 2011).
  5. [186]Bergenthal LM, Shun TY, Vernetti L, Taylor DL & Gough AH The Microphysiology Systems Database http://mps.csb.pitt.edu (2018). PMC5119471 28781990

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Authors
Gough, A., Soto-Gutierrez, A., Vernetti, L., Ebrahimkhani, M. R., Stern, A. M., & Taylor, D. L.
Affiliations
University of Pittsburgh (US)
Corresponding author
Taylor, D. Lansing
Venue
Nature Reviews Gastroenterology & Hepatology
Published
2020-12-17
Volume
18
Issue
4
Pages
252-268
ISSN
  • 1759-5045 (ISSN-L)
  • 1759-5053
OpenAlex
W3112962917
Cited by
117
References
244
Citations by year
2026: 18 · 2025: 23 · 2024: 21 · 2023: 20 · 2022: 19 · 2021: 16
FWCI
1.15
Type
journal article
Language
en
Open access
Locations
  • Nature Reviews Gastroenterology & Hepatology (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institutes of Health (UG3TR003289, U01TR002383)
  • National Institute of Diabetes and Digestive and Kidney Diseases (R01DK117881)
  • National Center for Advancing Translational Sciences
Topics
  • Physical Sciences › Engineering › Biomedical Engineering › 3D Printing in Biomedical Research
  • Health Sciences › Medicine › Surgery › Tissue Engineering and Regenerative Medicine
  • Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Drug-Induced Hepatotoxicity and Protection
Keywords
organ-on-a-chip, microphysiological systems, drug development, precision medicine, liver acinus, microfluidics, bioprinting, organoids, spheroids, pluripotent stem cells, synthetic biology, patient-specific disease models
MeSH terms
Drug Development, Drug Evaluation, Preclinical, Humans, Liver, Models, Animal, Biomimetics, Microfluidics, Microchip Analytical Procedures, Lab-On-A-Chip Devices, Precision Medicine

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