Temporal proteomic profiling of iPSC-derived human liver organoids reveals optimal maturation for drug metabolism and toxicology
Open accessAbstract
Liver organoids have emerged as an innovative three-dimensional model system that effectively recapitulates the structural and functional complexities of human liver tissue, addressing limitations of traditional two-dimensional culture systems. This study presents a comprehensive temporal proteomic characterization of iPSC-derived human liver organoids (iHLOs) by profiling 5,736 proteins across their four developmental stages, Days 7, 15, 30, and 45, to identify optimal timepoints for drug metabolism and toxicological applications. The analysis revealed that Day 30 represents the peak of functional maturity, marked by the highest expression of key-metabolizing enzymes, such as cytochrome P450 3A4 (CYP3A4), along with cholangiocyte-specific proteins and hepatic metabolic enzymes. Functional validation of CYP3A4 activity through rifampicin induction and ketoconazole inhibition demonstrated metabolic competence comparable to existing in vitro liver models, including HepaRG cells and primary human hepatocytes. Interestingly, Day 45 organoids exhibited a shift toward a mesenchymal cell profile, with increased markers of hepatic stellate cells, suggesting utility for disease modeling applications. These findings indicate Day 30 of liver organoids as the optimal stage for drug metabolism and toxicological investigations, providing a proteomic framework that enhances their utility of iHLOs as physiologically relevant liver models.
AI snapshot
Written from the paper’s full text.
TL;DR
Temporal proteomic profiling of iPSC-derived human liver organoids (iHLOs) across Days 7, 15, 30, and 45 identified Day 30 as the peak of functional maturation for drug metabolism and toxicology. Day 30 iHLOs showed high CYP3A4 activity and closer proteomic similarity to human liver than HepG2 or HepaRG cells, while Day 45 shifted toward a mesenchymal/stellate-like profile.
Key findings
- Profiling 5,736 proteins across four stages showed Day 30 as the functional peak, with maximal expression of CYP3A4, CYP3A7, CYP2C9, CYP2B6, UGT1A1, and cholangiocyte markers KRT7/KRT19; Day 45 showed increased mesenchymal markers DES and VIM.
- Differential expression analysis identified 660 proteins changed in the early phase (391 upregulated, 269 downregulated at Day 15), 543 in the mid phase (273 upregulated, 270 downregulated at Day 30), and 688 in the late phase (292 upregulated, 396 downregulated at Day 45).
- Day 30 iHLOs had 66.54% protein expression similarity to human liver tissue, comparable to PHHs (67.26%–79.11%) and higher than HepG2 (45.64%) and HepaRG cells (54.60%).
- CYP3A4 inhibition by ketoconazole gave an IC50 of 0.83 µM in iHLOs, compared with 0.42 µM in HepaRG cells and 0.056 µM in PHHs; rifampicin induced and ketoconazole suppressed CYP3A4 activity over 72 h.
Methods
- iHLOs were generated using a proprietary protocol adapted from published literature and profiled at Days 7, 15, 30, and 45 with three biological replicates per timepoint; proteins were analyzed by TMT18-plex labeling, basic reversed-phase UHPLC fractionation, and LC-MS/MS on an Orbitrap Exploris 240.
- Proteomic data were analyzed with STEM for temporal patterns, DAVID for GO/KEGG enrichment (p < 0.05), Student’s t-test for differential proteins (|log ratio| > 0.585 and p < 0.05), and PCA/clustering in R.
- Functional CYP3A4 activity was measured with the P450-Glo assay in Day 30 iHLOs, HepaRG cells, and PHHs, including ketoconazole inhibition and rifampicin (25 µM)/ketoconazole (10 µM) time-course treatments over 24, 48, and 72 h.
Limitations
- Stated: proteomic analyses did not detect immune cell markers such as Kupffer cells; only CYP3A4 was extensively validated functionally, while other liver markers such as bile acid transporters and detoxification enzymes were not examined in comparable detail.
- Stated: bulk proteomics cannot resolve detailed cellular composition or 3D organization, and single-cell/spatiotemporal methods would be needed; findings are also limited by use of a single induction protocol, which may not generalize to other differentiation methods.
- Evident from the text: Day 21, noted as important in prior studies, was not included in the temporal analysis, and the authors state future studies will incorporate it.
Model-written summary. Check it against the paper before relying on it.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
44 of 45 cited sources checked · 12 supported · 2 flagged · accuracy not yet measured
- Premisecitation
These enzymes are responsible for metabolizing 70% of clinically prescribed drugs.
“These enzymes are responsible for metabolizing 70% of clinically prescribed drugs22,23, establishing this timepoint as pivotal for investigating drug metabolism, interactions, and toxicity.”
Quote in the paperSubstantial claim2 of 2 sources checked- cites [22] Zhao, M. et al. Cytochrome P450 enzymes and drug metabolism in humans. Int. J. Mol. Sci. 22. https://doi.org/10.3390/ijms222312808 (2021). source
The Introduction and Section 4 say CYP1–3 enzymes metabolize about 80% of clinical drugs, while Section 2 says CYPs account for approximately 75% of drugs processed by enzymes. These passages support the central point that CYPs metabolize a large share of drugs, but neither gives the claimed 70% of clinically prescribed drugs. (LLM, conf=0.85)
Experimental — accuracy not yet measured - cites [23] Zhang, Y. et al. CYP3A4 and CYP3A5: the crucial roles in clinical drug metabolism and the significant implications of genetic polymorphisms. PeerJ 12, e18636. https://doi.org/10.7717/peerj.18636 (2024). source
The Introduction says CYP3A4/5 are involved in metabolizing 30–50% of clinical drugs, not 70%. It gives a higher estimate, 75–90%, for the broader CYP450 enzyme family, which does not support assigning 70% to CYP3A4/5. (LLM, conf=0.88)
Checked by a reasoning model — may be wrong.
Experimental — accuracy not yet measured
- Premisecitation
Unlike most prior studies, which typically analyze snapshots of organoid development at single timepoints, this study employs a longitudinal approach to track dynamic transitions of iHLO populations.
“Unlike most prior studies, which typically analyze snapshots of organoid development at single timepoints14,15, this study employs a longitudinal approach to track the dynamic transitions of iHLO populations.”
Quote in the paperSubstantial claim2 of 2 sources checked- cites [14] Howell, L. et al. Proteomic profiling of murine biliary-derived hepatic organoids and their capacity for drug disposition, bioactivation and detoxification. Arch. Toxicol. 95, 2413–2430. https://doi.org/10.1007/s00204-021-03075-3 (2021). source
The citation is attached to the characterization of prior studies as single-timepoint snapshots. In Results (‘Validation of mass spectrometry data by immunoblotting’; page unavailable), this paper explicitly includes samples from days four and eight to examine protein induction over time, so it is not an example of a single-timepoint study. The citing authors’ own longitudinal approach is not attributed to this source. (LLM, conf=0.85)
Checked by a reasoning model — may be wrong.
Experimental — accuracy not yet measured - cites [15] Harrison, S. P. et al. Scalable production of tissue-like vascularized liver organoids from human PSCs. Exp. Mol. Med. 55, 2005–2024. https://doi.org/10.1038/s12276-023-01074-1 (2023). source
- Premisecitation
The differentiation protocol used was developed and optimized from published literature and chosen for its capacity to generate iHLOs with high CYP enzyme activity, particularly CYP3A4.
“The differentiation protocol utilized was developed and optimized from the published literatures18–21, specifically chosen for its capacity to generate iHLOs with high CYP enzyme activity, particularly CYP3A4, which is crucial for drug metabolism and toxicology evaluations.”
Quote in the paperSubstantial claim4 of 4 sources checked- cites [18] Siller, R., Greenhough, S., Naumovska, E. & Sullivan, G. J. Small-molecule-driven hepatocyte differentiation of human pluripotent stem cells. Stem Cell. Rep. 4, 939–952. https://doi.org/10.1016/j.stemcr.2015.04.001 (2015). source
The Phase III Results and Discussion describe a protocol developed using published methods and optimized to produce hepatocyte-like cells (HLCs). The Results section ‘Small-Molecule-Derived HLCs Demonstrate Hepatic Function’ reports CYP3A4 activity and its induction. The paper does not report generating iHLOs (organoids) or say that high CYP3A4 activity was the specific reason for choosing the protocol. Page numbers are unavailable in our copy. (LLM, conf=0.87)
Experimental — accuracy not yet measured - cites [19] Sullivan, G. J. et al. Generation of functional human hepatic endoderm from human induced pluripotent stem cells. Hepatology 51, 329–335. https://doi.org/10.1002/hep.23335 (2010). source
The Experimental Procedures describe a differentiation protocol adapted from published work, and the Results report CYP3A4 activity in the resulting iPSC-derived hepatic endoderm. The paper does not describe generating iHLOs or establish that their CYP enzyme activity is high; its activity measurements concern hepatic endoderm cells. (LLM, conf=0.86)
Experimental — accuracy not yet measured - cites [20] Peters, D. T. et al. Asialoglycoprotein receptor 1 is a specific cell-surface marker for isolating hepatocytes derived from human pluripotent stem cells. Development 143, 1475–1481. https://doi.org/10.1242/dev.132209 (2016). source
The Results and Discussion (page unavailable) describe an optimized differentiation protocol based on established methods. They also report increased CYP3A4 activity after ASGR1-positive HLCs were sorted and replated, compared with unsorted HLCs. The paper studies HLCs, not iHLOs, and does not say the differentiation protocol was chosen for its capacity to generate iHLOs with high CYP3A4 activity. (LLM, conf=0.88)
Experimental — accuracy not yet measured - cites [21] Gao, X. et al. Hepatocyte-like cells derived from human induced pluripotent stem cells using small molecules: implications of a transcriptomic study. Stem Cell. Res. Ther. 11, 393. https://doi.org/10.1186/s13287-020-01914-1 (2020). source
The Methods section (‘Hepatocyte differentiation by only SMs’; page unavailable) says the authors followed a published protocol with slight modifications. The Results (‘Hepatic functions of HLCs derived by SMs’; page unavailable) report CYP3A activity in hepatocyte-like cells, but not iHLOs or specifically high CYP3A4 activity; the Results on drug-metabolizing enzymes report lower CYP3A4 expression than in primary hepatocytes and adult liver. (LLM, conf=0.86)
Experimental — accuracy not yet measured
- Premisecitation
Proteomics can offer a temporal roadmap of cellular differentiation and functional development in organoids.
“By profiling protein expression dynamics, proteomics can offer a temporal roadmap of cellular differentiation and functional development in organoids14–17.”
Quote in the paperSubstantial claim4 of 4 sources checked- cites [14] Howell, L. et al. Proteomic profiling of murine biliary-derived hepatic organoids and their capacity for drug disposition, bioactivation and detoxification. Arch. Toxicol. 95, 2413–2430. https://doi.org/10.1007/s00204-021-03075-3 (2021). source
- cites [15] Harrison, S. P. et al. Scalable production of tissue-like vascularized liver organoids from human PSCs. Exp. Mol. Med. 55, 2005–2024. https://doi.org/10.1038/s12276-023-01074-1 (2023). source
The Results section, “Proteomic analysis of iPSC-derived liver organoids” (page unavailable), uses protein profiles to identify liver-related functions and early developmental features. It compares organoids with primary liver, however, rather than profiling protein expression over time. The paper tracks differentiation across days using other measurements, so it does not establish the claimed temporal roadmap from proteomics. (LLM, conf=0.85)
Experimental — accuracy not yet measured - cites [16] Zhang, S. et al. Transcriptomic and proteomic sequencing unveils the role of vitamin D and metabolic flux shifts in the induction of human hepatic organoids. Stem Cell. Res. Ther. 15, 478. https://doi.org/10.1186/s13287-024-04101-8 (2024). source
- cites [17] Liu, Y., Sheng, J. Y., Yang, C. F., Ding, J. & Chan, Y. S. A decade of liver organoids: advances in disease modeling. Clin. Mol. Hepatol. 29, 643–669. https://doi.org/10.3350/cmh.2022.0428 (2023). source
The Introduction and Hereditary Liver Diseases sections discuss organoid differentiation and functional maturity, but do not describe proteomic profiling as a temporal roadmap. Searches for proteomics, protein expression dynamics, and maturation found no passage addressing that claim; page numbers were unavailable in our copy. (LLM, conf=0.73)
Experimental — accuracy not yet measured
- Premisecitation
iHLOs can recapitulate the cellular complexity of the liver, including hepatocytes, cholangiocytes, endothelial cells, and occasionally Kupffer cells.
“Induced pluripotent stem cell (iPSC)-derived human liver organoids (iHLOs) are particularly promising, as they can recapitulate the cellular complexity of the liver, including diverse cell types such as hepatocytes, cholangiocytes, endothelial cells, and occasionally Kupffer cells11.”
Quote in the paperNot a substantial claim1 of 1 sources checked- cites [11] Olgasi, C., Cucci, A. & Follenzi, A. iPSC-Derived liver organoids: A journey from drug Screening, to disease Modeling, arriving to regenerative medicine. Int. J. Mol. Sci. 21. https://doi.org/10.3390/ijms21176215 (2020). source
- Findingcitation
H&E staining of Day 30 iHLOs revealed epithelial luminal structures.
“Hematoxylin and eosin (H&E) staining revealed epithelial luminal structures, further substantiating epithelial maturation (Fig. 1G and Supplementary Fig. 1A)27.”
Quote in the paperNot a substantial claim1 of 1 sources checked- cites [27] Ker, Y. B., Peng, C. C., Chang, W. L., Chyau, C. C. & Peng, R. Y. Hepatoprotective bioactivity of the glycoprotein, antrodan, isolated from antrodia cinnamomea mycelia. PLoS One. 9, e93191. https://doi.org/10.1371/journal.pone.0093191 (2014). source
The Materials and Methods section describes H&E staining of liver tissue collected after LPS administration, while the Results section discusses hepatic injury. Our copy does not address Day 30 iHLOs, epithelial luminal structures, or their maturation (searched: iHLOs, epithelial lumen, organoids). (LLM, conf=0.75)
Experimental — accuracy not yet measured
- Interpretationown data
The CYP3A4 induction and inhibition assays highlight the potential of iHLOs for dynamic pharmacological testing.
“The CYP3A4 induction and inhibition assays also highlight the potential of iHLOs for dynamic pharmacological testing, a key aspect of drug safety evaluations35.”
Quote in the paperSubstantial claim1 of 1 sources checked- cites [35] Damoiseaux, D., Beijnen, J. H., Huitema, A. D. R. & Dorlo, T. P. C. Early prediction and impact assessment of CYP3A4-Related Drug-Drug interactions for Small-Molecule anticancer drugs using Human-CYP3A4-Transgenic mouse models. Drug Metab. Dispos. 52, 1217–1223. https://doi.org/10.1124/dmd.123.001530 (2024). source
The Introduction (page unavailable) links CYP3A4 drug–drug interaction testing to safety during drug development, and the Discussion (page unavailable) evaluates predictions of CYP3A4 inhibition and induction. But this paper uses transgenic mouse models; our copy does not describe iHLO assays or show that they have potential for dynamic pharmacological testing. (LLM, conf=0.83)
Experimental — accuracy not yet measured
- Premisecitation
This trajectory mirrors aspects of human hepatic ontogeny, where hepatoblasts differentiate into functional hepatocytes and cholangiocytes before a subsequent phase involving mesenchymal cell expansion.
“This trajectory mirrors aspects of human hepatic ontogeny, where hepatoblasts differentiate into functional hepatocytes and cholangiocytes before a subsequent phase involving mesenchymal cell expansion32.”
Quote in the paperNot a substantial claim1 of 1 sources checked- cites [32] Gordillo, M., Evans, T. & Gouon-Evans, V. Orchestrating liver development. Development 142, 2094–2108. https://doi.org/10.1242/dev.114215 (2015). source
The “Hepatoblast differentiation” section describes human hepatoblasts differentiating into hepatocytes and cholangiocytes. The cited passages do not establish a subsequent phase of mesenchymal cell expansion; the “Hepatoblast proliferation and expansion” section instead discusses mesenchymal cells in relation to hepatoblast expansion. (LLM, conf=0.86)
Experimental — accuracy not yet measured
- Premisecitation
The protocol was chosen due to its demonstrated capacity to generate iHLOs with high CYP enzyme activity, particularly CYP3A4.
“This protocol was chosen due to its demonstrated capacity to generate iHLOs with high CYP enzyme activity, particularly CYP3A4, which is crucial for our subsequent compound or drug metabolism and toxicology evaluations.”
Quote in the paperSubstantial claim4 of 4 sources checked- cites [18] Siller, R., Greenhough, S., Naumovska, E. & Sullivan, G. J. Small-molecule-driven hepatocyte differentiation of human pluripotent stem cells. Stem Cell. Rep. 4, 939–952. https://doi.org/10.1016/j.stemcr.2015.04.001 (2015). source
The Results section, “Small-Molecule-Derived HLCs Demonstrate Hepatic Function” (page unavailable), reports higher basal CYP1A2 and CYP3A4 activity in the protocol-derived cells than in undifferentiated controls, as well as inducible activity. However, the paper identifies its products as hepatocyte-like cells (HLCs), not iHLOs, and does not demonstrate that the protocol generates organoids with that activity. (LLM, conf=0.89)
Experimental — accuracy not yet measured - cites [19] Sullivan, G. J. et al. Generation of functional human hepatic endoderm from human induced pluripotent stem cells. Hepatology 51, 329–335. https://doi.org/10.1002/hep.23335 (2010). source
The Results report CYP1A2 and CYP3A4 activity in all three iPSC-derived hepatic endoderm lines, supporting the protocol’s relevance to drug-metabolism testing. The Cell Culture and Differentiation section describes hepatocyte-like cells, not iHLOs, and the Results do not establish that their CYP enzyme activity was high. The reported ~6000-fold increase in CYP3A4 concerns expression relative to undifferentiated iPS cells, not measured enzyme activity. (LLM, conf=0.88)
Experimental — accuracy not yet measured - cites [20] Peters, D. T. et al. Asialoglycoprotein receptor 1 is a specific cell-surface marker for isolating hepatocytes derived from human pluripotent stem cells. Development 143, 1475–1481. https://doi.org/10.1242/dev.132209 (2016). source
In Results and Discussion (page unavailable), the paper reports significantly higher CYP3A4 activity in ASGR1-enriched, replated hepatocyte-like cells than in unsorted cells. It studies hepatocyte-like cells, not iHLOs, and reports that primary human hepatocytes had substantially higher activity; it therefore does not establish high CYP3A4 activity in iHLOs generated by the chosen protocol. (LLM, conf=0.88)
Experimental — accuracy not yet measured - cites [21] Gao, X. et al. Hepatocyte-like cells derived from human induced pluripotent stem cells using small molecules: implications of a transcriptomic study. Stem Cell. Res. Ther. 11, 393. https://doi.org/10.1186/s13287-020-01914-1 (2020). source
The Results section, “Hepatic functions of HLCs derived by SMs” (page unavailable), reports CYP3A activity in small-molecule-derived hepatocyte-like cells, comparable to growth-factor-derived cells. It does not report generating iHLOs or demonstrate high CYP3A4-specific activity. The Results section on drug-metabolizing enzymes instead reports lower CYP3A4 expression in these cells than in primary human hepatocytes and adult liver. (LLM, conf=0.88)
Experimental — accuracy not yet measured
- Interpretationcitation
The expansion of the mesenchymal-like population at Day 45 suggests that these organoids could serve as an advanced model for studying fibrogenesis and testing anti-fibrotic therapies.
“The expansion of mesenchymal-like population at Day 45 suggests that these organoids could serve as an advanced model for studying fibrogenesis and testing anti-fibrotic therapies34.”
Quote in the paperNot a substantial claim1 of 1 sources checked- cites [34] Zhang, C. Y., Yuan, W. G., He, P., Lei, J. H. & Wang, C. X. Liver fibrosis and hepatic stellate cells: Etiology, pathological hallmarks and therapeutic targets. World J. Gastroenterol. 22, 10512–10522. https://doi.org/10.3748/wjg.v22.i48.10512 (2016). source
The review’s “Animal models of liver fibrogenesis” section discusses animal models, and its therapeutic-target sections discuss hepatic stellate cells and antifibrotic approaches. Searches for organoids, a Day 45 mesenchymal-like population, and organoid-based therapy testing found no passage addressing the claim about these organoids. (LLM, conf=0.76)
Experimental — accuracy not yet measured
- Findingown data
Day 30 iHLOs show the highest expression of key drug-metabolizing enzymes such as CYP3A4.
“The analysis revealed that Day 30 represents the peak of functional maturity, marked by the highest expression of key-metabolizing enzymes, such as cytochrome P450 3A4 (CYP3A4), along with cholangiocyte-specific proteins and hepatic metabolic enzymes.”
- Also stated in: § Drug-metabolizing enzyme and transporter profiles · plain
“Specifically, CYP3A4, CYP3A7, CYP2C9, and CYP2B6 reached maximal levels at Day 30 (Fig. 3A), with Western blot confirming higher CYP3A4 expression at Day 30 compared to earlier stages (Supplementary Fig. 2).”
Quote in the paperSubstantial claim - Also stated in: § Drug-metabolizing enzyme and transporter profiles · plain
- Findingown data
GO analysis emphasized consistent enrichment in processes of endodermal cell differentiation and liver development across all three phases.
“In parallel, Gene Ontology (GO) analysis emphasized consistent enrichment in processes of endodermal cell differentiation and liver development across all three phases (Fig. 2D and Supplementary Table 1).”
Quote in the paperNot a substantial claim - Findingown data
Most Day 30 iHLOs consisted of epithelial cells forming a cystic structure.
“As depicted in Fig. 1C, most Day 30 iHLOs consisted of epithelial cells forming a cystic structure.”
Quote in the paperNot a substantial claim - Findingown data
DES expression in a subset of Day 30 cells identified hepatic stellate precursors in the population.
“Additionally, desmin (DES) expression in a subset of cells identified hepatic stellate precursors in the population (Fig. 1E).”
Quote in the paperNot a substantial claim - Findingown data
KEGG pathway enrichment identified significant metabolic pathway enrichment throughout iHLO development.
“Pathway enrichment analysis via KEGG, using differentially expressed proteins in each phase, identified significant metabolic pathway enrichment throughout development (Fig. 2C and Supplementary Table 1).”
Quote in the paperSubstantial claim - Findingown data
Western blot confirmed higher CYP3A4 expression at Day 30 compared to earlier stages.
“Specifically, CYP3A4, CYP3A7, CYP2C9, and CYP2B6 reached maximal levels at Day 30 (Fig. 3A), with Western blot confirming higher CYP3A4 expression at Day 30 compared to earlier stages (Supplementary Fig. 2).”
Quote in the paperSubstantial claim - Findingown data
Non-CYP Phase I and Phase II enzyme profiles peaked between Days 15 and 30.
“Non-CYP Phase I and Phase II enzyme profiles mirrored these trends, peaking between Days 15 and 30 (Fig. 3B and C).”
Quote in the paperSubstantial claim - Findingown data
Lipid metabolism pathways, particularly steroid hormone biosynthesis and cholesterol metabolism, were highly enriched across all three iHLO development phases, indicating the organoids' capacity to process lipids, especially cholesterol.
“Lipid metabolism pathways, particularly steroid hormone biosynthesis and cholesterol metabolism, were highly enriched across all three iHLO development phases, indicating the organoids’ capacity to process lipids, especially cholesterol.”
Quote in the paperNot a substantial claim - Findingown data
CYP1A2 displayed stable expression across Days 7-30.
“CYP1A2 displayed stable expression across Days 7–30, while CYP1B1 and CYP4F12 exhibited progressive increases, reaching maximum levels at Day 45, reflecting roles in fatty acid and bile acid metabolism during later stages.”
Quote in the paperNot a substantial claim - Findingown data
The relaxin signaling pathway was enriched at the early iHLO phase, indicating an environment conducive to early liver epithelial cell differentiation.
“Furthermore, we observed enrichment of the relaxin signaling pathway at early iHLO phase, indicating an environment conducive to early liver epithelial cell differentiation.”
Quote in the paperNot a substantial claim - Findingown data
Day 45 iHLOs have increased markers of hepatic stellate cells.
“Interestingly, Day 45 organoids exhibited a shift toward a mesenchymal cell profile, with increased markers of hepatic stellate cells, suggesting utility for disease modeling applications.”
- Also stated in: § Temporal dynamics of protein profiles in iHLO development · hedged
“Significant upregulation of markers such as DES and vimentin (VIM) indicates an expansion of mesenchymal cell populations, including hepatic stellate-like cells or fibroblasts (Fig. 1D).”
Quote in the paperSubstantial claim - Also stated in: § Temporal dynamics of protein profiles in iHLO development · hedged
- Findingown data
Day 45 iHLOs exhibit a shift toward a mesenchymal cell profile.
“Interestingly, Day 45 organoids exhibited a shift toward a mesenchymal cell profile, with increased markers of hepatic stellate cells, suggesting utility for disease modeling applications.”
- Also stated in: § Temporal dynamics of protein profiles in iHLO development · hedged
“By Day 45 of iHLOs, proteomic data signaled a transition toward mesenchymal differentiation.”
Quote in the paperSubstantial claim - Also stated in: § Temporal dynamics of protein profiles in iHLO development · hedged
- Findingown data
Drug-metabolizing CYP450 enzymes exhibited peak expression between Day 15 and Day 30.
“Drug-metabolizing CYP450 enzymes, crucial for the liver’s role in processing drugs and other substances, exhibited peak expression between Day 15 and Day 30.”
Quote in the paperSubstantial claim - Findingown data
CYP3A4, CYP3A7, CYP2C9, and CYP2B6 reached maximal levels at Day 30.
“Specifically, CYP3A4, CYP3A7, CYP2C9, and CYP2B6 reached maximal levels at Day 30 (Fig. 3A), with Western blot confirming higher CYP3A4 expression at Day 30 compared to earlier stages (Supplementary Fig. 2).”
Quote in the paperSubstantial claim - Findingown data
By Day 45, proteomic data signaled a transition toward mesenchymal differentiation.
“By Day 45 of iHLOs, proteomic data signaled a transition toward mesenchymal differentiation.”
Quote in the paperSubstantial claim - Findingown data
Proteins were stratified into six distinct expression categories based on their temporal patterns across four timepoints.
“Proteins were stratified into six distinct expression categories based on their temporal patterns across four timepoints: Group 1 (consistent increase), Group 2 (consistent decrease), Group 3 (increase then decrease), Group 4 (decrease then increase), Group 5 (up-down-up), and Group 6 (down-up-down) (Fig. 2A and B).”
Quote in the paperSubstantial claim - Findingown data
Early-stage Day 7 organoids exhibit a proteomic profile characteristic of hepatoblast-like populations, marked by high levels of HNF1A, HNF4A, and FOXA2.
“Early-stage organoids (Day 7) exhibited a proteomic profile characteristic of hepatoblast-like populations, marked by high levels of stem cell-associated transcription factors such as hepatocyte nuclear factor 1 alpha (HNF1A), hepatocyte nuclear factor 4 alpha (HNF4A), and forkhead box protein A2 (FOXA2) (Fig. 1D).”
Quote in the paperNot a substantial claim - Findingown data
ALDHs and GSTs maintained relatively high expression at Day 45, possibly supporting metabolic adaptation to a diverse cellular environment.
“Notably, enzymes such as aldehyde dehydrogenases (ALDHs) and glutathione S-transferases (GSTs) maintained relatively high expression at Day 45, possibly supporting metabolic adaptation to a diverse cellular environment.”
Quote in the paperNot a substantial claim - Findingown data
PCA indicated that Day 30 iHLOs exhibited a protein expression pattern more closely aligned with human liver tissue than HepaRG and HepG2 cells.
“Principal component analysis (PCA) indicated that Day 30 iHLOs exhibited a protein expression pattern more closely aligned with human liver tissue than HepaRG and HepG2 cells (Fig. 4A).”
Quote in the paperSubstantial claim - Findingown data
Three key developmental phases emerged: early Days 7-15, mid Days 15-30, and late Days 30-45.
“Across these categories, three key developmental phases emerged: early (Days 7–15), mid (Days 15–30), and late (Days 30–45).”
Quote in the paperSubstantial claim - Findingown data
The study profiled 5,736 proteins across four developmental stages of iHLOs: Days 7, 15, 30, and 45.
“This study presents a comprehensive temporal proteomic characterization of iPSC-derived human liver organoids (iHLOs) by profiling 5,736 proteins across their four developmental stages, Days 7, 15, 30, and 45, to identify optimal timepoints for drug metabolism and toxicological applications.”
- Also stated in: § Temporal dynamics of protein profiles in iHLO development · plain
“To elucidate the maturation trajectory of iHLOs, we analyzed the proteomic expression of 5,736 proteins across four developmental stages: Day 7, Day 15, Day 30, and Day 45 (Fig. 1A,B).”
Quote in the paperSubstantial claim - Also stated in: § Temporal dynamics of protein profiles in iHLO development · plain
- Findingown data
Day 45 iHLOs show significant upregulation of DES and VIM, indicating expansion of mesenchymal cell populations including hepatic stellate-like cells or fibroblasts.
“Significant upregulation of markers such as DES and vimentin (VIM) indicates an expansion of mesenchymal cell populations, including hepatic stellate-like cells or fibroblasts (Fig. 1D).”
Quote in the paperNot a substantial claim - Findingown data
Day 30 iHLOs prominently express cholangiocyte-associated proteins KRT7 and KRT19.
“Moreover, cholangiocyte-associated proteins, including keratins 7 (KRT7) and 19 (KRT19), were prominently expressed.”
Quote in the paperNot a substantial claim - Findingown data
Day 30 iHLOs express cholangiocyte-specific proteins and hepatic metabolic enzymes.
“The analysis revealed that Day 30 represents the peak of functional maturity, marked by the highest expression of key-metabolizing enzymes, such as cytochrome P450 3A4 (CYP3A4), along with cholangiocyte-specific proteins and hepatic metabolic enzymes.”
Quote in the paperSubstantial claim - Findingown data
SLC transporters showed variable expression patterns, with some peaking as early as Day 15 and others persisting through Day 45.
“Variable expression patterns were observed among SLC transporters, with some peaking as early as Day 15 and others persisting through Day 45 (Supplementary Fig. 3).”
Quote in the paperNot a substantial claim - Findingown data
Immunostaining of Day 45 iHLOs shows a significant increase and clustering of DES-expressing cells forming a solid structure distinct from the cystic structure composed of KRT7- or CYP3A4-expressing epithelial cells.
“This is further demonstrated by immunostaining of Day 45 iHLOs, which shows a significant increase and clustering of DES-expressing cells forming a solid structure distinct from the cystic structure composed of KRT7- or CYP3A4-expressing epithelial cells (Supplementary Fig. 2B).”
Quote in the paperNot a substantial claim - Findingown data
Day 45 iHLOs show a decrease in mature hepatocyte-specific proteins like ALB in proteomic assays.
“Concurrently, a decrease in mature hepatocyte-specific proteins like ALB was observed in proteomic assays (Fig. 1D), indicating increased cellular heterogeneity.”
Quote in the paperSubstantial claim - Findingown data
The proteomic analyses in this study did not detect markers for immune cells like Kupffer cells.
“the proteomic analyses did not detect markers for immune cells like Kupffer cells”
Quote in the paperNot a substantial claim - Findingreasoning
Other key markers of liver functionality, such as bile acid transporters and detoxification enzymes, were not examined in as much detail.
“other key markers of liver functionality, such as bile acid transporters and detoxification enzymes, were not examined in as much detail”
Quote in the paperNot a substantial claim - Interpretationown data
The Day 45 findings indicate a zonation trend within iHLOs with prolonged culturing.
“This indicates a zonation trend within iHLOSs with prolonged culturing.”
Quote in the paperNot a substantial claim - Interpretationown data
Day 45 iHLOs suggest utility for disease modeling applications.
“Interestingly, Day 45 organoids exhibited a shift toward a mesenchymal cell profile, with increased markers of hepatic stellate cells, suggesting utility for disease modeling applications.”
Quote in the paperNot a substantial claim - Interpretationown data
iHLO development progresses from epithelial-centric populations to a more diverse composition including mesenchymal cell types by Day 45.
“This progression delineates a developmental pathway in iHLOs, transitioning from epithelial-centric populations to a more diverse composition including mesenchymal cell types by Day 45 (Fig. 1H).”
Quote in the paperSubstantial claim - Interpretationown data
Day 30 is the optimal timepoint for applications requiring drug metabolism and toxicology testing.
“This study provides a comprehensive temporal proteomic analysis of iHLO maturation, identifying Day 30 as the optimal timepoint for application requiring drug metabolism and toxicology testing.”
Quote in the paperSubstantial claim - Interpretationreasoning
Reduced statistical significance with increased differentiation time indicates that drug metabolism function becomes more stable as iHLOs mature.
“Concurrently, reduced statistical significance with the increased differentiation time indicates that the drug metabolism function becomes more stable as iHLOs mature.”
Quote in the paperSubstantial claim - Interpretationown data
Day 30 of liver organoids is the optimal stage for drug metabolism and toxicological investigations.
“These findings indicate Day 30 of liver organoids as the optimal stage for drug metabolism and toxicological investigations, providing a proteomic framework that enhances their utility of iHLOs as physiologically relevant liver models.”
- Also stated in: § Discussion · plain
“This study provides a comprehensive temporal proteomic analysis of iHLO maturation, identifying Day 30 as the optimal timepoint for application requiring drug metabolism and toxicology testing.”
Quote in the paperSubstantial claim - Also stated in: § Discussion · plain
- Interpretationown data
Day 30 represents the peak of functional maturity in iHLOs.
“The analysis revealed that Day 30 represents the peak of functional maturity, marked by the highest expression of key-metabolizing enzymes, such as cytochrome P450 3A4 (CYP3A4), along with cholangiocyte-specific proteins and hepatic metabolic enzymes.”
- Also stated in: § Temporal dynamics of protein profiles in iHLO development · hedged
“All these data suggest that iHLOs at Day 30 is in the peak of functional maturation.”
Quote in the paperSubstantial claim - Also stated in: § Temporal dynamics of protein profiles in iHLO development · hedged
- Interpretationown data
The metabolic competence of Day 30 iHLOs is comparable to existing in vitro liver models including HepaRG cells and primary human hepatocytes.
“Functional validation of CYP3A4 activity through rifampicin induction and ketoconazole inhibition demonstrated metabolic competence comparable to existing in vitro liver models, including HepaRG cells and primary human hepatocytes.”
- Also stated in: § iHLOs model for toxicology applications · boosted
“CYP3A4 inhibition by ketoconazole yielded an IC50 of 0.83 µM in iHLOs, comparable to HepaRG cells (0.42 µM) but less potent than the IC50 (0.056 µM) from PHHs, demonstrating their applicability for studying CYP-mediated drug-drug interactions (Fig. 4C).”
Quote in the paperSubstantial claim - Also stated in: § iHLOs model for toxicology applications · boosted
- Interpretationreasoning
Significant epithelial cell differentiation at the early phase supported the differentiation of hepatoblasts into hepatocytes at this stage.
“Significant epithelial cell differentiation at the early phase supported the differentiation of hepatoblasts into hepatocytes at this stage.”
Quote in the paperNot a substantial claim - Interpretationreasoning
Increased fibroblast proliferation paralleling mesenchymal expansion implies a major period of liver morphogenesis.
“This, along with increased fibroblast proliferation paralleling mesenchymal expansion, implies a major period of liver morphogenesis.”
Quote in the paperNot a substantial claim - Interpretationnone given
The current study identified Day 30 of iHLOs as the optimal developmental stages that can be used for pharmacological and toxicological research.
“The current study identified Day 30 of iHLOs as the optimal developmental stages that can be used for pharmacological and toxicological research.”
Quote in the paperSubstantial claim - Interpretationnone given
iHLOs provide a physiologically relevant alternative to 2D cultures and animal models.
“By providing a physiologically relevant alternative to 2D cultures and animal models”
Quote in the paperSubstantial claim
- May combine two claims. 36
- Classified as probably not a substantial claim. 24
May combine two claims.
PremisecitationTraditional 2D liver models fail to mimic the 3D architecture, cellular heterogeneity, and zonation of native liver, leading to discrepancies in drug metabolism and toxicity profiles and reduced predictive accuracy.
“While these model systems provide valuable insights into liver function and drug metabolism, they fail to mimic the intricate three-dimensional (3D) architecture, cellular heterogeneity, and zonation observed in the native liver. Consequently, these models often insufficiently simulate the liver microenvironment, leading to discrepancies in drug metabolism and toxicity profiles and reducing their”
Quote in the paperSubstantial claim1 of 2 sources checked- cites [7] Gerets, H. H. et al. Characterization of primary human hepatocytes, HepG2 cells, and HepaRG cells at the mRNA level and CYP activity in response to inducers and their predictivity for the detection of human hepatotoxins. Cell. Biol. Toxicol. 28, 69–87. https://doi.org/10.1007/s10565-011-9208-4 (2012). source
The Introduction says HepG2 cells have low metabolic capacity and are less suited to testing metabolite toxicity. The Discussion reports limited sensitivity for detecting hepatotoxic compounds in the tested cell models. Neither section attributes those limitations to a lack of 3D architecture, cellular heterogeneity, or zonation; no page numbers are available in our copy. (LLM, conf=0.86)
Experimental — accuracy not yet measured - cites [8] Collins, S. D. et al. Hepatocellular Carcinoma (ed Tirnitz-Parker, J. E. E.) (2019).
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationiHLOs enable patient-specific modeling for precision medicine tailored to individual genetic and pathological conditions.
“Furthermore, iHLOs enable patient-specific modeling, providing a platform for precision medicine tailored to individual genetic and pathological conditions12,13.”
Quote in the paperNot a substantial claim2 of 2 sources checked- cites [12] Mun, S. J. et al. Efficient and reproducible generation of human induced pluripotent stem cell-derived expandable liver organoids for disease modeling. Sci. Rep. 13, 22935. https://doi.org/10.1038/s41598-023-50250-w (2023). source
- cites [13] Shinozawa, T. et al. High-fidelity drug-induced liver injury screen using human pluripotent stem cell-derived organoids. Gastroenterology 160, 831–846. https://doi.org/10.1053/j.gastro.2020.10.002 (2021). source
The Introduction (page unavailable) says HLOs modeled genotype-specific susceptibility to bosentan-induced cholestasis and could facilitate personalized medicine. The Discussion (page unavailable) describes precision studies using donor-derived HLOs, but frames genomic stratification as a future possibility. The paper does not establish patient-specific modeling tailored to a broad range of individual pathological conditions. (LLM, conf=0.83)
Experimental — accuracy not yet measured
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationLiver organoids express key enzymes including members of the cytochrome P450 family and hepatic transporters, often at lower levels compared to native liver tissue.
“Studies have confirmed that liver organoids express key enzymes, including members of the cytochrome P450 (CYP450) family and hepatic transporters, though often at lower levels compared to native liver tissue14,15.”
Quote in the paperNot a substantial claim2 of 2 sources checked- cites [14] Howell, L. et al. Proteomic profiling of murine biliary-derived hepatic organoids and their capacity for drug disposition, bioactivation and detoxification. Arch. Toxicol. 95, 2413–2430. https://doi.org/10.1007/s00204-021-03075-3 (2021). source
- cites [15] Harrison, S. P. et al. Scalable production of tissue-like vascularized liver organoids from human PSCs. Exp. Mol. Med. 55, 2005–2024. https://doi.org/10.1038/s12276-023-01074-1 (2023). source
The Results sections on hepatic parenchymal cells and liver-like function report CYP2A6 expression and CYP1A2/CYP3A4 activity in the organoids. Our copy does not establish expression of hepatic transporters or show that these enzymes and transporters are generally expressed at lower levels than in native liver tissue; it reports some low-expression zonation markers, but that is not a native-liver comparison. No page numbers are available in our copy. (LLM, conf=0.85)
Experimental — accuracy not yet measured
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationExpression of HNF1A, HNF4A, and FOXA2 typically peaks during the early progenitor stage and decreases toward the final hepatocyte-like cell stage.
“This finding is consistent with other reports that these genes’ expression typically peaks during early progenitor stage and decreases towards the final hepatocyte-like cells stage24–26.”
Quote in the paperNot a substantial claim3 of 3 sources checked- cites [24] Ng, N. H. J. et al. HNF4A and HNF1A exhibit tissue specific target gene regulation in pancreatic beta cells and hepatocytes. Nat. Commun. 15, 4288. https://doi.org/10.1038/s41467-024-48647-w (2024). source
The Results section on genome-wide targets states that HNF4A expression peaks during the early progenitor stage and decreases by the hepatocyte-like cell stage. The passages found do not establish the same expression pattern for HNF1A or FOXA2. Page numbers are not available in our copy. (LLM, conf=0.88)
Experimental — accuracy not yet measured - cites [25] Ng, N. H. J. et al. HNF4A haploinsufficiency in MODY1 abrogates liver and pancreas differentiation from patient-derived induced pluripotent stem cells. iScience 16, 192–205. https://doi.org/10.1016/j.isci.2019.05.032 (2019). source
The Results section ('MODY1-Mediated Loss of HNF4A Transcriptional Function Affects Subsequent Hepatic and Pancreatic Development Signatures'; page unavailable) reports that HNF4A expression peaked on day 8 of differentiation into hepatocyte-like cells, before other hepatic genes peaked on days 16 or 24. Our copy does not establish the same early peak and subsequent decline for HNF1A or FOXA2, so it supports only the HNF4A part of the claim. (LLM, conf=0.87)
Experimental — accuracy not yet measured - cites [26] Aghadi, M., Elgendy, R. & Abdelalim, E. M. Loss of FOXA2 induces ER stress and hepatic steatosis and alters developmental gene expression in human iPSC-derived hepatocytes. Cell. Death Dis. 13, 713. https://doi.org/10.1038/s41419-022-05158-0 (2022). source
The Results section on FOXA2 expression during differentiation reports a peak at days 6–8 followed by a decline to little or no expression at the mature hepatocyte stage. The paper does not establish the same early peak and subsequent decline for HNF1A or HNF4A; its measurements of those genes concern FOXA2-deficient cells rather than their expression over the differentiation timeline. Page numbers are not available in our copy. (LLM, conf=0.88)
Experimental — accuracy not yet measured
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationDay 21 or around this timepoint has been identified as an important stage for liver organoid functional development in several previous studies.
“It is also noteworthy that Day 21, or around this timepoint, has been identified as an important stage for liver organoid functional development in several previous studies13,15,28,29.”
Quote in the paperNot a substantial claim4 of 4 sources checked- cites [13] Shinozawa, T. et al. High-fidelity drug-induced liver injury screen using human pluripotent stem cell-derived organoids. Gastroenterology 160, 831–846. https://doi.org/10.1053/j.gastro.2020.10.002 (2021). source
Materials and methods (Large scale screening with 238 test compounds; page unavailable) says the authors seeded liver organoids into drug-screening plates at Day 21, supporting the use of functional organoids at that timepoint. It does not identify Day 21 as an important stage in their functional development or show a developmental change specifically around that day. (LLM, conf=0.82)
Experimental — accuracy not yet measured - cites [15] Harrison, S. P. et al. Scalable production of tissue-like vascularized liver organoids from human PSCs. Exp. Mol. Med. 55, 2005–2024. https://doi.org/10.1038/s12276-023-01074-1 (2023). source
- cites [28] Guan, Y. et al. Live-cell imaging of human liver fibrosis using hepatic micro-organoids. JCI Insight 10. https://doi.org/10.1172/jci.insight.187099 (2024). source
The Results section (“A high-content screening system”) calls day-21 organoids mature and reports receptor expression at that timepoint, supporting a connection between day 21 and organoid maturation. It does not identify day 21 as an important stage specifically for functional development; its day-21 evidence concerns receptor expression. (LLM, conf=0.78)
Experimental — accuracy not yet measured - cites [29] Thompson, W. L. & Takebe, T. Generation of multi-cellular human liver organoids from pluripotent stem cells. Methods Cell. Biol. 159, 47–68. https://doi.org/10.1016/bs.mcb.2020.03.009 (2020). source
May combine two claims.
Interpretationown dataThe mesenchymal shift by Day 45 suggests greater cellular complexity at later stages, potentially facilitating iHLO use in modeling liver pathologies such as fibrosis, cirrhosis, and liver remodeling, as indicated by increased expression of hepatic stellate cell markers DES and VIM.
“Interestingly, the mesenchymal shift by Day 45 suggests greater cellular complexity at later stages, potentially facilitating iHLO use in modeling liver pathologies such as fibrosis, cirrhosis, and liver remodeling, as indicated by increased expression of hepatic stellate cell markers such as DES and VIM33,34.”
Quote in the paperSubstantial claim2 of 2 sources checked- cites [33] Higashi, T., Friedman, S. L. & Hoshida, Y. Hepatic stellate cells as key target in liver fibrosis. Adv. Drug Deliv Rev. 121, 27–42. https://doi.org/10.1016/j.addr.2017.05.007 (2017). source
Split into 2 atoms — 1 confirmed, 1 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.
Experimental — accuracy not yet measured - cites [34] Zhang, C. Y., Yuan, W. G., He, P., Lei, J. H. & Wang, C. X. Liver fibrosis and hepatic stellate cells: Etiology, pathological hallmarks and therapeutic targets. World J. Gastroenterol. 22, 10512–10522. https://doi.org/10.3748/wjg.v22.i48.10512 (2016). source
Split into 2 atoms — 0 confirmed, 2 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.
Experimental — accuracy not yet measured
Probably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing). May combine two claims.
InterpretationcitationIncorporation of patient-derived iPSCs into this system could further enhance its utility for personalized medicine, enabling the prediction of individual drug responses or disease progression.
“The incorporation of patient-derived iPSCs into this system could further enhance its utility for personalized medicine, enabling the prediction of individual drug responses or disease progression42.”
Quote in the paperNot a substantial claim1 of 1 sources checked- cites [42] Bae, J., Choi, Y. S., Cho, G. & Jang, S. J. The Patient-Derived cancer organoids: promises and challenges as platforms for cancer discovery. Cancers (Basel) 14. https://doi.org/10.3390/cancers14092144 (2022). source
Section 3.3, “Precision Cancer Medicine” (page unavailable), says patient-derived cancer organoids can predict a patient’s drug response and help predict clinical outcomes. Section 3 mentions induced pluripotent stem cells as one source of organoids, but the paper does not say that incorporating patient-derived iPSCs into the proposed system would enhance it or enable prediction of disease progression. (LLM, conf=0.84)
Experimental — accuracy not yet measured
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationThe findings align with previous proteomic studies of liver organoids demonstrating their capacity to recapitulate liver-specific phenotypes.
“The findings from current study align with previous proteomic studies of liver organoids, which have demonstrated their capacity to recapitulate liver-specific phenotypes.”
Quote in the paperNot a substantial claim2 of 2 sources checked- cites [14] Howell, L. et al. Proteomic profiling of murine biliary-derived hepatic organoids and their capacity for drug disposition, bioactivation and detoxification. Arch. Toxicol. 95, 2413–2430. https://doi.org/10.1007/s00204-021-03075-3 (2021). source
- cites [15] Harrison, S. P. et al. Scalable production of tissue-like vascularized liver organoids from human PSCs. Exp. Mol. Med. 55, 2005–2024. https://doi.org/10.1038/s12276-023-01074-1 (2023). source
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationKupffer cells are critical for modeling immune-mediated liver diseases.
“which are critical for modeling immune-mediated liver diseases37”
Quote in the paperNot a substantial claim1 of 1 sources checked- cites [37] Ju, C. & Tacke, F. Hepatic macrophages in homeostasis and liver diseases: from pathogenesis to novel therapeutic strategies. Cell. Mol. Immunol. 13, 316–327. https://doi.org/10.1038/cmi.2015.104 (2016). source
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationHarrison et al. compared iHLO protein profiles with native liver tissue and highlighted enrichment of detoxification pathways in both systems.
“Similarly, Harrison et al. compare iHLO protein profiles with native liver tissue and highlighted enrichment of detoxification pathways in both systems, emphasizing the relevance of organoids for metabolically intensive applications15.”
Quote in the paperNot a substantial claim1 of 1 sources checked- cites [15] Harrison, S. P. et al. Scalable production of tissue-like vascularized liver organoids from human PSCs. Exp. Mol. Med. 55, 2005–2024. https://doi.org/10.1038/s12276-023-01074-1 (2023). source
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationHepatic stellate cells, characterized by DES and VIM expressions, are central to liver fibrosis and extracellular matrix remodeling.
“Hepatic stellate cells, characterized by DES and VIM expressions, are central to liver fibrosis and extracellular matrix remodeling34,36.”
Quote in the paperNot a substantial claim2 of 2 sources checked- cites [34] Zhang, C. Y., Yuan, W. G., He, P., Lei, J. H. & Wang, C. X. Liver fibrosis and hepatic stellate cells: Etiology, pathological hallmarks and therapeutic targets. World J. Gastroenterol. 22, 10512–10522. https://doi.org/10.3748/wjg.v22.i48.10512 (2016). source
The Introduction says activated hepatic stellate cells drive fibrosis and secrete proteins involved in extracellular matrix remodeling. The Etiology and Pathological Characteristics section identifies desmin (DES) as upregulated when stellate cells activate, but our copy does not identify VIM expression as a characteristic; it also confines the DES finding to activated cells. Page numbers were not available in the indexed passages. (LLM, conf=0.88)
Experimental — accuracy not yet measured - cites [36] Hoffmann, C. et al. Hepatic stellate cell hypertrophy is associated with metabolic liver fibrosis. Sci. Rep. 10, 3850. https://doi.org/10.1038/s41598-020-60615-0 (2020). source
The Introduction identifies hepatic stellate cells as major contributors to fibrosis and producers of extracellular matrix proteins. The Results section on HSC-specific markers identifies desmin (DES) as an HSC marker. Our copy does not establish VIM expression as a characteristic of these cells; a search for VIM returned no matching passage. (LLM, conf=0.86)
Experimental — accuracy not yet measured
Probably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing). May combine two claims.
InterpretationcitationThis work contributes to reducing reliance on animal testing and promoting ethical innovation in preclinical research.
“this work contributes to reducing reliance on animal testing and promoting ethical innovation in preclinical research, as emphasized by Ingelman-Sundberg and Lauschke43.”
Quote in the paperNot a substantial claim1 of 1 sources checked- cites [43] Ingelman-Sundberg, M. & Lauschke, V. M. 3D human liver spheroids for translational Pharmacology and toxicology. Basic. Clin. Pharmacol. Toxicol. 130 (Suppl 1), 5–15. https://doi.org/10.1111/bcpt.13587 (2022). source
The Introduction and Conclusions describe human liver spheroids as tools for preclinical pharmacology and toxicology. Neither section says they reduce reliance on animal testing or discusses an ethical benefit; searches for animal testing, replacement, and ethics found no such passage in our copy. (LLM, conf=0.72)
Experimental — accuracy not yet measured
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationHowell et al. quantified 4,405 proteins in murine hepatic organoids and observed differentiation-dependent upregulation of CYP450 enzymes, hepatic transporters, and other metabolic proteins.
“For instance, Howell et al. quantified 4,405 proteins in murine hepatic organoids and observed differentiation-dependent upregulation of CYP450 enzymes, hepatic transporters, and other metabolic proteins, which parallels our observations in human iHLOs14.”
Quote in the paperNot a substantial claim1 of 1 sources checked- cites [14] Howell, L. et al. Proteomic profiling of murine biliary-derived hepatic organoids and their capacity for drug disposition, bioactivation and detoxification. Arch. Toxicol. 95, 2413–2430. https://doi.org/10.1007/s00204-021-03075-3 (2021). source
The Results sections on global protein expression and key hepatic proteins report 4,405 proteins identified across all samples and increased expression of multiple CYP450 enzymes, phase II enzymes, and transporters after organoid differentiation. The 4,405 count includes donor-matched liver samples, so the paper does not establish that all 4,405 were quantified in the organoids alone. Page numbers are unavailable in our copy. (LLM, conf=0.85)
Experimental — accuracy not yet measured
Classified as probably not a substantial claim.
Findingown dataProteomic analysis focused on 19 CYP450 enzymes, 36 non-CYP Phase I enzymes, 36 Phase II enzymes, and 95 drug transporters (16 ABC transporters and 79 SLC transporters).
“Proteomic analysis focused on 19 CYP450 enzymes, 36 non-CYP Phase I enzymes, 36 Phase II enzymes, and 95 drug transporters (16 ATP-binding cassette [ABC] transporters and 79 solute carrier [SLC] transporters).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataFocal adhesion and ECM-receptor interaction pathways exhibited sustained upregulation across all phases, highlighting enhanced extracellular matrix remodeling and cell-matrix communication as organoids matured.
“Focal adhesion and ECM-receptor interaction pathways exhibited sustained upregulation across all phases, highlighting enhanced extracellular matrix remodeling and cell-matrix communication as organoids matured.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataCYP3A4 inhibition by ketoconazole yielded an IC50 of 0.83 μM in iHLOs, comparable to HepaRG cells (0.42 μM) but less potent than PHHs (0.056 μM).
“CYP3A4 inhibition by ketoconazole yielded an IC50 of 0.83 µM in iHLOs, comparable to HepaRG cells (0.42 µM) but less potent than the IC50 (0.056 µM) from PHHs, demonstrating their applicability for studying CYP-mediated drug-drug interactions (Fig. 4C).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataCYP3A4 activity in Day 30 iHLOs is inducible by rifampicin and inhibited by ketoconazole.
“Functional validation of CYP3A4 activity through rifampicin induction and ketoconazole inhibition demonstrated metabolic competence comparable to existing in vitro liver models, including HepaRG cells and primary human hepatocytes.”
- Also stated in: § iHLOs model for toxicology applications · plain
“Kinetic assays showed that rifampicin significantly induced CYP3A4 activity in iHLOs over three days, while ketoconazole consistently suppressed CYP3A4 activity over the same period (Fig. 4D).”
Quote in the paperSubstantial claim- Also stated in: § iHLOs model for toxicology applications · plain
May combine two claims.
Findingown dataImmunostaining confirmed ALB cellular localization on organoid surfaces in Day 45 iHLOs, suggesting continued presence of mature hepatocytes and formation of a cystic compartment.
“However, immunostaining confirmed ALB cellular localization on organoid surfaces (Fig. 1F), suggesting the continued presence of mature hepatocytes and the formation of a cystic compartment in Day 45 iHLOs.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataDay 30 iHLOs exhibited a protein expression similarity of 66.54% compared with human liver tissue, comparable to PHHs (67.26%-79.11%), but significantly higher than HepG2 (45.64%) and HepaRG cells (54.60%).
“Specifically, proteomics data showed that Day 30 iHLOs exhibited a protein expression similarity of 66.54% compared with human liver tissue, comparable to PHHs (67.26%–79.11%), but significantly higher than HepG2 (45.64%) and HepaRG cells (54.60%) (Fig. 4B).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataPrimary bile acid biosynthesis was exclusively enriched at the early phase, suggesting rapid development of bile acid production function in iHLOs at this stage.
“Notably, primary bile acid biosynthesis was exclusively enriched at the early phase, suggesting a rapid development of bile acid production function in iHLOs at this stage.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataABC transporters peaked at Day 30, with ABCB1 maintaining high expression on Day 45, emphasizing its role in drug efflux.
“ABC transporters peaked at Day 30, with ABCB1 maintaining high expression on Day 45, emphasizing its role in drug efflux (Fig. 3D).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataCYP1B1 and CYP4F12 exhibited progressive increases, reaching maximum levels at Day 45, reflecting roles in fatty acid and bile acid metabolism during later stages.
“CYP1A2 displayed stable expression across Days 7–30, while CYP1B1 and CYP4F12 exhibited progressive increases, reaching maximum levels at Day 45, reflecting roles in fatty acid and bile acid metabolism during later stages.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataPI3K-Akt signaling was significantly enriched at mid- and late phases of iHLO development, implying expansion and functional maturation of the liver organoid, along with structural organization and functional integration of different cell types.
“Moreover, PI3K-Akt signaling was significantly enriched at mid- and late phases of iHLO development, implying the expansion and functional maturation of the liver organoid, along with structural organization and functional integration of different cell types within the organoid.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataTemporal pattern-based analysis showed 660 differentially expressed proteins during the early phase (391 upregulated, 269 downregulated in Day 15), 543 during the mid phase (273 upregulated, 270 downregulated in Day 30), and 688 during the late phase (292 upregulated, 396 downregulated in Day 45).
“This Temporal pattern-based analysis showed 660 differentially expressed proteins during the early phase (391 upregulated, 269 downregulated in Day 15), 543 during the mid phase (273 upregulated, 270 downregulated in Day 30), and 688 during the late phase (292 upregulated, 396 downregulated in Day 45) (Supplementary Table 1).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataImmunostaining of Day 30 organoids confirmed the presence of CYP3A4 and ALB in hepatocytes and KRT7 in cholangiocytes, indicating co-differentiation of these lineages.
“Immunostaining of Day 30 organoids confirmed the presence of CYP3A4 and albumin (ALB) in hepatocytes and KRT7 in cholangiocytes, indicating co-differentiation of these lineages (Fig. 1E and Supplementary 2 A).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataBy Day 45, reduced CYP expression correlated with the emergence of mesenchymal-like cells, although functional hepatocytes remained, as evidenced by continued ALB localization.
“By Day 45, reduced CYP expression correlated with the emergence of mesenchymal-like cells, although functional hepatocytes remained, as evidenced by continued ALB localization in immunostaining analyses.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataRifampicin significantly induced CYP3A4 activity in iHLOs over three days, while ketoconazole consistently suppressed CYP3A4 activity over the same period.
“Kinetic assays showed that rifampicin significantly induced CYP3A4 activity in iHLOs over three days, while ketoconazole consistently suppressed CYP3A4 activity over the same period (Fig. 4D).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataBy Day 15, AFP notably increases and early hepatic metabolic proteins like CYP2E1 emerge, signaling the onset of hepatic differentiation.
“By Day 15, alpha-fetoprotein (AFP), a hallmark of immature hepatocytes, demonstrated a notable increase, coupled with the emergence of early hepatic metabolic proteins like CYP2E1, signaling the onset of hepatic differentiation (Fig. 1D).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataDrug-metabolizing pathways, especially cytochrome P450, varied significantly across iHLO development, with highly enriched PPAR signaling.
“In addition, drug-metabolizing pathways, especially cytochrome P450, varied significantly across iHLO development, with highly enriched PPAR signaling, a pathway critical for hepatocyte differentiation and lipid metabolism.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataDay 30 iHLOs show a decline in AFP and substantial upregulation of mature hepatocyte markers CYP3A4 and UGT1A1.
“Proteomic analysis of Day 30’s iHLOs showed a decline in AFP expression, accompanied by a substantial upregulation of markers associated with mature hepatocytes such as CYP3A4 and UDP-glucuronosyltransferase 1A1 (UGT1A1).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThe proteomic similarity of Day 30 iHLOs to PHHs, with a 33.46% expression difference from liver tissue, underscores their physiological relevance compared to HepG2 cells (54.36% difference) or HepaRG cells (45.40% difference).
“Importantly, the proteomic similarity of Day 30 iHLOs to PHHs, with a 33.46% expression difference from liver tissue, underscores their physiological relevance compared to traditional models like HepG2 cells, which exhibit a 54.36% protein difference from liver tissue, or HepaRG cells, with a 45.40% protein difference.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataiHLOs exhibited a concentration-dependent inhibition profile following ketoconazole treatment (IC50: 0.83 μM), comparable to HepaRG cells but distinct from PHHs.
“The functional assays of CYP3A4 further validate this claim: iHLOs exhibited a concentration-dependent inhibition profile following ketoconazole treatment (IC50: 0.83 µM), comparable to HepaRG cells but distinct from PHHs.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing), S4 (based).
Findingnone givenBulk proteomics provides a comprehensive view of cellular differentiation pattern.
“bulk proteomics provides a comprehensive view of cellular differentiation pattern”
Quote in the paperNot a substantial claimMay combine two claims.
Interpretationown dataiHLOs respond predictably to enzyme inducers and inhibitors, positioning them as a robust alternative to PHHs for toxicology testing.
“These results underscore the ability of iHLOs to respond predictably to enzyme inducers and inhibitors, positioning them as a robust alternative to PHHs for toxicology testing.”
Quote in the paperSubstantial claimMay combine two claims.
Interpretationown dataPersistent endothelial cell proliferation and migration across all stages suggest uninterrupted endothelial lineage development, contributing to organoid vascularization.
“Persistent endothelial cell proliferation and migration across all stages suggest uninterrupted endothelial lineage development, further contributing to organoid vascularization (Fig. 2D and Supplementary Table 1).”
Quote in the paperNot a substantial claimMay combine two claims.
InterpretationreasoningSignificant epithelial cell differentiation at the late phase, coupled with morphogenesis of an epithelium, indicated that epithelial morphogenesis of the liver occurred at this stage.
“The significant epithelial cell differentiation at the late phase, coupled with the morphogenesis of an epithelium, indicated that epithelial morphogenesis of the liver occurred at this stage.”
Quote in the paperNot a substantial claimMay combine two claims.
Interpretationown dataThe study delineates the dynamic progression of organoid maturation and establishes a temporal framework for selecting functional timepoints.
“By profiling the expression of 5,736 proteins across four developmental stages, the study delineates the dynamic progression of organoid maturation and establishes a temporal framework for selecting functional timepoints.”
Quote in the paperSubstantial claimMay combine two claims.
Interpretationown dataThis study adds a temporal dimension to proteomic profiling, demonstrating how maturity-dependent protein expression impacts organoid functionality.
“This study adds to this body of work by providing a temporal dimension to proteomic profiling, demonstrating how maturity-dependent protein expression impacts organoid functionality.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing), S4 (based).
Interpretationnone givenDay 45 organoids may offer added value for investigating liver pathologies involving mesenchymal interactions, such as fibrosis.
“Day 45 organoids may offer added value for investigating liver pathologies involving mesenchymal interactions, such as fibrosis.”
Quote in the paperNot a substantial claimMay combine two claims.
InterpretationreasoningThe persistence of ALB expression despite declining hepatic protein levels supports the notion of functional heterogeneity, potentially reflecting a dynamic interplay between hepatocyte populations and expanding mesenchymal cells.
“Furthermore, the persistence of ALB expression despite declining hepatic protein levels supports the notion of functional heterogeneity, potentially reflecting a dynamic interplay between hepatocyte populations and expanding mesenchymal cells.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Interpretationnone givenCurrent iHLO models are not yet ideal, and significant differences exist between various differentiation protocols.
“It should be acknowledged that current iHLO models are not yet ideal model, and significant differences exist between various differentiation protocols.”
Quote in the paperNot a substantial claimMay combine two claims.
Interpretationown dataThe peak functionality of iHLOs at Day 30, evidenced by maximal expression of CYP450 enzymes like CYP3A4, CYP2B6, and CYP2C9, revealed optimal conditions for xenobiotic metabolism studies.
“The peak functionality of iHLOs at Day 30, evidenced by maximal expression of CYP450 enzymes like CYP3A4, CYP2B6, and CYP2C9, revealed optimal conditions for xenobiotic metabolism studies.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S2 (checkable).
Interpretationown dataTemporal proteomic profiling performed in this study defines a clear developmental roadmap for liver organoids.
“the temporal proteomic profiling performed in this study defines a clear developmental roadmap for liver organoids”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim.
InterpretationreasoningTemporal proteomic profiling offers actionable insights for optimizing their use in drug metabolism, toxicological testing, and disease modeling.
“offering actionable insights for optimizing their use in drug metabolism, toxicological testing, and disease modeling”
Quote in the paperSubstantial claimMay combine two claims.
Interpretationown dataTemporal profiling revealed critical insights into the developmental trajectory of hepatocyte and cholangiocyte differentiation, in addition to identifying increased cellular heterogeneity by Day 45.
“The temporal profiling revealed critical insights into the developmental trajectory of hepatocyte and cholangiocyte differentiation, in addition to identifying increased cellular heterogeneity by Day 45.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenCYP3A4 was extensively validated in functional assays.
“CYP3A4 was extensively validated in functional assays”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenThe mass spectrometry proteomics data from this study have been deposited to the ProteomeXchange Consortium via the PRIDE partner repository with the dataset identifier PXD063438.
“The mass spectrometry proteomics data from this study have been deposited to the ProteomeXchange Consortium via the PRIDE partner repository with the dataset identifier PXD063438.”
Quote in the paperNot a substantial claimMay combine two claims.
InterpretationreasoningPHHs remain the gold standard for in vitro liver models, but their availability, variability, and rapid dedifferentiation underscore the value of iHLOs as a scalable, reproducible alternative.
“Although PHHs remain the gold standard for in vitro liver models, their availability, variability, and rapid dedifferentiation underscore the values of iHLOs as a scalable, reproducible alternative.”
Quote in the paperSubstantial claim- Rests on an assumption: PHHs have limited availability, variability, and rapid dedifferentiation.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenAll data were presented as mean ± standard deviation (SD) from at least three independent experiments unless otherwise stated.
“All data were presented as mean ± standard deviation (SD) from at least three independent experiments unless otherwise stated”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S2 (checkable).
InterpretationreasoningThis study supports iHLO adoption for drug discovery and preclinical testing.
“this study supports iHLO adoption for drug discovery and preclinical testing”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing).
Interpretationown dataThe shift toward mesenchymal phenotypes at Day 45 highlights an unexplored research avenue.
“Interestingly, the shift toward mesenchymal phenotypes at Day 45 highlights an unexplored research avenue.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductnone givenLabeling efficiency was determined, with a minimum 95% efficiency required for further processing.
“Labeling efficiency was determined by analyzing a small aliquot (1%) of the sample, with a minimum 95% efficiency required for further processing.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenThe false positive discovery rates (FDR) were set at 1%.
“The false positive discovery rates (FDR) were set at 1%.”
Quote in the paperNot a substantial claim
The paper relies on this without support.
A significant challenge in iHLO research is determining the optimal developmental timepoints for liver-like functionality.
“Despite their utility, a significant challenge in iHLO research lies in determining the optimal developmental timepoints for liver-like functionality, which is critical for their effective use in pharmacological and toxicological studies.”
The paper relies on this without support.
Variability in differentiation protocols and a lack of standardized benchmarks make it difficult to identify the most functionally matured and relevant stages of organoid development.
“Variability in differentiation protocols and a lack of standardized benchmarks make it difficult to identify the most functionally matured and relevant stages of organoid development.”
The paper relies on this without support.
Existing data on temporal coordination of protein expressions in iHLOs remain limited, and maturation timelines across different protocols appear inconsistent.
“However, existing data on temporal coordination of protein expressions in iHLOs remain limited, and maturation timelines across different protocols appear inconsistent.”
The paper relies on this without support.
The four selected timepoints represent distinct stages of iHLO development: Day 7 hepatoblast differentiation, Day 15 early hepatocyte, and Day 30 and Day 45 progressively matured liver organoid stages.
“These timepoints were selected to represent distinct stages of iHLO development and maturation: Day 7 signifies the hepatoblast differentiation stage, Day 15 marks the early hepatocyte stage, and Day 30 and Day 45 indicate progressively matured liver organoid stages with increasing liver cell populations and functions.”
The paper relies on this without support.
PHHs have limited availability, variability, and rapid dedifferentiation.
“Although PHHs remain the gold standard for in vitro liver models, their availability, variability, and rapid dedifferentiation underscore the values of iHLOs as a scalable, reproducible alternative.”
The paper relies on this without support.
Activation of the relaxin signaling pathway exhibits anti-fibrotic properties by inhibiting transforming growth factor-beta signaling and reducing activation of hepatic stellate cells.
“Activation of this pathway exhibits significant anti-fibrotic properties by inhibiting transforming growth factor-beta signaling and reducing the activation of hepatic stellate cells, which are key contributors to fibrosis.”
The paper relies on this without support.
Variations in differentiation methods across research groups may affect maturation timelines.
“variations in differentiation methods across research groups may affect maturation timelines”
Cites
Sherman, B. T., Hao, M., Qiu, J., Jiao, X., Baseler, M., Lane, H. C., Imamichi, T., & Chang, W. (2022) · Nucleic Acids Research · doi:10.1093/nar/gkac194 · Cited by 6,152 · see citing works
STEM: a tool for the analysis of short time series gene expression data
Ernst, J., & Bar-Joseph, Z. (2006) · BMC Bioinformatics · doi:10.1186/1471-2105-7-191 · Cited by 1,703 · cited 1× · see citing works
“13) 47 with normalized protein counts.”
Hepatic stellate cells as key target in liver fibrosis
Higashi, T., Friedman, S. L., & Hoshida, Y. (2017) · Advanced Drug Delivery Reviews · doi:10.1016/j.addr.2017.05.007 · Cited by 1,485 · cited 4× · see citing works
“Hepatic stellate cells, characterized by DES and VIM expressions, are central to liver fibrosis and extracellular matrix remodeling 34,36 .”
InfluentialCytochrome P450 Enzymes and Drug Metabolism in Humans
Zhao, M., Ma, J., Li, M., Zhang, Y., Jiang, B., Zhao, X., Huai, C., Shen, L., Zhang, N., He, L., et al. (2021) · International Journal of Molecular Sciences · doi:10.3390/ijms222312808 · Cited by 1,070 · cited 2× · see citing works
“These enzymes are responsible for metabolizing 70% of clinically prescribed drugs 22,23 , establishing this timepoint as pivotal for investigating drug metabolism, interactions, and toxicity.”
Boyer, J. L. (2013) · Comprehensive physiology · doi:10.1002/cphy.c120027 · Cited by 759 · see citing works
Gerets, H. H. J., Tilmant, K., Gerin, B., Chanteux, H., Depelchin, B. O., Dhalluin, S., & Atienzar, F. A. (2012) · Cell Biology and Toxicology · doi:10.1007/s10565-011-9208-4 · Cited by 698 · see citing works
Liver fibrosis and hepatic stellate cells: Etiology, pathological hallmarks and therapeutic targets
Zhang, C.-Y., Yuan, W.-G., He, P., Lei, J.-H., & Wang, C.-X. (2016) · World Journal of Gastroenterology · doi:10.3748/wjg.v22.i48.10512 · Cited by 594 · cited 3× · see citing works
“The expansion of mesenchymal-like population at Day 45 suggests that these organoids could serve as an advanced model for studying fibrogenesis and testing anti-fibrotic therapies 34 .”
Ju, C., & Tacke, F. (2016) · Cellular & Molecular Immunology · doi:10.1038/cmi.2015.104 · Cited by 554 · cited 1× · see citing works
“First, the proteomic analyses did not detect markers for immune cells like Kupffer cells, which are critical for modeling immune-mediated liver diseases 37 .”
Generation of Functional Human Hepatic Endoderm From Human Induced Pluripotent Stem Cells
Sullivan, G. J., Hay, D. C., Park, I.-H., Fletcher, J., Hannoun, Z., Payne, C. M., Dalgetty, D., Black, J. R., Ross, J. A., Samuel, K., et al. (2010) · Hepatology · doi:10.1002/hep.23335 · Cited by 445 · see citing works
Massive and Reproducible Production of Liver Buds Entirely from Human Pluripotent Stem Cells
Takebe, T., Sekine, K., Kimura, M., Yoshizawa, E., Ayano, S., Koido, M., Funayama, S., Nakanishi, N., Hisai, T., Kobayashi, T., et al. (2017) · Cell Reports · doi:10.1016/j.celrep.2017.11.005 · Cited by 405 · cited 1× · see citing works
“Despiste the wide variability in maturation timelines and functional benchmarks across different iHLO differentiation protocols 10,15,16,29–31 , our findings contribute a valuable reference for guiding hepatic organoid development, especially for optimizing their use in preclinical research and…”
High-Fidelity Drug-Induced Liver Injury Screen Using Human Pluripotent Stem Cell–Derived Organoids
Shinozawa, T., Kimura, M., Cai, Y., Saiki, N., Yoneyama, Y., Ouchi, R., Koike, H., Maezawa, M., Zhang, R.-R., Dunn, A., et al. (2021) · Gastroenterology · doi:10.1053/j.gastro.2020.10.002 · Cited by 378 · cited 1× · see citing works
“It is also noteworthy that Day 21, or around this timepoint, has been identified as an important stage for liver organoid functional development in several previous studies 13,15,28,29 .”
Orchestrating liver development
Gordillo, M., Evans, T., & Gouon-Evans, V. (2015) · Development · doi:10.1242/dev.114215 · Cited by 375 · cited 1× · see citing works
“This trajectory mirrors aspects of human hepatic ontogeny, where hepatoblasts differentiate into functional hepatocytes and cholangiocytes before a subsequent phase involving mesenchymal cell expansion 32 .”
Single-cell proteomics enabled by next-generation sequencing or mass spectrometry
Bennett, H. M., Stephenson, W., Rose, C. M., & Darmanis, S. (2023) · Nature Methods · doi:10.1038/s41592-023-01791-5 · Cited by 351 · cited 1× · see citing works
“…a comprehensive view of cellular differentiation pattern, more precise methods such as single-cell technologies (transcriptomics or proteomics) 38,39 and spatiotemporal single-cell tracking 40,41 would further elucidate the detailed cellular composition and 3D organization during iHLO…”
Circadian Clock Control of Liver Metabolic Functions
Reinke, H., & Asher, G. (2016) · Gastroenterology · doi:10.1053/j.gastro.2015.11.043 · Cited by 321 · see citing works
Small-Molecule-Driven Hepatocyte Differentiation of Human Pluripotent Stem Cells
Siller, R., Greenhough, S., Naumovska, E., & Sullivan, G. J. (2015) · Stem Cell Reports · doi:10.1016/j.stemcr.2015.04.001 · Cited by 203 · cited 1× · see citing works
“The differentiation protocol utilized was developed and optimized from the published literatures 18–21 , specifically chosen for its capacity to generate iHLOs with high CYP enzyme activity, particularly CYP3A4, which is crucial for drug metabolism and toxicology evaluations.”
Large‐Scale Production of LGR5‐Positive Bipotential Human Liver Stem Cells
Schneeberger, K., Sánchez‐Romero, N., Ye, S., van Steenbeek, F. G., Oosterhoff, L. A., Pla Palacin, I., Chen, C., van Wolferen, M. E., van Tienderen, G., Lieshout, R., et al. (2020) · Hepatology · doi:10.1002/hep.31037 · Cited by 141 · cited 1× · see citing works
“This study aims to address these gaps by conducting a comprehensive temporal proteomic analysis of iHLOs at four critical stages of development: Days 7, 15, 30, and 45.”
Roles of FGF19 in Liver MetabolismPreprint
Kır, S., Kliewer, S. A., & Mangelsdorf, D. J. (2011) · Cold Spring Harbor Symposia on Quantitative Biology · doi:10.1101/sqb.2011.76.010710 · Cited by 128 · see citing works
Zhang, Y., Wang, Z., Wang, Y., Jin, W., Zhang, Z., Jin, L., Qian, J., & Zheng, L. (2024) · PeerJ · doi:10.7717/peerj.18636 · Cited by 127 · cited 2× · see citing works
“These enzymes are responsible for metabolizing 70% of clinically prescribed drugs 22,23 , establishing this timepoint as pivotal for investigating drug metabolism, interactions, and toxicity.”
Scalable production of tissue-like vascularized liver organoids from human PSCs
Harrison, S. P., Siller, R., Tanaka, Y., Chollet, M. E., de la Morena-Barrio, M. E., Xiang, Y., Patterson, B., Andersen, E., Bravo-Pérez, C., Kempf, H., et al. (2023) · Experimental & Molecular Medicine · doi:10.1038/s12276-023-01074-1 · Cited by 119 · cited 6× · see citing works
“It is also noteworthy that Day 21, or around this timepoint, has been identified as an important stage for liver organoid functional development in several previous studies 13,15,28,29 .”
InfluentialOlgasi, C., Cucci, A., & Follenzi, A. (2020) · International Journal of Molecular Sciences · doi:10.3390/ijms21176215 · Cited by 100 · see citing works
Design of Antibody−Maytansinoid Conjugates Allows for Efficient Detoxification via Liver Metabolism
Sun, X., Widdison, W. C., Mayo, M., Wilhelm, S. D., Leece, B. A., Chari, R. V. J., Singh, R., & Erickson, H. K. (2011) · Bioconjugate Chemistry · doi:10.1021/bc100498q · Cited by 92 · see citing works
Vaja, R., & Rana, M. (2020) · Anaesthesia & intensive care medicine · doi:10.1016/j.mpaic.2020.07.001 · Cited by 86 · see citing works
Hepatic stellate cell hypertrophy is associated with metabolic liver fibrosis
Hoffmann, C., Djerir, N. E. H., Danckaert, A., Fernandes, J., Roux, P., Charrueau, C., Lachagès, A.-M., Charlotte, F., Brocheriou, I., Clément, K., et al. (2020) · Scientific Reports · doi:10.1038/s41598-020-60615-0 · Cited by 78 · see citing works
Liver three-dimensional cellular models for high-throughput chemical testing
Yang, S., Ooka, M., Margolis, R. J., & Xia, M. (2023) · Cell Reports Methods · doi:10.1016/j.crmeth.2023.100432 · Cited by 75 · cited 1× · see citing works
“Despiste the wide variability in maturation timelines and functional benchmarks across different iHLO differentiation protocols 10,15,16,29–31 , our findings contribute a valuable reference for guiding hepatic organoid development, especially for optimizing their use in preclinical research and…”
Self-citationZheng, Z. S., Jia, J., Zhang, X., Zara, J. N., Yin, W., Chiang, M., Liu, Y., Wang, J., Pang, S., Ting, K., et al. (2012) · Biomaterials · doi:10.1016/j.biomaterials.2012.04.049 · Cited by 68 · cited 2× · see citing works
“Briefly, human iPSCs were reprogramed from wild-type human foreskin fibroblasts (ATCC, catalog: CRL-2522) 44,45 using a non-integrating Sendai virus (CytoTune™-iPS 2.0 Sendai Reprogramming Kit, Thermo Fisher Scientific, catalog: A16517) and maintained in StemFlex™ Medium (Thermo Fisher Scientific,…”
InfluentialPeters, D. T., Henderson, C. A., Warren, C. R., Friesen, M., Xia, F., Becker, C. E., Musunuru, K., & Cowan, C. A. (2016) · Development · doi:10.1242/dev.132209 · Cited by 68 · see citing works
3D human liver spheroids for translational pharmacology and toxicology
Ingelman‐Sundberg, M., & Lauschke, V. M. (2022) · Basic & Clinical Pharmacology & Toxicology · doi:10.1111/bcpt.13587 · Cited by 62 · cited 1× · see citing works
“By advancing the accuracy and scalability of in vitro liver models, this work contributes to reducing reliance on animal testing and promoting ethical innovation in preclinical research, as emphasized by Ingelman-Sundberg and Lauschke 43 .”
Hess, A., Gentile, S. D., Saad, A. B., Rahman, R., Habboub, T., Pratt, D. S., & Mullen, A. C. (2023) · The EMBO Journal · doi:10.15252/embj.2023113898 · Cited by 57 · cited 1× · see citing works
“…a comprehensive view of cellular differentiation pattern, more precise methods such as single-cell technologies (transcriptomics or proteomics) 38,39 and spatiotemporal single-cell tracking 40,41 would further elucidate the detailed cellular composition and 3D organization during iHLO…”
Ng, N. H. J., Ghosh, S., Bok, C. M., Ching, C., Low, B. S. J., Chen, J. T., Lim, E., Miserendino, M. C., Tan, Y. S., Hoon, S., et al. (2024) · Nature Communications · doi:10.1038/s41467-024-48647-w · Cited by 57 · see citing works
Generation of multi-cellular human liver organoids from pluripotent stem cells
(2020) · Methods in Cell Biology · doi:10.1016/bs.mcb.2020.03.009 · Cited by 55 · cited 2× · see citing works
“It is also noteworthy that Day 21, or around this timepoint, has been identified as an important stage for liver organoid functional development in several previous studies 13,15,28,29 .”
Ng, N. H. J., Jasmen, J. B., Lim, C. S., Lau, H. H., Krishnan, V. G., Kadiwala, J., Kulkarni, R. N., Ræder, H., Vallier, L., Hoon, S., et al. (2019) · iScience · doi:10.1016/j.isci.2019.05.032 · Cited by 54 · see citing works
Shao, W., Xu, H., Zeng, K., Ye, M., Pei, R., & Wang, K. (2025) · Stem Cell Research & Therapy · doi:10.1186/s13287-025-04139-2 · Cited by 53 · cited 1× · see citing works
“This common limitation 9 underscores the need for future studies that incorporate immune components either via co-culture systems or through optimized differentiation techniques to promote immune cell development.”
Gao, X., Li, R., Cahan, P., Zhao, Y., Yourick, J. J., & Sprando, R. L. (2020) · Stem Cell Research & Therapy · doi:10.1186/s13287-020-01914-1 · Cited by 40 · cited 1× · see citing works
“The differentiation protocol utilized was developed and optimized from the published literatures 18–21 , specifically chosen for its capacity to generate iHLOs with high CYP enzyme activity, particularly CYP3A4, which is crucial for drug metabolism and toxicology evaluations.”
Takikawa, H., Beppu, T., & Seyama, Y. (1985) · Gut · doi:10.1136/gut.26.1.38 · Cited by 38 · see citing works
Aghadi, M., Elgendy, R., & Abdelalim, E. M. (2022) · Cell Death & Disease · doi:10.1038/s41419-022-05158-0 · Cited by 36 · see citing works
Daniszewski, M., Nguyen, Q. H., Chy, H. S., Singh, V., Crombie, D. E., Kulkarni, T., Liang, H. H., Sivakumaran, P., Lidgerwood, G. E., Hernández, D., et al. (2018) · iScience · doi:10.1016/j.isci.2018.08.016 · Cited by 33 · cited 1× · see citing works
“…foreskin fibroblasts (ATCC, catalog: CRL-2522) 44,45 using a non-integrating Sendai virus (CytoTune™-iPS 2.0 Sendai Reprogramming Kit, Thermo Fisher Scientific, catalog: A16517) and maintained in StemFlex™ Medium (Thermo Fisher Scientific, catalog: A3349401) with medium changes every other day 46 .”
InfluentialA decade of liver organoids: Advances in disease modeling
Liu, Y., Sheng, J.-Y., Yang, C.-F., Ding, J., & Chan, Y.-S. (2023) · Clinical and Molecular Hepatology · doi:10.3350/cmh.2022.0428 · Cited by 30 · cited 1× · see citing works
“By profiling protein expression dynamics, proteomics can offer a temporal roadmap of cellular differentiation and functional development in organoids 14–17 .”
Ker, Y.-B., Peng, C.-C., Chang, W.-L., Chyau, C.-C., & Peng, R. Y. (2014) · PLoS ONE · doi:10.1371/journal.pone.0093191 · Cited by 29 · cited 1× · see citing works
“1A) 27 .”
Ma, S., Wang, W., Zhou, J., Liao, S., Hai, C., Hou, Y., Zhou, Z., Wang, Z., Su, Y., Zhu, Y., et al. (2024) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.2408939121 · Cited by 29 · cited 1× · see citing works
“…a comprehensive view of cellular differentiation pattern, more precise methods such as single-cell technologies (transcriptomics or proteomics) 38,39 and spatiotemporal single-cell tracking 40,41 would further elucidate the detailed cellular composition and 3D organization during iHLO development.”
Mun, S. J., Hong, Y.-H., Shin, Y., Lee, J., Cho, H.-S., Kim, D.-S., Chung, K.-S., & Son, M. J. (2023) · Scientific Reports · doi:10.1038/s41598-023-50250-w · Cited by 28 · see citing works
The Patient-Derived Cancer Organoids: Promises and Challenges as Platforms for Cancer Discovery
Bae, J., Choi, Y. S., Cho, G., & Jang, S. J. (2022) · Cancers · doi:10.3390/cancers14092144 · Cited by 27 · cited 1× · see citing works
“The incorporation of patient-derived iPSCs into this system could further enhance its utility for personalized medicine, enabling the prediction of individual drug responses or disease progression 42 .”
Kasahara, K., Muramatsu, J., Kurashina, Y., Miura, S., MIYATA, S., & Onoe, H. (2023) · Science Advances · doi:10.1126/sciadv.adf9917 · Cited by 18 · cited 1× · see citing works
“…a comprehensive view of cellular differentiation pattern, more precise methods such as single-cell technologies (transcriptomics or proteomics) 38,39 and spatiotemporal single-cell tracking 40,41 would further elucidate the detailed cellular composition and 3D organization during iHLO development.”
Zhang, S., Liu, L., Li, X., Zhou, T., Shi, Q., Li, D., & Ju, X. (2024) · Stem Cell Research & Therapy · doi:10.1186/s13287-024-04101-8 · Cited by 8 · cited 1× · see citing works
“Despiste the wide variability in maturation timelines and functional benchmarks across different iHLO differentiation protocols 10,15,16,29–31 , our findings contribute a valuable reference for guiding hepatic organoid development, especially for optimizing their use in preclinical research and…”
Ali, E., Ferraro, R. M., Lanzi, G., et al. (2020) · Stem Cell Research · doi:10.1016/j.scr.2020.102007 · Cited by 7 · cited 6× · see citing works
“Interestingly, the shift toward mesenchymal phenotypes at Day 45 highlights an unexplored research avenue.”
InfluentialHowell, L., Jenkins, R. E., Lynch, S., Duckworth, C., Kevin Park, B., & Goldring, C. (2021) · Archives of Toxicology · doi:10.1007/s00204-021-03075-3 · Cited by 7 · cited 3× · see citing works
“By profiling protein expression dynamics, proteomics can offer a temporal roadmap of cellular differentiation and functional development in organoids 14–17 .”
Live-cell imaging of human liver fibrosis using hepatic micro-organoids
Guan, Y., Fang, Z., Hu, A., Roberts, S., Wang, M., Ren, W., Johansson, P. K., Heilshorn, S. C., Enejder, A., & Peltz, G. (2025) · JCI Insight · doi:10.1172/jci.insight.187099 · Cited by 6 · cited 1× · see citing works
“It is also noteworthy that Day 21, or around this timepoint, has been identified as an important stage for liver organoid functional development in several previous studies 13,15,28,29 .”
Damoiseaux, D., Beijnen, J. H., Huitema, A. D. R., & Dorlo, T. P. C. (2024) · Drug Metabolism and Disposition · doi:10.1124/dmd.123.001530 · Cited by 2 · cited 1× · see citing works
“The CYP3A4 induction and inhibition assays also highlight the potential of iHLOs for dynamic pharmacological testing, a key aspect of drug safety evaluations 35 .”
Flagged first, then by citations
Cited by
Sorted by citations
Recent advances and expanding applications of organoid models in unveiling drug ADME profiles
Zhang, G. L., Zhang, R., 舒子航, Zhao, J., Yin, L., Shi, M., & Han, Y. (2026) · Journal of Pharmaceutical Analysis · doi:10.1016/j.jpha.2026.101676 · Cited by 2 · see citing works
“At the metabolic level, thresholds for CYP450 enzyme activities must be defined [147].”
Liver Organoids: From Disease Modelling to Regenerative Medicine
Wang, T., Qu, X., Si, J., Meng, J., Zhang, T., & Niu, S. (2026) · Cell Proliferation · doi:10.1111/cpr.70268 · Cited by 1 · see citing works
“…CYP450 enzymes only reaches 40%–105% of primary human hepatocytes, among which CYP2D6 and CYP1A2 show the lowest activity at merely 40%–60% [75, 86], albumin secretion and urea synthesis drop to 60%–80% and 50%–70% of primary hepatocyte levels, respectively [18, 87], bile canaliculus formation…”
Caldovic, L. (2026) · Molecular Genetics and Metabolism · doi:10.1016/j.ymgme.2026.110241
Advances in organoids for drug development: From discovery to delivery
Liang, J., Yao, H., Feng, Y., Shu, X., Zheng, Y., Gao, X., & Zhou, W. (2026) · Journal of Drug Delivery Science and Technology · doi:10.1016/j.jddst.2026.108876
Qiu, Y., Hou, X., Guo, J., et al. (2026) · Drug Metabolism Reviews · doi:10.1080/03602532.2026.2730198
- Authors
- Yang, S., Hao, J., Ooka, M., & Xia, M.
- Affiliations
- National Institutes of Health (US)
- Corresponding author
- Xia, Menghang
- Venue
- Scientific Reports
- Published
- 2026-01-14
- Volume
- 16
- Issue
- 1
- Pages
- 2757-2757
- ISSN
- 2045-2322 (ISSN-L)
- PMC
- PMC12824400
- OpenAlex
- W7124146546
- Semantic Scholar
- 5d3883541c40c63885c57cbee0eda04b98419019
- Cited by
- 5
- References
- 47
- Citations by year
- 2026: 5
- FWCI
- 31.88
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Scientific Reports (publishedVersion, cc-by)
- PubMed (publishedVersion)
- PubMed Central (submittedVersion, cc-by)
- Funders
- National Center for Advancing Translational Sciences
- Topics
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Drug-Induced Hepatotoxicity and Protection
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Pluripotent Stem Cells Research
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Pharmacogenetics and Drug Metabolism
- Keywords
- organoid maturation, CYP3A4, drug metabolism, drug toxicity, cholangiocytes, hepatic stellate cells, mesenchymal differentiation, in vitro liver models
- MeSH terms
- Humans, Liver, Organoids, Proteome, Hepatocytes, Proteomics, Cytochrome P-450 CYP3A, Induced Pluripotent Stem Cells
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-23.
Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-23.
Cited sources are checked by gpt-6-sol.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review