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Biology-inspired microphysiological system approaches to solve the prediction dilemma of substance testing
Open accessAbstract
The recent advent of microphysiological systems - microfluidic biomimetic devices that aspire to emulate the biology of human tissues, organs and circulation in vitro - is envisaged to enable a global paradigm shift in drug development. An extraordinary US governmental initiative and various dedicated research programs in Europe and Asia have led recently to the first cutting-edge achievements of human single-organ and multi-organ engineering based on microphysiological systems. The expectation is that test systems established on this basis would model various disease stages, and predict toxicity, immunogenicity, ADME profiles and treatment efficacy prior to clinical testing. Consequently, this technology could significantly affect the way drug substances are developed in the future. Furthermore, microphysiological system-based assays may revolutionize our current global programs of prioritization of hazard characterization for any new substances to be used, for example, in agriculture, food, ecosystems or cosmetics, thus, replacing laboratory animal models used currently. Thirty-six experts from academia, industry and regulatory bodies present here the results of an intensive workshop (held in June 2015, Berlin, Germany). They review the status quo of microphysiological systems available today against industry needs, and assess the broad variety of approaches with fit-for-purpose potential in the drug development cycle. Feasible technical solutions to reach the next levels of human biology in vitro are proposed. Furthermore, key organ-on-a-chip case studies, as well as various national and international programs are highlighted. Finally, a roadmap into the future is outlined, to allow for more predictive and regulatory-accepted substance testing on a global scale.
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“OoCs currently constitute the most promising approach to emulate human diseases in vitro55,61.”
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“human-based models have so far been primarily used for toxicity testing61–64, and their application in preclinical and clinical research is still in its infancy.”
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Cell-Based Biosensors and Their Application in Biomedicine
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Oral exposure to polystyrene nanoparticles affects iron absorption
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Performance of a novel keratinocyte-based reporter cell line to screen skin sensitizers in vitro
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Microscale 3-D hydrogel scaffold for biomimetic gastrointestinal (GI) tract model
Sung, J. H., Yu, J., Luo, D., Shuler, M. L., & March, J. C. (2010) · Lab on a Chip · doi:10.1039/c0lc00273a · Cited by 321
Directed differentiation of cholangiocytes from human pluripotent stem cells
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Microfabrication and microfluidics for tissue engineering: state of the art and future opportunities
Svahn, H. A., & van den Berg, A. (2004) · Lab on a Chip · doi:10.1039/b314469k · Cited by 313
Scaling and systems biology for integrating multiple organs-on-a-chip
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Development of a Microscale Cell Culture Analog To Probe Naphthalene Toxicity
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Kimura, H., Yamamoto, T., Sakai, H., Sakai, Y., & Fujii, T. (2008) · Lab on a Chip · doi:10.1039/b717091b · Cited by 293
Inhibition of Angiogenesis by Thalidomide Requires Metabolic Activation, Which Is Species-dependent
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Patterned cell culture inside microfluidic devices
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“ALTEX 33(3), 2016 285 A µCCA platform-based two-organ chip mimicking the gastrointestinal tract by a co-culture of CaCo-2 cells and the mucin producing cell line TH29-MTX, and the liver by a HepG2/C3A cell line culture has recently been described by Shuler’s team (Esch et al., 2014).”
A Human Breathing Lung-on-a-Chip
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Self-citationMicrofluidic platforms for mechanobiology
Polacheck, W. J., Li, R., Uzel, S. G. M., & Kamm, R. D. (2013) · Lab on a Chip · doi:10.1039/c3lc41393d · Cited by 272 · cited 1×
“For more details on how microfluidic tools can be used to study mechanobiology we refer to a comprehensive review (Polacheck et al., 2013).”
Experimental rat models to study the metabolic syndrome
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Tubeless microfluidic angiogenesis assay with three-dimensional endothelial-lined microvessels
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Liver-Specific Functional Studies in a Microfluidic Array of Primary Mammalian Hepatocytes
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Chemical regulators have overreached
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Microfluidic PDMS (Polydimethylsiloxane) Bioreactor for Large-Scale Culture of Hepatocytes
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Human iPS cell–derived alveolar epithelium repopulates lung extracellular matrix
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In vitro model of tumor cell extravasation
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Evaluation of Differentiated Human Bronchial Epithelial Cell Culture Systems for Asthma Research
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A roadmap for the development of alternative (non-animal) methods for systemic toxicity testing
Basketter, D. (2012) · ALTEX · doi:10.14573/altex.2012.1.003 · Cited by 230
State-of-the-art of 3D cultures (organs-on-a-chip) in safety testing and pathophysiology
Alépée, N. (2014) · ALTEX · doi:10.14573/altex1406111 · Cited by 228
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Macro- and microscale fluid flow systems for endothelial cell biology
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Luminescence Lifetime Imaging of Oxygen, pH, and Carbon Dioxide Distribution Using Optical Sensors
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Look back in anger – what clinical studies tell us about preclinical work
Härtung, T. (2013) · ALTEX · doi:10.14573/altex.2013.3.275 · Cited by 208
The Directed Differentiation of Human iPS Cells into Kidney Podocytes
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Alternative Approaches Can Reduce the Use of Test Animals under REACH.
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Development of a Hybrid Liver Support System: A Review
Gerlach, J. (1996) · The International Journal of Artificial Organs · doi:10.1177/039139889601901105 · Cited by 191
Microfluidic titer plate for stratified 3D cell culture
Trietsch, S. J., Israëls, G. D., Joore, J., Hankemeier, T., & Vulto, P. (2013) · Lab on a Chip · doi:10.1039/c3lc50210d · Cited by 189
Translational research: 4 ways to fix the clinical trial
Ledford, H. K. (2011) · Nature · doi:10.1038/477526a · Cited by 188
Integrating biological vasculature into a multi-organ-chip microsystem
Schimek, K. M. S., Busek, M., Brincker, S., Groth, B., Hoffmann, S., Lauster, R., Lindner, G., Lorenz, A., Menzel, U., Sonntag, F., et al. (2013) · Lab on a Chip · doi:10.1039/c3lc50217a · Cited by 187
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Muscle on a chip: In vitro contractility assays for smooth and striated muscle
Grosberg, A., Nesmith, A. P., Goss, J. A., Brigham, M. D., McCain, M. L., & Parker, K. K. (2012) · Journal of Pharmacological and Toxicological Methods · doi:10.1016/j.vascn.2012.04.001 · Cited by 183
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Consensus report on the future of animal-free systemic toxicity testing
Leist, M. (2014) · ALTEX · doi:10.14573/altex.1406091 · Cited by 182
Engineering Challenges for Instrumenting and Controlling Integrated Organ-on-Chip Systems
Wikswo, J. P., Block, F. E., Cliffel, D. E., Goodwin, C. R., Marasco, C. C., Markov, D. A., McLean, D. L., MCLEAN, J. A. J., McKenzie, J. R., Reiserer, R. S., et al. (2013) · IEEE Transactions on Biomedical Engineering · doi:10.1109/tbme.2013.2244891 · Cited by 181
Marx, U., Walles, H., Hoffmann, S., Lindner, G., Horland, R., Sonntag, F., Klotzbach, U., Sakharov, D. A., Tonevitsky, A., & Lauster, R. (2012) · Alternatives to Laboratory Animals · doi:10.1177/026119291204000504 · Cited by 179
Self-citationIntegrated testing strategies for safety assessments
Härtung, T. (2013) · ALTEX · doi:10.14573/altex.2013.1.003 · Cited by 177
Migration dynamics of breast cancer cells in a tunable 3D interstitial flow chamber
Haessler, U., Teo, J. C. M., Foretay, D., Renaud, P., & Swartz, M. A. (2012) · Integrative Biology · doi:10.1039/c1ib00128k · Cited by 176
Generation of Functional Mesenchymal Stem Cells from Different Induced Pluripotent Stem Cell Lines
Hynes, K., Menicanin, D., Mrozik, K. M., Gronthos, S., & Bartold, P. M. (2013) · Stem Cells and Development · doi:10.1089/scd.2013.0111 · Cited by 176
Integrated testing strategies (ITS) for safety assessment
Rovida, C. (2014) · ALTEX · doi:10.14573/altex.1411011 · Cited by 175
Lahar, N., Lei, N., Wang, J., Jabaji, Z. B., Tung, S. C., Joshi, V. S., Lewis, M. S., Stelzner, M. G., Martı́n, M. G., & Dunn, J. (2011) · PLoS ONE · doi:10.1371/journal.pone.0026898 · Cited by 175
Wang, X., Jin, Z., Gan, B.-W., Lv, S., Xie, M., & Huang, W. (2014) · Lab on a Chip · doi:10.1039/c4lc00069b · Cited by 173
Automated cell culture in high density tubeless microfluidic device arrays
Meyvantsson, I., Warrick, J. W., Hayes, S. A., Skoien, A., & Beebe, D. J. (2008) · Lab on a Chip · doi:10.1039/b715375a · Cited by 173
Imura, Y., Sato, K., & Yoshimura, E. (2010) · Analytical Chemistry · doi:10.1021/ac100806x · Cited by 172
Jaworska, J. S., Natsch, A., Ryan, C. A., Strickland, J. A., Ashikaga, T., & Miyazawa, M. (2015) · Archives of Toxicology · doi:10.1007/s00204-015-1634-2 · Cited by 171
SnapShot: Growing Organoids from Stem Cells
Sato, T., & Clevers, H. (2015) · Cell · doi:10.1016/j.cell.2015.06.028 · Cited by 168
In vitro analysis of a hepatic device with intrinsic microvascular-based channels
Carraro, A., Hsu, W.-M., Kulig, K. M., Cheung, W. S., Miller, M. L., Weinberg, E. J., Swart, E. F., Kaazempur-Mofrad, M., Borenstein, J. T., Vacanti, J. P., et al. (2008) · Biomedical Microdevices · doi:10.1007/s10544-008-9194-3 · Cited by 168
Polymer-Based Microfluidic Devices for Pharmacy, Biology and Tissue Engineering
Alrifaiy, A., Lindahl, O., & Ramser, K. (2012) · Polymers · doi:10.3390/polym4031349 · Cited by 166
Inflammatory findings on species extrapolations: humans are definitely no 70-kg mice
Leist, M., & Härtung, T. (2013) · Archives of Toxicology · doi:10.1007/s00204-013-1038-0 · Cited by 165
Gerberick, G. F., Troutman, J. A., Foertsch, L. M., Vassallo, J. D., Quijano, M., Dobson, R. L. M., Goebel, C., & Lepoittevin, J. (2009) · Toxicological Sciences · doi:10.1093/toxsci/kfp192 · Cited by 162
Local lymph node assay (LLNA) for detection of sensitization capacity of chemicals
Gerberick, G. F., Ryan, C. A., Dearman, R. J., & Kimber, I. (2006) · Methods · doi:10.1016/j.ymeth.2006.07.006 · Cited by 160
A multi-organ chip co-culture of neurospheres and liver equivalents for long-term substance testing
Dehne, E., Ramme, A. P., Terrasso, A. P., Serra, M., Alves, P. M., Brito, C., Sakharov, D. A., Tonevitsky, A., Lauster, R., & Marx, U. (2015) · Journal of Biotechnology · doi:10.1016/j.jbiotec.2015.02.002 · Cited by 158
Self-citationIn vitro 3D human small intestinal villous model for drug permeability determination
Yu, J., Peng, S., Luo, D., & March, J. C. (2012) · Biotechnology and Bioengineering · doi:10.1002/bit.24518 · Cited by 158
Liver tissue engineering in the evaluation of drug safety
Dash, A., Inman, W., Hoffmaster, K. A., Sevidal, S., Kelly, J., Obach, R. S., Griffith, L. G., & Tannenbaum, S. R. (2009) · Expert Opinion on Drug Metabolism & Toxicology · doi:10.1517/17425250903160664 · Cited by 157
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Structure-guided inhibitor design for human FAAH by interspecies active site conversion
Mileni, M., Johnson, D. S., Wang, Z., Everdeen, D. S., Liimatta, M. B., Pabst, B. A., Bhattacharya, K., Nugent, R. A., Kamtekar, S., Cravatt, B. F., et al. (2008) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0806121105 · Cited by 155
Burden, N., Chapman, K. L., Sewell, F. R., & Robinson, V. (2015) · PubMed Central · Cited by 155
A microfluidic platform for probing small artery structure and function
Günther, A., Yasotharan, S., Vagaon, A., Lochovsky, C., Pinto, S., Yang, J., Lau, C. H., Voigtlaender‐Bolz, J., & Bolz, S. (2010) · Lab on a Chip · doi:10.1039/c004675b · Cited by 154
Hierlemann, A. R., Frey, U., Hafizovic, S., & Heer, F. (2010) · Proceedings of the IEEE · doi:10.1109/jproc.2010.2066532 · Cited by 153
Microfluidic Organ/Body-on-a-Chip Devices at the Convergence of Biology and Microengineering
Perestrelo, A. R., Águas, A. C., Rainer, A., & Forte, G. (2015) · Sensors · doi:10.3390/s151229848 · Cited by 152
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Gordon, S. (2015) · ALTEX · doi:10.14573/altex.1510051 · Cited by 145
A biomimetic multicellular model of the airways using primary human cells
Sellgren, K. L., Butala, E., Gilmour, B. P., Randell, S. H., & Grego, S. (2014) · Lab on a Chip · doi:10.1039/c4lc00552j · Cited by 144
ICCVAM Evaluation of the Murine Local Lymph Node Assay
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Lessons from the withdrawal of rofecoxib: ***
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Bayesian integrated testing strategy to assess skin sensitization potency: from theory to practice
Jaworska, J. S., Dancik, Y., Kern, P., Gerberick, F., & Natsch, A. (2013) · Journal of Applied Toxicology · doi:10.1002/jat.2869 · Cited by 138
Recent Advances in Neural Recording Microsystems
Gosselin, B. (2011) · Sensors · doi:10.3390/s110504572 · Cited by 138
Systematic evaluation of non-animal test methods for skin sensitisation safety assessment
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Gao, D., Liu, H., Lin, J.-M., Wang, Y., & Jiang, Y. (2013) · Lab on a Chip · doi:10.1039/c2lc41215b · Cited by 135
On being the right size: scaling effects in designing a human-on-a-chip
Moraes, C., Labuz, J. M., Leung, B. M., Inoue, M., Chun, T.-H., & Takayama, S. (2013) · Integrative Biology · doi:10.1039/c3ib40040a · Cited by 134
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Microfluidics-generated pancreatic islet microfibers for enhanced immunoprotection
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Medical progress depends on animal models - doesn't it?
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Sculpting Organs: Mechanical Regulation of Tissue Development
Nelson, C. M., & Gleghorn, J. P. (2012) · Annual Review of Biomedical Engineering · doi:10.1146/annurev-bioeng-071811-150043 · Cited by 130 · cited 2×
“The first human cell line – HeLa – was derived from the cervical adenoorgan microenvironment (Griffith and Swartz, 2006; Nelson and Gleghorn, 2011; Pexton et al., 2011).”
Brain microvascular endothelial cells resist elongation due to curvature and shear stress
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3D spherical microtissues and microfluidic technology for multi-tissue experiments and analysis
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Metadata
- Authors
- Marx, U.
- Corresponding author
- Marx, Uwe
- ORCID
- Marx, Uwe
- Venue
- ALTEX
- Publisher
- ALTEX Edition
- Published
- 2016
- Volume
- 33
- Issue
- 3
- Pages
- 272-321
- ISSN
- 0946-7785 (ISSN-L)
- 1868-596X
- PMC
- PMC5396467
- OpenAlex
- W2373100661
- Cited by
- 295
- References
- 373
- Citations by year
- 2026: 12 · 2025: 11 · 2024: 15 · 2023: 22 · 2022: 17 · 2021: 33 · 2020: 46 · 2019: 48 · 2018: 52 · 2017: 28 · 2016: 9
- FWCI
- 3.26
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- ALTEX (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- KOPS (University of Konstanz) (submittedVersion, cc-by)
- Utrecht University Repository (Utrecht University) (submittedVersion, other-oa)
- DSpace@MIT (Massachusetts Institute of Technology) (submittedVersion, cc-by-nc)
- Rivm (National Institute for Public Health and the Environment) (submittedVersion)
- OpenAgrar (submittedVersion, cc-by)
- Repository for Publications and Research Data (ETH Zurich) (submittedVersion, cc-by)
- ETH Zürich Research Collection (cc-by)
- Funders
- National Institutes of Health (Z99 TR999999)
- U.S. Food and Drug Administration
- National Human Genome Research Institute (Z01HG200319)
- Topics
- Physical Sciences › Engineering › Biomedical Engineering › 3D Printing in Biomedical Research
- Health Sciences › Veterinary › Small Animals › Animal testing and alternatives
- Physical Sciences › Engineering › Biomedical Engineering › Microfluidic and Capillary Electrophoresis Applications
- Keywords
- microphysiological systems, organ-on-a-chip, toxicity prediction, hazard characterization, alternatives to animal testing, drug development, in vitro disease model, ADME prediction, regulatory acceptance, microfluidics
- MeSH terms
- Animals, Animal Testing Alternatives, Cell Line, Stem Cells, Hazardous Substances, Toxicity Tests, Lab-On-A-Chip Devices
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.
Statistics and arithmetic are recomputed, not judged.
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