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The use of iPSC-derived cells (& primary cells) as in vitro models for toxicity screening 15 th March 2016 SOT New Orleans Booth #419

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Page 1: The use of iPSC-derived cells (& primary cells) as in ... · “ A long, risky road” Need for early toxicity testing and improved prediction Toxicities leading to drug withdrawal

The use of iPSC-derived cells (& primary cells) as in vitro models for toxicity screening

15th March 2016

SOT

New Orleans

Booth #419

Page 2: The use of iPSC-derived cells (& primary cells) as in ... · “ A long, risky road” Need for early toxicity testing and improved prediction Toxicities leading to drug withdrawal

Drug Discovery & Development“ A long, risky road”

Need for early toxicity testing and improved prediction

Toxicities leading to

drug withdrawal from

the US market

Wilke et al., Nature Review drug discovery, 2007

Slide taken from the Pivotal Point Group, LLC

Page 3: The use of iPSC-derived cells (& primary cells) as in ... · “ A long, risky road” Need for early toxicity testing and improved prediction Toxicities leading to drug withdrawal

iPSC-Derived Neural Stem CellsNeurotoxicity in drug safety testing

Functional IntegrityGene Expression, Electrophysiology, Multi-Electrode Array, Effects of developmental neurotoxin

iPSC-Derived CardiomyocytesCardiotoxicity in drug safety testing

Functional IntegrityExpress major cardiac-selective markersBeat spontaneously in culture, Ca2+ imaging

ElectrophysiologyPharmacology

HepatocytesHepatotoxicity in drug safety testing

Metabolism studies, Hepatotoxicity studies,Genotoxicity micronucleus studies

Overview

Page 4: The use of iPSC-derived cells (& primary cells) as in ... · “ A long, risky road” Need for early toxicity testing and improved prediction Toxicities leading to drug withdrawal

iPSC-Derived Neural Cells

The way forward for more predictive toxicity testing

Page 5: The use of iPSC-derived cells (& primary cells) as in ... · “ A long, risky road” Need for early toxicity testing and improved prediction Toxicities leading to drug withdrawal

Neurotoxicity in Drug Safety Testing

Disease ModelingResponsive to drug

treatments

Expression disease-

relevant phenotypes

Functional IntegrityGene Expression

Protein Expression

Electrophysiology

Multi-Electrode Array

Whole Cell Patch

Patch clamp

Neurite

outgrowth

Gene

expression

Multi-Electrode

Array

Biochemical

analysis

Page 6: The use of iPSC-derived cells (& primary cells) as in ... · “ A long, risky road” Need for early toxicity testing and improved prediction Toxicities leading to drug withdrawal

General Characterization of NSCs

We confirmed expression of neural stem cell markers like

SOX2, PAX6, Ki67 and ZO1

Page 7: The use of iPSC-derived cells (& primary cells) as in ... · “ A long, risky road” Need for early toxicity testing and improved prediction Toxicities leading to drug withdrawal

Characterization of Cortical Neurons

We looked at cerebral cortical neuronal markers like

VGluT1, Tbr1, Cux1, Tuj1 by ICC

Our transcriptomic data confirmed down regulation of

iPSCs markers and up regulation of cortical neuronal

markers like MAP2, NMDA, VGlut1, Cux1 etc

Page 8: The use of iPSC-derived cells (& primary cells) as in ... · “ A long, risky road” Need for early toxicity testing and improved prediction Toxicities leading to drug withdrawal

Functional Characterization

0 50 100 150 200 2500

20

40

60

N2a

CTX

iCell

hNPC

Time (h)

Neu

rite

Len

gth

(m

m/m

m2)

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200

400

600

Time (h)

Neu

rite

bra

nch

po

ints

(1

/mm

2)

Competitor

Axol

We confirmed the functional integrity by looking into

neural networks with increased neurite length and

branching in cortical neurons

Essen Bioscience Ltd using the IncuCyte NeuroTrack platform

Page 9: The use of iPSC-derived cells (& primary cells) as in ... · “ A long, risky road” Need for early toxicity testing and improved prediction Toxicities leading to drug withdrawal

Data from our collaborators

Electrophysiological Characterization

Spontaneous activity

Page 10: The use of iPSC-derived cells (& primary cells) as in ... · “ A long, risky road” Need for early toxicity testing and improved prediction Toxicities leading to drug withdrawal

Neurotoxin Effects on iPSC-Derived Neural Stem Cells

MAM 1000 µM

10x

MAM 0 uM MAM 1 µM MAM 100 µM MAM 300 µM MAM 500 µM

10x

20x

Perc

ent

of

Contr

ol

(Methylazoxymethanol)

Data provided by Dr Kisby’s lab by Michael Czulinski and Morgan Florek

Page 11: The use of iPSC-derived cells (& primary cells) as in ... · “ A long, risky road” Need for early toxicity testing and improved prediction Toxicities leading to drug withdrawal

iPSC-Derived Cortical Neurons as in-Vitro Models for Drug Screening

iPSC-derived neural

cells used to

demonstrate LTP & LTD

on an MEA platform

Page 12: The use of iPSC-derived cells (& primary cells) as in ... · “ A long, risky road” Need for early toxicity testing and improved prediction Toxicities leading to drug withdrawal

Long-Term

Potentiation

Long-Term

Depression

iPSC-Derived Neurons Show

Potential for Synaptic PlasticityInduction of long-term potentiation (LTP) and long-term depression (LTD)

by high-frequency stimulation (HFS) (112 DIV)

Page 13: The use of iPSC-derived cells (& primary cells) as in ... · “ A long, risky road” Need for early toxicity testing and improved prediction Toxicities leading to drug withdrawal

iPSC-Derived Neurons Respond to Drug Application

iPSC-derived neurons in response to drug application:

• Synapse agonists (Bicuculline & Kainin acid)

• Increase in firing

• No change over days in culture

• Synaptic antagonists (CNQX & AP5)

• Inhibit firing

• Decrease with days in culture (100 v 240)

SOT poster number: 1826/P132

Copies available at booth #419

Before

Bicuculline

Kainic acid

AP5

CNQX

10 msec

Before

Bicuculline

Kainic acid

AP5

CNQX

5 sec

0.1

mV

A B C

D E F

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. of

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in a

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* *

N.S.

N.S.

Days Days Days

0

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300

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400

Before Bicuculline Kainin AP5 CNQX

No

.of

tota

lsp

ike

s v.

s. b

efo

re (

%)

240DIV

100DIV

* *

N.S.

N.S.

0

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. of

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. of

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in a

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bef

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(%

)

Days Days

a b c a b c

0.1 sec

0.1

mV

Before

Bicuculline

Kainic acid

AP5

CNQX

10 msec

Before

Bicuculline

Kainic acid

AP5

CNQX

5 sec

0.1

mV

A B C

D E F

0

1000

2000

3000

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9000

10000

100 240

No

. of

spik

es

in a

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rst

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1000

1500

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2500

100 240

Du

rati

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in a

syn

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bu

rst

(ms)

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100 240

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. of

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chro

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bu

rst

* *

N.S.

N.S.

Days Days Days

0

50

100

150

200

250

300

350

400

Before Bicuculline Kainin AP5 CNQX

No

.of

tota

lsp

ike

s v.

s. b

efo

re (

%)

240DIV

100DIV

* *

N.S.

N.S.

0

200

400

600

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100 240

No

. of

syn

chro

niz

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bu

rst

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)

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in a

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)

Days Days

a b c a b c

0.1 sec

0.1

mV

Page 14: The use of iPSC-derived cells (& primary cells) as in ... · “ A long, risky road” Need for early toxicity testing and improved prediction Toxicities leading to drug withdrawal

• Induced epilepsy by adding PTZ (pentylentetrazole) (>1mM)

• Anti-epilepsy drugs, phenytoin & sodium valproate (VPA) were able to reverse the high frequency synchronized bursts evoked with PTZ

These results suggested that long-term

electrophysiological measurements in iPSC-

derived neurons using a MEA system may

be beneficial for drug screening

applications

Induction of Epileptiform Activity & Effects of Anti-Epilepsy Drugs

0

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. of SB

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rate

v.s

. bef

ore

(%

)

PTZVPA

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20

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) PTZPhenytoin

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Page 15: The use of iPSC-derived cells (& primary cells) as in ... · “ A long, risky road” Need for early toxicity testing and improved prediction Toxicities leading to drug withdrawal

Neurotoxicity Summary• iPSC-derived NSC

• Express neural markers at gene & protein level

• Excellent neurite outgrowth

• Electrophysiologically functional

• Capable of synaptic plasticity

• iPSC-derived NSCs are more sensitive to the developmental neurotoxin MAM & can replace routinely cell lines use for screening for neurotoxins

• Responsive to drug treatment

• Can be cultured long-term

• Physiologically relevant tool for drug discovery & toxicity studies

Page 16: The use of iPSC-derived cells (& primary cells) as in ... · “ A long, risky road” Need for early toxicity testing and improved prediction Toxicities leading to drug withdrawal

iPSC-Derived Cardiomyocytes

A way forward for more predictive toxicity testing

Page 17: The use of iPSC-derived cells (& primary cells) as in ... · “ A long, risky road” Need for early toxicity testing and improved prediction Toxicities leading to drug withdrawal

Cardiotoxicity in Drug Safety Testing

ElectrophysiologyContractility

QT prolongation

Na+ & Ca2+ channels

Pharmacology

Functional Integrity Ca2+ signaling

Morphology

Stress & toxic response markers

Patch clamp

Multi-electrode

Array

Impedance

Immuno-

cytochemistry

Biochemical

analysis

Page 18: The use of iPSC-derived cells (& primary cells) as in ... · “ A long, risky road” Need for early toxicity testing and improved prediction Toxicities leading to drug withdrawal

Why iPSC-Derived Cardiomyocytes?

• Benefits of a synchronously beating monolayer

• React as a unit syncytium of cells, electrically coupled

• Robust & reproducible

• Large quantities available

• High purity

• Functional on xCelligence, for calcium imaging & for electrophysiology

Page 19: The use of iPSC-derived cells (& primary cells) as in ... · “ A long, risky road” Need for early toxicity testing and improved prediction Toxicities leading to drug withdrawal

iPSC-Derived Cardiomyocytes Showing Synchronized Beating

Benefits of a synchronously beating monolayer

• Electrically coupled

• Physiologically relevant to human heart

Page 20: The use of iPSC-derived cells (& primary cells) as in ... · “ A long, risky road” Need for early toxicity testing and improved prediction Toxicities leading to drug withdrawal

Functional iPSC-Derived Cardiomyocytes

Protein Expression

Data from Dr Christian Zuppinger

Serum-Free Human iPSC-Derived Cardiomyocytes for Contactless in Vitro Testing

Overview

Introduction

Methods

Conclusion

Dutta-Passecker, P.1; Gibbons, G.1; Wessel-Carpenter, N.1; Robertson, A.2; Chang, Y.3; Zuppinger, C.4; Daniels, M.31Axol Bioscience Ltd., UK; [email protected]; 2Univeristy of Manchester, UK; 3University of Oxford, UK; 4Bern University Hospital, Switzerland

your discovery stems from here

References

We conducted a series of experimental procedures to examine the characteristics and potential applications of human iPSC-derived cardiomyocytes (iPSC-CMs) for cardiovascular research.

• Adultcellscanbereprogramedusingdefine d factorsOct3/4,KLF4,Sox2andc-Myctogenerateinducedpluripotentstem

cells (iPSCs)1-3

• iPSC can be differentiated into a variety of cells types including cardiomyocytes, iPSC-CMs• We show the expression of several cardiomyocyte selective markers and electrical functioning in our iPSC-CMs• Wedevelopedasimultaneousopticalcontrol/calciumimagingapproachtodemonstratetheapplicationofthesecellsfor

drug toxicity testing

Cell Culture Human iPSC-CMs (Axol, ax2505) cultured Xeno-Free iPSC-CMs Maintenance Media (Axol,ax2535-500).First24hrswith10%FBS,Pen/Strep.Thereafter,serum-freeat37˚C/5%CO

2.

Cells were cultured in 3D using GravityPlus™, InSphero. ImmunohistochemistryCellsfixe d

3% PFA, permeabilized with 0.2% Triton X-100, blocked with BSA. Primary antibody incubation overnight4˚C.SecondaryantibodycoupledtoAlexaFluor® dyes (Invitrogen) for 2hrs. Western Blot 30µgproteinrunon10%SDS-PAGEgelfor70minat130VandtransferredtoPVDFmembrane.Membranesincubatedwithprimaryantibodyovernightat4˚C,washedandincubatedwith

secondary antibody for 1hr. Chemiluminescent imaging. PlatingEffici ency 1x105 cells/cm2 plated onMatrigel,fibr onect in (10µg/ml),vitronectin(10µg/ml)andgelatin(0.1%)inxeno-freeiPSC-CMs

MaintenanceMedia(Axol,ax2535-500)with/out10%FBSina12wellplatefor24hrs.Multi-Electrode Array (MEA)CellsplatedonAlphaMEDScientific

sMEAplatform.OpticalControl/Calcium

Imaging Cells were cultures in iPSC Cardiomyocyte Maintenance Media (Axol, ax2530). Adenovirus expressing a light-sensitive optical control tool (ChannelRhodopsin 2) and a spectrally compatible genetically encoded calcium indicator (R-GECO) (Fig. 1). Cells stimulated with 10msec pulses of 405nm light to induce depolarization, and contraction, which can be followed with 568nm light to visualize the evoked calcium transient.

Results

Human iPSC-CMs (hiPSC-CMs) express more cardiac troponin-T (cTnT) & α-Actininthanhumanskinfibr obl ast s (hSFs)

Matrigel - Serum

Gelatin + Serum

Fibronectin + Serum

Vitronectin+Serum

Matrigel + Serum

(Heartsdenoteplatingeffici ency)

MLC2a & MLC2v staining to distinguish atrial and ventricular cardiomyocyte populations, respectively.

Delayedafterdepolarizations(DAD’s)apparentinsomecells

• Weidentifie

d

arangeofcharacteristicsinthesehumaniPSC-CMsthatconfirm s theirabilitytofunctionasahighly-pure

population of single beating human cardiomyocytes in vitro.• We present a technically simple and scalable platform for cardiotoxicity screening assays, that could be incorporated into the cells directly via genome editing in the future.• iPSC-CMs can be cultured under serum-free conditions and as such, offer a platform to investigate the effect of growth factors, cytokines and drugs on the development and functionality of human cardiomyocytes in vitro.

1. iPS cell technologies: signific

a

nce and appl icat ions to CNS regener at ion and di sease. Ok ano & Yamanaka. Mol Brain, 2014 | 2.

Induction of Pluripotent Stem Cells from Mouse Embryonic and Adult Fibroblast Cultures by Define d Fact or s. Takahashi & Yamanaka.

Cell, 2006. | 3. Induction of Pluripotent Stem Cells from Adult Human Fibroblasts by Define d Fact or s. Takahashi et al., Cell, 2007.

Spontaneously beating iPSC-CMs

2D Culture 3D Culture

Cardiomyocyte marker expression

Atrial & ventricular cells

Binucleate cells Platingeffici enci es ondifferentsubstrates

On average there were 15.3% ±2.9 SEM (n=5) binucleate iPSC-CMs

Cell form factor

Multi-electrode array (MEA)

Dofetilide treatment prolongs the calcium transient

Figure 1: Optical control/calcium

imaging vector

93.5% of iPSC-CMs are positive for cardiac tropinin-I (cTnI)

[Matrigel+Serum]wasthemosteffici ent substrateforiPSC-CMadhesion.

[Matrigel - Serum] was comparable to [Gelatin + Serum].

Spontaneous synchronous beating of iPSC-CMs after 2 weeks in culture

0

0.5

1

1.5

2

2.5

3

3.5

8 9 10 11 12 13 14 15

Dofetilide5nM 0.3Hz

0

0.5

1

1.5

2

2.5

3

0 1 2 3 4 5 6 7 8 9 10 11

DAD’s

prolonged

Control

Average Dofetilide treatment

n=1

Cellformfactor=length/width

On average iPSC-CMs achieved a cell form factor of 2.5

Cardio Poster SLAS FINAL-MR2.indd 1 19/01/2016 09:20:31

Signaling & Stress-Response

Telethonin (green)

suggested signalling &

stress-response functions

is present iPSC-CMs with a

pattern of sarcomeric

striation observed in

patched inside some cells.

(All actin, red)

Ankyrin repeat domain

1 (ANKRD1) (green)

could be used a marker

of toxic stress, showed

similar expression to

telethonin (All Actin,

red)

Data from Dr Christian Zuppinger

Data from Abigail Robertson from University of Manchester

Page 21: The use of iPSC-derived cells (& primary cells) as in ... · “ A long, risky road” Need for early toxicity testing and improved prediction Toxicities leading to drug withdrawal

Methods, Tools & Recording Parameters

Maximum Diastolic

Potential (MDP)

Peak voltage

APD90

APD50

APD20

INav

ICav

IKr

• Patched 7-14 days post seeding

• Action potentials (AP) recorded

from syncytial cells (field

stimulation)

• Perforated patch clamp (100 µg/ml

gramicidin)

• Pharmacological tools:

Time to Peak

(TTP)

Compound Ion channel

Carbachol IKACh

TTX INav

Mexiletine INav

Nifedipine ICav

Verapamil ICav & IKr

Dofetilide IKr

Page 22: The use of iPSC-derived cells (& primary cells) as in ... · “ A long, risky road” Need for early toxicity testing and improved prediction Toxicities leading to drug withdrawal

AP Parameters

n = 32 control recordings

Cells paced at either 0.5 or 1Hz

Page 23: The use of iPSC-derived cells (& primary cells) as in ... · “ A long, risky road” Need for early toxicity testing and improved prediction Toxicities leading to drug withdrawal

Pure Population Ventricular Cardiomyocytes

13%

Atrial

87%

Ventricular

Ventricular myosin light chain (87%)

and atrial myosin light chain (13%)

(Does not include nodal population)

• Negligible effect on AP parameters (n=8)

• Positive effect of carbachol observed with

atrial-derived HL-1 cells

• Suggests majority of cells do not display an

atrial phenotype

Carbachol (IKACh)

Page 24: The use of iPSC-derived cells (& primary cells) as in ... · “ A long, risky road” Need for early toxicity testing and improved prediction Toxicities leading to drug withdrawal

TTX & Mexiletine (INav)

• Significantly prolonged the TTP

• Negligible effect on other AP parameters

• Similar effect observed with Mexiletine

Page 25: The use of iPSC-derived cells (& primary cells) as in ... · “ A long, risky road” Need for early toxicity testing and improved prediction Toxicities leading to drug withdrawal

Nifedipine (ICav)

• Significantly reduced the peak voltage

• Significant shortening of APD20, APD50 & APD90

Page 26: The use of iPSC-derived cells (& primary cells) as in ... · “ A long, risky road” Need for early toxicity testing and improved prediction Toxicities leading to drug withdrawal

Verapamil (ICav & IKr)

• Significant reduction to the peak voltage (all concentrations)

• Significant reduction in TTP(1µM)

• Significant prolongation of APD20 & 50 (1µM) but not APD90

Page 27: The use of iPSC-derived cells (& primary cells) as in ... · “ A long, risky road” Need for early toxicity testing and improved prediction Toxicities leading to drug withdrawal

Dofetilide (IKr)

• Significant prolongation to APD90

• Negligible effect on other AP parameters

Page 28: The use of iPSC-derived cells (& primary cells) as in ... · “ A long, risky road” Need for early toxicity testing and improved prediction Toxicities leading to drug withdrawal

Effect of Dofetilide on Calcium Imaging

0.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

8 10 12 14

Dofetilide 5nM 0.3Hz

prolonged

Control

Without treatment

Using Fluo-4 calcium dye

to measure calcium

transients

Dofetilide treatment prolongs the calcium transient

0.0

0.5

1.0

1.5

2.0

2.5

3.0

0 1 2 3 4 5 6 7 8 9 10 11

DAD’s

Average

Dofetilide

treatment

Delayed after depolarization (DAD)

apparent in some cells

Data provided by Dr Frances Brook at Oxford University

Page 29: The use of iPSC-derived cells (& primary cells) as in ... · “ A long, risky road” Need for early toxicity testing and improved prediction Toxicities leading to drug withdrawal

iPSC-Derived Cardiomyocytes in 3D culture

Cardiosperoids are essential for successful co-culturingof iPSC-derived cardiomyocytes & endothelial cells

Dr Christian Zuppinger, University of Bern

Page 30: The use of iPSC-derived cells (& primary cells) as in ... · “ A long, risky road” Need for early toxicity testing and improved prediction Toxicities leading to drug withdrawal

In-Vitro Models for Cardiotoxicity Studies

Data shared by Dr Jason Gill, Durham University

iPSC-derived cardiomyocytes responded to both compounds in a dose-dependent

fashion & strongly indicates the clinical relevance of these cells & their utility for drug

screening applications

Isoproterenol (β-adrenoceptor

antagonist) & carvedilol (β-

adrenoceptor agonist) were

added at 265h

Page 31: The use of iPSC-derived cells (& primary cells) as in ... · “ A long, risky road” Need for early toxicity testing and improved prediction Toxicities leading to drug withdrawal

Cardiotoxicity Summary

iPSC-derived cardiomyocytes (CMs) could be used in cardiotoxicity & cardiomyocyte pharmacology studies

• iPSC-derived CMs express definitive cardiac markers & form organized sarcomeres

• iPSC-derived CMs show synchronized beating as a monolayer culture at high confluency

• Electrophysiological measurement of APs, pharmacology consistent with expression of INav, ICav & IKr

• Functional on xCelligence & for calcium imaging

Page 32: The use of iPSC-derived cells (& primary cells) as in ... · “ A long, risky road” Need for early toxicity testing and improved prediction Toxicities leading to drug withdrawal

Hepatocytes

A way forward for more predictive toxicity testing

Page 33: The use of iPSC-derived cells (& primary cells) as in ... · “ A long, risky road” Need for early toxicity testing and improved prediction Toxicities leading to drug withdrawal

We need:

• Reliable genotoxicity testing, predictive hepatotoxicity screens

• Cells expressing adult hepatocyte markers & no fetal phenotype

• Large batch sizes from the same donor for consistency for toxicity and high-throughput screening

Human primary hepatocytes have much greater functionality than iPSC-derived hepatocytes

Hepatotoxicity

in Drug Safety Testing

40x

Page 34: The use of iPSC-derived cells (& primary cells) as in ... · “ A long, risky road” Need for early toxicity testing and improved prediction Toxicities leading to drug withdrawal

• Expanded hepatocytes that retain many characteristics of primary human hepatocytes

• Metabolically functional & express cytochrome P450 (CYP) enzymes

Assay-Ready Expanded

(ARE) Hepatocytes

40xComparison of the Phase I CYP enzyme activity between

ARE Hepatocytes, ARE Hepatocytes (CYP2D6

Overexpressing) & HepaRG cells

Cobblestone morphology

Page 35: The use of iPSC-derived cells (& primary cells) as in ... · “ A long, risky road” Need for early toxicity testing and improved prediction Toxicities leading to drug withdrawal

Assay-Ready Expanded (ARE) Hepatocytes

Expression of hepatic transporter

genes in primary hepatocytes,

ARE hepatocytes & HepG2 cells

Compound uptake studies Inhibition Studies

Reproducible CYP induction &

inhibition in a donor-specific

manner by prototypical

inducers/inhibitors

Page 36: The use of iPSC-derived cells (& primary cells) as in ... · “ A long, risky road” Need for early toxicity testing and improved prediction Toxicities leading to drug withdrawal

Assay-Ready Expanded (ARE) Hepatocytes

Hepatotoxicity studiesGenotoxicity studies

Increasing cyclophosphamide

concentration affects the

percentage of cells with micronuclei

(% MN) & cell viability

Sensitivity to hepatotoxic compounds

Page 37: The use of iPSC-derived cells (& primary cells) as in ... · “ A long, risky road” Need for early toxicity testing and improved prediction Toxicities leading to drug withdrawal

Assay-Ready Expanded (ARE) Liver Sinusoidal Endothelial Cells

ARE Liver Sinusoidal Endothelial

Cells are primary liver endothelial

cells that have been expanded

in-vitro

3D cultures can be generated by

co-culturing with ARE Hepatocytes Low Density Lipoprotein (LDL)

uptake in ARE Liver Sinusoidal

Endothelial cells. LDL (green),

DAPI (blue)

Page 38: The use of iPSC-derived cells (& primary cells) as in ... · “ A long, risky road” Need for early toxicity testing and improved prediction Toxicities leading to drug withdrawal

• ARE Hepatocytes display a primary liver cell phenotype

• ARE Hepatocytes are metabolic competent cells expressing liver specific transporters and metabolizing enzymes

• Large batch sizes from the same donor for consistency for toxicity & high-throughput screening

• Sensitivity to hepatotoxic compounds & reliable genotoxicity testing

• ARE Hepatocytes can be co-cultured with liver sinusoidal endothelial cells

Hepatotoxicity Summary

Page 39: The use of iPSC-derived cells (& primary cells) as in ... · “ A long, risky road” Need for early toxicity testing and improved prediction Toxicities leading to drug withdrawal

ConclusionOur aim is to provide physiologically relevant in-vitro disease models for drug discovery & toxicity studies

Axol iPSC-derived NSC Express neural markers at gene and protein level

Excellent neurite outgrowth

Electrophysiologically functional

Capable of synaptic plasticity

Axol iPSC-derived Cardiomyocytes Expressing definitive cardiac markers and form organized sarcomeres

Synchronous beating monolayers, electrophysiologically functional

Functional on xCelligence & for calcium imaging

ARE HepatocytesDisplay a primary liver cell phenotype

Metabolic competent cells expressing liver specific transporters and

metabolizing enzymes

Sensitivity to hepatotoxic compounds & reliable genotoxicity testing

Page 40: The use of iPSC-derived cells (& primary cells) as in ... · “ A long, risky road” Need for early toxicity testing and improved prediction Toxicities leading to drug withdrawal

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