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In Memoriam: James E. Gibson (1941-2025). 纪念詹姆斯·e·吉布森(1941-2025)。
IF 4.1 3区 医学 Q2 TOXICOLOGY Pub Date : 2025-12-24 DOI: 10.1093/toxsci/kfaf180
Jay I Goodman, James S Bus
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引用次数: 0
A Computational Model of Inflammation Reveals Crosstalk among Energy Metabolism, Oxidative Stress, Insulin, and Cytokines in Hepatocytes during Early MASLD Progression. 炎症的计算模型揭示了早期MASLD进展过程中肝细胞能量代谢、氧化应激、胰岛素和细胞因子之间的串扰。
IF 4.1 3区 医学 Q2 TOXICOLOGY Pub Date : 2025-12-17 DOI: 10.1093/toxsci/kfaf176
Yuki Miura, Yasuyuki Sakai, Masaki Nishikawa, Eric Leclerc

Metabolic dysfunction-associated steatotic liver disease (MASLD) is one of the most prevalent liver disorders, affecting approximately one-third of the global adult population. The disease begins with hepatic fat accumulation (steatosis) and can progress to inflammation, fibrosis, and hepatocellular carcinoma. To elucidate the complex mechanisms underlying MASLD, we have developed a novel mathematical model that integrates glucose and lipid metabolism, oxidative stress, insulin signaling and resistance, and cytokine function. We demonstrated that variations in extracellular fatty acid and lactate concentrations, as well as alterations in the activities of important glycolytic and triglyceride-synthesizing enzymes observed in actual patients, exert a substantial impact on oxidative stress and subsequent cellular damage. Moreover, this model enabled us to evaluate daily metabolic dynamics characteristic of steatotic liver-specific protein patterns. Importantly, it also allowed simulation of cytokine release from hepatocytes into the blood circulation (autocrine and endocrine effects) and the impact of locally elevated cytokine concentrations derived from immune cells (paracrine effects). Our model revealed the dynamics of the early stages of MASLD progression in response to alterations in blood metabolites levels, hepatic enzyme activities, insulin profiles, and cytokine patterns. Furthermore, we identified specific combinations of these factors that may alleviate the hepatic fat accumulation or oxidative stress, highlighting the importance of patient specificity. This study presents the first mechanistic framework constructed based on experimental data to describe the crosstalk among hepatic metabolism, insulin, and cytokines, serving as a powerful tool for elucidating disease mechanisms and developing therapeutic strategies.

代谢功能障碍相关脂肪变性肝病(MASLD)是最常见的肝脏疾病之一,影响全球约三分之一的成年人。该疾病始于肝脏脂肪堆积(脂肪变性),可发展为炎症、纤维化和肝细胞癌。为了阐明MASLD的复杂机制,我们建立了一个新的数学模型,将葡萄糖和脂质代谢、氧化应激、胰岛素信号和抵抗以及细胞因子功能整合在一起。我们证明了细胞外脂肪酸和乳酸浓度的变化,以及在实际患者中观察到的重要糖酵解酶和甘油三酯合成酶活性的改变,对氧化应激和随后的细胞损伤产生了重大影响。此外,该模型使我们能够评估脂肪变性肝脏特异性蛋白质模式的日常代谢动力学特征。重要的是,它还允许模拟细胞因子从肝细胞释放到血液循环(自分泌和内分泌效应)和免疫细胞局部升高的细胞因子浓度的影响(旁分泌效应)。我们的模型揭示了MASLD早期进展的动态,以响应血液代谢物水平、肝酶活性、胰岛素谱和细胞因子模式的改变。此外,我们确定了这些因素的特定组合,可能减轻肝脏脂肪堆积或氧化应激,强调了患者特异性的重要性。本研究提出了第一个基于实验数据构建的机制框架来描述肝脏代谢、胰岛素和细胞因子之间的串扰,为阐明疾病机制和制定治疗策略提供了有力的工具。
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引用次数: 0
Rethinking the Microenvironment's Role in Chemical-Induced Malignancy. 重新思考微环境在化学诱导恶性肿瘤中的作用。
IF 4.1 3区 医学 Q2 TOXICOLOGY Pub Date : 2025-12-17 DOI: 10.1093/toxsci/kfaf174
William H Bisson, Richard A Currie, Emilia L Lim, Coraline Mlynarczyk, Erik J Tokar, Annamaria Colacci, Justin A Colacino

Why and how does cancer start? Building from a Symposium at the 2025 Society of Toxicology meeting, we convened a group of international experts to answer this seemingly simple question. As experimental evidence has evolved, perspectives on cancers' origins have shifted from the accumulation of DNA mutations in single cells to complex processes involving signals from an altered tissue microenvironment which promote tumorigenesis. Carcinogen exposures impact the biology of the microenvironment in complex and tissue-specific ways. These changes can include the infiltration of inflammatory cells that produce growth factors, neo-angiogenesis, morphological changes, and immune tolerance that avoids immune-mediated elimination. In this in-depth review, we discuss the evidence linking chemical-driven microenvironmental changes in the development of a range of solid and liquid tumors. We discuss specific phenotypic alterations, such as selection pressure driving clonal expansion and cellular plasticity and reacquisition of stem cell states, linked to carcinogen-induced changes in the microenvironment. We describe assays and biomarkers which can allow us to experimentally assess links between chemical exposures, the microenvironment, and cancer phenotypes. We end by discussing how understanding the role of the microenvironment and malignancy in toxicology is essential for accurate cancer hazard evaluation, development of next-generation risk assessment frameworks, identifying new strategies for cancer prevention, and improving patient care.

癌症是如何开始的?根据2025年毒理学学会会议的一次研讨会,我们召集了一组国际专家来回答这个看似简单的问题。随着实验证据的发展,关于癌症起源的观点已经从单细胞中DNA突变的积累转变为涉及来自改变的组织微环境的信号的复杂过程,这些信号促进了肿瘤的发生。致癌物暴露以复杂和组织特异性的方式影响微环境的生物学。这些变化包括产生生长因子的炎症细胞浸润、新血管生成、形态改变和避免免疫介导消除的免疫耐受。在这篇深入的综述中,我们讨论了化学驱动的微环境变化在一系列固体和液体肿瘤发展中的证据。我们讨论了特定的表型改变,如选择压力驱动克隆扩增和干细胞状态的细胞可塑性和重新获得,与微环境中致癌物质诱导的变化有关。我们描述的分析和生物标志物,可以让我们实验性地评估化学暴露,微环境和癌症表型之间的联系。最后,我们讨论了如何理解微环境和恶性肿瘤在毒理学中的作用,对于准确的癌症危害评估、下一代风险评估框架的发展、确定癌症预防的新策略以及改善患者护理至关重要。
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引用次数: 0
Cobalt Mediates Stage-Specific Toxicity of Metal Mixtures in Cardiovascular-Kidney-Metabolic Syndrome. 钴介导金属混合物对心血管-肾-代谢综合征的阶段特异性毒性。
IF 4.1 3区 医学 Q2 TOXICOLOGY Pub Date : 2025-12-15 DOI: 10.1093/toxsci/kfaf172
Wei Zhang, GuangYu Jiang, Ziyan Liu, LianRui Duan, JiaYi Liang, Ziyan Wang, Huiwen Kang, Danyang Huang, Ai Gao

Cardiovascular-Kidney-Metabolic (CKM) syndrome imposes a rising global health burden, yet the link between environmental metal mixtures and CKM progression remains unclear. To assess the joint effects of metal mixtures on CKM syndrome staging and identify critical toxic drivers through advanced mixture analysis. NHANES data (2011-2016) from 1,816 participants were analyzed via Weighted Quantile Sum (WQS) regression, generalized linear models (GLMs), ridge regression, Shapley Additive exPlanations (SHAP) analysis, and polynomial regression. An Adverse Outcome Pathway (AOP) framework was utilized to characterize the mechanisms of metal-mediated CKM. The WQS model revealed an association between mixed metal exposure and CKM (β = 0.502, p = 0.013). Subsequently, GLMs and ridge regression further identified the associative characteristics of individual metals, with all three models pointing to cobalt as the key driver. The SHAP model validated cobalt's dominant contribution from the perspective of marginal feature importance. Additionally, a polynomial equation analysis showed that cobalt exhibited a linear dose-response relationship with CKM syndrome. Based on these findings, the AOP framework furtherly identified that early CKM stages are linked with cobalt-related metabolic and immune dysregulation. In contrast, late stages involve disruptions in calcium homeostasis, lipid metabolism, and cell apoptosis-survival balance. Our findings highlight the impact of metal exposure on the progression of CKM syndrome, the AOP framework has deciphered stage-specific mechanisms of cobalt, revealing distinct toxicological pathways in early versus late CKM.

心血管-肾-代谢综合征(CKM)给全球健康带来了越来越大的负担,但环境金属混合物与CKM进展之间的联系尚不清楚。评估金属混合物对CKM综合征分期的共同影响,并通过先进的混合物分析确定关键的毒性驱动因素。通过加权分位数和(WQS)回归、广义线性模型(GLMs)、岭回归、Shapley加性解释(SHAP)分析和多项式回归分析了1816名参与者的NHANES数据(2011-2016)。不良预后途径(AOP)框架被用来表征金属介导的CKM的机制。WQS模型显示混合金属暴露与CKM之间存在关联(β = 0.502, p = 0.013)。随后,GLMs和脊回归进一步确定了单个金属的关联特征,所有三个模型都指出钴是关键驱动因素。SHAP模型从边缘特征重要性的角度验证了钴的主导贡献。此外,多项式方程分析表明,钴与CKM综合征呈线性剂量-反应关系。基于这些发现,AOP框架进一步确定了早期CKM阶段与钴相关的代谢和免疫失调有关。相反,晚期则涉及钙稳态、脂质代谢和细胞凋亡-生存平衡的破坏。我们的研究结果强调了金属暴露对CKM综合征进展的影响,AOP框架已经破译了钴的阶段特异性机制,揭示了早期和晚期CKM的不同毒理学途径。
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引用次数: 0
Computational Integration of In Vivo Single Cell and In Vitro Bulk Transcriptomics Across 236 Human and Mouse Datasets Differentiates Physiological versus Non-Physiological Hepatic Cell Lines for Hepatotoxicity Screening. 在236个人和小鼠数据集中对体内单细胞和体外大量转录组学进行计算整合,以区分生理性和非生理性肝细胞系,用于肝毒性筛选。
IF 4.1 3区 医学 Q2 TOXICOLOGY Pub Date : 2025-12-14 DOI: 10.1093/toxsci/kfaf171
Thomas Kowal, Susanna Wang, Michael Cheng, Ruoshui Liu, Montgomery Blencowe, Xia Yang

New approach methods (NAMs), including in vitro paradigms, are needed to increase throughput, sustainability, and ethicality in toxicity research. However, selecting optimal cell culture models that mimic in vivo physiological conditions is challenging. To identify cell lines that best recapitulate physiological cells, we compared gene expression signatures of cell lines and in vivo tissues. We curated 214 transcriptomics datasets from 17 human and mouse hepatic cell lines representing hepatocytes, hepatic stellate cells, and cholangiocytes and determined basal gene expression profiles for each. We also collected 7 in vivo single cell RNA sequencing (scRNAseq) datasets from human and mouse livers, which provide physiologically relevant transcriptome profiles for hepatic cell types. We compared cell line transcriptome profiles to liver scRNAseq data to determine which cell lines best represent in vivo physiology for each cell type and compared genes, regulatory networks, and biological pathways between cell lines and hepatic cell types. We further analyzed 15 cell line, in vivo, and primary hepatocyte datasets from hepatotoxicity studies to relate baseline patterns to toxicological responses. We identified HepaRG as optimal to model hepatocytes both at baseline and in hepatotoxicity application studies of diverse toxicants, and further provided biological insights into the key differences of some of the widely used hepatic cell lines from in vivo biology. Overall, we present a new in silico approach that leverages existing big data to guide selection of cell lines with better functional relevance, which can be applied to in vitro modeling of other tissues and broad biomedical applications.

需要新的方法(NAMs),包括体外模型,以提高毒性研究的吞吐量、可持续性和伦理性。然而,选择模拟体内生理条件的最佳细胞培养模型是具有挑战性的。为了鉴定最能概括生理细胞的细胞系,我们比较了细胞系和体内组织的基因表达特征。我们整理了来自17个人类和小鼠肝细胞系的214个转录组学数据集,分别代表肝细胞、肝星状细胞和胆管细胞,并确定了每种细胞的基础基因表达谱。我们还收集了来自人和小鼠肝脏的7个体内单细胞RNA测序(scRNAseq)数据集,这些数据集提供了肝细胞类型的生理相关转录组谱。我们比较了细胞系转录组谱和肝脏scRNAseq数据,以确定哪些细胞系最能代表每种细胞类型的体内生理,并比较了细胞系和肝细胞类型之间的基因、调控网络和生物学途径。我们进一步分析了来自肝毒性研究的15个细胞系、体内和原代肝细胞数据集,以将基线模式与毒理学反应联系起来。我们确定HepaRG是在基线和不同毒物的肝毒性应用研究中模拟肝细胞的最佳选择,并进一步从体内生物学角度提供了一些广泛使用的肝细胞系的关键差异的生物学见解。总的来说,我们提出了一种新的计算机方法,利用现有的大数据来指导选择具有更好功能相关性的细胞系,这可以应用于其他组织的体外建模和广泛的生物医学应用。
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引用次数: 0
Lung injury, oxidative stress and impaired functioning in a model of prolonged ozone exposure in female mice are associated with macrophage proinflammatory and profibrotic activation and altered bioenergetics. 在一个长期臭氧暴露的雌性小鼠模型中,肺损伤、氧化应激和功能受损与巨噬细胞的促炎和促纤维化激活以及生物能量学的改变有关。
IF 4.1 3区 医学 Q2 TOXICOLOGY Pub Date : 2025-12-14 DOI: 10.1093/toxsci/kfaf173
Vasanthi R Sunil, Kinal N Vayas, Jared Radbel, Ley Cody Smith, Jaclynn Meshanni, Jordan Lee, Daniel Weinstock, Elena Abramova, Igor Shmarakov, Andrew Gow, Jeffrey D Laskin, Debra L Laskin

Prolonged exposure to ozone causes lung injury and persistent inflammation, pathologies associated with emphysema and asthma. Herein, we characterized inflammatory cells in the lungs using a murine model of prolonged ozone exposure, with the long-term goal of assessing their role in disease pathogenesis. Mice were exposed to air or ozone (1.5 ppm, 2 h, 2x/wk, 6 wk). Bronchoalveolar lavage fluid (BAL) and cells and lung tissue were collected 24 h after the final exposure. Alveolar/bronchiolar hyperplasia, epithelial degeneration and mononuclear cell infiltration were observed following ozone exposure; BAL protein, cells, fibrinogen, and SP-A and SP-D were also increased, along with markers of oxidative stress, and impaired pulmonary function. Flow cytometric analysis of infiltrating myeloid cells revealed that after ozone exposure, the majority of these cells were mature infiltrating macrophages. These were comprised mainly of anti-inflammatory/profibrotic macrophages, with a smaller number of proinflammatory macrophages. Proinflammatory genes (Il1β, Ccl3, Ccl17, Ccl22, Tnfα) and NF-κB activity were increased in BAL cells from ozone exposed mice (>97% macrophages); profibrotic genes (Mmp12, Mmp28, Tgfβ), but not anti-inflammatory genes (Il10, Arg1), were also upregulated. Following ozone exposure, glycolytic activity and oxidative phosphorylation increased in BAL cells, consistent with proinflammatory and profibrotic activation, respectively. These findings are important as they provide a rationale for evaluating the role of inflammatory macrophages in the pathophysiological response to prolonged ozone exposure.

长期接触臭氧会导致肺损伤和持续性炎症,以及与肺气肿和哮喘相关的病理。在此,我们使用长期臭氧暴露的小鼠模型来表征肺部炎症细胞,其长期目标是评估它们在疾病发病机制中的作用。小鼠分别暴露于空气或臭氧(1.5 ppm, 2 h, 2次/周,6周)。最终暴露24 h后收集支气管肺泡灌洗液(BAL)、细胞和肺组织。臭氧暴露后肺泡/细支气管增生、上皮变性、单核细胞浸润;BAL蛋白、细胞、纤维蛋白原、SP-A和SP-D也增加,同时氧化应激标志物和肺功能受损。流式细胞术分析浸润性骨髓细胞显示,臭氧暴露后,这些细胞大部分是成熟的浸润性巨噬细胞。这些细胞主要由抗炎/促纤维化巨噬细胞组成,促炎巨噬细胞数量较少。臭氧暴露小鼠(巨噬细胞)BAL细胞中促炎基因(il - 1β、Ccl3、Ccl17、Ccl22、Tnfα)和NF-κB活性升高;促纤维化基因(Mmp12, Mmp28, Tgfβ),但抗炎基因(Il10, Arg1)也上调。臭氧暴露后,BAL细胞的糖酵解活性和氧化磷酸化增加,分别与促炎和促纤维化激活一致。这些发现很重要,因为它们为评估炎性巨噬细胞在长时间臭氧暴露的病理生理反应中的作用提供了理论依据。
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引用次数: 0
Cobalt Mediates Stage-Specific Toxicity of Metal Mixtures in Cardiovascular-Kidney-Metabolic Syndrome. 钴介导金属混合物对心血管-肾-代谢综合征的阶段特异性毒性。
IF 4.1 3区 医学 Q2 TOXICOLOGY Pub Date : 2025-12-12 DOI: 10.1093/toxsci/kfaf168
Wei Zhang, GuangYu Jiang, Ziyan Liu, LianRui Duan, JiaYi Liang, Ziyan Wang, Huiwen Kang, Danyang Huang, Ai Gao

Cardiovascular-Kidney-Metabolic (CKM) syndrome imposes a rising global health burden, yet the link between environmental metal mixtures and CKM progression remains unclear. To assess the joint effects of metal mixtures on CKM syndrome staging and identify critical toxic drivers through advanced mixture analysis. NHANES data (2011-2016) from 1,816 participants were analyzed via Weighted Quantile Sum (WQS) regression, generalized linear models (GLMs), ridge regression, Shapley Additive exPlanations (SHAP) analysis, and polynomial regression. An Adverse Outcome Pathway (AOP) framework was utilized to characterize the mechanisms of metal-mediated CKM. The WQS model revealed an association between mixed metal exposure and CKM (β  =  0.502, p = 0.013). Subsequently, GLMs and ridge regression further identified the associative characteristics of individual metals, with all three models pointing to cobalt as the key driver. The SHAP model validated cobalt's dominant contribution from the perspective of marginal feature importance. Additionally, a polynomial equation analysis showed that cobalt exhibited a linear dose-response relationship with CKM syndrome. Based on these findings, the AOP framework furtherly identified that early CKM stages are linked with cobalt-related metabolic and immune dysregulation. In contrast, late stages involve disruptions in calcium homeostasis, lipid metabolism, and cell apoptosis-survival balance. Our findings highlight the impact of metal exposure on the progression of CKM syndrome, the AOP framework has deciphered stage-specific mechanisms of cobalt, revealing distinct toxicological pathways in early versus late CKM.

心血管-肾-代谢综合征(CKM)给全球健康带来了越来越大的负担,但环境金属混合物与CKM进展之间的联系尚不清楚。评估金属混合物对CKM综合征分期的共同影响,并通过先进的混合物分析确定关键的毒性驱动因素。通过加权分位数和(WQS)回归、广义线性模型(GLMs)、岭回归、Shapley加性解释(SHAP)分析和多项式回归分析了1816名参与者的NHANES数据(2011-2016)。不良预后途径(AOP)框架被用来表征金属介导的CKM的机制。WQS模型显示混合金属暴露与CKM之间存在关联(β = 0.502, p = 0.013)。随后,GLMs和脊回归进一步确定了单个金属的关联特征,所有三个模型都指出钴是关键驱动因素。SHAP模型从边缘特征重要性的角度验证了钴的主导贡献。此外,多项式方程分析表明,钴与CKM综合征呈线性剂量-反应关系。基于这些发现,AOP框架进一步确定了早期CKM阶段与钴相关的代谢和免疫失调有关。相反,晚期则涉及钙稳态、脂质代谢和细胞凋亡-生存平衡的破坏。我们的研究结果强调了金属暴露对CKM综合征进展的影响,AOP框架已经破译了钴的阶段特异性机制,揭示了早期和晚期CKM的不同毒理学途径。
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引用次数: 0
7-OH and Kratom Vaping Products: An Emerging Public Health Threat. 7-OH和Kratom电子烟产品:一个新兴的公共健康威胁。
IF 4.1 3区 医学 Q2 TOXICOLOGY Pub Date : 2025-12-12 DOI: 10.1093/toxsci/kfaf169
Kevin D Schichlein, Hye-Young H Kim, Ned A Porter, Ilona Jaspers
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引用次数: 0
Developmental Toxicology Profile of the IRAK4 Degrader KT-474. IRAK4降解剂KT-474的发育毒理学分析
IF 4.1 3区 医学 Q2 TOXICOLOGY Pub Date : 2025-12-12 DOI: 10.1093/toxsci/kfaf170
Bradley E Enerson, Gregg Cappon, Yatao Shi, Dirk M Walther, Veronica Campbell, Dapeng Chen, Eric Kuhn, Ginny Massa, Chris Ho, Xiaozhang Zheng, Jing Yuan, Kirti Sharma, Andreas M Holhbaum, Anthony Slavin, Nan Ji, Nello Mainolfi, Matthew M Weiss

KT-474 is a first-in-class IRAK4 heterobifunctional degrader that utilizes cereblon (CRBN) for E3 ligase recruitment and was rationally designed to be devoid of immunomodulatory imide drug (IMiD)-related neosubstrate degradation. Like KT-474, most degraders in clinical trials to date rely on CRBN for E3 ligase recruitment to harness the ubiquitin-proteasome system to selectively degrade disease-associated proteins. Structural similarities of the CRBN-binding portion of these degraders to IMiDs (e.g., thalidomide) have raised safety concerns due to potential degradation of CRBN neosubstrates implicated in teratogenicity, such as SALL4. To address this theoretical concern, the potential of KT-474 to degrade CRBN neosubstrates in vitro and cause developmental toxicity in vivo was evaluated. Proteomic analyses across three human cell systems (peripheral blood mononuclear cells [PBMCs], induced pluripotent stem cells, and SK-N-DZ cells) demonstrated that KT-474 selectively degraded IRAK4 without affecting SALL4, or other detected CRBN neosubstrates. In embryo-fetal development studies, no KT-474-related malformations or embryo-fetal toxicity was observed in rats or rabbits at the highest doses tested. Associated exposures (AUC) provided 23- to 9-fold multiples, respectively, over exposures at the clinical dose of KT-474 associated with robust degradation of IRAK4 and early signals of efficacy. Deep IRAK4 degradation by KT-474 in primary rat cells, rabbit PBMCs, and a range of tissues provides confidence in the appropriateness of the animal species tested. Taken together, these data clearly differentiate KT-474 from IMiDs, support that CRBN-mediated teratogenicity seen with IMiD drugs is neosubstrate-driven, and demonstrate that structure-based design can generate highly selective degraders devoid of teratogenic risk.

KT-474是一种一流的IRAK4异双功能降解物,利用小脑(CRBN)募集E3连接酶,并被合理设计为缺乏免疫调节亚胺药物(IMiD)相关的新底物降解。像KT-474一样,迄今为止临床试验中的大多数降解物依赖于E3连接酶募集的CRBN来利用泛素-蛋白酶体系统选择性地降解疾病相关蛋白。这些降解物的CRBN结合部分与IMiDs(如沙利度胺)的结构相似性引起了安全性问题,因为CRBN新底物的潜在降解与致畸性有关,如SALL4。为了解决这一理论问题,我们评估了KT-474在体外降解CRBN新底物并在体内引起发育毒性的潜力。三种人类细胞系统(外周血单核细胞、诱导多能干细胞和SK-N-DZ细胞)的蛋白质组学分析表明,KT-474选择性地降解IRAK4,而不影响SALL4或其他检测到的CRBN新底物。在胚胎-胎儿发育研究中,在最高剂量的试验中,大鼠或家兔未观察到kt -474相关畸形或胚胎-胎儿毒性。相关暴露(AUC)分别比临床剂量的KT-474暴露提供了23至9倍的倍数,与IRAK4的强大降解和早期疗效信号相关。KT-474在原代大鼠细胞、兔PBMCs和一系列组织中对IRAK4的深度降解为所测试动物物种的适宜性提供了信心。综上所述,这些数据清楚地将KT-474与IMiD区分开来,支持crbn介导的IMiD药物致畸性是由新底物驱动的,并证明基于结构的设计可以产生没有致畸风险的高选择性降解物。
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引用次数: 0
Advantages of long-term evaluation of doxorubicin-induced cardiotoxicity using human iPSC-derived cardiomyocyte sheet tissues with continuous contractile force measurement under constant pacing. 长期评估阿霉素诱导的心脏毒性的优势,使用恒定起搏下连续收缩力测量的人ipsc来源的心肌细胞片组织。
IF 4.1 3区 医学 Q2 TOXICOLOGY Pub Date : 2025-12-05 DOI: 10.1093/toxsci/kfaf167
Yuto Hinata, Yuki Kagawa, Takanori Seno, Hirotsugu Kubo, Eriko Kato, Atsushi Baba, Daisuke Sasaki, Katsuhisa Matsuura, Tatsuya Shimizu, Kohei Sawada

With advancements in anticancer therapy, concerns over delayed cardiotoxicity are increasing, creating demand for precise in vitro systems to evaluate long-term cardiotoxic effects in drug discovery. In this study, we examined the impact of doxorubicin on the contractility of cell sheet tissues made from human-induced pluripotent stem cell-derived cardiomyocytes (hiPSC-CMs) maintained at a steady pacing rate of 1 Hz. Using our system for continuous contractile force measurement over 5 days, tissues exposed to 0.3 µM doxorubicin exhibited progressive force decline and arrhythmias, despite no significant changes in 4 biomarkers, ANP, BNP, NT-proBNP, and cTnT, sampled post-measurement. These findings suggest that indirect biomarker-based assessment of the cardiotoxicity of doxorubicin may be challenging. Notably, an increased slope during the relaxation stage preceded reduction in contraction amplitude in 0.3 µM-exposed tissues. Further analysis, dividing the relaxation into early, middle, and terminal phases, indicated that doxorubicin induces a rapid force decline during the early phase, followed by a gradual decrease in the terminal phase. We discussed the mechanistic basis of this toxicity based on intracellular Ca2+ dynamics. These insights derive from a system that enables stable, long-term measurement of contractile force under a consistent beating rate, and such technological advancements promise to enable more reliable evaluation of delayed cardiotoxicity in future drug development. Thus, our rate-controlled, continuous force platform reveals early relaxation-phase changes not detected by soluble biomarkers and offers a more sensitive in vitro approach for preclinical cardiotoxicity screening.

随着抗癌治疗的进步,对延迟性心脏毒性的关注正在增加,这就产生了对精确的体外系统的需求,以评估药物发现中的长期心脏毒性作用。在这项研究中,我们研究了阿霉素对人诱导的多能干细胞来源的心肌细胞(hiPSC-CMs)在1 Hz的稳定起搏速率下制成的细胞片组织的收缩性的影响。使用我们的系统连续测量5天的收缩力,暴露于0.3µM阿霉素的组织表现出进行性收缩力下降和心律失常,尽管测量后采样的4种生物标志物ANP、BNP、NT-proBNP和cTnT没有显著变化。这些发现表明,对阿霉素的心脏毒性进行间接的基于生物标志物的评估可能具有挑战性。值得注意的是,在0.3µm暴露的组织中,松弛阶段的斜率增加先于收缩幅度的降低。进一步分析,将松弛分为早期、中期和末期,表明阿霉素在早期诱导力快速下降,随后在末期逐渐下降。我们讨论了基于细胞内Ca2+动力学的这种毒性的机制基础。这些见解来自于一个系统,该系统能够在一致的心跳速率下稳定、长期地测量收缩力,这种技术进步有望在未来的药物开发中对延迟性心脏毒性进行更可靠的评估。因此,我们的速率控制、连续力平台揭示了可溶性生物标志物无法检测到的早期松弛期变化,并为临床前心脏毒性筛选提供了一种更敏感的体外方法。
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引用次数: 0
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Toxicological Sciences
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