The differentiation state of small intestinal organoid models influences prediction of drug-induced toxicity

Drug-induced intestinal toxicity (GIT) is a frequent dose-limiting adverse event that can impact patient compliance and treatment outcomes. In vivo, there are proliferative and differentiated cell types critical to maintaining intestinal homeostasis. Traditional in vitro models using transformed cel...

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Main Authors: Jessica A. Klein, Julia D. Heidmann, Tomomi Kiyota, Aaron Fullerton, Kimberly A. Homan, Julia Y. Co
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Cell and Developmental Biology
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Online Access:https://www.frontiersin.org/articles/10.3389/fcell.2025.1508820/full
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author Jessica A. Klein
Julia D. Heidmann
Tomomi Kiyota
Aaron Fullerton
Kimberly A. Homan
Julia Y. Co
author_facet Jessica A. Klein
Julia D. Heidmann
Tomomi Kiyota
Aaron Fullerton
Kimberly A. Homan
Julia Y. Co
author_sort Jessica A. Klein
collection DOAJ
description Drug-induced intestinal toxicity (GIT) is a frequent dose-limiting adverse event that can impact patient compliance and treatment outcomes. In vivo, there are proliferative and differentiated cell types critical to maintaining intestinal homeostasis. Traditional in vitro models using transformed cell lines do not capture this cellular complexity, and often fail to predict intestinal toxicity. Primary tissue-derived intestinal organoids, on the other hand, are a scalable Complex in vitro Model (CIVM) that recapitulates major intestinal cell lineages and function. Intestinal organoid toxicity assays have been shown to correlate with clinical incidence of drug-induced diarrhea, however existing studies do not consider how differentiation state of the organoids impacts assay readouts and predictivity. We employed distinct proliferative and differentiated organoid models of the small intestine to assess whether differentiation state alone can alter toxicity responses to small molecule compounds in cell viability assays. In doing so, we identified several examples of small molecules which elicit differential toxicity in proliferative and differentiated organoid models. This proof of concept highlights the need to consider which cell types are present in CIVMs, their differentiation state, and how this alters interpretation of toxicity assays.
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spelling doaj-art-21a588c78e864744a4205505925012b02025-01-23T06:56:32ZengFrontiers Media S.A.Frontiers in Cell and Developmental Biology2296-634X2025-01-011310.3389/fcell.2025.15088201508820The differentiation state of small intestinal organoid models influences prediction of drug-induced toxicityJessica A. Klein0Julia D. Heidmann1Tomomi Kiyota2Aaron Fullerton3Kimberly A. Homan4Julia Y. Co5Complex In Vitro Systems, Translational Safety, Genentech Inc., South San Francisco, CA, United StatesInvestigative Toxicology, Translational Safety, Genentech Inc., South San Francisco, CA, United StatesInvestigative Toxicology, Translational Safety, Genentech Inc., South San Francisco, CA, United StatesInvestigative Toxicology, Translational Safety, Genentech Inc., South San Francisco, CA, United StatesComplex In Vitro Systems, Translational Safety, Genentech Inc., South San Francisco, CA, United StatesComplex In Vitro Systems, Translational Safety, Genentech Inc., South San Francisco, CA, United StatesDrug-induced intestinal toxicity (GIT) is a frequent dose-limiting adverse event that can impact patient compliance and treatment outcomes. In vivo, there are proliferative and differentiated cell types critical to maintaining intestinal homeostasis. Traditional in vitro models using transformed cell lines do not capture this cellular complexity, and often fail to predict intestinal toxicity. Primary tissue-derived intestinal organoids, on the other hand, are a scalable Complex in vitro Model (CIVM) that recapitulates major intestinal cell lineages and function. Intestinal organoid toxicity assays have been shown to correlate with clinical incidence of drug-induced diarrhea, however existing studies do not consider how differentiation state of the organoids impacts assay readouts and predictivity. We employed distinct proliferative and differentiated organoid models of the small intestine to assess whether differentiation state alone can alter toxicity responses to small molecule compounds in cell viability assays. In doing so, we identified several examples of small molecules which elicit differential toxicity in proliferative and differentiated organoid models. This proof of concept highlights the need to consider which cell types are present in CIVMs, their differentiation state, and how this alters interpretation of toxicity assays.https://www.frontiersin.org/articles/10.3389/fcell.2025.1508820/fullgastrointestinal toxicityintestinal toxicitydiarrheaorganoidssmall intestinetissue-derived stem cells
spellingShingle Jessica A. Klein
Julia D. Heidmann
Tomomi Kiyota
Aaron Fullerton
Kimberly A. Homan
Julia Y. Co
The differentiation state of small intestinal organoid models influences prediction of drug-induced toxicity
Frontiers in Cell and Developmental Biology
gastrointestinal toxicity
intestinal toxicity
diarrhea
organoids
small intestine
tissue-derived stem cells
title The differentiation state of small intestinal organoid models influences prediction of drug-induced toxicity
title_full The differentiation state of small intestinal organoid models influences prediction of drug-induced toxicity
title_fullStr The differentiation state of small intestinal organoid models influences prediction of drug-induced toxicity
title_full_unstemmed The differentiation state of small intestinal organoid models influences prediction of drug-induced toxicity
title_short The differentiation state of small intestinal organoid models influences prediction of drug-induced toxicity
title_sort differentiation state of small intestinal organoid models influences prediction of drug induced toxicity
topic gastrointestinal toxicity
intestinal toxicity
diarrhea
organoids
small intestine
tissue-derived stem cells
url https://www.frontiersin.org/articles/10.3389/fcell.2025.1508820/full
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