Advanced In Vitro Models for Preclinical Drug Safety: Recent Progress and Prospects

The majority of drugs are typically orally administered. The journey from drug discovery to approval is often long and expensive, involving multiple stages. A major challenge in the drug development process is drug-induced liver injury (DILI), a condition that affects the liver, the organ responsibl...

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Main Authors: Dileep G. Nair, Ralf Weiskirchen
Format: Article
Language:English
Published: MDPI AG 2024-12-01
Series:Current Issues in Molecular Biology
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Online Access:https://www.mdpi.com/1467-3045/47/1/7
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author Dileep G. Nair
Ralf Weiskirchen
author_facet Dileep G. Nair
Ralf Weiskirchen
author_sort Dileep G. Nair
collection DOAJ
description The majority of drugs are typically orally administered. The journey from drug discovery to approval is often long and expensive, involving multiple stages. A major challenge in the drug development process is drug-induced liver injury (DILI), a condition that affects the liver, the organ responsible for metabolizing most drugs. Traditionally, identifying DILI risk has been difficult due to the poor correlation between preclinical animal models and in vitro systems. Differences in physiology between humans and animals or cell lines contribute to the failure of many drug programs during clinical trials. The use of advanced in vitro systems that closely mimic human physiology, such as organ-on-a-chip models like gut–liver-on-a-chip, can be crucial in improving drug efficacy while minimizing toxicity. Additionally, the adaptation of these technologies has the potential to significantly reduce both the time and cost associated with obtaining safe drug approvals, all while adhering to the 3Rs principle (replacement, reduction, refinement). In this review, we discuss the significance, current status, and future prospects of advanced platforms, specifically organ-on-a-chip models, in supporting preclinical drug discovery.
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spelling doaj-art-66d56dbfc29a4399b889d6145e30a45e2025-01-24T13:27:22ZengMDPI AGCurrent Issues in Molecular Biology1467-30371467-30452024-12-01471710.3390/cimb47010007Advanced In Vitro Models for Preclinical Drug Safety: Recent Progress and ProspectsDileep G. Nair0Ralf Weiskirchen1Institute of Molecular Pathobiochemistry, Experimental Gene Therapy and Clinical Chemistry (IFMPEGKC), University Hospital Aachen, D-52074 Aachen, GermanyInstitute of Molecular Pathobiochemistry, Experimental Gene Therapy and Clinical Chemistry (IFMPEGKC), University Hospital Aachen, D-52074 Aachen, GermanyThe majority of drugs are typically orally administered. The journey from drug discovery to approval is often long and expensive, involving multiple stages. A major challenge in the drug development process is drug-induced liver injury (DILI), a condition that affects the liver, the organ responsible for metabolizing most drugs. Traditionally, identifying DILI risk has been difficult due to the poor correlation between preclinical animal models and in vitro systems. Differences in physiology between humans and animals or cell lines contribute to the failure of many drug programs during clinical trials. The use of advanced in vitro systems that closely mimic human physiology, such as organ-on-a-chip models like gut–liver-on-a-chip, can be crucial in improving drug efficacy while minimizing toxicity. Additionally, the adaptation of these technologies has the potential to significantly reduce both the time and cost associated with obtaining safe drug approvals, all while adhering to the 3Rs principle (replacement, reduction, refinement). In this review, we discuss the significance, current status, and future prospects of advanced platforms, specifically organ-on-a-chip models, in supporting preclinical drug discovery.https://www.mdpi.com/1467-3045/47/1/7OOCorgan-on-a-chipDILIdrug-induced liver injuryAI/MLartificial intelligence and machine learning
spellingShingle Dileep G. Nair
Ralf Weiskirchen
Advanced In Vitro Models for Preclinical Drug Safety: Recent Progress and Prospects
Current Issues in Molecular Biology
OOC
organ-on-a-chip
DILI
drug-induced liver injury
AI/ML
artificial intelligence and machine learning
title Advanced In Vitro Models for Preclinical Drug Safety: Recent Progress and Prospects
title_full Advanced In Vitro Models for Preclinical Drug Safety: Recent Progress and Prospects
title_fullStr Advanced In Vitro Models for Preclinical Drug Safety: Recent Progress and Prospects
title_full_unstemmed Advanced In Vitro Models for Preclinical Drug Safety: Recent Progress and Prospects
title_short Advanced In Vitro Models for Preclinical Drug Safety: Recent Progress and Prospects
title_sort advanced in vitro models for preclinical drug safety recent progress and prospects
topic OOC
organ-on-a-chip
DILI
drug-induced liver injury
AI/ML
artificial intelligence and machine learning
url https://www.mdpi.com/1467-3045/47/1/7
work_keys_str_mv AT dileepgnair advancedinvitromodelsforpreclinicaldrugsafetyrecentprogressandprospects
AT ralfweiskirchen advancedinvitromodelsforpreclinicaldrugsafetyrecentprogressandprospects