1. Prediction of drug-induced nephrotoxicity and injury mechanisms with human induced pluripotent stem cell-derived cells and machine learning methods.
- Author
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Kandasamy K, Chuah JK, Su R, Huang P, Eng KG, Xiong S, Li Y, Chia CS, Loo LH, and Zink D
- Subjects
- Acute Kidney Injury, Biological Assay methods, Cell Differentiation, Cell Survival drug effects, Cells, Cultured, Humans, Machine Learning, Pattern Recognition, Automated methods, Reproducibility of Results, Sensitivity and Specificity, Drug Evaluation, Preclinical methods, Induced Pluripotent Stem Cells drug effects, Induced Pluripotent Stem Cells pathology, Kidney Tubules, Proximal drug effects, Kidney Tubules, Proximal pathology, Toxicity Tests methods
- Abstract
The renal proximal tubule is a main target for drug-induced toxicity. The prediction of proximal tubular toxicity during drug development remains difficult. Any in vitro methods based on induced pluripotent stem cell-derived renal cells had not been developed, so far. Here, we developed a rapid 1-step protocol for the differentiation of human induced pluripotent stem cells (hiPSC) into proximal tubular-like cells. These proximal tubular-like cells had a purity of >90% after 8 days of differentiation and could be directly applied for compound screening. The nephrotoxicity prediction performance of the cells was determined by evaluating their responses to 30 compounds. The results were automatically determined using a machine learning algorithm called random forest. In this way, proximal tubular toxicity in humans could be predicted with 99.8% training accuracy and 87.0% test accuracy. Further, we studied the underlying mechanisms of injury and drug-induced cellular pathways in these hiPSC-derived renal cells, and the results were in agreement with human and animal data. Our methods will enable the development of personalized or disease-specific hiPSC-based renal in vitro models for compound screening and nephrotoxicity prediction.
- Published
- 2015
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