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Polygenic architecture informs potential vulnerability to drug-induced liver injury

Lookup NU author(s): Professor Ann DalyORCiD


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© 2020, The Author(s), under exclusive licence to Springer Nature America, Inc.Drug-induced liver injury (DILI) is a leading cause of termination in drug development programs and removal of drugs from the market; this is partially due to the inability to identify patients who are at risk1. In this study, we developed a polygenic risk score (PRS) for DILI by aggregating effects of numerous genome-wide loci identified from previous large-scale genome-wide association studies2. The PRS predicted the susceptibility to DILI in patients treated with fasiglifam, amoxicillin–clavulanate or flucloxacillin and in primary hepatocytes and stem cell-derived organoids from multiple donors treated with over ten different drugs. Pathway analysis highlighted processes previously implicated in DILI, including unfolded protein responses and oxidative stress. In silico screening identified compounds that elicit transcriptomic signatures present in hepatocytes from individuals with elevated PRS, supporting mechanistic links and suggesting a novel screen for safety of new drug candidates. This genetic-, cellular-, organoid- and human-scale evidence underscored the polygenic architecture underlying DILI vulnerability at the level of hepatocytes, thus facilitating future mechanistic studies. Moreover, the proposed ‘polygenicity-in-a-dish’ strategy might potentially inform designs of safer, more efficient and robust clinical trials.

Publication metadata

Author(s): Koido M, Kawakami E, Fukumura J, Noguchi Y, Ohori M, Nio Y, Nicoletti P, Aithal GP, Daly AK, Watkins PB, Anayama H, Dragan Y, Shinozawa T, Takebe T

Publication type: Article

Publication status: Published

Journal: Nature Medicine

Year: 2020

Volume: 26

Issue: 10

Pages: 1541-1548

Print publication date: 01/10/2020

Online publication date: 07/09/2020

Acceptance date: 20/07/2020

ISSN (print): 1078-8956

ISSN (electronic): 1546-170X

Publisher: Nature Research


DOI: 10.1038/s41591-020-1023-0

PubMed id: 32895570


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