Digital twin-enhanced three-organ microphysiological system for studying drug pharmacokinetics in pregnant women

BackgroundPregnant women represent a vulnerable group in pharmaceutical research due to limited knowledge about drug metabolism and safety of commonly used corticosteroids like prednisone due to ethical and practical constraints. Current preclinical models, including animal studies, fail to accurate...

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Main Authors: Katja Graf, José Martin Murrieta-Coxca, Tobias Vogt, Sophie Besser, Daria Geilen, Tim Kaden, Anne-Katrin Bothe, Diana Maria Morales-Prieto, Behnam Amiri, Stephan Schaller, Ligaya Kaufmann, Martin Raasch, Ramy M. Ammar, Christian Maass
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Pharmacology
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Online Access:https://www.frontiersin.org/articles/10.3389/fphar.2025.1528748/full
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author Katja Graf
José Martin Murrieta-Coxca
Tobias Vogt
Sophie Besser
Daria Geilen
Tim Kaden
Tim Kaden
Anne-Katrin Bothe
Diana Maria Morales-Prieto
Behnam Amiri
Behnam Amiri
Stephan Schaller
Ligaya Kaufmann
Martin Raasch
Ramy M. Ammar
Ramy M. Ammar
Christian Maass
Christian Maass
author_facet Katja Graf
José Martin Murrieta-Coxca
Tobias Vogt
Sophie Besser
Daria Geilen
Tim Kaden
Tim Kaden
Anne-Katrin Bothe
Diana Maria Morales-Prieto
Behnam Amiri
Behnam Amiri
Stephan Schaller
Ligaya Kaufmann
Martin Raasch
Ramy M. Ammar
Ramy M. Ammar
Christian Maass
Christian Maass
author_sort Katja Graf
collection DOAJ
description BackgroundPregnant women represent a vulnerable group in pharmaceutical research due to limited knowledge about drug metabolism and safety of commonly used corticosteroids like prednisone due to ethical and practical constraints. Current preclinical models, including animal studies, fail to accurately replicate human pregnancy conditions, resulting in gaps in drug safety and pharmacokinetics predictions. To address this issue, we used a three-organ microphysiological system (MPS) combined with a digital twin framework, to predict pharmacokinetics and fetal drug exposure.MethodsThe here shown human MPS integrated gut, liver, and placenta models, interconnected via the corresponding vasculature. Using prednisone as a model compound, we simulate oral drug administration and track its metabolism and transplacental transfer. To translate the generated data from MPS to human physiology, computational modelling techniques were developed.ResultsOur results demonstrate that the system maintains cellular integrity and accurately mimics in vivo drug dynamics, with predictions closely matching clinical data from pregnant women. Digital twinning closely aligned with the generated experimental data. Long-term exposure simulations confirmed the value of this integrated system for predicting the non-toxic metabolization of prednisone.ConclusionThis approach may provide a potential non-animal alternative that could contribute to our understanding of drug behavior during pregnancy and may support early-stage drug safety assessment for vulnerable populations.
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institution Kabale University
issn 1663-9812
language English
publishDate 2025-02-01
publisher Frontiers Media S.A.
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spelling doaj-art-0eafc3d270d346f1938128e47f9f16472025-02-12T07:25:53ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122025-02-011610.3389/fphar.2025.15287481528748Digital twin-enhanced three-organ microphysiological system for studying drug pharmacokinetics in pregnant womenKatja Graf0José Martin Murrieta-Coxca1Tobias Vogt2Sophie Besser3Daria Geilen4Tim Kaden5Tim Kaden6Anne-Katrin Bothe7Diana Maria Morales-Prieto8Behnam Amiri9Behnam Amiri10Stephan Schaller11Ligaya Kaufmann12Martin Raasch13Ramy M. Ammar14Ramy M. Ammar15Christian Maass16Christian Maass17Dynamic42 GmbH, Jena, GermanyPlacenta Lab, Department of Obstetrics, Jena University Hospital, Jena, GermanyDynamic42 GmbH, Jena, GermanyDynamic42 GmbH, Jena, GermanyDynamic42 GmbH, Jena, GermanyDynamic42 GmbH, Jena, GermanyInstitute of Biochemistry II, Center for Sepsis Control and Care, Jena University Hospital, Jena, GermanyDynamic42 GmbH, Jena, GermanyPlacenta Lab, Department of Obstetrics, Jena University Hospital, Jena, GermanyMPSlabs, ESQlabs GmbH, Saterland, GermanyESQlabs GmbH, Saterland, GermanyESQlabs GmbH, Saterland, GermanyGlobal Medical Affairs, Bayer Consumer Care AG, Basel, SwitzerlandDynamic42 GmbH, Jena, GermanyGlobal R&D, Bayer Consumer Health, Steigerwald Arzneimittelwerk GmbH, Darmstadt, GermanyDepartment of Pharmacology and Toxicology, Faculty of Pharmacy, Kafrelsheikh University, Kafr-El Sheikh, EgyptMPSlabs, ESQlabs GmbH, Saterland, GermanyESQlabs GmbH, Saterland, GermanyBackgroundPregnant women represent a vulnerable group in pharmaceutical research due to limited knowledge about drug metabolism and safety of commonly used corticosteroids like prednisone due to ethical and practical constraints. Current preclinical models, including animal studies, fail to accurately replicate human pregnancy conditions, resulting in gaps in drug safety and pharmacokinetics predictions. To address this issue, we used a three-organ microphysiological system (MPS) combined with a digital twin framework, to predict pharmacokinetics and fetal drug exposure.MethodsThe here shown human MPS integrated gut, liver, and placenta models, interconnected via the corresponding vasculature. Using prednisone as a model compound, we simulate oral drug administration and track its metabolism and transplacental transfer. To translate the generated data from MPS to human physiology, computational modelling techniques were developed.ResultsOur results demonstrate that the system maintains cellular integrity and accurately mimics in vivo drug dynamics, with predictions closely matching clinical data from pregnant women. Digital twinning closely aligned with the generated experimental data. Long-term exposure simulations confirmed the value of this integrated system for predicting the non-toxic metabolization of prednisone.ConclusionThis approach may provide a potential non-animal alternative that could contribute to our understanding of drug behavior during pregnancy and may support early-stage drug safety assessment for vulnerable populations.https://www.frontiersin.org/articles/10.3389/fphar.2025.1528748/fullpregnancyorgan-on-chipcomputational modellingpharmacokineticssafety
spellingShingle Katja Graf
José Martin Murrieta-Coxca
Tobias Vogt
Sophie Besser
Daria Geilen
Tim Kaden
Tim Kaden
Anne-Katrin Bothe
Diana Maria Morales-Prieto
Behnam Amiri
Behnam Amiri
Stephan Schaller
Ligaya Kaufmann
Martin Raasch
Ramy M. Ammar
Ramy M. Ammar
Christian Maass
Christian Maass
Digital twin-enhanced three-organ microphysiological system for studying drug pharmacokinetics in pregnant women
Frontiers in Pharmacology
pregnancy
organ-on-chip
computational modelling
pharmacokinetics
safety
title Digital twin-enhanced three-organ microphysiological system for studying drug pharmacokinetics in pregnant women
title_full Digital twin-enhanced three-organ microphysiological system for studying drug pharmacokinetics in pregnant women
title_fullStr Digital twin-enhanced three-organ microphysiological system for studying drug pharmacokinetics in pregnant women
title_full_unstemmed Digital twin-enhanced three-organ microphysiological system for studying drug pharmacokinetics in pregnant women
title_short Digital twin-enhanced three-organ microphysiological system for studying drug pharmacokinetics in pregnant women
title_sort digital twin enhanced three organ microphysiological system for studying drug pharmacokinetics in pregnant women
topic pregnancy
organ-on-chip
computational modelling
pharmacokinetics
safety
url https://www.frontiersin.org/articles/10.3389/fphar.2025.1528748/full
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