Miriam Naomi Jacobs
Barbara Kubickova
Eugene Boshoff- Centre for Radiation, Chemical and Environmental Hazards (CRCE), Department of Toxicology, Public Health England (PHE), Harwell Science and Innovation Campus, Chilton, United Kingdom
Cytochrome P450 (CYP) enzymes play a key role in the metabolism of both xenobiotics and endogenous chemicals, and the activity of some CYP isoforms are susceptible to induction and/or inhibition by certain chemicals. As CYP induction/inhibition can bring about significant alterations in the level of in vivo exposure to CYP substrates and metabolites, CYP induction/inhibition data is needed for regulatory chemical toxicity hazard assessment. On the basis of available human in vivo pharmaceutical data, a draft Organisation for Economic Co-operation and Development Test Guideline (TG) for an in vitro CYP HepaRG test method that is capable of detecting the induction of four human CYPs (CYP1A1/1A2, 2B6, and 3A4), has been developed and validated for a set of pharmaceutical proficiency chemicals. However to support TG adoption, further validation data was requested to demonstrate the ability of the test method to also accurately detect CYP induction mediated by industrial and pesticidal chemicals, together with an indication on regulatory uses of the test method. As part of “GOLIATH”, a European Union Horizon-2020 funded research project on metabolic disrupting chemical testing approaches, work is underway to generate supplemental validated data for an additional set of chemicals with sufficient diversity to allow for the approval of the guideline. Here we report on the process of proficiency chemical selection based on a targeted literature review, the selection criteria and considerations required for acceptance of proficiency chemical selection for OECD TG development (i.e. structural diversity, range of activity, relevant chemical sectors, global restrictions etc). The following 13 proposed proficiency chemicals were reviewed and selected as a suitable set for use in the additional validation experiments: tebuconazole, benfuracarb, atrazine, cypermethrin, chlorpyrifos, perfluorooctanoic acid, bisphenol A, N,N-diethyl-m-toluamide, benzo-[a]-pyrene, fludioxonil, malathion, triclosan, and caffeine. Illustrations of applications of the test method in relation to endocrine disruption and non-genotoxic carcinogenicity are provided.
Introduction
The application of in vitro test method tools for chemical hazard assessment in relation to human health protection is often limited due to insufficient understanding of chemical metabolism, bioactivation or deactivation, and bioavailability.
The liver is a main site of Phase I and Phase II metabolism of endogenous and exogenous substances including nutrients, drugs and chemicals, but many other tissues (such as but not limited to the gut, kidney, placenta) in the body do also have metabolism competency. Phase I metabolism encompasses the biochemical reactions that introduce reactive and polar groups into xenobiotic compounds by oxidation, reduction, or hydrolytic reactions. The major Phase I modifications are catalysed by a large family of Cytochrome P450 (CYP) enzymes (Lewis 2002), and in the first steps, CYPs may transform a xenobiotic into a harmless metabolite (detoxification) that can be easily eliminated via Phase II, or, vice versa, a non-toxic parent chemical may be transformed (metabolically bioactivated) into a toxic metabolite.
CYP induction, that is transcriptional activation/upregulation in CYP gene expression and protein levels, is first triggered by the binding of a chemical to specific nuclear receptors, these constitute the molecular initiation event (MIE). The Aryl hydrocarbon Receptor (AhR), is primarily responsible for the CYP1A and 1B family, the Pregnane X Receptor (PXR) for the CYP3A family and the Constitutive Androstane Receptor (CAR) for the CYP 2B family (Waxman 1999), and the Peroxisome Proliferator Activated receptors (PPARs) for the CYP4A family. These receptors also play major roles in regulating many physiological functions, including hormone and lipid regulation (Kliewer, Lehmann et al., 1999; Jacobs and Lewis 2002).
The CYP1A, 1B, 3A and 2E subfamilies are responsible for the bioactivation of the majority of xenobiotics. For example, with repeated exposure, many chemical carcinogens are bioactivated by CYP1A, indeed such chemicals selectively induce this family, thus exacerbating their carcinogenicity (Ioannides and Lewis 2004; Rendic and Guengerich 2021). Pharmaceuticals, nutrients and some industrial chemicals are mostly activated by CYP3A4, and dietary nutrients/contaminants by CYP1A2, 2E1, and 3A4 (Jacobs and Lewis 2002; Jacobs, Nolan et al., 2005; Hakkola, Hukkanen et al., 2020; Rendic and Guengerich 2021 and references therein). Endogenous substances that are usually components of physiological processes, are mainly activated by CYP1A, 1B1, and 3A enzymes (Rendic and Guengerich 2021). The latter recent review analysing the catalytic activity of CYP families in relation to catalytic bioactivation showed predominant participation of CYP3A4, 1A2, and 1A1, followed by CYP2E1 and 1B1. CYPs 2C9, 2D6, 2A6, 2C19, and 2B6 also having significant participation.
Phase II metabolism often involves the further conjugation of the metabolite with polar molecules, such as sulphate, amino acids, glutathione or glucuronic acid, facilitated by various transferases, generating metabolites that are more soluble to facilitate elimination.
Phase I CYP enzyme induction therefore plays a pivotal initial role in the metabolism of both xenobiotics and endogenous chemicals and constitutes a sensitive biomarker for metabolic competence of in vitro test systems. Chemically mediated induction and/or inhibition of CYPs can lead to marked changes in CYP substrate and metabolite concentrations, and in vitro CYP induction and inhibition data are currently commonly used to predict potential CYP mediated clinical drug interactions for pharmaceuticals (EMA 2012; US FDA, 2020) and are compiled in pharmaceutical CYP induction/inhibition databases (e.g. SIMCYP (Marsousi, Desmeules et al., 2018)).
Thus CYP induction and inhibition data are also needed for a wide number of human health endpoints both for pharmaceutical therapeutic and chemical hazard assessment purposes, for instance ranging from hormone and fatty acid metabolism (Kliewer, Lehmann et al., 1999), hepatotoxicity, and steatosis (Massart, Begriche et al., 2022) to, inflammatory responses (Rubin, Janefeldt et al., 2015), and non-genotoxic carcinogenicity (Ioannides and Lewis 2004; Jacobs, Colacci et al., 2016).
Furthermore, the greater inclusion of CYP induction/inhibition data into chemical hazard assessment will facilitate the shift from regulatory reliance on animal in vivo testing to New Approach Methodologies (NAMs) that refer to and include a battery of relevant in vitro and in silico tools. While the incorporation of metabolic capacity into in vitro genotoxicity testing has been routinely conducted for several decades, in contrast, although discussed a lot, it has not progressed very quickly for other human health endpoints. Illustrations of how the tests could be combined within the OECD conceptual frameworks and Integrated Approaches to Testing and Assessment (IATA) have been developed (Jacobs, Laws et al., 2013; Jacobs, Colacci et al., 2020).
Whilst many chemicals are metabolized by CYPs, enzyme induction data are the focus of the HepaRG CYP enzyme induction test method (Bernasconi, Pelkonen et al., 2019). The need for human CYP induction/inhibition test data to improve the predictive accuracy of in vitro test methods and in silico tools for chemical toxicological hazard assessment, was established by the OECD Test Guideline Programme over 14 years ago, particularly in relation to endocrine disruption (Jacobs, Janssens et al., 2008; OECD 2008). OECD member countries recommended that the human CYP enzyme induction test method was the optimum metabolism test method to take forward for OECD Test Guideline (TG) purposes, and on this basis, validation activities were later initiated and completed for a test method for an in vitro human hepatocyte cell line CYP enzyme induction assay. The assay is capable of detecting an induction of the enzymatic activity of four CYP isoforms (CYP1A1/1A2, 2B6, and 3A4) (Bernasconi, Pelkonen et al., 2019), and was developed and validated using pharmaceutical chemicals. These CYP enzymes are commonly involved in metabolizing drugs and environmental toxicants (Esteves, Rueff et al., 2021), and in producing pharmacokinetic (PK) interactions of medicines (EMA 2012; Ooka, Lynch et al., 2020; US FDA, 2020).
The test method utilizes the metabolic capacity of differentiated cryopreserved immortalized human HepaRG cells coupled with analytical liquid chromatography and mass spectrometry (LC-MS) to quantify the induction of the CYP enzymes based on model substrate conversion (Bernasconi, Pelkonen et al., 2019). To improve human relevance, the study was designed on the basis of human CYP induction evidence, rather than the more plentiful in vivo rodent data. There was sufficient relevant human CYP induction data to allow for an assessment of the human translation potential of the test method, available only for pharmaceuticals (JRC TSAR, 2009). At that time there were no human in vivo data available for other regulatory sector classes (not least because there are ethical issues with respect to pesticide and contaminant testing in controlled human studies). In 2019, a draft TG was submitted for review to the OECD that was based upon the successfully performed and peer reviewed validation data generated using pharmaceutical chemicals. Review feedback was received from the OECD Working Group of National Coordinators of the TG Programme (WNT) that an essential requirement for the approval of the draft TG would be the provision of supporting validation data generated with additional proficiency chemicals representative of chemicals used in other relevant sectors, including industrial chemicals and pesticides. This was because some members of the WNT did not consider that the chemical applicability domain of pharmaceuticals tested in the original validation, gave sufficient coverage of the industrial chemical applicability domain that this test method is intended to be applied to. Due to the lack of primary human data for non-pharmaceuticals, the WNT accepted a compromise proposal on how to utilise the wider chemical metabolism data in the scientific literature, using metabolism data generated from relevant human cell lines, for example. This data was utilised to generate a chemical selection list, to supplement the reference/proficiency chemical list in the original HepaRG CYP enzyme induction test method validation, and the review and selection process is described in this paper. This list of suitable proficiency chemicals is the basis for augmenting the chemical applicability domain of the test method. This additional validation data is being generated on the HepaRG CYP enzyme induction test method, within “GOLIATH”, a European Union Horizon-2020 funded research project on metabolic disrupting chemical testing approaches.
Here we provide details on the selected chemicals, the method and supporting data used for selecting the chemicals, and an overview of intended regulatory applications of the test method.
Methodology
Criteria Used for the Identification of an Initial Selection Pool of Candidate Validation Chemicals
The chemical and structural diversity of the proficiency chemicals used for (pre)validation needs to address both the chemical applicability domain of the chemical Universe for which the test method is intended to predict endpoint-specific toxicity, but also be structurally relevant for the biological role of the endpoint. In addition, in many cases, where known, natural and endogenous ligands should be included in the chemical selection (Waxman 1999; Jacobs and Lewis 2002) as these are the ligands that the anthropogenic chemicals of concern are mimicking.
A targeted reiterative but not systematic literature search was carried out to identify an initial selection pool of candidate proficiency chemicals for which human CYP modulation data was available for CYP1A1/1A2, CYP2B6, and CYP3A4, and that belonged to OECD TG Programme relevant chemical classes (including industrial chemicals, pesticides, and food additives). Data sources from both human cell line in vitro and human in vivo studies relating to specified CYP induction and directly related receptors were sourced and critically evaluated, but due to the general scarcity of in vivo human studies carried out with non-pharmaceutical chemicals, only human in vitro data was available for most chemicals. Support that this would be an acceptable approach to take was first established within the OECD WNT, given the scarcity of human in vivo data. In some cases, it was appropriate to use rodent data for weight of evidence support.
On this regulatory acceptable basis, between 2017 and 2021, Scopus and pubmed search engines were queried with respect to human relevant data, cytochrome P450, and chemicals, including pesticides/bacteriocides and excluding pharmaceuticals as these are already addressed in the draft TG. The results were filtered and prioritised for human relevant data including human relevant cell lines, e.g. HepaRG, HepG2, and the relevant CYPs in the draft validated TG, together with relevant references within the papers. These were critically reviewed and double checked by the authors and then external regulatory experts for the OECD TG Programme (WNT).
In the validated test method, overall CYP enzymatic activity is quantified in an in vitro human hepatocyte cell line (cryopreserved HPR116 differentiated HepaRG cells) before and after pretreatment with test chemicals, by measuring the rate of metabolic conversion of substrates that are selective for CYP1A1/1A2 (phenacetin to acetaminophen), CYP2B6 (bupropion to hydroxybupropion), and CYP3A4 (midazolam to 1′-hydroxymidazolam) using a LC-MS analytical technique (Bernasconi, Pelkonen et al., 2019). In such cell systems, the overall effect on enzyme activity is dependent on the extent to which a chemical up or downregulates not only CYP mRNA/protein levels, but also functional enzymatic activity. Data evaluated in the literature search therefore included in vitro mRNA/protein quantity and enzyme activity data generated using human cells, as well as enzyme activity data generated in human liver microsomes (HLMs) and recombinant enzyme preparations (REPS). CYP1A1/1A2 gene expression is well understood and extensively documented to be induced by activation of the AhR (e.g. Bock 2014; Vogel, Van Winkle et al., 2020), and activation of CAR and PXR has been shown to induce CYP2B6 and CYP3A4 (Tolson and Wang 2010; Wang, Ong et al., 2012). Data showing activation of these receptors was taken to indicate likely mRNA/protein upregulation of the respective CYPs. Preliminary assessment as to whether a candidate chemical is likely to induce, inhibit, or have no effect on a specific CYP in the test method was made on the basis of enzyme activity data from human cell systems with innate CYP expression, when this data was available. Where this data was not available, estimations were made based on available mRNA/protein quantity data and enzyme activity data from non-cell preparations, when possible. In the latter case, estimations were considered to be of lower reliability as compared to cases where cell-based enzymatic activity data was available, and insufficient data were considered to be available to estimate the effect of a chemical in the test method if overall the available good quality data was considered to be contradictory. In the design of validation experiments intended for applications beyond classification and prioritisation purposes, it is good practice to include proficiency chemicals that are expected to produce a potency range from negative to low, moderate, and strong effects, and to generate concentration-response information, as this is of greater utility for IATA approaches (Jacobs, Ezendam et al., 2022). Thus, for chemicals for which cell-based enzymatic activity data showed them to be an inducer, the magnitude of any observed CYP enzyme induction was categorized as low (≤3 fold), moderate (>3 to 4.5 fold), or strong (>4.5 fold), and this information was used in the chemical selection considerations. When cell-based enzymatic data was absent (not tested), the magnitude of an expected effect was categorized as uncertain.
As the conversion of phenacetin to acetaminophen is catalyzed by both CYP1A1 and 1A2 (Kcat = 0.84 and 2.2 min−1, respectively) (Huang, Deshmukh et al., 2012), production of acetaminophen is used as an overall marker of both CYP1A1 and 1A2 activity in the CYP enzyme induction assay; and CYP1A1/1A2 activity predictions were thus made based on the cumulative available data for both CYP1A1 and 1A2. Formation of 1′-hydroxymidazolam is widely used as a selective marker of CYP3A4 activity. The latter reaction is catalyzed to a significant extent by both CYP3A4 and 3A5 (Vmax = 35 and 72 nmol/min/nmol CYP, and Km = 5 and 14 μM, respectively) (Williams, Ring et al., 2002), but the HepaRG cell line contains two CYP3A5*3 alleles, which are known to be null due to expressed RNA instability (Jackson, Li et al., 2016). It is expected that CYP3A4/5 activity in HepaRG cells is predominantly attributable to CYP3A4 activity. Hydroxybupropion formation, on the other hand, has been shown to be catalyzed nearly exclusively by CYP2B6 (Faucette, Hawke et al., 2000; Hesse, Venkatakrishnan et al., 2000), with other CYP isoforms (including CYP2C19 and 3A4) being involved to only a negligible extent (Faucette, Hawke et al., 2001; Sager, Price et al., 2016).
International Regulatory Mutual Acceptance of Data Considerations
As it is anticipated that on becoming an OECD TG, the test method will be widely utilised internationally, and will fall under the Mutual Acceptance of Data agreement for the OECD member country regulatory jurisdictions, it is important that proficiency chemicals should be associated with the minimum possible transport, supply and usage restrictions, and accommodate national and international limitations on use. Chemicals that are excessively expensive to procure or that have restricted availability in OECD member countries were therefore avoided when possible. Examples of chemicals with restricted availabilities include all chemicals listed under the Stockholm Convention on Persistent Organic Pollutants (POPs) (http://chm.pops.int/TheConvention/ThePOPs/TheNewPOPs/tabid/2511/Default.aspx, accessed 10 December 2021), and certain classes of controlled substances, such as drugs with abuse potential for example anabolic steroids and cannabinols. Chemical mixtures containing undefined or variable chemical constituents, including (stereo)isomers and racemic mixtures were also avoided when possible, due to the potential for between batch variability. Data and data sources that were considered to be of inadequate quality, due to lack of information regarding the successful establishment of the assay(s), or poor reproducibility (Taxvig 2020; Franzosa, Bonzo et al., 2021), were not utilised.
Selection of the Validation Chemical Set From the Candidate Selection Pool
From the candidate pool of chemicals, a proposed set of proficiency validation chemicals was selected to enable adequate coverage of structural diversity but also a representative selection of chemicals from relevant sectors (including industrial chemicals, pesticides, and food additives) that was practically possible, on the basis of publicly available scientific literature. Importantly, to be able to fully evaluate the functioning and reliability of the test method, the proposed proficiency chemicals were also chosen to try to ensure the inclusion of a sufficient number of negative chemicals (a minimum of 25% of total tested), with the range of positive chemicals that would adequately probe the ability of the test method to detect individual induction of each of the four measured CYPs (CYP1A1/1A2, CYP2B6, and CYP3A4).
Results and Discussion
Proposed Proficiency Chemical Set to Use in Further Validation Experiments
Using a targeted literature search and the selection criteria detailed in the methodology section, an initial pool of potential proficiency candidates consisting of a total of 23 chemicals were identified, and a tabular listing of these chemicals which includes summaries of available CYP activity data and chemical structure images are provided in Table 1, Parts A and B. From these candidates, on the basis of the review exercise, the following 13 chemicals were selected to augment the current proficiency chemical list, consisting of pharmaceuticals and to be proposed as additional proficiency chemicals for further validation experiments: tebuconazole, benfuracarb, atrazine, cypermethrin, chlorpyrifos, perfluorooctanoic acid (PFOA), bisphenol A (BPA), N,N-diethyl-m-toluamide (DEET), benzo-[a]-pyrene (B [a]P), fludioxonil, malathion, triclosan and caffeine (See Table 1 Part A). These 13 chemicals have a diverse range of structures and molecular weights and include representative examples of industrial chemicals, pesticides, and food and cosmetics additives. Excepting caffeine, all the chemicals display a degree of lipophilicity (experimental log P ranging from 1.97 to 7.75). Any potential solubility issues will be evaluated and addressed by solubility and cytotoxicity assessment that are part of the planned validation augmentation study design. These data will be reported following completion of the planned experiments.
TABLE 1. Part A = Proposed Set of Additional Industrial, Pesticidal, and Food Additive Proficiency Chemicals to Use in Further CYP Induction Validation Experiments. Part B = Initial Candidate Selection Pool Chemicals that were Evaluated but Not Selected. The magnitude of any observed CYP enzyme induction was categorized as low (≤3 fold), moderate (>3 to 4.5 fold), and or strong (>4.5 fold), when data from cell-based enzymatic activity assays was available. When cell-based enzymatic data was absent (not tested), the magnitude of an expected effect was categorized as uncertain. Data on induction of mRNA or protein was not used to estimate magnitudes of effect.
The selected set contains the following number of expected enzyme inducers: 7 x CYP1A1/1A2 (four low, two strong, one uncertain), 6 x CYP2B6 (two low, two moderate, two uncertain), and 8 x CYP3A4 (four low, two moderate, one strong, one uncertain). These will allow for a sufficient evaluation of the ability of the assay to accurately measure the activity of all four CYP isoforms that are covered by this assay. Additionally, the selected set also contains two expected inhibitors for CYP1A1, CYP2B6, and CYP3A4, which will allow also for an evaluation of the performance of the test method in detecting CYP enzyme inhibitors. For validation experiments, whilst it is considered good practice to include a proficiency chemical set that contains at least 25% of negative chemicals, unfortunately it was not possible to fully meet this criterion for this augmented chemical set, as sufficient data regarding no CYP activity was only available for two of the 23 candidate pool chemicals. Therefore, the augmentation chemical set contains two chemicals that are expected to have no effect on CYP1A1/1A2 activity, but no additional non pharmaceutical chemicals that are expected to have no effect on CYP2B6 or CYP3A4 activity. Following the additional chemical augmentation validation confirmatory testing, the relative potencies of the chemicals in Table 2 will be consolidated.
TABLE 2. Set of Proficiency Pharmaceutical Chemicals that have been Evaluated in Experiments Carried out by Bernasconi, Pelkonen et al., 2019 to Validate the In Vitro CYP Induction Assay in Primary Human Hepatocytes and HepaRG cells.
Validation data for the test method has previously been generated for the 12 pharmaceutical proficiency chemicals shown in Table 2, and in silico chemical space evaluations are reported to demonstrate that the structures of the latter pharmaceuticals are representative of EU REACH (https://echa.europa.eu/regulations/reach/legislation), Drugbank, and Tox21 listed chemicals (Bernasconi, Pelkonen et al., 2019). Overall, the total set of 25 proficiency chemicals (including the 12 pharmaceuticals and the proposed 13 additional industrial, pesticidal, and food additive chemicals) is considered to be sufficiently diverse and representative of OECD TG Programme relevant chemical classes to facilitate draft TG approval at the OECD.
Applications of In Vitro Metabolism Data Including CYP Induction Data in Chemical Hazard Assessment: Meeting the outstanding needs to achieve OECD test method adoption
OECD Human in vitro Metabolism Test Method Development Needs
PK, including absorption, distribution, metabolism, and excretion (ADME) play a key role in determining in vivo exposure to a parent chemical and its metabolites after dosing, and PK data is used extensively in the design and interpretation of toxicological assessments of test chemicals. Currently, toxicokinetic ADME data for single and repeated dose in vivo studies (OECD 2010) is commonly generated and used in Europe for high tonnage industrial chemicals and for pesticides and worldwide for pharmaceuticals (ICH S3A, 1994). Relevant data from several in vitro ADME assays, including, for example, Caco-2 cell permeability assays measuring absorption potential; transporter protein substrate/inhibition assays which provide data on distribution, excretion, and PK interactions; S9 and microsome addition and in vitro metabolism assay data can contribute on a weight of evidence basis to the toxicological hazard assessment. However, when the data is generated according to an accepted OECD TG as part of the Mutual Acceptance of Data agreement, this data can be submitted without additional testing to many OECD regulatory jurisdictions. The process of validation is intended to establish the relevance, reproducibility and reliability of a test method for a specific regulatory purpose (OECD 2005) and gives much greater confidence in the reliability of the test data generated.
That there is an urgent need to develop new OECD TGs for these in vitro test method is well established at the OECD (Jacobs, Janssens et al., 2008; OECD 2008; Jacobs, Laws et al., 2013; Bernasconi, Pelkonen et al., 2019), as data from these assays could be used alongside standard in vivo PK data in a complimentary fashion to aid toxicological assessments. Importantly, several quantitative in vitro to in vivo extrapolation (QIVIVE) and in silico physiology-based pharmacokinetic (PBPK) models have been shown to be capable of accurately predicting in vivo PK parameters from in vitro data (OECD, 2021; Tsaioun, Blaauboer et al., 2016), and it is hoped that in the future QIVIVE and PBPK approaches could replace certain types of in vivo PK data, which would allow for a significant reduction in animal use.
With regards to metabolism, the availability of additional validated in vitro assays capable of generating human relevant metabolic profiling and CYP induction/inhibition data would be particularly valuable. Animal relevant metabolic profile data from non-human in vivo studies is often available. However, to date, there are no adopted TGs available for in vitro test method that produce human metabolic profile data, which hampers efforts focused on determining the relevance of animal metabolite data to humans. Moreover, for results from in vitro toxicity assays to accurately predict potential in vivo toxicity, it is essential that the concentrations of parent chemical/metabolites that are tested in vitro are representative of in vivo levels, and, for this reason, metabolic transformation steps are included in many in vitro toxicity assays, including all of the OECD TG in vitro genotoxicity test method. At the moment, there are, however, a number of in vitro OECD TGs that lack appropriate (pre-)incubation steps to account for in vivo metabolism, including, for example, all of the Level 2 in vitro mechanistic human cell based test method specified in the current OECD Endocrine Disruptor Guidance Document 150 (OECD 2018). Moreover, for many chemicals, there are significant differences in metabolism between rats and humans, and only rat S9 microsomes are used to produce metabolic transformation in the OECD genotoxicity TGs. In a recent European Food Safety Authority (EFSA) scientific panel opinion paper relating to the toxicological testing of pesticides, the use of in vitro human metabolite data is recommended to identify any potential human relevant metabolites that had not been adequately tested in non-human toxicological studies (EFSA 2021).
Applications of in vitro Human CYP Induction Data in Chemical Hazard Assessment
CYP induction data can indicate whether and to what extent a chemical is likely to undergo CYP-mediated metabolism, and results showing significant CYP induction could be used as an indicator that (pre-)incubation steps to account for in vivo metabolism should be included in any toxicity assays lacking metabolic competence. In relevant situations, CYP induction and inhibition data could facilitate the selection of optimal in vivo test chemical doses for human and other animal studies, and also indicate the possible involvement of CYP metabolism/metabolites in adverse or PK effects. Perturbations in the levels of endogenous chemicals that are metabolised by CYPs are associated with several adverse effects, and CYP induction data could also be used to support the contribution of CYP-mediated mechanisms in adverse outcome pathways and IATAs as shown in Figure 1B. Furthermore, the performance of a number of QIVIVE/PBPK models and PK databases such as MetaPath (Kolanczyk, Schmieder et al., 2012) would be substantially expanded by the incorporation of available CYP induction data. It would be particularly beneficial to generate CYP data for food chemical classes for example, as in Europe, little mammalian in vivo data is available for these.
FIGURE 1. Selected illustrations of regulatory applications of in vitro metabolism test method/systems falling within the OECD TG Programme. panel (A) Introduction of metabolism in vitro testing at Level 2 of the OECD Conceptual Framework for Testing and Assessment of Endocrine Disrupting Chemicals (EDCs).
Moreover, CYP induction and inhibition data are currently commonly used to predict potential CYP mediated clinical PK drug interactions for pharmaceuticals (EMA 2012; US FDA, 2020) and the availability and use of a validated and adopted OECD CYP induction test method, that will fall under the Mutual Acceptance of Data agreement, will therefore also be valuable for drug discovery and regulatory application for pharmaceutical CYP drug interaction evaluations.
Examples of Applications of in vitro Human CYP Induction Data for IATAs
Relevant in vitro metabolism data would greatly benefit several specific IATAs, including the developmental neurotoxicity (Bal-Price, Crofton et al., 2015) and non-genotoxic carcinogenicity (Jacobs, Colacci et al., 2020) IATAs currently under development, and the OECD Conceptual Framework for Endocrine Disruptors (updated OECD 2018). With respect to the latter, as proposed in 2013 (Jacobs, Laws et al., 2013), in vitro metabolism test method can be added at level 2 of the Endocrine Disruptor Conceptual Framework as shown in Figure 1A,B below, but will also have great utility in informing all levels of the Conceptual Framework. This will begin to accommodate the additional in vitro assay flexibility needs for the regulatory identification of endocrine disruptors (Solecki, Kortenkamp et al., 2017), by filling the metabolism translational gap between in vitro level 2 assays and the WHO definition of endocrine disruptor, as “an exogenous substance or mixture that alters the function(s) of the endocrine system and consequently causes adverse effects in an intact organism, or its progeny, or (sub) populations”. Quoting from the consensus paper ‘a) Alterations of the function of the endocrine system may arise from interaction with hormone receptors, changes in circulating levels of the hormone, and from the impact of chemical(s) on hormone synthesis, transport, metabolism and other factors’. c) The term “intact organism” is understood to mean that the effect would occur in vivo, either observable in a test animal system, epidemiologically or clinically. However, it does not necessarily mean that the adverse effect has to be demonstrated in an intact test animal, but may be shown in adequately validated alternative test systems predictive of adverse effects in humans and/or wildlife‘ (Solecki, Kortenkamp et al., 2017).
In addition to mediating detoxification, CAR, PXR and AhR have been implicated in the regulation of a broader range of physiological functions (Kretschmer and Baldwin 2005; Wang and Tompkins 2008; Yi, Fashe et al., 2020), where dysregulation can lead to adverse effects (Hakkola, Bernasconi et al., 2018) and receptor and CYP induction have well documented roles for instance in inflammation (Christmas, 2015; Rubin, Janefeldt et al., 2015), cholestasis, steatosis (Gomez-Lechon, Jover et al., 2009), hepatotoxicity (Woolbright and Jaeschke 2015), carcinogenesis (De Mattia, Cecchin et al., 2016; Pondugula, Pavek et al., 2016; Fucic, Guszak et al., 2017), and thyroid disruption (OECD 2006; OECD 2014). Thus, in these cases, induction of specified CYP enzymes may serve as a biomarker for key events associated with adverse health effects. In addition, the use of CYP induction data, in combination with assays that can address foetal and early life chemical exposure mediated via the placenta, such as the hPlacentox human placental JEG-3 cell line model (Rat, Olivier et al., 2017; Olivier, Wakx et al., 2021) will assist regulatory in vitro tool development, reducing metabolism uncertainties and improving the evidence base to address ‘disruption of the programming role of hormones during prenatal and postnatal development [that] can cause adverse effects that do not become evident until later in life’ (Solecki, Kortenkamp et al., 2017). CYP3A induction increases by approximately 2-fold during pregnancy, and has been shown to be mediated by cortisol plasma concentrations during pregnancy (Sachar, Kelly et al., 2019).
CYP induction testing is a critical initial testing aspect in IATAs such as that for non-genotoxic carcinogenicity (Figure 1B).
The HepaRG CYP enzyme induction test method as validated thus far can address CYP1A, 3A4 and 2B6, as primary targets. Looking forward, assays for additional CYP isoforms will be needed for specific IATAs, as identified in Figure 1B, and for metabolism evaluations for chemicals that are metabolised by other inducible CYPs. For instance, an assay for CYP2E1 is being assessed within the OECD non-genotoxic carcinogenicity IATA expert group. Furthermore, among the xenobiotic-metabolizing CYPs, CYP2D6 results in a large contribution of genetic variation to the interindividual variation in CYP enzyme activity (Ingelman-Sundberg, Sim et al., 2007), and an FDA guideline on in vitro drug interaction testing of pharmaceuticals recommends also evaluating induction of CYP2C8, 2C9, 2C19 (US FDA, 2020). Thus, while inclusion of additional CYP enzymes (such as CYP2D6) and contribution of nuclear receptors such as the glucocorticoid receptor (GR) which induces CYP2D6 (Farooq, Kelly et al., 2016), and PPARs (which induce CYP4A, Kliewer, Lehmann et al., 1999, Waxman, 1999) would be useful to explore in the near future, the scope of this study was to augment the chemical applicability domain of the validated draft TG without de novo validation of additional targets.
It is noted that GR is functional in the HepaRG cell line (Hart, Li et al., 2010; Farooq, Kelly et al., 2016; Sachar, Kelly et al., 2019) and thus subsequent additional testing with glucocorticoids (such as prednisone, prednisolone, cortisone, corticosterone, dexamethasone, betamethasone, triamcinolone, 6-methylprednisolone, 21-deoxy cortisol, deflazacort and hydrocortisol) could be run in the assay to develop further model applications, to ascertain glucocorticoid activity via GR, especially when running the CYP HepaRG assay in relation to in vitro GR transactivation and placental models, or for inclusion of such information in a metabolic disruption IATA.
Moving beyond molecular initiating events, to subsequent key events, there will need to be specific considerations for the direct and indirect CYP activity in relation to inflammation for example, for carcinogenicity.
Potential of the HepaRG Cell System to Be Further Developed for Additional Metabolism Relevant Endpoints
Following successful adoption and application of the HepaRG CYP enzyme induction test method, it would be useful to develop complementary components of in vitro human metabolism systems into OECD TGs, including induction/inhibition assays for additional CYP isoforms, and assays for Phase II metabolism, metabolite profiling, and metabolic transformation pre-incubation steps (as discussed above). The use of human microsomes and/or S9 mixes, or cryopreserved primary human hepatocytes (PHH) have utility in research and drug discovery, but for chemical hazard assessment purposes, cryopreserved PHH with very wide ranging variability in responses, had reproducibility issues in a validation exercise (Bernasconi, Pelkonen et al., 2019), and following OECD peer review, were considered too variable for TG development. There are also (unknown) viral transmission concerns with the use of primary human tissues in routine chemical testing.
The HepaRG CYP enzyme induction test method was agreed by the OECD member countries to be the best (longer term) option to take forward for regulatory use in 2008 (Jacobs, Janssens et al., 2008; OECD 2008; Jacobs, Laws et al., 2013), and following successful validation with pharmaceuticals (Bernasconi, Pelkonen et al., 2019) it is the most ready and reliable system available, and superior in validation performance to cryopreserved hepatocytes. A variety of additional non validated in vitro human liver on a chip and 3D liver organoid systems are currently in development, but the complexity, between batch variability, and lack of validation data for these models (Telles-Silva, Pacheco et al., 2022) mean that they are not ready for test guideline development at present. However available literature evidence indicates that HepaRG cells are well suited to all of these applications, as mRNA for many key proteins involved in xenobiotic metabolism are expressed in differentiated HepaRG cells, including xenobiotic sensing nuclear receptors (AhR, PXR, CAR, and PPAR-α), CYPs (CYP1A1, 1A2, 2A6, 2B6, 2C8, 2C9, 2C19, 2D6, 2E1, 3A4, 3A5, 3A7), other Phase I metabolic enzymes [including various isoforms of alcohol dehydrogenase, aldehyde dehydrogenase, and flavin-containing monooxygenase], and Phase II metabolic enzymes [including various isoforms of glutathione S-transferase, UDP-glucuronosyltransferase, N-acetyltransferase, and sulfotransferase] (Aninat, Piton et al., 2006; Guillouzo, Corlu et al., 2007; Josse, Aninat et al., 2008; Antherieu, Chesne et al., 2010; Hart, Li et al., 2010). Enzymatic activity for CYP1A1/1A2, 2B6, 2C8, 2C9, 2C19, 2D6, 2E1, and 3A4 has also been confirmed to be present (Aninat, Piton et al., 2006; Josse, Aninat et al., 2008; Antherieu, Chesne et al., 2010; Lubberstedt, Muller-Vieira et al., 2011). Furthermore, chemical-induced induction and inhibition of CYP1A1/1A2, 2A6, 2B6, 2C8, 2C9, 2C19, 2D6, 3A4 has been demonstrated in HepaRG cells (Aninat, Piton et al., 2006; Josse, Aninat et al., 2008; Kanebratt and Andersson 2008; Turpeinen, Tolonen et al., 2009; Antherieu, Chesne et al., 2010; Yajima, Uno et al., 2014). The metabolic profile data generated for several chemicals in HepaRG cells have also been shown to be equivalent to that produced using PHH, including aflatoxin B1 and acetaminophen (Aninat, Piton et al., 2006) but without the inherent biological variability observed with different batches of PHH. Intrinsic clearance values generated for a large number of reference drugs in HepaRG cells have also been shown to be equivalent to the values generated in PHH (Lubberstedt, Muller-Vieira et al., 2011; Zanelli, Caradonna et al., 2012). In the future a potentially promising approach to explore would therefore be to develop the HepaRG cell system into an all-in-one system/assay providing all the desired abovementioned in vitro metabolic functionalities.
For now however, it is really important to first address the outstanding steps required to enable the successful adoption of the HepaRG CYP enzyme induction test method as a TG, and the work described herein provides the essential concrete chemical selection and applications step required to enable international TG progress within an immediate timeframe. Following the planned additional validation experiments with this candidate chemical selection list there will be an evidence basis upon which to refine the chemical list for use as additional proficiency chemicals for the HepaRG CYP enzyme induction test method, and to do any further analyses that may be warranted.
4 Conclusion
Overall, it is apparent that the availability of CYP induction data would significantly aid the toxicological assessment of chemicals, and our ongoing work to augment the chemical applicability domain as an extension to the validation of the CYP enzyme induction HepaRG test method is a requirement for the (near) future approval of this test method, at the OECD.
Here we have also given some examples of immediate applications of the assay for the OECD Conceptual Framework for Endocrine Disruptors, and for the OECD IATA for non-genotoxic carcinogens. There will also be necessary applications to other complex human health IATAs, including that for thyroid disruption (OECD, 2014), and metabolic disruption (Legler, Zalko et al., 2020).
Author Contributions
MNJ conceived, instigated and developed the project, discussion and acquired funding. BK expanded the original database, which was then supplemented by EB, both of whom also contributed to the discussion. All authors contributed to manuscript drafting, revision, and read and approved the submitted version.
Funding
This project has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No. 825489.
Author Disclaimer
This output reflects the views only of the author(s), and the European Union cannot be held responsible for any use which may be made of the information contained therein.
Conflict of Interest
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Publisher’s Note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.
Acknowledgments
The authors gratefully acknowledge the support received from Camilla Bernasconi, Sandra Coecke, European Commission Joint Research Centre, Italy and the constructive comments from Betty Hakkert, RIVM, The Netherlands, and Knud Ladegaard Pedersen, The Danish Environmental Protection Agency, Denmark on the selection of non-pharmaceutical chemicals and screening the Danish QSAR database. Many thanks also to Christophe Chesné, Biopredic International, for useful comments on the draft manuscript.
Abbreviations
AChE, Acetylcholinesterase; ADME, Absorption, Distribution, Metabolism, and Excretion; AhR, Aryl Hydrocarbon Receptor; B[a]P, Benzo-[a]-Pyrene; BPA, Bisphenol A; CAR, Constitutive Androstane Receptor; CYP, Cytochrome P450; DEET, N,N-Diethyl-m-Toluamide; DHMB, 2,3-Dihydroxy-4-Methoxybenzaldehyde; EDCs, Endocrine Disrupting Chemicals; EFSA, European Food Safety Authority; EROD, Ethoxyresorufin-O-Deethylase; HLM, Human Liver Microsomes; IATA, Integrated Approach to Testing and Assessment; ICH, International Conference on Harmonisation of Technical Requirements for Registration of Pharmaceuticals for Human Use; LC-MS, Liquid Chromatography-Mass Spectrometry; LOAEL, Lowest Observed Adverse Effect Level; MIE, Molecular Initiation Event; NAM, New Approach Methodologies; OECD, Organisation for Economic Cooperation and Development; PBPK, Physiology-Based Pharmacokinetic; PFOA, Perfluorooctanoic Acid; PHH, Primary Human Hepatocytes; PK, Pharmacokinetics; POPs, Persistent Organic Pollutants; PPARs, Peroxisome Proliferator Activated Receptors; PXR, Pregnane X Receptor; QIVIVE, Quantitative In Vitro to In Vivo Extrapolation; REPS, Recombinant Enzyme Preparations; TBBPA, Tetra Brominated Bisphenol A; TG, OECD Test Guideline; WNT, OECD Working Group of National Coordinators of the Test Guideline Programme.
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Keywords: CYP, P450, validation, test guideline, HepaRG, metabolism
Citation: Jacobs MN, Kubickova B and Boshoff E (2022) Candidate Proficiency Test Chemicals to Address Industrial Chemical Applicability Domains for in vitro Human Cytochrome P450 Enzyme Induction. Front. Toxicol. 4:880818. doi: 10.3389/ftox.2022.880818
Received: 21 February 2022; Accepted: 25 April 2022;
Published: 20 June 2022.
Edited by:
Rex FitzGerald, Swiss Centre for Applied Human Toxicology (SCAHT), SwitzerlandReviewed by:
Olavi R. Pelkonen, University of Oulu, FinlandNynke Kramer, Wageningen University and Research, Netherlands
Copyright © 2022 Jacobs, Kubickova and Boshoff. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
*Correspondence: Miriam Naomi Jacobs, Miriam.Jacobs@phe.gov.uk
†ORCID: Miriam Naomi Jacobs, https://orcid.org/0000-0002-4858-0118; Barbara Kubickova, https://orcid.org/0000-0002-5044-7180