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Evaluation of Drug Toxicity
   by Metabolom Profiling

                Ho-Sang Jeong, Ph. D

   Div. of Pharmacological Research, NIFDS
From Genes To Metabolites


                                GENOME

                                protein-gene
                                interactions

                               PROTEOME
                               protein-protein
                                interactions


                               METABOLISM
                                 Bio-chemical
                                   reactions
               Citrate Cycle
Metabolomics: A Multidisciplinary Study


Urine
Serum
tissue



                                NMR spectra processed      PCA
          Raw NMR spectra




                                                control          STOCSY


     Discovery of biomarkers                  disease or
Identification of metabolic pathway             toxicity
Effort of NIFDS for Metabolomic Study
 Year    Budget (KWon)                                            Contents
                         Metabolomics를 이용한내분비장애추정물질의 안전성 예측 방법 연구
 2006       32,000       (metabolic study of putative endocrine disruptor)
                         식욕억제제의 약물동태 및 대사 연구
                         (Pharmacokinetic study of anorexic drug using metabolomics)
                         Metabolomics를 이용한 간독성 평가방법 개발 (Liver toxicity study using metabolomics)

                         NSAIDs 약물의 약물이상반응에 대한 안전성 예측 연구 (1)
                         (ADR study of NSAIDs using metabolomics)
 2007       46,000       대사체 생체지표를 이용한 내분비계 장애작용 예측 연구
                         (metabolic study of putative endocrine disruptor)
                         And etc

                         Metabolomics를 이용한 신독성 평가방법 개발 (Kidney toxicity study using metabolomics)

                         NSAIDs 약물의 약물이상반응에 대한 안전성 예측 연구 (2)
                         (ADR study of NSAIDs using metabolomics)
 2008       41,500
                         And etc

                         간독성평가를 위한 시험관내시험계에서의 전사체대사체 발현 분석 연구
                         (In vitro liver toxicity study using integrated omics technologies)
 2009       37,000       NSAIDs 약물의 약물이상반응에 대한 안전성 예측 연구 (3)
                         (ADR study of NSAIDs using metabolomics)
                         And etc.

 Total      156,500
Metabolomics in Drug Toxicity
Metabolomic detection of liver and kidney
toxicity


                                                                              PLS-DA                                              Class 1
                                                                                                                                  Class 2



                                    30
                                                                                                      control
                                    20


                                    10




                             t[2]
                                     0


                                    -10


                                    -20

                                                       toxicity
                                    -30



                                          -70   -60   -50   -40   -30   -20    -10    0     10   20     30     40     50     60    70
                                                                                     t[1]
                                                                                             SIMCA-P+ 11 - 13/03/2007 15:45:11
Study Design: Liver Toxicity

       Hepatotoxicity
                                         Clinical Chemistry
                                                                          Liver damage
                         blood
                                          Histopathology
       CCl4

   Acetaminophen                 liver
                        SD
  D-Galactosamine
                             urine       NMR Spectrometry




                                                               Multi-variate analysis



                                                              Biomarkers for hepatotoxicity
Treatment and sample collection: Liver Toxicity


         CCl4 1 ml/kg, p.o




     Acetaminophen (AAP) 2 g/kg, p.o for 2 days




 D-Galactosamine (GalN) 0.8 g/kg, i.p
                                                      Plasma clinical chemistry (blood)
                                                      Histopathology (liver)
                                                      Urinal NMR (urine)
                0               1                 2

                                        Day
Study Design: Kidney Toxicity

     Nephrotoxicity


                                    Clinical Chemistry

       HgCl2
                                      Kidney weight                          Kidney Damage
     Cis-platin
                       SD             Histopathology
    Gentamicin

   p-Aminophenol
                                        Metabolomics
                                           - Urine                       Nephrotoxicity biomarker



      Administration    HgCl2 0.1 or 0.75 mg/kg, ip
                        Cis-platin (CP) 5 mg/kg for 2 days or 20 mg/kg for single, ip
                        Gentamicin (GEN) 5 or 160 mg/kg for 2 days, ip

                        p-Aminophenol (PAP) 10 or 200 mg/kg, ip
Biomaterial collection for HgCl2
treatment

     Plasma clinical chemistry (blood)
     Histopathology (kidney)
     Kidney wt
     Urinal clinical chemistry (urine)
     Urinal NMR (urine)




           Treatment




      -1      0        1       2         3      4   5   6

                                             Days
Biomaterial collection for PAP treatment

      Plasma clinical chemistry (blood)
      Histopathology (kidney)
      Kidney wt
      Urinal clinical chemistry (urine)
      Urinal NMR (urine)




          Treatment




              0               1                  2   3

                                          Days
Import techniques and procedures in
metabonomics




      NMR
            Pattern recognition methods
                                 Supervised techniques (PCA)

                                     Unsupervised techniques (PLS-DA)
Histopathology: Liver
      Control, Day 2          CCl4 1 ml/kg, Day 1                                           CCl4 1 ml/kg, Day 2
A                        B                             C




     AAP 2 g/kg, Day 2       GalN 0.8 g/kg, Day 1            10

                                                                         F
D                        E                                               8
                                                                                                            **




                                                    Liver injury score
                                                                                                  **
                                                                         6
                                                                                                                               **

                                                                                                                                                                     **
                                                                         4                                                                                **


                                                                         2



                                                                         0




                                                                                                1

                                                                                                        2




                                                                                                                             2




                                                                                                                                                       1

                                                                                                                                                                 2
                                                                              1

                                                                                        2




                                                                                                                     2




                                                                                                                                        1

                                                                                                                                                2
                                                                                             ay

                                                                                                       ay




                                                                                                                          ay




                                                                                                                                                     ay

                                                                                                                                                                ay
                                                                             ay

                                                                                       ay




                                                                                                                 ay




                                                                                                                                    ay

                                                                                                                                              ay

                                                                                                                                                    D

                                                                                                                                                               D
                                                                         D

                                                                                   D

                                                                                            D

                                                                                                    D

                                                                                                                 D




                                                                                                                                    D

                                                                                                                                            D
                                                                                                                         D




                                                                                                                                                   N

                                                                                                                                                          N
                                                         on

                                                                                  on




                                                                                                            on


                                                                                                                      P

                                                                                                                               on

                                                                                                                                         on
                                                                                         l4

                                                                                                 l4




                                                                                                                     A
                                                                                        C

                                                                                                C




                                                                                                                                                al

                                                                                                                                                       al
                                                    C

                                                                              C




                                                                                                        C




                                                                                                                             C

                                                                                                                                        C
                                                                                                                     A
                                                                                        C

                                                                                                C




                                                                                                                                                G

                                                                                                                                                       G
                                                                                            CCl4                          AAP                       GalN
NMR spectral analysis




                            ppm     7        6        5       4    3    2    1


                       Target profiling                           Spectral binning


                                    TMAO creatinine
                             hippurate
                allantoincreatinine
                                  taurine citrate

   hippurate    urea                         2-oxoglutarate
                        water
          fumarate                            succinate


  ppm    7     6        5       4    3       2        1
Multivariate statistical data analysis


    SIMCA-P ver.11 (Umetrics, Umeå, Sweden)

    Partial Least Squares (PLS) discriminant analysis

    Very importance variables (VIP) were also utilized to
     select putative markers for hepatotoxicity induced by
     CCl4, AAP, and GalN.
Global profiling : Liver Toxicity
                                               ■ Day 0
                                               ● Day 1
                                               ♦ Day 2
        CCl4               AAP          GalN
A                  B                C
Global profiling of hepatotoxicants

                                      GalN Day1
                                        Class 1
                                      GalN Day5
                                        Class 2
                                      CCl4 Day 1
                                        Class 9
                                      CCl4 Day 11
                                        Class 2
                                      AAP Day 16
                                        Class 2
                                      Control (Day 0)
                                        Class 19
Targeted profiling of CCl4


                                      B


 A                       CCl4 Day 1
                         CCl4 Day 2
                         Con Day 0
                         Con Day 1
                         Con Day 2
Targeted profiling of AAP
                                    B

                        AAP Day 1


  A                     AAP Day 2
                        Con Day 0
                        Con Day 1
                        Con Day 2




                                    C
Targeted profiling of GalN

                                          B


   A                         Con Day 0
                             Con Day 1
                             Con Day 2
                             GalN Day 1
                             GalN Day 2
C
 C                                                                           on
     on                                                                        _C
       _C                                                                        C
         C                                                                         l4




                                                                                                  0.0
                                                                                                        2.5
                                                                                                                    5.0
                                                                                                                              7.5
                                                                                                                                                          10.0
           l4                                                                         _D




                        0
                                1
                                        2
                                                               3
              _D                                                               C         ay
       C         ay                                                      C       C
 C       C                                                                 on l4_ 1




                                                                                                              **
   on l4_ 1                                                                  _ C Da
                                                                                C         y




                                            *
     _ C Da
        C         y                                                                l4       1
           l4       1                                                                 _D
              _D                                                               C         ay
       C         ay                                                      C Cl4              2
                    2                                                      on         _
 C Cl4
   on         _D                                                             _ A Da                           *
                                                                                 A        y




                                            **
     _A          ay                                                                 P       2
         A          2                                                                 _D
            P
              _D                                                               A         ay
                                                                         C       A
       A         ay
 C       A                                                                 on P_ 1
   on P_ 1                                                                   _ G Da
                                                                                          y




                                            *
                                                     Taurine
     _ G Da                                                                     al
                  y                                                                N        1
        al          1                                                                 _D
           N                                                                   G         ay
              _D                                                                 a
                                                                         C
                                                                                                                                        2-Oxoglutarate




       G         ay
 C       a                                                                 on lN_ 1
                                                                             _ G Da
                                                                                                                               **




   on lN_ 1
                                                                                          y




                                            **
                                                                                al
     _ G Da                                                                        N        1
        al        y                                                                   _D
           N        1                                                          G
              _D                                                                         ay
                                                                                 al
       G         ay                                                                N        2
         al                                                                           _D
           N        2                                                                    ay
              _D
                 ay                                                                         2
                    2



                                                                             C
C                                                                                on
    on                                                                             _C
      _C                                                                             C
        C                                                                           l4
                                                                                                  0
                                                                                                        1
                                                                                                               2
                                                                                                                          3
                                                                                                                                    4
                                                                                                                                                           5




          l4                                                                           _D


                        0
                            1
                                    2
                                                 3
                                                                     4




             _D                                                                 C          ay
      C         ay                                                        C       C
C       C                                                                   on l4_ 1
  on l4_ 1                                                                    _ C Da
                                                                                                                   **




    _ C Da                                                                       C          y
       C         y                                                                  l4        1
          l4       1                                                                   _D
             _D                                                                 C          ay
      C         ay                                                        C Cl4               2
C Cl4              2                                                        on         _
  on         _
                                                                                                                   *




                                                                              _ A Da
                                                                                  A         y
                                        *




    _ A Da
        A        y                                                                   P        2
           P       2                                                                   _D
             _D                                                                 A         ay
      A         ay                                                        C       A
C       A                                                                   on P_ 1
                                                                                                                                                Citrate




  on P_ 1                                                                     _G D
    _G D                                                                                  ay
                ay                                                               al
                                                                                    N         1
                                                         Succinate




       al
          N        1                                                                   _
             _D                                                                G Da
     G          ay                                                        C       a         y
C       a                                                                   on lN_ 1
  on lN_ 1                                                                    _G         D
    _G D                                                                                   ay
                ay                                                               al
       al                                                                           N         1
          N        1                                                                   _D
             _                                                                 G          ay
     G Da
                                                                                                                                                                 Determination of endogenous metabolites




                                                                                  al
        al       y                                                                  N         2
          N        2                                                                   _D
             _D                                                                            ay
                ay                                                                            2
                   2
C                                                                          C
         on                                                                         on
           _C                                                                         _C
             C                                                                          C
               l4




                            0.0
                                      0.1
                                                    0.2
                                                                         0.3
                                                                                          l4




                                                                                                            0
                                                                                                                    5
                                                                                                                             10
                                                                                                                                      15
                  _D                                                                         _D                                                       20
           C         ay                                                                  C
             C          1                                                               C
                                                                                                ay
     C         l                                                                C         l4       1
       on 4_
                   D
                                                                                  on         _




                                                                                                                        **
          _C         ay                                                              _ C Da
            C           1                                                               C        y
               l4                                                                         l4       1
                  _D                                                                         _D
           C         ay                                                               C         ay
             C          2                                                       C       C          2
     C         l4                                                                 on      l4
                                                                                             _D
       on         _D
          _A         ay                                                              _A         ay
             A          2                                                               A          2
                P                                                                          P
                  _D                                                                         _D
           A         ay                                                                A        ay
             A                                                                  C        A
     C                  1                                                         on P_ 1
                                                                                                                                            Acetate




       on P_
                   D                                                                _ G Da
         _G          ay                                                                 al       y
            al          1                                                                 N        1
               N                                                                             _D
                  _D                                                                  G




                                                               Betaine
                                                                                                ay
           G         ay                                                         C       al
                                                                                           N       1
     C       al
               N        1                                                         on         _
       on         _D                                                                _ G Da
         _G                                                                             al       y
                     ay                                                                   N        1
            al
               N        1                                                                    _D
                  _D                                                                  G         ay
                                                                                        al         2
           G         ay                                                                    N
             al
               N        2                                                                    _D
                  _D                                                                            ay
                     ay                                                                            2
                        2


                                                                                    C
                                                                                        on
C                                                                                         _C
    on
      _C                                                                                    C
                                                                                              l4
                                                                                                            0
                                                                                                                2
                                                                                                                        4
                                                                                                                                  6
                                                                                                                                       8
                                                                                                                                                      10




        C                                                                                        _D
         l4                                                                                C
            _



                            0
                                  1
                                            2
                                                3
                                                          4
                                                                            5




                                                                                                    ay
                                                                                    C        C
      C Da
C      C       y                                                                      on l4_ 1
  on l4          1                                                                       _ C Da
     _C _D                                                                                  C         y
                                                                                              l4        1
       C ay                                                                                      _D
         l4
            _ 1                                                                            C        ay
      C Da                                                                          C Cl4               2
C Cl y                                                                                on         _
  on 4_ 2                                                                                _ A Da
     _A D                                                                                    A y2
       A ay                                                                                    P
          P                                                                                      _D
            _ 2                                                                            A        a
      A Da                                                                          C        A y
C                                                                                     on P_ 1
  o n AP y 1
                                                                                                                                           Lactate




                                                                                        _ G Da
     _G _D                                                                                  al y
                                                                                                        1
                                                                Allantoin




       al ay                                                                                   N
         N                                                                                       _D
            _ 1                                                                           G         a
      G Da
C      a                                                                            C alN y 1
  on lN y 1                                                                           on         _
     _G _D                                                                              _ G Da
                                                                                            al y
       al ay                                                                                   N        1
         N                                                                                       _D
            _ 1                                                                                     a
                                                                                           G
                                                                                                                                                           Determination of endogenous metabolites




      G Da
       al      y                                                                             al y 2
                                                                                               N
         N                                                                                       _d
                                                                                                                                              *




            _D 2
                                                                                                    ay
                                                          **




              ay
                                                                                                        2
                 2
C
C                                                                                           on
    on                                                                                        _C
      _C                                                                                        C
        C                                                                                         l4




                                                                                                                0.0
                                                                                                                      0.1
                                                                                                                                  0.2
                                                                                                                                              0.3
          l4                                                                                         _D                                                                      0.4




                        0.00
                                    0.05
                                               0.10
                                                           0.15
                                                                                 0.20
             _D                                                                               C         ay
      C         ay                                                                      C       C
C       C                                                                                 on l4_ 1
  on l4_ 1                                                                                  _ C Da
                                                                                                                                                *
    _ C Da                                                                                     C         y




                                                          **
       C         y                                                                                l4       1
          l4       1                                                                                 _D
             _D                                                                               C         ay
      C         ay                                                                      C Cl4              2
C Cl4              2                                                                      on         _
  on         _                                                                              _ A Da
    _ A Da                                                                                      A        y
        A        y                                                                                 P       2
           P       2                                                                                 _D
             _D
                                                                                              A         ay
      A         ay                                                                      C       A
C       A                                                                                 on P_ 1
                                                                                                                                                **




  on P_ 1                                                                                   _ G Da
    _ G Da                                                                                               y
       al        y                                                                             al
                                                                                                  N        1
          N        1
                                                                                                                                                        Phenylacetate




                                                                                                     _D
             _D                                                                              G          ay




                                                                     Hippurate
      G         ay                                                                      C       a
C       a                                                                                 on lN_ 1
  on lN_ 1                                                                                  _ G Da




                                                      *
    _ G Da                                                                                               y
       al        y                                                                             al
                                                                                                  N        1
          N        1                                                                                 _D
             _D                                                                              G          ay
      G         ay                                                                              al
        al                                                                                        N        2
          N        2                                                                                 _D
             _D                                                                                         ay
                ay                                                  **                                     2
                   2

                                                                                        C
                                                                                            on
C                                                                                             _C
    on
                                                                                                C
      _C                                                                                          l4
                                                                                                               0.0
                                                                                                                            0.2
                                                                                                                                        0.4
                                                                                                                                                                                     0.6




        C                                                                                            _D
           l4




                        0
                                           1
                                                      2
                                                                                 3




                                                                                              C         ay
              _D                                                                                C          1
       C         ay                                                                     C         l4
C        C          1
                                                                                          on         _D
                                                                                                                              *




  on l4_                                                                                     _C         ay
     _ C Da                                                                                    C           1
                  y                                                                               l4
        C           1                                                                                _D
           l4
              _D                                                                              C         ay
       C                                                                                        C          2
         C
                 ay                                                                     C         l4
C          l4       2                                                                     on         _D
  on          _D                                                                             _A         ay
                               **




     _A          ay                                                                             A          2
         A                                                                                         P
            P       2                                                                                _D
              _D
                                                                                              A         ay
       A         ay                                                                     C       A          1
C        A          1                                                                     on       P
  on P_                                                                                              _D
                                                                                            _G          ay
     _ G Da
                  y                                                                            al
                                                                                                  N        1
        al
           N        1                                                                                _D
              _D
                                                                                              G         a
       G
                                                                     Benzoate




                 ay                                                                             al y 1
C        al         1                                                                   C         N
                                                                                                                                                              1-Methylnicotinamide




  o n N_                                                                                  on         _
                                                                                                                                                    *




                                                                                            _ G Da
                                                               **




     _ G Da
                  y                                                                            al y 1
        al
           N        1                                                                             N
              _D                                                                                     _D
     G                                                                                        G         a
                                                                                                                                                                                           Determination of endogenous metabolites




       al        ay
         N                                                                                      al y 2
                                                                                                  N
            _4 2                                                                                     _D
               D
                                                               *




                 ay                                                                                     ay
                    2                                                                                      2
Fingerprint of endogenous metabolites

                                         Standard deviations from mean compound concentration


                           -3.0   -2.5   -2.0   -1.5   -1.0   -0.5   0.5   1.0   1.5   2.0   2.5   3.0


                                         Compounds
          Controls
Samples
          Hepatotoxicant
Results and conclusion
□ Current study provides that urinary 1H NMR spectral based
  metabolomics is a new approach to determine the change in
  endogenous metabolites in animals exposed to hepatotoxicants of
  CCl4, AAP, and GalN. NMR spectra showed pattern recognition
  using PLS-DA through distinct separation of clustering in
  hepatotoxicants-treated urine samples.
⁢ This pattern recognition may be used to screen hepatotoxic new
  drug candidates in early preclinical studies.
⁢ We proposed 12 putative biomarkers to predict hepatotoxicity
  induced by chemicals using NMR targeted analysis.
□ Classical clinical chemistry and histopathology provided
  validation for this study and this database of biomarker patterns
  may be useful for further study.
□ The suggested biomarkers should be explained how to involve in
  mechanism of hepatic injury. The further study with other
  hepatotoxicants needs to identify the endogenous biomarkers.
Histopathology : Kidney-HgCl2

      Control             HgCl2_0.1 mg/kg_D3       HgCl2_0.1 mg/kg_D6
 a                    b                        c




     d                            e




                                ×100

         HgCl2_0.75 mg/kg_D3          HgCl2_0.75 mg/kg_D6
Global Profiling (PCA): HgCl2
Global Profiling (PLS-DA): HgCl2
Targeted Profiling (PCA): HgCl2
Targeted Profiling (PLS-DA): HgCl2
Targeted Profiling (PLS-DA): HgCl2
Summary- HgCl2

 Global profiling
- clustering of samples by HgCl2 treatment
- clear temporal profiling by HgCl2 administration

Target Profiling
- similar to Global profiling
- endogenous metabolites related to HgCl2 caused
  kindey toxicity: Glucose, acetate, allantoin, 2-
  oxoglutarate, alanine, lactate, formate, citrate,
  succinate, taurine, ethanol, hippurate
Histopathology : Kidney-Cisplatin
       Control            Cisplatin_5 mg/kg_D2       Cisplatin_5 mg/kg_D8
 a                       b                          c




        d                            e




            Cisplatin_20 mg/kg_D2        Cisplatin_20 mg/kg_D8
Global Profiling (PCA) : Cisplatin
Global Profiling (PLS-DA) : Cisplatin
Targeted Profiling (PLS-DA) : Cisplatin
Targeted Profiling (PLS-DA) : Cisplatin
Summary-Cisplatin
Global profiling
- Clustering of samples by Cisplatin
- Clear temporal profiling by Cisplatin

Target Profiling_PLS-CA
- similar to global profiling
- endogenous metabolites related to cisplatine caused
  kidney toxicity: N-acetylglycine, cinnamate,
  dimethylamine, hippurate, niacinamide, 2-oxoglutarate,
  lactate, cis-aconitine, 3-indoxylate, propionate,
  nicotinate, creatine, acetate, ethanol, phenylacetate
Histopathology : Kidney-Gentamicin

      Control         Gentamicin_5 mg/kg_D2    Gentamicin_5 mg/kg_D8
a                    b                        c




       d                         e




       Gentamicin_160 mg/kg_D2   Gentamicin_160 mg/kg_D8
Global Profiling (PCA) : Gentamicin
Global Profiling (PLS-DA) : Gentamicin
Targeted Profiling (PLS-DA) : Gentamicin
Targeted Profiling (PLS-DA) : Gentamicin
Summary-Gentamicin
Global profiling
- Clustering of samples by gentamicin
- Clear temporal profiling by gentamicin

Target Profiling_PLS-DA
- Similar to global profiling
- Endogenous metabolites related to cisplatine caused
  kidney toxicity: Acetate, 2-oxoglutarate, glucose,
  allantoin, lactate, formate, citrate, glycine, taurine,
  benzoate, succinate, alanine
Histopathology : Kidney-p-Aminophenol
     Control         PAP_10 mg/kg_D1       PAP_10 mg/kg_D3
a                   b                     c




      d                       e




          PAP_200 mg/kg_D1        PAP_200 mg/kg_D3
Global Profiling (PCA) : p-Aminophenol
Global Profiling (PLS-DA) : p-Aminophenol
Targeted Profiling (PCA) : p-Aminophenol
Targeted Profiling (PLS-DA) : p-Aminophenol
Targeted Profiling (PLS-DA) : p-Aminophenol
Summary: p-Aminophenol
Global profiling
- clustering of smaples by p-aminophenol
- Stable temporal profiling by p-aminophenol

Target Profiling_PLS-DA
- Similar to global profiling
- Endogenous metabolites related to p-aminophenol
  caused kidney toxicity: Glucose, lactate, alanine, 2-
  oxoglutarate, acetate, allantoin, citrate, formate, taurine,
  creatine, succinate
Common Metabolic Markers
                                                              cinnamate
                                                      N-acetylglycine                   Cisplatin
  HgCl2                                                      dimethylamine
                                                                      niacinamide
                                                ethanol
                                                                        Cis-aconitine
                                                        hippurate         3-indoxylate
                                                                             propionate
                                                                                nicotinate

                                            2-oxoglutarate
                                                                            phenylacetate
                     alanine   citrate
                                                     lactate
               allantoin       succinate              acetate
               glucose           formate                              creatine

    glycine                                taurine
    benzoate




                                                                         p-Aminophenol
Gentamicin
Determination of endogenous metabolites
(2-oxoglutarate)
                                                             HgCl2                                                                               Cisplatin
                                                                                                                    5
                             10
                                                                                                                            CP_20
                                       Hg_0.1
                                                                                                                            CP_5
                                       Hg_0.75                                                                      4
                              8                                                                                                                              **
   2-Oxoglutarate




                                                                                                 2-Oxoglutarate
                              6                                                                                     3



                              4                                                                                     2

                                                                                                                                                                  **
                              2                                                                                     1
                                                                        **                                                      *
                                                                                                                                    **                                             **
                              0                                                                                                                                        ** ** ** **
                                                                                                                    0
                                  D0   D2   D3   D4   D5    D6     D0   D2   D3   D4   D5   D6                          D0 D2 D3 D4 D5 D6 D7 D8       D0 D2 D3 D4 D5 D6 D7 D8
                                                      Days after treatment                                                                Days after treatment



                                                           Gentamicin                                                                      p-Aminophenol
                              6                                                                                     3
                                       GEN_5                                                                                PAP_10
                                       GEN_160                                                                              PAP_200
                                                                                  *

                              4                                                                                     2
            2-Oxoglutarate




                                                                                                   2-Oxoglutarate
                              2                                                                                     1
                                                                                                                                            **


                                                                                         **                                                                             **
                                                                             ** ** ** **                                                                                        **
                              0                                                                                     0
                                  D0 D2 D3 D4 D5 D6 D7 D8        D0 D2 D3 D4 D5 D6 D7 D8                                   D0        D2    D3                D0         D2     D3
                                                      Days after treatment                                                                Days after treatment
Determination of endogenous
metabolites (Taurine)
                                                HgCl2                                                                         Cisplatin
                                                                                                5
              1.5                                                                                       CP_20
                          Hg_0.1                                                                        CP_5
                          Hg_0.75                                                                                                                          **
                                                                                                4


              1.0
                                                                                                3
   Taurine




                                                                                      Taurine
                                                                                                2
              0.5
                                                           **
                                                                                                1
                                                                **
                                                                     **   **   **
              0.0                                                                               0
                     D0   D2   D3   D4   D5   D6     D0    D2   D3   D4   D5   D6                     D0 D2 D3 D4 D5 D6 D7 D8       D0 D2 D3 D4 D5 D6 D7 D8
                                         Days after treatment                                                           Days after treatment




                                              Gentamicin                                                                  p-Aminophenol
             2.5                                                                                1.5
                      GEN_5                                                                              PAP_10
                      GEN_160                                                                            PAP_200

             2.0


                                                                                                1.0
             1.5
  Taurine




                                                                                    Taurine
             1.0
                                                                                                0.5                                                   **

             0.5




             0.0                                                                                0.0
                    D0 D2 D3 D4 D5 D6 D7 D8          D0 D2 D3 D4 D5 D6 D7 D8                              D0       D2    D3               D0   D2     D3
                                         Days after treatment                                                           Days after treatment
Fingerprint of endogenous metabolites
                                             Standard deviations from mean compound concentration


                               -3.0   -2.5   -2.0   -1.5   -1.0    -0.5   0.5   1.0   1.5   2.0   2.5   3.0




                              Control                             Nephrotoxicants
     Endogenous metabolites
Metabolic markers for Nephrotoxicity and
Hepatotoxicity
         Biomarkers          Nephrotoxicity   Hepatotoxicity
                                (2008)           (2007)
           acetate
            lactate
           alanine
           allantoin
            citrate
        2-oxoglutarate
           glucose                                  -
           formate                                  -
            taurine
          succinate
     phenylacethyl glycine         -

     1-methylnicotinamide          -
          hippurate                -
           benzoate                -
        phenylacetate              -

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2009 약물대사기반 심포지엄-정호상(3)

  • 1. Evaluation of Drug Toxicity by Metabolom Profiling Ho-Sang Jeong, Ph. D Div. of Pharmacological Research, NIFDS
  • 2. From Genes To Metabolites GENOME protein-gene interactions PROTEOME protein-protein interactions METABOLISM Bio-chemical reactions Citrate Cycle
  • 3. Metabolomics: A Multidisciplinary Study Urine Serum tissue NMR spectra processed PCA Raw NMR spectra control STOCSY Discovery of biomarkers disease or Identification of metabolic pathway toxicity
  • 4. Effort of NIFDS for Metabolomic Study Year Budget (KWon) Contents Metabolomics를 이용한내분비장애추정물질의 안전성 예측 방법 연구 2006 32,000 (metabolic study of putative endocrine disruptor) 식욕억제제의 약물동태 및 대사 연구 (Pharmacokinetic study of anorexic drug using metabolomics) Metabolomics를 이용한 간독성 평가방법 개발 (Liver toxicity study using metabolomics) NSAIDs 약물의 약물이상반응에 대한 안전성 예측 연구 (1) (ADR study of NSAIDs using metabolomics) 2007 46,000 대사체 생체지표를 이용한 내분비계 장애작용 예측 연구 (metabolic study of putative endocrine disruptor) And etc Metabolomics를 이용한 신독성 평가방법 개발 (Kidney toxicity study using metabolomics) NSAIDs 약물의 약물이상반응에 대한 안전성 예측 연구 (2) (ADR study of NSAIDs using metabolomics) 2008 41,500 And etc 간독성평가를 위한 시험관내시험계에서의 전사체대사체 발현 분석 연구 (In vitro liver toxicity study using integrated omics technologies) 2009 37,000 NSAIDs 약물의 약물이상반응에 대한 안전성 예측 연구 (3) (ADR study of NSAIDs using metabolomics) And etc. Total 156,500
  • 6. Metabolomic detection of liver and kidney toxicity PLS-DA Class 1 Class 2 30 control 20 10 t[2] 0 -10 -20 toxicity -30 -70 -60 -50 -40 -30 -20 -10 0 10 20 30 40 50 60 70 t[1] SIMCA-P+ 11 - 13/03/2007 15:45:11
  • 7. Study Design: Liver Toxicity Hepatotoxicity Clinical Chemistry Liver damage blood Histopathology CCl4 Acetaminophen liver SD D-Galactosamine urine NMR Spectrometry Multi-variate analysis Biomarkers for hepatotoxicity
  • 8. Treatment and sample collection: Liver Toxicity CCl4 1 ml/kg, p.o Acetaminophen (AAP) 2 g/kg, p.o for 2 days D-Galactosamine (GalN) 0.8 g/kg, i.p Plasma clinical chemistry (blood) Histopathology (liver) Urinal NMR (urine) 0 1 2 Day
  • 9. Study Design: Kidney Toxicity Nephrotoxicity Clinical Chemistry HgCl2 Kidney weight Kidney Damage Cis-platin SD Histopathology Gentamicin p-Aminophenol Metabolomics - Urine Nephrotoxicity biomarker Administration HgCl2 0.1 or 0.75 mg/kg, ip Cis-platin (CP) 5 mg/kg for 2 days or 20 mg/kg for single, ip Gentamicin (GEN) 5 or 160 mg/kg for 2 days, ip p-Aminophenol (PAP) 10 or 200 mg/kg, ip
  • 10. Biomaterial collection for HgCl2 treatment Plasma clinical chemistry (blood) Histopathology (kidney) Kidney wt Urinal clinical chemistry (urine) Urinal NMR (urine) Treatment -1 0 1 2 3 4 5 6 Days
  • 11. Biomaterial collection for PAP treatment Plasma clinical chemistry (blood) Histopathology (kidney) Kidney wt Urinal clinical chemistry (urine) Urinal NMR (urine) Treatment 0 1 2 3 Days
  • 12. Import techniques and procedures in metabonomics NMR Pattern recognition methods Supervised techniques (PCA) Unsupervised techniques (PLS-DA)
  • 13. Histopathology: Liver Control, Day 2 CCl4 1 ml/kg, Day 1 CCl4 1 ml/kg, Day 2 A B C AAP 2 g/kg, Day 2 GalN 0.8 g/kg, Day 1 10 F D E 8 ** Liver injury score ** 6 ** ** 4 ** 2 0 1 2 2 1 2 1 2 2 1 2 ay ay ay ay ay ay ay ay ay ay D D D D D D D D D D N N on on on P on on l4 l4 A C C al al C C C C C A C C G G CCl4 AAP GalN
  • 14. NMR spectral analysis ppm 7 6 5 4 3 2 1 Target profiling Spectral binning TMAO creatinine hippurate allantoincreatinine taurine citrate hippurate urea 2-oxoglutarate water fumarate succinate ppm 7 6 5 4 3 2 1
  • 15. Multivariate statistical data analysis  SIMCA-P ver.11 (Umetrics, Umeå, Sweden)  Partial Least Squares (PLS) discriminant analysis  Very importance variables (VIP) were also utilized to select putative markers for hepatotoxicity induced by CCl4, AAP, and GalN.
  • 16. Global profiling : Liver Toxicity ■ Day 0 ● Day 1 ♦ Day 2 CCl4 AAP GalN A B C
  • 17. Global profiling of hepatotoxicants GalN Day1 Class 1 GalN Day5 Class 2 CCl4 Day 1 Class 9 CCl4 Day 11 Class 2 AAP Day 16 Class 2 Control (Day 0) Class 19
  • 18. Targeted profiling of CCl4 B A CCl4 Day 1 CCl4 Day 2 Con Day 0 Con Day 1 Con Day 2
  • 19. Targeted profiling of AAP B AAP Day 1 A AAP Day 2 Con Day 0 Con Day 1 Con Day 2 C
  • 20. Targeted profiling of GalN B A Con Day 0 Con Day 1 Con Day 2 GalN Day 1 GalN Day 2
  • 21.
  • 22.
  • 23. C C on on _C _C C C l4 0.0 2.5 5.0 7.5 10.0 l4 _D 0 1 2 3 _D C ay C ay C C C C on l4_ 1 ** on l4_ 1 _ C Da C y * _ C Da C y l4 1 l4 1 _D _D C ay C ay C Cl4 2 2 on _ C Cl4 on _D _ A Da * A y ** _A ay P 2 A 2 _D P _D A ay C A A ay C A on P_ 1 on P_ 1 _ G Da y * Taurine _ G Da al y N 1 al 1 _D N G ay _D a C 2-Oxoglutarate G ay C a on lN_ 1 _ G Da ** on lN_ 1 y ** al _ G Da N 1 al y _D N 1 G _D ay al G ay N 2 al _D N 2 ay _D ay 2 2 C C on on _C _C C C l4 0 1 2 3 4 5 l4 _D 0 1 2 3 4 _D C ay C ay C C C C on l4_ 1 on l4_ 1 _ C Da ** _ C Da C y C y l4 1 l4 1 _D _D C ay C ay C Cl4 2 C Cl4 2 on _ on _ * _ A Da A y * _ A Da A y P 2 P 2 _D _D A ay A ay C A C A on P_ 1 Citrate on P_ 1 _G D _G D ay ay al N 1 Succinate al N 1 _ _D G Da G ay C a y C a on lN_ 1 on lN_ 1 _G D _G D ay ay al al N 1 N 1 _D _ G ay G Da Determination of endogenous metabolites al al y N 2 N 2 _D _D ay ay 2 2
  • 24. C C on on _C _C C C l4 0.0 0.1 0.2 0.3 l4 0 5 10 15 _D _D 20 C ay C C 1 C ay C l C l4 1 on 4_ D on _ ** _C ay _ C Da C 1 C y l4 l4 1 _D _D C ay C ay C 2 C C 2 C l4 on l4 _D on _D _A ay _A ay A 2 A 2 P P _D _D A ay A ay A C A C 1 on P_ 1 Acetate on P_ D _ G Da _G ay al y al 1 N 1 N _D _D G Betaine ay G ay C al N 1 C al N 1 on _ on _D _ G Da _G al y ay N 1 al N 1 _D _D G ay al 2 G ay N al N 2 _D _D ay ay 2 2 C on C _C on _C C l4 0 2 4 6 8 10 C _D l4 C _ 0 1 2 3 4 5 ay C C C Da C C y on l4_ 1 on l4 1 _ C Da _C _D C y l4 1 C ay _D l4 _ 1 C ay C Da C Cl4 2 C Cl y on _ on 4_ 2 _ A Da _A D A y2 A ay P P _D _ 2 A a A Da C A y C on P_ 1 o n AP y 1 Lactate _ G Da _G _D al y 1 Allantoin al ay N N _D _ 1 G a G Da C a C alN y 1 on lN y 1 on _ _G _D _ G Da al y al ay N 1 N _D _ 1 a G Determination of endogenous metabolites G Da al y al y 2 N N _d * _D 2 ay ** ay 2 2
  • 25. C C on on _C _C C C l4 0.0 0.1 0.2 0.3 l4 _D 0.4 0.00 0.05 0.10 0.15 0.20 _D C ay C ay C C C C on l4_ 1 on l4_ 1 _ C Da * _ C Da C y ** C y l4 1 l4 1 _D _D C ay C ay C Cl4 2 C Cl4 2 on _ on _ _ A Da _ A Da A y A y P 2 P 2 _D _D A ay A ay C A C A on P_ 1 ** on P_ 1 _ G Da _ G Da y al y al N 1 N 1 Phenylacetate _D _D G ay Hippurate G ay C a C a on lN_ 1 on lN_ 1 _ G Da * _ G Da y al y al N 1 N 1 _D _D G ay G ay al al N 2 N 2 _D _D ay ay ** 2 2 C on C _C on C _C l4 0.0 0.2 0.4 0.6 C _D l4 0 1 2 3 C ay _D C 1 C ay C l4 C C 1 on _D * on l4_ _C ay _ C Da C 1 y l4 C 1 _D l4 _D C ay C C 2 C ay C l4 C l4 2 on _D on _D _A ay ** _A ay A 2 A P P 2 _D _D A ay A ay C A 1 C A 1 on P on P_ _D _G ay _ G Da y al N 1 al N 1 _D _D G a G Benzoate ay al y 1 C al 1 C N 1-Methylnicotinamide o n N_ on _ * _ G Da ** _ G Da y al y 1 al N 1 N _D _D G G a Determination of endogenous metabolites al ay N al y 2 N _4 2 _D D * ay ay 2 2
  • 26. Fingerprint of endogenous metabolites Standard deviations from mean compound concentration -3.0 -2.5 -2.0 -1.5 -1.0 -0.5 0.5 1.0 1.5 2.0 2.5 3.0 Compounds Controls Samples Hepatotoxicant
  • 27. Results and conclusion □ Current study provides that urinary 1H NMR spectral based metabolomics is a new approach to determine the change in endogenous metabolites in animals exposed to hepatotoxicants of CCl4, AAP, and GalN. NMR spectra showed pattern recognition using PLS-DA through distinct separation of clustering in hepatotoxicants-treated urine samples. ⁢ This pattern recognition may be used to screen hepatotoxic new drug candidates in early preclinical studies. ⁢ We proposed 12 putative biomarkers to predict hepatotoxicity induced by chemicals using NMR targeted analysis. □ Classical clinical chemistry and histopathology provided validation for this study and this database of biomarker patterns may be useful for further study. □ The suggested biomarkers should be explained how to involve in mechanism of hepatic injury. The further study with other hepatotoxicants needs to identify the endogenous biomarkers.
  • 28. Histopathology : Kidney-HgCl2 Control HgCl2_0.1 mg/kg_D3 HgCl2_0.1 mg/kg_D6 a b c d e ×100 HgCl2_0.75 mg/kg_D3 HgCl2_0.75 mg/kg_D6
  • 34. Summary- HgCl2  Global profiling - clustering of samples by HgCl2 treatment - clear temporal profiling by HgCl2 administration Target Profiling - similar to Global profiling - endogenous metabolites related to HgCl2 caused kindey toxicity: Glucose, acetate, allantoin, 2- oxoglutarate, alanine, lactate, formate, citrate, succinate, taurine, ethanol, hippurate
  • 35. Histopathology : Kidney-Cisplatin Control Cisplatin_5 mg/kg_D2 Cisplatin_5 mg/kg_D8 a b c d e Cisplatin_20 mg/kg_D2 Cisplatin_20 mg/kg_D8
  • 36. Global Profiling (PCA) : Cisplatin
  • 40. Summary-Cisplatin Global profiling - Clustering of samples by Cisplatin - Clear temporal profiling by Cisplatin Target Profiling_PLS-CA - similar to global profiling - endogenous metabolites related to cisplatine caused kidney toxicity: N-acetylglycine, cinnamate, dimethylamine, hippurate, niacinamide, 2-oxoglutarate, lactate, cis-aconitine, 3-indoxylate, propionate, nicotinate, creatine, acetate, ethanol, phenylacetate
  • 41. Histopathology : Kidney-Gentamicin Control Gentamicin_5 mg/kg_D2 Gentamicin_5 mg/kg_D8 a b c d e Gentamicin_160 mg/kg_D2 Gentamicin_160 mg/kg_D8
  • 42. Global Profiling (PCA) : Gentamicin
  • 46. Summary-Gentamicin Global profiling - Clustering of samples by gentamicin - Clear temporal profiling by gentamicin Target Profiling_PLS-DA - Similar to global profiling - Endogenous metabolites related to cisplatine caused kidney toxicity: Acetate, 2-oxoglutarate, glucose, allantoin, lactate, formate, citrate, glycine, taurine, benzoate, succinate, alanine
  • 47. Histopathology : Kidney-p-Aminophenol Control PAP_10 mg/kg_D1 PAP_10 mg/kg_D3 a b c d e PAP_200 mg/kg_D1 PAP_200 mg/kg_D3
  • 48. Global Profiling (PCA) : p-Aminophenol
  • 49. Global Profiling (PLS-DA) : p-Aminophenol
  • 50. Targeted Profiling (PCA) : p-Aminophenol
  • 51. Targeted Profiling (PLS-DA) : p-Aminophenol
  • 52. Targeted Profiling (PLS-DA) : p-Aminophenol
  • 53. Summary: p-Aminophenol Global profiling - clustering of smaples by p-aminophenol - Stable temporal profiling by p-aminophenol Target Profiling_PLS-DA - Similar to global profiling - Endogenous metabolites related to p-aminophenol caused kidney toxicity: Glucose, lactate, alanine, 2- oxoglutarate, acetate, allantoin, citrate, formate, taurine, creatine, succinate
  • 54. Common Metabolic Markers cinnamate N-acetylglycine Cisplatin HgCl2 dimethylamine niacinamide ethanol Cis-aconitine hippurate 3-indoxylate propionate nicotinate 2-oxoglutarate phenylacetate alanine citrate lactate allantoin succinate acetate glucose formate creatine glycine taurine benzoate p-Aminophenol Gentamicin
  • 55. Determination of endogenous metabolites (2-oxoglutarate) HgCl2 Cisplatin 5 10 CP_20 Hg_0.1 CP_5 Hg_0.75 4 8 ** 2-Oxoglutarate 2-Oxoglutarate 6 3 4 2 ** 2 1 ** * ** ** 0 ** ** ** ** 0 D0 D2 D3 D4 D5 D6 D0 D2 D3 D4 D5 D6 D0 D2 D3 D4 D5 D6 D7 D8 D0 D2 D3 D4 D5 D6 D7 D8 Days after treatment Days after treatment Gentamicin p-Aminophenol 6 3 GEN_5 PAP_10 GEN_160 PAP_200 * 4 2 2-Oxoglutarate 2-Oxoglutarate 2 1 ** ** ** ** ** ** ** ** 0 0 D0 D2 D3 D4 D5 D6 D7 D8 D0 D2 D3 D4 D5 D6 D7 D8 D0 D2 D3 D0 D2 D3 Days after treatment Days after treatment
  • 56. Determination of endogenous metabolites (Taurine) HgCl2 Cisplatin 5 1.5 CP_20 Hg_0.1 CP_5 Hg_0.75 ** 4 1.0 3 Taurine Taurine 2 0.5 ** 1 ** ** ** ** 0.0 0 D0 D2 D3 D4 D5 D6 D0 D2 D3 D4 D5 D6 D0 D2 D3 D4 D5 D6 D7 D8 D0 D2 D3 D4 D5 D6 D7 D8 Days after treatment Days after treatment Gentamicin p-Aminophenol 2.5 1.5 GEN_5 PAP_10 GEN_160 PAP_200 2.0 1.0 1.5 Taurine Taurine 1.0 0.5 ** 0.5 0.0 0.0 D0 D2 D3 D4 D5 D6 D7 D8 D0 D2 D3 D4 D5 D6 D7 D8 D0 D2 D3 D0 D2 D3 Days after treatment Days after treatment
  • 57. Fingerprint of endogenous metabolites Standard deviations from mean compound concentration -3.0 -2.5 -2.0 -1.5 -1.0 -0.5 0.5 1.0 1.5 2.0 2.5 3.0 Control Nephrotoxicants Endogenous metabolites
  • 58. Metabolic markers for Nephrotoxicity and Hepatotoxicity Biomarkers Nephrotoxicity Hepatotoxicity (2008) (2007) acetate lactate alanine allantoin citrate 2-oxoglutarate glucose - formate - taurine succinate phenylacethyl glycine - 1-methylnicotinamide - hippurate - benzoate - phenylacetate -