New approach methodologies for metabolic disruption: a high-throughput human liver cell phospholipidosis assay.

Phospholipidosis (PLD) is the excessive accumulation of phospholipids within cells, which is, for example, observed in the liver following exposure to certain chemicals or drugs. Although the precise molecular mechanisms underlying PLD remain incompletely elucidated, it is documented that PLD is frequently induced by cationic amphiphilic compounds. To facilitate the identification of potential PLD inducers across diverse groups of chemicals, the development of novel high-throughput screening methodologies is imperative. Here, an in vitro human liver cell culture system was established for PLD screening, employing the fluorescence-based LipidTox assay in differentiated HepaRG cells in a 96-well format. Cells were treated with a selection of 35 compounds characterized as either PLD inducers or non-inducers, based on previously published in vivo data. Concentration-response curves of phospholipid accumulation were assessed and the results were compared with existing in vivo, in vitro and in silico datasets. The findings confirm the applicability of the LipidTOX assay in differentiated HepaRG cells as a reliable in vitro-based high-throughput screening method for PLD prediction, achieving an overall predictivity of 86%.