Method Profile

Reactive-Metabolite Profiling in Human Hepatic Organoids

Human hepatic organoids support reactive-metabolite and conjugate identification alongside primary hepatocyte and microsomal comparisons.

LiverOrganoids
Original Figure 7 maps saxagliptin hydroxylation, cyclic-amidine, cysteine, sulfate and glucuronide products across the three experimental systems.
Saxagliptin products identified in liver microsomes, hepatic organoids and primary human hepatocytes. (Im-Sook Song et al. / Pharmaceutics, 2026, Figure 7, CC BY 4.0)

Research Applications

Early drug-safety investigation of metabolite formation and the effect of CYP1A2 induction.

Model & Design

Hepatic organoids from HDF01 iPSC and H9 embryonic stem cell backgrounds, compared with human liver microsomes and plateable cryopreserved hepatocytes.

Experimental Format

Direct acetaminophen and saxagliptin comparisons used 24-hour cell exposures alongside separate microsomal assays. Omeprazole induction followed by phenacetin metabolism was evaluated separately.

Model Components

  • Component

    Human systems

    Description

    Stem-cell-derived organoids, liver microsomes and primary hepatocytes; induction uses three organoid batches and three hepatocyte donors.

  • Component

    Compounds

    Description

    Acetaminophen, saxagliptin, phenacetin and omeprazole.

  • Component

    Measurements

    Description

    UPLC–MS/MS metabolite profiles, enzyme activity/expression and cell viability.

Measurements & Endpoints

  • NAPQI and acetaminophen conjugates
  • CYP1A2 induction and downstream products
  • Saxagliptin products/cysteine conjugates
  • Concentration-associated viability

Analysis

Identify products using their analytical characteristics and preserve differences in incubation duration and cofactor conditions across systems.

Published Evidence

  • Study Design

    Compare direct drug metabolism and a separate enzyme-induction response; interpret cross-system product profiles qualitatively.

    Study Sample

    Two stem-cell backgrounds; selected induction comparisons use three organoid batches versus three primary-hepatocyte donors.

    Comparison

    Microsomes with defined cofactors, organoids and primary hepatocytes; matched control/induced conditions.

    Finding

    Organoids formed NAPQI and acetaminophen conjugates, responded to CYP1A2 induction and yielded six saxagliptin products also identified in primary hepatocytes. Saxagliptin GSH conjugates were not detected in either cell system.

    Interpretation & Limits
    • For the direct acetaminophen and saxagliptin comparisons, microsomal incubations lasted one hour and intact-cell exposures lasted 24 hours.
    • Cofactor availability differs between experimental systems.
    • Product identification does not by itself quantify clinical liver-injury risk.

Sources

  1. Identification of Reactive Metabolites of Acetaminophen and Saxagliptin in Human Hepatocytes and Hepatic Organoids. Pharmaceutics (2026). ↗