Embryonic-fetal development is tightly regulated by signaling networks12. While feedback within these networks provides robustness against internal and external noise, we hypothesized that Devtox chemicals can exert effects beyond such buffering. Here, we present a protocol for estimating Devtox chemicals based on excessive disruption of FGF/SRF signaling. This approach does not provide any information regarding the molecular mechanisms responsible for Devtox, such as the target proteins of a chemical, and it focuses only on FGF/SRF signaling. Nevertheless, it was possible to classify Devtox chemicals efficiently, with an accuracy of 83% and an AUC of 0.819 (Table 1). This is probably because each signaling pathway is closely associated with others and forms dense signaling networks, and disruption within these networks results in FGF/SRF signal disruption.
Several technical challenges must be addressed when generating reporter cells. Nluc is approximately 100 times brighter than conventional luciferases derived from fireflies or Renilla, allowing continuous long-term monitoring of signal changes13. Nluc containing the PEST sequence was used to more accurately capture the dynamics of signaling activity. The PEST sequence promotes protein degradation. While the Nluc protein is stable with a half-life of more than 6 h, the PEST tag accelerates degradation via the ubiquitin-proteasome pathway, reducing its half-life to 10-30 min. Furthermore, the reporter gene was knocked into the AAVS1 locus, a genomic "safe harbor," ensuring that expression is not silenced and that essential genes are not accidentally disrupted14.
In the evaluation of testing methods, it is crucial to select reference chemicals for Devtox and non-Devtox. We selected reference chemicals from lists in the ECVAM international validation study, ICH S5 guidelines (including thalidomide), and animal studies7. We listed 30 Devtox and non-Devtox chemicals, but more chemicals from reliable sources need to be added and tested. Therefore, the ROC threshold (Sum ABC = 37.9) reported here should be considered preliminary and will require validation with a larger, independent set of compounds to ensure statistical robustness. Cyclophosphamide (CPA) was one of three chemicals with false-negative results. CPA is hydroxylated in the liver to 4-hydroperoxycyclophosphamide, and CPA and its degradation products are teratogenic15. In vitro assays, including our approach, typically do not consider metabolism and cannot detect chemicals that induce Devtox via metabolism. This is a limitation of the proposed approach. In addition to metabolism-dependent false negatives (e.g., CPA), we also observed a false positive with diphenhydramine hydrochloride (DHM). Epidemiological evidence does not strongly support a causal association between DHM and congenital malformations, yet several in vitro studies have classified it as a developmental toxicant; this likely contributed to its misclassification in our assay. Conversely, 6-aminonicotinamide (6-AN) did not disrupt FGF/SRF signaling and was therefore misclassified, suggesting that its mechanism of developmental toxicity may proceed via pathways not captured by this reporter. Together, these examples support expanding the assay panel to include additional developmental signaling pathways to reduce both false positives and false negatives.
Several factors have a major influence on this assay. One such factor is cell preparation before the assay. To minimize this, cells were maintained on a 7-day repeat schedule to ensure that cells used in the assay were collected under the same growth conditions. Cells are seeded on Monday, passaged on Thursday, and a portion is used for the assay and seeded for the next passage. Another factor is the cell density at the time of exposure to a test chemical. The assay was performed only when the cells reached 100% confluence on the day of chemical exposure. Edge effects in 96-well plates are well known. In this assay, only the inner 60 wells of the 96-well plate were used to avoid edge effects. In addition to general considerations, technical variability can occur during an assay. A common issue was inconsistent luminescence intensity among the wells in the vehicle control group, which may have resulted from uneven cell seeding or suboptimal cell quality. We recommend maintaining the cells at approximately 80% confluence to minimize this variability and verifying uniform growth across wells the day after seeding. Adjusting the iPSC seeding density can also enhance assay reproducibility. In addition, excessive cell death can lead to non-specific luminescence fluctuations unrelated to the experimental signal. Therefore, assess cell morphology at the end of the assay to ensure cells are in an appropriate condition during measurement. In manual assays, removing the plate from the incubator at each time point exposes the cells to brief changes in temperature and CO2 levels. To limit these environmental fluctuations, measurements should be performed quickly and consistently.
This assay can be performed manually or using a real-time measurement system. The manual approach does not require specialized equipment, but a real-time measurement system enables more precise detection of signal dynamics. Although not identified in the manual measurements, the real-time measurement system clearly captured two peaks of the luminescence signal. In the manual measurements, a 12 h gap in data acquisition occurred during the nighttime, which may have led to the underestimation or loss of the second peak. These two peaks may be caused by negative feedback from FGF signaling and the presence of a thermally stable FGF ligand. Notably, the FGF signal disruption by a chemical sometimes appeared to be larger in the second peak than in the first peak (Figure 3B).
This protocol represents a promising approach for Devtox chemical screening using a human iPSC-based reporter assay to quantitatively assess FGF signal disruption. Several alternative in vitro assays for developmental toxicity have been developed over the past few decades, including the mouse embryonic stem cell test (mEST)16, Hand1-based embryonic stem cell test (Hand1-EST)17, and ReProGlo18. Compared with these conventional assays, this method demonstrated superior predictive accuracy. In recent years, alternative strategies such as those employing human embryonic stem cells or zebrafish embryos have been introduced as part of international efforts to establish non-animal testing systems. These approaches have also reported high predictive accuracy for developmental toxicity assessments. To further improve the performance of this assay, incorporating additional signaling pathways involved in embryonic development may be beneficial. There are several other major signaling pathways in developmental morphogenesis, such as Wnt/β-catenin, BMP/SMAD, and Hedgehog/GLI signaling19. Different combinations of reporter cells used to assess these signaling pathways may provide a more comprehensive assessment of various chemicals. The effect of the differentiation stage of iPS cells, for example, the earliest stage when the three germ layers are formed-on the detection sensitivity of this assay will be our future research topic. Future studies may also explore cross-species validation using rodent or rabbit stem cell systems to enable direct comparison with in vivo datasets in those species, while our primary focus remains on human iPS cells to maximize human relevance.