Physiome-on-a-Chip: The Challenge of "Scaling" in Design, Operation, and Translation of Microphysiological Systems.

Although recapitulating human organ physiology is a key MPS goal, even ideally designed multi-MPS platforms cannot represent the complete human context. Additional interpretive steps—IVIVT—will be needed to predict human responses from platform results to account for missing organs and functions, organ and media size mismatches, and drug exposure differences. Especially challenging will be accounting for variations in physiological and pathological states because human responses frequently vary due to exercise, feeding, and rest; acute and chronic illnesses; and aging. On-platform scaling of MPSs is still an immature endeavor and IVIVT even more so. Nonetheless, it is useful to consider what will be required for MPSs to be more predictive than existing preclinical models. Where substantial mechanistic understanding exists, such as for PK and absorption, distribution, metabolism, and excretion, translational mathematical models will likely suffice. A critical consideration is what metrics to translate; quantifying fundamental aspects of biological functions rather than representing them by phenomenological parameters seems necessary. For example, our measurements of typical PK parameters (drug half-life, clearance) in our liver MPS and multi-MPS platforms are different than in humans because they reflect major system characteristics: our MPS medium-to-tissue ratio is larger than blood-to-liver ratio in vivo so drug disappearance is slower on-platform for the same initial drug concentration. To alleviate this, we are developing more mechanistic models for both in vitro and in vivo systems that isolate elimination processes from system characteristics, thereby defining tissue-specific elimination rate parameters. Such parameters should be better comparators from in vitro and in vivo , with a major outstanding challenge being measurement or derivation of them in in vivo systems. Similar approaches should also hold for IVIVT of PD, toxicodynamics, and therapeutic window in which enough mechanistic information exists to separate mechanism from system context. Practically, validation of an IVIVT approach will require in vivo data. For pharmacological uses, this implies focusing on drugs already studied in humans, as done for development of liver microsomes and hepatocyte cultures as predictive systems for PK. 5 Nonetheless, research on fundamental biology in MPSs will be fruitful regardless of extensive IVIVT validation. In contrast to PK and absorption, distribution, metabolism, and excretion, areas of lesser understood biology, disease processes, and drug targets may require significant rethinking of how biology itself is observed and interpreted long before translational work is attempted. Even for in vitro studies, the systems biology field has learned that “information-centric” rather than “mechanism-centric” models are generally required to predict complex cell behavioral responses. For such behaviors as proliferation, migration, and cytokine production, the dynamics of multiple signaling pathways must be integrated, but insufficient understanding of regulatory biochemistry frequently impedes construction of experimentally verifiable mathematical models. 6 In contrast, computational frameworks that are relational (e.g., multilinear regression or partial least-squares regression) or logical (e.g., Boolean logic or fuzzy logic) in nature have shown the most powerful predictive capabilities across physiologically diverse contexts despite experimental measurement limitations. 7 These frameworks provide input-output “transfer function” models similar to PD modeling but comprise many more variables, as required for a systems perspective. 8 Similar approaches are likely required to understand the complex biology in MPS platforms, much less predict in vivo responses from them. Unfortunately, measurement types obtainable in vivo to populate relational or logical PD models are much more limited than in vitro . There might, however, be sufficient measurements offering surrogate information suitable to construct comparable input-output transfer function models for translation between in vitro and in vivo , as evidenced by equally valid alternative models for functional responses based on different kinds of molecular data, including mRNA, miRNA, protein, phosphoprotein, and protein activities. 9 To discern key mechanisms of the invasive inflammatory disease endometriosis, for example, experimental measurements of cytokines, growth factors, and protease activities from human patient peritoneal fluid samples have been used in multivariate classification and network models. 9 , 10 To study this disease in vitro , these cellular and molecular properties could be similarly quantified in an endometrium MPS and analogous models constructed; translation between in vitro and in vivo models using “transfer functions” is envisioned. Figure 2 illustrates the idea of utilizing system models to capture and translate between in vivo and in vitro systems based on measurements feasible in both, buttressed by additional knowledge enabled by superior measurement and manipulation capabilities in vitro . Translation from in vitro studies to in vivo studies will require computational systems models for each that relate stimuli, mechanism, and outcomes. Translation will then occur between the two respective models. These models are most likely to involve quantitative multivariate relational algorithms, relating molecular-/cellular-level measurements to tissue-level phenotypic measurements, although more mechanistic models or simpler PK-PD models may be appropriate at times. For in vitro studies, the molecular-/cellular-level measurements can frequently derive from highly invasive techniques, whereas minimally invasive measurements are generally required for in vivo studies. Hence, the types of mechanistic data used in the models will need to be accessible in both environments, most likely by providing surrogate information about more proximal regulatory molecular/cellular processes.

Our perspective is that “scaling” of MPSs comprises more than system specifications. Multivariate on-platform scaling is critical to provide appropriate mechanistic interactions within and between MPS units; however, relating observations from in vitro platforms to observations in the related in vivo systems also requires translation using mathematical models. Observations in vitro need not, and likely do not, mimic those in vivo because of overwhelming uncertainty about contextual variables and variation in living organisms. However, insights gained from in vitro systems should be translatable to insights into in vivo systems by means of appropriate modeling relationships.

Because the purpose of MPS development is to create better in vitro models of human function, scaling based on functions rather than dimensions is sensible. It begs the question, however, of which functions take precedence, especially in multi-MPS platforms. Although a common default has been to select an organ's most defining functions, an alternate is to consider a function's purpose on the platform: does it provide a crucial operational or regulatory role (“maintenance functions”), or simply an indication of MPS activity (“output functions”). For example, if a lung MPS is responsible for oxygenating a platform, then its oxygen transport properties and operating conditions (e.g., surface area, diffusivity, and oxygen concentration) must be designed accordingly, but if oxygen transport is simply an indicator of MPS health, then design need only enable proper measurement. The practical implications are that design requirements for maintenance and output purposes will frequently be different, and, interestingly, there is no single correct scaling for a given function. Another consideration is that platforms must recapitulate multiple functions simultaneously, so a systemic scaling approach using multivariate optimization is highly desirable. Such on-platform scaling must enable desired functions while accounting for relative tissue and medium dimensions, dynamics, MPS-MPS interactions (e.g., via released mediators or drug metabolites), and desired research applications. We recently attempted this to revise a liver MPS (comprising human hepatocytes and Kupffer cells in a 3D structure) to improve pharmacokinetic (PK) measurability and pharmacodynamic (PD) response. We wished to simultaneously attain certain biological function (e.g., viability, oxygen utilization, cytochrome P450 activity) and PK and PD responses (e.g., drug and hormone metabolism, autocrine activity, inflammation), while constrained by an established tissue mass and requirements for nutrients, oxygenation, and medium change interval. Design parameters included medium volume relative to tissue mass, medium circulation rate, and surface area for oxygen exchange. With this problem definition, we utilized a systems pharmacology mathematical model including flow; kinetics of drugs, hormones, and tissue-produced factors; oxygen utilization; and nutrient requirements to identify ranges of design parameter values that best met functional and operational requirements. Although not all features were simultaneously feasible with current hardware, the analysis provides a basis for future design iterations to better accommodate all constraints. Extension of this approach to multi-MPS platforms should be reasonably straightforward using appropriate systems pharmacology models 4 to identify key modulators of basic biology, PK and PD within desired operational schemas of an MPS or multi-MPS platform. Such a functional approach to on-platform scaling requires careful consideration of both organ functions of interest and desired platform uses; different uses may result in differently specified platforms.