APPLICATION

Predicting Drug-Induced Vascular Injury (DIVI)

Drug-induced vascular injury can stall a program on its own, yet no qualified clinical biomarkers exist to follow up in patients, and preclinical work in animals lacks translatability. At MIMETAS we have developed an extensive array of human-relevant solutions to investigate DIVI and obtain perfused readouts you can act on. Choose between a ready-to-use plate you run yourself, a fully outsourced and standardized OrganoServices study, or customized solutions for your specific needs.

MIMETAS’ Solutions for DIVI

Sensitive
Capable of flagging known vascular-toxic drugs using OrganoReady Blood Vessel HUVEC
Flow enabled
Quantify immune cell activation and adhesion or vasoconstriction and dilation under flow
Industry leading
Developed by Takeda for oligonucleotide-induced thrombocytopenia
THE CHALLENGE

Conventional Models Miss Vascular Liabilities.
MIMETAS’ Solutions Bring Them Into View.

DIVI is a recognized cause of compound termination, with a particular risk for vasoactive drugs, anticancer agents and biologics, like antibodies. It presents as vascular leakage, hemorrhage, inflammation, thrombosis or arterial lesions, and each of these can independently stall a program. In animals, DIVI is diagnosed by biopsy, which is not possible in Phase 1; candidate biomarkers such as ICAM-1 and VCAM-1 lack specificity. As a result, candidates are shelved after a positive animal finding of uncertain human relevance, while real liabilities go unrecognized. Transwell® endothelium does not help: it lacks shear stress, has leaky barriers with poor TEER and makes monocyte adhesion hard to quantify and image. MIMETAS’ platforms recreate a perfused, polarized, leak-tight human endothelial tube, so you can see how your compound affects the vessel wall under flow. Apical (lumen) and basolateral access let you dose from the blood side or the tissue side in the same assay.

Conventional Models
Poor translational concordance. Animal vascular findings can be of uncertain relevance to patients, and animal models poorly predict cardiovascular adverse events.
Limited physiological relevance. Transwell models lack shear stress and show high barrier leakiness with poor TEER measurement.
Difficult to quantify immune activation. Monocyte adhesion and imaging are difficult to capture on Transwell, and no validated clinical biomarker exists.
MIMETAS’ Solutions for DIVI
Direct human relevance. Adaptable to various endothelial cell types and smooth muscle cells in a perfused 3D tube.
Recapitulate functional vasculature. Leak-tight tube with apical perfusion under flow and basolateral access. Real-time monitoring of barrier integrity.
Enable quantitative measurements of immune endpoints. Robust monocyte/PBMC perfusion and quantification, direct imaging, and multiplexed readouts: TEER, ATP, LDH, adhesion, cytokines.
WHAT YOU CAN STUDY

Four Routes to Vascular Injury,
One Platform

DIVI is not a single event. Compounds can injure the endothelium directly, trigger immune activation, activate platelets, or disturb vascular tone. Each demands a different kind of solution. MIMETAS lets you investigate each of them, with the model and access route that fits.

01

Direct endothelial injury

Clinical manifestation: vascular leakage, hemorrhage

Get real-time barrier readouts alongside viability, from a 5-day acute assay up to 8-week chronic exposure, and uncover time-dependent toxicity that short or static assays miss, using a perfused, leak-tight vessel with apical and basolateral access.

1
Acute assay

In the standardized acute assay, tubes are exposed from both the apical and basolateral side for 5 days with one re-dosing, and barrier integrity (OrganoTEER®) and viability (ATP) are reported as EC50 values.

2
Chronic exposure

For chronic exposure, the vascular bed in the OrganoPlate® Graft UniFlow, available via our OrganoAccess™ program, sustains unidirectional perfusion for up to 8 weeks.

02

Immune activation

Clinical manifestation: inflammation

Quantify immune cell adhesion directly and separate endothelial activation from toxicity in the same model, using an imageable tube where immune cells adhere under physiological flow.

PLACEHOLDER 05_immune-activation

Adhesion rises with TNF-α across PBMC donors. The same tube supports T-cell transendothelial migration toward CXCL12 (de Haan et al.). In the standardized iDIVI OrganoService, compounds and PBMCs are co-exposed for 24 hours and PBMC adhesion, TEER and ATP are reported.

1

Stimulate the tube with TNF-α, IL-1β or IFN-γ

2

Perfuse labelled PBMCs

3

Quantify adhesion under flow

03

Platelet activation

Clinical manifestation: thrombosis, thrombocytopenia

Assess platelet aggregation in its vascular context rather than in isolation, by perfusing platelets over a human endothelium.

PLACEHOLDER 06_platelet-activation

In a platelet-perfused endothelium model developed by Takeda on the MIMETAS platform, oligonucleotide-induced thrombocytopenia was reproduced and quantified by CD41-positive aggregate formation in a dose-dependent manner (Harada et al., 2024).

04

Vasoactive pharmacology

Clinical manifestation: arterial lesions, hemorrhage

Read out vasoconstriction and dilation directly, capturing vessel tone that endothelium-only models cannot show, using smooth muscle cells layered around the endothelium under unidirectional flow.

PLACEHOLDER 07_vasoactive-pharmacology

Cytokine-induced inflammation strongly induces vasoconstriction in a co-culture of human coronary artery endothelial cells (HCAEC) with smooth muscle cells (HCASMC) on the OrganoPlate® UniFlow.

HOW TO WORK WITH US

Three Ways to
Get Started

Whether you want to run it yourself, hand it to us, or design something custom, we have you covered.

PRODUCT
OrganoReady® Blood Vessel HUVEC
Assay-ready, flow-perfused endothelial tubes for in-house DIVI assays on the OrganoPlate®, with apical and basolateral access, easy TEER and medium sampling, and robust monocyte perfusion. From order to results in about 4 weeks, including a 14-day assay window.
SERVICES
OrganoServices DIVI
We run the validated assay for you.
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SERVICES
Custom Services
Need a different model or endpoint? We tailor the study with you: co-cultures, healthy or diseased tissue, multiple donors, tissue-specific endothelia (HUVEC, HBMEC, HCAEC), epithelia, and co-development of new clinically relevant readouts. Chronic exposure studies run via OrganoAccess.
Not sure which option fits your program? Talk to a scientist: no sales pitch, just a conversation about your compound and timeline.
TRUSTED PARTNER

Trusted Partner and Customer Voices

A trusted partner for vascular toxicity studies:

  • >10 years of relationships with leading pharmaceutical companies
  • >200 projects across all phases of drug development
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Ready to Get Started?

Ship your compound and get a structured, human-relevant vascular safety report, typically within a week of assay completion.

Need more info? Contact us