Evidence map›Paper›PMID 41145622›Full record

ReviewNature reviews. Drug discovery2026

Quantitative systems toxicology: modelling to mechanistically understand and predict drug safety.

Christopher E Goldring, Giusy Russomanno, Carmen Pin, Panuwat Trairatphisan, Kylie A Beattie, Ciarán P Fisher, Janet Piñero, Richard J Brennan, Diana Clausznitzer, Ian M Copple and 32 more

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Drug discovery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Review
  2. New approach methodologies (NAMs) for preclinical and translational evaluation of mRNA-lipid nanoparticle (LNP) therapeutics.Journal of controlled release : official journal of the Controlled Release Society · 2026
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

42 authors.

Christopher E Goldring *Centre for Drug Safety Science, Department of Pharmacology and Therapeutics, Institute of Systems, Molecular and Integrative Biology, University of Liverpool, Liverpool, UK. C.E.P.Goldring@liverpool.ac.uk.ORCID 0000-0002-8951-2226
Giusy Russomanno *Centre for Drug Safety Science, Department of Pharmacology and Therapeutics, Institute of Systems, Molecular and Integrative Biology, University of Liverpool, Liverpool, UK.ORCID 0000-0002-3378-5524
Carmen Pin *Systems Medicine, Clinical Pharmacology and Safety Sciences, R&D Department, AstraZeneca, Cambridge, UK.ORCID 0000-0001-8734-6167
Panuwat Trairatphisan *AbbVie Deutschland, Ludwigshafen, Germany.ORCID 0000-0001-9015-5855
Kylie A Beattie *GSK Research and Development, Stevenage, UK.ORCID 0000-0002-8579-6321
Ciarán P Fisher *GSK Research and Development, Stevenage, UK.
Janet Piñero *Research Programme on Biomedical Informatics (GRIB), Hospital del Mar Medical Research Institute (IMIM) and Dept. of Medicine and Life Sciences (MELIS), Universitat Pompeu Fabra (UPF), Barcelona, Spain.ORCID 0000-0003-1244-7654
Richard J BrennanSanofi Research and Development, Cambridge, MA, USA.
Diana ClausznitzerAbbVie Deutschland, Ludwigshafen, Germany.
Ian M CoppleCentre for Drug Safety Science, Department of Pharmacology and Therapeutics, Institute of Systems, Molecular and Integrative Biology, University of Liverpool, Liverpool, UK.
Theo M de KokDepartment of Translational Genomics, GROW Research Institute for Oncology and Developmental Biology, Universiteit Maastricht, Maastricht, The Netherlands.ORCID 0000-0003-2102-3626
Carrie A DuckworthDepartment of Molecular and Clinical Cancer Medicine, Institute of Systems, Molecular and Integrative Biology, University of Liverpool, Liverpool, UK.
Laura I FurlongResearch Programme on Biomedical Informatics (GRIB), Hospital del Mar Medical Research Institute (IMIM) and Dept. of Medicine and Life Sciences (MELIS), Universitat Pompeu Fabra (UPF), Barcelona, Spain.
Barbara FüziUniversität Wien, Wien, Austria.
Attila GaborInstitute for Computational Biomedicine, Faculty of Medicine, Heidelberg University and Heidelberg University Hospital, Heidelberg, Germany.
Louis GallSystems Medicine, Clinical Pharmacology and Safety Sciences, R&D Department, AstraZeneca, Cambridge, UK.ORCID 0000-0002-1805-2357
Jan HengstlerForschungsgesellschaft für Arbeitsphysiologie und Arbeitsschutz e.V, Dortmund, Germany.ORCID 0000-0002-1427-5246
Henning HermjakobEuropean Molecular Biology Laboratory, European Bioinformatics Institute (EMBL-EBI), Hinxton, UK.ORCID 0000-0001-8479-0262
Fiona HunterEuropean Molecular Biology Laboratory, European Bioinformatics Institute (EMBL-EBI), Hinxton, UK.ORCID 0000-0001-7160-1880
Danyel JennenDepartment of Translational Genomics, GROW Research Institute for Oncology and Developmental Biology, Universiteit Maastricht, Maastricht, The Netherlands.ORCID 0000-0002-8618-2487
Mikko KoskinenOrion Pharma, Orion Corporation, Espoo, Finland.ORCID 0000-0003-2033-051X
Steven J KunnenUniversiteit Leiden, Leiden, The Netherlands.ORCID 0000-0001-9549-1719
Lieve LammensGalapagos NV, Mechelen, Belgium.
Sebastian LobentanzerInstitute for Computational Biomedicine, Faculty of Medicine, Heidelberg University and Heidelberg University Hospital, Heidelberg, Germany.ORCID 0000-0003-3399-6695
Marcel MohrSanofi Research and Development, Frankfurt am Main, Germany.ORCID 0000-0001-6553-8651
Elisa PassiniNC3Rs - National Centre for the Replacement, Refinement and Reduction of Animals in Research, London, UK.ORCID 0000-0003-0116-6347
D Mark PritchardDepartment of Molecular and Clinical Cancer Medicine, Institute of Systems, Molecular and Integrative Biology, University of Liverpool, Liverpool, UK.ORCID 0000-0001-7971-3561
Rahuman S Malik-SheriffEuropean Molecular Biology Laboratory, European Bioinformatics Institute (EMBL-EBI), Hinxton, UK.
Blanca RodríguezDepartment of Computer Science, British Heart Foundation Centre of Research Excellence, University of Oxford, Oxford, UK.
Eric I RossmanGSK, Collegeville, PA, USA.
Julio Saez-RodríguezInstitute for Computational Biomedicine, Faculty of Medicine, Heidelberg University and Heidelberg University Hospital, Heidelberg, Germany.ORCID 0000-0002-8552-8976
Friedemann SchmidtSanofi Research and Development, Frankfurt am Main, Germany.ORCID 0000-0003-0265-0974
Rowena Sison-YoungCentre for Drug Safety Science, Department of Pharmacology and Therapeutics, Institute of Systems, Molecular and Integrative Biology, University of Liverpool, Liverpool, UK.
Inari SoininenSynapse Research Management Partners, Madrid, Spain.ORCID 0000-0002-2428-5245
Sean TurnerAbbVie Deutschland, Ludwigshafen, Germany.
Bob van de WaterUniversiteit Leiden, Leiden, The Netherlands.
Johan G C van HasseltUniversiteit Leiden, Leiden, The Netherlands.ORCID 0000-0002-1664-7314
Filippo VeneziaInstitut de Recherches Internationales Servier, Suresnes, France.
Jeffrey A WillyVertex Pharmaceuticals, Boston, MA, USA.
Derek J LeishmanEli Lilly and Company, Indianapolis, IN, USA.
James L StevensUniversiteit Leiden, Leiden, The Netherlands.
Loic LaplancheAbbVie Deutschland, Ludwigshafen, Germany. loic.laplanche@abbvie.com.ORCID 0000-0002-6082-9430

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Reliable prediction and prevention of adverse drug reactions (ADRs) remains a key challenge in the development of new medicines. Advanced mathematical and computational modelling approaches, which incorporate cutting-edge mechanistic understanding of ADRs in concert with systematically collected data addressing knowledge gaps, are integral components of model-informed drug discovery and development (MID3). These approaches provide a precise, quantitative framework for predicting and mitigating safety risks in the earliest phases of drug development. Here, we highlight recent developments in the burgeoning field of quantitative systems toxicology (QST), including insights into the current state-of-the-art, as well as outcomes from the Innovative Medicines Initiative (IMI) 2 TransQST project. QST models that describe the disruption of cardiovascular, gastrointestinal, hepatic and renal physiological functions following drug exposure are presented, along with recommendations for their application in drug discovery and development.

Indexed as

Drug-Related Side Effects and Adverse ReactionsModels, BiologicalAnimalsDrug DevelopmentDrug DiscoveryHumansQuantitative Structure-Activity Relationship

Identifiers

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.