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Peer-Reviewed Publication
Toxicol Sci2026;209(6)June 5, 2026Journal Article

RENAsym, a quantitative systems toxicology platform model, designed to predict drug-induced kidney injury indicates polymyxin B and valproate overdose toxicity potential while simultaneously demonstrating acetaminophen and valproate safety at therapeutic levels.

Celeste Vallejo1, Pallavi Bhargava1, Nader Hamzavi1, Matthew McDaniel1, Vinal V Lakhani1, Timothy Qi1, Christina Battista1, Lara Clemens1, Lisl K M Shoda1, Zackary R Kenz1, Shailendra Tallapaka1, Yeshitila Gebremichael1, Jeffrey L Woodhead1
1Simulations Plus, Research Triangle Park, NC 27709, United States.

Abstract

RENAsym is a quantitative systems toxicology (QST) modeling platform designed to predict drug-induced kidney toxicity. The model includes the proximal tubule cell (PTC) life cycle, regeneration of PTCs, sodium reabsorption, nephron death, and drug-induced injury and inflammation within the proximal tubules. The mechanisms of drug-induced toxicity included are overproduction of reactive oxygen spec…

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