Abstract
Aims:
In silico methods provide a resourceful toolbox for new approach methodologies (NAMs). They can revolutionize chemical safety assessment by offering more efficient and human-relevant alternatives to traditional animal testing. In this study, we introduce two Liver Physiological Maps (PMs); comprehensive and machine-readable graphical representations of the intricate mechanisms governing two major liver functions.
Methods:
Two PMs were developed through manual literature curation, integrating data from established pathway resources and domain expert knowledge. Cell-type specificity was validated using Human Protein Atlas datasets. An interactive version is available online for exploration. Cross-comparison analysis with existing Adverse Outcome Pathway (AOP) networks was performed to benchmark physiological coverage and identify knowledge gaps.
Results:
The LiverLipidPM focuses on liver lipid metabolism, detailing pathways involved in fatty acid synthesis, triglycerides, cholesterol metabolism, and lipid catabolism in hepatocytes. And the LiverBilePM represents bile acid biosynthesis and secretion processes, detailing biosynthesis, transport, and secretion processes between hepatocytes and cholangiocytes. Both maps integrate metabolism with signaling pathways and regulatory networks. The interactive maps enable visualization of molecular pathways, linkage to external ontologies, and overlay of experimental data. Comparative analysis revealed unique mechanisms to each map and overlaps with existing AOP networks. Chemical-target queries identified new potential targets in both PMs, which might represent new molecular initiating events for AOP network extension.
Conclusion:
The developed liver PMs serve as valuable resources for hepatology research, with a special focus on hepatotoxicity, supporting the refinement of AOP networks and the development of human-oriented in vitro test batteries for chemical toxicity assessment. These maps provide a foundation for creating computational models and mode-of-action ontologies while potentially extending their utility to systems biology and drug discovery applications.
1 Introduction
The liver is a vital organ responsible for several essential functions in the human body, including metabolism, immunity, digestion, and detoxification of xenobiotics (; ; ; ). Its unique dual blood supply from the portal vein and the hepatic artery allows it to interact with the endocrine and gastrointestinal systems, supporting several metabolic functions such as lipid metabolism. Additionally, the liver plays a crucial role in bile acid biosynthesis and secretion, which are vital for preserving the body’s homeostasis. Exposure to toxic substances can result in liver injury, including cholestasis, steatosis, fibrosis, and cancer (; ). Therefore, comprehensive understanding of the mechanisms that drive human liver functions is critical for advancing mechanistic-based risk assessment in toxicology. This knowledge can pave the way for developing more precise and human-centered approaches for identifying and evaluating chemical hazards and risks.
New approach methodologies (NAMs) for next generation risk assessment combine human-oriented in vitro and in silico methods, including artificial intelligence (AI) tools and mechanistic models, to unravel mechanisms of toxicity (). In this context, the Physiological Maps (PMs) framework provides the blueprint for molecular mechanistic understanding of toxicity processes, linking to specific disease mechanisms summarized into qualitative and quantitative adverse outcome pathway (AOP) networks, and serving as a biological foundation for the development of mode-of-action ontologies (). PMs are standardized and machine-readable graphical representations of molecular and cellular processes associated with specific cell and/or organ functions, including homeostatic processes (). Their development process is highly inspired by the Disease Maps (DMs) project (; ). While DMs mostly focus on representing disease mechanisms, PMs depict undisturbed physiology. They act as a knowledge repository that integrates relationships curated from a range of sources, including the literature and open access resources mapping pathways - such as Reactome (), KEGG (), Wikipathways () and DMs modules (; ; ). Moreover, PMs are curated for cell- and/or organ-specific scenarios. Like DMs, PMs are dynamic tools where new knowledge is seamlessly integrated, resulting in the continuous generation of updated versions through a community-based effort. They are machine-readable, as they rely on a standardized Systems Biology Graphical Notation (SBGN) () and can therefore be stored in different systems biology file formats (e.g., SBML, GPML - explained in Box 1 - and others). Additionally, they are designed in a modular, interoperable, and reusable manner, making them adaptable for various cell-specific contexts, diseases, or physiological conditions and perturbations.
In the present article, we present the development of two PMs of human liver functions: the Liver Lipid Metabolism and the Liver Bile Secretion PMs (LiverLipidPM and LiverBilePM). We also include a reproducible method for AOP benchmarking against undisturbed physiological mechanisms and discuss their potential applications in toxicology and systems medicine.
2 Results and discussion
We developed two PMs, each covering an important liver function whose impairment can lead to the distinct clinical conditions of steatosis and cholestasis. Both liver pathologies can be caused by exogenous substances through various mechanisms.
The LiverLipidPM provides a detailed overview of the pathways involved in lipid metabolism (Figure 1). More specifically, the biological processes involved in the synthesis of fatty acids, triglycerides, and cholesterol, as well as their uptake and export mechanisms that facilitate access to the enzymes required for biotransformation processes. In addition, the map includes pathways related to lipid catabolism through mitochondrial and peroxisomal activities. A dedicated submap illustrates specific mitochondrial functions, such as reactive oxygen species scavenging and oxidative phosphorylation. The map also covers regulatory mechanisms that maintain lipid homeostasis through hormone signaling, transcription factor dynamics, and feedback loops. This PM depicts the complex network of biochemical reactions and molecular interactions occurring within a generic hepatocyte, represented by a single cellular compartment. To increase cell type specificity, the resource includes carefully curated proteins, genes, and ribonucleic acid (RNA) molecules known to be expressed in liver cells, validated against the Human Protein Atlas single cell datasets (). This curation process ensures that the visualization accurately reflects the unique molecular landscape of hepatocytes, providing a comprehensive and tissue-specific representation of cellular processes in the liver.
FIGURE 1
The LiverBilePM provides a detailed overview of the biological pathways involved in the biosynthesis, transport, and secretion of bile acids in the liver and considers the interactive interface between hepatocytes and cholangiocytes through the bile canaliculi (Figure 2). This map also depicts cholesterol biosynthesis and metabolism, leading to bile acid biosynthesis and their subsequent transport across cellular membranes into the canaliculi spaces. It also includes pathways for lipoprotein uptake and efflux, as well as bile acid influx and recycling mechanisms, including the cholehepatic shunt. Besides that, regulatory control mechanisms through hormonal signaling, gene regulatory networks and adaptive tuning are also included. Hepatocytes and cholangiocytes are represented as four main compartments, two for each cell type, and a delimited space between two hepatocytes and two cholangiocytes represents a bile duct and bile canaliculus, respectively. As with the LiverLipidPM, cellular specificity was also taken into consideration, and map entities were curated using the Human Protein Atlas resources for both cell types presented on the LiverBilePM.
FIGURE 2
Both maps integrate metabolism with signaling pathways and regulatory networks using a systems biology approach, as depicted in Figure 3A, and they were constructed utilizing manually curated human-relevant data. They both share 550 unique nodes identified by their HGNC approved symbols, which are mainly enriched for Reactome terms related to mitochondrial processes, such as aerobic respiration and respiratory electron transport, complex I biogenesis, and mitochondrial protein degradation, as well as metabolism of steroids and phase I metabolism of compounds. Supplementary Figure S1 shows each map entity frequency, their overlapping entities and the top 5 enriched Reactome terms for each resource. The Supplementary Material contains tables for each enrichment analysis (unique map terms and their overlapping processes). The PMs are designed to guide the development of mechanistic-based in vitro test batteries, in silico methods including AI approaches, and mode-of-action ontologies, all aimed at supporting the mechanistic prediction of chemical toxicities in humans (; ).
FIGURE 3
Additionally, the liver PMs can be applied to visually overlay omics data onto the pathways (Figure 3B) using, for example, the MINERVA (Molecular Interaction NEtwoRk VisuAlization) platform (
Furthermore, PMs serve as repositories of existing biological knowledge, which can be used to support the development of AOPs. Two recent efforts to map AOP networks for steatosis and cholestasis highlight how toxicity mechanisms interact at a higher mechanistic level (
PMs are aligned with the FAIR principles of Findability, Accessibility, Interoperability, and Reusability (
2.1 Challenges and future directions
The Liver PMs, while extensive, do not capture all known molecular processes related to the liver functions. This limitation stems from the manual curation process, which, despite expert involvement, is inherently constrained by time and resources. To enhance these maps, we plan to explore AI-assisted systematic review methods (
By utilizing large-scale data analysis and machine learning techniques, we can discover novel molecular relationships and expand the resource’s detail and coverage, with the goal of more accurately describing human physiology. Examining differentially expressed genes across variations in standard physiological conditions (e.g., gender, age, populations, genotypic variations) can help to illuminate the mechanistic differences leading to diverse outcomes upon therapy administration or chemical exposure. Additionally, data-driven approaches for reconstructing mechanistic pathways (
To support research into chemical-induced toxicity endpoints, both PMs were specifically developed as tools fit for this purpose. However, the fact that they are modular and interoperable makes them valuable assets for the broader hepatology community, extending their usefulness beyond the scope of toxicology.
3 Conclusion
The Liver PMs were primarily designed to serve as a valuable resource for toxicology research. They were built to guide the refinement of AOP networks, enhance our understanding of human physiological mechanisms, and support the establishment of human-oriented in silico and in vitro test batteries for chemical toxicity assessment. Additionally, these maps were also intended to provide a rationale for creating dynamic computational models and to lay the groundwork for mode-of-action ontologies and mechanistic AI tools in toxicology. Beyond their initial focus, the Liver PMs may also be applicable to systems biology and drug discovery. As research progresses, these maps could become valuable in various aspects of pharmaceutical development, including drug repurposing efforts.
4 Methods
The establishment of the PMs involves several steps: literature selection and curation, overview model representation, pathway resource screening, extraction of molecular relationships, nomenclature standardization, cell type curation, network diagramming, and expert review. Figure 4 highlights the entire workflow, detailing the key resources used in each phase. Methods for the PMs and AOP network comparison and overlay preparation, as well as a detailed description for the PMs cross-comparison analysis can be found in the Supplementary Material.
FIGURE 4

Physiological Maps curation workflow, from literature curation to expert review. KEGG stands for Kyoto Encyclopedia of Genes and Genomes; PMID for PubMed Identifier; HGNC for HUGO (Human Genome Organization) Gene Nomenclature Committee; SBML for Systems Biology Graphical Notation; and MINERVA for Molecular Interaction NEtwoRk VisuAlization.
4.1 Data curation
To build the PMs, domain experts reviewed relevant literature, encompassing review papers and book chapters. The initial list of selected literature is included in the references of the maps planning documents (Supplementary Material). Mechanisms identified in the selected literature were compiled into a list, and key terms from this list were incorporated into an overview model (Supplementary Material). Pathways from established resources such as Reactome (
4.2 Graphical representation
The SBGN (
4.3 Diagram editor and visualization platform
The maps were created and edited using the CellDesigner pathway editor (
4.4 Validation and standardization
The liver PMs’ validation strategy extends beyond traditional data curation approaches by integrating multiple validation layers. Each molecular component underwent cell-type specificity validation of gene expression and protein isoforms using the Human Protein Atlas resources (proteinatlas.org) (
4.5 Documentation
To harness the full potential of PMs, a collaborative effort between domain experts and the curation team was undertaken to annotate and document the maps. This process involved the development of curation guidelines (
4.6 Physiological maps cross-comparison
Comparative analysis of the LiverLipidPM and LiverBilePM was performed to characterize their molecular composition and functional relationships. Molecular components were extracted from both maps using the minervar R package (version 0.8.15) (
Set operations were applied to identify shared and unique molecular components between maps, with results visualized using Venn diagrams. Functional enrichment analysis was conducted using ReactomePA (
A detailed description of this section can be found in the supplementary text (Supplementary Material) as well as the gene lists and reproducible R scripts.
Box 1
| Resource | Definition/comment |
| New Approach Methodologies (NAMs) | New approach methodologies (NAMs), are non-animal testing methods designed to reduce and replace existing traditional animal-based testing systems. Resource: https://www.oecd.org/chemicalsafety/testing/new-approach-methodologies-in-toxicology.htm |
| Disease Maps | Disease Maps are visual representations of disease mechanisms in a human- and machine-readable way. Each project in the Disease Maps community integrates molecular interactions and pathways involved in a particular pathological scenario. More recently, physiological maps and adverse outcome pathways have also been integrated into the Disease Maps project portfolio. Resource: https://disease-maps.org/ |
| Systems Biology Graphical Notation (SBGN) | Systems Biology Graphical Notation: a standardized graphical representation of biological mechanisms. SBGN is composed of three different types of representations: Activity Flow, Process Description and Entity Relationships. Resource: https://sbgn.github.io/ |
| SBGN Process Description | A type of SBGN representation in which a network is directed, sequential, and mechanistic. It allows an understanding of the temporal aspect of biochemical interactions. Resource: https://sbgn.github.io/specifications |
| SBGN Activity Flow | A type of SBGN representation in which a network is directed and sequential but not mechanistic at the molecular level. It shows the flow of information between biochemical entities, omitting information about how interactions occur, and is particularly convenient for representing the effects of perturbations. Resource: https://sbgn.github.io/specifications |
| HGNC approved symbol | HUGO (Human Genome Organization) Gene Nomenclature Committee: official gene names assigned by experts. Used for consistent gene identification. Resource: https://www.genenames.org/ |
| Gene Ontology (GO) Biological Function | Gene Ontology Biological Function: standardized terms describing gene roles in organisms. Part of a larger system for classifying gene functions. Resource: http://geneontology.org/ |
| Reactome | Reactome is a large database of expert-curated biological pathways and reactions. Provides visualization and analysis tools for these processes Resource: https://reactome.org/ |
| WikiPathways | WikiPathways is a community-curated biological pathway database. Allows researchers to contribute and edit pathway information. Resource: https://www.wikipathways.org/ |
| Kyoto Encyclopedia of Genes and Genomes (KEGG) | Kyoto Encyclopedia of Genes and Genomes is a database of genetic and molecular information, including pathway resources. Focuses on the systemic functions of genes and molecules. Resource: https://www.genome.jp/kegg/ |
| Systems Biology Markup Language (SBML) | Systems Biology Markup Language: standard format for representing biological models in a machine-readable manner. Facilitates the exchange of models between different software tools. Resource: http://sbml.org/ |
| Graphical Pathway Markup Language (GPML) | Graphical Pathway Markup Language: the WikiPathways standard format for representing biological models in a machine-readable manner. Facilitates the exchange of models between different software tools. Resource: https://pathvisio.org/documentation/GPML2021-doc.html |
Concepts and resource definitions.
Statements
Data availability statement
The datasets presented in this study can be found in online repositories. The names of the repository/repositories and accession number(s) can be found below: The dataset is available in the BioStudies database (http://www.ebi.ac.uk/biostudies) under accession numbers S-ONTX35 (LiverBilePM) & S-ONTX36 (LiverLipidPM). All the maps are available at our GitHub organization (https://github.com/ontox-maps) and at the ONTOX MINERVA platform (https://ontox.elixir-luxembourg.org/minerva/), under the license Creative Commons Attribution 4.0 International (CC BY 4.0) License (https://creativecommons.org/licenses/by/4.0/).
Author contributions
LL: Writing – original draft, Data curation, Methodology, Investigation, Conceptualization, Writing – review and editing, Visualization. AV: Writing – original draft, Data curation, Investigation, Visualization, Writing – review and editing. JE: Investigation, Visualization, Data curation, Writing – review and editing. JJ: Data curation, Investigation, Writing – review and editing. AG: Methodology, Data curation, Writing – review and editing. JS-S: Writing – review and editing, Data curation. TV: Data curation, Writing – review and editing. HH: Writing – review and editing, Methodology, Data curation. RJ: Investigation, Writing – review and editing, Data curation. MV: Conceptualization, Resources, Data Curation, Writing – Review and Editing, Supervision, Project administration, Funding acquisition. LG: Project administration, Writing – review and editing, Supervision, Writing – original draft, Funding acquisition, Data curation, Resources, Methodology, Conceptualization. BS: Writing – review and editing, Methodology, Supervision, Writing – original draft, Data curation, Resources, Conceptualization, Project administration.
Funding
The author(s) declare that financial support was received for the research and/or publication of this article. This work was performed in the context of the ONTOX project (https://ontox-project.eu/) which has received funding from the European Union’s Horizon 2020 Research and Innovation programme under grant agreement No 963845. ONTOX is part of the ASPIS project cluster (https://aspis-cluster.eu/). This work also received funding from the European Research Council under the European Union’s Horizon 2020 Framework Program (H2020/2014-2021)/ERC grant agreement No 772418 (INSITE).
Acknowledgments
The authors thank Dr. Marek Ostaszewski for the technical support with the MINERVA platform, the minervar package, and for the insights for map data management and analysis. The authors would also like to express their gratitude for the curation work done by many researchers and biocurators in all databases cited here. Online browsing is supported by the MINERVA team (https://minerva.pages.uni.lu/doc/) at the Bioinformatics Core of the Luxembourg Centre for Systems Biomedicine within the ELIXIR-LU framework (https://elixir-luxembourg.org). Figures were designed using resources from Flaticon.com.
Conflict of interest
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Authors TV and RJ declared that they were an editorial board member of Frontiers, at the time of submission. This had no impact on the peer review process and the final decision.
Generative AI statement
The author(s) declare that no Generative AI was used in the creation of this manuscript.
Publisher’s note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.
Supplementary material
The Supplementary Material for this article can be found online at: https://www.frontiersin.org/articles/10.3389/ftox.2025.1619651/full#supplementary-material
Abbreviations
AI, Artificial Intelligence; AOP, Adverse Outcome Pathway; DM, Disease Map; FAIR, Findable, Accessible, Interoperable, and Reusable; GO, Gene Ontology; GPML, Graphical Pathway Markup Language; HGNC, HUGO Gene Nomenclature Committee; HUGO, Human Genome Organization; KEGG, Kyoto Encyclopedia of Genes and Genomes; LiverBilePM, Liver Bile Secretion Physiological Map; LiverLipidPM, Liver Lipid Metabolism Physiological Map; MINERVA, Molecular Interaction NEtwoRk VisuAlization; MIRIAM, Minimal Information Requested In the Annotation of biochemical Models; NAM, New Approach Methodology; ONTOX, Ontology-driven and artificial intelligence-based repeated dose toxicity testing of chemicals for next generation risk assessment; PD, Process Description; PM, Physiological Map; PMID, PubMed Identifier; RNA, Ribonucleic Acid; SBGN, Systems Biology Graphical Notation; SBML, Systems Biology Markup Language.
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Summary
Keywords
physiological maps, toxicology, systems biology, hepatology, new approach methodologies
Citation
Ladeira L, Verhoeven A, van Ertvelde J, Jiang J, Gamba A, Sanz-Serrano J, Vanhaecke T, Heusinkveld HJ, Jover R, Vinken M, Geris L and Staumont B (2025) Unlocking liver physiology: comprehensive pathway maps for mechanistic understanding. Front. Toxicol. 7:1619651. doi: 10.3389/ftox.2025.1619651
Received
28 April 2025
Accepted
18 June 2025
Published
07 July 2025
Volume
7 - 2025
Edited by
Scott Auerbach, National Institute of Environmental Health Sciences (NIH), United States
Reviewed by
Venkat R. P., Biotechnology HPC Software Applications Institute (BHSAI), United States
Stephen Ferguson, National Institute of Environmental Health Sciences (NIH), United States
Updates

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Copyright
© 2025 Ladeira, Verhoeven, van Ertvelde, Jiang, Gamba, Sanz-Serrano, Vanhaecke, Heusinkveld, Jover, Vinken, Geris and Staumont.
This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
*Correspondence: Luiz Ladeira, lcladeira@uliege.be; Liesbet Geris, liesbet.geris@uliege.be; Bernard Staumont, b.staumont@uliege.be
† These authors share first authorship
‡ These authors share senior authorship
Disclaimer
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.