“…Stem cell‐based assays, as well as other in vitro and ex vivo assays, may be unable to detect proteratogens, as they lack maternal metabolisms. To overcome such limitation, several attempts have been made to augment in vitro or ex vivo assays by incorporating exogenous metabolic systems, such as hepatocytes or liver extracts, to simulate the effects of the maternal liver (Hettwer et al, 2010 ; Luijten, Verhoef, Westerman, & Piersma, 2008 ; Oglesby, Ebron, Beyer, Carver, & Kavlock, 1986 ; Ozolins, Oglesby, Wiley, & Wells, 1995 ; Piersma et al, 1991 ; Zhao, Krafft, Terlouw, & Bechter, 1993 ), although it is unclear how effectively such liver substitutes can represent the complexity of maternal metabolisms. For many pharmaceutical drugs, the information on their metabolisms in the human body is often available through pharmacokinetic studies, including their chemical structures and the plasma concentrations of the major metabolites.…”