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Engineered human pluripotent-stem-cell-derived intestinal tissues with a functional enteric nervous system.

Michael J Workman1, Maxime M Mahe2, Stephen Trisno1

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Researchers developed a human intestinal organoid model with a functional enteric nervous system (ENS) using stem cells. This breakthrough allows studying gastrointestinal motility disorders and ENS-intestinal biology.

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Area of Science:

  • Stem cell biology
  • Neuroscience
  • Gastroenterology

Background:

  • The enteric nervous system (ENS) regulates crucial gastrointestinal functions like motility and permeability.
  • Current limitations exist in studying ENS-intestinal biology and diseases due to the lack of human models.
  • Perturbations in ENS development or function are linked to various gastrointestinal disorders.

Purpose of the Study:

  • To engineer human intestinal tissue with a functional ENS using a tissue-engineering approach.
  • To create a novel human model for investigating ENS-intestinal biology and diseases.
  • To explore the potential of this model in studying motility disorders like Hirschsprung's disease.

Main Methods:

  • Utilized embryonic and induced pluripotent stem cells (PSCs) to generate human intestinal organoids (HIOs).
  • Combined human-PSC-derived neural crest cells (NCCs) with HIOs to recapitulate ENS development in vitro.
  • Grew ENS-containing HIOs in vivo to assess neuroglial structure and function.

Main Results:

  • Successfully recapitulated normal intestinal ENS development, with NCCs migrating, differentiating into neurons and glial cells, and exhibiting neuronal activity.
  • ENS-containing HIOs grown in vivo formed complex neuroglial structures resembling myenteric and submucosal plexuses.
  • Demonstrated functional interstitial cells of Cajal and electromechanical coupling regulating contractile waves in the engineered tissue.
  • Utilized the model to investigate the PHOX2B mutation's role in Hirschsprung's disease.

Conclusions:

  • This study presents the first human-PSC-derived intestinal tissue with a functional ENS.
  • The developed model provides a powerful platform for studying ENS-intestinal biology and human gastrointestinal motility disorders.
  • This system offers new avenues for investigating the cellular and molecular basis of diseases like Hirschsprung's disease.