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Updated: Nov 24, 2025

Forskolin-induced Swelling in Intestinal Organoids: An In Vitro Assay for Assessing Drug Response in Cystic Fibrosis Patients
Published on: February 11, 2017
An open-source high-content analysis workflow for CFTR function measurements using the forskolin-induced swelling
Marne C Hagemeijer1,2, Annelotte M Vonk1,2, Nikhil T Awatade3
1Department of Pediatric Pulmonology, Wilhelmina Children's Hospital, University Medical Center Utrecht, 3584 EA Utrecht, The Netherlands.
A new open-source workflow standardizes the analysis of forskolin-induced swelling (FIS) assay data from intestinal organoids for cystic fibrosis (CF) drug screening. This method enhances reproducibility and accuracy in measuring CFTR function in CF organoids.
Area of Science:
- Biomedical Engineering
- Genetics and Genomics
- Drug Discovery
Background:
- The forskolin-induced swelling (FIS) assay is crucial for predicting cystic fibrosis transmembrane conductance regulator (CFTR) drug efficacy.
- Lack of standardized FIS data quantification hinders inter-laboratory reproducibility.
- Cystic fibrosis (CF) research requires reliable methods for assessing CFTR function.
Purpose of the Study:
- To develop and present a standardized, open-source workflow for high-content analysis of CFTR function using FIS assay data.
- To enable reproducible quantification of FIS data from intestinal organoids.
- To facilitate accurate assessment of CFTR modulator drug effects.
Main Methods:
- Developed a complete open-source workflow utilizing raw microscopy images.
- Integrated tools for file/metadata handling, image quantification, and statistical analysis.
- Workflow components include R packages, CellProfiler/ImageJ scripts, and a dedicated application.
Main Results:
- The workflow provides standardized, high-content analysis of CFTR function measurements.
- Successfully reproduced results from previously published proprietary analysis protocols.
- Enables reliable and reproducible CFTR function measurements in CF organoid models.
Conclusions:
- The developed open-source workflow addresses the need for standardized FIS data analysis.
- This approach improves inter-laboratory reproducibility for CFTR drug screening.
- Facilitates more accurate prediction of CFTR-modulating drug efficacy in cystic fibrosis patients.
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