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Updated: Sep 21, 2025

Establishing Human Lung Organoids and Proximal Differentiation to Generate Mature Airway Organoids
Published on: March 23, 2022
Cell response analysis in SARS-CoV-2 infected bronchial organoids.
Emi Sano1, Tatsuya Suzuki2, Rina Hashimoto1
1Center for iPS Cell Research and Application (CiRA), Kyoto University, Kyoto, 606-8507, Japan.
A new bronchial organoid model (BO-ALI) shows over 1,000x higher severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection efficiency. This model aids in studying COVID-19 therapies and airway regeneration.
Area of Science:
- Respiratory Virology
- Cell Biology
- Regenerative Medicine
Background:
- Development of in vitro models is crucial for studying severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).
- Existing models may not fully recapitulate the complex airway environment for efficient viral infection studies.
Purpose of the Study:
- To develop and characterize an advanced in vitro cell model for SARS-CoV-2 research.
- To compare infection efficiency between bronchial organoids (BO) and a derived air-liquid interface model (BO-ALI).
- To investigate cellular responses and regeneration mechanisms following SARS-CoV-2 infection.
Main Methods:
- Infection experiments were performed using eight SARS-CoV-2 variants in BO and BO-ALI models.
- Cellular tropism and viability were assessed post-infection.
- Mechanisms of airway epithelial regeneration were investigated, including the role of fibroblast growth factor 10 (FGF10) signaling.
Main Results:
- The BO-ALI model demonstrated over 1,000 times higher infection efficiency compared to the BO model.
- SARS-CoV-2 primarily infected ciliated cells, leading to their death, while basal cells remained uninfected.
- Surviving basal cells differentiated into ciliated cells, a process dependent on FGF10 signaling.
Conclusions:
- The BO-ALI model serves as a robust platform for evaluating SARS-CoV-2 infection and COVID-19 therapeutic agents.
- This model also offers valuable insights into airway regeneration processes following viral damage.
- Findings highlight the potential of BO and BO-ALI in advancing respiratory virus research and regenerative medicine.
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